Extract:

Question 1 of 5

A nurse is contributing to an in-service for newly licensed nurses about situations requiring an incident report. Which of the following examples should the nurse include?

A. A nurse observes a client vomiting after receiving an oral pain medication.B. A nurse observes another nurse remove wrist restraints one at a time from a client who is currently calm.C. A nurse discovers that an electronic IV pump delivered twice the prescribed amount of fluid to a client.D. A nurse discovers that a client's family member has administered a PCA dose.

Correct Answer: C

Rationale: An IV pump error delivering double the fluid is a serious medication error requiring an incident report. Vomiting is a side effect, restraint removal may not need reporting, and PCA misuse needs clarification.

Question 2 of 5

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

A. You should take this medication with a glass of milk.B. You might notice an increase in your sun sensitivity.C. This medication might cause your urine to turn blue.D. You should stop taking this medication if you feel better.

Correct Answer: B

Rationale: Levofloxacin increases photosensitivity, risking sunburn, so clients should use sun protection. Dairy reduces absorption, urine color isn't affected, and stopping early risks resistance.

Question 3 of 5

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

A. You should take this medication at bedtime if it causes drowsiness.B. You might notice an increase in your appetite immediately.C. This medication might cause your urine to turn red.D. You should stop taking this medication if you feel better.

Correct Answer: A

Rationale: Duloxetine can cause drowsiness, so bedtime dosing is an option. Appetite changes take time, urine color isn't affected, and stopping abruptly risks withdrawal.

Question 4 of 5

A nurse is reinforcing teaching with a client who has a new prescription for ranitidine. 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 drowsiness.D. You should report any new abdominal pain to your provider.

Correct Answer: C

Rationale: Ranitidine can cause drowsiness, a side effect to note. It's taken with or without food, doesn't increase stools, and abdominal pain isn't a new concern unless severe.

Question 5 of 5

A nurse is reinforcing teaching with a client about collecting a stool specimen to check for occult blood. Which of the following statements by the client indicates an understanding of the teaching?

A. Eating pasteurized dairy products will affect my test results.B. Having urine mixed in with the stool will not affect the results.C. I should avoid eating red meat for 3 days before my test.D. I should collect a specimen once each week for 4 weeks.

Correct Answer: C

Rationale: Avoiding red meat for 3 days prevents false positives in occult blood tests. Dairy doesn't affect it, urine can dilute results, and weekly collection isn't standard.