A nurse is caring for a client who is postoperative and receiving fentanyl
via patient-controlled analgesia. The client has a prescription for
naloxone. The nurse understands that the purpose of the naloxone is to?
- ANSWER block the effects of opioids on the central nervous system
A nurse is caring for a client who has thrombophlebitis and is receiving a
continuous infusion of heparin. The client ask the nurse how long it will
take for the heparin to dissolve the clot. Which are the following
responses should the nurse make - ANSWER Heparin prevents new
clots from forming rather than dissolving establish clots
A nurse is assisting in the education of a group of clients about the
contraindications of warfarin therapy. Which out the following statements
is appropriate to include in the instructions - ANSWER Clients who are
pregnant should not take warfarin
A nurse is caring for an older adult client who has cancer and is
receiving opioids for pain relief. The client has a new prescription for
docusate PO daily. When collecting data from the client, which are the
following therapeutic effects of docusate should the nurse expect -
ANSWER Relief from constipation
A nurse is collecting data from a client who is postoperative from a
mastectomy and was administered hydromorphone 1 hour ago. The
nurse should identify that which of the following findings is an adverse
effect of this medication - ANSWER vomiting
A nurse is caring for a client who has thrombophlebitis and is receiving a
continuous heparin infusion. Which other following medications should
the nurse have available to reverse heparin's effect - ANSWER
protamine sulfate
,A nurse is collecting data from a client who is to start taking digoxin for
heart failure. They nurse should instruct the client to avoid taking which
of the following herbal supplements - ANSWER St. John's wort
A nurse in an urgent care center is collecting data from a client who
reports taking an excessive amount of acetaminophen. Which of the
followings should the nurse identify as an indication of acute
acetaminophen toxicity - ANSWER vomiting
A nurse is preparing a presentation for coworkers about the various
herbal remedies clients might report using. Which on the following
should she include as an herbal supplement clients might use to treat
menopause-related hot flashes - ANSWER black cohosh
A nurse's inadvertent medication error results in a severe allergic
reaction and prolongs the client's hospitalization. They client could
rightfully sue the nurse for - ANSWER malpractice
A nurse is caring for a client who is competent, refuses further treatment,
and asked to sign out of the hospital against medical advice (AMA). The
nurse notifies the charge nurse, who tells the nurse that the provider has
recommended restraining the client, if necessary to keep her from
leaving the hospital. The nurse refuses to implement the actions based
on the knowledge that restraining this client would be committing -
ANSWER false imprisonment
A nurse is caring for an older adult client who has dementia and whose
family reports he get up and wanders around at night. Which of the
following actions for the nurse take - ANSWER keep the client's personal
items within reach
During an admission interview, a client tells the nurse that he takes
echinacea, but does not remember why his provider recommended it for
him. The nurse should remind the client that this herbal supplement -
ANSWER stimulates the immune system
, A nurse has accidentally punctured his finger with a needle he used to
give an IM injection to a client. Which of the following actions should be
nurse take - ANSWER wash the puncture site with soap and water
A nurse is preparing an in-service presentation about preventing health
care associated infections (HAIs). The nurse should include which of the
following as a common cause of these infections - ANSWER urinary
catheterization
A nurse is caring for several clients at various developmental stages.
The nurse understands that according to Erikson, acceptance of death
occurs at which of the following stages of psychosocial development -
ANSWER integrity vs despair
A nurse is the preparing to administer an intradermal injection for a client
who requires a tuberculin skin tests. Which of the following actions
should the nurse plan to take - ANSWER Pitch the skin up to the
choosen site with the nondominant hand before inserting the needle
A nurse is caring for a client who has a new prescription for warfarin.
The nurse should use the results of which of the following diagnostic test
to monitor the effect of this therapy - ANSWER prothrombin time (PT)
A nurse is reinforcing teaching with a client who is to self-administer
regular insulin and NPH insulin from the same ceramic. Which of the
following instruction should the nurse provide - ANSWER discard regular
insulin if it appears cloudy
A nurse is preparing to use the Z-track technique to administer a
medication to a client. Which of the following actions should the nurse
plan to take - ANSWER aspirate for 5 to 10 seconds
A nurse is playing an attraction using a single dose glass ampule. Which
of the following actions should the nurse take - ANSWER Tap the top of
the ampule, place a gauze pad or unwrap alcohol swab around the
ampule neck, and break off the top with a forward motion away from the
hands
via patient-controlled analgesia. The client has a prescription for
naloxone. The nurse understands that the purpose of the naloxone is to?
