Study Guide #1
Which of these statements best describes the concept of half-life? A.It is the time it takes for the amount of drug in the body to be decreased by half. B.It is time it takes for half of the drug in the body to be distributed. C.It is the time it takes for half of the drug in the body to reach the receptors. D.It is the time it takes for the shelf-life of the drug to be decrease by half.
A.It is the time it takes for the amount of drug in the body to be decreased by half.
The nurse is administering morning medications Which medication should the nurse. question? A.Misoprostol to a 29-year-old pregnant female with a non-steroidal anti-inflammatory drug (NSAID)-produced ulcer. B.Omeprazole to a 68-year-old male with a duodenal ulcer. C.Furosemide to a 56-year-old male with a potassium level of 4.2 mEq/L. D.Acetaminophen to an 84-year-old female with a frontal headache.
A.Misoprostol to a 29-year-old pregnant female with a non-steroidal anti-inflammatory drug (NSAID)-produced ulcer.
Which skeletal muscle relaxant is also the drug of choice for treating malignant hyperthermia? A.Baclofen B.Dantrolene C.Diazepam D.Tizanidine
B.Dantrolene
A client going on a vacation cruise is prescribed a e transdermal patch for motion sickness. The nurse teascopolaminches the client to recognize which of the following side effects? ' A.Increased heart rate B.Dry mouth C.Irritability Urinary frequency
B.Dry mouth
Which patient should receive dantrolene with caution? A.A 20-year-old woman with a spinal cord injury B.A 45-year-old man with a history of malignant hyperthermia C.A 55-year-old woman with cirrhosis of the liver D.An 8-year-old child with cerebral palsy
C.A 55-year-old woman with cirrhosis of the liver
The nurse is caring for a client with severe generalized anxiety disorder. Which agent would be most effective for immediate stabilization? A.Venlafaxine B.Buspirone C.Paroxetine D.Alprazolam
D.Alprazolam
The client is prescribed intravenous metoclopramide as needed. The client asks how the medication works. How should the nurse respond? A."It increases gastric motility and suppresses nausea centers in the brain." B."It decreases the gastric acidity that triggers nausea." C."It slows peristalsis to stop emetic contractions." D."It sedates the vagal nerve."
."It increases gastric motility and suppresses nausea centers in the brain."
Which of the following describes a nearly unavoidable secondary drug effect produced at therapeutic doses? A.Side Effect B.Adverse Effect C.Toxicity D.Allergic Reaction
.Side Effect
A client is brought to the emergency department with shortness of breath, a respiratory rate of 33 breaths per minute, intercostal retractions, and frothy, pink sputum. The nurse caring for this client will anticipate an order for which medication? A.Furosemide B.Hydrochlorothiazide C.Mannitol Sprinolactone
A.Furosemide
A healthcare provider has ordered captopril for a client with hypertension. The client reports a history of swelling of the tongue and lips after taking enalapril in the past. Which action by the nurse is correct? A.Administer the captopril and monitor for adverse effects B.Hold the dose and notify the provider C.Request an order to administer fosinopril instead of captopril D.Reassure the client that this is not a serious side effect
A.Hold the dose and notify the provider
The drug dobutamine acts as an agonist of norepinephrine (NE) receptors. Which effect is the nurse most likely to observe in a patient receiving this medication? A.Increased heart rate B.Decreased respirations C.Sinus bradycardia Diarrhea
A.Increased heart rate
Which of the following medications does the nurse identify as being a monoamine oxidase inhibitor (MAOI)? A.Isocarboxazid B.Trazodone C.Fluoxetine Paroxetine
A.Isocarboxazid
A client diagnosed with high blood pressure is prescribed lisinopril. Which statement made by the client indicates discharge teaching has been effective? A."I should get up slowly when getting out of bed." B."If I experience leg cramps, I should take an extra potassium supplement." C."If I forget to take a dose of medication, I should take two doses the next day." D."My diet does not matter; I am free to eat anything I want as long as I continue to take my medication as ordered."
