A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should collect further data from the client before administering medication?

The client reports having trouble sleeping the previous night.

The client reports dizziness when ambulating to the bathroom.

The client has a urine output of 400 mL for the past 8 hr

The client ate 60% of their breakfast.

Answer and Explanation

The Correct Answer is B

A. Trouble sleeping the previous night may not be directly related to the decision to withhold antihypertensive medication.
B. Dizziness when ambulating could indicate hypotension, which can be exacerbated by antihypertensive medication. The nurse should collect further data to ensure the patient's blood pressure is safe for medication administration.
C. Urine output is important to monitor but does not directly indicate a need to withhold antihypertensive medication unless associated with other symptoms.
D. Eating 60% of breakfast does not indicate a need to collect further data before administering antihypertensive medication.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. SBAR (Situation, Background, Assessment, Recommendation) is a standardized communication tool used in healthcare to improve communication between healthcare providers.
B. The Pure Food and Drug Act is a historical legislation related to food and drug safety, not communication standards.
C. National Patient Safety Goals are set by The Joint Commission to improve patient safety but are not specifically about communication.
D. MedWatch Program is a reporting system for adverse events related to medications, not a communication standard.

A. "I will always repeat the prescription back to the provider after receiving it." B. "All telephone prescriptions must be directly transcribed into the nurse's notes." C. "I will ask the provider for clarification when I do not understand." D. "Telephone prescriptions should be signed by the provider as soon as possible."

Correct Answer is B

Explanation

A. Repeating the prescription back to the provider ensures accuracy and is a best practice.
B. Telephone prescriptions should be transcribed into the appropriate medical record or order entry system, not just the nurse's notes. This ensures the prescription is documented correctly and can be acted upon by other healthcare team members.
C. Asking for clarification when the prescription is not understood is crucial to prevent errors.
D. Telephone prescriptions should be signed by the provider as soon as possible to ensure they are valid and have been accurately communicated.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should collect further data from the client before administering medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The Joint Commission's stated industry best practice for standard communication is known as:

Correct Answer is A

Explanation

A nurse is orienting a newly licensed nurse about obtaining telephone prescriptions. Which of the following statements by the new nurse indicates a need for further teaching?

Correct Answer is B

Explanation

This medication is most commonly used to treat acute angina attacks:

Before administering client medications, the nurse must identify the client. Which of the following methods of identification should the nurse use?

A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should collect further data from the client before administering medication?

A patient weighs 198lbs. The nurse correctly records his weight in kilograms as:

The nurse goes into a patient's room and administers her 0900 medications. When should the nurse document that the medications were given?

A nurse is reviewing the components of medication reconciliation with a newly licensed nurse. Which of the following information should the nurse include in the teaching?

The nurse notes that the patient is scratching and has hives 2 hours after receiving a dose of antibiotic medication. The patient soon starts having difficulty breathing and his blood pressure drops. What is the correct analysis of the patient's condition?

A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include?