Question

1. A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained-released capsule. Which of the following statements by the client indicates an understanding of the teaching?
   1. “I can take my medication in the morning with my coffee.”
   2. “I may sprinkle the medication in applesauce.”
   3. “I should limit my fluid intake while on this medication.”
   4. “I will need to have blood levels drawn.”
2. A nurse is assessing a client’s IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take?
   1. Show the IV solution rate
   2. Initiate a new IV distal to the initial site
   3. Maintain the extremity below the level of the heart
   4. Apply a warm, moist compress
3. A nurse is providing teaching to a client about the administration of omeprazole. Which of the following should the nurse include?
   1. “You cannot take this medication with an antacid.”
   2. “You should reduce your intake of calcium while taking this medication.”
   3. “You should take this medication before meals.”
   4. “You can take a second dose if symptoms persist up to 2 hours after the first dose.”
4. A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissue surrounding the insertion site. Which of the following actions should the nurse take?
   1. Flush the IV catheter
   2. Apply pressure to the IV site
   3. Elevate the extremity
   4. Slow the infusion rate
5. A nurse is assessing for allergies with a client who is scheduled to receive the influenza vaccine. Which of the following allergies should the nurse report to the provider as a possible contraindication to receiving the vaccine?
   1. Eggs
   2. Shellfish
   3. Peanuts
   4. Milk

Answer 1

1. Answer: B. "I may sprinkle the medication in applesauce.”

The above statement by the client indicates an understanding of the nurse's teaching. Theophylline, a sustained-released capsule can be opened and the contents can be sprinkled with applesauce and swallowed at once without chewing.

The other three options are not true for theophylline sustained-release capsules.

2. Answer: D. Apply a warm, moist compress.

When a nurse assessing a client’s IV infusion site notes that the site is cool and edematous, the nurse should apply a warm, moist compress. This is caused due to infiltration and the IV should be stopped, the device should be removed, the site elevated, and a warm moist compress should be applied.

The other three options are not the appropriate nursing actions for IV infiltration.

3. Answer: C. “You should take this medication before meals.”

A nurse providing teaching to a client about the administration of omeprazole should include the above. Omeprazole is taken before meals for optimal control of gastric acidity. This is a proton pump inhibitor that inhibits gastric acid secretion, so should be taken before meals.

The other three options are not required for omeprazole teaching.

4. Answer: C. Elevate the extremity.

A nurse assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissue surrounding the insertion site should take the above action.

The other three options are not meant for IV infiltration.

5. Answer: A. Eggs

A nurse assessing for allergies with a client who is scheduled to receive the influenza vaccine should report an allergy to eggs to the provider as a possible contraindication to receiving the vaccine. Eggs are the only food allergy that the influenza vaccine is related to, as it might contain egg or egg-related proteins.

The influenza vaccine doesn't contain the proteins of the other three options.