Question

A nurse is assisting in the care of a client in a clinic.

Answer 1

Correct Answers:

Heart rate
Sleep pattern
Temperature
Weight

Rationale :

✅ Heart rate

🔹 The client's heart rate decreased from 120/min to 95/min, indicating improvement following methimazole therapy.

🔹 Hyperthyroidism increases sympathetic nervous system activity and metabolic demand, commonly causing tachycardia and palpitations.

🔹 A heart rate of 120/min is significantly elevated and reflects the cardiovascular effects of excessive circulating thyroid hormones.

🔹 Methimazole inhibits thyroid hormone synthesis, gradually decreasing the amount of thyroid hormone produced by the thyroid gland.

🔹 As thyroid hormone levels decrease, sympathetic stimulation and cardiac workload also decrease.

🔹 The client's current heart rate of 95/min is within the expected adult range of 60 to 100/min, demonstrating cardiovascular improvement.

🔹 A decreasing heart rate reduces the client's risk for complications of uncontrolled hyperthyroidism, including dysrhythmias, atrial fibrillation, and heart failure.

🔹 Therefore, the decrease in heart rate from 120/min to 95/min is an objective finding indicating improvement in the client's condition.

✅ Sleep pattern

🔹 The client reports that insomnia has improved, indicating a positive response to treatment.

🔹 Hyperthyroidism causes nervous system overstimulation, which can result in insomnia, restlessness, irritability, and difficulty relaxing.

🔹 Excess thyroid hormone increases metabolic activity and makes it difficult for clients to achieve adequate restorative sleep.

🔹 Methimazole reduces thyroid hormone production, allowing excessive nervous system stimulation to gradually decrease.

🔹 Improved sleep demonstrates that the manifestations of hyperthyroidism are becoming less severe.

🔹 Better sleep can also improve energy levels, concentration, coping ability, and overall quality of life.

🔹 The client's improvement in insomnia should be compared with the initial finding of difficulty sleeping before treatment began.

🔹 Therefore, improvement in the client's sleep pattern indicates that methimazole therapy is having the desired therapeutic effect.

✅ Temperature

🔹 The client's temperature decreased from 37.8°C (100°F) to 37.2°C (99°F) after receiving methimazole.

🔹 Hyperthyroidism increases the basal metabolic rate and causes excessive production of body heat.

🔹 Clients with hyperthyroidism commonly experience heat intolerance, excessive sweating, warm skin, and mildly elevated body temperature.

🔹 Before treatment, the client had warm, moist skin and an elevated temperature, which supported excessive thyroid hormone activity.

🔹 Methimazole decreases thyroid hormone production, helping normalize metabolism and heat production.

🔹 The client's current temperature is closer to the expected normal range, indicating improved metabolic control.

🔹 The change from warm and moist skin to warm and dry skin also supports a reduction in excessive sweating and hypermetabolism.

🔹 Therefore, the decreased temperature indicates improvement in the client's hyperthyroid state.

✅ Weight

🔹 The client's weight increased from 53 kg (117 lb) to 55 kg (121 lb) during treatment.

🔹 Before treatment, the client experienced weight loss despite an increased appetite, a classic manifestation of hyperthyroidism.

🔹 Excess thyroid hormone accelerates metabolism, causing increased calorie consumption and breakdown of fat and muscle tissue.

🔹 Methimazole decreases thyroid hormone synthesis and helps restore the metabolic rate toward normal.

🔹 As the metabolic rate normalizes, the client is able to maintain body tissues and regain previously lost weight.

🔹 A gradual weight gain following treatment is an expected therapeutic response in a client who previously experienced hyperthyroidism-related weight loss.

🔹 The client's 2-kg (4-lb) weight gain provides objective evidence that excessive catabolism is decreasing.

🔹 Therefore, the client's weight gain indicates improvement in the condition and a positive response to methimazole therapy.

❌ Mood

🔹 The client continues to report anxiety, indicating that this manifestation has not yet improved.

🔹 Anxiety is associated with increased sympathetic and central nervous system stimulation caused by hyperthyroidism.

🔹 Because the client remains anxious, mood does not indicate improvement at this time.

❌ Abdominal findings

🔹 The client's abdomen was soft and non-tender with normoactive bowel sounds both before and after treatment.

