1. A nurse is monitoring a client who is receiving epoetin alfa
(Epogen) for adverse effects. The nurse should identify which of
the following findings as an adverse effect of this medication?
(Select all that apply) Chapter 11
A. Leukocytosis
B. Hypertension
C. Joint pain
D. Edema
E. Blurred vision
Rationale:
2. A nurse is preparing to hang the next bag of heparin to
a client with a deep vein thrombosis (DVT). The client’s current
laboratory values are as follows: PT-12.7, INR-1, PTT-62. Which
intervention should the nurse implement? Chapter
9
A. Hang the IV bag at the same rate
B. Order a STAT PT/INR & PTT
C. Assess the client for abnormal bleeding
D. Notify the provider
Rationale:
3. A nurse is educating a client who has a new prescription for
diphenhydramine for allergic rhinitis. The nurse should instruct
the client to monitor for which of the following adverse reactions
of this medication? (Select all that apply) Chapter
32
A. Dry mouth
B. Nonproductive cough
C. Urinary retention
D. Drowsiness
E. Skin rash
Rationale:
4. After assessing a client with chronic obstructive pulmonary
disease (COPD) who is being treated with beclomethasone
dipropionate via an oral inhaler, which signs & symptoms should
the nurse conclude are medication adverse effects? (Select all that
apply) Chapter 33
A. Excess salivation
B. Hoarseness
C. Fluid deficit with weight loss
D. Oral fungal infection
E. Increased respiratory rate
Rationale:
5. A nurse is caring for a client taking salicylic acid
(Aspirin). Which signs or symptoms may indicated salicylic acid
toxicity? (Select all that apply) Chapter 16
A. Constipation
B. Hearing loss
C. Tinnitus
D. Bradycardia
E. Tachycardia
Rationale:
6. A nurse is caring for a client who is taking montelukast
(Singulair). Which signs or symptoms should alert the nurse that
the client is experiencing neuropsychiatric effects? (Select all
that apply) Chapter 33
A. Hallucinations
B. Homicidal ideations
C. Dream abnormalities
D. Suicidal ideations
E. Seizures
Rationale:
1. A nurse is monitoring a client who is receiving epoetin alfa (Epogen) for adverse effects. The nurse should identify
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