WorksheetsNursing Care and Pharmacology — Worksheet Extraction
Total questions: 132
Worksheet time: 1hrs 6mins
A nurse is preparing to administer furosemide 40 mg IV to a client with heart failure. Which assessment finding requires the nurse to withhold the medication and notify the provider?
Serum potassium level of 3.1 mEq/L
Blood pressure of 138/82 mm Hg
Heart rate of 88/min
Urine output of 900 mL in 8 hours
A nurse is caring for a client who is receiving a blood transfusion. The client reports chills, headache, and back pain. Which of the following actions should the nurse take first?
Stop the transfusion.
Notify the provider.
Check the client’s vital signs.
Maintain IV access with normal saline.
A nurse is reinforcing teaching with a client who has hypertension about taking lisinopril. Which of the following statements indicates understanding?
“I will avoid using salt substitutes while on this medication.”
“I should increase my potassium intake.”
“I’ll take this medication with a glass of milk.”
“If I develop a cough, I should continue taking it.”
A nurse is assessing a client who has been receiving morphine for postoperative pain. Which finding is the nurse’s priority?
Constipation
Urinary retention
Respiratory rate of 8/min
Nausea and vomiting
(Select all that apply) A nurse is providing discharge teaching for a client prescribed warfarin. Which instructions should the nurse include?
Use an electric razor for shaving.
Avoid foods high in vitamin K.
Report black, tarry stools to the provider.
Take aspirin for headaches.
Expect mild bleeding from gums.
A nurse is caring for a client who has a new prescription for digoxin. Which of the following findings should prompt the nurse to hold the dose and notify the provider?
Apical pulse of 58/min
Blood pressure of 128/76 mm Hg
Respiratory rate of 20/min
Temperature of 98.6°F (37°C)
A nurse is reinforcing teaching with a client who has newly diagnosed diabetes mellitus and is prescribed metformin. Which statement by the client indicates understanding?
“This medication helps my pancreas produce more insulin.”
“I should avoid alcohol while taking this medication.”
“If I skip a meal, I should double my next dose.”
“I may experience weight gain while taking this drug.”
A nurse is assessing a client with chronic obstructive pulmonary disease (COPD). Which finding indicates the need for immediate intervention?
Productive cough
Barrel-shaped chest
Oxygen saturation of 82%
Use of accessory muscles with exertion
A nurse is caring for a client who is on contact precautions for Clostridium difficile. Which PPE should the nurse wear when providing perineal care?
Gloves and gown
Mask and gloves
Gown and face shield
Mask and gown
A nurse is reviewing laboratory results for a client receiving heparin therapy for deep vein thrombosis. Which finding indicates therapeutic effectiveness?
INR 1.0
aPTT 65 seconds
Platelet count 90,000/mm³
Hgb 15 g/dL
A nurse is preparing to administer medications via a nasogastric tube. Which of the following actions should the nurse take first?
Flush the tube with 30 mL of water.
Verify tube placement.
Mix all medications together.
Crush enteric-coated tablets for administration.
A nurse is caring for a client who has a chest tube connected to a closed drainage system. Which of the following findings requires immediate intervention?
Continuous bubbling in the water seal chamber
Tidaling in the water seal chamber
Drainage of 50 mL/hour
Occlusive dressing over insertion site
A nurse is caring for a client prescribed levothyroxine. Which instruction should the nurse include in teaching?
Take the medication with breakfast.
Expect to feel drowsy for a few weeks.
Take the medication at the same time each day on an empty stomach.
Stop the medication if you experience weight loss.
A nurse is reinforcing teaching for a client with heart failure about foods high in potassium. Which food should the nurse recommend?
Cucumber
Apple
Banana
Lettuce
(Prioritization) A nurse is caring for four clients. Which client should the nurse assess first?
A client with pneumonia reporting shortness of breath
A client with diabetes scheduled for discharge
A client receiving antibiotics for a urinary tract infection
A client awaiting transfer after an appendectomy
A nurse is caring for a client with a newly inserted central venous catheter. Which of the following actions should the nurse take first?
