Nurse John is caring for a male client receiving lidocaine I.V. Which factor is the most relevant to the administration of this medication? A. Decrease in arterial oxygen saturation (SaO2) when measured with a pulse oximeter B. Increase in systemic blood pressure C. Presence of premature ventricular contractions (PVCs) on a cardiac monitor … Read More »
Nurse Jenny is instilling an otic solution into an adult male client’s left ear. Nurse Jenny avoids doing which of the following as part of the procedure A. Pulling the auricle backward and upward. B. Warming the solution to room temperature. C. Pacing the tip of the dropper on the edge of… Read More »
Nurse Ron is caring for a male client taking an anticoagulant. The nurse should teach the client to: A. Report incidents of diarrhea B. Avoid foods high in vitamin K C. Use a straight razor when shaving D. Take aspirin for pain relief Correct Answer: B. Avoid… Read More »
A client is receiving digoxin (Lanoxin) 0.25 mg daily. The health care provider has written a new order to give metoprolol (Lopressor) 25 mg B.I.D. In assessing the client prior to administering the medications, which of the following should the nurse report immediately to the health care provider? A. Blood pressure 94/60 mm Hg B.… Read More »
What supplemental medication is most frequently ordered in conjunction with furosemide (Lasix)? A. Chloride B. Digoxin C. Potassium D. Sodium Correct Answer: C. Potassium Supplemental potassium is given with furosemide because of the potassium loss that occurs as a result of this diuretic. Loop diuretics act at the ascending… Read More »
Nurse Rose is aware that the statement that best explains why furosemide (Lasix) is administered to treat hypertension is: A. It dilates peripheral blood vessels. B. It decreases sympathetic cardio acceleration. C. It inhibits the angiotensin-converting enzymes. D. It inhibits the reabsorption of sodium and water in the loop of Henle.… Read More »
Which patient should not be prescribed alendronate (Fosamax) for osteoporosis? A. A female patient being treated for high blood pressure with an ACE inhibitor. B. A patient who is allergic to iodine/shellfish. C. A patient on a calorie restricted diet. D. A patient on bed rest who must maintain a supine… Read More »
The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug? A. Urinary incontinence B. Headaches C. Confusion D. Nausea Correct Answer: D. Nausea Nausea and gastrointestinal upset are very common in clients taking acetylcholinesterase inhibitors… Read More »
A 33-year-old male client with heart failure has been taking furosemide for the past week. Which of the following assessment cues below may indicate the client is experiencing a negative side effect from the medication? A. Weight gain of 5 pounds B. Edema of the ankles C. Gastric irritability D. Decreased… Read More »
A nurse is performing a routine assessment of an IV site in a patient receiving both IV fluids and medications through the line. Which of the following would indicate the need for discontinuation of the IV line as the next nursing action? A. The patient complains of pain from movement. B. The area… Read More »