The nurse is collecting data from a client and notes that the client i

1.The nurse notes that a client with schizophrenia who is receiving an antipsychotic medication is moving the mouth, protruding the tongue, and grimacing while watching television . The nurse determines that the client is experiencing which medication complication?None 选项： A:Parkinsonism B:Tardive dyskinesia C:Hypertensive crisis D:Neuroleptic malignant syndrome

2.A client has begun therapy with a xanthine bronchodilator . The nurse determines that the client understands dietary alterations if the client states to limit which items while taking this medication? Select all that apply .None 选项： A:Milk B:Coffee C:Oysters D:Oranges E:Pineapple F:Chocolate

3.Blood work has been drawn on a client who has been taking cyclosporine following allogeneic liver transplantation . The nurse would check the results of which test to determine the presence of an adverse effect related to this medication?None 选项： A:Hematocrit level B:Cholesterol level C:Hemoglobin level D:Blood urea nitrogen (BUN) level

4.The client with a small bowel obstruction asks the nurse to explain the purpose of the nasogastric tube attached to continuous gastric suction. The nurse determines that teaching has been effective if the client makes which statement?None 选项： A:"It will help to provide me with nourishment." B:"It will help to relieve the congestion from excess mucus." C:"It is used to remove gastric contents for laboratory testing." D:"It will help to remove gas and fluids from my stomach and intestine."

5.The nurse is caring for a client with a potassium level of 5.9 mEq/L and is assisting the client in choosing lunch. The nurse determines there is a need for further teaching if the client selects which food item from the menu?None 选项： A:Eggplant parmesan B:Tuna sandwich on white bread C:Omelet with spinach, tomato, potatoes D:Pasta with marinara sauce and garlic bread

6.A client with gastritis who uses nonsteroidal antiinflammatory drugs (NSAIDs) has been taking misoprostol . The nurse determines that the misoprostol is having the intended therapeutic effect if which finding is noted?None 选项： A:Resolved diarrhea B:Relief of epigastric pain C:Decreased platelet count D:Decreased white blood cell count

7.The nurse is caring for a client who recently returned from the operating room . On data collection, the nurse notes that the client's vital signs are blood pressure (BP), 118/70 mm Hg; pulse, 81 beats/min; and respirations, 16 breaths/min . Preoperative vital signs were BP, 132/88 mm Hg; pulse, 74 beats/min; and respirations, 20 breaths/min . Which action would the nurse plan to take first?None 选项： A:Call the surgeon immediately . B:Shake the client gently to arouse . C:Cover the client with a warm blanket . D:Recheck the vital signs in 15 minutes .

8.The nurse is reviewing the primary health care provider's prescriptions for an adult client who has been admitted to the hospital after a back injury . Carisoprodol is prescribed for the client to relieve the muscle spasms . The primary health care provider has prescribed 350 mg to be administered 4 times a day . What would the nurse conclude?None 选项： A:The prescription is the normal adult dosage . B:The prescription is lower than normal dosage . C:The prescription is higher than normal dosage . D:The dosage prescribed requires further clarification with the primary health care provider .

9.The nurse is caring for a client with suspected celiac disease undergoing diagnostic evaluation. Which laboratory tests would the nurse expect to be ordered to aid in the diagnosis of this disease?None 选项： A:IgA B:IgM C:IgG D:IgD

10.A client is due to receive digoxin 0 .125 mg by mouth . The nurse prepares to administer the medication and notes that the label on the bottle of pills states that each tablet contains 0 .25 mg . The nurse would take which action?None 选项： A:Administer 2 tablets of the medication . B:Administer one-half tablet of the medication . C:Administer only 1 tablet of the medication and call the pharmacy . D:Withhold the medication and call the primary health care provider (PHCP) .

11.The nurse is assessing a client who has returned from the postanesthesia care unit after transurethral resection of the prostate (TURP) to treat prostate cancer. The nurse would assess for which color in the urinary drainage tubing that indicates proper irrigation and adequate functioning of the device?None 选项： A:Pale pink B:Dark pink C:Bright red D:Red with clots

12.A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection . The nurse is teaching the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin . Which statement by the client indicates the best understanding of the medication regimen?None 选项： A:"My ulcer will heal because these medications will kill the bacteria ." B:"These medications are taken only when I have pain from my ulcer ." C:"The medications will kill the bacteria and stop the acid production ." D:"These medications will coat the ulcer and decrease the acid production in my stomach ."

13.The nurse is teaching a client with diabetes mellitus how to mix regular insulin and NPH insulin in the same syringe . Which action, if performed by the client, indicates the need for further teaching?None 选项： A:Withdraws the NPH insulin first B:Withdraws the regular insulin first C:Injects air into NPH insulin vial first D:Injects an amount of air equal to the desired dose of insulin into each vial

14.The nurse receives telephone messages from the following 4 clients. Which client should the nurse call back first? 选项： A:

Client taking cyclosporine who reports swollen and bleeding gums for several days

B:

Client taking doxycycline who reports severe sunburn after sun exposure

C:

Client taking phenytoin who reports flu-like symptoms and a new painful skin rash

D:

Client taking sildenafil who reports dizziness when standing up from a seated position

15.The nurse instructs a client who is at risk for hypokalemia about the foods high in potassium that would be included in the daily diet . The nurse determines that the client understands the food sources of potassium if the client states that which food items are lowest in potassium, providing less than 200 mg per serving? Select all that apply .None 选项： A:Grapes B:Carrots C:Spinach D:Asparagus E:Avocadoes F:Applesauce

16.The nurse is collecting data during an admission assessment of a client who is pregnant with twins . The client has a healthy 5-year-old child who was delivered at 38 weeks and tells the nurse that there is no history of any type of abortion or fetal demise . Using GTPAL, what would the nurse document in the client's chart?None 选项： A:G = 3, T = 2, P = 0, A = 0, L = 1 B:G = 2, T = 1, P = 0, A = 0, L = 1 C:G = 1, T = 1, P = 1, A = 0, L = 1 D:G = 2, T = 0, P = 0, A = 0, L = 1

17.The nurse is caring for a client with an asthma exacerbation who has been prescribed albuterol. The client's blood pressure is 146/86 mm Hg, heart rate is 110/min, and respirations are 32/min. One hour after the treatment, which finding indicates that the medication is producing the desired therapeutic effect? 选项： A:

Blood pressure 130/82 mm Hg

B:

Constricted pupils

C:

Heart rate of 120/min

D:

Respirations of 24/min

18.A client scheduled to take a subcutaneous anticoagulant at home says to the nurse, "I'm not sure I will be able to take this medication at home ." Which statement by the nurse is appropriate?None 选项： A:"Maybe your spouse can give you your shots ." B:"You'll be fine once you get used to giving your own shots ." C:"What are your concerns about taking this medication at home?" D:"Don't worry . Your primary health care provider knows what's best for you ."

19.The nurse teaches the client being discharged to home with a prescription for a daily dose of prednisone to take the medication at which best time?None 选项： A:Any time of the day B:In the early morning C:In the middle of the day D:An hour before bedtime

The nurse is collecting data from a client and notes that the client is taking carbamazepine . The nurse determines that this medication has been prescribed to treat which condition?None 选项： A:Glaucoma B:Diabetes mellitus C:Parkinson's disease D:Trigeminal neuralgia

The nurse is collecting data from a client and notes that the client is taking carbamazepine . The nurse determines that this medication has been prescribed to treat which condition?None
选项：

A:Glaucoma
B:Diabetes mellitus
C:Parkinson's disease
D:Trigeminal neuralgia