all Flashcards
1
Q
A nurse is assessing a client who takes prescribed daily aspirin. Which of the following findings indicates salicylism? Tinnitus Facial edema Diplopia Joint pain
A
a
2
Q
A nurse is providing teaching to a client who has a prescription for lithium carbonate. Which of the following instructions should the nurse include?
Decrease your daily sodium intake
Report swelling of the feet to your provider.
Limit food containing tyramine
Take this medication 2 hour before a meal
A
b
3
Q
A nurse is planning to administer nitroglycerin topical ointment to a client who has angina. Which of the following actions should the nurse plan to take?
Administer the ointment using the index finger
Rotate the site of application with each side
Rub the ointment into the client’s skin.
Cover the ointment with a gauze dressing
A
b
4
Q
A nurse is caring for a client who is receiving IV amphotericin B. Which of the following findings should the nurse identify as an acute infusion reaction? Dry cough Fever Pedal edema Hyperglycemia
A
b
5
Q
A nurse is caring for a client who is receiving ondansetron to treat the adverse effect of chemotherapy. Which of the following findings should indicate to the nurse that the treatment is effective? Increased urine output Reduced somnolence Reduced fever Increased appetite
A
d
6
Q
A nurse is caring for a client who has just received ampicillin/sulbactam via intermittent IV bolus. The nurse should identify which of the following findings as an allergic reaction? Decreased blood glucose level Audible wheezing Phlebitis at the infusion site Hyperactive deep tendon reflexes
A
b
7
Q
A nurse is caring for a client who is receiving morphine subcutaneously for pain. The nurse should monitor the client for which of the following adverse effects of this medication? Polyuria Tachypnea Diarrhea Hypotension
A
d
8
Q
A nurse is preparing to administer amphotericin B via intermittent IV bolus to a client who has infective endocarditis. Which of the following actions should the nurse take?
Prime the tubing with 0.9% sodium chloride
Discard the medication if it is yellow
Administer the medication over 2hr
Use a gravity flow set
A
c
9
Q
A nurse is assessing a client who is taking sertraline for serotonin syndrome. Which of the following findings is the priority for the nurse to notify the provider? Weight gain Sexual dysfunction Insomnia Hyperthermia
A
b
10
Q
A nurse is providing teaching to a client who has gastric ulcer and a new prescription for ranitidine. Which of the following statements indicates an understanding of the teaching?
I can expect fine hand tremors when taking this medication
I can take two aspirin to treat headaches x
I should avoid dairy products when taking this med
I should not take an antacid within 1 hour of taking this med
A
d
11
Q
A nurse is caring for a client who is receiving her first course of doxorubicin to treat ovarian cancer. The nurse should monitor for which of the following manifestations as an indication of toxicity? Diaphoresis Respiratory depression Blurred vision Dysrhythmias
A
d
12
Q
A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (SATA) Multiple health problems Decreased percentage of body fat Decreased renal function Polypharmacy Increased rate of absorption
A
a,c,d
13
Q
A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects? Drowsiness Alopecia Tinnitus Peripheral edema
A
a
14
Q
A nurse is monitoring laboratory values of a client who has chronic heart failure. The client is receiving digoxin 1 mg PO daily. Which of the following values should the nurse report to the provider? BUN level 10 mg/dl Potassium 2.3 mEq/L Digoxin level 1.8 ng/mL Sodium 138 mEq/L
A
b
15
Q
A nurse is caring for a young adult female client who has chronic acne. Prior to administering tetracycline, which of the following actions should the nurse take?
Determine the client’s age at the onset of menses.
Ask the client if she is using birth control
Measure the client’s vital signs
Check the client’s history for an allergy to penicillin.
A
b
16
Q
A nurse is reviewing the lab report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client’s lithium level is 2.6 mEq/L. Which of the following actions should the nurse take?
Assist the client to a left lateral position
Request a dosage increase from the provide
Implement fluid restrictions
Prepare the client for hemodialysis
A
d
17
Q
A nurse is providing discharge teaching to a client who is prescribed furosemide. Which of the following instructions should the nurse include in the teaching? Weigh yourself once weekly Take the medication before going to bed Limit the amount of protein in your diet Monitor for hearing loss
A
d
18
Q
A hospice nurse is caring for a client who has cancer and is receiving oral opiates. The client reports persistent pain. Which of the following actions should the nurse take?
administer pain medication on a fixed schedule
change oral medications to the IV route
discontinue the clients adjuvant medication
assess the client for medication dependence
A
d
19
Q
A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?
I should take an antacid with this medication to prevent stomach upset
I should take this medication with 8 oz of milk
I should stay upright for at least 15 minutes after taking this medication
I should notify my provider is my stools turn black
A
c
20
Q
A nurse is assessing a client who has a prescription for lisinopril. Which of the following findings should the nurse identify as an adverse reaction? Prolonged PR interval Glucose level of 80 Dry, persistent cough Potassium level of 3.2
A
c
21
Q
A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates that the nurse administered epinephrine? Urticaria Bounding pulse Distended jugular vein Confusion
A
a
22
Q
A nurse is applying a nitroglycerin transdermal patch for a client who has Angina. Which of the following actions should the nurse take?
apply the patch to a hairless area of the skin
apply the patch on the same site every 24 hours
apply 4 x 4 dressing over to patch
apply the patch to a bony prominence on the chest
A
a
23
Q
A nurse is teaching a client who is to start taking cromolyn. Which of the following information should the nurse include in the teaching?
Cromolyn will dilate the bronchioles
Cromolyn should take effect within 5 minutes
Cromolyn is a long-term management medication
Cromolyn can be used after exercising
A
c
24
Q
A nurse is planning care for a client who is to receive a prescription of IV Vancomycin. Which of the following interventions should the nurse include in the plan?
Check for a penicillin cause sensitivity before infusing the medication
Examine the client’s upper body for flushing of the skin during the infusion
Infuse the medication over 30 minutes
Monitor for hypertension while the medication infuses
A
b
25
```
A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. the nurse should plan to monitor the client for which of the following adverse effects?
Tinnitus
Fluid retention
Insomnia
Orthostatic hypotension
```
b
26
```
A nurse is reviewing the lab findings of an older adult who is taking Sertraline. Which of the following lab values should the nurse identify as an adverse effect of the medication?
Potassium 3.9
Magnesium 1.5
Sodium 132
Calcium 10
```
c
27
```
A nurse is caring for an older client who is taking Prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects of this drug?
bone loss
hemolytic anemia
liver toxicity
Hypoglycemia
```
a
28
A nurse is assessing an older client who has cancer and is receiving morphine for pain management. The nurse should recognize which of the following findings requires attention first?
bladder distention with no voiding in 6 hours
respiratory rate of 10/min
systolic blood pressure decrease of 20 upon standing
absence of bowel movement for 4 days
b
29
A nurse is teaching about a new prescription for infliximab to a client who has rheumatoid arthritis. Which of the following information should the nurse include in the teaching?
You will receive the medication every week for 6 weeks
You should receive the intranasal influenza vaccine
You might experience diarrhea during the first two weeks of treatment
You'll receive a mantoux test before the initial medication dose
d
30
```
A nurse is reviewing the lab result of a client who has atrial fibrillation and is taking Warfarin. Which of the following lab results should the nurse report to the provider?
INR 4.6
Platelet 170, 000/mm3
aPTT 40 seconds
Hgb 14.5 mg/dL
```
a
31
```
A nurse in a provider's office is reviewing a list of current medications for an older client who has fallen at home. The nurse should identify which of the following medications places the client at risk for future Falls?
Simvastatin
Levothyroxine
Ferrous gluconate
Alprazolam
```
d
32
A nurse is caring for a client who takes paroxetine daily. Which of the following statements by the client indicates that the medication is effective?
I am less anxious when I go to work
My Tremors have decreased during the last two months
I have lost weight since I started taking his medication
My pulse has been regular at home
a
33
```
A nurse is caring for a client who is taking Digoxin to treat heart failure. Which of the following factors he disposes this client to developing toxicity?
Taking an HMG CoA reductase inhibitor
Having a 10 year old hx of COPD
Having a prolapsed mitral valve
Taking a high ceiling diuretic
```
d
34
```
A nurse is providing teaching to a client who has a new prescription for atorvastatin. Which of the following findings should the nurse include as an expected outcome while taking this medication?
increase triglyceride levels
increase LDL cholesterol level
increase HDL cholesterol level
increase total cholesterol level
```
c
35
A nurse is teaching a client about self administration of enoxaparin. Which of the following instructions should the nurse include? SATA
Massage the insertion site after injecting the medication
Insert the entire length of the needle into the skin during injection
Alternate injection sites between the sides of the abdomen
Expel the air bubble from the pre-filled syringe
Grasp the skin between the thumb and forefinger while injecting the medication
b,c,e
36
```
a nurse is administering medication to a client and mistakenly gives hydroxyzine (antihistamine) instead of hydralazine. the nurse should monitor the client for which of the following adverse effects?
