Exam 1
A nurse is assessing a client who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia? 1. Diaphoresis, irritability, and tremors 2. Tachycardia and hunger 3. Abdominal cramps, nausea, vomiting 4. Breath with a fruity odor and rapid shallow breathing
1
A nurse is teaching a client who has a prescription for ferrous sulfate about food interactions. Which of the following statements indicates the client understands the teaching? 1. "I can take this medicine with juice." 2. "I can take this medication with my eggs at breakfast." 3. "I will drink low-fat milk when taking this medication." 4. "I will take this medication with my coffee."
1
A nurse is caring for a client who is at 8 weeks gestation and has a BMI of 34. The client asks about weight goals during her pregnancy. The nurse should advise the client to do which of the following? 1. Maintain her current BMI 2. Gain approximately 6.8 kg (15 lbs.) 3. Lower her BMI to 30 4. Gain 12.7 to 15.8 kg (28-35 lbs.)
2
A nurse is providing dietary teaching for a client who has COPD. Which of the following instructions should the nurse include in the teaching? 1. Eat at least 3 well-proportioned, large meals a day. 2. Drink low-protein, low-calorie nutrition formulas between meals. 3. Avoid adding gravies and sauces to foods. 4. Consume foods that are soft in texture and easy to chew.
2
A nurse is providing information about cardiovascular risk to a client who has received his lipid panel report. Which of the following is within an expected reference range to include in the information? 1. Total cholesterol 210 mg/dL 2. HDL 79 mg/dL 3. Triglycerides 175 mg/dL 4. LDL 137 mg/dL
2
A nurse is providing teaching to a client who has Crohn's disease. Which of the following statements by the client indicates an understanding of the teaching? 1. "I will take a fiber supplement daily." 2. "I will eat eggs for breakfast." 3. "I will drink whole milk." 4. "I will eat canned fruits as a daily snack."
2
A nurse in a clinic is reviewing the laboratory findings of a client who has type 2 diabetes mellitus. Which of the following findings indicates the client's plan of care is effective? 1. Serum creatinine 1.5 mg/dL 2. BUN 25 mg/dL 3. HgbAIc 6.5% 4. Pre-meal blood glucose 145 mg/dL
3
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following laboratory findings indicates that the TPN therapy is effective? 1. Calcium 8 mg/mL 2. Hemoglobin 9 g/dL 3. Prealbumin 30 mg/dL 4. Cholesterol 140 mg/dL
3
A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus how to count carbohydrates. Which of the following statements indicates an understanding of the teaching? 1. "I am including vegetables as starch items in my carbohydrate count." 2. "I am limiting the number of carbohydrates to four carbohydrate choices or 60 grams per day." 3. "I know serving size can affect the number of carbohydrates I eat." 4. "I know the carbohydrate count is dependent on the calories in the food item."
3
A nurse is teaching a female client about a healthy diet to control hypertension. Which of the following statements indicates an understanding of the teaching? 1. I will drink two glasses of whole milk daily." 2. "I will decrease the potassium in my diet." 3. "I will eat four servings of unsalted nuts per week." 4. "I will limit alcohol consumption to two drinks per day."
3
A nurse is updating a plan of care for a client who is receiving intermittent enteral feedings and is experiencing diarrhea. Which of the following interventions should the nurse include in the plan? 1. Discard the client's opened cans of formula within 48 hours. 2. Administer the client's formula cold. 3. Feed the client in small, frequent volumes. 4. Consider a low-calorie formula for the client.
3
A client is experiencing anorexia related to cancer treatment. Which of the following interventions should the nurse implement to increase the client's nutritional intake? 1. Recommend cooking aromatic foods to stimulate appetite 2. Serve hot foods rather than cold foods 3. Instruct the client to eat three meals per day 4. Add extra calories and protein to every meal
4
A home health nurse is providing dietary teaching to the parents of a 3-year-old child. Which of the following indicates the parents understand the teaching? 1. "I will offer my child a cup of peanut butter to dip her celery in." 2. "I can leave her grapes whole so she can practice getting them with her fork." 3. "I can give her popcorn as a snack to provide a serving of whole grains." 4. "I will put low-fat milk in her cup to drink."
