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A nurse is caring for a client in a mental health clinic. For each body system below, click to specify the adverse effect that the nurse should include when providing client education about the newly prescribed medication. Choose the most likely option for the drop-down in the table below
Genitourinary- changes in libido
GI- constipation
metabolic- wt loss
A nurse is caring for a client in a clinic. Which client statements indicate an understand of the teaching? click to specify if the client statement indicates an understand or need for further education
Understanding- I will notify my provider if I feel sick, I should take acetaminophen instead of ibuprofen for a headache
Need for further education- I will eat foods high in K+, coughing is expected, I should take this medicate with meals
A nurse is caring for a client in a clinic and is reviewing their electronic medical record. For each body system below, click to speedy the license's assessment findings that indicate an adverse effect of the client's prescired medication. chose most likely option for the dorpdosn
GI/Genitourinary- urine characteristics
Musculoskeletal/ Integumentary- muscle weakness
Neurololgicaal- dizziness
A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has hyperkalemia. Which of the following actions should the nurse plan to take?
monitor the client for constipation
A nurse is planning care for a client who has HTN and is to start taking metoprolol .Which of the following interventions should the nurse include in the plan of care?
Determine apical pulse prior to administration
A nurse is reviewing the EMR for a client who is receiving heparin VIA continuous infusion for DVT. Which of the following findings should the nurse identify as an adverse effect of haptic that requires notification of the provider?
generalized petechiae
A nurse is assessing a client who is post following an outpatient endoscopy procedure using midazolam. The nurse should monitor for which of the following findings as an indication that the client is ready for discharge?
The client's capnography has returned to baseline
A nurse is administering donepezil (Aricept) to a client who has Alzheimer's disease. which of the following documented findings should the nurse report to the provider immediately?
Dyspnea
A nurse is assessing a client who is taking proplythiouracil for the treatment of Grave's disease. Which of the following findings should the nurse identify as an indication that the medication has been effective?
Increase in ability to focus
A nurse is collecting a medication hx from a client who has a new prescription for lithium. Which of the following over the counter medication should the nurse identify as needing to be discontinued by the client/
ibuprofen
A nurse is caring for a client who has developed hypomagnesemia d/t long term therapy with lansoprazole. The nose should monitor the client for which of the following manifestations
Disorentation
A nurse is providing teaching to a client who has a new prescription for ferrous sulfate. The nurse should instruct the client to take the medication with which of the following to promote absorption?
Orange juice
A nurse is assessing a client who has myasthenia graves and is taking neostigmine. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect?
Miosis
A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instruction should the nurse include in the teaching plan? SATA
-report muscle pain
-avoid taking with grapefruit juice
-expect therapy wit this medicaion
A nurse is caring for a client who reports lethargy and myalgia after taking clozapine for 6 months. Which of the following actions should the nurse plan to take?
Obtain WBC w absolute neut count
A nurse is providing teaching to a client who Is taking bupropion for smoking cessation. Which of the following findings should the nurse identify as an adverse effect of the medication?
insomnia
A nurse is teaching a client who is scheduled for a colonoscopy and has a prescription for polyethylene glycol-electrolyte solution and bosacodyl. Which of the following statements should the nurse make?
Plan to drink 2 L of the bowel cleanser solution
A nurse is administering digoxin immune Fab to a client following a med error Which of the following findings should the nurse identify as an indication that the medication was effective?
sinus rhythm
A nurse is teaching a client about warfarin. The client asks I they can take aspirin while taking the warfarin. Which of the following responses should the nurse make?
Aspirin will increase the risk of bleeding
A nurse is preparing to adminiser 0.9% sodium chloride 1500mL to infuse over 8 hr to a client who is post. How many mL/hr should the nurse set the iV pump to deliver?
188
A nurse is caring for a parent of a newborn. The parent asks the nurse when their newborn should receive the first diphtheria, tetanus, and pertussis vaccine (DTAP). Which of the following ages would the nurse advise the patron to immunize the newborn?
at 2 months
A nurse at a clinic is providing follow-up care for a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of this medicaiton/
sexual dysfunction
A nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should the nurse include in theteachign as an adverse effect of this medication?
urinary retention
A nurse receives a verbal order from the provider to administer morphine five mg every 4 hours subcutaneously for severe Pain as needed. The nurse should identify which of the following entries as the correct format for hate medication administration record (MAR)?
Morphone 5mg subset every 4 hr PRN severe pain
A nurse is reviewing the medical record of a client who has HTN. The nurse should identify which of the following fingers as a contraindication of receiving propranolol?
Asthma
A nurse is planning to administer IV midazolam for a client who is receiving moderate sedation. Which of the following actions should the nurse plan to take?
Expect the client repost to simple commands
A nurse in an ED is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following meidcaitno should the nurse anticipate administering/
Flumazenil
A nurse caring for a client who is taking acteazolamide for chronic open angle glaucoma. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the PCP?
