Extract:

Question 1 of 5

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

A. Monitor the client's respiratory rate 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: Midazolam, a sedative, risks respiratory depression, requiring hourly monitoring. 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 pregabalin. Which of the following statements should the nurse include?

A. You should take this medication with a high-fat meal.B. You might notice an increase in your energy levels.C. This medication might cause you to feel drowsy.D. You should stop taking this medication if your pain resolves.

Correct Answer: C

Rationale: Pregabalin often causes drowsiness, a key side effect. It's taken without regard to meals, may reduce energy, and stopping abruptly risks withdrawal.

Question 3 of 5

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

A. You should take this medication with a high-fat meal.B. You might notice swelling of your lips or face.C. This medication might cause your urine to turn green.D. You should report a persistent cough to your provider.

Correct Answer: B

Rationale: Valsartan can cause angioedema (swelling), requiring reporting. It's taken without regard to meals, doesn't change urine color, and cough is less common than with ACE inhibitors.

Question 4 of 5

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

A. Monitor the client's deep tendon reflexes every 4 hr.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: Magnesium sulfate toxicity depresses reflexes, requiring monitoring (e.g., every 1-4 hr). Site changes are less frequent, rate depends on orders, and heparin isn't routine.

Question 5 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.