Extract:

Question 1 of 5

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

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

Correct Answer: B

Rationale: Ertapenem risks allergic reactions (e.g., rash), requiring monitoring. It's given over 30 minutes, diluted in saline, and dosed daily, not weekly.

Question 2 of 5

A nurse is reviewing information about advance directives with a newly admitted client. Which of the following statements by the client indicates an understanding of the information?

A. Advance directives include instructions for resolving financial matters after my death.B. Federal legislation dictates the legal guidelines for advance directives.C. Advance directives include a living will.D. My medical record should not include my advance directives.

Correct Answer: C

Rationale: Advance directives include a living will, outlining treatment preferences. They don't cover finances, federal law supports but doesn't dictate specifics, and records should include them.

Question 3 of 5

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

A. Instruct the client to take the medication with a high-fat meal.B. Monitor the client for signs of mood changes.C. Administer the medication via rapid IV push.D. Check the client's blood glucose level prior to administration.

Correct Answer: B

Rationale: Varenicline, for smoking cessation, can cause mood changes (e.g., depression), requiring monitoring. It's taken with food, oral only, and glucose isn't affected.

Question 4 of 5

A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the following findings should the nurse expect?

A. Weight gainB. BradycardiaC. Heat intoleranceD. Constipation

Correct Answer: C

Rationale: Hyperthyroidism increases metabolism, causing heat intolerance. Weight loss, tachycardia, and diarrhea are more typical than gain, bradycardia, or constipation.

Question 5 of 5

A nurse is caring for a client who has an indwelling catheter with a urinary drainage system. Which of the following actions should the nurse take?

A. Coil the tubing on the bed above the collection bag.B. Instruct the client to hold the drainage bag at waist height when ambulating.C. Collect a sterile specimen from the urinary drainage bag.D. Secure the tubing with adhesive tape to the lower abdomen

Correct Answer: D

Rationale: Securing tubing to the abdomen prevents tugging and maintains flow, reducing infection risk. Coiling above the bag, holding at waist, or sampling from the bag increase infection risk.