Senior Seminar Pharm Quiz #1
The nurse receives a call from a client concerned about eliminating brown-colored urine after taking nitrofurantoin for a UTI. The nurse should make which appropriate response? 1. "Continue taking the medication; the brown urine occurs and is not harmful" 2. "Take magnesium hydroxide with your medication to lighten the urine color" 3. "Discontinue taking the medication and make an appointment for a urine culture" 4. "Decrease your medication to half the dose, because your urine is too concentrated"
1. "Continue taking the medication; the brown urine occurs and is not harmful"
The nurse is teaching the client about his prescribed prednisone. Which statement, if made by the client, indicates that further teaching is necessary? 1. "I can take aspirin or my antihistamine if I need it." 2. "I need to take the medication every day at the same time." 3. "I need to avoid coffee, tea, cola, and chocolate in my diet." 4. "If I gain more than 5 pounds (2.25 kg) a week, I will call my HCP."
1. "I can take aspirin or my antihistamine if I need it."
The nurse is caring for a client with a diagnosis of influenza who first began to experience symptoms yesterday. Antiviral therapy is prescribed and the nurse provides instructions to the client about the therapy. Which statement by the client indicates an understanding of the instructions? 1. "I must take the medication exactly as prescribed." 2. "Once I start the medication, I will no longer be contagious." 3. "I will not get any colds or infections while taking this medication." 4. "This medication has minimal side effects and I can return to normal activities."
1. "I must take the medication exactly as prescribed."
The nurse determines the client needs further instruction on cimetidine if which statements were made? Select all that apply 1. "I will take the cimetidine with my meals." 2. "I'll know the medication is working if my diarrhea stops." 3. "My episodes of heartburn will decrease if the medication is effective." 4. "Taking the cimetidine with an antacid will increase its effectiveness." 5. "I will notify my HCP if I become depressed or anxious." 6. "Some of my blood levels will need to be monitored closely since I also take warfarin for atrial fibrillation."
1. "I will take the cimetidine with my meals." 2. "I'll know the medication is working if my diarrhea stops." 4. "Taking the cimetidine with an antacid will increase its effectiveness."
The nurse teaches a client about the effects of diphenhydramine, which has been prescribed as a cough suppressant. The nurse determines that the client needs further instruction inf the client makes which statement? 1. "I will take the medication on an empty stomach." 2. "I won't drink alcohol while taking this medication." 3. "I won't do activities that require mental alertness while taking this medication." 4. "I will use sugarless gum, candy, or oral rinses to decrease dryness in my mouth."
1. "I will take the medication on an empty stomach."
A client with hyperthyroidism has been given methimazole. Which nursing considerations are associated with this medication? Select all that apply 1. Administer methimazole with food 2. Place the client on a low-cal, low-protein diet 3. Assess the client for unexplained bruising or bleeding 4. Instruct the client to report side and adverse effects such as sore throat, fever, or headaches 5. Use special radioactive precautions when handling the client's urine for the first 24 hours following initial administration
1. Administer methimazole with food 3. Assess the client for unexplained bruising or bleeding 4. Instruct the client to report side and adverse effects such as sore throat, fever, or headaches
A client is prescribed an eye drop and an eye ointment for the right eye. How should the nurse best administer the medications? 1. Administer the eye drop first, followed by the eye ointment 2. Administer the eye ointment first, followed by the eye drop 3. Administer the eye drop, wait 15 minutes, and administer the eye ointment 4. Administer the eye ointment, wait 15 minutes, and administer the eye drop
1. Administer the eye drop first, followed by the eye ointment
The nurse is applying a topical corticosteroid to a client with eczema. The nurse should apply the medication to which body area? Select all that apply 1. Back 2. axilla 3. eyelids 4. soles of the feet 5. palms of the hands
1. Back 4. soles of the feet 5. palms of the hands
A client has begun therapy with theophylline. The nurse should plan to teach the client to limit the intake of which items while taking this medication? 1. Coffee, cola, and chocolate 2. Oysters, lobster, and shrimp 3. Melons, oranges, and pineapple 4. Cottage cheese, cream cheese, and dairy creamers
1. Coffee, cola, and chocolate
In monitoring a client's response to disease modifying antirheumatic drugs, which assessment findings would the nurse consider acceptable responses? Select all that apply 1. Control of symptoms during periods of emotional stress 2. Normal WBC, platelet, and neutrophil counts 3. Radiological findings that show no progression of joint degeneration 4. An increased range of motion in the affected joints 3 months into therapy 5. Inflammation and irritation at the injection site 3 days after the injection is given 6. A low-grade temperature on rising in the morning that remains throughout the day
1. Control of symptoms during periods of emotional stress 2. Normal WBC, platelet, and neutrophil counts 3. Radiological findings that show no progression of joint degeneration 4. An increased range of motion in the affected joints 3 months into therapy
The home health nurse is visiting a client who was recently diagnosed with type 2 DM. The client is prescribed repaglinide and metformin. The nurse should provide which instructions to the client? Select all that apply 1. Diarrhea may occur secondary to the metformin 2. the repaglinide is not taken if a meal is skipped 3. The repaglinide is taken 30 minutes before eating 4. A simple sugar food item is carried and used to treat mild hypoglycemia episodes 5. Muscle pain is an expected effect of metformin and may be treated with acetaminophen 6. Metformin increases hepatic glucose production to prevent hypoglycemia associated with repaglinide
1. Diarrhea may occur secondary to the metformin 2. the repaglinide is not taken if a meal is skipped 3. The repaglinide is taken 30 minutes before eating 4. A simple sugar food item is carried and used to treat mild hypoglycemia episodes
Allopurinol is prescribed for a client and the nurse provides medication instructions to the client. Which instruction should the nurse provide? 1. Drink 3000 mL of fluid/day 2. take the medication on an empty stomach 3. The effect of the medication will occur immediately 4. Any swelling of the lips is a normal expected response
