Pharm Test
When the nurse is teaching a client about taking an antidysrhythmic drug, which statement by the nurse is correct? A. "Do not chew sustained-release capsules.' B. "If you experience side effects, stop the drug and notify your health care provider." C. "If weight gain of 5 pounds within 1 week occurs, notify your health care provider at the next office visit." D. "Take the medication with an antacid if stomach upset occurs."
A. "Do not chew sustained-release capsules.'
The nurse is providing instructions to a client who has a new prescription for a corticosteroid metered-dose inhaler. Which statement by the patient indicates that further instruction is needed? A. "I will use this inhaler for asthma attacks." B. "I will rinse my mouth with water after using the inhaler and then spit out the water." C. "I will clean the plastic Inhaler casing weekly by removing the canister and then washing the casing in warm soapy water. I will then let it dry before reassembling." D. "I will continue to use this inhaler, even if I am feeling better."
A. "I will use this inhaler for asthma attacks."
When teaching a client about antihypertensive drug therapy, which statements by the nurse are correct? Select all that apply. A. "You need to have your blood pressure checked on a routine basis and keep track of the readings." B. "If you experience severe side effects, stop the medicine and let us know at your next office visit." C. "An exercise program may be helpful In treating hypertension, but let's check with your doctor first." D. "If you notice that the symptoms have done away, you should be able to stop taking the drug." E. "Caution should be taken with most over-the-counter decongestants since they have interactions with antihypertensive drugs."
A. "You need to have your blood pressure checked on a routine basis and keep track of the readings." C. "An exercise program may be helpful In treating hypertension, but let's check with your doctor first." E. "Caution should be taken with most over-the-counter decongestants since they have interactions with antihypertensive drugs."
A nursing student is discussing the common side effects of digoxin taken by an elderly client. Which sign and symptom if listed as a common side effect by the student will require further teaching? A. Heart block B. Fatigue C. Vomiting D. Anorexia
A. Heart block
When the nurse is administering topical nitroglycerin ointment, which technique is correct? A. Remove the old ointment before new ointment is applied. B. Apply the ointment on the skin on the forehead. C. Massage the ointment gently into the skin, and then cover the area with plastic wrap. D. Apply the ointment only in the case of a mild angina episode.
A. Remove the old ointment before new ointment is applied.
A 65-year-old male client has been experiencing erectile dysfunction and requesting sildenafil (Viagra). The client has been taking a nitrate for 3 years for angina. Which response would the nurse most likely hear from the prescriber? A. "Sildenafil will be ordered and the nitrate will be discontinued 24 hours before sexual activity." B. "As sildenafil with the nitrate may result in severe hypotension, a contradiction exists." C. "The client will be switched to a different nitrate and the sildenafil will be ordered." D. "Sildenafil will be ordered and the nitrate dosage will be decreased."
B. "As sildenafil with the nitrate may result in severe hypotension, a contradiction exists."
A client has a prescription for two inhalers. One inhaler is a bronchodilator and the other is a corticosteroid. Teaching for this client should include which of the following? A. "The order of administration does not matter with these two drugs." B. "The bronchodilator should be taken first." C. "The corticosteroid should be taken first." D. "The two drugs should be taken at least 2 hours apart."
B. "The bronchodilator should be taken first."
The nurse in a health care provider's (HCP) clinic is assessing a client prescribed sublingual nitroglycerin for stable angina. The client reports getting a headache when taking the medication. Which of the following statements should the nurse make? A. "We will ask the health care provider to prescribe a different medication for you." B. "Try taking a mild analgesic to relieve the headache." C. "There's nothing that can be done to relieve the headaches that nitroglycerin causes." D. "Take only one dose of nitroglycerin to reduce the risk of getting a headache."
B. "Try taking a mild analgesic to relieve the headache."
A client is to receive iron dextran injections. Which technique is appropriate when the nurse is administering this medication? A. Intravenous administration mixed with 5% dextrose. B. Intramuscular injection using the Z-track method. C. Intramuscular injection in the upper arm. D. Subcutaneous injection into the abdomen.
