A primary health care provider (PHCP) prescribes warfarin sodium for a

1.A client scheduled to take a subcutaneous anticoagulant at home says to the nurse, "I'm not sure I will be able to take this medication at home ." Which statement by the nurse is appropriate?None 选项： A:"Maybe your spouse can give you your shots ." B:"You'll be fine once you get used to giving your own shots ." C:"What are your concerns about taking this medication at home?" D:"Don't worry . Your primary health care provider knows what's best for you ."

2.The home care nurse has given instructions to a client who is beginning therapy with digoxin for atrial fibrillation . The nurse determines a need for further teaching if the client makes which statement?None 选项： A:"If I miss a dose, I would just take two the next day ." B:"I shouldn't change brands without asking the primary health care provider first ." C:"I need to call the primary health care provider if my daily pulse rate is under 60 or over 100 ." D:"The pills need to be kept in their original container so that they don't get mixed up with my other medicines ."

3.A client is due to receive digoxin 0 .125 mg by mouth . The nurse prepares to administer the medication and notes that the label on the bottle of pills states that each tablet contains 0 .25 mg . The nurse would take which action?None 选项： A:Administer 2 tablets of the medication . B:Administer one-half tablet of the medication . C:Administer only 1 tablet of the medication and call the pharmacy . D:Withhold the medication and call the primary health care provider (PHCP) .

4.A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection . The nurse is teaching the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin . Which statement by the client indicates the best understanding of the medication regimen?None 选项： A:"My ulcer will heal because these medications will kill the bacteria ." B:"These medications are taken only when I have pain from my ulcer ." C:"The medications will kill the bacteria and stop the acid production ." D:"These medications will coat the ulcer and decrease the acid production in my stomach ."

5.The nurse teaches the client being discharged to home with a prescription for a daily dose of prednisone to take the medication at which best time?None 选项： A:Any time of the day B:In the early morning C:In the middle of the day D:An hour before bedtime

6.The nurse in the ambulatory care unit is providing home care instructions to a client after cryotherapy for the treatment of malignant skin lesions. Which statement would be most appropriate for the nurse to include in the home care instructions for this client?None 选项： A:"Apply ice to the site to prevent swelling." B:"Clean the site with alcohol 3 times daily." C:"Apply a warm, damp washcloth if discomfort occurs." D:"Avoid showering or taking baths until seen by the primary health care provider in 1 week."

7.The nurse notes that a client with schizophrenia who is receiving an antipsychotic medication is moving the mouth, protruding the tongue, and grimacing while watching television . The nurse determines that the client is experiencing which medication complication?None 选项： A:Parkinsonism B:Tardive dyskinesia C:Hypertensive crisis D:Neuroleptic malignant syndrome

8.The nurse is reviewing the primary health care provider's prescriptions for an adult client who has been admitted to the hospital after a back injury . Carisoprodol is prescribed for the client to relieve the muscle spasms . The primary health care provider has prescribed 350 mg to be administered 4 times a day . What would the nurse conclude?None 选项： A:The prescription is the normal adult dosage . B:The prescription is lower than normal dosage . C:The prescription is higher than normal dosage . D:The dosage prescribed requires further clarification with the primary health care provider .

9.The nurse is caring for a client diagnosed with influenza who has had high fever, muscle aches, headache, and sore throat for 36 hours. The health care provider prescribes ibuprofen and oseltamivir. Which of the following actions by the nurse are appropriate? Select all that apply. 选项： A:

Clarify the prescription for oseltamivir with the health care provider

B:

Instruct the client to cover the mouth and nose while coughing or sneezing

C:

Place a mask on the client when transporting the client through the halls

D:

Plan discharge teaching about the importance of annual influenza vaccination

E:

Use contact precautions when providing care for the client

10.The nurse is performing an assessment on a client with a head injury and notes that the client is assuming this posture. The nurse contacts the primary health care provider and reports that the client is exhibiting which posture? Refer to figure.None 选项： A:Opisthotonos B:Decorticate rigidity C:Decerebrate rigidity D:Flaccid quadriplegia

Document the client's statement in the electronic medical record

B:

Inform the nursing supervisor that the client needs additional teaching

C:

Notify the operating room scheduler of a possible delay in surgery

D:

Request that the health care provider clarify the client's concerns

">11.The health care provider gives the preoperative nurse a signed consent form and walks away. The client turns to the nurse and states, "I don't know what's going on. Why do I need surgery?" What action should the nurse perform first? 选项： A:

Document the client's statement in the electronic medical record

B:

Inform the nursing supervisor that the client needs additional teaching

C:

Notify the operating room scheduler of a possible delay in surgery

D:

Request that the health care provider clarify the client's concerns

12.The nurse instructor is evaluating a nursing student for knowledge regarding care of a client with acute kidney injury. Which statement by the student demonstrates the need for further teaching about the diuretic phase of acute kidney injury?None 选项： A:"The increase in urine output indicates the return of some renal function." B:"The diuretic phase develops about 14 days after the initial insult and lasts about 10 days." C:"The blood urea nitrogen and creatinine levels will continue to rise during the first few days of diuresis." D:"The diuretic phase is characterized by an increase in urine output of about 500 mL in a 24-hour period."

13.231. The nurse is monitoring a client in active labor and notes that the client is having contractions every 3 minutes that last 45 seconds. The nurse notes that the fetal heart rate between contractions is 100 beats per minute. Which nursing action is most appropriate? 选项：A. Notify the primary health care provider (PHCP). B. Continue monitoring the fetal heart rate. C. Encourage the client to continue pushing with each contraction. D. Instruct the client’s coach to continue to encourage breathing techniques.

14.A Native American client is hospitalized for depression and attempted suicide. Family members have requested that they be allowed to bring in a medicine healer to perform a ritual on the client. Which of the following is the best action by the nurse? 选项： A:

Explain that the client's depression is being treated with medications

B:

Explain that the client's depression will not be relieved by a ritual

C:

Plan a meeting with the health care provider (HCP), family, nurse, and medicine healer to make arrangements for the ceremony

D:

Tell the family that such practices are not allowed in the hospital

15.A female client with infertility related to anovulatory cycles is prescribed menotropins (Pergonal). Which of the following, if stated by the client as a possible adverse effect of this medication indicates successful teaching? 选项： A: Pulmonary edema. B: Ovarian enlargement. C: Visual disturbances. D: Breast tenderness.

16.Propofol is being administered to induce sedation in a client who is intubated and is being mechanically ventilated . The nurse would monitor for which adverse effect during infusion of the medication?None 选项： A:Itching B:Skin redness C:Elevated triglyceride levels D:Signs of respiratory depression

17.The nurse is providing instructions to a client regarding the use of a walker . Which statement by the client would indicate the need for further instruction?None 选项： A:"I need to inspect the rubber tips daily ." B:"I need to wear shoes when ambulating ." C:"I need to pick up the walker and move it forward, and then walk into the walker, one step at a time ." D:"The walker height needs to allow for about 45 degrees of flexion at my elbow so that the height of the walker will be safe ."