Exam 3 404
A nurse is caring for a client who has asthma and a prescription for zileuton. Which of the following lab values should the nurse monitor while the client is taking this medication? A. ALT B. WBC C. Potassium D. Chloride
A. ALT
A nurse is caring for a client who has a new diagnosis for rheumatoid arthritis. The nurse should anticipate a prescription from the provider for which of the following medications for daily management of this condition? A. Celecoxib (NSAID) B. Prednisone C. Adalimumab D. Abatacept
A. Celecoxib (NSAID)
A nurse is providing teaching to a client who has rheumatoid arthritis and a prescription for long- term prednisone therapy. The nurse should instruct the client to monitor for which of the following adverse effects? A. Stress fractures B. Orthostatic hypertension C. Gingival ulcerations D. Weight loss
A. Stress fractures
A nurse is preparing to administer levothyroxine to a client who has hypothyroidism. The nurse should identify which of the following lab results as supporting the administration of this medication? A. TSH 8 microunits B. Free triiodothyronine T3 300 pg/dl C. Free thyroxine T4 7 mcg/dl D. Thyroxine binding globulin 2.3 mg/dl
A. TSH 8 microunits
A nurse is teaching a client who has dyspepsia about prescribed antacids. Which of the following should the nurse include in the teaching? A. Take antacids 1 hour apart from other medications B. Increase your sodium intake to avoid hyponatremia C. Avoid combining antacids due to an increased risk of adverse effects D. Antacids are taken 3 times daily
A. Take antacids 1 hour apart from other medications
A nurse is teaching a client with type 2 diabetes mellitus about self- administering of a new prescription for acarbose. Which of the following pieces of information should the nurse include in the teaching? A. Tell the client to take the medication with food B. Show the client how to perform an IM injection C. Advise to avoid taking this medication with insulin D. Warn this client against exercising while taking this medication
A. Tell the client to take the medication with food
A nurse is caring for a client who has bronchitis and a prescription for a mucolytic agent. Which of the following findings should the nurse identify as an adverse effect of this type of medication? A. Fluid overload B. Bronchospasm C. Electrolyte imbalance D. Tachycardia
B. Bronchospasm
A nurse is caring for a male client who has been taking ranitidine for the treatment of a duodenal ulcer. Which of the following manifestations related to the medication should the nurse report to the provider? A. Emesis that looks like coffee grounds B. Erectile dysfunction C. Muscle pain D. Gynecomastia
A. Emesis that looks like coffee grounds
A nurse is caring for a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following findings should the nurse identify as an indication that the client requires intervention? A. Heart rate 106 B. Dry skin C. Oral temp 36.8 (98.2) D. Lethargy
A. Heart rate 106
A nurse is caring for a client who receives gastrotomy tube feedings and insulin. The client is scheduled to receive a tube feeding at 0700. At which time should the nurse plan to administer insulin lispro subcutaneously? A. 0600 B.0630 C. 0645 D. 0730
C. 0645
A nurse is providing teaching to a client who has hypothyroidism and is taking levothyroxine. The nurse should instruct the client that which of the following findings is an indication of thyrotoxicosis? A. Weight gain B. Constipation C. Chest pain D. Fatigue
C. Chest pain
A nurse is teaching self- administration of NPH insulin to a client who had type 2 diabetes. Which of the following instructions should the nurse include? A. Alternate injecting doses between the abdomen and the thigh B. Shake the vial before withdrawing the dosage C. Rotate injection sites within the same area D. Discard the vial if the insulin is cloudy
C. Rotate injection sites within the same area
A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer? A. Ibuprofen B. Naproxen C. Aspirin D. Acetaminophen
D. Acetaminophen
A nurse administered an antibiotic 10 minutes ago to a client who is now reporting wheezing and swelling of the eyelids. Which of the following actions should the nurse perform first? A. Give oral corticosteroids B. Administer dopamine C. Give diphenhydramine IV D. Administer epinephrine subQ
D. Administer epinephrine subQ
A nurse is teaching the parents of a school-age child with asthma about medications for bronchospasms. Which of the following inhaled medications should the nurse instruct the parents to use to relieve an acute asthma attack? A. Salmeterol B. Cromolyn C. Fluticasone D. Albuterol
