PHARM FINAL QUESTIONS

The nurse is educating an older adult client about newly prescribed levofloxacin for the treatment of pneumonia. The nurse should teach the client that which side effect is a priority for the client to report to the provider? A . Joint tenderness B. Diarrhea C. Dizziness D. Difficulty sleeping

A . Joint tenderness

The nurse is preparing to administer doxycycline to a client to treat syphilis. Which lab results should the nurse review before administering this medication? A . Pregnancy test B. Hematocrit C. Sodium level D. Arterial blood gas

A . Pregnancy test

A nurse is administering an intravenous piggyback infusion of penicillin. Which client statement would require the nurse's immediate attention? A. "I am itching all over." B. "I have soreness and aching in my muscles." C. "I have cramping in my stomach." D. "I have a burning sensation when I urinate."

A. "I am itching all over."

How will the nurse respond to a client with a new diagnosis of type 1 diabetes who becomes agitated and says, "I am scared of shots. If that is my only option, I'll just have to go into a coma and die!" when told that lifelong insulin will be needed? A. "Injections are not the only option available for insulin." B. "It won't be so bad; you will get used to it if you will only try." C. "This is one of those times when you need to act like an adult." D. "Clients have the right to refuse treatment, but I need you to sign this form that removes us from liability for your decision."

A. "Injections are not the only option available for insulin."

The nurse is educating a client with end-stage renal failure about newly prescribed aluminum hydroxide. Which statement should the nurse include in the teaching? A. "This medication binds with phosphates from food to decrease absorption." B. "This medication is used to decrease urea to prevent urticaria." C. "This medication will coat the lining of the stomach to decrease acid production." D. "This medication treats hyperkalemia by exchanging sodium for potassium in the intestines."

A. "This medication binds with phosphates from food to decrease absorption."

Trimethoprim-sulfamethoxazole is prescribed for a client with cystitis. Which instruction would the nurse include when providing medication teaching? A. 'Drink eight to ten glasses of water daily.' B. 'Take this medication with orange juice.' C. 'Take the medication with meals.' D. 'Take the medication until symptoms subside.'

A. 'Drink eight to ten glasses of water daily.'

Which statement by the client indicates to the nurse a need for further teaching on rifampin therapy? A. 'I can expect my skin to turn yellow.' B. 'I can expect my sweat to change color.' C. 'I can expect my urine to turn red-orange.' D. 'I can expect my contact lenses to stain orange.'

A. 'I can expect my skin to turn yellow.'

The nurse provides client teaching on the use of oral contraceptives. Which statement made by the client indicates to the nurse that teaching was effective? A. 'I will take my pill at the same time every day.' B. 'I can stop the pill and try to get pregnant right away.' C. 'I may miss two periods and not worry about being pregnant.' D. 'I am so glad we won't have to use condoms even if I miss just one pill during the month.'

A. 'I will take my pill at the same time every day.'

A client has a prescription for nitrofurantoin 50 mg orally every evening to manage recurrent urinary tract infections. Which instruction would the nurse give to the client? A. 'Increase your intake of fluids.' B. 'Strain your urine for crystals and stones.' C. 'Stop taking the medication if your urinary output increases.' D. 'This may turn your urine green.'

A. 'Increase your intake of fluids.'

The nurse is caring for a 6-year-old child who has undergone craniotomy. The parents ask what effect mannitol has. Which response by the nurse is most appropriate? A. 'It relieves cerebral pressure.' B. 'It increases the bladder's filtration rate.' C. 'It reduces glucose excretion in the urine.' D. 'It decreases the peripheral retention of fluid.'

A. 'It relieves cerebral pressure.'

A child is prescribed insulin glargine before breakfast. Which instruction is most appropriate for the nurse to give the parents regarding a bedtime snack? A. 'Offer a snack to prevent hypoglycemia during the night.' B. 'Give the child a snack if signs of hyperglycemia are present.' C. 'Avoid a snack because the child is being treated with long-acting insulin.' D. 'Keep a snack at the bedside in case the child gets hungry during the night.'

A. 'Offer a snack to prevent hypoglycemia during the night.'

A biphasic antiovulatory medication of combined progestin and estrogen is prescribed for a client. Which instruction would the nurse include when teaching about this oral contraceptive? A. 'Report irregular vaginal bleeding.' B. 'Restrict sexual activity temporarily.' C. 'Have regular bimonthly Pap smears.' D. 'Increase dietary intake of calcium.'

A. 'Report irregular vaginal bleeding.'

The health care provider prescribes peak and trough levels after initiation of intravenous antibiotic therapy. The client asks why these blood tests are necessary. Which reason would the nurse provide? A. 'They determine if the dosage of the medication is adequate.' B. 'They detect if you are having an allergic reaction to the medication.' C. 'The tests permit blood culture specimens to be obtained when the medication is at its lowest level.' D. 'These allow comparison of your fever to changes in the antibiotic level.'

A. 'They determine if the dosage of the medication is adequate.'

The nurse is reviewing discharge instructions with the parent of an infant with cystic fibrosis. Which statement indicates the parents know how to administer the pancreatic enzyme replacement? A. 'We should give the medication with feedings.' B. 'We should put crushed enteric-coated pills in the formula.' C. 'We need to give the medication every 6 hours, even during the night.' D. 'We should feed the granules from the capsule in applesauce every morning.'

A. 'We should give the medication with feedings.'

The client is diagnosed with tuberculosis (TB). The nurse understands that the treatment plan for this client will involve what type of drug therapy? A. Administering two antituberculosis drugs B. Aminoglycoside antibiotics C. An anti-inflammatory agent D. High doses of B complex vitamins

A. Administering two antituberculosis drugs

A nurse is assessing a client diagnosed with diabetic ketoacidosis. The client is on a prescribed regular insulin infusion at 0.1 units/kg/hr. The client appears restless and verbalizes tingling to the extremities. Which action does the nurse perform next? A. Check the client capillary blood glucose B. Stop the regular insulin infusion C. Increase the infusion to 0.15 units/kg/hr D. Give the client 4 oz of fruit juice

A. Check the client capillary blood glucose

The nurse in an urgent care clinic is preparing discharge instructions for the parents of a 15-month-old child with a first episode of otitis media. Which information is the priority to include? A. Explain that the child should complete the full 10 days of antibiotics B. Describe the tympanocentesis most likely needed to clear the infection C. Offer information on recommended immunizations around the child's second birthday D. Provide a written handout describing the care of myringotomy tubes

A. Explain that the child should complete the full 10 days of antibiotics

A client who takes rifampin tells the nurse, 'My urine looks orange.' Which action would the nurse take? A. Explain that this is expected. B. Check the liver enzymes. C. Ask the provider to order a urinalysis. D. Ask what foods were eaten.

