Pharmacology

Which of the following statements regarding vinca alkaloids is false?

They bind to fully formed microtubules and prevent them from disassembling

A client with rheumatoid arthritis reports gastrointestinal irritation after taking piroxicam. To prevent gastrointestinal upset, the nurse should provide which instruction?

"Take piroxicam with food or an antacid."

The nurse is caring for a client with emphysema. The client asks about the reason for persistent respiratory acidosis. What is the best response by the nurse?

"Your alveoli have lost elasticity, which causes retained carbon dioxide."

The nurse teaches the parent of an infant with pyloric stenosis about the condition. Which cause, if stated by the parent, indicates effective teaching?

"an enlarged muscle below the stomach"

A 60 year-old client is on procainamide IV. The Healthcare provider orders the client to be switched to oral medication therapy. What should the nurse know when transitioning a client from IV to PO procainamide therapy?

1. To allow for 3 hours to elapse between stopping the infusion and giving the first oral dose

The nurse is teaching a client with type I diabetes self-administration of insulin. Which statement by the client would be an expected outcome of the teaching session? Select all that apply.

1. "I need to make sure that I eat my meals and snacks on time after I take my insulin." 2. "If I monitor and control my blood glucose levels carefully, there is less likelihood of suffering long-term complications." 3. "If I exercise more than is normal, there is a risk that I might become hypoglycemic."

A client with hypoparathyroidism asks the nurse why their prescription includes vitamin D in addition to calcium gluconate. Which of the following responses by the nurse provides the best rationale?

2. Vitamin D promotes calcium absorption in the gastrointestinal (GI) tract

Which of the following clients would not benefit from naproxen over celecoxib?

A 61-year-old female who has hypertension and heart failure

Which measure should the nurse perform when suctioning a tracheostomy tube?

Administer high concentrations of oxygen before suctioning the client

The nurse observes a sudden dampening of the arterial waveform. What is the priority action by the nurse?

Assess the client's blood pressure.

The nurse is teaching a client with multiple sclerosis about prevention of urinary tract infection (UTI) and renal calculi. Which nutrition recommendations by the nurse would be the most likely to reduce the risk of these conditions?

Increase fluids (2500 mL/day) and maintain urine acidity by drinking cranberry juice.

A nurse is caring for a client with type 2 diabetes who has had a myocardial infarction (MI) and is reporting nausea, vomiting, dyspnea, and substernal chest pain. Which is the priority intervention?

Control the pain and support breathing and oxygenation.

Which of the following routes of administration does not have an absorption phase?

IV

Which of the following statements by the clients indicates a need for further education?

The most frequent side effects of misoprostol are not dose-dependent

The nurse is suctioning a tracheostomy for a client who had the tracheostomy tube placed 3 days ago. Which is the correct procedure for suctioning at this time?

Use a sterile catheter each time the client is suctioned.

A nurse is caring for a client with thrombocytopenia. What is the best way to protect this client?

Use the smallest needle possible for injections.

Metronidazole is potent against which type of bacteria?

anaerobic

A client has a positive reaction to the Mantoux test. How should the nurse interpret this reaction? The client has:

been exposed to Mycobacterium tuberculosis.

The nurse is assessing a client with a burn injury for indications of disruptions of the gastrointestinal system. The nurse should assess the client for which potential problem?

curling ulcer

A client was running along an ocean pier, tripped on an elevated area of the decking, and struck their head on the pier railing. According to friends, "The client was unconscious briefly and then became alert and behaved as though nothing had happened." Shortly afterward, the client began complaining of a headache and asked to be taken to the emergency department. If the client's intracranial pressure (ICP) is increasing, the nurse should expect to observe which sign first?

declining level of consciousness (LOC)

A positive tuberculin skin test indicates that a client

has produced an immune response.

The home health nurse is assessing a client who is diagnosed with Alzheimer's disease and being treated with galantamine. Which of the following findings from the nurse's assessment is not a common side effect of galantamine?

increased BP

A client hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis?

light-headedness or paresthesia

The correct procedure for collecting a urine specimen from an indwelling catheter is to:

remove urine from the drainage tube with a sterile needle and syringe and place urine from the syringe into the specimen container.