The client calls a clinic to renew the prescription for insulin being administered subcutaneously via an insulin pump. Which insuhn type, if prescribed by the HCP, should the nurse question?

The nurse completed teaching for the client who will be receiving TPN at home. Which client statement indicates that further teaching is needed?

Oral terbutaline is prescribed for the client with bronchitis. Which comorbidity most warrants the nurse’s close monitoring of the client following administration of terbutaline?

The client is admitted to the ED with tachypnea, tachycardia, and hypotension. The client has been taking theophylline for treatment of asthma and erythromycin for an upper respiratory tract infection. Which conclusion and action taken by the nurse is correct?

The nurse is assessing the client with herpes zoster. The nurse determines that acyclovir is an effective treatment when which finding is noted?

The nurse is assessing the laboratory test results for the male client receiving testosterone replacement therapy for treatment of hypogonadism. Which laboratory test result is most important for the nurse to review?

Two hours after administering iron dextran, the nurse is drawing the client’s blood sample for a laboratory test. Which intervention should the nurse implement when noting that the client’s blood has a brownish hue?

The client with GERD is taking Cimetidine. Which serum laboratory finding should the nurse determine is most conceming?

The client has a new prescription for metoclopramide- The nurse notifies the HCP because the client has a contraindication for meto- clopramide use. Which information in the client’s medical record most likely prompted the nurse’s notification of the HCP?

Ciprofloxacin is prescribed for the client to treat a UTI. Which information should the nurse stress when teaching the client about the medication?

The client with ulcerative colitis is started on sulfasalazine. The nurse overheats the client talking with family members about sulfasalazine and recognizes the need for more teaching when the client makes which statement?

The nurse is preparing to administer the client’s medication for treatment of TB. Which medication, if on the client’s MAR, should the nurse plan to administer?

The nurse is to administer vancomycin to the client diagnosed with sepsis. The client is to have a peak and trough level completed on this dose of vancomycin. Which action should the nurse initiate first?

The client has been successful at controlling gastroesophageal reflux symptoms without prescription medications. Which OTC medication should the nurse explore whether the client is taking for symptom control?

The nurse is caring for the client who has received sumatriptan. The nurse evaluates that surnatriptan has been an effective treatment when the client reports which change?

The nurse is caring for the client with CA receiving piroxicam. Which instruction is most important for the nurse to include in the medication teaching plan?

The client with COPD is prescribed salmeterol diskus inhaler and fluticasone Rotadisk inhaler. Which instruction should the nurse include to prevent the client from developing oropharyngeal candidiasis?

The nurse is caring for the client taking atorvastatin. The nurse should assess for which adverse effects?

Following a THR, the client asks the nurse, “Why am I receiving enoxaparin? With my last hip surgery, I was given a heparin injection.” What is the nurse’s best response?

The nurse applies a fentanyl transdermal patch to the client for the first time. Shortly after application, the client is experiencing pain. Which nursing action is most appropriate?

The HCP prescribes a second antihypertensive medication for the client who has poorly controlled BP on one medication. If prescribed, which medication combination should the nurse question?

The client using latanoprost eye drops for treatment of glaucoma calls the ophthalmology clinic after noting a brown pigmentation of the iris. Which nursing action is most appropriate?

The nurse administered phenylephrine eye drops to the client before perfonning an ophthalmoscopic eye examination. Which assessment finding should the nurse expect?

The client taking carbamazepine XR for seizure control reports that pieces of the medication are being passed into the stool. Which action by the nurse is most important?

The client with MS is prescrfbed baclofen. Which information is most important for the nurse to evaluate when caring for this client?

The nurse is initiating an IV infusion of lactated Ringer’s (LR) for the client in shock- What is the purpose of LR for this client?

The client is taking metolazone and diltiazem for treatment of hypertension. Which statement made by the client to the nurse indicates further teaching is needed?

The client with CRF receives a sodium polystyrene sulfonate enema. Which finding indicates that the medication is achieving the desired therapeutic effect?

The client has been receiving clonidine 0.1 mg via transdermal patch once every 7 days. The NA removes the patch with morning cares. Eight hours later, the nurse discovers that the clonidine patch is no longer present. Which assessment finding should be most conceming to the nurse?

The client calls a clinic 2 weeks after taking oral carbidopa—levodopa, stating that the medication has been ineffective in controlling the symptoms of PD. What nursing action is most important?

The nurse evaluates that pancrelipase is having the optimal intended benefit for the client with CF. Which assessment finding prompted the nurse’s conclusion?

The HCP prescribes 5% albumin for four clients. The nurse should consult with the HCP if 5% albumin is prescribed for which client?

The client taking glyburide 5 mg orally once daily presents in the ED with headache, flushing, nausea, and abdominal cramps. The client’s fingerstick blood sugar result is 56 mg/dL. Which question is most important for the nurse to ask the client?

The client with tonsillar cancer is receiving filgrastim. Prior to administering the next dose of filgrastim, the nurse notes that the client’s absolute neutrophil count is 11,000/mm3. What is the nurse’s best action?

The client is to receive a first dose of oral sulfamethoxazole l g every 12 hours for treatment of recurrent UTIs. Which information about the client should prompt the nurse to question the medication order?

The client, hospitalized with an exacerbation of SLE, is to receive methylprednisolone 20 mg IV q8h. Which intervention should the nurse anticipate being included in the client’s plan of care?

The client with advanced prostate cancer is receiving abarelix- Due to the effects of the medication, what should be the nurse’s priority?

The client with CRF is receiving epoetin alfa. Which finding should indicate to the nurse that the action of the medication has been effective?

The unresponsive client with DM is admitted to the ED with a serum glucose level of 35 mg/dL. Which medication should the nurse plan to administer?

The client is prescribed medications on hospital admission. Four days later the client’s serum creatinine level, which was normal at admission, is now 3.7 mg/dL. The nurse should contact the HCP regarding a dosage change for which medication?

The client who is to receive a scheduled dose of digoxin has an irregular apical pulse at 92 bpm and a serum potassium of 3.9 mEq/L. Which nursing documentation reflects the most appropriate action?

The client with Addison’s disease is taking fludroeortisone 100 meg orally once daily. Which statement made by the client regarding the fludro-cortisone therapy requires further teaching by the nurse?

The hospitalized client is prescribed to receive ferrous filmarate 200 mg oral daily. When transcribing the medication onto the client’s MAR, at which time in military time should the nurse schedule the daily dose for best absorption?

The client with chronic, stable angina telephones the clinic nurse and reports a headache lasting for several days after taking one dose of isosorbide mononitrate. The client also reports symptoms of orthostatic hypotension and palpitations. Which is the nurse’s best action?

The nurse is preparing to administer medications at 1700 to multiple clients with G1 problems. Which medication should be the nurse’s priority when the meal trays are due to arrive at 1700‘?