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• A nurse is assessing a client who is receiving intravenous therapy. The
nurse should identify which of the following findings as a manifestation
of fluid volume excess?
• Decreased bowel sounds
• Distended neck veins
• Bilateral muscle weakness
• Thread pulse
• A nurse manager is planning an in-service about pain management with
opioids for client who has cancer. Which of the following information
should the nurse manager include?
• IM administration is recommended if PO opioids are ineffective
• Respiratory depression decreases as opioid tolerance develops
• Meperidine is the opioid of choice for treating chronic pain
• Withhold PRN pain medication for the client who is receiving opioids
every 6 hr
• A nurse is reviewing the list of current medication for a client who is to
start prescription for carbamazepine. The nurse should identify that which
of the following medications interacts with carbamazepine?
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• Nicotine transdermal system
• Diphenhydramine
• Estrogen-progestin combination (Non-hormonal forms of
contraception)
• Beclomethasone
• A nurse is caring for a client who has a respiratory infection and is
receiving an antibiotic. Which of the following medications puts the client
at risk for developing hearing loss?
• Rifampin
• Ciprofloxacin
• Penicillin G
• Gentamicin
• A nurse is teaching a guardian of a school-age child who has a new
prescription for a fluticasone metered-dose inhaler. Which of the following
information should the nurse include in the teaching? (SATA)
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• “Soak the inhaler in water after use.”
• “Have your child take one inhalation as needed for shortness of
breath.”
• “Shake the device prior to administration.”
• “A spacer will make it easier to use the device.”
• “Rinse your child’s mouth following administration.”
• A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO
to divide equally 12
hr. available is 6.7 mEq/5 mL. How many mL should the nurse administer per
dose? (Round the answer to the nearest tenth. Use a leading zero if it
applies. Do not use a trialing zero.)
• 7.5 mL
• A nurse is caring for a client who has hyponatremia and is receiving an
infusion of a prescribed hypertonic solution. Which of the following
findings should indicate to the nurse that the treatment is effective?
• Absent Chvostek’s sign
• Improved cognition
• Decreased vomiting
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• Cardiac arrhythmias absent
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