pharm 2 exam 2 review questions

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165) Which potential side effect of docusate sodium would a nurse include in discharge teaching of a client who had repair of an inguinal hernia? Rectal bleeding Fecal impaction Nausea and vomiting Mild abdominal cramping

Which class is contraindicated in clients who take rifampin? Loop diuretics Oral contraceptives Proton pump inhibitor Intermediate-acting insulin

544) A child is prescribed insulin glargine before breakfast. Which instruction is most appropriate for the nurse to give the parents regarding a bedtime snack? 'Offer a snack to prevent hypoglycemia during the night.' 'Give the child a snack if signs of hyperglycemia are present. ''Avoid a snack because the child is being treated with long-acting insulin.' 'Keep a snack at the bedside in case the child gets hungry during the night.'

The nurse is preparing to administer a client's prescribed NPH and regular insulins. Which action should the nurse take first when mixing the insulins in one syringe? Question 13 Answer Choices ADraw up the NPH Draw up the NPH BDraw up the regular insulin CInject air into the NPH Inject air into the NPH DInject air into the regular insulin

Which therapy is indicated for a client admitted to the hospital after general paresis develops as a complication of syphilis? Penicillin therapy Major tranquilizers Behavior modification Electroconvulsive therapy

The nurse administers cimetidine to a 75-year-old client diagnosed with a gastric ulcer. The nurse should monitor the client for which adverse reaction? Question 12 Answer Choices AMental status change BIncreased liver enzymes CConstipation DHearing loss

A - Cimetidine is an H2 receptor blocker used in treatment of gastric ulcers. Cimetidine should be used cautiously in the elderly, as it is known to cause a change in mental status such as confusion in the elderly population.

The nurse is planning to administer a series of vaccines to a 4-year-old child including the DTap, IPV, MMR, and VAR. Before administering the vaccines, what information should the nurse be aware of? Select all that apply. A. Either the deltoid muscle of the arm or anterolateral thigh muscle can be used B. A 20 gauge needle is used to administer the varicella (VAR) vaccine intramuscularly (IM) C. A 5/8 inch needle length is often used for subcutaneous (SubQ) injections D. The vaccines contain the preservative thimerosal E. Multiple immunizations should be administered a minimum of 1 inch apart F. The vaccines all contain weakened live viruses

A, C, E

119) Which purpose is served by an evening snack of milk, crackers, and cheese for a client who is receiving NPH insulin? Encouragement to stay on the diet Food to counteract late insulin activity Added calories to promote weight gainHigh carbohydrates to provide nourishment for immediate use

The nurse is reviewing discharge instructions with a client who has been prescribed ciprofloxacin following a minor burn injury. Which statement by the client requires additional teaching? Question 16 Answer Choices A"I will protect my skin from the sun with sunscreen and clothing." B"I will not take ciprofloxacin prior to sun exposure." C"After healing, I should have no scarring from this burn." D"I can take ibuprofen for the pain related to this burn."

The nurse understands which immunosuppressant medication interacts with allopurinol and may cause bone marrow suppression in children? Tacrolimus Azathioprine Cyclosporine Muromonab-DC3

Which adverse response to isoniazid (INH) in a client with tuberculosis would cause the nurse to determine that prompt intervention is needed? Orange feces Yellow sclera Temperature of 96.8°F (36°C) Weight gain of 5 pounds (2.3 kilograms)

Which education would the nurse provide the parents of an infant receiving the first diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP) at 2 months of age? Give the baby aspirin if there is pain. Call the clinic if marked drowsiness occurs. Apply ice to the injection site if there is swelling. Provide heat at the injection site if redness occurs.

B Altered level of consciousness (such as marked drowiness) and seizures are rare but serious complications of the pertussis vaccine.

900) A health care provider prescribes bed rest, loperamide, and esomeprazole for a client who just had major surgery. After several days of this regimen, the client complains of diarrhea. Which treatment strategy would the nurse conclude is the cause of the diarrhea? Loperamide Esomeprazole Bed rest Diet alteration

B - Esomeprazole, a proton-pump inhibitor, may cause diarrhea.