Edema
Fever
Diplopia
Sedation
```
d
37
A nurse is planning discharge teaching for an adult client who has asthma and is to start therapy with beclomethasone, two puffs by metered dose inhaler. Which of the following instructions should the nurse plan to include in the teaching?
use the inhaler as needed for acute asthma attacks
wait three minutes between puffs
take a potassium supplement
gargle after using the inhaler
d
38
a nurse is caring for a client who is receiving hospice care and has a prescription for fentanyl buccal film. Which of the following methods should the nurse use to administer this medication?
insert the medication against the mucous membrane of the cheek
dissolve the medication and water before administering it
place the medication on the client's tongue for dissolution
Instruct the client to swallow the medication with a sip of water
a
39
a nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the following statements is appropriate for the nurse to take?
You should anticipate taking medication to treat your disease for at least the next three years x
you will need to take two or more medications to treat your disease
you should report monthly to have your blood drawn to monitor kidney function while taking medication
you will need to undergo tuberculin skin test every six months while taking medication for your disease
b
40
a nurse is completing a medication reconciliation for client prior to his transfer to a long-term care facility. Which of the following actions should the nurse take?
Remove duplicate medications of different dosages from the reconciliation list
Include medications the client received in the acute setting but will no longer need after transfer
Compare the current list of medications to medications the client will receive after transfer
Omit over the counter medications from the at-home medication list
c
41
```
A nurse is assessing a client who has a new prescription for cephalexin. the nurse should identify which of the following findings as an adverse effect of the medication?
Edema
chest pain
hypertension
Diarrhea
```
d
42
```
A nurse is assessing a client who has Graves disease and is taking methimazole. Which of the following findings indicates the client needs a lower dose of the medication?
weight loss
Diaphoresis
Exophthalmos
Bradycardia
```
d
43
A nurse is teaching a newly licensed nurse about safe medication administration. the nurse should instruct that which of the following actions is included in the six rights of medication administration?
compare a new prescription with an old prescription
document medication prior to Administration
obtain a current list of the client’s medications
verify dosage calculations with a second nurse
d
44
```
A client who has Graves disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?
warmer skin
weight loss
increase in pulse rate
increased sleeping
```
d
45
a nurse is caring for a client who has a prescription for Heparin via continuous IV infusion. Which of the following interventions should the nurse implement?
keep the clients intake of green leafy vegetables consistent
monitor for a decreased platelet count
monitor INR
administer potassium chloride for an overdose
b
46
A nurse is providing discharge teaching to a client who has a new prescription for furosemide. Which of the following instructions should the nurse include in the teaching?
weigh yourself on the same day each week
take the medication before going to bed
increase the amount of potassium in your diet
this medication should be taken on an empty stomach
c
47
A nurse is teaching a class about administering IV fluids to treat dehydration. the nurse should include in the teaching that which of the following indicates effective treatment of dehydration?
Urine specific gravity 1.020
Serum osmolarity 310 mOsm/L
Serum hematocrit 55%mg/dL
a
48
```
A nurse is teaching a female client who has a new prescription for an estrogen-progestin combination. Which of the following adverse effects is a priority to report to the provider?
Loss of appetite
Breakthrough bleeding
Breast enlargements
Calf swelling
```
d
49
A nurse is teaching a client about a new prescription for captopril. Which of the following information should the nurse include in the teaching?
take a daily potassium supplements
decrease the amount of sodium in the diet
exercise caution when changing positions
monitor pulse rate before taking medication
c
50
```
a nurse is providing teaching to a client who has a new prescription for paroxetine. Which of the following should the nurse identify as an adverse effect of this medication?
Dry mouth
Polyuria
Tinnitus
Hypertension
```
a
51
```
a nurse is monitoring a client who has manifestations of fluid overload during a blood transfusion. After stopping the infusion which of the following findings is the nurses priority to report to the provider?
Crackles in the lungs
Pulse rate 105/min
BP 150/90 mmHg
Client report of anxiety
```
a
52
```
A nurse is caring for a client who has sepsis and is receiving Gentamicin. Which of the following findings indicates that the client is experiencing Gentamicin toxicity?
Tinnitus
BUN level 15 mg/dL
Creatinine level 1.0 mg/dL
Peripheral edema
```
a
53
```
A nurse is preparing to administer digoxin to a client who has heart failure. The nurse should hold the medication for which of the following findings?
Weight gain of 0.7 kg in 24 hr
BP 160/90 mmHg
Urinary output 30 ml/hr
Pulse rate 56/min
```
d
54
A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?
The client had chemotherapy 12 hours before the medication was administered
the medication vial sat at room temperature for 2 hours before it was administered
the nurse flushed the clients IV line with dextrose 5% and water before and after the medication was administered
the clients absolute neutrophil count was 2500/mm3 before the medication was administered
a
55
A nurse is administering ferrous sulfate Elixir to a client who has an iron deficiency anemia. which of the following actions should the nurse take?
give the medication but a caffeinated beverage
administer the medication through a straw
dilute the medication with milk
provide an antacid with the medication
b
56
```
A nurse is providing teaching about smoking cessation treatment with varenicline to a client and his family. The nurse should include in the teaching to report which of the following adverse effects of the medication as a priority?
Change in Behavior
Nausea
weight gain
abnormal dreams
```
a
57
```
A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?
Acetaminophen
Ondansetron
Nalbuphine
insulin glargine
```
c
58
a nurse is completing discharge teaching for a client who has hypertension. The client has a new prescription for spironolactone. Which of the following statements does this client indicate an understanding of the teaching?
I’ll increase my dietary fiber because this medication causes constipation
I realize that I should use sugar substitutes when taking this medication
I'll take aspirin every day before I make this medication more effective
I'm aware that this medication can cause heart palpitations
d
59
A nurse is teaching a female client who has AIDS and a new prescription for ritonavir. The nurse should identify which of the following statements as an indication that the client understands the teacher?
I will be sure to have something to eat when I take this medication
I can still take st. John's Wort for my depression while taking his medication
I could develop high blood pressure while taking this medication
I will take two doses of the medication together if I miss a dose
a
60
A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
b
61
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective?
a. Absent Chvostek’s sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
b
62
A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include?
a. “Discontinue the patch if you experience a headache.”
b. “Apply a new patch if you have chest pain.”
c. “Cover the patch with dry gauze when taking a shower.”
d. “Remove the patch prior to going to bed.”
d
63
A nurse is reviewing he laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L
d
64
A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen?
a. The client has a negative sputum culture
b. The client tests negative for HIV
c. The client has a positive purified protein derivative test
d. The client’s liver function test results are within the expected reference range
a
65
A client is caring for a client who develops an anaphylactic reaction to IV administration. After assessing the client’s respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client’s legs and feet
d. Administer epinephrine IM
d
66
A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid?
a. St. John’s Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
a
67
A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension
d
68
A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PTT of 90 seconds. They should monitor the client for which of the following changes in their vital signs?
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure
d
69
A nurse is preparing to administer medication to a client and discovers a medication error. The nurse should recognize which of the following staff members is responsible for completing an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error
d. The charge nurse
b
70
A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following?
a. Pruritus
b. Cough
c. Tachypnea
d. Gastric bleeding
a
71
A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
a. Obtain the client’s apical heart rate
b. Remove the medication from the dispensing system
c. Open the medication package
d. Compare the client’s wristband to the medication administration record
e. Document administration of the medication
ANSWER: A, B, D, C, E
72
A nurse is reviewing the medical record of an adult client who has a fever and a prescription for acetaminophen. Which of the following findings should the nurse identify as a contraindication for receiving this medication?
a. Alcohol use disorder
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus
b
73
A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the following actions should the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client’s weight gain
c
74
A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia
a
75
A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching?
a. “Discard any tablets you do not use every 6 months.”
b. “Take one tablet each morning 30 minutes prior to eating.”
c. “Keep the tablets at room temperature in their original glass bottle.”
d. “Place the tablet between your cheek and gum to dissolve.”
c
76
A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained-released capsule. Which of the following statements by the client indicates an understanding of the teaching?
a. “I can take my medication in the morning with my coffee.”
b. “I may sprinkle the medication in applesauce.”
c. “I should limit my fluid intake while on this medication.”
d. “I will need to have blood levels drawn.”