B. Intramuscular injection using the Z-track method.
The nurse is reviewing the orders for a client and notes a new prescription for an angiotensin-converting enzyme (ACE) inhibitor. The nurse checks the current medication orders, knowing that this drug class may have a serious interaction with what other drug class? A. Calcium channel blockers. B. Nonsteroidal anti-inflammatory drugs (NSAIDs). C. Diuretics. D. Nitrates.
B. Nonsteroidal anti-inflammatory drugs (NSAIDs). Rationale: Use of NSAIDs can decrease the antihypertensive effect of ACE inhibitors
A client is being discharged on anticoagulant therapy. The nurse will include in the client-education conversation that it is important to avoid herbal products that contain which substance? A. Valerian B. Saw palmetto C. Ginkgo D. Soy
C. Ginkgo
The nurse is administering medications for high blood pressure to older adult clients. Which adverse effect is most likely to occur in this population? A. Restlessness B. Dry mouth C. Hypotension D. Constipation
C. Hypotension Rationale: First dose Orthostatic hypotension. Monitor blood pressure for 2 hours after initiation treatment.
A pregnant woman is experiencing hypertension. The nurse knows that which drug is used for a pregnant client who is experiencing hypertension? A. Enalapril (Vasotec). B. Hydrochlorothlazide (HydroDIURIL) C. Methyldopa (Aldomet). D. Mannitol (Osmitrol).
C. Methyldopa (Aldomet).
The client is taking theophylline (Theodur), a xanthine derivative, as part of the treatment for chronic obstructive pulmonary disease. The nurse will monitor for which adverse effects associated with the use of xanthine derivatives? A. Bradycardia B. Diarrhea C. Palpitations D. Drowsiness
C. Palpitations Nausea, Vomiting, Anorexia, Sinus tachy, Extrasystole, Ventricular dysrhythmias, transient increased urination, Hyperglycemia. Overdose/Toxicity: Usually treated by repeated administration of doses of activated charcoal.
The nurse is reviewing the medical history of a client who will be starting an ACE Inhibitor to treat high blood pressure. Which condition will require special precautions for ACE Inhibitor use? A. Asthma B. Rheumatoid Arthritis C. Renal Insufficiency D. Hyperthyroidism
C. Renal Insufficiency Rationale: Use cautiously in patients with kidney impairment and collagen vascular disease because they are at greater risk for developing neutropenia. Closely monitor these patients for manifestations of infection.
The nurse is creating a plan of care for a client with a new diagnosis of hypertension. Which is a potential human needs statement for the client taking antihypertensive medications? A. Altered urinary elimination (urge Incontinence). B. Need for effective perception C. Altered gastrointestinal elimination (diarrhea). D. Altered sexual function.
D. Altered sexual function.
Nurse is assessing pt who is taking tamoxifen to treat breast cancer. Which of following findings is priority for nurse to report to provider? A. Hot flashes B. Gastrointestinal irritation C. Vaginal dryness D. Leg tenderness
D. Leg tenderness Rationale: The greatest risk to this client is the development of a thromboembolism, which is an adverse effect of tamoxifen. The nurse should also monitor the client for other manifestations of a thromboembolism, including leg tenderness, redness, swelling, and shortness of breath.
After assessing a client with chronic obstructive pulmonary disease (COPD) who is being treated with beclomethasone dipropionate (Beclovent), a corticosteroid oral inhaler, which clinical manifestation would the nurse conclude is a side effect of this medication? A. Skin warts. B. Excessive salivation. C. Skin irritation. D. Oral fungal infection.
D. Oral fungal infection.
A client reports having adverse effects with nicotinic acid (niacin). The prescriber has recommended which action to minimize undesirable effects? A. Take the drug on an empty stomach. B. Take the medication every other day until the effects subside. C. Take the drug with large amounts of fiber. D. Take an aspirin tablet 30 minutes before taking the drug.
