MS Pharm

A breast-feeding mother asks the nurse if the use of herbal medicines will increase breast milk supply. Which nursing response is most appropriate? A. 'It may be safe if taken with lots of water.' B. 'It does not effectively increase breast milk supply.' C. 'It may cause iron deficiency anemia in the infant.' D. 'You should speak to your health care provider about this.'

D. 'You should speak to your health care provider about this.'

A biphasic antiovulatory medication of combined progestin and estrogen is prescribed for a client. Which instruction would the nurse include when teaching about this oral contraceptive? A. 'Report irregular vaginal bleeding.' B. 'Restrict sexual activity temporarily.' C. 'Have regular bimonthly Pap smears.' D. 'Increase dietary intake of calcium.'

A. 'Report irregular vaginal bleeding.'

The nurse is caring for a 6-year-old child who has undergone craniotomy. The parents ask what effect mannitol has. Which response by the nurse is most appropriate? A. 'It relieves cerebral pressure.' B. 'It increases the bladder's filtration rate.' C. 'It reduces glucose excretion in the urine.' D. 'It decreases the peripheral retention of fluid.'

A. 'It relieves cerebral pressure.'

A 28-year-old woman who is a smoker seeks advice about oral contraceptives. Which response by the nurse is appropriate? A. 'Oral contraceptives can cause thrombophlebitis.' B. 'Oral contraceptives must be used with other methods.' C. 'Some oral contraceptives can be used without concern.' D. 'Some oral contraceptives are safe, but others are not safe.'

A. 'Oral contraceptives can cause thrombophlebitis.'

The nurse is caring for a female client who is requesting hormonal contraceptives. Which of the following questions should the nurse ask to assess for contraindications? A. "Have you ever had a blood clot?" B. "How many children do you have?" C. "Do you drink alcohol?" D. Did you experience acne in adolescence?

A. "Have you ever had a blood clot?"

he nurse provides client teaching on the use of oral contraceptives. Which statement made by the client indicates to the nurse that teaching was effective? A. 'I will take my pill at the same time every day.' B. 'I can stop the pill and try to get pregnant right away.' C. 'I may miss two periods and not worry about being pregnant.' D. 'I am so glad we won't have to use condoms even if I miss just one pill during the month.'

A. 'I will take my pill at the same time every day.'

A nurse is preparing to administer intravenous mannitol to a client with increased intracranial pressure. Which action will the nurse perform prior to administering the medication? A. Connect an in-line filter to the infusion tubing B. Dilute the medication with lactated ringers C. Prepare an infusion warmer D. Ensure the client has a patent central line

A. Connect an in-line filter to the infusion tubing

A client reports to the nurse, 'I've been using St. John's wort to try and feel more like myself again. I'm not sure whether it's going to work.' Which symptom would the nurse further assess? A. Depression B. Sleep disturbances C. Diminished cognitive ability D.Sensory-perceptual disturbances

A. Depression

Which body function maintained by thiamine (vitamin B 1) and niacin (vitamin B 3) will the nurse monitor when prescribed for a client with alcoholism? A. Neuronal activity B. Bowel elimination C. Efficient circulation D. Prothrombin development

A. Neuronal activity

A client comes in for a pregnancy test. She tells the nurse that pregnancy may have occurred because she missed her contraceptive pills for 1 week when she had the flu. Which response by the nurse is appropriate? A. 'That's the trouble with using contraceptive pills. People frequently forget to take them.' B. 'You may be correct. The effect of contraceptive pills depends on them being taken on a regular schedule.' C. 'Let's find out whether you really are pregnant. If you are, you may want to consider having an abortion.' D. 'Contraceptive pills are unpredictable. You could have become pregnant even if you had taken them regularly.'

B. 'You may be correct. The effect of contraceptive pills depends on them being taken on a regular schedule.'

5) Which B vitamin deficiency will result in Wernicke encephalopathy? A. B 3 (niacin) B. B 1 (thiamine) C. B 2 (riboflavin) D.B 6 (pyridoxine)

B. B 1 (thiamine)

1) Which vitamin would the nurse anticipate may become deficient in a client prescribed cholestyramine for the treatment of type II hyperlipoproteinemia? A. Niacin (vitamin B 3) B. Calciferol (vitamin D) C. Ascorbic acid (vitamin C) D. Cyanocobalamin (vitamin B 12)

B. Calciferol (vitamin D)

1) Which therapeutic effect would the nurse expect to identify when mannitol is administered to a client? A. Improved renal blood flow B. Decreased intracranial pressure C. Maintenance of circulatory volume D. Prevention of the development of thrombi

B. Decreased intracranial pressure

A client is prescribed alendronate. Which instruction should the nurse emphasize when teaching about this medication? A. "Take the medication with a full glass of milk two hours after meals." B. "It is recommended that you take this medication with calcium and a glass of juice." C. "Be sure to take this medication on an empty stomach." D. "You may take this medication after any meal, at the same time every day."

