A nurse is assisting in developing a plan of care for a client receiving warfarin sodium (Coumadin). The nurse selects which problem as the priority in caring for this client?

1. Potential for injury

2. Potential for infection

3. Fluid volume overload

4. Potential for inability to tolerate activity

1. Potential for injury

Albuterol (Proventil HFA) two puffs and fluticasone propionate (Flovent Diskus) two puffs by metered-dose inhaler have been prescribed for a client with chronic obstructive pulmonary disease. The nurse caring for the client provides instructions regarding administration of the medication. Which statement by the client indicates an understanding of how to take these medications?

1. "I will take the two puffs of the fluticasone propionate first and then the two puffs of the albuterol."

2. "I will take the two puffs of the albuterol first and then the two puffs of the fluticasone propionate."

3."I will alternate a single puff of each, beginning with the fluticasone propionate."

4. "I will alternate a single puff of each, beginning with the albuterol."

2. "I will take the two puffs of the albuterol first and then the two puffs of the fluticasone propionate."

Disulfiram (Antabuse) is prescribed for a client who is seen in the psychiatric health care clinic. The nurse is collecting data on the client and is providing instructions regarding the use of this medication. Which is most important for the nurse to determine before administration of this medication?

4. When the last alcoholic drink was consumed

A nurse is caring for a client with liver disease. Laboratory studies are performed, and the client's serum calcium level is 13 mg/dL. The nurse checks to see that which medication is available in the stock medication supply area on the clinical nursing unit that may be needed to treat this calcium imbalance?

4. Calcitonin (Cibacalcin)

A client with carcinoma is admitted to the hospital for a chemotherapy treatment with intravenous bleomycin sulfate. The plan of care mentions observing for interstitial pneumonitis as the priority of care. Which assessment finding most closely correlates to symptoms of interstitial pneumonitis, requiring reporting?

4. Lung wheezing and shortness of breath

Tacrolimus (Prograf) is prescribed for a client. Which of the following disorders, if noted on the client's record, indicates that the medication needs to be administered with caution?

3. Renal insufficiency

A nurse employed in the emergency department is preparing to administer syrup of ipecac to a 7-month-old child. The nurse prepares 5 mL of the syrup and administers one half glass of water following administration of the ipecac syrup. Which response would the nurse expect?

1. Vomiting

A nurse is reinforcing dietary instructions to a client who has been prescribed cyclosporine (Sandimmune). Which food item would the nurse instruct the client to avoid?

3. Grapefruit juice

A client is being treated for acute congestive heart failure with intravenously administered bumetanide. The vital signs are as follows: blood pressure, 100/60 mm Hg; pulse, 96 beats/min; and respirations, 24 breaths/min. After the initial dose, which of the following is the priority assessment?

3. Monitoring blood pressure

A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which of the following should be included in the list of instructions?

2. Maintain a high fluid intake.