A."I should get up slowly when getting out of bed."
The nurse is educating a client regarding the use of omeprazole. What statement by the client shows a proper understanding of how to take this medication? "I should chew the medication when my heartburn is bad, so it absorbs more rapidly." "I should plan to take this medication for the rest of my life." "I should take this medication on an empty stomach before I eat." "I should take this medication with an antacid to maximize its effects."
A."I should take this medication on an empty stomach before I eat."
A nurse is teaching a client about her lisinopril. The client asks what the medication is for. What would be the correct response by the nurse? A."It is a vasodilator diuretic. It reduces cardiac work and supports circulation." B."It increases the force of heart contraction to improve cardiac output." C."It causes fluid retention to increase cardiac output." D."It constricts the blood vessels to improve oxygen delivery."
A."It is a vasodilator diuretic. It reduces cardiac work and supports circulation.
The nurse is assigned to care for several patients on the psychiatric floor of a healthcare facility. Which of the following clients requires the nurse's immediate attention? A.A client with bipolar disorder who takes valproic acid (Depakene) and is reporting nausea and vomiting B.A client with bipolar disorder who takes lithium and has a lithium level of 1.6 mEq/L C.A client with depression who takes fluoxetine (Prozac) and reports sexual dysfunction D.A client with schizophrenia who takes haloperidol (Haldol) and has a blood pressure of 102/72 mm Hg
A.A client with bipolar disorder who takes lithium and has a lithium level of 1.6 mEq/L
The nurse prepares to give a medication that will prevent receptor activation. Which term would best describe this medication? A.ANTAGONIST B.SELECTIVE. C.AGONIST POTENT
A.ANTAGONIST
Which of these self-care measures should be emphasized in client education regarding phenytoin? A.Brush after every meal and floss teeth daily B.Instill mineral oil into both ears once a week C.Gradually reduce prescribed dose if seizures do not occur for one month D.Expect green urine due to medication metabolites
A.Brush after every meal and floss teeth daily
A client arrives in the emergency department with localized swelling of the lips and tongue. The client's medication list includes the following medications. Which of these medications does the nurse anticipate the provider discontinuing? A.Captopril B.Simvastatin C.Amlodipine Budesonide
A.Captopril
A 52 year old female client is diagnosed with Parkinson's Disease. Which drug will the health care provider likely order to improve muscular coordination? A.Carbidopa/levodopa B.Pramipexole C.Phenytoin Entacapone
A.Carbidopa/levodopa
Which condition would cause the nurse to withhold an order for magnesium hydroxide? A.Chronic renal failure B.Cirrhosis C.Hemorrhoids D.Prostatitis
A.Chronic renal failure
The client diagnosed with inflammatory bowel disease (IBD) is prescribed sulfasalazine. Which intervention should the nurse implement when administering this medication? A.Ensure the client drinks at least 2,000 mL of water daily. B.Administer the medication once a day with breakfast. C.Explain that the medication may cause slight bruising. D.Assess the client's stool for steatorrhea and mucus.
A.Ensure the client drinks at least 2,000 mL of water daily.
A nurse is admitting a client to the hospital. The client reports taking oral baclofen (Lioresal) but stated they stopped taking the drug the day before admission. The nurse would anticipate which of the following adverse effects? A.Weakness and dizziness B.Fatigue and drowsiness C.Seizures and hallucinations D.Respiratory depression and coma
A.Fatigue and drowsiness
The nurse administers 100 mg of medication by mouth. After the medication moves through the hepatic system, very little active drug is left in the general circulation as a result of which of the following? A.First-pass effect B.Drug half-life C.Plasma protein binding Blood-brain barrier
A.First-pass effect
A client who has recently begun taking interferon beta for multiple sclerosis reports feeling depressed and suicidal. Which action by the nurse is a priority? A.Notify the provider of these symptoms immediately B.Reassure the client that these symptoms will subside C.Request an order for an antidepressant medication D.Suggest counseling to discuss the effects of this chronic disease
A.Notify the provider of these symptoms immediately
Which statement is the scientific rationale for administering a proton-pump inhibitor (PPI) to a client diagnosed with gastroesophageal reflux disease (GERD)? A.PPI medications neutralize the gastric secretions B.PPI medications block H2 receptors on the parietal cells. C.PPI medications inhibit the enzyme that generates gastric acid. D.PPI medications form a protective barrier against acid and pepsin.
