final

After teaching a group of nursing students about corticosteroids, the instructor determines that the teaching was successful when the students correctly choose which drug as a mineralocorticoid? a. Hydrocortisone b. Betamethasone c. Triamcinolone d. Fludrocortisone

d. Fludrocortisone

The nurse is conducting an ongoing assessment after the administration of an antihypertensive. About which finding should the nurse alert the primary care provider? a. Edema b. Headache c. Insomnia d. Weight gain of 2lbs or more per day e. Sedation

weight gain and edema

Prior to administering an NSAID to a client, the nurse should obtain which of the following? Select all that apply. A) History of allergies B) Pain assessment C) Current medical conditions D) Past medical conditions E) Vital signs

Ans: A, B, C, D, E Feedback: Before administering an NSAID, the nurse should obtain a history of allergies and past medical conditions. Other preadministration assessment includes pain, current medical conditions and vital signs.

A nurse informs a client who is prescribed meloxicam that he might experience visual disturbances. The client asks the nurse what types of visual disturbances may occur. Which of the following would the nurse include in the response? Select all that apply. A) Double vision B) Irreversible loss of color vision C) Sensitivity to light D) Blurred vision E) Halos around objects

Ans: A, C, D Feedback: The nurse should tell the client that NSAIDs like meloxicam can cause visual disturbances including blurred or diminished vision, double vision, swollen or irritated eyes, photophobia, and reversible loss of color vision.

The nurse would question an order for a selective serotonin agonist as treatment for a migraine headache for a client with which condition? Select all that apply. A) Diabetes B) Uncontrolled hypertension C) Angina D) Hyperlipidemia E) Transient ischemic attacks

Ans: B, C, E Feedback: 5-HT agonists should not be used in patients with ischemic heart disease (such as angina or myocardial infarction), transient ischemic attacks (TIA), uncontrolled hypertension, or those patients taking monoamine oxidase inhibitor (MAOI) antidepressants.

A nurse is assessing pain in a 3-year-old child. Which of the following would be most appropriate for the nurse to use? Select all that apply. A) Number scale B) Color scale C) Letter scale D) Facial expression scale E) Shape scale

Ans: B,D Feedback: Color and facial expression scales are especially helpful with children who have trouble understanding or cannot tell the nurse about their pain using numbers.

A group of nursing students are reviewing NSAIDs. The students demonstrate understanding of this drug class when they identify which of the following as an NSAID? Select all that apply. A) Eletriptan (Relpax) B) Aspirin (Ecotrin) C) Meloxicam (Mobic) D) Acetaminophen (Tylenol) E) Ibuprofen (Motrin)

Ans: C, E Feedback: Ibuprofen and meloxicam are both classified as NSAIDs. Aspirin is a salicylate, acetaminophen is a nonsalicylate, and eletriptan is a serotonin receptor agonist.

The nurse is preparing to teach a child with asthma and caregivers about prescribed corticosteroids. Which factor should the nurse point out will require monitoring? a. Blood pressure b. Skin turgor c. Urine output d. Rate of growth

D

The nurse is prepapring to administer exenatide to a client with type 2 diabetes. The nurse will question this order if which condition is noted in the client's medical report Diabetic ketoacidosis Kidney disease Severe heart failure Liver disease

Diabetic ketoacidosis

A client is receiving digoxin daily. The nurse suspects digoxin toxicity after noting which signs/symptoms? SATA a. Visual disturbances b. Nausea and vomiting c. Apical pulse of 63 bpm d. Serum digoxin level of 2.3

a. Visual disturbances b. Nausea and vomiting d. Serum digoxin level of 2.3 0.8-2

The nursing instructor is teaching a season explaining mast cell stabilizers. The instructor determines the session is successful when the students correctly choose which drug as an example? a. Beclomethasone b. Cromolyn c. Albuterol d. Montelukast

b

The nurse is preparing to administer formoterol to a client. The nurse determines cautions administration is warranted after noting which condition(s) in the chart: a. Cerebral atherosclerosis b. hypertension c. glaucoma d. Hyperthyroidism e. Diabetes

b,c,e hypertension, glaucoma, diabetes

A nurse is preparing to administer levothyroxine to a client who is also prescribed citalopram. The nurse predicts which assessment finding may occur in this client? a. Prolonged bleeding b. Decreased effectiveness of the thyroid drug c. Increased risk of paresthesia d. Increased risk of hypoglycemia

b. Decreased effectiveness of the thyroid drug

The health care provider has prescribed a monoclonal antibody for a client with asthma. The nurse will prepare a teaching plan for which medication? a. Zfritlukast b. Zileuton c. Omalizumab d. Salmeterol

c

A client is admitted in acute renal failure and prescribed mannitol. The nrse prepares to administer the drug via which route? a. IM b. PO c. IV d. Subq

c. IV

A client is taking Humalin NPH insulin daily every morning. The nurse reinforced instructions to the client and would tell the client that which is most likely the time for hypoglycemic reactions to occur? 2-4 hrs after admin 6-14 hrs after admin 16-18 hrs after admin 18-24 hrs after admin

6-14 hrs after admin

A nurse is teaching a client about the thyroid hormone replacement therapy which has been prescibed. The nurse determines the teaching session is successful when the patient correctly indicates which time to take the drug? Before bedtime Just before dinner After lunch Before breakfast

Before breakfast

A nurse has administered levothyroxine to a client for hypothyroidism. The nurse determines the client is responding appropriately to the therapy based which assessment finding? Increased appetite Swollen neck Excessive sweating Flushing

Increased appetite

A nurse is providing care for a client diagnosed with thyroid cancer. Which drug would the nurse anticipate being prescribed for the client? Iodine 131 Methimazole Propylthiouracil Liothyronine

Iodine 131

The nurse is teaching a client about the ACTH which has been prescribed. The nurse determines the session is successful when the client correctly points out they will need to avoid which medication? Live vaccines Thyroid hormones NSAIDs Cold preparations

Live vaccines

A health care provider prescribes diuretic therapy to a client with nephrotic syndrome. The nurse suspects that the client is hyponatremic based on which assessment findings? a. Tachycardia b. Paresthesias c. Tremors d. Visual hallucinations

a. Tachycardia

The nurse is preparing to administer niacin to a client with hyperlipidemia. Which adverse reaction should the nurse prioritize? a. Cholelithiasis b. Tingling c. Constipation d. Diarrhea

b. Tingling The nurse should monitor for tingling in the client as an adverse reaction to the drug niacin. Constipation, diarrhea, and cholelithiasis are adverse reactions to the drug fenofibrate.

