Pharm Exam 3 NCLEX Questions
Which statement is true concerning lithium? a.The maximum dose is 3.4 g/d. b.The therapeutic drug range is 2.5 to 3.5 mEq/L. c.Lithium increases receptor sensitivity to GABA. d.Concurrent NSAIDs may increase lithium levels.
Concurrent NSAIDs may increase lithium levels
A patient is beginning isoniazid and rifampin treatment for tuberculosis. The nurse gives the patient which instruction? a.Do not skip doses. b.Take the drugs t.i.d. with food. c.Take an antacid with the drugs to decrease GI distress. d.Take rifampin initially, and then begin isoniazid after 2 months.
Do not skip doses
Sulfasalazine (Azulfidine) has been ordered for a patient. The nurse knows that this drug is most effective against which organisms? a.Escherichia coli and Clostridium b.Neisseria gonorrhoeae and H. Influenzae c.Pseudomonas aeruginosa and Helicobacter pylori d.Enterococcus faecium and Staphylococcus aureus
Escherichia coli and Clostridium
A patient with a history of malaria, presently being treated with chloroquine, is admitted to the hospital. What should the nurse advise the patient to do? a.Get frequent hearing checks. b.Take antimalarials before meals. c.Get frequent testing of stool specimens. d.Check heart rate before taking medication.
Get frequent hearing checks
The nurse realizes that some herbs interact with selective serotonin reuptake inhibitors. Which herb interaction may cause serotonin syndrome? o a.feverfew o b.ma-huang o c.St. John's wort o d.gingko biloba
St. John's wort
A patient is diagnosed with HSV-3. The nurse understands that this illness is better known by which name? (Select all that apply.) a.Chickenpox b.Hepatitis B c.Shingles in an adult d.Cytomegalovirus
a. chickenpox c. shingles in adult
A patient is scheduled to receive chemotherapy drugs that will cause myelosuppression. Which action by the nurse will be most important? a.Monitor for a change in temperature. b.Evaluate gastrointestinal function. c.Assess for evidence of cardiac compromise. d.Question the patient about changes in sense of taste.
a.Monitor for a change in temperature.
A patient with a diagnosis of intestinal amebiasis develops severe nausea, vomiting, fever, facial flushing, slurred speech, tachycardia, hypotension, and palpitations. An assessment reveals that the patient has just had several alcoholic beverages. The nurse should obtain a drug history for which drug? a.bacitracin (Baci-IM) b.fluconazole (Diflucan) c.metronidazole (Flagyl) d.ethambutol (Myambutol)
metronidazole (Flagyl)
A patient is receiving solifenacin succinate (VESIcare). The nurse knows that this drug is used to treat which condition? a.Chronic cystitis b.Urinary tract stones c.Urinary tract infection d.Overactive bladder
overactive bladder
Amoxicillin (Amoxil) is prescribed for a patient who has a respiratory infection. The nurse is teaching the patient about this medication and realizes that more teaching is needed when the patient makes which statement? a."This medication should not be taken with food." b."I will take my entire prescription of medication." c."I should report to the physician any genital itching." d."If I experience any excess bleeding, I will contact the health care provider."
"This medication should not be taken with food"
A patient is taking isoniazid and is worried about the side effects. Which of the following does the nurse realize is an adverse effect of isoniazid? a.Ototoxicity b.Hepatotoxicity c.Nephrotoxicity d.Optic nerve toxicity
Hepatotoxicity
A patient is taking tranylcypromine sulfate (Parnate) for depression. What advice should the nurse include in the teaching plan for this medication? a.Warn the patient about severe hypotension. b.Instruct the patient to avoid beer and cheddar cheese. c.Encourage the patient to take ginseng and ephedra. d.Encourage the patient to eat fruit such as bananas.
Instruct the patient to avoid beer and cheddar cheese
A selective serotonin reuptake inhibitor (SSRI) is prescribed for a patient. The nurse knows that which drug is an SSRI? a.paroxetine (Paxil) b.amitriptyline (Elavil) c.divalproex sodium (Depakote) d.bupropion HCl (Wellbutrin)
Paroxetine (Paxil)
A patient is receiving tetracycline (Vibramycin). Which advice should the nurse include when teaching this patient about tetracycline? a.Take sunscreen precautions when at the beach. b.Take an antacid with the drug to prevent severe GI distress. c.Obtain frequent hearing tests for early detection of hearing loss. d.Obtain frequent eye checkups for early detection of retinal damage.
