Which of the following laboratory values should the nurse review prior to administration?

How does the NCSBN model compare with Florida’s Nurse Practice act and regulations?
March 25, 2021
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March 25, 2021

Which of the following laboratory values should the nurse review prior to administration?

nurse is caring for a client who is receiving penicillin by intermittent IV bolus. The client develops wheezing, dyspnea, cyanosis, and tachycardia. The nurse should administer which of the following medications first?Hydrocortisone sodium succinate (Solu-Cortef)Prednisone (Deltasone)Epinephrine (Adrenalin)Isoproterenol (Isuprel)A nurse is caring for an older adult client who is receiving gentamicin (Garamycin) following abdominal surgery. Which of the following physiological changes is most important for the nurse to consider when administering this medication?Increased gastric pHDecreased renal blood flowDecreased serum albuminIncreased body fatA nurse is caring for a client who has acute angina and has a prescription for nitroglycerin. Which of the following is an appropriate intervention for this nurse to take when administering this medication?Replace the nitroglycerin transdermal patch every 4 hrAdminister a sustained-release nitroglycerin tablet orallyMassage the nitroglycerin ointment completely into the skinAdminister a nitroglycerin tablet sublingual every 5 minA nurse in the emergency department is admitting a client who is diaphoretic, vomiting, and reports severe abdominal pain. His roommate states that the client swallowed ?a whole bottle? of acetaminophen (Tylenol). Which of the following medications should the nurse prepare to administer?Acetylcysteine (Mucomyst)Deferoxamine (Desferal)Naloxone (Narcan)Flumazenil (Romazicon)A nurse is caring for a postoperative client who is receiving patient controlled analgesia with IV morphine. The nurse should recognize that which of the following is the priority assessment?UrticariaHypotensionBradypneaDrowsinessA nurse is preparing to administer infliximab (Remicade) to a client who has rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects? (Select all that apply)BradycardiaJaundiceNeutropeniaFeverPolyuriaA nurse has just administered meperidine (Demerol) intramuscularly to a client who has an ankle fracture. Which of the following actions should the nurse take next?Assess the client?s respiratory statusReassess the client?s pain levelDocument the client?s medication recordCheck the client?s blood pressureA nurse is caring for a client who is experiencing an anaphylactic reaction. Which of the following medications should the nurse administer?Isoproterenol (Isuprel)Lidocaine (Xylocaine)Atropine sulfateCalcium chlorideA nurse is assessing a client who has been taking anti-tuberculosis medications for the past 3 months. The nurse should instruct the client to notify the provider if which of the following occurs?AlopeciaJaundiceWeight gainPolyuriaA nurse is caring for a client who has been taking ferrous sulfate (Feosol) over a 2 month period. Which of the following findings is an expected response?Decreased inflammationReduced frequency of coughingIncreased energyImproved visionA nurse is caring for a client who has a new prescription for estrogen-progestin combination (Ortho-Novum). Which of the following medications may interact with this medication and require the use of additional non-hormonal birth control?Amlodipine (Norvasc)Phenytoin (Dilantin)Docusate sodium (Colace)Thiamine (Vitamin b1)A child with cerebral palsy is prescribed baclofen (Lioresal). Which of the following therapeutic effects should the nurse monitor?Increase in urine outputDecrease in anxietyIncrease in energyDecrease in spasticityA nurse is assessing a client who is taking naproxen (Naprosyn). Which of the following is an expected report from the client?Reduced bleedingReduced painIncreased appetiteImproved breathingA nurse is teaching a client who is preoperative how to use patient-controlled analgesia with morphine sulfate. Which of the following statements by the client requires additional teaching??I will be asked to describe and rate my pain occasionally??I don?t have to worry about getting an overdose of the medication??I will not receive any pain medication during the lockout period??I should push the pain button when the pain becomes severe?A nurse is caring for a client who is receiving haloperidol (Haldol). The nurse should document which of the following findings as dystonia?PacingLip smackingTremorsNeck spasmsA nurse is assessing a client who takes diphenoxylate