1
A nurse is caring for a client who received naloxone for a suspected opioid overdose. Which of the following findings should the nurse identify as an adverse effect of this medication?
A. Report of pain
2. RR 8/min
C. Reports of numbness
D. Reports of abdominal cramping and diarrhea
A. Reports of pain
A nurse is assessing a client who is receiving a continuous morphine IV infusion and finds the clients RR has decreased from 20/min to 12/min. Which of the following actions should the nurse take?
A. Flush the IV line with saline
B. Administer flumazenil
C. Lower the head of the bed
D. Slow the rate of the infusion
D. Slow the rate of the infusion
A nurse is assessing a client who reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following effects?
A. Urinary health promotion
B Immune system stimulation
C Decreased leg pain from arterial disease
D. Prevention of nausea caused by motion sickness
A. Urinary health promotion
A nurse is preparing to administer dantrolene to a client who has muscle spasticity. Which of the following findings from the clients medical history should the nurse identify as a contraindication to administer this medication?
A. Hx of cirrhosis
B. Hx of MS
C. Hx of cerebal palsy
D. Hx of malignant hyperthermia
A. Hx of cirrhosis
A nurse is preparing to administer cefixime 4 mg/kg/BID PO to a preschooler who weighs 31lbs. How many mg should the nurse administer per dose? Daily?
Per dose- 56mg
Daily- 112 mg
A nurse is planning care for a client who is postoperative and scheduled to ambulate. At which point should the nurse plan to administer PO morphine to the client for peak analgesic effect during the ambulation?
A. 3-4 hours before ambulation
B. 10-15 mins prior to ambulation
C. 60-90 mins prior to ambulation
D. Immediately before ambulation
C. 60-90 mins
A nurse is reviewing the medical record for a client who has a migraine for sumatriptan. Which of the following factors in the clients medical history should the nurse identify as a contraindication to receiving sumatriptan?
A. Renal impairement
B. Ischemic heart disease
C. Severe osteoporosis
D. Cirrhosis
B Ischemic heart disease
A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer?
A. Ibuprofen
B. Naproxen
C. Aspirin
D. Acetaminophen
D. Acetaminophen
A nurse is preparing to administer heparin 500 units/hr to a client who has a DVT. Heparin in available at 25,000 units in 500 ml of 5% dextrose in water. The nurse should set the IV pump to deliver how many mL/hr?
10 mL/hr
A nurse is preparing to administer desmopressin 0.3 mcg/kg in 0.9% sodium chloride 50 mL IV over 30 min to a client who weighs 154 lbs. How many mcg of medication should the client recieve?
21 mcg
A nurse is preparing to administer medication to a preschooler. The nurse should use which of the following measurements to calculate the medication dosage for this client?
A. BMI
B. Height
C. Weight
D. Rule of 9s
C. Weight
A nurse is teaching a newly licensed nurse about caring for a client who is receiving patient controlled analgesia (PCA). Which of the following actions by the newly licensed nurse indicated an understanding of the teaching?
A. Assess vitals q6h
B. Instruct patients family to press PCA when client is asleep
C. Having a second nurse check the PCA settings
D. Administer the PCA through a free flowing infusion system
C. Having a second nurse check the PCA setting
A nurse is providing teaching to a client who has a new prescription for a fentanyl transdermal patch. Which of the following statements by the client indicates an understanding of the teaching?
A. The patch will not cause constipation like other pain medications do
B. I will have to stop drinking grapefruit juice while using the patch
C. I will place a heating pad over the patch to boost its effectiveness
D. The patch will give me relief from my pain faster than pills can
B. I will have to stop drinking grapefruit juice while using the patch
A nurse is caring for a client who has been in the PACU for more than 1 hr, has a RR of 9/min, and is difficult to arouse. The nurse should expect a prescription for which of the following medications?
A. Pentazocine
B. Naloxone
C. Naltrexone
D. Butorphanol
B. Naloxone
A nurse is preparing to administer medication to a client. The nurse should understand that which of the following abbreviations indicates the greatest frequency of medication administration?
A. BID
B. TID
C. QID
D. Q8h
C. QID
A nurse is teaching about levodopa with a family member of a client who has Parkinson's disease. Which of the following pieces of information should the nurse include?
A. A full therapeutic response may take several months to happen
B. The medication should be taken with high-protein foods
C. A full therapeutic response might cause vivid dreams
D. The medication is given at the onset of mild symptoms
A. A full therapeutic response may take several months to happen
A nurse is assessing a client who is receiving clozapine to treat schizophrenia. The nurse should identify and increase in which of the following parameters as an early indication of an adverse effect of this medication?
A. Urine specific gravity
B. Urine output
C. Blood pressure
D. Temperature
D. Temperature
A nurse in a long-term care facility is administering medications to a group of older adult clients. Which of the following factors of pharmacokinetics should the nurse consider when caring for this age group?
A. The excretion of medication is reduced
B. The percentage of medication absorbed is increased
C. The liver metabolizes medication more quickly
D. The rate at which the liver metabolizes medication declines with age
A. The excretion of medication is reduced
A nurse is caring for a client for a client who is taking an agonist medication. The nurse should expect which of the following actions from this type of medication?
A. Acts with a partial agonist molecule to block receptors fully
B. Temporarily occupies receptors instead of other competitive molecules
C. Blocks receptors and prevents them from activating with a regulatory molecule
D. Binds to receptors and mimics regulatory molecules
D. Binds to receptors and mimics regulatory molecules
A nurse is providing teaching to a client who has hypertension and a new prescription for oral clonidine. Which of the following instructions should the nurse include in the teaching?
A. Discontinue the medication if a rash develops
B. Expect increased salivation during the first weeks of therapy
C. Minimize fiber intake to prevent diarrhea
D. Avoid driving until the clients reaction to the medication is known.
D. Avoid driving until the clients reaction to the medication is known
A nurse is caring for a client who takes Ginkgo biloba daily at home. Which of the following effects should the nurse expect from the use of this herbal supplement?
A. Decreased platelet aggregation
B. Prevention of migraine headaches
C. Increased risk of deep vein thrombosis
D. Lowered cholesterol and triglyceride levels
A. Decreased platelet aggregation
A nurse is assisting a with a clients laceration repair in which the provider will use both lidocaine and epinephrine. The nurse should inform the client that the epinephrine will perform which of the following actions?
A. Act as a catalyst for the anesthetic properties of lidocaine
B. Delay systemid absoption of the anesthetic properties of lidocaine
C. Open the blood vessels for rapid anesthesia from the lidocaine
D. Prevent medication toxicity during the procedure
B. Delay systemic absorption of the anesthetic properties of lidocaine
A nurse is caring for a client who is receiving sumatriptan for cluster headaches. Which of the following findings should the nurse expect as an adverse effect?
A. Hypotension
B. Tinnitus
C. Urinary retention
D. Chest pressure
D. Chest pressure
A nurse is planning discharge teaching for a client who has major depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse include in the plan as safe for the client to consume while taking phenelzine?
A. Broiled beef steak
B. Mac and Cheese
C. Pepperoni Pizza
D. Smoked salmon
A. Broiled beef steak
A nurse is preparing to administer an IV fluid bolus of 1 L 0.9% sodium chloride over 2 hr to a client who is dehydrated. The nurse should set the IV pump to deliver how many mL/hr?
500 mL/hr