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    Exam Review

    1. A nurse is assisting in the care of a female client. Exhibits Complete the following sentence by using the lists of options. The nurse should first address the client' ▾ Blood pressurefollowed by the client’s▾ potassium level.
      Dropdown 1:
      Option 1: Hgb level
      Option 2: Blood pressure
      Option 3: temperature
      Dropdown 2:
      Option 1: Hct level
      Option 2: abdominal findings
      Option 3: potassium level
    2. A nurse in an outpatient clinic is caring for a client. Exhibits Select the 6 statements the nurse should include when reinforcing teaching to the client about the newly prescribed medication.(SATA)
      A)"This medication should start to alleviate the headache within 1 hour."
      B)"You might experience a feeling of pressure in your chest after taking this medication."
      C)"Do not take more than 200 milligrams of this medication within 24 hours."
      D)"You can take a second dose of this medication at least 2 hours after the initial dose if the headache persists."
      E)"You should discontinue this medication if pregnancy is planned or suspected."
      F)"This medication can cause you to feel tired."
      G)"You might experience a rash on your skin while taking this medication."
    3. A nurse in a provider's office is assisting in the care of a client. Which of the following instructions should the nurse include when reinforcing teaching to the client about their medication? Select all that apply.(SATA)
      A)Lie down with feet elevated if dizziness occurs while taking this medication.
      B)Apply the patch daily to a hairless area of the skin.
      C)The medication will be effective 30 to 45 min following application.
      D)Remove the patch 12 to 14 hr following application.
      E)Remove the patch if you experience a headache.
      F)Place the patch on the same area every day.
    4. A nurse is preparing to administer acetaminophen 10 mg/kg PO every 6 hr to a toddler who weighs 26.4 lb. Available is acetaminophen 80 mg/0.8 mL liquid. How many mL should the nurse administer with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
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    Exam Review

    1. A nurse is planning to administer medications to a client who has trigeminal neuralgia. Which of the following medications should the nurse plan to administer to manage the client's pain?
      A)Lorazepam
      B)Fluoxetine
      C)Carbamazepine
      D)Methylphenidate
    2. A nurse is preparing to administer vaccines to an 11-year-old child who is up to date on immunizations. Which of the following vaccines should the nurse plan to administer?
      A)Quadrivalent human papillomavirus
      B)Rotavirus
      C)Pneumococcal conjugate
      D)Hepatitis B
    3. A nurse is caring for a client who is receiving treatment for chronic alcohol use disorder. Which of the following medications should the nurse plan to administer to assist the client in maintaining abstinence by aversion therapy?
      A)Carbamazepine
      B)Disulfiram
      C)Atenolol
      D)Lorazepam
    4. A nurse is preparing to administer enoxaparin 5 mg/kg subcutaneous daily to a client who has deep-vein thrombosis. The client weighs 152 lb. Available is 120 mg/0.8 mL prefilled syringe. Calculate the dosage in mL that the nurse should administer. (Round the answer to the nearest tenth. Use a leading zero if applicable. Do not use a trailing zero.)
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    Exam Review

    1. A nurse is caring for a client who started taking amitriptyline 6 days ago. The client reports that the medication is not helping. Which of the following responses should the nurse make?
      A)"I will ask your provider to increase the dose of the medication."
      B)"You will need to take this medication on an empty stomach for it to be more effective."
      C)“you will need to wait a couple of weeks to feel the therapeutic effect of the medication."
      D)"I will inform your provider so they can prescribe a different medication."
    2. A nurse is reinforcing teaching about the IPLEDGE program with a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program?
      A)Clients must have a Papanicolaou test every 6 months during treatment.
      B)Sexually active female clients must use two forms of birth control during treatment.
      C)Clients must begin a daily supplement of vitamin A for 1 month prior to initiating therapy.
      D)Female clients must have a negative mammogram prior to beginning therapy.
    3. A nurse is caring for a client who has chronic hypertension. The client's morning vital signs include BP 140/80 mm Hg, heart rate 54/min, and respiratory rate 18/min. Which of the following medications should the nurse plan to withhold?
      A)Hydrochlorothiazide
      B)Lisinopril
      C)Atenolol
      D)Aspirin
    4. A nurse is collecting data from a client who is taking sumatriptan. Which of the following reports indicates a therapeutic response to the medication?
      A)Improved mood
      B)Absence of headache
      C)Increased bone mass
      D)Relief of chest pain
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    Exam Review

    1. A nurse is caring for a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following actions should the nurse take?
      A)Take the patch off prior to bathing the client.
      B)Monitor for hypertension after application of the patch.
      C)Rotate the application sites of the patch.
      D)Remove the patch every 24 hr.
    2. A nurse is collecting data from a client who has been taking diazepam several times per day but recently ran out of the medication. Which of the following findings should the nurse recognize as a manifestation of withdrawal from diazepam?
      A)Tremors
      B)Anorexia
      C)Drowsiness
      D)Hypotension
    3. A nurse is caring for a client who has hypertension and has been taking hydrochlorothiazide. Which of the following laboratory values should the nurse evaluate?
      A)Coagulation studies
      B)Thyroid levels
      C)Complete blood count
      D)Serum electrolyte levels
    4. A nurse is monitoring a client who received naloxone to counteract the effects of an opioid overdose. Which of the following findings should indicate to the nurse that the medication is effective?
      A)Increased aspiratory rate
      B)Report of decreased pain
      C)Increased temperature
      D)Decreased blood pressure
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    Exam Review

    1. A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin transdermal patches to treat angina. The nurse should inform the client that which of the following manifestations is an adverse effect of the medication?
      A)Headache
      B)Polyuria
      C)Ringing in the ears
      D)Increased blood pressure
    2. A nurse is reinforcing teaching with a client who has a new prescription for sustained-release verapamil. Which of the following statements by the client indicates an understanding of the teaching?
      A)"I will crush the tablet to make it easier to swallow."
      B)"I will increase my daily intake of fiber and fluid."
      C)"I will follow up with monthly laboratory tests to check for anemia."
      D)"I will sit upright for 30 minutes after taking the medication."
    3. A nurse is caring for a client who has a prescription for morphine 4 mg IM stat. The medication is dispensed in a 5 mg/mL prefilled syringe. Which of the following actions should the nurse take?
      A)Dispose of the excess medication in the sharps container.
      B)Give the full contents of the prefilled syringe.
      C)Discard the excess medication with a second nurse as a witness.
      D)Inject the prescribed dose and save the rest for a later use.
    4. A nurse is reinforcing discharge teaching with a client who has a new diagnosis of type 2 diabetes mellitus and a prescription for exenatide. Which of the following instructions should the nurse include in the teaching?
      A)"Contact the provider if you experience unexplained muscle pain."
      B)"Take the medication at bedtime."
      C)"Discard excess medication after 60 days."
      D)"Inject the medication into the subcutaneous tissue of your abdomen."
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