915) Which insulin will the nurse prepare for the emergency treatment of ketoacidosis? Glargine NPH insulin Insulin aspart Insulin detemir

498) Which antidiarrheal medication would the nurse anticipate administering to a client with severe diarrhea who is prescribed intravenous fluids, sodium bicarbonate, and an antidiarrheal medication? Psyllium Bisacodyl Loperamide Docusate sodium

C - . lopermide inhibits peristalsis and prolongs transit time by its effect on the nerves in the muscle wall of the intestines

A client is prescribed alendronate. Which instruction should the nurse emphasize when teaching about this medication? Question 14 Answer Choices A"Take the medication with a full glass of milk two hours after meals." B"It is recommended that you take this medication with calcium and a glass of juice." C"Be sure to take this medication on an empty stomach." D"You may take this medication after any meal, at the same time every day."

C - Alendronate (Fosamax) is used to treat and prevent osteoporosis. It should be taken first thing in the morning with 6 to 8 ounces of plain water at least 30 minutes before other medication or food. Food and fluids (other than water) greatly decrease the absorption of this medication.

1381) A client taking oral contraceptives for 3 months tells the nurse she has breakthrough bleeding between menstrual cycles. For which causative factor would the nurse first assess in the client? Illness Anorexia nervosa Ectopic pregnancy Nonadherence to protocol

160) Which action is responsible for the therapeutic effect of docusate sodium? Lubricates the feces Creates an osmotic effect Stimulates motor activity Softens the feces

1021) In addition to clients who are receiving insulin for type 1 diabetes, the nurse will assess for signs and symptoms of hypoglycemia in clients who have which diagnosis? Liver failure Anemia Hyperthyroidism Stage 3 hypertension

121) Which instruction will the nurse provide to a client with type 2 diabetes who develops gout when teaching about the administration of allopurinol? "Allopurinol masks symptoms of hypoglycemia." "Increase your oral hypoglycemic medications." "Increase attention to diabetic foot care." "Monitor blood glucose levels more frequently."

1375) A 31-year-old client is seeking contraceptive information. While obtaining the client's history, which factor indicates to the nurse that oral contraceptives are contraindicated? Older than 30 years Current hypothyroidism Two multiple pregnancies Blood pressure 162/110

1061) Which physiological function is the last function lost during anesthesia induction? Gag reflex Eyelid reflexes Voluntary control Respiratory movement

1127) A health care provider prescribes bisacodyl for a client with constipation. The nurse explains to the client that this medication acts by which mechanism? Producing bulk Softening feces Lubricating feces Stimulating peristalsis

406) Which medications would the nurse identify as being used as preanesthetic agents? Select all that apply. One, some, or all responses may be correct. Barbiturates Benzodiazepines Antiepileptic agents Atypical antipsychotics Mood stabilizing agents

A, B

1202) A 28-year-old woman who is a smoker seeks advice about oral contraceptives. Which response by the nurse is appropriate? 'Oral contraceptives can cause thrombophlebitis.' 'Oral contraceptives must be used with other methods.' 'Some oral contraceptives can be used without concern.' 'Some oral contraceptives are safe, but others are not safe.

1376) A biphasic antiovulatory medication of combined progestin and estrogen is prescribed for a client. Which instruction would the nurse include when teaching about this oral contraceptive? 'Report irregular vaginal bleeding.' 'Restrict sexual activity temporarily.' 'Have regular bimonthly Pap smears.' 'Increase dietary intake of calcium.'

929) Which independent nursing action would be included in the plan of care for a client after an episode of ketoacidosis? Monitoring for signs of hypoglycemia resulting from treatment Withholding glucose in any form until the situation is corrected Giving fruit juices, broth, and milk as soon as the client is able to take fluids orally Regulating insulin dosage according to the client's urinary ketone levels

A client who is taking isoniazid for tuberculosis asks the nurse about the possible side effects of this medication. The nurse informs the client to report which side effect of this medication to the primary health care provider (HCP)? Question 3 Answer Choices AExtremity tingling and numbness BConfusion and light-headedness CDouble vision and visual halos DPhotosensitivity and photophobia

A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg PO 4 times a day. To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed. Which information is most important for the nurse to include in client teaching? Use contraception during intercourse. Ensure the Cytotec is taken on an empty stomach. Encourage oral fluid intake to prevent constipation. Take Cytotec 30 minutes prior to Motrin.

