Nurse is caring for pt who is experiencing acute EtOH w/drawl. For which of following pt
outcomes should nurse administer chlordiazepoxide? - ANSPrevent delirium tremens
Nurse is teaching pt about use of risedronate for treatment of osteoporosis. Nurse should
identify which of following statements as an indicaiont about pt understands teaching? - ANS"I
should sit up for 30 minutes after taking the risedronate."
Nurse is assessing pt 1 hr after administering morphine for pain Nurse should identify which of
following findings as best indication that morphine has been effective? - ANSThe client rates
pain as 3 on a scale from 0 to 10.
Nurse is administering donepezil to a pt who has Alzheimer's disease. Which of following
findings should nurse report to provider immediately? - ANSDyspnea
Nurse is caring for pt who is taking acetazolamide for chronic open-angle glaucoma. For which
of following adverse effects should nurse instruct pt to monitor and report? - ANSTingling of
fingers
Nurse is teaching pt who is to start taking hydrocodone w/ acetaminophen tablets for pain.
Which of following information should nurse include in teaching? - ANSDecreased respirations
might occur.
Nurse is providing teaching to pt who has gastric ulcer and new prescription for ranitidine.
Which of following instructions should nurse include? - ANS"Report yellowing of the skin."
Nurse is preparing to administer ciprofloxacin 15 mg/kg PO q12h to child weighs 44 lb. How
many mg should nurse administer per dose? - ANS300 mg
Nurse administers metformin to pt instead of prescribed dose of metoclopramide. Which of
following actions should nurse take 1st? - ANSCheck the client's blood glucose.
Nurse is caring for 20 y/o female pt who has prescription for isotretinoin for severe nodulocystic
acne vulgaris. Before pt can obtain refill, nurse should advise pt that which of following tests
required? - ANSPregnancy test
Nurse is assessing pt who is postoperative following outpatient endoscopy procedure using
midazolam. Nurse should monitor for which of following findings indicate that pt is ready for
discharge? - ANSThe client's capnography has returned to baseline.
, Nurse is reviewing lab results for pt who is receiving heparin via coninuous IV infusion for DVT.
Nurse should discontinue med infusion for which of following client findings? - ANSPlatelets
96,000/mm3
Nurse receives verbal order from provider to administer morphine 5 mg q4h subq for severe
pain prn. Nurse should identify which of following entries as correct format for MAR? -
ANSMorphine 5 mg subcut every 4 hr PRN severe pain
Nurse in ER is caring for pt who has heroin toxicity. Pt is unresponsive w/ pinpoint pupils and
RR 6/min. Which of following meds should nurse plan to administer? - ANSNaloxone
Nurse is teaching pt about warfarin. Pt asks if they can take aspirin while taking warfarin. Which
of following responses should nurse make? - ANS"Aspirin will increase the risk of bleeding."
Nurse is caring for pt who has cancer and is taking oral morphine and docusate sodium. Nurse
instruct pt that taking docusate sodium QD can minimize which of following adverse effects of
morphine? - ANSConstipation
Nurse is planning care for pt who has HTN and is to start taking metoprolol. Which of following
interventions should nurse include in plan of care? - ANSDetermine apical pulse prior to
administering.
Nurse is caring for pt who is receiving oprelvekin. Which of following findings should nurse
document to indicate effectiveness of therapy? - ANSIncreased platelet count
Nurse is preparing to administer D5W 400 ml IV over 1 hr. Drop factor is 15 gtt/ml. Nurse should
set IV infusion to deliver how many gtt/min? - ANS100 gtt/min
Nurse is teaching pt about cyclobenzaprine. Which of following pt statements should indicate to
nurse that teaching is effective? - ANS"I will taper off the medication before discontinuing it."
Nurse is caring for parent of newborn. Parent asks nurse when their newborn should receive 1st
DTaP. Nurse instruct parent that their newborn should receive immunization at which following
ages? - ANS2 months
Nurse is providing teaching to pt who has PUD and is to start new prescription for sucralfate.
Which of following actions of sucralfate should nurse include in teaching? - ANSForms a
protective barrier over ulcers
Nurse is assessing pt who is taking propylthiouracil for Tx of Grave's disease. Which of following
findings should nurse identify as indication that med has been effective? - ANSIncrease in ability
to focus
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