Take sunscreen precautions when at the beach
A patient has developed vaginal candidiasis. The nurse knows that which medication is appropriate treatment for this condition? a.terconazole (Terazol-3) b.haloprogin (Halotex) c.terbinafine (Lamisil) d.tolnaftate (Aftate)
Terconazole (tetrazole-3)
The nurse advises HIV-positive patients about blood draws for CD4 count. What is the correct information to give them about when and how this laboratory blood work should be done? a.At the same laboratory at approximately the same time of day whenever possible b.After a 10-hour fast c.Approximately 1 hour after taking antiretroviral medications d.At any laboratory at any time of day
a. At the same laboratory at approximately the same time of day whenever possible
A patient has been diagnosed with tuberculosis and is to begin the antitubercular medications isoniazid, rifampin, and ethambutol. What should the nurse do? (Select all that apply.) a.Encourage periodic eye examinations. b.Instruct the patient to take medications with meals. c.Suggest that the patient take antacids with medications to prevent GI distress. d.Advise the patient to report numbness and tingling of the hands or feet. e.Alert the patient that body fluids may develop a red-orange color. f.Teach the patient to avoid direct sunlight and to use sun block.
a. Encourage periodic eye exams d. Advise the patient the report numbness and tingling of the hands or feet. e. alert the patient that body fluids may develop a red-orange color. f. teach the patient to avoid direct sunlight and to use sun block
The nurse enters a patient's room to find that his heart rate is 120, his blood pressure is 70/50, and he has red blotching of his face and neck. Vancomycin (Vancocin) is running IVPB. The nurse believes that this patient is experiencing a severe adverse effect called "red man syndrome." What action will the nurse take? a.Stop the infusion and call the laboratory. b.Reduce the infusion to 10 mg/min. c.Encourage the patient to drink more oral fluids up to 2 L/day. d.Report onset of Stevens-Johnson syndrome to the health care provider.
a. Stop the infusion and call the laboratory
Penicillin G has been prescribed for a patient. Which nursing intervention(s) should the nurse perform for this patient? (Select all that apply.) a.Collect culture and sensitivity (C&S) before the first dose. b.Monitor the patient for mouth ulcers. c.Instruct the patient to limit fluid intake to 1000 mL/day. d.Have epinephrine on hand for a potential severe allergic reaction. e.No particular interventions are required for this patient.
a. collect culture and sensitivity before the first dose b. monitor the patient for mouth ulcers. cd. have epinephrine on hand for a potential severe allergic reaction
A patient is taking sulfasalazine (Azulfidine). What should the nurse teach the patient to do? a.Drink at least 10 glasses of fluid per day. b.Monitor blood glucose carefully to avoid hyperglycemia. c.Avoid operating a motor vehicle because this drug may cause drowsiness. d.Take this drug with an antacid to decrease the risk of gastrointestinal distress.
a. drink at least 10 glasses of fluid per day
A patient is experiencing mucositis (stomatitis) secondary to receiving chemotherapy. Which symptomatic treatments will be appropriate? (Select all that apply.) a.Frequent mouth rinses b.Antiemetics c.Topical anesthetics d.Stress reduction e.Antibiotics
a. frequent mouth rinses c. topical anesthetics e. antibiotics
A patient is taking azithromycin (Zithromax). Which nursing interventions would the nurse plan to implement for this patient? (Select all that apply.) a.Monitor periodic liver function tests. b.Dilute with 50 mL of D5W for IV administration. c.Instruct the patient to report any hearing loss. d.Instruct the patient to report evidence of superinfection. e.Teach the patient to take oral drug 1 hour a.c. or 2 hours p.c. f.Advise the patient to avoid antacids from 2 hours prior to 2 hours after administration.