A.PPI medications inhibit the enzyme that generates gastric acid.
A client who sustained a severe head injury in a motor vehicle accident arrives in the emergency department by ambulance. The provider orders intravenous mannitol. The nurse understands the purpose of this medication is to achieve which of the following? A.Reduce intracranial pressure B.Decrease renal perfusion C.Decrease peripheral edema Increase extracellular fluid
A.Reduce intracranial pressure
The nurse understands that a bronchodilator would be most therapeutic in which situation? A.Shallow breath sounds with wheezing sounds in the upper lobes. B.Course crackles in the right lower lobe. C.Fine, scattered crackles heard bilaterally in the bases. D.Irregular respiration, snoring, and intermittent episodes of apnea.
A.Shallow breath sounds with wheezing sounds in the upper lobes.
The nurse is caring for a client with bipolar disorder (BPD) who is taking lithium (Lithobid). Which laboratory value is most essential for the nurse to communicate to the healthcare provider while the client is taking this medication? A.Sodium level of 126 mEq/L B.Prothrombin time of 11 seconds C.Blood urea nitrogen level of 25 mg/dL D.Potassium level of 4.9 mEq/L
A.Sodium level of 126 mEq/L
The nurse is providing instructions to a client who is beginning therapy with digoxin. What instruction will the nurse provide to the client to ensure safety? ' A.Take pulse daily B.Have electrolytes levels drawn monthly C.Monitor the blood pressure once a week D.Measure their weight each morning before breakfast
A.Take pulse daily
In which situation would the nurse hold digoxin? A.When the lab reports a digoxin level 1.2 ng/mL B.When the client is edematous C.When the client is pacing and very thirsty D.When the client complains of seeing yellow-green halos
A.When the client complains of seeing yellow-green halos
Which of the following best describes why clients that receive the same medication may have variations in their responses to that medication? A.Differences in client allergies B.Differences in client metabolism C.Differences in medication receptor sites D.Differences in psychosocial response
B.Differences in client metabolism
A client with decreased cardiac output would most likely have impairment of which of the following pharmacokinetic processes? A.Absorption B.Distribution C.Metabolism Excretion
B.Distribution
The nurse teaches a client not to take nitroglycerine if taking sildenafil, because the blood pressure often drops significantly when nitroglycerine is taken with sildenafil. Which medication property does this illustrate? A. Chemical instability B. Medication interaction C. Reversible action D. Drug selectivity
B. Medication interaction
Which of these comments by a client taking a calcium channel blocker would indicate the need for additional teaching? A."I will rise slowly from lying to sitting, to standing." B."I will take the medication with grapefruit juice." C."I will elevate my legs if edema occurs." D."I can limit my risk for constipation by increasing fluid and fiber."
B."I will take the medication with grapefruit juice."
A nurse is observing a student nurse reinforcing teaching to a client on how to take sucralfate. Which statement made by the student would require intervention by the nurse? A."Take this in the morning 1 hour before breakfast." B."Take this with your other stomach medications." C."Take your heart medication 2 hours after sucralfate." D."You might experience constipation while taking this medication."
B."Take this with your other stomach medications.
What should the nurse include in a client's discharge teaching when going home with a prescription for digoxin 0.125 mg by mouth once daily? A."Take the digoxin at bedtime." B."Take your pulse prior to taking your medication." C."Do not take digoxin if your heart rate exceeds 90 beats per minute." "Eat a diet high in bran, fiber, and calcium."
B."Take your pulse prior to taking your medication."
The nurse has given 200mg of a drug that has a 2-hour half-life. How much of the drug will remain in the client's body 4 hours after administration if no additional drug is given? A.400mg B.50mg C.100mg 200mg
B.50mg
A client was started on spironolactone. What should be included in client education? A.Liver function should be monitored frequently. B.Avoid salt substitute while cooking. C.Eat large amounts of fruits and vegetables. D.Check your pulse before taking this medication.
B.Avoid salt substitute while cooking.
What education should the nurse provide to a client taking spironolactone? A.Discontinue taking this medication if you feel well. B.Avoid salt substitutes. C.Add as many fruits and vegetables to your diet as possible. D.Check your pulse before taking this medication.
B.Avoid salt substitutes.
A client who is taking a first-generation antipsychotic (FGA) drug for schizophrenia comes to the clinic for evaluation. The nurse observes that the client has a shuffling gait and mild tremors. The nurse will ask the client's provider about which course of action? A.Administering a direct dopamine antagonist B.Giving an anticholinergic medication C.Increasing the dose of the antipsychotic medication D.Switching to a second-generation antipsychotic medication
B.Giving an anticholinergic medication
A physician prescribes an intravenous dose of lorazepam for anxiety. The nurse should question the order if the client has a history of which of the following conditions? A.Diabetes mellitus B.Glaucoma C.Hypothyroidism D.Coronary Heart Disease
B.Glaucoma
What should the nurse include in discharge teaching regarding self-care for a client taking loop or thiazide diuretics? A.Avoid starches and fruits. B.Monitor daily weight. C.Walk at least a mile a day. D.Take the medication with dinner.
B.Monitor daily weight.
A client has been prescribed bumetanide 1mg by mouth daily. Which symptom is a priority for the nurse to monitor that indicates excessive hypokalemia? A.Hunger and excessive thirst B.Muscle weakness and cramping C.Tall, T waves on an electrocardiogram (ECG) D.4+ deep tendon reflexes
B.Muscle weakness and cramping
A client is taking bismuth subsalicylate to prevent diarrhea. The nurse performing an assessment noted that the client's tongue is black. What action will the nurse take? A.Assess further for signs of gastrointestinal (GI) bleeding B.Reassure the patient that this is an expected side effect of this medication C.Request an order for liver function tests to evaluate for hepatotoxicity D.Withhold the medication because this is a sign of bismuth overdose
B.Reassure the patient that this is an expected side effect of this medication
A nurse is talking with a client who has peptic ulcer disease and is starting therapy with sucralfate. The nurse should include which instruction about the medication? A.Take it with an antacid. B.Take 1 hour before meals and at bedtime. C.Take it whenever indigestion occurs. Take it immediately after meal
B.Take 1 hour before meals and at bedtime.
A nurse is talking with a client who has peptic ulcer disease and starting therapy with sucralfate. What must the nurse include in the client's education? A.Take it with an antacid. B.Take 30 to 60 minutes before meals. C.Take whenever indigestion occurs. Take immediately after meals.
B.Take 30 to 60 minutes before meals.
The nurse is preparing a care plan for a client diagnosed with Parkinson's disease (PD). Which statement is the goal of medication therapy for the client diagnosed with PD?? A.The medication will cure the client of PD. B.The client will maintain functional ability. C.The client will be able to take the medications as ordered. D.The medication will control all symptoms of PD.
B.The client will maintain functional ability.
The client admitted to the psychiatric unit diagnosed with schizophrenia is prescribed clozapine. Which laboratory data should the nurse evaluate? A.The client's clozapine therapeutic level. B.The client's white blood cell (WBC) count. C.The client's serum sodium level. D.The client's arterial blood gases (ABGs).
B.The client's white blood cell (WBC) count.
Which side effects should the nurse explain to the male client who is prescribed cimetidine? A.The medication can cause indigestion and heartburn. B.The medication can cause impotence and gynecomastia. C.The medication can cause insomnia and hypervigilance. D.The medication can cause Zollinger-Ellison syndrome.
