NUR 240 UNIT 3 EXAM

A nurse is caring for a client who is about to begin taking finasteride to treat benign prostatic hypertrophy. The nurse should explain to the client the need to monitor which of the following laboratory values? A. prostate-specific antigen (PSA) B. BUN C. creatinine phosphokinase (CPK) D. ALT

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 increases 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 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 manifestations? A. lethargy B. cellulitis C. dry mouth D. myalgia

A

A nurse is providing safety education to a client who is scheduled to begin treatment with tamsulosin for benign prostatic hypertrophy (BPH). Which of the following instructions should the nurse include in the teaching? A. change positions slowly B. crush the medication C. take the medication on an empty stomach D. report increased urinary output immediately

A

A nurse is providing teaching to a client about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include? A. perform weight-bearing activities B. wear sunscreen or protective clothing C. take the drug with food to increase absorption D. avoid drinking grapefruit juice

A

A nurse is teaching a client about receiving leuprolide to treat endometriosis. The nurse should instruct the client to expect which of the following side effects? A. vaginal dryness B. hypertension C. blurred vision D. orthostatic hypotension

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 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 caring for a client who has benign hypertrophy and is taking tamsulosin. The nurse should question the use of the drug if the client also has which of the following? A. a seizure disorder for which he takes carbamazepine B. erectile dysfunction for which he takes sildenafil C. diabetes mellitus for which he takes glyburide D. angle-closure glaucoma for which he takes pilocarpine

B

A nurse is providing teaching to a client who has a new prescription for omeprazole to treat a 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 ranitidine. The nurse should recognize that which of the following drugs interacts with 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

A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction? (select all that apply) A. level of consciousness B. skin integrity C. temperature D. urine output E. CBC

BCE

A nurse is preparing to administer finasteride to a client who has benign prostatic hypertrophy (BPH). Which of the following precautions should the nurse plan to take when administering this drug? A. refrain from crushing the tablet B. withhold the medication if the client doesn't eat C. wear gloves when handling the tablet D. monitor heart rate prior to administration

C

A nurse should recognize that misoprostol is contraindicate 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

A nurse is caring for a client who has a new prescription for ranitidine to treat GERD. The nurse should instruct the client to wait at least 1 hr between taking ranitidine 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 hours 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