FINAL

Evaluate the symptoms related to the patient's diagnosis.

A nurse is caring for a patient undergoing standard treatment for ureteral overactivity in a health care facility. Which of the following nursing interventions should the nurse perform during the ongoing assessment of the treatment?

Photosensitivity

A nurse has administered demeclocycline to a patient. Which of the following adverse reactions should the nurse closely monitor the patient for?

Risk for imbalanced fluid volume

A nurse in a health care facility is caring for a patient who is administered milk of magnesia to control constipation. Which of the following nursing diagnoses should the care plan for this patient include?

Perform regular blood tests of the patient.

A nurse is assigned to care for a 40-year-old patient with a hepatic injury that has occurred due to the administration of tolcapone. Which of the following interventions should the nurse perform when caring for this patient?

Patient has myocardial infarction

A nurse is assigned to care for a patient with biliary colic in a health care facility. The patient has been prescribed atropine. The nurse knows that in which of the following cases is the use of atropine contraindicated?

Confusion and disorientation

A nurse is caring for 70-year-old patient who is undergoing anticholinergic drug therapy. The nurse should assess for which of the following conditions when caring for this elderly patient?

Heartburn

A nurse is caring for a 14-year-old patient with insomnia. The nurse administers estazolam to the patient. What are the adverse reactions of estazolam?

Dyskinesias

A nurse is caring for a 55-year-old patient with Parkinson's disease. The nurse is required to administer entacapone to the patient. What adverse reaction of the drug administration should the nurse monitor for in the patient?

Increased risk of arrhythmias

A nurse is caring for a patient on metaraminol therapy. The patient is also to be administered bretylium under close supervision. Which of the following risks will this maximize?

Administer the drug after each loose bowel movement.

A nurse is caring for a patient receiving bismuth subsalicylate for the relief of diarrhea. Which of the following interventions should the nurse perform to promote an optimal response to the prescribed drug therapy?

Take the drug at least 30 minutes before meals.

A nurse is caring for a patient receiving cromolyn orally. Which of the following points should the nurse include in the patient's teaching plan?

58 beats/minute

A nurse is caring for a patient receiving digoxin for ventricular arrhythmia. Which of the following apical pulse rates indicates that the nurse should withhold the drug and report to the health care provider immediately?

Carbachol and pilocarpine

A nurse is caring for a patient undergoing glaucoma treatment. The nurse knows that which of the following combinations of drugs need to be administered to the patient to produce an additive effect on the treatment?

Take the drug before breakfast.

A nurse is caring for a patient undergoing thyroid hormone replacement therapy. Which of the following should the nurse inform this patient regarding administration of the drug?

Swollen glands

A nurse is caring for a patient undergoing phenytoin therapy for prophylactic seizure prevention. Which of the following hematological changes in the patient should the nurse report to the primary health care provider?

Administer midodrine during the day

A patient has been prescribed midodrine. Which of the following interventions should the nurse perform to ensure that the patient doesn't develop supine hypertension?

Anxiety

A patient in a health care facility is receiving the thrombolytic drug reteplase. What should the nursing diagnoses checklist for this patient include?

Record number of periods of sleepiness

A patient is being administered Modafinil for narcolepsy. Which of the following instructions should the nurse give to the patient?

Decreased effect of the beta blocker

A patient is being administered nonsteroidal anti-inflammatory drugs and beta-adrenergic blocker drugs. What effect should the nurse monitor for when a patient is given both of these medications?

This sensation usually disappears with continued use

A 21-year-old patient complains of a mild stinging sensation on using a nasal spray containing a nasal decongestant. Which of the following information should the nurse provide the patient?

Reye's syndrome

A child who is recovering from a chickenpox infection is given aspirin for his fever. Which of the following conditions develop following the simultaneous administration of salicylates and the varicella vaccine?

Urinary tract infections

A health care center is conducting a seminar on cephalosporin drugs. During the question-and-answer period, the audience wants examples of conditions that can be treated by cephalosporins. Which of the following infections should the nurse state as examples?

Withhold the next dose of the drug.

A nurse administers a polythiazide drug to a patient with renal compromise, as prescribed by the physician. The drug is known to raise the blood urea nitrogen level. What intervention should the nurse perform if this reaction is observed in the patient?

Delirium

A nurse caring for a patient who has been prescribed barbiturates observes that the patient is in pain. What are the effects of administering barbiturates in the presence of pain?

Active hepatic disease

A nurse is caring for a patient who has been administered a centrally acting anti-adrenergic drug. The nurse knows that under which of the following conditions is the use of a centrally acting anti-adrenergic drug contraindicated?

Rotate sites and examine previous sites for redness.

