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The physician has ordered an infusion of mannitol for a client with increased intracranial pressure. Which finding indicates the direct effectiveness of the drug?
A client with a severe corneal ulcer has an order for gentamicin 1 gtt every 4 hours and neomycin 1 gtt every 4 hours in the same eye. Which schedule should be used when administering these two eye drops?
The nurse caring for a 72-year-old client admitted for treatment of depression notes that the physician's order to begin therapy with an antidepressant calls for a dose greater than the usual adult dose. The nurse should
The nurse is providing information to a patient on pain control after total hip replacement surgery. When should the nurse suggest is the most appropriate time to request pain medication?
A client presents to the clinic with a serum cholesterol of 275 mg/dL and is placed on rosuvastatin (Crestor), an antilipidemic medication. Which instruction should be given to the client taking rosuvastatin?
A client hospitalized for treatment of congestive heart failure is to be discharged with a prescription for Digitek (digoxin) 0.25 mg daily. Which of the following statements indicates that the client needs further teaching?
A patient has been taking a mood-stabilizing medication but is afraid of needles. They ask the nurse what medication would NOT require regular lab testing. What is the nurse's best response?
A client is seen in the emergency department for symptoms of acute anxiety related to the death of her mother in an automobile accident 2 hours ago. To prepare a care plan, the nurse must correctly hypothesize that the client will need teaching about a drug from which group?
A patient with asthma is being taught about their medications, including cromolyn, montelukast, and beclomethasone inhaler. Which statement by the patient indicates a need for further teaching?
While assessing a client on the first postpartum day, the nurse notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:
A nurse completed medication education with a client who receives hydrochlorothiazide. The nurse determines that teaching has been effective when the client makes which statement?
The nurse in the psychiatric unit is administering medications when a client with borderline personality disorder approaches and asks to talk. The nurse suggests having a talk in 1 hour. The client shouts, "I'll wait, but you will be sorry!" and then picks up a pitcher of water and throws it onto the floor. Which of the following actions should the nurse take?
The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug?
The nurse is teaching newborn care to a childbirth preparation class and describes the need for administering antibiotic ointment into the eyes of the newborn. An expectant father asks, "What type of disease causes infections in babies that can be prevented by using this ointment?" Which response by the nurse is accurate?
A client with a history of abusing barbiturates abruptly stops taking the medication. Barbiturates create a sedative effect, so when the client stops taking barbiturates, he will experience symptoms of withdrawal such as tachycardia, diarrhea, and tachypnea. The nurse should give priority to assessing the client for which of the following?
The nurse is caring for a client receiving amphotericin B. Which of the following findings indicates that the client has experienced toxicity to this drug?
When administering magnesium sulfate to a client with preeclampsia, the nurse understands that this drug is given to:
A patient is receiving an aminoglycoside (such as gentamicin, tobramycin, or neomycin) for treatment of infection. The nurse notes that the patient reports muscle aches and cramping during the infusion. What should the nurse do?
A client is to receive Dilantin (phenytoin) via a nasogastric (NG) tube. When giving the medication, the nurse should:
After a surgical patient has been given preoperative sedatives, which safety precaution should the nurse take?