d
77
A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus following actions should the nurse take first?
a. Withdraw the regular insulin from the viral
b. Withdraw the NPH insulin form the vial
c. Inject air into the NPH vial
d. Inject air into the regular insulin vial
c
78
A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take?
a. Massage the site after administering the medication
b. Use a 21-gauge needle for the injection
c. Aspirate before injecting the medication
d. Insert the needle at least 5 cm (2 in) from the umbilicus
d
79
A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction?
a. Nausea
b. Cardiac dysrhythmia
c. Laryngeal edema
d. Insomnia
c
80
A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following?
a. A client who has a referral for social services
b. A client who is transdermal to radiology
c. A client who is transferal to a step-down unit
d. A client who has a consultation for physical therapy
c
81
A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treatment has been effective?
a. BUN 15 mg/dL
b. Blood glucose 90 mg/dL
c. Urine specific gravity 1.020
d. LDL 120 mg/dL
d
82
A nurse is receiving a medication prescription by telephone from a provider. The provider states, “Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.” How should the nurse transcribe the prescription in the client’s medical record?
a. Morphine 6 mg IV push every 3 hr PRN acute pain
b. MSO 6 mg IV push every 3 hr PRN acute pain
c. MS 6 mg IV push every 3 hr PRN acute pain
d. Morphine 6.0 mg IV push every 3 hr PRN acute pain
a
83
A nurse is assessing a client’s IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take?
a. Show the IV solution rate
b. Initiate a new IV distal to the initial site
c. Maintain the extremity below the level of the heart
d. Apply a warm, moist compress
d
84
A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching?
a. “Diarrhea is a common adverse effect of this medication.”
b. “Ringing in the ears is an expected adverse effect of this medication.”
c. “Notify your provider if you develop a fever while taking this medication.”
d. “You might experience weight loss while taking this medication.”
c
85
A nurse is teaching a client about oral contraceptives. Which of the following information should the nurse include in the teaching?
a. Abdominal pain is an expected adverse effect of oral contraceptives
b. It can take up to 1 year to become pregnant after stopping an oral contraceptive
c. Some herbal supplements can decrease the effectiveness of an oral contraceptive
d. A pelvic examination is needed prior to starting an oral contraceptive
b
86
A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?
a. Tilt the client’s head back when administering the medications
b. Mix the medications with a semisolid food for the client
c. Administer more than one pill to the client at a time
d. Place the medications on the back of the client’s tongue
b
87
A nurse is providing teaching to a client about the administration of omeprazole. Which of the following should the nurse include?
a. “You cannot take this medication with an antacid.”
b. “You should reduce your intake of calcium while taking this medication.”
c. “You should take this medication before meals.”
d. “You can take a second dose if symptoms persist up to 2 hours after the first dose.”
a
88
A nurse is assessing allergies with a client who is scheduled to receive the influenza vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindication to receiving the vaccine?
a. Eggs
b. Shellfish
c. Peanuts
d. Milk
a
89
A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a prescription for doxazosin. The client tells the nurse. “I do not take this medication. I would prefer natural therapy.” Which of the following supplements should the nurse suggest the client discuss with the provider?
a. Black cohosh
b. Garlic
c. Feverfew
d. Saw palmetto
d
90
A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone?
a. Decreased nausea
b. Increased pain relief
c. Decreased blood pressure
d. Increased respiratory rate
d
91
A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider?
a. The client has a BUN of 18 mg/dL
b. The client takes an aspirin daily
c. The client has a history of a severe penicillin allergy
d. The client reports a history of nausea with cefuroxime
c
92
A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?
a. Protamine sulfate
b. Acetylcysteine
c. Calcium gluconate
d. Flumazenil
c
93
A nurse is assessing a client following the administration of ondansetron (Zofran). Which of the following findings should indicate to the nurse that the ondansetron has been effective?
a. Client reports a decrease in pain
b. Client reports a decrease in nausea
c. Client reports a decrease in coughing
d. Client reports a decrease in diarrhea
b
94
A nurse manager is planning an in-service about pain management with opioids for client who has cancer. Which of the following information should the nurse manager include?
a. IM administration is recommended if PO opioids are ineffective
b. Respiratory depression decreases as opioid tolerance develops
c. Meperidine is the opioid of choice for treating chronic pain
d. Withhold PRN pain medication for the client who is receiving opioids every 6 hr
a
95
A nurse is reviewing the list of current medication for a client who is to start prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine?
a. Nicotine transdermal system
b. Diphenhydramine
c. Estrogen-progestin combination
d. Beclomethasone
c
96
A nurse is caring for a client who has a respiratory infection and is receiving an antibiotic. Which of the following medications puts the client at risk for developing hearing loss?
a. Rifampin
b. Ciprofloxacin
c. Penicillin G
d. Gentamicin
d
97
A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (SATA)
a. “Soak the inhaler in water after use.”
b. “Have your child take one inhalation as needed for shortness of breath.”
c. “Shake the device prior to administration.”
d. “A spacer will make it easier to use the device.”
e. “Rinse your child’s mouth following administration.”
c,d,e
98
A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching?
a. “You will need liver function tests before beginning therapy.”
b. “Avoid consuming dairy products while taking this medication.”
c. “You may crush the medication and mix it with applesauce.”
d. “You should take the medication in the morning.”
a
99
A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissue surrounding the insertion site. Which of the following actions should the nurse take?
a. Flush the IV catheter
b. Apply pressure to the IV site
c. Elevate the extremity
d. Slow the infusion rate
c
100
A nurse us caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect?
a. Oxygen saturation 96%
b. PaCO2 30 mm Hg
c. Increase in BP
d. Decrease in protein
c
101
A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider?
a. Sodium 137 mEq/L
b. Hct 4.3%
c. Hgb 15 g/dL
d. Creatinine 2.5 mg/dL
d
102
A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take?
a. Apply firm pressure to the injection site following administration
b. Administer the medication into the client’s muscle
c. Expel the air bubble from the syringe prior to injection
d. Insert the syringe needle halfway into the client’s skin
a
103
A nurse is reviewing a client’s 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report?
a. ePTT 90 seconds
b. Hgb 16 g/dL
c. INR 1.6
d. WBC 6,000/mm3
a
104
A nurse is caring for a client who has breast cancer and reports pain. 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer?
a. Naloxone IV
b. Morphine tablet
c. Lidocaine patch
d. Fentanyl transmucosal
d
105
A nurse is assessing a client who reports taking over-the-counter antacids. Which of the following findings should the nurse identify as a manifestation of hypercalcemia?
a. Constipation
b. Decreased urine output
c. Positive Trousseau’s sign
d. Headache
a
106
A nurse is caring for a client who is to receive potassium replacement. The provider’s prescription reads. “Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min.” which of the following reasons should the nurse clarify this prescription with the provider.
a. Potassium chloride should be diluted in dextrose 5% in water.
b. The potassium infusion rate is too rapid
c. Another formulation of potassium should be given IV
d. The client should be treated by giving potassium by IV bolus
b
107
A nurse is monitoring laboratory values for a client who has chronic heart failure and is receiving digoxin. Which of the following values should the nurse report to the provider?
a. Sodium 1.38 mEq/dL
b. Magnesium 1.5 mEq/L
c. BUN level 10 mg/dL
d. Potassium 2.9 mEq/L
d
108
A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red tinge. Which of the following actions should the nurse take?
a. Check the client’s liver function test results
b. Instruct the client to increase his fluid intake
c. Document this as an expected finding
d. Prepare the client for dialysis
c
109
A nurse accidently administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take?
a. Monitor the client’s thyroid function levels
b. Collect the client’s uric acid level
c. Obtain the client’s HDL level
d. Check the client’s glucose level
d
110
A nurse is administering 4 mg of hydromorphone to a client by mouth every 4 hr. the medication is provided as hydromorphone 8 mg per tablets. Which of the following actions is appropriate for the nurse to take?
a. Return the remaining medication to the facility’s pharmacy
b. Store the remaining half of the pill in the automated medication dispensing system
c. Place the remaining half of the pill in the unit dose package
d. Dispose of the remaining medication while another nurse observes
d
111
A nurse is caring for 4-year-old child following an orthopedic procedure. When assessing the child for pain. Which of the following pain scales should the nurse use?
a. FACES
b. Numeric
c. CRIES
d. Word graphic
a
112
A nurse is planning care for a client who requires treatment for high cholesterol. Which of the following prescriptions should the nurse expect to administer?
a. Colchicine
b. Cimetidine
c. Colerain
d. Chlorpromazine
c
113
A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?