D. Take an aspirin tablet 30 minutes before taking the drug.
A client has been using topical nasal decongestants to relieve cold symptoms for over a month. She states that her symptoms of nasal congestion are worse than ever. What is the nurse's best response? a. "Frequent, long-term use of nasal decongestants can lead to rebound congestion." b. "Frequent, long-term use of nasal decongestants can cause bleeding." c. " Frequent, long-term use of nasal decongestants can cause palpitations." d. "Long-term use of nasal decongestants can lead to addiction."
a. "Frequent, long-term use of nasal decongestants can lead to rebound congestion."
The emergency department nurse is orienting a new nurse. Which statement made by the new nurse regarding the right patient identification requires further teaching? a. "It is acceptable to ask a confused elderly to state his name as a method of patient identification. b. "After an adult patient to states his name, I will check the identification band to confirm his name, identification number, and age." c. "Date of birth and home address are acceptable patient identifiers." d. "I will seek the assistance of the legal guardian to confirm the identity of a pediatric patient before I administer medications."
a. "It is acceptable to ask a confused elderly to state his name as a method of patient identification.
A female client will be starting therapy with oral isotretinoin (Amnesteem) as part of treatment for severe acne and the nurse is providing teaching. Which teaching point will the nurse include in the teaching plan about isotretinoin? a. "You will have to use two contraceptive methods while on this drug.' b. "You will have to avoid pregnancy for 2 weeks after taking this drug." c. "You must avoid sexual activity while on this drug." d. "If you are taking an oral contraceptive, you may take this drug."
a. "You will have to use two contraceptive methods while on this drug.
The nurse needs to provide medication education to a client who speaks only Spanish. The nurse speaks only English. What is the best intervention? a. Acquire a certified translator's services and document the information delivered. b. Skip the medication education and document the language barrier. c. Give the client Spanish-written materials and document that education was given. d. Have a family member translate and document the information delivered.
a. Acquire a certified translator's services and document the information delivered.
The nurse is reviewing the medical record of a client and notes an order for opthalmic dexamethasone (Decadron) solution. The nurse knows that indications for opthalmic dexamethasone include which conditions? Select all that apply. a. Allergic conditions. b. Conjuctival inflammation. c. Ocular infections. d. Glaucoma. e. Removal of foreign bodies.
a. Allergic conditions b. Conjuctival inflammation e. Removal of foreign bodies
Which statement best describes first-pass effect? a. Drugs are absorbed through the intestines and must pass through the liver first where much of the drug is processed into inactive metabolites. b. Drugs are absorbed through the central venous system where much of the drug is activated by enzymes c. Drugs are absorbed topically and become inactivated when they reach the liver. d. Drugs are absorbed through the muscle and pass through the liver where they are activated by enzymes.
a. Drugs are absorbed through the intestines and must pass through the liver first where much of the drug is processed into inactive metabolites.
The nurse will be giving opthalmic drugs to a client with glaucoma. Which drug is given intravenously to reduce intraocular pressure when other medicaitons are not successful? a. Mannitol (Osmitrol) b. Tobramycin (Tobrex) c. Bacitracin (AK-Tracin) d. Ketorolac (Acular)
a. Mannitol (Osmitrol)
A child has been diagnosed with impetigo, a skin infection. The nurse anticipates that which drug will be used to treat this condition? a. Mupirocin (Bactroban). b. Nystatin (Mycostatin). c. Acyclovir (Zovirax). d. Spinosad (Natroba).
a. Mupirocin (Bactroban). Rationale: It is a topical treatmet for impetigo. It inhibits the bacterial protein synthesis.
Which form of oral medication will be absorbed most quickly? a. Powders b. Enteric-coated tablets c. Suspension solutions d. Tablets
a. Powders
Which teaching by the nurse is important for the safety of the client who had just received eardrops? a. Remain supine or sitting for a few minutes after receiving the drops. b. Be sure to use a heating pad on the affected side. c. Use a cotton-tipped swab to keep the ear canal clean. d. Keep in mind that nausea may occur after eardrops are instilled.
a. Remain supine or sitting for a few minutes after receiving the drops.
