Vital Signs Day 1:

Temperature 36.2 0 C (97.20 F) Respiratory rate 18/min

Heart rate 74/min

Blood pressure 1 1 8/68 mm Hg Sp02 96% on room air

Day 7:

Temperature 36.9 0 C (98.40 F) Heart rate 86/min

Respiratory rate 18/min Blood pressure 98/66 mm Hg Sp02 97% on room air

Provider Prescriptions Day 1:

Levodopa 250 mg/Carbidopa 25 mg 1 tablet daily Day

7:

Levodopa 250 mg/Carbidopa 25 mg 2 tablets daily

Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.

“Consumption of a high-protein meal can reduce the effectiveness of the medication”

"You can experience vivid nightmares."

"You may notice your urine becomes lighter in color."

"The medication can cause nausea, so take with a meal."

"This medication can make you light-headed if you stand up too quickly from a seated or lying position."

"You may initially notice an increase in involuntary movements."

Answer and Explanation

Correct Answer : A,B,D,E,F

The medication causes a harmless discoloration or urine (Levodopa causes darkening of urine rather than lightening), high protein intake interferes with the availability of the medication in the CNS, The medication causes orthostatic hypotension and dizziness, The medication should be taken with a meal if nausea and vomiting occurs, Initially the medication can cause dyskinesia which should be reported, The medication also cause hallucinations and sleep disturbances

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is A

Explanation

Nitroprusside is a systemic vasodilator that lowers blood pressure. It is used in emergency set ups to lower blood pressure in clients with hypertensive crises. It can also lower the blood pressure to cause hypotension and the blood pressure should be monitored closely.

B-Stroke volume is not directly affected by nitroprusside

C-Cardiac output is not directly affected by nitroprusside

D-Urine output changes can occur due to hypotension but not as a direct effect of nitroprusside

A. A client experiences a seizure. B. A client vomits after receiving an oral medication. C. A client receives their insulin 1 hr before scheduled. D. A client receives their meal tray 20 min late.

Correct Answer is C

Explanation

Incident reports are documented for incidences that are likely to cause adverse outcomes for the clients or healthcare professionals and, therefore, their occurrence needs to be mitigated. In this case, wrong timing for medications such as insulin may lead to overdose with subsequent hypoglycemia which is detrimental

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?

Correct Answer is A

Explanation

A nurse is caring for a group of clients. Which of the following situations requires an incident report?

Correct Answer is C

Explanation

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 caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?

A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?

A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next?

A nurse is taking a medication history from a client who has a new prescription for levothyroxine. The nurse should instruct the client to wait 4 hr after taking levothyroxine before taking which of the following supplements?

A nurse in a provider's office is evaluating the effectiveness of alendronate for a client who has osteoporosis. Which of the following diagnostic results should the nurse review?

A nurse is teaching a client who has a new prescription for captopril. Which of the following information should the nurse include in the teaching?