A nurse is reviewing new prescriptions for an older adult wi…
A nurse is reviewing new prescriptions for an older adult with moderate Alzheimer’s disease who has been taking memantine for several months. The client has chronic kidney disease (creatinine clearance 38 mL/min) and has recently exhibited increased confusion and dizziness. Which newly prescribed medication should the nurse question and clarify with the provider?
Read DetailsA nurse is caring for a client who has been receiving long-t…
A nurse is caring for a client who has been receiving long-term octreotide therapy. During the shift, the client reports new symptoms. Which assessment finding requires the nurse to notify the provider immediately due to a suspected medication-related complication?
Read DetailsA nurse is caring for a client who is receiving analteplase…
A nurse is caring for a client who is receiving analteplase (tPA) infusionfor an acute ischemic stroke. Thirty minutes into the infusion, the client reports continuous bleeding from the gums that does not stop with gentle pressure. The nurse also notes oozing from the IV insertion site and a new complaint of headache. What is the nurse’s best action?
Read DetailsA nurse is providing discharge teaching to a pregnant client…
A nurse is providing discharge teaching to a pregnant client with a history of deep vein thrombosis who has been prescribed enoxaparin (Lovenox) for the remainder of the pregnancy. Which client statement indicates correct understanding of this medication?
Read DetailsA nurse is participating in a stroke alert for a client who…
A nurse is participating in a stroke alert for a client who arrived at the emergency department with right-sided weakness and slurred speech. The provider orders alteplase (tPA). Available information: Last known well time:5 hours ago NIH Stroke Scale score:14 Non-contrast CT scan:negative for hemorrhage Blood glucose:110 mg/dL Blood pressure:172/98 mm Hg Which finding requires the nurse to question the alteplase order immediately?
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