1. Drink 3000 mL of fluid/day
Cyclobenzaprine is prescribed for a client for muscle spasms and the nurse is reviewing the client's record. Which disorder, if noted in the record, would indicate a need to contact the HCP about the administration of this medication? 1. Glaucoma 2. Emphysema 3. Hypothyroidism 4. DM
1. Glaucoma
A client with chronic kidney disease is receiving epoetin alfa. Which lab result would indicate a therapeutic effect of the medication? 1. Hematocrit of 33% (0.33) 2. Platelet count of 400,000 mm3 (400x10^9/L) 3. WBC count of 6000 mm3 (6.0x10^9/L) 4. BUN level of 15 mg/dL (5.25 mmol/L)
1. Hematocrit of 33% (0.33)
A burn client is receiving treatments of topical mafenide acetate to the site of injury. The nurse monitors the client, knowing that which finding indicates that a systemic effect has occurred? 1. Hyperventilation 2. Elevated BP 3. Local rash at the burn site 4. Local pain at the burn site
1. Hyperventilation
A client is taking Humulin NPH insulin and regular insulin every morning. The nurse should provide which instructions to the client? Select all that apply 1. Hypoglycemia may be experienced before dinnertime 2. The insulin dose should be decreased if illness occurs 3. The insulin should be administered at room temperature 4. The insulin vial needs to be shaken vigorously to break up the precipitates 5. The NPH insulin should be drawn into the syringe first, then the regular insulin
1. Hypoglycemia may be experienced before dinnertime 3. The insulin should be administered at room temperature
A client with a UTI is receiving ciprofloxacin by the IV route. The nurse appropriately administers the medication by performing which action? 1. Infusing slowly over 60 minutes 2. Infusing in a light-protective bag 3. Infusing only through a central line 4. Infusing rapidly as a direct IV push medication
1. Infusing slowly over 60 minutes
The nurse is monitoring a client receiving levothyroxine sodium for hypothyroidism. Which findings indicate the presence of a side effect associated with this medication? Select all that apply 1. Insomnia 2. Weight Loss 3. Bradycardia 4. Constipation 5. Mild heat intolerance
1. Insomnia 2. Weight Loss 5. Mild heat intolerance
The clinic nurse is performing an admission assessment on a client and notes that the client is taking azelaic acid. The nurse determines that which client complaint may be associated with use of this medication? 1. Itching 2. Euphoria 3. Drowsiness 4. Frequent urination
1. Itching
The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase, an antineoplastic agent. The nurse contacts the health care provider before administering the medication if which disorder is documented in the client's history? 1. Pancreatitis 2. DM 3. MI 4. COPD
1. Pancreatitis
A client with DM visits a health care clinic. The client's DM previously had been well controlled with glyburide daily, but recently the fasting blood glucose level has been 180-200 mg/dL (10.2-11.4 mmol/L). Which medication, if added to the client's regimen, may have contributed to the hyperglycemia? 1. Prednisone 2. Atenolol 3. Phenelzine 4. Allopurinol
1. Prednisone
Rifabutin is prescribed for a client with active Mycobacterium avium complex (MAC) disease and tuberculosis. For which side and adverse effects of the medication should the nurse monitor? Select all that apply 1. Signs of hepatitis 2. Flulike syndrome 3. Low neutrophil count 4. Vitamin B6 deficiency 5. Ocular pain or blurred vision 6. Tingling and numbness of the fingers
1. Signs of hepatitis 2. Flulike syndrome 3. Low neutrophil count 5. Ocular pain or blurred vision
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that which finding indicates the presence of systemic toxicity from this medication? 1. Tinnitus 2. Diarrhea 3. Constipation 4. Decreased respirations
1. Tinnitus
The client arrives at the ED complaining of back spasms. The client states, "I have been taking 2-3 aspiring q4h for the last week, and it hasn't helped my back." Since acetylsalicylic acid intoxication is suspected, the nurse should assess the client for which manifestation? 1. Tinnitus 2. Diarrhea 3. Constipation 4. Photosensitivity
1. Tinnitus
The nurse prepares a client for ear irrigation as prescribed by the HCP. Which action should the nurse take when performing the procedure? 1. Warm the irrigating solution to 98.6F (37.0C) 2. Position the client with the affected side up following the irrigation 3. Direct a slow, steady stream of irrigation solution toward the eardrum 4. Assist the client to turn his or her head so that the ear to be irrigated is facing upward
1. Warm the irrigating solution to 98.6F (37.0C)
The nurse is preparing to administer eye drops. Which interventions should the nurse take to administer the drops? Select all that apply 1. Wash hands 2. Put gloves on 3. Place the drop in the conjunctival sac 4. Pull the lower lid down against the cheekbone 5. Instruct the client to squeeze the eyes shut after instilling the eye drop 6. Instruct the client to tilt the head forward, open the eyes, and look down
1. Wash hands 2. Put gloves on 3. Place the drop in the conjunctival sac 4. Pull the lower lid down against the cheekbone
The HCP prescribes exenatide for a client with type 1 DM who takes insulin. The nurse should plan to take which most appropriate intervention? 1. Withhold the medication and call the HCP, questioning the prescription for the client 2. Administer the medication within 60 minutes before the morning and evening meal 3. Monitor the client for GI side effects after administering the medication 4. Withdraw the insulin from the prefilled pen into an insulin syringe to prepare for administration
1. Withhold the medication and call the HCP, questioning the prescription for the client
A client who is HIV seropositive has been taking stavudine. The nurse should monitor which most closely while the client is taking this medication? 1. gait 2. appetite 3. LOC 4. GI function
1. gait
the nurse is monitoring the IV infusion of an antineoplastic medicaiton. During the infusion, the client complains of pain at the insertion site. on inspection, the nurse notes redness and swelling and the infusion has slowed in rate. the nurse suspects extravasation and should take which actions? Select all that apply 1. stop the infusion 2. notify the HCP 3. prepare to apply ice or heat to the site 4. Restart the IV at a distal part of the same vein 5. prepare to administer a prescribed antidote into the site. 6. Increase the flow rate of the solution to flush the skin and subQ tissue
1. stop the infusion 2. notify the HCP 3. prepare to apply ice or heat to the site 5. prepare to administer a prescribed antidote into the site.
