<br/><br/> <br/> -A nurse in a provider's office is assessing a client
who has hyperthyroidism and has been taking levothyroxine for 2 months. Which of the following statements by the client indicates a therapeutic response to the medication?
-I have noticed I'm not as cold as i use to be
-I am taking a laxative for constipation
-I am losing weight without dieting
-I seem to be sleeping more than usual
-A nurse is caring for a client who has cancer and reports moderate pain. Which of the following medications should the nurse expect to administer?
3. A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of he following manifestations should the nurse identify as an allergic reaction?
4. A nurse is assessing a client who is receiving heparin theory for deep vein thrombosis, Which of the findings should the nurse indicate to the nurse that the therapy is effective?
--Platelets within the expected reference range
--Reduced calf circumference
--Presence of pedal pulses bilaterally.
5. A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should the nurse indicate that the treatment is effective?
--Cardiac arrhythmias absent
--Absent Chvostek's signs.
6. A nurse is providing teaching to a client who has a new prescription for nitroglycerin. Which of the following client statements indicates an understanding of the teaching.
-- "I will take 1 tablet every 3 minutes if I experience discomfort"
-- "I will call 911 if my pain is not relieved after taking the medication"
-- "I will store the tablets in the refrigerator"
-- "I will notify my provider If I experience occasional headaches."
7. A nurse is providing teaching about the adverse effects of ergotamine to a client who has migraine headaches. Which of the following adverse effects should the nurse include in the teaching?
8. A nurse is assessing a client who has asthma and a prescription for albuterol. The nurse should monitor the client for which of the following adverse effects.
9. A nurse is planning care for a group of clients. Which of the following client medications should be monitored by the nurse for hearing loss related to a medicating interaction.
--Digoxin and levothyroxine
--Losartan and atorvastatin
--Propranolol and raloxifene
--Furosemide and amikacin
10. A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication?
11. A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. Which of the following actions should the nurse include in the plan of care?
--reconstitute the medication wit a 5% dextrose solution
--administer the medication over 10 mins
--monitor the client for hearing loss
--implement a high fiber diet to prevent constipation
12. A nurse is teaching a client who is to start atorvastatin. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
-"I should avoid drinking grapefruit juice while taking this medication"
-"I should expect some muscle soreness for the first few weeks"
-"I don't need to eat a low fat diet as long as I am taking this medication"
-"I should return to the clinic in 6 months for liver functions tests"
13. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following statements by the client indicates an understanding of the teaching?
-"I should not take an antacid within 1 hour of taking this medication"
-"I should avoid dairy products when taking this medication"
-"I can take two aspirins to treat headaches"
-"I can expect fine hand tremors when taking this medication"
14.A nurse is preparing to administer medications to a group of clients. Which of the following prescriptions should the nurse clarify with the provider before administration?
-Zoledronate 5 mg intravenously X 1 dose
-Tetracycline 1 g orally every 6 hr
-Penicillin G 5,000,000 units intramuscularly every 4 hr
-Warfarin 100 units subcutaneously daily
15.A nurse is assessing a client who has Graves' disease and is taking methimazole. Which of the following findings indicates the clients the client needs a lower dose of the medication?
16.A nurse is reviewing agency protocol prior to administering epoetin alfa to a client who has chronic kidney disease. Which of the following actions should the nurse plan to take?
-Thaw the medication in the vial 30 min before administration.
-Dilute vial of medication with sterile water
-Shake the vial of medication to dissolve particles
-Discard the vial of medication if the solution is cloudy
17.A nurse is providing discharge teaching about warfarin to a client who has deep vein thrombosis. The nurse should instruct the client to obtain which of the following laboratory tests monthly?
18.A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 800 mg/dL. Which of the following interventions should the nurse initiate first ?
-Potassium chloride 10 mEq/hr
-0.9% sodium chloride 15 mL/kg/hr
-Subcutaneous insulin injectors i think this is wrong because SQ would take too long for intervention
-Bicarbonate by IV infusion
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