Nokea
Which laboratory value should the nurse review prior to administering the initial dose of a statin medication?
- A. Serum liver enzymes.
- B. Complete blood count.
- C. Serum electrolytes.
- D. Capillary blood glucose.
Correct Answer: A
Rationale: Statins can affect liver function, so reviewing serum liver enzymes is critical to monitor for hepatic adverse effects before initiation. CBC, electrolytes, and glucose are less directly related.
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A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?
- A. Hard candy can be used for a dry mouth.
- B. Insomnia may occur while taking the medication.
- C. Another form of contraception is not needed.
- D. Sensitivity to the sun can develop.
Correct Answer: C
Rationale: St. John's wort reduces oral contraceptive effectiveness, necessitating additional contraception. Dry mouth relief, insomnia, and photosensitivity are correct understandings.
Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment?
- A. Assess the client's strength in moving and turning in the bed.
- B. Observe the skin integrity of the client's rectal and sacral areas.
- C. Evaluate the client's ability to recognize the urge to defecate.
- D. Determine the frequency and consistency of bowel movements.
Correct Answer: D
Rationale: Assessing bowel movement frequency and consistency is critical to determine the need for a laxative and monitor its effectiveness. Strength, skin integrity, and urge recognition are less directly related to laxative administration.
A client with narcolepsy receives a new prescription for methylphenidate. Prior to administration of the medication, the nurse should review the medical record for which condition?
- A. Hypercholesterolemia.
- B. Bronchitis.
- C. Diabetes mellitus.
- D. Hypertension.
Correct Answer: D
Rationale: Methylphenidate, a stimulant, can exacerbate hypertension, requiring careful review of blood pressure history. Hypercholesterolemia, bronchitis, and diabetes are less critical concerns.
A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the client indicates to the nurse that medication teaching was effective?
- A. I should take this medication only when I am having an asthma attack.
- B. I will not need to use my inhalers twice a day when I start this medicine.
- C. This medication will stop an asthma attack immediately.
- D. I will take the tablet every evening to control my asthma.
Correct Answer: D
Rationale: Montelukast is a maintenance medication taken regularly (often in the evening) to control asthma. It is not for acute attacks or to replace inhalers, indicating the client understands its role.
The nurse is preparing the client's plan of care. Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.
- A. Dosage in safe range
- B. Peripheral IV in large vein
- C. No known allergies
- D. Used for prophylaxis
- E. Blood urea nitrogen 17 mg/dL (6.07 mmol/L)
- F. Potassium 4.4 mEq/L (4.4 mmol/L)
Correct Answer: A,B,C,E
Rationale: A: Safe dosage prevents toxicity. B: Large vein reduces phlebitis risk. C: No allergies avoids reactions. E: Normal BUN indicates renal function for vancomycin excretion. D and F are less directly related to safety.