Practice Set 2

A nurse in a public clinic is planning a health fair for older adult clients in the community. In teaching medications safety, which of the following foods should the nurse advise the cleints to avoid when taking their prescriptions Carbonated beverages Milk Orange juice Grapefruit juice

Grapefruit juice

A nurse is preparing to administer nalbuphine to a postoperative client who is experiencing pain. The nurse should monitor the client for which of the following potential adverse effects of this medication Miosis Joint pain Diarrhea Oliguria

Miosis

A nurse is providing teaching to a client who take opioid medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates and understanding of the teaching "It might take up to 3 days for the medication to work." "I will take the medication for diarrhea" "I should drink 4 ounces of water when I take the medication." " I can take this medication along with mineral oil."

"It might take up to 3 days for the medication to work."

A nurse is teaching a client who have a new prescription for docusate. Which of the following information should the nurse include in the teaching "Do not take this medication before bedtime" "Take the medication with a full glass of water" "Expect abdominal pain with this medication" "Take this medication on an empty stomach"

"Take the medication with a full glass of water" To reduce the risk for constipation

A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration Institutional policies regarding routine medication administration times Specific characteristics of the medications Schedule of administration that the client follows at home TIme at which the medication can be available from the pharmacy

Specific characteristics of the medications

A charge nurse is supervising a newly licensed nurse provide care for a client who has a PCA pump. Which of the following statements made by the nurse requires further action by the charge nurse? "I discarded the remaining 2 milligrams of morphine from the PCA pump. Please document that you witnessed it." "I noted the my client pushed the PCA button six times in the last hour, and the PCA lockout is set for 10 minutes" "I gave my client a bolus dose of morphine when I initiated the PCA pump" "I told the client's family that they must not push the PCA button for the client"

"I discarded the remaining 2 milligrams of morphine from the PCA pump. Please document that you witnessed it."

A nurse is admitting a client who states he take ginkgo biloba every day to improve his memory. The nurse should identify a potential interaction with which of the following medications the client is taking Ranitidine Levothyroxine Warfarin Loratadine

CORRECT: Warfarin Ginkgo may suppress coagulation and should be used with caution with antiplatelet drugs like aspirin or anticoagulants like warfarin or heparin

A nurse is preparing to administer a medication to a client who states, "That looks different from the pill I usually take." Which of the following responses should the nurse make? Describe what the pill looks like This is the medication prescribed by your provider This pill is probably from a different lot number than yours at home This hospital might use a different manufacturer, but the medication is the same

Describe what the pill looks like

A nurse is preparing a presentation about echinacea to a group of clients. Which of the following information should the nurse include in the teaching Echinacea blocks testosterone receptors Echinacea boosts the immune system Echinacea is used to treat vertigo Echinacea increases the ability to walk further distances for clients who have PAD

Echinacea increases the ability to walk further distances for clients who have PAD

A nurse is caring for a client who is at 6 weeks gestation and had pneumonia. WHile the nurse is obtaining the client's history, the client tells the nurse that she take the herb feverfew for migraine headaches. Which of the following actions should the nurse take? Tell the client that she should take an over-the-counter analgesic instead Explain to the client that she should not take this heb while she is pregnant Ask the client why she would take an herb during pregnancy Suggest that the client ask her herbalist within the next few weeks about taking it while pregnant

Explain to the client that she should not take this herb while she is pregnant

A nurse is teaching about medications to a group of clients. Which of the following statements by a client indicates a need for further teaching "I will take ibuprofen for arthritis" "I will take morphine during a sickle cell crisis" " I will take propranolol to manage high blood pressure" "I will take aspirin to reduce pain from my peptic ulcer"

I will take aspirin to reduce pain from my peptic ulcer Aspirin is contraindicated in clients who have bleeding disorders and peptic ulcer disease

A nurse is caring for a newborn who has respiratory depression. Which of the following medications should the nurse anticipate administering Flumazenil Physostigmine Terbutaline Naloxone

Naloxone

A nurse is teaching a class about medication reconciliation. Which of the following information should the nurse include in the teaching Do not include OTC medications in the medication reconciliation report. Provide a list of the client's current medications during the change of shift report Do not perform reconciliation for a client at discharge from a health care facility Provide a list of the client's current medications during admission to a healthcare facility

Provide a list of the client's current medications during admission to a health care facility

