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NSG 321 Shadow Health Assignment 3 Conflict Management DCE and Score Explanation|2025 Update with complete solutions

A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client?1. Calcium chloride 2. Calcium gluconate 3. Calcitonin (Miacalcin) 4. Large doses of vitamin D - ANS 3. Calcitonin (Miacalcin) Rationale: The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia. Calcium gluconate and calcium chloride are medi...

Before administering a laxative to a bedfast client, it is most important for the nurse to perform what assessment? a-Observe the skin integrity of the client's rectal and sacral areas b-assess the client strength in moving and turning in the bed c-evaluate the client's ability to recognize the urge to defecate d-determine the frequency and consistency of bowel movements - ANS D rationale the nurse should ensure that the client is not experiencing diarrhea (answer choice D)...

2.) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which best food item? 1. Milk 2. Water 3. Apple juice 4. Orange juice - ANS 4. Orange juice Rationale: Vitamin C increases the absorption of iron by the body. The mother should be instructed to administer the medication with a citrus fruit or a juice that is high in vitamin C. Milk may affect absorption of the iron. Water will n...

A healthcare provider prescribes cephalexin monohydrate (Keflex) for a client with a postoperative infection. It is most important for the nurse to assess for what additional drug allergy before administering this prescription? A) Penicillins. B) Aminoglycosides. C) Erythromycins. D) Sulfonamides. - ANS aA) Penicillins. Cross-allergies exist between penicillins (A) and cephalosporins, such as cephalexin monohydrate (Keflex), so checking for penicillin allergy is a wise precauti...

The LPN administers isoproterenol (Isuprel) to a client with heart block. The LPN should evaluate the client for which physical response? a)thirst and dry mucous membranes b)decrease in gastric motility c)increased heart rate d)bronchoconstriction - ANS c a client who is comatose is admitted after an overdose of baclofen (lioresal). what nursing action should the practical nurse implement? A) provide continuous telemetry monitoring B) monitor for signs of respiratory arrest C) ...

Which medications should the nurse caution the client about taking while receiving an opioid analgesic? Antacids. Benzodiazepines. Antihypertensives. Oral antidiabetics. - ANS Benzodiazepines. The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with arthritis. The client reports that she can't hear the nurse's questions because her ears are ringing. What action should the nurse implement? Refer the client to an audiologist for...

The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI), for a client with depression on the psychiatric unit. Which information is most important for the nurse to assess? A. Consumption of any alcohol or tyramine rich foods B. Reports of nausea or vomiting C. Therapeutic serum drug levels D. Blood pressure and pulse prior to taking each dose - ANS A The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. Wha...

The nurse cares for a client receiving vancomycin for methicillin-resistant Staphylococcus aureus. After reviewing the list of medications that the client is taking concurrently, which drug interactions concern the nurse? Select all that apply. 1. Polyethylene glycol 2. NSAIDs 3. Aminoglycosides 4. Cyclosporine 5. Acetaminophen - ANS 2, 3, 4 The nurse cares for a client who has a history of congestive heart failure. The client has prescriptions of furosemide and gentamicin for ...

The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI), for a client with depression on the psychiatric unit. Which information is most important for the nurse to assess? A. Consumption of any alcohol or tyramine rich foods B. Reports of nausea or vomiting C. Therapeutic serum drug levels D. Blood pressure and pulse prior to taking each dose - ANS A The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. Wha...