MILESTONE - 3.29.23 (2)

The nurse is monitoring the laboratory test results for a client who is taking warfarin sodium after mechanical heart valve replacement. The nurse would expect the international normalized ratio (INR) for this client to be at what value in order to be therapeutic?​ 

Atorvastatin (HMG-CoA Inhibitor- Antilipidemic) has been prescribed for a client, and the client asks the nurse about the side and adverse effects of the medication. What would the nurse tell the client is a frequent side effect of this medication? 

A client is scheduled to begin therapy with carbamazepine (Anticonvulsant). The nurse would assess the results of which test(s) before administering the first dose of this medication to the client?

The client delivered a newborn baby 3 hours ago. The assigned nurse is reviewing the electronic health record to determine whether the postnatal client is a candidate for Rh immune globulin administration. Which criteria must be present to determine that the client needs the medication? Select all that apply.

A client schedules an appointment with the primary health care provider because of episodes of chest pain, and Prinzmetal's angina is diagnosed.

The provider prescribes diltiazem (Calcium Channel Blocker). The client asks the nurse which therapeutic effects the medication will provide, and the nurse provides education.

Which statement by the client indicates that the teaching has been effective?

Second Generation (Atypical) Antipsychotics such as risperidone, olanzapine, clozapine have a higher risk of which type of side effects?

First Generation (Typical) Antipsychotics such as chlorpromazine, haloperidol have a higher risk of which type of side effects?

A patient is newly prescribed Carbidopa/Levodopa (Dopamine Agonists) for Parkinson's Disease. Which of the following are instructions the nurse should include when educating the patient? Select all that apply.

A patient newly prescribed Sucralfate (Mucosal Protectant - Antiulcer Agent) needs education on when the medication should be taken. Which of the following will the nurse correctly instruct the patient to do?

Epoetin Alfa (Erythropoiesis Stimulating Agent) is contraindicated in which of the following? Select all that apply

The nurse should ensure the client receives breakfast within 30 minutes after the injection of Insulin Aspart (Novolog)

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?

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?

When teaching the client with adrenal insufficiency about cortisone, the nurse would include which items? Select all that apply.

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.

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?

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?

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?

Bethanechol (Duvoid, Urecholine) is prescribed for a client with urinary retention. Which disorder would be a contraindication to the administration of this medication?

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.

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.

Azithromycin (Zithromax) a Macrolide Antibiotic has been prescribed for a client. The nurse would instruct the client to take the medication in which way?

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?

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?

When monitoring hypokalemia in a patient taking diuretics. The nurse looks for which of the following symptoms? Select all that apply. (5)

The nurse will warn the patient taking metronidazole about which possible adverse effects? Select all that apply (4)

A patient checks into an urgent care center because of an abrupt onset of severe diarrhea. The results of the stool specimen are positive for giardiasis. Which of the following would the nurse anticipate being ordered?

The nurse must keep in mind that all antineoplastic, generally have which of the following adverse effects? Select all that apply 

When giving vitamins, the nurse needs to remember that certain vitamins can be toxic if consumed in excess amounts. These include which of the following? Select all that apply

Before using povidone-iodine solutions to prepare the skin for surgery, the nurse will ask the patient about allergies to which substance?

The nurse notes the patient has an order for silver sulfadiazine. The nurse would anticipate the patient is experiencing which of the following?

A patient will be receiving fluorouracil cream as part of treatment for basal cell carcinoma of the skin, on her nose. The nurse will instruct the patient about which possible adverse effects? Select all that apply. 

While teaching a patient about the possible adverse effects of the interferons, the nurse should mention which effects? Select all that apply. 

When caring for an older adult patient diagnosed with PUD, and receiving the following medications, the nurse would relate the onset of confusion to the possible side effect of which medication?

The nurse will teach a patient who is self-medicating with bismuth subsalicylate (Pepto-Bismol) to avoid which drug because of the possibility of toxicity?

A patient asks for an OTC medication that will provide relief of constipation. After ruling out possible contraindications, which drug would be most appropriate?