The nurse is caring for a client who has D) Rise slowly when getting out of bed or chair
taken atenolol for 2 years. The healthcare
provider recently changed the medication
to Enalapril to manage the client's BP.
Which instruction should the nurse provide
the client regarding the new medication?
A) Take the medication at bedtime
B) Report presence of increased bruising
C) Check pulse before taking medication
D) Rise slowly when getting out of bed or
chair
A female client calls the clinic and talks C) Consult with healthcare provider about another treatment for this effect.
with the nurse to inquire about a possible
reaction after taking amoxicillin for 5 days.
She reports having vaginal discomfort,
itching, and white discharge. The nurse
should discuss which action with the client?
A) Discontinue the antibiotic because
original symptoms have subsided.
B) Continue taking the medication until
finished until the symptoms subside.
C) Consult with a healthcare provider
about another treatment for this effect.
D) Use an over-the-counter (OTC) vaginal
wash to flush out the secretions.
1/21
,10/7/24, 3:02 PM
The nurse is making early morning rounds C) Rapid resolution of wheezing.
on a group of clients when a client begins D) Improved pulse oximetry values.
exhibiting symptoms of an acute asthma
attack. The nurse administers a PRN
prescription for a Beta 2 receptor agonist
agent. Which client response should the
nurse expect? [Select all apply]
A) Tachycardia.
B) Increased blood pressure.
C) Rapid resolution of wheezing.
D) Improved pulse oximetry values.
E) Reduce fever airway inflammation.
A client prescribed atenolol has a blood B) Give the medication as prescribed and continue to monitor the client.
pressure of 120/68 mmHg, displaying sinus
bradycardia with a rate of 58 beats/minute,
and a P-R interval of 0.24. Which action
should the nurse take?
A) Lower the head of the bed and assess
the client for orthostatic vital sign changes.
B) Give the medication as prescribed and
continue to monitor the client.
C) Prepare to administer atropine sulfate IV
push.
D) Hold the prescribed dose and contact
the healthcare provider.
The nurse is preparing the 0900 doses of A) Withhold the scheduled dose.
losartan (Cozaar), an angiotensin II
receptor blocker (ARB), for a client with
hypertension and heart failure. The nurse
reviews the client's laboratory results and
notes that the client's serum potassium
level is 5.9 mEq/L. Which action should the
nurse take first?
A) Withhold the scheduled dose. B) Check
the client's apical pulse.
C) Notify the healthcare provider.
D) Repeat the serum potassium level.
2/21
, 10/7/24, 3:02 PM
Upon admission to the emergency center, Albuterol (Proventil) puffs. Salmeterol (Serevent Diskus). Prednisone (Deltasone)
an adult client with acute status asthmaticus orally. Gentamicin (Garamycin) IM.
is prescribed this series of medications. In
which order should the nurse administer
the prescribed medications? (Arrange from
first to last.)
An adult client is given a prescription for a A) Apply the patch at least 4 hours prior to departure.
scopolamine patch (Transderm Scop) to
prevent motion sickness while on a cruise.
Which information should the nurse
provide to the client?
A) Apply the patch at least 4 hours prior to
departure.
B) Change the patch every other day while
on the cruise.
C) Place the patch on a hairless area at the
base of the skull.
D) Drink no more than 2 alcoholic drinks
during the cruise.
A client with giardiasis is taking D) Take the medication with food.
metronidazole (Flagyl) 2 grams PO. Which
information should the nurse include in the
client's instruction?
A) Notify the clinic of any changes in the
color of urine.
B) Avoid overexposure to the sun.
C) Stop the medication after the diarrhea
resolves.
D) Take the medication with food.
A female client with rheumatoid arthritis A) Use contraception during intercourse.
takes ibuprofen (Motrin) 600 mg PO 4
times a day. To prevent gastrointestinal
bleeding, misoprostol (Cytotec) 100 mcg
PO is prescribed. Which information is most
important for the nurse to include in client
teaching?
A) Use contraception during intercourse.
B) Ensure the Cytotec is taken on an empty
stomach.
C) Encourage oral fluid intake to prevent
constipation.
D) Take Cytotec 30 minutes prior to Motrin.
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