Clinical Scenarios and Nursing Judgment

1. Mr. Lavoie, 64 years old, has COPD and takes theophylline daily. He reports palpitations, insomnia, and restlessness. What is the nurse’s priority action? *
2. Mrs. Dufresne, 72 years old, is on lisinopril (an ACE inhibitor) for hypertension. She reports a persistent dry cough and mild dizziness when standing. What should the nurse do? *
3. Mr. Beaudoin, 58 years old, is receiving furosemide (Lasix) IV for pulmonary edema. He reports ringing in the ears (tinnitus). What should the LPN do first? *
4. Mrs. Tremblay, 80 years old, is prescribed digoxin for heart failure. Her apical pulse is 48 bpm, and she complains of nausea and seeing yellow halos. What is the nurse’s best action? *
5. A newly admitted patient is prescribed metformin for type 2 diabetes. The chart shows a creatinine level of 2.8 mg/dL (Normal: 0.7 to 1.3 mg/dL). What should the nurse do? *
6. Mr. Richard, 40 years old, has been prescribed erythromycin while taking warfarin for atrial fibrillation. Which finding requires immediate attention? *
7. Ms. Gervais, 32 years old, refuses to take her antihypertensive medication because it makes her dizzy and tired. What should the nurse do first? *
8. Mr. Boucher, 68 years old, is prescribed morphine for severe postoperative pain. The nurse notes respiratory rate of 8/min and unresponsiveness to verbal stimuli. What is the priority action? *
9. The physician orders heparin 5,000 units subcutaneously every 8 hours and warfarin 5 mg daily for a patient with DVT. Which action by the nurse shows correct understanding of therapy? *
10. Mr. Chen, 70 years old, is prescribed gentamicin for pneumonia. His creatinine level is rising, and he reports decreased urine output. What should the nurse do? *
Clinical Scenarios and Nursing JudgmentDownload