Questions and Answers| University, Newport
News
A nurse in a providers office is assessing a client who has been taking
aspirin daily for the past year. For which of the following findings should
the nurse notify the provider immediately?
Hyperventilation
Heartburn
Anorexia
Swollen ankles - ANSWER-Hyperventilation
When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority finding is hyperventilation. This
indicates the client might have acute salicylate poisoning, which causes
respiratory alkalosis in the early stages
A nurse is caring for a client who has cancer and is taking oral morphine
and docusate sodium. The nurse should instruct the client that taking the
docusate sodium on a daily basis can minimize which of the following
adverse effects of morphine?
Constipation
Drowsiness
Fascial Flushing
Itching - ANSWER-Constipation
,Constipation is a common adverse effect of morphine that will minimize
when the client takes docusate sodium, a stool softener that promotes
easier evacuation of stool by increasing water and fat in the intestine
A nurse is caring for a client who is taking atenolol. Which of the following
finding should indicate to a nurse that the medication is effective?
The client has an increase in urinary output
The client reports an improvement in memory
The client has a decrease in blood pressure
The client reports having an increase in libido - ANSWER-The client has a
decrease in blood pressure
Atenolol, a beta-adrenergic blocking agent, lowers blood pressure by
decreasing peripheral vascular resistance
A nurse is caring for a client who is recovering from a deep vein thrombosis
and is to start taking warfarin. Which of the following findings should the
nurse monitor as an adverse effect of warfarin?
Hypertension
Low INR
Constipation
Bleeding gums - ANSWER-Bleeding gums
The nurse should monitor the client for bleeding gums, which is an adverse
effect of warfarin, an anticoagulant
, A circulating nurse is planning care for a client who is scheduled for surgery
and has a latex allergy. Which of the following actions should the nurse
include in the plan of care?
Schedule the client for the last surgery of the day
Place monitoring cords and tubes in a stockinet
Choose rubber injection ports for fluid administration
Ensure phenytoin IV is readily available - ANSWER-Place monitoring cords
and tubes in a stockinet
The circulating nurse should place monitoring devices in a stockinet to
prevent direct contact with the client's skin
A nurse is providing teaching to a client about the use of ethinyl
estradiol/norelgestromin. The nurse should identify that which of the
following statements by the client indicates an understanding of the
teaching?
"I will apply the patch one a week for two weeks."
"I will leave the existing patch on for 4 hours after applying the new patch"
"I will fold the sticky sides of the old patch together before disposing it."
"I will apply the patch within 14 days of menses" - ANSWER-I will fold the
sticky sides of the old patch together before disposing it
The client should fold the sticky sides of the old patch together and then
place it in a childproof container to ensure safe disposal of the patch.