A client receiving methimazole for Graves disease contacts the clinic reporting fever, sore throat, increasing fatigue, and general malaise over the past several days. Which action should the nurse recommend?

A hospitalized client is receiving intravenous hypertonic saline for severe hyponatremia. The nurse explains that the solution has a higher concentration of solutes than the fluid inside the body’s cells. Which response best describes what will occur initially?

A client prescribed azithromycin for a respiratory infection asks why the provider spent time reviewing the current medication list before writing the prescription. Which explanation by the nurse is most appropriate?

A patient receiving a continuous heparin infusion has laboratory testing performed every six hours. The most recent coagulation result falls below the therapeutic range established by protocol. Which action should the nurse anticipate?

A patient experiencing an acute asthma exacerbation receives albuterol via nebulizer in the emergency department. Fifteen minutes later, lung sounds improve and oxygen saturation rises from 90% to 96%, but the patient reports feeling “shaky” and notices a rapid heartbeat. Which interpretation is most appropriate?

Following abdominal surgery, a patient receives IV morphine for pain management. Thirty minutes later, the patient becomes difficult to arouse, respirations decrease to 8 breaths per minute, and oxygen saturation begins to decline. Which medication should the nurse anticipate administering?

A patient receiving haloperidol for schizophrenia reports fewer auditory hallucinations during a follow-up visit. However, the nurse observes muscle rigidity and abnormal facial movements that were not present before treatment began. Which interpretation best reflects the medication’s therapeutic and adverse effects?

A patient with persistent asthma is prescribed both albuterol and fluticasone inhalers. During discharge teaching, the patient asks how to use both medications correctly when they are scheduled at the same time. Which instruction by the nurse is most appropriate?

A patient returns to the clinic two months after beginning lisinopril therapy for hypertension. Blood pressure has improved, but the patient reports an irritating dry cough that disrupts sleep and daily activities. Which action should the nurse anticipate?

Several months after beginning amiodarone therapy for recurrent ventricular dysrhythmias, a patient develops progressive shortness of breath and a persistent nonproductive cough. Which adverse effect is most concerning?