A. Explain that this is expected.

An adolescent with type 1 diabetes mellitus is admitted to the intensive care unit in ketoacidosis with a blood glucose level of 170 mg/dL (9.4 mmol/L). A continuous insulin infusion is started. Which adverse reaction to the infusion is most important for the nurse to monitor? A. Hypokalemia B. Hypovolemia C. Hypernatremia D.Hypercalcemia

A. Hypokalemia

The home health nurse is teaching a female client about self-administering vancomycin. Which statement by the client demonstrates understanding of the teaching? A. I need to call my provider if my urine changes B. Muscle tingling and weakness is an expected side effect of this medication C. Ringing in the ears is common when taking vancomycin D. I should avoid eating food with active cultures in it

A. I need to call my provider if my urine changes

A nurse is educating a client on insulin administration. Which statement made by the client indicates further teaching is required? A. I will inject the insulin in the same site every day B. The best injection area is around my abdomen C. I will squeeze my skin together to inject the medication D. Gentle pressure should be applied to the site after injection

A. I will inject the insulin in the same site every day

The nurse plans to teach a client with type 1 diabetes about the use of an insulin pump. Which information will the nurse include in client teaching? A. Insulin pumps mimic the way a healthy pancreas works. B. The insulin pump's needle should be changed every day. C. Pumps are implanted in a subcutaneous pocket near the abdomen. D. The insulin pump's advantage is that it only requires glucose monitoring once a day.

A. Insulin pumps mimic the way a healthy pancreas works.

The nurse is providing teaching to the client taking metoclopramide. Serious side effects that should be reported to the provider are included in the teaching plan. Which of the following side effects is the priority? A. Involuntary muscle movements B. Report of increased fatigue C. Onset of headaches D. Difficulty with sleep

A. Involuntary muscle movements

Which rationale accurately explains why insulin is prescribed for clients in acute renal failure? A. It promotes transfer of potassium into cells to lower serum potassium levels. B. Insulin is required because the alpha cells of the pancreas cease to function with renal failure. C. It is necessary to manage the elevated blood glucose levels that accompany renal failure. D. Insulin reduces the accumulated toxins by lowering the metabolic rate.

A. It promotes transfer of potassium into cells to lower serum potassium levels.

The nurse administers cimetidine to a 75-year-old client diagnosed with a gastric ulcer. The nurse should monitor the client for which adverse reaction? A. Mental status change B. Increased liver enzymes C. Constipation D. Hearing loss

A. Mental status change

Which body function maintained by thiamine (vitamin B 1) and niacin (vitamin B 3) will the nurse monitor when prescribed for a client with alcoholism? A. Neuronal activity B. Bowel elimination C. Efficient circulation D. Prothrombin development

A. Neuronal activity

The nurse is educating a client prescribed metronidazole. Which of the following findings should the nurse include in the education as reportable to the healthcare provider? A. Pinpoint red spots on the skin B. Nausea after beginning the medication C. Metallic taste D. Occasional diarrhea

A. Pinpoint red spots on the skin

Which condition contraindicates the use of ginseng herbal therapy? A. Pregnancy B. Schizophrenia C. Bipolar depression D. Alzheimer disease

A. Pregnancy

Tetanus immune globulin is prescribed after a client steps on a rusty nail. Which action would the nurse associate with this medication? A. Provides antibodies B. Stimulates plasma cells C. Produces active immunity D. Facilitates long-lasting immunity

A. Provides antibodies

A client is prescribed ampicillin sodium (Omnipen) for a sinus infection. The nurse should instruct the client to notify the healthcare provider immediately if which symptom occurs? A. Rash. B. Nausea. C. Headache. D. Dizziness.

A. Rash.

Which mechanism of action explains how glyburide decreases serum glucose levels? A. Stimulates the pancreas to produce insulin B. Accelerates the liver's release of stored glycogen C. Increases glucose transport across the cell membrane D.Decreases absorption of glucose from the gastrointestinal system

A. Stimulates the pancreas to produce insulin

A client with a history of tuberculosis reports difficulty hearing. Which medication would the nurse consider is causing this response? A. Streptomycin B. Pyrazinamide C. Isoniazid D. Ethambutol

A. Streptomycin

The nurse is providing medication teaching for a client who has been prescribed tetracycline. The client regularly takes calcium supplements to prevent osteoporosis. Which statement is appropriate for the nurse to make? A. Take your calcium two hours before you take the antibiotic B. You can take the calcium with the antibiotic to decrease an upset stomach C. Try taking the antibiotic and calcium with orange juice D. It is best to take the antibiotic and calcium on an empty stomach

A. Take your calcium two hours before you take the antibiotic

A 5-year-old child is given fluoroquinolones. Which potential adverse effect unique to pediatric clients would the nurse anticipate? A. Tendon rupture B. Cartilage erosion C. Staining of developing teeth D. Central nervous system toxicity

A. Tendon rupture

A mother complains that her child's teeth have become yellow in color. The nurse understands that with prolonged use, which medication may be responsible? A. Tetracycline B. Promethazine C. Chloramphenicol D. Fluoroquinolones

A. Tetracycline

A client is diagnosed with acute kidney failure secondary to dehydration. An intravenous (IV) infusion of 50% glucose with regular insulin is prescribed to address which purpose? A. To correct hyperkalemia B. To increase urinary output C. To prevent respiratory acidosis D. To increase serum calcium levels

A. To correct hyperkalemia

The nurse is caring for a client who has been prescribed vancomycin intravenous infusion for the treatment of methicillin-resistant staphylococcus aureus. Which of the following laboratory values should be immediately reported to the healthcare provider? A. Vancomycin trough of 15 mcg/dl B. Blood urea nitrogen level of 18 mg/dl C. Creatinine level of 1.1 mg d/l D. White blood cell count of 11,500 per microliter

A. Vancomycin trough of 15 mcg/dl

When would the nurse plan to administer pancrelipase to a child with cystic fibrosis? A. With meals and snacks B. In the morning and at bedtime C. On awakening and every 3 hours while the child is awake D. After each bowel movement and after postural drainage is performed

A. With meals and snacks

The nurse is reviewing discharge instructions with a client who has been prescribed ciprofloxacin following a minor burn injury. Which statement by the client requires additional teaching? A. "I will protect my skin from the sun with sunscreen and clothing." B. "I will not take ciprofloxacin prior to sun exposure." C. "After healing, I should have no scarring from this burn." D. "I can take ibuprofen for the pain related to this burn."

