A 75-year-old patient taking levofloxacin (Levaquin) reports all of the following new problems. For which problem does the nurse advise the patient to stop taking the drug immediately and notify the prescriber?

Which drug action is most likely to lower blood pressure?

Which age group should the pediatric nurse recognize as being vulnerable to events that lessen their feeling of control and power?

A mother calls the outpatient clinic requesting information on appropriate dosing for over-the-counter medications for her 13-month-old who has symptoms of an upper respiratory tract infection and fever. The box of acetaminophen says to give 120 mg q4h when needed. At his 12-month visit, the nurse practitioner prescribed 150 mg. The nurse’s best response is:

The nurse is caring for an 8-year-old child with type 1 diabetes. The nurse should teach the child to monitor for which manifestation of hypoglycemia?

A patient with septic shock has a BP of 70/46 mm Hg, pulse 136, respirations 32, temperature 104° F, and blood glucose 246 mg/dL. Which intervention ordered by the health care provider should the nurse implement first?

A patient with left-sided weakness that started 60 minutes earlier is admitted to the emergency department and diagnostic tests are ordered. Which test should be done first?

When auscultating the apical pulse of a client who has atrial fibrillation, the nurse would expect to hear a rhythm that is characterized by:

Which of the following blood tests is most indicative of cardiac damage?

Britney, a 20 y.o. student is admitted with acute pancreatitis. Which laboratory findings do you expect to be abnormal for this patient?

Cushing response, or Cushing's Triad is associated with:

The best diagnostic procedure available to the physician in determining pancreatitis is:

What is the underlying pathophysiology of all forms of shock?

Which oxygen delivery system would the nurse apply that would provide the highest concentrations of oxygen to the client?

The nurse is assessing a client who had a fractured femur repaired with an external fixator device. Which assessment finding would cause the nurse concern regarding the development of compartment syndrome? Select all that apply:

The nurse is assessing the functioning of a chest tube drainage system in a client with hemothorax. Which of the following findings should prompt the nurse to notify the physician?

The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. Which assessment would require the nurse’s immediate action?

An adult client’s insulin dosage is 10 units of regular insulin and 15 units of NPH insulin in the morning. The client should be taught to expect the first insulin peak:

Nurse Katriz is planning a client education program for sickle cell disease (SCD); what topics should be included in the plan of care?

A patient in shock has just been started on IV Dopamine at 5 mcg/kg/min. Which findings would the nurse evaluate as indication of a possible adverse effect of this therapy? Select all that apply.

A central line is inserted by the medical resident on an elderly patient. During the insertion, you assess the patient’s sudden shortness of breath. What does this symptom indicate?

The nurse assessing the newborn shortly after delivery notes that the infant is very jittery, irritable, and has a high- pitched cry. The nurse suspects that the mother took which substance during pregnancy?

Which assessment indicates to the nurse that the chest tube in a water seal drainage device is working correctly?

For what compensatory condition should the nurse carefully assess when the patient with metabolic acidosis is hyperventilating?

A patient’s intravenous (IV) injection has been infusing at a very high rate. What assessment indicates fluid volume overload in this patient?

A school nurse starts a clean-up campaign at a local elementary school in an effort to combat allergens. What is the most common allergic response disorder?

What sympathetic responses to pain might be assessed by the nurse?

What should be immediately reported by the nurse caring for a 90-year-old patient with a closed head injury?

Which three symptoms are characteristic of Cushing triad associated with increased ICP?

What should be a major focus in a teaching plan for a teenager with sickle cell anemia?

A child with sickle cell anemia is prescribed the drug hydroxyurea. What effect from the drug should the patient expect to have?

A nurse should include the proper use of an incentive spirometer in teaching a preoperative patient. What postoperative assessment of this patient would reveal that the incentive spirometry teaching has been effective?

Which set of findings best indicates that a patient with intestinal obstruction has achieved normal hydration?

A patient in acute pain is admitted with pancreatitis. A nurse reviews a laboratory report showing an elevation that is diagnostic for acute pancreatitis. Which laboratory report did the nurse most likely review?

What should a nurse often find in the medical history of a patient diagnosed with pancreatic disease?

A child is in the emergency department following an overdose of acetaminophen (Tylenol). What medication does the nurse anticipate administering?

The nurse is helping a new diabetic child pick breakfast from the menu. Which selection would require the nurse to reinforce dietary teaching for this child?

A neurologist is teaching about the region responsible for motor aspects of speech. Which area is the neurologist discussing?

A nurse is preparing to teach about erythropoietin. Which information should the nurse include? Erythropoietin is produced in the: