1. A fee nurse is tracking a newly certified nurse who's being concerned for a postoperative
purchaser who is receiving morphine via a PCA pump. Which of the subsequent actions
by way of the newly licensed nurse calls for intervention? - ANS-Maintaining the
consumer on bed relaxation whilst the PCA pump is in use
2. A fee nurse is teaching a newly licensed nurse approximately a customer who has
excessive allergic reaction-related allergies and a brand new prescription for
omalizumab. Which of the following pieces of information need to the charge nurse
encompass to describe the medication's mechanism of action? - ANS-It reduces the
range of immunoglobulin E (IgE) molecules on mast cells
3. A fee nurse is teaching a newly certified nurse approximately the reason of a consumer
being prescribed a transdermal fentanyl patch. Which of the following clients have to the
price nurse consist of in the teaching as a client who requires this medicaiton? - ANS-A
client who's opioid-tolerant
4. A domestic fitness nurse is travelling an older person consumer who has Alzheimer's
disease. His caregiver tells the nurse she has been administering prescribed lorazepam,
1 mg 3 instances in step with day, to the customer for restlessness and tension over the
last few days. For which of the subsequent unfavorable consequences must the nurse
verify the customer? - ANS-Sedation
5. A hospice nurse is worrying for a client who has most cancers and is taking naproxen
250 mg 3 instances day by day PO and gabapentin 1,800 mg three times day by day PO
to manipulate pain. The client tells the nurse, "I'm having ache that continues me from
doing what I'd like maximum of the time" Which of the subsequent additions have to the
nurse anticipate to the consumer's medicinal drug routine? - ANS-Oral oxycodone
6. A nurse has administered medicine to a client. Which of the subsequent circumstances
should the nurse identify as a medication mistakes that resulted from a performance
deficit by the nurse? - ANS-An intramuscular injection was given in preference to a
subcutaneous injeciton
7. A nurse in a network health medical institution is assessing a new customer who has
prescriptions for isoniazid and rifampin. Which of the subsequent issues must the nurse
expect the purchaser to have? - ANS-Tuberculosis
8. A nurse in a provider's office is assessing a client who has been taking amoxicillin for 10
days and reviews diarrhea and cramping. The nurse have to understand that these
manifestations arise secondary to which of the following damaging consequences? -
ANS-Alterations in gastrointestinal plant life
9. A nurse in a issuer's office is assessing a patron who has been taking feverfew. Which of
the following statements through the patron suggests as therapeutic effect of the
complement? - ANS-I am having fewer migraine complications since I began taking
feverfew
,10. A nurse in a company's workplace is assessing a customer who reviews taking a
nutritional complement to reduce hot flashes related to menopause. Which of the
following dietary supplements ought to the nurse anticipate the patron to file takign? -
ANS-Black cohosh
11. A nurse in a issuer's workplace is supplying coaching to a consumer with osteoporosis
who has a new prescription for alendronate sodium. Which of the following pieces of
data ought to the nurse encompass? - ANS-Take alendronate sodium with a complete
glass of water on an empty belly
12. A nurse in a provider's office is reviewing a patron's medicine history. The patron asks
the nurse if she must begin taking excessive-dose vitamins as she a long time. Which of
the subsequent pieces of information need to the nurse provide approximately excessive
doses of nutrition suplements? - ANS-High doses of water-soluble vitamins will have
damaging outcomes
13. A nurse in the postpartum unit is caring for a customer who plans to breastfeed her new
child completely. The purchaser has a prescription for depot medroxyprogesterone
acetate (DMPA). At which of the subsequent times must the nurse schedule the client to
receive the primary dose of the medicine? - ANS-At 6 weeks postpartum
14. A nurse is administering a patron's first dose of sucralfate. Which of the following
reasons ought to the nurse offer about the motion of sucralfate? - ANS-Sucralfate forms
a gel-like substance that protects ulcers
15. A nurse is administering a medicinal drug parenterally to a customer. Which of the
subsequent strategies should the nurse use to lessen fluctuations in plasma medication
tiers? - ANS-Administering a non-stop infusion of the dose
16. A nurse is administering a medicine to a client. The nurse ought to become aware of that
which of the subsequent medicine distribution elements facilitate the powerful passage
of the medicine across the client's mobile membranes? - ANS-Lipid solubility
17. a nurse is administering a prescription for nifedipine to a patron who's pregnant. Which
of the subsequent portions of statistics related to nifedipine must the nurse reveal and
report? - ANS-Number of uterine contractions
18. A nurse is administering an enteric-coated pill to a patron and explaining the
pharmaceutical practise. Which of the subsequent statements must the nurse make? -
ANS-You are less likely to have an disappointed stomach with this pill due to the coating