D. Albuterol
A nurse is teaching a parent of a child with asthma about a new prescription for Cromolyn sodium metered dose inhaler. Which of the following statements made by the parent indicate the need for further teaching? A. I will give my child a dose as soon as the wheezing starts B. My child should rinse out his mouth after using the inhaler C. My child should exhale completely before placing the inhaler in his mouth D. If my child has difficulty breathing in the dose, a spacer can be used
A. I will give my child a dose as soon as the wheezing starts
A nurse is teaching a client who has osteoporosis about a new prescription for alendronate. Which of the following client statements indicates an understanding of the teaching? A. I will take the medication with a full cup of water B. I will lie down after taking this medication C. I will take the medication with food D. I will take the medication at bedtime
A. I will take the medication with a full cup of water
A nurse is teaching a client who has type 1 diabetes mellitus about a new subcutaneous insulin infusion pump. Which of the following pieces of information should the nurse include in the teaching? A. Plan to use a type of short-duration insulin in the infusion pump B. Replace the infusion pump set every 4 days C. Turn off the infusion pump for at least 3 hours each day D. Move the infusion pump catheter 1.27 cm away from the old site
A. Plan to use a type of short-duration insulin in the infusion pump
A nurse is caring for a client who is at 6 weeks of gestation and has just received a diagnosis of hyperthyroidism. The nurse should anticipate a prescription for which of the following medications? A. Propylthiouracil B. Liothyronine C. Methimazole D. Iodine-131
A. Propylthiouracil
A nurse is caring for a client who has asthma and requires long-term treatment. The nurse should identify that which of the following medications used for long-term treatment places the client at an increased risk of asthma-related deaith? A. Salmeterol B. Fluticasone C. Budesonide D. Theophylline
A. Salmeterol
A nurse is preparing a discharge teaching plan for a 6-year-old client with asthma who has several prescription medications using a metered-dose inhaler. Which of the following interventions should the nurse include in the plan? A. Add a spacer to each MDI B. Instruct the child to inhale more rapidly than usual when using an MDI C. Ask the provider to cFhange the child's medications from inhaled to oral formulations D. Administer oxygen by facemask with the MDI
A. Add a spacer to each MDI
A nurse working in the emergency department is admitting a client who has a gastric ulcer and GI bleed. Which of the following factors in the clients medical history should the nurse report to the provider? A. Arthritis treated with ibuprofen every 8 hours PRN B. Previous tobacco smoking with cessation 5 years ago C. Negative H. Pylori test 1 year ago D. Prescribed bismuth subsalicyte PRN for GI upset
A. Arthritis treated with ibuprofen every 8 hours PRN
A nurse is caring for a client who has asthma and advanced rheumatoid arthritis and deformity of the hands. The nurse should anticipate the client will receive which of the following medication- delivery devices for the treatment of asthma? A. Dry powder inhaler B. Meter dose inhaler C. Respimat D. Nebulizer
A. Dry powder inhaler
A nurse is teaching a client who is about to start taking propylthiouracil to treat hyperthyroidism. Which of the following statements should the nurse identify as an indication that the teaching has been effective? A. I will need lab tests to check my liver function B. I should take this medication once daily C. If I get a rash, I am probably having an allergic reaction D. If I have difficulty sleeping, it is probably because of the medication
A. I will need lab tests to check my liver function
A nurse is teaching a client about the adverse effects of omeprazole. Which of the following client statements indicates an understanding of the teaching? A. If I experience severe diarrhea, I will call my doctor B. Pneumonia is associated with long term use of this medication C. I will need to take this medication with food D. I should take vitamin B12 while using this medication
A. If I experience severe diarrhea, I will call my doctor
A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Jaundice B. constipation C. Oral candidiasis D. sedation
A. Jaundice
A nurse is caring for a client who developed hypoglycemia following an insulin injection. The client is unconscious and responds appropriately to verbal stimuli. Which of the following medications should the nurse plan to administer first? A. Oral glucose tablet B. 50% dextrose intravenously C. Glucagon intramuscularly D. Epinephrine IV
