1. A nurse is assessing a client who is receiving chloramphenicol (Chloromycetin). Which of the following findings is an adverse effect of this medication? (adverse affect is thrombocytopenia)

o Ecchymosis   o Ototoxicity

o Hypertension o Anxiety

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).

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 discovers a discrepancy in the dosages. Which action should the nurse take?

o Clarify the medication dosages with the provider.

o Change the prescribed medication dosages to reconcile the discrepancy o Contact the pharmacist regarding the dosage discrepancies

o Ask a family member to verify the medication dosages

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?

o Fluid intake o Skin integrity

o Respiratory rate o Pulse rate

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?

o Massage the nitroglycerin ointment completely into the skin. o Replace the nitroglycerin transdermal patch every 4 hours.

o Administer a sustained nitroglycerin tablet orally.

o Administer a nitroglycerin tablet sublingually every 5 minutes.

6. A nurse is preparing to administer infliximab (Remicade) to a client who has rheumatoid arthritis. The nurse should watch the patient for which of the following adverse effects? (Select all that apply.)

o Bradycardia o Jaundice

o Polyuria o Urtipenia o Fever