Test 3 - Back of Book (ATI & Text)

(Text 46-2) The nurse teaches the patient that which type of over-the-counter cough preparation is not effective on coughs associated with the common cold and allergic rhinitis? 1. Dextromethorphan 2. Diphenhydramine 3. Mucolytics 4. Pseudoephedrine

4. Pseudoephedrine

(Text 34-2) A patient is receiving hydralazine for elevated blood pressure levels. The nurse would include in the care plan to monitor the patient for which adverse effects? 1. Atelectasis 2. Crystalluria 3. Photosensitivity 4. Orthostatic hypotension

4. Orthostatic hypotension

(ATI 17-1) A nurse is teaching a client who has a new prescription for beclomethasone. Which of the following instructions should the nurse include? 1. "Rinse your mouth out after each use of this medication." 2. "Limit fluid intake while taking this medication." 3. "Increase your intake of vitamin B12 while taking this medication." 4. "You can take the medication as needed."

1. "Rinse your mouth out after each use of this medication."

(Text 44-1) A patient with asthma asks which of the prescribed medications should be used in the event of an acute episode of bronchospasm. The nurse will instruct the patient to use: 1. Albuterol, a beta-agonist bronchodilator, by inhalation. 2. Beclomethasone, a glucocorticoid anti-inflammatory drug, by inhalation. 3. Ipratropium, an anticholinergic bronchodilator, by inhalation. 4. Montelukast, a leukotriene modifier, by mouth.

1. Albuterol, a beta-agonist bronchodilator, by inhalation

(Text 44-3) The nurse should inform the patient who is prescribed a nebulizer treatment with albuterol (Proventil HFA, VoSpire ER) that a common adverse effect is: 1. An increased heart rate with palpitations. 2. A predisposition to infection. 3. Sedation. 4. Temporary dyspnea.

1. An increased heart rate with palpitations.

(Text 34-1)Methyldopa (Aldomet) is being initiated for a patient with hypertension. Which health teaching would be most appropriate for this drug? 1. Avoid hot baths and showers and prolonged standing in one position. 2. This drug may discolor the urine a pinkish-brown color. 3. You may experience bloating and weight gain. 4. The tablet should be taken only with food or milk

1. Avoid hot baths and showers and prolonged standing in one position.

(Text 44-5) A 4-year-old child with respiratory distress secondary to asthma has an order for a nebulizer treatment. The type of medication most likely to be given for asthma management is a: 1. Beta agonist. 2. Beta antagonist. 3. Corticosteroid. 4. Leukotriene modifier.

1. Beta agonist

(Text 34-6) A patient is receiving nitroprusside (Nitropress) and is being monitored in the intensive care unit. Because of toxic cyanide metabolites that develop, which of the following should the nurse evaluate in the patient? (Select all that apply.) 1. Cardiac status and cardiac output 2. Renal function and creatinine level 3. Past history of alcohol use 4. Level of consciousness 5. Skin color and turgor

1. Cardiac status and cardiac output 2. Renal function and creatinine level 4. Level of consciousness

(Text 33-6) Which of the following nursing actions should be included in the care plan for a patient receiving normal serum albumin (Albuminar)? (Select all that apply.) 1. Document past history of blood transfusion reactions. 2. Restrict dietary intake of food high in potassium. 3. Monitor blood pressure and pulse rate. 4. Measure urinary output hourly. 5. Observe for signs related to potassium deficit

1. Document past history of blood transfusion reactions. 3. Monitor blood pressure and pulse rate. 4. Measure urinary output hourly.

(ATI 18-4) A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? (Select all that apply.) 1. Dry mouth 2. Nonproductive cough 3. Skin rash 4. Drowsiness 5. Urinary hesitation

1. Dry mouth 4. Drowsiness 5. Urinary hesitation

(Text 44-4) The nurse should monitor the patient who is taking beclomethasone (Qvar) for evidence of (select all that apply): 1. Infection. 2. Hyperglycemia. 3. Urinary retention. 4. Tachycardia. 5. Photophobia.

