310 weeks 2-5

The nurse is caring for a client who has been prescribed phenobarbital sodium​ (Luminal) for the treatment of insomnia. Which items in the medical history would make this medication contraindicated for this ​client? Select all that apply. Hypertension Acute pain Cirrhosis Constipation Chronic obstructive pulmonary disease​ (COPD)

Acute pain Cirrhosis Chronic obstructive pulmonary disease​ (COPD)

The nurse is caring for a client who is receiving enteral nutrition through a feeding​ tube, and is experiencing diarrhea. What actions should the nurse ​take? Select all that apply. Add fiber to the nutritional supplement. Administer loperamide​ (Imodium), an​ antidiarrheal, as ordered. Test for Clostridium difficile. Increase the concentration of the feeding. Increase the infusion rate.

Add fiber to the nutritional supplement. Administer loperamide​ (Imodium), an​ antidiarrheal, as ordered. Test for Clostridium difficile.

Which are appropriate nursing actions for the client receiving enteral feeding who has the complication of ​diarrhea? Select all that apply. Add fiber to the nutritional supplement. Decrease the use of​ opioids, to slow down the digestive process. Change the formula to a​ low-fat preparation. Dilute the feeding. Slow down the infusion.

Add fiber to the nutritional supplement. Dilute the feeding. Slow down the infusion.

A client is exhibiting symptoms of acute dystonia. Which initial nursing action is most​ appropriate? Provide a detailed documentation of the symptoms in the nursing record. Notify the health care provider of the client​'s symptoms. Administer ordered benztropine mesylate​ (Cogentin). Assess the medical record for a benzodiazepine to administer to the client.

Administer ordered benztropine mesylate​ (Cogentin)

The nurse is caring for a client after vaginal delivery of a​ nine-pound infant. The nurse assesses complete saturation of the perineal pad along with a large amount of blood on the sheets. Which nursing action is most​ appropriate? Instruct the client to turn to the left side. Administer ordered carboprost tromethamine​ (Hemabate). Call the healthcare provider to request an order for nifedipine​ (Procardia). Ask for assistance in changing the linen and performing perineal care.

Administer ordered carboprost tromethamine​ (Hemabate).

The nurse is educating a client who is considering taking oral contraceptives​ (OCs). When explaining the administration and effectiveness of​ OCs, which information would be ​included? Select all that apply. The client begins menstruating after 28 days of taking the OCs. After OCs are taken for 21​ days, a placebo is taken for 7 days. Failure to take the pills as prescribed is the most common reason for pregnancy to occur. OCs are started on day 5 of the menstrual cycle and continued for 21 days. OCs are almost​ 100% effective when taken correctly.

After OCs are taken for 21​ days, a placebo is taken for 7 days. Failure to take the pills as prescribed is the most common reason for pregnancy to occur. OCs are started on day 5 of the menstrual cycle and continued for 21 days. OCs are almost​ 100% effective when taken correctly.

At what age do most women enter​ menopause? 53 years 59 years 62 years 47 years

53 years

Mabel Bassett has just been diagnosed with generalized anxiety disorder. The health care provider prescribed lorazepam​ (Ativan). As Mrs.​ Bassett's nurse, which condition of hers should you discuss with the health care provider as a contraindication for​ lorazepam? ​Early-stage cancer History of drug addiction Hypertension Acute​ narrow-angle glaucoma

Acute​ narrow-angle glaucoma

Which component of the limbic system is thought to play a key role in emotional and behavioral​ responses? Hypothalamus Hippocampus RAS Amygdala

Amygdala

The client is concerned that he may have erectile dysfunction​ (ED). When teaching the client about​ ED, which symptom will the nurse include regarding how ED is​ manifested? An inability to have or maintain an erection long enough to have sexual intercourse Ejaculation of semen up toward the bladder instead of out of the body Little or no interest in sexual activity Premature ejaculation during the beginning stage of sexual excitement

An inability to have or maintain an erection long enough to have sexual intercourse

The nurse is preparing to administer phenytoin​ (Dilantin), an antiseizure​ medication, to the client. Which nursing action is most important in relation to this​ medication? Make sure phenytoin​ (Dilantin) is taken on an empty stomach. Before administering the​ medication, review lab data for the current blood level. Remind the client not to take the medication with grapefruit juice. Keep the phenytoin​ (Dilantin) in a safe place out of the reach of children.

Before administering the​ medication, review lab data for the current blood level.

What type of ion is released by the lungs to help maintain the correct pH level in the​ body? Phosphate Carbon dioxide Bicarbonate Hydrogen

Carbon dioxide

What is the most important adverse reaction to monitor for when administering intravenous​ potassium? Cardiac dysrhythmia Pain at the insertion site Confusion Nausea

Cardiac dysrhythmia

What symptoms are associated with ​schizophrenia? Select all that apply. Decline in job or academic performance Decline in personal hygiene Disorganized speech and thoughts Active social life Constant state of hyperactivity

Decline in job or academic performance Decline in personal hygiene Disorganized speech and thoughts

Which are clinical manifestations of low testosterone ​levels? Select all that apply. Fatigue Depression Low sperm count Absent libido Erectile dysfunction

Fatigue Depression Low sperm count Erectile dysfunction

The nurse is caring for a client with psychotic behaviors. The client​ states, "I see snakes crawling down from the​ ceiling." Which term best describes what the client is​ experiencing? Paranoia Dystonia Hallucination Delusion

Hallucination

Which condition does the nurse know is an indication for enteral nutrition​ therapy? Inadequate oral intake Intractable vomiting Complete bowel obstruction Inability to absorb nutrients

Inadequate oral intake

What factors help determine the health care provider​'s choice of anticonvulsant for a client with ​seizures? Select all that apply. Other diseases currently present Medical history Type of seizure Clinical manifestations of seizure activity Current diet

Other diseases currently present Medical history Type of seizure Clinical manifestations of seizure activity

Which hormone is secreted by the pituitary gland to stimulate uterine​ contractions? Estrogen Prolactin Progesterone Oxytocin

Oxytocin

What condition is contraindicated for the use of​ nonphenothiazines? Diabetes Seizure disorders Renal disease Liver disease

Seizure disorders

The nurse is working with a client who has a fear of speaking in front of an audience. The nurse anticipates a diagnosis of what type of anxiety disorder for this​ client? Social anxiety disorder Generalized anxiety disorder​ (GAD) Panic disorder ​Obsessive-compulsive disorder​ (OCD)

Social anxiety disorder

An adult client diagnosed with Crohn disease is receiving total parenteral nutrition​ (TPN). The nurse will need to monitor for which mechanical​ complication? Fluid volume overload Bone demineralization Refeeding syndrome Thromboembolism

Thromboembolism

Teenager Beverly Lopez has just been diagnosed with major depressive disorder. She is given a prescription for sertraline​ (Zoloft). What is the most important instruction to include when educating Beverly and her family about the administration of her​ medications? Monitor vital​ signs, especially pulse and blood pressure Stop taking the drugs if no benefits are experienced Watch for and immediately report any suicidal thoughts Monitor for urinary retention or constipation

Watch for and immediately report any suicidal thoughts

Marcus Livingston was previously diagnosed with benign prostatic hyperplasia​ (BPH) and prescribed finasteride​ (Proscar). He is in the clinic today for​ follow-up. Which statement indicates that Mr. Livingston needs additional​ education? ​"I have noticed that I get dizzy when I stand up too​ fast, so I have learned to get up​ slowly." ​"I have been taking this medication for 3 weeks​ now, and I​ can't tell if it is​ helping." ​"I drink more water during the day so that I​ don't have to get up as often during the night to use the​ bathroom." ​"I am careful to use a condom even though my wife takes birth control​ pills."

​"I have been taking this medication for 3 weeks​ now, and I​ can't tell if it is​ helping."

Which type of medication used to treat male reproductive disorders may cause a client to experience the​ first-dose phenomenon? ​Alpha-adrenergic blockers Androgens ​5-alpha reductase inhibitors ​Phosphodiesterase-5 inhibitors

​Alpha-adrenergic blockers

The nurse is evaluating the effectiveness of teaching for a client who has been prescribed​ norgestimate/ethinyl estradiol​ (Ortho-Tri-Cyclen). What client statement indicates that further instructions are​ needed? ​"If I miss a week of my​ pills, I can make them up and still have birth​ control." ​"I will notify the doctor of any pain or tenderness in my​ legs." ​"I need to perform monthly breast exams and get mammograms as​ ordered." ​"I should monitor my blood pressure​ (BP) on a regular​ basis."

"If I miss a week of my​ pills, I can make them up and still have birth​ control."

The client tells the nurse that he began taking sildenafil citrate​ (Viagra) one week ago for erectile dysfunction. He says he swallows his pill and waits for about 45 minutes but nothing happens. What guidance should the nurse give the client about this ​medication? Select all that apply. "If you take sildenafil with a​ high-fat meal, the medication will take longer to​ work." ​"To gain the best​ results, take this medication at the same time you take your nitrate​ medication." ​"Sildenafil will not cause an instant​ erection; it will work only if you are​ stimulated." ​"To ensure that your body is fully absorbing the​ medication, you should avoid eating grapefruit and drinking grapefruit juice when you take​ sildenafil." ​"Your body needs more time for the sildenafil to cure your erectile​ dysfunction."

"If you take sildenafil with a​ high-fat meal, the medication will take longer to​ work." ​"Sildenafil will not cause an instant​ erection; it will work only if you are​ stimulated." ​"To ensure that your body is fully absorbing the​ medication, you should avoid eating grapefruit and drinking grapefruit juice when you take​ sildenafil."