B. "I will not take ciprofloxacin prior to sun exposure."

Which response would a nurse give to a client diagnosed with type 1 diabetes who states "I hate shots. Why can't I take the insulin in tablet form?"? A. "Your diabetic condition is too serious for oral insulin." B. "Insulin is poorly absorbed orally, so it is not available in a tablet." C. "Insulin by mouth causes a high incidence of allergic and adverse reactions." D. "Once your diabetes is controlled, your primary health care provider might consider oral insulin."

B. "Insulin is poorly absorbed orally, so it is not available in a tablet."

A nurse is assessing a 9-year-old child after several days of treatment for a documented strep throat. Which statement is incorrect and suggests that further teaching is needed? A. "Sometimes I take my medicine with fruit juice." B. "Sometimes I take the pills in the morning and other times at night." C. "I am feeling much better than I did last week." D. "My mother makes me take my medicine right after school."

B. "Sometimes I take the pills in the morning and other times at night."

Trimethoprim/sulfamethoxazole is prescribed for a child with a urinary tract infection. Which statement by the parent indicates the nurse's instructions about administration have been understood? A. 'Mealtime is a good time to give the medication.' B. 'I'll make sure to give each pill with 6 to 8 oz of fluid.' C. 'It must be taken with orange juice to ensure acidity of urine.' D. 'The medication has to be taken every 4 hours to maintain a blood level.'

B. 'I'll make sure to give each pill with 6 to 8 oz of fluid.'

A client with tuberculosis is started on rifampin. The nurse evaluates that the teaching about rifampin is effective when the client makes which statement? A. 'I need to drink a lot of fluid while I take this medication.' B. 'My sweat will turn orange from this medication.' C. 'I should have my hearing tested while I take this medication.' D. 'Most people who take this medication develop a rash.'

B. 'My sweat will turn orange from this medication.'

When a female client with a new infant is prescribed amoxicillin for a urinary tract infection, which instruction would the nurse include when teaching about the use of this medication? A. 'Take this medication on an empty stomach.' B. 'Report signs of allergic reaction such as skin rash or itching.' C. 'Stop taking the medication as soon as you void without burning.' D. 'Breast-feeding should stop until you have finished with this medication.'

B. 'Report signs of allergic reaction such as skin rash or itching.'

Which response by the nurse is appropriate when a client asks what to expect when beginning treatment for tuberculosis? A. 'Therapy will last a few weeks.' B. 'Therapy will occur over two phases.' C. 'Therapy will involve one medication.' D. 'Therapy will require monitoring kidney function.'

B. 'Therapy will occur over two phases.'

A client comes in for a pregnancy test. She tells the nurse that pregnancy may have occurred because she missed her contraceptive pills for 1 week when she had the flu. Which response by the nurse is appropriate? A. 'That's the trouble with using contraceptive pills. People frequently forget to take them.' B. 'You may be correct. The effect of contraceptive pills depends on them being taken on a regular schedule.' C. 'Let's find out whether you really are pregnant. If you are, you may want to consider having an abortion.' D. 'Contraceptive pills are unpredictable. You could have become pregnant even if you had taken them regularly.'

B. 'You may be correct. The effect of contraceptive pills depends on them being taken on a regular schedule.'

At the client's request, the nurse performs a fingerstick to test the client's blood glucose and the results are 322 mg/dL (17.9 mmol/L). Following the insulin sliding scale orders, the nurse administers 3 units of insulin lispro at 11:00 AM. When does the nurse anticipate the insulin lispro will begin to act? A. 3:00 pm B. 11:15 am C. 1:00 pm D. 12:00 PM

B. 11:15 am

The nurse is preparing to administer a prescribed dose of lactulose to a client who has cirrhosis. Which lab value will the nurse monitor to evaluate the therapeutic effect of the medication? A. Glucose B. Ammonia C. Potassium D. Bicarbonate

B. Ammonia

Which B vitamin deficiency will result in Wernicke encephalopathy? A. B 3 (niacin) B. B 1 (thiamine) C. B 2 (riboflavin) D. B 6 (pyridoxine)

B. B 1 (thiamine)

When would the nurse have the laboratory obtain a blood sample to determine the peak level of an antibiotic administered by intravenous piggyback (IVPB)? A. Halfway between two doses of the medication B. Between 30 and 60 minutes after a dose C. Immediately before the medication is administered D. Anytime it is convenient for the client and the laboratory

B. Between 30 and 60 minutes after a dose

Which vitamin would the nurse anticipate may become deficient in a client prescribed cholestyramine for the treatment of type II hyperlipoproteinemia? A. Niacin (vitamin B 3) B. Calciferol (vitamin D) C. Ascorbic acid (vitamin C)

B. Calciferol (vitamin D)

Which therapeutic effect would the nurse expect to identify when mannitol is administered to a client? A. Improved renal blood flow B. Decreased intracranial pressure C. Maintenance of circulatory volume D. Prevention of the development of thrombi

B. Decreased intracranial pressure

A client diagnosed with multiple sclerosis is prescribed baclofen. Which assessment finding would indicate to the nurse that the client is experiencing a therapeutic response from the medication? A. Decreased Nausea B. Decreased muscle spasms C. Increased muscle tone and strength D. Increased range of motion to all extremities.

B. Decreased muscle spasms

A health care provider prescribes bed rest, loperamide, and esomeprazole for a client who just had major surgery. After several days of this regimen, the client complains of diarrhea. Which treatment strategy would the nurse conclude is the cause of the diarrhea? A. Loperamide B. Esomeprazole C. Bed rest D. Diet alteration

B. Esomeprazole

Which purpose is served by an evening snack of milk, crackers, and cheese for a client who is receiving NPH insulin? A. Encouragement to stay on the diet B. Food to counteract late insulin activity C. Added calories to promote weight gain D. High carbohydrates to provide nourishment for immediate use

B. Food to counteract late insulin activity

A peak and trough level is prescribed for a client receiving antibiotic therapy. When should the nurse should obtain the trough level? A. Sixty minutes after the antibiotic dose is administered. B. Immediately before the next antibiotic dose is given. C. Upon completion of the prescribed antibiotic regime. D. An hour before the next antibiotic dose is given.

B. Immediately before the next antibiotic dose is given.

Which insulin would the nurse conclude has the fastest onset of action? A. NPH insulin B. Insulin lispro C. Regular insulin D. Insulin glargine

B. Insulin lispro

The nurse administers a tube of glucose gel to a client who is hypoglycemic. Which explanation would the nurse share regarding the reversal of hypoglycemia? A. It liberates glucose from hepatic stores of glycogen. B. It provides a glucose source that is rapidly absorbed. C. Insulin action is blocked as it competes for tissue sites. D. Glycogen is supplied to the brain as well as other vital organs.

