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A client is taking cyclosporine for renal allograft rejection prevention. After 9
months of drug therapy, the nurse reviews laboratory data and notes that the
blood urea nitrogen level is 36 mg/dl. What additional finding should the
nurse identify?
Hypotension.
White blood cell count
10,000. Creatinine 28
mg/dl.
Anaphylactic reaction.
Creatinine 28 mg/dl.
The nurse receives a unit of blood from the blood bank for a postoperative
client who is currently in the X-ray department. What action should the nurse
implement?
Return the blood to the blood bank for refrigeration within 30
minutes. Hang the blood transfusion as soon as the client returns
to the unit.
Store the blood bag in the nursing unit's refrigerator until the client
returns. Take the unit of blood to the X-ray department to initiate
the transfusion.
Return the blood to the blood bank for refrigeration within 30 minutes.
,Which side effects should the nurse monitor for a client who is receiving
dexamethasone (Decadron) following neurosurgery? (Select all that apply.)
Select all that
apply Mood
swings.
Decreased appetite.
Increased weight gain.
Serum glucose level of 65 mg/dl.
Delayed incisional wound healing.
Serum hemoglobin level of 9 mg/dl.
Mood swings.
Increased weight gain.
Delayed incisional wound healing.
Serum hemoglobin level of 9 mg/dl.
A client is taking danazol (Danocrine) for endometriosis and calls the clinic nurse
to
complain of a dark, swollen, and painful leg. What instructions should the nurse
provide the client?
Wear support stockings.
Elevate both legs and apply heat.
Proceed to the closest emergency room.
Walk for 20 to 30 minutes to reduce muscle cramps.
Proceed to the closest emergency room.
, A client asks the nurse to explain the meaning of a narrow therapeutic index of
a medication. What information should the nurse use to answer the question?
The onset of action for the medication occurs very
quickly. A small margin exists between safe and toxic
plasma levels. Bioavailability is significantly reduced
by the first-pass effect.
Minimum dosage is needed for the medication to be effective.
A small margin exists between safe and toxic plasma levels.
A c lient is receiving fentanyl via an epidural infusion. Which side effect should
the nurse anticipate in the first 24 hours of epidural analgesia ?
Headache.
Agitation.
Urinary retention.
Abdominal cramping and diarrhea.
Urinary retention.
The healthcare provider prescribes a medication for an older adult client who is
complaining of insomnia, and instructs the client to return in two weeks.
The nurse should question which prescription?
Zolpidem (Ambien) 10 milligrams orally at
bedtime. Eszopiclone (Lunesta) 10 milligrams
orally at bedtime. Temazepam (Restoril) 7.5
milligrams orally at bedtime. Ramelteon
(Rozerem) 8 milligrams orally at bedtime.
Eszopiclone (Lunesta) 10 milligrams orally at bedtime.