Extract:

Question 1 of 5

A nurse is assisting with the care of a client who is receiving a continuous IV infusion of dopamine. Which of the following actions should the nurse take?

A. Monitor the IV site hourly for signs of extravasation.B. Change the IV site every 24 hr.C. Administer the infusion at a rate of 50 mL/hr.D. Flush the IV line with heparin every 4 hr.

Correct Answer: A

Rationale: Dopamine extravasation can cause tissue necrosis, requiring hourly checks. Site changes are less frequent, rate depends on orders, and heparin isn't routine.

Question 2 of 5

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

A. You should take this medication at bedtime.B. You might notice an increase in your bowel movements.C. This medication might cause your skin to turn blue.D. You should report any new abdominal pain to your provider.

Correct Answer: D

Rationale: Abdominal pain could indicate a complication (e.g., ulcer worsening) with pantoprazole, requiring reporting. It's taken before meals, doesn't increase stools, and skin color isn't affected.

Question 3 of 5

A nurse is assisting with the care of a client who is postoperative following a cholecystectomy. Which of the following actions should the nurse take?

A. Monitor the client's incision site every 8 hr.B. Encourage the client to remain in a supine position.C. Instruct the client to splint the incision when coughing.D. Administer a PRN laxative 12 hr postoperative.

Correct Answer: C

Rationale: Splinting the incision reduces pain and strain during coughing post-cholecystectomy. Monitoring should be more frequent, ambulation is encouraged, and laxatives depend on need.

Question 4 of 5

A nurse is assisting with the care of a client who is receiving a continuous IV infusion of dobutamine. Which of the following actions should the nurse take?

A. Monitor the client's blood pressure hourly.B. Change the IV site every 24 hr.C. Administer the infusion at a rate of 100 mL/hr.D. Flush the IV line with heparin every 4 hr.

Correct Answer: A

Rationale: Dobutamine, a vasopressor, affects blood pressure, requiring hourly monitoring for titration. Site changes are less frequent, rate depends on orders, and heparin isn't routine.

Question 5 of 5

A nurse is caring for a client who has a prescription for fluconazole. Which of the following actions should the nurse take?

A. Administer the medication via rapid IV push.B. Monitor the client for signs of hepatotoxicity.C. Dilute the medication in dextrose 5% in water.D. Instruct the client to take the medication once per week.

Correct Answer: B

Rationale: Fluconazole can cause liver damage (hepatotoxicity), requiring monitoring (e.g., LFTs). It's oral or slow IV, diluted in saline, and dosing varies by condition.