Professional Documents
Culture Documents
1. Bleeding risk
2. Bronchospasm
3. Muscle injury
4. Tinnitus
1
A client diagnosed with stable angina is being discharged home on the cholesterol-
lowering drug rosuvastatin. The nurse should teach the client to report which side effect
to the health care provider (HCP) immediately?
1. Abdominal discomfort
2. Insomnia
3. Morning headache
4. Muscle aches or weakness
4
The nurse reviews the serum laboratory results and medication administration records
for assigned clients. Which prescriptions should the nurse question and validate with the
health care provider before administering? Select all that apply.
1. Bumetanide in the client with heart failure who has hypokalemia
2. Calcium acetate in the client with chronic kidney disease who has
hyperphosphatemia
3. Carvedilol in the client with heart failure who has an elevated B-type natriuretic
peptide level
4. Isoniazid in the client with latent tuberculosis who has elevated liver enzymes
5. Metronidazole in the client with Clostridium difficile infection who has leukocytosis
1,4
A client with a diagnosis of atrial fibrillation has just been placed on warfarin therapy.
The registered nurse (RN) overhears a student nurse teaching the client about potential
food-drug interactions. Which statement made by the student nurse requires an
intervention by the RN?
1. "Do you take any nutritional supplements?"
2. "You will need to monitor your intake of foods containing vitamin K."
3. "You will not be able to eat green, leafy vegetables while taking this medication."
4. "Your blood will be tested at regular intervals."
3
An 80-year-old client is receiving amikacin, an aminoglycoside antibiotic, IVPB every 12
hours. Which data obtained by the nurse is most important to report to the health care
provider before hanging the next dose?
1. Blood pressure 104/62 mm Hg
2. Blood urea nitrogen 20 mg/dL (7.1 mmol/L)
3. Client report of tinnitus
4. Urine output of 400 mL since last dose
3
A home health nurse visits a client 2 weeks after discharge from the hospital. The client
experienced an acute myocardial infarction and subsequent heart failure. Home
medications are listed in the exhibit. Which symptom reported by the client is most
concerning to the nurse? Click on the exhibit button for additional information.
Exhibit:
Home medications
Aspirin: 81 mg by mouth, daily
Clopidogrel: 75 mg by mouth, daily
Metoprolol XL: 50 mg by mouth, daily
Furosemide: 40 mg by mouth, twice daily
Lisinopril: 5 mg by mouth, daily
Atorvastatin: 40 mg by mouth, daily
Assessment data
Crackles in middle & lower lung fields
Moderate jugular venous distension
3+ pedal edema
Medications
Aspirin 81 mg daily
Metoprolol 50 mg twice daily
Furosemide 40 mg IV daily
Atorvastatin 20 mg daily
1. Aspirin
2. Atorvastatin
3. Furosemide
4. Metoprolol
4
The nurse is discharging a client who has been prescribed warfarin for chronic atrial
fibrillation. The nurse should instruct the client to avoid excess or inconsistent intake of
which foods? Select all that apply.
1. Bananas
2. Broccoli
3. Grapefruit juice
4. Red meat
5. Spinach
2,3,5
The nurse is preparing 7:00 AM medications for a client with a urinary tract infection and
a history of heart failure and type 2 diabetes. Based on the information from the medical
and medication records, which prescription should the nurse question before
administering? Click on the exhibit for more information.
Exhibit: https://drive.google.com/open?id=0B40rfZ_HhbqwLTVXMlhVN0JTY0E
1. Furosemide
2. Glipizide
3. Levofloxacin
4. Potassium chloride
1
The nurse reviews the medication administration record and daily laboratory report of a
client with atrial fibrillation. Which laboratory results should the nurse monitor when
giving these medications? Select all that apply. Click the exhibit button for more
information.
Exhibit:
Medication administration record
Allergies: None
Medications || Time
Prednisone: 20 mg by mouth, daily || 0900
Metoprolol: 50 mg by mouth, daily || 0900
Digoxin: 0.5 mg by mouth, daily || 1300
Enoxaparin: 40 mg subcutaneously, every 12 hours || 0900 and 2100
1. Complete blood count
2. Digoxin level
3. Glucose
4. International Normalized Ratio
5. Serum potassium
1,2,3,5
The nurse is passing the prescribed medications to the assigned clients. Which
scheduled administrations should the nurse hold and seek clarification from the health
care provider? Select all that apply.
1. Client diagnosed with cirrhosis had 2 stools today; laxative lactulose prescribed daily
2. Client is scheduled for abdominal surgery tomorrow; vitamin E PO prescribed daily
3. Client is receiving IV vancomycin infusion; mild facial flushing noted after 30 minutes
4. Client with diabetes has insulin glargine and aspart prescribed; AM glucose is 100
mg/dL (5.6 mmol/L)
5. Lisinopril PO is prescribed daily; serum potassium level is 5.6 mEq/L (5.6 mmol/L)
2,5
A client with coronary artery disease was discharged home with a prescription for
sublingual nitroglycerin (NTG) to treat angina. Which statement by the client indicates
that further teaching is required?
1. "I may experience flushing but will continue to take the medication as prescribed."
2. "I should lie down before taking the medication."
3. "I should not swallow the tablet."
4. "I will wait to call 911 if I don't experience relief after the third tablet."
4
During a routine office visit, the nurse documents the list of current medications of a
client with a history of hypertension. Which statement by the client would cause the
mostconcern?
1. "I periodically take docusate sodium for constipation."
2. "I regularly take ibuprofen for chronic low back pain."
3. "I take hydrochlorothiazide to prevent swelling around my ankles."
4. "I take omeprazole daily to prevent heartburn."
2
A client with chronic stable angina is reporting chest pain. The nurse notices that the
transdermal nitroglycerin patch that was applied 1 hour ago has peeled off. The client's
vital signs are stable. What is the nurse's priority action? Click the exhibit button for
additional information.
Exhibit:
Medication administration record
Medications || Schedule
Aspirin tablet: 81 mg, PO, daily 0800
Metoprolol 25 mg, PO, every 12 hours || 0800 & 2000
Nitroglycerin patch: 0.4 mg, transdermal, daily, remove after 12 hours || 0800
Morphine sulfate: 2 mg, IV push, every 6 hours PRN for pain || PRN
Nitroglycerin tablets: 0.4 mg sublingual, q5 minutes PRN, up to 2 additional doses ||
PRN