A. Oral glucose tablet
A nurse is caring for a client with diabetic ketoacidosis who has a prescription for an intravenous IV infusion of insulin. The nurse should document that which of the following types of insulin was administered to treat DKA? A. Regular insulin B. Insulin lispro C. Insulin aspart D. Insulin glargine
A. Regular insulin
A nurse is performing care for a female client who has severe IBS with diarrhea and a new prescription for alosetron. Which of the following interventions should the nurse include in the plan of care? A. The client must sign an agreement with the provider before beginning alosetron B. The client must stop taking alosetron if diarrhea continues for 1 week after beginning the medication C. The client should expect to have a slower heart rate while taking alosetron D. The client should use a barrier birth control because alosetron interacts with oral contraceptives
A. The client must sign an agreement with the provider before beginning alosetron
A nurse is caring for a client who was recently diagnosed with rheumatoid arthritis. The nurse should expect the provider to prescribe methotrexate at which of the following times? A. Within 3 months of initial diagnosis B. when NSAIDS have not provided relief C. During an exacerbation of sxs D. Once bone degeneration progresses
A. Within 3 months of initial diagnosis
A nurse is administering insulin glulsine 10 units subQ at 0730 to an adolescent child who has type 1 diabetes mellitus. The nurse should anticipate the onset of insulin at which of the following times? A. 0800 B. 0745 C. 0900 D. 1030
B. 0745
A nurse is reviewing the medication history of a client who has mild intermittent asthma. The nurse should anticipate a prescription for which of the following inhalers for the client? A. Ipratropium B. Albuterol sulfate C. Tiotropium D. Budesonide
B. Albuterol sulfate
A nurse is caring for a client who is receiving ranitidine. Which of the following adverse effects should the nurse report to the provider immediately? A. Nausea B. Bloody stools C. Drowsiness D. Headache
B. Bloody stools
A nurse is caring for a client who has been taking metformin for 6 months. Which of the following findings should the nurse identify as an expected therapeutic effect of the medication? A. Decreased vitamin B12 B. Decreased blood glucose level C. Abdominal pain and diarrhea D. Decreased LDL level
B. Decreased blood glucose level
A nurse is monitoring a client who has asthma, takes albuterol, and recently started taking propranolol to treat cardiovascular disorder. The client reports the albuterol has been less effective. Which of the following factors should the nurse identify as a possible explanation for this change? A. Potentiative interaction B. Detrimental inhibitory interaction C. Increased adverse reaction D. Toxicity- reducing inhibitory interaction
B. Detrimental inhibitory interaction
A nurse is caring for a client who is taking acarbose to treat type 2 diabetes mellitus. For which of the following adverse effects of this medication should the nurse monitor the client? A. Insomnia B. Diarrhea C. Joint pain D. Polycythemia
B. Diarrhea
A nurse is teaching a client who has a new prescription for alosetron. Which of the following client statements indicates an understanding of the teaching? A. Nausea is a continuous adverse effect B. I should contact my provider immediately if I experience constipation C. If I do not respond to the treatment at the lowest dosage, my provider may continue to increase the dosage at weekly intervals D. Abdominal pain with diarrhea can indicate a serious complication
B. I should contact my provider immediately if I experience constipation
A nurse is caring for a patient who is taking glucocorticoids (beclomethasone). The nurse should monitor the client for which of the following adverse effects of the medication? A. Weight loss B. Peptic ulcer C. hyperkalemia D. Diplopia
B. Peptic ulcer
A nurse is caring for a client who has rheumatoid arthritis and a new prescription for etanercept. Which of the following values should the nurse review prior to administration? A. Ability to swallow B. Results of last purified protein derivative (PPD) C. Serum creatinine level D. Blood glucose level
B. Results of last purified protein derivative (PPD)
A nurse is caring for a client who has asthma and is prescribed as short- acting beta 2 agonist. Which of the following should the nurse identify as the expected outcome of this medication? A. Reduces the frequency of attacks B. Reverses bronchospasms C. Prevents inflammation D. Decreases chronic manifestations