A client with asthma has received two doses of theophylline. After analyzing the daily serum theophylline level, the nurse determines the client has achieved a therapeutic level with which result? 5 mcg/L 8 mcg/L 13 mcg/L 20 mcg/L

13

A client is prescribed clonidine as a transdermal patch. After instructing the client about this drug, the nurse determines that the teaching was successful when the client states that the patch should remain in place for how long? 2 weeks 7 days 3 days 24 hours

7 days

A client with chronic asthma is prescribed albuterol. The nurse will prioritize which nursing diagnosis for this client? a. Anxiety b. Risk of impaired oral mucous membranes c. Ineffective tissue perfusion d. Risk of injury

A

A nurse is preparing to administer spironolactone to a client. The nurse would question this order if which disorder is noted in the chart a. Liver disease b. Diabetes c. Hyperkalemia d. Gout

A The nurse should know that potassium-sparing diuretics are contraindicated in clients with hyperkalemia and are not recommended for children. Potassium-sparing diuretics should be used cautiously in clients with liver disease, diabetes, or gout, but these conditions do not contraindicate the use of potassium diuretics.

A nurse is preparing to administer gonadotropin to a client. The nurse should question the order if which disorder is documented in the client's medical history? Sensitivity to benzyl alcohol Epiphyseal closure Adrenal dysfunction Epilepsy

Adrenal dysfunction

The nurse is preparing to teach a client with hyperlipidemia about the prescribed cholestyramine. Which instruction should the nurse prioritize for the client? Be sure to stay on complete bed rest Follow a complete liquid diet Eat foods high in dietary fiber

Eat foods high in dietary fiber

A client is receiving corticosteroids and digoxin. The nurse will carefully monitor the client for which potential adverse reaction? Increased risk for toxicity Decreased muscle function Increased risk of hyperkalemia Decreased serum corticosteroid levels

Increased risk for toxicity

The nurse is administering pravastatin and amiodarone to a client with cardiac issues. Which potential interaction will the nurse carefully monitor the client for? Increased risk of myopathy Increased hypoglycemic effect Increased anticoagulant effect Decreased effects of pravastatin

Increased risk of myopathy

A client receiving amlodipine for angina is now reporting dizziness. Which intervention should the nurse prioritize to help alleviate the condition? Instruct the client to lie down Apply a cold cloth over the forehead Instruct the client to drink more water Reduce the dosage of amlodipine

Instruct the client to lie down

A health care provider has prescribed medication for a client who is diagnosed with euthyroid goiter. The nurse would expect to administer which drug? Levothyroxine Methimazole Propylthiouracil Sodium iodine

Levothyroxine

A client prescribed a MAOI for depression is also prescribed a decongestant for cold symptoms. Which potential adverse reaction should the nurse point out will warrant contacting the health care provider? Hypotension Severe headache Sedation Bradycardia

Severe headache

A client with hyperinsulinism has been prescribed diazoxide. After administration, which adverse reaction should the nurse prioritize? Myalgia Tachycardia Flatulence Epigastric discomfort

Tachycardia

A nurse ir prepapring a teaching session for a client who is prescribed miglitol. The nurse would instruct the client to administer the drug at which time? a. At bedtime b. Three times a day with the first bite of a meal c. 30 minutes before eating breakfast d. Before or after a meal during the day

Three times a day with the first bite of a meal

A nurse is preparing to administer colesevelam to a client with hyperlipidemia. The nurse is caution to administer after noting which condition in the client's history? Acute infection Liver disease Unstable angina Hypotension

Unstable angina

he nurse is caring for a client who was administered radioactive iodine (131). Which assessment findings should the nurse prioritize on the ongoing assessment? Select all that apply . a. Agranulocytosis b. Exfoliative dermatitis c. Hypoprothrombinemia d. Seizures e. Stroke

a. Agranulocytosis b. Exfoliative dermatitis c. Hypoprothrombinemia

A nurse is teaching a client who is diagnosed with angina how to properly administer transdermal nitroglycerin. The nurse instructs the client to apply the patch for how long? 4-6 hours 6-8 hours c. 12-14 hours d. 10-12 hours

d. 10-12 hours

When caring for a client with angina, the nurse instructs the client to place the nitroglycerin table between the cheek and the gums. How is the nurse administering? a. Translingual b. Transdermal c. Sublingual d. Buccal

d. Buccal

A client with nocturnal enuresis is prescribed desmopressin acetate. Which assessment finding should the nurse prioritize for this client? Nasal congestion Breast tenderness Fluid retention Gynocomastia

Nasal congestion

A nursing instructor is teaching a group of nursing students about type 2 diabetes. The nursing instructor determines the session is successful when the students correctly choose which as a risk factor for individuals developing type 2 diabetes? Young age Regular exercise Obesity Polyuria

Obesity

The client with systemic lupus erythematosus, who is prescribed prednisone, presents to the clinic for a routine health care visit. Which instruction should the nurse prioritize after noting the client now has acne on the assessment? Use water-based cosmetics or creams Do not receive live virus vaccines Avoid the use of alcohol while taking the drug Avoid exposure to infections

Use water-based cosmetics or creams

The nurse has administered gonadotropin to a client. Which assessment finding should the nurse prioritize? Abdominal pain Visual disturbances Auditory disturbances Ascites

Visual disturbances

The nurse is teaching a client about prescribed zileuton. The nurse determines the session is successful when the client correctly points out they will contact the healthcare provider if which reactions occur? a. jaundice b. pruritus c. fatigue d. Dizziness e. Restlessness

a,b,c jaundice, pruritus, fatigue Zileuton may cause liver damage, which may present with the following symptoms: upper right quadrant pain, nausea, fatigue, lethargy, pruritus, and jaundice.

The nurse has administered atorvastatin to a client. Which assessment finding(s) should the nurse prioritize? SATA a. Constipation b. Insomnia c. Headache d. Diarrhea e. Sedation

a. Constipation b. Insomnia c. Headache

A client has been prescribed glucocorticoids for the treatment of congenital adrenal hyperplasia. Which should the nurse prioritize on the ongoing assessment for the client? a. Take and record vital signs every 4-8 hrs b. test the serum electrolyte levels c. Auscultate the abdomen and record the findings s. Observe for signs of balancing of the skin

a. Take and record vital signs every 4-8 hrs

A client is admitted to the emergency department with a severe headache, nausea, shortness of breath, and blood pressure of 200/120 mm Hg. Which response should the nurse prioritize? a. Measure the pulse rate every hour b. Continuously monitor the client's status c. Alternate the arms for assessing the blood pressure and pulse d. Take a blood pressure every 30 minutes

b. Continuously monitor the client's status

When describing the properties of ibuprofen to a group of individuals attending a community health promotion presentation, the nurse would integrate knowledge of which of the following? Select all that apply. A) Anti-inflammatory B) Analgesic C) Antipruritic D) Antipyretic E) Antibacterial

Ans: A, B, D Feedback: Like the salicylates, the NSAIDS have anti-inflammatory, antipyretic, and analgesic effects. They do not exert antipruritic or antibacterial properties.

