Podcast
Questions and Answers
During medication administration,
the nurse make a medication
error. What priority action should
the nurse take first after
discovering the medication error?
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 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 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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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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