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A nurse is performing a preoperative assessment on a client who…

A nurse is performing a preoperative assessment on a client who reports an allergy to eggs. The nurse should identify that which of the following medications is contraindicated for this client?

A.) Propofol

B.) Atropine

C.) Midazolam

D.) Morphine

 

A nurse is providing teaching to a client who has hypertension and a new prescription for lisinopril. Which of the following adverse effects of lisinopril should the nurse instruct the client to report to the provider?

A.) Persistent cough

B.) Tinnitus

C.) Muscle tremor

D.) Alopecia

 

A nurse is providing discharge teaching to a client who has tuberculosis and a new prescription for rifampin. Which of the following instructions should the nurse include?

A.) “Wear a hat and sunscreen when going outside.”

B.) “Expect to have insomnia while taking this medication.”

C.) “Your urine will be an orange color while taking this medication.”

D.) “You should take this medication with food.”

 

A nurse is providing teaching to a client who has asthma and a new prescription for prednisone. Which of the following client statements indicates an understanding of the teaching?

A.) “I will expect to lose weight while on this medication.”

B.) “I will take this medication with meals.”

C.) “I will stop this medication if I feel anxious.”

D.) “I will check my pulse before taking this medication.”

 

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?

A.) Change the tubing every 48 hr.

B.) Obtain blood glucose levels every 8 hr.

C.) Infuse through a large peripheral vein.

D.) Monitor the client’s weight daily.

 

A nurse is reviewing the laboratory report of a client who has COPD. Which of the following ABG results should the nurse identify as an indication of respiratory acidosis?

A.) pH 7.47

B.) HCO3 25 mEq/L

C.) PO2 95 mm Hg

D.) pCO2 55 mm Hg

 

A nurse is assessing a client immediately following a lumbar puncture. Which of the following findings should the nurse report to the provider?

A.) Client reports a need to void

B.) Client requests oral fluids

C.) Client requests to ambulate

D.) Client reports feeling nauseated

 

A nurse is caring for a client who is scheduled for a thoracentesis. Which of the following actions should the nurse take?

A.) Ask the client to void prior to the procedure.

B.) Obtain the client’s weight prior to the procedure.

C.) Monitor the client’s heart rate during the procedure.

D.) Encourage the client to cough during the procedure.

 

A nurse is assessing a client who experienced a stroke. Which of the following manifestations should indicate to the nurse that the client experienced a left hemispheric stroke?

A.) Aphasia

B.) Loss of depth perception

C.) Tonal hearing loss

D.) Impulsiveness

 

A nurse is assessing a client who has a duodenal ulcer due to peptic ulcer disease. Which of the following findings should the nurse expect?

A.) Recent 10 lb weight loss

B.) Increased pain with eating

C.) No relief following ingestion of antacids

D.) Pain during the middle of the night

 

A nurse is providing discharge teaching to a client who is postoperative following placement of a permanent pacemaker. Which of the following statements should the nurse make?

A.) “Notify your provider if you experience prolonged hiccupping.”

B.) “Take your pulse at the same time each day for 30 seconds.”

C.) “Avoid taking showers for the first 2 weeks following surgery.”

D.) “Wear a snug binder over your surgical site while sleeping.”