question of the week

for the week of 06.29.09

A client calls the evening health clinic to state “I know I have a severely low sugar since the Lantus insulin was given three hours ago and it peaks in two hours.” What should be the nurse’s initial response to the client?

1. "What else do you know about this type of insulin?"
2. "What are you feeling at this moment?"
3. "Have you eaten anything today?"
4. "Are you taking any other insulin or medication?"

question of the week

for the week of 06.22.09

Prior to administration of Alteplase (TPA) to a client admitted with a diagnosis of a cerebral vascular accident (CVA), what serum lab value should a nurse check?

1. "Arterial blood gases and complete blood count"
2. "Potassium and magnesium"
3. "Blood urea nitrogen and creatinine"
4. "Prothrombin time and partial thromboplastin time"

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question of the week

for the week of 06.15.09

A nurse should instruct a client who is taking digitalis to report which of these side effects?

1. "Nausea, vomiting, fatigue"
2. "Rash, dyspnea, edema"
3. "Polyuria, thirst, dry skin"
4. "Hunger, dizziness, diaphoresis"

question of the week

for the week of 06.08.09

A 72 year-old client is scheduled to have a cardioversion. A nurse reviews the client’s medication administration record. The nurse should notify the health care provider if the client received which medication during the preceding 24 hours?

1. "Digoxin (Lanoxin)"
2. "Diltiazem (Cardizem)"
3. "Nitroglycerin ointment"
4. "Metoprolol (Toprol XL)"

question of the week

for the week of 06.01.09

A nurse is caring for a client with end stage renal disease. What action should the nurse take to assess for patency in a fistula used for hemodialysis?

1. "Observe for edema proximal to the site"
2. "Irrigate with five mL of 0.9% Normal Saline"
3. "Palpate for a thrill over the fistula"
4. "Check color and warmth in the extremity"