B. Reverses bronchospasms
A nurse is administering a client's first dose of sucralfate. Which of the following explanations should the nurse provide about the action of sucralfate? A. Sucralfate decreases gastric acid secretions B. Sucralfate forms a gel like substance that protects ulcers C. Sucralfate inactivates Helicobacter pylori D. Sucralfate inhibits the production of gastric acid
B. Sucralfate forms a gel like substance that protects ulcers
A nurse in a provider's office is teaching a client with osteoporosis who has a new prescription for alendronate sodium. Which of the following pieces of information should the nurse include? A. Alendronate can be administered by IV once yearly B. Take alendronate with a full glass of water on an empty stomach C. Side effects of alendronate include leukopenia D. Alendronate sodium should be taken with calcium-containing foods to increase absorption
B. Take alendronate with a full glass of water on an empty stomach
A nurse is reviewing the medication history of a client who has asthma. Which of the following medication combination should the nurse identify as incompatible? A. Albuterol and montelukast B. Theophylline and zileuton C. Aminophylline and fluticasone D. Salmeterol and levalbuterol
B. Theophylline and zileuton
A nurse is assessing a client who takes oral theophylline for chronic bronchitis relief. The nurse should recognize that which of the following findings indicates toxicity to theophylline? A. Constipation B. Tremors C. Fatigue D. Bradycardia
B. Tremors
A nurse is teaching a client who has allergic rhinitis about a new prescription for brompheniramine (2nd generation antihistamine). Which of the following pieces of information should the nurse include in the teaching? A. Report GI disturbances immediately B. You might find that you develop a dry mouth C. You should not experience any central nervous system alterations D. Increased urinary frequency is an expected effect
B. You might find that you develop a dry mouth
A nurse is teaching a client who has primary adrenal insufficiency (Addison's disease) and a prescription for hydrocortisone. Which of the following statements should the nurse include in the teaching about this medication? A. You may need to lower your dosage when you are ill or experiencing high stress B. Take this medication before going to bed because it will make you tired. C. Carry a supply of pills and a single use injectable preparation with you at all times D. You will need to stop this medication before routine procedures such as a colonoscopy
C. Carry a supply of pills and a single use injectable preparation with you at all times
A nurse is caring for a client who has diabetes insipidus. Which of the following lab values should the nurse identify as reflecting a contraindication to receiving vasopressin to treat this disorder? A. Sodium 152 B. Potassium 6.0 C. Creatinine clearance 50 mL/ min D. AST 52
C. Creatinine clearance 50 mL/ min
A nurse is monitoring a client who has diabetes insipidus and was administered desmopressin. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect of this medication? A. Thirst B. Nocturia C. Headache D. Heart palpitations
C. Headache
A nurse is monitoring a client who received diphenoxylate-atropine. Which of the following statements by the client should indicate to the nurse that the medication has been effective? A. I feel a little drowsy with the medication B. I am now drinking much more water C. I have not had a bowel movement today D. I no longer feel chest tightness
C. I have not had a bowel movement today
A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult who has Paget's disease. Which of the following actions should be the nurse's priority? A. Administer the medication to the client before breakfast in the morning B. Ambulate the patient prior to administering the medication C. Give the medication to the client with water rather than milk D. Teach the client how to take the medication at home
B. Ambulate the patient prior to administering the medication
A nurse is teaching a female client who has a new prescription for misoprostol to treat peptic ulcer disease. Which of the following client statements should indicate the teaching was effective? A. I should avoid taking NSAIDS while using this medication B. Misoprostol is used to treat stress induced gastric ulcers C. I should avoid becoming pregnant while taking this medication D. This medication is also used to treat dysmenorrhea
C. I should avoid becoming pregnant while taking this medication
