pharm 2
1. A 2-year-old client is placed on a course of prednisone following a series of hypersensitivity responses. What instruction the nurse provide the client's family about this drug? a. "The child may receive immunizations while on this drug but keep them to a minimum." b. "Don't stop this medication suddenly; you will have to taper dosage gradually." c. "You might find that your child is sleepier than usual, especially near the beginning of treatment." d. "Monitor your child closely for any difficulty swallowing or signs of gastric reflux."
"Don't stop this medication suddenly; you will have to taper dosage gradually."
14. A client was prescribed an antidepressant 2 days ago. The client tells the psychiatric clinic nurse, "I really don't think this medication is helping me." Which statement by the nurse would be most appropriate? a. "Why don't you ask the doctor?" b. "Give the medication a couple more days to see if it works." c. "You need to come to the clinic so we can discuss this." d. "Effects of medication are not immediate."
"Give the medication a couple more days to see if it works."
14. A nurse is assessing a client who has been taking nonsteroidal anti-inflammatory drugs (NSAIDS) for many months. What statement by the client indicates to the nurse that the client has a good undersanding of the use of this therapy? a. "I asked my doctor to check for blood in my stool regularly." b. "I'm careful not to eat grapefruit or dink grapefruit juice." c. "I do not like to swallow whole tablets so I crush them." d. "I drink as little water as possible when I take my medication so I don't dilute their effect."
"I asked my doctor to check for blood in my stool regularly."
1. A client instructed to take diphenhydramine after an allergic reaction. Which statement by the client indicates successful teaching concerning the safe and effective use of diphenhydramine? a. "I should not drive my car after taking this medication." b. "I will eat a diet low in sodium while taking this medication." c. "I can take this medication every 2 hours until I feel better." d. "I will still be able to have my after-dinner drink with this medication."
"I should not drive my car after taking this medication."
The nurse provides teaching regarding levothyroxine to a client diagnosed with Hashimoto disease. What statement made by the client does the nurse interpret to mean that the drug teaching had been understood? a. "I may have to take this for several months, until by symptoms subside." b. "If I feel nauseated, I may take this drug with an antacid." c. "I should take this medication on an empty stomach in the morning." d. "I can take this medication at any time of day, as long as it's with food."
"I should take this medication on an empty stomach in the morning."
The nurse has provided client teaching for a client who will be discharged to home on an intiinfective. what statement made by the client indicates the nurse needs to provide additional teaching concerning the use of antiinfectives? a. "it's not unusual to develop diarrhea as a result of taking an antibiotic." b. "I will stop taking the antibiotic once my symptoms have resolved." c. "antibiotics will not help me when I have a viral infection." d. "a bacterial culture will usually be done before antibiotics I'm prescribed antibiotics."
"I will stop taking the antibiotic once my symptoms have resolved."
1. A client is being discharged after a kidney transplant. The health care provider has ordered cyclosporine (Sandimmune). Which of the following statements by the client indicates the need for additional teaching by the nurse? a. "I will take my blood pressure at home every day." b. "I will wash my hands frequently." c. "I will stop taking the medication if I develop tremors." d. "I am taking this so my body doesn't reject the new kidney."
"I will stop taking the medication if I develop tremors."
1. The nurse has taught a client to self-administer a topical decongestant. What statement should the nurse follow up with further education? a. "I'll sit upright when I give myself the drug" b. "I'll put the tip of the bottle about half an inch into my nostril." c. "I won't take the drug if I've got a sore inside my nose." d. "I'll squeeze the bottle to get the medication up into my sinuses."
"I'll squeeze the bottle to get the medication up into my sinuses."
During a teaching session on the care of the client with diabetes, the nurse should make which statement to explain the differences in insulin? a. "Insulins have different onsets and durations of action." b. "Insulin is prescribed based on the insurer's criteria for reimbursement." c. "The type of insulin prescribed is based on if the person has type 1 or type 2 diabetes mellitus." d. "Insulin is prescribed based on the client's age."
"Insulins have different onsets and durations of action."
The home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the vials of insulin. What is the best response by the nurse? a. "It can be stored at room temperature up to one month. For longer storage, refrigerate the insulin." b. "Insulin must always be kept in the refrigerator." c. "If you plan on having vials for longer than one month, you can store them in the freezer." d. "Store the insulin in a dark, dry place."
"It can be stored at room temperature up to one month. For longer storage, refrigerate the insulin.
1. The nurse is caring for an adolescent client who began taking an antipsychotic drug last month to treat newly diagnosed schizophrenia. The client's symptoms have improved only slightly, and the client's parents wonder if the client is "beyond hope." What is the nurse's best response? a. "Some clients do not respond to antipsychotic drugs and have to rely solely on cognitive behavioral therapy." b. "It might be necessary to take a combination of several antipsychotics before the benefits are seen." c. "It's common for clients to have to try different drugs until the most effective one is identified. d. "Do you feel like you've given the medication enough time to work?"
"It's common for clients to have to try different drugs until the most effective one is identified.
An older adult client taking high-dose corticosteroids to treat arthritis requests a measles vaccine. What is the nurse's best response? a. "Measles vaccines are only given if you are at risk for serious complications of the disease." b. "Corticosteroids interact with the measles vaccine to create serious adverse effects." c. "Clients taking corticosteroids are well protected from viruses and do not need vaccines." d. "Live virus vaccines cannot be given to people whose immune systems are suppressed."
"Live virus vaccines cannot be given to people whose immune systems are suppressed."
1. When teaching a patient who is starting metformin, which instruction by the nurse is correct? a. "Take metformin if your blood glucose level is about 150 mg/dL." b. "Take the medication with food to reduce gastrointestinal effects." c. "Take this 60 minutes after breakfast." d. "Take the medication if you have eaten a large amount of sugar or carbohydrates."
"Take the medication with food to reduce gastrointestinal effects."
The nurse is caring for a client hospitalized with hepatitis B. the family comes to visit and a family member asks the nurse if it is safe to visit. What is the nurse's best response? a. "Don't worry, you will not contract the disease from the client." b. "You seem fearful, why do you think you are at risk?" c. "The client should be isolated and have limited visitation." d. "There is no risk unless you come in contact with blood and body fluids"
"There is no risk unless you come in contact with blood and body fluids"
1. What statement by the client who is to take an antitussive with codeine indicates that the nurse's teaching has been effective? a. "This medication can cause drowsiness, so I will avoid driving after taking it." b. "I might get diarrhea, so I'll call my provider if that happens." c. "This medication may make me anxious and nervous." d. "I will take this medication anytime I start to cough."
"This medication can cause drowsiness, so I will avoid driving after taking it."
14. Which of the following comments indicates that a client understands the nurse's teaching about venlafaxine (Effexor)? a. "This medication will cause me to gain weight." b. "This medication may cause my blood sugar to increase." c. "This medication may cause me to loss my sexual desire." d. "This medication may cause chronic constipation."
"This medication may cause me to loss my sexual desire."