The nurse is reviewing a client's medication list and notes that Sitagliptin (Januvia) is ordered. The client is most likely at risk for hypoglycemia if which medication is added to sitagliptin? a. Sulfonylurea b. Glitazone. c. Metformin (Glucophage). d. Insulin.
a. Sulfonylurea Rationale: Sulonylurea (2nd-generation) such as Glipizide (Glucotrol, class C) and Glimepiride (Amaryl, class C) bind to specific receptors on beta cells in the pancreas to stimulate the release of insulin. They also decrease the secretion of glucagon. Work best during early stages of DM2 and not used in DM1. Sitagliptin (DPP-4 inhibitors, Gliptins) augments naturally occuring incretin hormones, which promote release of insulin and decrease secretion of glucagon. Gliptins also lower fasting and postprandial blood glucose levels. Can also cause manifestations of pancreatitis-Notify HCP. Sulfonylureas and Gliptins used concurrently can increase risk of hypoglycemia.
An elderly client will be receiving a new antihypertensive drug. The nurse expects which type of dosing to occur with this drug therapy? a. The client will receive the lowest possible dose at first, and then the dose will be adjusted as needed. b. The client will receive the same doses as a middle-adult. c. Drug therapy will be based on the client's disease processes. d. Drug therapy will be based on the client's age.
a. The client will receive the lowest possible dose at first, and then the dose will be adjusted as needed.
A client had abdominal surgery this morning. The client is groggy but complaining of severe pain around the incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the client? a. The client's respiratory rate. b. The appearance of the incision. c. The client's pulse rate. d. The date of the client's last bowel movement.
a. The client's respiratory rate. rationale: Stop opioids if the pt RR is > 12/min, and notify HCP
The nurse is administering eardrops that contain a combination of an antibiotic and a corticosteroid. What is the rationale for combining these two drugs in eardrops? a. The corticosteroid reduces the inflammation and itching associated with ear infections. b. The corticosteroid reduces pain associated with ear infections. c. The drops help to eliminate fungal infections. d. The combination works to help soften and eliminate cerumen.
a. The corticosteroid reduces the inflammation and itching associated with ear infections.
The nurse administering drugs to neonates should consider which factor that is most likely to contribute to drug toxicity? a. The liver is not fully developed b. Excretion of the drug occurs quickly c. The lungs are immature d. The kidneys are small
a. The liver is not fully developed
Laboratory results and an examination reveal that a client has poor liver functioning. What is the nursing implications for medications taken by this client? a. The medications may not be metabolized as quickly and could become toxic. b. The medications will be metabolized by the kidney instead. c. The medications may be metabolized more quickly leading to medication ineffectiveness. d. The medication's metabolism will not change.
a. The medications may not be metabolized as quickly and could become toxic.
Which statement is correct regarding the right route? a. The nurse knows that a complete medication order includes the route of administration. b. The nurse can give the medication if it is ordered intramuscularly. c. The nurse may change the route of administration without a prescribers knowledge and permission. d. The nurse may assume the route of administration if it is not stated in the order.
a. The nurse knows that a complete medication order includes the route of administration.
The nurse is reviewing drug therapy for hypertension. According to the JNC-8 guidelines, antihypertensive drug therapy for a newly diagnosed African-American client would most likely include which drug or drug classes? a. Vasodilators alone. b. Beta blockers with thiazide diuretics. c. Calcium channel blockers and thlazide diuretics d. Ace inhibitors alone.
c. Calcium channel blockers and thlazide diuretics
A 19-year-old student was diagnosed with hyperthyroidism and has started thyroid replacement therapy with levothyroxine (Synthroid). After 1 week, she called the clinic to report that she does not feel better. Which response from the nurse is correct? a. "Is it possible that you did not take your medication as instructed?" b. "The full therapeutic effects may not occur for several weeks." c. "Let's review your diet; it may be causing absorption problems." d. "It will probably require surgery for a cure to happen."
b. "The full therapeutic effects may not occur for several weeks."
