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                The patient with a diagnosis of Stage 2 Hypertension has been prescribed Metoprolol.  The nurse should question this medication order when seeing which of the following conditions noted in the patient’s chart? 

A 77 year old patient hospitalized with chronic osteomyelitis is ordered for 20 mg/kg IV Vancomycin q8. The patients fourth dose of Vancomycin is due at 2000. When should the nurse draw the trough level? 

A nurse is teaching a group of older clients about stroke risk factors. Which of the following modifiable risk factors should the nurse include in the teaching?

A nurse is providing teaching to a client who has osteoporosis and a new prescription for alendronate (Fosamax). Which of the following adverse effects should the nurse instruct the client to report to the provider immediately? 

A patient who is status post partial gastrectomy is being monitored in the PACU.  The nasogastric tube has put out 150 mL of bloody drainage over the past hour.  The patient’s vital signs for the past hour have been blood pressure 112/82, 108/76, 98/64 and pulse 76, 82, 92.  What  should the nurse do first? 

A nurse in an intensive care unit is caring for a client who had an acute myocardial infarction (MI) and had cardiac biomarkers drawn. The nurse knows that the results of the cardiac biomarkers studies help determine which of the following?

The client with a history of Coronary Artery Disease is brought to the Emergency department by her daughter. The client is diaphoretic and complaining of substernal chest pain radiating to her jaw and “heartburn”. What action does the nurse anticipate taking first?

                 The health care provider has prescribed Beclomethasone metered-dose inhaler (MDI) two puffs every 12 hours for a patient with asthma. After receiving instructions about the use of the inhaler, which patient statement indicates teaching was effective? 

A patient presenting to the emergency department complains of dyspepsia and pain. What assessment findings would make the emergency room nurse suspect the patient may have a gastric ulcer?

A patient arrives in the emergency department with hemiparesis and dysarthria that started 3 hours previously. Health records show a history of several transient ischemic attacks (TIAs). Which intervention should the nurse anticipate for this patient?