NURS3110 Final - MyLab

The nurse who is writing a risk nursing diagnosis will write a _____ part statement.

2 Since risk diagnoses do not have evidence to support the chosen​ statement, they are written in two parts.

The public health nurse notices that several clients in the hypertension clinic have poorly controlled​ hypertension, even though they have been prescribed appropriate antihypertensive drugs. Which question will best enable the nurse to assess these​ clients? A. "Can you afford the high blood pressure​ medication?" B. "Does your religion allow the use of high blood pressure​ medication?" C. "Does your culture use herbs to treat high blood​ pressure?" D. "Do you think your high blood pressure is a​ problem?"

A. "Can you afford the high blood pressure​ medication?"

A client with hypertension is receiving medication to lower his blood pressure. Which nursing action demonstrates the evaluation process related to medication​ administration? A. Determining that goals were not met 3 days following medication administration B. Asking the client if they have adhered to the prescribed treatment C. Administration of IV antihypertensive agents D. Determination of the​ client's baseline blood pressure

A. Determining that goals were not met 3 days following medication administration

A nurse is planning to teach a client about a new medication. What is the best teaching​ method? A. Give the client oral and written drug information and instructions. B. Instruct the client that their local pharmacy will teach them about this medication. C. Leave written drug information and instructions at the bedside. D. Provide oral drug information and instructions as opposed to written.

A. Give the client oral and written drug information and instructions.

The client was exposed to cutaneous anthrax 2 weeks ago. What will the nurse see when assessing the​ client's skin? A. Small skin lesions and​ later, black scabs B. Small, fluid-filled​ vesicles, and​ later, small skin erosions C. Ulcerated areas and​ later, keloids D. Large pustules and​ later, reddish scabs

A. Small skin lesions and​ later, black scabs

A student nurse asks a nurse what items are found within the Strategic National Stockpile​ (SNS). What is the​ nurse's best​ response? A. Drinking water B. Antibiotics C. Prepared meals D. Two-way radios

B. Antibiotics The SNS consists of​ antibiotics, vaccines and​ medical, surgical and patient support supplies such as bandages airway supplies and IV equipment.

A nurse working in an obstetric practice should consider which fact when discussing medication use with pregnant​ clients? A. Drugs should not be used during pregnancy. B. Inhaled drugs may be absorbed to a greater extent. C. Drug excretion rates are lowered. D. Oral drug absorption rate is lowered.

B. Inhaled drugs may be absorbed to a greater extent. Increase in tidal volume and pulmonary vasodilation during pregnancy may lead to inhaled drugs being absorbed to a greater extent.

A nurse is caring for a client following a bioterrorism attack. The client has experienced initial nausea and vomiting followed by weight loss and eventual thyroid cancer. What was the most likely causative​ agent? A. Chemical agent B. Ionizing radiation C. Bacterial agent D. Viral agent

B. Ionizing radiation Exposure to radiation causes weight loss and eventual thyroid cancer.

The nurse administers potassium iodide​ (KI) tablets to a client who has been exposed to radiation from a nuclear weapon. What is the rationale for administering potassium iodide​ (KI) to this​ client? A. Prevent liver cancer B. Prevent thyroid cancer C. Prevent renal cancer D. Prevent brain cancer

B. Prevent thyroid cancer Potassium iodide​ (KI) can prevent up to​ 100% of the radioactive iodine from entering the thyroid gland.

A nurse is preparing to administer medications to a pregnant client. Which classification of drugs would the nurse refuse to​ administer? A. Category B B. Teratogenic C. Cautionary D. Category A

B. Teratogenic Drugs that are known to cause birth defects are called teratogenic or classified as category D or category X.

The nurse in the emergency department administers an adult dose of an antibiotic to a​ 3-month-old baby. As a​ result, the baby suffers permanent brain damage. What best describes the effect of this error on the healthcare​ facility? A. The healthcare facility will pay a very large settlement. B. The morale of the staff involved will be decreased. C. The reputation of the healthcare facility will suffer. D. The professional license of the nurse will be lost.

B. The morale of the staff involved will be decreased. Medication errors that result in permanent damage increase​ self-doubt and destroy the morale of all staff​ involved; some may choose to leave the nursing profession.

The nurse is reviewing the steps of the nursing process with a student. The nurse knows that the student understands the teaching when the student correctly lists which of the following as the correct order of the nursing​ process? A. Establish nursing​ diagnosis, assessment,​ intervene, collaborate, evaluation B. ​Assessment, planning, establish​ objectives, communication, evaluation C. Assessment, establish nursing​ diagnosis, planning,​ interventions, evaluation D. Establish​ goals, assessment,​ intervention, planning, communication

C. Assessment, establish nursing​ diagnosis, planning,​ interventions, evaluation

A client asks a nurse what the common complications are due to​ drug-herbal interactions. How would the nurse​ respond? A. Urine output B. Vision loss C. Blood coagulation D. Hair growth

C. Blood coagulation Many herbal products increase bleeding potential and reduce the effects of anticoagulant drugs.

A nurse is admitting a client to the emergency department who has overdosed on a benzodiazepine. The nurse should anticipate the healthcare provider will prescribe which of the following​ drugs? A. Acetylcysteine B. Acetaminophen C. Romazicon D. Digibind

C. Romazicon Flumazenil​ (Romazicon) is the antidote for benzodiazepine overdose.

A client was exposed to ionizing radiation. The nurse plans to administer which of the following​ medications? A. Calcium tablets. B. Antibiotics. C. Salt tablets. D. Potassium-iodine tablets.

D. Potassium-iodine tablets.

The client is being treated for a cardiac dysrhythmia with amiodarone​ (Cordarone). The client has elevated liver function tests​ (LFTs). Which assessment finding would the nurse suspect as contributing to the elevated​ LFTs? A. The client was taking gingko biloba for memory problems. B. The client was taking​ Kava-Kava for anxiety. C. The client was taking St.​ John's wort for depression. D. The client was taking Echinacea to treat cold symptoms.

D. The client was taking Echinacea to treat cold symptoms. Echinacea and amiodarone​ (Cordarone) can lead to hepatotoxicity.

A client with a family history of heart disease asks the nurse to recommend herbs that decrease the risk for heart disease. The nurse suggests the client discuss which herbs with the healthcare​ provider? Select all that apply. A. Flaxseed B. Green tea C. Soy D. Milk thistle E. Acai

A, B, C

A nurse is preparing care for a newly admitted client with diabetes. Which information would be critical for the nurse to​ assess? Select all that apply. A. Medical history B. Current lab results C. Medication allergies D. Use of dietary supplements E. Number of previous hospitalizations

A, B, C, D

The nurse preparing a teaching plan for a postpartum mother. The nurse plans to include which topics regarding​ breastfeeding? Select all that apply. A. Most medications are secreted into breast milk. B. Dietary supplements should be avoided. C. Herbal products are secreted into breast milk and have the potential to cause harm to the infant. D. All tobacco products should be avoided. E. Most drugs are safe to take right after breastfeeding because they will clear the bloodstream prior to the next feeding.

A, B, C, D

Which information is essential for the nurse to collect when reviewing a​ client's medication​ list? Select all that apply. A. Drug names B. Drug manufacturer C. Dosage being taken D. Frequency of administration E. When last refill was obtained

A, C, D

A small nuclear weapon has been detonated in a nearby city. Which immediate symptoms of radiation sickness will the nurse assess in clients who have been​ exposed? A. ​Nausea, vomiting, and diarrhea. B. Weight loss and fatigue. C. Dilated pupils and aggression. D. Anorexia and fatigue.

A. ​Nausea, vomiting, and diarrhea.

A nurse is reviewing safe medication administration with a student nurse. What should the nurse plan to include in the​ teaching? A. Administer medications intramuscularly when a client refuses to take it orally B. Give medications within the time frame specified by hospital policy C. Discontinue a medication at the request of a client D. Use abbreviations while charting to save time

B. Give medications within the time frame specified by hospital policy

A nurse is developing a care plan for a client. Which client outcome statements are correctly​ formatted? Select all that apply. A. The client will understand the effects of the medication administered prior to discharge. B. The nurse will administer all medications with ten minutes of their scheduled time. C. The client will identify two adverse effects of enoxaprarin​ (Lovenox) prior to​ self-administering the drug. D. The client will verbalize the storage requirements for NPH insulin prior to discharge. E. The healthcare provider will discuss the desired effects of discharge medications with the client the evening before discharge.

C, D - "Identify" is a measurable​ verb, there is a specific measure to be evaluated and a time line is present. ​- "Verbalize" is a measurable​ verb, there is a specific measure to be​ evaluated, and a time line is present.

The nursing supervisor tells a nurse that the medication error the nurse made yesterday has been determined to be a sentinel event. What should the nurse expect to​ occur? Select all that apply. A. Her employment will be terminated. B. Her personal malpractice insurance company will be notified. C. An immediate investigation will occur. D. Interventions to prevent the error from occurring again will quickly be put in place. E. A​ root-cause analysis will be performed.

C, D, E

The nurse plans to teach clients about the difference between herbal preparations and prescription medications. Which statement describes the best plan by the​ nurse? A. ​"Herbs are considered to be safer than prescription medications as they are​ natural." B. "Herbs, like prescription​ drugs, usually only contain one active​ ingredient." C. "Most herbs, like prescription​ drugs, are standardized and regulated by the Food and Drug Administration​ (FDA)." D. ​"The active ingredients in an​ herb, unlike prescription​ drugs, may be present in just one part or many​ parts."

D. ​"The active ingredients in an​ herb, unlike prescription​ drugs, may be present in just one part or many​ parts."

The nurse preparing to transfer to a pediatric hospital would expect to administer medications to children from birth to age ______ years.

16 For the purposes of medication​ administration, the pediatric patient is defined as being any age from birth to 16 years and weighing less than 50 kg.

The nurse uses a newly admitted​ client's armband barcode to identify the client prior to administering medications. The nurse should use at least _____ other means of identifying this client.

2 Even though the barcode identification system has improved​ safety, it is not foolproof. The nurse should use two other means of identifying the client such as verifying name and birth date.

A nurse working in the emergency department is told that the smallpox virus was aerosolized at a parade attended by thousands of people. The nurse explains to the student nurse that the vaccine for this virus provides a high level of protection if given within ______ days of exposure.