B. It provides a glucose source that is rapidly absorbed.

The nurse is caring for a client with osteoporosis who has been prescribed alendronate. When providing care, which intervention would be a priority? A. Administer the alendronate 30 to 60 minutes before the client eats. B. Notify the health care provider if the client reports jaw pain. C. Encourage the client to increase their intake of vitamin D. D. Monitor the client's serum calcium levels.

B. Notify the health care provider if the client reports jaw pain.

Clients who take rifampin should not take medications from which class? A. Loop diuretics B. Oral contraceptives C. Proton pump inhibitor D. Intermediate-acting insulin

B. Oral contraceptives

Which class is contraindicated in clients who take rifampin? A. Loop diuretics B. Oral contraceptives C. Proton pump inhibitor D. Intermediate-acting insulin

B. Oral contraceptives

Which information would the nurse include when teaching a client about the administration of ranitidine? A. Ranitidine increases gastrointestinal peristalsis. B. Ranitidine reduces gastric acidity in the stomach. C. Ranitidine neutralizes the acid that is present in the stomach. D. Ranitidine stops the production of hydrochloric acid in the stomach.

B. Ranitidine reduces gastric acidity in the stomach.

A client diagnosed with tuberculosis is taking isoniazid. To prevent a food and medication interaction, the nurse will advise the client to avoid which food item? A. Hot dogs B. Red wine C. Sour cream

B. Red wine

The nurse is preparing to administer trimethoprim and sulfamethoxazole (TMP-SMX) to a client. When assessing client allergies, the client reports that they are allergic to glipizide. What action by the nurse is most appropriate? A. Prepare to administer the medication B. Report the allergies to the healthcare provider C. Review the health record to see if the client is on glipizide D. Assess the client blood sugar

B. Report the allergies to the healthcare provider

Which advice will the nurse give the client to avoid lipodystrophy when self-administering insulin therapy? A. Exercise regularly. B. Rotate injection sites. C. Use the Z-track technique. D. Vigorously massage the injection site.

B. Rotate injection sites.

A hospitalized infant is receiving gentamicin. While monitoring for drug toxicity, the nurse should focus on which laboratory result? A. Platelet counts B. Serum creatinine C. Thyroxin levels D. Growth hormone levels

B. Serum creatinine

The nurse in an ambulatory clinic is speaking with the parents of a 2-year-old child diagnosed with acute otitis media. Which information is most important for the nurse to include in the instructions to the parents? A. The child may be given acetaminophen or ibuprofen drops for pain. B. The child must complete the entire course of the prescribed antibiotic. C. The child should return to the clinic to evaluate effectiveness of the treatment. D. The child may be given a decongestant to relieve pressure on the tympanic membrane.

B. The child must complete the entire course of the prescribed antibiotic.

A client is to receive metoclopramide intravenously 30 minutes before initiating chemotherapy for cancer of the colon. The nurse explains that metoclopramide is given for which purpose? A. To stimulate production of gastrointestinal (GI) secretions B. To stimulate peristalsis of the upper gastrointestinal (GI) tract C. To prolong excretion of the chemotherapeutic medication D. To increase absorption of the chemotherapeutic medication

B. To stimulate peristalsis of the upper gastrointestinal (GI) tract

In evaluating the effects of lactulose (Cephulac), which outcome would indicate that the drug is performing as intended? A. An increase in urine output. B. Two or three soft stools per day. C. Watery, diarrhea stools. D. Increased serum bilirubin.

B. Two or three soft stools per day.

Which assessment would the nurse perform specific to the safe administration of intravenous mannitol? A. Body weight daily B. Urine output hourly C. Vital signs every 2 hours D.Level of consciousness every 8 hours

B. Urine output hourly

The nurse evaluates that teaching for the oral pancreatic enzymes pancrelipase is understood when the client identifies which time for medication scheduling? A. At bedtime B. With meals C. One hour before meals D. On arising each morning

B. With meals

Which time for medication scheduling would a nurse teach to a client prescribed the oral pancreatic enzymes pancrelipase? A. At bedtime B. With meals C. One hour before meals D. On arising each morning

B. With meals

The nurse is teaching the client with bacterial vaginosis who has been prescribed metronidazole tablets. What statement is appropriate? A. You may continue to experience symptoms after you stop the medication B. You should avoid drinking alcohol while taking this medication C. Call your healthcare provider if you experience diarrhea D. Your sexual partner will need to be treated as well

B. You should avoid drinking alcohol while taking this medication

A client is prescribed alendronate. Which instruction should the nurse emphasize when teaching about this medication? A. "Take the medication with a full glass of milk two hours after meals." B. "It is recommended that you take this medication with calcium and a glass of juice." C. "Be sure to take this medication on an empty stomach." D. "You may take this medication after any meal, at the same time every day."

C. "Be sure to take this medication on an empty stomach."

The nurse understands that the prescribed levothyroxine is effective when the client with hypothyroidism makes which statement? A. "I still feel lethargic and fatigued." B. "I have to change my sheets in the morning because I sweat a lot at night." C. "I have been having daily, formed bowel movements." D."I was reprimanded at work after becoming angry with my boss."

C. "I have been having daily, formed bowel movements."

A client asks the nurse if glipizide (Glucotrol) is an oral insulin. Which response should the nurse provide? A. "Yes, it is an oral insulin and has the same actions and properties as intermediate insulin." B. "Yes, it is an oral insulin and is distributed, metabolized, and excreted in the same manner as insulin." C. "No, it is not an oral insulin and can be used only when some beta cell function is present." D. "No, it is not an oral insulin, but it is effective for those who are resistant to injectable insulins."

C. "No, it is not an oral insulin and can be used only when some beta cell function is present."

Which rationale will the nurse give for the need to take penicillin G and probenecid for syphilis? A. "Each medication attacks the organism during different stages of cell multiplication." B. "The penicillin treats the syphilis, and the probenecid relieves the severe urethritis." C. "Probenecid delays excretion of penicillin, thus maintaining blood levels for longer periods." D. "Probenecid decreases the potential for an allergic reaction to penicillin, which treats the syphilis."

C. "Probenecid delays excretion of penicillin, thus maintaining blood levels for longer periods."

A nurse is educating a client with diabetes type 2 about newly prescribed glipizide. Which statement by the nurse best describes the action of glipizide? A. "This medication absorbs the excess carbohydrates from your intestinal tract." B. "This medication will inhibit the release of glucose stored in the liver." C. "This medication will stimulate your pancreas to release insulin." D. "This medication works by increasing the ability of the cells to uptake glucose."

