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Question 1 of 5

The client is taking rifampin 600 mg po daily to treat his tuberculosis. Which action by the nurse indicates understanding of the medication?

Correct Answer: B

Rationale: Rifampin causes orange-red discoloration of urine, a normal side effect the nurse should explain.

Question 2 of 5

Before administering Methyltrexate orally to the client with cancer, the nurse should check the:

Correct Answer: D

Rationale: Checking vital signs ensures the client is stable before administering Methotrexate, which can cause systemic side effects.

Question 3 of 5

A nurse from the dialysis unit floats to the med-surg floor. He is doing afternoon rounds and medication administration. He brings a client her oral medications, but the client states, 'What is this? Where is my yellow pill? This big white one is not mine.' The best action from the nurse is to

Correct Answer: A

Rationale: Verifying with the MAR and pharmacy ensures medication safety when a client questions a pill’s appearance, preventing potential errors.

Question 4 of 5

A client weighing 150 pounds has received burns over 50% of his body at 1200 hours. Using the Parkland formula, calculate the expected amount of fluid that the client should receive by 2000 hours.

Correct Answer: B

Rationale: Parkland formula: 4 mL × kg × % TBSA. Weight = 150 lb ÷ 2.2 = 68 kg. 4 × 68 × 50 = 13,600 mL total. Half (6,800 mL) is given in the first 8 hours (1200 to 2000).

Question 5 of 5

The RN is making assignments for the morning staff. Which client should be cared for by the RN?

Correct Answer: D

Rationale: Hemoptysis indicates potential severe bleeding, requiring the RN's advanced assessment and intervention skills.

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