A 78-year-old client is in the recovery room after having a lengthy surgery on his hip. As he is gradually awakening, he requests pain medication. Within 10 minutes after receiving a dose of morphine sulphate, he is very lethargic and his respirations are shallow, with a rate of 7 breaths/minute. The nurse prepares for which priority action at this time? a. Assessment of the patient's pain level. b. Administration of naloxone (Narcan). c. Immediate intubation and artificial ventilation. d. Close observation of signs of opioid tolerance.
b. Administration of naloxone (Narcan).
A nurse has just administered an intramuscular injection to a client with a blood-borne pathogen. Which action will protect the nurse from transmission of this blood-borne pathogen? a. Recap the needle, and dispose of it in the sharps container. b. Do not recap the needle, and dispose of it in the sharps container. c. Do not recap the needle, and dispose of it in the isolation trash. d. Recap the needle, and dispose of it in the isolation trash.
b. Do not recap the needle, and dispose of it in the sharps container.
Possible consequences of medication errors for registered nurses (RNs) can best be described by which of the following? a. Retaliation from the hospital and change of shift assignment. b. Emotional toll, discipline by the board of nursing, and litigation. c. Retaliation from nursing colleagues. d. Retaliation from the healthcare provider and loss of license.
b. Emotional toll, discipline by the board of nursing, and litigation.
An 8-year-old child has been diagnosed with true pituitary dwarfism and is being treated with somatropin. In follow-up visits, the nurse will monitor for which expected outcome? a. Decreased urine output. b. Increased growth. c. Adequate glucose control. d. Increased muscle strength.
b. Increased growth. Rationale: Somatropin is a GH that is indicated in the treatment of growth failure due to inadequate endogenous GH secretion.
Thorough assessment of client learning needs is essential for appropriate patient medication education. Which item is a potential barrier to client learning? a. Starting education as early as possible in the hospitalization b. Materials written at the 12th-grade reading level c. Large print d. Educating family members as well as the patient
b. Materials written at the 12th-grade reading level
The nurse is conducting an assessment of a client's medication history. Which statement is true about herbal medicines? a. Herbal medicines are natural and harmless. b. Most clients taking dietary supplements (including herbal) do not report them. c. The Federal Drug Administration (FDA) regulates herbal medicines which means they are safe to use d. Herbal medicines have minimal harmful effects.
b. Most clients taking dietary supplements (including herbal) do not report them.
A client will be starting therapy with a corticosteroid. The nurse reviews the prescriber's orders and notes that an interaction may occur if the corticosteroid is taken with which of these drug classes? a. Antibiotics b. Nonsteroidal anti-inflammatory drugs. c. Antidepressants. d. Opioid analgesics
b. Nonsteroidal anti-inflammatory drugs. Rationale: Increases risk of adverse GI effects with NSAIDs including Aspirin.
The nurse is reviewing the use of opthalmic preparation. Indications for the direct-acting and indirect-acting miotics include which condition? a. Cataracts. b. Open-angle glaucoma. c. Ocular infections. d. Removal of foreign bodies.
b. Open-angle glaucoma
A client with elevated lipid levels has a new prescription for nicotinic acid (niacin). The nurse informs the client about which adverse effects that may occur with this medication? a. Myalgia, fatigue. b. Prunitus, cutaneous flushing. c. Blurred vison, headaches. d. Tinnitus, urine with a burnt odor.
b. Prunitus, cutaneous flushing.
Which statement is correct regarding the right dose? a. The right dose should always include leading zeros. b. The right dose's mathematical calculation must be rechecked. c. The right dose may include trailing zeros. d. The right dose is identified by the pharmacy.
b. The right dose's mathematical calculation must be rechecked.
A client has been diagnosed with metabolic syndrome and is started on Biguanide Metformin (Glucophage). The nurse knows that the purpose of metformin, in this situation, is which of these? a. To increase blood glucose levels. b. To decrease insulin resistance. c. To decrease the pancreatic excretion of insulin. d. To increase the pancreatic excretion of insulin.
b. To decrease insulin resistance.