a. monitor periodic liver function tests. c. instruct the patient to report any hearing loss d. instruct the patient to report evidence of superinfection e. teach the patient to take oral drug 1 hours a.c. or 2 hours p.c. f. advise patient to avoid antacids from 2 hours prior to 2 hours after administration
When a patient is taking an antidepressant, what should the nurse do? (Select all that apply.) a.Monitor the patient for suicidal tendencies. b.Observe the patient for orthostatic hypotension. c.Teach the patient to take the drug with food if GI distress occurs. d.Tell the patient that the drug may not have full effectiveness for 1 to 2 weeks. e.Advise the patient to maintain adequate fluid intake of 2 L/d.
a. monitor the patient for suicidal tendencies b. observe patient for orthostatic hypotension c. teach the patient to take the drug with food if GI distress occurs d. Tell the patient that the drug may not have full effectiveness for 1 to 2 weeks
A patient is taking cefoperazone (Cefobid). The nurse anticipates which appropriate nursing intervention(s) for this medication? (Select all that apply.) a.Monitoring renal function studies b.Monitoring liver function studies c.Infusing IV medication over 30 minutes d.Monitoring the patient for mouth ulcers e.Advising the patient to take the medication with food
a. monitoring renal function studies b. monitor liver function studies c. infusing IV medications over 30 minutes d. monitoring the patient for mouth ulcers
A patient is taking lithium. The nurse should be aware of the importance of which nursing intervention(s)? (Select all that apply.) a.Observe the patient for motor tremors. b.Monitor the patient for orthostatic hypotension. c.Draw lithium blood levels immediately after a dose. d.Advise the patient to drink 750 mL/d of fluid in hot weather. e.Advise the patient to avoid caffeinated foods and beverages. f.Teach the patient to take lithium with meals to decrease gastric irritation.
a. observe the patient for motor tremors b. monitor the patient for orthostatic hypotension e. Advise the patient to avoid caffeinated foods and beverages f. teach the patient to take lithium with meals to decrease
A patient is prescribed cephradine (Velosef). Which actions should the nurse implement? (Select all that apply.) a.Report seizures to the health care provider. b.Advise the patient to eat yogurt to prevent superinfection. c.Monitor the patient for allergic reaction, especially after the first and second dose. d.Advise the patient to take medication on an empty stomach, even if GI distress occurs. e.Culture the infected area before administering the first dose.
a. report seizures to the health care provider. b. advise the patient to eat yogurt to prevent superinfection c. monitor the patient for allergic reactions, especially after the first and second doses. e. culture the infected area before administering the first dose
The nurse is preparing to administer five immunizations to a pediatric patient. It is essential that the nurse first assess what? (Select all that apply.) a.Age of the child b.Size of the child c.Child's ability to understand importance of immunizations d.Child's current health status e.Ability of caregiver to protect the child from sun exposure for 24 hours f.Child's history of reactions to prior doses of vaccines to be administered
a.Age of the child b.Size of the child d.Child's current health status f.Child's history of reactions to prior doses of vaccines to be administered
A patient in the outpatient oncology clinic complains of fatigue after receiving chemotherapy. Which nursing intervention will be most appropriate? a.Assess for other factors contributing to her fatigue (e.g., trouble sleeping). b.Encourage a high-protein, high-calorie diet designed with the patient. c.Refer the patient to a physical therapist to develop a strenuous exercise program. d.Encourage the patient to sleep as much as possible during the day to ease fatigue.
a.Assess for other factors contributing to her fatigue (e.g., trouble sleeping).
A patient is to start on efavirenz (Sustiva). Which points are important for the nurse to include in health teaching for this patient? (Select all that apply.) a.Dose is given at bedtime to minimize CNS adverse effects. b.Avoid alcohol because of adverse effects to the liver. c.Dose is given after breakfast to minimize CNS adverse effects. d.High-fat meals will decrease absorption of medication. e.Hyperglycemia, jaundice, and diabetes mellitus are side effects.
a.Dose is given at bedtime to minimize CNS adverse effects. b.Avoid alcohol because of adverse effects to the liver.