The health care provider has ordered epinephrine for a client admitted emergently with bronchospasm. The nurse will prepare to administer this drug via which route? a. IV b. IM c. Subq d. ID

c

A client is prescribed frovatriptan. Which of the following would the nurse expect to include in the client's teaching plan? Select all that apply. A) Frovatriptan is used to prevent migraines. B) Frovatriptan should be administered at the earliest onset of migraine symptoms. C) Frovatriptan will decrease the number of migraine headaches experienced. D) No more than two doses of the drug should be used in a 24-hour period. E) The dose of frovatriptan may be repeated every hour until symptoms subside.

Ans: B,D Feedback: Frovatriptan does not prevent migraines or reduce the number of migraines. It should be taken at the earliest onset of migraine symptoms and the dose may be repeated one time after 1 hour if no relief is obtained. The client should never take more than two doses of frovatriptan in a 24-hour period.

The nurse is assessing a client who was administered metformin and notes hyperventilation, nausea, and somnolence. The nurse determines which nursing diagnosis should be prioritized for this client? Altered breathing pattern Risk for fluid volume deficit Acute confusion Anxiety

Altered breathing pattern

A nurse is providing care to a client who is receiving NSAIDs. The nurse would be especially alert for which of the following? Select all that apply. A) Oliguria B) Dysuria C) Hematuria D) Glucosuria E) Polyuria

Ans: A, B, C, E Feedback: Clients receiving NSAIDs should be monitored for the following renal adverse effects: polyuria, dysuria, oliguria, hematuria, cystitis, elevated BUN, and acute renal failure.

Desmopressin acetate is prescribed for the treatment of diabetes insipidus. The nurse monitors the client for which therapeutic response? a. Decreased urinary output b. Decreased blood pressure c. Decreased peripheral edema d. Decreased blood glucose

a. Decreased urinary output

A nurse notes on assessment of a client receiving furosemide a decrease in urinary output. Which drug(s) should the nurse suspect is affecting the diuretic? SATA a. Ibuprofen b. Naproxen c. Digoxind. d. Lithiume. e. Phenytoin

a. Ibuprofen b. Naproxen e. Phenytoin

After teaching a group of students about NSAIDs and their uses, the instructor determines that additional teaching is needed when the students identify which of the following as being used to treat osteoarthritis or rheumatoid arthritis? Select all that apply. A) Sulindac (Clinoril) B) Ketorolac (Toradol) C) Piroxicam (Feldene) D) Mefenamic (Ponstel) E) Oxaprozin (Daypro)

ans: B,D Feedback: Ketorolac and mefenamic are NSAIDs that are not used to treat osteoarthritis or rheumatoid arthritis.

A client is receiving aminophylline reports heartburn on assessment to the nurse. What is the best response by the nurse? a. Eat small frequent meals b. Raise the head of the bed c. Limit fluid intake with meals d. Use strict oral hygiene

b

A client taking metoprolol 50 mg one tab twice daily begins taking over-the-counter pseudoephedrine. The nurse would assess for which potential reaction? SATA a. Hyperglycemia b. Hypertensive episode c. Rebound congestion d. Hypoglycemic episode e. Bradycardic episode

b,e A client taking a beta-adrenergic blocker, such as metoprolol, and a decongestant, such as pseudoephedrine, may develop an initial hypertensive episode followed by a bradycardic episode.

A nurse is analyzing the medical records of several clients who have come to the clinic for a visit. The nurse determines that a client with which blood pressure readings would be identified as prehypertensive? a. 112/72 b. 128/86 c. 164/102 d. 144/92

b. 128/86

A client is receiving a diuretic for the treatment of hypertension. Which assessment finding on the laboratory reports should the nurse prioritize? a. Hypomagnesemia b. Hyponatremia c. Hypocalemia d. Hyperkalemia

b. Hyponatremia The nurse should assess for hyponatremia in clients receiving diuretics. Diuretic usage causes electrolyte disturbances such as hyponatremia and hypokalemia. The nurse should inform the primary health care provider if signs and symptoms of electrolyte imbalance occur. Hyperkalemia, hypomagnesemia, and hypocalcemia do not occur in clients taking diuretics.

A client on an antiarrhythmic drug therapy reports nausea, vomiting, abdominal pain, diarrhea, and ringing sensation in the ears. Which drug should the nurse investigate first to determine the possible cause? a. Lidocaine b. Quinidine c. Flecainide d. Procainamide

b. Quinidine

An elderly client with diabetes insipidus has been prescribed vasopressin. Which nursing action should the nurse prioritize for this client? a. Measuring the amount of fluid loss every 24 hrs b. Refilling the water container at frequent intervals c. Giving four glasses of water immediately after the client takes the drug d. Examining the client's abdomen every 15-30 minutes

b. Refilling the water container at frequent intervals

The nurse is teaching a client with hypertension about losartan which the health care provider has prescribed. The nurse can explain that losartan exerts which action on the body? a. Prevents conversion of angiotensin I b. Prevents renin secretion c. Blocks angiotensin II receptors d. Blocks aldosterone receptors

c. Blocks angiotensin II receptors

After teaching a group of nursing students on the mechanism of action of angiotensin- converting enzyme inhibitor (ACEI) drugs, the instructor determines the session is successful after the students correctly choose which action as the result of aldosterone? a. Promotes angiotensin I conversion b. Inhibits renin secretion c. Causes sodium and water retention d. Causes excess potassium retention

c. Causes sodium and water retention

A nurse is conducting a community presentation on heart disease, cholesterol, and risk factors. The nurse determines that the class has been successful when the class correctly chooses which point as true? a. Excess body weight causes LDL cholesterol to go down b. Low-fat diet raised LDL cholesterol levels c. Physical activity raises HDL cholesterol levels d. Being overweight causes HDL levels to go up

c. Physical activity raises HDL cholesterol levels

The nursing instructor has completed a teaching session explaining the various antihypertensive drugs. The instructor determines additional training is needed when the students choose which drugs as an angiotensin-converting enzyme inhibitor? a. Benazepril b. Enlanpril c. Pindolol. d. Quinapril

c. Pindolol.

The nurse is teaching about albuterol which has been prescribed. The nurse determines the session is successful when the client correct chooses which adverse reaction to report immediately to the health care provider? a. Nausea and vomiting b. Increased respiration c. Alopecia d. Insomnia

d

A client presents to the emergency department with an apparent reaction to recently started thyroid therapy. Which assessment finding would lead the nurse to question that this client is experiencing a thyroid storm? Memory impairment Cold intolerance Constipation Altered mental status

Altered mental status

A nurse is caring for a client who is hospitalized with arthritis. Celecoxib is prescribed. The nurse reviews the client's medical record for which of the following that would contraindicate the use of this drug? A) Allergy to sulfonamides B) Diabetic retinopathy C) Cataract D) Acute gout

Ans: A Feedback: Celecoxib is contraindicated among clients with allergy to sulfonamides. Ethambutol is contraindicated in clients with diabetic retinopathy and clients with cataracts. Pyrazinamide is contraindicated among clients with acute gout.