a. Potassium 3.8 mEq/L
b. The client reports dizziness upon standing
c. The client reports difficulty hearing
d. BUN 15 mg/dL
c
114
A nurse is planning teaching for a client who is trying to quit smoking. Which of the following instructions about nicotine replacement options should the nurse include?
a. Change the nicotine patch every other day
b. Do not drink beverages while sucking on a nicotine lozenge
c. Chew nicotine gum for 10 min before spitting it out
d. Administer 2 sprays of nicotine nasal spray in each nostril with each dose
b
115
A nurse is caring for a client who has a prescription for total parental nutrition (TPN). Which of the following routes of administration should the nurse use?
a. Subcutaneous
b. Intravenous
c. Central venous access device
d. Midline catheter
c
116
A nurse is preparing to initiate IV therapy for a client. Which of the following sites should the nurse use to place the peripheral IV catheter?
a. Nondominant dorsal venous arch
b. Dominant distal dorsal vein
c. Nondominant forearm basilic vein
d. Dominant antecubital vein
a
117
A nurse is assessing a client who is taking an osmotic laxative which of the following findings should the nurse identify as an indication of fluid volume deficit?
a. Nausea
b. Weight gain
c. Headache
d. Oliguria
d
118
A nurse is reviewing the laboratory results of a client who is taking amitriptyline which of the following laboratory values should the nurse report to the provider?
a. Total bilirubin 1.5 mg/dL
b. Potassium 4.2 mEq/L
c. Hct 0.44%
d. WBC count 5,000/mm3
a
119
A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?
a. Hypocalcemia
b. Hypokalemia
c. Hyponatremia
d. Hypomagnesemia
c
120
A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following should the nurse identify as an adverse effect of this medication?
a. Hypoglycemia
b. Bradycardia
c. Red man syndrome
d. Hypotension
b
121
A nurse is consulting a formulary about a client’s new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions?
a. Osteoporosis
b. Hypothyroidism
c. Urinary tract infection
d. Deep vein thrombosis
a
122
```
A nurse is providing discharge dietary teaching to a client who has something and is taking medication theophylline and to provide general instructions the nurse should include?
Avoid caffeinated beverages
Take the medication with meals
Restrict milk products
Limit sodium intake
```
a
123
the nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take first?
Withdrawal NPH from the vial
Inject air into the NPH vial
Inject air into the regular vial
Withdrawal regular insulin from the vial
b
124
a nurse is teaching a client who has a new prescription of Alendronate for osteoporosis. What instructions should the nurse include?
Take the medication immediately after breakfast
Take the medication with an antacid
Sit upright for at least 30 mins after taking the medication
Drink orange juice with the medication
c
125
```
a nurse is caring for a client who is postoperative following a thyroidectomy and is receiving morphine for pain. Which of the following findings should the nurse recognize as an adverse effect of morphine?
Bladder distention
Productive cough
Gastrointestinal bleeding
Decrease deep tending reflexes
```
a
126
nurse is teaching a client who has pernicious anemia to self-administer cyanocobalamin. Which of the following information should the nurse include in the teaching?
Use nasal decongestion 15 mins before the medication if you have a stuffy nose
Lie down for 1 hour after administering the medication
Administer the medication into one nostril once per week
Plan to self-administer this medication for the next 6 months
c
127
```
a nurse is assessing a client how received a dinoprostone gel to stimulate the cervical ripening. Which of the following is the nurse’s priority?
Back pain
Flushing
nausea
Uterine tachysystole
```
d
128
a nurse is performing a return demonstration of an enoxaparin administration. Which of the following client actions indicates an understanding of the teaching?
Messages the site to enhance absorption
Injections the medication into a muscle
Administers the medication into the abdomen
Aspirates the medication after injection
c
129
```
a nurse is assessing a client how has been taking digoxin and …… which of the following findings to the nurse indicates this client has developed digoxin toxicity?
Ringing in the ears
Hyperkalemia
Blurred vision
hypertension
```
c
130
```
a nurse is caring for a client who received neostigmine 1 hour ago and is experiencing muscarinic response. Which if the following manifestations should the nurse expect?
Headache
Excessive salivation
Fever
Myoclonic seizure
```
b
131
```
a nurse in the emergency department is reviewing a medication record for client who reports vomiting blood. The nurse should anticipate the provider will discontinue which of the following medications?
NPH insulin
Clopidogrel
Furosemide
Pantoprazole
```
b
132
```
a nurse is assessing a who is receiving clindamycin. Which of the following findings should the nurse identify as an adverse effect of this medication?
Agitation
Report of blurred vision
Hypertension
Watery diarrhea
```
d
133
a nurse is teaching a client who is to start taking Cromolyn. Which of the following information should the nurse include in the teaching?
Cromolyn should take effect within 5 mins
Cromolyn should dilate the bronchioles
Cromolyn can be used after exercise
Cromolyn is a long-term management medication
d
134
```
a nurse is reviewing the medications of a client is experiencing orthostatic hypotension. The nurse should identify this finding as an adverse effect of which of the following medications?
Imipramine
Levothyroxine
Montelukast
Omeprazole
```
a
135
```
a nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?
insomnia
Blurred vision
Tachypnea
Metallic taste
```
b
136
```
a nurse is reviewing a client’s medical history before administering a new prescription of atropine. Which of the following client conditions is contraindicated?
Diarrhea
Diverticulitis
Glaucoma
Broncospasms
```
Glaucoma
137
```
a nursing is caring for a client who reports that his current pain medication is no longer relieving her pain. Which of the following medications requires the nurse to obtain a written rather than a verbal prescription from the provider?
Pentazocine
Lorazepam
Fentanyl
Butorphanol
```
Fentanyl
138
charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following action by the newly licensed nurse requires the charge nurse to complete an incident report?
A client who has a lithium level of 1.8 mEq/L receives her morning dose of lithium
A client who has a blood glucose of 120 mg/dL receives her morning dose of insulin
The nurse requests a higher dose of morphine for a client who reports severe pain 30 min after receiving morphine 2 mg IV bolus
The administers ondansetron to a client who has two episodes of vomiting after receiving meperidine 75 mg IM
A client who has a lithium level of 1.8 receives her morning dose
139
a nurse is caring for a client who has a alcohol use disorder and is experiencing withdrawals. Which of the following interventions is a priority at this time?
Encourage participation in a 12-step program
Implement seizure precautions
b
140
A nurse is planning care for a group of clients. Which of the
following client’s medications should be monitored by the nurse
for hearing loss related to a medication interaction?
a. Losartan and atorvastatin
b. Furosemide and amikacin
c. Digoxin and levothyroxine
d. Propranolol and raloxifene
b
141
```
A nurse is caring for a client who has major depression and a new prescription for citalopram. which of the following adverse effects is the priority for the nurse to report to the provider?
Insomnia
Bruxism
Confusion
Weight loss
```
c
142
```
A nurse is assessing a client who is in labor and is receiving epidural anesthesia. which of the following findings should the nurse identify as the priority?
Leg weakness
Urinary retention
Hypotension
Temp 39C
```
Hypotension
143
A nursing is providing teaching to a client who has a prescription for omeprazole. which of the following instructions should the nurse include in the teaching?
Take the medication with evening meals
Crush the medication for easier swallowing
Long term use of the medication increases the risk of fractures
This medication might cause drowsiness
Long term use increases risk of fractures
144
```
A nurse is reviewing a client’s laboratory results before administering furosemide 40 mg IV bolus. For which of the following values should the nurse withhold the medication and contact the provider?
WBC count 8,000/mm^3
Potassium 2.5 mEq/L
INR 1.0
Sodium 141 mEq/L
```
Potassium 2.5 mEq/L
145
A nurse is reviewing the laboratory results of a client who has diabetes mellitus and is taking glipizide. Which of the following values indicates that the client is adhering to the treatment plan?
a. Creatinine 1.0 mg/dL
b. HbA1c 6.8%
c. Positive urinary ketones
d. Total cholesterol 225 mg/dL
Hgba1c 6.5%
146
```
A nurse in the emergency department is caring for a client who reports a severe headache. the client's blood pressure is 280/160 mm hg. the nurse should plan to administer which of the following medications?
Nitroprusside
Dobutamine
Epinephrine
Dexamethasone
```
Nitroprusside
147
a nurse is teaching the parent of a toddler who is to begin taking ferrous fumarate. which of the following statements by the parent indicates an understanding of the teaching?
I will dilute my child’s medication in milk
I will rinse my child’s mouth with water after she takes the medicine
I will mix my child’s meds into a small amount of applesauce
I will give my child the medication in a baby bottle
I will rinse my child's mouth with water after she takes the medicine
148
a nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. which of the following expected outcomes should the nurse include in the plan?