with atropine (Lomotil) for inflammatory bowel disease. For which of the following should the nurse monitor?Increased oral secretionsUrinary retentionBradycardiaHearing lossA nurse is providing care to a client who has heart failure. While verifying the orders with the medication administration record, the nurse notes that the prescription for digoxin (Lanoxin) was transcribed incorrectly. As a result, the client received an extra dose of the medication yesterday. Which of the following actions should the nurse take first?Complete an incident reportWithhold the next doseNotify the charge nurseObtain a set of vital signsA nurse is admitting a client to a long-term care facility. While reconciling the medications the client takes at home with those prescribed in the facility, the nurse discovers a discrepancy in the dosages. Which of the following actions should the nurse take?Clarify the medication dosages with the providerAsk a family member to verify the medication dosagesContact the pharmacist regarding the dosage discrepanciesChange the prescribed medication dosages to reconcile the discrepancyA nurse is caring for a client who is receiving therapy with the clonidine (Catapres) transdermal patch. The client reports lightheadedness and drowsiness. Which of the following actions should the nurse take?Remove the patchAdminister a prescribed antiemeticMeasure blood pressureElevate the head of the bedA nurse is admitting a client who has chest pain to the emergency department. Which of the following medications should the nurse anticipate administering to reduce cardiac demand?HeparinPentazocine (Talwin)MorphineButorphanol (Stadol)A nurse in the emergency department is admitting a client who reports nausea and insomnia. He is diaphoretic, tachycardic and has severe tremors. He states that he ?quit drinking? alcohol the previous evening. Which of the following medications should the nurse prepare to administer to manage the client?s withdrawal from alcohol?Disulfram (Antabuse)Chlordiazepoxide (Librium)Naltrexone (Vivitrol)Acamprosate (Campral)A client has an IV infusion of nitroprusside (Nitropress) at 2 mcg/kg/min. The order reads to titrate the nitroprusside by 0.5 mcg/kg/min to maintain a mean arterial pressure (MAP) of 70 to 110 mm Hg The client has a MAP of 120 mm Hg. The nurse should next titrate the nitroprusside to which of the following dosages? (Round your answer to the nearest tenth)—?????????????A nurse is providing teaching to a client who was recently diagnosed as HIV positive. The client is beginning antiretroviral therapy with zidovudine (Retrovir). Which of the following statements should the nurse include in the teaching? (Select all that apply)?This medication increases CD4 T-cell count??This medication must be taken with other antiretroviral medicines??This medication prevents you from transmitting the HIV infection??This medication cures an HIV infection??This medication has few adverse effects?A client is diagnosed with a urinary tract infection. Her past history reveals an allergy to a thiazide diuretic. Which of the following medications is contraindicated?Trimethoprim/Sulfamethoxazole (Bactrim)Ciprofloxacin (Cipro)Amoxicillin/clavulanate (Augmentin)Nitrofurantoin (Macrodantin)A nurse is providing teaching to a client who has just started taking lithium. Which of the following statements indicates the client understands the teaching??I should call my doctor if I develop hand tremors??I should inject the medication subcutaneously??I should take this medication on an empty stomach??I should expect to feel better in just a few days?A nurse is caring for a 4 year old client, who is taking amoxicillin (Amoxil) 50 mg/kg/day PO in three divided doses. Which of the following resources should the nurse consult to verify that the dose is safe for the cli
ent?The client?s BMI recordMedication administration recordPhysician?s Desk ReferenceThe client?s health historyA nurse is caring for a client who is receiving a fentanyl transdermal system (Duragesic). Which of the following is most important to document in the client?s record?Skin integrityFluid intakeRespiratory ratePulse rateA nurse is talking with a client who is undergoing methadone (Dolophine) substitution to treat an opiod addiction. What information should the nurse give the client about this treatment?Subcutaneous injections are the preferred route of administrationAvoid foods containing tyramine during treatmentAdverse effects will last a couple of daysWithdrawal symptoms are likely to mimic those of influenzaA nurse is caring for a client who has rheumatoid arthritis. The