A patient has an order for cyclosporine
(Sandimmune). The nurse finds that cyclosporine-modified (Neoral) is available in the automated medication cabinet. Which action by the nurse is correct?
a. Hold the dose until the prescriber makes rounds.
b. Give the cyclosporine-modified drug.
c. Double-check the order, and then give the cyclosporine-modified drug.
d. Notify the pharmacy to obtain the Sandimmune form of the drug.
ANS: D
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The nurse at the clinic is interviewing a client who offers a number of vague somatic complaints that
might not ordinarily prompt a visit to a caregiver, such as fatigue, back pain, headaches, and sleep disturbance. The client seems tense, and after having spoken of her symptoms seems reluctant to provide more information and is in a hurry to leave. The nurse can best serve the client by a. asking if the client has ever had psychiatric counseling. b. having the client fill out an abuse assessment screen. c. exploring the possibility of client social isolation. d. asking the client to disrobe so the nurse can look for signs of physical abuse.
The nurse is providing education on timolol (Timoptic) to a patient who has been diagnosed with open-angle glaucoma. Which statement by the patient best demonstrates the need for further teaching?
a. "I should take my pulse prior to each application." b. "I may experience blurred vision." c. "I should cover my skin when I am out in the sun." d. "I may experience stinging and dry eyes."
The client with long-standing primary open-angle glaucoma and loss of 60% of her visual fields is about to undergo surgical treatment to create a new drainage channel for the aqueous humor
Which of the following statements made by the client indicates a lack of understand-ing regarding this treatment? A. "I will probably not regain my total vision again for at least 2 weeks." B. "I will not take any aspirin for the first 2 weeks after surgery." C. "I will wear the eye patch all the time until the doctor says it is okay to stop." D. "I will call the doctor immediately if I have severe eye pain or brow pain."
Which comment made by a LPN/LVN enrolled in their first bachelor's of nursing (BSN) course best indicates that self improvement was the motivation for going back to school?
A) "I don't think LPNs get the recognition that RNs get for the work they do." B) "Being an RN will allow me to teach clients, something that is really neglected." C) "Math wasn't my best subject; this program will help me get more proficient at it." D) "I've always been interested in policy making; that's something RNs get involved with."