A nurse is assessing a client who is receiving
Heparin therapy for deep vein thrombosis.
Which of the following findings should the
nurse indicate to the nurse that the therapy is
effective? - ANSWER-Platelets within the
expected reference range
A nurse is teaching a client who has multiple
allergies about using epinephrine auto-
injector. Which of the following instructions
should the nurse include? - ANSWER-
,administer the medication through clothing if
necessary
A nurse is completing medication reconciliation
for a client prior to their transfer to a
rehabilitation facility. Which of the following
actions should the nurse take? - ANSWER-
include the medication the client received
during surgery on the client's medication list
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? -
ANSWER-Distended neck vein
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? - ANSWER-
Improved cognition
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? - ANSWER-Remove
the patch prior to going to bed
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? - ANSWER-Potassium 5.2
mEq/L
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? - ANSWER-The client has
a negative sputum culture
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? - ANSWER-St. John's Wort
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? - ANSWER-Hypotension
A nurse is assessing a client who is receiving
heparin IV continuous IV. The client has an PPT
of 90 seconds. They should monitor the client
for which of the following changes in their vital
signs? - ANSWER-increased blood pressure
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