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 irritation
Vaginal 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?
,Muscle twitching
Cough
Urinary retention
Increased libido
: Ans Urinary retention
The nurse should instruct the client that amitriptyline causes the anticholinergic
effect of urinary retention.
7. A nurse is caring for a client who has hypocalcemia and is receiving calciumcitrate.
The nurse should identify that which of the following findings indicatesa therapeutic
response to the medication?
Positive Chvostek's sign
Client report of decreased paresthesia
Client 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.
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