A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The client states she took penicillin 3 years ago and developed a rash. Which of the following actions should the nurse take?

Ordered:  Heparin 1000 units/hr.  Available:  20,000Units / 250 mL of NS. a. How many mL/hr will deliver 1000 units/hr? b. How many hours will it take to infuse the available fluids?

The nurse is providing teaching regarding drug therapy to the husband of a woman with Alzheimer’s disease. She was diagnosed 3 months ago, has mild memory loss, and will be receiving donepezil (Aricept), an acetylcholinesterase inhibitor. What is the drug’s expected action?

The nurse is caring for a patient who is receiving warfarin (Coumadin), an anticoagulant, and notes bruising and petechiae on the patient’s extremities. The nurse will request an order for which laboratory test?

A client with diabetes mellitus visits a healthcare clinic. The client’s diabetes mellitus previously had been well controlled with glyburide, a sulfonylurea, daily, but recently the fasting blood glucose level has been 180 mg/dL to 200 mg/dL (10.2 mmol/L to 11.4 mmol/L). Which medication, added to the client’s regimen, may have contributed to the hyperglycemia?

A patient is suffering from tendonitis of the knee. The nurse is reviewing the patient’s medication administration record and recognizes that which adjuvant medication is most appropriate for this type of pain?

During an admission assessment, the patient tells the nurse that he has been self-treating his heartburn for 1 year with over-the-counter omeprazole (Prilosec), a proton pump inhibitor that is available over the counter. The nurse is aware that this self-treatment may have which result?

A patient has congestive heart failure and has been taking the cardiac glycoside, digoxin (Lanoxin) for 9 years. The patient is admitted with signs and symptoms of digoxin toxicity. Which signs and symptoms are associated with digoxin toxicity? (Select all that apply.)

The clinic nurse completed a teaching session with a 16-year-old patient who is being treated for acne vulgaris. Which statement indicates understanding of the teaching points?

Parents of a child with hemophilia A ask the nurse, “What is the deficiency with this disorder?” Which correct response should the nurse make?