1. Infection. 2. Hyperglycemia.

(Text 33-1) The patient with a disorder causing metabolic acidosis is being treated with intravenous sodium bicarbonate. The nurse monitors for therapeutic effectiveness by noting which laboratory values? 1. Serum pH 2. Red blood cell count 3. Liver function test 4. Blood urea nitrogen

1. Serum pH

(ATI 17-4) A nurse is teaching client who has prescription for long-term oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? 1. Weight gain 2. Nervousness 3. Bradycardia 4. Constipation

1. Weight gain

(ATI 18-3) A nurse is teaching the family of a child who has cystic fibrosis and a new prescription for acetylcysteine. Which of the following information should the nurse include in the instructions? 1. "Expect this medication to suppress your child's cough" 2. "Expect this medication to smell like rotten eggs." 3. "Expect this medication to cause euphoria" 4. "Expect this medication to turn your child's urine orange."

2. "Expect this medication to smell like rotten eggs."

(ATI 18-5) A nurse is teaching a client about the use of fluticasone to treat perennial rhinitis. Which of the following statements by the client indicates an understand of the teaching? 1. "I should use the spray every 4 hours while I am awake" 2. "It can take as long as 3 weeks before the medication takes maximum effect" 3."This medication can also be used to treat motion sickness" 4. "I can use the medication when my nasal passages are blocked."

2. "It can take as long as 3 weeks before the medication takes maximum effect"

(Text 33-2) The nurse is teaching the patient about a liquid potassium chloride supplement. Which statement, if made by the patient, indicates that further teaching is necessary? 1. "I should avoid salt substitutes unless approved by my healthcare provider." 2. "Liquid preparations should not be diluted with other fluids." 3. "I should report signs of potassium deficit such as weakness and fatigue." 4. "Persistent vomiting will result in significant losses of potassium.

2. "Liquid preparations should not be diluted with other fluids."

(ATI 17-2) A nurse is providing instructions to a client who has a new prescription for albuterol and beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in teaching? 1. Take the albuterol at the same time each day. 2. Administer the albuterol inhaler prior to using the beclomethasone inhaler. 3. Use beclomethasone if experiencing an acute episode 4. Avoid shaking beclomethasone before use.

2. Administer the albuterol inhaler prior to using the beclomethasone inhaler.

(Text 34-5) A 65-year-old White patient has been newly diagnosed with hypertension, with an average blood pressure of 164/92 mmHg. Which of the following drug groups will potentially be ordered initially? (Select all that apply.) 1. Beta blockers 2. Calcium channel blockers 3. Thiazide diuretics 4. Angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs) 5. Direct-acting vasodilator

2. Calcium channel blockers 3. Thiazide diuretics 4. Angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs)

(Text 46-1) Oxymetazoline (Afrin 12 Hour) has been recommended for a patient with rhinitis. Which points are appropriate to include in the teaching plan? (Select all that apply.) 1. Take with a full glass of water. 2. Clear the nose by blowing. 3. Take the drug at night if drowsiness occurs. 4. Take for no more than 5 days to prevent rebound congestion. 5. Effects of the drug may not be noticeable for 2 to 3 weeks.

2. Clear the nose by blowing. 4. Take for no more than 5 days to prevent rebound congestion.

(Text 33-4) The patient will be receiving 5% dextrose in water (D5W) intravenous infusion. Which statement is correct about this therapy? 1. D5W can cause hypoglycemia in the patient who has diabetes. 2. D5W may be used to dilute mixed intravenous drugs. 3. D5W is considered a colloid solution. 4. D5W has a sufficient number of calories to supply metabolic needs.

2. D5W may be used to dilute mixed intravenous drugs.

(Text 34-3) The nurse is preparing to administer the first dose of enalapril (Vasotec). Identify the potential adverse effects of this medication. (Select all that apply.) 1. Reflex hypertension 2. Hyperkalemia 3. Persistent cough 4. Angioedema 5. Hypotension

2. Hyperkalemia 3. Persistent cough 4. Angioedema 5. Hypotension

(ATI 18-1) A nurse is caring for a client who has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurse should assess the client for which of the following manifestation as an adverse effect of this medication? 1. Sedation 2. Nasal congestion 3. Productive cough 4. Constipation

2. Nasal congestion

(ATI 17-3) A nurse is providing instructions to a client who has a new prescription for albuterol PO. Which of the following instructions should the nurse include? 1. "You can take this medication to abort an acute asthma attack." 2."Tremors are an adverse effect of this medication." 3. "Prolonged use of this medication can cause hyperglycemia." 4. "This medication can slow skeletal growth rate."

