You are providing care for a patient with an acute hemorrhage stroke. The patient’s husband has been reading a lot about strokes and asks why his wife did not receive alteplase. What is your best response? A. “Your wife was not admitted within the time frame that alteplase is usually given.” B. “This drug is… Read More »
Nurse Trinity administered neutral protamine Hagedorn (NPH) insulin to a diabetic client at 7 a.m. At what time would the nurse expect the client to be most at risk for a hypoglycemic reaction? A. 10:00 am B. Noon C. 4:00 pm D. 10:00 pm Correct Answer: C.… Read More »
The client admitted with angina is given a prescription for nitroglycerin. The client should be instructed to: A. Replenish his supply every 3 months B. Take one every 15 minutes if pain occurs C. Leave the medication in the brown bottle D. Crush the medication and take with water … Read More »
A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy? A. Insulin requirements moderate as the pregnancy progresses. B. A decreased need for insulin occurs during the second trimester. C. Elevations in human chorionic gonadotropin decrease the need for insulin. … Read More »
Which of these findings indicate that a pump to deliver a basal rate of 10 ml per hour plus PRN for pain breakthrough for morphine drip is not working? A. The client complains of discomfort at the IV insertion site B. The client states “I just can’t get relief from my pain.” … Read More »
A mother calls the clinic to report that her son has recently started medication to treat attention-deficit/hyperactivity disorder (ADHD). The mother fears her son is experiencing side effects of the medicine. Which of the following side effects are typically related to medications used for ADHD? Select all that apply. A. Poor appetite B. Insomnia… Read More »
The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should: A. Question the order B. Administer the medications C. Administer separately D. Contact the pharmacy Correct Answer: B. Administer the medications Zestril is an ACE inhibitor and… Read More »
In evaluating the effect of nitroglycerin, Nurse Arthur should know that it reduces preload and relieves angina by: A. Increasing contractility and slowing heart rate B. Increasing AV conduction and heart rate C. Decreasing contractility and oxygen consumption D. Decreasing venous return through vasodilation Correct Answer: D.… Read More »
A patient at a mental health clinic is taking Haldol (haloperidol) for treatment of schizophrenia. She calls the clinic to report abnormal movements of her face and tongue. The nurse concludes that the patient is experiencing which of the following symptoms: A. Comorbid depression B. Psychotic hallucinations C. Negative symptoms of schizophrenia… Read More »
A heparin infusion at 1,500 units/hour is ordered for a 64-year-old client with stroke in evolution. The infusion contains 25,000 units of heparin in 500 ml of saline solution. How many milliliters per hour should be given? A. 15 ml/hour B. 30 ml/hour C. 45 ml/hour D. 50 ml/hour … Read More »