A client is being treated for heart failure. What assessment finding would the nurse interpret as most indicative of improved health status?

A client is admitted to the emergency department with severe heart failure. Milrinone is administered IV. For what adverse effect should the nurse assess?

A client with heart failure has experienced a worsening of symptoms in recent weeks and the care team has admitted the client and initiated an IV infusion of milrinone. What will the nurse teach the client about this medication?

The nurse has administered a client's scheduled 8 AM dose of trandolapril, prescribed for the treatment of heart failure. The nurse will assess for peak effect during what time range?

A client, after presenting at the clinic with sneezing and coughing, is diagnosed with the common cold. Which type of microorganism causes the common cold?

The nurse is educating the client about the use of pseudoephedrine. Which medication should the client be cautioned about taking concurrently with pseudoephedrine?

A client is prescribed an antitussive agent with codeine. Which statement by the client indicates that the nurse's teaching has been effective?

A client has expressed frustration stating, "I've been taking an over-the-counter (OTC) decongestant for several days and it still hasn't really cured my cold." What teaching point should the nurse convey to the client?

The nurse is assessing a client suspected of overdose with dextromethorphan. What assessment finding is suggestive of an overdose with the drug?

The nurse is providing education to a client diagnosed with the common cold. What measure should the nurse recommend implementing to help liquefy cold-related secretions?

A client has purchased an over-the-counter (OTC) cold remedy that advertises a "nondrowsy" formulation. The nurse explains to the client that such a medication likely contains what classification of drug?

The nurse is educating an adult client diagnosed with rhinosinusitis with viscous clear mucous about the prescribed guaifenesin 400 mg PO every 4 hours. Which statement made by the client establishes the need for further clarification?

A client is taking guaifenesin 200 mg every 4 hours. What finding would best indicate the medication has had the desired outcome?

A client having an allergic reaction to shellfish describes chest tightness and difficulty breathing. Which process is occurring?

A client is having an anaphylactic reaction to an insect sting. What type of hypersensitivity reaction is the client experiencing?

A client, prescribed cephalexin for an upper respiratory infection 7 days ago, develops myalgia and fever. What reaction is responsible for this symptomology?

A client, scheduled to receive one unit of packed red blood cells, has a history of an allergic reaction to a transfusion in the past. What class of medication will assist in preventing a reaction to the packed red blood cell transfusion?

What is the chemical mediator released in immune and inflammatory response to allergic reactions?

When describing the benefits of second-generation H1 receptor antagonists to those of first-generation H1 receptor antagonists, the nurse should cite what advantage?

An adult client has reported experiencing a dry mouth and urinary retention after several nights of taking an over-the-counter (OTC) sleep aid. The nurse should suspect that this medication contains what antihistamine?

The nurse is providing education to a client with a new diagnosis of asthma. Which health education topic is most important for the nurse to share?

The nurse is providing education to a client with asthma on the therapeutic action of inhaled corticosteroid agents. How will the nurse describe the action?

Which medication is contraindicated for the treatment of acute bronchospasm?

Albuterol is administered to a client to promote bronchodilation. Administration of albuterol, a beta2-adrenergic agonist, results in increased production of which chemical compound?

A client admitted to the intensive care unit with a diagnosis of status asthmaticus is prescribed a high dose of nebulized albuterol. The nurse should assess the client based on the increased risk for which electrolyte imbalance?

A client has been prescribed a medication to decrease the nighttime episodes of bronchoconstriction and prevent asthma attacks. What type of medication does the nurse suspect has been prescribed?

A client with a diagnosis of asthma has been prescribed ipratropium 2 puffs QID. What is the most likely goal of this treatment?

The nurse teaching a client about theophylline will include the identification of which possible symptoms of toxicity?

A client has been prescribed a combination diuretic agent. The nurse knows that the major purpose of this combination is what?

A client is receiving digoxin and a potassium supplement. When monitoring daily laboratory values, what should the potassium level be for this client?

A hospital client with a diagnosis of liver failure has been prescribed a dose of furosemide in order to treat ascites. The nurse who is providing this client's care should prioritize assessments for the signs and symptoms of what health problem?

To which client should the nurse anticipate administering mannitol?

A client has been prescribed sodium polystyrene sulfonate to lower the potassium level. What is the action of the drug?

A 4-year-old child has eaten the mother's prenatal vitamins. Which medication is indicated to address possible iron toxicity?