Flush the line with normal saline.
Obtain a chest x-ray to verify placement.
Begin the prescribed IV infusion.
Change the dressing using sterile technique.
A nurse is assessing a client who has cirrhosis. Which finding should the nurse expect?
Decreased serum bilirubin
Elevated ammonia levels
Increased platelet count
Hypoactive bowel sounds
(Select all that apply) A nurse is reinforcing teaching for a client who has iron-deficiency anemia. Which foods should the nurse recommend?
Spinach
Lean red meat
Citrus fruits
Whole milk
Legumes
A nurse is preparing to administer metoprolol to a client. Which of the following findings should cause the nurse to withhold the medication and notify the provider?
Pulse 52/min
Blood pressure 138/80 mm Hg
Respirations 18/min
Temperature 98.6°F (37°C)
(Prioritization) A nurse is caring for four clients. Which should the nurse assess first?
A client who received insulin 1 hour ago and now reports diaphoresis
A client scheduled for physical therapy in 30 minutes
A client who requests medication for chronic back pain
A client who has an order for a routine dressing change
A nurse is caring for a client with a tracheostomy. Which of the following indicates proper suctioning technique?
Apply suction while inserting the catheter.
Limit each suction pass to 10–15 seconds.
Use a clean glove on the dominant hand.
Perform suctioning every 30 minutes routinely.
A nurse is reinforcing discharge teaching for a client who has a new prescription for nitroglycerin sublingual tablets. Which statement indicates understanding?
“I will take the medication on an empty stomach.”
“If I have chest pain, I can take up to three tablets, five minutes apart.”
“I will store my tablets in a pill organizer.”
“I should swallow the tablets whole.”
(Select all that apply) A nurse is planning care for a client with peripheral arterial disease (PAD). Which interventions should the nurse include?
Encourage walking until pain begins, then rest.
Keep the legs dependent when sitting.
Apply warm compresses to the affected extremities.
Elevate the legs above the heart when resting.
Avoid crossing the legs.
A nurse is caring for a client with newly diagnosed type 1 diabetes. Which finding supports the diagnosis?
Polyuria
Weight gain
Bradycardia
Decreased thirst
A nurse is caring for a client in labor receiving oxytocin by IV infusion. Which of the following findings requires immediate action by the nurse?
Contraction duration of 70 seconds
Fetal heart rate of 100/min
Resting uterine tone of 15 mm Hg
Contraction frequency every 3 minutes
(Select all that apply) A nurse is teaching a client with chronic kidney disease about dietary management. Which foods should the nurse instruct the client to limit?
Bananas
Oranges
Chicken
Tomatoes
Cauliflower
A nurse is caring for a client with schizophrenia who states, “The government is watching me through the TV.” Which response is appropriate?
“That’s not true. The TV can’t see you.”
“Tell me more about how you feel when you watch TV.”
“You’re safe here; no one is watching you.”
“You should turn off the TV if it makes you anxious.”
A nurse is reviewing laboratory results for a client taking furosemide. Which value should the nurse report to the provider?
Sodium 138 mEq/L
Potassium 2.8 mEq/L
Chloride 100 mEq/L
BUN 16 mg/dL
attend to first?
A client who received pain medication 30 minutes ago for 8/10 pain
A client with COPD whose oxygen saturation is 86% on room air
A client scheduled for surgery who needs pre-op teaching
A client requesting assistance to ambulate to the bathroom
A nurse is caring for a client who is 36 weeks gestation and reports severe right upper quadrant pain and visual disturbances. Which condition should the nurse suspect?
Preeclampsia with severe features
Placenta previa
Hyperemesis gravidarum
Gestational diabetes mellitus
A nurse is providing education to a postpartum client about preventing mastitis. Which statement indicates understanding?
“I will alternate formula and breastfeeding.”
“I will avoid wearing a tight-fitting bra.”
“I will wash my nipples with soap after each feeding.”
“I will limit fluid intake while breastfeeding.”
A nurse is reinforcing teaching for a client who has postpartum depression. Which of the following statements should the nurse make?
