1. A female client is receiving tetracycline (Vibramycin) for acne. Which client teaching
should the nurse include?
✓ Oral contraceptives may not be effective.
2. A client with Tourette's syndrome takes haloperidol (Haldol) to control tics and
vocalizations. The client has become increasingly drowsy over the past 2 days and reports
becoming dizzy when changing from a supine to sitting position. Which action should the
nurse take?
✓ Assess for poor skin turgor, sunken eyeballs, and concentrated urine output.
3. The nurse is assessing a stuporous client in the emergency department who is suspected
of overdosing with opioids. Which agent should the nurse prepare to administer if the
client becomes comatose?
✓ Naloxone hydrochloride (Narcan)
4. The nurse is preparing a child for transport to the operating room for an emergency
appendectomy. The anesthesiologist prescribes atropine sulfate (Atropine), IM STAT.
What is the primary purpose for administering this drug to the child at this time?
✓ Decrease the oral secretions.
5. The nurse is scheduling a client's antibiotic peak and trough levels with the laboratory
personnel. What is the best schedule for drawing the trough level?
✓ Instruct the laboratory to draw the trough immediately before the next scheduled
dose.
6. A client receiving a continuous infusion of heparin IV starts to hemorrhage from an
arterial access site. Which medication should the nurse anticipate administering to
prevent further heparin-induced hemorrhaging?
✓ Protamine sulfate
7. Following the administration of sublingual nitroglycerin, which assessment finding
indicates that the medication was effective?
✓ Decrease in level of chest pain
8. A client being treated for an acute myocardial infarction is to receive the tissue
plasminogen activator alteplase (Activase). The nurse would be correct in providing
which explanation to the client regarding the purpose of this drug?
✓ This drug is a clot buster that dissolves clots within a coronary artery.
9. A child is being treated with mebendazole (Vermox) for pinworms. Which type of diet
should the mother be instructed to feed the child while the child is receiving this
medication?
✓ High-fat diet
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