4
A nurse is educating a group of women about vitamin and mineral intake during pregnancy. Which of the following should the nurse instruct the women to avoid taking at the same time as iron supplements? 1. Magnesium 2. Vitamin B12 3. Vitamin A 4. Calcium
4
A client asks the nurse why he cannot take his monoamine oxidase inhibitor (MAOI) with diphenhydramine (Benadryl). Which response should the nurse provide? A. "You may develop a hypertensive crisis." B. "The diphenhydramine (Benadryl) interferes with the therapeutic effect of the MAOI." C. "You are at risk for the development of seizures." D. "The MAOI prescription decreases the effectiveness of diphenhydramine (Benadryl)."
A
A client prescribed an albuterol (Proventil) via inhaler asks the nurse why they can't just take a pill. Which response should the nurse provide? A. "When you inhale the prescription the blood supply in the lungs absorb it rapidly resulting in quicker effects." B. "Oral prescriptions produce too many side effects." C. "The prescription cannot be absorbed in the GI tract because the acid in the stomach will destroy it." D. "Oral prescriptions will not relieve your symptoms you must have an inhaled prescription for relief of symptoms."
A
A nurse is assessing a client who was administered ondansetron IV 2 hr ago. Which of the following findings should the nurse recognize as an adverse effect of this drug? A.) Dizziness B.) Bradycardia C.) Tardive dyskinesia D.) Dyspepsia
A
A nurse is caring for a client who has a prescription for alosetron. The nurse should recognize that alosetron therapy is effective when the client reports which of the following? A.) One formed stool per day B.) Urination without burning C.) Cessation of nausea and vomiting D.) Reduced GI reflux effects
A
A nurse is caring for a client who is taking allopurinol to treat gout and has a new prescription for azathioprine to treat ulcerative colitis. For which of the following reasons should the nurse clarify these prescriptions with the provider? A.) Allopurinol delays the conversion of azathioprine and can lead to toxicity B.) Azathioprine increase the effectiveness of allopurinol C.) Allopurinol increases the metabolism of azathioprine and can require an increased dosage D.)Azathioprine decreases the effectiveness of allopurinol
A
A nurse is caring for a client who is taking lubiprostone. The nurse should tell the client that lubiprostone can cause which of the following adverse drug reactions? A.) Nausea B.) Constipation C.) Urinary retention D.) Sore throat
A
A nurse is caring for a male client who asks the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting 3 months. Which of the following information should the nurse provide the client about alosetron? A.) The drug is prescribed to female clients who have IBS-D lasting more than 6 months. B.) The drug is prescribed to clients who have chronic diarrhea lasting more than 12 months. C.) The drug is most beneficial for male clients who have inflammatory bowel disease. D.) The drug is most beneficial in treating clients who have constipation-predominant IBS (IBS-C).
A
A nurse is caring for an older adult client who has renal impairment and a new prescription for cimetidine. The nurse should instruct the client to report which of the following manisfestations? A.) Lethargy B.) Cellulitis C.) Dry mouth D.) Myalgia
A
A nurse is planning teaching for a client who has been prescribed lopeamide to treat diarrhea. Which of the following statements should the nurse plan to include? A.) "Avoid driving or activities requiring alertness." B.) "If you miss a dose, double the next dose." C.) "Rinsing the mouth with alcohol-based mouthwash can reduce dryness." D.) "Having one glass of wine each night can improve medication effectiveness."
A
A nurse is teaching a client who has a new prescription for methotrexate. The nurse should instruct the client to monitor for manifestations of which of the following conditions? A.) Gout B.) Constipation C.) Insomnia D.) Hirsutism
A
A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following statements should the nurse make? A.) "Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn" B.) "The medication can stain your contact lenses green" C.) "The medication can color your urine dark brown" D.) "Take an iron supplement when you take sulfasalazine to prevent anemia"
A
A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions? A.) Inflammatory bowel disease B.) Thrombophlebitis C.) Agranulocytosis D.) Immunization with a live virus vaccine within the last 6 weeks
A
For which of the following reasons should the client attach a space to a metered-dose inhaler? A.) To increase the amount of drug delivered to the lungs B.) To increase the amount of drug delivered to the oropharynx C.) To increase the amount of drug delivered on exhalation D.) To increase the speed of drug delivery into the mouth
A
The educator has reviewed the role of histamine receptors associated with allergic symptoms with a nurse. Which statement made by the nurse indicates further instruction is needed? A. "H1 receptors are found in the stomach." B. "H2 receptors increase mucus secretion in the stomach." C. "H2 receptors are responsible for peptic ulcers." D. "H1 receptors are responsible for allergic symptoms."