3 The variola vaccine provides a high level of protection if given prior to exposure or up to 3 days after exposure.

Place these methods of communicating with a​ non-English speaking client in order of their desirability and usefulness. 1. No interpretation is attempted. 2. Adult family member interprets. 3. Healthcare agency interpreter is present. 4. Child relative interprets. 5. The nurse uses drawings and body language to communicate.

3, 2, 4, 5, 1

Place these nursing activities in the correct order of the nursing process. 1. The nurse writes an individualized nursing intervention. 2. The nurse analyzes the data collected. 3. The nurse changes a nursing intervention that is not working. 4. The nurse documents the time and route of an administered medication. 5. The nurse weighs the client.

5, 2, 1, 4, 3

A nurse is planning a presentation regarding anthrax. What should the nurse​ include? Select all that apply. A. Anthrax can spread easily. B. There are three basic types of anthrax. C. Anthrax is killed by heat. D. The main area affected by inhalation anthrax is the lung periphery. E. Anthrax causes the release of multiple​ toxins, each affecting a different part of the body.

A, B Anthrax spreads easily. The types of anthrax are​ cutaneous, gastrointestinal, and inhalation.

A client who is considering taking a dietary supplement recommended by the nurse asks how to determine if the supplement is safe. The nurse explains that the Dietary Supplement and Nonprescription Drug Consumer Protection Act of 2007 requires that companies marketing herbal and dietary supplements do which of the​ following? Select all that apply. A. Include their contact information on the label so consumers can report adverse effects. B. Notify the Food and Drug Administration​ (FDA) within 15 days of receiving a report of an adverse effect. C. Keep records of adverse effects for at least 6 years and make these records available for inspection by the Food and Drug Administration​ (FDA). D. Demonstrate product effectiveness prior to release of the product to the public. E. State which conditions the product is intended to cure or prevent.

A, B, C

A client with inflammatory arthritis asks about adding an​ anti-inflammatory herb to the medication regimen to decrease the use of prescription drugs. The nurse suggests the client discuss the efficacy of which herbs with the healthcare​ provider? Select all that apply. A. Evening primrose B. St.​ John's wort C. Ginger D. Ginseng E. Bilberry

A, B, C

A postmenopausal client with a history of stroke is told she cannot take female hormones because of the risk for future thromboembolic events. The client asks about nonpharmacologic ways to manage her symptoms. Which herbs does the nurse suggest as​ alternatives? Select all that apply. A. Soy B. Black cohosh C. Evening primrose D. Saw palmetto E. Acai

A, B, C

A pregnant client suspected of drug abuse is admitted to the emergency department. The nurse plans to teach the client about which complications associated with drug use during​ pregnancy? Select all that apply. A. Preterm birth B. Low birth weight C. Birth defects D. Allergies to narcotics E. Increased labor

A, B, C

For which client would the nurse expect the healthcare provider to continue prescribed medications during​ pregnancy? Select all that apply. A. The client recently diagnosed with gonorrhea B. The client with a history of frequent asthma attacks C. The client with hypertension D. The client with frequent insomnia E. The client with a family history of stroke

A, B, C

The nurse in charge of a clinical study welcomes the participants in an open forum. One client is surprised that there are men and women from several ethnic groups. The nurse explains that in the​ past, ethnic variables were largely unknown or ignored for what​ reasons? Select all that apply. A. Clinical trials failed to include ethnically diverse subjects. B. Clinical trials comprised mostly Caucasian males. C. Little attention was focused on identifying the different effects drugs had on various ethnic groups. D. Research proved there were no differences among ethnic groups. E. The large majority of clinical trials included Caucasian females.

A, B, C

The nurse in the emergency department is caring for several clients from diverse cultures. Which statement shows the​ nurse's ability to provide culturally competent​ care? Select all that apply. A. ​"I understand your religion prohibits blood transfusions. Would you consider nonblood​ alternatives?" B. "I just want to make sure you and your spouse understand the risks as you consider the​ options." C. "I don't really understand why you are afraid to take the medication. Do you have any questions I can answer to alleviate your​ fear?" D. "I really​ don't understand why you​ won't consider an abortion. Your admission papers say you are an​ atheist." E. "I'm not quite sure why the healthcare provider is giving you these prescriptions. You​ didn't get them filled the last time you were​ here."

A, B, C

The nurse is teaching clients in a senior center about complementary and alternative therapies. Which statement by a client indicates understanding of the information the nurse has​ presented? Select all that apply. A. "I see now that​ 'natural' doesn't really mean​ 'safe,' and I should ask my healthcare provider about any supplements I want to​ take." B. "I didn't realize some herbal supplements may be just as strong as a prescription drug. I will need to discuss any supplements I want to try with my​ doctor." C. "I understand now that when I choose to use a natural product over a prescription​ medication, I could be delaying my​ recovery." D. "It's good to know that herbs contain ingredients that are as powerful as a prescribed medication and are an option for safe and effective​ therapy." E. "It's good to know that herbs contain ingredients that are as powerful as a prescribed medication and are an option for safe and effective​ therapy."

A, B, C

When teaching the client about a new​ medication, the nurse should include which​ information? Select all that apply. A. Adverse effects that can be expected B. Which adverse effect to report to the healthcare provider C. The​ drug's therapeutic action D. Chemical composition of the drug E. Name of the drug manufacturer

A, B, C

A home health​ nurse's patient caseload is ethnically diverse. Which interventions show understanding of cultural​ variables? Select all that apply. A. Discussing cultural preferences for herbs and spices and possible alternatives when drug interactions are possible. B. Assessing the​ client's response to acupuncture for pain. C. Discussing the​ client's beliefs regarding treatment. D. Notifying the healthcare provider of the​ client's intentions to consult with a medicine man for spiritual guidance. E. Removing the​ client's collection of herbs to decrease the risk of an adverse effect when taken with Western medicine.

A, B, C - It is important to assess the cultural use of herbs and spices and determine if there may be any interactions with prescribed medications. - The nurse can assess the​ client's response to acupuncture and interpret the effects on prescribed treatment with respect for the​ client's culture. - Cultures view health and wellness in different ways. An understanding of the​ client's cultural beliefs allows the nurse to provide better support and guidance.

A client asks the nurse why a medication prescribed by the provider​ "didn't do anything at​ all." Which statement by the nurse accurately describes how genetics influence drug​ action? Select all that apply. A. ​"Genetic differences can result in significant differences in how each​ client's body handles the same​ medication." B. "Genetic differences can cause mutations in​ enzymes, changing the way they function. This can alter how the body metabolizes and excretes​ drugs." C. "Because of genetic​ differences, medication may accumulate to toxic levels in one client while in another client may be inactivated before it can have a therapeutic​ effect." D. "Genetic differences can be expressed as an alteration in the structure of an​ enzyme, which can cause a defective receptor and an allergic response to​ drugs." E. "Genetic differences in clients who are biracial result in an allergic response to​ medications."

A, B, C 99.8% of human DNA sequences are identical. The remaining​ 0.2% can account for significant differences in​ people's ability to handle medications. The structure of an enzyme is closely related to its function. A mutation can cause a change in the structure of the​ enzyme, resulting in a change in its function. When enzymes are functionally changed by​ genetics, metabolism and excretion can be​ altered, resulting in the drug either accumulating or being inactivated.

A nurse is caring for a client that was exposed to radiation. The client asks the nurse what factors increase the amount of radiation that a person is exposed to. What should the nurse include in responding to the​ client's question? Select all that apply. A. The amount of exposure. B. The​ long-lasting effects. C. The amount of cellular death. D. The gender of the client exposed. E. The amount of naloxone​ (Narcan) ingested after exposure.

A, B, C Gender is not associated and naloxone is not used to treat exposure to radiation.

The nurse is planning care for a pregnant client prone to substance abuse. When the client​ states, "My baby​ isn't getting my​ drugs, I​ am," how does the nurse​ respond? Select all that apply. A. ​"Most illicit drugs will cross the placenta and hurt the​ baby." B. ​"Drugs may work longer in your​ baby." C. ​"Some drugs result in your baby not growing​ enough." D. ​"You are correct. You are far enough along in your pregnancy that drugs will not harm your​ baby." E. ​"If you continue to take​ drugs, it will make you have a large​ infant."

A, B, C Most illicit drugs cross the placenta and can cause premature​ birth, low birth​ weight, birth​ defects, and withdrawal symptoms. Because the fetus lacks mature metabolic enzymes and efficient excretion​ mechanisms, drugs will have a prolonged duration of action within the unborn child. Some drugs result in intrauterine growth retardation.

The nurse is caring for several clients. Which clients have a psychosocial history that may affect their​ outcome? Select all that apply. A. Older adult who recently suffered a​ stroke, has an unsteady​ gait, and lives in a​ two-story home B. ​Middle-aged client with Down syndrome living in a group home C. Recently divorced mother of three children with breast cancer D. Sixteen-year-old requesting birth control without parental consent E. Seven-year-old with asthma in a foster care home

A, B, C This client may not be able to return to a home that requires climbing stairs. A client with Down syndrome needs additional care to ensure that treatment outcome is successful. This client may be the​ family's sole provider and may have financial concerns.

The nurse is working hard to prevent medication errors. What interventions will assist the nurse in preventing most​ errors? Select all that apply. A. Always check the​ client's identification band prior to administration of medications. B. Open all of the medications immediately prior to administration. C. Tell healthcare providers that verbal orders will not be accepted. D. Record the medication on the medication administration record​ (MAR) immediately prior to administration. E. Validate all orders with another nurse prior to administration of medications.

A, B, C Ways to reduce medication errors include checking the​ client's identification band prior to administration of medications. Ways to reduce medication errors include opening all of the medications immediately prior to administration. Ways to reduce medication errors include telling healthcare providers that verbal orders will not be accepted.

A client experiencing occasional minor digestive problems asks the nurse about herbal therapy. What is the best response by the​ nurse? Select all that apply. A. Wheat grass B. Green tea C. Ginger D. Grape seed E. Stevia

A, B, C Wheat grass is used to improve digestion. Green tea is used to decrease nausea and vomiting. Ginger is used to decrease nausea.

A community health nurse is preparing a teaching plan regarding medications and their potential adverse effects for a new parent class. The nurse should encourage parents to do which of the​ following? Select all that apply. A. Maintain a list of current medications for each child. B. Be aware of each​ child's medication allergies. C. Know what the​ child's prescribed medication is​ for, how it should be​ administered, and when to expect the child to feel better. D. Be aware that any leftover medication should be appropriately disposed​ of, not saved for future use. E. Read the prescription label for any foods the child should avoid while taking the medication and for possible adverse effects to watch out for.

