A client with a history of chronic obstrucꢀ ve pulmonary disease (COPD) receives a new
prescripꢀ on for an ipratropium inhaler. Which acꢀ on indicates to the nurse
that addiꢀ onal teaching is needed?
A. Primes the inhaler with 7 pumps.
B. Aꢀ aches spacer device to the inhaler.
C. Rinses the mouth aꢂer each use.
D. Stores the medicaꢀ on at room temperature.
A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed.
Which instrucꢀ on should the nurse include in this client's plan of
care?
A. Cover your skin before going outside.
B. Limit intake of high-potassium foods.
C. Replace salt with a salt subsꢀ tute.
D. Monitor skin for excessive bruising.
A client with pepꢀ c ulcer disease receives a new prescripꢀ on for cimeꢀ dine. Which statement
provided by the client requires addiꢀ onal instrucꢀ on by the nurse?
A. Noꢀ fy the healthcare provider of lethargy.
B. Monitor for any signs of sexual dysfuncꢀ on.
C. Decrease cigareꢀ e use to a pack per day.
D. Take the medicaꢀ on an hour aꢂer antacids
A client with chemotherapy induced nausea receives a prescripꢀ on for metoclopramide. Which
adverse eꢃect is most important for the nurse to report?
A. Diarrhea.
B. Involuntary movements.
C. Unusual irritability.
D. Nausea.
The nurse admits a client with a diagnosis of stage 4 cancer. The client has a prescripꢀ on to
wear a subcutaneous morphine sulfate patch for pain. The client is short of breath and diꢄcult
to arouse. While performing a head to toe assessment. the nurse discovers four patches on the
client's body. Which acꢀ on should the nurse take ꢅrst?
A. Monitor blood pressure.
B. Administer a narcoꢀ c reversal drug.
C. Remove the morphine patches.
D. Apply oxygen face mask.
The nurse is providing instrucꢀ ons about a client's new medicaꢀ ons. How should the nurse
explain the purpose of probenecid, a uricosuric drug?
A. Decreases pain and burning during urinaꢀ on.
B. Prevents the formaꢀ on of kidney stones.
C. Increases the strength of the urine stream.