transitions midterm

An older client has recently been taking cimetidine. The nurse should monitor the client for which most frequent central nervous system side effect of this medication?

Confusion.

The client has an as needed prescription for ondansetron. For which condition should the nurse administer this medication?

Nausea and vomiting.

A client taking buspirone for 1 month returns to the clinic for a follow-up visit. Which should indicate medication effectiveness?

No rapid heartbeats or anxiety.

Ibuprofen is prescribed for a client. Which instruction should the nurse give the client about taking this medication?

Take with 8 oz of milk.

The nurse is performing a follow-up teaching session with a client discharged 1 month ago who is taking fluoxetine. Which information would be important for the nurse to gather regarding the adverse effects related to the medication?

Gastrointestinal dysfunctions.

During the monitoring of a client's response to disease-modifying antirheumatic drugs (DMARDs), which findings should the nurse interpret as acceptable responses? Select all that apply.

-Symptom control during periods of emotional stress. -Normal white blood cell, platelet, and neutrophil counts. -Radiological findings that show nonprogression of joint degeneration. -An increased range of motion in the affected joints 3 months into therapy.

The client is receiving meperidine hydrochloride for pain. Which sign/symptoms are side and adverse effects of this medication? Select all that apply.

-Tremors -Drowsiness -Hypotension

A client is receiving digoxin daily. The nurse suspects digoxin toxicity after noting which signs and symptoms? Select all that apply.

-Visual disturbance -Nausea and vomiting -Serum digoxin level of 2.3 ng/ml (2.93 nmol/L)

Cyclobenzaprine is prescribed for a client to treat muscle spasms, and the nurse is reviewing the client's record. Which disorder would indicate a need to contact the PHCP regarding the administration of this medication?

Glaucoma.

Fluoxetine is prescribed, and the nurse reinforces instructions to the client regarding the administration of the medication. Which statement by the client indicates an understanding about the administration of this medication?

"I should take the medication in the morning when i first arise."

The nurse reinforces discharge instructions to a postoperative client who is taking warfarin sodium. Which statement made by the client reflects the need for further teaching?

"I will take enteric-coated aspirin for my headaches because it is coated."

A client has a prescription to take guaifenesin every 4 hours, as needed. The nurse determines that the client understands the most effective use of this medication if the client makes which statement?

"I will take the tablet with a full glass of water."

Phenytoin, 100 mg orally three times daily, has been prescribed for a client for seizure control. The nurse reinforces instructions regarding the medication to the client. Which statement by the client indicates an understanding of the instructions?

"I will use a soft-toothbrush to brush my teeth."

The home health care nurse is visiting a client with elevated triglyceride levels and a serum cholesterol level of 398 mg/dl (9.95 mmol/L). The client is taking cholestyramine. Which statements made by the client indicates the need for further teaching?

"I'll continue my nicotine acid from the health food store."

A client is taking nicotinic acid for hyperlipidemia, and the nurse reinforces instructions to the client about the medication. Which statement by the client indicates an understanding of the instructions?

"Ibuprofen taken 30 minutes before the nicotinic acid should decrease the flushing."

A client with a peptic ulcer is diagnosed with Helicobacter pylori infection. The nurse is reinforcing teaching for the client about the medication prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statements by the client indicates the best understanding of the medication regimen?

"This medication will kill the bacteria and stop the acid production."

A client with acute muscle spasms has been taking baclofen. The client calls the clinic nurse because of continuous feelings of weakness and fatigue and asks the nurse about discontinuing the medication. The nurse should make which appropriate response to the client?

"Weakness and fatigue commonly occur and will diminish with continued medication use."

A hospitalized client is prescribed phenelzine sulfate for the treatment of depression. The nurse reinforces instructions to the client and the tells the client to avoid consuming which foods while taking this medication? Select all that apply.

-Figs. -Yogurt. -Aged cheese.

The client is taking phenytoin for seizure control, and a blood sample for a serum drug level is drawn. Which laboratory finding indicates a therapeutic serum drug result?