🔹 There has been no meaningful change in the abdominal assessment, so this finding cannot demonstrate improvement.

🔹 Therefore, abdominal findings should not be selected.

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Answer 2

Correct Highlights :

Oxygen saturation: 88% on room air
Lethargy
Yellowing of sclera
Taking acetaminophen 650 mg every 3 hours

Rationale :

🫁 Oxygen saturation: 88% on room air

✅ Highlight this finding

➡️ An oxygen saturation of 88% indicates hypoxemia and impaired oxygenation.

➡️ The client has a history of COPD, increasing the risk for respiratory compromise.

➡️ The nurse should immediately assess respiratory status, provide oxygen as prescribed, and monitor for deterioration.

🧠 Lethargy

✅ Highlight this finding

➡️ New lethargy is a concerning change from the previous alert and oriented status.

➡️ It may indicate:

Decreased oxygen delivery to the brain

Metabolic changes

Liver dysfunction

Medication toxicity

➡️ In combination with jaundice and excessive acetaminophen use, lethargy suggests possible worsening hepatic injury.

🟡 Yellowing of sclera

✅ Highlight this finding

➡️ Yellow sclera indicates jaundice, which occurs when bilirubin accumulates in the body.

➡️ This may indicate impaired liver function.

➡️ The client is at increased risk for acetaminophen-induced hepatotoxicity, especially with a history of alcohol use disorder.

💊 Taking acetaminophen 650 mg every 3 hours

✅ Highlight this finding

➡️ The client is exceeding the safe daily acetaminophen limit.

➡️ Calculation:

650 mg × 8 doses/day = 5,200 mg/day

➡️ Excessive acetaminophen intake can cause:

Liver cell injury

Acute liver failure

Elevated liver enzymes

Jaundice

➡️ This finding requires immediate follow-up.

🤢 Nausea, vomiting, frequent loose stools, and abdominal pain for 2 days

✅ Highlight this finding

➡️ These gastrointestinal symptoms may indicate worsening liver injury or systemic illness.

➡️ Abdominal pain with nausea and vomiting can occur with acetaminophen toxicity.

➡️ Combined with jaundice and excessive medication use, this requires urgent evaluation.

💦 Diaphoresis and warm skin

✅ Highlight this finding

➡️ Diaphoresis may indicate a systemic response such as infection, medication toxicity, or metabolic stress.

➡️ This finding requires further assessment when combined with other abnormal findings.

❌ Findings That Do NOT Require Immediate Follow-Up

🦴 Back pain following a fall

➡️ This was the client’s original complaint and is being managed with physical therapy.

❤️ Heart rate 97/min

➡️ Within an acceptable range and does not indicate immediate instability.

🩺 Blood pressure 135/73 mm Hg

➡️ Slightly elevated but not an urgent finding.

🌡️ Temperature 37.9°C (100.2°F)

➡️ Mild temperature elevation; monitor but not the priority.

😣 Pain rating of 6/10

➡️ Requires pain management, but respiratory status and possible liver toxicity take priority.

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Answer 3

Correct Answers

Blank 1 Correct Option: inform the client to stop taking NSAIDS
Blank 2 Correct Option: encourage the client to avoid eating foods high in sodium

Rationale :

💉 Inform the client to stop taking NSAIDs

➡️ The client is taking ibuprofen 600 mg twice daily while also receiving prednisone (a glucocorticoid).

➡️ Combining NSAIDs with glucocorticoids increases the risk of gastrointestinal irritation, ulcers, and bleeding.

➡️ The nurse should notify the provider and teach the client about the increased risk associated with concurrent use.

➡️ Alternative pain management strategies may be needed to prevent complications.

🧂 Encourage the client to avoid eating foods high in sodium

➡️ Prednisone can cause fluid retention and sodium retention, which may lead to:

Peripheral edema

Weight gain

Increased blood pressure

➡️ The client already reports swelling in the extremities, suggesting fluid retention related to glucocorticoid therapy.

➡️ Limiting sodium intake helps reduce additional fluid accumulation.

➡️ The nurse should encourage a low-sodium diet while the client is taking prednisone.

❌ Incorrect Options:

💉 Remind the client to receive yearly immunizations to prevent infection

➡️ Clients taking methotrexate and prednisone are immunosuppressed and require infection prevention strategies.