14. The nurse is teaching a client with a new prescription for alprazolam (Xanax). Which statement is the most appropriate to include in the teaching plan? a. "Take this medication on an empty stomach at least 2 hours after meals." b. "Increase your intake of fluid and high fiber foods to prevent constipation." c. "When it is time to discontinue this drug, you will need to taper it off slowly." d. "Protect your skin from the sun to prevent rash and exaggerated sunburn."
"When it is time to discontinue this drug, you will need to taper it off slowly."
A client calls the clinic and states he has had the flu 4 days and is requesting and antiviral to reduce the symptoms. What is the nurse's best response to his request? a. "we will need to do a blood test to verify that you actually have the flu." b. "drug therapy should be started within 2 days of symptoms onset, not 4 days." c. "not that you've had the flu, you will need a booster vaccination, not the antiviral drug" d. "we'll get you a prescription. As long as you start treatment within the next 24 hours, the drug should be effective."
"drug therapy should be started within 2 days of symptoms onset, not 4 days."
1. The nurse is working parents who are treating their child's cold and flu symptoms at home over-the counter (OCT) medications. What guidance should the nurse provide? a. "It's generally safer to give your child herbal preparations rather than OTC drugs." b. "read the labels clearly to make sure you are not giving the same drug in two different preparations." c. "many OTC products do actually not contain any effective drug." d. "OTC medications aren't recommended for anyone who is younger than 12."
"read the labels clearly to make sure you are not giving the same drug in two different preparations."
A client presents to the clinic and is diagnosed with a vaginal fungal infection. What should the nurse teach the client about self-administration of the prescribed vaginal antifungal medication? a. "stay lying down for at least 15 minutes after insertion b. "gently rub the cream into your vaginal wall after insertion." c. "temporarily discontinue the medication when you're menstruating" d. "insert low into the opening of the vagina."
"stay lying down for at least 15 minutes after insertion
A client who is using a topical antifungal agent to treat mycosis calls the clinic to report a severe rash that is accompanied by blisters. What should the nurse instruct the client to do? a. "make an appointment so you can be tested for allergies." b. "scrub the rash gently with soap and water." c. "stop using the drug immediately." d. "decrease the amount of the medication used."
"stop using the drug immediately."
A client has been diagnosed with a sinus infection, and the client has been given a prescription for amoxicillin. What teaching point should the nurse make for the client? a. "avoid taking the medication right before bed so it doesn't cause frequent trips to the bathroom." b. "take your medication every 8 hours, as it's been prescribed." c. "make sure you tell your prescriber if you're feeling particularly tired." d. "this might cause crystals in your urine, so drink plenty of fluids."
"take your medication every 8 hours, as it's been prescribed."
1. What would be the nurse's best response if a client calls the clinic and reports that he has had a persistent cough for 2 week and asks the nurse for a recommendation for a cough medicine? a. "look for dextromethorphan as an ingredient in any OTC cough preparation." b. "the doctor could order an antihistamine, which might dry up your secretions and stop the cough." c. "you should come to the clinic to be evaluated. A cough that lasts that long might indicate a medical problem" d. "drink a lot of fluid and take aspirin, which should reduce the irritation in your throat
"you should come to the clinic to be evaluated. A cough that lasts that long might indicate a medical problem"
A client who travels extensively has been receiving chloroquine for malaria prophylaxis for an extended time. What should the nurse teach the client? a. "you should have your eyes examined regularly." b. "you must avoid over the counter antacids." c. "you may be prone to fungal infection during treatment." d. "you should avoid getting any immunizations while taking chloroquine."
"you should have your eyes examined regularly."
14. What information should the nurse include in the discharge teaching plan of a client with depression who is taking the tricyclic antidepressant, amitriptyline (Elavil)? Select all that apply. a. Dryness of the mouth is normal; sucking on sugar-free hard candy and ice chips or chewing gum may help alleviate the problem. b. Avoid alcohol and barbiturates. c. An immediate elevation in mood will be noted. d. If adverse effects occur, discontinue the medication. e. Rose slowly from a supine or sitting position to avoid dizziness and orthostatic hypotension.
- Dryness of the mouth is normal; sucking on sugar-free hard candy and ice chips or chewing gum may help alleviate the problem. -Avoid alcohol and barbiturates. -Rose slowly from a supine or sitting position to avoid dizziness and orthostatic hypotension.
1. A patient with chronic bronchitis is being discharged on acetylcysteine (Mucomyst). What should the nurse include in her discharge teaching? Select all that apply a. This medication breaks down the mucus molecule so it can be coughed up b. The medication has the odor of rotten eggs c. An adverse effect of this drug is seizures d. You may develop thrush from the medication.
-This medication breaks down the mucus molecule so it can be coughed up -The medication has the odor of rotten eggs - You may develop thrush from the medication.
1. A 76-year-old client with COPD has been taking the anticholinergic ipratropium. What change in the client's health status is most likely to require a change in the client's drug regimen? a. The client begins taking a diuretic for hypertension b. The client loses 15 lbs over 8 weeks c. The client is diagnosed with benign prostatic hypertrophy d. The client develops a venous ulcer.
. The client is diagnosed with benign prostatic hypertrophy
combination of Sulfamethoxazole and Trimethoprim. What is the most likely rationale for the use of combination antibiotic? a. One antibiotic is narrow-spectrum, and one is broad-spectrum. b. It is not possible to culture the microorganisms most likely responsible for the infection c. One of the antibiotics exists solely to facilitate absorption of the other d. The drugs' combined effect exceeds the sum of their individual effects
. The drugs' combined effect exceeds the sum of their individual effects
1. The nurse is administering insulin lispro (Humalog) and will keep in mind that this insulin will start to have an effect within which time frame? a. 1 to 2 hours b. 80 minutes c. 15 minutes d. 3 to 5 hours
15 minutes
1. A group of clients are being screened to see which clients would be the best candidate for a psychotherapeutic drug trial for the treatment of bipolar disorder. Which client would be best suited for this trial? a. A 19-year-old youth who say he can make the light turn on by pointing at it and hears voices. b. A 28-year-old salesperson who alternates between overactivity and periods of depression c. A young adult who suddenly falls asleep during the day without warning d. A 16-year-old student who cannot focus long enough to take a test.
A 16-year-old student who cannot focus long enough to take a test.