A client is concerned about the body changes that have resulted from long-term prednisone therapy for the treatment of asthma. Which expected effect of this drug therapy would cause a change in the client's appearance? a. Hair loss. b. Weight gain. c. Weight loss d. Pale color.
b. Weight gain Rationale: Prednisone (Glucocorticoid) when used for 10 days or more can result in disturbances of fluid and electrolytes (Fluid retention= Weight Gain, edema, Hypokalemia), suppression of adrenal gland function, Bone loss, Hyperglycemia & glycosuria, Myopathy, PUD, Infection
A client has been taking levothyroxine (Synthroid) for more than one decade for primary hypothyroidism. Today she calls because she has a cousin who can get her the same medication in a generic form from a pharmaceutical supply company. Which is the nurse's best advice? a. "There is no difference in brands of this medication." b. "This should never be done; once you start with a certain brand, you must stay with it." c. "It's better not to switch brands unless we check with the healthcare provider." d. "This is a great way to save money."
c. "It's better not to switch brands unless we check with the healthcare provider."
A client's medication order indicates that he is to receive a dose of cosyntropin (Cortosyn). The nurse is aware that the drug is used to diagnose which condition? a. Pituitary dwarfism. b. Myasthenia Gravis. c. Adrenocortical insufficiency. d. Diabetes insipidus.
c. Adrenocortical insufficiency.
A client was diagnosed with pancreatic cancer last month, and has complained of a dull ache in the abdomen for the past 4 months. The pain has been gradually increasing, and the pain relievers taken at home are no longer effective. What type of pain is the client experiencing? a. Neuropathic pain. b. Somatic pain. c. Chronic pain d. Acute pain.
c. Chronic pain
A client who has been on long-term corticosteroid therapy has had surgery to correct an abdominal hernia. The nurse keeps in mind that which potential effect of this medication may have the most impact on this client's recovery? a. Muscle weakness. b. Hypotension. c. Delayed wound healing. d. Osteoporosis.
c. Delayed wound healing. Rationale: Muscle weakness and Osteoporosis may also result from long-term therapy, but delayed wound healing would have the most impact on the patient's recovery from abdominal surgery. It would also be Hypertension, not hypotension that may result from long-term corticosteroid therapy.
According to the Code of Ethics for Nurses, which is the most appropriate intervention for a client refusing to take a medication? a. Attempt to convince the client to take the medication. b. Contact the healthcare provider to get an order for restraints to ensure medication administration. c. Determine the client's reasons for refusing the medication. d. Force the client to take the medication.
c. Determine the client's reasons for refusing the medication.
Which statement is correct regarding the right time? a. Nursing judgment cannot be used in timing of medications. b. Routine medications should be given no more than 3 hours before or after the prescribed time. c. PRN medications are given as needed at special times and under special circumstances. d. STAT medications must be given within 1 hour of the time the order is written.
c. PRN medications are given as needed at special times and under special circumstances.
A client asks about using minoxidil (Rogaine) for hair thinning. Which statement about minoxidil is accurate? a. Systemic absorption of topically applied minoxidil is rare. b. The product is applied once daily in the morning. c. Systemic absorption may cause tachycardia, fluid retention, and weight gain. d.rog Results may be seen as soon as 2 weeks after beginning therapy.
c. Systemic absorption may cause tachycardia, fluid retention, and weight gain.
Which statement is correct regarding the right documentation? a. The estimated time the medication was given should be documented b. The delivery time from the pharmacy should be documented. c. The drug action or client's response should be documented. d. The incident report should be completed for client medication refusal.
c. The drug action or client's response should be documented.
The nurse is administering insulin lispro (Humalog) and will keep in mind that this insulin will start to have an effect within which time frame? a. 1 to 2 hours. b. 3 to 5 hours. c. 80 minutes. d. 15 minutes.
d. 15 minutes.