A nurse is providing teaching to a client who has postmenopausal osteoporosis and a new prescription for intranasal calcitonin- salmon. Which of the following statements by the client indicates an understanding of the teaching? A. I will administer a spray into each nostril daily B. I should expect nasal bleeding for the first week C. I will need to depress the side arms to activate the pump D. I should expect this medication for a short term course of treatment
C. I will need to depress the side arms to activate the pump
A nurse is teaching a client who has type 2 diabetes mellitus about a prescription for insulin lispro. Which of the following statements should the nurse include in the teaching? A. The effects of lispro will last 8-12 hours B. Administer insulin lispro 30-60 minutes before eating C. Insulin lispro has an onset of about 15 minutes D. The insulin can be given as a continuous IV bolus
C. Insulin lispro has an onset of about 15 minutes
A nurse is reviewing lab values for a client who reports fatigue and cold intolerance. The client has increased thyroid stimulating hormone (TSH) levels and decreased total T3 & T4 levels (hypothyroidism). The nurse should anticipate a prescription for which of the following medications? A. Methimazole B. Somatropin C. Levothyroxine D. Propylthiourcil
C. Levothyroxine
A nurse is caring for a client who was recently diagnosed with Addison's disease and has been placed on long term mineral corticoid therapy with fludrocortisone. Which of the following pieces of information should the nurse provide when explaining the purpose of this therapy? A. Mineralocorticoids help the body metabolize carbs, fats, and proteins B. Mineralocorticoids support secondary sexual development C. Mineralocorticoids maintain electrolyte and fluid balance D. Mineralocorticoids reduce the risk of dysrhythmias
C. Mineralocorticoids maintain electrolyte and fluid balance
A nurse is providing teaching to a client who has chronic constipation and a new prescription for psyllium. Which of the following instructions should the nurse provide? A. This medication is for short term use only B. You should eat a low residue diet while taking this medication C. Mix the medication with water and follow with an additional glass of liquid D. The medication's adverse effects of stomach cramps and nausea will go away in time
C. Mix the medication with water and follow with an additional glass of liquid
A nurse is preparing a discharge teaching plan for a client who is scheduled to begin long term oral prednisone for asthma. Which of the following instructions should the nurse include in the plan? A. Stop taking the medication if rash occurs B. Take the medication on an empty stomach to enhance absorption C. Schedule the medication on alternate days to decrease adverse effects D. Treat shortness of breath with an extra dose of this medication
C. Schedule the medication on alternate days to decrease adverse effects
A nurse is teaching a client who has diabetes mellitus about a new prescription for pioglitazone. Which of the following statements should the nurse include in the teaching? A. Monitor for hypoglycemia 6 hours after taking the medication B. This medication cannot be taken if you have a sulfa allergy C. This medication can be taken when using insulin D. This medication is effective for people with type 1 diabetes
C. This medication can be taken when using insulin
A nurse is caring for a client who has osteoporosis and has been taking vitamin D. The nurse notes that the client reports also taking a multivitamin daily. Which of the following should indicate to the nurse that the client might be experiencing vitamin D toxicity? A. hyperkalemia B. hypermagnesemia C. hypercalcemia D. hypernatremia
C. hypercalcemia
A nurse is caring for a client with a non productive cough. Which of the following types of medications should the nurse recommend? A. Expectorant B. Mucolytic C. Bronchodilator D. Antitussive
D. Antitussive
A nurse is planning to administer diphenhydramine 50 mg IV bolus to a client who is having and allergic reaction. The client has an IV infusion containing a medication that is not compatible with diphenhydramine in solution. Which of the following actions should the nurse take? A. Choose and IV port for IV bolus injection of diphenhydramine as near as possible to client's hanging bag B. Flush the tubing with 2 mL of 0.9% NaCl before and after administering diphenhydramine C. Allow IV infusion to keep running while administering the diphenhydramine IV bolus D. Aspirate to check the IV potency before administering the diphenhydramine
D. Aspirate to check the IV potency before administering the diphenhydramine
