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Nightingale College
A client with chemotherapy-induced nausea receives a prescription for
metoclopramide. Which adverse effect is most important for the nurse
to report?
A: Nausea.
B: Involuntary
movements.
C: Unusual irritability.
D: Diarrhea.
B: Involuntary movements.
While assessing a client who takes acetaminophen for chronic pain, the
nurse observes that the client's skin looks yellow in color. Which action
should the
nurse take in response to this finding?
A: Report the finding to the healthcare
provider. B: Check the client's capillary
glucose level.
C: Use a pulse oximeter to assess oxygen
saturation. D: Advise the client to reduce the
medication dose.
A: Report the finding to the healthcare provider.
,A client with nasal congestion receives a prescription for phenylephrine
10 mg by mouth every 4 hours. Which client condition should the
nurse report to the healthcare provider before administering the
medication?
A:
Diarrhea.
B:
Bronchitis.
C:
Hypertension.
D: Edema.
C: Hypertension.
When administering medications to a group of clients, which client
should the nurse closely monitor for development of acute kidney injury
(AKI)?
A:
Lorazepam.
B: Digoxin.
C: Sucralfate.
D: Vancomycin.
D: Vancomycin.
,A glucagon emergency kit is prescribed for a client with type 1 diabetes
mellitus to be used at home. When should the nurse instruct the client
and family that glucagon needs to be administered?
A: At the onset of signs of diabetic
ketoacidosis. B: Before meals to prevent
hyperglycemia.
C: When unable to eat during sick days.
D: When signs of severe hypoglycemia occur.
D: When signs of severe hypoglycemia occur.
Rivastigmine, a cholinesterase inhibitor, is prescribed for a female client
with early stage Alzheimer's disease. The client's daughter tells the
nurse that she plans to start administering the drug when her
mother's symptoms are no
longer manageable, in hopes that her mother will not have to go to a
nursing home. How should the nurse respond?
A: Confirm that the daughter is aware of the progressive nature of the
disease.
B: Affirm the decision to use the medication when the symptoms
start to worsen.
C: Explain that the drug should be used early in the course of the
disease process.
D: Assess the client's current mental status before deciding to support
the decision.
C: Explain that the drug should be used early in the course of the
disease process.
, A client who receives multiple antihypertensive medications experiences
syncope due to a drop in blood pressure to 70/40 mm Hg. Which is the
rationale for the nurse's decision to hold the client's scheduled
antihypertensive medications?
A: Increased urinary clearance of the multiple medications has
produced diuresis and lowered the blood pressure.
B: The synergistic effect of the multiple medications has resulted in
drug toxicity and hypotension.
C: The antagonistic interaction among the various blood pressure
medications has reduced their effectiveness.
D: The additive effect of multiple medications has caused the blood
pressure to drop too low.
D: The additive effect of multiple medications has caused the blood
pressure to drop too low.
A client reports confusion and blurred vision after receiving a dose of
glipizide. Which action should the nurse implement?
A: Perform a neurological exam.
B: Obtain a fingerstick blood
glucose. C: Administer glucagon
intramuscularly. D: Measure the
client's vital signs.
B: Obtain a fingerstick blood glucose.