A nurse is caring for a patient who has been administered menotropins by the intramuscular route for the secretion of sex hormones. The patient complains about pain after the drug is injected. Which of the following interventions should the nurse perform for the patient?

Blood pressure

A nurse is caring for a patient who has been prescribed a nasal decongestant. Which of the following factors should the nurse assess before administering the drug?

Instruct the patient to take ice chips frequently.

A nurse is caring for a patient who has been prescribed amantadine for the treatment of the influenza A virus. After administration of the drug, the patient complains of dry mouth. Which of the following instructions should the nurse offer the patient to help relieve dry mouth?

Yogurt

A nurse is caring for a patient who has been prescribed monoamine oxidase inhibitor (MAOI). Which of the following should the nurse ask the patient to avoid?

Increased risk of agonist effectiveness

A nurse is caring for a patient who has been prescribed pramipexole for the treatment of Parkinson's disease. From the patient's medical records, the nurse understands that the patient is taking verapamil. What effect of the interaction of the two drugs should the nurse assess for in the patient?

Ask about relief of symptoms and record responses on chart.

A nurse is caring for a patient who has been prescribed propranolol for angina. What nursing interventions should the nurse perform during ongoing assessment of the treatment?

Fever

A nurse is caring for a patient who has been prescribed scopolamine hydrobromide for pre-anesthetic sedation. The drug is known to cause heat prostration during the hot summer months. What signs of heat prostration should the nurse monitor for when caring for this patient?

Administer the next drug dose with meals.

A nurse is caring for a patient who has received carbidopa/levodopa. After administration of the first dose of the drug, the patient has developed gastrointestinal disturbances. Which of the following nursing interventions should the nurse perform when caring for this patient?

When the patient is upright, remove the solution running out of the ear with gauze.

A nurse is caring for a patient who is prescribed Coly-Mycin S Otic for bacterial infections of the external auditory canal. Which of the following instructions should be followed by the nurse administering the otic solution?

Vesicle formation

A nurse is caring for a patient who is prescribed haloprogin for the treatment of tinea manuum. Which of the following adverse reactions to haloprogin should the nurse monitor in the patient?

Risk for toxic level of benzodiazepines

A nurse is caring for a patient who is prescribed omeprazole for a duodenal ulcer. The patient is also taking benzodiazepines for the management of a seizure disorder. Which of the following should be the effect of the interaction between these two drugs?

Clinical jaundice

A nurse is caring for a patient with advanced breast cancer who is receiving androgen therapy. Which of the following signs might alert the nurse to the possibility of liver toxicity?

21

A nurse is caring for a patient with chronic insomnia. The patient is prescribed eszopiclone 3 mg daily at bed time. Eszopiclone is available in tablets of 1-mg strength. How many tablets would the patient require for a week?

Patients with cardiac disease

A nurse is caring for a patient with chronic lymphocytic thyroiditis. The physician has prescribed liothyronine to the patient. For which of the following conditions of the patient should the nurse be cautious before administering the drug?

Decreased reuptake of norepinephrine

A nurse is caring for a patient with depression. The patient has been prescribed amitriptyline, a tricyclic antidepressant. Which of the following should the nurse identify as the effect of this antidepressant on the patient's body?

Extreme sadness

A nurse is caring for a patient with depression. Which of the following symptoms should the nurse closely monitor the patient for?

Observe the patient for hypoglycemic episodes.

A nurse is caring for a patient with diabetes mellitus who is receiving an oral antidiabetic drug. Which of following ongoing assessments should the nurse perform when caring for this patient?

Patients who are lactating

A nurse is caring for a patient with insomnia. For which of the following types of patients should the nurse exercise caution when administering sedatives and hypnotics?

Inspect the oral cavity to ensure that the drug is swallowed.

A nurse is caring for a patient with suicidal tendencies. What intervention should the nurse perform immediately after the patient self-administers the oral antidepressant drug?

Patients with bradycardia

A nurse is caring for a patient with urinary retention. The patient has been prescribed Urecholine. For which category of patients should the nurse take precautions when administrating Urecholine?

Discontinue drug administration and contact the physician

A nurse is caring for an elderly patient who has been prescribed amoxapine for depression accompanied by anxiety. After administration of the drug, the nurse observes muscle rigidity and sweating in the patient. The nurse identifies these as the symptoms of neuroleptic malignant syndrome. What intervention should the nurse perform in this case?

Changes in pulse rate

A nurse is caring for an elderly patient who is to be administered isoproterenol. Which of the following changes monitored in the patient should the nurse report immediately to the primary healthcare provider?

Rise slowly when getting out of bed

A nurse is caring for an individual who is to receive antidepressant therapy on an outpatient basis. What precaution should the nurse suggest to prevent risk of injury if the patient experiences dizziness when getting out of bed?