A nurse is preparing to administer NSAID therapy to a client. The nurse would be alert to a decrease in the effectiveness of which drug if given together? Select all that apply. A) Lithium B) Cyclosporine C) Furosemide D) Lisinopril E) Phenytoin

Ans: C, D Feedback: The use of NSAIDs can decrease the effectiveness of furosemide and lisinopril, possibly leading to increased edema or increased blood pressure.

A nurse caring for a client who is receiving an NSAID for fever reduction documents a decrease in urinary output for the patient. Which of the following would the nurse most likely determine as the reason for the patient's condition? A) Prolonged immobility B) Reduced intake of fibrous food C) Intake of food with antacids D) Prolonged temperature elevation

Ans: D Feedback: If temperature elevation is prolonged while on NSAID therapy, hot, dry, flushed skin and a decrease in urinary output may develop; consequently, dehydration can occur. Prolonged immobility, reduced intake of fibrous food, and intake of food with antacids do not cause a decrease in urinary output.

A nurse is teaching a client with arrhythmia about prescribed verapamil, which potential adverse reaction should the nurse point out to the client? Diarrhea Hyperactivity Peripheral edema Hypertension

Peripheral edema

A health care provider has prescribed methimazole for an elderly client with hyperthyroidism who lives alone. Which potential nursing diagnosis should the nurse prioritize for this client? a. Disturbed thought processes related to adverse drug reactions b. Risk for ineffective health management c. Risk for infection related to adverse drug reactions d. Risk for impaired skin integrity related to adverse skin reactions

Risk for ineffective health management

A client, aged 60 years, is receiving nitroprusside for hypertensive emergency. The nurse would be alert for the development of which condition? Significant hypotension Stroke Rebound hypertension Blindness

Significant hypotension

A client diagnosed with hyperthyroidism has been prescribed propylthiouracil. After administering the drug which assessment finding should the nurse prioritize Skin rash Tachycardia Nervousness Constipation

Skin rash

A client with thyrotocicosis is prescribed levothyroxine. The nurse would prioritize which finding on assessment? Tachycardia Agranulocytosis Loss of hair Skin rash

Tachycardia

A client with cerebral edema is prescribed mannitol. Which assessment should the nurse prioritize during the ongoing assessment? a. BP q4 b. Joint pain c. Response of pupils to light d. Serum uric acid concentrations

c. Response of pupils to light

The nurse is preparing to administer colestipol to the client. Which method should the nurse prioritize to administer this medication? a. Give the granules once or twice daily with meals b. Take care not to crush the granules c. Mix the granules in 2-6 fluid oz of water d. Mix the drug in 90 ml of liquid

d. Mix the drug in 90 ml of liquid The nurse should mix the drug in 90 mL of liquid, soups, cereals, carbonated drinks, or pulpy fruits when administering the colestipol granules to the client. Cholestyramine powder is mixed in 2 to 6 fluid ounces of water. Colestipol tablets are not crushed. Colesevelam tablets are taken once or twice daily with meals.

A client arrives at the urgent care center reporting chest pain and is diagnosed with angina pectoris. Which drug would the nurse expect to be prescribed? a. Minoxdil b. Nimodipine c. Hydralazine d. Nicardipine

d. Nicardipine

After teaching a client receiving NSAID therapy about the drug, the nurse determines that the teaching was successful when the client identifies the need to notify the primary health care provider for which of the following? Select all that apply. A) Skin rash B) Visual disturbances C) Edema D) Chest pain E) Diarrhea

Ans: A, B, C, D, E Feedback: The client should notify the primary health care provider if any of the following adverse reactions occur: skin rash, itching, visual disturbances, weight gain, edema, diarrhea, black stools, nausea, vomiting, chest or leg pain, numbness, or persistent headache.

A nursing instructor is preparing a class discussion on the use of NSAIDs and interactions with other drugs. The instructor would emphasize that the effects of which of the following can increase with NSAID therapy? Select all that apply. A) Lithium B) Cyclosporine C) Furosemide D) Lisinopril E) Phenytoin

Ans: A, B, E Feedback: The use of NSAIDs can increase the effectiveness of lithium, cyclosporine, and phenytoin, possibly leading to toxicity.

A nurse is assessing a client with angina who has received diltiazem. Which finding should the nurse prioritize and notify HCP? Pulse rate is 45 beats per minute Significant weight loss Systolic pressure is 110mm Hg Lightheadesness

Pulse rate is 45 beats per minute

A nurse notes a client has a new prescription for fluconazole who has also been administered losartan for several months. The nurse determines the client should be monitored for which result of this combination? a. Increased risk of hypersensitivity reaction b. Increased risk of adverse effects of losartan c. Increased risk of hypoglycemia d. Decreased hypotensive effect of losartan

b. Increased risk of adverse effects of losartan

A nurse is conducting a teaching session for a client newly diagnosed with type 2 diabetes on the importance of monitoring the blood glucose. The nurse determines additional teaching is necessary after the client makes which statement? a. I should prick the tip of my finger to get the blood b. I should clean my finger with warm soapy water c. I should massage my finger to get a hanging drop of blood d. I should avoid smearing the blood on the test strip

a. I should prick the tip of my finger to get the blood

A nurse is preparing to administer insulin to the client. Which interventions should the nurse perform before administering each insulin dose? a. Inspect previous injection sites for inflammation b. Keep prefilled syringes horizontally c. Check for symptoms of myalgia or malaise d. Mix the insulin with sterile water in the syringe

a. Inspect previous injection sites for inflammation

The HCP has prescribed ezetimibe for a client diagnosed with hyperlipidemia. The nurse is prepared to prioritize which assessment to evaluate the drug's effectiveness? a. Taking a dietary history of the client b. Frequently monitoring the blood cholesterol c. Obtaining reports of fasting blood sugar levels d. Inspecting skin and eyelids for evidence of xanthomas

b The nurse should frequently monitor blood cholesterol as part of the ongoing assessment for a client receiving ezetimibe. Taking a dietary history of the client and inspecting the skin and eyelids for evidence of xanthomas are the preadministration assessments that a nurse should perform for a client receiving ezetimibe. The nurse obtains the reports of fasting blood sugar for a client with diabetes

