1. A nurse is assessing a client who is receiving chloramphenicol
(Chloromycetin). Which of the following findings is an adverse effect
of this medication? (adverse affect is thrombocytopenia)
o Ecchymos
o
Ototoxicity
o Hypertensi
on o Anxiety
2. A nurse is caring for a client who is to receive 1,500 mL of 0.9%
sodium chloride IV over 8 hours. The nurse plans to use IV tubing with
a drop factor of 10 gtt/mL.
How many gtt/min of IV fluid should the client receive? (Round your
answer to the nearest whole number).
31 gtt/min
3. A nurse is admitting a client to a long-term care facility. While
reconciling the medication prescribed at home with those prescribed in the
facility, the nurse discovers a discrepancy in the dosages. Which action
should the nurse take?
o Clarify the medication dosages with the provider.
o Change the prescribed medication dosages to reconcile the
discrepancy o Contact the pharmacist regarding the dosage
discrepancies
o Ask a family member to verify the medication dosages
4. A nurse is caring for a client who is receiving a fentanyl
transdermal system (Duragesic). What is important to document in
the client’s record?
o Fluid
intake o Skin
integrity
o Respiratory
rate o Pulse
rate
5. A nurse is caring for a client who has acute angina and has a prescription for
nitroglycerin. Which of the following is an appropriate intervention for the
,nurse to take when administering this medication?
o Massage the nitroglycerin ointment completely into
the skin. o Replace the nitroglycerin transdermal
patch every 4 hours.
o Administer a sustained nitroglycerin tablet orally.
o Administer a nitroglycerin tablet sublingually every 5 minutes.
6. A nurse is preparing to administer infliximab (Remicade) to a client who has
rheumatoid arthritis. The nurse should watch the patient for which of the
following adverse effects? (Select all that apply.)
o Bradycard
ia o
Jaundice
o Polyuri
ao
Urtipenia
o Fever
, 7. A nurse is providing teaching to a client who was recently diagnosed as HIV
positive. The client is beginning medication therapy with zidovudine
(Retrovir). Which of the following statements should the nurse include in the
teaching. (Select all that apply.)
o Must be taken with other retroviral
medicines. o Has few adverse effects
o Cures an HIV infection
o Prevents you from transmitting the HIV
infection o Increases CD4+ cell count
8. A nurse is assessing a school age client who is experiencing seizure activity
and is prescribed diazepam (Valium) IV. The nurse should should clarify the
order if the client is receiving a continuous infusion of which of the following IV:
o Lactated Ringers solution
o 0.9% Sodium chloride with 100 units of
regular insulin o 0.9% sodium chloride
o 0.9% Sodium chloride with 20 mEq of potassium chloride
9. A nurse is assessing a client who is taking enalapril (Vasotec) for congestive
heart failure. Which of the following indicates an expected finding?
o Activity tolerance
o Orthostatic
hypotension o Loss
of strength
o Increase in blood pressure
10. A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of
the following therapeutic effects should the nurse monitor?
o Increased urine
output o Increased
energy
o Decreased
anxiety o
Decreased
spacity
11. Clinical findings of a client who has a prescription for lithium carbonate
(Lithobid). For which reasons should the nurse withhold the medication and
notify the provider?
o Lithium level 1.0
mEq/L o Potassium at
3.7 mEq/L o Sodium
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