Midterm

A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication? a. tinnitus b. muscle pain c. hyperglycemia d. jaundice

d. jaundice (right)

A nurse is caring for a client who has a traumatic head injury and is exhibiting signs of increasing intracranial pressure. Which of the following medications should the nurse plan to administer? a. albumin 25% b. dextran 70 c. hydroxyethyl glucose d. mannitol 25%

d. mannitol 25% (right)

A nurse is assessing a client prior to administering atenolol. Which of the following findings should prompt the nurse to withhold the medication? a. heart rate 46/min b. oxygen saturation 95% c. respiratory rate 18/min d. blood pressure 160/94 mmHg

a heart rate 46/min (right)

A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide? a. "Crushing the medication might cause you to have a stomachache or indigestion." b. "Crushing the medication is a good idea, and I can mix it in some ice cream for you." c. "Crushing the medication would release all the medication at once, rather than over time." d. "Crushing is unsafe, as it destroys the ingredients in the medication."

a. "Crushing the meditating might cause you to have a stomachache or indigestion." (wrong)

A nurse is teaching a client who has multiple sclerosis about a new prescriptions for baclofen. Which of the following instructions should the nurse include in the teaching? a. "Do not take antihistamines with this medication." b. "Take the medications on an empty stomach." c. "Stop taking the medication immediately for a headache." d. "Expect to develop diarrhea initially." b. "Take the medications on an empty stomach." c. "Stop taking the medication immediately for a headache." d. "Expect to develop diarrhea initially."

a. "Do not take antihistamines with this medication." (right)

A nurse is teaching a client who is taking atorvastatin daily. Which of the following statements by the client indicates an understanding of the teaching? a. "I will avoid drinking grapefruit juice." b. "I should take this medication without food." c. "I should expect my stools to turn clay-colored." d. "It is not necessary to have routine lab tests done."

a. "I will avoid drinking grapefruit juice." (right)

A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take? a. administer a short-acting B2-agonist (SABA) b. obtain a peak flow reading c. administer an inhaled glucocorticoid d. determine the cause of the acute exacerbation

a. administer a short-acting B2-agonist (SABA) (wrong)

A nurse caring for a client who has hypertension and asks the nurse about prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have history of which of the following conditions? a. asthma b. glaucoma c. depression d. migraines

a. asthma (right)

A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods as the best source of potassium? a. bananas b. cooked carrots c. cheddar cheese d. 2% milk

a. bananas (right)

A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first? a. check the client's vital signs b. request a dietitian consult c. suggest that the client rests before eating the meal d. request an order for an antiemetic

a. check the client's vital signs (wrong)

A nurse is caring for a client who is taking lisinopril. Which of the medication outcomes indicates a therapeutic effect of the medication? a. decreased blood pressure b. increase of HDL cholesterol c. prevention of bipolar manic episodes d. improved sexual function

a. decreased blood pressure (right)

A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect? a. decreased sodium level c. decreased phosphate level d. decreased potassium level d. decreased chloride level

a. decreased sodium level (right)

A nurse is teaching a client who has a new prescription for diazepam. Which of the following information should the nurse include in the teaching? a. diazepam can cause drowsiness b. this medication must be swallowed whole c. it is important to avoid foods that contain tyramine d. grapefruit juice inactivates this medication

a. diazepam can cause drowsiness (wrong)

A nurse is providing teaching to a client who has hypertension and a new prescription for captopril. Which of the following instructions should the nurse provide? a. do not use salt substitutes while taking this medication b. take the medication with food c. count your pulse rate before taking the medication d. expect to gain weight while taking this medication

a. do not use salt substitutes while taking this medication (right)

A nurse is caring for a client who has tuberculosis and new prescriptions for rifampin and pyrazinamide. Which of the following laboratory tests should the nurse instruct the client will be required while on this medication regimen? a. liver function tests b. gallbladder studies c. thyroid function studies d. blood glucose levels

a. liver function tests (wrong)

A nurse is preparing to administer nalbuphine to a postoperative client who is experiencing pain. The nurse should monitor the client for which of the following potential adverse effects of this medication? a. miosis b. joint pain c. diarrhea d. oliguria

a. miosis (right)

A nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions? a. prevents dysrhythmias b. slows intestinal motility c. dissolves blood clots d. relieves pain

a. prevents dysrhythmias (right)

A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect? a. systolic blood pressure is increased b. cardiac output is reduced c. apical heart rate is increased d. urine output is reduced

a. systolic blood pressure is increased

A nurse is assessing a client prior to administering a seasonal influenza vaccine. The client says he read about an influenza vaccine that is given as a nasal spray and wants to recieve it. The nurse should recognize that which of the following findings is a contraindication for the client receiving the live attenuated influenza vaccine a. the client's age is 62 b. the client smokes one pack pf cigarettes a day c. the client has a history of myocardial infarction d. the client has recently traveled to Europe

a. the client's age is 62 (right)

A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching? a. "If I get a rash from this medication, I will take my usual antihistamine." b. "I need to increase my fluid intake while taking this medication." c. "I should take this medicine on an empty stomach." d. "If I get a fever while taking this medication, I will take some aspirin."

b. "I need to increase my fluid intake while taking this medication." (right)

A nurse is providing discharge teaching to a client who has asthma and new prescriptions for cromolyn and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching? a. "If my breathing begins to feel tight, I will use the cromolyn immediately." b. "I will be sure to take the albuterol before taking the cromolyn." c. "I will use both medications immediately after exercising." d. "I will administer the medications 10 minutes apart."

b. "I will be sure to take the albuterol before taking the cromolyn." (right)

A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse? a. "I signed up for a swimming class." b. 'I've been taking an antacid to help with indigestion." c. "I've lost 2 pounds since my appointment 2 weeks ago." d. "The naproxen is easier to take when I crush it and put it in applesauce."

b. "I've been taking an antacid to help with indigestion." (wrong)

A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include? a. "Take this medication with food is nausea develops." b. "Monitor for muscle pain." c. "Expect to have increase bruising." d. "Increase your intake of grapefruit juice."

b. "Monitor for muscle pain." NOT RIGHT a. maybe

A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching? a. apply a new transdermal patch once a week b. apply the transdermal patch in the morning c. apply the transdermal patch in the same location as the previous patch d. apply a new transdermal patch when chest pain is experienced

b. apply the transdermal patch in the morning (right)

A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums? a. explain to the client that is an expected adverse effect b. check the value of the client's current platelet count c. instruct the client to use an electric toothbrush d. have the client make an appointment to see the dentist

b. check the value of the client's current platelet count

A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse effect of this medication? a. sedation b. constipation c. hypertension d. bradycardia

b. constipation WRONG c. bradycardia maybe

A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication? a. reduces risks of infection b. decreases inflammation c. improves peripheral blood flow d. increases bone density

b. decreases inflammation (right)

A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication? a. hyperthermia b. hypotension c. ototoxicity d. muscle pain

b. hypotension (right)

A nurse is teaching a client who is taking metronidazole. Which of the following sense alterations should the nurse includes as and adverse effect of metronidazole? a. olfactory changes b. metallic taste c. alterations in touch d. hearing loss

b. metallic taste (right)

A nurse is preparing to administer morphine IV to a client. Which of the following medications should the nurse plan to have available? a. flumazenil b. naloxone c. protamine d. neostigmine

b. naloxone (right)

A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. Which of the following instructions should the nurse include in the teaching? a. expect ringing in your ears b. take the medication with food c. store the medication in the refrigerator d. monitor for weight loss

b. take the medication with food (right)

A nurse is caring for a client who has a fungal infection and has a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication? a. sodium 140 mEq/L b. potassium 4.5 mEq/L c. BUN 55 mg/dL d. glucose 120 mg/dL

c. BUN 55 mg/dL

A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take? a. document that the client experiences an anaphylactic reaction to the medication b. change the IV infusion site c. decrease the infusion rate on the IV d. apply cold compresses to the neck area

c. decrease the infusion rate on the IV (wrong)

A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level? a. draw a trough level at 0900 and a peak level at 2100 b. draw a peak level 90 min prior to administering the medication and a trough level 90 min after the dose c. draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose d. draw a peak level at 0900 and a trough level at 2100

c. draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose (right)

