A nurse is caring for a client.

Exhibits

Drag words from the choices below to fill in each blank in the following sentence.

The nurse is assessing the client. The client's

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and

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are the priority findings.

A nurse is preparing to administer methylprednisolone sodium succinate 80 mg IV bolus. The nurse reconstitutes the 125 mg in the vial in powder form to 2 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?

A nurse is caring for afemale client in an outpatient clinic.

Nurses' Notes

Day 1:

Client is seen by provider for routine follow-up after being started on oxcarbazepine 150mg PO twice a day, last week. Client reports no nausea, headache, dizziness, or ataxia. Provider increased oxcarbazepine to 300 mg PO twice a day. Client is to return for a follow-up in 2 weeks.

Day 14:

Client returns for follow-up after increasing oxcarbazepine dosage. Client reports starting to have mild headaches earlier this week. Also states, "Yesterday I was very nauseated and threw up before breakfast." When talking to client they have difficulty remembering the times they are taking their oxcarbazepine. Client reports using oral contraceptives as the only means of birth control.

Laboratory Results

Day 14:

Hct 40% (37% to 47%)

Hgb 13g/dL (12 to 16g/dL)

Sodium 124 mEq/L (136 to 145 mEq/L)

Vitals Signs

Day 14:

Temperature 36.3° C (97.4° F)

Heart rate 86/min

Blood pressure 110/66 mm Hg

Respiratory rate 16/min

A nurse is assessing a client who has a urinary tract infection and is taking sulfamethoxazole-trimethoprim. Which of the following findings should the nurse identify as a manifestation of an allergic reaction?

A nurse is reviewing the laboratory findings of a client who is taking erythropoietin. Which of the following results indicates the medication is effective?

A nurse is reviewing a provider's prescription for IV fluid therapy for a client who has fluid volume deficit. Which of the following units of measurement should the nurse use to administer the fluid using an IV pump?

A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration of the medication?

A nurse is assessing a client who has hypertension and is receiving propranolol. Which of the following findings require an intervention by the nurse?

A nurse is planning care for a client who is to receive a prescription for IV vancomycin. Which of the following interventions should the nurse include in the plan?

A nurse is preparing to administer an intradermal injection for a tuberculin screening. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)