Ch 54, 55, 57, 58, 59

A nurse reviewing the electronic health record of a client notes the regular ingestion of ginger. What is a possible reason for this client's use of ginger? Question 14 options: Decreases blood pressure. Reduces blood glucose levels. Lessens nausea and vomiting. Assists the client in falling asleep.

Lessens nausea and vomiting.

A female client has been administered metoclopramide (Reglan) for nausea. Which statement indicates that she has understood the teaching provided by the nurse? Question 7 options: "When I have episodes of nausea, I will drink clear liquids." "I will need to take potassium with this medication." "I may experience drowsiness on this medication." "I should eat before I take this medication."

"I may experience drowsiness on this medication."

A client has an important presentation to make in 4 hours and needs relief from the congestion of seasonal rhinitis. The client calls the nurse, explains the situation, and tells the nurse that he cannot afford to be drowsy. Which antihistamine would be a good choice for this client? Loratadine (Claritin) Hydroxyzine (Atarax) Diphenhydramien (Benadryl) Dexchlorpheniramine (Polaramine)

Loratadine (Claritin) The first-generation antihistamines, including diphenhydramine, dexchlorpheniramine, and hydroxyzine, are associated with drowsiness. Loratadine is one of the second-generation antihistamines, which have fewer anticholinergic effects and are less likely to cause drowsiness.

The nurse is about to administer a laxative to a client for the first time. What should be included in client education? Question 2 options: "It is good to take this medication daily as it is non-habit forming." "It is important to avoid a large intake of fluids when taking this medication." "It is not uncommon to experience some abdominal discomfort and flatulence." "If you are allergic to red dye number 5, you may have an allergic reaction to this medication."

"It is not uncommon to experience some abdominal discomfort and flatulence."

Which instruction would be most important to give to a client who is receiving omeprazole (Prilosec)? Question 12 options: "Chew the tablet thoroughly before swallowing." "Open the capsule and sprinkle it on applesauce." "Swallow the tablet whole with a large glass of water." "Take an antacid immediately before taking this drug."

"Swallow the tablet whole with a large glass of water."

A client, who is a truck driver, is concerned about his seasonal allergies, a friend suggested diphenhydramie. What would the nurse's best response? Question 4 options: "The drug is safe in small doses." "The drug is safe if it is purchased over the counter." "The drug may exacerbate the allergies if used routinely." "The drug may cause drowsiness and make driving unsafe."

"The drug may cause drowsiness and make driving unsafe."

A nurse is teaching a client who has just been prescribed lansoprazole (Prevacid). What statement would indicate that the client correctly understands the action of this medication? Question 6 options: "The medication is an antibiotic." "The medication is an analgesic." "The medication will repair my ulcer." "The medication inhibits acid secretions."

"The medication inhibits acid secretions."

A nurse is preparing to administer dolasetron (Anzemet) orally to a child who is unable to swallow the tablets. The nurse would expect to mix the solution with: Question 20 options: Apple juice Orange juice Cranberry juice Grapefruit juice

Apple juice

Misoprostol is a synthetic form of prostaglandin E prescribed to protect the gastric mucosa from erosion and ulceration. The drug is contraindicated in clients who: Question 17 options: Have diabetes Are pregnant Have arthritis Are hypertensive

Are pregnant Misoprostol is contraindicated during pregnancy because it may cause abortion, premature birth, or birth defects. It is also contraindicated in women of childbearing potential who are not using effective contraception.

A client recently began taking theophylline for treatment of asthma. Which changes in the client's lifestyle would suggest that the client understands proper use of the drug and management of the disease? Question 18 options: Avoiding caffeine Sleeping 8 hours each night Limiting fluid intake to 1 L a day Increasing dietary intake of B vitamins

Avoiding caffeine

A nurse is caring for a client with pseudomembranous colitis. The health care provider has prescribed loperamide (Imodium) to the client. How does the nurse know that the drug has been effective? Question 19 options: Diarrhea is resolved. Rectal bleeding is noted. Elevation in temperature is noted. Nausea and vomiting are resolved.

Diarrhea is resolved.

A 94-year-old client is to begin taking psyllium hydrophilic mucilloid daily. What instructions should the nurse include in the discharge teaching? Question 13 options: Add all of the medications to the mucilloid. Drink at least 8 ounces of fluid with the medication. Mix the medication with your food at your evening meal. Discontinue the mucilloid if no bowel movement occurs in 24 hours.

Drink at least 8 ounces of fluid with the medication. Psyllium needs to be taken with at least 8 oz of water or other liquid. The nurse would not tell the patient to mix the medication with food, to add all medications to the psyllium, or to discontinue the drug.

A client presents at the clinic with a dry, non-productive cough. The client is diagnosed with bronchitis, and it is determined that the client needs help thinning the sputum so the cough can become productive. What does the nurse expect the health care provider will prescribe? Question 11 options: Benzonatate (Tessalon) Guaifenesin (Mucinex) Hydrocodone (Hycodan) Dextromethorphan (Benylin)

Guaifenesin (Mucinex)

An older adult client has been prescribed budesonide (Pulmicort) for the treatment of chronic obstructive pulmonary disease (COPD). Which action should the nurse perform to reduce the client's risk for developing oral candidiasis? Question 5 options: Administer prophylactic antifungal medications. Encourage the client not to deeply inhale the medication. Have the client rinse his or her mouth after each dose of the drug. Have the client gargle with normal saline prior to administering the drug.

Have the client rinse his or her mouth after each dose of the drug.

The client will receive ranitidine (Zantac) 150 mg PO at bedtime. Prior to administration, the nurse should inform the client that common side effects related to this medication include: Question 9 options: Anxiety Tremors Headache Visual disturbances

Headache Headache, dizziness, somnolence, and mental confusion may occur with H2 antagonists

The nursing instructor is discussing the administration of nasal spray with the nursing students. What information is most important to include in this discussion? Question 16 options: Administer the nasal spray in a prone position. Overuse of nasal spray may cause rebound congestion. Nasal spray may be shared between family members only. Finish the bottle of nasal spray to clear the infection effectively.

Overuse of nasal spray may cause rebound congestion.

A client needing to evacuate the colon for endoscopy would likely be prescribed which medication? Question 3 options: Psyllium Mineral oil Methylcellulose Polyethylene glycol electrolyte solution

Polyethylene glycol electrolyte solution

The nurse caring for a 38-year-old client started on albuterol (Proventil) should advise the client that they might experience what adverse effect? Question 10 options: Diarrhea Polydipsia Tachycardia Hypotension

Tachycardia

A clinic nurse is caring for a 55-year-old farmer who has been prescribed prochlorperazine for nausea and vomiting. The client states, "I need to get back to work." What is the most important teaching instruction the nurse should provide for this client? Question 15 options: Avoid crowds of people. Wear cotton short-sleeved shirts. Drink plenty of fluids when outside. Use protective sunscreen when outside.

Use protective sunscreen when outside.

An inhaled sympathomimetic drug has been ordered for a teenage athlete who has exercise-induced asthma. What should the client be instructed to do? Question 8 options: Use the inhaler as soon as symptoms start. Use the inhaler 2 to 3 hours before exercising. Use the inhaler 30-60 minutes before exercising. Use the inhaler every day at the same time each day.

Use the inhaler 30-60 minutes before exercising.