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A client at 29-weeks gestation is receiving magnesium sulfate 3 grams/hour for pre-term labor. After administering the loading dose, what assessment finding should the nurse report to the healthcare provider immediately?
A client has a new prescription for the maximum recommended dosage of piperacillin/tazobactam for nosocomial pneumonia. The nurse should report which laboratory finding to the healthcare provider before administering the prescribed dose?
After administering the initial dose of enalapril to a female client, it is most important for the nurse to assist the client with which activity?
After reviewing a list of prescribed ? “as needed? ” medications, the nurse provides a client with a dose of simethicone. Which assessment
the finding did the nurse use to make this medication decision?
The nurse anticipates the prescription of a reduced dosage of a nephrotoxic medication for the a client with which problem?
.A client receiving the xanthine oxidase inhibitor allopurinol for gout is complaining of a decrease in hearing. Which current medication should the nurse question as being the cause of this client’s change in hearing?
A 72-year-old male client with acute bursitis is receiving oxycodone hydrochloride q4h PRN pain. When providing this client with pain medication, it is most important for the nurse to consider what fact?
A client newly diagnosed with Type 1 diabetes received 28 units of Humulin N at 0700. The nurse is making rounds at 1330. Which client statement requires the most immediate follow-up intervention by the nurse?
A client comes into the emergency department complaining of progressive weakness that began in both feet and is slowly progressing up both legs that started after receiving the annual influenza inoculation. Which health problem should the nurse suspect that the client is experiencing?
A client is on a mechanical ventilator. Which client response indicates that the neuromuscular blocker tubocurarine chloride is effective?
A client receiving nitroglycerin via a transdermal patch reports feeling dizzy while ambulating to the restroom. What action should the nurse implement first?
A client in acute renal failure has a serum potassium level of 6.3 mEq/L. What medication can the nurse expect the healthcare provider to prescribe?
A client who is started on medication for depression begins to demonstrate improvement in affect and interactions within 2 days. What
additional intervention should the nurse identify as being appropriate for the client at this time?
A client with a permanent pacemaker develops loss of capture resulting in symptomatic sinus bradycardia at a rate of 38/minute. Which intravenous medication should the nurse prepare to administer immediately?
A client with fibromyalgia is prescribed the antiepileptic drug pregabalin. For which part of the client? ‘s medical history should
the nurse question this medication being prescribed?
A client with gout has been treated with allopurinol for approximately 6 months. What laboratory datum would indicate that this medication has been effective in treating gout?
A client with peptic ulcer disease is prescribed the histamine2-receptor antagonist ranitidine. What should the nurse instruct the client about this medication?
A male client has received a prescription for sildenafil. What should the nurse instruct the client about this medication?
A male client taking several medications complains of sexual dysfunction. The nurse knows that this is a side effect commonly associated with which of his current medications?
A seriously ill client in the hospital tells the nurse that he thinks he has lost some of his ability to hear over the past few days. The nurse reviews the medications the client is currently receiving. Which medications are known to be ototoxic? Select all that apply.
A unit secretary mistakenly enters the wrong medication into the MAR when transcribing orders. After a root cause analysis, it is determined that the cause is the illegibility of the physician’s order. Which measure should be taken to prevent future incidences?
An 8-month-old infant is being charged after the second hospitalization in two months for respiratory syncytial virus. For which medication should the nurse prepare teaching for the child’s parents?
An adult male college student going on a cross-country road trip with
friends receives the anticholinergic medication, scopolamine (Transderm-
Scop), to help control nausea and vomiting from excessive motion. What
should the nurse teach the client about his medication?
An older client being treated for a wound infected with Staphylococcus aureus is complaining of a sudden onset of hearing loss. Which prescribed medication should the nurse question as being the cause of this client’s hearing loss?
Before administering a new prescription for oral potassium chloride (KCl), the nurse reviews the client’s laboratory tests. What serum laboratory result indicates the need to hold the medication until the healthcare provider is contacted?
During a home visit, the nurse becomes concerned that a client taking simvastatin for an elevated cholesterol level is experiencing an adverse effect of the medication. What did the nurse assess in this client?
The charge nurse is implementing a quality assurance policy and accompanies a nurse while administering medications. The nurse identifies a male client by asking him to state his name prior to administering the medication. Which action should the charge nurse implement?
The home care nurse is teaching a new mother how to provide prescribed medication to the newborn. Which action should the nurse
teach the mother to use when giving this medication?