Acyclovir (Zovirax) has been ordered for a patient with genital herpes. Which nursing interventions are appropriate for this patient? (Select all that apply.) a.Monitor patient's BUN and creatinine. b.Monitor patient's BP for hypertension. c.Administer IV acyclovir over 30 minutes. d.Advise patient to maintain adequate fluid intake. e.Teach patient to perform oral hygiene several times a day. f.Monitor patient's CBC for blood dyscrasias.
a.Monitor patient's BUN and creatinine. d.Advise patient to maintain adequate fluid intake. e.Teach patient to perform oral hygiene several times a day. f.Monitor patient's CBC for blood dyscrasias.
The nurse is caring for a patient who is taking nitrofurantoin (Macrodantin). Which nursing interventions are appropriate for this patient? (Select all that apply.) a.Monitor urinary output and urine specific gravity. b.Monitor the patient for peripheral neuropathy. c.Advise the patient to take the medication on an empty stomach to enhance absorption. d.Warn the patient to avoid excess exposure to sunlight. e.Inform the patient that urine may turn a harmless brown color.
a.Monitor urinary output and urine specific gravity. b.Monitor the patient for peripheral neuropathy. e.Inform the patient that urine may turn a harmless brown color.
Which nursing intervention(s) should the nurse consider for the patient taking ciprofloxacin (Cipro)? (Select all that apply.) a.Obtain culture before drug administration. b.Tell patient to avoid taking Cipro with antacids. c.Monitor patient for tinnitus. d.Encourage fluids to prevent crystalluria. e.Infuse IV Cipro over 60 minutes. f.Monitor blood glucose, because Cipro can decrease effects of oral hypoglycemic.
a.Obtain culture before drug administration. b.Tell patient to avoid taking Cipro with antacids. c.Monitor patient for tinnitus. d.Encourage fluids to prevent crystalluria. e.Infuse IV Cipro over 60 minutes.
Which instructions will the nurse include when teaching a patient about gentamicin? (Select all that apply.) a.Patient should report any hearing loss. b.Patient should use sunscreen. c.IV gentamicin will be given over 20 minutes. d.Patient will be monitored for mouth ulcers and vaginitis. e.Peak levels will be drawn 30 minutes before IV dose. f.Patient should increase fluid intake.
a.Patient should report any hearing loss. b.Patient should use sunscreen. d. patient will be monitored for mouth ulcers and vaginitis f. patient should increase fluid intake
In collaboration with the patient on ART, the nurse formulates a plan of care. Which items are appropriate to include in planning? (Select all that apply.) a.Patient's viral load will become and remain undetectable. b.Patient will not experience secondary infection. c.Patient will promptly report new onset of symptoms and side effects. d.Patient's laboratory blood work will be within normal limits. e.Patient will adhere to medication regimen and/or report difficulties related to adherence.
a.Patient's viral load will become and remain undetectable. b.Patient will not experience secondary infection. c.Patient will promptly report new onset of symptoms and side effects. e.Patient will adhere to medication regimen and/or report difficulties related to adherence.
The nurse is teaching a patient about trimethoprim-sulfamethoxazole (Bactrim). Which instructions will the nurse plan to include? (Select all that apply.) a.Report any bruising or bleeding. b.Report any diarrhea or bloody stools. c.Report any fever, rash, or sore throat. d.Avoid unprotected exposure to sunlight. e.Report thirst and polyuria.
a.Report any bruising or bleeding. b.Report any diarrhea or bloody stools. c.Report any fever, rash, or sore throat. d.Avoid unprotected exposure to sunlight.
The nurse is preparing to administer routine, recommended immunizations to a medically fragile 6-month-old child. What is the most important information to know about this infant? a.The infant receives all feedings via a gastrostomy tube. b.The infant receives inhaled steroids daily. c.The infant received his previous round of immunizations on time. d.The infant is not yet able to roll over.
a.The infant receives all feedings via a gastrostomy tube.
A 38-year-old migrant farm worker presents to the clinic with a cut to his arm sustained when he reached into an old metal drum. The patient has sutures placed, and the attending provider orders "Tdap" for him. What is the nurse's most important action in carrying out this order? a.The nurse provides the patient with a Vaccine Information Statement about Tdap in the patient's primary language. b.The nurse determines the exact date of the patient's last tetanus booster. c.The nurse documents that the patient did not experience any side effects immediately following immunization. d.The nurse provides the patient with a record of the immunization administered at the visit.
a.The nurse provides the patient with a Vaccine Information Statement about Tdap in the patient's primary language.