C. "This medication will stimulate your pancreas to release insulin."

A client diagnosed with tuberculosis is prescribed rifampin and isoniazid. Which information should the nurse include when reinforcing information about these medications? A. "You can take the medication with food." B. "You may experience an increase in appetite." C. "You may notice an orange-red color to your urine." D. "You may have occasional problems sleeping."

C. "You may notice an orange-red color to your urine."

The nurse provides teaching about ampicillin. Which client statement indicates that additional teaching is needed? A. 'I should take this on an empty stomach with a full glass of water.' B. 'This medicine will work best if I space the time out evenly.' C. 'I can stop this medication after I am symptom-free for 48 hours.' D. 'If I get worse, I will notify my primary health care provider.'

C. 'I can stop this medication after I am symptom-free for 48 hours.'

The nurse teaches a teenage client about the administration of levofloxacin to treat a sinus infection. The nurse concludes the teaching is effective when the client makes which statement? A. 'I should take the medication at mealtime.' B. 'I should take the medication just before a meal.' C. 'I should take the medication 1 hour before a meal.' D. 'I should take the medication 30 minutes after a meal.'

C. 'I should take the medication 1 hour before a meal.'

A pregnant client with an infection tells the nurse that she has taken tetracycline for infections in the past and prefers to take it now. Which response would the nurse give regarding the avoidance of tetracycline administration during pregnancy? A. 'It affects breast-feeding adversely.' B. 'Tetracycline causes fetal allergies.' C. 'It alters the development of fetal teeth buds.' D. 'It increases fetal tolerance to the medication.'

C. 'It alters the development of fetal teeth buds.'

Which information would the nurse include in the teaching plan on ampicillin? A. 'Take the ampicillin with meals.' B. 'Store the ampicillin in a light-resistant container.' C. 'Notify the health care provider if diarrhea develops.' D. 'Continue the medication until a negative culture is obtained.'

C. 'Notify the health care provider if diarrhea develops.'

A client prescribed omeprazole for gastroesophageal reflux disease reports a new occurrence of significant diarrhea. Which response by the nurse is most appropriate? A. 'Stop taking your omeprazole.' B. 'This is a normal side effect of omeprazole.' C. 'We are going to collect a stool sample for testing.' D. 'Antidiarrheal medication can be used to decrease this.'

C. 'We are going to collect a stool sample for testing.'

Which action would the nurse take when administering tetracycline? A. Administer the medication with meals or a snack. B. Provide orange or other citrus fruit juice with the medication. C. Administer the medication at least an hour before ingestion of milk products. D. Offer antacids 30 minutes after administration if gastrointestinal side effects occur.

C. Administer the medication at least an hour before ingestion of milk products.

A client with type 1 diabetes experiences tremors, pallor, and diaphoresis. These signs and symptoms are manifestations of which cause? A. Overeating B. Viral infection C. Aerobic exercise D. Missed insulin dose

C. Aerobic exercise

A client has an anaphylactic reaction after receiving intravenous penicillin. Which would the nurse conclude is the cause of this reaction? A. An acquired atopic sensitization occurred. B. There was passive immunity to the penicillin allergen. C. Antibodies to penicillin developed after a previous exposure. D. Genes encoded for allergies cause a reaction on an initial penicillin exposure.

C. Antibodies to penicillin developed after a previous exposure.

The nurse is caring for a client with diabetes type I who received a prescribed dose of regular insulin 30 minutes prior to the meal. The client reports nausea and vomiting. Which action should the nurse take? A. Administer another dose of regular insulin B. Encourage the client to eat a small amount of carbohydrates C. Assess blood glucose level

C. Assess blood glucose level

The nurse is assessing a client who is taking rifampin for the treatment of tuberculosis. Which finding reported by the client should the nurse immediately report to the healthcare provider? A. Blurred vision B. Orange-tinged tears C. Dark amber urine

C. Dark amber urine

Which condition is contraindicated for St. John's wort herbal therapy? A. Anxiety B. Seizures C. Dementia D. Cardiac disease

C. Dementia

A health care provider prescribes mannitol for a client with a head injury. Which mechanism of action is responsible for therapeutic effects of this medication? A. Decreasing the production of cerebrospinal fluid B. Limiting the metabolic requirements of the brain C. Drawing fluid from brain cells into the bloodstream D. Preventing uncontrolled electrical discharges in the brain

C. Drawing fluid from brain cells into the bloodstream

A nurse is monitoring a pt receiving baclofen (Lioresal) for side effects related to the medication. Which of the following would indicate that the pt is experiencing a side effect? A. Polyuria B. Diarrhea C. Drowsiness D. Muscular excitability

C. Drowsiness

A 12-year-old child with cystic fibrosis is prescribed four pancrelipase capsules five times a day. The nurse explains to the child they would take the medication with meals and snacks to accomplish which goal? A. Enhance oxygenation B. Limit excretion of fats C. Facilitate nutrient utilization D. Prevent iron-deficiency anemia

C. Facilitate nutrient utilization

The nurse is counseling a 34-year-old client who has requested a prescription for oral contraceptives. Which condition would warrant additional discussion? A. Anemia B. Depression C. Hypertension D.Dysmenorrhea

C. Hypertension

A client with diabetes presents to the emergency department with a 3-hour history of profound weakness and nervousness. According to the spouse, the client became confused shortly after self-administering the morning dose of 10 units of regular insulin and 25 units of NPH insulin. The client had a light breakfast and no additional intake since that time. Which condition would the nurse identify as the likely cause of the client's signs and symptoms? A. Hyperglycemia B. Hyperinsulinemia C. Hypoglycemia D. Hypoinsulinemia

C. Hypoglycemia

The nurse is caring for a client with osteomyelitis who is receiving IV infusion of prescribed vancomycin. Which statement by the client would be a priority for the nurse to report to the healthcare provider? A. I fell some burning at the catheter site B. I feel a little nauseous C. I have a ringing in my ears D. I have a headache

C. I have a ringing in my ears

Which medication is considered first-line therapy for an infant with congenital syphilis? A. Vidarabine B. Pyrimethamine C. Intravenous (IV) penicillin D. Trimethoprim-sulfamethoxazole

C. Intravenous (IV) penicillin

A client is prescribed aluminum hydroxide for peptic ulcer disease. Which statement by the client demonstrates an understanding of the action of the medication? A. It decreases the production of gastric secretions. B. It produces an adherent barrier over the ulcer. C. It helps maintain a gastric pH of 3.5 or above. D. It slows down the gastric motor activity.

