The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:         A. Utilize an infusion pump      B. Check the blood glucose level      C. Place the client in Trendelenburg position      D. Cover the solution with foil           Correct Answer: B. Check… Read More »

A physician has diagnosed acute gastritis in a clinic patient. Which of the following medications would be contraindicated for this patient?         A. Naproxen sodium (Naprosyn)      B. Calcium carbonate      C. Clarithromycin (Biaxin)      D. Furosemide (Lasix)           Correct Answer: A. Naproxen sodium (Naprosyn) Naproxen sodium is a nonsteroidal anti-inflammatory drug… Read More »

The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?         A. Blood pressure of 126/80      B. Blood glucose of 110 mg/dL      C. Heart rate of 60 bpm      D. Respiratory rate of 30 per minute     … Read More »

A nurse in the emergency department assesses a patient who has been taking long-term corticosteroids to treat renal disease. Which of the following is a typical side effect of corticosteroid treatment? Select all that apply.         A. Hypertension      B. Cushingoid features      C. Hyponatremia      D. Low serum albumin      E. Hypernatremia      Correct… Read More »

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 »