A client required several doses of furosemide and now has developed hypokalemia. What medication will be prescribed to treat this adverse effect?

An older adult client's compromised nutritional status has necessitated the use of a nutritional formula. When reviewing this client's laboratory findings, the nurse should prioritize which value?

A nurse is teaching an adult client about nutrition. Which statement is included in the teaching?

A nurse is preparing to administer iron dextran by IV to a client with severe iron-deficiency anemia. What action should the nurse perform prior to administration that is specific to the use of this medication?

A client has been diagnosed with malnutrition, including vitamin A deficiency. The client's body will compensate for the inadequate intake of vitamin A by performing which action?

What environmental factor is believed to have contributed most to increased weight in today's generation of children?

The nurse is providing education to the parent of a child who is classified as overweight. The nurse should inform the parent that children who are overweight are at increased risk of developing:

A male client is taking cimetidine. Which adverse effect is more likely to occur with cimetidine than with other histamine2 receptor antagonists?

A client with ulcers has asked the nurse if it would be acceptable to take bismuth subsalicylate. Before recommending an over-the-counter (OTC) formulation of bismuth subsalicylate, the nurse should conduct which client assessment?

An older adult has been taking calcium carbonate antacid tablets after each meal to treat acid reflux. The client previously achieved therapeutic effects by taking two to three tablets but now has to take four or five tablets. Which phenomenon will the nurse teach the client about?

Which client being treated for peptic ulcers or GERD will the nurse monitor most closely for potential drug-drug interactions as a result of therapy?

An older adult client is administered dimenhydrinate. Which is the priority nursing intervention for this client?

The nurse is providing education to a client who has been prescribed hydroxyzine. What adverse effect should the nurse mention during teaching?

A hospital client has a standing prescription for aprepitant on an as-needed basis. The client should be encouraged to request a dose of the drug in response to which event?

A client will soon begin chemotherapy for the treatment of breast cancer and has been prescribed oral antiemetics. What will the nurse teach the client about the safe and effective use of these medications?

What is the result of failing to respond to the defecation reflex?

The nurse is educating new parents on prevention and treatment of constipation with children. What is the most effective and safest way to treat constipation in a 2-year-old prior to bowel training?

The nurse should know that lactulose achieves a therapeutic effect by which means?

A community health nurse is conducting a health promotion session with a group from a local seniors' center. The nurse has addressed the issue of laxative overuse in this population. The nurse should highlight what consequence of the overuse of laxatives?

The nurse is assessing an older adult client who reports diarrhea. What should the nurse explore as the most likely cause?

The nurse is preparing to administer bismuth subsalicylate to a client. What assessment is most important to make before administration?

Which client experiencing diarrhea would be a candidate for a prescription for octreotide?

An older adult client has received a third dose of diphenoxylate. In addition to monitoring the number and consistency of the client's stools, the nurse should prioritize what assessment?

An 8-month-old infant admitted with a new diagnosis of diabetes is to receive 1 unit of regular insulin. How will that 1 unit be administered?

A client newly diagnosed with type 2 diabetes has attended educational sessions to provide insight into the diagnosis. Which of the client's statements should prompt the nurse to provide further teaching?

A hospital client with a diagnosis of type 1 diabetes is prescribed Humulin R on a sliding scale. Based on the client's blood glucose reading, the nurse administered 8 units of insulin at 07:45. The nurse will check the client's blood glucose level at what time to monitor peak effectiveness of the medication?

The nurse is preparing to administer 20 units of NPH insulin to a client. Before administering the medication, the nurse should implement which intervention?

A client with type 1 diabetes has a medication regimen that includes insulin NPH. The nurse has administered the scheduled dose at 0800 and will expect to first assess for the medication's onset of action at what time?

A client with type 1 diabetes has been prescribed insulin glargine for the first time. What will the nurse teach the client about this medication?

A client with type 1 diabetes has had ramipril added to their medication regimen. When teaching the client about this new medication, the nurse will describe what benefit?

A client with diabetes has been prescribed pramlintide 15 mcg subcutaneously before meals. The nurse will recognize which additional aspect of the client's diabetes management regimen?

A client has just been prescribed Lugol's solution 4 to 8 drops every 6 to 8 hours. The nurse will plan care to address which health problem?

The nurse is caring for a client who has been receiving propranolol for treatment of hyperthyroidism. The nurse is aware that which condition will warrant the tapering or possible discontinuation of propranolol?