A
The nurse has provided a client with asthma education about bronchodilators. Which statement made by the client indicates an understanding of the information? A. "The prescription widens the airways because it stimulates the fight-or-flight response of the nervous system." B. "The prescription widens the airways because it decreases the production of mucus that narrows them." C. "The prescription widens the airways because it acts on the parasympathetic nervous system." D. "The prescription widens the airways because it decreases the production of histamine that narrows them."
A
Which describes the purpose for the use of an opioid antitussive? A. Relieve severe cough B. Decrease nasal congestion C. Relieve mild cough D. Break down mucus
A
Which histamine receptor is blocked by the action of an antihistamine? A. H1 receptor site B. B1 receptor site C. H2 receptor site D. B2 receptor site
A
Which information should the nurse include in the teaching for a client with allergic symptoms prescribed an antihistamine? A. "Antihistamines are most effective when taken prophylactically." B. "Antihistamines are effective for long-term therapy." C. "Antihistamines are useful in reversing allergic symptoms." D. "Antihistamines have minimal side effects."
A
Which information should the nurse include in the teaching of a client with chronic bronchitis prescribed breathing treatments with acetylcysteine (Mucomyst)? A. "You may experience nausea while using this drug." B. "Do not use the prescription if you notice it has a foul odor." C. "Stop the treatment if you start to cough." D. "This drug is used to decrease bronchospasms."
A
Which prescription is used to prevent allergic rhinitis? A. Intranasal corticosteroids B. Intranasal decongestants C. Oral corticosteroids D. Oral decongestants
A
Which priority question should the nurse ask a client prior to the administration of ipratropium (Atrovent)? A. "Are you allergic to soy?" B. "Do you have seizures?" C. "Do you have diabetes mellitus?" D. "Do you have gout?"
A
Which should the nurse recognize is a long-term control prescription used to treat asthma? A. Mast cell stabilizers B. Systemic corticosteroids C. Anticholinergics D. Intermediate acting beta2-adrenergic agonists
A
Which should the nurse understand about the use of albuterol (VoSpire ER)? A. A short-acting beta agonist B. The effects can last up to 12 hours C. Used as needed for acute episodes D. Most frequently prescribed for chronic asthma
A
Which information should the nurse include in the education for a client with asthma? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Drink additional fluids. B. Eat small, frequent meals. C. Sleep in a warm room. D. Complete activity in the morning and rest in the afternoon. E. Avoid foods high in protein.
A, B
A client asks the nurse, "Is there anything that I can take for my seasonal allergies?" Which information should the nurse provide to the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. "Some antihistamines can help prevent the onset of allergies." B. "Some patients find that intranasal corticosteroids help prevent their allergies." C. "Drugs that are mast cell stabilizers may help you avoid your seasonal allergies." D. "Oral decongestants can help you prevent allergies." E. "Nasal decongestants are very good at preventing allergic response."
A, B, C
Which assessment findings should the nurse anticipate for a client experiencing allergic rhinitis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Tearing eyes B. Itching throat C. Nasal congestion D. Sneezing E. Coughing
A, B, C, D,
A client asks the nurse what has caused her allergic rhinitis. Which statements should the nurse include in the discussion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. "Allergic rhinitis can occur after exposure to animal dander." B. "Tobacco smoke can cause allergic rhinitis." C. "Exposure to pollens from weeds and grass causes an allergic rhinitis." D. "Asthma is associated with allergic rhinitis." E. "There is a strong genetic predisposition for allergic rhinitis."
A, B, C, E
Which assessment questions should the nurse ask the parents of a young child diagnosed with asthma? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. "Has your child eaten any new foods?" B. "Does anyone smoke in the home?" C. "Have any chemicals been used in your home?" D. "Has your child recently traveled to any warm climates?" E. "Have you changed the laundry soap recently?"