A nurse is providing teaching to a client with asthma who has a new prescription for a short acting beta 2 agonist. Which of the following pieces of information should the nurse share? A. The SABA will provide prolonged control of asthma B. SABA's are available in oral form C. The SABA will have to be taken with an inhaled glucocorticoid D. Notify the provider if the SABA is needed more than twice a week
D. Notify the provider if the SABA is needed more than twice a week
A nurse is teaching a client who is taking levothyroxine for hypothyroidism about a new prescription for calcium supplement. Which of the following pieces of information should the nurse include in the teaching? A. The calcium supplement will enhance the effect of levothyroxine B. The calcium supplement will accelerate the metabolism of levothyroxine C. Take the medications together at 1700 for the greatest effect D. Take the calcium supplement 4 hr after taking the levothyroxine
D. Take the calcium supplement 4 hr after taking the levothyroxine
A nurse is preparing to administer 100 units of insulin glargine and 4 units of NPH insulin subQ to a client. Which of the following actions should the nurse plan to take? A. Verify with the provider about giving insulin glargine at 1700 B. Ensure the insulin glargine is a cloudy suspension C. Request a prescription for giving insulin glargine twice daily D. Use separate syringes for administering insulin glargine and NPH insulin
D. Use separate syringes for administering insulin glargine and NPH insulin
When educating a patient who is starting methotrexate therapy for rheumatoid arthritis, which of the following instructions should the RN include? Select all that apply ¡A) Use a soft toothbrush ¡B) Take echinacea supplements ¡C) Report shortness of breath ¡D) Avoid people who are ill ¡E) Take a low dose of aspirin daily
A) Use a soft toothbrush, C) Report shortness of breath, D) Avoid people who are ill
A nurse is providing teaching to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following adverse effects of metformin should the nurse instruct the client to watch for and report to the provider? A. Weight gain B. Myalgia C. Hypoglycemia D. Severe constipation
B. Myalgia
A nurse is teaching a client who is postmenopausal and has a prescription for alendronate. Which of the following statements should the nurse include in the teaching? A. You can lie down for 15 minutes after taking this medication B. Take the medication on an empty stomach C. Crush this medication to improve absorption D. Avoid taking antacids or supplements that contain calcium while taking this medication
B. Take the medication on an empty stomach
A nurse is teaching a client with chronic asthma who has a new prescription for cromolyn. Which of the following instructions should the nurse include in the teaching? A. Use the inhaler before exercise B. The medication's therapeutic effects can take several weeks to develop C. You will shake the medication container for 3 seconds D. You will need to slowly exhale after you inhale
B. The medication's therapeutic effects can take several weeks to develop
A nurse is caring for a client that has COPD and has been taking fluticasone (bronchodilator) via inhaler for many years. Which of the following findings should the nurse identify as an adverse effect of long-term use of this medication? A. GFR <60 B. ALT 82 C. Anorexia and weakness D. Varicose veins in the lower extremity
C. Anorexia and weakness
A nurse is teaching a client who has severe generalized rheumatoid arthritis and is scheduled to start taking prednisone for long term therapy. The nurse should instruct the client to report which of the following is an adverse effect of prednisone? A. Thrombosis B. Immunosuppression C. Gastric ulcer D. Liver toxicity
C. Gastric ulcer
A nurse is teaching to a client with chronic bronchitis about administering acetylcysteine using a hand held nebulizer (HHN). Which of the following client statements indicates an understanding of the teaching ? A. I should discard an open vial of the medication after 24 hr B. I should limit my fluid intake while taking this medication C. I should try to cough productively just before I begin the treatment D. If the medication becomes discolored, I should throw it away and get a new supply
C. I should try to cough productively just before I begin the treatment
A nurse is teaching a client who has a new prescription for sucralfate for a duodenal ulcer. Which of the following statements indicates an understanding of the teaching? A. I should take this medication with meals and at bedtime B. I should only have to take this medication for 2 weeks C. I should wait 30 minutes before taking this medication after I take an antacid D. I should swallow these tablets whole
