A nurse is reviewing laboratory findings and notes that client's lithium level is 2.6 mEq/L.
Which of the following actions should the nurse plan to take?
Give this one a try later!
Prepare the client for hemodialysis
-Rationale: Hemodialysis is appropriate for a client who has a plasma lithium
level greater than 2.5 mEq/L
1. A nurse is contributing to a plan of care for a client who has a wound infection. Which
of the following actions should the nurse recommend as the priority?
Give this one a try later!
, Obtain a wound specimen for culture.
-Rationale: When using the urgent vs. nonurgent approach to care, the nurse's
priority action is to obtain a cultureof the wound before initiating antibiotic
therapy.
A nurse is assisting with caring for a group of clients who are receiving IV therapy. The
nurse is monitoring the clients for complications.
INDICATIONS: Identify three indications for IV therapy.
POTENTIAL COMPLICATIONS: Identify four potential complications of IV therapy.
Give this one a try later!
INDICATIONS
● To administer medications
● To supplement fluid intake
● To replace electrolytes and nutrients
POTENTIAL COMPLICATIONS
● Infiltration
● Extravasation
● Cellulitis
● Fluid overload
● Catheter embolus
● Phlebitis, thrombophlebitis
3. a nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and is
starting repaglinide. Which of the following statements by the client indicates
understanding of
the administration of this medication?
Give this one a try later!
, "i'll take this medicine 30 minutes before i eat."
-Rationale: Repaglinide causes a rapid, short‐lived release of insulin. the client
should take this medication within 30 min before each meal so that insulin is
available when food is digested.
A nurse is reinforcing teaching with a client who has a new prescription for an iron
supplement. Which of the following should the nurse include in the teaching?
Give this one a try later!
Liquid iron supplements can stain teeth.
-Rationale: The nurse should tell the client that taking iron supplements in a
liquid form can stain teeth. The client should rinse their mouth with water after
taking the supplement.
A nurse is caring for a client who has angina and asks about obtaining a prescription for
sildenafil to treat erectile dysfunction. Which of the following medications should the
nurse recognize as contraindicated with sildenafil?
Give this one a try later!
Isosorbide
-Rationale: Isosorbide is an organic nitrate that manages pain from angina.
Concurrent use of it is contraindicated because fatal hypotension can occur.
The client should avoid taking a nitrate medication for 24 hr after taking
isosorbide.
, 4. a nurse is reinforcing teaching with a client who has a new prescription for metformin.
Which of the following findings should the nurse instruct the client to report as an
adverse effect of metformin?
Give this one a try later!
somnolence
-Rationale: somnolence can indicate lactic acidosis, which is manifested by
extreme drowsiness, hyperventilation, and muscle pain. it is a rare but very
serious adverse effect caused by metformin and should be reported to the
provider.
A nurse is caring for a client who has atrial fibrillation and a new prescription for
dabigatran. Which of the following medications is prescribed concurrently to treat an
adverse effect of dabigatran?
Give this one a try later!
Omeprazole
-Rationale: Omeprazole or another proton pump inhibitor is prescribed for a
client who is taking dabigatran and has adverse GI effects. Advise the client
who has GI effects to take dabigatran with food.
A nurse is reinforcing discharge teaching with a client who is postoperative and has a
new prescription
for an opioid medication for incisional pain. What should the nurse include?
THERAPEUTIC USES: Describe for oxycodone. COMPLICATIONS: List three adverse
effects for oxycodone. NURSING INTERVENTIONS: List three.
Which of the following actions should the nurse plan to take?
Give this one a try later!
Prepare the client for hemodialysis
-Rationale: Hemodialysis is appropriate for a client who has a plasma lithium
level greater than 2.5 mEq/L
1. A nurse is contributing to a plan of care for a client who has a wound infection. Which
of the following actions should the nurse recommend as the priority?
Give this one a try later!
, Obtain a wound specimen for culture.
-Rationale: When using the urgent vs. nonurgent approach to care, the nurse's
priority action is to obtain a cultureof the wound before initiating antibiotic
therapy.
A nurse is assisting with caring for a group of clients who are receiving IV therapy. The
nurse is monitoring the clients for complications.
INDICATIONS: Identify three indications for IV therapy.
POTENTIAL COMPLICATIONS: Identify four potential complications of IV therapy.
Give this one a try later!
INDICATIONS
● To administer medications
● To supplement fluid intake
● To replace electrolytes and nutrients
POTENTIAL COMPLICATIONS
● Infiltration
● Extravasation
● Cellulitis
● Fluid overload
● Catheter embolus
● Phlebitis, thrombophlebitis
3. a nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and is
starting repaglinide. Which of the following statements by the client indicates
understanding of
the administration of this medication?
Give this one a try later!
, "i'll take this medicine 30 minutes before i eat."
-Rationale: Repaglinide causes a rapid, short‐lived release of insulin. the client
should take this medication within 30 min before each meal so that insulin is
available when food is digested.
A nurse is reinforcing teaching with a client who has a new prescription for an iron
supplement. Which of the following should the nurse include in the teaching?
Give this one a try later!
Liquid iron supplements can stain teeth.
-Rationale: The nurse should tell the client that taking iron supplements in a
liquid form can stain teeth. The client should rinse their mouth with water after
taking the supplement.
A nurse is caring for a client who has angina and asks about obtaining a prescription for
sildenafil to treat erectile dysfunction. Which of the following medications should the
nurse recognize as contraindicated with sildenafil?
Give this one a try later!
Isosorbide
-Rationale: Isosorbide is an organic nitrate that manages pain from angina.
Concurrent use of it is contraindicated because fatal hypotension can occur.
The client should avoid taking a nitrate medication for 24 hr after taking
isosorbide.
, 4. a nurse is reinforcing teaching with a client who has a new prescription for metformin.
Which of the following findings should the nurse instruct the client to report as an
adverse effect of metformin?
Give this one a try later!
somnolence
-Rationale: somnolence can indicate lactic acidosis, which is manifested by
extreme drowsiness, hyperventilation, and muscle pain. it is a rare but very
serious adverse effect caused by metformin and should be reported to the
provider.
A nurse is caring for a client who has atrial fibrillation and a new prescription for
dabigatran. Which of the following medications is prescribed concurrently to treat an
adverse effect of dabigatran?
Give this one a try later!
Omeprazole
-Rationale: Omeprazole or another proton pump inhibitor is prescribed for a
client who is taking dabigatran and has adverse GI effects. Advise the client
who has GI effects to take dabigatran with food.
A nurse is reinforcing discharge teaching with a client who is postoperative and has a
new prescription
for an opioid medication for incisional pain. What should the nurse include?
THERAPEUTIC USES: Describe for oxycodone. COMPLICATIONS: List three adverse
effects for oxycodone. NURSING INTERVENTIONS: List three.