The nurse is teaching a client how to mix regular insulin and NPH insulin in the same syringe. Which action, if performed by the client, indicates the need for further teaching? 1. withdraws the NPH insulin first 2. withdraws the regular insulin first 3. injects air into the NPH insulin first 4. injects an amount of air equal to the desired dose of insulin into each vial
1. withdraws the NPH insulin first
The nurse has given medication instructions to a client receiving phenytoin. Which statement indicates that the client has an adequate understanding of the instructions? 1. "Alcohol is not contraindicated while taking this medication" 2. "Good oral hygiene is needed, including brushing and flossing" 3. "The medication dose may be self-adjusted, depending on side effects" 4. "The morning dose of the medication should be taken before a serum medication level is drawn"
2. "Good oral hygiene is needed, including brushing and flossing"
The nurse is providing discharge teaching for a client newly diagnosed with type 2 DM who has been prescribed metformin. Which client statement indicates the need for further teaching? 1. "it is okay if I skip meals now and then." 2. "I need to constantly watch for signs of low blood sugar." 3. "I need to let my HCP know if I get unusually tired." 4. "I will be sure to not drink alcohol excessively while on this medication."
2. "I need to constantly watch for signs of low blood sugar."
The nurse teaches the client, who is newly diagnosed with DI, about the prescribed intranasal desmopressin. Which statements by the client indicate understanding? Select all that apply 1. "This medication will turn my urine orange." 2. "I should decrease my oral fluids when I start this medication." 3. "the amount of urine I make should increase if this medicine is working." 4. "I need to follow a low-fat diet to avoid pancreatitis when taking this medicine." 5. "I should report headache and drowsiness to my HCP since these symptoms could be related to my desmopressin."
2. "I should decrease my oral fluids when I start this medication." 5. "I should report headache and drowsiness to my HCP since these symptoms could be related to my desmopressin."
The nurse is providing instructions to the client newly diagnosed with DM who has been prescribed pramlintide. Which instruction should the nurse include in the discharge teaching? 1. "Inject the pramlintide at the same time you take your other medications." 2. "Take your prescribed pills 1 hour before or 2 hours after the injection." 3. "Be sure to take the pramlintide with food so you don't upset your stomach." 4. "Make sure you take your pramlintide immediately after you eat so you don't experience a low blood sugar."
2. "Take your prescribed pills 1 hour before or 2 hours after the injection."
A client with a fib is receiving a continuous heparin infusion at 1000 units/hour. The nurse determines that the client is receiving the therapeutic effect based on which results? 1. PT time of 12.5 seconds 2. Activated partial thromboplastin time of 60 seconds 3. Activated partial thromboplastin time of 28 seconds 4. Activated partial thromboplastin time longer than 120 seconds
2. Activated partial thromboplastin time of 60 seconds
The nurse is preparing discharge instructions for a client receiving baclofen. Which instruction should be included in the teaching plan? 1. Restrict fluid intake 2. Avoid the use of alcohol 3. Stop the medication if diarrhea occurs 4. Notify the HCP if fatigue occurs
2. Avoid the use of alcohol
A client with Crohn's disease is scheduled to receive an infusion of influximab. What intervention by the nurse will determine the effectiveness of treatment? 1. Monitoring the leukocyte count for 2 days after the infusion 2. Checking the frequency and consistency of bowel movements 3. Checking serum liver enzyme levels before and after the infusion 4. Carrying out a Hematest on gastric fluids after the infusion is completed
2. Checking the frequency and consistency of bowel movements
A client with a clot in the right atrium is receiving a heparin sodium infusion at 1000 units/hour and warfarin sodium 7.5 mg at 5 pm daily. The morning lab results are as follows: aPTT, 32 seconds; INR, 1.3. The nurse should take which action based on the client's lab results? 1. Collaborate with the HCP to discontinue the heparin infusion and administer the warfarin sodium as prescribed. 2. Collaborate with the HCP to obtain a prescription to increase the heparin infusion and administer the warfarin sodium as prescribed 3. Collaborate with the HCP to withhold the warfarin sodium since the client is receiving a heparin infusion and the aPTT is within the therapeutic range 4. Collaborate with the HCP to continue the heparin infusion at the same rate and to discuss use of dabigatran etexilate in place of warfarin sodium
2. Collaborate with the HCP to obtain a prescription to increase the heparin infusion and administer the warfarin sodium as prescribed
The nurse is monitoring a client who is taking digoxin for adverse effects. Which findings are characteristic of digoxin toxicity? Select all that apply 1. Tremors 2. Diarrhea 3. Irritability 4. Blurred vision 5. N/V
2. Diarrhea 4. Blurred vision 5. N/V
The nurse is providing discharge instructions to a client receiving trimethoprim-sulfamethoxazole. Which instruction should be included in the list? 1. Advise that sunscreen is not needed 2. Drink 8-10 glasses of water per day 3. If the urine turns dark brown, call the HCP immediately 4. Decrease the dosage when symptoms are improving to prevent an allergic response
2. Drink 8-10 glasses of water per day
A client has been taking omeprazole for 4 weeks. The ambulatory care nurse evaluates that the client is receiving the optimal intended effect of the medication if the client reports the absence of which symptom? 1. Diarrhea 2. Heartburn 3. Flatulence 4. Constipation
2. Heartburn
Colchicine is prescribed for a client with a diagnosis of gout. The nurse reviews the client's record, knowing that this medication would be used with caution in which disorder? 1. Myxedema 2. Kidney disease 3. Hypothyroidism 4. DM
2. Kidney disease
The nurse is caring for a client with chronic back pain. Codeine has been prescribed for the client. Specific to this medication, which intervention should the nurse include in the plan of care while the client is taking this medication? 1. Monitor radial pulse 2. Monitor bowel activity 3. Monitor apical heart rate 4. Monitor peripheral pulses
2. Monitor bowel activity
Ketoconazole is prescribed for a client with a diagnosis of candidiasis. Which interventions should the nurse include when administering this medication? Select all that apply 1. Restrict fluid intake 2. Monitor liver function studies 3. Instruct the client to avoid alcohol 4. Administer the medication with an antacid 5. Instruct the client to avoid exposure to the sun 6. Administer the medication on an empty stomach
2. Monitor liver function studies 3. Instruct the client to avoid alcohol 5. Instruct the client to avoid exposure to the sun