“You should avoid discussing your feelings to prevent distress.”
“Postpartum depression is common and treatable with support and therapy.”
“Symptoms should resolve within a few days after delivery.”
“You should stop breastfeeding to rest more.”
A nurse is assessing a newborn who is 1 hour old. Which finding requires immediate intervention?
Respiratory rate of 68/min with nasal flaring
Acrocyanosis of the hands and feet
Overlapping sutures on the skull
Irregular heart rate of 140/min
A nurse is teaching a pregnant client about iron supplementation. Which instruction should the nurse include?
Take iron with milk to prevent nausea.
Take iron with orange juice to enhance absorption.
Lie down after taking iron to prevent dizziness.
Avoid foods rich in vitamin C while taking iron.
A nurse is reinforcing teaching for a client with bipolar disorder who is prescribed lithium carbonate. Which statement indicates a need for further teaching?
“I will drink plenty of fluids throughout the day.”
“I can continue using ibuprofen for headaches.”
“I should have my blood levels checked regularly.”
“I will maintain consistent sodium intake.”
A nurse is assessing a client who is receiving haloperidol. Which of the following findings requires immediate intervention?
Dry mouth
Constipation
Muscle rigidity and high fever
Photosensitivity
A nurse is caring for a client experiencing alcohol withdrawal. Which medication should the nurse anticipate administering?
Disulfiram
Diazepam
Haloperidol
Methadone
A nurse is reinforcing teaching for a client who follows a vegan diet. Which food should the nurse recommend to prevent vitamin B12 deficiency?
Fortified cereals
Whole milk
Eggs
Chicken
A nurse is providing dietary teaching to a client who has hypertension. Which instruction should the nurse include?
Limit sodium intake to 2,000 mg per day.
Increase saturated fats for energy.
Avoid potassium-rich foods.
Use canned vegetables for convenience.
A nurse is caring for a client who has bulimia nervosa. Which electrolyte imbalance is most likely?
Hyperkalemia
Hypokalemia
Hypernatremia
Hypercalcemia
A nurse is reinforcing discharge instructions for a client prescribed phenelzine. Which statement indicates understanding?
“I can eat foods like aged cheese and pepperoni.”
“I should change positions slowly to prevent dizziness.”
“I will stop taking the medication if I feel anxious.”
“I can take pseudoephedrine for congestion.”
A nurse is planning care for a client receiving total parenteral nutrition (TPN). Which action should the nurse include?
Discontinue the infusion abruptly if the bag runs out.
Monitor blood glucose levels every 4–6 hours.
Change the TPN tubing every 72 hours.
Administer lipids via the same line without a filter.
A nurse is caring for a client in the second stage of labor. Which action should the nurse take?
Encourage the client to bear down during contractions.
Instruct the client to ambulate to facilitate descent.
Apply fundal pressure to expedite delivery.
Discourage breathing techniques.
A nurse is caring for a client who reports chest pain. Which of the following actions should the nurse take first?
Obtain a 12-lead ECG.
Administer sublingual nitroglycerin.
Assess the client's pain characteristics.
Check the client’s vital signs.
A nurse is reviewing discharge instructions with a client who has chronic obstructive pulmonary disease (COPD). Which statement indicates understanding?
“I will increase my oxygen flow rate if I feel short of breath.”
“I will drink plenty of fluids to thin my secretions.”
“I will rest after meals to conserve energy.”
“I will use a humidifier only during the summer months.”
A nurse is caring for a client who is receiving enteral feedings via a nasogastric tube. Which of the following actions should the nurse take to prevent aspiration?
Flush the tube before and after feedings.
Maintain the head of the bed at 30–45 degrees during feeding.
Check placement once per day.
Warm the formula before administration.
A nurse is educating a group of assistive personnel about infection control. Which action requires intervention?
Placing linens on the floor during bedmaking.
Using gloves when handling bodily fluids.
Performing hand hygiene before and after patient care.
Disposing of sharps in a puncture-proof container.
A nurse is developing a teaching plan for fire safety in the hospital. Which of the following actions should be taken first in case of fire?