A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of the following information should the nurse provide about ibuprofen Take the medication with an aspirin to increase effectiveness Take the medication with food Taking the maximum dose will offer stoke prevention Sustained-release forms may be crushed for easier adminstration

Take the medication with food

A nurse is monitoring a client who took an overdose of acetaminophen 72 hr ago. The nurse should identify which of the following findings as manifestation of acetaminophen poisoning Constipation Xerostomia Tinnitus Vomiting

Vomiting

A nurse is caring for a client who is in her third trimester of pregnancy. The client asks the nurse about over-the-counter medications. The nurse should recognize which of the following medications is a pregnancy risk Category B? Naproxen Acetaminophen Aspirin Ibuprofen

CORRECT: Acetaminophen Naproxen is a Category C Aspirin is a Category D Ibuprofen is a Category D

A nurse is teaching a client who take acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication Tinnitus Muscle pain Hyperglycemia Jaundice

CORRECT: Jaundice Acetaminophen can cause hepatotoxicity

The nurse is preparing to administer morphine IV to a client. Which of the following medications should the nurse plan to have available Flumazenil Naloxone Protamine Neostigmine

CORRECT: Naloxone Is given to reverse the effects of morphine Flumazenil: uses to reverse the effects of benzodiazepines Protamine: used to reverse the effects of heparin Neostigmine: used to reverse the effects of nondepolarizing neuromuscular blockers

A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. THe nurse should inform the client that which of the following is a therapeutic effect of the medication? Reduces risk of infection Decrease inflammation Improves peripheral blood flow Increases bone density

Decreased inflammation

A nurse is preparing to administer medications to a client who states, "I don't want to take those drugs." Which of the following actions should the nurse take? Tell the client the physician wants him to take the medications Ask the client why he is refusing to take the medications Explain the purpose for the medications Document that the client refuses the medications

Document that the client refuses the medications

A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse provide Expect to have a fever for the first days of therapy Drink 2 to 3 L of water per day while on the medication Administer the medication with an NSAID to enhance effectiveness Take the medication in the morning to prevent insomnia

Drink 2 to 3 L of water per day while on the medication Methotrexate can cause renal toxicity

A nurse is preparing a presentation about glucosamine to a group of clients. Which of the following information should the nurse include in the teaching "Glucosamine can help relieve urinary frequency" "Glucosamine is used to treat viral infections" ""Glucosamine can help relieve hot flashes" "Glucosamine can suppress joint inflammation"

Glucosamine can suppress joint inflammation

A nurse is assessing a client prior to the administration of morphine. The nurse should recognize that which of the following assessments is the priority Pupil reaction Urine output Bowel sounds Respiratory rate

Respiratory rate

A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. The surgeon prescribed morphine 4mg IV bolus every 6 hr as needed. Before administering this medication, the nurse should complete which priority assessment? Blood pressure Apical heart rate Respiratory rate Temperature

Respiratory rate

Then nurse is preparing a medication for a client and observes the date of expiration on the vial occured 2 months ago. Which of the following actions should the nurse take Give the medication Discard the medication Notify the provider Return the medication to the pharmacy

Return the medication to the pharmacy

A hospice nurse is caring for a client who has terminal cancer and take PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation The client has not been taking the medication properly The client is experiencing episodes of confusion The client has become addicted to the medication The client developed a tolerance to the medication

The client developed a tolerance to the medication

A nurse is assessing a client who reports acute pain. The nurse should anticipate which of the following findings? Increase heart rate Decreased respiratory rate Hyperactive bowel soinds Decreased blood pressure

Increased heart rate

A nurse is teaching a client who reports taking ginkgo biloba to improve his memory. Which of the following adverse effects should the nurse include Bad breath Decreased alertness Breast enlargement Bleeding gums

Bleeding gums

A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. Which of the following instructions should the nurse include in the teaching Expect ringing in your ears Take the medication with food Store the medication in the refrigerator Monitor for weight loss

CORRECT: Take the medication with food To minimize gastric irritation, the client should take ibuprofen with food or immediately after a meal Expect ringing in your ears: The client should report ringing in the ears because this is a manifestation of ototoxicity Store the medication in the refrigerator: THe client should store ibuprofen at room temperature Monitor for weight loss: The client should monitor for weight gain, which is a manifestation of nephrotoxicity and edema