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SAUNDERS COMPREHENSIVE REVIEW FOUR NCLEX FOUR 2024. (200pages)


1) The nurse would anticipate that the health care provider

(HCP) would add which medication to the regimen of the

client receiving isoniazid?


 Pyridoxine


2) A postpartum nurse is caring for a client with an epidural

catheter in place for opioid analgesic administration

following cesarean birth. The client develops respiratory

depression and requires naloxone administration. Which

finding should the nurse anticipate as a result of the

naloxone administration?


 Increase in pain level


3) The nurse should monitor the client receiving the first dose

of albuterol for which side or adverse effect of this

medication?


 Tachycardia


4) The client has a prescription to receive pirbuterol 2 puffs

and beclomethasone dipropionate 2 puffs by metered-dose

inhaler. The nurse plans to give these medications in which

way to ensure effectiveness?


 Administering the pirbuterol

before the beclomethasone


5) A client with chronic obstructive pulmonary disease (COPD)

is being changed from an oral glucocorticoid to

triamcinolone by inhalation. The client asks why this change

is necessary. Which statement by the nurse to the client is

accurate?


 "Inhaled glucocorticoids are

preferred because of decreased

adverse effects."


6) A client taking theophylline has a serum theophylline level

of 15 mcg/mL (60 mcmol/L). How does the nurse interpret this

laboratory value?


 In the middle of the

therapeutic range


7) A client is taking cetirizine. The nurse should inform the

client of which side effect of this medication?

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