C. "Be sure to take this medication on an empty stomach."

Which condition is contraindicated for St. John's wort herbal therapy? A. Anxiety B. Seizures C. Dementia D. Cardiac disease

C. Dementia

A health care provider prescribes mannitol for a client with a head injury. Which mechanism of action is responsible for therapeutic effects of this medication? A. Decreasing the production of cerebrospinal fluid B. Limiting the metabolic requirements of the brain C. Drawing fluid from brain cells into the bloodstream D.Preventing uncontrolled electrical discharges in the brain

C. Drawing fluid from brain cells into the bloodstream

A nurse is monitoring a pt receiving baclofen (Lioresal) for side effects related to the medication. Which of the following would indicate that the pt is experiencing a side effect? A. Polyuria B. Diarrhea C. Drowsiness D. Muscular excitability

C. Drowsiness

The nurse is counseling a 34-year-old client who has requested a prescription for oral contraceptives. Which condition would warrant additional discussion? A. Anemia B. Depression C. Hypertension D. Dysmenorrhea

C. Hypertension

The nurse is administering an osmotic diuretic to a client with a traumatic brain injury. Which finding best indicates that the medication was effective? A. 250 mL clear, yellow urine output over four hours B. Clear bilateral lung sounds to posterior auscultation C. Intracranial pressure reading of 14 mmHg D. Bilateral ovoid pupils that are slow to constrict

C. Intracranial pressure reading of 14 mmHg

Which medication therapy is indicated for management of Wernicke encephalopathy associated with Korsakoff syndrome? A. Traditional phenothiazines B. Judicious use of antipsychotics C. Intramuscular injections of thiamine D. Oral administration of chlorpromazine

C. Intramuscular injections of thiamine

A client with benign prostatic hypertrophy has been prescribed tamsulosin. Which statement by the nurse correctly describes how this medication works? A. "This medication will shrink your enlarged prostate gland." B. "This medication will eliminate your nocturia." C. "Your sexual desire will increase with this medication." D. "This medication will improve the flow of urine."

D. "This medication will improve the flow of urine."

A client asks the nurse what she should do if she forgets to take her contraceptive pill 1 day. Which response by the nurse is appropriate? A. 'Take your pills as instructed.' B. 'Call your primary health care provider immediately.' C. 'Continue as usual, and there shouldn't be a problem.' D. 'On the next day take 1 pill in the morning and 1 pill before bedtime.'

D. 'On the next day take 1 pill in the morning and 1 pill before bedtime.'

The nurse teaches a client about side effects that necessitate discontinuation of oral contraceptives. Which statement made by the client indicates that the teaching was effective? A. 'I'll stop taking the pills if I have chest pain.' B. 'I'll stop taking the pills if I start to retain fluid.' C. 'I'll stop taking the pills if I have white discharge from the vagina.' D. 'I'll stop taking the pills if I have pain during the middle of my cycle.'

A. 'I'll stop taking the pills if I have chest pain.'

Oral contraceptives are prescribed for a client who smokes heavily. Which side effect would the nurse warn the client might occur? A. Blood clots B. Cervical cancer C. Ovarian cancer D. Risk of coronary heart disease later in life

A. Blood clots

A registered nurse teaches a nursing student about caring for a client prescribed estradiol to treat low estrogen levels. Which statement by the student indicates to the nurse a need for additional learning? A. 'I should apply the emulsion once a day on the thighs.' B. 'I should avoid covering the medication with clothing after it is dried.' C. 'I should educate the client about the pharmacokinetic effects of estradiol.' D. 'I should advise the client to avoid applying sunscreen at the same time as the medication intake.'

B. 'I should avoid covering the medication with clothing after it is dried.'

3) The nurse is caring for a client with osteoporosis who has been prescribed alendronate. When providing care, which intervention would be a priority?

B. Notify the health care provider if the client reports jaw pain.

A child is prescribed intravenous mannitol. The nurse understands mannitol belongs to which classification of diuretics? A. Loop B. Osmotic C. Potassium sparing D. Carbonic anhydrase inhibitor

B. Osmotic

Which assessment would the nurse perform specific to the safe administration of intravenous mannitol? A. Body weight daily B. Urine output hourly C. Vital signs every 2 hours D. Level of consciousness every 8 hours

B. Urine output hourly

A client who has a long history of medication and alcohol abuse mentions taking ginkgo biloba. Which condition is this client taking ginkgo biloba to treat? A. Insomnia B. Depression C. Memory impairment D. Anxiety and nervousness

C. Memory impairment

A nurse is providing instructions to a client receiving baclofen. Which of the following would be included in the teaching plan? A. Limit Fluid Intake B. Hold the medication if diarrhea occurs. C. Restrict alcohol intake. D. Notify the Physician if weakness occurs.