Activate the fire alarm.
Rescue patients in immediate danger.
Close all doors and windows.
Use a fire extinguisher on visible flames.
A nurse manager is addressing a medication error that occurred on the unit. Which of the following actions represents a leadership role?
Blaming the individual responsible for the error.
Encouraging open communication and root cause analysis.
Reporting the error to the state nursing board.
Increasing staff workload to compensate.
A charge nurse is planning assignments for the shift. Which task can be delegated to an assistive personnel (AP)?
Feeding a client with dysphagia.
Measuring intake and output for a stable client.
Administering oral medications.
Assessing a client’s pain level.
A nurse is caring for a group of clients. Which infection control precaution is appropriate for a client with tuberculosis?
Contact precautions
Droplet precautions
Airborne precautions
Protective isolation
A nurse is reinforcing teaching with a client about preventing osteoporosis. Which instruction should the nurse include?
Engage in weight-bearing exercises regularly.
Limit calcium intake to reduce risk of stones.
Avoid sunlight to prevent vitamin D toxicity.
Consume low-protein meals.
A nurse is preparing to insert an indwelling urinary catheter in a female client. Which action should the nurse take first?
Lubricate the catheter tip.
Don sterile gloves.
Provide perineal care.
Explain the procedure to the client.
A nurse is planning a teaching session for community members about hypertension prevention. Which information should be included?
Maintain a diet high in saturated fats.
Engage in moderate exercise most days of the week.
Restrict potassium intake.
Avoid routine blood pressure monitoring.
A nurse is caring for a postoperative client who suddenly develops shortness of breath and chest pain. Which action should the nurse take first?
Apply oxygen via nonrebreather mask.
Notify the provider.
Elevate the client’s legs.
Obtain an arterial blood gas sample.
A nurse is reviewing medication orders for four clients. Which order should the nurse question?
Digoxin 0.25 mg PO daily for a client with apical pulse 54/min.
Furosemide 40 mg IV for a client with edema.
Metformin 500 mg PO for a client with type 2 diabetes.
Enoxaparin 40 mg subcutaneous daily for a post-op client.
A nurse is developing a care plan for a client who has major depressive disorder. Which intervention is appropriate?
Encourage isolation to promote rest.
Provide frequent positive reinforcement for small achievements.
Avoid discussing the client’s feelings of hopelessness.
Schedule multiple activities throughout the day.
A nurse is assessing a client who is postoperative following abdominal surgery. Which finding should the nurse report to the provider?
Absent bowel sounds after 4 hours
Small amount of serosanguineous drainage on the dressing
Wound edges well approximated
Temperature of 101.5°F (38.6°C)
A nurse is reinforcing teaching for a client prescribed furosemide. Which client statement indicates understanding?
I will eat foods high in potassium.
I should limit my fluid intake.
I will take this medication before bedtime.
I should expect my urine to turn orange.
A nurse is caring for a client with chronic heart failure. Which dietary instruction should the nurse provide?
Limit sodium intake to 2 grams per day.
Increase fluid intake to prevent dehydration.
Avoid potassium-rich foods.
Consume three large meals daily.
A nurse is assessing a client who is receiving IV vancomycin. Which finding requires immediate intervention?
Red rash on the face and neck
Mild nausea
Headache
Fatigue
A nurse is preparing to administer blood to a client. Which action should the nurse take?
Use a 24-gauge IV catheter.
Verify client identity with another nurse.
Warm the blood before transfusion.
Hang the unit for up to 6 hours.
A nurse is reinforcing teaching with a client who has peptic ulcer disease about avoiding ulcer recurrence. Which statement indicates understanding?
I will avoid taking NSAIDs.
I should increase my coffee intake.
I can smoke occasionally.
I should take aspirin with meals.
A nurse is providing care for a client with Parkinson’s disease. Which of the following findings should the nurse expect?
Bradykinesia
Increased arm swing while walking
Hyperactive reflexes
Expressive aphasia
A nurse is reinforcing teaching for a client prescribed digoxin. Which symptom should the client report immediately?