client is prescribed methotrexate (Rheumatrex). For which of the following should the nurse instruct the client to monitor and report to the provider?InsomniaUrinary retentionConstipationSore throatA nurse is caring for a client who has received acetaminophen (Tylenol) 650 mg and hydrocodone (Vicodin) 5 mg every 4 hr for the past 24 hr. Which of the following is an appropriate action for the nurse to take?Complete an incident reportDecrease acetaminophen to 325 mg every 4 hrStagger the medications every 2 hrSuggest a time change with the pharmacyA nurse is preparing to administer ibandronic acid (Boniva) IV to a client who has osteoporosis. Which of the following laboratory values should the nurse review prior to administration?Serum creatinine levelBlood glucose levelVitamin D levelErythrocyte sedimentation rateA nurse is planning teaching for a client who has leukemia and is receiving chemotherapy. The client is to start taking allopurinol (Zyloprim). The nurse should instruct the client that this medication will:Prevent cardiac toxicityDecrease blood glucose levelsDecrease uric acid levelsPrevent urinary tract infectionsA nurse is caring for four older adult client who are taking digoxin (Lanoxin). Which of the following clients is at greatest risk for developing digoxin toxicity?A client taking pramipexole (Mirapex) for Parkinson?s diseaseA client taking allopurinol (Zyloprim) for goutA client taking fluoxetine (Prozac) for depressionA client taking furosemide (Lasix) for edemaA nurse is assessing a client who is taking enalapril (Vasotec). Which of the following findings indicates an expected response?Relaxed musclesProlonged P waveOliguriaIncreased exercise toleranceA nurse is caring for a client who has an order for clozapine (Clozaril) 350 mg PO daily. The nurse recognizes that which of the following findings is a side effect of this medication?Fasting blood glucose of 220 mg/dLSerum sodium 136 mg/dLWBC 8, 000 mm3Weight loss of 3.36 kg (5 lb) in 2 weeksA nurse is planning discharge teaching for a client who is to start therapy with repaglinide (Prandin).? Which of the following should the nurse include in the teaching??Hold the medication if your blood glucose is less than 120 mg/dL??Monitor for irritability and diaphoresis??Take the medication 1 hr before mealtime??Increase your protein intake?A client with diabetes mellitus is admitted to the medical unit. The client has a routine before breakfast prescription for 8 units of Regular insulin and 18 units of NPH. The primary care provider adds an additional dose of Regular insulin based on the following:Blood glucose Regular Insulin Dose121 to 150 ????????? 2 units151 to 180?????????? 4 units181 to 200 ????????? 6 units201 to 250 ????????? 8 units??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????250??????????????????????????????????? call providerThe clients prebreakfast blood glucose is 192 mg/dL. Which dosage of insulin should the nurse administer?8 units of Regular, 24 units of NPH8 units of Regular, 18 units of NPH14 units of Regular, 18 units of NPH14 units of Regular, 24 units of NPHA nurse is providing teaching to a client who had a total gastrectomy. The client has a new prescription for cyanocobalamin (vitamin b12). Which of the following client statements indicates an understanding of the teaching??After I receive injections for a week, I will be able to switch to a pill??Increasing my intake of green, leafy vegetables will increase my vitamin b12 levels??I will have to take this medication for the rest of my life??I need to have my vitamin b12 levels measured once a month?A nurse is caring for a client who has a prescription for Metformin (Glucophage) twice daily. Which of the following is an expected outcome?Bedtime blood glucose 150 mg/dLHemoglobin A1C 6.4%Systolic blood pressure 146 mm HgPremeal plasma glucose 135 mg/dLA nurse is caring for a client who has a systemic infection. During the infusion of vancomycin (Vancocin), the client develops a rash and becomes flushed. Which of the following is an appropriate action for the nurse to take?Document a penicillin allergy in the client?s chartAdminister naloxone (Narcan) 1 mg IVObtain a prescription for oral vancomycinDecrease the rate of administrationA client who has cancer is receiving extended-release morphine sulfate (Avinza) 30 mg PO every 12 hr. three hr after the last dose, the client requests pain medication. Which of the following assessment findings is the best indication of the client?s need for more pain medication?Self-reportElevated blood pressureFacial grimacingFlushed skinA nurse is providing teaching to a