B.The medication can cause impotence and gynecomastia.
When questioning a client about reported allergies to a medication, the nurse should ask for which additional information? A.The dose of the medication previously taken B.The type of reaction they had C.The reason the medication was given D.What foods were consumed along with the medication
B.The type of reaction they had
The nurse assists in planning care for a client with a prescription for anticoagulant agents. Which would the nurse identify as a potential concern for this client? A.Bruising B.Infection C.Fatigue Weight Gain
Bruising
Which data should the nurse assess for the client with a seizure disorder who is taking valproate? A.Creatinine and BUN levels B.White blood cell (WBC) count C.Liver enzymes Red blood cell (RBC) count
C. Liver enzymes
The nurse should provide which teaching point when administering an enteric-coated oral tablet to a client? A."Chew the tablet before swallowing." B."Break the tablet in half before swallowing." C."Allow the tablet to be absorbed under the tongue." "D. Swallow the tablet whole after double-checking the dose
C."Allow the tablet to be absorbed under the tongue."
A client is starting to take furosemide and asks the nurse, "When is the best time to take this medication?" What is the nurse's response? A.2200 B.1600 C.0800 1900
C.0800
The nurse is monitoring for adverse drug reactions of assigned clients. Which client is most at risk for the development of drug toxicity? A.A 30-year-old man admitted for altered mental status B.A 55-year-old woman with abnormal arterial blood gas values C.A 70-year-old woman with an elevated creatinine level D.A 25-year-old woman with a urinary tract infection
C.A 70-year-old woman with an elevated creatinine level
A client is having bursts of ventricular arrhythmias. Which medication should the nurse be prepared to give to resolve this concern? A.Atropine B.Adenosine C.Amiodarone D.Verapamil
C.Amiodarone
Which of these findings would cause the nurse to hold the administration of oral metoprolol 25 mg? A.Heart rate of 92 beats per minute B.Respiratory rate of 26 breaths per minute C.Blood pressure of 92/44 mmHg D.Oxygen saturation level of 94% on room air
C.Blood pressure of 92/44 mmHg
A client with diastolic heart failure has been prescribed furosemide 40 mg intravenous (IV). Which assessment finding would indicate a therapeutic effect of this medication? A.A drop in systolic blood pressure of 10mmHg B.Regular heart tones C.Clear lung sounds D.A heart rate of 75 beats per minute
C.Clear lung sounds
Which of the following describes why older client have a limited capacity to excrete medications? A.Increased perfusion to the lungs B.Increased gastric motility C.Decreased renal function D.Increased hepatic function
C.Decreased renal function
Which medication does the nurse identify as a cardiac glycoside? A.Atenolol B.Captopril C.Digoxin Furosemide
C.Digoxin
Which of the following terms describes the process where one medication changes the way another medication affects the body? A.Desired effect B.Drug-food interaction C.Drug-drug interaction Drug toxicity
C.Drug-drug interaction
Which of the following medications does the nurse identify as being a selective serotonin reuptake inhibitor (SSRI)? A.Bupropion B.Imipramine C.Fluoxetine Desvenlafaxine
C.Fluoxetine
A client is taking enalapril. The nurse understands that clients taking this type of medication for heart failure need to be monitored carefully for which of the following electrolyte abnormalities? A.Hypernatremia B.Hypermagnesemia C.Hyperkalemia D.Hypercalcemia
C.Hyperkalemia
A client with a history of chronic alcohol abuse has been admitted to the unit with cirrhosis. Upon review of the client's laboratory test results, the nurse notes that the client's ammonia level is elevated at 218 mcg/dL. What medication should the nurse prepare to administer? A.0.9% normal saline B.Docusate sodium C.Lactulose Polyethylene glycol
C.Lactulose
A nurse is caring for a client who was recently started on lithium and is training a new nurse. What comment by the new nurse would require further teaching? A.Lithium is used to treat bipolar depression. B.Lithium is used to reduce manic episodes. C.Lithium is contraindicated with antidepressant use. D.Lithium reduces hyperactivity.