The nurse caring for a client who is taking an aminoglycoside should monitor the client for which adverse effects of the medication? Select all that apply 1. Seizures 2. Ototoxicity 3. Renal toxicity 4. Dysrhythmias 5. Hepatotoxicity
2. Ototoxicity 3. Renal toxicity 4. Dysrhythmias
A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing which problem? 1. Hypercalcemia 2. Peripheral neuritis 3. Small blood vessel spasm 4. Impaired peripheral circulation
2. Peripheral neuritis
IV heparin therapy is prescribed for a client. While implementing this prescription, the nurse ensures that which medication is available on the nursing unit? 1. Vitamin K 2. Protamine sulfate 3. Potassium chloride 4. Aminocaproic acid
2. Protamine sulfate
A client who uses NSAIDs has been taking misoprostol. The nurse determines that the misoprostol is having the intended therapeutic effect if which finding is noted? 1. Resolved diarrhea 2. Relief of epigastric pain 3. Decreased platelet count 4. Decreased WBC count
2. Relief of epigastric pain
A client is to begin a 6-month course of therapy with isoniazid. The nurse should plan to teach the client to take which action? 1. Use alcohol in small amounts only 2. Report yellow eyes or skin immediately 3.Increase intake of Swiss or aged cheeses 4. Avoid vitamin supplements during therapy
2. Report yellow eyes or skin immediately
The nurse has a prescription to give a client salmeterol, 2 puffs, and beclomethasone dipropionate, 2 puffs, by metered-dose inhaler. The nurse should administer the medication using which procedure? 1. Beclomethasone first and then the salmeterol 2. Salmeterol first and then the beclomethasone 3. Alternating a single puff of each, beginning with the salmeterol 4. Alternating a single puff of each, beginning with the beclomethasone
2. Salmeterol first and then the beclomethasone
A client has been on treatment for RA for 3 weeks. during the administration of etanercept, which is most important for the nurse to assess? 1. The injection site for itching and edema 2. The WBC counts and platelet counts 3. Whether the client is experiencing fatigue and joint pain 4. Whether the client is experiencing a metallic taste in the mouth, and a loss of appetite
2. The WBC counts and platelet counts
The nurse is monitoring a client who is taking propranolol. Which assessment finding indicates a potential adverse complication associated with this medication? 1. The development of complaints of insomnia 2. The development of audible expiratory wheezes 3. A baseline BP of 150/80 mm Hg followed by a BP of 138/72 mm Hg after 2 doses of medication 4. A baseline resting HR of 88 bpm followed by a resting HR of 72 bpm after 2 doses of the medication
2. The development of audible expiratory wheezes
The nurse should tell the client, who is taking levothyroxine, to notify the HCP if which problem occurs? 1. Fatigue 2. Tremors 3. Cold intolerance 4. Excessively dry skin
2. Tremors
Meperidine has been prescribed for a client to treat pain. Which side and adverse effects should the nurse monitor for? Select all that apply 1. Diarrhea 2. Tremors 3. Drowsiness 4. Hypotension 5. Urinary frequency 6. Increased RR
2. Tremors 3. Drowsiness 4. Hypotension
Bethanechol chloride is prescribed for a client with urinary retention. Which disorder would be a contraindication to the administration of this medication? 1. Gastric atony 2. Urinary strictures 3. Neurogenic atony 4. GER
2. Urinary strictures
Phenazopyridine is prescribed for a client with a UTI. The nurse evaluates that the medication is effective based on which observation? 1. Urine is clear amber 2. Urination is not painful 3. Urge incontinence is not present 4. A reddish-orange discoloration of the urine is present
2. Urination is not painful
A client being treated for HF is administered IV bumetanide. Which outcome indicates that the medication has achieved the expected effect? 1. Cough becomes productive of frothy pink sputum. 2. Urine output increases from 10 mL/hour to greater than 50 mL hourly 3. The serum potassium level changes from 3.8 to 3.1 mEq/L (3.8-3.1 mmol/L) 4. BNP factor increases from 200-262 pg/mL (200-262 ng/L)
2. Urine output increases from 10 mL/hour to greater than 50 mL hourly
A client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which lab value while the client is taking this medication? 1. glucose level 2. calcium level 3. potassium level 4. PT time
2. calcium level
The nurse is providing medication instructions to a client with breast cancer who is receiving cyclophosphamide. The nurse should tell the client to take which action? 1. take the medication with food 2. increase fluid intake to 2000-3000 mL daily 3. decrease sodium intake while taking the medication. 4. increase potassium intake while taking the medication
2. increase fluid intake to 2000-3000 mL daily
glimepiride is prescribed for a client with DM. The nurse instructs the client that which food items are most acceptable to consume while taking this medication? Select all that apply 1. alcohol 2. red meats 3. whole-grain cereals 4. low-cal desserts 5. carbonated beverages
2. red meats 3. whole-grain cereals 5. carbonated beverages
The home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse should tell the client to take which action? 1. freeze the insulin 2. refrigerate the insulin 3. store the insulin in a dark, dry place 4. keep the insulin at room temperature
2. refrigerate the insulin
Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which lab test will be prescribed? 1.Potassium level 2. triglyceride level 3. hemoglobin A1C 4. total cholesterol level
2. triglyceride level
A client with acute myelocytic leukemia is being treated with busulfan. Which laboratory value would the nurse specifically monitor during treatment with this medication? 1. clotting time 2. uric acid level 3. potassium level 4. blood glucose level
2. uric acid level
The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instructions should the nurse provide? Select all that apply 1. sunscreen should be applied q8h 2. use sunscreen when participating in outdoor activities 3. wear a hat, opaque clothing, and sunglasses when in the sun 4. avoid sun exposure in the late afternoon and early evening hours 5. Examine your body monthly for any lesions that may be suspicious
2. use sunscreen when participating in outdoor activities 3. wear a hat, opaque clothing, and sunglasses when in the sun 5. Examine your body monthly for any lesions that may be suspicious
The client with hyperparathyroidism is taking alendronate. Which statements by the client indicate understanding of the proper way to take this medication? Select all that apply 1. "I should take this medication with food." 2. "I should take this medication at bedtime." 3. "I should sit up for at least 30 minutes after taking this medication." 4. "I should take this medication first thing in the morning on an empty stomach." 5. "I can pick a time to take this medication that best fits my lifestyle as long as I take it at the same time each day."
3. "I should sit up for at least 30 minutes after taking this medication." 4. "I should take this medication first thing in the morning on an empty stomach."
