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, A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling
confused and anxious. Which of the following actions should the nurse take first?
A. Perform a capillary blood glucose test
B. Provide the client with a protein-rich snack
C. Give the client 120 mL (4oz) of orange juice
D. Schedule an early meal tray A. Perform a capillary blood glucose test
A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea
and widespread hives. Which of the following actions should the nurse take first?
A. Administer epinephrine 0.5mL via IV bolus
B. Discontinue the medication IV infusion
C. Elevate the client's legs above the level of the heart
D. Collect a blood specimen for ABG'd B. Discontinue the medication IV infusion
A nurse is preparing to administer 0.9% sodium chloride 1,000 mL IV over 8 hr to a client. The drop
factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how
many gtt/min. Round to the nearest whole number 31 gtt/min
A nurse is teaching about a new prescription for ciprofloxacin to a client who has a urinary tract
infection. The nurse should identify which of the following statements as an indication that the client
understands the teaching?
A. "I will take this medication with an antacid to prevent gastrointestinal upset"
B. "I will stop taking this medication when I no longer have pain during urination"
C. "I will report any signs of tendon pain or swelling"
D. "I will take this medication with milk" C. "I will report any signs of tendon pain or swelling"
A nurse is caring for a client who is receiving haloperidol. The nurse should identify which of the
following findings as an adverse effect of the medication?
A. Akathisia
B. Paresthesia
C. Excess tear production