1.) A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed

hypertonic solution. Which of the following findings should indicate to the nurse that the

treatment is effective?

a. Absent Chvostek’ssign

b. Improved cognition

c. Decreased vomiting

d. Cardiac arrhythmias absent

2.) A nurse is reviewing he laboratory results of a client who has a prescription for sodium

polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to

the provider?

a. Creatinine 0.72 mg/dL – 0.6 to 1.2 mg/dL Normal Range

b. Sodium 138 mEq/L – 135 to 145 mEq/L Normal Range

c. Magnesium 2 mEq/L – 1.3 to 2.1 mg/dL Normal Range

d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than 5.0 mEq/L)

increases the client risk for fatal cardiac dysrhythmias. Kayexalate is used to decrease

the serum potassium level,so the PN should monitor the client's serum potassium level

3.) A nurse is preparing to administer medication to a client and discovers a medication error. The

nurse should recognize that which of the following staff members is responsible for completing

an incident report?

a. The quality improvement committee

b. The nurse who identifiesthe error

c. The nurse who caused the error

d. The charge nurses

4.) A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the

following statements should the nurse include in the teaching?

a. “Diarrhea is a common adverse effect of this medication.”

b. “Ringing in the ears is an expected adverse effect of this medication.”

c. “Notify your provider if you develop a fever while taking this medication.”

d. “You might experience weight loss while taking this medication.”

5.) A nurse is caring for a client who has a new diagnosis of benign prostate hypertrophy and a

prescription for doxazosin. The client tells the nurse. “I do not take this medication. I would

prefer a natural therapy.” Which of the following supplementsshould the nurse suggest the

client discuss with the provider?

a. Black cohosh

b. Garlic

c. Feverfew

d. Saw palmetto