➡️ However, some vaccines may require special consideration, and this is not the priority concern related to the current findings of edema and medication interactions.

🍌 Advise the client to avoid potassium-rich foods

➡️ Prednisone can cause potassium loss, which may lead to hypokalemia.

➡️ Clients taking glucocorticoids may actually need monitoring of potassium levels rather than avoiding potassium-rich foods.

🚫 Tell the client to stop taking the glucocorticoid once feeling better

➡️ Prednisone should not be stopped abruptly after ongoing use.

➡️ Sudden discontinuation can cause adrenal insufficiency because the body needs time to restore normal cortisol production.

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Answer 4

Correct Answers

Albuterol 2.5 mg/3 mL aerosol every 4 hr as needed for dyspnea [ Indicated ]
0.9% sodium chloride (NaCl) IV at 200 mL/hr [ contraindicated ]
Piperacillin-tazobactam 4.5 g IV every 6 hr [ contraindicated ]
Clindamycin 600 mg IV every 8 hr [ Indicated ]
Acetaminophen 325 mg PO every 6 hr as needed for temperature greater than 38.5°C (101.3°F) [ Indicated ]
Oxygen via nasal cannula at 8 L/min [ contraindicated ]

Rationale :

✅ Albuterol 2.5 mg/3 mL aerosol every 4 hr as needed for dyspnea

Classification: Anticipated ✅

🫁 Rationale:

🫁 The client has a history of chronic obstructive pulmonary disease (COPD), a condition characterized by chronic airflow limitation, bronchoconstriction, and difficulty moving air through the lungs.

🫁 Albuterol is a short-acting beta-2 adrenergic agonist bronchodilator that works by relaxing bronchial smooth muscle, causing airway dilation and improving airflow.

🫁 The client is experiencing worsening respiratory symptoms, including increased dyspnea, use of accessory muscles, and tripod positioning, which indicate increased work of breathing and possible bronchospasm.

🫁 Administering albuterol helps open narrowed airways, making it easier for the client to breathe and improving ventilation.

🫁 Improved airway diameter can decrease respiratory effort and help reduce symptoms such as chest tightness, wheezing, and shortness of breath.

🫁 The nurse should monitor the effectiveness of treatment by reassessing respiratory rate, breath sounds, oxygen saturation, and the client’s ability to breathe comfortably.

🫁 The nurse should monitor for adverse effects such as increased heart rate, tremors, nervousness, and palpitations because beta-agonists can stimulate the cardiovascular system.

🫁 Therefore, albuterol is an appropriate prescription because it directly addresses the client’s COPD-related breathing difficulty and supports improved respiratory function.

❌ 0.9% sodium chloride (NaCl) IV at 200 mL/hr

Classification: Contraindicated ❌

💧 Rationale:

💧 The client has a history of chronic kidney disease (CKD), meaning the kidneys have a reduced ability to regulate fluid balance and remove excess water from the body.

💧 Administering normal saline at a rapid rate of 200 mL/hr may place the client at risk for fluid accumulation because impaired kidneys cannot efficiently excrete the extra volume.

💧 Excess fluid can worsen respiratory status by increasing fluid in the lungs, leading to pulmonary congestion and impaired gas exchange.

💧 The client already demonstrates respiratory compromise with crackles, dyspnea, and oxygen saturation of 87%, making fluid overload especially dangerous.

💧 Signs of fluid overload that the nurse should monitor for include increased edema, weight gain, elevated blood pressure, worsening crackles, and increased shortness of breath.

💧 Clients with CKD require careful fluid management based on kidney function, urine output, laboratory results, and overall clinical condition.

💧 Although isotonic fluids may be appropriate in some cases of dehydration or hypotension, the infusion rate must be carefully controlled in clients with renal impairment.

💧 Therefore, administering 0.9% sodium chloride rapidly at 200 mL/hr should be questioned because it may worsen fluid overload and respiratory distress.

❌ Piperacillin-tazobactam 4.5 g IV every 6 hr

Classification: Contraindicated ❌

💊 Rationale:

💊 The client has a documented penicillin allergy, which is a major safety concern when administering piperacillin-tazobactam.

💊 Piperacillin belongs to the penicillin antibiotic class, meaning the medication may trigger an allergic reaction in this client.

