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WorksheetsNCLEX - Pharma and parenteral Day1 (Part 2)
Total questions: 10
Worksheet time: 10mins
Name
Class
Date
1.
The nurse has taught a client with newly diagnosed atrial fibrillation who is being discharged with a prescription for warfarin. Which of the following statements by the client would indicate a correct understanding of the teaching?
a)
Antibiotics can affect my INR value.
b)
I am going to eat more leafy green vegetables.
c)
I will take the medication at the same time every day.
d)
Black, tarry stools are expected while taking this medication.
e)
If I miss a dose of medication, I will double my dose the next day.
2.
The nurse is caring for a client who is receiving an infusion via a peripheral venous access device (VAD). The nurse notes fluid leaking from the VAD site, and the skin appears edematous and feels cool to the touch. Which of the following actions should the nurse take?
a)
Decrease the infusion rate.
b)
Discontinue the use of the VAD.
c)
Gently massage the edematous area.
d)
Flush the VAD to assess patency.
e)
Elevate the affected extremity.
3.
A client with multidrug-resistant tuberculosis (MDR-TB) has a 1-month follow up visit after beginning medication therapy. The client states, "I've had really bad nausea and fatigue, but because my cough has already improved, I knew it would be alright to stop taking the medications." The nurse identifies which priority nursing diagnosis (ND) in this client's care plan?
a)
Activity intolerance
b)
Imbalanced nutrition, less than body requirements
c)
Knowledge deficit of prescribed therapeutic regimen
d)
Nausea
e)
-
4.
The nurse is caring for a 64-year-old client taking newly prescribed amitriptyline for a recent herpes zoster infection and severe postherpetic neuralgia. What is the priority nursing action?
a)
Encourage increased fluid intake
b)
Provide the client with frequent rest periods
c)
Teach the client to change positions slowly
d)
Tell the client to wear sunglasses when outdoors
e)
-
5.
The nurse is teaching a client who has a newly inserted levonorgestrel-releasing intrauterine device. Which of the following information should the nurse include?
a)
The device will provide protection from pregnancy for up to 10 years.
b)
The use of oil-based personal lubricants can damage the device and should be avoided.
c)
Notify your health care provider if the string of the device feels longer or shorter after your menses.
d)
Placement of the device should be reassessed if you experience a significant change in body weight
e)
-
6.
The nurse is caring for a female client with liver cirrhosis and chronic anemia who is hospitalized for deep venous thrombosis. The client is receiving a heparin infusion and develops epistaxis. Which laboratory value would indicate that the heparin infusion needs to be turned off? Click the exhibit button for additional client information.
a)
activated PTT
b)
hematocrit
c)
platelets
d)
PT
e)
-
7.
The nurse is caring for a client who has gastroesophageal reflux disease and has been receiving long-term omeprazole therapy. The nurse should recognize that the client is at highest risk for developing
a)
1. jaw necrosis (8%)
b)
2. vision changes (15%)
c)
3. gait disturbance (18%)
d)
4. Clostridioides difficile infection (57%)
e)
-
8.
The nurse receives telephone messages from the following 4 clients. Which client should the nurse call back first?
a)
1. Client taking cyclosporine who reports swollen and bleeding gums for several days (15%)
b)
2. Client taking doxycycline who reports severe sunburn after sun exposure (3%)
c)
3. Client taking phenytoin who reports flu-like symptoms and a new painful skin rash (71%)
d)
4. Client taking sildenafil who reports dizziness when standing up from a seated position (9%)
e)
-
9.
The nurse is caring for a client who has active pulmonary tuberculosis and is receiving ethambutol. It would require immediate follow-up if the client reports
a)
1. dark-colored urine (11%)
b)
2. difficulty hearing (18%)
c)
3. blurred vision (62%)
d)
4. nausea (8%)
e)
-
10.
The nurse is caring for a client diagnosed with serotonin syndrome caused by overdose of citalopram and tramadol. Which of the following assessment findings does the nurse expect? Select all that apply.
a)
1. Absent deep tendon reflexes
b)
2. Agitation
c)
3. Hypoactive bowel sounds
d)
4. Shivering
e)
5. Tachycardia
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