school-age child and his parents. The child has a new prescription for methylphenidate (Concerta). For which of the following adverse effects should the nurse instruct the parents to monitor (Select all that apply)InsomniaOliguriaPalpitationsWeight lossNose bleedA nurse is caring for a client who is receiving anticoagulant therapy with warfarin (Coumadin). The client is prescribed cefotetan (cefotan) by intermittent IV bolus for pneumonia. The nurse should monitor the client for which of the following?HypoglycemiaParesthesiasHyperkalemiaHemorrhageA client who has been taking atenolol (Tenormin) receives a new prescription for nifedipine (Procardia). For which of the following interactions should the nurse monitor?HypotensionTachycardiaBleedingAnginaA nurse is caring for a client who has open angle glaucoma and was prescribed pilocarpine (Piloccar) 1 gtt of 3% solution. The nurse should recognize that which of the following findings indicates the client is developing systemic cholinergic toxicity?TachycardiaHypertensionStinging and burning sensation in her eyeSalivation and sweatingA nurse is reviewing laboratory findings of a client who has a prescription for lithium carbonate. For which of the following findings should the nurse withhold the medication and notify the provider?Hemoglobin 15 g/dLPotassium 3.7 mEq/LLithium level 1.0 mEq/LSodium 125 mEq/LA client is questioning the nurse about why she is receiving frequent doses of IV antibiotics. Which of the following responses by the nurse is appropriate??It decreases the risk of an allergic reaction??It helps to prevent the emergence of drug-resistant bacteria??It helps to maintain a steady drug level??It decreases the length of necessary treatment?A nurse is caring for a client who has tuberculosis and is being treated with a combination medication therapy. To evaluate the effectiveness of the treatment, the nurse should periodically monitor which of the following laboratory results?Serum creatinine levelSeptum cultureHct and Hgb levelTuberculin skin testA nurse is reviewing the medication administration record for a client who has metastatic cancer and a fentanyl (Duragesic) transdermal patch for pain. The client reports a pain level of 10 on a scale of 0 to 10. Which of the following medications should the nurse anticipate administering?Alprazolam (Xanax)Butorphanol (Stadol)Carbamazepine (Tegretol)Hydromorphone (Dilaudid)A nurse is caring for a client who has been taking furosemide (Lasix) for 3 days to treat heart failure. Which of the following findings indicates ta the medication is effective?Reduced levels of HDLIncreased LOCClear lung soundsPotassium within the expected referen
ce rangeA nurse is caring for a CHF client who is receiving 0.9% sodium chloride IV at 80 mL/hr. The nurse assesses bibasilar rales. Which of the following prescriptions should the nurse question?Digoxin (Lanoxin) 0.125 mg POHetastarch (Hespan) 50 mL/hr IVFurosemide (Lasix) 20 mg IV pushSodium nitroprusside (Nitropress) 3 mcg/kg/min IVA nurse is caring for a client who is taking amoxicillin (Amoxil) and is experiencing adverse effects. Which of the following instructions should the nurse give to the client??Take this medication with a snack??Administer the medication at bedtime??Monitor for increased urine output??Stand up slowly after taking this medication?A nurse is preparing to administer insulin to a client who has diabetes mellitus. The client is to receive insulin aspart (Novolog) 5 units and NPH insulin (Humulin N) 15 units subcutaneously in the morning. Which of the following actions should the nurse take first?Draw up 5 units of insulin aspart from the vialDraw up 15 units of NPH insulin from the vialInject 5 units of air into the insulin aspart vialInject 15 units of air into the NPH insulin vial?A nurse is caring for a school-age child who has been prescribed diphenhydramine (Benadryl). Which of the following adverse effects is the highest priority?Dry mucous membranesDiarrheaSedationAtaxiaA nurse is administering ondansetron (Zofran) to a client prior to chemotherapy. For which of the following outcomes should the nurse monitor?Decreased painImproved moodIncreased energyDecreased vomitingA client has a new prescription for oral nitroglycerin sustained release capsules once a day. During the nursing history, the client reveals the usual medications. Which of the medications should the nurse question at this time?Diazepam (Valium)Sildenafil (Viagra)Lansoprazole (Prevacid)Gemfibrozil (Lopid)A nurse receives a phone call from a client who has heart failure and reports a dry cough for the last week. After