A client is administered insulin lispro at 8 AM. The nurse would be alert for signs Weight the client everyday to obtain baseline weight and symptoms of hypoglycemia at about which time? a. 8:15a b. 9a c. 10a d. 11a

b. 9a

The nurse is preparing a teaching plan for a client with edema who is prescribed a diuretic. Which teaching should the nurse prioritize? a. Decrease fluid intake b. Administer early in the day c. Gradually increase the dosage d. Encourage exercise

b. Administer early in the day

The nurse is preparing to teach discharge instructions to a client with angina. Which instruction should the nurse prioritize when teaching about the prescribed oral nitroglycerin? a. Store the nitro caps in a plastic container b. Recap the container tightly after taking out the capsules c. Place the nitroglycerin caps along with other tabs d. Do not store nitro in a dark container

b. Recap the container tightly after taking out the capsules

A client with hyperthyroidism, who is prescribed methimazole reports a skin rash to the nurse. Which instruction should the nurse prioritize when assessing the client? a. Offer suggestion to alter the drug schedule b. Instruct the client to avoid applying lubricants c. Instruct the client to use soap sparingly d. Check if discoloration of hair occurs

c. Instruct the client to use soap sparingly

A client with congestive heart failure and currently administered digoxin is now prescribed indapamide for edema. Which intervention should the nurse prioritize? a. Encourage the client to ear or drink between meals and in the evening b. Closely monitor the client for signs of hyperkalemia c. Encourage oral fluids at frequent intervals during awake hours d. Frequently monitor the client's pulse rate and rhythm

d. Frequently monitor the client's pulse rate and rhythm

A nurse has determined a client has developed a hypoglycemic reaction. Which interventions should the nurse perform if the client can adequately demonstrate swallowing and has gag reflexes? a. Administer glucagon by parenteral route b. Administer the insulin via insulin pump c. Administer oral antidiabetics to the client d. Give oral fluids or candy

d. Give oral fluids or candy

The nurse administer glipizide and warfarin to a client. Which finding on assessment should the nurse prioritize? a. Increased risk of lactic acidosis b. Risk of renal failure c. Increased risk for bleeding d. Increased hypoglycemic effect

d. Increased hypoglycemic effect The nurse should observe for increased hypoglycemic effect in the client as the effect of the interaction of sulfonylureas with the anticoagulants, chloramphenicol, clofibrate, fluconazole, histamine-2 antagonists, methyldopa, monoamine oxidase inhibitors (MAOIs), salicylates, sulfonamides, and tricyclic antidepressants. Increased risk of lactic acidosis is an effect of the interaction of metformin with glucocorticoids. Increased risk for bleeding is an effect of the interaction of oral anticoagulants with anti-infective drugs. There is a risk of acute renal failure when iodinated contrast material used for radiologic studies is administered with metformin.

A 60-year-old client with rheumatoid arthritis visits the health care facility for a regular checkup. The client informs the nurse that he has been using an over-the-counter NSAID for the last few days. The nurse cautions the client about the use of NSAIDs on a long-term basis because of the increased risk for which of the following? A) Ulcer disease B) CNS disorders C) Hearing impairment D) Blindness

Ans: A Feedback: Age appears to increase the possibility of adverse reactions to NSAIDs. The risk of serious ulcer disease in adults older than 65 years is increased with higher doses of NSAIDs. CNS disorders, hearing impairment, and blindness are not effects associated with using NSAIDs on a long-term basis in older clients.

A nurse is reviewing the medical records of several clients. In which of the following clients would the nurse identify that the use of an NSAID would be contraindicated? Select all that apply. A) A female client who is lactating B) A female client with a hypersensitivity to aspirin C) A female client in the first trimester of pregnancy D) A female client in the second trimester of pregnancy E) A female client in the third trimester of pregnancy

Ans: A, B, E Feedback: NSAIDs are contraindicated in clients with a hypersensitivity to aspirin. In general, NSAIDs are contraindicated during the third trimester of pregnancy (because they can induce labor) and during lactation.

A nurse is reviewing the medical record of a client who is diagnosed with migraine headaches. The history also reveals that the client has phenylketonuria. Which of the following would the nurse least expect to be prescribed as treatment for the client's migraine headaches? Select all that apply. A) Rizatriptan (Maxalt) B) Almotriptan (Axert) C) Eletriptan (Relpax) D) Sumatriptan (Imitrex) E) Zolmitriptan (Zomig)

Ans: A,E Feedback: Rizatriptan (Maxalt) and zolmitriptan (Zomig) are not used as treatment for migraines in a client with phenylketonuria because both medications phenylalanine

The nursing mentor is supervising a group of nursing students in the clinic. The mentor determines the students are well prepared when they prioritize which assessment with clients receiving medications such as doxazosin? Pain rating Weight management Level of consciousness Blood pressure monitoring

Blood pressure monitoring Although assessing for pain, measuring weight, and assessing for complaints of adverse reactions are important, monitoring the client's blood pressure would have the highest priority because the drug therapy regimen may need to be adjusted or changed if the client's response is inadequate.

The health care provider has prescribed spironolactone for a client. The nurse is prepared to careful monitor the clients potassium level if the client is also prescribed which drug? a. Terazosin b. Metoprolol c. Lisinopril d. Diltiazem

c. Lisinopril

The nurse has administered albuterol to a client with asthma, who is not reporting dizziness, especially when standing up. When analyzing the client's report for potential sources, which prescribed medication should the nurse question? a. Warfarin b. Theophylline c. Atenolold. d. Methyldopa

d.

A client with arrhythmias is prescribed an antiarrhythmic. About which fiding on the ongoing assessment should the nurse instruct the client to immediately notify the PHCP? Sudden change in mental status A pulse rate of 90 bpm Dry mouth and gums Increased restlessness

sudden change in mental status

The nurse is preparing to administer amiloride to a client. The nurse will exercise caution if the client is diagnosed with which of the following a. Diabetes b. Hepatic disease c. Asthma d. Glaucoma e. Gout

a. Diabetes b. Hepatic disease e. Gout

A nurse is teaching a client about acarbose. The nurse determines the teaching is successful when the client correctly states which instruction to follow when administering the drug at home? a. Administer the drug with breakfast b. Expect to add an oral sulfonylureas with the drug c. Administer the drug with the first bite of the meal d. Report unusual somnolence to the PHCP

c. Administer the drug with the first bite of the meal

A nurse is preparing a presentation for a local community group about over-the-counter analgesics, including NSAIDs. Which of the following would the nurse integrate into the presentation as a serious risk with this class of drugs? A) Increased granulocyte count B) Cardiovascular thrombosis C) Increased WBC count D) Sickle cell anemia

Ans: B Feedback: A serious risk involved with the use of NSAIDs is cardiovascular thrombosis. Increased granulocyte count, increased WBC count, or sickle cell anemia is not caused by NSAIDs. Sickle cell anemia results from an inherited abnormality of hemoglobin. NSAIDs may cause decreased granulocyte count, decreased WBC count, or aplastic anemia.

