Sleep
A nurse is teaching a client who has been prescribed zolpidem for insomnia. Which instruction should the nurse include?
A.Take the medication in the morning after breakfast.
B. Take the medication immediately before going to bed when you can sleep for at least 7–8 hours.
C. Take the medication with alcohol to help it work faster.
D. Drive only short distances after taking the medication.
Take the medication immediately before going to bed when you can sleep for at least 7–8 hours.
A nurse is teaching a client about taking acetaminophen for pain. Which statement by the client indicates correct understanding?
A. "I can take as much as I need if my pain is severe."
B. "I should avoid checking other medications for acetaminophen."
C. "I should not exceed the recommended daily dose because it can damage my liver."
D. "I should take acetaminophen with alcohol to improve pain relief."
C. "I should not exceed the recommended daily dose because it can damage my liver."
A nurse is teaching a client who has been prescribed prednisone for inflammation. Which statement by the client indicates correct understanding?
A. "I will stop taking the medication as soon as I feel better."
B. "I should take the medication with food to help prevent stomach upset."
C. "I should avoid reporting signs of infection."
D. "I can skip doses whenever my symptoms improve."
B. "I should take the medication with food to help prevent stomach upset."
A client with diabetes who received insulin becomes shaky, sweaty, and confused. What is the nurse's priority action?
A. Administer the next dose of insulin.
B. Encourage the client to walk.
C. Check the client's blood glucose level.
D. Restrict oral fluids.
C. Check the client's blood glucose level.
A nurse is teaching a client who has been prescribed omeprazole for gastroesophageal reflux disease (GERD). Which adverse effect should the nurse instruct the client to report to the healthcare provider?
A. Mild headache after taking the medication
B. Occasional dry mouth
C. Persistent diarrhea or severe abdominal cramping
D. Temporary decrease in appetite
C. Persistent diarrhea or severe abdominal cramping
A nurse is reinforcing teaching for a client taking a prescribed sleep medication. Which statement by the client indicates a need for further teaching?
A. "I will avoid drinking alcohol while taking this medication."
B. "I will take the medication only when I am ready for bed."
C. "I can have a glass of wine to help the medication work better."
D. "I will call my provider if the medication is no longer effective."
C. "I can have a glass of wine to help the medication work better."
A client receives morphine for postoperative pain. Which assessment is the nurse's priority before administering the medication?
A. Blood glucose level
B. Heart rhythm
C. Respiratory rate
D. Temperature
C. Respiratory rate
A nurse is teaching a client who is starting adalimumab. Which adverse effect is most important for the nurse to emphasize?
A. Dry mouth
B. Increased appetite
C. Increased risk of serious infections
D. Temporary hair loss
C. Increased risk of serious infections
A client with diabetes becomes unconscious due to severe hypoglycemia. Which medication should the nurse anticipate administering if IV access is not available?
A. Regular insulin
B. Metformin
C. Dextrose tablets
D. Glucagon
D. Glucagon
A nurse is preparing to administer heparin subcutaneously. Which action is appropriate?
A. Massage the site after injection to enhance absorption.
B. Inject the medication into the deltoid muscle.
C. Pinch the skin and insert the needle at a 45–90 degree angle.
D. Aspirate before injecting the medication.
C. Pinch the skin and insert the needle at a 45–90 degree angle.
A nurse should teach a client taking a sleep medication to report which adverse effect immediately?
A. Mild dry mouth
B. Increased appetite
C. Sleepwalking or performing activities while not fully awake
D. Occasional yawning
C. Sleepwalking or performing activities while not fully awake
A client is prescribed ibuprofen for pain. Which adverse effect should the nurse instruct the client to report?
A. Increased energy
B. Black, tarry stools
C. Increased urination
D. Dry eyes
B. Black, tarry stools
A client is prescribed naproxen for inflammation. Which instruction should the nurse include?
A. Take the medication on an empty stomach.
B. Drink alcohol while taking the medication.
C. Report black, tarry stools to your healthcare provider.
D. Stop the medication if mild pain persists.
C. Report black, tarry stools to your healthcare provider.
Which statement by a client prescribed rapid-acting insulin indicates correct understanding?
A. "I will take my insulin before bed."
B. "I should eat shortly after taking my insulin."
C. "I should skip meals after taking insulin."
D. "I can take insulin only when my blood sugar is high."
B. "I should eat shortly after taking my insulin."
A nurse is teaching a client who has been prescribed an iron supplement for iron-deficiency anemia. Which statement by the client indicates correct understanding of the teaching?
A. "I will take my iron tablet with milk."
B. "I should stop taking the supplement if my stools become dark."
C. "I can take my iron supplement with orange juice to improve absorption."
D. "I should crush the tablet before swallowing it."
C. "I can take my iron supplement with orange juice to improve absorption."
Which outcome best indicates that a prescribed sleep medication has been effective?
A. The client reports falling asleep more easily and awakening feeling rested.
B. The client stays awake all night without feeling tired.
C. The client reports 2 hours of sleep each night.
D. The client reports needing to take extra doses to sleep.
A. The client reports falling asleep more easily and awakening feeling rested.
A client who received morphine becomes difficult to arouse and has a respiratory rate of 8 breaths/min. Which medication should the nurse anticipate administering?
A. Acetaminophen
B. Ibuprofen
C. Diphenhydramine
D. Naloxone
D. Naloxone
A client sprains an ankle while playing sports. Which nursing intervention is most appropriate during the first 24–48 hours to help reduce inflammation?
A. Apply heat for 30 minutes every hour.
B. Massage the injured area.
C. Encourage frequent walking.
D. Apply ice packs for 15–20 minutes at a time.
D. Apply ice packs for 15–20 minutes at a time.
A nurse administers 10 units of regular insulin subcutaneously to a client with diabetes at 0800. During which time should the nurse monitor the client most closely for signs of hypoglycemia?
A. 0815–0830
B. 1000–1200
C. 1400–1600
D. 2000–2200
B. 1000–1200
A nurse is preparing to administer an antibiotic that requires reconstitution. Which action is correct?
A. Shake the vial vigorously after adding diluent.
B. Inject the diluent slowly into the vial and gently roll to mix.
C. Use tap water as the diluent if sterile water is unavailable.
D. Store the reconstituted medication at room temperature indefinitely.
B. Inject the diluent slowly into the vial and gently roll to mix.
A client is prescribed 12.5 mg of zolpidem for sleep. Each tablet is 6.5mg. How many will you give?
2 tablets
A healthcare provider prescribes ketorolac 30 mg IM for a client with severe postoperative pain.
The medication label reads:
Ketorolac 60 mg/2 mL
How many mL should the nurse administer?
1 ml
A nurse administers a tuberculin skin test (PPD) using the intradermal route. Which finding indicates the injection was administered correctly?
A small bleb forms at the injection site
A client is giving a SQ injection of NPH and Regular insulin. In what order should the insulin be drawn up?
Regular then NPH
A nurse is preparing to administer 3 mL of an intramuscular (IM) medication to an adult client. Which injection site is most appropriate for this volume?
A. Deltoid
B. Abdomen 2 inches from umbilicus
C. Ventrogluteal
D. Intradermal forearm
C. Ventrogluteal