Which medication delivery methods are parenteral routes of medication administration? a. Application under the tongue and subcutaneous injection b. Administration via the rectum and intramuscular injection c. Application to the eyes and intra-articular injection d. Administration via intravenous and intrathecal injections
d. Administration via intravenous and intrathecal injections
The nurse is monitoring a 22-year-old client in the 26th week of pregnancy who has pneumonia. She is given medications that pose a possible fetal risk, but the potential benefits may warrant the use of the medications in her situation. The nurse recognizes that these medications are in which U.S. Food and Drug Administration (FDA) pregnancy safety category? a. Category B b. Category X c. Category C d. Category D
d. Category D
When reviewing the laboratory values of a client who is taking antithyroid drugs, the nurse will monitor of which adverse effects? a. Decreased glucose levels. b. Increased red blood cell count. c. Increased platelet count. d. Decreased white blood cell count.
d. Decreased white blood cell count. Rationale: Adverse effects of the hematologic system are Agranulocytosis, Leukopenia, Thrombocytopenia, Hypothrombinemia, Lymphadenopathy, Bleeding
The nurse notes in a client's medication history that the client has been taking desmopressin (DDAVP). Based on this finding, the nurse interprets that the client has which disorder? a. Adrenocortical insufficiency. b. Carcinoid tumor. c. Diabetes mellitus. d. Diabetes insipidus.
d. Diabetes insipidus.
After starting treatment for type 2 diabetes mellitus 6 months earlier, a client is in the office for a follow-up examination. The nurse will monitor which laboratory test to evaluate the client's adherence to the antidiabetic therapy over the past few months? a. Fingerstick fasting blood glucose level. b. Hemoglobin level. c. Serum insulin levels. d. Hemoglobin A1C level.
d. Hemoglobin A1C level.
A client who is taking propylthiouracil (PTU) for hyperthyroidism wants to know how this medicine works. Which explanation by the nurse is accurate? a. It inactivates already existing thyroid hormone in the bloodstream. b. It destroys overactive cells in the thyroid gland. c. It promotes the formation of thyroid hormone. d. It slows down the formation of thyroid hormone
d. It slows down the formation of thyroid hormone Rationale: PTU decreases the thyroid hormone level, thereby normalizing the overall metabolic rate. PTU is used in the first trimester only and Methimazole is used for the remainder of the pregnancy.
Which action is the nurse's highest priority when a medication error occurs? a. Notifying the nursing supervisor b. Calling the healthcare provider c. Dealing with the client's anger d. Maintaining the client's safety
d. Maintaining the client's safety
The nurse is preparing to administer insulin intravenously. Which statement about the administration of intravenous insulin is true? a. Insulin is never given intravenously in acute situations. b. Any form of insulin can be administered intravenouslly at the same dose as thatis ordered for subutaneous administration. c. Insulin Aspart or Insulin Lispro can be administered intravenously, but there must be 50% of dose reduction. d. Only regular insulin can be administered intravenously.
d. Only regular insulin can be administered intravenously.
A client is receiving gabapentin (Neurontin), an anticonvulsant, but has no history of seizures. The nurse expects that the client is receiving this drug for which condition? a. Inflammation pain. b. Arthritis pain. c. Depression associated with chronic pain. d. Pain associated with peripheral neuropathy.
d. Pain associated with peripheral neuropathy.
Select the priority nursing responsibility based on the scope of practice for nurses? a. The registered nurse (RN) should check the medication order against the gnedication label once. b. The registered nurse (R) gives all medications to the client as ordered regardless of appropriateness. c. The only nursing personnel that may administer medications is a registered nurse (RN). d. The registered nurse (RN) should check all medication orders and recheck dosage calculations.
d. The registered nurse (RN) should check all medication orders and recheck dosage calculations.
When reviewing a client's medical record, the nurse notes an order for carbamide peroxide eardrops. Based on this information, the nurse interprets that these eardrops are being used for which purpose? a. To reduce production of cerumen. b. To inhibit growth of microorganisms in the external canal. c. To reduce inflammation. d. To loosen the cerumen for easier removal.
d. To loosen the cerumen for easier removal.
Which is correct regarding transdermal drug delivery? a. Most clients find that drugs delivered transdermally are hard to tolerate. b. Transdermal drugs deliver an unreliable amount of medication over a specified time period. c. Transdermal drug delivery is a subdelivery system of the enteral route. d. Transdermal drug delivery is usually accomplished via adhesive patches.
d. Transdermal drug delivery is usually accomplished via adhesive patches.