A client is discharged with a prescription for warfarin. Which discharge
instruction should the nurse emphasize to the client?
A Avoid going barefoot, especially outside.
B Use an astringent for superficial bleeding.
C Take a multi-vitamin supplement daily.
D Add large amounts of spinach to the diet. - ANS ✓Avoid going barefoot,
especially outside.
A client who is receiving chemotherapy has received several doses of
octreotide subcutaneously PRN to control frequent bouts of watery
diarrhea. Which assessment findings is most important for the nurse to
report to the healthcare provider?
A Fruit-like breath odor.
B Headache and nausea.
C Injection site discomfort.
D Solid, formed stool - ANS ✓Headache and nausea.
Prior to administering the evening dose of carbamazepine, the nurse notes
that the client's morning carbamazepine level was 8.4 mg/L (35.6 mmol/L).
Which action should the nurse take?
A Administer the carbamazepine as prescribed.
B Assess the client for side effects of carbamazepine.
C Notify the healthcare provider of the carbamazepine level.
D Withhold this dose of carbamazepine. - ANS ✓Administer the
carbamazepine as prescribed.
HESI 315
, 2
HESI
A client with Encephalopathy is receiving lactulose. Which assessment
provides the nurse best information to improve in drug.
a) stool color
b) Serum electrolytes and ammonia
c) Fingerstick glucose
d) Serum hepatic enzymes - ANS ✓b) Serum electrolytes and ammonia
After receiving five doses of filgrastim the nurse notes that the client's
white blood cell count has increased from
2500/mm (2.5* 10/LSI) to 5,000/mm(5* 10/LSI). What action should the
nurse implement?
A. Assess the client's vital signs
B. Implement neutropenic precautions
C. Review the client's culture and sensitivity reports
D. Inform the client that the medication has been effective - ANS ✓B.
Implement neutropenic precaution
A client with muscle spasticity receives a prescription for baclofen. Which
information
a) Take medication with meals
b) Avoid the ingestion of alcohol
c) Discontinue when spasms cease.
d) Use a stool softener as needed. - ANS ✓
A nurse is reinforcing teaching with a client who has Helicobacter pylori
and a new prescription for tetracycline. Which of the following instructions
should the nurse include in the teaching?
A) "Expect your urine to turn orange."Tetracycline does not cause changes
in urine color. However, it can affect kidney function tests, such as BUN and
creatinine.
HESI 315
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