The client will wear his reading glasses when drawing insulin glargine
The client will take an additional dose of insulin glargine prior to exercise.
The client will use the deltoid muscle as an injection site.
The client will administer insulin glargine before each meal.
The client will wear his reading glasses when drawing insulin glargine
149
```
a nurse is caring for a client who is receiving a continuous IV infusion of magnesium sulfate for preterm labor. the nurse should discontinue the infusion and prepare to administer claim gluconate if the client demonstrates which of the following findings? (Select all that apply)
Absence of deep-tendon reflexes
Urine output 80 mL/hr in 4hr
Decreased LOC
Report of chills
Systolic blood pressure 130 mmHg
```
a,b,c
150
a nurse is teaching a client who has a new prescription for nitroglycerin patches. the nurse should identify which of the following statements as an indication that the client understands the teaching?
I will rotate the application site to avoid skin irritation
I cannot take a sublingual tablet of nitroglycerin after applying the patch
I will move the patch to my leg if I get a headache
I will apply a new patch if I have chest pain
I will rotate application site to avoid skin irritation
151
```
Nurse in a provider's office is preparing to teach a middle adult client who has a new diagnosis of metabolic syndrome and an HbA1c of 6.5%. Which of the following medications should the nurse plan to teach the client about first?
Metformin
Exenatide
Insulin glargine
Regular insulin
```
Metformin
152
a nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. which of the following actions should the nurse include in the plan of care?
Monitor the client for hearing loss
Administer the medication over 10 min.
Reconstitute the medication with a 5% dextrose solution
Implement a high-fiber diet to prevent constipation
Monitor for hearing loss
153
```
a nurse is obtaining a medication history from a client who has gout and is prescribed probenecid. the nurse should notify the provider that the client is taking which of the following over-the counter medications?
Salicylic acid
Omeprazole
Docusate sodium
Guaifenesin
```
Salicylic acid
154
A nurse is teaching a client who has HIV and a new prescription for efavirenz. Which of the following instructions should the nurse include in the teaching?
Notify the provider for the appearance of a skin rash
Expect severe nausea and vomiting for the first week of therapy
Take a double dose of this medication if a dose is missed
Swallow the medication with milk upon awakening in the morning
Notify provider for the appearance of a skin rash
155
```
a nurse is evaluating a client who has tuberculosis and has been taking rifampin for 1 month. which of the following laboratory tests should the nurse review to evaluate for an adverse effect of this medication?
Amylase
Thyroid-stimulating hormone (TSH)
24-hr creatinine clearance
Alanine aminotransferase (ALT)
```
ALT
156
A nurse is teaching a client who has multiple allergies about using
epinephrine auto-injector. Which of the following instructions
should the nurse include?
a. Administer the medication through clothing if necessary.
b. Aspirate prior to administration of the medication.
c. Inject the medication into the abdomen.
d. Avoid massaging the site after injection.
a
157
```
A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken, he medication for 2 months?
Weight loss
Increase in pulse rate
Warmer skin
Increased sleeping
```
Increased sleeping
158
```
A nurse is teaching a client who has a new prescription for ergotamine to treat vascular headaches. The nurse should inform the client that which of the following is a potential adverse effect of this medication?
Weight gain
Constipation
Hypoglycemia
Muscle pain
```
Muscle pain
159
```
A nurse is administering medications to a client. which of the following medications should the nurse plan to administer by a parental route?
Hydrochlorothiazide
Captopril
Fondaparinux
Simvastatin
```
Fondaparinux
160
A nurse is assessing a client who takes levothyroxine for hypothyroidism. the nurse should identify that which of the following findings indicates the need for an increase in dosage? Select all that apply
Heart rate 46
Cold intolerance
Impaired short-term memory
a,b,c
161
```
a nurse is providing teaching to a client who has a new prescription for warfarin about potential interactions with over the counter products. which of the following products should the nurse instruct the client to avoid?
Naproxen
Ranitidine
Flaxseed
Soy
```
Naproxen
162
```
A nurse is teaching a client who is to begin cyclophosphamide therapy to treat cancer. Which of the following adverse effects of this medication should the nurse include in the teaching?
Hyperglycemia
Leukopenia
Bradycardia
Hypotension
```
Leukopenia
163
```
a nurse is reviewing the medical record of a client who is receiving vancomycin daily. the nurse should review which of the following laboratory results prior to administering the next dose?
Total iron binding count
Thyroid stimulating hormone level
Creatinine level
Blood glucose
```
creatinine level
164
A nurse is providing teaching to a client who has a new
prescription for phenelzine. The nurse should instruct the client to
avoid which of the following foods?
a. Turkey
b. Potatoes
c. Cheese
d. Eggs
c
165
```
a nurse is caring for a client who is taking azathioprine to treat rheumatoid arthritis. which of the following laboratory values indicates an adverse effect of this medication?
WBC 3000
BUN 15 mg
HCT 45%
Platelets 250,000
```
WBC 3000
166
```
a nurse is providing teaching to a client who has a new prescription for phenelzine. the nurse instruct the client to avoid which of the following foods?
Apple sauce
Green beans
Cream cheese
Smoked salmon
```
smoked salmon
167
```
a nurse is reviewing the laboratory data of a client who is receiving filgrastim. which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?
INR
Potassium level
BUN
WBC count
```
WBC count
168
A nurse is providing teaching to a client who has a new prescription for nitroglycerin. Which of the following client statements indicates an understanding of the teaching?
a. “I will take 1 tablet every 3 minutes if I experience discomfort.”
b. “I will store the tablets in the refrigerator.”
c. “I will call 911 if my pain is not relieved after taking the medication.”
d. “I will notify my provider if I experience occasional headaches.”
I will call 911 if pain is not relieved after taking the medication
169
a nurse is providing discharge teaching to a client who is receiving warfarin. Which of the following statements is appropriate to make?
“Refrain from using an electric razor.”
“Increase your daily intake of Vitamin E and C”
“Avoid eating large amounts of cabbage and broccoli.”
“Use a firm toothbrush to brush your teeth”
Avoid eating large amounts of cabbage and broccoli
170
A nurse is assessing a client who is receiving heparin therapy for
deep-vein thrombosis. Which of the following findings should
indicate to the nurse that the therapy is effective?
a. Reduced calf circumference
b. Decreased INR
c. Platelets with the expected reference range
d. Presence of pedal pulses bilaterally
a
171
```
A nurse receives a prescription to give tobramycin to a client daily. Which of the following laboratory values should the nurse report to the provider?
Serum sodium 137 mEq/L
Hgb 15 g/dL
Hct 43%
Serum creatinine 2.5 mg/dL
```
serum creatinine 2.5
172
a nurse is providing teaching to a client who has a new prescription for nitroglycerin sublingual. which of the following client responses indicates an understanding of the teaching?
I should call 911 when i am having chest pain, before taking a tablet
I should the limit the number of tablets I take for chest pain to a total of 2
I should allow the tablet to melt inside my cheek next to my gums even if it feels tingly
I should keep my tablets in a dark container at room temperature
keep tablets in dark container at room temperature
173
A nurse is reviewing a client’s medical record before administering
acetaminophen 650 mg PO every 6 hr. Which of the following
findings indicates a need for the nurse to notify the provider?
a. Hypothyroidism
b. History of alcohol use disorder
c. Recurrent headaches
d. BP 92/60 mm Hg
b
174
A nurse is assessing a client who has been taking lithium for 1 year. Which of the following findings should the nurse identify as the priority to report to the provider?
a. Mild thirst
b. Nausea
c. Transient fatigue
d. Blurred vision
d
175
A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red-orange tinge. Which of the following actions should the nurse take?
a) Document this as an expected finding.
b) Check the client’s liver function test results.
c) Instruct the client to increase his fluid intake.
d) Prepare the client for dialysis.
a
176
A nurse is caring for a client who is taking triamterene. For which of the following laboratory values should the nurse withhold the medication?
a) Albumin 4 g/dL
b) Sodium 142 mEq/L
c) Potassium 5.3 mEq/L
d) BUN 16 mg/dL
c
177
A nurse is providing teaching to a client about taking oral acyclovir to treat genital herpes.Which of the following client statements indicates an understanding of the teaching?
a) “The acyclovir prevents the spread of the virus to others.”
b) “The acyclovir helps prevent new breakouts.”
c) “I should take a stool softener while taking acyclovir.”
d) “If I miss a dose of acyclovir, I should take a double dose the next time.”
b
178
A nurse is assessing a client who has a transdermal fentanyl patch in place. Which of the following findings should the nurse document as an adverse effect of this medication?
