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A nurse is providing teaching for a client who has a new prescription for promethazine tablets. Which of the following client statements indicates an understanding of the teaching?
- A. This medication can cause diarrhea
- B. The medication can cause increased salivation
- C. This medication can cause pupil constriction
- D. The medication can cause drowsiness
Correct Answer: D
Rationale: The correct answer is D: "The medication can cause drowsiness." This is the correct answer because promethazine is known to have sedative effects and can cause drowsiness as a common side effect. This statement indicates that the client understands one of the primary side effects of the medication.
A: Incorrect. Promethazine typically does not cause diarrhea.
B: Incorrect. Promethazine does not commonly cause increased salivation.
C: Incorrect. Promethazine can cause pupil dilation rather than constriction.
Overall, choice D is the most appropriate as it aligns with the expected side effect profile of promethazine.
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A nurse is reviewing the medication list of a client who has a new prescription for clopidogrel after undergoing coronary artery stenting. Which of the following findings should the nurse report to the provider?
- A. The client is taking acetaminophen
- B. The client is taking valerian
- C. The client is taking vitamin B6
- D. The client is taking ginkgo biloba
Correct Answer: D
Rationale: The correct answer is D: The client is taking ginkgo biloba. Ginkgo biloba is an herbal supplement that can increase the risk of bleeding when taken with clopidogrel, a blood thinner commonly prescribed after coronary artery stenting. The nurse should report this finding to the provider to prevent potential interactions and adverse effects.
A: Acetaminophen is a common pain reliever that does not significantly interact with clopidogrel.
B: Valerian is an herb used for sleep and anxiety, but it does not have a significant interaction with clopidogrel.
C: Vitamin B6 is a water-soluble vitamin that is generally safe to take with clopidogrel and does not pose a significant risk of interaction.
A nurse is caring for a client who has anxiety and a prescription for oral lorazepam PRN. Which of the following is the correct way to transcribe the prescription into the electronic medical record?
- A. Lorazepam 2.5mg PO qhs before bed
- B. Lorazepam 2.5 mg PO QD at hs
- C. Lorazepam 2.5 mg PO every 8 hours as needed for anxiety
- D. Lorazepam 2.50 mg PO Q 8 hours for anxiety
Correct Answer: C
Rationale: The correct answer is C: Lorazepam 2.5 mg PO every 8 hours as needed for anxiety. This transcribes the prescription accurately, specifying the medication, dose, route, frequency, and indication. Option A specifies a bedtime dose without mentioning PRN, B specifies once daily at bedtime without PRN, and D specifies a fixed interval dosing schedule. These options do not reflect the PRN nature of the prescription, making them incorrect.
A nurse is reviewing the medical record of a client who has a new prescription for verapamil. Which of the following findings in the client's medical record should the nurse identify as a contraindication for the administration of verapamil?
- A. History of asthma
- B. History of heart failure
- C. Systolic BP 110 mm Hg
- D. Blood creatinine 1.0 mg/dl
Correct Answer: B
Rationale: The correct answer is B: History of heart failure. Verapamil is a calcium channel blocker that can worsen heart failure by causing negative inotropic effects, leading to decreased contractility of the heart muscle. It can also cause peripheral vasodilation, potentially exacerbating heart failure symptoms. A history of heart failure is a contraindication for verapamil due to the risk of worsening the condition.
Incorrect choices:
A: History of asthma - Asthma is not a contraindication for verapamil as it does not directly affect respiratory function.
C: Systolic BP 110 mm Hg - While low blood pressure may be a concern with verapamil, a systolic blood pressure of 110 mm Hg alone is not a contraindication.
D: Blood creatinine 1.0 mg/dl - A creatinine level of 1.0 mg/dl is within the normal range and does not impact the use of verapamil.
A nurse is planning care for a client who has a new prescription to receive a continuous infusion of total parenteral nutrition (TPN) Which of the following interventions should the nurse implement?
- A. Change the TPN infusion tubing once every 3 days
- B. Check the client's blood glucose level regularly
- C. Insert the peripheral IV catheter for administration
- D. Monitor the client's weight every 3 days
Correct Answer: B
Rationale: The correct answer is B: Check the client's blood glucose level regularly. This is essential as TPN is a high-calorie, nutrient-dense solution that can increase the risk of hyperglycemia. Monitoring blood glucose levels helps the nurse assess the client's response to TPN and adjust the infusion rate accordingly to prevent complications.
Option A is incorrect because changing the TPN infusion tubing once every 3 days is not a priority in this situation. Option C is incorrect as TPN should be administered through a central venous catheter, not a peripheral IV catheter. Option D is incorrect as monitoring the client's weight every 3 days is not as crucial as monitoring blood glucose levels when on TPN.
A nurse is assessing a neonate who was exposed to heroin in utero. Which of the following findings should the nurse identify as an indication that the neonate is experiencing neonatal abstinence syndrome?
- A. Hyporeflexia
- B. Frequent yawning
- C. Respiratory depression
- D. Constipation
Correct Answer: B
Rationale: The correct answer is B: Frequent yawning. Neonatal abstinence syndrome (NAS) is a condition where newborns experience withdrawal symptoms due to exposure to drugs in utero, such as heroin. Frequent yawning is a common sign of NAS, as it indicates central nervous system irritability and overstimulation. Hyporeflexia (A) is not typically seen in NAS, as these babies often exhibit hyperactive reflexes. Respiratory depression (C) is more commonly associated with opioid overdose in neonates rather than NAS. Constipation (D) is a nonspecific symptom and not specific to NAS.