Increased appetite
Blurred or yellow vision
Mild headache
Constipation
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which laboratory finding requires intervention?
Blood glucose 320 mg/dL
Albumin 4.2 g/dL
Sodium 138 mEq/L
Potassium 4.0 mEq/L
A nurse is reviewing lab results for a client with chronic kidney disease. Which finding should the nurse expect?
Increased serum creatinine
Decreased BUN
Hypokalemia
Low phosphorus levels
A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). Which dietary recommendation should the nurse provide?
High-calorie, high-protein meals
Low-fat, low-calorie meals
Increase carbohydrate intake
Restrict sodium to 1 g/day
A nurse is caring for a client who has schizophrenia and is prescribed clozapine. Which finding should the nurse report immediately?
White blood cell count of 2,000/mm³
Weight gain of 2 kg in a week
Dry mouth
A nurse is reinforcing teaching with a client about the DASH diet. Which statement indicates understanding?
“I should eat more fruits, vegetables, and whole grains.”
“I can have unlimited red meat as long as it’s lean.”
“I should restrict potassium and magnesium.”
“I can replace milk with soda for calcium intake.”
A nurse is caring for a client receiving heparin for deep vein thrombosis. Which laboratory value should the nurse monitor to evaluate effectiveness?
aPTT
PT/INR
Hemoglobin
Platelet count
A nurse is caring for a client experiencing alcohol withdrawal. Which of the following interventions should the nurse implement?
Provide a dimly lit, quiet environment.
Restrict fluids to prevent overhydration.
Administer haloperidol to prevent tremors.
Encourage group therapy participation immediately.
A nurse is reviewing infection control practices with a new staff member. Which of the following actions demonstrates correct technique?
Reusing gloves between patients if not visibly soiled.
Placing soiled dressings on the bedside table.
Recapping used needles before disposal.
Washing hands with soap and water after removing gloves.
A nurse is caring for a client who suddenly becomes unresponsive. Which action should the nurse take first?
Call for help.
Obtain the crash cart.
Start chest compressions.
Check the client's airway and breathing.
A nurse is monitoring a client with a chest tube. Which finding should the nurse report to the provider immediately?
Occlusive dressing intact at the insertion site
Drainage of 20 mL in the past hour
Sudden cessation of tidaling in the water seal chamber
Intermittent bubbling in the suction control chamber
A nurse is reviewing medication instructions with a client who is prescribed warfarin. Which of the following statements indicates the client understands the teaching?
“I should take aspirin for headaches.”
“I can eat as many green leafy vegetables as I want.”
“I will have my blood tested regularly while taking this medication.”
“I can stop the medication once I feel better.”
A nurse is caring for a client who is receiving digoxin for heart failure. Which finding should the nurse report to the provider immediately?
Blood pressure of 130/80 mm Hg
Respiratory rate of 18/min
Heart rate of 58/min
Temperature of 37°C (98.6°F)
A nurse is reinforcing teaching with a client who has iron deficiency anemia about taking ferrous sulfate. Which instruction should the nurse include?
Take the medication with milk to reduce stomach upset.
Crush the tablets before swallowing.
Take the medication at bedtime with food.
Take the medication with orange juice to enhance absorption.
A nurse is teaching a postpartum client about signs of mastitis. Which symptom should the client report to the provider?
Redness and warmth in one breast
Mild nipple tenderness
Engorgement in both breasts
Leaking of colostrum
A nurse is preparing to administer medication through a nasogastric tube. Which action should the nurse take to prevent tube obstruction?
Use cold water to flush the tube
Administer all medications at once
Skip flushing if the tube is patent
Flush the tube before and after each medication
A nurse is teaching a pregnant client about iron supplements. Which food should the nurse recommend to enhance iron absorption?
Spinach
Orange slices
Cheese
Black tea
A nurse is caring for a client who is prescribed warfarin. Which laboratory value should the nurse monitor to determine the effectiveness of the therapy?
Creatinine
INR
Serum potassium
Blood glucose
A nurse is reinforcing teaching for a client who is scheduled for a colonoscopy. Which instruction should the nurse include?