💊 Allergic reactions can range from mild symptoms such as rash and itching to severe reactions such as anaphylaxis, bronchospasm, hypotension, and airway obstruction.

💊 The nurse must always verify medication allergies before administering antibiotics, especially beta-lactam medications.

💊 The client requires antibiotic therapy for suspected pneumonia, but the selected antibiotic must be safe based on allergy history.

💊 Alternative antibiotics that do not contain penicillin may be considered depending on the infection and provider recommendations.

💊 The nurse should monitor for signs of an allergic reaction if any antibiotic is administered, including swelling, difficulty breathing, and changes in blood pressure.

💊 Therefore, piperacillin-tazobactam should be questioned because the client’s penicillin allergy places them at risk for a potentially serious reaction.

✅ Clindamycin 600 mg IV every 8 hr

Classification: Anticipated ✅

🦠 Rationale:

🦠 The client’s findings, including fever, productive cough with rust-colored sputum, lung crackles, and chest x-ray changes, are consistent with a bacterial respiratory infection such as pneumonia.

🦠 Clindamycin is an antibiotic that provides coverage against certain bacteria responsible for respiratory infections.

🦠 This medication is a potential alternative for clients who cannot receive penicillin-based antibiotics due to allergy.

🦠 Treating bacterial pneumonia promptly helps reduce infection progression and prevents complications such as respiratory failure or sepsis.

🦠 The nurse should evaluate the effectiveness of antibiotic therapy by monitoring temperature, respiratory symptoms, sputum characteristics, and overall clinical improvement.

🦠 The nurse should monitor for adverse effects, especially diarrhea, because clindamycin increases the risk of Clostridioides difficile-associated diarrhea.

🦠 The client should be assessed for worsening infection signs such as persistent fever, increased oxygen needs, or declining respiratory status.

🦠 Therefore, clindamycin is an appropriate anticipated medication for treating pneumonia in a client with a penicillin allergy.

✅ Acetaminophen 325 mg PO every 6 hr PRN temperature greater than 38.5°C

Classification: Anticipated ✅

🌡️ Rationale:

🌡️ The client’s temperature increased to 38.7°C (101.6°F), which meets the prescribed parameter for administering acetaminophen.

🌡️ Acetaminophen is an antipyretic medication that works by reducing fever through effects on the hypothalamic temperature regulation center.

🌡️ Lowering fever can improve comfort, reduce body aches, and decrease metabolic demands caused by elevated body temperature.

🌡️ Fever management is important in clients with infection because prolonged fever can increase oxygen consumption and cardiovascular workload.

🌡️ The nurse should reassess the client’s temperature after administration to determine effectiveness.

🌡️ The nurse should monitor total daily acetaminophen intake to prevent liver toxicity, especially in clients with alcohol use history.

🌡️ The nurse should assess liver function concerns if the client has risk factors for impaired hepatic metabolism.

🌡️ Therefore, acetaminophen is an appropriate intervention for managing the client’s elevated temperature and discomfort.

❌ Oxygen via nasal cannula at 8 L/min

Classification: Contraindicated ❌

🫁 Rationale:

🫁 The client has COPD, which requires careful oxygen administration because some clients may develop worsening carbon dioxide retention when exposed to excessive oxygen levels.

🫁 Although the client has hypoxemia with an oxygen saturation of 87%, oxygen therapy should be carefully titrated to achieve the prescribed oxygen target.

🫁 High oxygen flow rates may contribute to worsening hypercapnia in susceptible COPD clients by affecting ventilation-perfusion balance and carbon dioxide elimination.

🫁 COPD clients commonly require controlled oxygen therapy rather than automatically receiving high concentrations of oxygen.

🫁 The nurse should monitor oxygen saturation, respiratory effort, mental status, and signs of carbon dioxide retention.

🫁 Appropriate oxygen therapy may involve lower-flow oxygen delivery depending on the client’s baseline oxygen requirements and provider orders.

🫁 The goal is to improve oxygenation while avoiding complications associated with excessive oxygen administration.

🫁 Therefore, oxygen at 8 L/min should be questioned and adjusted based on the client’s condition and prescribed oxygen target.

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Answer 5

Correct Answers:

Monitor for black, tarry stools.

Rationale :

💊 Clopidogrel is an antiplatelet medication that reduces platelet aggregation and decreases the risk of clot formation in clients with conditions such as unstable angina.