15 mcg/ml (59.52 mcmol/L)

The client has been taking omprazole for 4 weeks. The nurse evaluates that the client is receiving the optimal intended effect of the medication if the client reports the absence of which symptom?

Heartburn.

The client with myasthenia gravis is suspected of having cholinergic crisis. Which sign/symptom indicates the crisis it taking place?

Hypertension.

The nurse is planning to administer hydrochlorothiazide to a client. Which concerns are related to the administration of this medication?

Hypokalemia, hyperglycemia, sulfa allergy.

Carbidopa-levodopa is prescribed for a client with Parkinson's disease, and the nurse monitors the client for adverse effects of the medication. Which sign/symptom indicates the client is experiencing an adverse effect?

Impaired voluntary movements.

The nurse is reviewing the record of a client who has been prescribed baclofen. Which disorder should alert the nurse to contact the PHCP?

A seizure disorder.

The client with myasthenia gravis becomes increasingly week. The PHCP prepares to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or increasing severity of the disease (myasthenic crisis). An injection of endrophonium is administered. Which change in condition indicates that the client is in cholinergic crisis?

A temporary worsening of the condition.

A client with tuberculosis is being started on antituberculosis therapy with isoniazid. Before giving the client the first dose, the nurse ensures that which baseline study has been completed?

Liver enzyme levels.

Heparin sodium is prescribed for the client. Which laboratory result indicates that the heparin is prescribed at a therapeutic level?

Activated partial thromboplastin time (aPTT) of 55 seconds.

Dantrolene sodium is prescribed for a client experiencing flexor spasms, and the client asks the nurse about the action of the medication. The nurse responds knowing that which is the therapeutic action of this medication?

Acts directly on the skeletal muscle to relieve muscle spasticity.

A client receiving a tricyclic antidepressant arrives at the mental health clinic. Which observation indicates that the client is correctly following the medications plan?

Arrives at the clinic neat and appropriate in appearance.

The client with myasthenia gravis is receiving pyridostigmine. The nurse monitors for signs and symptoms of cholinergic crisis cause by overdose pf the medication. The nurse checks the medication supply to ensure that which medication is availabe for administration if a cholinergic crisis occurs?

Atropine sulfate.

The nurse is reinforcing discharge instructions to a client receiving baclofen. Which should the nurse include in the teaching?

Avoid the use of alcohol.

A client has been started on long-term therapy with rifampin. Which information about this medication should the nurse provide to the client?

Causes red-orange discoloration of sweat, tears, urine, and feces.

A client with Crohn's disease is scheduled to receive an infusion of infliximab. The nurse assisting with caring for the client should take which action to monitor the effectiveness of treatment?

Checking the frequency and consistency of bowel movements.

The nurse is collecting data from a client, and the client's spouse reports that the client is taking donepezil hydrochloride. Which disorder should the nurse suspect that this client may have based on the use of this medication?

Dementia

The nurse is monitoring a client receiving baclofen for side effects related to the medication. Which should indicate that the client is experiencing a side effect?

Drowsiness.

A hospitalized client with coronary artery disease complains of substernal chest pain. After checking the clients heart rate and blood pressure, the nurse administers nitroglycerin, 0.4 mg, sublingually. After 5 minutes the client states, "My chest still hurts." Which appropriate actions should the nurse take? Select all that apply.

-Check the clients pain level -Check the clients blood pressure -Administer a second nitroglycerin 0.4 mg, sunlingually.

A histamine (H2)-receptor antagonist will be prescribed for a client. The nurse understands that which medications are H2-receptor antagonist? Select all that apply.

-Nizatidine -Ranitidine -Famotidine -Cimetidine

Rifabutin is prescribed for a client with active Mycobacterium avium complex (MAC) disease and tuberculosis. The nurse shiuld monitor for which side/adverse effect of the medication? Select all that apply.

-Signs of hepatitis -Flu-like syndrome -Low neutrophil count -Ocular pain or blurred vision

The client has an as needed prescription for loperamide hydrochloride. For which condition should the nurse administer this medication?

