Anaphylactic Reaction - answer-Client develops an anaphylactic reaction to IV administration.
Actions for Anaphylactic Reaction - answer-Replace infusion with 0.9% sodium chloride, give
diphenhydramine IM, elevate client's legs and feet, administer epinephrine IM.
Sertraline and Supplements - answer-Supplement to avoid: St. John's Wort.
Lisinopril Adverse Effects - answer-Adverse effect to monitor: hypotension.
Heparin Vital Sign Changes - answer-Vital sign change to monitor: increased pulse rate.
Medication Error Incident Report - answer-Responsible staff member for incident report: the
nurse who identifies the error.
Morphine Epidural Infusion Monitoring - answer-Monitor for: pruritus (sign of allergic reaction
to morphine).
Digoxin Administration Steps - answer-Sequence of steps: obtain client's apical heart rate,
remove medication from dispensing system, open medication package, compare client's
wristband to medication administration record, document administration of medication.
Acetaminophen Contraindication - answer-Contraindication for receiving medication: chronic
kidney disease.
Furosemide Weight Gain Action - answer-Action to take first: notify the provider of the client's
weight gain.
, Penicillin G Allergic Reaction Indication - answer-Indication of allergic reaction following
injection: urticaria.
Sublingual Nitroglycerin Instruction - answer-Instruction to include: place the tablet between
your cheek and gum to dissolve.
Theophylline Understanding Statement - answer-Statement indicating understanding of
teaching: 'I will need to have blood levels drawn.'
Mixing Insulin First Action - answer-First action to take: inject air into the regular insulin vial.
Subcutaneous Heparin Administration Action - answer-Action to take: insert the needle at least
5 cm (2 in) from the umbilicus.
Amoxicillin Allergic Reaction Finding - answer-Finding indicating allergic reaction: laryngeal
edema.
Medication Reconciliation Instruction - answer-Instruction for medication reconciliation:
perform for a client who is transferred to a step-down unit.
Atorvastatin Laboratory Values - answer-Laboratory value indicating treatment effectiveness:
LDL 120 mg/dL.
Transcribing Medication Prescription - answer-Transcription in client's medical record: Morphine
6 mg IV push every 3 hr PRN acute pain.
Assessing IV Infusion Site - answer-Action to take: apply a warm, moist compress.