A, B, C, D

Which client would be most likely to seek complementary and alternative therapies as a treatment​ modality? ​ A. A​ 48-year-old male who wants to boost his immune system. B. A​ 22-year-old male athlete who is preparing for the Olympics. C. A​ 50-year-old female going through menopause. D. A​ 58-year-old male with prostate problems. E. None of these clients would be wise to seek these therapies.

A, B, C, D

A new nurse on the orthopedic floor makes a medication error. Which statements by the nurse manager foster a safe environment in which nurses will report medication​ errors? Select all that apply. A. "Many of us have made a medication error in our careers. The most important issue is to identify why the error​ occurred." B. "I know you could not feel any worse than you already do. We need to discuss how this error happened and how we can prevent it from happening​ again." C. "It's really good that your client is OK and did not suffer any harmful effects of this error. We should discuss why this error occurred and how it can be prevented in the​ future." D. "Because you are a new​ nurse, we should sit down and discuss the procedure you followed to see what you could have done to prevent this​ error." E. "We need to sit down as soon as possible and write up an incident report describing everything you did incorrectly that caused this​ error."

A, B, C, D All errors should be investigated with the goal of identifying why they occurred. This investigation should be done in a manner that is not punitive and will encourage staff to report errors without fear of punishment.

A nurse administering medications to a variety of patients on a​ medical-surgical floor recognizes that which clients may need additional education about medication​ adherence? Select all that apply. A. ​Fifty-year-old recently remarried male taking antihypertensive medication B. Thirty-four-year-old female with family history of blood clots taking an estrogen oral contraceptive C. ​Thirty-eight-year-old male recently started on an antidepressant D. Twenty-eight-year-old female started on acne medication known to cause​ male-patterned hair growth E. Seventy-eight-year-old female being treated for shingles

A, B, C, D Antihypertensive medications can cause impotence. This client will need additional education about this possible side effect. Estrogen can cause an increased risk for thrombolytic​ events, especially in clients who have a positive family history. Taking an antidepressant may result in the man feeling​ weak, unhealthy, or dependent. Some acne medications cause increased hair growth in a male​ pattern, such as on the face. While controlling acne is a​ goal, the client may not want the extra hair growth.

A nurse is caring for a client admitted to the emergency department following a drug overdose. The nurse anticipates which of the following prescriptions to enhance removal of the poison from the​ client? Select all that apply. A. Administering activated charcoal. B. Changing the pH of urine. C. Preparing the client for enemas. D. Inserting a nasogastric tube. E. Preparing corticosteroids for administration.

A, B, C, D Corticosteroids is not used for poison removal.

A student nurse asks a nurse what is included in the Strategic National Stockpile​ (SNS). The nurse explains that the SNS includes which of the following​ supplies? Select all that apply. A. Intravenous administration equipment B. Antibiotics C. Life-support medications D. Chemical antidotes E. Hospital beds

A, B, C, D Does not have hospital beds

A nurse has been asked to present health promotion information at a community clinic whose clients are primarily​ non-Hispanic Black women. After review of health disparity and inequality statistics the nurse chooses to include information about which​ disorders? Select all that apply. A. Stroke B. Coronary artery disease C. Diabetes D. Illicit drug use E. Prenatal care

A, B, C, E

A nurse on the​ medical-surgical unit is caring for several very ill clients. One client​ says, "I was supposed to get my medications an hour​ ago." The nurse recognizes that medication errors can have what​ impact? Select all that apply. A. Medication errors can potentially extend the​ client's length of hospital stay. B. Medication errors can result in expensive legal costs to the facility. C. Medication errors can damage the​ facility's reputation. D. Medication errors can be physically devastating to nurse and client. E. Medication errors cause preventable deaths during hospitalizations.

A, B, C, E

The nurse has been hired to work in the risk management office of a hospital. What situations would the nurse expect to be included in this​ job? Select all that apply. A. Participating in the investigation of a sentinel medication event B. Using the computer to track data C. Working with staff nurses to identify work flow problems D. Meeting with the nurse executive to identify nurses who are prone to medication errors E. Participating in a committee who will recommend changes to the policy and procedures regarding medication administration.

A, B, C, E

The nurse is beginning medication reconciliation for a newly admitted client. What should the nurse include in this​ list? Select all that apply. A. The client takes ibuprofen for an occasional headache. B. The client mixes a powdered form of vitamin C into his morning orange juice. C. The client applies essential oils to his forehead to help with his or her allergies. D. The client drinks milk fortified with vitamin D. E. The client takes a prescription medication for osteoporosis once a week.

A, B, C, E

The nurse is preparing a teaching plan for an older client who is taking multiple medications. Which principles should the nurse keep in mind during the planning​ phase? Select all that apply. A. The client should have all prescriptions filled at the same pharmacy. B. The client should keep a list of all medications for easy accessibility. C. Older clients often take multiple drugs which is a common cause of medication errors. D. Polypharmacy is unique to older clients and is the most common cause of medication errors. E. The client should be aware of each prescribed​ medication, the​ dose, and possible side effects.

A, B, C, E

The nurse makes a medication​ error, but the client is not harmed. The​ client's family asks the nurse manager what is considered a medication error. How should the nurse manager​ respond? Select all that apply. A. Failure to follow healthcare​ provider's orders. B. Failure to give the right medication. C. Failure to give a medication at the ordered time. D. Failure to call the pharmacy and report that the medication has been given. E. Failure to give the right dose of the medication.

A, B, C, E

The client​ says, "I am convinced that the​ mind-body interventions I am using are improving my​ health." The nurse would ask additional questions about which complementary and alternative therapies that belong to this​ category? Select all that apply. A. Yoga B. Massage C. Dance D. Herbal therapies E. Biofeedback

A, B, C, E Herbal therapies is not CAM.

A client returns to the clinic for​ follow-up after taking a newly prescribed medication for a month. The nurse recognizes medication teaching was successful when the client makes which​ statement? Select all that apply. A. ​"I've been taking my medication on an empty stomach like the prescription label said​ to." B. "I take my medication first thing in the​ morning, just like you​ said." C. "I have been able to decrease my medication to every other day and that saves me some​ money." D. "I switched all my medications to one pharmacy like you​ suggested." E. ​"Did you say I need to take this medication with water or​ milk?"

A, B, D

The nurse works for the Centers for Disease Control and Prevention​ (CDC). In planning for a bioterrorist​ attack, what will the best plan of the nurse​ include? Select all that apply. A. Learn the signs and symptoms of chemical and biological agents. B. Obtain a listing of health and law enforcement contacts. C. Assist in the stockpiling of medications. D. Obtain current knowledge of emergency management. E. Assist in triage at local hospitals.

A, B, D The key roles of nurses in meeting the challenge of a potential bioterrorist event include diagnosis and treatment​ (signs and symptoms of chemical and biological​ agents). The key roles of nurses in meeting the challenge of a potential bioterrorist event include resources​ (health and law enforcement​ contacts). The key roles of nurses in meeting the challenge of a potential bioterrorist event include education​ (knowledge).

A​ client's genetic testing indicates the presence of a genetic polymorphism of the CYP 450 enzyme. The nurse expects this difference to be one of which​ classifications? Select all that apply. A. Extensive B. Poor C. Normal D. Ultrarapid E. Inefficient

A, B, D ​"Extensive" is one of the classifications used to describe this change in drug metabolism. ​"Poor" is one of the classifications used to describe this change in drug metabolism ​"Ultrarapid" is one of the classifications used to describe this change in drug metabolism.

During​ evaluation, the​ nurse, client, and healthcare provider determine that the goals of antibiotic therapy have not been met. What actions are​ indicated? Select all that apply. A. Review the dosage of the medication B. Consider checking serum drug levels C. Discard the idea that the infection is treatable D. Consider prolonging therapy E. Consider using a different antibiotic

A, B, D, E

The nurse assesses the client with diabetes mellitus prior to administering medications. Which questions are important to ask the​ client? Select all that apply. A. ​"Are you allergic to any​ medications?" B. "Are you taking any herbal or​ over-the-counter (OTC)​ medications?" C. "How difficult is it for you to maintain your ideal body​ weight?" D. "Will you please tell me about the kind of diet you​ follow?" E. "What other medications are you currently​ taking?"

A, B, D, E

The risk management department is using a​ root-cause analysis to improve a nursing​ unit's medication administration accuracy. What questions will be used to develop this​ tool? Select all that apply. A. "What kind of errors are​ occurring?" B. ​"What is the current medication administration accuracy​ rate?" C. "How do the unit nurses rank in the number of errors​ committed?" D. "What do the nurses think can be done to prevent errors from​ continuing?" E. "What is the impact of changes made to improve​ accuracy?"

A, B, D, E

The nursing instructor teaches the student nurses about how medication errors can occur. What information will the nursing instructor include in the​ presentation? Select all that apply. A. The nurse miscalculates the medication dose. B. The nurse does not check the​ client's identification band. C. The nurse does not validate an order with the healthcare provider. D. The nurse misinterprets a healthcare​ provider's order. E. The nurse administers the incorrect drug.

A, B, D, E As long as they interpret the order correctly, they do not need to validate.

A nurse is providing care to a client who wears bilateral hearing aids. Which nursing interventions are​ indicated? Select all that apply. A. Speak a bit slower than normal. B. Speak more loudly than normal. C. Ensure that verbal and nonverbal communication is congruent. D. Allow extra time for communication. E. Use bright lighting in the room.

A, C, D

The nurse is doing a holistic assessment on a client prior to starting antihypertensive medication. What should the nurse include in the​ assessment? Select all that apply. A. Blood pressure B. The biologic cause of the hypertension C. Mood D. Level of education E. Belief in a higher power

A, C, D, E

The nurse understands that drug therapy is postponed until after pregnancy and lactation when possible. Which of the following acute and chronic conditions may be managed with drugs during​ pregnancy? Select all that apply. A. Epilepsy B. Serious cystic acne C. Sexually transmitted infections D. Gestational diabetes E. Hypertension

A, C, D, E

A nurse has provided discharge medication instructions to the parents of a child being released from the emergency department. The nurse evaluates that learning has occurred when the parents make which​ statements? Select all that apply. A. ​"I should give this antibiotic as prescribed until the bottle is​ empty." B. ​"I should use a spoon to give this​ medication." C. ​"I will keep this medication in the refrigerator as the label​ directs." D. ​"If my child develops any adverse​ effects, I will discard the rest of the​ medicine." E. ​"This antibiotic should help to clear my​ child's infection."