a) Tachycardia
b) Hypotension
c) Insomnia
d) Diarrhea
b
179
A nurse is reviewing a client’s medication record. The nurse should instruct the client to avoid drinking grapefruit juice while taking which of the following medications?
a) Ibuprofen
b) Digoxin
c) Loratadine
d) Amlodipine
d
180
A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?
a) Hypertension
b) Bradypnea
c) Bradycardia
d) Fever
c
181
A nurse is caring for a client who is taking tamoxifen to treat breast cancer. The nurse should identify which of the following manifestations as an adverse effect of this medication?
a) Hot flashes
b) Constipation
c) Urinary frequency
d) Tinnitus
a
182
A nurse is teaching a client who has a new prescription for erythromycin. The nurse should include which of the following is the priority adverse effect to report?
a) Epigastric pain
b) Ringing in the ears
c) Nausea
d) Bloody stool
b
183
A nurse is planning care for a client who requires treatment for high-cholesterol. Which of the following prescriptions should the nurse administer?
a) Colchicine
b) Chlorpromazine
c) Colesevelam
d) Cimetidine
c
184
A nurse is preparing to administer diazepam to a client for a procedure that requires moderate (conscious) sedation. The client tells the nurse, “I don’t want to take that medication because it makes me sick.” Which of the following statements should the nurse make?
a) “Don;t worry, this medication does not cause nausea.”
b) “I will contact your provider to prescribe a different
medication. ”
c) “You need this medication to help you relax.”
d) “The effects of this medication will last for 1 hour.”
b
185
A nurse is providing teaching to a client who has diabetes mellitus and has a new prescription for metformin extended-release tablets. Which of the following statements should the nurse make?
a) “Crush the tablet if you have difficulty swallowing.”
b) “Let’s review the signs of liver failure.”
c) “If a dose is missed, double your next dose.”
d) “Take your medication with your evening meal.”
d
186
A nurse is caring for a client who was given clozapine instead of clonidine. The nurse should monitor the client for which of the following adverse effects?
a) Seizures
b) Diarrhea
c) Tachycardia
d) Hypertension
a
187
A nurse is preparing to administer methylergonovine to a client
who is 2 hr postpartum and has a boggy fundus. Which of the
following findings should the nurse identify as a contraindication to
this medication?
a. Lochia rubra
b. Urinary output 60 mL/hr
c. BP 190/110 mm Hg
d. Distended bladder
c
188
A nurse is reviewing the medical history of a client who is to start
taking prednisone. Which of the following findings should the
nurse identify as a contraindication to prednisone therapy?
a. Has a systemic fungal infection
b. Taking levothyroxine orally
c. Prior episode of kidney stones
d. History of asthma
a
189
A nurse is assessing a client who has started taking theophylline.
Which of the following client findings should indicate to the nurse
that the medication is effective?
a. Increased level of consciousness
b. Decreased urine output
c. Increased blood pressure
d. Decreased wheezing
d
190
A nurse is assessing a client who has septic shock and is receiving
dopamine by continuous IV infusion. Which of the following
findings indicates that the nurse should increase the rate of
infusion?
a. Chest pain
b. Extravasation
c. Headache
d. Hypotension
d
191
A nurse is planning to teach a group of nurses about the uses of
mannitol. Which of the following client conditions is an indication
for administering this medication?
a. A client who has deep-vein thrombosis
b. A client who has increased intraocular pressure
c. A client who has heart failure
d. A client who has an intracranial bleed
b
192
A nurse is reviewing the medical record of a female client who
asks about a prescription for alendronate for the treatment of
osteoporosis. Which of the following findings should the nurse
identify as a safety risk for the client when taking this medication?
a. The client is postmenopausal.
b. The client has a first-degree relative who has Paget’s
disease.
c. The client has a history of anaphylaxis following a bee
sting.
d. The client has immobility that restricts her to a supine
position.
d
193
A nurse is reviewing the medical record of a female client who
asks about a prescription for alendronate for the treatment of
osteoporosis. Which of the following findings should the nurse
identify as a safety risk for the client when taking this medication?
a. The client is postmenopausal.
b. The client has a first-degree relative who has Paget’s
disease.
c. The client has a history of anaphylaxis following a bee
sting.
d. The client has immobility that restricts her to a supine
position.
d
194
A nurse is planning to administer a controlled substance to a client
who is experiencing pain. Which of the following actions should
the nurse plan to take first?
a. Identify the client using two identifiers.
b. Document the administration of the medication.
c. Compare the amount of medication available to the
inventory record.
d. Remove the medication from the medication dispensing
cabinet.
d
195
A nurse is assessing a client who is at 28 weeks of gestation and
has received terbutaline for premature uterine contractions. Which
of the following findings requires immediate intervention by the
nurse?
a. Potassium level 3.5 mEq/L
b. Pulse rate 138/min
c. Fetal heart rate 165/min
d. Blood glucose 100 mg/dL
b
196
A nurse is providing discharge teaching to a client who has a
prescription for aspirin. Which of the following client statements
indicates to the nurse an understanding of the teaching?
a. “I will take the aspirin daily on an empty stomach.”
b. “I should expect drowsiness while taking this medication.”
c. “I should notify my provider if I develop ringing in my ears.”
d. “I need to avoid consuming green leafy vegetables while
taking this medication.”
c
197
A nurse is reviewing the laboratory results of a client who is
receiving gentamicin for staphylococcus. Which of the following
findings should the nurse report to the provider immediately?
a. WBC 11,0000/mm3
b. Potassium 4.5 mEq/L
c. Fasting blood glucose 130 mg/dL
d. Creatinine 1.8 mg/dL
d
198
A nurse is assessing a client who has abruptly discontinued taking
venlafaxine for withdrawal syndrome. Which of the following
findings should the nurse expect?
a. Dilation of the pupils
b. Weight loss of 2 kg (4.4 lb.)
c. Bradycardia
d. Increased anxiety
d
199
A nurse in a community health clinic is preparing to administer the
inactivated influenza vaccine to a group of clients. The nurse
should recognize that this immunization I contradicted for which of
the following clients?
a. A child who has a hypersensitivity to amoxicillin
b. A child who has cerebral palsy
c. A young adult who is pregnant
d. A young adult who has a febrile illness
d
200
A nurse is preparing to administer nitroglycerin topical ointment to
a client. Which of the following actions should the nurse plan to
take?
a. Measure the dosage of medication using the applicator
paper.
b. Cover the medication on the client’s skin with a sterile
gauze pad.
c. Apply the medication to the same site for three
consecutive days.
d. Spread the medication over a 12.7 cm (5 in) area of the
client’s skin.
a
201
A nurse is teaching a newly licensed nurse about expired
medications. Which of the following instructions should the nurse
include in the teaching?
a. Place the medications back in the medication cart.
b. Return the medications to the pharmacy.
c. Notify the provider about the expired medications.
d. Flush the medications down the toilet.
b
202
A nurse on a medical-surgical unit is admitting a client who has
pneumonia. The nurse notes a sever penicillin allergy in the
client’s medical record. For which of the following prescriptions
should the nurse request a clarification from the provider?
a. Ranitidine
b. Furosemide
c. Cefepime
d. Valproic acid
c
203
A nurse is planning to administer a prefilled syringe of enoxaparin
to a client. Which of the following actions should the nurse take?
a. Massage the injection site after administering the
medication.
b. Administer the injection at least 5 cm (2 in) from the
umbilicus.
c. Use a 3 mL syringe to draw up the medication.
d. Hold the skin taut at the injection site.
b
204
A nurse is providing discharge teaching to a client who has
diabetes mellitus and prescription for metoprolol to treat angina.
Which of the following statements by the client indicates an
understanding of the teaching?
a. “I can stop this medication if I have side effects.”
b. “I might not be able to tell when my blood sugar is low.”
c. “This medication will increase my heart rate.”
d. “I should take this medication before meals.”
b
205
A nurse is assessing a client who has a prescription for cefaclor.
