CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) | ASSURED SUCCESS
Terms in this set (107)
A nurse is caring for a client who C. Data Collection
has
multiple medication allergies.
During which of the following
steps of the nursing
process should the nurse
identify the client's allergies?
A. Planning
B. Evaluation
C. Data Collection
D. Implementation
A nurse is caring for a client and C. check the client's apical pulse
realizes after administering the
0900 medications that she gave
digoxin 0.25 mg PO to the client
instead of the prescribed dose
of digoxin 0.125 mg PO. Which
of the
following actions should the
nurse take first?
A. notify the provider
B. contact the nursing supervisor
C. check the client's apical pulse
D. complete an incident report
,A nurse is preparing to C. QID
administer medication to a
client. Which of the
following abbreviations indicates
the greatest frequency of
medication administration?
A. BID
B. TID
C. QID
D. Q8h
A nurse is reviewing the B. Levothyroxine 75 mcg PO q AM before breakfast
medication administration EC = enteric coated, XR = extended release, SL = sublingually
record of a client who has
impaired swallowing. The
nurse should crush the
medication when administering
which of the following
prescriptions?
A. Aspirin EC 80 mg PO daily
B. Levothyroxine 75 mcg PO q AM
before breakfast
C. Metformin XR 500 mg PO daily
D. Nitroglycerin 0.3 mg SL PRN
chest pain, can repeat q 5 min
for 2 additional doses.
A nurse is caring for a client who is B. Epistaxis
receiving cefotetan 1 g via Cefotetan is an antibiotic that affects vitamin K levels, which can
intermittent IV bolus every 12 result in bleeding and epistaxis. It is a second generation
hours to treat a cephalosporin.
postoperative infection. Which of
the
following manifestations should
the nurse monitor for as an
adverse effect of the
medication?
A. disorientation
B. epistaxis
,C. constipation
D. jaundice
A nurse is assisting with the care B. Intravenous
of a client who is postoperative.
The client reports a pain level of
8 on a scale of 0 to 10 and has a
prescription for meperidine.
Which of the following routes
of administration will
deliver the medication with the
shortest time of onset?
A. oral
B. Intravenous
C. intramuscular
d. subcutaneous
, nurse is monitoring a client with C. laryngeal edema
pneumonia who has received this can indicate an allergic reaction, possibly anaphylaxis
penicillin G
intramuscularly. Which of the
following findings should the
nurse plan to evaluate first?
A. pain at the injection site
B. prolonged motor dysfunction
C. laryngeal edema
D. temperature of 99.7 F
A nurse is reviewing the c. hepatic toxicity
laboratory results of a client who
is taking a medication and notes
that the client's blood tests
show an elevated level of the
enzymes aspartate
aminotransferase (AST) and alanine
aminotransferase (ALT). The
nurse should recognize that these
findings are potential indications
of which of the following
conditions?
a. renal dysfunction
b. myelotoxicity
c. hepatic toxicity
d. cardiac dysrhythmia
A nurse is reviewing the B. Creatinine clearance 35 mL/min
laboratory data for a client who
has Alzheimer's disease and a
new prescription for
memantine. The nurse should
identify that which of the
following findings increases the
risk for reduced
clearance of the medication?
A. Alanine aminotransferase (ALT)
60 international units.