A, B, C, E
The nurse has provided education for a client diagnosed with asthma. Which statements made by the client indicate that further teaching is required? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. "My albuterol inhaler should be taken routinely to prevent asthma attacks." B. "I should plan to take a corticosteroid for the rest of my life." C. "My cromolyn inhaler (Intal) will help prevent an asthma attack." D. "I'll use my montelukast (Singulair) inhaler every day." E. "My therapy will include both oral and inhaled drugs."
A, B, D
Which disorders are antihistamines used to treat? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Insomnia B. Vertigo C. Cystic fibrosis D. Parkinson's disease E. Nasal congestion
A, B, D
Which should the nurse monitor for a young child prescribed a corticosteroid for asthma? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Height B. Bone density C. IQ D. Weight E. EKG
A, B, D
A patient has been prescribed benzonatate (Tessalon). What medication education should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. "This medication should help relieve your cough." B. "Do not chew this medication." C. "This medication may increase your blood pressure." D. "You may be nauseated when taking this medication." E. "Adverse effects are uncommon, but you may develop a headache."
A, B, D, E
Which foods should the nurse associate with triggering an asthma? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Cured meat B. Dairy products C. Grapefruit juice D. Nuts E. Shellfish
A, B, D, E
A nurse is explaining the process of respiration to a client. Which information should be given? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. "Moving air in and out of the lungs is called ventilation." B. The smooth muscle in the alveoli helps to pull air into the lungs. C. Exchange of oxygen and carbon dioxide occurs across a thin capillary membrane. D. Respiration is not effective without perfusion. E. Your basic respiratory drive is determined by your brain.
A, C, D, E
Which assessment should the nurse conduct for the client receiving beclomethasone (Beconase) nasal spray? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Assess the client's mouth for any sign of fungal infection. B. Assess the client's blood glucose prior to administration of nasal spray. C. Assess if the client has blown his nose prior to administration of nasal spray. D. Assess if the client has had a change in taste. E. Assess the client for any hoarseness or change in voice.
A, C, D, E
A nurse is planning care for a client who is recieving chemotherapy and has a new prescription for ondansetron. Which of the following actions should the nurse plan to take? A.) Infuse the drug 30 minutes prior to chemotherapy B.) Administer the drug when the client reports nausea C.) Infuse the drug slowly over 15 min. D.) Administer the drug immediately following chemotherapy E.) Repeat the dose 4 hr after chemotherapy
A, C, E
A client has been prescribed a leukotriene modifier. Which assessment finding would cause the nurse to question this prescription? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. A client 72 years old. B. Type II diabetic. C. A client with chronic kidney disease. D. The client has chronic hepatitis C. E. The client has a history of a CVA 2 years ago.
A, D
Which information should the nurse include in the education for a client prescribed an intranasal corticosteroid? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. "You may feel a burning sensation when using this drug." B. "This prescription will be most effective if used only when symptoms are present." C. "Squeeze the container cautiously so you do not inadvertently administer too much of a dose." D. "This prescription may dry out your nasal passages enough to cause nosebleed." E. "Avoid eating licorice while taking this prescription."
A, D, E
A client with nasal congestion tells the nurse that his symptoms have worsened since he has been using oxymetazoline (Afrin). Which question should the nurse ask the client? A. "Have you checked the expiration date on the prescription?" B. "How long have you been using the prescription?" C. "Have you experienced a recent fever?" D. "Are you using any other inhaled prescriptions?"
B
A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client's phosphorus levels when administering which of the following drugs? A.) Omeprazole B.) Aluminum hydroxide C.) Sucralfate D.) Ranitidine
B
A nurse is providing teaching to a client who has a new prescription for omeprazole to treat duodenal ulcer. Which of the following instructions should the nurse include? A.) Take the drug with food. B.) Swallow the capsules whole. C.) Dissolve the tablets in water. D.) Take the drug at bedtime.
