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When administering medications to a group of patients, which patient should the nurse closely monitor for the development of acute kidney injury (AKI)?
- A. Patient on Vancomycin.
- B. Patient on Sucralfate.
- C. Patient on Lorazepam.
- D. Patient on Digoxin.
Correct Answer: A
Rationale: Vancomycin (A) is nephrotoxic and requires monitoring for AKI, especially with high doses or prolonged use. Sucralfate (B) protects the stomach, not kidneys. Lorazepam (C) and digoxin (D) have minimal renal toxicity risks.
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A client with psychosis is receiving an antipsychotic medication and is continually rubbing the back of the neck. What is the best nursing intervention?
- A. Obtain an extra pillow for the client to use at night.
- B. Give a PRN prescription for benztropine.
- C. Provide the client a heating pad to place on the neck.
- D. Obtain a prescription for physical therapy services.
Correct Answer: B
Rationale: Neck rubbing suggests extrapyramidal symptoms (e.g., dystonia) from antipsychotics. Benztropine (B), an anticholinergic, relieves these symptoms. Pillows (A), heating pads (C), and physical therapy (D) don’t address the cause.
A client with benign prostatic hyperplasia has been prescribed tamsulosin. What should the nurse do to monitor for an adverse reaction?
- A. Monitor the client’s blood pressure.
- B. Assess the client’s urine output.
- C. Perform a bladder scan.
- D. Obtain the client’s daily weights.
Correct Answer: A
Rationale: Tamsulosin, an alpha-blocker, can cause hypotension and dizziness (A), requiring blood pressure monitoring. Urine output (B) and bladder scans (C) assess BPH, not adverse effects. Daily weights (D) monitor fluid status, not tamsulosin risks.
An older adult with iron deficiency anemia is being discharged with a prescription for ferrous sulfate enteric-coated tablets. To promote the best absorption of the medication, what information should the nurse include in the discharge instructions?
- A. The best time to take the tablet is at bedtime.
- B. Crush the tablets and mix with pudding.
- C. Wait 2 hours after meals to take the tablet.
- D. Take the tablet with a daily multivitamin.
Correct Answer: C
Rationale: Ferrous sulfate is best absorbed on an empty stomach, 2 hours after meals (C). Bedtime dosing (A) isn’t specific to absorption. Crushing enteric-coated tablets (B) disrupts their protective coating. Multivitamins (D) may contain minerals that reduce iron absorption.
A client with benign prostatic hyperplasia has been prescribed tamsulosin. What should the nurse do to monitor for an adverse reaction?
- A. Monitor the client’s blood pressure.
- B. Assess the client’s urine output.
- C. Perform a bladder scan.
- D. Obtain the client’s daily weights.
Correct Answer: A
Rationale: This question is identical to Question 29. Tamsulosin can cause hypotension (A), necessitating blood pressure monitoring. Urine output (B), bladder scans (C), and weights (D) don’t address adverse effects. Note: Duplicate question; consider removing.
A client has been prescribed ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only.)
Correct Answer: 200
Rationale: Infusion rate: 200 mL / 1 hr = 200 mL/hr. The pump should be set to deliver 200 mL/hr to administer ciprofloxacin correctly.