Begin a clear liquid diet the day before the procedure.
Drive yourself home after the procedure.
Take all regular medications the morning of the procedure.
Expect to resume a normal diet immediately after the procedure.
A nurse is assessing a client who has a history of asthma. Which finding indicates the client is experiencing an adverse effect of albuterol?
Increased heart rate
Bradycardia
Hypotension
Decreased respiratory rate
A nurse is caring for a client who is prescribed warfarin. Which laboratory value should the nurse monitor to determine the medication’s effectiveness?
INR
Hemoglobin
Platelet count
White blood cell count
A nurse is reinforcing teaching with a client who has heart failure and is prescribed furosemide. Which instruction should the nurse include?
Weigh yourself daily at the same time
Take the medication at bedtime
Limit fluid intake to 3 liters per day
Increase sodium in your diet
A nurse is caring for a client who is receiving morphine for pain management. Which finding should the nurse report to the provider immediately?
Nausea
Respiratory rate of 8/min
Constipation
Mild drowsiness
A nurse is monitoring a client who is receiving digoxin therapy. Which laboratory value should the nurse report to the provider before administering the next dose?
Sodium 140 mEq/L
Potassium 3.0 mEq/L
Calcium 9.2 mg/dL
Magnesium 2.0 mEq/L
A nurse is caring for a client with COPD who is experiencing increased shortness of breath. Which intervention should the nurse implement first?
Obtain a sputum sample
Encourage the client to drink fluids
Place the client in high-Fowler’s position
Administer a bronchodilator as prescribed
A nurse is reviewing the medication administration record for a client with heart failure. Which medication should the nurse question if the client’s potassium level is 2.7 mEq/L?
Spironolactone
Lisinopril
Furosemide
Metoprolol
A nurse is caring for a client who is at risk for falls. Which intervention should the nurse implement to promote safety?
Keep the bed in the lowest position.
Place all personal items out of reach.
Turn off the call light at night.
Encourage the client to ambulate without assistance.
A nurse is reviewing the laboratory results of a client receiving warfarin therapy. Which value should the nurse report to the provider?
INR of 1.5
INR of 2.0
INR of 4.5
INR of 2.5
A nurse is providing discharge teaching to a client prescribed a new antihypertensive medication. Which statement indicates a need for further teaching?
“I will report any dizziness to my provider.”
“I will check my blood pressure regularly.”
“I can stop taking the medication once my blood pressure is normal.”
“I will rise slowly from a sitting or lying position.”
A nurse is teaching a client about proper hand hygiene. Which action demonstrates correct technique?
Rubbing hands together for at least 20 seconds
Using hot water to rinse hands
Applying lotion before washing hands
Drying hands with a shared towel
A nurse is caring for a client with a new prescription for warfarin. Which laboratory value should the nurse monitor to determine the medication’s effectiveness?
Serum potassium
Platelet count
INR
Blood glucose
A nurse is reinforcing teaching for a client who is prescribed furosemide. Which statement by the client indicates a need for further teaching?
“I will weigh myself daily.”
“I can skip doses if I feel fine.”
“I will eat foods high in potassium.”
“I should notify my provider if I feel dizzy.”
A nurse is caring for a client who is prescribed warfarin. Which laboratory value should the nurse monitor to determine the medication’s effectiveness?
White blood cell count
Creatinine
Potassium
INR
A nurse is reinforcing teaching for a client with hypertension about lifestyle modifications. Which recommendation should the nurse include?
Increase sodium intake
Avoid all fruits and vegetables
Drink two glasses of wine daily
Engage in regular physical activity
A nurse is reviewing the medication administration record for a client with heart failure. Which medication should the nurse question if the client’s potassium level is 2.9 mEq/L?
Digoxin
Metoprolol
Lisinopril
Furosemide
A nurse is caring for a client with COPD who is experiencing increased shortness of breath. Which action should the nurse take first?
Encourage the client to cough and deep breathe
Notify the healthcare provider
Increase the client's oxygen flow rate
Place the client in high-Fowler's position
A nurse is monitoring a client receiving total parenteral nutrition (TPN). Which finding should be reported to the provider immediately?