Tingling of the fingers
A nurse is probiding teaching to a cline who is ti start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider?
chest pressure
A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a PE. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider?
blood in the urine
A nurse is caring for a client who has cancer and is prescribed oral morphone and docusate sodium. Which of the following adverse effects of morphoen should the nurse instruct the client can be mimed by taking daily docusate sodium?
constipation
A nurse is caring for a client who is refusing to take their scheduled morning furosemide. Which of the following statements should the nurse make?
By not taking your furosimdie, you might retain fluid and develop swelling
A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident?
0.9% sodium chlorid 1L IV infused over 4 hr. VS stable. provider notified.
A nurse on the acute care unit is caring for a client who is receiving gentamicin iv. which of the following findings should the nurse report to the provider as an adverse effect of the medication?
tinnitus
A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client lab values should the nurse monitor?
Creatinine kinase
A nurse is reviewing assessment findings for a client who has a new prescription for ceftazidime via intermittent IV bolus. Which of the following findings should the nurse identify as a contraindication to this medicaiton
allergy to cephalosporins
A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hive.s Which of the following actions should the nurse take first?
discontinue the medication IV infustion
A nurse is provide teaching to a client who has a prescription for trimethopprim/sulfamethoxazole. Which of the following instruction should the nurse include in the teaching?
Drink 8-10 glasses of water daily
A nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse should identify which of the following client findings as an indication nthatthey should compete an incident report?
The client reports SOB
A nurse is caring for a client who has HF and a prescription for enalapril. Which of the following dinging as an adverse effect of the medication should the nurse monitor the client for?
Hyperkalemia
A nurse is reviewing the assessment findings of a client who is taking carbamazepine for a seizure disorder. Which of the following findings should the nurse report to the provider as an adverse effect of carbamazepine?
decrease WBC count
A nurse is caring for a client who has DM and is taking glyburide. The client reports feeling confused and anxious Which of tehfollwing actions should the nurse take first?
Perform a capillary blood glucose
A nurse in the ED is caring for a client who has herion toxicity. The client is unresponsive with pinpoint pupils and a RR of 6/min. Which of the following medications should the nurse plan it administer?
Naloxine
a nurse is teaching a client who is to start taking famotidine for peptic ulcer disease. Which of the following Cleint statements should the nurse identify as understand of the teaching
I know smoking makes famotidine less effective
A nurse is assessing a client who is taking tamoxifen to treat breast cancer. Which of the following findings is the priority for the nurse to report to the provider?
leg tenderness
A nurse is preparing to administer a new prescription of amoxicillin/clavulanic to a client. The client tells the nurse that they are allergic to penicillin. Which of the following actions should the nurse take first?
Wihtold the medication
A nurse is administering baclofen to a client who has a spinal cord injury. Which of the following findings should the nurse document as a therapeutic outcome?
decrease in flexor and extensor spasticity
A nurse is planning discharge teaching to a client who has a prescription for furosemide. Which of the following statements should the nurse plan to include in the tacking ?
Drink a glass of milk with each dose of medicaiton
A nurse is preparing to administer ciprofloxacin 15mg/kg PO every 12 hr to a child who weighs 20kg. How many mg should the nurse administer per dose?
300
A nurse is providing discharge instructions to a client who has HF nd a new prescription for captopril . Which of the following client statements indicates an understanding of the teaching?
I should tell my provider if I develop a sore throat
A true is caring for a client who has acute acetaminophen toxicity. Which of the following medications should the nurse anticipate administering?
Acetlcysteine
A nurse is preparing to administer 0.9% sodium chloride 1000mL IV over 8 hr to a client. The drop factor of the manual IV tubing is 15 gtt/mL. How many gtt/min should the nurse set the manual IV infusion to deliver?
31 gtt/min
A nurse is assessing a client's VS prior to the administration of PO digoxin. the client's BP is 144/86, HR is 55/min, and RR is 20/min . The nurse should withhold the medication and contact the provider for which of the following findings?
HR
A nurse is providing teaching to a client who has MS and a new prescription for methylprednisolone. Which of the following instructions should the nurse include SATA
-blood glucose levels will be monitorereed
-avoid contact with people who have known infections
-grapfruit juice can increase the effects of the medcation
A nurse is caring for a client who has hypocalcemia and is receiving calcium citrate. The nurse should identify that which of tehfollowing findings indicates a therapeutic response to the medication?
Client report of decreased paresthesia
A nurse is provide teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in the instructions/
take one tablet at onset of migraine
A nurse is providing teaching to a client about the use of ethinyl estradoil/norelgestromin. which of the following statements by the client indicates an understanding of the teaching?
I will fold the sticky sides of the old patch together before disposing it
A nurse is caring for a client in an outpatient clinic. use dropdown menu
-hypomagnesemia
-omeprazole
A nurse in an outpatient clinic is caring for a client. The nurse is planning teaching about the client's new medications. Which of the following information should the nurse include? SATA
-this medication can cause a feeling of pressure in your chest
-this medication will start to alleviate the HA within 1 hr after taking a dose
-you can take a second dose of this medication at least 2 hours after the initial dose if the ha persists
-this medication may cause you to feel tired
A nurse is monitoring a client after administering their prescribed medications. click and highlight
-HA
-nausea
-small pinpoint petechia