A nurse is caring for a client who has a 10-year history of alcohol use disorder and is experiencing acute
alcohol withdrawal. The nurse should identify which of the following interventions as the
priority? Correct Answer implement seizure precautions.
A nurse is reinforcing teaching with a client who experiences migraine headaches and has a new
prescription for sumatriptan. The nurse should instruct the client to report which of the following
manifestations to the provider as an adverse effect of this medication? Correct Answer chest tightness
A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg P0 daily, The nurse should
instruct the client to monitor for which of the following adverse effects of this medication?
Correct Answer Dry cough
A nurse is caring for a client who has genital herpes. which of the following medications
should the nurse expect to administer? Correct Answer acyclovir
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about adverse effects of
metformin. The nurse should instruct the client to monitor for which of the following findings as
manifestations of lactic acidosis? (Select all that apply.) Correct Answer [] muscle pain
[]hyperventilation
[] Dizziness
A nurse in a provider's office is reviewing the immunization records of a 12-month-old infant
who is immunocampramised. which of the following vaccines should the nurse identify as
contraindicated for this client? Correct Answer Measles, mumps, and rubella (MMR)
, A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus and is learning to
self-administer NPH insulin' Which of the following client actions indicates an understanding of
the teaching? Correct Answer The client wipes the cap with alcohol prior to filling the syringe.
A nurse is caring for a client who is having an acute asthma attack. Which of the following
medications Correct Answer albuterol
A nurse is collecting data from a client who received morphine IV for pain relief. Which of the following
findings is the nurse's priority to report to the provider? Correct Answer respiration rate 11/min
A nurse is caring for a client who has a new prescription for risperidone to manage
schizophrenia. which of the following laboratory tests should the nurse plan to obtain
prior to administering the first dose? Correct Answer fasting blood glucose level
A nurse is performing the third check before administering hydromorphone to a client. After opening
the unit-dose packet, the client tells the nurse they do not want to take the medication now. Which of
the following actions should the nurse take? Correct Answer Dispose of the medication with a
second nurse as a witness.
A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hr ago. which of the
following adverse reactions is the priority finding to report to the provider? Correct Answer
respiratory depression
A nurse is caring for a client who has schizophrenia and is to start therapy with
risperidone. For which of the following manifestations should the nurse monitor to
determine whether the treatment is effective? Correct Answer improved social interactions