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Beezus Beezus
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Posts: 339
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6 years ago
The nurse should monitor which laboratory test for a client who is prescribed valproic acid (Depakote) for a seizure disorder?
 
  1. Complete blood count
  2. Serum sodium level
  3. Liver function studies
  4. Sedimentation rate

Question 2

The nurse should instruct the postoperative client that antiembolic stockings are used to:
 
  1. keep the legs warm.
  2. serve as a nonslip slipper.
  3. promote venous return.
  4. make it easier to ambulate after surgery.

Question 3

A client is planning to use nicotine gum to aid with cigarette cessation. Which of the following should the nurse instruct the client as adverse effects of using nicotine gum? (Select all that apply.)
 
  1. Rapid heart rate may result.
  2. Mild headaches can occur.
  3. A sore mouth and throat are possible.
  4. Abnormal dreams are common.
  5. Pruritis is possible.
  6. Nausea can occur.

Question 4

The blood pressure measurement for a client is very different from the one that was assessed a few hours previously. The nurse should suspect that the blood pressure measurement is false when which of the following is assessed in the client?
 
  1. Client needs to void.
  2. Client smoked a cigarette 10 minutes prior to the measurement.
  3. The examination room is very warm.
  4. Doors are slamming and children are crying in the environment.
  5. Client just had lunch.
  6. Client slept for 8 hours the previous night.

Question 5

The nurse is reviewing the laboratory values for a client prescribed theophylline (Theo-Dur). Which of the following would indicate a therapeutic level of this medication?
 
  1. 2.0 mcg/mL
  2. 5.0 mcg/mL
  3. 15 mcg/mL
  4. 25 mcg/mL
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Replies
wrote...
6 years ago
The answer to question 1

3
Depakote can cause fatal hepatotoxicity. The nurse should monitor the client's liver function studies. Complete blood count, serum sodium, and sedimentation rate are not necessary to monitor for the administration of this medication for the client.

The answer to question 2

3
Surgery may result in swelling that could impede blood return. Antiembolic stockings will aid in blood return and reduce lower extremity edema postoperatively. These stockings are not used to keep the legs warm, serve as a nonslip slipper, nor make it easier to ambulate after surgery.

The answer to question 3

1, 2, 3, 6
Adverse effects associated with the use of nicotine chewing gum include tachycardia, mild headache, sore mouth and throat, and nausea. Abnormal dreams and pruritis are adverse effects of nicotine patches, nicotine nasal spray, and nicotine inhalers.

The answer to question 4

1, 2, 3, 4
Factors that cause false blood pressure readings include anxiety, full urinary bladder, excessively warm room, recent tobacco use, and loud or repetitive noises. Eating a meal or having 8 hours of sleep are not known to cause a false blood pressure reading.

The answer to question 5

3
When administering theophylline, the nurse must obtain serum blood levels which have a therapeutic range of 10 to 20 mcg/mL. The levels of 2.0 mcg/mL and 5.0 mcg/mL are considered subtherapeutic. The value of 25 mcg/mL is considered toxic.
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