C. It helps maintain a gastric pH of 3.5 or above.

The health care provider prescribes metformin as monotherapy for the client with type 2 diabetes. The nurse will teach the client to monitor for which adverse effect? A. Weight gain B. Constipation C. Lactic acidosis D.Hypoglycemia

C. Lactic acidosis

Which vaccine is contraindicated for a child undergoing chemotherapy? A. Influenza (Hib) B. Hepatitis B (Hep B) C. Measles, mumps, rubella (MMR) D. Diphtheria, tetanus, acellular pertussis (DTaP)

C. Measles, mumps, rubella (MMR)

A client who has a long history of medication and alcohol abuse mentions taking ginkgo biloba. Which condition is this client taking ginkgo biloba to treat? A. Insomnia B. Depression C. Memory impairment D. Anxiety and nervousness

C. Memory impairment

A nurse administers cimetidine to a 79-year-old male with a gastric ulcer. Which parameter may be affected by this drug and should be closely monitored by the nurse? A. Blood pressure B. Liver enzymes C. Mental status D. Hemoglobin

C. Mental status

A client with type 1 diabetes self-administers neutral protamine Hagedorn (NPH) insulin every morning at 8:00 AM. The nurse evaluates that the client understands the action of the insulin when the client identifies which time range as the highest risk for hypoglycemia? A. 9:00 AM to 10:00 AM B. 10:00 AM to 11:00 AM C. Noon to 8:00 PM D.8:00 PM to midnight

C. Noon to 8:00 PM

The nurse adds 20 mEq of potassium chloride to the intravenous solution of a client with diabetic ketoacidosis. Which purpose would this medication serve? A. Treats hyperpnea B. Prevents flaccid paralysis C. Prevents hypokalemia D. Treats cardiac dysrhythmias

C. Prevents hypokalemia

The nurse is assessing a client who is receiving antibiotic therapy for an infection. Which finding should indicate to the nurse that the client may be experiencing an allergic reaction to a medication? A. Xerostomia B. Hypertension C. Pruritus D. Lymphadenopathy

C. Pruritus

A nurse is providing instructions to a client receiving baclofen. Which of the following would be included in the teaching plan? A. Limit Fluid Intake B. Hold the medication if diarrhea occurs. C. Restrict alcohol intake. D.Notify the Physician if weakness occurs.

C. Restrict alcohol intake.

A client receiving intravenous vancomycin reports ringing in both ears. Which initial action would the nurse take? A. Notify the primary health care provider. B. Consult an audiologist. C. Stop the infusion. D. Document the finding and continue to monitor the client.

C. Stop the infusion.

A client with pulmonary tuberculosis develops tinnitus and vertigo. Which antitubercular medication would the nurse suspect is causing these symptoms? A. Isoniazid B. Rifampin C. Streptomycin D. Ethambutol

C. Streptomycin

The nurse is administering a histamine H 2 antagonist to a client who has extensive burns. Which complication will it prevent? A. Colitis B. Gastritis C. Stress ulcer D. Metabolic acidosis

C. Stress ulcer

An older adult client is to receive intravenous (IV) gentamicin for urosepsis. Before administering the medication, for which finding should the nurse notify the health care provider (HCP)? A. The client has a history of acid reflux disease. B. The client has a history of retinopathy. C. The client has a history of chronic kidney disease. D. The client has a history of urinary retention.

C. The client has a history of chronic kidney disease.

The nurse is teaching a school-age child how to use an insulin pump. Which instruction by the nurse is most important for the child to understand? A. The needle must be changed every day. B. A blood glucose check is necessary once a day. C. The pump is an attempt to mimic the way a healthy pancreas works. D. Subcutaneous pockets near the abdomen are used to implant the pump.

C. The pump is an attempt to mimic the way a healthy pancreas works.

The nurse is providing medication teaching for a client prescribed famotidine for the treatment of gastroesophageal reflux disease (GERD). Which statement by the client indicates an understanding of the teaching? A. I will take this medication once a day in the morning B. I will no longer have discomfort at night once I begin this medication C. This medication will both prevent and treat heartburn D. My treatment will be done in one week

C. This medication will both prevent and treat heartburn

Which explanation would the nurse provide to a client with gastric ulcer disease who asks the nurse why the health care provider has prescribed metronidazole? A. To augment the immune response B. To potentiate the effect of antacids C. To treat Helicobacter pylori infection D. To reduce hydrochloric acid secretion

C. To treat Helicobacter pylori infection

A client is prescribed trimethoprim/sulfamethoxazole for recurrent urinary tract infections. Which statement by the nurse about this medication is correct? A. "You can stop the medication after five days." B. "Be sure to take the medication with food." C. "It is safe to take with oral contraceptives." D. "Drink at least eight glasses of water a day."

D. "Drink at least eight glasses of water a day."

The nurse in the urgent-care clinic is reviewing discharge instructions with a client who is prescribed doxycycline. Which statement by the client indicates understanding of the instructions? A. "I will not wear my contact lenses while taking this medication." B. "I will carry glucose tablets with me in case I experience low blood sugar." C. "I will take this medication with an antacid to prevent an upset stomach." D. "I will apply sunscreen when outside to prevent a sunburn."

D. "I will apply sunscreen when outside to prevent a sunburn."

Which statement made by a client prescribed metformin extended release to control type 2 diabetes mellitus indicates the need for further education? A. "I will take the medication with food." B. "I must swallow my medication whole and not crush or chew it." C. "I will notify my doctor if I develop muscular or abdominal discomfort." D. "I will stop taking metformin for 24 hours before and after having a test involving dye."

D. "I will stop taking metformin for 24 hours before and after having a test involving dye."

A client with cirrhosis of the liver asks the nurse about the purpose of taking lactulose. How should the nurse respond? A. "It is used to control portal hypertension." B. "It adds dietary fiber to your diet." C. "It helps to regenerate your liver." D. "It helps to reduce ammonia levels in your blood."

D. "It helps to reduce ammonia levels in your blood."

Which response would a nurse give to a client taking an oral hypoglycemic tablet daily who asks if an extra tablet should be taken before exercise? A. "You will need to decrease your exercise." B. "An extra tablet will help your body use glucose correctly." C. "When taking medicine, your diet will not be affected by exercise." D. "No, but you should observe for signs of hypoglycemia while exercising."

D. "No, but you should observe for signs of hypoglycemia while exercising."

Which response will be given by a nurse caring for a client with chronic hepatitis B who asks "Are there any medications to help me get rid of this problem?"? A. "Sedatives can be given to help you relax." B. "We can give you immune serum globulin." C. "Vitamin supplements are frequently helpful and hasten recovery." D. "There are medications to help reduce viral load and liver inflammation."

