Question

A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following laboratory tests should the nurse review prior to administration?

Answer 1

Correct Answers:

PT

Rationale :

Warfarin affects the extrinsic pathway of coagulation and is monitored using PT (Prothrombin Time) and INR. PTT is used for heparin, not warfarin.

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Answer 2

Correct Answers:

A client receives their insulin 1 hr before scheduled.

Rationale :

Administering a medication more than 30 minutes outside of the prescribed time window is a medication error, especially for insulin, due to the risk of hypoglycemia.

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Answer 3

Correct Answers:

Oxycodone causes central nervous system depression.

Rationale :

Oxycodone, an opioid, depresses the CNS, which includes the respiratory center in the brainstem, leading to bradypnea (low respiratory rate).

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Answer 4

Correct Answers:

50

Rationale :

Volume=100 mL, Time=30 min, Drop factor=15 gtt/mL Rate=(100×15)÷30=1500÷30=50 gtt/min

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Answer 5

Correct Answers:

Reason

Rationale :

A complete PRN prescription must include dose, route, frequency, and reason for administration. “Reason” is missing in this order.

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Answer 6

Correct Answers:

Blood pressure

Rationale :

Nifedipine is a calcium channel blocker used to treat hypertension and angina. BP should be checked before administration to avoid hypotension.

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Answer 7

Correct Answers:

Blurred vision

Rationale :

Carbamazepine can cause visual disturbances, dizziness, and CNS side effects. It also carries a risk for bone marrow suppression.

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Answer 8

Correct Answers:

WBC count

Rationale :

✔Filgrastim stimulates neutrophil production, so its effectiveness is measured by increased WBC count, especially neutrophils.

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Answer 9

Correct Answers:

Administer IV dextrose.

Rationale :

✔If a client receiving parenteral nutrition develops hypoglycemia, immediate treatment with IV dextrose is required. ✔Stopping the infusion alone is not sufficient.

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Answer 10

Correct Answers:

Hypotension

Rationale :

✔Dopamine is used in septic shock to support blood pressure and cardiac output. ✔ A finding of hypotension suggests that the current dose is not sufficient, indicating a need to increase the infusion rate. ✔Headache and chest pain can indicate toxicity or overdose and require caution.

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QLexNursing

1 : A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following laboratory tests should the nurse review prior to administration?

2 : A nurse is caring for a group of clients. Which of the following situations requires an incident report?

3 : A nurse is assessing a client who has received oxycodone. The nurse notes that the clients respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client’s respiratory rate?

5 : A nurse is preparing to transcribe a prescription for a client that reads "ondansetron 8 mg by mouth every 12 hr PRN."

6 : A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration of the medication?

7 : A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?

8 : A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?

9 : A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?

10 : A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?