A nurse is preparing to administer a Rho (D) immune globulin injection to the client.
Which information in the client's chart would cause the nurse to question the order?
A.
Blood pressure 140/90 mmHg
B.
2+ proteinuria
C.
B- blood type
D.
A+ blood type
,Give this one a try later!
A+ blood type
The nurse notices that an actively dying client is suddenly agitated, restless, and
hallucinating. What is the nurse's priority in this situation?
A.
Administer pain medications, as pain often causes delirium.
B.
Assess for reversible causes of delirium.
C.
Assess for dementia and possible causes.
D.
Administer ordered neuroleptics immediately to treat delirium.
Give this one a try later!
Assess for reversible causes of delirium.
The nurse sees that a hospice client, who is taking haloperidol, is grimacing an lip
smacking. The client's family asks the nurse why this is happening. What is the correct
response by the nurse?
A.
"This is a sign of worsening pain, I will request additional pain medication."
B.
"This is called tardive dyskinesia. It is a side effect of haloperdol."
C.
"The dose of haloperidol needs to be increased to treat this,"
D.
"I will contact the health care provider to discuss this finding with you."
,Give this one a try later!
"This is called tardive dyskinesia. It is a side effect of haloperdol."
A client newly diagnosed with diabetes insipidus (DI) has been prescribed
indomethacin. The nurse verifies that he medication has been effective based upon
which assessment finding(s)?
A.
Decreased joint swelling
B.
Increased urine specific gravity
C.
Decreased blood pressure
D.
Decreased serum osmolality
E.
Increased serum sodium
Give this one a try later!
Increased urine specific gravity
Decreased serum osmolality
Which laboratory value for a client who has recently been prescribed misoprostol for
peptic ulcer disease would require immediate action by the nurse?
A.
Hemoglobin 10.2 mg/dL
B.
Serum sodium 133 mEq/dL
C.
Arterial pH 7.46
, D.
Hma chorionic gonadotropin 30 mlU/mL
Give this one a try later!
Hma chorionic gonadotropin 30 mlU/mL
A client has been prescribed diphenhydramine 500 mg for the treatment of a mild
allergic reaction. After reviewing a drug reference manual, hte nurse identifies that the
dose is incorrect. What is the priority action by the nurse at this time?
A.
Assess the client for signs of anaphylaxis.
B.
Hold the medication and notify the prescriber.
C.
Contact the pharmacist to double-check the dose parameters.
D.
Administer the recommended dose as listed in the drug reference manual.
Give this one a try later!
Hold the medication and notify the prescriber.
Which instructions does the nurse provide to a client taking an antibiotic for
suspected streptococcal pharyngitis to reduce the risk of drug resistance?
A.
Use an oral probiotic while taking the antibiotic.
B.
Stop the antibiotic once your symptoms have completely resolved.
C.
Use the lowest dose antibiotic for the shortest duration possible.
Which information in the client's chart would cause the nurse to question the order?
A.
Blood pressure 140/90 mmHg
B.
2+ proteinuria
C.
B- blood type
D.
A+ blood type
,Give this one a try later!
A+ blood type
The nurse notices that an actively dying client is suddenly agitated, restless, and
hallucinating. What is the nurse's priority in this situation?
A.
Administer pain medications, as pain often causes delirium.
B.
Assess for reversible causes of delirium.
C.
Assess for dementia and possible causes.
D.
Administer ordered neuroleptics immediately to treat delirium.
Give this one a try later!
Assess for reversible causes of delirium.
The nurse sees that a hospice client, who is taking haloperidol, is grimacing an lip
smacking. The client's family asks the nurse why this is happening. What is the correct
response by the nurse?
A.
"This is a sign of worsening pain, I will request additional pain medication."
B.
"This is called tardive dyskinesia. It is a side effect of haloperdol."
C.
"The dose of haloperidol needs to be increased to treat this,"
D.
"I will contact the health care provider to discuss this finding with you."
,Give this one a try later!
"This is called tardive dyskinesia. It is a side effect of haloperdol."
A client newly diagnosed with diabetes insipidus (DI) has been prescribed
indomethacin. The nurse verifies that he medication has been effective based upon
which assessment finding(s)?
A.
Decreased joint swelling
B.
Increased urine specific gravity
C.
Decreased blood pressure
D.
Decreased serum osmolality
E.
Increased serum sodium
Give this one a try later!
Increased urine specific gravity
Decreased serum osmolality
Which laboratory value for a client who has recently been prescribed misoprostol for
peptic ulcer disease would require immediate action by the nurse?
A.
Hemoglobin 10.2 mg/dL
B.
Serum sodium 133 mEq/dL
C.
Arterial pH 7.46
, D.
Hma chorionic gonadotropin 30 mlU/mL
Give this one a try later!
Hma chorionic gonadotropin 30 mlU/mL
A client has been prescribed diphenhydramine 500 mg for the treatment of a mild
allergic reaction. After reviewing a drug reference manual, hte nurse identifies that the
dose is incorrect. What is the priority action by the nurse at this time?
A.
Assess the client for signs of anaphylaxis.
B.
Hold the medication and notify the prescriber.
C.
Contact the pharmacist to double-check the dose parameters.
D.
Administer the recommended dose as listed in the drug reference manual.
Give this one a try later!
Hold the medication and notify the prescriber.
Which instructions does the nurse provide to a client taking an antibiotic for
suspected streptococcal pharyngitis to reduce the risk of drug resistance?
A.
Use an oral probiotic while taking the antibiotic.
B.
Stop the antibiotic once your symptoms have completely resolved.
C.
Use the lowest dose antibiotic for the shortest duration possible.
