A nurse is reviewing laboratory results for a client who is receiving heparin via continuous IV
infusion for deep-vein thrombosis. The nurse should discontinue the medication infusion for
which of the following client findings?
A) Potassium mEq/L
B) aPTT times the control
C) Hemoglobin g/dL
D) Platelets 96,000/mm^3 - ANS D) Platelets 96,000/mm^3
A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over 1 hr.
The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV
infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.) - ANS 100gtt/min
A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary
incontinence. The nurse should instruct the client to report which of the following findings as an
adverse effect of the medication? (Select all that apply.)
A) Dry mouth
B) Tinnitus
C) Blurred vision
D) Bradycardia
E) Dry eyes - ANS A) Dry mouth
C) Blurred vision
E) Dry eyes
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?
A) Minimizes diaphoresis
B) Maintain abstinence
C) Lessen craving
D) Prevent delirium tremens - ANS D) Prevent delirium tremens
A nurse is assessing a client who is taking amitriptyline for depression. Which of the following
findings should the nurse identify as an adverse effect of the medication?
A) Tinnitus
B) Urinary frequency
C) Dry mouth
D) Diarrhea - ANS C) Dry mouth
A nurse is providing follow-up care to a client who is taking lisinopril. Which of the following
manifestations should the nurse instruct the client to report as an adverse effect of lisinopril?
,A) Drowsiness
B) Hallucinations
C) Persistent cough
D) Weight gain - ANS C) Persistent cough
A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse
should report which of the following findings to the provider as an adverse effect of the
medication?
A) Constipation
B) Tinnitus
C) Hypoglycemia
D) Joint pain - ANS B) Tinnitus
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?
A) The med should be taken prior to 1hr prior to eating
B) It takes 48hr for therapeutic effects to occur
C) Tablets should not be crushed or chewed
D) Decreased respiration might occur - ANS D) Decreased respiration might occur
A nurse is teaching about a new prescription for ciprofloxacin to an older adult client who has a
urinary tract infection. The nurse should identify which of the following statements as an
indication that the client understands the teaching?
A) I will take this med with an antacid to prevent GI upset
B) I will stop taking this med when I no longer have pain upon urination
C) I will report any signs of tendon pain/swelling
D) I will take this med with milk - ANS C) I will report any signs of tendon pain or swelling
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?
A) Take med on empty stomach for full effect
B) You may discontinue this med when stomach discomfort subsides
C) Report skin yellowing
D) Store med in fridge - ANS C) Report skin yellowing
A nurse is caring for a client who is receiving cefazolin IV. The nurse should identify that which
of the following medications can potentiate nephrotoxicity if administered concurrently?
A) Famotidine
B) Levofloxacin
C) Metoclopramide
D) Gentamicin - ANS D) Gentamicin
, A nurse is providing discharge teaching to a client who has a new prescription for furosemide
twice daily. The nurse should include which of the following instructions in the teaching? (Select
all that apply.)
A) take 2nd dose at bed time
B) Inc intake of potassium rich food
C) Obtain weight weekly
D) Monitor for muscle weakness
E) Dangle your legs from the side of the bed before standing - ANS B) Inc intake of potassium
rich food
D) Monitor for muscle weakness
E) Dangle your legs from the side of the bed before standing
A nurse in the emergency department is caring for a client who has myasthenia gravis and is in
a cholinergic crisis. Which of the following medications should the nurse plan to administer?
A) Potassium iodide
B) Glucagon
C) Atropine
D) Protamine - ANS C) Atropine
A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of the
following information should the nurse include in the teaching?
A) Plan to inc dosage each weak by 200mg increments
B) Prolonged use of med can cause glaucoma
C) Drink 2L of water daily
D) Fine red rash is transient and can be treated with antihistamines - ANS C) Drink 2L of water
daily
A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of
the following statements by the client indicates an understanding of the teaching?
A) I should apply a patch every 5min if I develop chest pain
B) I will take the patch off right after my evening meal
C) I will leave the patch off at least 1 day each week
D) I should discard the used patch by flushing it down the toilet - ANS B) I will take the patch off
right after my evening meal
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new
prescription for sucralfate. Which of the following actions of sucralfate should the nurse include
in the teaching?
A) Dec stomach acid secretion
B) Neutralizes acids in the stomach
C) Forms a protective barrier over ulcers
D) Treats ulcers by eradicating H. pylori - ANS C) Forms a protective barrier over ulcers
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