C. Restrict alcohol intake.

A thin 24-year-old woman who runs 10 miles each week asks the nurse for advice about preventing osteoporosis. Which vitamin would the nurse recommend? A. Vitamin E B. Vitamin B C. Vitamin D D. Vitamin C

C. Vitamin D

A 31-year-old client is seeking contraceptive information. While obtaining the client's history, which factor indicates to the nurse that oral contraceptives are contraindicated? A. Older than 30 years B. Current hypothyroidism C. Two multiple pregnancies D. Blood pressure 162/110

D. Blood pressure 162/110

A client is prescribed an oral contraceptive. As part of teaching, the nurse plans to inform the client of the possibility of which adverse effect? A. Cervicitis B. Ovarian cysts C. Fibrocystic breasts D. Breakthrough bleeding

D. Breakthrough bleeding

A client is being treated for osteoporosis with alendronate (Fosamax), and the nurse has completed discharge teaching regarding medication administration. Which morning schedule would indicate to the nurse that the client teaching has been effective? A. Take medication, go for a 30 minute morning walk, then eat breakfast. B. Take medication, rest in bed for 30 minutes, eat breakfast, go for morning walk. C. Take medication with breakfast, then take a 30 minute morning walk. D. Go for a 30 minute morning walk, eat breakfast, then take medication.

A. Take medication, go for a 30 minute morning walk, then eat breakfast.

Which supplement would the nurse instruct a client taking oral contraceptives to increase? A. Calcium B. Vitamin C C. Vitamin E D. Potassium

B. Vitamin C

A client is prepared for a supratentorial craniotomy with burr holes, and an intravenous infusion of mannitol is instituted. The nurse concludes that this medication is primarily given for which purpose? A. Lower blood pressure B. Prevent hypoglycemia C. Increase cardiac output D. Decrease fluid in the brain

D. Decrease fluid in the brain

A 6-year-old child is receiving an intravenous solution of 10% glucose and mannitol to reduce cerebral edema. Which complication would the nurse monitor the child for? A. Overhydration B. Seizure activity C. Acute heart failure D. Hypovolemic shock

D. Hypovolemic shock

A client taking oral contraceptives for 3 months tells the nurse she has breakthrough bleeding between menstrual cycles. For which causative factor would the nurse first assess in the client? A. Illness B. Anorexia nervosa C. Ectopic pregnancy D. Nonadherence to protocol

D. Nonadherence to protocol

A primary health care provider prescribes venlafaxine for a client with a diagnosis of major depressive disorder who has been taking herbal medications. Which herbal supplement is contraindicated when taking venlafaxine? A. Ginseng B. Valerian C. Kava-kava D. St. John's wort

D. St. John's wort

Which prescription would the nurse anticipate for the client who takes a medication that interferes with fat absorption? A. High-fat diet B. Supplemental cod liver oil C. Total parenteral nutrition (TPN) D. Water-miscible forms of vitamins A and E

D. Water-miscible forms of vitamins A and E

A 25-year-old woman on estrogen therapy has a history of smoking. Which complication would the nurse anticipate in the client? A. Osteoporosis B. Hypermenorrhea C. Endometrial cancer D.Pulmonary embolism

D.Pulmonary embolism

Which topic will the nurse include in the discharge teaching of a client who has had a total gastrectomy? A. Daily use of a stool softener B. Injections of vitamin B 12 for life C. Monthly injections of iron dextran D. Replacement of pancreatic enzymes

B. Injections of vitamin B 12 for life

The nurse recognizes that hormonal therapy (HT) increases the risk of which condition in postmenopausal women? A. Breast cancer B. Rapid weight loss C. Accelerated bone loss D. Vaginal tissue atrophy

A. Breast cancer

A client who takes daily megadoses of vitamins is hospitalized with joint pain, loss of hair, yellow pigmentation of the skin, and an enlarged liver due to vitamin toxicity. Which type of toxicity would the nurse suspect? A. Retinol (vitamin A) B. Thiamine (vitamin B 1) C. Pyridoxine (vitamin B 6) D. Ascorbic acid (vitamin C)

A. Retinol (vitamin A)

A client who has a habit of smoking is on estrogen therapy. Which condition is the client at most risk of developing? A. Thrombosis B. Gastrointestinal upset C. Risk of developing cancer D. Decreased effectiveness of estrogen

A. Thrombosis

A woman questions the nurse about the effectiveness of oral contraceptives. Which important factor about the effectiveness of oral contraceptives would the nurse include in the response? A. User motivation B. Simplicity of use C. Reliability record D. Identified risk factors

A. User motivation

A client diagnosed with multiple sclerosis is prescribed baclofen. Which assessment finding would indicate to the nurse that the client is experiencing a therapeutic response from the medication? A. Decreased Nausea B. Decreased muscle spasms C. Increased muscle tone and strength D. Increased range of motion to all extremities.

B. Decreased muscle spasms