The nurse is admitting a new client with a medical diagnosis of fluid volume​ deficit, or dehydration. The client asks the nurse what causes dehydration. What does the nurse teach the client about the factors and conditions that can lead to fluid volume deficit ​(dehydration)? Select all that apply. -Eating contaminated food that causes severe nausea with vomiting and diarrhea -Dysphagia secondary to a stroke​ (cerebral vascular​ accident) -Taking prescribed​ "water pills"​ (diuretics) to control hypertension​ (high blood​ pressure) -Having dry​ mouth, orthostatic​ hypotension, and decreased skin​ turgor, capillary​ refill, and urine output -Exercising outdoors during very hot weather conditions

-Eating contaminated food that causes severe nausea with vomiting and diarrhea -Dysphagia secondary to a stroke​ (cerebral vascular​ accident) -Taking prescribed​ "water pills"​ (diuretics) to control hypertension​ (high blood​ pressure) -Exercising outdoors during very hot weather conditions

The nurse reviews a client​'s diagnostic test results. Which lab values indicate that the client is experiencing a fluid volume​ deficit, or ​dehydration? Select all that apply. -Elevated hematocrit and serum osmolality -Increased central venous pressure and decreased serum sodium level -Increased serum sodium and elevated hematocrit level -Increased urine specific gravity and serum osmolality -Decreased serum sodium and hematocrit level

-Elevated hematocrit and serum osmolality -Increased serum sodium and elevated hematocrit level -Increased urine specific gravity and serum osmolality

The nurse observes that the newly admitted adult client is talkative and appears to be excessive in both her conversation and actions. How long must an adult client appear manic before a diagnosis and treatment plan are usually​ initiated? 1 month Diagnosis depends on the health care provider and the type of excessive activity noted 1 week 1 day

1 week

The nurse is caring for a client who came to the emergency department because of an episode that was diagnosed as a panic attack. The nurse should tell the client that panic attacks will typically resolve within what period of​ time? 6 minutes 10 minutes 8 minutes 4 minutes

10 minutes

John Adams is a​ 26-year-old male client who was brought to your emergency room following a motor vehicle accident that fractured his left femur. He is pale and in obvious pain. His vital signs are heart rate of 144​ beats/min, blood pressure​ 90/45, and respiratory rate 28​ breaths/min. What do you expect to​ administer? 2 units packed RBCs over 2 hours each ​D5-LR @ 250​ mL/hr Normal saline​ @ 50​ mL/hr ​Plasma-Lyte 56​ @ 100​ mL/hr

2 units packed RBCs over 2 hours each

Which client would the nurse expect to receive total parenteral nutrition​ (TPN)? A client​ post-surgery for repair of knife wounds to the gastrointestinal system A client who is​ post-lobectomy with chest tube placement A client diagnosed with acute gastroenteritis and dehydration A client who has metastatic cancer and​ malnutrition, and is in hospice

A client​ post-surgery for repair of knife wounds to the gastrointestinal system

A client who is taking antipsychotic drugs is experiencing all of the following clinical manifestations. Which one would require the nurse to immediately notify the health care​ provider? A rise in BUN and Creatinine Dry mouth Drowsiness Headache

A rise in BUN and Creatinine

The nurse is performing the morning assessment on​ Frank, a​ 7-year-old client. Frank stares off into space for a few seconds and does not seem to hear the nurse as she says his name. A few seconds​ pass, then Frank continues as if nothing happened. Which type of seizure is this child​ experiencing? Myoclonic seizure Absence seizure ​Tonic-clonic seizure Atonic seizure

Absence seizure

The nurse is evaluating a client who is immediately​ post-vaginal delivery for female reproductive medication needs. Which assessment is the​ priority? Voiding ability Emotional status Amount of bleeding Presence of edema

Amount of bleeding

The nurse is discussing medications that are often prescribed for children with newly diagnosed attention​ deficit/hyperactivity disorder​ (ADHD). What is the most common class of medication used to treat​ ADHD? Antidepressants Antihistamines Amphetamines Antipyretics

Amphetamines

A female client tells the nurse that she is seriously considering taking anabolic steroids in preparation for her first bodybuilding competition. She says her boyfriend has taken steroids for two years and ​"hasn​'t really had any​ problems." What information should the nurse share with this ​client? Select all that apply. Anabolic steroids may produce behavioral side​ effects, including​ depression, paranoia, and violent outbursts. Women who take anabolic steroids can develop a stronger physique without risk of masculinization. Anabolic steroids are illegal without a written​ prescription, and possession is a federal offense. Taking anabolic steroids can cause heart and liver​ disease, high blood​ pressure, altered immune​ system, and an increased risk for blood clots. Taking anabolic steroids will enhance your athletic​ performance; however, the adverse effects can jeopardize your health.

Anabolic steroids may produce behavioral side​ effects, including​ depression, paranoia, and violent outbursts. Anabolic steroids are illegal without a written​ prescription, and possession is a federal offense. Taking anabolic steroids can cause heart and liver​ disease, high blood​ pressure, altered immune​ system, and an increased risk for blood clots. Taking anabolic steroids will enhance your athletic​ performance; however, the adverse effects can jeopardize your health.

Before administering an androgen medication to the​ client, the nurse will teach him about the adverse effects that may occur. What will be included in the teaching ​plan? Select all that apply. Androgen therapy may cause breast cancer. Androgen therapy may cause changes in libido. Liver cancer is an adverse effect of androgen therapy. Androgen therapy may cause liver damage. In the first few months of​ treatment, you may experience water retention and swelling in your​ feet, ankles, and legs.

Androgen therapy may cause changes in libido. Liver cancer is an adverse effect of androgen therapy. Androgen therapy may cause liver damage. In the first few months of​ treatment, you may experience water retention and swelling in your​ feet, ankles, and legs.

The nurse is caring for a client who has been prescribed a selective serotonin reuptake inhibitor​ (SSRI) for the treatment of anxiety. The nurse teaches the client that this type of medication belongs to what class of​ drugs? Benzodiazepine Antidepressant Barbiturate Central nervous system​ (CNS) depressant

Antidepressant

Maxine Carlson is a​ 73-year-old woman who was admitted to the hospital after suffering a cerebrovascular accident. Her deficits include​ right-side paralysis, inability to​ swallow, and global aphasia. Mrs. Carlson has a nasogastric tube inserted and begins bolus enteral​ feedings, 300 mL every 6 hours. What is a significant risk associated with bolus​ feedings? Hyperglycemia Aspiration Hypoproteinemia Constipation

Aspiration

The nurse is caring for an older adult client who is diagnosed with inflammatory bowel​ disease, and receiving enteral nutrition therapy to rest the bowel. The nurse should watch for which complications of enteral ​nutrition? Select all that apply. Aspiration Subcutaneous emphysema Thromboembolism Nausea Dehydration

Aspiration Nausea Dehydration

The nurse is caring for a client who is being treated for anxiety. Which strategy should the nurse use to assess the client​'s neurologic​ status? Assess for signs of confusion Ask about the intake of stimulants Monitor for signs of depression Obtain a set of vital signs

Assess for signs of confusion

Which nursing consideration pertains to human chorionic gonadotropin​ (Pregnyl)? Assess sperm counts periodically Administer​ IM, 3 times a day Administer with zinc Administer with vitamins C and E

Assess sperm counts periodically

Atomoxetine​ (Strattera) is a nonstimulant used in the treatment of attention​ deficit/hyperactivity disorder​ (ADHD). What nursing considerations should be included in parent education about this ​medication? Select all that apply. Atomoxetine​ (Strattera) may raise blood pressure or cause heart palpitations. Atomoxetine​ (Strattera) will help the child sleep. Children can become irritable. Children should be watched for suicidal ideation. Liver function tests should be done before starting the drug.

Atomoxetine​ (Strattera) may raise blood pressure or cause heart palpitations. Children can become irritable. Children should be watched for suicidal ideation. Liver function tests should be done before starting the drug.

The​ 60-year-old client tells the nurse that he has reservations about taking testosterone replacement therapy because he read on the Internet that it can cause prostate cancer. What information shared by the nurse will best relieve the client​'s ​concern? Taking the oral form of testosterone can cause significant liver​ problems; the transdermal patch is a much safer way to take testosterone. Testosterone may cause fluid retention that leads to ankle and leg​ swelling, especially in the first few months of treatment. Before you begin testosterone​ treatment, you will be tested for prostate cancer. Testosterone can cause some​ cancers, like prostate or breast​ cancer, to grow faster.

Before you begin testosterone​ treatment, you will be tested for prostate cancer.

Which nursing assessments pertain especially to males with reproductive ​disorders? Select all that apply. Benign prostatic hyperplasia Urinary function Nutritional status All types of cancer History of impaired sexual function

Benign prostatic hyperplasia Urinary function History of impaired sexual function

Extrapyramidal​ symptoms, such as​ akathisia, are serious adverse effects caused by antipsychotic medications. Which class of drugs is used to treat​ akathisia? Dopamine system stabilizers Diuretics Benzodiazepines Calcium channel blockers

Benzodiazepines

Which categories of antiseizure medication have a mechanism of action that enhances the action of GABA in the ​brain? Select all that apply. Benzodiazepines Succinimides Hydantoins Barbiturates ​Hydantoin-like medications

Benzodiazepines Barbiturates

Erika Jackson is admitted to the psychiatric unit because of a suicide attempt. Her family reports that she frequently goes on spending​ sprees, goes long periods without​ eating, and sometimes does not sleep for days. As the​ nurse, what disorder do you suspect Ms. Jackson​ has, based on her​ behavior? Attention​ deficit/hyperactivity disorder Major depressive disorder Manic disorder Bipolar disorder

Bipolar disorder

What is especially important to monitor in female clients who have reproductive dysfunction or are taking oral ​contraceptives? Select all that apply. BUN and creatinine Blood pressure Fasting glucose level Abdominal girth Weight gain

Blood pressure Fasting glucose level Weight gain

The nurse is taking care of an adult client in the emergency department who was in a motor vehicle crash and is bleeding profusely. Which intravenous fluids will be administered to the client to regulate the body fluid imbalance caused by the profuse​ bleeding? Oral fluids Hypotonic fluids Blood products Hypertonic fluids

Blood products

After the blood has infused for 15​ minutes, Mr. Adams complains of chills and a headache. His oral temperature is​ 101.6°F (38.7°C). What is the most likely cause of his clinical​ manifestations? Severe pain Blood transfusion reaction Pain medication reaction Anxiety related to his accident

Blood transfusion reaction

The nurse is assessing a client who has been taking ethinyl​ estradiol/drospirenone oral​ (Yasmin) for 2 years. Which assessment evaluates the client for potential adverse​ effects/complications associated with the ​medication? Select all that apply. Body weight Heart rate Blood clots Breath sounds Blood pressure​ (BP)

Body weight Heart rate Blood clots Blood pressure​ (BP)

The nurse is working in a residential treatment center for adults with mood disorders. What should the nurse monitor in adult clients who are receiving ​antidepressants? Select all that apply. Hemoglobin Bowel habits Reports of sexual dysfunction Vital signs Signs of seizure activity

