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During medication administration, the nurse make a medication error. What priority action should the nurse take first after discovering the medication error?
The nurse preceptor is reviewing half-life effect with a newly hired nurse. Which statement by the newly hired nurse should the nurse recognize as effective understanding of the teaching?
The health care provider prescribes a medication for 1200 hours. At what timeframe should the nurse administer the medication to avoid a medication error?
The health care provider prescribes a transdermal patch for a client to be for 1000 hours. What action should the nurse take next?
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The nurse is about to administer a rectal suppository to a client. Which nursing action should the nurse take to facilitate the absorption of the rectal suppository?
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The nurse is administering 1000 hours medication, when should the nurse sign the medical record for the medication administered?
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The nurse is preparing to administer an heparin anticoagulant injection. What priority action should the nurse take?
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The healthcare provider writes a prescription of a client. Which medication order should the nurse implement?
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The nurse is preparing to administer medications. Which action should the nurse take first?
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The nurse is preparing to administer morning medications. Which technique should the nurse use to administer an injection to the dorsogluteal site correctly?
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The health care provider prescribes timolol (Timoptic) a beta-adrenergic blocker eyedrop for a client with glaucoma. What action should the nurse take to reduce systemic effects such as bradycardia?
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A nurse on the medical unit is reviewing the process of pharmacokinetics with a new graduate nurse. Which statement by the newly hired nurse should the nurse recognize as effective understanding of the teaching?
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The nurse is reviewing the concept of the first pass effect with newly graduate nurses. Which statement by the newly hired nurses should the nurse recognize as effective understanding of the teaching?
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The health care provider prescribes an oral medication for a client. What priority nursing assessment should the nurse take prior to administering the medication?
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A client does not fit the study criteria for an experimental drug, but all other treatments have failed. What should the nurse recognize as the exception for the health care provider to petition the FDA for access to the experimental drug?
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A client has been taking thyroid hormone replacement for several years. During a follow-up clinic visit, assessment finding reveals the client lost 20 pounds in the past month. The client states, “I was getting fat, so I started taking an extra thyroid pill every day or so.” How should the nurse respond?
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The nurse is preparing to administer a medication approved for use in children to a pediatric client. The child’s parent asks whether the drug is safe for children. How should the nurse respond?
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The health care provider provider in the emergency room department prescribes an antibiotic to a newly admitted client. Prior to administering the antibiotic, the nurse asks the client if any other drugs have been taken today. The client responds, “Why do you need to know?” How should the nurse best respond?
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A client with hypertension is receiving nifedipine (Procardia XL). Which food choices for breakfast selected by the client should the nurse identify as the client needing additional medication education?
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A client is taking a statin drug. Which assessment findings should the nurse recognize as priority to report to the health care provider immediately?
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The health care provider prescribes aminoglycoside therapy for a client. Which symptom should the nurse assess for an indicator of potential toxicity?
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A client is admitted with a fever of 102.8° F (39.3° C), of unknown origin. Assessment reveals cloudy and dark amber color urine. The health care provider prescribes STAT urine and blood cultures and an antibiotic intravenously. In which sequence should the nurse complete these orders?
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During drug therapy for pneumonia, a female patient develops a vaginal superinfection. The client asks the nurse how did this occur. How should the nurse respond?
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The nurse is teaching a class on highly active antiretroviral therapy (HAART). Which statement by the client should the nurse recognize as a good understanding of teaching?
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A client is receiving a statin drug. Which priority assessment data should the nurse report to the health care provider?
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The nurse is teaching a client about lifestyle modifications to help manage hypertension. Which statement by the client should the nurse recognize as a good understanding of the teaching?
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The health care provider prescribes oral polystyrene sulfonate (Kayexalate) for a client with a potassium level of =6 mEq/L. What priority nursing action should the nurse take?
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A female client on the post partum unit is cleared for discharge home after successful normal spontaneous vaginal delivery (NSVD) of a baby girl 2 days ago. The client experienced gestational diabetes during the pregnancy and has a prescription for glyburide (Diabeta) a sulfonylurea and the nurse provided related teaching. Which statement by the client should the nurse recognize as a good understanding of the side effects and appropriate action to take for this medication?
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The health care provider prescribes a sulfonylurea glipizide (Glucotrol) for a client with diabetes. Prior to administering the medication, the nurse notes the client is allergic to sulfa. What action should the nurse take next?
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The nurse teaches a client about open-angle glaucoma. Which statement by the client should the nurse recognize as a good understanding of teaching?
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A client visits his MD office with complaints of weakness, fever, coughing and sore throat. The provider suspects a strep throat infection and prescribes azithromycin until the results of the throat culture. How should the nurse analyze the provider's order?
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An older adult client has hypothyroidism. Which assessment finding should the nurse report to the health care provider immediately?
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The health care provider prescribes Capoten (captopril) for a client and checks the box labeled “DAW” on the prescription form. How should the nurse analyze this prescription?
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The health care provider prescribes an eardrop for a 2-year-old client. Which instruction should the nurse include in the teaching session to the parents?
