Solutions
A nurse erroneously administered a prescribe medication IV
instead of IM to a client.
Which of the following actions is the nurse's priority?
Assess the client
Report the error
Document the error
Inform the clien Correct Answer Assess the client
A nurse is administering bumetanide to a client who has ascites.
The nurse should
recognize that which of the following findings is an expected
therapeutic effect off
this medication?
Decreased excretion of urine sodium
Increased urinary output
Decreased serum glucose
Increased blood pressure Correct Answer Increased urinary
output
A nurse is assessing a client who has a prescription for
haloperidol 0.5 mg PO three
times daily. The medication administration record shows that the
client received 5
mg
per dose on the previous day. Which of the following
manifestations is the nurse's
priority to assess?
Muscle stiffness
,Blurred Vision
Constipation
Daytime drowsiness Correct Answer Muscle stiffness
A nurse is assessing a client who has been taking
hydrochlorothiazide. Which of the
following client statements indicates that the medication is
effective?
The swelling in my feet has decreasing
My appetite has increased
I no longer feel depressed
I am sleeping better Correct Answer The swelling in my feet
has decreasing`
A nurse is assessing a client who has diabetes insipidus and is
starting intranasal
desmopressin. Which of the following findings should indicates
to nurse that medication
in effective? Correct Answer The client's 24 hr urine is 1256ml
A nurse is assessing a client who is in preterm labor and is
receiving magnesium sulfate
via continuous IV infusion. Which of the following findings
should the nurse identify
as the priority?
Flushing
Deep tendon reflexes 1+
Respiratory rate 22/min
Dry Mouth Correct Answer Deep tendon reflexes 1+
, A nurse is assessing a client who received ondansetron 1 hr
ago.Which of the following
finding should the nurse identify as a therapeutic effect of the
medication?
Deceased pain
Suppressed emesis
Suppressed cough
Decreased fever Correct Answer Suppressed emesis
A nurse is assessing a client who started furosemide 2 days go
has a potassium level of
3.1 mEq/L. Which of the following findings should the nurse
expect?
Muscle rigidity of the extremities
Bounding radial pulses
Depressed deep tendon reflexes Correct Answer Depressed
deep tendon reflexes
A nurse is assessing a group of client. Which of the following
findings is the priority to
report to the provider?
A client who is receiving IM betamethasone and has a casual
blood glucose of 198mg/dL
A client whose heart rate charges from 110min to 75min after
receiving IV amiodarone
A client who is receiving subcutaneous enoxaparin and reports
slight bruising at the injection
sites
A client who is receiving continuous IV lidocaine and has a
respiratory rate of 10 min