A female client who has a history of seizures went to a healthcare facility to ask the nurse regarding the use of birth control pills while on phenytoin therapy. The nurse correctly states to the client that:         A. Taking phenytoin decreases the effectiveness of birth control pills.      B. Pregnancy is not allowed while… Read More »

Which of the following is least likely to influence the potential for a client to comply with lithium therapy after discharge?         A. The impact of lithium on the client’s energy level and lifestyle.      B. The need for consistent blood level monitoring.      C. The potential side effects of lithium.      D. What do the client’s… Read More »

A nurse is preparing the client’s morning NPH insulin dose and notices a clumpy precipitate inside the insulin vial. The nurse should:         A. Draw up and administer the dose.      B. Shake the vial in an attempt to disperse the clumps.      C. Draw the dose from a new vial.      D. Warm the… Read More »

The primary complication of a central venous access device (CVAD) is:         A. Thrombus formation in the vein.      B. Pain and discomfort.      C. Infection.      D. Occlusion of the catheter as the result of an intra-lumen clot.           Correct Answer: C. Infection. A foreign body in a blood vessel increases… Read More »

Mandy, a patient, calls the clinic today because he is taking atorvastatin (Lipitor) to treat his high cholesterol and is having pain in both of his legs. You instruct him to:         A. Stop taking the drug and make an appointment to be seen next week.      B. Continue taking the drug and make an… Read More »

As a knowledgeable nurse, you know that the following are part of the 10 rights except:         A. Right dose      B. Right route      C. Right drug      D. Right room           Correct Answer: D. Right room Right room is not one of the 10 rights. The five rights are the right… Read More »

Phenobarbital (luminal) is given to a client for a short treatment of anxiety. Which of the following results would indicate a therapeutic serum range of the medication?         A. 5-10 mcg/ml      B. 15-40 mcg/ml      C. 45-65 mcg/ml      D. 50-90 mcg/ml           Correct Answer: B. 15-40 mcg/ml Phenobarbital is a… Read More »

A male patient is to receive a percutaneously inserted central catheter (PICC). He asks the nurse whether the insertion will hurt. How will the nurse reply?         A. “You will have general anesthesia so you won’t feel anything.”      B. “It will be inserted rapidly, and any discomfort is fleeting.”      C. “The insertion site… Read More »

A client with histoplasmosis has an order for ketoconazole (Nizoral). The nurse teaches the client to do which of the following while taking this medication?         A. Take the medication on an empty stomach.      B. Take the medication with an antacid.      C. Avoid exposure to sunlight.      D. Limit alcohol to 2 ounces… Read More »

Nurse Blessy is doing some patient education related to a patient’s central venous access device. Which of the following statements will the nurse make to the patient?         A. “These types of devices are essentially risk-free.”      B. “These devices seldom work for more than a week or two necessitating replacement.”      C. “The dressing… Read More »