Pharmacological and Parental Therapies EAQs

While awaiting surgery, a client with a history of Crohn disease is receiving total parenteral nutrition (TPN) on an outpatient basis. The nurse teaches the client that TPN helps prepare for surgery by which process? A. Decreasing fecal bulk B. Preventing bowel infection C. Providing stimulation of secretions D. Maintaining negative nitrogen balance

A. Decreasing fecal bulk

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.

A client is admitted to the hospital for an adrenalectomy. Before the client's replacement steroid therapy is regulated fully, the nurse will monitor the client for which complication? A. Hypotension B. Hypokalemia C. Hypernatremia D. Hyperglycemia

A. Hypotension

Which medication may cause Ebstein anomaly as a teratogenic effect and is contraindicated in breast-feeding clients? A. Lithium B. Ibuprofen C. Vitamin A D. Nitrofurantoin

A. Lithium

Which medication would the nurse identify as one that can be prescribed for the elective termination of a pregnancy? A. Mifeprix B. Raloxifene C. Methylergonovine D. Clomiphene

A. Mifeprix

Which medication would the nurse identify as being used to induce spontaneous abortions? A. Oxytocin B. Estradiol C. Progestins D. Clomiphene

A. Oxytocin

Which are the actions of oxytocin? Select all that apply. One, some, or all responses may be correct. A. Promotes milk ejection during lactation B. Controls uterine bleeding after delivery C. Induces labor when uterine contractions are weak D. Prevents uterine fibrosis in women of reproductive age E. Prevents high-risk intrauterine fetal positions before delivery

A. Promotes milk ejection during lactation B. Controls uterine bleeding after delivery C. Induces labor when uterine contractions are weak

Which dermatological problem is treated by using intralesional corticosteroids? A. Psoriasis B. Cellulitis C. Erysipelas D. Carbuncles

A. Psoriasis

The clinic nurse is planning care for a client with chlamydia. Which treatment would the nurse anticipate implementing? A. Administration of 250 mg of acyclovir orally in a single dose B. Administration of 1 g of azithromycin orally in a single dose C. Administration of 250 mg of ceftriaxone intramuscularly in a single dose D. Administration of 2.4 million units of benzathine penicillin G intramuscularly in a single dose

B. Administration of 1 g of azithromycin orally in a single dose

Which medication used to promote fertility would the nurse identify as a potential cause of esophageal burns? A. Estrogen B. Clomiphene C. Nifedipine D. Indomethacin

B. Clomiphene

Which medication is a teratogen that may cause masculinization of a female fetus? A. Lithium B. Danazol C. Nitrofurantoin D. Carbamazepine

B. Danazol

The nurse would identify which medication as the most common cause of extrapyramidal side effects (EPSs)? A. Clozapine B. Haloperidol C. Risperidone D. Aripiprazole

B. Haloperidol

The nurse suspects that the client has shift-work sleep disorder (SWSD). Which medication is indicated to treat this disorder? A. Caffeine B. Modafinil C. Atomoxetine D. Methylphenidate

B. Modafinil

A client asks the nurse how psychotropic medications work. How would the nurse reply? A. These medications decrease the metabolic needs of your brain." B. "These medications increase the production of healthy nervous tissue." C. "These medications affect the chemicals used in communication between nerve cells." D. "These medications regulate sensory input received from the external environment."

C. "These medications affect the chemicals used in communication between nerve cells."

A client has been given a prescription for acetylsalicylic acid. The nurse recalls that this medication has which property? A. Sedative B. Hypnotic C. Analgesic D. Antibiotic

C. Analgesic

Which roles would norepinephrine's mechanism of action perform in managing anaphylaxis? A. Norepinephrine blocks the effects of histamine. B. Norepinephrine inhibits the degranulation of mast cells. C. Norepinephrine functions as a peripheral vasoconstrictor. D. Norepinephrine rapidly stimulates alpha- and beta-adrenergic receptors.

C. Norepinephrine functions as a peripheral vasoconstrictor.

A client with cancer experiences severe nausea and vomiting from chemotherapy. The client wants to know if it is true that smoking marijuana will help. How will the nurse respond? A. "Nurses are not allowed to discuss illegal substances with clients." B. "Marijuana is effective for nausea and vomiting if it is injected." C. "Marijuana is not proven to be effective in preventing chemotherapy-induced nausea and vomiting." D. "There are some tetrahydrocannabinol (THC)-based medications that contain marijuana control chemotherapy-induced nausea and vomiting in some people."

D. "There are some tetrahydrocannabinol (THC)-based medications that contain marijuana control chemotherapy-induced nausea and vomiting in some people."

Which medication is indicated for treating obsessive-compulsive disorder? A. Imipramine B. Lithium salts C. Amitriptyline D. Clomipramine

D. Clomipramine

A health care provider prescribes furosemide for a client with hypervolemia. The nurse recalls that furosemide exerts its effects in which part of the renal system? A. Distal tubule B. Collecting duct C. Glomerulus of the nephron D. Loop of Henle

D. Loop of Henle

Which medication is the first choice of medication for the treatment of attention-deficit/hyperactivity disorder (ADHD)? A. Clonidine B. Guanfacine C. Atomoxetine D. Methylphenidate

D. Methylphenidate

A client is diagnosed with Parkinson disease and receives a prescription for levodopa therapy. Which mechanism of action would the nurse identify for this medication? A. Blocks the effects of acetylcholine B. Increases the production of dopamine C. Restores the dopamine levels in the brain D. Promotes the production of acetylcholine

C. Restores the dopamine levels in the brain

Which cardiovascular adverse effect would the nurse associate with the use of clomiphene? A. Ischemia B. Chest pain C. Tachycardia D. Hypertension

C. Tachycardia