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A nurse is assessing a client who is receiving intravenous therapy. The
nurse should identify which of the following findings as a manifestation
of fluid volume excess?
B. Distended neck veins
A nurse is caring for a client who has hyponatremia and is receiving an
infusion of a prescribed hypertonic solution. Which of the following
findings should indicate to the nurse that the treatment is effective? b.
Improved cognition
A nurse is teaching a client who has a new prescription for a nitroglycerin
transdermal patch. Which of the following instructions should the nurse
include?
D. "Remove the patch prior to going to bed."
A nurse is reviewing he laboratory results of a client who has a
prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr.
which of the following should the nurse report to the provider? D.
Potassium 5.2 mEq/L Hyperkalemia (serum potassium level greater than
5.0 mEq/L) increases the client risk for fatal cardiac dysrhythmias.
Kayexalate is used to decrease the serum potassium level, so the PN
should monitorthe client's serum potassium level
A nurse is caring for a client who has tuberculosis and is taking isoniazid
and rifampin.Which of the following outcomes indicates that the client is
adhering to the medicationregimen? a. The client has a negative sputum
culture
A nurse is caring for a client who develops an anaphylactic reaction to IV
administration.After assessing the client's respiratory status and stopping
the medication infusion.
Which of the following actions should the nurse take next? D. Administer
epinephrine IM
A nurse is caring for a client who is taking sertraline and reports a desire to
begin takingsupplements. Which of the following supplements should the
nurse advise the client to avoid? a. St. John's Wort
A nurse is caring for a client who has heart failure and a new prescriptionÂ
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