1. A circulating nurse is planning care for a client who is scheduled for surgery and has a
latex allergy. Which of the following actions should the nurse include in the plan of care?
- ANS-Place monitoring cords and tubes in a stockinet
2. A nurse administered digoxin immune Fab to a client who received the incorrect dose of
digoxin over a period of 3 days. The nurse should identify that which of the following
findings indicates the antidote was effective? - ANS-normal sinus rhythm
3. A nurse administers ceftazidime to a client who has severe penicillin allergy. The nurse
should identify which of the following client findings as an indication that she should
complete an incident report? - ANS-The client reports shortness of breath
4. A nurse contacts a client's provider on the telephone to obtain a prescription for pain
medication. Which of the following actions should the nurse take? - ANS-have the
provider spell out the unfamiliar medication names
5. A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis.
The nurse should identify which of the following findings as an indication that the client is
beginning to exhibit salicylism? - ANS-Tinnitus
6. A nurse in a provider's office is assessing a client who has been taking aspirin daily for
the past year. For which of the following findings should the nurse notify the provider
immediately? - ANS-Hyperventilation
7. A nurse is administering baclofen for a client who has a spinal cord injury. Which of the
following findings should the nurse document as a therapeutic outcome? -
ANS-Decrease in flexor and extensor spasticity
8. A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly
develops dyspnea and widespread hives. Which of the following actions should the
nurse take first? - ANS-discontinue the medication IV infusion
9. A nurse is administering diazepam to a client who is having a colonoscopy. Which of the
following actions should the nurse take? - ANS-ensure flumazenil is available to
administer for toxicity management
10. A nurse is assessing a client who has received atropine eye drops during an eye
examination. Which of the following findings should the nurse expect as an adverse
effect of the medication? - ANS-blurred vision
11. A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the
following findings should the nurse monitor? - ANS-increased blood pressure
12. 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? -
ANS-dry mouth
13. A nurse is assessing a client who is taking tamoxifen to treat breast cancer. Which of the
following findings is the priority for the nurse report to the provider? - ANS-leg
tenderness
, 14. A nurse is caring for a client who has developed hypomagnesemia due to long-term
therapy with lansoprazole. The nurse should monitor the client for which of the following
manifestations? - ANS-disorientation
15. A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client
reports feeling confused and anxious. Which of the following actions should the nurse
take first? - ANS-perform a capillary blood glucose test
16. A nurse is caring for a client who has heart failure and a prescription for enalapril. The
nurse should monitor the client for which of the following findings as an adverse effect of
the medication? - ANS-hyperkalemia
17. A nurse is caring for a client who has heart failure and is receiving an IV infusion of
dopamine. Which of the following findings indicated that the medication is effective? -
ANS-increased cardiac output
18. A nurse is caring for a client who has hypocalcemia and is receiving calcium citrate. The
nurse should identify that which of the following findings indicates a therapeutic
response to the medication? - ANS-client report decreased paresthesia
19. A nurse is caring for a client who has magnesium level of 3.1 mEq/L. The nurse should
expect to administer which of the following medicaitons? - ANS-calcium gluconate
20. A nurse is caring for a client who has pneumonia. The client tells the nurse she is
pregnant and that she has not told her provider yet. The nurse should identify that
pregnancy is a contraindication for receiving which of the following medications? -
ANS-doxycycline
21. A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea.
Which of the following findings should the nurse report to the provider? (select all that
apply) - ANS-1) hemoglobin 7.0
22. 2) platelets 75000
23. 3) potassium 5.2
24. A nurse is caring for a client who is receiving end-of-life care and has a prescription for
fentanyl patches. Which of the following information regarding the adverse effects of
fentanyl should the nurse plan to give to the client and family? - ANS-Take a stool
softener on a daily basis
25. A nurse is caring for a client who is receiving haloperidol. The nurse should identify
which of the following findings as an adverse effect of the medication? - ANS-akathisia
26. A nurse is caring for a client who is recovering from deep-vein thrombosis and is to start
taking warfarin. For which of the following findings should the nurse monitor as an
adverse effect of warfarin? - ANS-Bleeding gums
27. A nurse is caring for a client who is refusing to take their scheduled morning furosemide.
Which of the following statements should the nurse make? - ANS-By not taking your
furosemide, you might retain fluid and develop swelling
28. A nurse is caring for a client who is taking atrocastatin for hyperlipidemia. Which of the
following client laboratory values should the nurse monitor? - ANS-creatinine kinase
29. A nurse is caring for a client who is to receive treatment for opioid use disorder. Which of
the following medications should the nurse expect to administer? - ANS-methadone
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