A nurse is teaching a patient who will receive chemotherapy that will cause thrombocytopenia. Which instructions will the nurse include in the patient's teaching plan? (Select all that apply.) a.Use an electric razor when shaving. b.Use a soft-bristled toothbrush. c.Use aspirin for pain or headache. d.Monitor oral temperature daily. e.Report any bleeding (gums, petechiae, bruises, hematuria, melana) to the health care provider.
a.Use an electric razor when shaving. b.Use a soft-bristled toothbrush. e.Report any bleeding (gums, petechiae, bruises, hematuria, melana) to the health care provider.
A patient is taking a sulfonamide for an acute urinary tract infection. Which medication does the nurse realize is a short-acting sulfonamide? a.sulfasalazine (Azulfidine) b.sulfadiazine (Microsulfon) c.sulfamethoxazole (Gantanol) d.co-trimoxazole/TMP-SMZ (Bactrim)
b. sulfadiazine (Microsulfon)
The nurse, with the help of an interpreter, has just immunized a 35-year-old woman with Tdap and MMR. It is essential that the nurse proceed with which action(s)? (Select all that apply.) a.Provide Vaccine Information Statements (VISs) in the patient's preferred language. b.Document in the patient's record the date; site and route of administration; vaccine type, manufacturer, lot number, and expiration date; and the name, business address, and title of person administering the vaccine. c.Administer a dose of ibuprofen to prevent postimmunization fever. d.Instruct the patient to call for any injection site soreness. e.Instruct the patient on the use of an epinephrine auto injector to administer in the event of an anaphylactic reaction. f.Counsel the patient regarding the importance of avoiding pregnancy for 1 month.
b.Document in the patient's record the date; site and route of administration; vaccine type, manufacturer, lot number, and expiration date; and the name, business address, and title of person administering the vaccine. f.Counsel the patient regarding the importance of avoiding pregnancy for 1 month.
A patient is scheduled to receive high-dose cyclophosphamide via IV infusion as treatment for cancer. Which will be most important for the nurse to include when teaching the patient about cyclophosphamide? a.An indwelling urinary catheter will be placed. b.Drink at least 2 L of fluid per day. c.Empty the bladder every 4 to 6 hours. d.Limit fluid intake during chemotherapy.
b.Drink at least 2 L of fluid per day.
A patient is to receive a chemotherapy protocol that includes an alkylating agent, an antimetabolite, and an antitumor antibiotic. The patient asks the nurse why so much chemotherapy is needed. What is the nurse's best response? a.A protocol that uses a combination of chemotherapeutic agents works in the S-phase to kill cells. b.The rationale for using combination chemotherapy is that it increases the extent of tumor cell kill. c.Combination chemotherapy uses drugs that work the same way. d.An outcome of the use of combination chemotherapy is that it has no dose-limiting toxicities.
b.The rationale for using combination chemotherapy is that it increases the extent of tumor cell kill.
The nurse is teaching a patient about sulfadiazine (Microsulfon). Which instructions will the nurse include in the teaching? a.Avoid caffeine during sulfonamide treatment. b.Administer in 50 mL of fluid over 30 minutes. c.Avoid sulfonamides during the third trimester of pregnancy. d.Use an ultraviolet light to enhance drug effectiveness.
c. Avoid sulfonamides during the third trimester of pregnancy
A patient in the outpatient oncology clinic has developed mucositis after receiving fluorouracil. Which statement made by the patient indicates the need for additional teaching about mucositis? a."I will frequently rinse out my mouth with normal saline." b."To relieve my mouth pain, I will use ice pops or ice chips." c."In order to clean my mouth, I will use mouthwash with alcohol." d."Using a soft toothbrush will clean my teeth and freshen my breath."
c."In order to clean my mouth, I will use mouthwash with alcohol."