A nurse is providing care to a client with arthritis in several large weight-bearing joints who is receiving NSAID therapy. Which nursing diagnosis would be most likely? A) Risk for Unstable Blood Glucose Levels B) Impaired Gas Exchange C) Risk for Imbalanced Body Temperature D) Impaired Physical Mobility

Ans: D Feedback: The client has arthritis and is receiving NSAID therapy most likely for pain relief and reduction of inflammation. The affected joints would interfere with the client's mobility. Therefore, Impaired Physical Mobility would be most appropriate. There is no indication that the client has diabetes, respiratory problems, or fever. Therefore, the other nursing diagnoses would be inappropriate.

A client prescribed an antihistamine for vasomotor rhinitis is concerned about the potential increased sedation effects. Which antihistamine can the nurse point out as the best option to help avoid the sedation effects? a. Brompheniramine b. Clemastine c. Chlorpheniramine d. Azelastine

Ans: D Feedback: The nurse should assure the client that azelastine has very little sedative effect; it is a second-generation antihistamine with little effect on central nervous system (CNS) depression. Brompheniramine, clemastine, and chlorpheniramine are first-generation antihistamines. Sedation is seen more often with first-generation antihistamines.

A nurse is caring for a client with diabetes mellitus who is receving an oral antidiabetic drug. Which ongoing assessments should the nurse prioritize when caring for this client? a. Assess the skin for ulcers, cuts, and sores b. Observe the client for hypoglycemic episodes c. Monitor the client or lipodystrophy d. Document family medical history

Observe the client for hypoglycemic episodes

The health care provider has prescribed fenofibrate for a client discovered to have very high serum triglyceride levels. The nurse should question this order if the client has a history of which additional disorder? Endocrine disorder Arterial bleeding Respiratory depression Primary biliary cirrhosis

Primary biliary cirrhosis The fibric acid derivative clofibrate is contraindicated in clients with primary biliary cirrhosis. The use of clofibrate is not contraindicated in clients with an endocrine disorder. The HMG-CoA reductase inhibitors are used with caution in clients with a history of endocrine disorders. Niacin is contraindicated in clients with arterial bleeding. The fibric acid derivative clofibrate is not contraindicated in clients with respiratory depression.

The nurse is preparing a teaching session for a client who is prescribed dextromethorphan orally. Which instruction should the nurse prioritize? a. Take the drug with a glass of milk b. Swallow the whole tab and do not chew it c. Dissolve the tab in water and take the drug d. Take the drug on an empty stomach

Swallow the whole tab and do not chew it

A client with a history of seizures is admitted to the unit with pulmonary edema. After administering furosemide, which assessment should the nurse prioritize after discovering the client is also prescribed phenytoin? a. Decreased diuretic effectiveness b. Increased risk of bleeding increased c. blood glucose levels d. Increased seizure episodes

a. Decreased diuretic effectiveness

After teaching a group of nursing students about antianginal drugs, the instructor determines that the teaching was successful when the students correctly choose which drugs as a calcium channel blocker? a. Nifedipine b. Minoxidil c. Hydralazine d. Isosorbide

a. Nifedipine Nifedipine is a calcium channel blocker used to treat angina. Minoxidil and hydralazine are peripheral vasodilators. Isosorbide is a nitrate.

A nurse is monitoring a client who is receiving theophylline 400 mg IV for severe bronchospasm, shortness of breath and SaO2 of 85%. Which assessment finding should the nurse prioritize? a. Constipation b. Abdominal cramps c. Bradycardia d. Mental depression

b It is important for the nurse to closely monitor the client for signs of theophylline toxicity. The nurse should notify the primary health care provider immediately if any of the following signs of theophylline toxicity develop: anorexia, nausea, vomiting, diarrhea, confusion, abdominal cramping, headache, restlessness, insomnia, tachycardia, arrhythmias, or seizures. Constipation, bradycardia, and mental depression are not signs of theophylline toxicity.

A client prescribed niacin reports significant skin flushing and itching, stating, "I almost stopped taking the drug." The nurse anticipates the health care provider will prescribed which drug to address this issue? a. Hydrocortisone b. Aspirin c. Ibuprofen d. Prednisone

b. Aspirin

The nurse is preparing to administer insulin glargine to a client. Which precaution should the nurse take when administering this drug a. Administer glargine via IV b. Avoid mixing glargine with other insulins c. Shake the vial vigorously before withdrawing insulin d. Be sure the insulin has been refrigerated

b. Avoid mixing glargine with other insulins

A nurse is preparing to administer ivabradine to a client with heart failure. Which preadministration assessment should the nurse prioritize on this client? a. Inspect joints for swelling b. Check for jugular vein distention c. Inspect skin for rash d. Obtain blood glucose levels

b. Check for jugular vein distention

The client reports a mild stinging sensation after using a nasal spray decongestant. Which response by the nurse would be most appropriate? a. "You need to stop the medication immediately" b. "The dose is probably too strong and needs to be reduced" c. "This sensation is common and usually disappears with continued use" d. "We better contact your PHCP right away"

c. "This sensation is common and usually disappears with continued use"

A client is being discharged after being treated with nitroglycerin for an acute anginal attack. The nurse should include which instruction when providing the client with discharge instructions concerning how to properly administer nitroglycerin ointment at home? a. Apply on the same site during every application b. Apply a thick layer of the ointment c. Rub the ointment onto the skin d. Use an applicator for applying the ointment

d. Use an applicator for applying the ointment

A nurse is preparing discharge teaching to a client who is prescribed glucocorticoid therapy. Which instructions should the nurse point out in the teaching plan for the caregivers? a. Report any adverse symptoms of sore throat or fever immediately b. Notify the PHCP if glucose appears in the urine c. Measure the amount of fluids taken each day d. take the oral drug with meals or snacks

d. take the oral drug with meals or snacks

A client is prescribed tolmetin to be taken at home. The nurse would instruct the client to monitor for which of the following? Select all that apply. A) Dark, tarry stools B) Jaundice C) Hot, dry, flushed skin D) Increased urine output E) Unusual or prolonged bleeding

Ans: A, C, E Feedback: The nurse should instruct the client or caregiver to monitor for dark, tarry stools; hot, dry, flushed skin; decreased urine output; and unusual or prolonged bleeding.

When discussing effective pain management with a group of nursing students, the instructor would include barriers that need to be overcome. Which of the following would the instructor most likely include? Select all that apply. A) Pharmacists do not provide an adequate supply of pain medication. B) Primary health care providers prescribe improper pain medicine doses. C) Nurses do not administer adequate medication for pain relief. D) Clients do not report accurate levels of pain. E) Clients have misperceptions about receiving pain medication.

Ans: B, C, D Feedback: The main barriers a nurse must overcome to obtain effective pain management in a client are primary health care providers who do not prescribe proper pain medicine doses, nurses who do not administer adequate medication for pain relief, and clients who do not report accurate levels of pain.

After teaching a client about his prescribed NSAID therapy, the nurse determines that the teaching was successful when the client states which of the following? A) "I will take the drug with high-fiber foods." B) "I must take the drug on an empty stomach." C) "I should take the drug with food and milk. D) "I need to take it with a calcium supplement."