Which client is receiving prophylactic antiinfectives? a. A client who has been admitted for the treatment of an infected surgical incision b. A client with metastatic lung cancer who will soon begin chemotherapy c. A client who is prescribed a 3-day course of antibiotics prior to dental surgery d. A client with human immunodeficiency syndrome who begins antiretroviral therapy
A client who is prescribed a 3-day course of antibiotics prior to dental surgery
14. Which client should the nurse expect to receive a lower-than-usual dose of benzodiazepines? a. A client who has irritable bowel syndrome b. A client who is 6 months post-gastrectomy c. A client whose anxiety is due to pain caused by gallstones d. A client with alcoholic liver disease
A client with alcoholic liver disease
14. The nurse is teaching a client taking a monoamine oxidase inhibitor (MAOI) about dietary changes required to minimize adverse effects of the drug. The nurse determines the client understands a low tyramine diet when what meal is chosen? a. A hamburger, French fries, and a strawberry milkshake b. Corned beef hash, eggs, and hash browns c. A chop salad with blue cheese, sardines, and pepperoni d. A sandwich with turkey, avocado, and Swiss cheese
A hamburger, French fries, and a strawberry milkshake
14. A nurse identifies which medication is not used for anti-inflammatory action? a. Ibuprofen b. Naproxen c. Celecoxib d. Acetaminophen
Acetaminophen
1. The nurse is preparing to administer lithium, an antimania medication, to a client diagnosed with bipolar disorder. The lithium level is 1.1 mEq/L. Which action should the nurse implement? a. Verify the lithium level. b. Hold the medication. c. Administer the medication. d. Notify the healthcare provider
Administer the medication
14. A client with schizophrenia has been taking haloperidol (Haldol) for 3 weeks with good effect. Today, he comes to group but is complaining of feeling like his legs are on fire. The nurse notes that he is moving continuously and leaves group early. The nurse should docuemnt and report that the client is experiencing which medication side effect? a. Oculogyric crisis b. Gustatory hallucinations c. Akathisia d. Anticholinergic effects
Akathisia
A client has presented to the nurse with signs and symptoms of a fungal skin infection. What assessment should the nurse prioritize when discussing the possible use of topical antifungals? a. Review of liver enzyme levels b. Review of the client's creatinine clearance c. Allergy assessment d. Respiratory assessment
Allergy assessment
The nurse is conducting an admission assessment of a client who has been prescribed hydrochlorothiazide. The nurse should contact the provider because of the client's: a. Recent blood glucose level of 140 mg/dL. b. Allergy to codeine c. Recent blood pressure of 160/96 mm Hg. d. Allergy to sulfa drugs
Allergy to sulfa drugs
1. The client is reporting vague dread; she is pacing and hyperventilating, her jaw is clenched and she is wringing her hands. What type of medication should the nurse conclude that this client needs? A CNS stimulant An anxiolytic An antipsychotic A barbiturate
An anxiolytic
1. The nurse is caring for a client who does not have a respiratory disorder but has been prescribed acetylcysteine. What is an additional indication for a acetylcysteine? a. Treatment of pectic ulcer disease b. Antidote for acetaminophen poisoning c. Conversion of cardia dysrhythmias d. Treatment of bronchospasm
Antidote for acetaminophen poisoning
1. The nurse anticipates an order for a glucocorticoid when caring for a client with what condition? a. Arthritis b. Septicemia c. Appendicitis d. Hypoglycemia
Arthritis
14. A client with a history of chronic pain related to rheumatoid arthritis presents at the emergency department reporting dizziness, mental confusion, and difficulty hearing. What assessment is most appropriate? a. Assess the client for recent exacerbations of rheumatoid arthritis. b. Assess the client's use of acetaminophen. c. Assess the client's use of salicylates. d. Assess the client's allergy status.
Assess the client's use of salicylates.
1. The physicians has ordered cyclosporine (Sandimmune) for the client who has undergone a kidney transplant. What will the nurse's priority assessment of this client include? a. Assessing cardiac output b. Assessing for peripheral edema c. Assessing for infection d. Assessing airway clearance
Assessing for infection
1. The nurse is caring for a 79-year-old client who was admitted through the emergency room for mental status changes determined to be caused by a urinary tract infection. The client is started on Fosfomycin. What assessment should the nurse prioritize? a. Assessment for anticholinergic effects b. Assessing for nausea, vomiting, or diarrhea c. Respiratory rate and lung sounds d. Heart rate and rhythm
Assessing for nausea, vomiting, or diarrhea
1. The nurse is admitting a 79-year-old male client whose current medication regimen includes tamsulosin 0.5 mg/d PO. The nurse should include what assessment in the client's plan care? a. Assessment of urine culture and sensitivity b. Assessment for signs and symptoms of systemic infection c. Assessment for urgency of frequency d. Assessment for signs and symptoms of urinary tract infection
Assessment for urgency of frequency
The nurse is preparing an infusion of amphotericin B for a patient who has severe fungal infection. Which intervention should the nurse implement? a. Before beginning the infusion, administering an antipyretic and an antiemetic. b. If fever, chills, or nausea occur during the infusion, administering medications to treat the symptoms. c. Discontinuing the infusion immediately if fever, chills or nausea occur. d. Gradually increasing the infusion rate until the expected adverse effects occur.
Before beginning the infusion, administering an antipyretic and an antiemetic.
1. A patient has been on high dose corticosteroid therapy for the treatment of lupus erythematosus. In addition to monitoring electrolyte levels, which laboratory studies will the nurse monitor? a. Blood glucose levels b. Complete blood count c. Liver function panel d. Partial thromboplastin time
Blood glucose levels
A client is receiving meropenem. When monitoring the client for drug-related reaction, the nurse should prioritize what assessment? a. Bowel pattern b. AST, ALT, and bilirubin levels c. Orientation and level of consciousness d. Urine output
Bowel pattern
A patient is receiving gentamycin IV. Which of the following would the nurse assess based on this medication? (select all that apply.) a. Serum calcium levels b. Hearing c. Hemoglobin and hematocrit d. Bun and creatinine e. Cardiac arrythmias
Bun and creatinine Hearing
1. The patient asks the nurse how sulfonylureas, such as glipizide, normalize glucose levels. Which response by the nurse is correct? a. By helping the muscles use the sugar more efficiently b. By decreasing glucose production in the liver c. By inhibiting the breakdown of starches in the intestines d. By stimulating pancreatic secretion of insulin
By stimulating pancreatic secretion of insulin
14. A patient has been admitted to the emergency department with a suspected overdose of a tricyclic antidepressant. The nurse will prepare for what immediate concern? a. Cardiac dysrhythmias b. Gastrointestinal bleeding c. Hypertension d. Renal failure
Cardiac dysrhythmias
The client diagnosed with moderate BPH is being treated with tamsulosin (Flomax), an alpha adrenergic blocker. Which intervention should the nurse implement? a. Determine if the client has nocturia b. Assess if the client has orthopnea c. Check the client's blood pressure d. Send a urinalysis to the laboratory
Check the client's blood pressure
A local bioterrorism medical team is responding to a possible anthrax attack. The team is instructed that a fluoroquinolone may be used to treat exposure to anthrax. The nurse should prepare to administer what antibiotic? a. Ciprofloxacin b. Sparfloxacin c. Gemifloxacin d. Amoxicillin
Ciprofloxacin
The nurse is planning care for a client with AIDS who has developed chronic severe diarrhea secondary to adverse effect of the antiviral drugs prescribed. What goal should the nurse prioritize during this client's care? a. client will be able to demonstrate the effectiveness of the teaching plan. b. Client will remain free of electrolyte disturbances c. Client will show improved nutritional status evidenced by weight gain d. Client will state that comfort and safety measures are effective and show compliance with the regimen.
