A nurse is caring for a client who received excessive IV fluids in error. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is caring for a 65-year-old male client in a cardiac clinic. The client was recently discharged from an acute hospital stay for worsening heart failure. Below are the exhibits related to the client’s condition:

Exhibit 1: Nurses’ Notes 2 Weeks Ago

The client was admitted to the hospital two weeks ago with worsening heart failure. He was experiencing significant shortness of breath, fatigue, and 2+ edema on bilateral lower extremities. Upon auscultation, an S3 heart sound was noted, and occasional expiratory wheezing was present. The client was managed with furosemide, captopril, and metoprolol at home, but these medications were not sufficient to control his symptoms.

Exhibit 2: Nurses’ Notes Today

The client reports some improvement in shortness of breath with exertion but continues to feel fatigued. Upon auscultation, an S3 heart sound is still noted, and lung sounds are clear. The client has 1+ edema on the ankles and reports nausea, constipation, and blurred vision.

Exhibit 3: History and Physical

The client was discharged from the hospital two days ago after being treated for worsening heart failure. During the hospitalization, he was prescribed digoxin and a potassium supplement in addition to his existing medications. The client will return to the office in two weeks to review lab work and medication management.

Exhibit 4: Laboratory Results Today

• Digoxin: 2.2 ng/mL (0.8 to 2 ng/mL)
• Potassium: 4.8 mEq/L (3.5 to 5 mEq/L)

Exhibit 5: Vital Signs Today

• Temperature: 36.8°C (98.2°F)
• Heart rate: 55/min
• Respiratory rate: 16/min
• Blood pressure: 110/80 mm Hg
• Oxygen saturation: 96% on room air

Click to highlight the findings that indicate the client may be experiencing digoxin toxicity. To deselect a finding, click on the finding again.

A nurse is reviewing the laboratory findings for a female client who is taking zidovudine to treat HIV. Which of the following should the nurse identify as an adverse finding associated with this medication?

A nurse is preparing to administer mannitol IV to a client. The nurse should monitor the client for which of the following manifestations as an expected outcome of this medication?

A nurse is caring for a female client in a clinic.

A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.

A nurse is caring for a client who has been taking captopril for one year. Which of the following laboratory values should the nurse review? (Select all that apply.)

A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.

A nurse is caring for a client who has an infection and is starting to take gentamicin. Which of the following client laboratory tests should the nurse monitor to detect an adverse effect of the medication?

A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following manifestations should the nurse report to the provider as an indication of digoxin toxicity?

A nurse is providing teaching to a client who has a new prescription for folic acid. The client states, “I thought that was only given during pregnancy.”. Which of the following statements should the nurse make?

A nurse is providing teaching to a client who has rheumatoid arthritis and is starting to take hydroxychloroquine. Which of the following client statements indicates an understanding of the teaching?