ANSWERS LATEST AND COMPREHENSIVE VERSION
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A nurse is monitoring a client who has type 2 diabetes mellitus and is receiving repaglinide.
Which of the following lab tests should the nurse plan to review to obtain information about the
long-term therapeutic effect of this medication?
Glycosylated HbA1c
A nurse is reinforcing teaching with a client who is to start therapy using a nitroglycerin
transdermal patch. Which of the following instructions should the nurse include?
Place the patch on a different site for each application.
A nurse is reinforcing teaching with a client who is using phenylephrine nasal spray three times
daily and reports rebound congestion. Which of the following instructions should the nurse
include to reduce the effects of rebound congestion?
"Discontinue use in the left nostril, then in the right nostril."
A nurse is caring for a client who has chronic kidney disease and has been receiving epoetin for 2
weeks. Which of the following findings should indicate to the nurse that the client's medication is
having the desired therapeutic effect?
Hemoglobin rises 0.5 g/dL
A nurse is collecting data from a client who is post-op and taking morphine for pain. Which of
the following findings is the priority for the nurse to report to the provider?
Oxygen saturation 87%
,A nurse is reinforcing teaching with a client who has a new prescription for propranolol. Which
of the following information should the nurse include in the teaching?
"If your pulse rate is less than 50 beats per minute, notify your provider."
A nurse is contributing to the plan of care for a client who has schizophrenia and a new
prescription for clozapine. The nurse should include in the plan to monitor the client for which of
the following adverse effects of this medication?
Agranulocytosis
A nurse is reviewing medication prescriptions for a group of clients. The nurse should recognize
that which of the following prescriptions can result in a medication administration error?
Furosemide 10.0 mg PO daily
A nurse is reinforcing teaching with a client who has a prescription for alendronate. Which of the
following client responses indicates to the nurse an understanding of the teaching?
"I will take the mediation with 8 ounces of water."
A nurse is reviewing the history of a client who is to start taking cefotetan to treat a bacterial
infection. Which of the following information from the client's medical record should the nurse
report to the provider before the client begins receiving this medication?
Penicillin allergy
, A nurse is preparing to administer a PRN medication to a group of clients. Which of the
following clients should the nurse administer medication to first?
A client who is attending post-op physical therapy and requests pain medication.
A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client's
temperature increase to 39.1'C (102.4'F). Which of the following actions should the nurse take
first?
Stop the transfusion
A nurse is reinforcing teaching about comfort measures with the parent of a 10 yr old child who
has a viral infection. The nurse should plan to tell the parent that aspirin is contraindicated
because of the risk for which of the following conditions?
Reye syndrome
A nurse is reinforcing teaching with a client who has HIV and a new prescription for zidovudine.
Which of the following client statements should indicate to the nurse an understanding of the
teaching?
"I will be sure to have my blood tested for anemia. "
A nurse is reinforcing teaching with a female client who has a new prescription for isotretinoin.
Which of the following information should the nurse include in the teaching?
- "You will need to have your liver enzymes monitored after 1 month."
- "You can have nosebleeds while taking this medication."
- "You should report any thoughts of harming yourself."