Extract:

Question 1 of 5

A client with a history of schizophrenia is prescribed aripiprazole (Abilify). The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Aripiprazole can cause akathisia, a movement disorder, requiring monitoring.

Question 2 of 5

The nurse is teaching a client with a new diagnosis of asthma about the use of a peak flow meter. Which of the following instructions is most important?

A. Use the meter once a week. B. Record the highest of three readings. C. Clean the meter with soap daily. D. Use the meter only during an asthma attack.

Correct Answer: B

Rationale: Recording the highest of three readings provides an accurate measure of peak expiratory flow to monitor asthma control.

Question 3 of 5

The staff nurse is reviewing how to manage the last 2 hours of the night shift on an antepartal unit and has the following orders and tasks to complete prior to 7 a.m. The nurse should complete the tasks in which order?

Order the Items

Source Container

Check documentation, final check of each client.

Fetal monitor strip for 1/2 hour q shift.

Magnesium sulfate drawn at 6 a.m.

Accucheck and sliding scale insulin due at 7, 11, 4, and hs.

Correct Answer: D,G,F,A

Rationale:
To manage time effectively: Check documentation and final client checks at 6:30 to ensure all records are complete (
A); perform the fetal monitor strip from 6:00 to 6:30 to meet the half-hour requirement (F); draw magnesium sulfate at 6:00 to align with the ordered time (G); perform Accucheck and insulin at 7:00 as per the schedule (
D).

Question 4 of 5

When a client is prescribed seizure precautions, which interventions should the nurse include in the plan of care? Select all that apply.

A. Having suction equipment readily available B. Keeping all the lights on in the room at night C. Keeping a padded tongue blade at the bedside D. Assisting the client to ambulate in the hallway E. Monitoring the client closely while showering F. Locking the client's bed in its lowest position

Correct Answer: A,D,E,F

Rationale: Suction equipment should be readily available to remove accumulated secretions after the seizure. The client should be accompanied during activities such as bathing and walking so that assistance is readily available and injury is minimized if a seizure begins. The bed is maintained in a low position for safety. A quiet, restful environment is provided as part of seizure precautions. This includes undisturbed times for sleep, while using a night-light (not all lights) for safety. A padded tongue blade is not kept at the bedside because nothing is inserted into the client's mouth during the seizure. Agency procedures regarding seizure precautions are always followed.

Question 5 of 5

How many units of heparin would you administer subcutaneously using the below information? Doctor's order: 6,500 units of heparin subcutaneously Medication label: 4,500 units in one mL

Your Answer:

Correct Answer: A

Rationale:
To calculate: 6,500 units Ã· 4,500 units/mL = 1.444 mL, rounded to 1.4 mL for practical administration.