A client, being treated for hypothyroidism, has developed symptoms of adrenal insufficiency. What medication will be added to the client's medication regimen?

A client, diagnosed with hypothyroidism, is currently taking an opioid for knee pain. This client is at increased risk for developing which adverse reaction?

A client was successfully treated for thyroid storm earlier in the year. In subsequent health education, the nurse should caution the client against excessive intake of what foods?

The nurse is preparing to administer a scheduled dose of levothyroxine to a client. What assessment should the nurse perform prior to giving the drug?

A 9-year-old female has been diagnosed with precocious puberty. What etiologic factor will the nurse identify for this client's diagnosis?

An adult client has been diagnosed with a posterior pituitary lesion that has resulted in diabetes insipidus. What is the characteristic sign of this health problem?

A client begins exhibiting signs and symptoms of diabetes insipidus. In addition to administering vasopressin, what intervention should the nurse implement?

The nurse has been providing care for a 10-year-old child who receives daily injections of somatotropin to treat growth hormone deficiency. Which assessment finding will the nurse attribute to this medication?

A client has been prescribed desmopressin 1 ml IV two times per day. Which assessment will the nurse prioritize when assessing for therapeutic effects?

A child with precocious puberty has been referred to the pediatric endocrinology clinic and will begin treatment with leuprolide acetate. The nurse will organize what treatment regimen for the client?

A client is diagnosed with a vitamin D deficit. What disorder results from this deficit?

An older adult client has been diagnosed with osteoporosis. Which statement would the nurse include when teaching the client about this diagnosis?

An older adult client has been prescribed oral corticosteroids to decrease the symptoms of chronic obstructive pulmonary disease. When providing teaching, the nurse should inform the client of the risk for developing what disorder?

An older adult female client with osteoporosis has been prescribed calcitonin to be taken on an outpatient basis. Which education will the nurse provide?

A client with suspected adrenal insufficiency has been administered 1 mcg of cosyntropin as an IV bolus. Serum testing 20 minutes later reveals a markedly elevated level of cortisol. What conclusion should the nurse infer from this finding?

A child has received a diagnosis of Addison disease, and the nurse is providing health education to the child's family around hormone replacement therapy. What assessment will the nurse prioritize during scheduled follow-up appointments?

A client diagnosed with Addison disease has experienced profound stress resulting from the collapse of his small business and subsequent conflict with his business partner. How might the presence of these stressors affect the client's long-term hydrocortisone medication regimen?

A 26-year-old's gradual development of a "moon face," coupled with protracted weight gain, has caused the nurse practitioner to suspect the possibility of Cushing's disease. When explaining this health problem to the client, how should the nurse describe it?

A client is receiving morphine orally every 4 hours in the home setting. Which assessment is most important to emphasize when teaching the family about this medication?

A 30-year-old client has been ordered meperidine 100 mg IM every 4 hours for 2 days after a fractured femur. What action should the nurse take?

A nurse administrates an opioid medication to a client. For what side effect should the nurse assess?

The nurse administers an opioid analgesic to a client. When assessing for therapeutic effects, the nurse will perform which action?

A nurse is teaching a client about the prescription for acetaminophen to be taken at home. This medication consists of acetaminophen and what other likely drug that enhances the analgesic effect of acetaminophen?

A terminally ill client has developed increased respiratory secretions and labored breathing. Which medication is prescribed to decrease these symptoms?

What action should the nurse take when a young adult is prescribed hydromorphone 2 mg orally every 6 hours?

The nurse is caring for a client who has been prescribed a nonopioid analgesic in addition to a narcotic analgesic. What effect will the nurse expect?

The nurse administers prescribed naloxone to a client. Following administration, the nurse should assess for what potential adverse effect?

An 88-year-old woman has fallen and suffered a hip fracture. The health care provider has prescribed meperidine 75 mg orally every 3 hours for short-term pain relief. Which is the nurse's best action?

The nurse is caring for an infant who has been prescribed a topical corticosteroid. What principle should guide the nurse's actions during administration?

The nurse is providing education to a client who has been prescribed immunosuppressant tacrolimus ointment for atopic dermatitis. During teaching, the nurse will ensure that the client has been informed of what risk associated with therapy?

A client has been prescribed topical acyclovir for a type 2 herpes simplex infection. When monitoring for therapeutic effect, the nurse will perform which assessment?

A client is having a follow-up appointment with their health care provider to provide data that the provider will document as part of the iPLEDGE program. What information will the client give to their health care provider?