D. "There are medications to help reduce viral load and liver inflammation."

A client begins treatment with rifampin for suspected pulmonary tuberculosis. Which information should the nurse include when teaching the client about this drug? A. "It is important to stay upright for 30 minutes after taking this drug." B. "Check your radial pulse before taking the drug." C. "Avoid prolonged exposure to the sun while taking this drug." D. "You may notice an orange-red color to your urine."

D. "You may notice an orange-red color to your urine."

A client with type 2 diabetes takes one glyburide tablet daily. The client asks whether an extra tablet should be taken before exercise. Which response will the nurse provide? A. 'You will need to decrease how much you are exercising.' B. 'An extra pill will help your body use glucose when exercising.' C. 'The amount of medication you need to take is not related to exercising.' D. 'Do not take an extra pill because you may become hypoglycemic when exercising.'

D. 'Do not take an extra pill because you may become hypoglycemic when exercising.'

After teaching a client about sulfonamide use for a urinary tract infection, which client statement would the nurse review for correction? A. 'I will avoid the sunlight.' B. 'I will increase my fluid intake.' C. 'I will let my doctor know if I develop a rash.' D. 'I will stop taking the medication when my symptoms subside.'

D. 'I will stop taking the medication when my symptoms subside.'

The nurse is teaching a 10-year-old child with type 1 diabetes about insulin requirements. Which statement by the nurse correctly identifies when insulin needs decrease? A. 'Insulin needs often decrease when puberty is reached.' B. 'When there is an infection is present, the body requires less insulin.' C. 'Emotional stress can cause insulin needs to decrease.' D. 'Increased muscle activity such as exercise, cause insulin needs to decrease.'

D. 'Increased muscle activity such as exercise, cause insulin needs to decrease.'

A client asks the nurse what she should do if she forgets to take her contraceptive pill 1 day. Which response by the nurse is appropriate? A. 'Take your pills as instructed.' B. 'Call your primary health care provider immediately.' C. 'Continue as usual, and there shouldn't be a problem.' D. 'On the next day take 1 pill in the morning and 1 pill before bedtime.'

D. 'On the next day take 1 pill in the morning and 1 pill before bedtime.'

The nurse teaches an adolescent with type 1 diabetes about peak action of NPH insulin and the risk for hypoglycemia. The nurse determines teaching has been effective when the adolescent identifies insulin peak action within which time frame? A. 1 to 2 hours B. 2 to 4 hours C. 5 to 10 hours D. 4 to 12 hours

D. 4 to 12 hours

A sulfonamide preparation is prescribed for a child with a urinary tract infection. Which nursing responsibility is a priority when administering this medication? A. Weighing the child daily B. Giving the medication with milk C. Taking the child's temperature frequently D. Administering the medication at the prescribed times

D. Administering the medication at the prescribed times

The nurse is preparing to administer an intravenous piggyback antibiotic that has been newly prescribed. Shortly after initiation, the client becomes restless and flushed and begins to wheeze. After stopping the infusion, which priority action will the nurse take? A. Notify the primary health care provider immediately about the client's condition. B. Take the client's blood pressure. C. Obtain the client's pulse oximetry. D. Assess the client's respiratory status.

D. Assess the client's respiratory status.

A 31-year-old client is seeking contraceptive information. While obtaining the client's history, which factor indicates to the nurse that oral contraceptives are contraindicated? A. Older than 30 years B. Current hypothyroidism C. Two multiple pregnancies D. Blood pressure 162/110

D. Blood pressure 162/110

A client with an infection is receiving vancomycin. Which laboratory blood test result would the nurse report? A. Hematocrit: 45% B. Calcium: 9.0 mg/dL (2.25 mmol/L) C. White blood cells (WBC): 10,000 mm 3 (10 × 10 9/L) D. Blood urea nitrogen (BUN): 30 mg/dL (10.2 mmol/L)

D. Blood urea nitrogen (BUN): 30 mg/dL (10.2 mmol/L)

A client is prescribed an oral contraceptive. As part of teaching, the nurse plans to inform the client of the possibility of which adverse effect? A. Cervicitis B. Ovarian cysts C. Fibrocystic breasts D. Breakthrough bleeding

D. Breakthrough bleeding

Which of the following instructions is most important for the nurse to include when discharging a client with an infection caused by staphylococcus? A. Schedule follow-up blood cultures B. Monitor for signs of recurrent infection C. Visit the provider in a few weeks D. Complete the full course of the antibiotic

D. Complete the full course of the antibiotic

The nurse provides discharge teaching to a client with tuberculosis. Which treatment measure would the nurse reinforce as the highest priority? A. Getting sufficient rest B. Getting plenty of fresh air C. Maintaining a healthy lifestyle D. Consistently taking prescribed medication

D. Consistently taking prescribed medication

A client is prepared for a supratentorial craniotomy with burr holes, and an intravenous infusion of mannitol is instituted. The nurse concludes that this medication is primarily given for which purpose? A. Lower blood pressure B. Prevent hypoglycemia C. Increase cardiac output D. Decrease fluid in the brain

D. Decrease fluid in the brain

A health care provider prescribes famotidine for a client with dyspepsia. Which statement is important to include in a teaching session about famotidine? A. Lowers the stress level B. Neutralizes gastric acidity C. Reduces gastrointestinal peristalsis D. Decreases secretions in the stomach

D. Decreases secretions in the stomach

A health care provider has prescribed isoniazid for a client. Which instruction will the nurse give the client about this medication? A. Prolonged use can cause dark, concentrated urine. B. The medication is best absorbed when taken on an empty stomach. C. Take the medication with aluminum hydroxide to minimize gastrointestinal (GI) upset. D. Drinking alcohol daily can cause medication-induced hepatitis.

D. Drinking alcohol daily can cause medication-induced hepatitis.

The nurse prepares to administer extended-release metformin to an older adult who has asked that it be crushed because it is difficult to swallow. Which rationale will prompt the nurse to ask the provider for a different form of metformin? A. This medication has a wax matrix frame that is difficult to crush. B. The medication has an unpleasant taste, which most clients find intolerable if crushed. C. If crushed, this medication irritates mucosal tissue and can cause oral and esophageal ulcer formation. D. Extended-release formulations are designed to be released slowly and crushing the tablet will prevent this from occurring.

D. Extended-release formulations are designed to be released slowly and crushing the tablet will prevent this from occurring.