C.Lithium is contraindicated with antidepressant use.
A client undergoes routine lab work and is found to have a reduced glomerular filtration rate (GFR). The nurse understands that the client will need to be closely monitored if given which of the following medications? A.Medications metabolized by the liver B.Enteric coated medications C.Medications metabolized by the kidneys D.Sublingual medications
C.Medications metabolized by the kidneys
A client is taking a drug that has potential toxic side effects. What will the nurse do? A.Continue the drug even if the client has signs of toxicity. B.Discontinue the drug even if the client does not have signs of toxicity. C.Monitor the function of all organs potentially affected by the drug. D.Teach the client how to treat the symptoms if they develop.
C.Monitor the function of all organs potentially affected by the drug.
A client is receiving intravenous promethazine (Phenergan) 25 mg for postoperative nausea and vomiting. What is an important nursing action when giving this drug? A.Giving the dose as an IV push over 3 to 5 minutes B.Infusing the dose with microbore tubing and an infusion pump C.Observing the IV insertion site frequently for patency D.Telling the client to report dry mouth and sedation
C.Observing the IV insertion site frequently for patency
The nurse should include which intervention in the care-plan of a client taking lithium? A.Advocate for diuretics if hypertension occurs. B.Offer ibuprofen as needed for medication-induced headaches. C.Report impaired coordination and tremors. D.Teach the client to expect skipped heartbeats.
C.Report impaired coordination and tremors.
A nurse is teaching a client who has asthma the appropriate use of inhaled fluticasone. What advice should the nurse give to help the client avoid complications with the use of inhaled steroids? A.Check the pulse after taking the medication. B.Take the medication before eating. C.Rinse your mouth after inhaling the medicine. D.Limit your caffeine intake.
C.Rinse your mouth after inhaling the medicine.
A client has 3+ pitting edema of the lower extremities bilaterally. Auscultation of the lungs reveals crackles bilaterally, and the serum potassium level is 6.1 mEq/L. Which diuretic agent ordered by the prescriber should the nurse question? A.Bumetanide B.Furosemide C.Spironolactone Hydrochlorothiazide
C.Spironolactone
A client complains of a non-productive cough 3 days after starting lisinopril for a diagnosis of hypertension. The nurse anticipates the provider will recommend which of the following? A.Advise the client that this is a common side effect and to continue to take the medication. B.Stop the medication and start the client on Amiodarone. C.Stop the medication and, contact MD and start the client on Losartan. Prepare to administer epinephrine subcutaneously
C.Stop the medication and, contact MD and start the client on Losartan.
An epileptic client is going home with a prescription for clonazepam. What discharge teaching should the nurse provide to this client receive? A.Skip a dose if you need to drive. B.Skip a dose if you plan to go out drinking with friends. C.Sudden withdrawal from benzodiazepines might trigger seizures. D.Taper the dose of the medication once you feel your seizures are under control.
C.Sudden withdrawal from benzodiazepines might trigger seizures.
A client is taking a first-generation antipsychotic (FGA) for schizophrenia. The nurse notes that the client has trouble speaking and chewing and observes slow, worm-like movements of the client's tongue. The nurse recognizes which adverse effect in this client? A.Acute dystonia B.Akathisia C.Tardive dyskinesia D.Focal seizure
C.Tardive dyskinesia
A client is receiving intravenous gentamicin. Routine blood testing shows toxic levels of the medication in the client's serum. The dosing is correct, and this medication has been tolerated well by this client in the past. Which could be a probable cause of the abnormal test result? A.A loading dose of the medication was not given B.The medication was not completely dissolved in the IV solution C.The client is taking another medication that binds to serum albumin D.The medication is being given at a frequency that is longer than its half-life
C.The client is taking another medication that binds to serum albumin
The nurse is preparing to administer a medication with a low therapeutic index. The nurse understands that a low therapeutic index is best described as which of the following? A.The average lethal dose of the medication is much higher than the therapeutic dose B.The dose required to produce a therapeutic response in 50% of patients is low C.The highest dose needed to produce a therapeutic effect is close to the lethal dose D.There is a low variability of responses to this medication
C.The highest dose needed to produce a therapeutic effect is close to the lethal dose
A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following should the nurse include in the response? A.The medication will loosen respiratory secretions. B.The medication is a cough suppressant. C.The medication will open the airways. D.The medication will reduce interstitial inflammation.
