The practical nurse (PN) administers isoproterenol (suprel) to a client with heart block. The
PN should evaluate the client for which physiological response? - ANSIncreased heart rate
client who is comatose is admitted after an overdose of baclofen (Lioresal). What nursing
action should the practical nurse (PN) implement? - ANSMonitor for signs of respiratory
arrest.
A client with Attention-Deficit Hyperactivity Disorder (ADHD) is prescribed amphetamine
(Adderal). Which side effect should the practical nurse (PN) explain is commonly
experienced? - ANSDifficulty sleeping
practical nurse (PN) discusses antihypertensive drug therapy with several clients diagnosed
with high blood pressure. To improve client understanding the PN should emphasize that
which medication preserves renal function in a client with diabetes? - ANSCaptopril
(Capoten).
The practical nurse (PN) should recommend that oral contraceptives be avoided in which
group of women? - ANSWomen who smoke.
female client with recurring headaches tells the practical nurse (PN) that she has been
taking at least 4 grams of acetaminophen a day. Which laboratory studies should the PN
review for this client? - ANSHepatic enzymes
healthcare provider prescribes cycloplegic and mydriatic ophthalmic drops for a client who is
having a cataract removal what explanation about the drug actions should the practical
nurse (PN) provide the client? - ANSDilates the pupil.
The practical nurse (PN) observes a thick white-coating on the tongue of a client who takes
fluphenazine (Prolixin). What instructions should the P reinforce with the client about this
medication? - ANSBrush your teeth and tongue, floss, gargle, and notify the healthcare
provider
An older client who takes risperidone (Risperdal), an antipsychotic, is complaining of
constipation. Which dietary changes should the practical nurse (PN) recommend? -
ANSIncrease daily green vegetables and bran
35-week gestation primigravida who takes lithium (Eskalith) tells the practical nurse (PN) that
she would like to breastfeed her infant. What information should the PN provide to the client?
- ANSThe drug is excreted in breast milk so use formula to feed the infant.
The practical nurse (PN) is unable to arouse a client who is receiving meperidine (Demerol)
for postoperative pain. The client is stuporous, has constricted pupils, and a respiratory rate
, of 8 breaths/minute. Which PRN prescription should the PN give the client? - ANSNaloxone
(Narcan)
client who returns from surgery for bowel resection complains of severe pain around the
incision. Which assessment is most important for the practical nurse obtain prior to the
administration of morphine sulfate? - ANSRate of respirations
A client receives a prescription for an oral opioid analgesic for post-operative pain. Which
adverse effect should the practical nurse (PN) monitor for in the client? - ANSConstipation
The healthcare provider prescribes celecoxib (Celebrex), a nonsteroidal antiinflammatory
drug (NSAID), for a client with osteoarthritis. Which finding in the client's history should the
practical nurse (PN) report? - ANSPeptic ulcer disease
The healthcare provider prescribes an antibiotic for a male adolescent with an upper
respiratory tract infection, who asks the practical nurse (PN) how long the prescribed
antibiotics should be taken. What information should the PN provide? - ANSContinue the
medication until all of the prescription is taken
The practical nurse asks a male client who came to the clinic with an upper respiratory
infection if he has any drug allergies. The client cannot remember ir he does or if he ever
received penicillin. After administering the injection penicillin, the PN tells the client to stay
for 30 minutes of observation. Which finding should the PN identify that is indicative of a
reaction to the medication? - ANSRash, itching, and hives
A client's tissue culture results indicate the wound is infected with methicillin-resistant
Staphylococcus aureus (MRSA). What action should the practical nurse (PN) implement
first? - ANSimplement contact isolation precautions
A client who has been taking phenazopyridine (Pyridium) for symptoms of urethritis and
cystitis comes to the clinic because her urine is reddish-orange. Which question should the
practical nurse ask to determine if the medication has been effective? - ANSHave you had
any relief from urinary pain, burning, or urgency?
client receives a prescription for nystatin (Mycostatin) oral suspension for the treatment of
oral thrush. Which information should the practical nurse (PN) provide? - ANSSwish then
swallow the medication
A male client who has been receiving an antineoplastic drug has developed
thrombocytopenia. What instructions should the practical nurse (PN) reinforce? - ANSShave
with an electric razor.
Which therapeutic action should the practical nurse (PN) base an explanation to a client who
is receiving a cardiac glycoside? - ANSDecreased rate of contraction
Which client statement indicates to the practical nurse (PN) that a client understands
discharge instructions about a new prescription for digoxin (Lanoxin)? - ANS"I will take my
pulse for one-minute every day
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