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Terms in this set (139)
A nurse is assessing a client b. Distended neck veins
who is receiving intravenous
therapy. The nurse should
identify which of the following
findings as a manifestation of
fluid volume excess?
a. Decreased bowel sounds
b. Distended neck veins
c. Bilateral muscle weakness
d. Thread pulse
A nurse is caring for a client who b. Improved cognition
has hyponatremia and is receiving
an infusion of a prescribed
hypertonic solution. Which of the
following findings should indicate
to the nurse that the treatment is
effective?
a.Absent Chvostek's sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
,A nurse is teaching a client who d. "Remove the patch prior to going to bed."
has a new prescription for a
nitroglycerin transdermal patch.
Which of the following
instructions should the nurse
include?
a. "Discontinue the patch if you
experience a headache."
b. "Apply a new patch if you
have chest pain."
c. "Cover the patch with dry
gauze when taking a shower."
d. "Remove the patch prior to going
to
bed."
A nurse is reviewing he d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level
laboratory results of a client who greater than 5.0 mEq/L) increases the client risk for fatal cardiac
has a prescription for sodium dysrhythmias. Kayexalate is used to decrease the serum potassium
polystyrene sulfonate (Kayexalate) level so the PN should monitor the client's serum potassium
every 6 hr. which of the level
following should the nurse
report to the provider?
a.Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L
A nurse is caring for a client who a. The client has a negative sputum culture
has tuberculosis and is taking
isoniazid and rifampin. Which of
the following outcomes indicates
that the client is adhering to the
medication regimen?
a. The client has a negative
sputum culture
b.The client tests negative for HIV
c. The client has a positive purified
,protein derivative test
d. The client's liver function test
results are within the expected
reference range
A client is caring for a client who d. Administer epinephrine IM
develops an anaphylactic
reaction to IV administration.
After assessing the client's
respiratory status and stopping
the medication infusion. Which of
the following actions should the
nurse take next?
a. Replace the infusion with 0.9%
sodium chloride
b. Give diphenhydramine IM
c. Elevate the client's legs and feet
d. Administer epinephrine IM
, A nurse is caring for a client who a. St. John's Wort
is taking sertraline and reports a
desire to begin taking
supplements. Which of the
following supplements should
the nurse advise the client to
avoid?
a. St. John's Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
A nurse is caring for a client who d. Hypotension
has heart failure and a new
prescription for lisinopril. For
which of the following adverse
effects should the nurse
monitor when administering
lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension
A nurse is assessing a client d. Increased blood pressure
who is receiving heparin IV
continuous IV. The client has
an PPT of 90 seconds. They
should monitor the client for
which of the following changes
in their vital signs?
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure