A nurse is assisting with the care of a client who has a myasthenia
gravis and is experiencing a cholinergic crisis. Which of the
following medications should the nurse expect the RN to
administer?
💊 Bethanechol
💊 Propranolol
💊 Atropine
💊 Epinephrine
ANSWER: ATROPINE.
A nurse is caring for a client who has bipolar disorder and a new
prescription for lithium. Which of the following laboratory values
should the nurse plan to monitor for potential adverse effects?
🧪Prothrombin Time
🧪Hematocrit
🧪Sodium
🧪Potassium
ANSWER: SODIUM.
,A nurse is reinforcing teaching with a client who has a prescription
for rosuvastatin to treat high cholesterol levels. For which of the
following adverse effects should the nurse instruct the client to
monitor and report to the provider immediately?
➖ Muscle weakness
➖ Headache
➖ Abdominal pain
➖ Insomnia
ANSWER: MUSCLE WEAKNESS.
A nurse is reinforcing teaching with a newly licensed nurse
regarding safe procedures for medication administration. Which of
the following statements by the newly licensed nurse indicates an
understanding of the teaching?
➖ "I will identify the client by verifying the client's name using the
room number."
➖ "I can administer antibiotics 1 hour before the scheduled time."
➖ "I will check the label on the client's medication three times before
administering it."
➖ "I will leave the client's medication at the client's bedside."
ANSWER: "I WILL CHECK THE LABEL ON THE CLIENT'S
MEDICATION THREE TIMES BEFORE ADMINISTERING IT."
A nurse is preparing to administer Lactated Ringer's solution 350
mL to infuse over 1 hr. The drop factor of the tubing is 10 gtt/mL.
The nurse should set the manual IV infusion to deliver how many
gtt/min? (Round answer to the nearest whole number.)
, ANSWER: 58 gtt/min.
Rationale: 350mL divided by 60 minutes times drop factor of 10 =
58.333
A nurse is collecting data from a client who is receiving morphine to
relieve post-operative pain. The client's respiratory rate is 9/min.
The nurse should notify the provider and expect a stat prescription
for which of the following medications?
💊 Naloxone
💊 Glucagon
💊Flumazenil
💊 Protamine
ANSWER: NALOXONE.
A nurse is reinforcing teaching with a client who has a new
prescription for insulin. The client is taking propranolol. The nurse
should teach the client to monitor for which of the following findings
as a manifestation of hypoglycemia?
➖ Tachycardia
➖ Difficulty breathing
➖ Sleep disturbance
➖ Hunger
ANSWER: HUNGER.
Adverse Effects of Propranolol
Insomnia and nightmares, and can cause difficulty breathing.
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