A patient diagnosed with cancer is scheduled to receive vincristine. Which nursing assessment will have the highest priority when providing care for this patient? a.Degree of alopecia b.Increased digoxin (Lanoxin) levels c.Decreased phenytoin (Dilantin) effects d.Peripheral neuropathy
c.Decreased phenytoin (Dilantin) effects
The nurse is caring for a patient who has completed a chemotherapy protocol 10 days ago, and the drug's nadir occurs on days 7 to 14. Current laboratory values are hemoglobin 12.8 mg/dL, platelet count 162,000/mm2, and white blood cell count 2.100/mm2. Which action will be most appropriate for the nurse to implement? a.Wear a gown and mask each time you enter the patient's room. b.Advise the patient to avoid every person who has been vaccinated. c.Emphasize protective precautions (hand washing, personal hygiene). d.Encourage frequent periods of rest.
c.Emphasize protective precautions (hand washing, personal hygiene).
A nurse is administering doxorubicin to a patient in the outpatient oncology clinic. Which information would be most important for the nurse to include in patient teaching? a.Blood counts will most likely remain normal. b.Complete alopecia rarely occurs with this drug. c.Report any shortness of breath, palpitations, or edema to the health care provider. d.Tissue necrosis usually occurs 2 to 3 days after administration.
c.Report any shortness of breath, palpitations, or edema to the health care provider.
A patient is taking nitrofurantoin (Macrodantin). What will the nurse teach the patient? a.Expect the urine to turn blue. b.Keep the urine acidic by drinking milk. c.Rinse the mouth after taking oral nitrofurantoin to avoid teeth staining. d.Take an antacid with oral nitrofurantoin to avoid gastrointestinal distress.
c.Rinse the mouth after taking oral nitrofurantoin to avoid teeth staining.
The father of a 4-month-old infant calls in to the clinic reporting that his child is having a reaction to immunizations. What is the most important piece of information the nurse should elicit? a.A list of the immunizations received b.Whether the father has given the infant any acetaminophen c.The signs/symptoms the infant is experiencing d.The sites used to administer the immunizations
c.The signs/symptoms the infant is experiencing
An 18-month-old child is accompanied to the clinic by her grandmother, the child's legal guardian. The grandmother reports that the child is due for her fourth DTaP. The nurse determines that the child should not receive DTaP vaccine today for which reason? a.The child received varicella vaccine 2 weeks ago. b.The grandmother is undergoing chemotherapy for breast cancer. c.The third DTaP was administered 4 months ago. d.The child has a runny nose today.
c.The third DTaP was administered 4 months ago.
A patient is taking levofloxacin (Levaquin). What does the nurse know to be true regarding this drug? a.Administered IV only b.May cause hypertension c.Classified as an aminoglycoside d.An adverse effect is dysrhythmia
d. An Adverse effect is dysrhythmia
A patient is ordered to take trimethoprim-sulfamethoxazole (Bactrim). The nurse knows to be aware of which adverse effect? a.Bronchospasm b.Dysrhythmias c.Pseudomembranous colitis d.Stevens-Johnson syndrome
d. Stevens-Johnson syndrome
The nurse is preparing to administer varicella vaccine to a young woman. Which factor has the greatest implication for this young woman's care? a.The patient tells the nurse she is "deathly afraid of needles." b.The medical record indicates that the patient is allergic to eggs. c.The medical history indicates the patient had leukemia as a young child. d.The patient appears to be pregnant.
d. The patient appears to be pregnant
A patient is prescribed dicloxacillin (Dynapen). For which adverse effect should the nurse monitor the patient? a.Constipation b.Renal failure c.Hypertension d.Hemolytic anemia
d. hemolytic anemia
A patient has been prescribed amoxicillin (Amoxil). What does the nurse know is true about this medication? a.It has a normal adult dose of 2 grams q6h. b.It has a common side effect of hypotension. c.It has an intramuscular administration route. d.It is used to treat respiratory infections.
d. it is used to treat respiratory infections
During routine prenatal testing, a patient is diagnosed with HIV infection. To help prevent perinatal transmission of HIV to the fetus, what is the nurse's best action? a.Provide the patient with contact information for an AIDS support group. b.Educate the patient about the risks of HIV disease to the fetus. c.Notify the CDC of the patient's diagnosis. d.Provide written and oral education about the use of ART during pregnancy.