B
A nurse is reviewing the medical record of a client who has a new prescription for rantidine. The nurse should recognize that which of the following drugs interacts wtih ranitidine? A.) Phenobarbital sodium B.) Ketoconazole C.) Lisinopril D.) Hydrochlorothiazide
B
A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions? A.) Pancreatitis B.) Aspirin sensitivity C.) Bronchitis D.) GERD
B
For which adverse effect should the nurse assess a client receiving a methylxanthine? A. "Have you experienced any recent coughing?" B. "How have you been sleeping?" C. "Have you experienced any weight loss?" D. "Have you experienced any urinary retention?"
B
The nurse has completed client education about the use of a metered-dose inhaler (MDI) and spacer. Which statement made by the client indicates further teaching is required? A. "After each use of my metered-dose inhaler (MDI) I will rinse my mouth." B. "I should keep the spacer moist between uses by storing it in a plastic zip bag." C. "It is important that I drink plenty fluids while I am using the metered-dose inhaler (MDI)." D. "While I depress the canister I will make sure that I inhale slowly."
B
The nurse has provided education for a client prescribed zafirlukast (Accolate). Which statement made by the client indicates an understanding of the information? A. "Zafirlukast will activate my fight-or-flight response." B. "This decreases the inflammation in my lungs." C. "I can use this prescription for acute asthma attacks." D. "This prescription will dilate my airways so I can breathe better."
B
The nurse is providing education for a client prescribed albuterol (ProAir HFA). Which information should the nurse include in the teaching? A. A nebulizer must be used to deliver the prescription. B. Administer the prescription 15 to 30 prior to activity. C. Oral solutions can terminate an acute asthma attack. D. Albuterol can be used for prevention of an asthma attack.
B
Which condition is an adverse effect of a beta-adrenergic agonist? A. Bradycardia B. Tachycardia C. Runny nose D. Constipation
B
Which condition should the nurse be concerned about for a client prescribed an antitussive with codeine? A. Chronic kidney disease B. Asthma C. Coronary artery disease D. Diabetes mellitus
B
Which information should the nurse include in the teaching for a client prescribed dextromethorphan (Delsym)? A. Dextromethorphan can be used with a chronic cough. B. Avoid grapefruit juice. C. The prescription may have a slow onset of action. D. Decrease your alcohol intake while taking this prescription.
B
Which information should the nurse include when discussing the appropriate dosing and administration needs for self-administering prescriptive therapy? A. "Drink water when you take cough syrup." B. "Take your antihistamine as soon as you begin experiencing allergy symptoms." C. "Clear your nasal passages by blowing prior to using your nasal spray." D. "Avoid drinking liquids with expectorants."
B
Which statement is true regarding dry powder inhalers (DPI)? A. The prescription has to be reconstituted prior to administration. B. The device is activated by inhalation. C. The prescription is delivered by fine mist. D. The is canister must be pressed for the prescription to be delivered.
B
Which symptom should the nurse instruct the client prescribed diphenhydramine (Benadryl) to report to the healthcare provider? A. Weight gain B. Urinary hesitancy C. Sedation D. Diarrhea
B
A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction? A.) Level of consciousness B.) Skin integrity C.) Temperature D.) Urine output E.) CBC
B, C, E
The nurse is reviewing the major functions of the upper respiratory tract with a client. Which information should the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Inward airflow from the trachea branches off to the two bronchi. B. The nose warms the air before it reaches the lungs. C. The nasal mucosa is the first line of immunological defense. D. Activation of the parasympathetic nervous system constricts arterioles in the nose. E. Activation of the sympathetic nervous system constricts arterioles in the nose.
B, C, E
A client asks the nurse how benzonatate (Tessalon) works to suppress her cough. Which response should the nurse provide the client? A. "Anticholinergic effects decrease the cough reflex" B. "Raises the cough threshold in the CNS" C. "Anesthetizes the receptor sites of the lungs" D. "Reduces the viscosity of the mucus"
C
A client asks the nurse when she should use an antitussive. Which response should the nurse provide the client? A. "When you are coughing up secretions" B. "When have been diagnosed with a respiratory infection." C. "When you have a dry cough and cannot rest." D. "When your temperature is 101.2°F."