At 9 am, the nurse administers 10 units of insulin aspart subcutaneously to a client with a blood sugar of 322 mg/dL. At approximately what time should the nurse expect the insulin to peak? Question 1 Answer Choices AAt 9:30 am BAt 10:00 am CAt noon DThis insulin does not peak because it acts over 24 hours.

The nurse is caring for a client who has been prescribed vancomycin intravenous infusion for the treatment of methicillin-resistant staphylococcus aureus. Which of the following laboratory values should be immediately reported to the healthcare provider? Question 6 Answer Choices AVancomycin trough of 15 mcg/dl BBlood urea nitrogen level of 18 mg/dl CCreatinine level of 1.1 mg d/l DWhite blood cell count of 11,500 per microliter

The nurse is providing teaching to the client taking metoclopramide. Serious side effects that should be reported to the provider are included in the teaching plan. Which of the following side effects is the priority? Question 5 Answer Choices A. Involuntary muscle movements B Report of increased fatigue C Onset of headaches D Difficulty with sleep Difficulty with sleep

Which essential test results will the nurse review before starting antitubercular pharmacotherapy when caring for a client with human immunodeficiency virus (HIV) infection who is diagnosed with tuberculosis? Liver function studies Pulmonary function studies Electrocardiogram and echocardiogram White blood cell counts and sedimentation rate

544) A child is prescribed insulin glargine before breakfast. Which instruction is most appropriate for the nurse to give the parents regarding a bedtime snack? 'Offer a snack to prevent hypoglycemia during the night.' 'Give the child a snack if signs of hyperglycemia are present.'' Avoid a snack because the child is being treated with long-acting insulin.' 'Keep a snack at the bedside in case the child gets hungry during the night.'

A - Insulin glargine is released continuously throughout the 24-hour period; a bedtime snack will prevent hypoglycemia during the night.

894) A client who takes daily megadoses of vitamins is hospitalized with joint pain, loss of hair, yellow pigmentation of the skin, and an enlarged liver due to vitamin toxicity. Which type of toxicity would the nurse suspect? Retinol (vitamin A) Thiamine (vitamin B 1) Pyridoxine (vitamin B 6) Ascorbic acid (vitamin C)

A - Retinol is lipid soluble and eliminated by the liver. Joint pain, hair loss, jaundice, anemia, irritability, pruritus, and enlarged liver and spleen are signs of vitamin A toxicity

A nurse is preparing to administer intravenous mannitol to a client with increased intracranial pressure. Which action will the nurse perform prior to administering the medication? Question 16 Answer Choices AConnect an in-line filter to the infusion tubing BDilute the medication with lactated ringers CPrepare an infusion warmer DEnsure the client has a patent central line

A - The nurse should connect a filter to the infusion tubing prior to administering mannitol. Mannitol is an osmotic diuretic that may contain crystals within the solution. The in-line filter prevents the administration of particulates into the bloodstream.

135) Which body function maintained by thiamine (vitamin B 1) and niacin (vitamin B 3) will the nurse monitor when prescribed for a client with alcoholism? Neuronal activity Bowel elimination Efficient circulation Prothrombin development

A - Thiamine and niacin help convert glucose for energy and influence nerve activity.

1333) Which points would the nurse include when counseling a woman on hormone therapy? Select all that apply. One, some, or all responses may be correct. The client should use appropriate sun protection. The client should monitor any deviations in body weight. The client should take the medication on an empty stomach. The client should discontinue the medication if adverse effects occur. The client should alternate the time of day the medication is taken.

A, B

Which statement indicates that a female client who is receiving rifampin for tuberculosis understands the teaching? Select all that apply. One, some, or all responses may be . A "This medication may be hard on my liver, so I must avoid alcoholic drinks while taking it." B "This medication may reduce the effectiveness of the oral contraceptive I am taking." C "I cannot take an antacid within 2 hours before taking my medicine." D "My health care provider must be called immediately if my eyes and skin become yellow."

A, B

1058) The nurse is caring for a client with type 1 diabetes. Which signs or symptoms may indicate that the client has insulin-induced hypoglycemia? Select all that apply. One, some, or all responses may be correct. Excessive hunger Weakness Diaphoresis Excessive thirst Deep respirations

A, B, C

993) Which statements would the nurse include when teaching a client who is considering medroxyprogesterone injection as a form of hormonal birth control? Select all that apply. One, some, or all responses may be correct. It lasts for 3 months. It can cause nausea and vomiting. It contains both progestin and estrogen. It decreases the risk of age-related loss of bone density. Side effects include drowsiness or insomnia and depression. The most severe undesirable effects are liver dysfunction and thromboembolic disorders.

