ATA NCLEX SAUNDERS REVIEW Study Guide.

ATA NCLEX SAUNDERS REVIEW Study Guide.Rifabutin (Mycobutin) is prescribed for a client with active Mycobacterium avium complex (MAC) disease and tuberculosis. The nurse monitors for which side effects of the medication? -answer Signs of hepatitis Flu-like syndrome Low neutrophil count Ocular pain or blurred vision A nurse in a medical unit is caring for a client with heart failure. The client suddenly develops extreme dyspnea, tachycardia, and lung crackles, and the nurse suspects pulmonary edema. The nurse immediately notifies the registered nurse and expects which interventions to be prescribed? -answer Administering oxygen Inserting a Foley catheter Administering furosemide (Lasix) Administering morphine sulfate intravenously A client with coronary artery disease complains of substernal chest pain. After checking the client's heart rate and blood pressure, a nurse administers nitroglycerin, 0.4 mg, sublingually. After 5 minutes, the client states, "My chest still hurts." Select the appropriate actions that the nurse should take. -answer Assess the client's pain level. Check the client's blood pressure. Administer a second nitroglycerin, 0.4 mg, sublingually. Contact the registered nurse. The nurse monitoring a client receiving peritoneal dialysis notes that the client's outflow is less than the inflow. The nurse should take which actions? -answer Check the level of the drainage bag. Reposition the client to his or her side. Place the client in good body alignment. Check the peritoneal dialysis system for kinks. The nurse is preparing a teaching plan for a client who is undergoing cataract extraction with intraocular implant. Which home care measures will the nurse include in the plan? -answer To avoid activities that require bending over To place an eye shield on the surgical eye at bedtime To contact the surgeon if a decrease in visual acuity occurs To take acetaminophen (Tylenol) for minor eye discomfort The nurse is preparing to administer eye drops. Select the interventions that the nurse takes to administer the drops -answer Wash hands. Put on gloves. Place the drop in the conjunctival sac.