- ANSWER block the effects of opioids on the central nervous system
A nurse is caring for a client who has thrombophlebitis and is receiving a
continuous infusion of heparin. The client ask the nurse how long it will
take for the heparin to dissolve the clot. Which are the following
responses should the nurse make - ANSWER Heparin prevents new
clots from forming rather than dissolving establish clots
A nurse is assisting in the education of a group of clients about the
contraindications of warfarin therapy. Which out the following statements
is appropriate to include in the instructions - ANSWER Clients who are
pregnant should not take warfarin
A nurse is caring for an older adult client who has cancer and is
receiving opioids for pain relief. The client has a new prescription for
docusate PO daily. When collecting data from the client, which are the
following therapeutic effects of docusate should the nurse expect -
ANSWER Relief from constipation
A nurse is collecting data from a client who is postoperative from a
mastectomy and was administered hydromorphone 1 hour ago. The
nurse should identify that which of the following findings is an adverse
effect of this medication - ANSWER vomiting
A nurse is caring for a client who has thrombophlebitis and is receiving a
continuous heparin infusion. Which other following medications should
the nurse have available to reverse heparin's effect - ANSWER
protamine sulfate
,A nurse is collecting data from a client who is to start taking digoxin for
heart failure. They nurse should instruct the client to avoid taking which
of the following herbal supplements - ANSWER St. John's wort
A nurse in an urgent care center is collecting data from a client who
reports taking an excessive amount of acetaminophen. Which of the
followings should the nurse identify as an indication of acute
acetaminophen toxicity - ANSWER vomiting
A nurse is preparing a presentation for coworkers about the various
herbal remedies clients might report using. Which on the following
should she include as an herbal supplement clients might use to treat
menopause-related hot flashes - ANSWER black cohosh
A nurse's inadvertent medication error results in a severe allergic
reaction and prolongs the client's hospitalization. They client could
rightfully sue the nurse for - ANSWER malpractice
A nurse is caring for a client who is competent, refuses further treatment,
and asked to sign out of the hospital against medical advice (AMA). The
nurse notifies the charge nurse, who tells the nurse that the provider has
recommended restraining the client, if necessary to keep her from
leaving the hospital. The nurse refuses to implement the actions based
on the knowledge that restraining this client would be committing -
ANSWER false imprisonment
A nurse is caring for an older adult client who has dementia and whose
family reports he get up and wanders around at night. Which of the
following actions for the nurse take - ANSWER keep the client's personal
items within reach
During an admission interview, a client tells the nurse that he takes
echinacea, but does not remember why his provider recommended it for
him. The nurse should remind the client that this herbal supplement -
ANSWER stimulates the immune system
, A nurse has accidentally punctured his finger with a needle he used to
give an IM injection to a client. Which of the following actions should be
nurse take - ANSWER wash the puncture site with soap and water
A nurse is preparing an in-service presentation about preventing health
care associated infections (HAIs). The nurse should include which of the
following as a common cause of these infections - ANSWER urinary
catheterization
A nurse is caring for several clients at various developmental stages.
The nurse understands that according to Erikson, acceptance of death
occurs at which of the following stages of psychosocial development -
ANSWER integrity vs despair
A nurse is the preparing to administer an intradermal injection for a client
who requires a tuberculin skin tests. Which of the following actions
should the nurse plan to take - ANSWER Pitch the skin up to the
choosen site with the nondominant hand before inserting the needle
A nurse is caring for a client who has a new prescription for warfarin.
The nurse should use the results of which of the following diagnostic test
to monitor the effect of this therapy - ANSWER prothrombin time (PT)
A nurse is reinforcing teaching with a client who is to self-administer
regular insulin and NPH insulin from the same ceramic. Which of the
following instruction should the nurse provide - ANSWER discard regular
insulin if it appears cloudy
A nurse is preparing to use the Z-track technique to administer a
medication to a client. Which of the following actions should the nurse
plan to take - ANSWER aspirate for 5 to 10 seconds
A nurse is playing an attraction using a single dose glass ampule. Which
of the following actions should the nurse take - ANSWER Tap the top of
the ampule, place a gauze pad or unwrap alcohol swab around the
ampule neck, and break off the top with a forward motion away from the
hands