Bowel habits Reports of sexual dysfunction Vital signs Signs of seizure activity

A client tells the nurse that her neurologist said that phenytoin​ (Dilantin) is the drug of choice for treatment of seizures and asks how this medication works. The nurse explains that phenytoin inhibits seizure activity​ how? By enhancing the action of gamma aminobutyric acid​ (GABA) in the​ brain, which decreases neuronal activity By slowing neuronal firing rates via increasing gamma aminobutyric acid​ (GABA) levels in the brain By desensitizing the sodium channels in the​ brain; this limits rapid firing of brain​ cells, thereby suppressing seizure activity By suppressing the flow of sodium ions in the brain

By desensitizing the sodium channels in the​ brain; this limits rapid firing of brain​ cells, thereby suppressing seizure activity

Which types of nutrients are administered to provide energy for the body and to maintain normal glucose​ levels? Vitamins Lipids Proteins Carbohydrates

Carbohydrates

What complications are associated with fluid volume ​replacement? Select all that apply. Nausea Cardiovascular stress Dyspnea Fluid in the lungs Fever and chills

Cardiovascular stress Dyspnea Fluid in the lungs

Which are mechanical complications associated with parenteral ​nutrition? Select all that apply. Fluid volume overload Infection Catheter malposition Cardiac arrhythmias Hemothorax

Catheter malposition Cardiac arrhythmias Hemothorax

The nurse is caring for an older adult client who is receiving total parenteral nutrition​ (TPN). What should the nurse assess to minimize ​complications? Select all that apply. Catheter placement Feeding tube placement Intake and output Weight and lab results Vital signs

Catheter placement Intake and output Weight and lab results Vital signs

The nurse is assessing a client with alkalosis who is being treated with acid agents. What adverse effects might the nurse observe when treating this client with ammonium​ chloride? Nausea and vomiting Yellow skin color Decreased respiratory rate Central nervous system depression

Central nervous system depression

Which reaction to medications for anxiety or insomnia should be reported to the health care​ provider? Vomiting Change in level of consciousness​ (LOC) Restlessness Increased respiratory rate

Change in level of consciousness​ (LOC)

The nurse is caring for a client who is receiving enteral therapy through a gastrostomy tube. Which interventions by the nurse will reduce the risk of​ aspiration? Select all that apply. Check for signs of respiratory​ distress, abnormal lung​ sounds, or frothy sputum. Elevate the head of the bed 30 degrees during feeding. Check for gastric residual volumes. Reduce the rate of administration. Check for proper tube placement.

Check for signs of respiratory​ distress, abnormal lung​ sounds, or frothy sputum. Elevate the head of the bed 30 degrees during feeding. Check for gastric residual volumes. Check for proper tube placement.

What assessment is specifically related to a client with​ schizophrenia? Evaluating laboratory data Obtaining a complete health history Checking for positive and negative symptoms Obtaining a complete​ head-to-toe assessment

Checking for positive and negative symptoms

You are the school nurse working with Eva​ Lim, a teen who has suffered a​ mild, one-time seizure during a​ two-hour metalworking class.​ Eva's temperature is​ 98.8°F (37.1°C). Four other students in her class report nausea and headaches. What is the most likely cause of​ Eva's seizure? Past head injury Family history of cardiac disease Fever or infection Chemical or toxin exposure

Chemical or toxin exposure

Which factor is considered a cause of​ long-term insomnia? Stimulants Environment Chronic pain Alcohol use

Chronic pain

The nurse is educating an adult client on the causes of metabolic acidosis. Which causes would the nurse include in the client ​education? Select all that apply. Chronic renal failure ​Potassium-wasting diuretics Diabetes mellitus Tissue hypoxia Acute diarrhea

Chronic renal failure Diabetes mellitus Tissue hypoxia Acute diarrhea

Which conditions or activities can contribute to male sexual ​dysfunction? Select all that apply. Cigarette smoking Obesity Hypotension Diabetes Muscle weakness

Cigarette smoking Obesity Diabetes Muscle weakness

For which clients would zolpidem​ (Ambien) be ​contraindicated? Select all that apply. Clients with suicidal ideations Clients with a history of heart disease Clients who are in labor Clients who are diabetic Children under 18 years of age

Clients with suicidal ideations Clients who are in labor Children under 18 years of age

Which infertility agent is used to treat irregular​ ovulation? Leuprolide acetate​ (Lupron) Ganirelix acetate​ (Antagon) Menotropins​ (Menopur) Clomiphene citrate​ (Clomid)

Clomiphene citrate​ (Clomid)

The nurse is planning a​ post-conference seminar for a group of nursing students on atypical antipsychotic medication. Which medication would the nurse include in the teaching​ plan? Thiothixene hydrochloride​ (Navane) Chlorpromazine hydrochloride​ (Thorazine) Haloperidol​ (Haldol) Clozapine​ (Clozaril)

Clozapine​ (Clozaril)

Which nursing considerations are associated with valproic acid ​(Depakene)? Select all that apply. Considered the drug of choice for clients with bipolar disorder Has teratogenic effects Approved for mood stabilization and mania suppression Therapeutically classified as an atypical antipsychotic Classified as pregnancy category C

Considered the drug of choice for clients with bipolar disorder Has teratogenic effects Approved for mood stabilization and mania suppression

Enteral feedings delivered over an​ 8- to​ 16-hour period of time are ​called: Bolus feedings Intermittent feedings Cyclic feedings Continuous infusion feedings

Cyclic feedings

When evaluating a client with​ psychoses, what result best indicates that the antipsychotic drug therapy is​ effective? Presence of weight loss Minimal adverse effects Decrease in positive and negative symptoms Increase in positive symptoms

Decrease in positive and negative symptoms

When evaluating antidepressant​ therapy, how is effectiveness primarily​ manifested? Emotional and mental status are no worse Increased periods of productivity Decrease in symptoms Client compliance with medication regimen

Decrease in symptoms

The nurse is assessing an adult client with a diagnosis of bipolar disorder. Which symptoms are characteristics of ​mania? Select all that apply. Decreased need to sleep or eat Decreased talkativeness Hallucinations or delusions Increased psychomotor activity Inflated​ self-esteem

Decreased need to sleep or eat Hallucinations or delusions Increased psychomotor activity Inflated​ self-esteem

Prior to administering fluid replacement​ therapy, the nurse is assessing a child for signs of dehydration. Which signs and symptoms indicate that the child is dehydrated and may need IV ​fluids? Select all that apply. Decreased urine output Increase in weight Increased urine specific gravity Dry mouth and mucous membranes Poor skin turgor

Decreased urine output Increased urine specific gravity Dry mouth and mucous membranes Poor skin turgor

The nurse is assessing an older adult client with a history of progressive dysphagia who is receiving enteral nutrition through a nasogastric tube. The nurse should observe for which metabolic​ complication? Thromboembolism Subcutaneous emphysema Dehydration Pneumothorax

Dehydration

The nurse is caring for a teenage client who has been diagnosed with anorexia nervosa. The nurse should be concerned with which potential complications of ​malnutrition? Select all that apply. Excessive muscle bulk Delayed wound healing Muscle wasting Insufficient immunity Death

Delayed wound healing Muscle wasting Insufficient immunity Death

What characteristic of psychotic behavior is defined as ideas or beliefs that are false and not grounded in​ reality? Inappropriate mood and affect Hallucinations Cognitive function Delusions

Delusions

Mr. Jenson is a​ 27-year-old male with a personal and family history of schizophrenia. He arrives at the clinic today with his​ mother, who is concerned about his behavior. Mr. Jenson has a disheveled​ appearance, paces​ constantly, and​ chain-smokes. When you ask him to enter the exam​ room, he accuses you of being a spy who wants to mistreat him. What best describes the behavior Mr. Jenson is​ displaying? Apathetic behavior Delusions​ and/or paranoia Chronic psychosis Social isolation and withdrawal

Delusions​ and/or paranoia

The client tells the nurse that her neurologist recently weaned her off of her antiseizure​ medication, phenobarbital​ (Luminal), and prescribed phenytoin​ (Dilantin). The client indicated that she had been taking phenobarbital for almost 4​ years, and her neurologist said the side effects were the reason for this medication switch. The nurse explains that the major side effects of barbiturates include ​what? Select all that apply. Dependence and increased tolerance of drug with continued​ use, requiring higher doses over time Drowsiness and sedation Slowed heart rate and​ respirations, and decreased blood pressure Blurred vision and rashes Gingival hyperplasia​ (swelling of the​ gums)

Dependence and increased tolerance of drug with continued​ use, requiring higher doses over time Drowsiness and sedation Slowed heart rate and​ respirations, and decreased blood pressure

While administering magnesium sulfate to Mr.​ Stevens, for which clinical manifestations of magnesium toxicity do you need to​ watch? Twitching muscles Depressed tendon reflexes Nausea and vomiting Seizures

Depressed tendon reflexes

A nurse who is working in the psychiatric clinic observes that lithium​ (Eskalith) has been prescribed for many of the clients. Clients with which conditions should be monitored closely when taking ​lithium? Select all that apply. Diabetes mellitus Pregnancy Renal disease Cardiovascular impairment ​Middle-aged and older

Diabetes mellitus Pregnancy Renal disease Cardiovascular impairment

Which antiseizure​ drugs, when administered by​ IV, can be very irritating to ​veins? Select all that apply. Methsuximide​ (Celontin) Ethosuximide​ (Zarontin) Diazepam​ (Valium) Lorazepam​ (Ativan) Carbamazepine​ (Tegretol)

Diazepam​ (Valium) Lorazepam​ (Ativan)

The neurologist diagnosed a​ 23-year-old male client with epilepsy several days ago. At age​ 20, this client was diagnosed with viral​ meningitis, which precipitated his seizures. The client tells the nurse that his older sister had one single seizure that lasted for one​ minute, several years​ ago, when she was in treatment for alcohol withdrawal. She was given one dose of diazepam​ (Valium), which stopped the seizure. She has not had any subsequent seizures. The client asks the nurse why his neurologist ordered phenytoin​ (Dilantin) for his epilepsy instead of diazepam. Which response by the nurse is least complex and still answers the client​'s ​question? Diazepam​ (Valium) is often ordered to control a​ one-time seizure​ event, whereas phenytoin​ (Dilantin) is one of the most commonly prescribed antiseizure medications for epilepsy. Diazepam​ (Valium) is a benzodiazepine. Benzodiazepines are used to gain short term control of seizure activity rather than​ long-term treatment of seizures. Diazepam​ (Valium) is a benzodiazepine that enhances or improves the effects of gamma aminobutyric acid​ (GABA) in the​ brain, thereby inhibiting further seizures. Phenytoin​ (Dilantin) acts by desensitizing neurologic channels that are responsible for the seizure activity and disrupting or suppressing that seizure activity. Phenytoin does not have the addictive potential associated with diazepam.

