A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the
following client outcomes should the nurse administer chlordiazepoxide? - ANSA: Prevent
delirium tremens
A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The
nurse should identify which of the following statements as an indication that the client
understands the teaching? - ANSA: "I should sit up 30 minutes after taking the risedronate."
A nurse is assessing a client 1 hour after administering morphine for pain. The nurse should
identify which of the following findings as the best indication that the morphine has been
effective? - ANSA: The client rates pain as a 3 on a scale from 0 to 10
A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the
following findings should the nurse report to the provider immediately? - ANSA: Dyspnea
A nurse is caring for a client who is take acetazolamide for chronic open-angle glaucoma. For
which of the following adverse effects should the nurse instruct the client to monitor and report?
- ANSA: Tingling of fingers
A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for
pain. Which of the following information should the nurse include in the teaching? - ANSA:
Decreased respirations might occur
A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for
ranitidine. Which of the following instructions should the nurse include? - ANSA: "Report
yellowing of the skin."
Math question: ciproflaxin 15mg/kg PO q12 hr to a child who weighs 44lb. - ANSA: 300 mg
A nurse administers a dose of metformin to to a client instead of the prescribed dose of
metoclopramide. Which of the following actions should the nurse take first? - ANSA: Check the
client's blood glucose
A nurse is caring for a 20-year-old female client who has a prescription for isotretinoin for severe
nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advise the
client that which of the following tests is required? - ANSA: Pregnancy test
, A nurse is assessing a client who is postoperative following an outpatient endoscopy procedure
with midazolam. The nurse should monitor for which of the following findings as an indication
that the client is ready for discharge? - ANSA: The clients capnography has returned to
baseline.
A nurse is reviewing laboratory results for a client who is receiving heparin via continues IV
infusion for deep vein thrombosis. The nurse should discontinue the medication infusion for
which of the following findings? - ANSA: Platelets 96,000/mm3
A nurse receives a verbal order from the provider to administer morphine 5 mg every 4 hours
subQ for severe pain as needed. The nurse should identify which of the following entries as the
correct format for the medication administration record (MAR)? - ANSA: Morphine 5mg subset
every 4 hr PRN severe pain
A nurse in an emergency department is caring for a client who has heroin toxicity. The client is
unresponsive which pinpoint pupils and a respiratory rate of 6/min. Which of the following
medications should the nurse plan to administer? - ANSA: Naloxone
A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking
warfarin. Which of the following responses should the nurse make? - ANSA: "Aspirin will
increase the risk of bleeding"
A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium.
The nurse should instruct the client that taking the docusate sodium daily can minimize which of
the following adverse effects of morphine? - ANSA: Constipation
A nurse is planning care for a client who has hypertension and is to start taking metoprolol.
Which of the following interventions should the nurse include in the pan of care? - ANSA:
Determine apical pulse prior to administration.
A nurses caring for a client who is receiving filgrastrim. Which of the following findings should
the nurse document to indicate the effectiveness of the therapy? - ANSA: Increased neutrophil
count.
Math: gtt/min - ANSA: 100 gtt/min
A nurse is teaching g a client about cyclobenzaprine. Which of the following statements should
indicate to the nurse that the teaching is effective? - ANSA: "I will taper off the medication before
discontinuing it"
A nurse is caring for the parent of a newborn. The parent asks the nurse when the newborn
should receive first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct
the parents at the newborn should receive the immunization at which of the following ages? -
ANSA: 2 months
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