A nurse is planning care for a clienct who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects? A. Weight loss B. Increased intraocular pressure C. Auditory hallucinations D. Bibasilar crackles Show A nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise induced asthma. which of the following medications should the nurse plan to instruct the client o use prior to physical activity? A. Cromolyn B. Beclomethasone C. Budesonide D. Tiotropium A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medications? 1. Vitamin K 2. Acetylcysteine 3. Benzotrophine 4. Physostigmine A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the nurse monitor? A. Paresthesia B. Increased blood pressure C. Fever D. Respiratory depression B. Increased blood pressure A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. Which of the following information should the nurse include in the teaching? 1. The medication should be taken 1 hr prior to eating. 2. It takes 48 hr for therapeutic effects to occur. 3. Tablets should not be crushed or chewed. 4. Decreased respirations might occur. 4. Decreased respirations might occur. A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide? 1. Minimize diaphoresis 2. Maintain abstinence 3. Lessen craving 4. Prevent delirium tremens 4. Prevent delirium tremens A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understating of the teaching? 1. I should apply a patch every 5 minutes if I develop chest pain. 2. I will take the patch off right after my evening meal. 3. I will leave the patch off at least 1 day each week. 4. I should discard the used patch by flushing it down the toilet. 2. I will take the patch off right after my evening meal. Clients should remove the patch each evening for a medication free time of 12 to 14 hr before applying a new patch to avoid developing a tolerance to the medication's effects. A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves disease. Which of the following findings should the nurse identify as as an indication of the medication has been effective? A. Decrease in WBC count B. Decrease in amount of time sleeping C. Increase in appetite D. Increase in ability to focus D. Increase in ability to focus A nurse is caring for a client who recently began taking oral amoxicillin/clavulanate and reports urticaria. Which of the following actions should the nurse take? 1. Request a change in the type of antibiotic. 2. Ask for a change in the route of administration. 3. Check for pitting edema. 4. Check the client's WBC count. 1. Request a change in the type of antibiotic. A nurse is collecting a medication history from a client who has a new prescription for lithium. The nurse should identify that the client should discontinue which of the following over-the-counter medications? A. Aspirin B. Ibuprofen C. Ranitidine D. Bisacodyl A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in her instructions? A. Take one tablet three times a day before meals B. "Take one tablet at onset of migraine." C. Take up to eight tablets as needed within a 24-hour period D. Take one tablet every 15 minutes until migraine subsides B. "Take one tablet at onset of migraine." A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication? 1. Constipation 2. Tinnitus 3. Hypoglycemia 4. Joint pain A nurse is precepting a newly licensed nurse who is caring for four clients. The nurse should complete an incident report for which of the following actions by the newly licensed nurse? 1. Administers isosorbide mononitrate to a client who has a BP of 82/60 mmHg 2. Administers digoxin to a client who has a heart rate of 92/min 3. Administers regular insulin to a client who has a blood glucose of 250 mg/dL 4. Administers heparin to a client who has an aPTT of 70 seconds
1. Administers isosorbide mononitrate to a client who has a BP of 82/60 mmHg A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma. the nurse should include that the spacer deceases the risk for which of the following adverse effect of the medication? A. Oral candidiasis B. Headache C. Joint pain D. Adrenal suppression A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? A. Vomiting B. Blood in the urine C. Positives Chvostek's sign D. Ringing in the ears A nurse is assessing a client who is taking amitriptyline for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? 1. Tinnitus 2. Urinary frequency 3. Dry mouth 4. Diarrhea 3. Dry mouth The nurse should expect the client to have a dry mouth due to the blocking of acetylcholine receptors that cause anticholinergic responses. A nurse is teaching a client who is starting to take diltiazem. Which of the following statements should the nurse identify as an indication that the client understands the teaching? A. I will stop taking the medication if I get dizzy B. I should not drink orange juice while taking this medication C. I should expect to gain weight while taking this medication D. "I will check my heart rate before I take the medication" D. "I will check my heart rate before I take the medication" A nurse is preparing to administer a new prescription of amoxicillin/clavulanic to a client. The client tells the nurse that he is allergic to penicillin. Which of the following actions should the nurse take first? A. Update the client's medical record B. Notify the provider C. Withhold the medication D. Infor the pharmacist of the client's allergy to penicillin C. Withhold the medication A nurse is teaching a client who has tuberculosis about the adverse effects of isoniazid. The nurse should instruct the client to report to the provider which of the following finding as an adverse effect of the medication? A. Reddish-orange urine B. Photosensitivity C. Yellowish skin tones D. Headache A nurse is providing teaching to a client who has a peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching? 