A, B, C, D

1059) Intravenous (IV) insulin is prescribed for a client in. Which insulin can be administered IV? Select all that apply. One, some, or all responses may be correct. A. Lispro insulin B. Aspart insulin C. Regular insulin D. Glargine insulin E. Glulisine insulin

A, B, C, E

1241) A client is taking an estrogen-progestin oral contraceptive. Which adverse effects from the contraceptive would the nurse teach the client to report to the primary health care provider? Select all that apply. One, some, or all responses may be correct. Dizziness Chest pain Bloating Nausea Calf tenderness Breast tenderness

A, B, D

Which instruction) should the nurse give to a female client who just received a prescription for oral metronidazole (Flagyl) for treatment of trichomonas vaginalis? (Select all that apply.) A. Increase fluid intake, especially cranberry juice. B. Do not abruptly discontinue the medication; taper use. C. Check blood pressure daily to detect hypertension. D. Avoid drinking alcohol while taking this medication. E. Use condoms until treatment is completed. F. Ensure that all sexual partners are treated at the same time.

A, D, E , F

46) Which finding would lead the nurse to recheck the blood glucose level of a diabetic client before administering a mealtime insulin dose? Select all that apply. One, some, or all responses may be correct. Confusion Drowsiness Diaphoresis Nervousness Heart rate 110 beats/min

ALL

1541) Which action by a client taking alendronate requires correction? Select all that apply. One, some, or all responses may be correct. Taking medication twice a week Taking medication before rising Taking medication with breakfast Taking medication before bedtime Taking medication with apple juice

ALL - Bisphosphonates such as alendronate have specific dosing instructions. The medication is given once a week. Clients must remain in an upright position for 30 minutes after taking the medication. Clients should refrain from eating right before they are given the medication and should take it with a full glass of water because of the risk for esophagitis. Alendronate must be administered in the morning. Clients should take the medication with water.

1203) Which supplement would the nurse instruct a client taking oral contraceptives to increase? Calcium Vitamin C Vitamin E Potassium Rationale

1453) Which birth control agent requires administration once every 3 months? Progestin-only pills Intramuscular progestin Combination biphasic forms Combination monophasic forms

363) Which assessment would the nurse perform specific to the safe administration of intravenous mannitol? Body weight daily Urine output hourly Vital signs every 2 hours Level of consciousness every 8 hours

997) Which medication for treatment of gastroesophageal reflux disease would be contraindicated in the pregnant client? Ranitidine Misoprostol Esomeprazole Calcium carbonate

A nurse is assessing a 9-year-old child after several days of treatment for a documented strep throat. Which statement is in and suggests that further teaching is needed? Question 4 Answer Choices A"Sometimes I take my medicine with fruit juice." B"Sometimes I take the pills in the morning and other times at night." C"I am feeling much better than I did last week." D"My mother makes me take my medicine right after school."

In evaluating the effects of lactulose (Cephulac), which outcome would indicate that the drug is performing as intended? An increase in urine output. Two or three soft stools per day. Watery, diarrhea stools. Increased serum bilirubin.

The health care provider has prescribed tetracycline for a 28-year-old female client with severe acne. When teaching the client about this medication, which information is important for the nurse to include? Question 16 Answer Choices AIt may cause staining of the teeth. BIt may decrease the effectiveness of oral contraceptives. CIt should be taken with food or milk. DIt may cause hearing loss.

The nurse is caring for a client with osteoporosis who has been prescribed alendronate. When providing care, which intervention would be a priority? Question 18 Answer Choices AAdminister the alendronate 30 to 60 minutes before the client eats. BNotify the health care provider if the client reports jaw pain. CEncourage the client to increase their intake of vitamin D. DMonitor the client's serum calcium levels

The nurse is preparing to administer prescribed IV pantoprazole to the hospitalized client. The medication has been stocked in tablet form. Which action by the nurse is appropriate? Question 12 Answer Choices A Administer the medication to the client in oral form B Call the pharmacy to stock the form of the medication C Request that the healthcare provider change the order to tablets D Ask the pharmacist if it is safe to give the client oral pantoprazole

324) Which vitamin would the nurse anticipate may become deficient in a client prescribed cholestyramine for the treatment of type II hyperlipoproteinemia? Niacin (vitamin B 3) Calciferol (vitamin D) Ascorbic acid (vitamin C) Cyanocobalamin (vitamin B 12)

B - Bile acid sequestrants (also known as bile acid-binding resins) bind with bile acids to form an insoluble compound that is then excreted in the feces. These medications decrease the absorption of fat-soluble vitamins (A, D, E, K).