Clear lung sounds
Urine output of 40 mL/hour
Weight gain of 0.5 kg in 24 hours
Blood glucose of 250 mg/dL
A nurse is preparing to administer medications through a newly placed central venous catheter. Which of the following is the priority action?
Flush the catheter with heparin
Check for blood return before administering medications
Start the prescribed IV fluids
Change the catheter dressing
A nurse is reviewing the laboratory results of a client receiving digoxin for heart failure. Which finding should prompt the nurse to notify the provider before administering the next dose?
Serum potassium level of 2.9 mEq/L
Serum sodium level of 140 mEq/L
Heart rate of 78/min
Blood pressure of 130/80 mm Hg
A nurse is teaching a client with hypertension about lifestyle modifications. Which recommendation should the nurse make?
Increase daily sodium intake to 3,000 mg.
Drink two glasses of wine daily.
Consume a high-fat diet for energy.
Engage in at least 150 minutes of moderate exercise per week.
A nurse is developing a safety plan for a hospital unit. Which action should be prioritized in the event of a fire?
Evacuate ambulatory clients first.
Shut off the oxygen supply to the unit.
Rescue clients in immediate danger.
Call the fire department directly.
A nurse is reinforcing teaching with a client who has postpartum depression and is starting medication therapy. Which of the following should the nurse include in the teaching?
“It may take several weeks for the medication to improve your symptoms.”
“You should stop the medication as soon as you feel better.”
“Postpartum depression cannot be treated with medication.”
“You should avoid all social interactions while on medication.”
A nurse is caring for a client with postpartum depression who expresses feelings of hopelessness. Which action should the nurse take first?
Assess the client for thoughts of self-harm.
Advise the client to increase physical activity.
Encourage the client to rest more frequently.
Suggest the client join a support group.
A nurse is discussing risk factors for postpartum depression with a group of new mothers. Which of the following is a risk factor?
History of depression
Multiparity
Short labor
Age over 40
A nurse is providing teaching to a client starting warfarin therapy. Which statement indicates a need for further instruction?
“I will notify my provider if I notice unusual bruising.”
“I can eat large amounts of spinach daily.”
“I will use an electric razor to shave.”
“I should have my blood tested regularly.”
A nurse is caring for a client with a newly placed indwelling urinary catheter. Which action by the nurse requires intervention?
Placing the drainage bag on the floor.
Hanging the drainage bag below the bladder level.
Emptying the drainage bag when it is half full.
Securing the catheter to the client’s thigh.
A nurse is reinforcing teaching for a client with heart failure about daily weight monitoring. Which statement by the client indicates understanding?
“I should wear heavy clothing when weighing myself.”
“I only need to weigh myself once a week.”
“I will weigh myself at the same time each morning.”
“I can use different scales as long as I weigh daily.”
A nurse is monitoring a client who is receiving patient-controlled analgesia (PCA) with morphine. Which assessment finding should be reported to the provider immediately?
Reports of drowsiness
Itching at the IV site
Respiratory rate of 10/min
Pinpoint pupils
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and is prescribed metformin. Which adverse effect should the nurse instruct the client to report to the provider?
Muscle pain
Increased appetite
Diarrhea
Metallic taste
A nurse is reviewing medication instructions with a client who is prescribed lithium carbonate for bipolar disorder. Which statement by the client demonstrates understanding of the teaching?
“I will avoid becoming dehydrated, especially during hot weather.”
“I can take over-the-counter cold medications as needed.”
“I should restrict my sodium intake while on this medication.”
“I do not need to have my blood tested while taking lithium.”
A nurse is reviewing the chart of a client with suspected Cushing's syndrome. Which finding should the nurse expect?
Hypotension
Increased skin turgor
Weight loss
Moon-shaped face
A nurse is caring for a client who is receiving warfarin therapy. Which laboratory value should the nurse monitor to determine the effectiveness of the therapy?
