1. The client is taking prednisone 7.5mg po each morning to treat his systemic lupus errythymatosis. Which statement best explains the reason for taking the prednisone in the morning?
❍ A. There is less chance of forgetting the medication if taken in the morning.
❍ B. There will be less fluid retention if taken in the morning.
❍ C. Prednisone is absorbed best with the breakfast meal.
❍ D. Morning administration mimics the body’s natural secretion of corticosteroid.
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2. The physician prescribes captopril (Capoten) 25mg po tid for the client with hypertension. Which of the following adverse reactions can occur with administration of Capoten?
❍ A. Tinnitus
❍ B. Persistent cough
❍ C. Muscle weakness
❍ D. Diarrhea
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3. The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations 30. Which action by the nurse should receive priority?
❍ A. Continue to monitor the vital signs
❍ B. Contact the physician
❍ C. Ask the client how he feels
❍ D. Ask the LPN to continue the post-op care
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4. A client with acute leukemia develops a low white blood cell count. In addition to the institution of isolation, the nurse should:
❍ A. Request that foods be served with disposable utensils
❍ B. Ask the client to wear a mask when visitors are present
❍ C. Prep IV sites with mild soap and water and alcohol
❍ D. Provide foods in sealed single-serving packages
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5. The physician has ordered sodium warfarin (Coumadin) for the client with thrombophlebitis. The order should be entered to administer the medication at:
❍ A. 0900
❍ B. 1200
❍ C. 1700
❍ D. 2100
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❍ A. There is less chance of forgetting the medication if taken in the morning.
❍ B. There will be less fluid retention if taken in the morning.
❍ C. Prednisone is absorbed best with the breakfast meal.
❍ D. Morning administration mimics the body’s natural secretion of corticosteroid.
Click here for Answer
2. The physician prescribes captopril (Capoten) 25mg po tid for the client with hypertension. Which of the following adverse reactions can occur with administration of Capoten?
❍ A. Tinnitus
❍ B. Persistent cough
❍ C. Muscle weakness
❍ D. Diarrhea
Click here for Answer
3. The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations 30. Which action by the nurse should receive priority?
❍ A. Continue to monitor the vital signs
❍ B. Contact the physician
❍ C. Ask the client how he feels
❍ D. Ask the LPN to continue the post-op care
Click here for Answer
4. A client with acute leukemia develops a low white blood cell count. In addition to the institution of isolation, the nurse should:
❍ A. Request that foods be served with disposable utensils
❍ B. Ask the client to wear a mask when visitors are present
❍ C. Prep IV sites with mild soap and water and alcohol
❍ D. Provide foods in sealed single-serving packages
Click here for Answer
5. The physician has ordered sodium warfarin (Coumadin) for the client with thrombophlebitis. The order should be entered to administer the medication at:
❍ A. 0900
❍ B. 1200
❍ C. 1700
❍ D. 2100
Click here for Answer
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