ANSWERS 100 % CORRECT LATEST UPDATE 2022/2023
GRADED A+
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?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an
PPT of 90 seconds. They should monitor the client for which of the following changes in
their vital signs?
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure
A nurse is preparing to administer medication to a client and discovers a medication error.
The nurse should recognize that which of the following staff members is responsible for
completing an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error
,d. The charge nurse
A nurse is planning care for a client who is receiving morphine via continuous epidural
infusion. The nurse should monitor the client for which of the following?
a. Pruritus
b. Cough
c. Tachypnea
d. Gastric bleeding
A nurse is reviewing the medical record of a client who has sinusitis and a new prescription
for cefuroxime. Which of the following client information is the priority for the nurse to
report to the provider?
a. The client has a BUN of 18 mg/dL
b. The client takes an aspirin daily
c. The client has a history of a severe penicillin allergy
d. The client reports a history of nausea with cefuroxime
A nurse is assessing a client who has hypermagnesemia. Which of the following medications
should the nurse prepare to administer?
a. Protamine sulfate
b. Acetylcysteine
c. Calcium gluconate
d. Flumazenil
,A nurse is assessing a client following the administration of ondansetron (Zofran). Which of
the following findings should indicate to the nurse that the ondansetron has been effective?
a. Client reports a decrease in pain
b. Client reports a decrease in nausea
c. Client reports a decrease in coughing
d. Client reports a decrease in diarrhea
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?
a. IM administration is recommended if PO opioids are ineffective
b. Respiratory depression decreases as opioid tolerance develops
c. Meperidine is the opioid of choice for treating chronic pain
d. 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?
a. Nicotine transdermal system
b. Diphenhydramine
c. Estrogen-progestin combination
d. 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?
a. Rifampin
b. Ciprofloxacin
c. Penicillin G
d. 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)
a. "Soak the inhaler in water after use."
b. "Have your child take one inhalation as needed for shortness of breath."
c. "Shake the device prior to administration."
d. "A spacer will make it easier to use the device."
e. "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