C
A client with COPD tells the nurse, "I don't see why I need to stop smoking because the damage to my lungs is already done." Which statement should the nurse provide the client? A. "You should at least try because smoking is associated with other diseases." B. "If you stop smoking the disease process will not advance." C. "Your symptoms may be lessened if you aren't smoking." D. "If you stop smoking, your lungs have a good chance of improving quickly."
C
A nurse is caring for a client who has a new prescription for alosetron to treat irritable bowel syndrome. The nurse should instruct the client to report which of the following adverse effects of the drug?A.) Headache B.) Drowsiness C.) Abdominal pain D.) Sore throat
C
A nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the nurse expect to administer to the client? A.) Ipratropium B.) Beclomethasone C.) Acetylcysteine D.) Azelastine
C
A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include? A.) Dissolve the powder thoroughly in 8 oz (237 mL) of water. B.) Take with diphenhydramine to prevent extrapyramidal effects. C.) Avoid activities that require alertness. D.) Take 30 min before activities that trigger nausea.
C
A nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions? A.) A seizure disorder B.) Rheumatoid arthritis C.) A positive pregnancy test D.) Heart failure
C
For which class of prescription should the nurse monitor a client for a fungal infection of the throat? A. Mast cell inhibitors B. Methylxanthines C. Inhaled corticosteroid D. Inhaled beta-adrenergic agonists
C
The nurse has completed the education for a client prescribed an antihistamine. Which statement made by the client indicates an understanding of the information? A. "I may experience diarrhea while taking this prescription." B. "I can still have my after-dinner drink." C. "This medication could make me very sleepy." D. "This prescription is safe because it is sold over-the-counter (OTC)."
C
The nurse has completed the education for a client prescribed diphenhydramine (Benadryl) for allergies. Which statement made by the client indicates an understanding of the teaching? A. "I cannot take this medication with pseudoephedrine (Sudafed)." B. "I need to watch my intake of sodium with this medication." C. "Drowsiness is common but should lessen over time." D. "If this medication makes my nose run, I can use a nasal spray."
C
The nurse teaches a client about the difference between oral and nasal decongestants. The nurse evaluates that learning has been effective when the client makes which statement? A. "Oral and nasal decongestants can cause rebound congestion." B. "Oral decongestants are the most effective at relieving severe congestion." C. "Oral decongestants can cause hypertension." D. "Intranasal decongestants are safe to use for a few weeks."
C
Which assessment finding should the nurse be most concerned about for a client receiving pseudoephedrine (Sudafed)? A. Complaints of a dry mouth B. Temperature of 100°F C. Heart rate 82 and irregular D. Respiratory rate of 22
C
Which laboratory test should the nurse monitor for a client receiving albuterol (Proventil) reporting fatigue and palpitations? A. Hemoglobin B. Arterial blood gases C. Electrolytes D. Amylase
C
A client tells the nurse, "My healthcare provider told me that I have COPD and might develop emphysema. I always thought I had chronic bronchitis." Which response should the nurse provide the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. "Are you certain you do not have asthma?" B. "Chronic bronchitis has no relation to COPD." C. "COPD is either asthma, chronic bronchitis, or emphysema, or a combination of those disorders." D. "As COPD progresses, it becomes emphysema." E. "Both diagnoses are correct."
C, D, E
A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include? A.) Sit upright for 30 min after taking the drug B.) Avoid antacids C.) Takes the drug 30 to 60 min before activities that trigger nausea D.) Avoid activities that require alertness E.) Increase fluid and fiber intake
C, D, E
Which information should the nurse include in the education for the client prescribed inhaled ipratropium (Atrovent)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Wait 15 minutes between inhaled dosages. B. The prescription may also be used for acute asthma attacks. C. Report any increased dyspnea. D. Report any changes in urinary pattern. E. Use the medication consistently, not occasionally.
C, D, E
Which long-term control prescriptions have an anti-inflammatory mechanism of action? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. A. Immunomodulators B. Methylxanthines C. Mast cell stabilizers D. Leukotriene modifiers E. Inhaled corticosteroids
C, D, E
A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. Which of the following instructions should the nurse include? A.) Expect results in 6 to 12 hr. B.) Urinate every 4 hr. C.) Take the drug with at least 8 oz (237 mL) of fluid. D-.) Avoid activities that require alertness. E.) Increase fluid and fiber intake.