An episode of diarrhea.

The nurse is reviewing the laboratory studies on a client receiving dantrolene sodium. Which laboratory test(s) would identify an adverse effect associated with the administration of this medication?

Liver function tests.

A client is diagnosed with an acute myocardial infarction and is receiving tissue plasminogen activator, alteplase. Which action is a priority nursing intervention?

Monitor for signs of bleeding.

The client with a gastric ulcer has a prescription for sucralfate 1 g by mouth four times daily. The nurse should schedule the medication to be administered at which times?

One hour before meals and at bedtime.

A client has been taking isoniazid for two months. The client complains to the nurse about numbness, paresthesia, and tingling in the extremities. The nurse interprets that the client is experiencing which problem?

Peripheral neuritis.

The nurse has given the client taking ethambutol information about the medication. The nurse determines that the client understands the instructions if the client states to report which occurrence immediately?

Problems with visual acuity.

The client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?

Reduction of steatorrhea.

The client who frequently uses nonsteroidal antiinflammatory drugs (NSAIDs) has been taking misoprostol (Cytotec). The nurse determines that the medication is having the intended therapeutic effect if which is noted?

Relief of epigastric pain.

A client is to begin a 6-month course of therapy with isoniazid. The nurse should plan to provide which information to the client?

Report yellow eyes or skin immediately.

A hospitalized client is taking clozapine for the treatment of a schizophrenic disorder. Which laboratory study prescribed for the client should the nurse specifically review to monitor for an adverse effect associated with the use of this medication?

White blood cell count

The client with trigeminal neuralgia is being treated with carbamazepine. Which laboratory result indicates that the client is experiencing an adverse effect of the medication?

White blood cell count 3000 mm3 (3*10^9/l)

A client arrives at the health care clinic and tells the nurse that they have been doubling their daily dosage of bupropion hydrochloride to help them get better faster. The nurse understands that the client is now at risk for which problem?

Seizure activity.

A client is receiving acetylcysteine, 20% solution diluted in 0.9% normal saline by nebulizer. The nurse should have which item available for possible adverse event after giving this medication?

Suction equipment.

A postoperative client has received a dose of naloxone hydrochloride for respiratory depression shortly after transfer to the nursing unit from the postanesthesia care unit. After administration of the medication, the nurse should check the client for which sign/symptom?

Sudden increase in pain.

Isosorbide mononitrate is prescribed for a client with angina pectoris. The client tells the nurse that the medication is causing a chronic headache. Which action should the nurse suggest to the client?

Take the medication with food.

Alendronate is prescribed for a client with osteoporosis and the nurse is providing instructions for the administration of the medication. Which instruction should the nurse reinforce?

Take this medication with a full glass of water after rising in the morning.

The nurse is monitoring a client who is taking propranolol. Which data collection finding would indicate a potential serious complication associated with propranolol?

The development of audible expiratory wheezes.

The nurse is caring for a client who is taking phenytoin for control of seizures. During data collection, the nurse notes that the client is taking birth control pills. Which information should the nurse provide to the client?

The potential for decreased effectivness of the birth control pills exist while taking phenytoin.

The client has been taking medication for RA for 3 weeks. During the administration of etanercept, it is most important for the nurse to collect which data?

The white blood cell and platelet counts.

Cycloserine is added to the medication regimen for a client with tuberculosis. Which instruction should the nurse reinforce in the client-teaching plan regarding this medication?

To return to the clinic weekly for serum drug level testing.

A client taking lithium carbonate reports vomiting abdominal pain, diarrhea, blurred vision, tinnitus, and tremors. The lithium level is checked as a part of the routine follow-up, and the level is 3.0 mEq/l (3.0 mmol/L). The nurse knows that this is which level?

Toxic.

Disulfiram is prescribed for a client and the nurse is collecting data on the client and is reinforcing instructions regarding the use of this medication. Which is most important for the nurse to determine before administration of this medication?

When the last alcoholic drink consumed.