
The nurse should withhold the patients dose of Levothyroxine (Synthroid) once the patients pulse exceeds 120 bpm.
The client diagnosed with stage D CHF has a brain natriuretic peptide (BNP) level greater than 1,500. Which medication should the nurse anticipate the HCP prescribing?
Captopril orally
Digoxin IV push (IVP)
Dobutamine IV
Metoprolol orally
Which assessment data should the nurse obtain before administering a calcium channel blocker?
The serum calcium level
The client’s radial pulse
The current telemetry reading
The client’s blood pressure
When applying a surface anesthetic agent, the nurse should avoid abraded skin areas to reduce the risk of systemic absorption
The client diagnosed with essential HTN is taking bumetanide. Which statement by the client warrants notifying the client’s HCP?
“I really wish my mouth would not be so dry.”
“I get a little dizzy when I get up too fast.”
“I usually have one or two glasses of wine a day.”
“I have been experiencing really bad leg cramps.”
The nurse would educate the client receiving a HMG-CoA Reductase Inhibitor - Rosuvastatin (Crestor) to immediately report which finding?
Fatigue
Diarrhea
Sore Throat
Muscle Pain
A patient who is scheduled to undergo a subtotal thyroidectomy is taking potassium iodide solution and complains about a brassy taste in the mouth. Which instruction would the nurse provide to the client?
Dilute the medication in 8 oz of water.
Report the symptom to the primary health care provider (PHCP).
Continue to take the medication because the symptom is normal.
Take one-half dose of the prescribed medication for the next 2 days.
The nurse is preparing to administer the monthly dose of cyanocobalamin to a patient with pernicious anemia. Which state indicates that the patient is experiencing a therapeutic effect from the medication?
"I feel really light-headed."
"I no longer have any nausea."
"I have not had any pain in a month."
"I feel stronger and have a much better appetite."
Epoetin alfa by the subcutaneous route is prescribed for a client. What is the most appropriate nursing action?
Shake vial before use
Freeze medication before use
Refrigerate medication until used
Obtain syringes with 1.5 inch (3/8 cm) needles for administration
An Echocardiogram is the most important diagnostic test that should be reviewed prior to the administration of the chemotherapeutic regimen with doxorubicin HCL (Adriamycin)
A client who has been diagnosed with pneumonia has been given a prescription for a macrolide antibiotic - erythromycin. Client teaching about this medication would include which best instruction?
Take the medication with juice.
Take the medication with a meal.
Take the medication on an empty stomach.
Take the medication at bedtime with a snack.
Azithromycin (Zithromax) a Macrolide Antibiotic has been prescribed for a client. The nurse would instruct the client to take the medication in which way?
With meals
1 hour before meals
With an aluminum-containing antacid
With a magnesium-containing antacid
Hot flashes are a side effect of the medication tamoxifen (Nolvadex)
A patient with prostatic carcinoma is scheduled for his dose of docetaxel (Taxotere) Chemotherapy. The nurse notices the patient has developed a new cough that is persistent. - This is a common side effect of this medication.
Which of the below is the most important that the nurse should teach regarding the administration of Neostigmine (Bloxiverz), for a patient with myasthenia gravis?
Take the medication on time
Take the medication on an empty stomach
Double-Dose if one dose is missed
Titrated for dosage, depending on symptoms
A client with testicular cancer is receiving an Alkylating Agent - cisplatin (Platinol). The nurse assesses for which finding as a toxic effect of this medication?
Tinnitus
Diarrhea
Nausea and vomiting
Elevated white blood cell (WBC) count
A client with squamous cell carcinoma is receiving An Antitumor Antibiotic - bleomycin (Blenoxane). What is the priority assessment of the nurse when monitoring for side and adverse effects of bleomycin?
Lung sounds
Platelet count
Blood pressure
White blood cell count
The nurse caring for a client receiving A Vina-Alkaloid Agent - vincristine (Vincasar) is monitoring the client for toxicity. The nurse interprets that the client is experiencing a toxic effect of this medication on the basis of which assessment finding?
Nausea and vomiting
Decreased platelet count
Decreased white blood cell count
Weakness and sensory loss in the legs
The nurse is monitoring a client with leukemia who is receiving An Anthracycline Agent - doxorubicin (Caelyx, Myocet) by intravenous infusion. The nurse would monitor for which finding that would indicate doxorubicin toxicity?
Elevated creatinine
Red coloration in the urine
Electrocardiogram (ECG) changes
Elevated blood urea nitrogen (BUN)
The patient taking the anticonvulsant carbamazepine (Tegretol) should be provided education on reporting the development of flu-like symptoms, such as a sore throat as it can indicate BLOOD DYSCRASIAS
Phenazopyridine is prescribed for a client with a urinary tract infection. The nurse evaluates that the medication is effective based on which observation?
Urine is clear amber.
Urination is not painful.
Urge incontinence is not present.
A reddish-orange discoloration of the urine is present.
Bethanechol (Duvoid, Urecholine) is prescribed for a client with urinary retention. Which disorder would be a contraindication to the administration of this medication?
Gastric atony
Urinary strictures
Neurogenic atony
Gastroesophageal reflux
A serious adverse effect of the gastrointestinal stimulant - metoclopramide HCL (Reglan) is Parkinson-like symptoms such as cogwheel rigidity
Potassium chloride intravenously is prescribed for a client with hypokalemia. Which actions would the nurse take to plan for preparation and administration of the potassium? Select all that apply.
Obtain an intravenous (IV) infusion pump.
Monitor urine output during administration.
Prepare the medication for bolus administration.
Monitor the IV site for signs of infiltration or phlebitis.
Ensure that the medication is diluted in the appropriate volume of fluid.
Ensure that the bag is labeled so that it reads the volume of potassium in the solution.
A 9-month-old infant with cystic fibrosis has a nursing diagnosis of Alteration in Nutrition: Less than Body Requirements, related to the inadequate digestion of nutrients. The best intervention for this child is to give Pancrelipase (Cotazym-S) capsule mixed with apple sauce before each meal.
When teaching the client with adrenal insufficiency about cortisone, the nurse would include which items? Select all that apply.
Increase intake of sodium.
Take the medication with food.
Increase intake of potassium-rich foods.
Stay away from people with active infections.
Discontinue the medication when symptoms subside.
Notify the primary health care provider if illness occurs or surgery is anticipated.
A burn client has been having 1% silver sulfadiazine applied to burns twice a day for the past 3 days. Which laboratory abnormality indicates that the client is experiencing a side or adverse effect of this medication?
Serum sodium of 120 mEq/L (120 mmol/L)
Serum potassium of 3.0 mEq/L (3.0 mmol/L)
White blood cell count of 3000 mm3 (3 × 109/L)
pH of 7.30, Paco2 of 32 mm Hg (32 mmHg), HCO3– of 19 mEq/L (19 mmol/L)
A client is receiving oxybutynin. The nurse would suspect that this medication is prescribed to relieve which condition?
Gastritis
Renal calculi
Ulcerative colitis
Overactive bladder
A client with Crohn's disease is scheduled to receive an infusion of infliximab. What intervention by the nurse will determine the effectiveness of treatment?
Monitoring the leukocyte count for 2 days after the infusion
Checking the frequency and consistency of bowel movements
Checking serum liver enzyme levels before and after the infusion
Carrying out a Hematest on gastric fluids after the infusion is completed
The nurse should ensure the client receives breakfast within 30 minutes after the injection of Insulin Aspart (Novolog)