reviewing the client?s medical record, the nurse asks the client to come to the provider?s office. The nurse should then instruct the client to stop taking which of the following daily medications until he sees the provider?Lisinopril (Zestril)HydrochlorothiazideIsosorbide (Imdur)Nifedipine (Procardia)A client is administering verapamil (Calan) to a client via IV bolus. The nurse should monitor for aSudden increase in heart rateRapid increase of aPTTRapid decrease of aPTTSudden decrease in heart rateA client who has supraventricular tachycardia is receiving procainamide. The nurse recognizes the pharmacological action of this medication is toIncrease sinoatrial node conductionPromote systemic vasoconstrictionDecrease cardiac preloadControl the rate of cardiac contractionA nurse is providing instruction to four clients regarding medication self-administration. Which of the following actions by a client indicates a need for further teaching?Client uses cotton swab to apply antibiotic ointmentClient allows 1 min between puffs when he uses a metered dose inhalerClient rolls insulin suspension between his palmsClient take iron supplements at bedtimeA nurse is caring for a client who is to receive 1500 mL of 0.9% sodium chloride IV over 8 hr. The nurse plans to use IV tubing with a drip factor of 10 gtt/min. How many gtt/min of IV fluid should the client receive? (Round to the nearest whole number)—A nurse is caring for a client who has a new prescription for bupropion HCl (Wellbutrin). Which of the following should the nurse recognize as a contraindication for the use of this medication?BradycardiaSeizureXerostomiaGERDA nurse is preparing to administer cisplatin (Platinol-AQ) to a client with advanced bladder cancer. Which of the following diagnostic tests should the nurse review prior to administering this medications?Serum thyroxineCBCHgB A1CSerum albuminA client with cirrhosis has been given spironolactone (Aldactone). Which of the following findings indicates that the medication is having the desired effect?Urine output 20 mL/hrDecreasing abdominal girthPotassium level of 5.2 mEq/LAbsence of feverA nurse is caring for a client who has a prescription for levodopa carbidopa (Sinemet). Which of the following should the nurse recognize as an adverse effect of the medication?DyskinesiaConstipationWeight gainHirsutismA nurse is reviewing the laboratory tests for a client who has had an acute myocardial infarction. The client is to receive warfarin (Coumadin) 10 mg PO. The nurse notes an INR of 2.6. Which of the following actions should the nurse plan to take?Decrease the dose by 5 mgIncrease the dose by 2.5 mgGive the dose as prescribedHold the next doseA nurse is teaching a client who has decided to quit smoking about a nicotine transdermal system (Nicotrol). Which of the following instructions should the nurse include?Cleanse the skin with alcohol prior to applying the patchApply the patch first thing in the morning and remove it at bedtimePlace the patch the same skin area for the furation of the treatmentMoisten the patch and hold it agains the skin until it adheresDuring an admission assessment, a client reports taking gingko biloba. Which of the following questions should the nurse ask the client??Are you taking an anticoagulant???Are you taking an antidiabetic medication??Are you taking a muscle relaxant??Are you taking hormone replacments??A nurse is caring for a client who has a new prescription for zolpidem (Ambien) 10 mg by her mouth. Which of the following statements bt the client indicates understanding regarding this medication??I will stop taking m medication in a week as I don?t get constipated?I will take vitamin C to increase the effectivessness of the medication??You need to take the medication with food??I will take my medication at bedime?A nurse is monitoring a client who is taking fosinopril (Monopril)> The nurse should understand that the medication has a beneficial effect on which of the following body systems?GastrointestinalPulmonaryReproductiveCardiovascularnurse is caring for a client who is receiving penicillin by intermittent IV bolus. The client develops wheezing, dyspnea, cyanosis, and tachycardia. The nurse should administer which of the following medications first?Blood glucose Regular Insulin Dose121 to 150 ????????? 2 units151 to 180?????????? 4 units181 to 200 ????????? 6 units201 to 250 ????????? 8 units??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????The clients prebreakfast blood glucose is 192 mg/dL. Which dosage of insulin should the nurse administer?

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