Ans: C Feedback: The client should take the drug with food and milk to promote an optimal response to NSAID therapy; this helps minimize the risk of GI effects. The client does not need to take an NSAID with fiber-rich food or with calcium supplements. He should not take it on an empty stomach.

A nurse is describing the actions of NSAIDs to a client. Which of the following would the nurse integrate into the description as a mechanism by which NSAIDs elicit their effects? Select all that apply. A) Inhibition of prostaglandins B) Inhibition of cyclooxygenase-1 C) Synthesis of cyclooxygenase-2 D) Synthesis of cyclooxygenase-3 E) Inhibition of platelet aggregation

Ans: A, B, C Feedback: NSAIDs exert their effects by inhibition of prostaglandin synthesis via inhibition of cyclooxygenase-1 and -2

A nurse would expect to administer prescribed NSAIDs as part of the treatment plan for clients with which conditions? Select all that apply. A) Osteoarthritis B) Fever C) Rheumatoid arthritis D) Severe postoperative pain E) Primary dysmenorrhea

Ans: A, B, C, E Feedback: NSAIDs are used to treat fever and the mild to moderate pain that may be associated with osteoarthritis, rheumatoid arthritis, and primary dysmenorrhea. Severe postoperative pain would most likely require an opioid analgesic

A nurse is teaching a client who is prescribed sumatriptan about the possible adverse reactions associated with the drug. The nurse determines that the teaching was successful when the client identifies which of the following as most common? Select all that apply. A) Flushing B) Bradycardia C) Dry mouth D) Impaired vision E) Fatigue

Ans: A, C, E Feedback: The most common adverse reactions associated with the selective serotonin agonists like sumatriptan (Imitrex) include dizziness, nausea, fatigue, pain, dry mouth, and flushing.

A client who is receiving ibuprofen asks the nurse, "What should I take the drug with?" Which of the following would the nurse suggest in the response? Select all that apply. A) Milk B) Orange juice C) Food D) Clear liquids E) Antacids

Ans: A, C, E Feedback: The nurse should advise the patient to take ibuprofen (Motrin) with food, milk, or antacids.

Which of the following would a nurse integrate into the explanation for a client about the mechanism of action for almotriptan? Select all that apply. A) Vasoconstriction B) Vasodilation C) Decreased neurotransmission D) Increased neurotransmission E) Inhibition of prostaglandin synthesis

Ans: A,C Feedback: Selective serotonin agonists like almotriptan (Axert) exert their effects by causing vasoconstriction and decreased neurotransmission.

A nurse is performing discharge teaching for a client who is prescribed ibuprofen. After teaching the client about the possible cardiovascular effects of the drug, the nurse determines that additional teaching is needed when the client states which of the following? A) "My blood pressure may increase." B) "My blood pressure won't change." C) "I could develop congestive heart failure." D) "I could experience a heart attack."

Ans: B Feedback: The client should be counseled that NSAIDs including ibuprofen may result in the following cardiovascular effects: increased or decreased blood pressure, congestive heart failure, cardiac arrhythmias, and myocardial infarction.

A client comes to the clinic complaining of muscle aches and asks the nurse about using an over-the-counter NSAID. The client tells the nurse that he takes a medication to control his high blood pressure. The nurse cautions the client against using an NSAID while on antihypertensive drug therapy for which reason? A) It increases the metabolism of the antihypertensive drug. B) It increases absorption of the antihypertensive drug. C) It decreases the effectiveness of the antihypertensive drug. D) It decreases the metabolism of NSAIDs.

Ans: C Feedback: The nurse should inform the patient that taking an NSAID while on antihypertensive drug therapy decreases the effectiveness of antihypertensive drugs. Interactions of NSAIDs and antihypertensive drugs do not include increased metabolism of antihypertensive drugs, increased absorption of antihypertensive drugs, or decreased metabolism of NSAIDs.

A nurse is caring for a client who is required to take NSAIDS on an outpatient basis. Which of the following would the nurse include in the teaching plan for the client and family? A) Take aspirin if necessary strictly with a full glass of water. B) Use the drug on a very regular basis during treatment. C) Call your primary care provider if you have no relief after 2 weeks. D) Take the drugs strictly with a glass of milk or juice.

Ans: C Feedback: The nurse should instruct the patient to consult the primary health care provider if the pain, swelling, inflammation, or tenderness is not relieved after 2 weeks. The drug takes several days to relieve the discomfort, so it is important for the patient to give the drug time to work. The nurse should instruct the patient to avoid the use of aspirin. The drug should be taken with a full glass of water or with food. It is not necessary to take NSAIDs strictly with a glass of juice or milk. These drugs are not to be used on a regular basis unless the patient is strictly instructed to do so by the primary health care provider.

A nurse is assessing a client's pain. When reporting the assessment findings to the primary health care provider to ensure the proper prescription for analgesic therapy for effective pain management, which of the following would be most important for the nurse to report? Select all that apply. A) Duration B) Aggravating factors C) Location D) Remitting factors E) Intensity

Ans: C, E Feedback: Although duration, aggravating and remitting factors, location, and intensity are important to assess, to ensure that the primary health care provider prescribes effective analgesics for pain management, the nurse needs to report two key assessments about pain: location and intensity.

A client admitted to a health care facility with cardiac arrhythmia is prescribed propranolol. Which signs should the nurse prioritize on the ongoing assessment Pulse rate Tendon reflexes Hydration Visual acuity

Pulse rate

A nurse is evaluating a clients response to colestipol on a FUV. which suggestion(s) should the nurse prioritize after the patient reports constipation? a. Each foods rich in dietary fiber b. Use a stool softener c. Increase your fluid intake d. Be sure to exercise everyday e. Stop taking the antihyperlipidemic medication

a,b,c,d a. Each foods rich in dietary fiber b. Use a stool softener c. Increase your fluid intake d. Be sure to exercise everyday

The client presents for a routine clink visit to evaluate the long term use of cholestyramine. The health care provider determines vitamin A and D should be prescribed at this time. The nurse determines which nursing diagnosis is most appropriate at this time? a. Risk for imbalanced nutrition; less than body requirements b. Risk for injury c. Risk for impaired skin integrity d. Constipation

a. Risk for imbalanced nutrition; less than body requirements

A client prescribed verapamil as treatment for angina. What information should the nurse point out in the teaching? a. Tablet coverings can be expelled in the stool b. Capsules should be swallowed whole c. Drug should be administered without regard to meals d. Drug should be administered with a meal e. Capsules may be opened and sprinkled on food

a. Tablet coverings can be expelled in the stool d. Drug should be administered with a meal e. Capsules may be opened and sprinkled on food

The nurse administers chlorothiazide to a client with renal compromise. Which action should the nurse prioritize after noting BUN level rising a. Withhold the next dose of the drug b. Administer the drug in the diluted form c. Increase the fluid intake for a client d. Give prescribed magnesium supplements

a. Withhold the next dose of the drug The nurse should withhold the drug or discontinue its use if the blood urea nitrogen (BUN) rises in the client with renal compromise who is receiving a thiazide diuretic. Magnesium supplements or add-ons may be provided to clients taking loop diuretics as they are prone to magnesium deficiency. The nurse should encourage fluid intake to prevent a fluid volume deficit in elderly clients who are particularly prone to fluid volume deficit and electrolyte imbalances when taking a diuretic. The nurse need not administer the drug in a diluted form since doing so will not have an effect on the blood urea nitrogen level.

