A nurse is caring for a client who has a 10-year history of alcohol use disorder and is experiencing acute alcohol withdrawal. The nurse should identify which of the following interventions as the priority? - Answer- implement seizure precautions. A nurse is reinforcing teaching with a client who experiences migraine headaches and has a new prescription for sumatriptan. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication? - Answerchest tightness A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg P0 daily, The nurse should instruct the client to monitor for which of the following adverse effects of this medication? - Answer- Dry cough A nurse is caring for a client who has genital herpes. which of the following medications should the nurse expect to administer? - Answer- acyclovir A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about adverse effects of metformin. The nurse should instruct the client to monitor for which of the following findings as manifestations of lactic acidosis? (Select all that apply.) - Answer- [] muscle pain []hyperventilation [] Dizziness A nurse in a provider's office is reviewing the immunization records of a 12-monthold infant who is immunocampramised. which of the following vaccines should the nurse identify as contraindicated for this client? - Answer- Measles, mumps, and rubella (MMR) A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus and is learning to selfadminister NPH insulin' Which of the following client actions indicates an understanding of the teaching? - Answer- The client wipes the cap with alcohol prior to filling the syringe. A nurse is caring for a client who is having an acute asthma attack. Which of the following medications - Answer- albuterol A nurse is collecting data from a client who received morphine IV for pain relief. Which of the following findings is the nurse's priority to report to the provider? - Answer- respiration rate 11/min A nurse is caring for a client who has a new prescription for risperidone to manage schizophrenia. which of the following laboratory tests should the nurse plan to obtain prior to administering the first dose? - Answer- fasting blood glucose level A nurse is performing the third check before administering hydromorphone to a client. After opening the unit-dose packet, the client tells the nurse they do not want to take the medication now. Which of the following actions should the nurse take? - Answer- Dispose of the medication with a second nurse as a witness. A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hr ago. which of the following adverse reactions is the priority finding to report to the provider? - Answerrespiratory depression A nurse is caring for a client who has schizophrenia and is to start therapy with risperidone. For which of the following manifestations should the nurse monitor to determine whether the treatment is effective? - Answer- improved social interactions A nurse is preparing to administer phenobarbital 3 mg/kg P0 twice a day to a schoolage child who weighs 44 lb, Available is phenobarbital elixir 20 mg/5 mL, How many mL should the nurse plan to administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - Answer- 15 A nurse is reviewing a client's medical history before administering hydromorphone for postoperative pain' The nurse should notify the provider of which of the following findings before administering this medication - Answer- Benign prostatic hyperplasia A nurse erroneously administered zolpidem to the wrong client. Which of the following actions should :he nurse take? - Answer- document the notification of the clients provider A nurse is reinforcing discharge teaching with a client who has a prescription for a metered—dose