A nurse is caring for a client who requires a transfusion of one unit of packed RBCs. The nurse receives the following prescription: “Diphenhydramine 50 mg by mouth once, one hour prior to transfusion.”. The nurse should identify this as which of the following types of prescription?

A nurse in the emergency department is caring for a client who has been experiencing profuse vomiting and watery diarrhea for the past 24 hours. The client reports muscle weakness and palpitations. Based on these findings, the client is at greatest risk for developing which of the following conditions?

A nurse is caring for a client who has an infection and is starting to take gentamicin. Which of the following client laboratory tests should the nurse monitor to detect an adverse effect of the medication?

A nurse is reviewing the health history of a client who experiences migraine headaches and has asked about a prescription for sumatriptan. Which of the following conditions should the nurse identify as a contraindication for taking sumatriptan?

A nurse is caring for a client receiving an intermittent IV bolus of gentamicin twice daily. Which of the following laboratory values should the nurse monitor while the client is receiving this medication? (Select all that apply.)

A nurse is caring for a client who has benign prostate hyperplasia (BPH) and a new prescription for doxazosin IR. Which of the following actions should the nurse plan to take first?

A nurse is caring for a 65-year-old male client in a cardiac clinic. The client was recently discharged from an acute hospital stay for worsening heart failure. Below are the exhibits related to the client’s condition:

Exhibit 1: Nurses’ Notes 2 Weeks Ago

The client was admitted to the hospital two weeks ago with worsening heart failure. He was experiencing significant shortness of breath, fatigue, and 2+ edema on bilateral lower extremities. Upon auscultation, an S3 heart sound was noted, and occasional expiratory wheezing was present. The client was managed with furosemide, captopril, and metoprolol at home, but these medications were not sufficient to control his symptoms.

Exhibit 2: Nurses’ Notes Today

The client reports some improvement in shortness of breath with exertion but continues to feel fatigued. Upon auscultation, an S3 heart sound is still noted, and lung sounds are clear. The client has 1+ edema on the ankles and reports nausea, constipation, and blurred vision.

Exhibit 3: History and Physical

The client was discharged from the hospital two days ago after being treated for worsening heart failure. During the hospitalization, he was prescribed digoxin and a potassium supplement in addition to his existing medications. The client will return to the office in two weeks to review lab work and medication management.

Exhibit 4: Laboratory Results Today

• Digoxin: 2.2 ng/mL (0.8 to 2 ng/mL)
• Potassium: 4.8 mEq/L (3.5 to 5 mEq/L)

Exhibit 5: Vital Signs Today

• Temperature: 36.8°C (98.2°F)
• Heart rate: 55/min
• Respiratory rate: 16/min
• Blood pressure: 110/80 mm Hg
• Oxygen saturation: 96% on room air

Click to highlight the findings that indicate the client may be experiencing digoxin toxicity. To deselect a finding, click on the finding again.

A nurse is preparing to administer mannitol IV to a client. The nurse should monitor the client for which of the following manifestations as an expected outcome of this medication?

A nurse is teaching a group of newly licensed nurses about the prevention of medication errors. Which of the following factors should the nurse identify as the most frequent cause of fatal medication errors?

A nurse is caring for a client who has osteoporosis and a new prescription for alendronate. Which of the following should the nurse assess prior to initiating therapy?

A nurse is completing an admission assessment for a client who has been taking St. John’s wort. The nurse should identify that which of the following medications can interact with St. John’s wort?