1. A client comes to an urgent care clinic and announces with great enthusiasm "I am an
expert at all things medical as they apply to me and I require zolpidem." The clients
pupils are dilated along with an elevated heart rate and blood pressure level. The nurse
should suspect intoxication with which of the following substances? - ANS-cocaine
2. A nurse is assisting with the care of a client who has a methicillin resistant
staphylococcus aureus (MRSA) infection and is receiving vancomycin via IV infusion.
Which of the following changes in the clients condition should the nurse identify as the
priority finding to the provider? - ANS-hypotension
3. A nurse is caring for a client who has a history of psychosis and is taking chlirpromazine.
Which of the following actions should the nurse take to counteract the adverse effects of
this medication? - ANS-inform the client to apply sunblock before going outside
4. A nurse is caring for a client who has a new prescription for eplerenone to treat
hypertension. The nurse should monitor for which of the following adverse effects of this
medication? - ANS-hyperkalemia
5. A nurse is caring for a client who has a new prescription for sumatriptan. The nurse
notes that the client takes fluoxetine. The nurse should notify the provider that the
combination of these medications will place the client at risk for which of the following
adverse effects? - ANS-tremors
6. A nurse is caring for a client who has chronic kidney disease and has been receiving
epoetin alfa for 2 weeks. Which of the following findings should indicate to the nurse that
the clients medication is having the de3sired therapeutic effect? - ANS-hemoglobin rises
0.5 g/dL
7. A nurse is caring for a client who has hyperthyroidism and has been taking methimazole.
Which of the following lab results should indicate to the nurse that the medication has
had a therapeutic effect? - ANS-decreased t4
8. A nurse is caring for a client who has multiple sclerosis and has a new prescription for
baclofen. Which of the following findings indicates to the nurse that the medication is
having a therapeutic effect? - ANS-decreased muscle spasticity
9. A nurse is caring for a client who has prescription for an IM injection of penicillin G
benzathine. The client asks why the injection must be given IM instead of through the IV
line. Which of the following responses should the nurse make? - ANS-you're medication
can't be given IV because it is not water soluble
10. A nurse is caring for a client who has tuberculosis and will begin taking isoniazid. Which
of the following actions should the nurse take? - ANS-determine the clients daily alcohol
intake
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