Client will show improved nutritional status evidenced by weight gain
After administering somatropin to an 11-year-old client with growth failure, what outcome would indicate that the drug should be stopped? a. Early sexual development b. Thyroid overactivity c. Gynecomastia d. Closure of the epiphyses in long bones
Closure of the epiphyses in long bones
14. A nurse is caring for a client who is diagnosed with schizophrenia and is on an antipsychotic medication. The client is exhibiting tremors and painful muscle spasms. The nurse expects the health care provider to order which of the following medications? a. Flexaril b. Seroquel c. Cogentin d. Lorazapam
Cogentin
The nurse is providing teaching about a typical antipsychotic newly prescribed for the client. The nurse cautions the client against actions that may cause increased central nervous system (CNS) depression. What should the nurse caution the client against? a. Consumption of alcohol b. Maintaining an inconsistent sleep schedule c. Use of over-the-counter NSAIDs d. Tobacco use
Consumption of alcohol
1. A client who has chronic bronchial asthma has had a mast cell stabilizer prescribed. What drug would the provider prescribe? a. Aminophylline b. Isoetharine c. Cromolyn d. Ipratropium
Cromolyn
The nurse is collaborating with the healthcare of a client who presented with signs and symptoms of an infection. What information should the nurse prioritize so that the healthcare provider can prescribe the proper antibiotic? a. First day of infection symptoms b. Results of complete blood count with differential c. The client's intake and output for past 2 days d. Culture and sensitivity test results
Culture and sensitivity test results
1. When a patienty is receiving desmopressin, the nurse will monitor for which therapeutic response? a. Increased hemoglobin b. Improved appetite c. Increased serum potassium levels d. Decreased urinary output
Decreased urinary output
The nurse is caring for a client who has been receiving a broad-spectrum antiinfective agent for several days. What signs and symptoms should the nurse monitor closely? A. Respiratory distress B. Destruction of normal flora C. Tissue necrosis D. Increased inflammation
Destruction of normal flora
1. The nurse suspects the client with diabetes may be having a hypoglycemic reaction when what manifestation is assessed? a. Fruity breath b. Unpredictable behaviors c. Diaphoresis d. Flushing of the face
Diaphoresis
Which instruction is most important for the nurse to provide a client who receives a new prescription for nystatin to treat a fungal infection in the mouth? a. Swallow the oral tablet whole without chewing or crushing it. b. Dissolve the oral tablet in your mouth and then swallow it c. Crush the oral tablet, mix it with orange juice, and then swallow it. d. Take the oral suspension with a straw to prevent tooth discoloration.
Dissolve the oral tablet in your mouth and then swallow it
1. A 28-year-old female client is taking danazol as treatment for endometriosis. The client is distressed increased facial hair, a weight gain of 15 lbs, and a change in her voice. What nursing diagnosis would be most appropriate for this client? a. Disturbed body image related to drug therapy b. Deficient knowledge regarding drug therapy c. Acute pain related to need for injections d. Sexual dysfunction related to androgenic effects
Disturbed body image related to drug therapy
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. What instruction should the nurse include in the teaching plan? a. Do not drink alcohol with this medication b. Administer on an empty stomach. Notify the clinic of any changes in the color or urine. c. Avoid over exposure to the sun. d. Notify the clinic of any changes in the color or urine.
Do not drink alcohol with this medication
1. A patient with allergic rhinitis is prescribed an antihistamine. The nurse instructs the patient to suck on a sugarless hard candy to prevent which condition? a. Drowsiness and sedation b. Dryness of the oral mucosa and the throat c. Thickening of the bronchial secretion d. Altered sensation of taste
Dryness of the oral mucosa and the throat
1. The hospital nurse is caring for a client who is 24 hours postoperative. What action can the nurse take to best prevent the development of a urinary tract infection in this client? a. Ensure the client's urinary catheter is discontinued as soon as possible, as prescribed. b. Ambulate the client as soon as possible c. Ensure the client's fluid intake is at least 1.5 L/d and distributed evenly throughout the day. d. Encourage intake of low-pH foods and beverages.
Ensure the client's urinary catheter is discontinued as soon as possible, as prescribed.
1. The nurse is caring for an 8-year-old client who takes imipramine (Tofranil). The nurse should assess this child for a history of what health problem? a. Enuresis (bed-wetting) b. Obsessive-compulsive disorder (OCD) c. Oppositional defiant disorder d. Psoriasis
Enuresis (bed-wetting)
1. The nurse is caring for a client experiencing acute bronchospasm. What drug is most likely to meet the client's needs? a. Ephedrine b. Cromolyn c. Epinephrine d. Ipratropium bromide
Epinephrine
14. What drug should the nurse consider contraindicated for the client taking a monoamine oxidase inhibitor (MAOI)? a. Acetaminophen b. Insulin c. Docusate d. Escitalopram (Lexapro)
Escitalopram (Lexapro)
The diabetes nurse educator describes type 1 diabetes with what statement? a. It is always diagnosed before adulthood. b. Oral agents can control blood glucose levels for many clients. c. Exogenous insulin is required for life. d. Blood glucose level can be controlled with diet.
Exogenous insulin is required for life.
