NCLEX Questions-week 7

A client with Parkinson's disease is beginning treatment with carbidopa/levodopa. Which statement made by the client indicates a need for further teaching?

"I should take my medication after a full meal."

The nurse reinforces instructions to a client regarding the use of tretinoin. Which statement by the client indicates a need for further teaching?

"I should apply a very thin layer to my skin."

A client is being discharged following treatment for left-sided heart failure. The nurse is reinforcing teaching the client the purpose, actions, adverse effects, and use of digoxin and hydrochlorothiazide prescribed for daily use. Which statement by the client indicates a need for further teaching?

"I should decrease my intake of foods high in potassium such as bananas."

Which statement indicates that a client with Addison's disease knows how to safely manage a medication regimen that consists of daily doses of glucocorticoids?

"I will need to call my doctor for an increase in medication dose when I'm experiencing a lot of stress."

The nurse has given instructions to a client with biliary disease who has just been prescribed cholestyramine. Which statement by the client indicates a need for further instruction?

"This medication would only be taken with water."

A client informs the nurse that they have been taking acarbose as prescribed. The nurse determines that a therapeutic effect of the medication has occurred if which laboratory value is noted? Laboratory Results Lipase 100 units/L (0-160 U/L) Sodium 140 mEq/L (135-145 mEq/L) Blood urea nitrogen (BUN) 15 mg/L (10-20 mg/dL) Glucose 120 mg/dL (70-99 mg/dL (fasting)

A 2-hour postprandial serum glucose of 120 mg/dL

A client was just admitted to the hospital to rule out a gastrointestinal (GI) bleed. The client has brought several bottles of medications prescribed by different specialists. During the admission assessment, the client states, "Lately, I have been hearing some noisy sounds in my ears, especially when I am alone." Which medication would the nurse identify as the cause of the client's complaint?

Acetylsalicylic acid

Methylergonovine is prescribed for a client to treat postpartum hemorrhage. Before the RN administers methylergonovine, what is the priority assessment?

Blood pressure

A client with advanced ovarian cancer is being treated with paclitaxel. The nurse monitors the client closely for which side effect of the medication?

Bradycardia

The nurse is administering an intravenous dose of methocarbamol to a client with a musculoskeletal injury. For which adverse effect would the nurse monitor?

Bradycardia

The nurse is administering an intravenous dose of methocarbamol to a client with multiple sclerosis. For which adverse effect would the nurse monitor?

Bradycardia

A client with bladder cancer is receiving cisplatin and vincristine. The nurse assists in planning care, knowing that which is the purpose of administering both of these medications?

Decrease medication resistance and reduce medication toxicity

The nurse is assisting in monitoring a preterm infant in the neonatal intensive care unit who received surfactant. The nurse monitors for which desired therapeutic outcome of this medication?

Decreased tachypnea and nasal flaring

The nurse is collecting data from a client seen in the health care clinic for the first time. When the nurse asks the client about current prescribed medications, the client tells the nurse that metformin is taken daily. Based on this finding, the nurse elicits data from the client regarding the presence of which condition?

Diabetes mellitus

The nurse tells a client with leukemia that allopurinol has been added to the medication list. The client is currently receiving busulfan. When the client asks the purpose of the new medication, the nurse responds that allopurinol is intended to prevent which complication?

Hyperuricemia

The nurse is reinforcing medication instructions to a client with breast cancer who is receiving cyclophosphamide. Which instruction would the nurse provide to the client?

Increase fluid intake to 2000 to 3000 mL daily.

The medication cimetidine has been prescribed for a client with peptic ulcer disease. The nurse determines that which is the primary action of this medication?

Inhibits histamine action

The nurse is assisting in preparing a plan of care for a client who will be receiving a calcium antagonist to prevent preterm delivery. Which action does the nurse include in the client's plan of care to detect a side effect of the medication?

Monitor for increases in maternal and fetal heart rates.

A client receiving an anxiolytic medication complains of feeling faint when trying to get out of bed in the morning. The nurse explains to the client that which side effect is associated with this type of medication?

Postural hypotension

The nurse is monitoring a client with heart failure receiving spironolactone by mouth daily. Which data would indicate to the nurse that the client is experiencing a side effect related to the medication? Laboratory Results Sodium level 140 mEq/L (135-145 mEq/L) Potassium level 5.2 mEq/L (3.5-5.0 mEq/L)

Potassium level

A client has been started on medication therapy with alprazolam. When the nurse teaches the client that the medication should not be discontinued abruptly, the client asks why. The nurse would incorporate which information in formulating a reply?

Rebound central nervous system (CNS) excitation could occur, including seizure activity.

The client with a diagnosis of urinary tract infection is beginning medication therapy with nitrofurantoin. The nurse would realize the need for further teaching if the client states it is acceptable to eat which food?

Rhubarb

A client in the mental health unit is administered haloperidol. What would the nurse check to determine its effectiveness?

The client's orientation and delusional status

Iron dextran is prescribed to be administered intramuscularly to a client. The nurse prepares the medication and determines that the appropriate method of administration is which?

Using the Z-track technique

A client with schizophrenia has been started on medication therapy with clozapine. The nurse would assess the results of which laboratory study to monitor for adverse effects from this medication?

White blood cell count