Test 3 Medications
A nurse is preparing to administer levothyroxine to a client who has hypothyroidism. The nurse should identify which of the following laboratory results as supporting the administration of this medication? A.Thyroid-stimulating hormone (TSH) 8 microunits/mL B.Free triiodothyronine (T3) 300 pg/dL C.Free thyroxine (T4) 7 mcg/dL D.Thyroxine-binding globulin 2.3 mg/dL
A
A nurse is caring for a child who has epilepsy and is scheduled to receive a dose of phenytoin. The nurse notes the child's serum phenytoin level is 14 mcg/mL. Which of the following actions should the nurse take? A.Administer the dose B.Administer half the dose C.Do not administer the dose D.Clarify the dose with the provider
A
A nurse is caring for a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following findings should the nurse identify as an indication that the client requires intervention? A.Heart rate 106/min B.Dry skin C.Oral temperature 36.8°C (98.2°F) D.Lethargy
A
A nurse is caring for a client who is at 6 weeks of gestation and has just received a diagnosis of hyperthyroidism. The nurse should anticipate a prescription from the provider for which of the following medications? A. Propylthiouracil B. Liothyronine C. Methimazole D. Iodine-131
A
A nurse is caring for a client who is taking propylthiouracil. For which of the following adverse effects of this medication should the nurse monitor? A. bradycardia B. insomnia C. heat intolerance D. weight loss
A
A nurse is caring for a male client who has been taking cimetidine for the treatment of a duodenal ulcer. Which of the following manifestations related to the medication should the nurse report to the provider? A.Emesis that looks like coffee grounds B.Erectile dysfunction C.Muscle pain D.Gynecomastia
A
A nurse is planning discharge teaching for a client who has major depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse include in the plan as safe for the client to consume while taking phenelzine? A.Broiled beef steak B.Macaroni and cheese C.Pepperoni pizza D.Smoked salmon
A
A nurse is preparing to administer dantrolene to a client who has muscle spasticity. Which of the following findings from the client's medical history should the nurse identify as a contraindication to the administration of this medication? A.History of cirrhosis B.History of multiple sclerosis C.History of cerebral palsy D.History of malignant hyperthermia
A
A nurse is teaching a client about the adverse effects of omeprazole. Which of the following client statements indicates an understanding of the teaching? A. "If I experience severe diarrhea, I will call my doctor." B. "Pneumonia is associated with long-term use of this medication." C. "I will need to take this medication with food." D. "I should take vitamin B12 while using this medication."
A
A nurse is teaching a client who has a new prescription for phenytoin. The nurse should inform the client that which of the following adverse effects can occur with the abrupt withdrawal of phenytoin? A.Status epilepticus B.Bleeding gums C.Disorientation D.Severe nausea
A
A nurse is teaching a client who has dyspepsia about prescribed antacids. Which of the following statements should the nurse include in the teaching? A."Take antacids 1 hour apart from other medications." B."Increase your sodium intake to avoid hyponatremia." C."Avoid combining antacids due to an increased risk of adverse effects." D."Antacids are taken 3 times daily."
A
A nurse is teaching a client who is about to start taking propylthiouracil to treat hyperthyroidism. Which of the following statements should the nurse identify as an indication that the teaching has been effective? A."I will need laboratory tests to check my liver function." B."I should take this medication once daily." C."If I get a rash, I am probably having an allergic reaction." D."If I have difficulty sleeping, it is probably because of this medication.
A
A home health nurse is visiting an older adult client who has Alzheimer's disease. His caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg 3 times per day, to the client for restlessness and anxiety over the past few days. For which of the following adverse effects should the nurse assess the client? A. Low-grade fever B. Sedation C. Diuresis D. Tonic-clonic seizures
B
A nurse is administering a client's first dose of sucralfate. Which of the following explanations should the nurse provide about the action of sucralfate? A."Sucralfate decreases gastric acid secretions." B."Sucralfate forms a gel-like substance that protects ulcers." C."Sucralfate inactivates Helicobacter pylori." D."Sucralfate inhibits the production of gastric acid.
B
A nurse is caring for a client who is receiving IV famotidine. Which of the following adverse effects should the nurse report to the provider immediately? A. Nausea B. Bloody stools C. Drowsiness D. Headache
B
A nurse is monitoring a client who is receiving phenytoin IV for the treatment of status epilepticus. Which of the following findings should the nurse identify as an adverse effect of the medication? A.Hypertension B.Cardiac dysrhythmias C.Gastric discomfort D.Tachycardia
B
A nurse is providing teaching about benzodiazepines to a client who is discontinuing long-term alprazolam use. Which of the following pieces of information should the nurse include in the teaching? A."You might experience somnolence." B."Plan to taper the dose slowly over several months." C."Call the provider if you have muscle weakness." D."Confusion is common during this process."
B
A nurse is teaching a client who will be taking dexamethasone daily for pain due to spinal edema. The nurse should identify which of the following client statements as an indication that the teaching has been effective? A."I should eat a snack at bedtime to avoid low blood glucose." B."I should stay away from people who are ill." C."I should increase my fluid intake to about 3 quarts per day." D."I'll call my provider if I am experiencing too much sedation.
