Author: Anonymous

A client newly prescribed metformin asks why the medication rarely causes hypoglycemia when taken alone. The client expresses concern because a family member experienced frequent low blood glucose episodes while taking diabetes medication. Which explanation by the nurse is most appropriate?

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 patient with atrial fibrillation has been taking digoxin for several months. During a routine follow-up visit, the patient reports nausea, decreased appetite, and difficulty reading because lights appear surrounded by yellow halos. Which action 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 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?

“Effect modification” is desirable because it can help target high-risk populations for special interventions, and it may shed light on biologic mechanisms.

Researchers must be aware of the limitations of the national notifiable disease reporting systems because such limitations can impact the quality of data or interpretations of the findings. Which among these is not a limitation?