14. A client's thought disorder has been treated with haloperidol (Haldol). For what adverse effect should the nurse most closely monitor the client? a. Hypoglycemia b. Bradycardia c. Shortness of breath d. Extrapyramidal effects
Extrapyramidal effects
24- Hepatitis B can now be cured with 12 weeks of medication. True False
False
1. The nurse is providing education to a client taking a glucocorticoid. The nurse should advise the client to take the medication at what time of the day, unless otherwise instructed? a. First thing in the morning b. At bedtime c. About midafternoon d. With the noon meal
First thing in the morning
1. The nurse is evaluating drug effects in a patient taking interferon beta 1a for multiple sclerosis. Which of the following is a common adverse effect? a. Flu like symptoms of fever, chills, or fatigue b. Depression and thought of suicide c. Renal or hepatic insufficiency d. Tachycardia and edema
Flu like symptoms of fever, chills, or fatigue
14. A client has been taking diazepam (Valium) for her anxiety and is brought into the emergency department after taking 30 days worth in one time. What should the nurse administer to reverse the effect of the benzodiazepene? a. Naloxone b. Flumazenil c. Epinephrine d. Atropine
Flumazenil
A nurse is caring for a client who is 3 days postoperative. Upon assessment the nurse discovers that the client is short of breath, has respirations of 32/ minutes, has JVD, and is coughing up pink frothy sputum. The nurse anticipates the administration of which medication? a. Furosemide b. Hydrochlorothiazide c. Mannitol d. Spironolactone
Furosemide
A client with type 1 diabetes presents to the diabetes educator and asks about a change in insulin. The client's occupation requires long international flights, and the client does not want to administer insulin on the plane. What kind of insulin would best meet this client's needs? a. Lispro b. Aspart c. Glulisine d. Glargine
Glargine
A client is brought to the emergency department with hypoglycemia blood glucose level of 19 mg/dL. What drug should the nurse prepare to administer intravenously? a. Glyburide oral b. Diazole oral c. Insulin subcutaneous injection d. Glucagon intravenous injection
Glucagon intravenous injection
1. A client presents at the clinic with a dry nonproductive cough. The client is diagnosed with bronchitis, and it has been determined that assistance is needed in thinning the sputum so the cough can become productive. what does the nurse expect the provider will prescribe? a. Guaifenesin b. Hydrocodone c. Benzonatate d. dextromethorphan
Guaifenesin
1. The nurse is caring for a client who is taking an adrenergic bronchodilator be used cautiously? a. Heart failure b. Respiratory failure c. Liver failure d. Renal failure
Heart failure
The nurse is caring for a client who Is receiving IV gentamicin and who reports difficulty hearing this morning. What should the nurse do? a. Make a referral for auditory testing b. Administer the dose and document the finding in the client's health record c. Administer the dose and report this information to the oncoming nurse Hold the dose and notify the prescriber immediately
Hold the dose and notify the prescriber immediately
A client tells the nurse he is allergic to sulfa. Which medication order would the nurse question? a. Mannitol b. Spironolactone c. Furosemide d. Hydrochlorothiazide
Hydrochlorothiazide
1. A client presents to the clinic for a 1-month follow-up appointment. The client tells the nurse he or she has been taking chlorothiazide for a month and now has leg cramps and "feels tired all the time." What will the nurse consider as the most likely cause of the client's symptoms? a. Hypocalcemia b. Hypokalemia c. Hyperkalemia d. Hypercalcemia
Hypokalemia
A nurse collects a culture sample from client's infected wound bed. Laboratory testing of this sample will allow the care team to: a. Identify the specific organism causing infection. b. Identify individualized client factors contributing to infection c. Assess the components of the client's normal flora d. Approximate the client's risk for antibiotic resistance.
Identify the specific organism causing infection.
1. A nurse is caring for an 80-year-old client with pneumonia. What would be the most appropriate nursing diagnosis for this client? a. Ineffective health maintenance b. Risk for aspiration c. Decrease cardiac output d. Impaired gas exchange
Impaired gas exchange
An 11-year-old client has been hospitalized on the adolescent psychiatry unit with severe depression. For the past several weeks, the client has been prescribed a selective serotonin reuptake inhibitor (SSRI). What is the priority nursing action? a. Implement suicide precautions. b. Monitor the client for migraines. c. Assess for weight loss and difficulty sleeping. d. Monitor food intake and eliminate potential sources of tyramine.
Implement suicide precautions.
A client has been prescribed an aminoglycoside. In order to prevent accumulation of the drug, what should the nurse encourage the client to do? a. Take diuretics as prescribed b. Perform moderate exercise daily, if possible c. Take the drug on an empty stomach d. Increase fluid intake
Increase fluid intake
quiz 3 1. A 29-year-old client has sinusitis and has been prescribed a topical nasal decongestant. What instruction should the nurse provide? a. Take the medication with meals b. Temporarily avoid high-sodium foods c. Increase fluid to 2 L/d. d. Use two forms of birth control until treatment is complete.
Increase fluid to 2 L/d.
1. A client is taking IV theophylline (Aminophylline) for a severe exacerbation of COPD. Which finding upon evaluation would indicate a therapeutic response to the medication? a. Decrease barrel chest b. Increased sensitivity of the lungs to allergies c. Increased ease of breathing d. Prolonged expiratory time
Increased ease of breathing
1. The nurse is discharging a patient newly diagnosed with type 1 diabetes mellitus. Which instruction should the nurse provide regarding the signs of hyperglycemia? a. Irritability and diarrhea b. Weakness and sweating c. Shaking and tachycardia d. Increased thirst and blurred vision
Increased thirst and blurred vision
Virus infections have proven difficult to treat because they: a. Are bits of RNA or DNA. b. Have a protein coat c. Easily resist drug therapy d. Inject themselves into human cells to survive and reproduce
Inject themselves into human cells to survive and reproduce
The nurse is discussing chlorothiazide with the client diagnosed with hypertension. which discharge instruction should the nurse discuss with the client? a. Explain taking the medication at night only b. Instruct the client to drink adequate fluids c. Teach the client to keep strict intake and output records d. Encourage the intake of sodium-rich foods.
Instruct the client to drink adequate fluids
The nurse is discussing chlorothiazide with the client diagnosed with hypertension. which discharge instruction should the nurse discuss with the client? a. Explain taking the medication at night only. b. Teach the client to keep strict intake and output records. c. Instruct the client to drink adequate fluids. d. Encourage the intake of sodium-rich foods.
Instruct the client to drink adequate fluids.
The nurse is caring for a pregnant client diagnosed with pregnancy-induced diabetes. What antidiabetic agent is best suited for administration to this client? a. Insulin b. Glyburide c. Acarbose d. Metformin
Insulin
14. Buspirone has been prescribed for a client with anxiety. When providing health education, the nurse should describe what benefit of this medication over other anxiolytics? a. Rapid onset and short duration b. Decreased risk of hepatic injury c. Sublingual administration d. Less central nervous system depression
Less central nervous system depression
14. The nurse should assess a patient who is taking lorazepam (Ativan) for the development of which of these adverse effects? a. Fever and tachycardia b. Thrombocytopenia and dizziness c. Euphoria and anorexia d. Light headedness and orthostatic hypotension
Light headedness and orthostatic hypotension
14. The nurse is assessing a 10-year-old child who has been experiencing chronic headaches. The child's parent reports the administration of acetaminophen three to four times a day for the past several weeks. What assessment should the nurse prioritize? a. Urine output, blood urea nitrogen, and creatinine b. Breath sounds and oxygen saturation c. Social support d. Liver enzymes
Liver enzymes
1. The nurse is caring for a client with a severe head injury. An osmotic diuretic is ordered. the nurse understands which drug is an osmotic diuretic? a. Mannitol b. Spironolactone c. Bumetanide d. Ethacrynic
Mannitol
A patient has been diagnosed with increased cranial pressure. The healthcare provider has stated he is going to order an osmotic diuretic. Which medication is osmotic diuretic? a. Spironolactone b. Furosemide c. Hydrochlorothiazide d. Mannitol
Mannitol
The nurse is caring for an infant diagnosed with hypothyroidism whose parent voices skepticism about giving the child drugs. The nurse should warn the parent of what potential complication of untreated hypothyroidism. a. Renal dysfunction b. Immune deficiency c. Pediatric osteoporosis d. Mental retardation
Mental retardation
14. The nurse is providing care for a 72-year-old client whose diagnosis of bipolar disorder is treated with lithium. What nursing responsibility should be prioritized? a. Monitor the client's fluid balance and sodium intake. b. Teach the client how to safely adjust doses based on symptoms. c. Monitor the client's blood glucose levels and cognition. d. Educate the client about the signs and symptoms of tardive dyskinesia.
