A nurse is teaching a client who has a new prescription for a...

A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include?

a.      Cover the patch with dry gauze when taking a shower

b.      Remove the patch prior to going to bed

c.      Discontinue the patch if you experience headache

d.      Apply a new patch if you have chest pain.

 

  A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion, which of the following actions should the nurse take next?

 

a.      Give diphenhydramine IM.

b.      Replace the infusion with 0.9% sodium chloride.

c.      Elevate the client's legs and feet.

d.      Administer epinephrine IM.

 A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid?

 

a.      Coenzyme Q10

b.      Ginger root

c.      St. john's wort

d.      Black cohosh

   A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following stuff members is responsible for completing an incident report?

 

a.      The nurse who identifies the error

b.      The quality improvement committee

c.      The charge nurse.

d.      The nurse who caused the error.

  A nurse is reviewing the medical record of an adult client who has a fever and a prescription for acetaminophen. Which of the following findings should the nurse identify as a contraindication for receiving the medication?  

a.      Alcohol use disorder

b.      Diabetes mellitus

c.      Hepatitis B vaccine within the last week

d.      Chronic kidney disease.

  A home health nurse is visiting a client who has a heart failure and prescription for furosemide. The nurse identifies that the client has gained 2.2kg(5 Ib)   since the last visit  2 days ago. Which of the following actions should the nurse take first?

 

a.      Teach the client about foods low in sodium

b.      Notify the provider of the client's weigh gain

c.      Determine medication adherence by the client

d.      Encourage the client to dangle the legs while sitting in a chair.

   A nurse is teaching a client who has angina about a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching?

a.      Place the tablet between your cheek and gum to dissolve

b.      Keep the tablets at room temperature in their original glass bottle

c.      Discard any tablets you do not use every 6 months.

d.      Take one tablet each morning for 30 minutes prior to eating

  A nurse is receiving a medication prescription by telephone from a provider. The provider states "administer 6 milligrams of morphine IV push ever 3 hours as needed for acute pain." how should the nurse transcribe the prescription in the client's medical record?

a.      Morphine 6 mg IV push every 3 hr PRN acute pain

b.      Ms 6 mg iv push every 3 hr PRN acure pain

c.      Morphine 6.0 mg iv push every 3 hr PRN acute pain

d.      MSO4 6mg iv push every 3 hr PRN acute pain