💊 Because clopidogrel prevents platelets from forming clots, it increases the risk of bleeding complications, including gastrointestinal bleeding.

💊 Black, tarry stools (melena) are a sign of upper gastrointestinal bleeding and should be reported immediately.

💊 The nurse should teach the client to monitor for other bleeding signs, including:

Unusual bruising

Bleeding gums

Nosebleeds

Blood in urine or stool

💊 The client should avoid activities and medications that increase bleeding risk unless approved by the provider.

💊 Early recognition of bleeding allows prompt evaluation and prevents serious complications.

💊 Therefore, monitoring for black, tarry stools is an important safety instruction for a client taking clopidogrel.

❌ Take with omeprazole if gastrointestinal upset occurs.

💊 Omeprazole can interfere with the activation of clopidogrel by inhibiting the CYP2C19 enzyme.

💊 Reduced activation can decrease clopidogrel effectiveness and increase the risk of clot formation.

❌ Remain upright for 30 min after taking clopidogrel.

💊 Remaining upright after medication administration is commonly taught for medications that irritate the esophagus, such as bisphosphonates.

💊 Clopidogrel does not require this positioning precaution.

❌ Take naproxen for musculoskeletal discomfort.

💊 Naproxen is an NSAID that can increase the risk of gastrointestinal bleeding.

💊 Combining NSAIDs with clopidogrel increases bleeding risk and should be avoided unless specifically prescribed.

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Answer 6

Correct Answers:

Orthostatic hypotension

Rationale :

🫁 Furosemide is a loop diuretic commonly prescribed for clients with congestive heart failure to reduce fluid overload.

🫁 It works by inhibiting sodium, potassium, and chloride reabsorption in the loop of Henle, increasing urine output.

🫁 Rapid fluid loss can decrease intravascular volume, leading to orthostatic hypotension, especially when the client moves from lying to standing.

🫁 The nurse should assess for dizziness, lightheadedness, or fainting during position changes.

🫁 Monitor blood pressure and pulse regularly, especially before ambulation.

🫁 Clients should be taught to rise slowly from sitting or lying positions to reduce risk.

🫁 Adequate hydration and monitoring intake/output are essential to prevent excessive volume depletion.

🫁 Orthostatic hypotension is a common and clinically significant adverse effect of furosemide that can lead to falls or injury if unmonitored.

❌ Hypoglycemia

🩸 Furosemide does not directly affect blood glucose levels; hypoglycemia is not an expected adverse effect.

❌ Hyperkalemia

🫀 Furosemide causes potassium loss, which can lead to hypokalemia, not hyperkalemia.

❌ Yellow-tinged vision

👁️ This is associated with digoxin toxicity, not loop diuretics like furosemide.

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Answer 7

Correct Answers:

"I might experience a change of color in my irises."

Rationale :

🫁 Latanoprost is a prostaglandin analog used to lower intraocular pressure in clients with open-angle glaucoma.

🫁 A common and expected side effect is gradual darkening of the iris, especially in clients with light-colored eyes.

🫁 The color change is usually permanent but does not affect vision.

🫁 This demonstrates that the client understands one of the key ocular effects of the medication.

🫁 The medication works by increasing aqueous humor outflow via the uveoscleral pathway.

🫁 The client should also be taught proper instillation technique to prevent contamination and maximize efficacy.

🫁 Hand hygiene and avoiding contact with the bottle tip are essential for safe administration.

🫁 The nurse should reinforce that latanoprost is typically administered once daily, in the evening.

❌ "I will take this medication in the morning."

🫁 Latanoprost is most effective when applied in the evening because it enhances the natural nocturnal increase in outflow.

❌ "I should store my unopened medication at room temperature."

🫁 Latanoprost should be refrigerated before opening to maintain potency.

🫁 Once opened, it may be stored at room temperature but should be discarded after the recommended period.

❌ "I will apply one drop and then wait 2 minutes before applying another."

🫁 This waiting period is relevant only if the client is using multiple ophthalmic medications.

🫁 For a single drop of latanoprost, a second drop is not typically required.

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Answer 8

Correct Answers:

"I should take this medication before I exercise."

Rationale :

🫁 Montelukast is a leukotriene receptor antagonist that prevents airway inflammation and bronchoconstriction.

