A nurse is reviewing a client's 0800 Laboratory values at 1100. The
nurse notes that the client received heparin at 1100. Which of the
following laboratory values warrants an incident report ? – ANSWER-
aPTT 90 seconds
A nurse is caring for a client who develops an anaphylactic reaction
to IV antibiotic administration. After assessing a client's respiratory
status and stopping the medication infusion, which of the following
actions should the nurse take next? - ANSWER-Administer
Epinephrine IM
A nurse is caring for a client who is taking triamterene. For which of
the following laboratory values should the nurse withhold the
medication? - ANSWER-Potassium 5.3 mEq/ L
A nurse is preparing to administer digoxin orally to a client. Identify
the sequence of steps the nurse should take. (Move the steps into the
box on the right, placing them in the order of performance. Use all the
steps) - ANSWER-Obtain the client's apical heart rate
Remove the medication from the dispensing system
Open the medication package
,Compare the client's wristband to the medication administration
record
Document administration of the medication
A nurse is reviewing the list of current medications for a client who is
to start a new prescription for carbamazepine. The nurse should
identify which of the following medications interacts with
carbamazepine? - ANSWER-estrogen-containing contraceptives
A nurse is providing teaching to a client who has a new prescription
for clozapine. Which of the following statements should the nurse
include in the teaching? - ANSWER-Notify your provider if you
develop a fever while taking this medication" you should have your
WBC monitor every week
A nurse is reviewing the medication list of a client who has erectile
dysfunction and is requesting for prescription for sildenafil. the nurse
should identify which of the following medications is a
contraindication for receiving medication? - ANSWER-nitroglycerin
A nurse in a medical surgical unit is preparing to administer an
influenza vaccine to a client. The client tells the nurse I no longer
want this vaccine. Which of the following responses should the nurse
make? - ANSWER-the influenza vaccine this strongly and coverage
but I understand you would like to decline right now
,A nurse is discussing adverse reactions to pain medications in older
adults clients with a newly licensed nurse. Which of the following
findings should the nurse include as risk factors for an adverse drug
reaction? select all that applies - ANSWER-multiple health problems
decrease percentage of body fat
decreased renal function
A nurse is reviewing a client's medical record before administering
acetaminophen 650 mg by mouth every 6 hours. Which of the
following findings indicate a need for the nurse to notify the provider?
- ANSWER-history of alcohol use disorder
a nurse is caring for a client who has hyponatremia and is receiving
an infusion of a prescribed hypertonic solution. Which of the
following findings should indicate to the nurse that the treatment is
effective? - ANSWER-improve cognition
A nurse is reviewing the laboratory results of a client who is receiving
genital medicine for Staphylococcus. Which of the following findings
should the nurse report to there immediately? - ANSWER-fasting
blood glucose 130 mg
A nurse is reviewing the laboratory results of a client who is receiving
Heparin by continuous IV infusion. Which of the following Results
indicates the nurse should decrease the infusion rate? – ANSWER-
aPTT 90 sec
, The nurse is caring for a client who has diabetes mellitus and is
taking Pioglitazone. The nurse should plan to monitor the client for
which of the following adverse effects? - ANSWER-orthostatic
hypotension
A nurse is caring for a client who is receiving ceftriaxone
intravenously. Which of the following manifestations should the nurse
identify as an allergic reaction? - ANSWER-Hypotension
A nurse is reviewing the laboratory results of a client who received a
dose of sodium polystyrene sulfonate. Which of the following findings
should a nurse identify as an indication that the medication has been
effective? - ANSWER-calcium 8 mg- under normal range potassium
4.6 meq- in normal range
A nurse is caring for a client who has heart failure and is taking
hydrochlorothiazide. The nurse should monitor the client for which of
the following manifestations has an adverse effect of the medication?
- ANSWER-hypokalemia
A nurse recently administered filgrastim intravenously to a client who
has cancer and is receiving cytotoxic chemotherapy. For which of the
following data, discovered after the medication was administered,
should the nurse file an incident report? - ANSWER-The medication
vial sat at room temperature for 2 hours before it was administered.
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