Monitor the client's fluid balance and sodium intake.
1. What assessment findings would the nurse expect to see in a client who has overdosed on levothyroxine? a. Central obesity, constipation, sodium loss b. Nervousness, tachycardia, tremors c. Hyperglycemia, hypertension, edema d. Somnolence, bradycardia, paresthesia
Nervousness, tachycardia, tremors
What would be an appropriate nursing intervention for a client on the urinary tract antispasmodic oxybutynin (Ditropan) a. Caution the client against hot showers b. Teach the client to perform Kegel exercises c. Advise client to expect a change in color of sclera d. Offer sugarless hard candy to relieve dry mouth
Offer sugarless hard candy to relieve dry mouth
The nurse is preparing to administer insulin intravenously. Which statement about the administration of intravenous insulin is true? a. Insuling aspart or lispro can be administered intravenously. But there must be a 50% dose reduction. b. Insulin is never given intravenously c. Any form of insulin can be administered intravenously at the same dose as that is ordered for subcutaneous administration d. Only regular insulin can be administered intravenously.
Only regular insulin can be administered intravenously.
The nurse is caring for a postmenopausal client taking estradiol to reduce signs and symptoms of menopause. The nurse explains to the client that this medication will also reduce her risk for which condition? a. Cancer b. Heart disease c. Osteoporosis d. Stroke
Osteoporosis
1. The nurse is teaching a client about the administration of nasal spray. What information is most important to include in this discussion? a. Finish the bottle of nasal spray to clear the infection effectively b. Nasal spray can be shared between family members only c. Overuse of nasal spray may cause rebound congestion d. Administer the nasal spray in a prone position
Overuse of nasal spray may cause rebound congestion
The nurse cares for a patient admitted with pneumonia. The patient tells the nurse he is allergic to cephalosporine. The nurse is most concerned if the health care provider orders which medication? a. Clindamycin b. Vancomycin c. Penicillin d. Erythromycin
Penicillin
14. The nurse understands the differences COX-1 and COX-2 inhibitors, in that ibuprofen is more likely than celecoxib to cause which adverse effect? a. Fever b. Metallic taste c. Constipation d. Peptic ulcers
Peptic ulcers
1. The emergency department (ED) nurse is caring for a client who is experiencing pulmonary edema. the client is treated with furosemide. What will the nurse monitor most closely? a. Bone narrow function b. Potassium levels c. Calcium levels d. Sodium levels
Potassium levels
1. A client with hypertension has been prescribed spironolactone. The client's previous diuretic, furosemide, has been discontinued. The nurse should explain what benefit of this change. a. Sodium losses are greater with spironolactone. b. The diuretic effect is greater with spironolactone than with furosemide. c. Unlike furosemide, spironolactone can be taken on an outpatient basis d. Potassium losses are lower with spironolactone than with furosemide
Potassium losses are lower with spironolactone than with furosemide
1. A client has been prescribed furosemide. The nurse should recommend what food in order to prevent adverse effects? a. Brown rice b. Cheese c. Potatoes d. Chicken breast
Potatoes
1. A patient has been diagnosed with adrenocortical insufficiency, Addison's disease. What does the nurse expect the health care provider to prescribe? a. Somatotropin b. Prednisone c. Hormone replacement therapy d. Ketoconazole
Prednisone
1. The home care nurse is caring for an older adult client who has type 1 diabetes. The client has visual impairment and cannot read the numbers on the syringe when preparing insulin for administration nor afford the cost of prefilled auto syringes. What strategy might the nurse use to help this client comply with insulin needs between visits? a. Ask a neighbor to come over every day to prepare the medication. b. Change the client to oral antidiabetics. c. Prepare a week's supply of syringes and refrigerate. d. Have the client use a magnifying glass.
Prepare a week's supply of syringes and refrigerate.
14. The nurse is reviewing the medication administration record (MAR) and notes the patient has filgrastim (Neupogen) ordered. Which statement best describes the action of the drug? a. Inducement of thrombocytosis in clients with decreased platelet counts. b. Treatment of bone marrow malignancy c. Promotion of red blood cell proliferation in clients with anemia. d. Prevention of neutropenia resulting from chemotherapy.
Prevention of neutropenia resulting from chemotherapy.
The nurse should question what medication order for a diabetic client who takes insulin to control his or her blood sugar level? a. Metoclopramide 20 mg PO b. Propranolol 10 mg orally t.i.d. c. Cefaclor 250 mg orally every 8 hours d. Furosemide 60 mg/d orally
Propranolol 10 mg orally t.i.d.
1. A clinic client has been prescribed phenazopyridine for aid in treating a UTI. This client should be informed that phenazopyridine will turn urine what color? a. Black b. Brown c. Bluish-green d. Reddish-orange
Reddish-orange
A client with diabetes insipidus has been administered desmopressin (DDAVP) and is now reporting drowsiness, lightheadedness, and headache. What intervention will best address this client's symptoms? a. Temporary bed rest b. Reduction in the client's dose of desmopressin c. STAT administration of epinephrine d. Administration of a loop diuretic
Reduction in the client's dose of desmopressin
A client is admitted to the emergency department in diabetic ketoacidosis (DKA) with a blood glucose level of 485 mg/dL. The client is prescribed an initial dose of 25 U insulin IV. Which type of insulin will be most likely to be administered? a. Humulin N insulin b. Humulin L insulin c. NPH insulin d. Regular insulin
Regular insulin
Which drug was initially developed to treat Ebola and is now having some success against the coronavirus (Covid 19)? A. Monoclonal antibodies B. Remdesivir C. Hydroxychloroquine D. Dexamethasone
Remdesivir
A 65-year-old man is being treated for herpes zoster virus. He has been prescribed acyclovir (Zovirax). The nurse should prioritize assessments of which of the following? a. Neurologic function b. Renal function c. Respiratory function d. Cardiac function
Renal function
A client with urinary tract infection is experiencing intense burning and pain. What aspect of the client's health history would contraindicate the safe and effective use of phenazopyridine? a. Renal insufficiency b. Hypertension c. Asthma d. Diabetes mellitus
Renal insufficiency
1. When developing a plan of care for the client receiving a glucocorticoid, what nursing diagnosis should be of highest priority? a. Risk for injury related to muscle weakness b. Imbalanced nutrition: less than body requirements c. Risk for infection related to immunosuppression d. Deficient fluid volume related to water retention
Risk for infection related to immunosuppression
14. The nurse is caring for a client who experiences anxiety and insomnia and is prescribed lorazepam. When developing the plan of care, what would be an appropriate nursing diagnosis related to potential adverse effects of the drug? a. Ineffective tissue perfusion related to vasoconstriction b. Chronic confusion related to decreased arousal c. Fear related to rebound effects following therapy d. Risk for injury related to central nervous system (CNS) effects.