C. I should wait 30 minutes before taking this medication after I take an antacid
A nurse is teaching a client who has osteoporosis and a new prescription for alendronate. Which of the following client statements indicates the teaching was effective? A. I should take the medication with a glass of orange juice B. I will allow the medication to dissolve in my mouth C. I will sit upright for 30 minutes after taking the medication D. I should take the medication right after eating breakfast
C. I will sit upright for 30 minutes after taking the medication
A nurse is teaching the parent of a child who has severe reactive airway disease about glucocorticoid therapy. The parent asks why her child has to inhale the medication instead of taking it orally. Which of the following pieces of information should the nurse provide to the parent? A. Inhaled glucocorticoids are less likely to cause thrush B. Oral glucocorticoids are hazardous during times of stress C. Oral glucocorticoids are more likely to slow linear growth in children D. Inhaled glucocorticoids are more effective for acute bronchospasm
C. Oral glucocorticoids are more likely to slow linear growth in children
A nurse is teaching a client with a new diagnosis of peptic ulcer disease (PUD) who has a prescription for bismuth subsalicyte. A. This medication will decrease prostataglandins B. The amount of bicarbonate in your body will be increased C. This medication can decrease bacteria in the GI tract D. This medication acts by increasing blood flow to the stomach
C. This medication can decrease bacteria in the GI tract
A nurse is teaching a client who has been taking NSAIDS to treat Rheumatoid arthritis. During the client's first month checkup, the provider prescribed methotrexate to be added to the medication regimen. Which of the following statements should the nurse include in the teaching about the purpose of this medication? A. Your current medication was not strong enough to manage this condition B. Once your blood levels of methotrexate are within the therapeutic range, the NSAID will be discontinued C. This medication was added to delay the disease progression D. Treating this disease with 2 medications will help protect you from becoming treatment resistant
C. This medication was added to delay the disease progression
A nurse is assessing a client with hypothyroidism and takes levothyroxine. Which of the following findings indicates that the client is experiencing acute levothyroxine overdose? A. Bradycardia B. Cold intolerance C. Tremor D. Hypothermia
C. Tremor
The nurse is providing discharge teaching to a client who had a bleeding duodenal ulcer and has been prescribed omeprazole. Which of the following statements should the nurse include in the teaching? A. You will need to take this medication for the next 6 months B. Taking this medication will decrease your risk of acquiring pneumonia C. You should take this medication before breakfast every day D. Watch for the serious adverse effects of tachycardia & heart palpitations while taking this medication
C. You should take this medication before breakfast every day
A nurse is caring for a client who is taking a prescription for glucocorticoid adrenal replacement medication for this long-term treatment of Addison's disease. Which of the following findings indicates that the client is experiencing an adverse effect of the medication? A. Weight loss B. Hypotension C. Lethargy D. Osteoporosis
D. Osteoporosis
A nurse is teaching a client who has type 2 diabetes mellitus about storing unopened vials of insulin. Which of the following pieces of information should the nurse include in the teaching? A. Store the vials in the freezer B. Store the vials at room temperature C. Store the vials by the window D. Store the vials in the refrigerator
D. Store the vials in the refrigerator
A nurse is caring for a female client who has osteoporosis and is taking raloxifene. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of this medication? A. Severe leg cramps B. Urinary frequency C. Jaw pain D. Sudden onset of dyspnea
D. Sudden onset of dyspnea
A nurse is caring for a client who is taking diphenhydramine for allergies. The client reports, "I feel sleepy during the day." Which of the following responses should the nurse make? A. You will find that all antihistamines cause sedation B. You should avoid taking the antihistamine with food C. The effects of sedation will occur with each dose D. You should try antihistamines with non-sedative effects
D. You should try antihistamines with non- sedative effects