B
A nurse is teaching an assistive personnel (AP) about dietary restrictions for a client who is taking phenelzine to treat depression. The AP's selection of which of the following foods for the client's lunch indicates an understanding of the teaching? A.Bologna on wheat bread B.Chicken salad C.Cheddar cheese and crackers D.Pizza with pepperoni
B
A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor? (Select all that apply.) A.BUN B.PTT C.Aspartate aminotransferase (AST) D.Urinalysis E.Alanine aminotransferase (ALT)
B.C.E
A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of the following findings indicates that the client is experiencing acute levothyroxine overdose? A.Bradycardia B.Cold intolerance C.Tremor D.Hypothermia
C
A nurse is caring for a client who has diabetes insipidus. Which of the following laboratory values should the nurse identify as reflecting a contraindication to receiving vasopressin to treat this disorder? A.Sodium 152 mEq/L B.Potassium 6.0 mEq/L C.Creatinine clearance 50 mL/min D.Aspartate aminotransferase (AST) 52 units/L
C
A nurse is caring for a client who is taking fludrocortisone. Which of the following findings indicates to the nurse that the client is experiencing an adverse effect of the medication? A.Hypotension B.Weight loss C.Hypokalemia D.Anorexia
C
A nurse is providing teaching to a client who has hypothyroidism and is taking levothyroxine. The nurse should instruct the client that which of the following findings is an indication of thyrotoxicosis? A.Weight gain B.Constipation C.Chest pain D.Fatigue
C
A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid-stimulating hormone (TSH) level and a decreased total T3 and T4 level. The nurse should anticipate a prescription for which of the following medications? A. Methimazole B. Somatropin C. Levothyroxine D. Propylthiouracil
C
A nurse is teaching a client who has a new prescription for sucralfate for a duodenal ulcer. Which of the following client statements indicates an understanding of the teaching? A."I should take this medication with my meals and at bedtime." B."I should only have to take this medication for about 2 weeks." C."I should wait at least 30 minutes before taking this medication after I take an antacid." D."I should swallow these tablets whole."
C
A nurse is caring for a client who is taking a prescription for glucocorticoid adrenal replacement medication for the long-term treatment of Addison's disease. Which of the following findings indicates that the client is experiencing an adverse effect of the medication? A.Weight loss B.Hypotension C.Lethargy D.Osteoporosis
D
A nurse is monitoring a client who is receiving lactulose for cirrhosis. Which of the following laboratory values related to this medication should indicate to the nurse that the treatment is effective? A.Increased aspartate aminotransferase (AST) B.Decreased alanine aminotransferase (ALT) C.Increased prothrombin time (PT) D.Decreased serum ammonia
D
A nurse is providing teaching to a client who has cirrhosis and a new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects? A.Increases blood pressure B.Prevents esophageal bleeding C.Decreases heart rate D.Reduces ammonia levels
D
A nurse is teaching a client who is taking levothyroxine for hypothyroidism about a new prescription for a calcium supplement. Which of the following pieces of information should the nurse include in the teaching? A.The calcium supplement will enhance the effect of the levothyroxine. B.The calcium supplement will accelerate the metabolism of the levothyroxine. C.Take the medications together at 1700 for the greatest effect. D.Take the calcium supplement 4 hr after taking the levothyroxine.
D
A nurse is teaching the guardian of a school-aged child about growth hormone therapy. Which of the following statements should the nurse include in the teaching? A."Your child will grow an extra 4 to 6 inches while receiving hormone therapy." B."Hormone injection therapy will occur for 2 to 3 years." C."Your child will receive hormone injections no more often than 1 to 2 times each week." D."The hormone injections are administered subcutaneously."
D
A home health nurse is visiting an older adult client who has Alzheimer's disease. His caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg 3 times per day, to the client for restlessness and anxiety over the past few days. For which of the following adverse effects should the nurse assess the client? a. low-grade fever b. sedation c. diuresis d. tonic-clonic seizures
b
A nurse is monitoring a client who received diphenoxylate-atropine. Which of the following statements by the client should indicate to the nurse that the medication has been effective? a. "I feel a little drowsy with this medication." b. "I am now drinking much more water." c. "I have not had a bowel movement today." d. "I no longer feel chest tightness."
c
A nurse is providing teaching to a client who has a prescription for famotidine to treat a gastric ulcer. Which of the following statements should the nurse include in the teaching? A."This medication is more effective when taken on an empty stomach." B."You should take this medication with an antacid for pain control." C."This medication is less effective for people who smoke." D."You should expect to experience dizziness when taking this medication."
c
A nurse is teaching a client who has primary adrenal insufficiency (Addison's disease) and a prescription for hydrocortisone. Which of the following statements should the nurse include in the teaching about this medication? A."You may need to take a lower dosage when you are ill or experiencing stress." B."Take this medication before going to bed because it will make you tired." C."Carry a supply of pills and a single-use injectable preparation with you at all times." D."You will need to stop this medication before routine procedures such as a colonoscopy."
c
A nurse is providing discharge teaching to a client who had a bleeding duodenal ulcer and has been prescribed omeprazole. Which of the following statements should the nurse include in the teaching? A."You will need to take this medication for the next 6 months." B."Taking this medication will decrease your risk of acquiring pneumonia." C."You should take this medication before breakfast every day." D."Watch for the serious adverse effects of tachycardia and heart palpitations while taking this medication."
c
A nurse is providing teaching to a client who has a prescription for ranitidine to treat a gastric ulcer. Which of the following statements should the nurse include in the teaching? a. "This medication is more effective when taken on an empty stomach." b. "You should take this medication with an antacid for pain control." c. "This medication is less effective for people who smoke." d. "You should expect to experience dizziness when taking this medication."
c
A nurse is teaching about levodopa with a family member of a client who has Parkinson's disease. Which of the following pieces of information should the nurse include? A."A full therapeutic response may take several months to happen." B."The medication should be taken with high-protein foods." C."A full therapeutic response might cause vivid dreams." D."The medication is given at the onset of mild symptoms."
A
A nurse is monitoring a client who has diabetes insipidus and was administered desmopressin. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect of this medication? A.Thirst B.Nocturia C.Headache D.Heart palpitations
C