Which condition is treated with a proton pump inhibitor (PPI)? A. Diarrhea B. Vomiting C. Cardiac dysrhythmias D. Gastroesophageal reflux disease (GERD)

D. Gastroesophageal reflux disease (GERD)

A nurse is reviewing prescribed medications for a client diagnosed with diabetic ketoacidosis. Which medication will the nurse clarify with the healthcare provider? A. Regular insulin Your Answer B. Potassium C. 0.9% sodium chloride D. Glipizide

D. Glipizide

The nurse is assessing a client who began taking omeprazole a month ago. Which finding by the nurse, indicates that the drug has had the desired effect? A. Blood pressure readings are lower B. Feelings of depression are not as severe C. Chronic pain level is markedly decreased D. Heartburn discomfort is lessened

D. Heartburn discomfort is lessened

The nurse receives an order to administer intravenous gentamicin to a client. For which finding should the nurse contact the health care provider to clarify the order? A. Low serum albumin B. Low serum blood urea nitrogen C. High gastric pH D. High serum creatinine

D. High serum creatinine

The nurse is monitoring a client who received a first dose of intravenous ampicillin. Which finding should indicate to the nurse that the client may be experiencing an allergic reaction? A. Abdominal pain B. Increase in blood pressure C. Hypotensive bowel sounds D. Hives on the extremities

D. Hives on the extremities

A client who receives NPH insulin every morning reports feeling nervous at 4:30 PM. The nurse observes that the client's skin is moist and cool. Which condition is the client likely experiencing? A. Hyperosmolar hyperglycemic nonketotic state B. Ketoacidosis C. Glycogenesis D. Hypoglycemia

D. Hypoglycemia

A client with type 1 diabetes receives 30 units of neutral protamine Hagedorn (NPH) insulin at 7:00 AM. At 3:30 PM, the client becomes diaphoretic, weak, and pale. With which condition would the nurse determine that these physiological responses are associated? A. Diabetic coma B. Hyperosmolar hyperglycemic nonketotic syndrome C. Diabetic ketoacidosis D. Hypoglycemic reaction

D. Hypoglycemic reaction

A 6-year-old child is receiving an intravenous solution of 10% glucose and mannitol to reduce cerebral edema. Which complication would the nurse monitor the child for? A. Overhydration B. Seizure activity C. Acute heart failure D. Hypovolemic shock

D. Hypovolemic shock

Which mechanism is specifically responsible for the action of the medication ranitidine? A. Inhibiting proton pumps B. Promoting the release of gastrin C. Regenerating the gastric mucosa D. Inhibiting the histamine at H 2 receptors

D. Inhibiting the histamine at H 2 receptors

The nurse identifies a nontender 5-cm indurated region on the upper arm of a client with type 1 diabetes. The client says to the nurse, 'That is where I give myself insulin shots.' The nurse concludes that the nodule is a result of which condition? A. Callus B. An allergy C. An infection D. Lipodystrophy

D. Lipodystrophy

The client is newly diagnosed with type 1 diabetes mellitus. Which of these approaches would be the best strategy for the nurse to use when teaching insulin injection techniques? A. Give written pre and post tests B. Allow another diabetic to assist C. Ask questions during practice D. Observe a return demonstration

D. Observe a return demonstration

A child with pinworms is prescribed mebendazole. Which expected response to the medication would the nurse teach the parents watch for? A. Blood B. Constipation C. Yellow stools D. Passage of worms

D. Passage of worms

Which effect has resulted in the avoidance of tetracycline use in children under 8 years old? A. Birth defects B. Allergic responses C. Severe nausea and vomiting D. Permanent tooth discoloration

D. Permanent tooth discoloration

Which purpose of insulin would a nurse identify when caring for a client prescribed insulin added to a solution of 10% dextrose in water after an intravenous solution containing potassium inadvertently was infused too rapidly? A. Glucose with insulin increases metabolism, which accelerates potassium excretion. B. Increased potassium causes a temporary slowing of the pancreatic production of insulin. C. Increased insulin accelerates the excretion of glucose and potassium, thereby decreasing the serum potassium level. D. Potassium follows glucose into the cells of the body, thereby raising the intracellular potassium level.

D. Potassium follows glucose into the cells of the body, thereby raising the intracellular potassium level.

A child is prescribed tetracycline. The nurse understands which possible medication-related reaction is associated with this medication? A. Kernicterus B. Gray syndrome C. Reye syndrome D. Staining of teeth

D. Staining of teeth

Levofloxacin is prescribed for a woman who has been experiencing urinary frequency and burning for the past 24 hours. The nurse concludes the teaching has been effective when the client states she will make which change in her routine? A. Limit her fluid intake. B. Strain her urine for calculi. C. Monitor her urine output. D. Take mineral supplements 2 hours before or after levofloxacin.

D. Take mineral supplements 2 hours before or after levofloxacin.

The nurse is giving instructions to the parents of a child who has cystic fibrosis. Which information should the nurse emphasize about administration of pancreatic enzymes? A. Administer each time a high-carbohydrate meal is eaten B. Crush the tablet and sprinkle on food three times a day C. Dispense once daily with breakfast D. They are to be taken with every meal or snack

D. They are to be taken with every meal or snack

Which purpose would the nurse identify as the reason for prescribing vitamin B 6 when a chemotherapy protocol prescribed for a client with tuberculosis includes vitamin B 6 and isoniazid (INH)? A. To improve the nutritional status of the client B. To enhance the tuberculostatic effect of INH C. To accelerate the destruction of dormant tubercular bacilli D. To counteract the peripheral neuritis that INH may cause

D. To counteract the peripheral neuritis that INH may cause

he chemotherapy protocol prescribed for a client with tuberculosis includes vitamin B 6 and isoniazid (INH). Which would the nurse identify as the reason for prescribing vitamin B 6? A. To improve the nutritional status of the client B. To enhance the tuberculostatic effect of INH C. To accelerate the destruction of dormant tubercular bacilli D. To counteract the peripheral neuritis that INH may cause

D. To counteract the peripheral neuritis that INH may cause

Which prescription would the nurse anticipate for the client who takes a medication that interferes with fat absorption? A. High-fat diet B. Supplemental cod liver oil C. Total parenteral nutrition (TPN) D. Water-miscible forms of vitamins A and E

D. Water-miscible forms of vitamins A and E

The nurse is planning an evening snack for a child receiving NPH insulin. The nurse offers a snack for which reason? It encourages the child to stay on the diet. Energy is needed for immediate utilization. Extra calories will help the child gain weight. Nourishment helps counteract late insulin activity.

Nourishment helps counteract late insulin activity.