1. Decreases stomach acid secretion. 2. Neutralizes acids in the stomach. 3. Forms a protective barrier over ulcers. 4. Treats ulcers by eradicating H. pylori. 3. Forms a protective barrier over ulcers. A nurse is preparing to administer 0.9% sodium chloride (NaCl) 1,500 mL to infuse over 8 hr to a client who is postoperative. The nurse should set the IV pump to deliver how many mL/hr? A nurse is assessing a client 1 hr after administering morphine for pain. The nurse should identify which of the following findings as the best indication the morphine has been effective? A. The client's vital signs are within normal limits B. The client has not requested additional medication C. The client is resting comfortably with eyes closed D. the client rates the pain at a 3 on a scale from 0 to 10. D. the client rates the pain at a 3 on a scale from 0 to 10. A nurse is providing follow up care to a client who is taking lisinopril. Which of the following manifestations should the nurse instruct the client to report as an adverse effect of lisinopril? 1. Drowsiness 2. Hallucinations 3. Persistent cough 4. Weight gain 3. Persistent cough Lisinopril is an ACE inhibitor that can cause a persistent, dry, irritating, nonproductive cough from an excessive buildup of bradykinin. The client should report this adverse effect to the provider. A nurse in the emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer? 1. Potassium iodide 2. Glucagon 3. Atropine 4. Protamine 3. Atropine A cholinergic crisis is caused by an excess amount of cholinesterase inhibitor, such as neostigmine. The nurse should plan to administer atropine, an anticholinergic agent, to reverse cholinergic toxicity. A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects should the nurse include in the teaching? A. Hot flashes B. Urinary retention C. Constipation D. Bradycardia A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor? A. Muscle weakness B. Sedation C. Tinnitus D. Peripheral Edema A nurse is teaching a client about warfarin. The client asks if she can take aspirin while taking the warfarin. Which of the following responses should the nurse make? 1. It is safe to take an enteric-coated aspirin. 2. Aspirin will increase the risk of bleeding. 3. Acetaminophen may be substituted for aspirin. 4. The INR lab work must be monitored more frequently if aspirin is taken. 2. "aspirin will increase the risk of bleeding" Aspirin inhibits platelet aggregation and can potentiate the action of the anticoagulant warfarin. Therefore, it increases the risk for bleeding, so the client should avoid taking aspirin. A nurse is providing care for a client who is postoperative following an open cholecystectomy with the placement of a closed suction drain and is receiving morphine via patient controlled analgesia for pain. Which of the following assessments is the nurse's priority? A. Respiratory rate B. Bowel sounds C. Drainage amounts D. Wound appearance A nurse has administered 2 doses of betamethasone to a client in preterm labor. After delivery of the newborn, the nurse understands the medication was effective when she observes which of the following? A. The newborn is free from infection B. The newborn has normal respiratory patterns. C. Mother's blood pressure is within the expected reference range D. Mother's postpartum bleeding is minimal B. The newborn has normal respiratory patterns. A nurse is reviewing laboratory results for a client who is to receive a dose of ceftazadime via intermittent IV bolus. Which of the following laboratory finding is the priority for the nurse to report to the provider before administering the medication? A. Total bilirubin 0.4 mg/dl B. Alanine aminotransferase 26 units/L C. Platelet count 360,000/mm3 D. creatinine 2.6 mg/dL A nurse is teaching a client who has a new prescription for docusate sodium about the medications mechanism of action. Which of the following information should the nurse include in the teaching? 1. Docusate sodium reduces the surface tension of the stools to change their consistency. 2. Docusate sodium causes rectal contractions. 3. Docusate sodium acts as a fiber agent, increasing bulk in the intestines. 4. Docusate sodium stimulates the motility of the intestines. 1. Docusate sodium reduces the surface tension of the stool
