1. A nurse is planning discharge teaching for a client who has a prescription for
furosemide. The nurse should plan to include which of the following state- ments in the
teaching?
"This medication increases your risk for hypertension.""Avoid
potassium-rich foods in your diet."
"Take each dose of medication in the evening before bed."
"Drink a glass of milk with each dose of medication."
: Ans "Drink a glass of milk witheach dose of medication."
The client should take furosemide with food or milk to reduce gastric irritation.
2. A nurse is caring for a client who has heart failure and a prescription
for enalapril. The nurse should monitor the client for which of the followingfindings as an
adverse effect of the medication?
,Bradycardia
Hyperkalemia
Loss of smell
Hypoglycemia
: Ans Hyperkalemia
Enalapril improves cardiac functioning in clients who have heart failure and cancause
hyperkalemia due to potassium retention by the kidneys.
3. A nurse is assessing a client who is taking tamoxifen to treat breast cancer.Which of
the following findings is the priority for the nurse report to the provider?
Hot flashes Gastrointestinal
irritationVaginal dryness
Leg tenderness
: Ans Leg tenderness
4. A nurse administers ceftazidime to a client who has a severe penicillin allergy. The
nurse should identify which of the following client findings as anindication she should
complete an incident report?
The client reports shortness of breath.The
client is also taking lisinopril.
The client's pulse rate is 60/min
The client's WBC count is 14,000
,: Ans A severe penicillin allergy is a contraindication
,for taking ceftazidime, a cephalosporin antibiotic, due to the potential for cross-sen-
sitivity. Shortness of breath can indicate the client is developing anaphylaxis.
5. A nurse is providing discharge instructions to a client who is to self-admin-ister insulin
at home. Which of the following client statements should indicate to the nurse that the
teaching is effective?
"I should avoid getting rid of the air bubble in the syringe."
"I should inject the insulin into my thigh for the fastest absorption.""I will
store my unopened bottles of insulin in the refrigerator."
"I need to shake the insulin before using it to make sure it is well mixed."
: Ans "Iwill store my unopened bottles of insulin in the refrigerator"
The client should store unopened vials of insulin in the refrigerator to maintain
medication viability. Once opened, the insulin can remain at room temperature forup to 1
month.
6. A nurse is teaching a client who is starting to take amitriptyline. Which of the
following findings should the nurse include in the teaching as an adverseeffect of the
medication?
,The nurse should instruct the client that amitriptyline causes the anticholinergiceffect
of urinary retention.
7. A nurse is caring for a client who has hypocalcemia and is receiving calcium citrate. The
nurse should identify that which of the following findings indicates a therapeutic
response to the medication?
Positive Chvostek's sign
Client report of decreased paresthesiaClient
report of increased thirst
Calcium level of 8.8 mg/dL
: Ans Client report of decreased paresthesia
Paresthesia is a manifestation of hypocalcemia. A client report of a decrease in
paresthesia is an indication of a therapeutic response to calcium citrate. The
, nurse should also monitor for a decrease in other manifestations of hypocalcemia,
including muscle twitching and cardiac dysrhythmias.
8. A nurse is preparing to mix and administer dantrolene via IV bolus to a client who
has developed malignant hyperthermia during surgery. Which ofthe following actions
should the nurse take?
Administer the reconstituted medication slowly over 5 min.Store
the reconstituted medication in the refrigerator.
Use the reconstituted medication within 12 hr.
Reconstitute the initial dose with 60 mL of sterile water without a bacterio-static
agent.
: Ans Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic
agent.
The nurse should store the reconstituted medication at room temperature and protect it
from the light until used.The nurse should use the reconstituted medicationwithin 6 hr.
9. A nurse is administering diazepam to a client who is having a colonoscopy.Which of
the following actions should the nurse take?
Ensure flumazenil is available to administer for toxicity management.Monitor
the client for an increase in blood pressure.
Expect the client to become unconscious within 30 seconds.
Measure the capnography level every hour until the client is awake and oriented.
: Ans Ensure flumazenil is available to administer for toxicity management.
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