A miotic medication has been prescribed for the client with glaucoma and the client asks the nurse about the purpose of the medication. Which response should the nurse provide to the client? 1. "The medication will help dilate the eye to prevent pressure from occurring." 2. "The medication will relax the muscles of the eyes and prevent blurred vision." 3. "The medication causes the pupil to constrict and will lower the pressure in the eye." 4. "The medication will help block the responses that are sent to the muscles in the eye."
3. "The medication causes the pupil to constrict and will lower the pressure in the eye."
Silver sulfadiazine is prescribed for a client with a partial-thickness burn and the nurse provides teaching about the medication. Which statement made by the client indicates a need for further teaching about the treatments? 1. "The medication is an antibacterial." 2. The medication will help heal the burn." 3. "The medication is likely to cause stinging every time it is applied." 4. "The medication should be applied directly to the wound."
3. "The medication is likely to cause stinging every time it is applied."
A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is teaching the client about the medication prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statement by the client indicates the best understanding of the medication regimen? 1. "My ulcer will heal because these medications will kill the bacteria." 2. "These medications are only taken when I have pain from my ulcer." 3. "The medications will kill the bacteria and stop the acid production." 4. "These medications will coat the ulcer and decrease the acid production in my stomach."
3. "The medications will kill the bacteria and stop the acid production."
The nurse has given instructions to a client who has just been prescribed cholestyramine. Which statement by the client indicates a need for further instruction? 1. "I will continue taking vitamin supplements." 2. "This medication will help to lower my cholesterol." 3. "This medication should only be taken with water." 4. "A high fiber diet is important while taking this medication."
3. "This medication should only be taken with water."
tamoxifen citrate is prescribed for a client with metastatic breast carcinoma. The client asks the nurse if her family member with bladder cancer can also take this medication. The nurse most appropriately responds by making which statement? 1. "this medication can be used only to treat breast cancer." 2. "yes, your family member can take this medication for bladder cancer as well." 3. "this medication can be taken to prevent and treat clients with breast cancer." 4. "this medication can be taken by anyone with cancer as long as their health care provider approves it."
3. "this medication can be taken to prevent and treat clients with breast cancer."
A client was just admitted to the hospital to rule out a GI bleed. The client has brought several bottles of medications prescribed by different specialists. During the admission assessment, the client states, "Lately, I have been hearing some roaring sounds in my ears, especially when I am alone." Which medication would the nurse identify as the cause of the client's complaint? 1. Doxycycline 2. Atropine sulfate 3. Acetylsalicylic acid 4. Diltiazem hydrochloride
3. Acetylsalicylic acid
A client has a PRN prescription for loperamide hydrochloride. For which condition should the nurse administer this medication? 1. Constipation 2. Abdominal pain 3. An episode of diarrhea 4. Hematest-positive nasogastric tube drainage
3. An episode of diarrhea
The nurse is caring for a postrenal transplantation client taking cyclosporine. The nurse notes an increase in one of the client's vital signs and the client is complaining of a headache. What vital sign is most likely increased? 1. Pulse 2. Respirations 3. BP 4. Pulse ox
3. BP
The nurse should report which assessment finding to the HCP before initiating thrombolytic therapy in a client with pulmonary embolism? 1. Adventitious breath sounds 2. Temperature of 99.4F (37.4C) orally 3. BP of 198/110 mm Hg 4. RR of 28 breaths/minute
3. BP of 198/110 mm Hg
Following kidney transplantation, cyclosporine is prescribed for a client. Which lab result would indicate an adverse effect from the use of this medication? 1. Hemoglobin level of 14.0 g/dL (140 mmol/L) 2. Creatinine level of 0.6 mg/dL (53 mcmol/L) 3. BUN level of 25 mg/dL (8.8 mmol/L) 4. Fasting BG level of 99 mg/dL (5.5 mmol/L)
3. BUN level of 25 mg/dL (8.8 mmol/L)
The nurse is administering an IV dose of methocarbamol to a client with MS. For which adverse effect should the nurse monitor? 1. Tachycardia 2. Rapid pulse 3. Bradycardia 4. HTN
3. Bradycardia
The nurse who is administering bethanechol chloride, is monitoring for cholinergic overdose associated with the medication. The nurse should check the client for which sign of overdose? 1. Dry skin 2. Dry mouth 3. Bradycardia 4. Signs of dehydration
3. Bradycardia
A client has been started on long-term therapy with rifampin. The nurse should provide which information to the client about the medication? 1. Should always be taken with food or antacids 2. Should be double-dosed if 1 dose is forgotten 3. Causes orange discoloration of sweat, tears, urine, and feces 4. May be discontinued independently if symptoms are gone in 3 months
3. Causes orange discoloration of sweat, tears, urine, and feces
An older client recently has been taking cimetidine. The nurse monitors the client for which most frequent central nervous system side effect of this medication? 1. Tremors 2. Dizziness 3. Confusion 4. Hallucinations
3. Confusion
In preparation for cataract surgery, the nurse is to administer cyclopentolate eye drops at 0900 for surgery that is scheduled for 0915, what initial action should the nurse take in relation to the characteristics of the medication action? 1. Provide lubrication to the operative eye prior to giving the eye drops 2. Call the surgeon, as this medication will further constrict the operative pupil 3. Consult the surgeon, as there is not sufficient time for the dilative effects to occur 4. Give the medication as prescribed; the surgeon needs optimal constriction of the pupil.