to change three consistency A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. which of the following finding should the nurse identify as an adverse effect of the medication? 1. Cough 2. Joint pain 3. Alopecia 4. Insomnia A nurse is caring for a client who has heart failure and is prescribed enalapril. The nurse should monitor the client for which of the following findings as an adverse effect of the medication? A. Bradycardia B. Hyperkalemia C. Loss of smell D. Hypoglycemia A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of the following information should the nurse include in the teaching? 1. Plan to increase the dosage each week by 200 mg increments. 2. Prolonged use of this medication can cause glaucoma. 3. Drink 2 L of water daily. 4. A fine red rash is transient and can be treated with antihistamines. 3. Drink 2 L of water daily. A nurse is caring for a client who is receiving oprelvekin. Which of the following findings should the nurse document to indicate the effectiveness of the therapy? A. Increased platelet count B. Increased RBC count C. Decreased prothrombin time D. Decreased triglycerides A. Increased platelet count A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client laboratory values should the nurse monitor? A. creatinine kinase B. Erythrocyte sedimentation rate C. International normalized ratio D. Potassium A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes the client has anxiety, hypotension, and dyspnea. Which of the following medications should the nurse administer first? 1. Diphenhydramine 2. Albuterol inhaler 3. Epinephrine 4. Prednisone 3. Epinephrine According to evidence-based practice, the nurse should first administer epinephrine to induce vasoconstriction and bronchodilation during anaphylaxis. A nurse is planning care for a client who has hypertension and is to start taking metoprolol. which of the following interventions should the nurse include in the plan of care? 1. Weigh the client weekly. 2. Determine apical pulse prior to administering. 3. Administer the medication 30 minutes prior to breakfast. 4. Monitor the client for jaundice 2. Determine apical pulse prior to administering. A nurse is caring for a client in the emergency department following a diazepam overdose. Which of the following medications should the nurse anticipate administering to the client? A. Naloxone B. Leucovorin C. Neostigmine D. Flumazenil A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. The nurse should identify which of the following findings as an indication that the client is beginning to exhibit salicylism? A. Gastric distress B. Oliguria C. Excessive bruising D. Tinnitus A nurse is preparing to administer Ciprofloxacin 15mg/kg PO every 12 hr to a child who weighs 44lbs. how many mg should the nurse administer per dose? A nurse is caring for a client who is receiving haloperidol. The nurse should observe for which of the following findings as an adverse effect of the medication? A. akathisia B. Paresthesia C. Excess tear production D. Anxiety A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately? A. Dyspepsia B. Diarrhea C. Dizziness D. Dyspnea A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? A. Tingling toes B. Sexual dysfunction C. Absence dreams D. Pica A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over 1 hr. The drop factor of the manual IV tubing is 15gtt/mL. The nurse should set the manual IV infusion to deliver how many gatt/min? A nurse is teaching a group of unit nurses about medication reconciliation. Which of the following information should the nurse include in the teaching? A. The client's provider is required to complete medication reconciliation B. Medication reconciliation at discharge is limited to the medication ordered at the time of discharge C. A transition in care requires the nurse to conduct medication reconciliation. D. Medical reconciliation is limited to the name of the medications that the client is currently taking C. A transition in care requires the nurse to conduct medication reconciliation. A nurse is providing teaching to a client who has depression and has a new prescription for fluoxetine. Which of the following statements by the client indicates an understanding of the teaching? A. I should start to feel better within 24 hours of starting this medication B. I will be sure to follow a strict diet to avoid foods with tyramine C. I will continue to take St. John's wort to increase the effects of the medication. D. "I should take acetaminophen instead of ibuprofen for my headaches while taking this medication." D. "I should take acetaminophen instead of ibuprofen for my headaches while taking this medication." A nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching? 1. I should take the medication with food. 2. I should take naproxen if I develop joint pain. 3. I should tell my provider if I develop a sore throat. 4. I should expect the medication to cause my urine to look orange. 3. "I should tell my provider if I develop a sore throat" The client should report a sore throat to the provider because this can indicate neutropenia, a serious adverse effect of captopril. Neutropenia can be reversed if it is recognized early and the medication is promptly discontinued. A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching? A. I will drink a glass of milk when I take the risedronate B. I will take the risedronate 15 minutes after my evening meal. C. I should take an antacid with risedronate to avoid nausea. D. "I should sit up for 30 minutes after taking the risedronate" D. "I should sit up for 30 minutes after taking the risedronate" A nurse is reviewing laboratory results for a client who is receiving heparin via continuous IV infusion for deep-vein thrombosis. The nurse should discontinue the medication infusion for which of the following client findings? 1. Potassium 5.0 mEq/ L 2. aPTT 2 times the control 3. Hemoglobin 15 g/dL 4. Platelets 96,000/mm3 Platelets 96,000/mm3 A platelet count less than 100,000/mm3 while receiving heparin can indicate heparin-induced thrombocytopenia, a potentially fatal condition, which requires stopping the infusion. A nurse is caring for a client who is receiving cefazolin IV. The nurse should identify that which of the following medications can potentiate nephrotoxicity if administered concurrently? 