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- A nurse in a providers office is preparing to teach a middle aged adult client who has a new diagnosis of metabolic syndrome and an HbA1c of 6.5%.Which of the following medication should the nurse plan to teach the client about first?
A. Insulin glargine B. Regular insulin C. Exenatide D. Metformin D. Metformin
- A nurse is reviewing a client laboratory results before administering furosemide 40 mg IV bolus. For which of the following values should the nurse with hold the medication and contact the provider? A. WBC count 8,000/mm B. Potassium 2.5 mEq/L C. INR 1.
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D. Sodium 141 mEq/L
A. Fasting blood glucose 160mg/dL B. An increase in appetite C. Stable weight D. HgbA1c 6.5% D. HgbA1c 6.5%
- A nurse is reviewing a clients medical record before administering aceta- minophen 650 mg PO every 6 hours. Which of the following findings indicates a need for the nurse to notify the provider?
A. Hypothyroidism B. History of alcohol use disorder C. Recurrent headaches D. BP 92/60mm Hg B. History of alcohol use disorder
- A nurse is assessing a client who has been taking lithium for one year.Which of the following client reports is a nurses priority?
A. Transient fatigue B. Weight gain of 2 kg (6lbs) C. Mild thirst D. Blurred vision C. Mild thirst
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- A client who has Graves' disease is prescribed methimazole. Which of the following affects should the nurse expect to see you after the client has taken the medication for two months?
A. Weight loss. B. Increase in pulse rate. C. Increased sleeping. D. Warmer skin. B. Increased sleeping
- a nurse is caring for a client who is postoperative following a thyroidecto- my and is receiving morphine for pain. Which of the following findings should the nurse recognize as an adverse effect of morphine? a. Bladder distention b. Productive cough c. Gastrointestinal bleeding d. Decrease deep tending reflexes a. Bladder distention
- A nurse is teaching a client who has pernicious anemia to self- administer cyanocobalamin. Which of the following information should the nurse include in the teaching? a. Use nasal decongestion 15 mins before the medication if you have a stuffy nose
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c. Administer the medication into one nostril once per week d. Plan to self-administer this medication for the next 6 months c. Administer the medication into one nostril once per week
- A nurse is teaching a newly license nurse about medication reconciliation. The nurse should instruct the newly license nurse for medication reconcilia- tion for which of the following clients? a. Client who is transported to radiology b. A client who has a consultation for .... c. A client who has a referral for social services d. A client who has been transferred to a step-down unit d. A client who has been transferred to a step-down unit
- A nurse is assessing a client how received a dinoprostone gel to stimulate the cervical ripening. Which of the following is the nurse's priority? a. Back pain b. Flushing c. nausea d. Uterine tachysystole d. Uterine tachysystole
- A nurse is performing a return demonstration of an enoxaparin adminis- tration.Which of the following client actions indicates an understanding of the teaching? a. Messages the site to enhance absorption b. Injections the medication into a muscle c. Administers the medication into the abdomen d. Aspirates the medication after injection
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c. Administers the medication into the abdomen
- A nurse is assessing a client how has been taking digoxin and ...... which of the following findings to the nurse indicates this client has developed digoxin toxicity? a. Ringing in the ears b. Hyperkalemia c. Blurred vision d. hypertension c. Blurred vision
- A nurse is caring for a client who received neostigmine 1 hour ago and is experiencing muscarinic response. Which if the following manifestations should the nurse expect? a. Headache b. Excessive salivation c. Fever d. Myoclonic seizure b. Excessive salivation
- Anurse in the emergency department is reviewing a medication record for client who reports vomiting blood. The nurse should anticipate the provider will discontinue which of the following medications? a. NPH insulin b. Clopidogrel c. Furosemide
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b. Clopidogrel
- Anurse is assessing a who is receiving clindamycin.Which of the following findings should the nurse identify as an adverse effect of this medication? a. Agitation b. Report of blurred vision c. Hypertension d. Watery diarrhea d. Watery diarrhea
- A nurse is teaching a client who is to start taking Cromolyn. Which of the following information should the nurse include in the teaching?