A patient with asthma.

A nurse is monitoring a patient with Alzheimer's disease for initiation of tacrine HCL therapy. In which of the following patients is the administration of tacrine contraindicated?

Avoid drug administration in the case of a skipped meal.

A nurse is preparing a teaching plan for a patient who is prescribed a meglitinide. What instruction should the nurse include in the teaching plan for the patient?

Adrenal dysfunction

A nurse is preparing the medical history report of a patient who is to be administered gonadotropins. In which of the following conditions would the use of gonadotropins be contraindicated?

12 weeks

A nurse is required to administer a varicella vaccine to a female patient planning to start a family. How long after the vaccination should the nurse instruct the patient to wait before getting pregnant?

Changes in consciousness

A nurse is required to administer an adrenergic to a patient who is in shock. Which of the following is a sign of shock that the nurse should record before administering the drug?

Inform the primary health care provider

A nurse needs to administer a cephalosporin to a patient. The patient informs the nurse that he is allergic to penicillin. Which of the following actions is the nurse most likely to take in such a situation?

Tardive dyskinesia

A nurse observes rhythmic, involuntary facial movements in a patient who has been administered antipsychotic drugs. The patient also makes chewing movements and, at times, his tongue protrudes. Which of the following is the most likely reason for the patient's behavior?

Tachycardia

A patient at a health care facility has been prescribed diazoxide for hypoglycemia due to hyperinsulinism. What adverse reactions to the drug should the nurse monitor for in the patient?

Rigidity

A patient has been administered an antipsychotic. Which of the following reactions should be reported immediately?

Cardiac arrhythmias

A patient has been administered dobutamine HCL. Which of the following adverse reactions should the nurse monitor for in the patient?

Severe blood- and mucus-filled diarrhea

A patient has been diagnosed with ulcerative colitis. The physician has prescribed sulfasalazine to the patient. What effect associated with the disorder should the nurse monitor for in the patient?

Nausea

A patient has been prescribed Modafinil for the treatment of narcolepsy. Which of the following is a possible reaction that the nurse should monitor for?

Decreased absorption of tetracycline

A patient has been prescribed a tetracycline drug for Rocky Mountain Spotted Fever. The patient also takes antacids. Which of the following effects is likely to occur due to an interaction between the two drugs?

Administer the drug with the first bite of the meal.

A patient has been prescribed acarbose. Which of the following interventions should the nurse perform to promote an optimal response to the medication?

Decreased night vision

A patient has been prescribed betaxolol for ocular hypertension. Which of the following should the nurse monitor in the patient as a local adverse reaction to betaxolol?

Administer dopamine only via IV route

A patient has been prescribed dopamine. Which of the following interventions should the nurse perform during the drug regimen?

Cardiac arrhythmias

A patient has been prescribed edrophonium for myasthenia gravis. Which of the following can the nurse monitor as a general adverse reaction in the patient?

Do not take the drug with tranquilizers

A patient is being discharged from a health care facility. The patient is required to continue with antitussive therapy at home. Which of the following points should the nurse include in the teaching plan to educate the patient?

Confusion

A patient is prescribed memantine for the treatment of dementia of Alzheimer's disease. Which of the following adverse reactions should the nurse monitor in the patient?

Hyponatremia

A patient is receiving a diuretic for the treatment of hypertension. For which of the following conditions should the nurse monitor for in patients taking diuretics?

Increased hypoglycemic effect

A patient is receiving glipizide, a sulfonylurea, at a health care facility. The patient is also prescribed an anticoagulant. What effect of interaction of these two drugs should the nurse monitor the patient for?

Avoid use of the same IV tubing

A patient is receiving heparin by continuous IV infusion. A nurse is required to administer another drug to the patient by the IV route. What precaution should the nurse take to administer the drug to the patient?

Decreased effectiveness of lithium

A patient is undergoing lithium therapy at a health care facility. The patient informs the nurse that he is taking antacids for heartburn. Which of the following is a possible effect of the interaction of lithium with antacids?

Instruct the patient to lie down.

A patient receiving amlodipine for angina is complaining of dizziness. Which of the following interventions should the nurse implement to help alleviate the condition?

Wakefulness

A patient undergoing treatment for insomnia is instructed by the assigned nurse not to drink beverages containing caffeine. What effect will caffeine likely have on the patient?

Provide respiratory assistance

A patient undergoing treatment with barbiturates is showing symptoms of barbiturate toxicity. Which of the following interventions should the nurse perform?

Inspect mouth and gums regularly

A patient who has been on penicillin therapy for several days has developed inflamed oral mucous membranes and swelling in the tongue and the gums. The primary health care provider has diagnosed it as a fungal superinfection of the oral cavity resulting in impaired oral mucous membranes. Which of the following interventions should the nurse perform?