1. Famotidine 2. Levofloxacin 3. Metoclopramide 4. Gentamicin 4. Gentamicin Gentamicin, an aminoglycoside antibiotic, can damage renal function. When combined with a penicillin or cephalosporin, such as cefazolin, the client is at increased risk for nephrotoxicity. A nurse is providing discharge teaching to a client who has a new prescription for furosemide twice daily. The nurse should include which of the following instructions in the teaching? 1. Take the second dose at bedtime 2. Increase intake of potassium-rich foods. 3. Obtain your weight weekly. 4. Monitor for muscle weakness. 5. Dangle your legs from the side of the bed before standing. 2. Increase intake of potassium-rich foods 4. Monitor for muscle weakness 5. Dangle legs for side of bed before standing A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? A. Blood glucose levels will need to be monitored during therapy A. Blood glucose levels will need to be monitored during therapy B. Avoid contact with persons who have known infections E. Grapefruit juice can increase the blood levels of the medication. A nurse is providing teaching to a client who is to start therapy with digoxin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider? A. Dry cough B. Pedal edema C. Bruising D. Yellow-tinged vision A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication? 1. Dry mouth 2. Tinnitus 3. Blurred vision 4. Bradycardia 5. Dry eyes 1. Dry Mouth - Oxybutynin is an anticholinergic agent that can cause dry mouth. 3. Blurred Vision - Oxybutynin is an anticholinergic agent that can cause blurred vision due to an increase in intraocular pressure. 5. Dry Eyes - Oxybutynin is an anticholinergic agent that can cause dry eyes and mydriasis, or pupil dilation. A nurse is preparing to mix and administer dantrolene via IV bolus to a client who has developed malignant hyperthermia during therapy. Which of the following actions should the nurse take? A. Administer the reconstituted medication slowly over 5 minutes B. Store the reconstituted medication in the refrigerator. C. Use the reconstituted medication within 12 hours D. Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent. D. Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following instructions should the nurse
include? A. Take the medication on an empty stomach for full effectiveness. B. You may discontinue this medication when stomach discomfort subsides. C. Report yellowing of the skin D. Store the medication in the refrigerator. C. Report yellowing of the skin A nurse is teaching about neural tube defects to a client who is planning a pregnancy. Which of the following vitamins should the nurse instruct the client to start taking before becoming pregnant? 1. Folic acid 2. Thiamine 3. Pyridoxine 4. Riboflavin 1. Folic acid The nurse should instruct all female clients who could become pregnant to take at least 400 mcg of folic acid daily in addition to foods containing folic acid to prevent neural tube defects in the developing fetus. Enriched rice and breakfast cereals are good sources of folic acid but might not provide enough folic acid without supplements. A nurse is teaching about a new prescription for ciprofloxacin to an older adult client who has a urinary tract infection. the nurse should identify which of the following statements as an indication that the client understands the teaching? 1. "I will take this medication with an antacid to prevent gastrointestinal upset." 2. "I will stop taking this medication when I no longer have pain upon urination." 3. "I will report any signs of tendon pain or swelling." 4. "I will take this medication with milk." 3. "I will report any signs of tendon pain or swelling" Ciprofloxacin, a fluoroquinolone, is associated with a risk of tendon rupture. This risk is increased in older adult clients, so the client should notify the provider at the onset of tendon pain or swelling. A nurse is reviewing the health history of a client who has diabetes mellitus and will begin taking insulin. Which of the following dings should the nurse identify as a fact that might cause the client to have difficulty safely self administering insulin? A. Which medication should the nurse be concerned about for a client taking fluoxetine?Fluoxetine may cause a serious condition called serotonin syndrome if taken together with some medicines. Do not use fluoxetine with buspirone (Buspar®), fentanyl (Abstral®, Duragesic®), lithium (Eskalith®, Lithobid®), tryptophan, St.
What are the effects of fluoxetine?agitation, fever, sweating, confusion, fast or irregular heartbeat, shivering, severe muscle stiffness or twitching, hallucinations, loss of coordination, nausea, vomiting, or diarrhea. fast, slow, or irregular heartbeat. shortness of breath. dizziness or fainting.
When should fluoxetine be taken?You'll usually take fluoxetine once a day, with or without food. You can take fluoxetine at any time, but it's best to stick to the same time every day. If you have trouble sleeping, try taking it in the morning.
Which of the following findings should the nurse identify as an indication of lithium toxicity?Early signs of lithium toxicity include diarrhea, vomiting, drowsiness, muscular weakness, tremors, and lack of coordination.
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A nurse is caring for a client who has a prescription for fluoxetine and who reports
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