A, C, E

The nurse is teaching the importance of drugs for emergency preparedness to local firemen. The nurse determines that learning has occurred when the firemen make which​ statements? Select all that apply. A. "The vendor-managed inventory​ (VMI) package can reach any community within 24 to 36​ hours." B. "Our local hospital is supposed to be stockpiling​ antibiotics." C. "The push package can reach any community within 12 hours of an​ attack." D. "The Strategic National Stockpile is located at the Centers for Disease Control and Prevention​ (CDC) in​ Atlanta." E. ​"Our country's drug stockpile is managed by the Centers for Disease Control and Prevention​ (CDC)."

A, C, E

The nurse is conducting a holistic assessment of a client with alcoholism. What are the important questions the nurse would​ ask? Select all that apply. A. ​"How is drinking alcohol viewed by your​ culture?" B. "Have you ever attended Alcoholics Anonymous​ meetings?" C. "Did you see your parents drinking alcohol when you were growing​ up?" D. "Have you been in alcohol rehabilitation before​ now?" E. "What blood relatives of yours are addicted to​ alcohol?"

A, C, E Cultural, environmental, and biological questions are valid questions.

The client asks if there are any supplements that would help improve or preserve his memory. Which supplements would the nurse​ discuss? Select all that apply. A. Carnitine B. Coenzyme Q10 C. Glucosamine D. DHEA E. Selenium

A, D

A nurse who is presenting community education​ states, "Drugs are among our most powerful weapons for emergency​ preparedness." What additional​ statements, made by the​ nurse, would support this​ statement? Select all that apply. A. ​"Drugs help us treat the diseases that could be caused by​ bioterrorism." B. "We can use drugs to neutralize our​ enemies." C. "If we control the manufacture and distribution of​ drugs, we will control global​ politics." D. "Without drugs, we might be quickly overwhelmed by a bioterrorist​ attack." E. ​"Drugs can be used in chemical or nuclear​ attacks."

A, D, E

Which patient statements would the nurse evaluate as negatively affecting access to​ healthcare? Select all that apply. A. An older adult​ says, "If I tell my doctor that I fall​ frequently, I might have to go to a nursing​ home." B. A young adult​ says, "A benefit of my new job is that it pays for my​ health, dental, and vision​ insurance." C. A client being discharged​ says, "Can you call my prescriptions in to the​ pharmacy?" D. The​ client's new insurance plan requires a​ $10 copay for office visits. E. A client asks to be discharged before noon as he has a​ 3-hour drive home.

A, D, E

A nurse is teaching a community group about holistic medicine. Which information should the nurse include about Western​ medicine? Select all that apply. A. Western medicine focuses on the cause of disease. B. Western medicine is not compatible with holistic medicine. C. Western medicine is not compatible with holistic medicine. D. Disease is often viewed as a malfunction in a specific body system. E. Western medicine may focus on disease treatment.

A, D, E - Western medicine often focuses on determining which disease is present and what caused it. - In Western medicine disease is often viewed as a specific malfunction of a body part. - Western medicine often focuses on the treatment of a​ disease, not the care of the client with the disease.

The nurse teaches a class about medication used during pregnancy to pregnant women. The nurse determines that additional instruction is required when a class participant makes which​ response? A. ​"The baby can only be harmed by medications during the first​ trimester." B. ​"Exposure to teratogens can result in my​ baby's death or in​ malformations." C. ​"It is important to not take​ over-the-counter (OTC) drugs during my​ pregnancy." D. ​"If I breastfeed my​ baby, drugs can come through my breast​ milk."

A. "The baby can only be harmed by medications during the first​ trimester." A baby can be harmed by medication used throughout the period of gestation.

The pregnant client tells the nurse that her prescribed medication is not as effective as it was before her pregnancy. What is the best response by the​ nurse? A. ​"This is because your blood volume has​ increased." B. ​"Maybe the medication has​ expired; check the​ label." C. ​"Tell me how you have been taking your​ medication." D. ​"This is because your baby is receiving part of the​ medication."

A. "This is because your blood volume has​ increased." Increased blood volume results in hemodilution and increased excretion of the medication.

The patient is from an Arab culture and is in labor and delivery. Her husband insists he must stay with her and will not allow her to receive any analgesia during the experience. What is the best action by the​ nurse? A. Allow this request and be available in the event the request changes. B. Inform the husband that he must sign a release of responsibility to avoid future litigation against the hospital C. Allow the request but inform the husband that the healthcare provider will make the final decision about analgesia D. Inform the husband that it is his​ wife's choice whether or not to receive analgesia.

A. Allow this request and be available in the event the request changes. Nurses must allow and support cultural differences. The​ husband's decisions must be respected as long as client safety is not​ involved, and it is not involved in this situation.

The nurse was very busy and unfamiliar with a new​ medication, but administered it anyway. Later the nurse looked up the medication. How does the nurse manager evaluate this​ behavior? A. An error could have occurred because the nurse was unfamiliar with the medication. B. The nurse manager was partially at fault because the nursing unit was understaffed and the nurse was too busy. C. An error did occur because the nurse could have administered the medication via the incorrect route. D. This was acceptable as long as the nurse looked up the action and side effects of the drug later.

A. An error could have occurred because the nurse was unfamiliar with the medication.

A nurse is caring for a client who has been exposed to a nerve agent. Which antidote will the nurse plan to​ administer? A. Atropine B. Acetate of ammonia C. Hydroxyzine​ (Vistaril) D. Apomorphine

A. Atropine

A nurse is teaching a student nurse about the active ingredients of herbal medicines. Which of the following indicates that teaching was​ effective? A. Can be found in all parts of the herb. B. Are found only in the root system. C. Are found only in the stems and leaves. D. Are found only in the rhizome.

A. Can be found in all parts of the herb.

A client is diagnosed with cancer. The healthcare provider has recommended​ chemotherapy, which would likely save the​ client's life. The client tells the​ nurse, "This is punishment from God for sins I have​ committed; some women at my church say​ so."? With permission from the​ client, what would the nurse do​ first? A. Contact the​ client's minister to discuss the​ client's perspective about cancer. B. Plan to bring the case before the​ hospital's board of ethics. C. Involve a hospital minister to discuss the​ client's perspective about cancer. D. Meet with family members to discuss the​ client's perspective about cancer.

A. Contact the​ client's minister to discuss the​ client's perspective about cancer. When clients have strong religious​ beliefs, these can affect the outcome of the illness. The nurse should involve the​ client's religious leader when possible.

The nurse administers an evening medication to the client in the morning. What is the​ nurse's best initial course of action at this​ time? A. Notify the healthcare provider about the error. B. Change the medication administration time to the morning. C. Document the incident in the​ client's health record. D. Tell the evening nurse to hold the evening dose just for tonight.

A. Notify the healthcare provider about the error. Even though the medication went to the correct​ client, this is still considered a medication error. The​ nurse's first priority is to assess the client and contact the healthcare provider.

The nurse will administer medication to a​ school-age child. What is the best action by the​ nurse? A. Offer the child a choice of beverage with which to take the medication. B. Tell the child he will not be allowed to go to recess if the medication is not taken. C. Teach the child the action and expected side effects of the medication. D. Offer to play with the child prior to medication administration.

A. Offer the child a choice of beverage with which to take the medication.

The nurse provides care for elderly clients in an assisted living facility. What does the nurse assess as a primary contributing factor for drug toxicity in the​ elderly? A. Older adults are frequently dehydrated. B. Older adults often abuse alcohol. C. Older adults are frequently constipated. D. Older adults have decreased stomach acid.

A. Older adults are frequently dehydrated.

A student nurse asks a nurse how specialty supplements differ from herbal products. What is the​ nurse's best​ response? A. Specialty supplements can come from animal sources. B. Herbal products are more specific in their actions. C. Specialty supplements must be prescribed. D. Specialty supplements are generally targeted for more general conditions.

A. Specialty supplements can come from animal sources. Specialty supplements can come from animal and plant sources.

A client presents with hypotension and bradycardia. The client indicates that one of her healthcare providers recently prescribed three new medications to her current list of 10 medications per day. Based on this​ information, which statement would be the most​ accurate? A. The client is experiencing adverse reactions as a result of polypharmacy. B. The client is not in compliance with her prescribed medications. C. The client is having an allergic reaction to one of the new medications. D. The client is experiencing an adverse effect that will go away in time.

A. The client is experiencing adverse reactions as a result of polypharmacy.

All of the clients listed have cancer and are receiving chemotherapy. Which client does the nurse evaluate as having the highest probability for a​ remission? A. The client with a support group of cancer survivors B. The client who is also seeing a psychiatrist for treatment of depression C. The wealthy client who can afford the best medical care available D. The client who is a former healthcare provider

A. The client with a support group of cancer survivors

The nurse is assessing a newly admitted​ client's current medication. Which of the following is an example of objective​ data? A. The nurse checks the prescription bottles the client has brought to the hospital. B. The nurse asks the healthcare provider what medications the client was currently taking. C. The client lists the medications that have been prescribed. D. The​ client's wife tells the nurse what medications the client has been receiving.

A. The nurse checks the prescription bottles the client has brought to the hospital.

An American Indian client has been admitted to the hospital for chemotherapy. At any given​ time, five family members are in the​ client's room. The nurse tells the client that according to hospital​ policy, only two visitors at a time are allowed. What does the best analysis by the nurse manager reveal about the​ nurse's action? A. The nurse should have assessed the​ client's preferences about how many family members she wanted to be present. B. This was the correct​ action; the nurse was following protocol by informing the client about hospital policy. C. The nurse should have allowed the client to have as many family members as she wanted to be present. D. The nurse should have called the healthcare provider and obtained an order for additional family members to be present.

A. The nurse should have assessed the​ client's preferences about how many family members she wanted to be present.

A nursing student asks a nurse how gender influences pharmacology. How should the nurse​ respond? A. Women tend to seek medical care earlier than men do. B. Heart disease has traditionally been thought of as a​ woman's disease. C. Studies indicate that men and women suffer from​ Alzheimer's disease in equal numbers. D. Since the​ 1980s, the FDA has mandated that research studies include both male and female subjects.