3. Consult the surgeon, as there is not sufficient time for the dilative effects to occur
Terbutaline is prescribed for a client with bronchitis. The nurse checks the client's medical history for which disorder in which the medication should be used with caution? 1. Osteoarthritis 2. Hypothyroidism 3. DM 4. Polycystic disease
3. DM
A daily dose of prednisone is prescribed for a client. The nurse provides instructions to the client regarding administration of the medication and should instruct the client that which time is best to take this medication? 1. At noon 2. At bedtime 3. Early morning 4. Any time, at the same time, each day
3. Early morning
The nurse is reviewing the lab results for a client receiving tacrolimus. Which lab result would indicate to the nurse that the client is experiencing an adverse effect of the medication? 1. Potassium level of 3.8 mEq/L (3.8 mmol/L) 2. Platelet count of 300,000 mm3 (300x10^9/L) 3. Fasting BG of 200 mg/dL (11.1 mmol/L) 4. WBC count of 6000 mm3 (5-10x10^9/L)
3. Fasting BG of 200 mg/dL (11.1 mmol/L)
The nurse is providing dietary instructions to a client who has been prescribed cyclosporine. Which food item should the nurse instruct the client to exclude from the diet? 1. Red meats 2. Orange juice 3. Grapefruit juice 4. Green, leafy vegetables
3. Grapefruit juice
Amikacin is prescribed for a client with a bacterial infection. The nurse instructs the client to contact the HCP immediately if which occurs? 1. Nausea 2. Lethargy 3. Hearing loss 4. Muscle aches
3. Hearing loss
The nurse is planning to administer hydrochlorothiazide to a client. The nurse should monitor for which adverse effects related to the administration of this medication? 1. Hypouricemia, hyperkalemia 2. Increased risk of osteoporosis 3. Hypokalemia, hyperglycemia, sulfa allergy 4. Hyperkalemia, hypoglycemia, penicillin allergy
3. Hypokalemia, hyperglycemia, sulfa allergy
A client with TB is being started on anti-TB therapy with isoniazid. Before giving the client the first dose, the nurse should ensure that which baseline study has been completed? 1. Electrolyte levels 2. Coagulation times 3. Liver enzyme levels 4. Serum creatinine level
3. Liver enzyme levels
The nurse is analyzing the lab studies on a client receiving dantrolene. Which lab test would identify an adverse effect associated with the administration of this medication? 1. Platelet count 2. Creatinine level 3. Liver function tests 4. BUN level
3. Liver function tests
Zafirlukast is prescribed for a client with bronchial asthma. Which lab test does the nurse expect to be prescribed before the administration of this medication? 1. Platelet count 2. Neutrophil count 3. Liver function tests 4. Complete blood count
3. Liver function tests
Chemotherapy dosage is frequently based on total body surface area (BSA), so it's important for the nurse to perform which assessment before administering chemotherapy? 1. Measure the client's abdominal girth 2. Calculate the client's BMI 3. Measure the client's current weight and height 4. Ask the client about his or her weight and height
3. Measure the client's current weight and height
A client is diagnosed with a STEMI and is receiving a tissue plasminogen activator, alteplase. Which action is a priority nursing intervention? 1. Monitor for kidney failure 2. Monitor psychosocial status 3. Monitor for signs of bleeding 4. Have heparin sodium available
3. Monitor for signs of bleeding
Betaxolol hydrochloride eye drops have been prescribed for a client with glaucoma. Which nursing action is most appropriate related to monitoring for side and adverse effects of this medication? 1. Assessing for edema 2. Monitoring temperature 3. Monitoring BP 4. Assessing BG level
3. Monitoring BP
The nurse is caring for a client who has been taking a sulfonamide and should monitor for signs and symptoms of which adverse effects of the medication? Select all that apply 1. Ototoxicity 2. Palpitations 3. Nephrotoxicity 4. Bone marrow suppression 5. GI effects 6. Increased WBC count
3. Nephrotoxicity 4. Bone marrow suppression 5. GI effects
The nurse provides instructions to a client who is taking levothyroxine. The nurse should tell the client to take the medication in which way? 1. With food 2. At lunch time 3. On an empty stomach 4. At bedtime with a snack
3. On an empty stomach
A client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed? 1. Weight loss 2. Relief of heartburn 3. Reduction of steatorrhea 4. Absence of abdominal pain
3. Reduction of steatorrhea
The nurse is preparing to administer a dose of naloxone IV to a client with an opioid overdose. Which supportive medical equipment should the nurse plan to have at the client's bedside if needed? 1. Nasogastric tube 2. Paracentesis tray 3. Resuscitation equipment 4. Central line insertion tray
3. Resuscitation equipment
The nurse is reviewing the results of serum lab studies drawn on a client with AIDS who is receiving didanosine. The nurse interprets that the client may have the medication discontinued by the HCP if which elevated result is noted? 1. Serum protein level 2. BG level 3. Serum amylase 4. Serum creatinine level
3. Serum amylase
A client has a prescription to take guaifenesin. The nurse determines that the client understands the proper administration of this medication if the client states that he or she will perform which action? 1. Take an extra dose if fever develops 2. Take the medication with meals only 3. Take the tablet with a full glass of water 4. Decrease the amount of daily fluid intake
3. Take the tablet with a full glass of water
The home health nurse visits a client who is taking phenytoin for control of seizures. During the assessment, the nurse notes that the client is taking birth control pills. Which information should the nurse include in the teaching plan? 1. Pregnancy must be avoided while taking phenytoin 2. The client may stop the medication if it is causing severe GI effects 3. There is the potential of decreased effectiveness of birth control pills while taking phenytoin 4. There is the increased risk of thrombophlebitis while taking phenytoin and birth control pills together
3. There is the potential of decreased effectiveness of birth control pills while taking phenytoin
A client with trigeminal neuralgia is being treated with carbamazepine, 400 mg orally daily. Which value indicates that the client is experiencing an adverse effect to the medication? 1. Sodium level 140 mEq/L 2. uric acid level 4.0 mg/dL 3. WBC count 3000 mm3 4. BUN level 10 mg/dL
3. WBC count 3000 mm3
The nurse is monitoring lab results of a client receiving an antineoplastic medication by the IV route. The nurse plans to initiate bleeding precautions if which lab result is noted? 1. a clotting time of 10 minutes 2. an ammonia level of 10 mcg/dL (6 mcmol/L) 3. a platelet count of 50,000 mm3 (50x10^9/L) 4. A white blood cell count of 5000 mm3 (5.0x10^9/L)
3. a platelet count of 50,000 mm3 (50x10^9/L)
The nurse is analyzing the lab results of a client with leukemia who has received a regimen of chemo. Which lab value would the nurse specifically note as a result of the massive cell destruction that occurred from the chemo? 1. anemia 2. decreased platelets 3. increased uric acid level 4. decreased leukocyte count
3. increased uric acid level
A client taking is the prescribed dose of phenytoin to control seizures. Results of a phenytoin blood level study reveal a level of 35 mcg/mL (140 mcmol/L). Which finding would be expected as a result of this lab result? 1. hTN 2. Tachycardia 3. slurred speech 4. no abnormal finding
3. slurred speech
A client with severe acne is seen in the clinic and the HCP prescribes isotrerinoin. The nurse reviews the client's medication record and would contact the HCP if the client is also taking which medication? 1. digoxin 2. phenytoin 3. vitamin A 4. furosemide
3. vitamin A
a clinic nurse prepares a teaching plan for a client receiving an antineoplastic medication. When implementing the plan, the nurse should make which statement to the client? 1. "you can take aspirin as needed for headache." 2. " you can drink beverages containing alcohol in moderate amounts each evening." 3."you need to consult your HCP before receiving immunizations." 4. " it is fine to receive a flu vaccine at the local health fair without HCP approval because the flu is so contagious."
