1. A nurse is assessing a client who is receiving chloramphenicol (Chloromycetin). Which of the following findings is an adverse effect of this medication? A. Ecchymosis B. Ototoxicity C. Hypertension D. Anxiety ANS: A 2. A nurse is caring for a client who is to receive 1,500 mL of 0.9% sodium chloride IV over 8 hours. The nurse plans to use IV tubing with a drop factor of 10 gtt/mL. How many gtt/min of IV fluid should the client receive? (Round your answer to the nearest whole number). ANS: 31 gtt/min 3. A nurse is admitting a client to a long-term care facility. While reconciling the medication prescribed at home with those prescribed in the facility, the nurse dis- covers a discrepancy in the dosages. Which action should the nurse take? A. Clarify the medication dosages with the provider. B. Change the prescribed medication dosages to reconcile the discrepancy C. Contact the pharmacist regarding the dosage discrepancies D. Ask a family member to verify the medication dosages ANS: A 4. A nurse is caring for a client who is receiving a fentanyl transdermal system (Duragesic). What is important to document in the client’s record? A. Fluid intake B. Skin integrity C. Respiratory rate D. Pulse rate ANS: C 5. A nurse is caring for a client who has acute angina and has a prescription for nitroglycerin. Which of the following is an appropriate intervention for the nurse to take when administering this medication? A. Massage the nitroglycerin ointment completely into the skin.