The mental health nurse working in a community treatment center is preparing an educational presentation on medication administration and plans to use photographs of clients to demonstrate certain medication principles. Which intervention is most important for the nurse to implement?
The nurse administers two newly prescribed medications, isosorbide dinitrate, and hydrochlorothiazide, to a client. Which follow-up assessment is most important for the nurse to perform?
The nurse is reading the laboratory results for a client being treated with carbamazepine for prophylaxis of complex-partial seizures. Does the nurse interpret that which value is consistent with an adverse effect on this medication?
The nurse tells a client with leukemia that allopurinol has been added to the medication list. The client is currently receiving busulfan. When the client asks the purpose of the new medication, the nurse responds that allopurinol is intended to prevent which complication?
A client diagnosed with nephrotic syndrome is treated with the steroid prednisone. The nurse recognizes that the treatment is having the desired effect when the client exhibits which serum lab value?
A client needs to take 1.2 grams of calcium daily. The client currently takes eight 200 mg tablets each day. What instruction should the nurse provide?
The nurse administers acetaminophen 650 mg orally to an elderly client who has diabetes and urosepsis, and whose oral temperature is 104 F (40 C). One hour later, the client is diaphoretic. Based on this finding, which intervention should the nurse implement?
A client’s breath urease test is positive for Helicobacter pylori organisms. Does the nurse anticipate that which set of medications will be prescribed to eradicate this infection?
The mother of a school-age child is questioning the use of antibiotics to treat the child’s streptococcal throat infection because of the long-term effects of the drug on the body. What should the nurse respond to this mother’s questions?
The healthcare provider prescribes an excessive amount of morphine sulfate IV push to be given to a terminally ill client. What is the priority intervention for the nurse to implement?
The nurse on the cardiac unit is preparing to administer medications after receiving the morning change-of-shift report. Which medication should the nurse administer first?
A client has a continuously running peripheral infusion. The healthcare provider prescribes an antibiotic as a piggyback infusion four times per day. In order to administer the antibiotic, the nurse should do which of the following? Select all that apply.
The family of a home infusion client calls the home health nurse one night to report that the electronic infusion pump alarm is sounding. What should the nurse anticipate as the cause of the infusion pump alarming? Select all that apply.
A client is to receive a unit of packed red blood cells (PRBCs). The nurse and another nurse have confirmed that the correct blood for the client has been obtained from the blood bank. Immediately prior to starting the blood transfusion, what client assessment should the nurse make?
What nursing responsibilities will be included while caring for a client receiving total parenteral nutrition (TPN)? Select all that apply.
Clients experiencing profound malnutrition may experience refeeding syndrome when first initiating total parenteral nutrition (TPN). What should the nurse do to determine if this occurs?
What should the nurse anticipate being included in the therapeutic plan of care for a postpartum client with subinvolution?
In which postpartum client should the nurse conclude that methylergonovine maleate is contraindicated?
The client is reporting vague dread; she is pacing and hyperventilating. Her jaw is clenched, and she is wringing her hands. What type of medication should the nurse conclude that this client needs?
What would be a priority clinical problem to address for a client taking zolpidem?
A client who has diabetes mellitus begins drug therapy with albuterol for exercise-induced asthma. Which follow-up finding should indicate to the nurse that the client is experiencing a side effect of this medication?
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) how to administer multiple medications by inhalation. Which statement by the client indicates an understanding of the instruction? Select all that apply.
Diltiazem is prescribed for a client with chronic, stable angina. Which statement by the client indicates to the clinic nurse that the client needs additional medication information?
A client with diabetes mellitus is newly diagnosed with hypertension. After learning that the client has a 15-year history of smoking one pack of cigarettes daily, the nurse would consult with the prescriber regarding which antihypertensive medication?
A client is receiving oxcarbazepine to control seizures. What statement by the client to the nurse indicates an understanding regarding administration of this medication?
A client with a history of seizures is admitted with partial occlusion of the left common carotid artery. The client has taken carbamazepine for ten years. What is the most critical nursing consideration when planning care for this client?
The client with congestive heart failure (CHF) is eating a 1-gram-sodium diet and will be having a potassium-sparing diuretic added to the medication regimen. Does the nurse prepare to conduct teaching about which medication is likely to be prescribed?
The home healthcare nurse is visiting an older adult client who is taking torsemide twice daily. Which statements made by the client indicate the need for further teaching? Select all that apply.