3."you need to consult your HCP before receiving immunizations."
A client receiving thrombolytic therapy with a continuous infusion of alteplase suddenly becomes extremely anxious and complains of itching. The nurse hears stridor and notes generalized urticaria and hypotension. Which nursing action is the priority? 1. Administer O2 and protamine sulfate 2. Cut the infusion rate in half and sit the patient up in bed 3.Stop the infusion and call for the RRT 4. Administer diphenhydramine and epi and continue the infusion
3.Stop the infusion and call for the RRT
The nurse provides discharge instructions to a client who is taking warfarin sodium. Which statement, by the client, reflects the need for further teaching? 1. "I will avoid alcohol consumption." 2. "I will take my pills every day at the same time." 3. "I have already called my family to pick up a MedicAlert bracelet." 4. "I will take coated aspirin for my headaches because it will coat my stomach."
4. "I will take coated aspirin for my headaches because it will coat my stomach."
The home health care nurse is visiting a client with elevated triglyceride levels and a serum cholesterol level of 398 mg/dL (10 mmol/L). The client is taking cholestyramine and the nurse teaches the client about the medication. Which statement, by the client, indicates the need for further teaching? 1. "Constipation and bloating might be a problem." 2. "I'll continue to watch my diet and reduce my fats." 3. "Walking a mile each day will help the whole process." 4. "I'll continue my nicotinic acid from the health food store."
4. "I'll continue my nicotinic acid from the health food store."
A client is prescribed nicotinic acid for hyperlipidemia and the nurse provides instructions to the client about the medication. Which statement by the client indicates an understanding of the instructions? 1. "It is not necessary to avoid the use of alcohol." 2. "The medication should be taken with meals to decrease flushing." 3. "Clay-colored stools are a common side effect and should not be of concern." 4. "Ibuprofen IB taken 30 minutes before the nicotinic acid should decrease the flushing."
4. "Ibuprofen IB taken 30 minutes before the nicotinic acid should decrease the flushing."
The nurse has just administered the first dose of omalizumab to a client. Which statement by the client would alert the nurse that the client may be experiencing a life-threatening effect? 1. "I have a severe headache." 2. "My feet are quite swollen." 3. "I am nauseated and may vomit." 4. "My lips and tongue are swollen."
4. "My lips and tongue are swollen."
A client who is receiving digoxin daily has a serum potassium level of 3 mEq/L (3mmol/L) and is complaining of anorexia. The HCP prescribes a serum digoxin level to be done. The nurse checks the results and should expect to note which level that is outside of the therapeutic range? 1. 0.3 ng/mL 2. 0.5 ng/mL 3. 0.8 ng/mL 4. 1.0 ng/mL
4. 1.0 ng/mL
A client with MG has become increasingly weaker. The HCP prepares to identify whether the client is reacting to an overdose of the medication or an increasing severity of the disease. An injection of edrophonium is administered. Which finding would indicate that the client is in cholinergic crisis? 1. No change in the condition 2. Complaints of muscle spasms 3. An improvement of the weakness 4. A temporary worsening of the condition
4. A temporary worsening of the condition
The nurse is caring for a client in the ED who has been diagnosed with Bell's palsy. The client has been taking acetaminophen, and acetaminophen overdose is suspected. Which antidote should the nurse prepare for administration if prescribed? 1. Pentostatin 2. Auranofin 3. Fludarabine 4. Acetylcysteine
4. Acetylcysteine
The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied at which times? 1. Immediately before swimming 2. 5 minutes before exposure to the sun 3. Immediately before exposure to the sun 4. At least 30 minutes before exposure to the sun
4. At least 30 minutes before exposure to the sun
Which medication, if prescribed for the client with glaucoma, should the nurse question? 1. Betaxolol 2. Pilocarpine 3. Erythromycin 4. Atropine sulfate
4. Atropine sulfate
A client is being treated with procainamide for a cardiac dysrhythmia. Following IV administration of the medication, the client complains of dizziness. What intervention should the nurse take first? 1. Measure the heart rate on the rhythm strip 2. Administer prescribed nitroglycerin tablets 3. Obtain a 12-lead ECG immediately 4. Auscultate the client's apical pulse and obtain a BP
4. Auscultate the client's apical pulse and obtain a BP
A cromolyn sodium inhaler is prescribed for a client with allergic asthma. The nurse provides instructions regarding the adverse effects of this medication and should tell the client that which undesirable effect is associated with this medication? 1. Insomnia 2. Constipation 3. Hypotension 4. Bronchospasm
4. Bronchospasm
The nurse has given a client taking ethambutol information about the medication. The nurse determines that the client understands the instructions if the client states that he or she will immediately report which finding? 1. Impaired sense of hearing 2. GI side effects 3. Orange-red discoloration of body secretions 4. Difficulty in discriminating the color red from green
4. Difficulty in discriminating the color red from green
A client with trigeminal neuralgia tells the nurse that acetaminophen is taken daily for the relief of generalized discomfort. Which lab value would indicate toxicity associated with the medication? 1. Sodium level of 140 mEq/L 2. Platelet count of 400,000 mm3 3. PT time of 12 seconds 4. Direct bilirubin level of 2 mg/dL
4. Direct bilirubin level of 2 mg/dL
Carbidopa-levodopa is prescribed for a client with Parkinson's disease. The nurse monitors the client for side and adverse effects of the medication. Which finding indicates that the client is experiencing an adverse effect? 1. Pruritis 2. Tachycardia 3. HTN 4. Impaired voluntary movements
4. Impaired voluntary movements
A client has an as needed prescription for ondansetron. For which condition(s) should the nurse administer this medication? 1. Paralytic ileus 2. Incisional pain 3. Urinary retention 4. Nausea and vomiting
4. Nausea and vomiting
The nurse is providing instructions to a client who will be self-administering eye drops. To minimize systemic absorption of the eye drops, the nurse should instruct the client to take which action? 1. Eat before instilling the drops 2. Swallow several times after instilling the drops. 3. Blink vigorously to encourage tearing after instilling the drops 4. Occlude the nasolacrimal duct with a finger after instilling the drops.