a. Cromolyn should take effect within 5 mins b. Cromolyn should dilate the bronchioles c. Cromolyn can be used after exercise d. Cromolyn is a long-term management medication d. Cromolyn is a long-term management medication
- a nurse is reviewing the medications of a client is experiencing orthostatic hypotension. The nurse should identify this finding as an adverse effect of which of the following medications? a. Imipramine b. Levothyroxine c. Montelukast d. Omeprazole a. Imipramine
- A nurse is reviewing a client's medical history before administering a
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new prescription of atropine. Which of the following client conditions is contraindi-
- A charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following action by the newly licensed nurse requires the charge nurse to complete an incident report? a. The nurse requests a higher dose of morphine for a client who reports severe pain 30 min after receiving morphine 2 mg IV bolus
b. The nurse administers ondansetron to a client who has two episodes of vomiting after receiving meperidine 75 mg IM. c. A client who has a blood glucose level of 120 mg/dL receives her morning dose of insulin d. A client who has a lithium level of 1.8 mEq/L receives her morning dose of lithium.
A client who has a lithium level of 1.8 receives her morning dose
- A nurse is caring for a client who has a alcohol use disorder and is experiencing withdrawals. Which of the following interventions is a priority at this time? a. Assist the client to identify triggers for alcohol use b. Encourage participation in a 12-step program c. Implement seizure precautions d. Administer naltrexone - abstinence maintenance Implement seizure precau- tions
- A nurse is planning care for a group of clients. which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?
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a. Losartan and atorvastatin
the
priority? a. Hypotension b. Leg weakness c. Temperature 39 (102 ) d. Urinary retention Hypotension
- A nurse is providing teaching to a client who has a prescription for omeprazole. which of the following instructions should the nurse include in the teaching? a. Take the medication with evening meals b. Long-term use of the medication increases the risk of fractures c. This medication might cause drowsiness. d. Crush the medication for easier swallowing Long term use increases risk of fractures
- A nurse is reviewing a client's laboratory results before administering furosemide 40 mg IV bolus. For which of the following values should the nurse
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a. "I will dilute my child's medication in milk." b. "I will give my child the medication in a baby bottle." c. "I will rinse my child's mouth with water after she takes the medicine." d. "I will mix my child's medication into a small amount of applesauce." I will rinse my child's mouth with water after she takes the medicine
- A nurse is caring for a client who is to start therapy with lovastatin. the nurse should prepare the client for which of the following diagnostic assessments? a. Western blot analysis b. Liver function tests c. Pancreatic enzymes d. Exercise electrocardiography Liver function test
- A new prescription for insulin glargine. which of the following expected outcomes should the nurse include in the plan? a. The client will take an additional dose of insulin glargine prior to exercise b. The client will use the deltoid muscle as an injection site c. The client will administer insulin glargine before each meal
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d. The client will wear his reading glasses when drawing up a dose of insulin glargine The client will wear his reading glasses when drawing insulin glargine
- A nurse is caring for a client who is receiving a continuous IV infusion of magnesium sulfate for preterm labor. the nurse should discontinue the infu- sion and prepare to administer calcium gluconate if the client demonstrates which of the following findings? (Select all that apply) a. Decreased level of consciousness b. Systolic blood pressure 130 mmHg c. Urine output 80 mL in 4 hr d. Absence of deep tendon reflexes
e. Report of chills Absence of deep-tendon reflexes Urine output 80 mL/hr Decreased LOC
- A nurse is teaching a client who has a new prescription for nitroglycerin patches. the nurse should identify which of the following statements as an indication that the client understands the teaching? a. "I cannot take a sublingual tablet of nitroglycerin after applying the patch." b. "I will move the patch to my leg if I get a headache." c. "I will rotate the application site to avoid skin irritation." d. "I will apply a new patch if I have chest pain I will rotate application site to avoid skin irritation
- A nurse in a provider's office is preparing to teach a middle adult client
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