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The nurse is preparing to administer a buccal medication to a client. How should the nurse administer this medication?
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The nurse completes teaching for a client receiving latanoprost (Xalatan) eyedrop for glaucoma. Which statement by the client should the nurse recognize as a good understanding of teaching?
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The health care provider prescribes donepezil (Aricept) for a client with Alzheimer's disease. What medication education should the nurse provide to the family?
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The health care provider prescribes levodopa, carbidopa, and entacapone (Stalevo). During discharge teaching, the client reports taking aspirin, a multivitamin, and an antihistamine every day. How should the nurse respond?
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The nurse prepares to administer levodopa, carbidopa, and entacapone (Stalevo) to a client with Parkinson's disease, but observes the client has twitching of the eye and increased tremors, a sign of wearing off time. What changes in the drug therapy should the nurse discuss with the provider to reduce risk potential to the client?
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The nurse completes medication education for a client with epilepsy. What should the nurse identify as a priority client outcome?
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The health care provider prescribes a ketogenic diet for a client with seizure disorder to supplement pharmacotherapy. What food items should the nurse instruct the client to include in the diet plan?
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The health care provider prescribes prazosin (Minipress), an alpha-adrenergic blocker, for a client. What medication education should the nurse provide to the client?
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The nurse is preparing to administer an adrenergic drug intravenously. What nursing action should be included in the plan of care to reduce the risk potential to the client?
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A nurse is providing discharge teaching to a client prescribed nitroglycerine (Nitrostat) for relief of occasional stable angina. What statement by the client should be of concern to the nurse?
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The nurse is teaching a client how to self-administer an erythropoiesis-stimulating drug. Which instruction should the nurse include in the teaching session?
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The nurse observes a client not able to relax and analyses the behavior as an extrapyramidal adverse effect after receiving an antipsychotic medication. How should the nurse record this client behavior in the medical record?
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The health care provider prescribes chlorpromazine (Thorazine) in the treatment plan for a client with schizophrenia. The nurse assesses the client is experiencing extrapyramidal symptoms. What findings should the nurse recognize as tardive dyskinesia?
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The health care provider prescribes lithium (Eskalith) for a client with bipolar disorder who is in a manic phase. The laboratory personal to inform the nurse the client has a lithium level is 0.4mEq/L. What finding should the nurse likely expect to assess in this client?
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The nurse completes medication education for a client with bipolar prescribed lithium (Eskalith). What priority outcome should the nurse expect?
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The health care provider prescribes intravenous (IV) phenytoin (Dilantin) for a client. The nurse does not read the drug label and administers the medication intramuscularly (IM). What priority finding should the nurse anticipate and implement measures to reduce the risk potential?
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The health care provider prescribes phenytoin (Dilantin) for a client with type 1 diabetes mellitus. What should the nurse include in the plan of care when managing care for this client?
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The nurse is providing teaching to a client taking an oral tetracycline antibiotic. Which instruction should the nurse include in the teaching session?
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The nurse is teaching a client about cephalosporin antibacterial therapy. Which instruction should the nurse include in the teaching session?
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A staff nurse is reviewing the first-pass effect with a new graduate nurse and the influence this mechanism has on certain medications. Which medication stated by the new graduate nurse should the staff nurse recognize as a good understanding of a medication that is not influenced by the first-pass effect?
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Physical assessment during admission reveals a male client has excess cerumen in his ears. What action should the nurse take to remove the cerumen safely?
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The health care provider prescribes phenylephrine (Neo-Synephrine) for a client. What medication on the medical record should be of concern and warranted the need to draw attention to the health care provider prior to administering this drug?
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The nurse prepares to administer a medication to a male client. The client states he does not recognize the medication and will not take it. How should the nurse respond most therapeutically?
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The nurse is teaching a client how to use phenylephrine (Neo-Synephrine) nasal spray. What instructions should the nurse teach the client to perform to avoid systemic absorption?
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The nurse completes teaching for a client prescribed clozapine (Clozaril) by the health care provider for the treatment of schizophrenia. Which statement by the client should the nurse recognize as effective understanding of the teaching?
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The nurse completes medication education for a client prior to administering the prescribed dose of phenelzine (Nardil), a MAOI. Which statement by the client should the nurse recognize as effective understanding of the teaching?
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The nurse is planning to teach a class on immunity. What should the nurse include as part of the education on acquired passive immunity?
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The nurse is reviewing prescriptions prior to 1000 hours medication administration. Which prescription should the nurse clarify with the health care provider?
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The home health nurse is working with a homebound client receiving verapamil (Calan). What priority assessment should the nurse complete at each home health visit?
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The health care provider prescribes a sulfonamide drug for a female client who is 16 weeks pregnant to treat a urinary tract infection. The nurse is preparing to provide medication information and counseling to the client. What instruction should the nurse include in the teaching?
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The health care provider prescribes levodopa, carbidopa, and entacapone (Stalevo) for a client with Parkinsons. What medication education should the nurse provide to the client?
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