Ten minutes after the initiation of a blood transfusion, a client reports lumbar pain. What is the
next nursing action? - ANS Stop the transfusion.
The healthcare provider prescribes an intravenous medication for a client who has been
admitted for a chronic obstructive pulmonary disease exacerbation. When preparing to initiate
an intravenous line, the nurse applies the tourniquet to select the site. When should the nurse
release the tourniquet? - ANS When the needle enters the vein
A nurse is teaching an older adult client about managing chronic pain with acetaminophen.
Which client statement indicates that the teaching is effective? - ANS "I have to be careful about
which over-the-counter cold preparations I take when I have a cold."
Famotidine (Pepcid) is prescribed for a client with peptic ulcer disease. The client asks the
nurse what this medication does. Which action does the nurse mention when replying? - ANS
Inhibits gastric acid secretion
A client who had a kidney transplant develops leukopenia 3 weeks after surgery. What does the
nurse conclude is the most probable cause of the leukopenia? - ANS Antirejection medications
After surgery a client develops a deep vein thrombosis and a pulmonary embolus. Heparin via a
continuous drip is prescribed. Several hours later, vancomycin intravenously every 12 hours is
prescribed. The client has one intravenous (IV) site: a peripheral line in the left forearm. What
action should the nurse take? - ANS Start another IV line for the vancomycin and continue the
heparin as prescribed.
A client is scheduled for a craniotomy to remove a brain tumor. To prevent the development of
cerebral edema after surgery, the nurse anticipates the use of drugs from which class? - ANS
Steroids
A health care provider prescribes ranitidine for a client with heartburn. During a teaching
session, which information will the nurse share with the client about how this drug works? - ANS
Ranitidine reduces gastric acidity in the stomach
A Total Parenteral Nutrition (TPN) solution is prescribed to infuse one liter every 12 hours for a
malnourished client. What is most important for the nurse to monitor? - ANS Serum glucose
levels
Which medication does the nurse anticipate will be prescribed to relieve anxiety and
apprehension in a client with pulmonary edema? - ANS Morphine
, Hydrochlorothiazide, a thiazide diuretic, has been prescribed for a client with hypertension. The
client reports hearing that furosemide is more effective and requests a prescription change. How
should the nurse respond? - ANS "HCTZ has fewer side effects."
Which action should the nurse take first when a client's gravity flow IV rate is too slow? - ANS
Evaluate the appearance of the catheter insertion site
A client is scheduled for discharge following surgery. The medical record indicates that the client
has not had a bowel movement since before surgery, which was 4 days ago. During the hospital
stay, the client received a stool softener daily and an oral laxative the day before discharge.
Which one of the prescribed medications should the nurse administer to ensure a bowel
movement prior to discharge? - ANS Bisacodyl 10-mg suppository
A nurse is instructing a group of volunteer nurses on the technique of administering the
smallpox vaccine. What injection method should the nurse teach? - ANS Intradermal scratch
The health care provider prescribes propylthiouracil (PTU) for a client with the diagnosis of
Graves' disease. What should the nurse teach the client when discussing the self-administration
of this medication? - ANS Observe for signs of infection
A client is diagnosed with tuberculosis associated with human immunodeficiency virus infection.
What crucial laboratory test results should the nurse review before antitubercular
pharmacotherapy is started? - ANS Liver function studies
A nurse is administering an intradermal skin test injection to a client. What is the next action the
nurse needs to do after the medication has been injected? - ANS Withdraw the needle and
place a piece of gauze over the injection site.
The person with which type of blood is known to be the universal recipient? - ANS AB
A client is considered to be in septic shock when what changes are assessed in the client's
labwork? - ANS An increased serum lactate level
A nurse is giving an educational program to paramedics who have volunteered to give the
smallpox vaccine in a community vaccination drive. Which type of needle and method of
administration should the nurse teach the volunteers to use when administering the smallpox
vaccine? - ANS Bifurcated needle for 15 injections within 5 mm
A client is started on tetracycline antibiotic therapy. What should the nurse do when
administering this drug? - ANS Give the medication an hour before milk products are ingested.
A healthcare provider prescribes ampicillin for a client with an infection. What information should
the nurse include in the teaching plan about this medication? - ANS Notify the healthcare
provider if diarrhea develops.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LEWIS12. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