Which of the following findings should the nurse recognize as
an indication of an allergic reaction?
a. Slurred speech
b. Tremor
c. Hematuria
d. Pruritus
d
206
A nurse is assessing a client who is taking combination oral
contraceptives. Which of the following findings should the nurse
report to the provider immediately?
a. Melasma
b. Breast tenderness
c. Nausea
D. leg tenderness
d
207
A nurse is providing teaching to a client who has heart failure and
is to begin taking spironolactone. Which of the following client
statements indicates an understanding of the teaching?
a. “I will use a salt substitute.”
b. “I will take a smaller dose if I develop ringing in my ears.”
c. “I will avoid foods high in potassium.”
d. “I will take the medication on an empty stomach.”
c
208
A nurse is reviewing the laboratory results for a client who has
been taking lithium carbonate for the past year. Which of the
following laboratory values should indicate to the nurse an
adverse effect of this medication?
a. Lithium level of 0.5 mEq/L
b. BUN level of 40 mg/dL
c. BUN level of 20 mg/dL
d. Lithium level of 1.0 mEq/L
b
209
A nurse is caring for a client who requires a re-insertion of a short
peripheral venous catheter. In which of the following locations
should the nurse place the catheter?
a. A vein in the client’s dominant arm
b. A vein on the client’s wrist
c. A vein proximal to the previous site
d. A vein that feels hard to the touch
c
210
A nurse is preparing to administer 5 units regular insulin and 12
units NPH insulin to a client. Which of the following actions should
the nurse take?
a. Inject air into the regular insulin before injecting air into the
NPH insulin
b. Use a different needle to draw up each type of insulin.
c. Draw up the regular insulin before the NPH insulin.
d. Shake both vials of insulin prior to filling the syringe.
c
211
A nurse is caring for a client who received alteplase 12 hr ago
following a thrombotic stroke. The nurse should monitor the client
for which of the following adverse effects?
a. Laryngospasm
b. Steatorrhea
c. Hemorrhage
d. Polycythemia
c
212
A nurse is teaching the parents of school-age child who has ADHD
and a new prescription for dexmethylphenidate extended release.
Which of the following instructions should the nurse include?
a. Administer the medication in the morning before the child
goes to school.
b. Decrease the child’s dietary intake of carbohydrates.
c. Monitor the child for an increase in appetite.
d. Expect the child to experience excessive sleepiness when
beginning therapy.
a
213
A nurse is assessing a client who is receiving morphine for pain
control. Which of the following findings should the nurse report to
the provider?
a. Bladder distension
b. Drowsiness
c. BP 100/76 mm Hg
d. Pupillary constriction
d
214
```
A nurse is caring for a client who is receiving ondansetron IV. Which of the following findings is an indication that the
ondansetron is effective?
a. Absence of peripheral neuropathy
b. Increased urinary output
c. Reduced dizziness
d. Decreased nausea
```
d
215
A nurse is caring for a group of clients. For which of the following
situations should the nurse complete an incident report?
a. A client received 0900 medications at 0930.
b. A client received a. blood transfusion with dextrose 5% in
water.
c. A client received an infusion of lipids through a central
line.
d. A client who has asthma was administered tiotropium via
inhalation.
b
216
A nurse is assessing a client who is experiencing opioid
abstinence syndrome. Which of the following findings should the
nurse anticipate?
a. Drowsiness
b. Abdominal cramps
c. Dry mouth
d. Hyporeflexia
b
217
A nurse is caring for a client who received digoxin 0.25 mg instead
of 0.125 mg, as the provider prescribed. The nurse administered
the medication 4 hr ago. Which of the following actions should the
nurse take first?
a. Notify the provider who prescribed the medication.
b. Monitor the client’s potassium level.
c. Initiate a medication error incident report.
d. Check the client’s apical heart rate.
d
218
A nurse is caring for a client who is taking warfarin following a
stroke. The client also takes several herbal supplements. Which of the following supplements should the nurse counsel the client to
avoid?
a. Ginkgo biloba
b. Valerian
c. Flaxseed
d. Echinacea
a
219
A nurse is reviewing the laboratory results of a client who is
receiving heparin by continuous IV infusion. Which of the following
results indicates the nurse should decrease the infusion rate?
a. Platelets 350,000/mm3
b. INR 1.2
c. aPTT 90 seconds
d. Erythrocyte sedimentation rate 18 mm/hr
c
220
A nurse is teaching a client who has a new prescription for
nitroglycerin sublingual tablets for treating angina. Which of the
following instructions should the nurse include in the teaching?
a. “Place the tablet under the tongue until dissolved.”
b. “Take a tablet every 10 minutes until the pain subsides.”
c. “Store the tablets in a refrigerator in a plastic container.”
d. “Call 911 if pain persists 30 minutes after taking one
tablet.”
a
221
A nurse is caring for a client who is to start therapy with lovastatin.
The nurse should prepare the client for which of the following
diagnostic assessments?
a. Pancreatic enzymes
b. Western blot analysis
c. Liver function tests
d. Exercise electrocardiography
c
222
A nurse is assessing a client who has a prescription for
levothyroxine. Which of the following findings should the nurse
recognize as an overdose reaction?
a. Tremor
b. Lethargy
c. Bradycardia
d. Nasal congestion
a
223
A nurse is assessing a client who is taking digoxin to manage
heart failure. Which of the following findings should the nurse
identify as a manifestation of digoxin toxicity and report to the
provider?
a. Insomnia
b. Constipation
c. Increased heart rate
d. Blurred vision
d
224
A nurse is preparing to administer a scheduled dose of warfarin to
a client. Which of the following laboratory tests should the nurse
review prior to administration?
a. WBC
b. PT
c. Total iron-binding capacity
d. PTT
b
225
A nurse is caring for a client who is receiving total parenteral
nutrition (TPN). Which of the following actions should the nurse
take?
a. Hang the TPN solution to gravity to infuse.
b. Titrate TPN solution to blood pressure.
c. Obtain the client’s blood glucose level weekly.
d. Monitor the client’s weight daily.
d
226
A nurse is caring for a client who is receiving prednisone on a
long-term basis to treat inflammatory bowel disease. Which of the
following actions should the nurse take?
a. Monitor the client for hypotension.
b. Monitor the client frequently for episodes of hyperglycemia
c. Instruct the client to obtain annual immunizations
d. Instruct the client to consume a diet high in calcium
b
227
A nurse is providing teaching to a client about adverse effects of
atorvastatin. Which of the following adverse effects should the
nurse include in the teaching? (Select all that apply.)
a. Elevated liver enzymes
b. Muscle Weakness
c. Alopecia
d. Dry cough
e. Jaundice
a,b,e
228
A nurse is preparing to administer clindamycin to a client who
states she forgot to report to the provider that she is allergic to
penicillin. Which of the following actions should the nurse take?
a. Obtain a prescription for an alternative antibiotic.
b. Give the client the prescribed dose of the clindamycin.
c. Premedicate the client with epinephrine before
administering the antibiotic.
d. Administer the clindamycin using a desensitization
schedule.
b
229
A nurse is teaching a client who has angina about a new
prescription for sublingual nitroglycerin tablets. Which of the
following instructions should the nurse include in the teaching?
a) “Take one tablet each morning 30 minutes prior to eating.”
b) “Keep the tablets at room temperature in their original glass
bottle.”
c) “Place the tablet between your check and gum to dissolve.”
d) “Discard any tablets you do not use every 6 months.”
b
230
A nurse is assessing a client who is taking furosemide for heart
failure. Which of the following findings indicates an adverse effect of
the medication?
a) Ankle edema
b) Hearing loss
c) Decreased blood sugar
d) Increased BP
b
231
A nurse is preparing to administer propranolol to a client. Which of
the following should the nurse assess prior to administering this
medication?
a. Pain level
b. Temperature
c. Heart rate
d. Respiratory rate
c
232
A nurse is caring for a client who has heart failure and is taking
hydrochlorothiazide. The nurse should monitor the client for which
of the following manifestations as an adverse effect of the
medication?
a. Hypermagnesemia
b. Hypocalcemia
c. Hypernatremia
d. Hypokalemia
d
233
A nurse is reviewing the laboratory results of a client who has
rheumatoid arthritis and prescription for cyclosporine. The nurse
should report which of the following laboratory values to this
provider?
a. Sodium 139 mEq/L
b. Potassium 4.2 mEq/L
c. Creatinine 2.5 mg/dL
d. BUN 18 mg/dL
c
234
A nurse is preparing to administer medications to a group of
clients. Which of the following prescriptions should the nurse
clarify with the provider before administering?
a. Zoledronate 5 mg intravenously x 1 dose
b. Warfarin 100 units subcutaneously daily
c. Penicillin G 5,000,000 units intravenously every 4 hr
d. Tetracycline 1 g orally every 6 hr
b
235
A nurse is initiating IV therapy for client who had a right-sided
mastectomy. In which if the following locations should the nurse
place a catheter?
a. Most proximal site
b. Cordlike vein
c. Wrist
d. Left arm
d
236
A nurse is reviewing the laboratory results of a client who received
a dose of sodium polystyrene sulfonate. Which of the following
findings should the nurse identify as an indication that the
medication has been effective?
a. Magnesium 1.1 mEq/L
b. Calcium 8 mg/dL
c. Potassium 4.6 mEq/L
d. Sodium 150 mEq/L
c
237
A nurse in the emergency department is admitting a client who
has diabetic ketoacidosis and a blood glucose level of 800mg/dL.
