Guided Answers.
Fluid volume excess - Manifestation: Distended neck veins
Hypertonic solution - Indication of effectiveness: Improved cognition
Nitroglycerin transdermal patch - Instruction: Remove the patch prior to going to bed
Sodium polystyrene sulfonate (Kayexalate) - Lab result to report: Potassium 5.2 mEq/L
Isoniazid and rifampin - Indication of adherence: Negative sputum culture
Anaphylactic reaction - Action: Administer epinephrine IM
Sertraline - Supplement to avoid: St. John's Wort
Lisinopril - Adverse effect to monitor: Hypotension
Heparin IV continuous infusion - Change in vital sign to monitor: Increased pulse rate
Medication error - Responsible for completing incident report: The nurse who caused the
error
, Morphine via continuous epidural infusion - Monitoring: Pruritus (sign of allergic reaction to
morphine)
Digoxin - Sequence of steps: Compare the client's wristband to the medication
administration record
Acetaminophen - Contraindication: Alcohol use disorder
Furosemide - Action to take first: Determine medication adherence by the client
Penicillin G IM - Allergic reaction indication: Urticaria
Sublingual nitroglycerin tablets - Instruction: Place the tablet between your cheek and gum to
dissolve
Theophylline, sustained-release capsule - Understanding of teaching: I will need to have
blood levels drawn
Mixing regular insulin and NPH insulin - First action: Inject air into the NPH vial
Subcutaneous heparin - Action to take: Insert the needle at least 5 cm (2 in) from the
umbilicus
Amoxicillin - Allergic reaction indication: Laryngeal edema
Medication reconciliation - Perform for: A client who is transferred to a step-down unit