🫁 It is used as a controller medication to prevent asthma symptoms, not for immediate relief of an acute attack.

🫁 Taking it before exercise helps prevent exercise-induced bronchospasm, a common trigger for asthma attacks.

🫁 Daily administration at a consistent time ensures therapeutic drug levels are maintained.

🫁 Proper timing reduces frequency and severity of asthma exacerbations.

🫁 Montelukast does not cause immediate bronchodilation, so pre-exercise use is preventive rather than rescue.

🫁 The client should monitor for side effects such as headache, abdominal pain, or mood changes, but benefits outweigh mild side effects.

🫁 Understanding the correct use improves medication adherence and asthma control, reducing ER visits and hospitalizations.

❌ Incorrect Answers

"I should take montelukast when I have an asthma attack."

🫁 Montelukast is not a rescue medication; it will not relieve acute bronchospasm.

🫁 Using it for attacks may delay appropriate treatment with a short-acting bronchodilator.

"I will rinse my mouth out with warm water after taking this medication."

🫁 Mouth rinsing is recommended for inhaled corticosteroids, not oral montelukast.

🫁 This step provides no benefit for systemic oral therapy.

"I will use a spacer on my inhaler when taking this medication."

🫁 Montelukast is an oral tablet, so a spacer is unnecessary.

🫁 Confusing administration route may reduce medication adherence.

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Answer 9

Correct Answers:

"Change positions slowly when moving from a sitting to a standing position."

Rationale :

🫁 Prazosin is an alpha-1 adrenergic blocker used to treat hypertension and sometimes benign prostatic hyperplasia.

🫁 It works by relaxing blood vessels, which lowers blood pressure.

🫁 A common adverse effect is orthostatic hypotension, especially after the first dose or when standing up quickly.

🫁 Changing positions slowly helps prevent dizziness, fainting, or falls associated with sudden drops in blood pressure.

🫁 Teaching clients about postural changes promotes safety at home.

🫁 Monitoring for lightheadedness when standing allows the nurse to assess tolerance to therapy.

🫁 Encouraging proper technique can improve adherence because clients feel confident in managing side effects.

🫁 Educating the client also reduces the risk of injury from falls and enhances overall quality of life while on prazosin.

❌ Incorrect Answers

"Notify your provider if you develop a sore throat while taking this medication."

🫁 Sore throat is not a common or expected side effect of prazosin.

🫁 Routine monitoring focuses on blood pressure and dizziness, not minor symptoms like sore throat.

"Take this medication as soon as you wake up."

🫁 Prazosin is typically taken at bedtime to reduce the risk of first-dose orthostatic hypotension.

🫁 Taking it in the morning increases risk of dizziness or falls during daily activities.

"Monitor for urinary retention while taking this medication."

🫁 Prazosin can improve urinary flow in men with BPH, not typically cause retention.

🫁 Monitoring focuses on blood pressure changes and hypotension, not urinary retention.

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Answer 10

Correct Answers:

Auscultation of crackles in the client's lungs

Rationale :

🫁 Crackles in the lungs may indicate fluid overload or pulmonary edema, which can occur during continuous IV therapy if the fluid rate exceeds the client’s tolerance.

🫁 Pulmonary edema is life-threatening and can lead to impaired gas exchange and hypoxemia if not addressed promptly.

🫁 Early recognition allows the nurse to stop or adjust the IV rate, administer diuretics if prescribed, and provide oxygen therapy as needed.

🫁 Continuous IV therapy introduces a risk for volume overload, especially in clients with heart or kidney dysfunction.

🫁 Auscultation of crackles is a direct sign of fluid accumulation in the alveoli, indicating an urgent need for intervention.

🫁 Delay in addressing pulmonary crackles can result in respiratory distress, hypoxia, or cardiac complications.

🫁 Monitoring respiratory status and lung sounds is critical for preventing serious complications associated with IV therapy.

🫁 This finding takes priority over fever, minor IV site leakage, or urinary retention, which are important but less immediately life-threatening.

❌ Incorrect Findings

Elevated temperature

🫁 May indicate infection but does not pose an immediate threat to airway or oxygenation.

🫁 Requires monitoring and possible cultures/antibiotics but is not as urgent as pulmonary compromise.

Leakage of IV fluid at the insertion site

🫁 Indicates infiltration or local irritation.