Which of the following interventions should the nurse indicate
first?
a. Subcutaneous insulin injections
b. Bicarbonate by IV infusion
c. 0.9% sodium chloride 15 mL/kg/hr
d. Potassium chloride 10 mEq/hr
b
238
A nurse is reviewing agency protocol prior to administering
epoetin alfa to a client who has chronic kidney disease. Which of
the following actions should the nurse plan to take?
a. Shake the vial of medication to dissolve particulates.
b. Thaw the medication in the vial 30 min before
administration.
c. Dilute the vial of medication with sterile water.
d. Discard the vial of medication if the solution is cloudy.
d
239
A nurse is providing discharge teaching about warfarin to a client
who has deep-vein thrombosis. The nurse should instruct the
client to obtain which of the following laboratory tests monthly?
a. INR
b. Fibrinogen
c. Platelet count
d. aPTT
a
240
A nurse is reviewing the laboratory results of a client who has
diabetes mellitus and is taking glipizide. Which of the following
values indicates that the client is adhering to the treatment plan?
a. Creatinine 1.0 mg/dL
b. HbA1c 6.8%
c. Positive urinary ketones
d. Total cholesterol 225 mg/dL
b
241
A nurse is assessing a client who has been taking lithium for 1
year. Which of the following findings should the nurse identify as
the priority to report to the provider?
a. Mild thirst
b. Nausea
c. Transient fatigue
d. Blurred vision
d
242
A nurse is caring for a client who reports taking propranolol for
several years but has recently stopped for financial reasons. The
nurse should assess the client for which of the following findings?
a. Tachycardia
b. Rhinitis
c. Hyperkalemia
d. Bradypnea
a
243
A nurse is preparing to administer insulin to a client who has
diabetes mellitus. The client has a prescription for regular insulin 4
units and NPH insulin 12 units subcutaneous. Identify the steps the
nurse should take when mixing the two types of insulin. (Move the
steps into the box on the right, placing them in the order of
performance. Use all the steps.)
a. Draw up 12 units of the NPH insulin into the syringe.
b. Draw up 4 units of the regular insulin into the syringe.
c. Inject 4 units of air into the regular insulin vial.
d. Inject 12 units of air into the NPH insulin vial.
Answer: D, C, B, A
d,c,b,a
244
A nurse is caring for a client who has cancer and reports moderate
pain Which of the following medications should the nurse expect
to administer?
a. Aspirin
b. Morphine
c. Ibuprofen
d. Acetaminophen
b
245
A nurse in an emergency department is assessing a client who has
received epinephrine. Which of the following findings should the
nurse report as an adverse effect of epinephrine?
a. Chest pain
b. Hypoglycemia
c. Respiratory depression
d. Bradycardia
a
246
A nurse on a medical-surgical unit is preparing to administer an
influenza vaccine to a client. The client tells the nurse, “I no longer
want to receive this vaccine.” Which of the following responses
should the nurse take?
a. The influenza vaccine is mandatory for all clients before
discharge, so you will need to sign an against medical
advice form.”
b. “If I were you, I would get the vaccine to keep my family
safe.”
c. “Influenza can be very serious to anyone who does not
receive the vaccine.”
d. “The influenza vaccine is strongly encouraged, but I
understand you would like to decline right now.”
d
247
A nurse is teaching a newly licensed nurse about expired
medications. Which of the following instructions should the nurse
include in the teaching?
a. Place the medications back in the medication cart.
b. Return the medications to the pharmacy.
c. Notify the provider about the expired medications.
d. Flush the medications down the toilet.
b
248
A nurse is preparing to administer heparin subcutaneously to a
client. Which of the following actions should the nurse plan to take
to minimize bleeding following the injection?
a. Use the Z-track method to administer the medication.
b. Gently massage the site following the injection,
c. Grasp skin between thumb and forefinger throughout the
injection.
d. Aspirate the syringe prior to injecting the heparin.
c
249
A nurse is caring for a client who is receiving ceftriaxone
intravenously. Which of the following manifestations should the
nurse identify as an allergic reaction?
a. Nausea
b. Polyuria
c. Bradycardia
d. Hypotension
d
250
A nurse is providing discharge teaching to a client who has a new
prescription for spironolactone. Which of the following statements
by the client indicates and understanding of the teaching?
a. “I will limit potassium-rich foods in my diet.”
b. “I will use salt substitutes in place of table salt.”
c. “I will double up on my medication if I miss a dose.”
d. “I will take the medication on an empty stomach.”
a
251
A nurse is interviewing a client who was newly admitted prior to
administering medications. The client tells the nurse, “I forgot to
tell the doctor I take albuterol for asthma.” For which of the
following medications should the nurse withhold the dose and
notify the provider?
a. Montelukast
b. Pantoprazole
c. Isosorbide mononitrate
d. Propranolol
d
252
A nurse is assessing a client who is taking disulfiram and
consumed alcohol. Which of the following findings is priority for
the nurse to report to the provider?
a. Flushing
b. Thirst
c. Blurred vision
d. Hypotension
d
253
A nurse is assessing a client who is receiving penicillin IV. For
which of the following findings should the nurse report the
provider as a manifestation of anaphylaxis?
a. Hypertonia
b. Increased blood pressure
c. Wheezing
d. Urinary retention
c
254
A nurse is providing teaching to a client who has a new
prescription for nitroglycerin. Which of the following client
statements indicates an understanding of the teaching?
a. “I will take 1 tablet every 3 minutes if I experience
discomfort.”
b. “I will store the tablets in the refrigerator.”
c. “I will call 911 if my pain is not relieved after taking the
medication.”
d. “I will notify my provider if I experience occasional
headaches.”
c
255
A nurse realizes that the failed to administer a medication that was
due 4 hr ago to a client. Which of the following actions should the
nurse take first?
a. Report the missed dosage to the client’s provider.
b. Determine factors that led to the omission.
c. Assess the client for adverse reactions.
d. File an incident report.
c
256
A nurse is providing teaching about the adverse effects of
ergotamine to a client who has migraine headaches. Which of the following adverse effects should the nurse include in the
teaching?
a. Paresthesias
b. Blurred vision
c. Hematuria
d. Tinnitus
a
257
A nurse is reviewing the medical history of a client prior to
medication administration and notes a history of an anaphylactic
reaction to penicillin. The nurse should identify that which of the
following medications is contraindicated for this client?
a. Metronidazole
b. Ceftriaxone
c. Clarithromycin
d. Vancomycin
b
258
A nurse is assessing a client who has asthma and a prescription
for albuterol. The nurse should monitor the client for which of the
following adverse effects?
a. Fever
b. Tachycardia
c. Drowsiness
d. Constipation
b
259
A nurse is interviewing a client who reports a desire to quit
smoking. Which of the following prescriptions should the nurse
expect the provider to prescribe?
a. Alprazolam
b. Bupropion
c. Naloxone
d. Melatonin
b
260
A nurse is reviewing the medication list of a client who has erectile
dysfunction and is requesting a prescription of sildenafil. The
nurse should identify that which of the following medications is a
contraindication for receiving this medication?
a. Nitroglycerin
b. Indomethacin
c. Furosemide
d. Albuterol
a
261
A nurse is assessing a client who is taking furosemide to treat
heart failure. Which of the following findings should indicate to the
nurse that the medication is having a therapeutic effect?
a. Decreased blood pressure
b. Weight loss
c. Increased heart rate
d. Distended neck veins
a
262
A nurse is planning care for a client who has a prescription for
erythromycin lactobionate IV bolus. Which of the following actions
should the nurse include in the plan of care?
a. Reconstitute the medication with a 5% dextrose solution.
b. Implement a high-fiber diet to prevent constipation.
c. Administer the medication over 10 min.
d. Monitor the client for hearing loss.
d
263
A nurse is teaching a client who is taking atorvastatin. Which of the
following statements should the nurse identify as an indication that
the client understands the instructions?
a. “I should avoid drinking grapefruit juice while taking this
medication.”
b. “I don’t need to eat a low-fat diet as long as I am taking
this medication.”
c. “I should return to the clinic in 6 months for liver function
tests.”
d. “I should expect some muscle soreness for the first few
weeks.”
a
264
A nurse is assessing a client who is taking warfarin. Which of the
following findings should the nurse identify as the priority to report
to the provider?
a. Fever
b. Hair loss
c. Melena
d. Abdominal cramping
c
