A nurse is caring for a client.
Exhibits

The nurse reviews the medication administration record following the 0815 assessment findings. Which of the following administered medications would require an incident report?

Propranolol

Pantoprazole

Lovastatin

Morphine

Answer and Explanation

The Correct Answer is A

A. Propranolol is a beta-blocker used to control blood pressure and heart rate. However, the nurse has a hold order for propranolol if the apical pulse (heart rate) is less than 50 beats per minute. The nurse documented a heart rate of 42 bpm at 0815, which falls below the hold parameter for propranolol. Administering propranolol in this case could worsen the client's bradycardia (slow heart rate) and therefore requires an incident report.
B. Pantoprazole is a proton pump inhibitor and doesn't have a direct impact on heart rate within the usual therapeutic range.
C. Lovastatin is a cholesterol medication and wouldn't cause a significant drop in heart rate at this dosage.
D. While morphine can slow the heart rate, it's typically used for pain management and may be necessary for the client's comfort. However, the nurse should monitor the respiratory rate closely due to potential respiratory depression.
E. Cefuroxime is an antibiotic and wouldn't significantly affect heart rate.

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Correct Answer is A

Explanation

A. Urine output of 175 mL in the past 8 hours is significantly low and indicates potential acute kidney injury or worsening renal function, requiring immediate notification to the provider.
B. Urine output of 2,200 mL in the past 24 hours is within normal limits.
C. Strong odor in the first-voided urine in the morning is common and not necessarily indicative of a problem.
D. Cloudy urine after sitting in the urinal for several hours can occur due to crystallization or bacterial growth and is not a critical finding.

A. Report of tinnitus B. Tremor C. Agitation D. Bradycardia E. Fever

Correct Answer is ["B","C","E"]

Explanation

A. Tinnitus is not commonly associated with acute cocaine toxicity.
B. Tremor is a common finding in acute cocaine toxicity due to increased sympathetic nervous system activity.
C. Agitation is common in acute cocaine toxicity as a result of CNS stimulation.
D. Bradycardia is not typically seen; tachycardia is more common.
E. Fever can occur as a symptom of acute cocaine toxicity.

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A nurse is caring for a client. Exhibits The nurse reviews the medication administration record following the 0815 assessment findings. Which of the following administered medications would require an incident report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?

Correct Answer is A

Explanation

A nurse is assessing a client who has acute cocaine toxicity. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

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A nurse is caring for a client.
Exhibits

The nurse reviews the medication administration record following the 0815 assessment findings. Which of the following administered medications would require an incident report?