905) A client is to receive metoclopramide intravenously 30 minutes before initiating chemotherapy for cancer of the colon. The nurse explains that metoclopramide is given for which purpose? A. To stimulate production of gastrointestinal (GI) secretions B. To stimulate peristalsis of the upper gastrointestinal (GI) tract C. To prolong excretion of the chemotherapeutic medication D. To increase absorption of the chemotherapeutic medication

B - Prokinetic medications such as metoclopramide stimulate peristalsis in the GI tract. This enhances the emptying of stomach contents into the duodenum to decrease GERD and Vomiting

1096) Daily regular insulin has been prescribed for a client with type 1 diabetes. The nurse administers the insulin at 8 AM. When will the nurse monitor the client for a potential hypoglycemic reaction? At breakfast Before lunch Before dinner In the early afternoon

B - Regular insulin is short acting and peaks in 2 to 4 hours, which in this case will be at or before lunch.

A child infected with human immunodeficiency virus (HIV) is admitted with Pneumocystis jiroveci pneumonia and receives trimethoprim/sulfamethoxazole. Which common side effects would the nurse anticipate? Select all that apply. One, some, or all responses may be . Jaundice Vomiting Headache Crystalluria Photosensitivity

B, D, E

1022) A client with type 1 diabetes self-administers neutral protamine Hagedorn (NPH) insulin every morning at 8:00 AM. The nurse evaluates that the client understands the action of the insulin when the client identifies which time range as the highest risk for hypoglycemia? 9:00 AM to 10:00 AM 10:00 AM to 11:00 AM Noon to 8:00 PM 8:00 PM to midnight

1116) The health care provider prescribes metformin as monotherapy for the client with type 2 diabetes. The nurse will teach the client to monitor for which adverse effect? Weight gain Constipation Lactic acidosis Hypoglycemia

1117) A client with type 1 diabetes experiences tremors, pallor, and diaphoresis. These signs and symptoms are manifestations of which cause? Overeating Viral infection Aerobic exercise Missed insulin dose

1215) A client who is a smoker expresses a desire to postpone her first pregnancy for at least 5 years and declines to use a barrier method. Which method would the nurse anticipate providing education for? A birth control patch A vaginal ring Medroxyprogesterone Combined oral contraceptive pills

232) Which medication therapy is indicated for management of Wernicke encephalopathy associated with Korsakoff syndrome? Traditional phenothiazines Judicious use of antipsychotics Intramuscular injections of thiamine Oral administration of chlorpromazine

906) A client is scheduled for discharge after surgery. The medical record indicates that the client has not had a bowel movement since before surgery, which was 4 days ago. Which prescribed medication will the nurse administer to ensure a bowel movement before discharge? Lactulose Docusate sodium Bisacodyl suppository Psyllium

996) A client prescribed omeprazole for gastroesophageal reflux disease reports a new occurrence of significant diarrhea. Which response by the nurse is most appropriate? 'Stop taking your omeprazole.'' This is a normal side effect of omeprazole.'' We are going to collect a stool sample for testing.' 'Antidiarrheal medication can be used to decrease this.

A client has an anaphylactic reaction after receiving intravenous penicillin. Which would the nurse conclude is the cause of this reaction? An acquired atopic sensitization occurred. There was passive immunity to the penicillin allergen. Antibodies to penicillin developed after a previous exposure. Genes encoded for allergies cause a reaction on an initial penicillin exposure

A client with pulmonary tuberculosis develops tinnitus and vertigo. Which antitubercular medication would the nurse suspect is causing these symptoms? Isoniazid Rifampin Streptomycin Ethambutol

Which rationale will the nurse give for the need to take penicillin G and probenecid for syphilis? "Each medication attacks the organism during different stages of cell multiplication." "The penicillin treats the syphilis, and the probenecid relieves the severe urethritis." "Probenecid delays excretion of penicillin, thus maintaining blood levels for longer periods." "Probenecid decreases the potential for an allergic reaction to penicillin, which treats the syphilis."

