Nokea
The client has been on vancomycin for three days. Which of the following symptoms is least concerning?
- A. nausea
- B. headache
- C. vertigo
- D. tinnitus
Correct Answer: B
Rationale: Vancomycin can cause ototoxicity, and tinnitus, vertigo, and nausea are symptoms of this condition. Headache is not typically associated with vancomycin's side effects.
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The nurse is reviewing client information for adverse effects of trazodone. Which finding should the nurse identify as an adverse effect unique to trazodone?
- A. Priapism
- B. Weight gain
- C. Hepatic failure
- D. Cardiac dysrhythmias
Correct Answer: A
Rationale: Prolonged or inappropriate erections (priapism) are a rare but problematic side effect of treatment with trazodone (Oleptro).
Which of the following is not a nursing responsibility when preparing the client for central line insertion?
- A. advancing the guidewire
- B. explaining the procedure to the client
- C. maintaining sterile technique
- D. ensuring necessary consents are signed
Correct Answer: A
Rationale: The nursing responsibilities include explaining the procedure to the client, ensuring necessary consents are signed according to the facility policy, and maintaining sterile technique when preparing the equipment and supplies. The guidewire will be advanced by the practitioner inserting the central line.
The HCP prescribes haloperidol 4 mg tid oral liquid for the client diagnosed with schizophrenia. How many milliliters should the nurse administer from a bottle labeled “haloperidol 2 mg/mL†for each dose?
Correct Answer: 2
Rationale: Calculation: 4 mg/ 2 mg/mL = 2 mL per dose.
The client is beginning treatment with bupropion for depression. After meeting with the HCP, the client tells the nurse, “I'm also taking Zyban to help me stop smoking.†Which is the most appropriate action for the nurse?
- A. Encourage and support the client in following the smoking cessation regimen.
- B. Provide the client with the telephone number for a smoking cessation support group.
- C. Instruct the client to report any allergic-type reactions after beginning the bupropion.
- D. Inform the HCP that the client is already taking bupropion, but for smoking cessation.
Correct Answer: D
Rationale: Bupropion (Zyban) should not be used for multiple conditions simultaneously due to the risk of seizures from additive doses.
Oral terbutaline is prescribed for the client with bronchitis. Which comorbidity most warrants the nurse's close monitoring of the client following administration of terbutaline?
- A. Strabismus
- B. Hypertension
- C. Diabetes insipidus
- D. Hypothyroidism
Correct Answer: B
Rationale: A: Terbutaline should be used with caution in clients with glaucoma (not strabismus). B: The client's history of hypertension warrants the nurse's close monitoring of the client when terbutaline (Brethine) is administered. It should be used with caution in clients with hypertension because it can precipitate a hypertensive episode. C: Terbutaline should be used with caution in clients with DM (not DI). D: Terbutaline should be used with caution in clients with hyperthyroidism (not hypothyroidism).