Risk for injury related to central nervous system (CNS) effects.
The nurse is teaching patients about self-injection of insulin. What teaching should the nurse provide? a. Avoid the upper arms because absorption there is irregular. b. Rotate sites within the same location for about one week before rotating to a new location. c. A one mL syringe can be used in place of a calibrated insulin syringe. d. Shake the vial to mix insulin completely.
Rotate sites within the same location for about one week before rotating to a new location.
1. A 17-year-old client has just been diagnosed with schizophrenia. When educating the family about the cause of this disease, the nurse should address what factors? a. Seizure activity at a young age b. Genetic factors c. Impaired coping d. Psychosocial trauma
Seizure activity at a young age
14. A patient who is taking an MAOI to treat depression admits to eating pickled herring and cheese and drinking red wine. Which assessment finding alerts the nurse to a potential complication? a. Hypotension b. Urinary retention c. Constipation d. Severe headache
Severe headache
1. A client is being treated for benign prostatic hyperplasia (BHP). The nurse should explain to the client that he will experience relief of urinary symptoms because the drug will: a. Activate nitric acid, which will dilate blood vessels in the area to relieve pressure. b. Shrink the gland and / or relax the sphincter of the bladder. c. Increase testosterone levels, reducing the size of the gland. d. Locally increase blood pressure in prostate, reducing its size.
Shrink the gland and / or relax the sphincter of the bladder.
1. A client is in the clinic for a follow-up visit after having been on hormone replacement therapy for 3 months. Which report by the client should be the priority concern for the nurse? a. Smoking 8 to 10 cigarettes a day b. Occasional binge eating c. Almost no exercise d. 10-lb weight gain in the last 3 months
Smoking 8 to 10 cigarettes a day
A client has 2 + putting edema of the lower extremities bilaterally, auscultation of the lungs reveals crackles bilaterally, and the serum potassium level is 6 mEq/ L which diuretics agent ordered by the prescriber should the nurse question? a. Hydrochlorothiazide b. Spironolactone c. Furosemide d. Bumetanide
Spironolactone
The clinic nurse is providing health teaching to a client who has been prescribed doxycycline. What is a priority teaching point for this client? a. Chew the tablets completely before swallowing. b. Stay out of the sun as much as possible c. Avoid sexual activity for the duration of treatment. d. Avoid grapefruit juice for the duration of treatment.
Stay out of the sun as much as possible
Which instruction is most important for the nurse to teach a patient with diabetes who is receiving metformin? a. Take this medication at bedtime. b. Stop taking the drug 24 to 48 hours prior to radiopaque dye procedures. c. There may be an increase in the triglyceride level. d. Monitor blood glucose at least one a month.
Stop taking the drug 24 to 48 hours prior to radiopaque dye procedures.
The nurse administers an infusion of Vancomycin when the patient develops red man syndrome with a red rash on the chest and neck within the first 15 minutes of the infusion. What action should the nurse take? a. Stop the infusion, give diphenhydramine, then resume at a slower rate. b. This is anormal reaction and nothing needs to be done. c. The nurse should continue to monitor the patient and be prepared to administer epinephrine of breathing difficulties develop. d. Immediately discontinue the infusion and call the health care provider.
Stop the infusion, give diphenhydramine, then resume at a slower rate.
A patient has urinary tract infection. The nurse knows that which class of drugs is especially useful for such infections? a. Macrolides b. Tetracyclines c. Carbapenems d. Sulfonamides
Sulfonamides
1. The patient states that he has not taken his antipsychotic drug for the past 2 weeks because it was causing sexual dysfunction. What is the nurse's primary concern at this time? a. Significant muscle twitching may occur, increasing fall risk. b. A hypertensive crisis may occur with such abrupt withdrawal of the drug c. Symptoms of psychosis are likely to return. d. Extrapyramidal symptoms such as secondary parkinsonism are likely to occur.
Symptoms of psychosis are likely to return
The nurse is providing discharge teaching to the client who is being sent home on oral tetracycline. What instruction should the nurse include? a. Take the medication only once a day. b. Hold the drug if pulse is lower than 60 beats per minute (bpm). c. Take the medication with two ounces of water. d. Take the drug on an empty stomach
Take the drug on an empty stomach
1. The nurse notes that a client with schizophrenia and receiving an antipsychotic medication is moving her mouth, protruding her tongue, and grimacing as she watches television. The nurse determines that the client is experiencing which medication complication? a. Neuroleptic malignant syndrome b. Tardive dyskinesia c. Hypertensive crisis d. Parkinsonism
Tardive dyskinesia
1. A client began taking hydrochlorothiazide 1 week ago and is reporting occasional dizziness when she stands up quickly from sitting or lying. What is the nurse's Best action? a. Educate the client about the need for bed rest until her body adjust to the new medication. b. Arrange for the client's potassium levels to be assessed as soon as possible. c. Tell the client to withhold the next schedule dose until she can be assessed by the provider. d. Teach the client about the blood pressure effects of the medication and relevant safety measures.
Teach the client about the blood pressure effects of the medication and relevant safety measures.
A patient is receiving a fluoroquinolone (Cipro) as treatment for a urinary tract infection. The nurse will monitor for which adverse effect that us associated with these drugs? a. Tendonitis and tendon rupture b. Hypotension c. Neuralgia d. Double vision
Tendonitis and tendon rupture
1. The client diagnosed with hypertension is receiving furosemide (Laxis). Which data indicates the medication is effective? a. The client reports occasional light-headedness and dizziness. b. The client 8-hour intake is 1,800 mL and the output is 2,300 mL. c. The client has had a weight loss of 1 pound in 7 days d. The client's blood pressure went from 144/88 to 154/96
The client 8-hour intake is 1,800 mL and the output is 2,300 mL.
1. The client diagnosed with hypothyroidism is prescribed levothyroxine. Which assessment data supports the client needs to take less medication? (Select all that apply.) a. The client complains of constipation. b. The client's radial pulse is 72 bpm. c. The client complains of being too hot. d. The client has tremors. e. The client has a 2 kg weight loss.
The client complains of being too hot. d. The client has tremors. e. The client has a 2 kg weight loss.
1. What action by the client would the client understands how to use an inhaler? a. The client uses a spacer to administer a powdered medication. b. The client inhales as soon as the inhaler enters his or her mouth. c. The client exhales as soon as he or she compresses the inhaler d. The client holds his or her breath as long as possible after compressing the canister
The client holds his or her breath as long as possible after compressing the canister
14. Which of the following statements if made by the client, would tell the nurse that the medication buspirone (Buspar) has been effective? a. The client verbalizes less confusion in the morning. b. The client verbalizes a decrease in psychotic thoughts c. The client is able to complete daily tasks with less anxiety. d. The client verbalizes decrease in drowsiness.
The client is able to complete daily tasks with less anxiety.
