A client presents to the ED with confusion and disorientation. The nurse reviews the client’s lab report and the ammonia level is critically elevated. The client’s son confirms that the client has no drug or food allergies. Which is the next best action of the nurse?Note: The nurse has standing orders to administer either of the following.

A client in the post-anesthesia care unit received scopolamine (Transderm Scop) during the preoperative period. What is the priority nursing action after the administration of scopolamine?

A nurse is monitoring a client admitted to the ED in a hypertensive crisis. The nurse has standing orders for the following medications:amlodipine (Norvasc) 10 mg POhydralazine 40 mg IMdiltiazem (Cardizem) 120 mg POnitroprusside 25 mg IV infuse at 50 mL/hrOxygen 3 liters per nasal cannulaWhich of the following is the best next action by the nurse?

A psychiatric nurse is caring for a client with suicidal tendencies who has been admitted to a mental health institution. Which action would be most important for the nurse to assess right after administering the drug orally?

A nurse caring for a client who has a new prescription for atenolol (Tenormin). For which of the following adverse effects should the nurse monitor the client?

A nurse is preparing to teach a client and spouse about the escitalopram (Lexapro) therapy which will be continued at home. Which safety measure should the nurse recommend if the client complains of dizziness when getting out of bed?

A nurse is collecting data from a client who has been taking etanercept (Enbrel) for the past week. Which of the following therapeutic effects should the nurse expect to find?

A nurse is caring for a hospitalized client who has rheumatoid arthritis and will begin taking methotrexate (Trexall). Which of the following is most appropriate for the nurse to closely monitor during treatment?

A client with a history of severe allergic reactions arrives in the emergency department with facial swelling, wheezing, and hypotension after a bee sting. The provider orders subcutaneous epinephrine 0.3 mg. What is the nurse’s most appropriate action before administering the medication?

A nurse is reinforcing teaching with a client who has osteoporosis and is prescribed alendronate (Fosamax) 70 mg p.o. weekly. Which of the following statements by the client indicates a need for further instruction?