A nurse is caring for a client who is receiving a blood transfusion.

The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins.

The nurse should anticipate administering which of the following prescribed medications?

Diphenhydramine.

Furosemide.

Acetaminophen.

Pantoprazole.

Answer and Explanation

The Correct Answer is B

“Furosemide.” The nurse should anticipate administering furosemide because the client’s symptoms of bounding peripheral pulses, hypertension, and distended jugular veins may indicate fluid overload.
Furosemide is a diuretic medication that can help reduce fluid overload by increasing urine output.
Choice A is incorrect because diphenhydramine is an antihistamine medication that is not used to treat fluid overload.
Choice C is incorrect because acetaminophen is a pain reliever and fever reducer that is not used to treat fluid overload.
Choice D is incorrect because pantoprazole is a proton pump inhibitor that is used to treat acid reflux and stomach ulcers, not fluid overload.

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Correct Answer is A

Explanation

Acupuncture is commonly used to treat a wide range of illnesses and ailments including pain management, control of nausea and vomiting, fatigue, hot flashes, xerostomia, neuropathy, anxiety, depression, and sleep disturbance in cancer patients.

However, I could not find any information that suggests mouth sores (B), headaches, or urticaria (D) are contraindications for acupuncture.

Lymphedema is a contraindication for acupuncture because it can increase the risk of infection in the affected area.

It is important for the nurse to identify this as a contraindication to receiving acupuncture therapy.

A. Tell the client to avoid places where there are large crowds of people. B. Instruct the client to avoid eating raw vegetables. C. Remind the client of the importance of medication adherence. D. Initiate a referral for the client to a home health agency.

Correct Answer is D

Explanation

Initiate a referral for the client to a home health agency.
This action demonstrates client advocacy because it empowers the client to continue self-care at home while also providing them with additional support and resources through the home health agency.
Choice A is wrong because avoiding large crowds of people is a precautionary measure but does not demonstrate client advocacy.
Choice B is wrong because avoiding raw vegetables is a dietary recommendation but does not demonstrate client advocacy.
Choice C is wrong because reminding the client of the importance of medication adherence is important but does not demonstrate client advocacy.

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A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should anticipate administering which of the following prescribed medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy?

Correct Answer is A

Explanation

A nurse is teaching a client who has AIDS and wishes to continue self-care at home despite living alone. Which of the following actions by the nurse demonstrates client advocacy?

Correct Answer is D

Explanation

A nurse is providing instructions about foot care for a client who has peripheral arterial disease. The nurse should identify which of the following statements by the client indicates an understanding of the teaching.

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A nurse is planning to teach a client whose provider has prescribed a low-purine diet. The nurse should plan to instruct the client that he can include which of the following foods in his diet? (Select all that apply.).

A nurse is providing teaching to a client who has a deep-vein thrombosis (DVT). Which of the following findings should the nurse identify as a risk factor for developing DVTS?

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A nurse is planning care for a client who has a central venous access device for intermittent infusions. Which of the following actions should the nurse include in the plan of care?

A nurse is planning care for a client who has left-sided hemiplegia following a stroke. Which of the following actions should the nurse include in the plan of care?

A nurse is caring for a client who is receiving a blood transfusion.

The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins.

The nurse should anticipate administering which of the following prescribed medications?