Diazepam​ (Valium) is often ordered to control a​ one-time seizure​ event, whereas phenytoin​ (Dilantin) is one of the most commonly prescribed antiseizure medications for epilepsy.

A client is scheduled to arrive on the labor and delivery unit for an induction. Chart history reveals a​ firm, nondilated cervix. The nurse expects the administration of which medication prior to the induction​ process? Magnesium sulfate Dinoprostone​ (Cervidil) Estradiol​ (Estrace Gel) Cetrorelix​ (Cetrotide)

Dinoprostone​ (Cervidil)

Which instruction should the nurse give to a client who is prescribed carbamazepine​ (Tegretol) for​ seizures? Ginkgo will enhance the drug​'s effect. The medication should be taken on an empty stomach. Do not take with grapefruit juice or St. John​'s wort. Alcohol consumption should be limited.

Do not take with grapefruit juice or St. John​'s wort.

While discussing antidepressant pharmacotherapy with the​ client, the nurse explains that antidepressant medications target three major neurotransmitters. Which neurotransmitters does the nurse ​discuss? Select all that apply. Calcium Dopamine Norepinephrine Potassium Serotonin

Dopamine Norepinephrine Serotonin

Which characteristics are associated with bipolar ​disorder? Select all that apply. At least three days of manic behavior Drug noncompliance High risk for suicide Extreme changes in mood Grandiose feelings during manic state

Drug noncompliance High risk for suicide Extreme changes in mood Grandiose feelings during manic state

The nurse is identifying the potential adverse effects of oral contraceptives for a client. Which will the nurse want to include in the ​discussion? Select all that apply. Weight loss Edema Anorexia Elevates glucose Hypertension

Edema Elevates glucose Hypertension

The nurse is assessing an adult client who has been prescribed sodium bicarbonate as an antacid. Which side effects would the nurse discuss with the ​client? Select all that apply. Electrolyte imbalances Confusion Decreased respiratory rate Mood elevation Irritability

Electrolyte imbalances Confusion Decreased respiratory rate Irritability

What is a critical nursing action to prevent aspiration when administering enteral​ feedings? Assess for refeeding syndrome. Elevate the head of the bed 30 degrees. Give metoclopramide​ (Reglan) to delay gastric motility. Dilute the feeding.

Elevate the head of the bed 30 degrees.

An older adult client undergoing cancer chemotherapy is receiving total parenteral nutrition​ (TPN) through a central line. The nurse knows that the client is at risk for which mechanical ​complications? Select all that apply. Fluid volume overload Bone demineralization Endocarditis Hemothorax Brachial plexus injury

Endocarditis Hemothorax Brachial plexus injury

Julia Ingram visits your clinic complaining of prolonged menstrual periods with severe abdominal pain and sometimes excessive bleeding. Her vital signs are normal and she reports no other symptoms or unexplained changes in her weight. Based on this preliminary​ information, Ms. Ingram most likely has what reproductive system​ disorder? Chlamydia Endometriosis Hyperprolactinemia Polycystic ovary syndrome

Endometriosis

The nurse is assessing a client who complains of being unable to get pregnant. Which causes of infertility would the nurse explore with the client as the source of the ​problem? Select all that apply. Endometriosis Hormonal imbalances Chlamydia Fallopian tube obstructions Previous live births

Endometriosis Hormonal imbalances Chlamydia Fallopian tube obstructions

Which condition can result in female ​infertility? Select all that apply. Endometriosis Irregular ovulation Overproduction of prolactin Pelvic infections Obstruction of eustachian tubes

Endometriosis Irregular ovulation Overproduction of prolactin Pelvic infections

The nurse is assessing a​ 6-year old child newly diagnosed with attention​ deficit/hyperactivity disorder​ (ADHD). What symptoms would the nurse expect to discuss with the parent of this​ child? Select all that apply. Excessive fidgeting or squirming Excessive careless mistakes Poor listening skills Poor focus Decreased talking

Excessive fidgeting or squirming Excessive careless mistakes Poor listening skills Poor focus

Ms. Salma White is in the hospital for pneumonia. As you complete her medical​ history, she tells you that she is taking chlorpromazine hydrochloride​ (Thorazine). She says it has not helped her​ "supposed" schizophrenia or made the voice in her head go away as the doctor said. You notice that her hands are shaking and she has an unsteady gait when walking to the bathroom. You also notice that she blinks her eyes rapidly during the interview. What do you suspect Ms. White may be experiencing because of her​ medication? Akathisia Extrapyramidal symptoms Tardive dyskinesia ​Parkinson's disease

Extrapyramidal symptoms

The client asks the​ nurse, "What are the most common signs and symptoms of low​ testosterone?" Which symptoms will the nurse include in answering this ​question? Select all that apply. Fatigue Erectile dysfunction Slowed wound healing Decreased sex drive Reduced muscle mass

Fatigue Erectile dysfunction Decreased sex drive Reduced muscle mass

The nurse is discussing a change to a selective serotonin reuptake inhibitor​ (SSRI) with an adult client who has been depressed. What are the advantages of using SSRI therapy for ​depression? Select all that apply. Fewer side effects occur with SSRIs than with TCAs. Clients report no sexual dysfunction while taking SSRI medications. Most SSRIs have a good safety record. SSRIs are considered effective in the management of depression​ (drug of​ choice). Therapy with an SSRI offers clients a quick response time to feel results.

Fewer side effects occur with SSRIs than with TCAs. Most SSRIs have a good safety record. SSRIs are considered effective in the management of depression​ (drug of​ choice). Therapy with an SSRI offers clients a quick response time to feel results.

Jennifer Sanchez is a​ 24-year-old female who presents to your clinic after four days of worsening​ nausea, vomiting, and diarrhea. She states that she has tried to drink fluids but cannot keep anything down. Her heart rate is 126​ beats/min, blood pressure​ 118/70 lying down and​ 86/50 sitting, and temperature​ 99.8°F (37.7°C). What is Ms. Sanchez most likely​ experiencing? Excessive thirst Fluid volume deficit Anxiety Hypernatremia

Fluid volume deficit

The nurse is administering pharmacotherapy to a client with severe hyperkalemia. Which agent helps the body to eliminate potassium through​ urination? Furosemide​ (Lasix) Polystyrene sulfonate​ (Kayexalate) Insulin with dextrose Calcium gluconate

Furosemide​ (Lasix)

The nurse is caring for a client who is experiencing severe anxiety. The nurse educates the client that severe anxiety can likely adversely affect which body​ system? Skeletal Gastrointestinal Muscular Urinary

Gastrointestinal

The nurse is caring for a client who has been prescribed duloxetine hydrochloride​ (Cymbalta). Which anxiety disorder does the nurse anticipate that this client is most likely​ experiencing? ​Obsessive-compulsive disorder​ (OCD) Posttraumatic stress disorder​ (PTSD) Panic disorder Generalized anxiety disorder​ (GAD)

Generalized anxiety disorder​ (GAD)

The nurse is educating a client with insomnia about good sleep habits. Which item would the nurse include in the teaching​ session? Avoid any product with caffeine. Take long naps during the day to make up for missed sleep. Get regular exercise. Have a glass of wine just before bed to help with sleep.

Get regular exercise.

Which instructions should be included in client education regarding good sleeping ​habits? Select all that apply. Eat a heavy meal before bedtime. Get regular exercise. Keep a regular schedule for sleeping and waking. Avoid caffeine as much as possible. Take a long nap during the day.

Get regular exercise. Keep a regular schedule for sleeping and waking.

A client is having positive symptoms of schizophrenia. Which clinical manifestations would the nurse expect the client to ​exhibit? Select all that apply. Minimal interest and motivation Hallucinations Absence of pleasure in​ day-to-day activities Delusional thoughts Disorganized speech patterns

Hallucinations Delusional thoughts Disorganized speech patterns

The nurse teaches the client and his wife the adverse effects of and most common problems associated with taking phenytoin​ (Dilantin) to treat epilepsy. These two common problems are gingival hyperplasia​ (swelling of the​ gums) and maintaining therapeutic levels rather than toxic levels of the drug. Which responses include actions that the client needs to take to counteract these ​problems? Select all that apply. Have serum phenytoin​ (Dilantin) levels monitored routinely. Medication must be taken with food. Monitor vital signs before and after each dose of phenytoin​ (Dilantin). Schedule and keep routine dental examinations and practice good oral hygiene and gum care. Do not take phenytoin​ (Dilantin) with grapefruit juice.

Have serum phenytoin​ (Dilantin) levels monitored routinely Schedule and keep routine dental examinations and practice good oral hygiene and gum care.

The nurse is assessing an adult client with fluid loss from diarrhea and vomiting. Which tests would indicate that the client is actually​ dehydrated? Select all that apply. Hemoglobin and hematocrit Urine specific gravity Serum electrolytes Serum osmolality Chest​ x-ray

Hemoglobin and hematocrit Urine specific gravity Serum electrolytes Serum osmolality

The nurse is reviewing a client​'s electrolyte panel. Which statements about sodium are ​true? Select all that apply. Normal sodium levels range from 145-165 ​mEq/L. High sodium levels can cause weakness. The kidneys regulate sodium levels. Hypernatremia can cause anorexia. To replace sodium in the​ body, drink more water.

High sodium levels can cause weakness. The kidneys regulate sodium levels.

As part of a health and medication history for a female with reproductive​ dysfunction, which information is considered the highest priority for​ assessment? Age of onset of menses Occasional headaches Cancer History of blood clots

History of blood clots

The nurse is performing an assessment on a client who has been taking aripiprazole​ (Abilify). Which assessment finding warrants health care provider​ notification? Borderline hypertensive blood pressure History of frequent heartburn and dysphagia Reports of increased social activities Sleeps 8 hours a night

History of frequent heartburn and dysphagia

The nurse is assessing an adult client who appears depressed. When taking the​ client's medical​ history, the nurse should be alert for what factors that might be contributing to ​depression? Select all that apply. History of thyroid disease Use of corticosteroids A deficiency in vitamin C Use of birth control pills Early signs of Alzheimer disease

History of thyroid disease Use of corticosteroids Use of birth control pills Early signs of Alzheimer disease

The nurse is providing care for several clients in the clinic with mood disorders. When assessing these​ clients, the nurse should be aware of what underlying conditions that may contribute to a mood ​disorder? Select all that apply. History of thyroid dysfunction Recent diagnosis of osteoporosis Current prescription and nonprescription medications Family history of depression Alcohol or substance abuse

History of thyroid dysfunction Current prescription and nonprescription medications Family history of depression Alcohol or substance abuse

The nurse is caring for a client receiving lithium​ (Lithobid) who is due for a dose in 15 minutes. The laboratory report shows the​ client's lithium level to be 1.6. What should the nurse do​ first? Administer half of the lithium​ (Lithobid) tablet. Hold the dose of lithium​ (Lithobid). Administer the dose of lithium​ (Lithobid). Obtain another blood sample and repeat the test.