on the pill
19. A nurse is administering brimonidine eye drops to a consumer who has glaucoma.
Which of the subsequent ocular results need to the nurse assume? - ANS-Decreased
intraocular pressure
20. A nurse is administering ciprofloxacin and phenazopyridine to a consumer who has
intense urinary tract infection (UTI). The purchaser asks why each medicines are
wished. Which of the following responses should the nurse make? - ANS-Ciprofloxacin
hydrochloride treats the infection, and phenazopyridine treats pain
21. A nurse is administering insulin glulisine 10 gadgets subcutaneously at 0730 to a
youngster consumer who has kind 1 diabetes mellitus. The nurse have to anticipate the
onset of motion of the insulin at which of the following times? - ANS-0745
,22. A nurse is administering oral hydroxyzine to a consumer. Which of the following negative
results ought to the nurse instruct the purchaser to expect? - ANS-Dry mouth
23. A nurse is administering subcutaneous epinephrine for a consumer who's experiencing
anaphylaxis. The nurse ought to display the customer for which of the following
damaging results? - ANS-Tachycardia
24. A nurse is administering subcutaneous heparin to a patron who is at hazard for deep
vein thrombosis. Which of the following actions have to the nurse take? -
ANS-Administer the medication into the patron's abdomen
25. A nurse is admitting a customer who has atrial traumatic inflammation with a coronary
heart price of 155/min. The nurse must expect a prescription from the company for which
of the subsequent medications? - ANS-Diltiazem
26. A nurse is admitting a customer who has unstable angina. Which of the subsequent
medicinal drugs ought to the nurse expect administering to the client? -
ANS-Nitroglycerin
27. A nurse is assessing a child who has acute lymphocytic leukemia and is receiving
vincristine sulfate. Which of the subsequent findings is the nurse's precedence? -
ANS-Paresthesia
28. A nurse is assessing a client who began taking clozapine 3 weeks in the past. Which of
the subsequent findings must the nurse report to the company right away? -
ANS-Tachypnea and tachycardia
29. A nurse is assessing a client who has a new prescription for chlorpromazine to deal with
schizophrenia. The consumer has a masks-like facial features and is experiencing
involuntary moves an tremors. Which of the subsequent medications ought to the nurse
anticipate administering? - ANS-Amantadine
30. A nurse is assessing a patron who has been taking simvastatin to deal with
hyperlipidemia. Which of the following statements by the client suggests an negative
impact of the medicine that need to be suggested to the company right now? - ANS-My
legs feel susceptible and achy
31. A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of
the subsequent findings suggests that the patron is experiencing acute levothyroxine
overdose? - ANS-Tremor
32. A nurse is assessing a customer who has multidrug-resistant tuberculosis and takes
ethambutol. The nurse must discover which of the following findings as and negative
effect of this medicinal drug? - ANS-Loss of pink/inexperienced coloration discrimination
33. A nurse is assessing a consumer who is receiving a non-stop morphine IV infusion and
finds the purchaser's breathing charge has reduced from 20/min to twelve/min. Which of
the following moves should the nurse take? - ANS-Slow the charge of the infusion
34. A nurse is assessing a client who's receiving clozapine to treat schizophrenia. The nurse
must become aware of an increase wherein of the following parameters as an early
indication of an damaging impact of this medication? - ANS-Temperature
35. A nurse is assessing a customer who's receiving IV gentamicin three instances each
day. Which of the subsequent findings shows that the customer is experiencing an
unfavourable impact of this medicinal drug? - ANS-Proteinuria
, 36. A nurse is assessing a client who's taking varenicline for smoking cessation. Which of
the following findings is the nurse's precedence? - ANS-Mood adjustments
37. A nurse is assessing a client who reports the use of numerous herbal and vitamin dietary
supplements each day, which include saw palmetto. The nurse must apprehend that
noticed palmetto is a supplement utilized by customers to elicit which of the following
therapeutic outcomes? - ANS-Urinary fitness advertising
38. A nurse is assessing a patron who takes oral theophylline for chronic bronchitis remedy.
The nurse must apprehend that which of the subsequent findings shows toxicity to
theophylline? - ANS-Tremors
39. A nurse is assessing a client who became recently admitted and has a history of alcohol
use ailment. The consumer shows ataxia, an altered stage of focus, and nystagmus.
Which of the subsequent medicinal drugs ought to the nurse count on administering to
the purchaser? - ANS-Parenteral thiamine
40. A nurse is assessing a purchaser with rheumatoid arthritis who has been taking high
doses of prescribed hydroxychloroquine. Which of the following consumer statements
have to indicate to the nurse that the patron is experiencing an negative effect of
hydroxychloroquine? - ANS-I have had a change in my vision lately
41. A nurse is assessing an infant at some stage in a ordinary checkup. The figure asks the
nurse approximately the little one's immunization schedule. Which of the following
responses ought to the nurse make? - ANS-It is suggested that your infant receives 6
immunizations at 2 months of age
42. A nurse is assessing an toddler who is scheduled to receive the rotavirus vaccine. Which
of the following criteria should the nurse become aware of as a ability contraindication for
administering this vaccine? - ANS-The infant has a history of intussusception
43. A nurse is assigned to take care of several customers who are postoperative. The patron
taking which of the following medications is vulnerable to behind schedule wound
recuperation? - ANS-Prednisone to treat continual arthritis
44. A nurse is assisting with a consumer's laceration repair in which the company will use
each lidocaine and epinephrine. The nurse have to inform the consumer that the
epinephrine will perform which of the following actions? - ANS-Delay systemic
absorption of the anesthetic residences of lidocaine
45. A nurse is being concerned for a purchaser and realizes after administering the 0900
medications that she administered digoxin zero.25 mg PO to the customer instead of the
prescribed digoxin 0.A hundred twenty five mg PO. Which of the following movements
should the nurse take first? - ANS-Assess the patient's apical pulse
46. A nurse is being concerned for a client who advanced hypoglycemia following an insulin
injection. The consumer is conscious and responds correctly to verbal stimuli. Which of
the subsequent medicines must the nurse plan to manage first? - ANS-Oral glucose
tablet
47. A nurse is being concerned for a purchaser who had a myocardial infarction 2 hours ago
and is receiving alteplase. Which of the subsequent findings need to the nurse become
aware of as an destructive effect of receiving this medication? - ANS-Bleeding
48. A nurse is caring for a patron who has a dry nonproductive cough. Which of the following
styles of medicinal drug have to the nurse recommend? - ANS-Antitussive
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