A nurse is preparing a discharge teaching plan for a 6 year old client who has
asthma and several prescription medications using metered dose inhalers (MDIs).
Which of the following interventions should the nurse include in the plan?
A. Add a spacer to each MDI.
B. Instruct the child to inhale more rapidly than usual when using an mdi.
C. Request that the provider change the child’s medications from inhaled to oral
formulations.
D. Administer oxygen by facemask along with the MDI. – ANSWER
A. Add a spacer to each MDI.
A nurse is administering oral hydroxyzine to a client. Which of the following
adverse effects should the nurse instruct the client to expect?
A. Diarrhea
B. Anxiety
C. Nausea and vomiting
D. Dry mouth – ANSWER D. Dry mouth
A nurse in an outpatient facility is assessing a client who is prescribed furosemide
40 mg daily, but the client reports that she has been taking extra doses to
promote weight loss. Which of the following findings should indicate to the nurse
that the client is dehydrated?
A. Urine specific gravity 1.035
B. Distended neck veins
C. BUN 18 mg/dL
D. Bounding radial pulses – ANSWER A.
Urine specific gravity 1.035
A nurse is preparing a discharge teaching plan for a client who is to begin longterm oral prednisone for asthma. Which of the following instructions should the
nurse include in the plan?
A. Stop taking the medication if a rash occurs.
B. Take the medication on an empty stomach to enhance absorption.
C. Schedule the medication on alternate days to decrease adverse effects.
D. Treat shortness of breath with an extra dose of the medication. –
ANSWER C. Schedule the medication on alternate
days to decrease adverse effects.
A nurse is providing teaching to a client who has hypertension and type 1
diabetes mellitus and a new prescription for metoprolol. Which of the following
statements by the client indicates an understanding of the teaching?
A. “I might have difficulty recognizing when my blood sugar is low.”
B. “I will have less risk for developing an infection while I take this medication.”
C. “I should be concerned about losing excess weight while I take this
medication.”
D. “I could have more problems with high blood sugars while taking this
medication.” – ANSWER A. “I might have
difficulty recognizing when my blood sugar is low.”
A nurse is preparing to administer ampicillin 500 mg in 50 ml of dextrose 5% in
water [D5W] to infuse over 15 minutes. The drop factor of the manual IV tubing is
10 gtt./ml. The nurse should set the manual IV infusion to deliver how many
gtt./min? – ANSWER 33 gtt/min
A nurse is planning to administer epoetin alfa to a client who has chronic kidney
failure. Which of the following data should the nurse plan to review prior to
administration of this medication?
A. Blood pressure
B. Temperature
C. Blood glucose levels
D. Total protein level – ANSWER A. Blood
pressure