🫁 Needs intervention to prevent tissue damage, but it is less immediately life-threatening than pulmonary issues.

Urinary retention

🫁 May indicate obstruction or medication effect.

🫁 Requires assessment and intervention but is not as urgent as fluid in the lungs.

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Pharm Assessment 1

No.

1 :
A nurse is assisting in the care of a client in a clinic.

Answer Options

2 :
A nurse is assisting in the care of a client in a provider's clinic.

Correct Highlights :

3 :
A nurse is assisting in the care of a client in a clinic.

Correct Answers

4 :
A nurse is assisting in the care of a client.

Correct Answers

5 :
A nurse is reinforcing teaching with a client who has unstable angina and a new prescription for clopidogrel. Which of the following instructions should the nurse include in the teaching?

6 :
A nurse is caring for a client who has congestive heart failure and is taking furosemide. For which of the following adverse effects should the nurse monitor?

7 :
A nurse is reinforcing teaching with a client who is taking latanoprost for open-angle glaucoma. Which of the following statements by the client indicates an understanding of the teaching?

8 :
A nurse is reinforcing teaching with a client who has asthma and a new prescription for montelukast. Which of the following statements by the client indicates an understanding of the teaching?

9 :
A nurse is reinforcing discharge teaching with a client who has a new prescription for prazosin. Which of the following instructions should the nurse include in the teaching?

10 :
A nurse is collecting data from a client who is receiving continuous IV therapy. Which of the following findings is the nurse's priority?

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Prescriptions	Indicated	contraindicated
Albuterol 2.5 mg/3 mL aerosol every 4 hr as needed for dyspnea
0.9% sodium chloride (NaCl) IV at 200 mL/hr
Piperacillin-tazobactam 4.5 g IV every 6 hr
Clindamycin 600 mg IV every 8 hr
Acetaminophen 325 mg PO every 6 hr as needed for temperature greater than 38.5°C (101.3°F)
Oxygen via nasal cannula at 8 L/min

Pharm Assessment 1

No.

1 : A nurse is assisting in the care of a client in a clinic.

Answer Options

2 : A nurse is assisting in the care of a client in a provider's clinic.

Correct Highlights :

3 : A nurse is assisting in the care of a client in a clinic.

Correct Answers

4 : A nurse is assisting in the care of a client.

Correct Answers

5 : A nurse is reinforcing teaching with a client who has unstable angina and a new prescription for clopidogrel. Which of the following instructions should the nurse include in the teaching?

6 : A nurse is caring for a client who has congestive heart failure and is taking furosemide. For which of the following adverse effects should the nurse monitor?

7 : A nurse is reinforcing teaching with a client who is taking latanoprost for open-angle glaucoma. Which of the following statements by the client indicates an understanding of the teaching?

8 : A nurse is reinforcing teaching with a client who has asthma and a new prescription for montelukast. Which of the following statements by the client indicates an understanding of the teaching?

9 : A nurse is reinforcing discharge teaching with a client who has a new prescription for prazosin. Which of the following instructions should the nurse include in the teaching?

10 : A nurse is collecting data from a client who is receiving continuous IV therapy. Which of the following findings is the nurse's priority?

1 :
A nurse is assisting in the care of a client in a clinic.

2 :
A nurse is assisting in the care of a client in a provider's clinic.

3 :
A nurse is assisting in the care of a client in a clinic.

4 :
A nurse is assisting in the care of a client.

5 :
A nurse is reinforcing teaching with a client who has unstable angina and a new prescription for clopidogrel. Which of the following instructions should the nurse include in the teaching?

6 :
A nurse is caring for a client who has congestive heart failure and is taking furosemide. For which of the following adverse effects should the nurse monitor?

7 :
A nurse is reinforcing teaching with a client who is taking latanoprost for open-angle glaucoma. Which of the following statements by the client indicates an understanding of the teaching?

8 :
A nurse is reinforcing teaching with a client who has asthma and a new prescription for montelukast. Which of the following statements by the client indicates an understanding of the teaching?

9 :
A nurse is reinforcing discharge teaching with a client who has a new prescription for prazosin. Which of the following instructions should the nurse include in the teaching?

10 :
A nurse is collecting data from a client who is receiving continuous IV therapy. Which of the following findings is the nurse's priority?