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A nurse is caring for the mother of a newborn. The mother asks the
nurse who her newborn should receive his first diphtheria, tetanus,
and pertussis vaccine (DTaP). The nurse should instruct the mother
that her newborn should receive the immunization at what age? -
CORRECT ANSWER 2 months
A nurse is caring for a client who has heart failure and is receiving an
IV infusion of dopamine. What finding indicates that the medication is
effective? - CORRECT ANSWER Increased cardiac output
A nurse is providing teaching about insulin glargine to a client who has type 1 diabetes mellitus. What
information should the nurse include in the instructions? - CORRECT ANSWER Do not mix this
medication in a syringe with other insulin
A nurse is preparing to administer to a client 0.9% sodium chloride 1,000 mL IV over 8 hours. The
drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to
deliver how many gtt/min? - CORRECT ANSWER 31
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,A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The
nurse should identify that what client medication will interfere with the effectiveness of oral
contraceptive?
- CORRECT ANSWER Carbamazepine
A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for
methylprednisolone. What instructions should the nurse include? - CORRECT ANSWER Blood
glucose levels will be monitored during therapy.
Avoid contact with people who have known infections.
Grapefruit juice can increase the effects of the medication.
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an
error was made during the previous shift and the client received atenolol instead of allopurinol. What
action should the nurse take first? - CORRECT ANSWER Obtain the client's blood pressure
A nurse is caring for a 20-year-old female client who has a prescription for isotretinoin for severe
nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advise the client that
what test is required? - CORRECT ANSWER Pregnancy test
A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the
antibiotic is not present in the client's medication drawer. The nurse should identify that
administration of the medication can occur at what time period without requiring an incident report? -
CORRECT ANSWER 0830
A nurse is providing teaching about adverse effects of clindamycin to
a client. What finding should the nurse instruct the client to report to
the provider? - CORRECT ANSWER Watery diarrhea
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,A nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole.
What instruction should the nurse include in the teaching? - CORRECT ANSWER Drink 8-10
glasses of water daily
A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. What
instructions should the nurse include in the teaching plan? - CORRECT ANSWER Report muscle
pain to the provider.
Avoid taking the medication with grapefruit juice.
Expect therapy with this medication to be lifelong.
A nurse is teaching about self-administration of transdermal medication with a male client who has a
new prescription for nitroglycerin. The nurse should identify that what statement by the client
indicates an understanding of the teaching? - CORRECT
ANSWER "I will remove the patch after 14 hours."
A nurse is providing teaching to a client about the use of ethinyl estradiol/norelgestromin. The nurse
should identify that what statement by the client indicates an understanding of the teaching? -
CORRECT ANSWER "I will fold the sticky sides of the old patch together before disposing it."
A nurse is teaching a client about cyclobenzaprine. What client statement should indicate to the nurse
that the teaching is effective? - CORRECT ANSWER "I will taper off the medication before
discontinuing it."
A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports
feeling confused and anxious. What action should the nurse take first? - CORRECT ANSWER
Perform a capillary blood glucose test
A nurse is caring for a client who is in labor. The client is receiving oxytocin by continuous IV
infusion with a maintenance IV solution. The external FHR monitor indicates late decelerations. What
action should the nurse take first? - CORRECT ANSWER Turn the client to a side-lying position
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, A nurse is reviewing the prescriptions of a client who has tuberculosis.
The nurse should identify that what medications are used to treat
tuberculosis? - CORRECT ANSWER Rifampin and Isoniazid
A nurse is caring for a client who is receiving end-of-life care and has a
prescription for fentanyl patches. What information regarding the adverse effects of fentanyl should
the nurse plan to give to the client and family? - CORRECT ANSWER Take a stool softener on a
daily basis
A nurse is caring for a client who is receiving long-term treatment for
systemic lupus erythematosus with prednisone. The nurse should
inform the client to expect to undergo what diagnostic tests to
T
monitor for long-term complications of prednisone? - CORREC
ANSWER Bone density scans
A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and
albuterol inhalers. What instruction should the nurse include in the teaching? - CORRECT ANSWER
Rinse your mouth after inhaling the beclomethasone
A nurse is caring for a client who is taking atenolol. What finding should indicate to the nurse that the
medication is effective? - CORRECT ANSWER The client has a decrease in blood pressure
A nurse is assessing a client who has received atropine eye drops
during an eye examination. What finding should the nurse expect as an
adverse effect of the medication? - CORRECT ANSWER Blurred vision
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