A. Women tend to seek medical care earlier than men do.

The nursing instructor is teaching student nurses about the use of viruses in a bioterrorism attack. The nurse determines that learning has occurred when the students make which​ statement? A. ​"A bioterrorist attack with viruses is a real threat to​ Americans." B. "Most Americans have already been vaccinated against the lethal​ viruses." C. "Actually, a bigger concern is a nuclear weapon exploding in a​ city." D. ​"The Centers for Disease Control and Prevention​ (CDC) has a plan to vaccinate Americans against most​ viruses."

A. ​"A bioterrorist attack with viruses is a real threat to​ Americans." There are no effective therapies for treating clients infected by most types of viruses used in a bioterrorist attack.

A nursing instructor is teaching a nursing student about human DNA sequences. The student demonstrates understanding by making with of the following​ statements? A. ​"Even though human genetic differences are​ small, significant differences can be seen with drug​ metabolism." B. "Due to enzyme​ polymorphism, Hispanics are less likely to metabolize codeine to​ morphine." C. "Asian Americans are the ethnic group known to be slow​ acetylators." D. "Only 2% of human DNA is different among the different​ ethnicities."

A. ​"Even though human genetic differences are​ small, significant differences can be seen with drug​ metabolism."

The older adult asks the nurse how dietary supplements will help support health. What is the best response by the​ nurse? A. ​"Fish oil will help to enhance your brain​ function." B. "Chromium will help you achieve and maintain optimum​ weight." C. "Soy isoflavone will help prevent​ Alzheimer's disease." D. "Dietary supplements will help support and maintain​ hydration."

A. ​"Fish oil will help to enhance your brain​ function." ​Omega-3 fatty acids are neuroprotective and will enhance brain function.

Clients at a senior citizen center have asked the nurse to do a presentation on herbal preparations. Which statement would be included in the best plan by the​ nurse? A. ​"Herbal preparations actually are​ drugs; you must be careful with​ them." B. ​"Herbal preparations are safe as long as you carefully read the​ label." C. "As long as the herbal preparation has been tested in the clinical​ setting, it is​ safe." D. "Herbal preparations can be dangerous if you are allergic to​ them."

A. ​"Herbal preparations actually are​ drugs; you must be careful with​ them." Herbal preparations are nonprescription drugs that have side effects and can interact with many other drugs.

The nurse is teaching a class on dietary supplements. The nurse determines that learning has occurred when the patients make which​ statement? A. ​"Products can make claims based on body structure and function like​ 'promotes healthy urinary​ tract.'" B. ​"Dietary supplements must go through rigorous testing prior to being marketed by the​ manufacturer." C. ​"The manufacturer of the dietary supplement has the burden of proof for the safety of the​ supplement." D. ​"The Food and Drug Administration​ (FDA) is not involved with the approval of the dietary supplement and cannot remove it from the​ market."

A. ​"Products can make claims based on body structure and function like​ 'promotes healthy urinary​ tract.'" Ex: "promote healthy immune system"

The client tells the nurse that he or she has been taking herbal preparations to boost his or her immune system functioning. He or she does not know the names of the preparations. What is the best assessment question for the nurse to​ ask? A. ​"Would you please have your wife or husband bring the bottles to the​ hospital?" B. "Would you please tell your doctor about the herbs during the next​ visit?" C. ​"Would you please ask your wife or husband to call the hospital pharmacist with the​ names?" D. "Would you please ask your wife or husband to discuss this with me during her next​ visit?"

A. ​"Would you please have your wife or husband bring the bottles to the​ hospital?"

A healthcare provider has prescribed a chemotherapeutic drug for a client with cancer. This drug commonly causes loss of hair. The client asks the​ nurse, "Will all of my hair fall​ out?" What is the most therapeutic response by the​ nurse? A. ​"Yes, that is one of the expected side effects of this​ medication." B. "It might. Have you discussed this with your healthcare​ provider?" C. "Don't worry, we can recommend an excellent wig company if need​ be." D. "We are not really​ sure; applying an ice bag to your head may​ help."

A. ​"Yes, that is one of the expected side effects of this​ medication." The nurse must always be forthright in explaining drug actions and potential side​ effects; minimizing potential adverse effects can result in a distrust of the nurse.

A client is a vegan vegetarian and does not eat any animal products. The healthcare provider has prescribed a medication contained in a gelatin capsule. The nurse understands that a gelatin capsule is made from animal products. Which nursing actions are​ indicated? Select all that apply. A. Do not tell the client the capsule contains gelatin. B. Collaborate with the prescriber to find an alternative medication. C. Check to see if the capsule can be opened for administration. D. Work to convince the client that this application does not violate vegetarian beliefs. E. Tell the client that the gelatin is an inactive ingredient in the medication.

B, C - An alternative dosage form that does not require use of a gelatin capsule may be available. - Many capsules can be opened and the contents can be placed in fluid or on soft food for administration.

A series of category E medication errors have occurred on a hospital unit. When discussing this trend with the nursing​ staff, the risk manager would list which characteristics of a category E​ error? Select all that apply. A. The error contributed to the death of a client. B. A client was harmed. C. No interventions to sustain life were required as a result of the error. D. Harm to the client was permanent. E. The​ client's hospitalization was prolonged as a result of the error.

B, C Category E errors result in harm to the client. Category E errors do not result in the need for interventions to sustain life.

A nurse is planning a discussion of emergency preparedness with newly hired nurses. Which events would this nurse use as historical examples of​ terrorism? Select all that apply. A. The death of a client in a Texas hospital was confirmed to be due to the Ebola virus. B. Many people died as a result of sarin gas exposure in a Tokyo subway. C. Twenty-two confirmed or suspected cases of anthrax infection occurred as a result of the bacillus being sent through U.S. mail. D. There is typically a marked increase in overdoses during winter holidays. E. More people are contracting H1N1 avian influenza.

B, C The release of sarin gas was determined to be intentional and was called an act of terrorism. The exposure of persons to anthrax via contaminated mail was determined to be an act of domestic terrorism.

Medication reconciliation has been started for a newly admitted client. At which points would the nurses and others caring for this client check this​ list? Select all that apply. A. Each time that medications are administered to the client. B. When initial admission orders are received. C. When the client is transferred to a different unit within the hospital. D. When the client is discharged. E. If a medication error occurs.

B, C, D

The nurse manager would determine that a nurse understands culturally sensitive care if which statements are​ made? Select all that apply. A. ​"Since all of our clients have the same​ illnesses, I sometimes get​ bored." B. "I have been helping my client understand how to choose foods from our diet​ menu." C. ​"I am concerned because my client needs sterile dressing changes but has no running water at​ home." D. "My client and I worked out a way to get her medications delivered to her at​ home." E. "I invited a group from my church to come and sing hymns for our​ clients."

B, C, D - Helping the client cope and navigate through the hospital​ "culture" is a culturally sensitive action. - Cultural sensitivity takes environment into consideration. - Helping the client cope and navigate through potential blockers to medication adherence is a culturally sensitive action.

A client has been admitted to the emergency department for treatment of poison ingestion. Gastric lavage and placement of activated charcoal has been prescribed. The nurse would withhold this treatment and collaborate with the prescriber if which instances​ occur? Select all that apply. A. The client vomits. B. The client becomes unconscious. C. The client discloses that lithium was the drug taken. D. Paramedics report that it has been 2 hours since the drug was taken. E. The client begins to pass copious amounts of watery diarrhea.

B, C, D If protective airway reflexes are​ lost, gastric lavage is contraindicated. Activated charcoal does not bind well to lithium. Both of these interventions are more effective if performed within 1 hour of ingestion.

The nurse plans to teach a safety class to parents of toddlers about household exposure to medications. What should the nurse​ include? Select all that apply. A. Keep the toddler awake and observe for side effects of the medication. B. Keep all medications locked up and stored out of reach of the toddler. C. Use syrup of ipecac immediately if the toddler has ingested medication. D. Call the Poison Control Center for guidance with any medication ingested. E. Teach the toddler that medications are for adult use only.

B, D

A​ client's genetic testing reveals a change in CYP2A6. The nurse would plan which interventions based on this​ discovery? Select all that apply. A. Teaching the client to avoid​ caffeine-containing drugs. B. Planning additional time and interventions to help the client stop smoking. C. Use of an alternative to the drug warfarin. D. Increased surveillance for the development of lung cancer. E. Frequent monitoring of blood pressure.

B, D CYP2A6 reduction may make smoking cessation more difficult. CYP2A6 reduction may increase risk of lung cancer.

A nurse is reviewing medication records of older adults living in extended care. Which concepts about the pharmacotherapy of older adults should be​ considered? Select all that apply. A. ​Plasma-binding of drugs is greater in those over age 65. B. Drug distribution is slowed in the older adult. C. The​ half-life of many drugs is lessened in older adults. D. ​First-pass metabolism is reduced in the older adult. E. Changes in the kidney may result in decreased drug excretion.

B, D, E The aging cardiovascular system has decreased cardiac output and less efficient blood​ circulation, which slow drug distribution. The decline in hepatic function reduces​ first-pass metabolism. Changes in the kidney result in decreased drug excretion.

The nursing instructor teaches student nurses about the Food and Drug Administration​ (FDA) Pregnancy Categories. What should the nurse​ include? Select all that apply. A. Food and Drug Administration​ (FDA) Pregnancy Category C is safe to use during pregnancy B. Food and Drug Administration​ (FDA) Pregnancy categories provide a framework for safe use of drugs in pregnant women. C. Food and Drug Administration​ (FDA) Pregnancy categories for individual drugs seldom change once they are established. D. Food and Drug Administration​ (FDA) Pregnancy categories are based on studies using clinical human research trials. E. Food and Drug Administration​ (FDA) Pregnancy Category X has been associated with teratogenic effects.

B, E

The client is receiving a​ beta-blocker medication. The nurse has done medication education and provided the client with printed information to take home. During the next​ appointment, the nurse notes that the client is not taking the medication properly. What is a therapeutic assessment question to ask this​ client? A. ​"Why didn't you take your medicine as we talked​ about?" B. ​"Are you able to read and comprehend the printed​ information?" C. ​"Do I have to inform your healthcare provider about your​ noncompliance?" D. ​"Don't you understand how important it is to take the​ medicine?"

B. ​"Are you able to read and comprehend the printed​ information?"

The nurse makes a medication error and a client dies. In​ court, the attorney for the family of the deceased client asks the nurse if she followed standards of care in administering the medication. How would the attorney phrase this​ question? A. ​"Did you follow agency guidelines as in previous​ circumstances?" B. "Did you do what another nurse would have done under similar​ circumstances?" C. "Did you do the three checks and follow the five rights as taught in​ school?" D. "Did you follow the healthcare​ provider's orders and​ double-check them before​ administration?"