C, E
A client asks the nurse why they must continue to take their asthma prescription when they have not had an asthma attack in several months. Which response should the nurse provide the client? A. "The prescription should be taken indefinitely to prevent future asthma attacks." B. "The prescription needs to be taken or your lungs can become increasingly damaged if you continue to have asthma attacks." C. "The prescription should be taken for at least a year and if you have not had an asthma attack within that year you will be able to stop taking your prescription." D. "The prescription is still needed to decrease inflammation in your airways and help prevent an attack."
D
A client prescribed beclomethasone (Beconase) intranasally asks the nurse whether the prescription is safe. Which response should the nurse provide the client? A. "Intranasal glucocorticoids are safe if they are not used too long." B. "Intranasal glucocorticoids are safe only if used once a day." C. "Intranasal glucocorticoids will provide immediate relief." D. "Intranasal glucocorticoids produce almost no serious adverse effects."
D
A client receiving ipratropium (Atrovent) tells the nurse they are going to stop taking their prescription because of the bitter taste left in their mouth after its use. Which response should the nurse provide the client? A. "This is a common side effect that will go away over time." B. "You may be administering to high of a dose." C. "A bitter taste may indicate you are experiencing a serious side effect." D. "You can decrease that side effect by rinsing your mouth after use."
D
A nurse is caring for a client who has a new prescription for rantidine to treat GERD. The nurse should instruct the client to wait at least 1 hr between taking rantidine and which of the following over the counter drugs? A.) Ginkgo biloba B.) Antidiarrheals C.) St. John's wort D.) Antacids
D
A nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new prescription for sucralfate to treat a duodenal ulcer. The nurse should instruct the client to take the drugs at least 2 hr apart for which of the following reasons? A.) Phenytoin increases the metabolism of sucralfate B.) Phenytoin reduces the effectiveness of sucralfate C.) Sucralfate increases the risk for phenytoin toxicity D.) Sucralfate interferes with the absorption of phenytoin
D
A nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include? A.) Check apical pulse before taking the drug. B.) Take the drug only as needed before exercising. C.) Rinse mouth after using the drug. D.) Have laboratory tests performed at regular intervals.
D
A nurse is teaching a client who recently had a myocardial infarction and has a new prescription for docusate sodium. The nurse should inform the client that docustate sodium has which of the following therapeutic effects? A.) Reduces inflammation B.) Reduces gastric acid C.) Prevents diarrhea D.) Prevents straining
D
For which should the nurse monitor a client suspected of abusing dextromethorphan (Delsym)? A. Cardiotoxicity B. Hepatoxicity C. Nephrotoxicity D. CNS toxicity
D
Which are leukotriene modifiers primarily used for? A. Status asthmaticus B. Treat infection C. Bronchodilation in asthma D. Prophylaxis of asthma symptoms
D
Which information should the nurse include in the client education for the administration of an intranasal decongestant? A. "Wait 15 minutes in between additional nasal sprays." B. "Limit the use of the nasal decongestant to 2 weeks." C. "Clear the nasal passage after administering the intranasal decongestant." D. "Spit out any excess intranasal decongestant that drains in the mouth."
D
Which information should the nurse include when discussing inhalation therapy as part of a treatment plan for the client's asthma? A. Inhalation therapy is effective because it provides both systemic and local relief of symptoms. B. Inhalation therapy is effective because it provides around-the-clock therapy, as opposed to oral medications. C. Inhalation therapy is the preferred treatment for adolescents because it is easier for them to manage. D. Inhalation therapy is effective because it goes to the direct site of action in the respiratory tract.
D
Which of the following drugs has protocols that require clients to meet specific risk-management criteria and sign a treatment agreement before the nurse can administer the drug? A.) Lubiprostone B.) Azathioprine C.) Sulfasalazine D.) Alosetron
D
Which over-the-counter (OTC) antihistamine combination contains an analgesic property? A. Tavist Allergy 12-hour B. Sudafed PE Sinus and Allergy C. Triaminic Cold/Allergy D. Actifed Plus
D