Hold the dose of lithium​ (Lithobid).

Robert​ Stevens, a​ 46-year-old male​ client, presents to your emergency room with progressive chest pain diagnosed as a​ lateral-wall myocardial infarction. Mr. Stevens has a history of hypertension treated with a calcium channel blocker. He states that he consumes​ 3-4 glasses of whiskey every evening. What electrolyte imbalance would likely be treated in the presence of a myocardial​ infarction? Hypomagnesemia Hypernatremia Hypokalemia Hyponatremia

Hypomagnesemia

Which gland initiates the secretion of male sex​ hormones? Adrenal Testes Hypothalamus Pituitary

Hypothalamus

The client tells the nurse that his medication bottle indicates that he is to avoid drinking grapefruit juice with his antiseizure​ medication, but he does not really understand why. He asks the nurse to explain. Which response by the nurse will best help the client understand why grapefruit juice must be avoided with his antiseizure​ medication? Taking carbamazepine​ (Tegretol) with grapefruit juice is contraindicated. If carbamazepine​ (Tegretol) is taken with grapefruit​ juice, this combination leads to a significant increase in the concentration of the medication in the​ bloodstream, which can be toxic and​ life-threatening. The grapefruit juice-drug interaction can lead to unpredictable and hazardous levels of certain important drugs. When some medications are taken with grapefruit​ juice, this combination can cause excessive​ sedation, low blood​ pressure, and EKG changes.

If carbamazepine​ (Tegretol) is taken with grapefruit​ juice, this combination leads to a significant increase in the concentration of the medication in the​ bloodstream, which can be toxic and​ life-threatening.

Eva Gonzales is a​ 35-year-old woman who is admitted for nutritional evaluation. She had a bilateral mastectomy 3 months prior to this hospital admission. Ms. Gonzales recently completed a combination treatment regimen of radiotherapy and chemotherapy. Her caregivers are concerned about her depression and suppressed immune status. What must you determine before selecting the form of supplemental nutrition for Ms.​ Gonzales? If she has any mechanical problems that will prevent the administration of enteral nutrition If she is willing to cooperate with supplemental nutrition If she is on medications that would interact with parenteral nutrition If she has a current infection

If she has any mechanical problems that will prevent the administration of enteral nutrition

The nurse is admitting a new​ 7-year-old male client with a diagnosis of epilepsy. Which actions by the nurse would be ​contraindicated? Select all that apply. Pad the side rails and remove clutter from the bedside. If the child has a​ seizure, slide a tongue blade or spoon into the child​'s mouth between the teeth. Position the client on his side. Restrain the​ child's arms and legs. Protect the​ child's head during a seizure.

If the child has a​ seizure, slide a tongue blade or spoon into the child​'s mouth between the teeth. Restrain the​ child's arms and legs.

Which characteristics are typically associated with generalized anxiety ​disorder? Select all that apply. Fear of situations or objects Inability to concentrate Repetitive behaviors Heart palpitations Fatigue

Inability to concentrate Heart palpitations Fatigue

What adverse effects are associated with atypical ​antipsychotics? Select all that apply. Increased risk for cerebrovascular events Sexual dysfunction Hypertriglyceridemia Diabetes Weight gain

Increased risk for cerebrovascular events Hypertriglyceridemia Diabetes Weight gain

Adolescents and children who take antidepressants have​ what? No risk of suicide due to lack of emotional development Increased risk of suicide and suicide attempts Decreased risk of suicide Increased risk of suicide if treatment becomes​ long-term

Increased risk of suicide and suicide attempts

A client at your​ clinic, Jamilla​ Johnson, has been taking phenobarbitol​ (Luminal) for her seizure disorder for many years. Which adverse​ effect(s) should you monitor Ms. Johnson for when she visits the​ clinic? Increased tolerance of drug over time Gingival hyperplasia and plaque buildup Cerebrovascular accident and anemia Problems falling asleep and sleep apnea

Increased tolerance of drug over time

David​ Flores, a​ 68-year-old carpenter, has a long history of irritable bowel syndrome and ulcerative colitis. He was recently admitted to the hospital with a severe exacerbation of his colitis that required parenteral nutrition therapy. ​Initially, a peripheral intravenous line was used until a central venous catheter was placed later. What is a risk associated with administering parenteral nutrition through the peripheral intravenous​ route? Puncture of the subclavian artery Cardiac arrythmias Pneumothorax Infection and phlebitis

Infection and phlebitis

Which agents are used to treat severe ​hyperkalemia? Select all that apply. Potassium chloride Insulin with glucose Magnesium citrate​ (Citrate of​ Magnesia) Sodium polystyrene sulfonate​ (Kayexalate) Furosemide​ (Lasix)

Insulin with glucose Sodium polystyrene sulfonate​ (Kayexalate) Furosemide​ (Lasix)

Where is​ two-thirds of the​ body's total fluid​ located? Interstitial space Extracellular space Intracellular space Intravascular space

Intracellular space

Based on Ms.​ Sanchez's condition, what order do you expect to receive from the healthcare​ provider? Indwelling urinary catheter Clear liquid diet ​3% sodium bolus Intravenous fluids

Intravenous fluids

What important aspect should the nurse include in the patient education for a client who is prescribed paroxetine​ (Paxil) for the treatment of​ depression? You need to take this medication daily on an empty stomach. You need to return in 3 weeks to obtain a blood level of this medication. It may take up to 5 weeks to see the full effects of this medication. You can discontinue the use of birth control pills while on this medication.

It may take up to 5 weeks to see the full effects of this medication.

Which clinical manifestations are associated with ​acidosis? Select all that apply. ​Slow, shallow breathing Kussmaul breathing Lethargy Cardiac arrest Hyperactive reflexes

Kussmaul breathing Lethargy Cardiac arrest

The nurse is caring for an adult client with hypomagnesemia. Which factors does the nurse recognize as causes of this ​disorder? Select all that apply. Laxative abuse Magnesium supplements Loop diuretic therapy Diarrhea and vomiting Kidney failure

Laxative abuse Loop diuretic therapy Diarrhea and vomiting Kidney failure

Which conditions may require the infusion of a ​colloid? Select all that apply. Liver failure Pulmonary edema Myocardial infarction Shock Neonatal hemolytic disease

Liver failure Shock Neonatal hemolytic disease

Generalized seizures are different from partial seizures in that generalized seizures arise from multiple foci in both hemispheres of the brain and are often accompanied by​ what? Seeing spots​ (aura) or experiencing automatisms Disturbances in​ hearing, sight, or taste Loss of consciousness Lip​ smacking, chewing, or pulling at clothing

Loss of consciousness

The nurse at the university health clinic is completing a health assessment for a female client who reports feelings of​ "sadness" that have persisted for three months. The client reports that she broke up with her boyfriend two months​ ago; she has no children. She lives in an apartment near campus with two roommates. She denies​ hallucinations, delusions, and changes in her speech patterns. Based on this limited​ information, thus​ far, which mood disorders does the nurse ​suspect? Select all that apply. Dysthymic disorder Major depression Situational depression Postpartum depression Psychotic depression

Major depression Situational depression

Which condition is a contraindication for hormone replacement therapy with​ testosterone? Male breast cancer Liver cancer Liver disease Kidney disease

Male breast cancer

Which​ health-related issues may require administration of supplemental ​nutrition? Select all that apply. Malnutrition Major trauma Bulimia Weakened immune status Pneumonia

Malnutrition Major trauma Bulimia Weakened immune status

The nurse is caring for a client who has been diagnosed with​ long-term insomnia. Which factors found in the medical record support this ​diagnosis? Select all that apply. Alcohol use Tobacco use Mania Chronic pain Depression

Mania Chronic pain Depression

What should the nurse ensure that the client understands about antipsychotic​ medications? ​Follow-up appointments are​ advised, but not required It is okay to take most​ over-the-counter medications with antipsychotic drugs Many antipsychotics do not take immediate effect No special precautions are needed until the drug reaches a therapeutic level

Many antipsychotics do not take immediate effect

Ms. Ellis is a​ 19-year-old college freshman. This is her first time away from home. She came to the​ school's health center because she does not like the way her new medication is making her feel. She says it has not helped her depression and lack of motivation. Ms. Ellis complains of​ insomnia, dizziness, and headache. She started taking aripiprazole​ (Abilify) less than 10 days​ ago, but she wants to stop the medication. As the​ nurse, what instruction should you offer Ms. Ellis at this​ time? Many medications do not take effect​ immediately, so you should continue to take the medication as prescribed. Stop the medication for​ now, but go see your regular health care provider as soon as possible. You probably need inpatient therapy and should go to the nearest ER. It appears that you are on the wrong​ medication, so you should go see the health care provider who prescribed it.

Many medications do not take effect​ immediately, so you should continue to take the medication as prescribed.

Angela Degrasso is a​ 34-year-old noncompliant type 1 diabetic female. She presents to your emergency room with a glucose level of 450​ (normal range is​ 80-120), lethargy, and a respiratory rate of 32​ breaths/min. Laboratory analysis reveals a serum pH level of 7.28. Based on her history and this lab​ result, what is the most likely cause of her​ symptoms? Metabolic alkalosis Metabolic acidosis Respiratory acidosis Respiratory alkalosis

Metabolic acidosis

The nurse is preparing to assess a client with a newly diagnosed reproductive​ disorder, prior to administering medications. Which specific actions should the nurse ​take? Select all that apply. Monitor testosterone​ levels, renal and liver function​ studies, and​ prostate-specific antigen​ (PSA). Measure height and weight to determine body mass index​ (BMI). The nurse will assess urinary​ function, urinary​ retention, nocturia,​ dribbling, difficulty initiating urinary​ stream, frequency, and urgency. Assess for a history of male breast cancer or prostate cancer. Determine what medications the client is​ taking, including prescribed and​ over-the-counter drugs and herbal supplements.