C.The medication will open the airways.
An adolescent client is taking a leukotriene blocker. Which of these statements by the client requires the most immediate intervention? A."I will take this medication to prevent asthma attacks." B."I am still using my rescue inhaler twice a month." C."This medication is messing with my sleep." D."I want to die and know how to do it.".
D."I want to die and know how to do it.".
A nurse in a physician's office is reviewing client lab results and notes a phenytoin level was drawn. Which client lab result would the nurse report to the physician immediately due to concerns of phenytoin toxicity? A.4 mcg/mL B.9 mcg/mL C.17 mcg/mL D.26 mcg/mL
D.26 mcg/mL
The client is prescribed a bulk-forming agent. Which statement best describes the scientific rationale for administering this medication? A.The medication acts by lubricating the stool and the colon mucosa. B.Bulk-forming agents irritate the bowel to increase peristalsis. C.The medication causes more water and fat to be absorbed into the stool. D.Bulk-forming agents absorb water, which adds size to the fecal mass.
D.Bulk-forming agents absorb water, which adds size to the fecal mass.
The nurse is administering a medication with a narrow therapeutic index. Which does the nurse know to be true about this type of medication? A.Altered metabolism rates would have no impact on the individual B.Dose changes must be large to create the desired therapeutic effect C.Therapeutic failure occurs easily when dosages are decreased D.Dose changes must be monitored closely to prevent toxicity
D.Dose changes must be monitored closely to prevent toxicity
The nurse is preparing to administer the following medications. Which medication should the nurse question administering? A.Hydralazine to the client with a blood pressure of 168/94. B.Prazosin to the client with a serum sodium level of 137 mEq/L. C.Diltiazem to the client with a glucose level of 280 mg/dL. D.Furosemide to the client with a serum potassium level of 3.1 mEq/L
D.Furosemide to the client with a serum potassium level of 3.1 mEq/L
Which statement is an advantage to administering a histamine2 (H2) receptor antagonist rather than an antacid to a client diagnosed with gastroesophageal reflux disease GERD? A.Antacids are more potent than H2 receptor antagonist in relieving the symptoms of GERD. B.H2 receptor antagonists have more side effects than antacids. C.H2 receptor antagonists are less expensive than antacids. D.H2 receptor antagonists require less frequent dosing than antacids.
D.H2 receptor antagonists require less frequent dosing than antacids.
The nurse is caring for a client newly diagnosed with Parkinson's disease who is receiving levodopa. All of the following instructions should be included by the nurse except which? A.Instruct the client to rise slowly from a seated or lying position. B.Discuss taking the medication on an empty stomach. C.Tell the client that the sweat and urine may become darker. D.Inform the client about having routine blood levels drawn.
D.Inform the client about having routine blood levels drawn.
A nurse is giving discharge instructions to a client who has asthma and is about to start using beclomethasone, in addition to his rescue inhalers. Which teaching points are essential for safety? A.Take the steroid inhaler before you take the bronchodilator. B.You can save money by ordering your medications via the internet. C.Expect a white film to form over the inside of your mouth. It will resolve on its own. D.Rinse your mouth after using any inhaler, especially this one.
D.Rinse your mouth after using any inhaler, especially this one.