Which vaccine is contraindicated for a child undergoing chemotherapy? Influenza (Hib) Hepatitis B (Hep B) Measles, mumps, rubella (MMR) Diphtheria, tetanus, acellular pertussis (DTaP)

The nurse is preparing to administer the next dose of prescribed vancomycin to the client being treated for sepsis. Which of the following laboratory results would be the priority for the nurse to review? Question 12 Answer Choices APeak serum drug level BSerum potassium level CSerum creatinine level DWhite blood cell count

C : Vancomycin can lead to interstitial nephritis and therefore, serum creatinine should be monitored. Prior to a dose, a trough level would be drawn to help assess minimum inhibitory concentration; however, peak levels are not needed for this purpose and are drawn after administration.

Question 8 The nurse is administering an osmotic diuretic to a client with a traumatic brain injury. Which finding best indicates that the medication was effective? Question 8 Answer Choices A250 mL clear, yellow urine output over four hours BClear bilateral lung sounds to posterior auscultation CIntracranial pressure reading of 14 mmHg DBilateral ovoid pupils that are slow to constrict

C - NORMAL ICP should be < 20mmHg

122) The nurse is to administer a muscle relaxant, succinylcholine, just before a client undergoes electroconvulsive therapy. Which muscles does this medication inhibit? Biceps and triceps Facial and thoracic Intercostal and diaphragmatic Sternocleidomastoid and abdominal

C - Succinylcholine causes paralysis of muscles including the intercostals and diaphragm, so artificial support of respiration is required to sustain life during the procedure.

An older adult client is to receive intravenous (IV) gentamicin for urosepsis. Before administering the medication, for which finding should the nurse notify the health care provider (HCP)? Question 15 Answer Choices AThe client has a history of acid reflux disease. BThe client has a history of retinopathy. CThe client has a history of chronic kidney disease. DThe client has a history of urinary retention.

C - amiNoglycosides = nephrotoxic

1200) A client asks the nurse what she should do if she forgets to take her contraceptive pill 1 day. Which response by the nurse is appropriate? 'Take your pills as instructed.' 'Call your primary health care provider immediately.' 'Continue as usual, and there shouldn't be a problem.' 'On the next day take 1 pill in the morning and 1 pill before bedtime.'

349) Which response would a nurse give to a client taking an oral hypoglycemic tablet daily who asks if an extra tablet should be taken before exercise? "You will need to decrease your exercise." "An extra tablet will help your body use glucose correctly." "When taking medicine, your diet will not be affected by exercise." "No, but you should observe for signs of hypoglycemia while exercising."

420) Which prescription would the nurse anticipate for the client who takes a medication that interferes with fat absorption? High-fat diet Supplemental cod liver oil Total parenteral nutrition (TPN) Water-miscible forms of vitamins A and E

459) Which period of time would a nurse recognize as the greatest risk of hypoglycemia when caring for a client who receives regular insulin daily at 8:00 AM? 8:30 AM to 9:30 AM 8:00 PM to 12:00 AM 1:00 PM to 8:00 PM 10:00 AM to 1:00 PM

528) The nurse plans to teach a fifth-grader with type 1 diabetes how to self-administer lispro and glargine insulin. Which action would the nurse include in the teaching plan? Alternate the sites until the best one to use is found. Self-administer the injections after being taught the technique. Draw up the insulin glargine and then draw up the insulin lispro. Learn to use the needle and syringe by practicing on an insulin pad first.

530) A 6-year-old child is receiving an intravenous solution of 10% glucose and mannitol to reduce cerebral edema. Which complication would the nurse monitor the child for? Overhydration Seizure activity Acute heart failure Hypovolemic shock

569) The nurse is planning an evening snack for a child receiving NPH insulin. The nurse offers a snack for which reason? It encourages the child to stay on the diet. Energy is needed for immediate utilization. Extra calories will help the child gain weight. Nourishment helps counteract late insulin activity.