Monitor testosterone​ levels, renal and liver function​ studies, and​ prostate-specific antigen​ (PSA). The nurse will assess urinary​ function, urinary​ retention, nocturia,​ dribbling, difficulty initiating urinary​ stream, frequency, and urgency. Assess for a history of male breast cancer or prostate cancer. Determine what medications the client is​ taking, including prescribed and​ over-the-counter drugs and herbal supplements.

What is the most common type of oral​ contraceptive? Biphasic ​Progestin-only Monophasic Triphasic

Monophasic

The nurse on a​ medical-surgical unit is busy assessing newly admitted clients. Which client conditions or medical diagnoses indicate that a client may experience a​ seizure? Select all that apply. Multiple trauma and a closed head injury as a result of a motor vehicle crash​ (MVC) Meningitis in a​ 4-year-old child Abdominal​ pain, diarrhea, fever of 100 degrees F ​(38.1 degrees ​C), ​nausea, vomiting, and reduced appetite in an otherwise healthy​ 24-year-old female Abnormally high glucose level and a​ 33-year history of type 1 diabetes Fever of undetermined origin​ (FUO), 103.5 degrees F ​(rectal) ​(40 degrees ​C), for past 2 hours in a toddler

Multiple trauma and a closed head injury as a result of a motor vehicle crash​ (MVC) Meningitis in a​ 4-year-old child Abnormally high glucose level and a​ 33-year history of type 1 diabetes Fever of undetermined origin​ (FUO), 103.5 degrees F ​(rectal) ​(40 degrees ​C), for past 2 hours in a toddler

What body functions do electrolytes ​affect? Select all that apply. Hunger Muscle function Neurologic activity Water balance Bone formation

Muscle function Neurologic activity Water balance Bone formation

Which are serious health consequences that can result from lack of proper ​nutrients? Select all that apply. Nausea and vomiting Severe diarrhea Muscle wasting Decreased wound healing Risk for infection

Muscle wasting Decreased wound healing Risk for infection

A client has been told that endometriosis is the cause of her inability to conceive. Which medication does the nurse anticipate the healthcare provider to​ prescribe? Nafarelin acetate​ (Synarel) Clomiphene citrate​ (Clomid) Menotropin​ (Menopur) Chorionic gonadotropin​ (Pregnyl)

Nafarelin acetate​ (Synarel)

Which are potential adverse effects of oral ​contraceptives? Select all that apply. Weight loss Lupus Nausea Hypotension Depression

Nausea Depression

Which complications can occur during the administration of enteral ​nutrition? Select all that apply. Nausea and vomiting Drug and food interactions Clogged feeding tubes Muscle wasting Aspiration

Nausea and vomiting Drug and food interactions Clogged feeding tubes Aspiration

An older male client is at risk for developing a fluid deficit because he is unaware of the causes of dehydration. When teaching the client about​ dehydration, which causes would the nurse ​include? Select all that apply. Nausea leading to​ vomiting, and diarrhea Loss of a large amount of blood Abuse of diuretics Hormone therapy Profuse sweating

Nausea leading to​ vomiting, and diarrhea Loss of a large amount of blood Abuse of diuretics Profuse sweating

A client taking the drug olanzapine​ (Zyprexa) is exhibiting the following adverse effects. Which causes the nurse the most​ concern? A weight gain of 2 pounds in one week Pain in the back and joints Numbness and inability to move right arm A total cholesterol level of 200​ mg/dL

Numbness and inability to move right arm

Tom Romero and his wife have been trying to have a child for the past year. His​ wife's medical assessment and testing indicate no physical reasons for infertility.​ However, Mr.​ Wagner's sperm count test results show 5 million​ sperm/mL. What condition does Mr. Romero​ have? Azoospermia Oligospermia Orchitis Hypogonadism

Oligospermia

Before administering prescribed​ medications, the nurse will teach the​ 34-year-old male client about the anabolic effects that testosterone has on the male body. What will be included in the teaching ​plan? Select all that apply. One of testosterone​'s anabolic effects is to help in the growth of bones. Growth of pubic and axillary hair is an anabolic effect of testosterone. Anabolic effects of testosterone in men include production of sperm and growth of cartilage of the larynx. A man​'s muscle mass and strength are directly related to the anabolic effects of testosterone. Testosterone helps to stimulate the production of red blood cells.

One of testosterone​'s anabolic effects is to help in the growth of bones. A man​'s muscle mass and strength are directly related to the anabolic effects of testosterone. Testosterone helps to stimulate the production of red blood cells.

The nurse is assessing a child with mild dehydration secondary to diarrhea. In a nonacute​ situation, what is the preferred way to replace electrolytes whenever​ possible? IV plasma expanders Oral hydration Blood product infusion IV fluids

Oral hydration

What is the recommended administration of levonorgestrel​ (Plan B)? Orally in 2 doses 12 hours​ apart, as soon as possible after unprotected sex Orally in 2 doses 12 hours​ apart, within 7 days of unprotected sex Orally in 2 doses 12 hours​ apart, within 24 hours of unprotected sex Orally in 2 doses 12 hours​ apart, within 72 hours of unprotected sex

Orally in 2 doses 12 hours​ apart, as soon as possible after unprotected sex

Mason Deever came to your clinic with complaints of sexual dysfunction. He states that he cannot achieve an erection. You notice that he has severe acne and is very muscular. He mentions that he is a weight lifter. Which medication is associated with these assessment​ findings? Human chorionic gonadotropin​ (Pregnyl) Oxandrolone​ (Oxandrin) Tadalafil​ (Cialis) Fluoxymesterone​ (Androxy)

Oxandrolone​ (Oxandrin)

Belinda Martinez is a healthy​ 28-year-old female at 40​weeks' gestation. She is admitted to the hospital for signs of labor. What medication may the healthcare provider order to speed up the labor​ process?

Oxytocin

The nurse in an obstetric-gynecologic clinic is interviewing a client. The client​ states, "I have been experiencing​ long, heavy bleeding during my​ periods." Which are possible causes of the client​'s dysfunctional ​bleeding? Select all that apply. Pelvic tumor Gonorrhea Endometriosis Yeast overgrowth Uterine infection

Pelvic tumor Endometriosis Uterine infection

The nurse is caring for a client with swallowing difficulties who is expected to require enteral nutrition for 6-8 weeks. What type of tube would the nurse expect to be used for this​ client? Nasogastric tube Percutaneous endoscopic gastrostomy tube Nasoduodenal tube Nasojejunal tube

Percutaneous endoscopic gastrostomy tube

What is one important difference between peripheral parenteral nutrition and central parenteral​ nutrition? Only peripheral infusion requires an infusion pump. Peripheral vein solutions have a lower osmolality. Peripheral vein administration is used for​ long-term therapy. Central vein administration has fewer risks.

Peripheral vein solutions have a lower osmolality.

You are assessing your​ client, Stuart​ Silkowski, before administering an antiseizure medication. Mr. Silkowski does not take any other drugs or​ herbals; however, he does have chronic gingivitis. Which medication should Mr. Silkowski​ avoid, if​ possible? Diazepam​ (Valium) Phenobarbital​ (Luminal) Phenytoin​ (Dilantin) Carbamazepine​ (Tegretol)

Phenytoin​ (Dilantin)

The nurse is caring for a homeless older adult client who was admitted for severe malnourishment. The client​'s history is negative for​ kidney, liver, and lung​ disease, and he has no digestive issues. Which type of enteral formula should the nurse expect to see​ ordered? Polymeric Specialized Modular Oligomeric

Polymeric

The nurse is assessing an adult client who has newly diagnosed bipolar disorder. What aspects of bipolar disorder are significantly different from other depressive ​states? Select all that apply. Poor adherence to medical therapy Managed exclusively with antidepressants Full awareness of their state of mind and behaviors High suicidal tendency Increased risk for suicide

Poor adherence to medical therapy High suicidal tendency Increased risk for suicide

A​ 24-year-old client presents to the obstetrical gynecology clinic complaining of absence of menstruation for the past two months. Which laboratory test does the nurse expect the healthcare provider to​ order? Prothrombin time Pregnancy test Hemoglobin level Sodium level

Pregnancy test

Which conditions are indications for the use of ​progestins? Select all that apply. Curative treatment of endometrial cancer Premenstrual syndrome Contraception Thromboembolic disorder Abnormal uterine bleeding

Premenstrual syndrome Contraception Abnormal uterine bleeding

Which drugs are examples of atypical ​antipsychotics? Select all that apply. Lamotrigine​ (Lamictal) Quetiapine​ (Seroquel) Aripiprazole​ (Abilify) Risperidone​ (Risperdal) Olanzapine​ (Zyprexa)

Quetiapine​ (Seroquel) Aripiprazole​ (Abilify) Risperidone​ (Risperdal) Olanzapine​ (Zyprexa)

When the osmolality of plasma​ increases, what is triggered in addition to the thirst​mechanism? Release of epinephrine Excretion of sodium chloride Release of antidiuretic hormone Excretion of bicarbonate

Release of antidiuretic hormone

What characteristics are associated with status ​epilepticus? Select all that apply. A class of seizures that can result in brain damage Repetitive seizure activity with no return to consciousness between seizures Serious condition that may occur during seizure activity Continued seizure activity for 30 minutes or more Repetitive seizure activity without loss of consciousness

Repetitive seizure activity with no return to consciousness between seizures Serious condition that may occur during seizure activity Continued seizure activity for 30 minutes or more

What is the most common adverse effect of barbiturates used to treat anxiety and​ insomnia? Residual sedation Headache Amnesia Dizziness

Residual sedation

The nurse is providing care to a​ 27-year-old client admitted with epilepsy. A student nurse is also working with this nurse and client. The student nurse is assessing the client prior to administering an antiseizure medication. Which nursing actions are appropriate for this ​client? Select all that apply. Review the medication orders and clarify any orders that are not clear. Teach the client to ask for help with ambulation to prevent a fall or injury. Give all medications via intravenous access​ (IV). Assess for any drug allergies. Correctly identify the client using at least two sources of identification.

Review the medication orders and clarify any orders that are not clear. Teach the client to ask for help with ambulation to prevent a fall or injury. Assess for any drug allergies. Correctly identify the client using at least two sources of identification.