d. provide written and oral education about the use of ART during pregnancy
For which serious adverse effect should the nurse closely monitor a patient who is taking lincosamides? a.Seizures b.Ototoxicity c.Hepatotoxicity d.Pseudomembranous colitis
d. pseudomembranous colitis
Zanamivir (Relenza) is ordered for a patient. What does the nurse know about use of this drug? a.Treatment of HSV-2 b.Oral administration for treatment of HSV-1 c.Treatment of varicella-zoster viruses d.Administration within 48 hours of onset of symptoms to be effective
d.Administration within 48 hours of onset of symptoms to be effective
A patient who is taking acyclovir asks the nurse about the drug. Which instruction should the nurse include in patient teaching? a.Restrict fluids to prevent complications. b.Monitor blood pressure for hypertension. c.Stevens-Johnson syndrome is an adverse effect. d.Blood tests are important for checking kidney function.
d.Blood tests are important for checking kidney function.
When a patient does not appear for a routine clinic visit, the nurse calls to ask about the missed visit. The patient says, "I don't need to come any longer. I'm so glad I no longer have HIV." The nurse learns that recent laboratory results indicated an "undetectable" HIV viral load and that the patient stopped his medication several weeks earlier. What is the nurse's best response? a.Inform the patient that he must be seen immediately because the undetectable viral load indicates that his medication stopped working. b.Have the patient reschedule his clinic visit. c.Congratulate the patient on his treatment success. d.Educate the patient about the continued need for his medications and ongoing laboratory monitoring.
d.Educate the patient about the continued need for his medications and ongoing laboratory monitoring.
A patient is taking thiabendazole for trichinosis. What does the nurse realize about this condition and its treatment? a.The medication is given for 7 days. b.The medication should be avoided if the patient has renal disease. c.Family members should be checked for the same disease. d.Proper hygiene must be taught to avoid the spread of disease.
d.Proper hygiene must be taught to avoid the spread of disease.
A patient complains about a burning sensation and pain when urinating. Which urinary analgesic does the nurse suspect will be ordered? a.tolterodine (Detrol) b.oxybutynin (Ditropan) c.bethanechol (Urecholine) d.phenazopyridine (Pyridium)
d.phenazopyridine (Pyridium)
A patient is taking the urinary antiseptic methenamine mandelate for a urinary tract infection. The nurse understands that this drug should not be given concurrently with which other drug to avoid potential crystalluria? a.ertapenem (Invanz) b.ciprofloxacin (Cipro) c.nalidixic acid (NegGram) d.trimethoprim-sulfamethoxazole (Bactrim)
d.trimethoprim-sulfamethoxazole (Bactrim)
The nurse teaches a patient taking amphotericin B to report which signs and symptoms to the health care provider? a.Change in sight b.Decrease in hearing c.Decrease in urine d.Painful red rash and blisters
decrease in urine
A patient is admitted with bipolar affective disorder. The nurse acknowledges that which medication is used to treat this disorder for some patients in place of lithium? a.thiopental b.gingko biloba c.fluvoxamine (Luvox) d.divalproex (Depakote)
divalproex (Depakote)
A patient is receiving amoxicillin (Amoxil). The nurse understands that the action of this drug is by which process? a.Inhibition of protein synthesis b.Alteration of membrane permeability c.Inhibition of bacterial cell-wall synthesis d.Alteration of bacterial ribonucleic acid synthesis
inhibition of bacterial cell-wall synthesis
The nurse is caring for a patient with colorectal cancer who is to receive fluorouracil. Which symptom will be most important for the nurse to report to the health care provider? a.Nausea b.Decreased appetite c.Stomatitis d.Constipation
stomatitis
A 61-year-old man is to receive zoster vaccine. What is the most important thing for the nurse to discuss with this patient? a.That the vaccine has been stored in a freezer maintained at ≤5° F b.The patient's medication list and allergies c.That an appropriate length of needle will be used to administer the vaccine subcutaneously d.The patient's history of shingles
the patient's medications list and allergies
The patient is taking tolterodine tartrate (Detrol). The nurse plans to teach the patient to report which condition? a.Alkaline urine b.Urinary retention c.Excessive tearing d.Reddish orange urine
urinary retention