B. "Did you do what another nurse would have done under similar​ circumstances?" Standards of care refer to the actions that a reasonable and prudent nurse with equivalent preparation would do under similar circumstances.

An adolescent client comes to the school nurse with complaints of vague abdominal pain. What statement by the student would help to confirm the​ nurse's suspicion that the adolescent has body image​ concerns? A. ​"I just​ can't seem to get along with my​ parents." B. ​"Everyone makes a big deal about what I​ eat, so​ don't ask." C. ​"I have been sexually active with my​ boyfriend." D. ​"My periods are irregular. Should I see a​ physician?"

B. "Everyone makes a big deal about what I​ eat, so​ don't ask." The adolescent could have an eating​ disorder, which may result from altered body image.

The nurse is preparing an educational plan for parents about how to protect their children if a bioterrorist attack occurs. What is the best information to​ include? A. ​"Plan to call the Centers for Disease Control and Prevention​ (CDC) if an attack​ occurs." B. "Follow the Centers for Disease Control and Prevention​ (CDC) guidelines for​ immunizations." C. "Realistically, there is nothing that can be​ done." D. "Don't worry, the Centers for Disease Control and Prevention​ (CDC) has everything under​ control."

B. "Follow the Centers for Disease Control and Prevention​ (CDC) guidelines for​ immunizations."

The pregnant client plans to breastfeed her baby. She asks the nurse about the use of herbal products during breastfeeding. What is the best response by the​ nurse? A. ​"This should be​ fine, as long as there is at least 12 hours between the time you use the product and when you​ breastfeed." B. ​"Most drugs can be transferred to the infant during​ breastfeeding, so this is not​ recommended." C. ​"Be sure to check the label to see if the herbal product could be used during​ breastfeeding." D. ​"Herbal products are considered​ natural, so it should be fine to use them during​ breastfeeding."

B. "Most drugs can be transferred to the infant during​ breastfeeding, so this is not​ recommended."

A pregnant client asks the nurse about changing from her prescription antidepressant medication to St.​ John's wort because it is natural. What is the best response by the​ nurse? A. ​"It should be okay because your baby has been exposed to an​ antidepressant." B. "St. John's wort is a​ drug, and this should be discussed with your healthcare​ provider." C. ​"No, herbal preparations are just not safe to take during​ pregnancy." D. "Yes, you can​ change, but let your doctor know at your next​ appointment."

B. "St. John's wort is a​ drug, and this should be discussed with your healthcare​ provider."

The nurse prepares to teach clients about the safety and efficacy of herbal preparations. Which statement would be included in the best plan by the​ nurse? A. ​"Herbal preparations must be tested for safety and efficacy prior to​ marketing." B. "The manufacturer does not have to prove the safety or efficacy of the herbal​ preparation." C. "The label on the herbal preparation is required by the Dietary Supplement Health and Education Act​ (DSHEA) to be​ accurate." D. "Herbal preparations have to meet the same safety and efficacy standards as prescription and​ over-the-counter (OTC)​ drugs."

B. "The manufacturer does not have to prove the safety or efficacy of the herbal​ preparation." Herbal products are not regulated by the Food and Drug Administration​ (FDA) for safety standards. They are regulated by a far less rigorous​ law, the Dietary Supplement Health and Education Act​ (DSHEA) of​ 1994, which does not require the manufacturer to demonstrate efficacy or safety of the herbal product.

The nurse is teaching a support group for caretakers of older adult clients. The focus is medication compliance. The nurse determines that learning has occurred when the caregivers make which​ response? A. ​"We should ask the doctor if all the medication is really​ necessary." B. ​"We should use a medication management box so they​ won't forget to take​ it." C. ​"We should give them more education about the medicine so they will take​ it." D. ​"We should crush their medicine and put it in applesauce so they will swallow​ it."

B. "We should use a medication management box so they​ won't forget to take​ it."

The client is admitted to the hospital with sepsis following an elective abortion. The healthcare provider orders antibiotics that the client refuses​ stating, "I​ don't deserve​ them". What is the best response by the​ nurse? A. ​"I'll call your healthcare provider and let him know about your​ decision." B. "You have a serious infection and really need the​ drug." C. "I think you need to do what is best for​ you." D. "It seems you think you should be punished because you had an​ abortion"

B. "You have a serious infection and really need the​ drug." Telling the client she needs the drug is providing the best care​ possible; this must be done even though the​ nurse's beliefs may be different from the​ client's beliefs.

The African American client has panic​ attacks, is​ suicidal, and is on an inclient psychiatric unit. The healthcare professional prescribes sertraline​ (Zoloft) and clonazepam​ (Klonopin). The client refuses the drugs. The client also requests to have herbs and African objects in his room to​ "remove the​ curse." What is the priority action by the​ nurse? A. Allow the request after all members of the treatment team agree to it. B. Allow the request as long as the herbs and objects do not pose a safety risk for the client or other clients. C. Allow the request without seeking further information from the client. D. Allow the request after the client signs a release of responsibility to avoid litigation.

B. Allow the request as long as the herbs and objects do not pose a safety risk for the client or other clients.

A client is admitted to the emergency department with suspected exposure to anthrax. The nurse anticipates the healthcare provider will prescribe which​ medication? A. Anthrax vaccination. B. Ciprofloxacin. C. Antiviral agents. D. Atropine.

B. Ciprofloxacin. Antibiotics​ (such as​ ciprofloxacin) are indicated for the treatment of anthrax.

What is the most significant role for nurses as defined by state nurse practice acts and by regulating bodies such as The Joint​ Commission? A. Ordering lab tests B. Client teaching C. Prescribing medication D. Discharging clients

B. Client teaching

The nurse is preparing for medication administration to a group of clients. What is the best overall outcome for the​ clients? A. Clients will experience minimal side effects after taking the medications. B. Clients will receive the best therapeutic outcome from the medications. C. Clients will state the reason they are receiving the medications. D. Clients will take the medications after receiving medication instruction.

B. Clients will receive the best therapeutic outcome from the medications.

The nurse is teaching a class on anthrax to a group of emergency response workers. The nurse plans to include which of the​ following? A. Anthrax most commonly affects wild rodents such as​ mice, rats,​ squirrels, and chipmunks. B. Cutaneous anthrax is the most common​ form, but inhaled anthrax is the most lethal form. C. Cutaneous anthrax is serious because it quickly spreads by​ person-to-person contact. D. Anthrax is a deadly​ bacterium; the most common and deadly form is gastrointestinal anthrax.

B. Cutaneous anthrax is the most common​ form, but inhaled anthrax is the most lethal form.

A nursing student asks a nurse how pharmacotherapy in the older adult is different than a​ middle-aged adult. How would the nurse​ respond? A. ​Generally, drug doses should be increased due to prolonged drug metabolism. B. Drug absorption is slower due to increased gastric pH. C. Increased body water can lead to a higher risk of drug toxicity. D. Plasma levels are​ increased, leading to a heightened drug response.

B. Drug absorption is slower due to increased gastric pH

A student nurse asks a nursing instructor which federal agency responsible for reviewing all medication errors reports. What is the nursing​ instructor's best​ response? A. Risk Management department at the healthcare facility in which it occurred B. FDA's Division of Medication Error Prevention and Analysis​ (DMEPA) C. Centers for Disease Control​ (CDC) D. Medication errors are never acceptable. National Coordinating Council for Medication Error Reporting and Prevention​ (NCC MERP)

B. FDA's Division of Medication Error Prevention and Analysis​ (DMEPA)

A nurse is caring for a client being treated for seizures. The nurse would be most concerned if the client is also taking which herbal​ product? A. Goldenseal B. Ginkgo C. Feverfew D. Ginger

B. Ginkgo

A nursing instructor is planning to discuss the Dietary Supplement Health and Education Act​ (DSHEA) of 1994 with a group of nursing students. The instructor plans to include which of the​ following? A. It mandates that herbal product labels contain accurate information. B. It mandates that herbal product labels state that the products are not intended to​ diagnose, treat,​ cure, or prevent disease. C. It requires that herbal products undergo the same rigorous testing as drugs do under the FDA. D. It ensures that herbal products provide proof of their intended effects.

B. It mandates that herbal product labels state that the products are not intended to​ diagnose, treat,​ cure, or prevent disease.

The nurse is administering medications to an older adult. Which laboratory tests are most important for the nurse to assess prior to the administration of​ medication? A. Arterial blood gases​ (ABGs) and basic metabolic panel B. Kidney and liver function tests C. Lipid panel and thyroid function tests D. Complete blood count​ (CBC) and electrolytes

B. Kidney and liver function tests

The client has been exposed to a nerve agent. For which symptoms will the nurse most likely​ assess? A. Dilated pupils and increased heart rate. B. Salivation and involuntary urination. C. Rapid Tachypnea and​ cold, clammy skin. D. Pinpoint pupils and decreased blood pressure.

B. Salivation and involuntary urination. Symptoms of nerve gas exposure are related to overstimulation of acetylcholine and can result in​ salivation, involuntary​ urination, and convulsions. The nerve agent blocks acetylcholinesterase.

The nurse is preparing medications for a group of clients. Another nurse begins telling the nurse about her recent engagement. What is the best action by the first​ nurse? A. Stop preparing medications until the second nurse has finished talking about her engagement. B. Tell the second nurse that the conversation is distracting and she must stop talking while medications are being prepared. C. Ask the second nurse to help with administering medications so they can have more time to talk. D. Continue to prepare the medications for administration and pretend to listen to the first nurse.

B. Tell the second nurse that the conversation is distracting and she must stop talking while medications are being prepared.

A Hispanic man has been diagnosed with​ attention-deficit/hyperactivity disorder​ (ADHD), and is taking methylphenidate​ (Ritalin). Even though the drug helps with focus and​ grades, the client will not go to the school office at noon for his medication. Which statement best describes the result of the​ nurse's evaluation? A. The adolescent really does not need an additional dose of methylphenidate​ (Ritalin) at school. B. The adolescent is embarrassed about having to take medicine at​ school; it is a social stigma. C. The adolescent has developed alternative coping mechanisms to increase his focus during classes. D. The adolescent is fearful that this drug may be a​ "gateway drug" and he will abuse other substances.