Swallow the whole tablet and do not chew it.

A patient with a nonproductive cough has been prescribed the oral administration of dextromethorphan HBr liqui-caps. What instructions should the nurse provide the patient to promote an optimal response to therapy?

Obtain patient's general health history

A patient with a throat infection has been recommended penicillin therapy by the primary health care provider. Before administering the first dose of penicillin to the patient, which of the following interventions should the nurse perform as part of the preadministration assessment?

Pharyngitis

A patient with atherosclerosis is prescribed rosuvastatin by a physician. What adverse reactions should the nurse monitor in the patient?

It may delay the need for prostatic surgery.

A patient with benign hypertrophy of the prostate has heard about the claims that the herb saw palmetto can help relieve his symptoms. The patient is eager to know more about this herb. Which of the following pieces of information should the nurse provide the patient regarding the use of the herb?

Malaise

A patient with cardiac arrhythmia is treated with an anti-adrenergic drug. Which of the following generalized reactions should the nurse monitor with centrally acting anti-adrenergic drugs when administered to the patient?

CNS depression

A patient with cortical focal seizures has been prescribed phenobarbital. What adverse reaction should the nurse monitor for in the patient?

Orally

A patient with dementia of Alzheimer's disease is prescribed rivastigmine by the primary health care provider. Which of the following is the correct method of administering rivastigmine to the patient?

Anorexia and nausea

A patient with dementia of Alzheimer's disease is prescribed tacrine HCL. Which of the following adverse effects associated with the administration of cholinesterase inhibitors should the nurse assess for when caring for the patient?

Breathing difficulties

A patient with glaucoma has been prescribed carbachol. Which of the following should the nurse monitor in the patient as a systemic adverse reaction to carbachol?

Take the drug with his evening meal.

A patient with hypercholesterolemia is prescribed lovastatin. What should the nurse recommend to the patient for the self-administration of the drug?

Foreign-body sensation

A patient with open-angle (chronic) glaucoma has been prescribed brimonidine tartrate for lowering intraocular pressure (IOP). Which of the following should the nurse monitor in the patient as a local effect of brimonidine tartrate?

Increased blood glucose levels

A physician has prescribed a loop diuretic for a patient with hypertension. The patient also has diabetes mellitus. What condition should the nurse monitor for in this patient after administering the prescribed drug?

Decreased effectiveness of the thyroid drug

A physician has prescribed desiccated thyroid USP for thyroid-stimulating hormone suppression. The patient is also taking serotonin reuptake inhibitors to overcome depression. What condition should the nurse monitor for in this patient as a result of the interaction of the two drugs?

Observe the patient for blanching of the skin, abdominal cramps, and nausea.

A physician has prescribed vasopressin to the patient for regulating the reabsorption of water by the kidneys. Which of the following assessments should the nurse perform after the administration of vasopressin?

Cold intolerance

A physician has recommended that a patient undergo thyroid diagnostic testing. During the course of therapy, the patient experiences myxedema due to the administration of an inadequate dose. Which of the following symptoms should the nurse monitor for in the patient?

Cancer of the prostate

An 80-year-old patient with chronic renal insufficiency is advised to undertake anabolic steroid therapy for the management of anemia associated with renal insufficiency. Which of the following risks increases in elderly patients undergoing anabolic steroid therapy?

Deafness

Chlorhexidine gluconate is being used in a patient for preoperative skin preparation. Which of the following adverse reactions to chlorhexidine gluconate should the nurse monitor in the patient?

Dry mouth

For which of the following adverse reactions should the nurse monitor the patient who has been administered antipsychotic drugs?

Allergic contact dermatitis

The primary health care provider has prescribed dexamethasone sodium phosphate for a patient being treated for immunologic skin. Which of the following adverse reactions to dexamethasone sodium phosphate should the nurse monitor in the patient?

Thromboembolism

When caring for a patient receiving estrogen replacement therapy for postmenopausal symptoms, the nurse documents a diagnosis related to impaired tissue perfusion. Which of the following conditions is the nurse referring to in the diagnosis?

38 percent

When educating a group of nursing students on the signs of heart failure, the nurse mentions that the ejection fraction is altered in heart failure. Which of the following changes in the ejection fraction indicates heart failure?

Buspirone (BuSpar) Hydroxyzine (Atarax)

Which of the following are examples of nonbenzodiazepine antianxiety drugs? Select all that apply

Decreased appetite

Which of the following effects can be noticed in a patient who has been administered amphetamines?

Skeletal muscle stimulation

Which of the following reactions can occur in a patient who has been administered caffeine?

WBC count

Which of the following tests should be scheduled every week for a patient taking clozapine?