The nurse is preparing a teaching session for a client with rhinitis about the prescribed decongestant. Which potential adverse reaction should the nurse point out? a. Decreased pulse rate b. Blurred vision c. Drowsiness d. Dryness of throat

b. Blurred vision The nurse should inform the client that blurred vision is a possible adverse reaction of decongestant drugs. Additionally, an increased and not decreased pulse rate may also be seen. Drowsiness is not seen with decongestant usage. Dryness of the nasal mucosa and not the throat may be seen with decongestant drugs, which are used mostly as topical sprays and drops.

A primary health care provider has prescribed a loop diuretic for hypertension with a client with diabetes mellitus. Which assessment should the nurse prioritize? a. Sudden increase in weight b. Increased blood glucose levels c. Occurance of gout attacks d. Sudden pain in the joints

b. Increased blood glucose levels The nurse should monitor for increased blood glucose levels in the diabetic client receiving a loop diuretic. The blood glucose levels may be elevated or urine may test positive for glucose. Thiazide diuretic agents may cause gout attacks and sudden joint pain. The nurse need not monitor for a sudden increase in weight as the administration of loop diuretics to a diabetic client will not cause this.

he PHCP prescribes exenatide for a client with type 1 diabetes mellitus who takes insulin. The nurse prepares for which most appropriate intervention? a. The medication is administered within 60 mins before the morning and evening meal b. The medication is withheld and the PHCP is called to question the prescription for the client c. The client is monitored for GI side effects after the administration of the medication d. The insulin is withdrawn from the patient into an insulin syringe to prepare for administration

b. The medication is withheld and the PHCP is called to question the prescription for the client

The nurse has finished a teaching session with a client who is prescribed a diuretic to be taken twice a day. The nurse determines teaching was successful when the patient correctly chooses which times to take the drug? a. Midmorning and before dinner b. After lunch and dinner c. At breakfast and midafternoon

c. At breakfast and midafternoon

The nurse is preparing to teach the client with renal insufficiency about recently prescribed bumetanide. a. Always take the drug before meals b. Omit the drug when feeling dizzy c. Avoid OTC drugs for cold symptoms d. Avoid salt subs containing K+

c. Avoid OTC drugs for cold symptoms The nurse should instruct the hypertensive client to avoid medications that increase blood pressure, such as OTC drugs for appetite suppression and cold symptoms. The nurse should instruct clients taking potassium-sparing diuretics, not loop diuretics such as bumetanide, to refrain from using salt substitutes containing potassium. The nurse need not instruct the client to take the drug before meals since doing so will not decrease the client's blood pressure. The nurse should instruct the client to observe caution while driving or performing hazardous tasks when dizziness or weakness occurs. In such cases, the nurse instructs the client to rise slowly from a sitting or lying position and avoid standing in one place for an extended time.

A health care provider has prescribed growth hormone for a client. Which periodic tests would the nurse anticipate monitoring at different intervals during the treatment? a. Carbohydrate tolerance b. Serum electrolyte levels c. Glucose tolerance d. pH level of blood

c. Glucose tolerance

The nurse is finishing a teaching session with a client who is prescribed gemfibrozil. The nurse determines the session is successful when the client correctly chooses which instruction? a. Be alert for mild to severe facial flushing b. Take a single dose once daily in the morning c. Observe caution while driving d. Take the drug along with meals

c. Observe caution while driving When preparing a teaching plan for the client receiving the fibric acid derivative gemfibrozil, the nurse should instruct the client to observe caution while driving. Rosuvastatin calcium is taken as a single dose once daily in the evening. The nurse instructs a client prescribed nicotinic acid to take it along with meals; it may also cause mild to severe facial flushing.

A health care provider has prescribed vasopressin to the client. Which assessment should the nurse perform on the ongoing assessment? a. Observe for and report any evidence of edema, such as dyspnea b. Measure and record the client's abdominal girth every hour c. Observe the client for blanching of the skin, abdominal cramps, and nausea

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

The nurse notes a client has a new prescription for an expectorant. The nurse will monitor this client closely if which disorder is noted in the client's history? a. Renal impairment b. Persistent headache c. Persistent cough d. Seizure disorder

c. Persistent cough

A client presents to the urgent care clinic reporting severe dizziness. On assessment, the nurse learns the client was recently prescribed losartan and quit taking it thinking it was responsible for the dizziness. Which assessment should the nurse prioritize? a. Anginal attacks b. Orthostatic hypotension c. Rebound hypertension d. Breathing difficulty

c. Rebound hypertension

The nurse is assessing a client with renal disease and discovers the client's blood pressure has increased since the last visit. The nurse suspects the client has developed which concern? a. Rebound hypertension b. Hypertensive emergency c. Secondary hypertension d. Essential hypertension

c. Secondary hypertension

A nurse is preparing to teach a client the correct method to take cromolyn orally. Which instruction will the nurse point out as being the appropriate method to follow? a. Do not take the drug at bedtime b. Swallow the drug without chewing c. Take the drug with food or milk d. Take the drug at least 30 minutes before meals

d When administered orally, cromolyn is given 30 minutes before meals and at bedtime. The oral form of the drug comes in an ampule. The ampule is opened and the contents are poured into a glass of water. The nurse stirs the mixture thoroughly. The client must drink all of the mixture. The drug may not be mixed with any other substance (e.g., fruit juice, milk, or foods).

A nurse is preparing to administer liothyronine to a client with chronic thyroiditis. The nurse determines the drug needs to be administered cautiously after noting which disorder in the client's medical history? a. Upper respiratory tract infection b. Diabetes c. Elevated body temperature d. Cardiac disease

d. Cardiac disease

A nurse is caring for a client who is receiving corticosteroid therapy. Which nursing diagnosis would the nurse be least likely to prioritize for this client? a. Risk for infection b. Distrubed body image c. Risk for injury d. Deficient fluid volume

d. Deficient fluid volume

A client with allergic rhinitis is prescribed an antihistamine. The nurse instructs the client to suck on sugarless hard candy to address which potential adverse reaction? a. Drowsiness and sedation b. Thickening of bronchial secretion c. Altered sensation of taste d. Dryness of oral mucosa and the throat

d. Dryness of oral mucosa and the throat