B. The adolescent is embarrassed about having to take medicine at​ school; it is a social stigma.

The healthcare provider has prescribed quetiapine​ (Seroquel) for the client with chronic auditory hallucinations. The client has stopped taking the medication. The nurse incorrectly uses the diagnosis of​ "noncompliance." In which situation would this diagnosis be​ appropriate? A. The client did not understand why the medication was prescribed. B. The client made an informed decision not to take the medication. C. The client reported a physical change as the reason for stopping the medication. D. The client was unsure about how to order a refill for the prescription.

B. The client made an informed decision not to take the medication. Noncompliance assumes that the client has been properly educated about the medication and has made an informed decision not to take it.

A nurse is preparing to administer a new drug that was just prescribed by the healthcare provider. The nurse recognizes that the wrong concentration of the drug was sent by pharmacy. What is the​ nurse's best​ response? A. The nurse does not report the​ error, because the error was caught and corrected prior to drug administration. B. The nurse informs the​ client, documents the error as per hospital​ policy, and notifies the healthcare provider. C. The nurse does not report or document the​ error, since the error did not result in any harm to the patient. D. The nurse reports the error to the healthcare provider and the charge nurse but does not document the error due to possible legal action.

B. The nurse informs the​ client, documents the error as per hospital​ policy, and notifies the healthcare provider.

The nurse recognizes that agency system checks are in place to decrease medication errors. Who commonly collaborates with the nurse on checking the accuracy of the medication prior to​ administration? A. The nursing unit manager B. The pharmacist C. The nursing supervisor D. The healthcare provider

B. The pharmacist

The nurse is managing care for several clients at a diabetic treatment center. The nurse understands that which of the following is the priority nursing​ intervention? A. To answer any questions the client may have about the​ medicine, or any possible side effect of the medication B. To return the client to an optimum level of wellness while limiting adverse effects related to the​ client's medical diagnosis C. To administer the correct medicine to the correct client at the correct dose and the correct time via the correct route D. To include any cultural or ethnic preferences in the administration of the medication

B. To return the client to an optimum level of wellness while limiting adverse effects related to the​ client's medical diagnosis

The nurse commits a medication error. The nurse documents the error in the​ client's record and completes the incident report. What does the nurse recognize as the primary reason for doing​ this? A. To protect the client from further harm B. To verify that the​ client's safety was protected C. To protect the healthcare facility from litigation D. To protect the nurse from liability

B. To verify that the​ client's safety was protected

A nurse is administering medications to a client. The client​ states, "I've never taken that yellow pill​ before". What should the nurse do​ first? A. Reassure the client that the nurse has triple checked the drug so it is safe to take. B. Verify the order and​ double-check the label. C. Contact the health provider to verify it is the correct medication and dose. D. Tell the client that some are made by different pharmaceutical companies and may look different.

B. Verify the order and​ double-check the label.

A nurse has admitted a new client to the unit. Which concepts should the nurse use when developing a nursing​ diagnosis? Select all that apply. A. Base the nursing diagnosis on the medical diagnosis B. Focus on what the nurse needs to help the client return to health C. Include the client in the identification of needs D. Consider the​ client's response to the current health problem E. Be certain the diagnosis is measureable

C, D Including the client in the formulation of nursing diagnoses encourages more active involvement in working toward meeting identified goals. A nursing diagnosis is a clinical judgment concerning human response to health conditions. Next Question

The clinic nurse will immediately alert the healthcare provider when which category X drugs are identified on the medication record of a recently diagnosed pregnant​ patient? Select all that apply. A. Tetracycline B. ACE inhibitor antihypertensive medication C. Methotrexate D. Isotretinoin​ (Accutane) E. Oral contraceptives

C, D, E

The nurse follows the nursing process when conducting medication education about insulin. What will the nurse ask the client to evaluate the​ client's knowledge of​ insulin? A. ​"What questions do you have about​ insulin?" B. "Is your abdomen the best place to inject​ insulin?" C. "Can you tell me four points you remember about how to take your​ insulin?" D. "Can you recognize when you are experiencing​ hypoglycemia?"

C. "Can you tell me four points you remember about how to take your​ insulin?" The nurse is evaluating the effectiveness of medication education by asking the patient for feedback from the education provided.

The nurse has been teaching a client about herbal preparations and determines that additional teaching is required when the client makes which​ statement? A. ​"I need to be careful about where I store my herbal​ product." B. "Herbal preparations are available in solid and liquid​ forms." C. "Herbal products usually contain only one active​ ingredient." D. ​"I should check with you before using an herbal​ product."

C. "Herbal products usually contain only one active​ ingredient." Herbal products contain multiple active ingredients as opposed to prescription​ drugs, which contain only one active ingredient.

The nurse is providing education about warfarin​ (Coumadin) to a patient of Asian ancestry. The nurse determines that learning has occurred when the client makes which​ statement? A. ​"I may need to have more frequent blood​ tests." B. "I may need more medication than someone from a different ethnic​ group." C. "I may need less medication than someone from a different ethnic​ group." D. "I may need to have less frequent blood​ tests."

C. "I may need less medication than someone from a different ethnic​ group." A client of Asian ancestry may be a poor metabolizer of warfarin​ (Coumadin), so they will often require lower dosages.

The client tells the nurse that she is concerned about terrorist activity and questions if everyone should be immunized against smallpox. What is the best response by the​ nurse? A. ​"I really do not think our country has enough vaccine to do​ this." B. "The vaccine has some serious side​ effects, but this is probably a good​ idea." C. "The vaccine has side​ effects, which are serious and could kill many​ people." D. "Don't be so​ concerned; if an attack​ comes, we will immunize people​ then."

C. "The vaccine has side​ effects, which are serious and could kill many​ people." An estimated​ 75,000 Americans could die if all Americans were vaccinated against smallpox.

The client confides in the nurse that he or she is drawn to complementary and alternative medicine because it promotes the​ "whole person." The client would like spirituality and prayer included in his or her plan of care. What is the best response by the​ nurse? A. ​"We usually do not pray with​ clients; is there something you are worried​ about?" B. "What exactly do you mean by spirituality and​ prayer?" C. "We will include spirituality in your plan. Would you like to say a​ prayer?" D. "I think your spiritual concerns are best left up to you and your​ minister."

C. "We will include spirituality in your plan. Would you like to say a​ prayer?"

A woman who wishes to become pregnant is concerned about the drugs she must take in order to treat a serious medical condition. The nurse reviewing the drug list would be most concerned about which kind of​ drug? A. A drug with no active metabolites. B. A drug taken only when needed. C. A drug with a long​ half-life. D. A drug with high​ protein-binding ability.

C. A drug with a long​ half-life. Drugs with long​ half-lives should be avoided because they can accumulate in the​ infant's plasma.

The nurse has several educational pamphlets for the client about medications the client is receiving. Prior to giving the client these​ pamphlets, what is the most important assessment by the​ nurse? A. Assess the​ client's cultural bias toward taking medicine. B. Assess the​ client's religious attitudes toward medicine. C. Assess the​ client's reading level. D. Assess the​ client's ability to pay for the medication.

C. Assess the​ client's reading level.

The healthcare provider has prescribed a nitroglycerine​ (Nitrodur) patch for the client. The nurse understands that which of the following is the best outcome for this client as it relates to use of the​ medication? A. Client will be able to identify the expiration date of the medication prior to discharge. B. Client will verbalize three side effects of the medication prior to discharge. C. Client will demonstrate correct application of the patch prior to discharge. D. Client will state the reason for receiving the medication prior to discharge.

C. Client will demonstrate correct application of the patch prior to discharge.

The nurse assesses an adverse effect of a medication that has been administered. Who should the nurse report this adverse effect​ to? A. Food and Drug​ Administration's (FDA) Safe Medicine Website. B. Food and Drug​ Administration's (FDA) Med MARX Website. C. Food and Drug​ Administration's (FDA) MedWatch Website. D. Food and Drug​ Administration's (FDA) Adverse Event Website.

C. Food and Drug​ Administration's (FDA) MedWatch Website.

Which nursing intervention would take priority following administration of a new​ medication? A. Administering additional medications if side effects occur B. Evaluate the results of recent labs C. Monitoring the​ client's respiratory status D. Measuring​ client's weight daily

C. Monitoring the​ client's respiratory status Any time a new medication is provided to the​ client, it is important to monitor for an allergic reaction.​ Anaphylaxis, a​ life-threatening allergic​ reaction, can impair breathing.

A nurse is teaching a student nurse about common treatments for victims of bioterrorism. The nurse tells the student that atropine would be most useful for a victim of bioterrorism exposed to which of the​ following? A. Bacterial agents B. Ionizing radiation C. Nerve gas D. Viral agents

C. Nerve gas Chemicals in nerve gas cause overstimulation by the neurotransmitter acetylcholine. Atropine blocks the attachment of this neurotransmitter to receptor sites.

Which statement about the nursing process is​ accurate? A. Goals involve very specific criteria that evaluate interventions. B. Generally, goals are more measurable than outcomes. C. Obtaining the outcomes is essential for goal attainment. D. After selecting the nursing​ diagnosis, interventions are completed.

C. Obtaining the outcomes is essential for goal attainment. Outcomes are​ specific, measurable criteria that are used to measure goal attainment.

The client uses Ginkgo biloba to enhance memory functioning but has not told the nurse about this herb. The healthcare provider orders warfarin​ (Coumadin) for this client. Which findings may the nurse find upon​ assessment? A. A blood glucose of 56. B. Headache, dizziness,​ sweating, and agitation. C. Petechiae and bleeding from the gums. D. An international normalized ratio​ (INR) of 3.0.

C. Petechiae and bleeding from the gums.

The adolescent is supposed to go to the school nurse at​ 12:00 to receive his medication for​ attention-deficit/ hyperactivity disorder​ (ADHD). He often does not go for the medication. What best describes the​ nurse's understanding of this​ situation? A. The adolescent does not understand the need for the medication. B. The adolescent forgets that he is supposed to take the medication. C. The adolescent is embarrassed in front of his peers. D. The adolescent has made a conscious decision not to take the medication.

C. The adolescent is embarrassed in front of his peers.

A nurse is assessing a client recently admitted to the unit. The nurse understands that which assessment identifies the collection of objective​ data? A. The client informs the nurse that he or she weighs 150 pounds. B. The client states he or she is anxious. C. The client has a wound measured at 5 cm in length. D. The client rates his or her pain a 5 on a 010 pain scale.

