WGU RN HESI V2

WGU RN HESI V2

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53 terms Bon The nurse is administering sucralfate to a patient with stomatitis secondary chemotherapy. The patient wants to take the medication after breakfast. How should the nurse respond?Explain the need to take the medication at least one hour BEFORE meals When caring for a client with diabetes insipidus who is receiving an anti-diuretic hormone intranasally, which serum laboratory test is most important for the nurse to monitor?Osmolality The home health nurse observes a client self- administering an epinephrine injection, using an auto- injector pen. Which client action require requires intervention by the nurse?Cleanses the injection pen for re-use The nurse is reviewing the laboratory results of a client who reports taking five times the recommended daily allowance of vitamins and minerals in a multivitamin form.Which finding indicates a possible vitamin D overdose?Total calcium level 12 mEq/L (6 mmol/L) The nurse administers naloxone to a client with opioid- induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of

• breaths/minute, oxygen saturation of 75%, and is unable

to be aroused. Which action should the nurse implement?Administer a second dose of naloxone After receiving the third dose of a new oral anticoagulant prescription, an older client develops bleeding and tender gums, and has many new bruises. Which action(s) should the nurse implement? select all that apply.

• obtain a soft bristle toothbrush for client
• review most recent coagulation lab values
• Report findings to healthcare provider

A client who is experiencing vasomotor symptoms related to menopause receives a new prescription for estrogen replacement. Which client condition should the nurse report to the healthcare provider prior to administering the first dose of the medication?Pulmonary embolism A female client with a history of peptic ulcer disease receives a prescription for misoprostal. Which information provided by the client indicates to the nurse a need for further teaching?Begin therapy 1 week before the next normal menstrual cycle The nurse is caring for a client who takes methotrexate for rheumatoid arthritis receives a prescription for adalimumab. Which instructions should the nurse provide the client?Avoid crowds and people who are sick.The nurse administers the initial dose of cefoxitin to a client whose medical record indicates an allergy to penicillin. Which finding is most important for the nurse to report to the healthcare provider?Pruritis and macular rash The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?Administer iodine one hour before PTU.A client who is newly diagnosed with diabetes insipidus is receiving a synthetic vasopressin intravenously. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider?Worsening headache The nurse is assessing a client who was recently diagnosed with Parkinson's disease and is taking carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should the nurse implement first?Explore with the client means by the drug "is not working" The nurse is planning the home care of a client who is receiving a mydriatic medication. Which environment is best for this client?A dimly lit room.A client is admitted for observation with reports of progressively increasing fatigue over the past month and a brief episode of dizziness that occurred today. The client has a history of heartburn and indigestion that is self-treated with ibuprofen and antacids. Which assessment finding should the nurse report immediately to the healthcare provider?Positive guaiac stool

The nurse is providing medication teaching to a client with bipolar disorder who receives a prescription for lithium carbonate. Which instruction should the nurse emphasize with the client?Maintain a fluid intake of 1,500 to 3,000 mL per day.A client has a prescription for heparin 1000 unit IV stat.Several pre-filled syringes of low molecule weight heparin are available in the clients medication drawer.Which action should the nurse implement?Advise the pharmacy of the need to deliver a vile of heparin to the nursing unit immediately A client who was taking an oral contraceptive receiving new prescription for erythromycin. Which instruction should the nurse provide the client?Use an additional form of contraception Which intervention is most important for the nurse to implement for a client with type 2 diabetes mellitus who is receiving insulin Lispro?Provide meals at the same time this insulin is given Which assessment finding indicates to the nurse that the prescription botanical is effective for a client diagnosed with urinary retention?Urine output equal intake A client able to receiving metronidazole for clostridium difficile pseudomembranous colitis. Which information should the nurse include in this client's medication teaching plan?Avoid the use of alcohol A client with benign prostatic hyperplasia receiving a new prescription for tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?Monitor blood pressure A client with peptic ulcer disease receiving new prescription for cimetidine. Which statement provided by the client requires additional instruction by the nurse?Decrease cigarette use to a pack per day To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powder form of these combined medications. Which instruction should the nurse provide to this client's caregivers?Explain that the client should not use the discus more than twice daily A client who is taking dextroamphetamine- amphetamine extended release table tablets for attention deficit hyperactivity disorder (ADHD), reports about having difficulty sleeping at night. Which assessment is most important for the nurse to obtain?Determine what time the dose is taken The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI). Which laboratory finding indicates that the medication has been effective?Serum potassium level of 3.8 mEq/L (3.8 mmol/L).

The nurse is teaching a client who has been diagnosed with HIV about the antiretroviral medication regimen.Which statement provided by the client requires additional instruction by the nurse?Antiretroviral medication prevents the transmission of the virus.The nurse is administering the muscle relaxant baclofen by mouth (PO) to a client diagnosed with multiple sclerosis. Which intervention should the nurse implement?Advise the client to move slowly and cautiously when rising and walking.A client with plague psoriasis receives a new prescription for betamethasone valerate lotion. Which instructions should the nurse include in client teaching?Massage lotion into the psoriasis plagues On admission, the healthcare provider prescribes a broad spectrum anabiotic to a client with a gram-negative infection. Before administering the first dose, it is important for the nurse to implement which prescription?Wound and blood specimens for culture and sensitivity A client is receiving more being sulfate via a patient controlled analgesic (PCA) pump postoperatively. Which assessment finding should prompt the nurse to administer a prescribed PRN dose of naloxone?Respiratory rate of 7 breathes/minute