Obesity and Pharm review for test 2

The health care provider has prescribed penicillin for a client admitted to the hospital for treatment of pneumonia. Prior to administering the first dose of penicillin, the nurse should ask the client:

"Have you had a previous allergy to penicillin?"

An adult client with type 2 diabetes is taking metformin 1,000 mg two times every day. After the nurse provides instructions regarding the interaction of alcohol and metformin, the nurse evaluates that the client understands the instructions when the client says:

"If I know I will be having alcohol, I must not take metformin; I could develop lactic acidosis."

A client with asthma who has wheezing and shortness of breath asks the nurse if it is all right to use the salmeterol inhaler during exercise. What is the nurse's best response?

"No, this drug is a maintenance drug, not a rescue inhaler."

A school nurse is assessing an obese 10-year-old child who wants to lose weight. Which of the following questions would be most important for the nurse to ask to develop a realistic plan of care?

"What kinds of foods do your parents serve at meal times and for snacks?"

The nurse is instructing the client on insulin administration. The client is performing a return demonstration for preparing the insulin. The client's morning dose of insulin is 10 units of regular and 22 units of NPH. The nurse checks the dose accuracy with the client. The nurse determines that the client has prepared the correct dose when the syringe reads how many units? Record your answer using a whole number.

32

A client is admitted with a diagnosis of diabetic ketoacidosis. An insulin drip is initiated with 50 units of insulin in 100 ml of normal saline solution administered via an infusion pump set at 10 ml/hour. The nurse determines that the client is receiving how many units of insulin each hour? Record your answer using a whole number.

5

A patient has just been diagnosed with type 2 diabetes. The physician has prescribed an oral antidiabetic agent that will inhibit the production of glucose by the liver and thereby aid in the control of blood glucose. What type of oral antidiabetic agent did the physician prescribe for this patient?

A biguanide

Which of the following medications is considered a glitazone?

Actos

A patient comes to the bariatric clinic to obtain information about bariatric surgery. The nurse assesses the obese patient knowing that in addition to meeting the criterion of morbid obesity, a candidate for bariatric surgery must also demonstrate what?

Adequate understanding of required lifestyle changes

A physician orders a beta2 adrenergic-agonist agent (bronchodilator) that is short-acting and administered only by inhaler. The nurse knows this would probably be

Albuterol

A nurse is teaching a patient with asthma about Azmacort, an inhaled corticosteroid. Which adverse effects should the nurse be sure to address in patient teaching?

Cough and oral thrush

A 7-year-old client with type 1 diabetes is sick with the flu. What is the most important information for the nurse to convey regarding diabetes management during illness?

Blood glucose needs to be checked more frequently during illness.

For a client with asthma, the health care provider (HCP) prescribes albuterol, two puffs twice a day via MDI, and beclomethasone, two puffs twice a day via MDI. The nurse should instruct the client to administer:

albuterol first and follow with beclomethasone 2 times a day

Which of the following disorders, which is linked to obesity, is on the rise in the United States?

Diabetes

A nurse caring for a patient who has had bariatric surgery is developing a teaching plan in anticipation of the patient's discharge. Which of the following is essential to include?

Eat several small meals daily spaced at equal intervals.

At 11 p.m., a client is admitted to the emergency department. He has a respiratory rate of 44 breaths/minute. He's anxious, and wheezes are audible. The client is immediately given oxygen by face mask and methylprednisolone I.V. At 11:30 p.m., the client's arterial blood oxygen saturation is 86%, and he's still wheezing. The nurse should plan to administer:

albuterol

Which of the following dietary guidelines should be followed following bariatric surgery? Select all that apply.

Include two protein snacks per day. Eat slowly. Eat three meals per day.

A patient who had bariatric surgery complains of diarrhea. The nurse recommends which of the following dietary changes?

Increased fiber

A client has intermittent asthma attacks. Which of the following therapies does the nurse teach the client to use at home when experiencing an asthma attack?

Inhaled albuterol (Ventolin)

A patient is learning about his new diagnosis of asthma with the asthma nurse. What medication has the ability to prevent the onset of acute asthma exacerbations?

Montelukast (Singulair)

Which of the following medications are classified as leukotriene modifiers (inhibitors)?

Montelukast (Singulair)Zafirlukast (Accolate)Zileuton (Zyflo)

The nurse is caring for a patient after bariatric surgery who experiences symptoms of gastric outlet obstruction. Which of the following are contraindicated?

NG tube

A client being seen in the emergency department has labored respirations. Auscultation reveals inspiratory and expiratory wheezes. Oxygen saturation is 86%. The client was nonresponsive to an albuterol (Ventolin) inhaler and intravenous methylprednisolone (Solu-Medrol). The nurse administers the following prescribed treatment first:

Oxygen therapy through a non-rebreather mask

The nurse observes that a client admitted with asthma is anxious, has audible wheezing, and is using the neck muscles when breathing. What actions would be appropriate?

Position in high Fowler's position and administer an albuterol sulfate inhaler.

Following are statements regarding medications taken by a patient diagnosed with COPD. Choose which statements correctly match the drug name to the drug category. Select all that apply.

Prednisone is a corticosteroid. Ciprofloxacin is an antibiotic. Albuterol is a bronchodilator.

A nurse administers albuterol, as ordered, to a client with emphysema. Which finding indicates that the drug is producing a therapeutic effect?

Respiratory rate of 22 breaths/minute

Which of the following is included as a dietary guideline for a patient who has had bariatric surgery?

Restrict total meal size to less than 1 cup.

Which of the following problems is associated with obesity, heavy snoring, and shallow breathing?

Sleep apnea

Which of the following categories of oral antidiabetic agents exert their primary action by directly stimulating the pancreas to secrete insulin?

Sulfonylureas

A nurse who provides care in a campus medical clinic is performing an assessment of a 21-year-old student who has presented for care. After assessment, the nurse determines that the patient has a BMI of 45. What does this indicate?

The patient is extremely obese.

To reduce the risk of developing type 2 diabetes mellitus the nurse should instruct the client to:

maintain weight in normal limits.

A physician orders albuterol for a client with newly diagnosed asthma. When teaching the client about this drug, the nurse should explain that it may cause:

nervousness.

A client with asthma has been prescribed beclomethasone via metered-dose inhaler. To determine if the client has been rinsing the mouth after each use of the inhaler, the nurse should inspect the client's mouth for:

oral candidiasis.

When a client reports being allergic to amoxicillin even though the medication administration record and armband do not indicate medication allergies, the nurse should:

withhold the amoxicillin

A client is experiencing an acute asthmatic attack. Prior to treatment with levalbuterol, respirations were 40 breaths per minute, pulse 132 beats per minute, oxygen saturation 86% on room air, and with audible wheezing. Which findings indicate achievement of the desired outcome of asthma treatment?

pulse 96 bpm and SpO2 92% on room air

A child is being discharged with albuterol nebulizer treatments. The nurse should instruct the parents to watch for:

tachycardia

An older client with diabetes who has been maintained on metformin has been scheduled for a cardiac catheterization. The nurse should verify that the health care provider (HCP) has written a prescription to:

withhold the metformin prior to the cardiac catheterization.

As a nurse completes the admission assessment of a client admitted for gastric bypass surgery, the client states, "Finally! I'll be thin and able to eat without much concern." Which statement by the nurse would be most appropriate?

Can you tell me your best understanding of the procedure?