A nurse is preparing to administer medication to a client who has gout. The nurse discovers that
an error was made during the previous shift and the client received atenolol ( Beta blocker)
instead of allopurinol (treats gout /high uric acid levels) . Which of the following actins should the
nurse take first?
Obtain the client's blood pressure
Contact the client's provider
Inform the charge nurse
Complete an incident report
Obtain the client's blood pressure
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A nurse is teaching a client about cyclobenzaprine (Flexeril) (treats muscle spasms) . Which of
the following client statements should indicate to the nurse that the teaching is effective?
"I will have increased salvia production?"
"I will continue taking the medication until the rash disappears"
"I will taper off the medication before discontinuing it"
"I will report any urinary incontinence"
"I will taper off the medication before discontinuing it"
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A nurse is assessing a client after administering a second dose of cefazolin IV (antibiotic). The
nurse notes the client has anxiety, hypotension, and dyspnea. Which of the following
medications should the nurse administer first?
Diphenhydramine
Albuterol inhaler
Epinephrine
Prednisone
Epinephrine
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 that the morphine has been
effective?
The client's vital signs are within normal limits
The client has not requested additional medication
The client is resting comfortably with eyes closed
The client rates pain as 3 on a scale from 0-10
The client rates pain as 3 on a scale from 0-10
A nurse is providing teaching to a cline who is to begin taking oxybutynin (treats overactive
bladder) for urinary incontinence. Which of the following adverse effects should the nurse
include in the teaching? (Select all that apply)
Dry mouth
Tinnitus
Blurred vision
Bradycardia
Dry eyes
, Dry mouth
Blurred vision
Dry eyes
A nurse is preparing to administer sodium polystyrene sulfonate( treats high blood potassium) to
a client who has hyperkalemia. Which of the following actions should the nurse plan to take?
Hold the client's other oral medications for 8 hr post administration
Inform the client that this medication can turn stool a light tan color
Keep the client's solution in the refrigerator for up to 72 hr
Monitor the client for constipation
Monitor the client for constipation
A nurse is preparing to administer heparin (anticoagulant) subcutaneously to a client. Which of
the following actions should the nurse plan to take?
Administer the medication outside the 5 cm (2 in) radius of the umbilicus
Aspirate for blood return before injecting
Rub vigorously after the injection to promote absorption
Place a pressure dressing on the injection site to prevent bleeding
Administer the medication outside the 5 cm (2 in) radius of the umbilicus
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A nurse is teaching a client who is to begin taking tamoxifen (tx breast cancer) for the treatment
of breast cancer. Which of the following adverse effects should the nurse include in the
teaching?
Hot flashes
Urinary retention
Constipation
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