C. The client has a wound measured at 5 cm in length.

A nurse is administering medications to a group of clients. Which situation is an example of a medication​ error? A. A client experiences unexpected hypotension as a result of medication administration. B. A medication is administered to a client with no​ allergies, yet an anaphylactic response occurs. C. The wrong dose of a medication is drawn up but is caught and corrected prior to administration. D. A medication is administered in liquid form instead of tablet form due to the​ client's difficulty swallowing.

C. The wrong dose of a medication is drawn up but is caught and corrected prior to administration. A medication error can occur even when it does not reach the client. These are category A errors.

A nurse is planning to teach a client about the relationship of complementary and alternative therapies to pharmacology What should the nurse​ include? A. They have​ little-to-no value in disease prevention and treatment. B. They serve as competitors and should not be promoted. C. They can reduce client medication needs. D. They are more effective than medication use.

C. They can reduce client medication needs.

The client tells the nurse that he or she plans to take St.​ John's wort to treat his or her depression. What is the best response by the​ nurse? Select all that apply. A. ​"That should be fine as long as you are not​ suicidal." B. "St. John's wort is successfully used in Europe for minor​ depression." C. "It would be a good idea to try this before paying for a prescription​ medication." D. "It would be better to have a psychiatric assessment​ first." E. "Herbal preparations can interact with many other​ medications."

D, E

A nurse is preparing to administer medications to a​ school-age child. What would the nurse​ do? A. Provide a brief explanation on why the medication is important. B. Administer drugs while holding the child down. C. Provide a lengthy explanation followed by quick drug administration. D. Allow the child to make decisions regarding how medications are taken.

D. Allow the child to make decisions regarding how medications are taken.

The client takes several prescription medications and asks the nurse about using complementary and alternative medicine​ (CAM). What is the best reply by the​ nurse? A. ​"CAM might​ help, but you will still need your​ medications." B. "CAM is a good idea that you should discuss with your healthcare​ provider." C. "CAM has not been demonstrated to help with your kind of​ symptoms." D. "CAM is an approach that might reduce your need for​ medications."

D. "CAM is an approach that might reduce your need for​ medications." From a pharmacology​ perspective, much of the value of complementary and alternative medicine​ (CAM) therapies lies in their ability to reduce the need for medications.

The toddler refuses to take his oral medication. What is the best suggestion to the mother from the nurse for ensuring the toddler receives his​ medication? A. ​"Tell him you will buy him a toy if he takes the​ medication." B. ​"Crush the tablet and mix it with​ milk." C. ​"Tell him he will be punished if he does not take the​ medicine." D. ​"Crush the tablet and mix it with a small amount of​ jam."

D. "Crush the tablet and mix it with a small amount of​ jam."

The nurse teaches a class to clients about how to help prevent medication errors when in the hospital. What is the most important question for the nurse to ask the​ clients? A. ​"Do you have a friend to verify that you are receiving the correct​ medication?" B. ​"Do you trust your healthcare provider to order the correct​ medication?" C. ​"Do you know what your illness​ is, and if you will need​ surgery?" D. ​"Do you know the names of all the medications you​ take?"

D. "Do you know the names of all the medications you​ take?"

The nurse conducts a seminar in a local community center on how citizens can be affected by radiation from a nuclear attack. The nurse determines that the education is effective when the clients make which​ statement? A. ​"I need to take at least four showers every day or I will develop skin​ ulcers." B. "I can protect myself from cancers by taking potassium iodide​ (KI)." C. "I need to stay inside my house for at least 2 days after the attack to be​ safe." D. "I am at risk to develop leukemia as a result of radiation​ exposure."

D. "I am at risk to develop leukemia as a result of radiation​ exposure."

The client is receiving an oral antibiotic as treatment for cellulitis of the lower extremity. The​ client's outcome is​ "Client will state a key point about antibiotic treatment for​ cellulitis." Which statement would the nurse evaluate as best indicating this outcome has been​ met? A. ​"If the swelling​ continues, I can apply an ice​ pack." B. "I must keep my leg elevated until the swelling goes​ down." C. "If the pain gets too​ bad, I can take my prescribed pain​ medication." D. "I need to take all the pills even if my leg looks​ better."

D. "I need to take all the pills even if my leg looks​ better."

The client comes to the emergency department with an anxiety attack. He or she tells the nurse he heard that there was another anthrax attack in the capitol and is concerned about running out of medications. What is the best response by the​ nurse? A. ​"You don't need to worry about another attack at​ all; I think our government can take care of​ us." B. ​"Your health is in danger due to the​ anxiety; we really need to focus on reducing your anxiety​ now." C. "I'm sure the Centers for Disease Control and Prevention​ (CDC) has contingency plans in the event of an anthrax​ attack." D. "The Centers for Disease Control and Prevention​ (CDC) maintains a large stockpile of medications for us in case that​ occurs."

D. "The Centers for Disease Control and Prevention​ (CDC) maintains a large stockpile of medications for us in case that​ occurs." The Centers for Disease Control and Prevention​ (CDC) maintains a stockpile of​ antibiotics, vaccines,​ medical/surgical supplies, and other​ client-support supplies in the event of a bioterrorist attack.

The nurse is reviewing the steps of the nursing process with a student. The nurse is aware that it is most important to be accurate in which portion of the nursing​ process? A. Evaluation B. Diagnosis C. Planning D. Assessment

D. Assessment

A nursing instructor is teaching nursing students about the FDA Pregnancy Drug Categories. The instructor asks the students to what category a drug for which research has shown an adverse effect in animals but not in pregnant women would be categorized as. The instructor knows learning has occurred with which student​ response? A. Category D B. Category A C. Category C D. Category B

D. Category B

The client has been exposed to anthrax. The nurse anticipates administering which of the following​ drugs? A. Tetracycline​ (Sumycin) and erythromycin​ (Erythrocin). B. Ampicillin​ (Principen) and cefepime​ (Maxipime). C. Penicillin​ (Bicillin LA) and vancomycin​ (Vancocin). D. Ciprofloxacin​ (Cipro) and doxycycline​ (Vibramycin).

D. Ciprofloxacin​ (Cipro) and doxycycline​ (Vibramycin).

Following a bioterrorism​ attack, the nurse finds that the victims are suffering from​ small, black lesions on their forearms. The nurse collaborates with the healthcare provider to treat exposure to which​ agent? A. Phosgene gas B. Gastrointestinal anthrax C. Hydrogen cyanide D. Cutaneous anthrax

D. Cutaneous anthrax

The African American client had a myocardial infarction and is receiving atorvastatin​ (Lipitor). The nurse assesses the​ client's diet to be very high in fat. What is the best plan by the nurse to improve the​ client's diet and reduce the risk for additional​ medications? A. Give the client information specific to African Americans about​ low-fat diets. B. Ask an African American nurse to speak to him about a​ low-fat diet. C. Obtain a consult for dietary services so a dietician can teach the client about​ low-fat diets. D. Discuss his diet with whomever prepares meals for his family.

D. Discuss his diet with whomever prepares meals for his family. Every culture has​ culture-specific diets; the nurse must include the person in the family who does the meal preparation if a different diet is to be successful.

The Joint Commission documented that client education was deficient on several​ medical-surgical units of a local hospital. A nursing committee was formed to address this problem. What is the best intervention to improve client​ education? A. Asking the healthcare providers to provide medication education to the clients. B. Providing educational pamphlets about medications to the clients. C. Requesting more frequent pharmacy consults for the clients. D. Discussing medications each time they are administered to clients.

D. Discussing medications each time they are administered to clients.

The client takes St.​ John's wort for depression but does not tell the healthcare provider. The provider prescribes an SSRI. The nurse should monitor for which of the​ following? A. Sedation B. Serum glucose level of 340 C. Serum potassium of 6.0 D. Dizziness

D. Dizziness Dizziness is associated with serotonin​ syndrome, which may occur when St.​ John's wort and SSRIs are given concurrently.

The nurse teaching a​ pre-conception class would tell participants that they should be most careful about exposure to drugs during which stage of​ pregnancy? A. Each stage is equal in risk B. Preimplantation period C. Third trimester D. Embryonic

D. Embryonic The embryonic phase poses the greatest risk to fetal development as this is a time of rapid development of internal structures.

A nurse is teaching a group of student nurses. Which of the following best indicates an ethnic characteristic that can affect​ pharmacotherapy? A. Diet B. Health beliefs C. Alternative therapies D. Genetic differences

D. Genetic differences Ethnicity relates to biology and genetics.

A nurse manager is discussing medication errors with a group of nurses. Which statement by the nurses indicates the teaching was​ effective? A. An incorrect dose​ (based on​ weight) is​ ordered, dispensed, and administered to a client. The administering nurse and ordering clinician would be the only parties held accountable. B. A nurse who observes the five rights will prevent all medication errors from occurring. C. Nurses are always liable when a medication error occurs. D. Handwritten orders are more frequently associated with medication errors than are typed orders.

D. Handwritten orders are more frequently associated with medication errors than are typed orders.

The client is receiving albuterol​ (Proventil) for treatment of bronchospasm related to asthma. What is the primary nursing intervention as it relates to this​ medication? A. Monitor the client for nausea and headache. B. Monitor the​ client's serum drug levels. C. Provide the client with​ age-appropriate education about albuterol​ (Proventil). D. Monitor the client for relief of bronchospasms.

D. Monitor the client for relief of bronchospasms.

A client asks a nurse why herbal remedies are popular now. What is the nurse best​ response? A. Most insurance policies cover them. B. They are more effective for treating bacterial infections. C. Their popularity is​ decreasing, not increasing. D. They are being marketed very aggressively.

D. They are being marketed very aggressively. The popularity of herbs and alternative therapies has increased since the 1970s due to several​ factors, including aggressive marketing.

The nurse plans to administer medication to a preschool child. Which approach indicates the nurse has an understanding of growth and​ development? A. There should be no need to restrain a child of this age. B. The child is often more cooperative if the parent is not in the room. C. The child does better with verbal instruction than with play instruction. D. Use a brief​ rationale, followed by quick administration of the medication.

D. Use a brief​ rationale, followed by quick administration of the medication.

The nurse is on a committee to reduce medication errors in a large healthcare facility. What is a recommendation the nurse proposes that will most likely help to reduce medication​ errors? A. Train medication technicians to administer medications. B. Use robots to prepare all medications for administration by the nurse. C. Designate nurses whose only function is to administer medication. D. Use​ automated, computerized cabinets on all nursing units.

D. Use​ automated, computerized cabinets on all nursing units.