Which action should the PN take after administering zolpidem (Ambien) to an older
client at bedtime?
offer a bedtime snack
administer oral care
assess for sundowning
decrease external stimuli
decrease external stimuli
Four hours after administering promethazine to a male client, the PN measures his
temperature. When the client questions the PN about the purpose for taking his
temperature, how should the PN respond?
encourage the pt to share his concerns about
the plan of care
describe how the medication works to lower
body temperature.
explain the need to assess for side effects of
,the medicine.
offer assurance that vital signs are routinely
taken every 4 hours.
explain the need to assess for side effects of this medicine
After administering the 0730 ac dose of sliding scale regular insulin to a client with
DM, what action by the PN has the highest priority?
instruct the uap to take the client a breakfast tray.
measure the clients vital signs and oxygen
saturation.
notify the charge nurse of the dose of insulin
administered.
observe the client for pallor, diaphoresis, or
fatigue
instruct the uap to take the client a breakfast tray
Morphine sulfate via intravenous patient-controlled analgesia (PCA) pump is
prescribed for a client with severe chronic back pain. Thirty minutes after initiating the
pea pump, the PN notes that the client becomes lethargic. What action should the PN
take?
determine the clients pain scale rating
, measure the clients vital signs
check the iv insertion site for swelling
reinforce pca pump teaching
measure the clients vital signs
The PN applies a preparation with keratolytic properties to both legs of a pt with
psoriasis. What findings indicate that the desired effect has been achieved.
affected areas are free of localized redness and
swelling.
scaley areas of the skin appear softer with less
peeling.
full range of motion without pain of lower
extremity joints.
no prudent drainage present from lesions on
the legs.
scaley areas of the skin appear softer with less peeling
The PN is administering lonidine (catapres) to a client with hypertension. What
instruction should the PN give the client?
"Do not abruptly stop the medication"
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