Which medication should be used first by the client with asthma that is experiencing acute bronchospasm? A.Combination inhaled glucocorticoids/long-acting beta2 agonists B.Inhaled low-dose glucocorticoids C.Long-acting beta2 agonists D.Short-acting beta2 agonists
D.Short-acting beta2 agonists
A nurse is caring for an older adult client who has Alzheimer disease. The client is taking a cholinesterase inhibitor drug. Which side effects would concern the nurse? A.Confusion and memory impairment B.Dizziness and headache C.Nausea and vomiting D.Slowed heart rate and lightheadedness
D.Slowed heart rate and lightheadedness
For which reason should the nurse follow safe medication administration, particularly when administering intravenous (IV) medications? A.The IV route can result in delayed absorption of the medication B.The IV route results in a delayed onset of action C.Control over the levels of drug in the body is unpredictable D.The IV route results in a rapid onset of action
D.The IV route results in a rapid onset of action
Which laboratory data should the nurse monitor for the client diagnosed with irritable bowel disease (IBD) who is prescribed sulfasalazine? A.The client's liver function tests B.The client's serum potassium level C.The client's serum sodium level D.The client's complete blood cell count (CBC)
D.The client's complete blood cell count (CBC)
The nurse is preparing to give a medication with certain properties. Which property of the medication is the most compelling indication that it should not be given? A.The medication produces a manageable side effect B.The medication is difficult to administer C.The medication effects are reversible D.The medication is not effective for its intended purpose
D.The medication is not effective for its intended purpose
Which of these symptoms might be attributed to the anticholinergic component of a combination of albuterol and ipratropium in an inhalation solution? A.Nervousness B.Tremors C.Hypertension D.Urine retention
D.Urine retention
The nurse is caring for a client with anemia related to chronic renal failure. Which agent might be used to treat anemia? A.Filgrastim B.Sargramostim C.Oprelvekin Epoetin alfa
Epoetin alfa
A client is taking metoprolol for treatment of hypertension. Which of the following interventions is most critical for the nurse to include in the plan of care? Instruct the client to take a second dose if angina occurs. Monitor intake and output closely. Administer the medication between meals. Hold the medication if the heart rate is less than 60 beats/minute.
Hold the medication if the heart rate is less than 60 beats/minute.
A nurse is caring for a client who is taking propranolol and has a prescription for an oral antidiabetic drug to manage their new diagnosis of type 2 diabetes mellitus. By taking both drugs concurrently, the nurse should identify that the client is at an increased risk for which of the following conditions? A.Hyperglycemia B.Bradycardia C.Hypotension Hypoglycemia
Hypoglycemia
A nurse is caring for a client who has a new prescription for verapamil for management of atrial fibrillation. The nurse should instruct the client to avoid grapefruit juice while taking verapamil because it can cause the client to experience which of the following conditions? A.Tachycardia B.Dehydration C.Diarrhea Hypotension
Hypotension
A nurse is giving discharge instructions to a client who has asthma and is about to start taking theophylline. The nurse should tell the client that this medication might cause which of the following adverse effects? A.Drowsiness B.Constipation C.Oliguria Tachycardia
Tachycardia
A nurse is giving discharge instructions to a client who is beginning theophylline. The nurse should tell the client that this medication might cause which of the following adverse effects? A.Drowsiness B.Constipation C.Oliguria Tachycardia
Tachycardia
What should a nurse check before administering a calcium channel blocker? A.The serum calcium level. B.The client's radial pulse. C.The current telemetry reading. The client's blood pressure.
The client's blood pressure.
The nurse is caring for four different clients. Which of these clients should the nurse assess first? A.The client who is receiving digoxin with a blood pressure of 110/85 mmHg.. B.The client who can have nothing by mouth for a scheduled surgery this morning and received an ordered dose of insulin glargine the night before. C.The client who has a history of rheumatoid arthritis complaining of 5/10 pain in the joints of his hands. D.The client who requires a chlorhexidine scrub prior to a double mastectomy this morning.
b. The client who can have nothing by mouth for a scheduled surgery this morning and received an ordered dose of insulin glargine the night before.