4. Occlude the nasolacrimal duct with a finger after instilling the drops.
A client with a gastric ulcer has a prescription for sucralfate 1 gram by mouth 4x daily. The nurse should schedule the medication for which times? 1. With meals and at bedtime 2. Every 6 hours around the clock 3. One hour after meals and at bedtime 4. One hour before meals and at bedtime
4. One hour before meals and at bedtime
A client with ovarian cancer is being treated with vincristine. The nurse monitors the client, knowing that which manifestation indicates an adverse effect specific to this medication? 1. Diarrhea 2. Hair loss 3. Chest pain 4. Peripheral neuropathy
4. Peripheral neuropathy
Oxybutynin chloride is prescribed for a client with urge incontinence. Which sign would indicate a possible toxic effect related to this medication? 1. Pallor 2. Drowsiness 3. Bradycardia 4. Restlessness
4. Restlessness
The nurse is assigned to care for a client with cytomegalovirus retinitis and AIDS who is receiving foscarnet, an antiviral medication. The nurse should monitor the results of which lab study while the client is taking this medication? 1. CD4 T cell count 2. Lymphocyte count 3. Serum albumin level 4. Serum creatinine level
4. Serum creatinine level
Prior to administering a client's daily dose of digoxin, the nurse reviews the client's lab data and notes the following results: serum calcium 9.8 mg/dL (2.45 mmol/L); serum magnesium 1.0 mEq/L (0.5 mmol/L); serum potassium 4.1 mEq/L (4.1 mmol/L); serum creatinine 0.9 mg/dL (79.5 mcmol/L). Which result should alert the nurse that the client is at risk for digoxin toxicity? 1. Serum calcium level 2. Serum potassium level 3. Serum creatinine level 4. Serum magnesium level
4. Serum magnesium level
Trimethoprim-sulfamethoxazole is prescribe for a client. The nurse should instruct the client to report which symptom if it develops during the course of this medication therapy? 1. Nausea 2. Diarrhea 3. Headache 4. Sore throat
4. Sore throat
Alendronate is prescribed for a client with osteoporosis and the nurse is providing instructions on administration of the medication. Which instruction should the nurse provide? 1. Take the medication at bedtime 2. Take the medication in the morning with breakfast 3. Lie down for 30 minutes after taking the medication 4. Take the medication with a full glass of water after rising in the morning
4. Take the medication with a full glass of water after rising in the morning
Tacrolimus is prescribed for a client who underwent a kidney transplant. Which instruction should the nurse include when teaching the client about this medication? 1. Eat at frequent intervals to avoid hypoglycemia 2. Take the medication with a full glass of grapefruit juice. 3. Change positions carefully due to risk of orthostatic hypotension 4. Take the oral medication every 12 hours at the same times every day
4. Take the oral medication every 12 hours at the same times every day
The client with AIDS and pneumocystitis jiroveci infection has been receiving pentamidine. The client develops a temperature of 101F (38.3C). The nurse continues to assess the client, knowing that this sign most likely indicates which condition? 1. That the dose of the medication is too low 2. That the client is experiencing toxic effects of the medication 3. That the client has developed inadequacy of thermoregulation 4. That the client has developed another infection caused by leukopenic effects of the medication
4. That the client has developed another infection caused by leukopenic effects of the medication
Nitrofirantoin is prescribed for a client with a UTI. The client contacts the nurse and reports a cough, chills, fever, and difficulty breathing. The nurse should make which interpretation about the client's complaints? 1. The client may have contracted the flu 2. The client is experiencing anaphylaxis 3. The client is experiencing expected effects of the medication 4. The client is experiencing a pulmonary reaction requiring cessation of the medication
4. The client is experiencing a pulmonary reaction requiring cessation of the medication
A client has a new prescription for metoclopramide. On review of the chart, the nurse identifies that this medication can be safely administered with which condition? 1. Intestinal obstruction 2. Peptic ulcer with melena 3. Diverticulitis with perforation 4. Vomiting following cancer chemotherapy
4. Vomiting following cancer chemotherapy
Silver sulfadiazine is prescribed for a client with a burn injury. Which lab finding requires the need for follow-up by the nurse? 1. Glucose level of 99 mg/dL (5.65 mmol/L) 2. Magnesium level of 1.5 mEq/L (0.75 mmol/L) 3. Platelet level of 300,000 mm3 (300x10^9/L) 4. WBC count of 3000mm3 (3.0x10^9/L)
4. WBC count of 3000mm3 (3.0x10^9/L)
a client with non-hodgkin's lymphoma is receiving daunorubicin. Which finding would indicate to the nurse that the client is experiencing an adverse effect related to the medication? 1. fever 2. sores in the mouth and throat 3.complaints of N/V 4. crackles on auscultation of the lungs
4. crackles on auscultation of the lungs
A client who has a cold is seen in the ED with an inability to void. Because the client has a history of BPH, the nurse determines that the client should be questioned about the use of which medication? 1. diuretics 2. antibiotics 3. antilipemics 4. decongestants
4. decongestants
A client with small cell lung cancer is being treated with etoposide. The nurse monitors the client during administration, knowing that which adverse effect is specifically associated with this medication? 1. alopecia 2. chest pain 3. pulmonary fibrosis 4. orthostatic hypotension
4. orthostatic hypotension
Megestrol acetate, an antineoplastic medication, is prescribed for a client with metastatic endometrial carcinoma. The nurse reviews the client's history and should contact the health care provider if which diagnosis is documented in the client's history? 1. gout 2. asthma 3. MI 4. venous thromboembolism
4. venous thromboembolism
A client with squamous cell carcinoma of the larynx is receiving bleomycin IV. The nurse caring for the client anticipates that which diagnostic study will be prescribed? 1. Echocardiography 2. Electrocardiography 3. Cervical radiography 4.Pulmonary function studies
4.Pulmonary function studies