1. The nurse is caring for the client being treated for urosepsis. The client 's regimen includes phenazopyridine. What outcome best indicates therapeutic effect of this medication? a. The client has two consecutive urine cultures that are negative. b. The client's urine output is - 1,250 mL/24 hours. c. The client reports an absence of urinary burning and pain. d. The client's urine remains free of blood
The client reports an absence of urinary burning and pain.
The nurse is caring for a client being treated for urosepsis. The client's medication regimen includes phenazopyridine. What outcome best indicates therapeutics effects of this medication? a. The client's urine remains free of blood. b. The client has two consecutive urine cultures that are negative. c. The client reports an absence of urinary burning and pain. d. The client's urine output is >1,250 ml/24 hours.
The client reports an absence of urinary burning and pain.
14. The client receives infliximab (Remicade), an immunosuppressant medication. What is the priority information for the nurse to teach the client about this medication? a. The client should avoid crowds. b. The client should drink plenty of fluids. c. The client should eat plenty of fruits and vegetables. d. The client should get adequate exercise
The client should avoid crowds.
a client has high blood pressure, prostate enlargement, and penile erectile dysfunction. He asks the nurse if he could try tadalafil (Cialis) after seeing an advertisement on television. What client factor should the nurse prioritize for follow-up? a. The client job involves shift work, and he has erratic sleep habits b. The client takes a diuretic for the treatment of hypertension c. The client's body mass index is 31 kg/m2 (obese) d. The client takes tamsulosin, an alpha adrenergic blocker, for the treatment of benign prostatic hyperplasia
The client takes tamsulosin, an alpha adrenergic blocker, for the treatment of benign prostatic hyperplasia
A client in the community is taking regular and NPH insulin to manage type 1 diabetes. What laboratory finding best demonstrates that the client's diabetes management is adequate? a. The client's fasting blood glucose level is 80 mg/dL. b. The client's random blood glucose is 120 mg/dL. c. The client's glycosylated hemoglobin (HbAlc) level is 6.1%. d. The client's creatinine clearance of 1.75 mL/s/m2 is within reference ranges.
The client's glycosylated hemoglobin (HbAlc) level is 6.1%.
1. The nurse is caring for a 38-year-old client with asthma who has been started on albuterol. What assessment finding should the nurse most likely attribute to adverse medication effects? a. The client had diarrhea this morning b. The client reports excessive thirst c. The client's heart rate is 99 beats/ min. d. The client's oral temperature is 37.8 C (100 F)
The client's heart rate is 99 beats/ min
1. The nurse is caring for a client who has just been diagnosed with essential hypertension. the nurse should expect to administer what classification of diuretics as first- line therapy? a. Thiazide diuretics b. Potassium-sparing diuretics c. Carbonic anhydrous inhibitors d. Loop diuretics
Thiazide diuretics
1. After administering propylthiouracil (PTU), what effect would the nurse anticipate the drug will have in the client's body? a. To destroy part of the thyroid gland b. To suppress the anterior pituitary gland's secretion of thyroid-stimulating hormone (TSH) c. To suppress the hypothalamus's production of thyrotropin-releasing hormone (TRH) d. To inhibit production of thyroid hormone in the thyroid gland
To inhibit production of thyroid hormone in the thyroid gland
Which statement best describes the primary use of somatropin? a. To stimulate pituitary response b. To treat precocious puberty c. To diagnose hypothalamic failure d. To treat children with growth failure
To treat children with growth failure
1. The nurse is providing discharge instructions to a 72-year-old client who has been discharged home on a diuretic at home. a. To weigh themselves on the same scale, at the same time of day, in the same clothing b. Measuring intake and output of urine c. Decrease exercise to conserve energy Restrict fluids to 500 mL/d to limit the need to urinate
To weigh themselves on the same scale, at the same time of day, in the same clothing
14. What are the possible therapeutic effects of non-aspirin NSAIDS? (Select all that apply.) a. Analgesia b. Stroke prevention c. Treatment of rheumatoid arthritis d. Antipyretic effects e. Antimicrobial effects
Treatment of rheumatoid arthritis Antipyretic effects Analgesia
1. The nurse is caring for a client who is taking urinary antiinfective. What assessment should the nurse prioritize to identify the effectiveness and appropriateness of the client's drug therapy? a. Assessment for dysuria or flank pain b. Urine culture and sensitivity results c. Oral temperature d. Assessment of 24-hour urine quantity
Urine culture and sensitivity results
1. A 70-year-old client is being treated for chronic obstructive pulmonary disease (COPD) with theophylline. What will be a priority assessment by the nurse? a. Intake of fatty foods b. Weight c. Use of nicotine d. Activity level
Use of nicotine
A patient's wound has become infected with methicillin-resistant staphylococcus aureas (MRSA). The nurse anticipates administering which medication? a. Amphotericin B b. Bactrim c. Levofloxacin d. Vancomycin
Vancomycin
When the nurse cares for the client receiving an antibiotic, what instructions should the nurse provide no matter what medication is prescribed? Select all that apply a. Take all medications as prescribed until all of the medication is gone b. Report difficulty breathing, severe headache, or changes in urine output. c. Take antibiotic with food to avoid gastrointestinal (GI) upset. d. Take safety precautions such as changing position slowly e. Drink plenty of fluids to avoid kidney damage
a. Take all medications as prescribed until all of the medication is gone b. Report difficulty breathing, severe headache, or changes in urine output. Drink plenty of fluids to avoid kidney damage
12- When administering a systemic antifungal agent the nurse incorporates the understanding that antifungal drugs function to: A. break apart the fungus nucleus B. prevent the fungus from absorbing needed nutrients C. alter cell permeability of the fungus, leading to cell death D. interfere with fungus DNA production
alter cell permeability of the fungus, leading to cell death
14. The parents of a young patient receiving methylphenidate (Ritalin) will need to be educated on the side effects of this drug which includes? (Select all that apply.) a. Drowsiness b. Skin rash c. Nervousness d. Insomnia
c. Nervousness d. Insomnia
1. The nurse is caring for a client with Cushing's syndrome due to a tumor in the adrenal glands. Which medication should the nurse anticipate the health care provider prescribing? a. vasopressin (DDAVP) b. propylthiouracil (PTU) c. methylprednisolone (Solu-Medrol) d. ketoconazole (Nizolral)
ketoconazole (Nizolral)
The nurse is caring for a client who is diagnosed with osteoporosis and who has been prescribed alendronate. What assessment should the nurse prioritize when monitoring for adverse effects? a. monitoring the client's liver enzymes levels b. assessing the client for joint pain or reduced range of motion c. assessing the client's urine output for hematuria d. monitoring the client for signs of esophageal erosion
monitoring the client for signs of esophageal erosion
The nurse learns that a 7-year-old child has been prescribed tetracyclines several times in recent years. What assessment should the nurse prioritize? a. Inspect the client's skin and sclerae for jaundice. b. Assess the client's deep tendon reflexes. c. Assess the client for signs of ototoxicity. d. Inspect the client's teeth.
nspect the client's teeth.