Platelet count
Serum creatinine
Blood glucose
INR
A nurse is providing discharge instructions to a client prescribed lisinopril. Which statement by the client indicates a need for further teaching?
“I can stop the medication once my blood pressure is normal.”
“I will rise slowly from sitting to standing.”
“I will avoid using salt substitutes.”
“I will report a persistent dry cough to my provider.”
A nurse is caring for a client who is prescribed lithium for bipolar disorder. Which laboratory value should the nurse monitor to assess for toxicity?
Calcium
Lithium
Potassium
Sodium
A nurse is preparing to administer an intramuscular injection to an adult client. Which site is most appropriate for this injection?
Deltoid muscle
Vastus lateralis
Abdomen
Dorsogluteal muscle
A nurse is reinforcing teaching for a client newly prescribed warfarin. Which statement indicates a need for further teaching?
“I can eat large amounts of spinach and kale.”
“I will use an electric razor to shave.”
“I should report any unusual bleeding.”
“I will have my blood tested regularly.”
A nurse is caring for a client who is receiving morphine for pain management. Which assessment finding requires immediate intervention?
Respiratory rate of 8/min
Constipation
Nausea
Mild drowsiness
A nurse is preparing to administer digoxin to a client. Which of the following findings should cause the nurse to withhold the medication and notify the provider?
Respiratory rate 16/min
Blood pressure 120/76 mm Hg
Temperature 98.4°F (36.9°C)
Apical pulse 54/min
A nurse is reviewing laboratory results for a client taking warfarin for atrial fibrillation. Which finding indicates a need for immediate intervention?
INR 5.2
Hgb 14 g/dL
Platelet count 180,000/mm³
aPTT 32 seconds
A nurse is teaching a client about strategies to prevent urinary tract infections. Which statement by the client indicates a need for further teaching?
“I will urinate after sexual intercourse.”
“I will wear tight-fitting synthetic underwear.”
“I will drink at least 2 liters of water each day.”
“I will wipe from front to back after using the bathroom.”
A nurse is caring for a client who is prescribed digoxin. Which finding should prompt the nurse to withhold the medication and notify the provider?
Apical pulse of 56/min
Blood pressure of 120/76 mm Hg
Temperature of 98.4°F (36.9°C)
Respiratory rate of 16/min
A nurse is providing discharge instructions to a client with newly diagnosed type 2 diabetes mellitus. Which statement indicates understanding of foot care?
“I will walk barefoot at home to keep my feet cool.”
“I will soak my feet in hot water every night.”
“I will inspect my feet daily for cuts or blisters.”
“I will use a heating pad to warm my feet.”
A nurse is reinforcing teaching for a client who follows a vegan diet. Which supplement should the nurse recommend to help prevent iron deficiency?
Fish oil
Calcium carbonate
Vitamin D
Ferrous sulfate
A nurse is caring for a client experiencing opioid withdrawal. Which medication should the nurse anticipate administering?
Fluoxetine
Haloperidol
Disulfiram
Buprenorphine
A nurse is preparing to administer a crushed medication via a nasogastric tube. Which of the following actions should the nurse take to ensure safe administration?
Check tube placement before giving the medication.
Mix the medication with enteral feeding formula.
Administer all medications together in one syringe.
Flush the tube with 10 mL of air after administration.
A nurse is preparing to administer medication to a client with a nasogastric tube. Which action should the nurse take to ensure safe administration?
Crush enteric-coated tablets before administration.
Flush the tube with 30 mL of water before and after medication.
Mix all medications together in one syringe.
Administer medications with tube feeding formula simultaneously.
A nurse is reinforcing teaching for a client who is prescribed warfarin. Which statement indicates a need for further teaching?
“I will notify my provider of any unusual bleeding.”
“I can eat large amounts of spinach and kale.”
“I will have my blood tested regularly.”
“I will use an electric razor for shaving.”
A nurse is caring for a client who is postoperative following abdominal surgery. Which intervention helps prevent deep vein thrombosis?
Encourage early ambulation.
Apply cold compresses to the legs.
Restrict fluid intake.
Place pillows under the knees continuously.
