1.) A client is receiving a second dose of IV cefazolin postoperatively. The nurse notes urticarial, dyspnea, anxiety, and hypotension. Which of the following should the nurse anticipate administering? Oral diphenhydramine Parenteral diazepam Parenteral epinephrine Oral hydroxyzine 2.) A nurse is providing teaching to a client who is diagnosed with migraine headaches. The client is prescribed ergotamine sublingual. Which of the following should the nurse include in her instructions? Take one tablet three times a day before meals Take one tablet at onset of migraine Take up to eight tablets as needed within a 24-hr period Take one tablet every 15 min until migraine subsides 3.) A nurse is caring for a client who has just been transferred from the PACU to the medical-surgical unit following a colon resection. The client reports pain of an 8 on a scale from 0 to 10 and has a prescription for morphine sulfate 4 mg IV bolus PRN pain every 2 hr. Which of the following actions should the nurse take first? Administer the morphine sulfate Check the client’s PACU medication record Notify the provider Change the client’s position 4.) A client newly diagnosed with hypothyroidism is prescribed levothyroxine 0.25 mg PO daily. After 6 weeks of treatment, the nurse determines that the medication was effective if the thyroid-stimulating hormone (TSH) level is 2 microunits/mL total T4 level is 3 mcg/dL total T3 level is 65 ng/dL thyroxine-binding globulin (TBG) is 1.0 mg/dL 5.) A client is taking trimethoprim/sulfamethoxazole. Which of the following findings should the nurse report to the provider? Dry cough Involuntary wrist contraction Photosensitivity Vesicular, crusty rash 6.) A nurse is caring for a client who has candidiasis. Which of the following medications should the nurse expect to administer? Fluconazole Metronidazole Linezolid Nitrofurantoin 7.) A nurse is assessing a client who is taking indomethacin. For which of the following should the nurse monitor to evaluate the medication’s effectiveness? Reduced pain Improved balance Relaxed muscles Weight loss 8.) A nurse is administering donepezil to a client who has Alzheimer’s disease. Which of the following documented findings should the nurse report to the provider immediately? Dyspepsia Diarrhea Dizziness Dyspnea 9.) A client who has a history of hypertension tells the nurse that he uses over-the-counter oral decongestants for nasal congestion. The nurse should advise the client that decongestants can decrease heart rate should be limited to no more than 3 days can constrict blood vessels are less effective than antihistamines 10.) A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following is the client prescribed chlordiazepoxide? Minimize diaphoresis Maintain abstinence Lessen craving Prevent delirium tremors 11.) A nurse is caring for a client who taking acetazolamide for chronic open angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report? Blurring of vision Tinnitus Tingling of fingers Hypoglycemia 12.) A nurse is caring for a client who has heart failure and is discharged with a prescription of furosemide. The nurse should plan to instruct the client that which of the following are potential adverse effects of this medication? (Select all that apply) dizziness hypokalemia seizures urinary frequency hypoglycemia
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