Question

14. A nurse is caring for a client who is taking gemfibrozil. Which of the following laboratory tests should the nurse monitor?

BUN

aPTT

Serum potassium

Liver function

28. A nurse is preparing to administer an IM injection to a child. Which of the following injection sites should the nurse select for administering the medication?

Ventrogluteal

Deltoid

Dorsogluteal

Vastus lateralis

6. A nurse is caring for a client who is hospitalized for major depression and has a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?

Insomnia

Weight loss

Bruxism

Confusion

33. A nurse is caring for a client who is receiving hospice care and has a prescription for fentanyl buccal film. Which of the following methods should the nurse use to administer this medication?

Instruct the client to swallow the medication with a sip of water.

Insert the medication against the mucous membrane of the cheek.

Place the medication on the client’s tongue for dissolution.

Dissolve the medication in water before administering it.

4. A client’s transdermal fentanyl was discontinued 2hr ago due to adverse effects. Which of the following findings is the priority for the nurse to document?

Heart rate

Respiratory rate

Bowel sounds

Activity level

17. A nurse is assessing a client who is receiving clindamycin. Which of the following findings should the nurse identify as an adverse effect of this medication?

Report of blurred vision

Watery diarrhea

Hypertension

Agitation

16. A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply.)

Decreased percentage of body fat

Polypharmacy

Multiple health problems

Increased rate of absorption

Decreased renal function

53. A charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following actions by the newly licensed nurse requires an incident report by the charge nurse?

A client who has a lithium level of 1.8 mEq/L receives her morning dose of lithium.

The nurse administers ondansetron to a client who has two episodes of vomiting after receiving meperidine 75 mg IM.

The nurse requests a higher dose of morphine for a client who reports severe pain 30 min after receiving morphine 2 mg IV bolus.

A client who has a blood glucose level of 120 mg/dL receives her morning dose of insulin.

Answer 1

14. D. Liver function test. . For chcking the liver enzyme etc. .

28. D. Vastus lateralis because there is no large blood supply. Less side effects and adequate amount of muscle mass.

6:-A insomnia is a adverse affect of the citalopram drug.

33:- B. Insert the medication against the mucous membrane of the cheek.

4. B:- respiratory rate should be checked first.

17. B:-Watery diarrhoea is an adverse affect of clindamycin.

16-Polypharmacy, Multiple health problem, decreased renal function

53:- A A client who has a lithium level of 1.8 mEq/L receives her morning dose of lithium.