A nurse is reviewing laboratory results for a client who is receiving heparin via continuous
IV infusion for deep-vein thrombosis. The nurse should discontinue the medication infusion
for which of the following client findings?
A) Potassium mEq/L
B) aPTT times the control
C) Hemoglobin g/dL
D) Platelets 96,000/mm^3
D) Platelets 96,000/mm^3
A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over 1
hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV
infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
100gtt/min
A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary
incontinence. The nurse should instruct the client to report which of the following findings as
an adverse effect of the medication? (Select all that apply.)
A) Dry mouth
B) Tinnitus
C) Blurred vision
D) Bradycardia
E) Dry eyes
A) Dry mouth
C) Blurred vision
E) Dry eyes
A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the
following client outcomes should the nurse administer chlordiazepoxide?
A) Minimizes diaphoresis
B) Maintain abstinence
C) Lessen craving
D) Prevent delirium tremens
D) Prevent delirium tremens
A nurse is assessing a client who is taking amitriptyline for depression. Which of the
following findings should the nurse identify as an adverse effect of the medication?
A) Tinnitus
B) Urinary frequency
C) Dry mouth
D) Diarrhea
C) Dry mouth
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