Which classification of antidepressants is used most often to treat anxiety​ disorders? Barbiturates Benzodiazepines SSRIs MAOIs

SSRIs

Which statement about selective serotonin reuptake inhibitors​(SSRIs) is​ true? SSRIs take more time to produce a therapeutic​ response, compared to other classes of antidepressants. SSRIs prevent the reabsorption of​ serotonin, norepinephrine, and dopamine. SSRIs are the drugs of choice for the pharmacologic management of depression. SSRIs are safer​ than, but not as effective​ as, other classes of antidepressants.

SSRIs are the drugs of choice for the pharmacologic management of depression.

What adverse effects are associated with ​phenothiazines? Select all that apply. Sexual dysfunction Tardive dyskinesia ​Parkinson-like symptoms Excessive secretions Bradycardia

Sexual dysfunction Tardive dyskinesia ​Parkinson-like symptoms

Melissa Jones comes to the clinic today with complaints of insomnia. She states that she has been working 14 hours a day without a lunch break due to a deadline on a project at work. She waits to eat until she gets home and lives on energy drinks throughout the day. Based on this​ information, what do you suspect Ms. Jones is​ experiencing? ​Long-term insomnia Generalized anxiety disorder ​Short-term insomnia Panic disorder

Short-term insomnia

The nurse is explaining to a group of female clients when to contact their healthcare providers. Which symptom is the most important for the nurse to emphasize to those who are taking medications for reproductive dysfunction or birth​ control? Polyuria Shortness of breath that is not relieved by rest Weight loss Breast tenderness

Shortness of breath that is not relieved by rest

Catherine Collins is an​ 82-year-old woman who comes to your clinic for her annual physical. She admits that she has felt overwhelming sadness since her husband died a few months ago. To make matters​ worse, her husband failed to maintain his life insurance policy before he​ died, causing subsequent financial strain on Mrs. Collins. What disorder do you suspect she is most likely​ experiencing? Seasonal affective disorder Situational depression Major depressive disorder Dysthymic disorder

Situational depression

Shan Jung recently had a radical neck resection for throat cancer. He has a nasogastric tube and is receiving bolus enteral feedings. Mr. Jung complains of nausea and bloating. He asks you if there is anything that can be done to relieve the discomfort that accompanies his feedings. What should you tell Mr. Jung you will​ do? Add 8 ounces of water to each feeding. Slow the rate of administration. Add fiber to the nutritional supplement. Test him for Clostridium difficile.

Slow the rate of administration.

The nurse is reviewing the records of several clients who are scheduled to come into the clinic for birth control prescriptions. Which client information would guide the nurse​'s decision to consult with the healthcare provider prior to recommending OC ​therapy? Select all that apply. Smokes 4 packs of cigarettes a day Exercises moderately 4 days a week Has a​ 3-week-old infant and is breastfeeding History of multiple deep vein thromboses in her legs Unable to sleep many nights of the week

Smokes 4 packs of cigarettes a day Has a​ 3-week-old infant and is breastfeeding History of multiple deep vein thromboses in her legs

Which assessment is most important for the nurse to perform before administering a medication for anxiety or​ insomnia? Stressors that trigger anxiety or inhibit sleep Family history of anxiety or sleep disorders Negative coping skills Weight gain over the past six months

Stressors that trigger anxiety or inhibit sleep

Women who are taking hormone replacement combinations of estrogen and progestin have an increased risk for which ​conditions? Select all that apply. Stroke Colorectal cancer Breast cancer Hip fractures Venous thromboembolism

Stroke Breast cancer Venous thromboembolism

What are common clinical manifestations of fluid volume​ deficit? Select all that apply. Tachycardia Decreased capillary refill Orthostatic hypotension Headache Nystagmus

Tachycardia Decreased capillary refill Orthostatic hypotension

When a client is taking a medication for erectile dysfunction​ (ED), what education regarding these medications should be​ included? Visual disturbances are a normal reaction. Take 10-15 minutes prior to sexual​ activity, unless prescribed daily. Take 30-60 minutes prior to sexual​ activity, unless prescribed daily. Lifelong pharmacotherapy of ED may be necessary.

Take 30-60 minutes prior to sexual​ activity, unless prescribed daily.

When educating clients about antiseizure​ medications, which activities will the nurse teach that will help decrease seizure ​activity? Select all that apply. Taking medication at specified times Staying with the same drug brand Following up with lab work Receiving a flu shot Taking medication consistently

Taking medication at specified times Staying with the same drug brand Following up with lab work Taking medication consistently

A client is experiencing a nonacute fluid volume deficit after walking to a nearby clinic for an appointment on a very warm summer day. The client feels slightly thirsty but does not feel lightheaded or have other problems. The nurse monitors the client​'s blood pressure and finds it to be slightly low​ (100/72 mmHg). To efficiently and comfortably bring the client​'s fluid volume back to a more normal​ level, which intervention would the nurse​ implement? IV administration of a hypertonic solution Inserting a feeding tube and administering fluids via the feeding tube IV administration of an isotonic solution Teaching the client to drink approximately​ 2,500 mL of water per day

Teaching the client to drink approximately​ 2,500 mL of water per day

The nurse is caring for a client who has been diagnosed with insomnia. Which medication does the nurse anticipate will be prescribed for this​ client? Diazepam​ (Valium) Temazepam​ (Restoril) Lorazepam​ (Ativan) Alprazolam​ (Xanax)

Temazepam​ (Restoril)

Before administering any​ medications, the nurse will teach the male client about the male reproductive​ system, including information about male hormones. What will be included in the teaching ​plan? Select all that apply. In​ men, secretion of sex hormones ceases around the age of 45 to 55 years. Testosterone is responsible for male secondary sex​ characteristics, known as virilization. The testes produce sperm and the male hormone testosterone. The adrenal glands and the testes produce​ hormones, including testosterone. Trauma to the testes may influence the secretion of testosterone.

Testosterone is responsible for male secondary sex​ characteristics, known as virilization. The testes produce sperm and the male hormone testosterone. The adrenal glands and the testes produce​ hormones, including testosterone. Trauma to the testes may influence the secretion of testosterone.

What does the nurse need to know before administering oral enteral ​nutrition? Select all that apply. That the client will adhere to the feeding plan That the client will need less direct nursing supervision That the client is able to swallow That a gastrostomy tube must be in place first That a central line must be placed

That the client will adhere to the feeding plan That the client will need less direct nursing supervision That the client is able to swallow

The nurse is constructing the plan of care for a client who is being treated for anxiety. What teaching points should the nurse include when educating the client about medication ​administration? Select all that apply. The appropriate dose When to notify the health care provider regarding complications When to take the medication What adverse effects may occur from taking the medication Where to obtain the medication

The appropriate dose When to notify the health care provider regarding complications When to take the medication What adverse effects may occur from taking the medication

The nurse is administering blood products to a client who was admitted to the emergency department following a motor vehicle crash. Which assessment findings indicate adverse reactions to the blood ​product? Select all that apply. The client reports that he feels anxious and is beginning to have difficulty breathing. The nurse notes that the client is developing slurred speech. The client reports that he has to urinate. The client reports that he is feeling lightheaded and​ "itchy." The client reports that his​ face, neck, and upper chest are red and feel warm.

The client reports that he feels anxious and is beginning to have difficulty breathing. The nurse notes that the client is developing slurred speech. The client reports that he is feeling lightheaded and​ "itchy." The client reports that his​ face, neck, and upper chest are red and feel warm.

​Ten-year-old Tyrone has just been diagnosed with attention​ deficit/hyperactivity disorder​ (ADHD). His custodial grandmother tells you she is concerned about starting Tyrone on medication for ADHD. What should you tell​ her? No adverse effects are associated with the medications used for ADHD treatment. Once Tyrone has settled​ down, the medication can be stopped. Medication should increase his school grades to As. The goal of pharmacotherapy is to decrease​ Tyrone's inattention, and increase his ability to focus.

The goal of pharmacotherapy is to decrease​ Tyrone's inattention, and increase his ability to focus.

The nurse is preparing a teaching plan for clients with a diagnosis of schizophrenia and their family members. Which instruction would be included in the teaching​ plan? Psychosis can be cured after 6 months of medication use. The goal of treatment is to allow maintenance of normal activity and​ self-care. An increase in the frequency of the original symptoms is no cause for concern. ​Follow-up will be unnecessary after discharge from the facility.

The goal of treatment is to allow maintenance of normal activity and​ self-care.

Which statement accurately describes the administration of lithium​(Eskalith) in the pharmacotherapy of bipolar​ disorder? Administration is only at night due to resulting drowsiness Lithium can be administered once a day Lithium is safe to administer with SSRIs Therapeutic dose is based on serum drug levels

Therapeutic dose is based on serum drug levels

The nurse is reviewing the tricyclic antidepressant​ (TCA) prescribed for an adult client with depression. What information is important to know regarding this class of​ medication? Therapy with TCAs cannot be stopped abruptly. The efficacy of TCA therapy is somewhat unpredictable. The dosage must be adjusted frequently to prevent tolerance. The high cost of TCAs may be prohibitive for clients without insurance.

Therapy with TCAs cannot be stopped abruptly.

When assessing clients for​ depression, which other medical conditions could contribute to a depressed ​state? Select all that apply. ​End-stage Alzheimer disease Thyroid gland dysfunction Use of oral contraceptives in women Vitamin B deficiencies Use of beta blockers for treatment of hypertension

Thyroid gland dysfunction Use of oral contraceptives in women Vitamin B deficiencies Use of beta blockers for treatment of hypertension

Total parenteral nutrition​ (TPN) is ordered for an adult client with a severe gastrointestinal disorder. The nurse expects that the solution will contain which ​nutrients? Select all that apply. Trace minerals Electrolytes Antibiotics Lipids Amino acids

Trace minerals Electrolytes Lipids Amino acids

Which drugs are examples of atypical ​antidepressants? Select all that apply. Trazodone​ (Oleptro) Bupropion​ (Wellbutrin) Duloxetine​ (Cymbalta) Clomipramine​ (Anafranil) Paroxetine​ (Paxil)

Trazodone​ (Oleptro) Bupropion​ (Wellbutrin) Duloxetine​ (Cymbalta)

Which nursing actions are taken to decrease the risk for infection at the parenteral administration ​site? Cover the insertion site with a dry gauze dressing. Leave the site open to the air. Use the TPN catheter only for TPN. Clean the insertion site area with an antimicrobial solution. Change the IV site of a peripheral line every 48 hours.