2."Tremors are an adverse effect of this medication."

(Text 44-2) A patient is prescribed beclomethasone (Qvar), a glucocorticoid inhaler. Education by the nurse will include: 1. "Check your heart rate because this drug may cause tachycardia." 2. "Limit your coffee intake while on this drug." 3. "Rinse your mouth out well after each use." 4. "You may feel shaky and nervous after using this drug."

3. "Rinse your mouth out well after each use."

(Text 45-6) Despite repeated demonstrations of proper inhaler use by the nurse, the patient is unable to demonstrate proper technique in using the training inhaler. The patient is becoming frustrated. What is the best action for the nurse to take? 1. Encourage the patient to keep practicing just a little longer. 2. Notify the healthcare provider that the patient is incompetent. 3. Provide a spacer for use with the inhaler. 4. Switch to an oral form of a beta agonist.

3. Provide a spacer for use with the inhaler.

(ATI 18-2) A nurse is teaching a client who has a new prescription for a dextromethorphan to suppress a cough. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? 1. Diarrhea 2. Anxiety 3. Sedation 4. Palpitations

3. Sedation

(Text 46-5) A patient has been prescribed fluticasone (Flonase) to use with phenylephrine (Neo-Synephrine) nasal inhalers to treat allergic rhinitis. How should the nurse teach the patient to use these drugs? 1. Fluticasone should be used only if congestion continues after phenylephrine use. 2. Use fluticasone first, then the phenylephrine after waiting 5 minutes. 3. Use phenylephrine first, then the fluticasone after waiting 5 minutes. 4. The drugs may be used in either order

3. Use phenylephrine first, then the fluticasone after waiting 5 minutes.

(Text 46-6) The nurse is teaching the patient about the use of dextromethorphan with guaifenesin (Robitussin DM) syrup for a cough accompanied by thick mucus. Which statement would be part of the patient's teaching? 1. "Lie supine for 30 minutes after taking the drug." 2. "Drink minimal fluids to avoid stimulating the cough reflex." 3. "Take the drug with food for best results." 4. "Avoid drinking fluids immediately following the syrup and then increase overall fluid intake.

4. "Avoid drinking fluids immediately following the syrup and then increase overall fluid intake.

(Text 46-4) Fexofenadine (Allegra) is prescribed to treat the symptoms of allergic rhinitis for a patient with seasonal allergies. Before teaching the patient about this drug, what condition would the nurse assess for? 1. A history of osteoporosis 2. A history of peptic ulcer disease 3. A history of psoriasis 4. A history of cardiac disease

4. A history of cardiac disease

(Text 33-3) The nurse is administering dextran 40 (Gentran 40) to a patient with multiple traumatic injuries following a motor vehicle crash. The nurse knows that which adverse effect of this medication is toxic? 1. Dehydration 2. Increased urinary output 3. Hypovolemic shock 4. Bleeding

4. Bleeding

(Text 33-5) The healthcare provider orders intravenous magnesium sulfate for a pregnant patient with preeclampsia. The nurse should consult with the prescriber about which patient assessment finding that may affect the drug therapy? 1. Pupil constriction to direct light 2. Chest congestion and coughing 3. Elevated blood pressure 4. Decreased patellar deep tendon reflexes

4. Decreased patellar deep tendon reflexes

(Text 34-4) A patient with hypertensive crisis is started on nitroprusside (Nitropress) therapy. The nurse would perform what priority intervention during the course of this treatment? 1. Monitor for the presence or absence of bowel sounds. 2. Obtain urine samples for specific gravity measurements and glucose levels. 3. Observe skin pressure points for turgor and integrity. 4. Titrate intravenous infusion rate according to the blood pressure response

4. Titrate intravenous infusion rate according to the blood pressure response