A nurse is reviewing the medical record of a client who reports taking pseudoephedrine for sinus congestion as needed. The nurse should identify that pseudoephedrine is contraindicated for which of the following client conditions? a. eczema b. migraines c. hypertension d. diverticulitis

c. hypertension (right)

A nurse is caring for a client who has bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication? a. limit the client's fluid intake b. instruct the client to report agitation c. monitor the serum medication levels d. administer the medicine with food

c. monitor the serum medication levels (right)

A nurse observes a parent administer a prescribed oral medication to an infant. Which of the following actions by the parent indicates a need for further instruction? a. allows the infant to swallow some of the medication before administering more b. administers medication with an oral syringe c. positions the infant in a supine position d. inserts the medication in the infant's buccal cavity

c. positions the infant in a supine position (right)

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide? a. check the pulse after medication administration b. take the medication with meals c. rinse the mouth after administration d. limit caffeine intake

c. rinse the mouth after administration (right)

A nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide? a. weigh weekly to monitor therapeutic effect b. take the medication on an empty stomach c. take the medication early in the day d. muscle pain is an expected adverse effect

c. take the medication early in the day (right)

A nurse is caring for a client who is taking montelukast. Which of the following outcomes indicates a therapeutic effect of the medication? a. the client experiences less muscle pain b. the client's seizure threshold is reduced c. the client experiences an increased ease of breathing d. the client's platelet count is increased

c. the client experiences an increased ease of breathing (right)

A nurse is admitting a client who states he take ginkgo biloba every day to improve his memory. The nurse should identify a potential interaction with which of the following medications the client is taking? a. famotidine b. levothyroxine c. warfarin d. loratadine

c. warfarin (right)

A nurse is collecting data on a client who has a new prescription for ampicillin. The nurse should recognize which of the following findings is a priority? a.. nausea b. vomiting c. wheezing d. moniliasis

c. wheezing (right)

A nurse is teaching an adolescent about medication therapy with oral acetylcysteine. Which of the following information should the nurse include in the teaching? a. "You should avoid eating eggs." b. "Your mouth will become dry." c. "It is necessary to monitor your serum electrolyte levels/" d. "This medication has a very unusual odor."

d. "This medication has a very unusual odor." (right)

A nurse is providing discharge teaching to a client who has pulmonary tuberculosis and a new prescription for rifampin. Which of the following information should the nurse provide? a. "Treatment with this medication will last for 1 month." b. "This medication can cause insomnia." c. "It is best to take the medication with meals." d. "Urine and other secretions might turn orange."

d. "Urine and other secretions might turn orange." (right)

A nurse is teaching a client who has a new prescription for codeine. Which of the following instructions should the nurse include in the teaching? a. "You should take the medication on an empty stomach to prevent nausea." b. "You should limit alcohol intake 12 ounces daily." c. "You should expect to experience diarrhea while taking this medication." d. "You should change positions slowly."

d. "You should change positions slowly." (right)

A nurse is caring for a client who has HIV-1 infection and is prescribed zidovudine as part of antiretroviral therapy. The nurse should monitor the client for which of the following adverse effects of this medication? a. cardiac dysrhythmia b. metabolic alkalosis c. renal failure d. aplastic anemia

d. aplastic anemia (wrong)

A nurse is teaching a client who has a new prescription for cyclobenzaprine. Which of the following information should the nurse include in the teaching? a. discontinue medication if nausea occurs b. expect urine to turn orange c. monitor for increased muscle spasms d. avoid driving until effects are known

d. avoid driving until effects are known (right)

A nurse is providing instruction to a new nurse about caring for client who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia? a. furosemide b. hydrochlorothiazide c. metolazone d. spironolactone

d. spironolactone (right)

A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions? a. reduces inflammation b. suppresses the urge to cough c. dries mucous membranes d. stimulates secretions

d. stimulates secretions (right)

A nurse is caring for a client who has terminal cancer take PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation? a. the client not been taking the medication properly b. the client is experiencing episodes of confusion c. the client has become addicted to the medication d. the client developed a tolerance to the medication

d. the client developed a tolerance to the medication (right)