Use the TPN catheter only for TPN. Clean the insertion site area with an antimicrobial solution. Change the IV site of a peripheral line every 48 hours.

Parenteral nutrition may be administered by which​ route? Via central intravenous access Via the gastrointestinal system Via the oral route Via tube feeding

Via central intravenous access

Sodium​ bicarbonate, 44 mEq times two IV bolus is ordered for Ms. Degrasso. As you administer the​ solution, for which common adverse effect should you​ monitor? Vomiting Hypercapnia Diarrhea Generalized hives

Vomiting

Which medications become less effective when taken with phenytoin ​(Dilantin)? Select all that apply. Ibuprofen​ (Advil) Aspirin​ (Bayer) Warfarin sodium​ (Coumadin Sodium) Oral contraceptives Corticosteroids

Warfarin sodium​ (Coumadin Sodium) Oral contraceptives Corticosteroids

A postpartum client who is being discharged after a vaginal delivery is discussing methods of birth control with the nurse. The client​ states, "I really need birth​ control, but I can​'t remember to take pills every day. Is there a pill I could take less​ often?" Which statement by the nurse gives the​ best, most complete answer to this​ client? ​"We will ask your health care provider to prescribe​ levonorgestril/ethinyl estradiol​ (Seasonale)." ​"You could try monophasic contraceptives​ pills." ​"All oral contraceptives have to be taken​ daily, but there are​ long-term contraceptives that may be a good option for​ you." ​"You can just rely on emergency​ contraception."

​"All oral contraceptives have to be taken​ daily, but there are​ long-term contraceptives that may be a good option for​ you."

The mother of a​ 5-year-old child with ADHD tells the nurse she is planning to ask the health care provider to prescribe methylphenidate​ (Concerta) for her son because this medication has helped his​ cousin's performance in school. What is the​ nurse's best response to this​ parent? ​"Instead of ordering​ Concerta, your health care provider will probably prescribe Ritalin for your​ son." ​"Concerta is not recommended for children under 6 years of age.​ Let's talk about some other​ alternatives." ​"Methylphenidate is the drug of choice for​ ADHD." ​"You could discuss a​ 60-day trial of Concerta with your​ son's health care​ provider."

​"Concerta is not recommended for children under 6 years of age.​ Let's talk about some other​ alternatives."

The nurse is performing an admission assessment on a client with a diagnosis of schizophrenia. Which statement by a family member best correlates with the​ diagnosis? ​"He is hyperactive one minute and unresponsive the next​ minute." ​"He attends most of his​ children's school​ functions." ​"He is always very neat in​ appearance." ​"He received a job promotion two weeks​ ago."

​"He is hyperactive one minute and unresponsive the next​ minute."

Gary Fretz has been taking medication for insomnia for 3 months. He comes to the clinic today for​ follow-up care. Which client statement best indicates successful pharmacotherapy for​ insomnia? ​"I am still unable to sleep for more than 4 hours per​ night." ​"I am sleeping​ better, but sometimes wake up feeling​ groggy." ​"I sleep well for​ 7-8 hours, but often feel irritable during the​ day." ​"I have been able to sleep for about​ 7-8 hours per​ night."

​"I have been able to sleep for about​ 7-8 hours per​ night."

The nurse has performed discharge teaching for a client receiving antipsychotic medications. Which statement indicates that further instructions are​ necessary? ​"I should avoid alcohol while taking these​ drugs." ​"I should rise slowly from a lying or sitting​ position." ​"I should notice an improvement in symptoms​ immediately." ​"I should check with my health care provider before taking any​ over-the-counter drugs."

​"I should notice an improvement in symptoms​ immediately."

The healthcare provider in the clinic has prescribed​ androgen/anabolic steroid treatment for the client with a newly diagnosed male reproductive system disorder. Which client response indicates that further teaching is needed before he takes the first dose of the prescribed​ medication? ​"The nurse said testosterone can cause water​ retention; I will weigh myself twice a week and check for any swelling in my ankles and lower​ legs." ​"I need to limit the amount of red meat and fat I eat each day to prevent a high cholesterol level in my​ blood." ​"I need to avoid showering or swimming for at least an hour after I apply the testosterone​ patch." ​"I think the nurse said I can continue to smoke as long as I limit the number of cigarettes I smoke each day to no more than​ 10."

​"I think the nurse said I can continue to smoke as long as I limit the number of cigarettes I smoke each day to no more than​ 10."

The nurse at an infertility clinic is discussing infertility with a group of clients. A participant​ asks, "When do you know that you are having problems​ conceiving?" Which statement is the best nursing​ response? ​"If you are not practicing birth control and you don​'t get​ pregnant, you are said to be​ infertile." ​"To meet the criteria for being​ infertile, you must be over 30 years old and not be on any type of birth​ control." ​"If you have not been able to become pregnant after one year of​ frequent, unprotected sexual​ intercourse, you are​ infertile." ​"There is no way to know if you are having problems with the ability to get pregnant until a blood test showing infertility is​ completed."

​"If you have not been able to become pregnant after one year of​ frequent, unprotected sexual​ intercourse, you are​ infertile."

An antidepressant has been prescribed for a young female adult client with depression. What would the nurse include when providing education to this client regarding her ​medication? Select all that apply. ​"You may stop taking this medication any time you feel it is not treating your​ depression." ​"Inform your health care provider immediately if you become pregnant while taking this​ medication." ​"You may occasionally have one or two alcoholic beverages while taking this​ medication." ​"When you are feeling​ better, you may slowly decrease your dose over several​ months." ​"You may experience suicidal thoughts while taking this​ medication."

​"Inform your health care provider immediately if you become pregnant while taking this​ medication." ​"You may experience suicidal thoughts while taking this​ medication."

Margaret Johnson is a​ 55-year-old female who is in the office for​ follow-up after hormone replacement therapy was initiated 3 months ago. Which statement by Mrs. Johnson indicates that her therapy has been effective for her menopausal​ symptoms? ​"My husband states that I am less​ irritable, but I still have no sex​ drive." ​"My night sweats have decreased and I am sleeping​ 7-8 hours at​ night." ​"I am able to fall asleep​ better, but wake up​ often." ​"My hot flashes have​ stopped, but I still wake up some nights​ sweaty."

​"My night sweats have decreased and I am sleeping​ 7-8 hours at​ night."

You are serving as a school nurse at the local high school.​Fifteen-year-old Olivia comes to the​ nurse's office and asks about how oral contraceptives work. Which response is​accurate? ​"Oral contraceptives are not safe for girls your​ age." ​"Oral contraceptives prevent menstruation from​ occurring." ​"Oral contraceptives are not the most reliable source of birth​ control." ​"Oral contraceptives are used to prevent pregnancy by inhibiting​ ovulation."

​"Oral contraceptives are used to prevent pregnancy by inhibiting​ ovulation."

The client diagnosed with benign prostatic hyperplasia​ (BPH) will be treated with doxazosin mesylate​ (Cardura). Before he leaves the​ clinic, the nurse will teach the client about his condition and the medication he will be taking. What information will be on the teaching ​plan? Select all that apply. ​"You may experience blurred​ vision, bluish tinge to​ objects, or​ photophobia." ​"The symptoms of BPH include urinary​ retention, hesitancy,​ nocturia, dribbling,​ frequency, and difficulty starting the urine​ stream; notify the healthcare provider if they return or get​ worse." ​"Report impotence, decreased ejaculate​ volume, decreased​ libido, or dizziness to the healthcare​ provider." ​"This medication can cause orthostatic​ hypotension, so you should rise slowly from a sitting or lying position to prevent dizziness or​ fainting." ​"Limit red meat and fat in your diet and increase​ exercise."

​"The symptoms of BPH include urinary​ retention, hesitancy,​ nocturia, dribbling,​ frequency, and difficulty starting the urine​ stream; notify the healthcare provider if they return or get​ worse." ​"Report impotence, decreased ejaculate​ volume, decreased​ libido, or dizziness to the healthcare​ provider." ​"This medication can cause orthostatic​ hypotension, so you should rise slowly from a sitting or lying position to prevent dizziness or​ fainting." ​"Limit red meat and fat in your diet and increase​ exercise."

The nurse is interviewing a​ 22-year-old female client at the beginning of an obstetric-gynecologic office visit. Which question is appropriate for the nurse to ​ask? Select all that apply. ​"What medications do you​ take?" ​"Are you experiencing menopausal​ symptoms?" ​"Are you allergic to any​ medications?" ​"When was your last menstrual​ period?" ​"Are you sexually​ active?"

​"What medications do you​ take?" ​"Are you allergic to any​ medications?" ​"When was your last menstrual​ period?" ​"Are you sexually​ active?"

The nurse is collecting a health history from a client who is being treated for insomnia. The nurse is currently addressing medications that the client uses. Which questions are appropriate to include in a medication ​history? Select all that apply. ​"What coping mechanisms help your​ insomnia?" ​"What factors make your insomnia​ worse?" ​"What prescriptions do you currently​ take?" ​"What over-the-counter medications do you take on a regular​ basis?" ​"Do you use any herbal​ products?"

​"What prescriptions do you currently​ take?" ​"What over-the-counter medications do you take on a regular​ basis?" ​"Do you use any herbal​ products?"

The healthcare provider has prescribed sildenafil citrate​ (Viagra), a​ phosphodiesterase-5 (PDE-5)​ inhibitor, for a client newly diagnosed with erectile dysfunction​ (ED). Before a​ PDE-5 inhibitor is administered to this​ client, why must the nurse complete a thorough assessment that includes ascertaining what other medications the client is currently​ taking? ​PDE-5 inhibitors must be used with caution in clients who have severe cardiovascular​ disease, recent myocardial infarction or cerebrovascular​ accident, heart​ failure, or dysrhythmias. ​PDE-5 inhibitors are contraindicated in clients taking vitamin​ C, as this combination can cause dangerously high serum levels of the​ drug, leading to serious adverse effects. Testosterone medications are in pregnancy category​ X; therefore, the client​'s female partners must use caution. ​PDE-5 inhibitors are contraindicated in clients taking nitrates.

​PDE-5 inhibitors are contraindicated in clients taking nitrates.

What classification of drug has a primary action of maintaining relaxation in the smooth muscle of the​ penis? Androgens ​Alpha-adrenergic blockers ​Phosphodiesterase-5 inhibitors Anabolic steroids

​Phosphodiesterase-5 inhibitors