A nurse is collecting a medication history from a client who has a new prescription for lithium

Level 2 81.7%

1.)A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following

findings as a manifestation of fluid volume excess?

a.Decreased bowel sounds

b.Distended neck veins

c.Bilateral muscle weakness

d.Thread pulse

2.)A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic

solution. Which of the following findings should indicate to the nurse that the treatment is effective?

a.Absent Chvostek’s sign

b.Improved cognition

c.Decreased vomiting

d.Cardiac arrhythmias absent

3.)A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the

following instructions should the nurse include?

a.“Discontinue the patch if you experience a headache.”

b.“Apply a new patch if you have chest pain.”

c.“Cover the patch with dry gauze when taking a shower.”

d.“Remove the patch prior to going to bed.”

4.)A nurse is reviewing the laboratory results of a client who has a prescription for sodium polystyrene sulfonate

(Kayexalate) every 6 hr. which of the following should the nurse report to the provider?

a.Creatinine 0.72 mg/dL

b.Sodium 138 mEq/L

c.Magnesium 2 mEq/L

d.Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than 5.0 mEq/L) increases the client

risk for fatal cardiac dysrhythmias. Kayexalate is used to decrease the serum potassium level, so the PN

should monitor the client's serum potassium level

5.)A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following

outcomes indicates that the client is adhering to the medication regimen?

a.The client has a negative sputum culture

b.The client tests negative for HIV

c.The client has a positive purified protein derivative test

d.The client’s liver function test results are within the expected reference range

6.) A client is caring for a client who develops an anaphylactic reaction to IV administration. After assessing the

client’s respiratory status and stopping the medication infusion. Which of the following actions should the nurse

take next?

a.Replace the infusion with 0.9% sodium chloride

b.Give diphenhydramine IM

c.Elevate the client’s legs and feet

d.Administer epinephrine IM

7.)A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of

the following supplements should the nurse advise the client to avoid?

a.St. John’s Wort

b.Ginger root

c.Black cohosh

d.Coenzyme Q10

8.)A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following

adverse effects should the nurse monitor when administering lisinopril?

a.Bradycardia