ANSWERS FULLY VERIFIED #18
A - correct answer A nurse is assessing a client who is receiving Chloramphenicol
(Chloromycetin). Which of the following findings is an adverse effect of this medication?
A. Ecchymosis
B. Ototoxicy
C. Hyertension
D. Anxiety
C - correct answer A nurse is caring for a client who is to receive 1,500 ml of 0.9%
sodium chlorideiv over 8 hours. The nurse plans to use IV tubing with a drop factor of 10
gtt/ml.How many gtt/min of IV fluid should the client receive? (Round your answer tothe
nearest whole number).
A. 20gtt/min
B. 70gtt/min
C. 31gtt/min
D. 40gtt/min
A - correct answer A nurse is admitting a client to a long-term care facility. While
reconciling the medication prescribed at home with those prescribed in the facility, the
nurse discovers a discrepancy in the dosages. Which action should the nurse take?
A. Clarify the medication dosages with the provider.
B. Change the prescribed medication dosages to reconcile the discrepancy
C. Contact the pharmacist regarding the dosage discrepancies
D. Ask a family member to verify the medication dosages
C - correct answer A nurse is caring for a client who is receiving a fentanyl transdermal
system(Duragesic). What is important to document in the client's record?
A. Fluid intake
B. Skin integrity
C. Respiratory rate
D. Pulse rate
D - correct answer A nurse is caring for a client who has acute angina and has a
prescription for nitroglycerin. Which of the following is an appropriate intervention for the
nurse to take when administering this medication?
A. Massage the nitroglycerin ointment completely into the skin.
B. Replace the nitroglycerin transdermal patch every 4 hours.
C. Administer a sustained nitroglycerin tablet orally.
D. Administer a nitroglycerin tablet sublingually every 5minutes.
, B D E - correct answer A nurse is preparing to administer infliximab (Remicade) to a
client who has rheumatoid arthritis. The nurse should watch the patient for which of the
following adverse effects? (Select all that apply.)
A. Bradycardia
B. Jaundice
C. Polyuria
D. Urtipenia
E. Fever
A B E - correct answer A nurse is providing teaching to a client who was recently
diagnosed as HIV positive. The client is beginning medication therapy with zidovudine
(Retrovir). Which of the following statements should the nurse include in the teaching.
(Select all that apply.)
A. Must be taken with other retroviral medicines.
B. Has few adverse effects
C. Cures an HIV infection
D. Prevents you from transmitting the HIV infection
E. Increases CD4+ cell count
A - correct answer A nurse is assessing a school age client who is experiencing seizure
activity and is prescribed diazepam (Valium) IV. The nurse should should clarify the
order if the client is receiving a continuous infusion of which of the following IV:
A. Lactated Ringers solution
B. 0.9% Sodium chloride with 100 units of regular insulin C. 0.9% sodium chloride
D. 0.9% Sodium chloride with 20 meq of potassium chloride
B - correct answer A nurse is assessing a client who is taking enalapril (Vasotec) for
congestive heart failure. Which of the following indicates an expected finding?
A. Activity tolerance
B. Orthostatic hypotension
C. Loss of strength
D. Increase in blood pressure
D - correct answer A child with cerebral palsy is prescribed Baclofen (Lioresal). Which
of the following therapeutic effects should the nurse monitor?
A. Increased urine output
B. Increased energy
C. Decreased anxiety
D. Decreased spacity
D - correct answer Clinical findings of a client who has a prescription for lithium
carbonate (Lithobid) .For which reasons should the nurse withhold the medication and
notify the provider?
A. Lithium level 1.0meq/L
B. Potassium at 3.7meq/L