910) A client who receives NPH insulin every morning reports feeling nervous at 4:30 PM. The nurse observes that the client's skin is moist and cool. Which condition is the client likely experiencing? Hyperosmolar hyperglycemic nonketotic state Ketoacidosis Glycogenesis Hypoglycemia

A client with an infection is receiving vancomycin. Which laboratory blood test result would the nurse report? Hematocrit: 45% Calcium: 9.0 mg/dL (2.25 mmol/L) White blood cells (WBC): 10,000 mm 3 (10 × 10 9/L) Blood urea nitrogen (BUN): 30 mg/dL (10.2 mmol/L)

A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should the nurse include in the client's instruction? A. Notify the clinic of any changes in the color of urine. B. Encourage the use of over-the-counter cough/cold syrup when a cough/cold develops. C. Stop the medication after the diarrhea resolves. D. Take the medication with food.

The nurse is preparing to administer a client's prescribed insulins and needs to mix NPH and lispro. Which of the following actions should the nurse take first? Question 13 Answer Choices AInject air into the long-acting insulin BDraw up the short-acting insulin CDraw up the long-acting insulin DInject air into the short-acting insulin

The parent of a newborn asks the nurse why, except for hepatitis B vaccine, the immunization schedule does not start until the infant is 2 months old. Which response would the nurse provide? 'A newborn's spleen can't produce efficient antibodies.' 'Infants younger than 2 months are rarely exposed to infectious disease.' 'The immunization will attack the infant's immature immune system and cause the disease.' 'Maternal antibodies interfere with the development of active antibodies by the infant when immunized.'

Which explanation would the nurse include when teaching a client scheduled for a bowel resection about the purpose of preoperative antibiotics? "They prevent incisional infection." "Antibiotics prevent postoperative pneumonia." "These medications limit the risk of a urinary tract infection." "They are given to eliminate bacteria from the gastrointestinal (GI) tract."

Which purpose would the nurse identify as the reason for prescribing vitamin B 6 when a chemotherapy protocol prescribed for a client with tuberculosis includes vitamin B 6 and isoniazid (INH)? To improve the nutritional status of the client To enhance the tuberculostatic effect of INH To accelerate the destruction of dormant tubercular bacilli To counteract the peripheral neuritis that INH may cause

Which reason will the nurse explain is the purpose for neomycin being prescribed to a client with cirrhosis? Prevents an infection Limits abdominal distention Minimizes intestinal edema Reduces the blood ammonia level

Which immunizations would the nurse determine are safe for a child who is receiving prednisone? Select all that apply. One, some, or all responses may be . Rubeola Pertussis Varicella Inactivated poliovirus

D Inactivated vaccines are safe for a child receiving prednisone. The pertussis (whooping cough) vaccine is made from inactivated toxins. It is safe to give the child the inactivated poliovirus vaccine; it is not a live attenuated virus vaccine.

198) Which adverse effect will the nurse monitor for in a client who has been administered a neuromuscular blocking agent before electroconvulsive therapy? Seizures Vomiting Loss of memory Respiratory depression

D - A neuromuscular blocker such as succinylcholine produces respiratory depression because it inhibits contractions of respiratory muscles

The nurse is caring for a client who is prescribed erythromycin 500 mg orally every six hours for the treatment of pneumonia. The nurse should monitor the client for which common side effect? Question 4 Answer Choices AEsophagitis BTendon rupture COrange-red discoloration of urine DNausea and vomiting

D - Erythromycin is a macrolide (N, V, & GI upset is common)

A nurse receives a prescription to administer intravenous cefepime to a client with a bacterial infection. The client has a history of lung cancer and is on a continuous cisplatin infusion. How will the nurse administer the prescribed medication? Question 1 Answer Choices APiggyback the cefepime onto the cisplatin infusion BWait for the cisplatin infusion to finish before administering cefepime CInfuse the cefepime via IV push at the proximal port DInitiate a new intravenous line for the cefepime infusion

D Cefepime and cisplatin are not compatible and should not be mixed. The nurse should initiate a new intravenous line for the administration of cefepime

A nurse is administering insulin glargine to a client with diabetes type I. The client asks the nurse why insulin is the only option for therapy. Which statement by the nurse is appropriate? Question 9 Answer Choices AYour body does not produce an adequate amount of insulin BInsulin is better at controlling the disease than oral pills "Insulin is better at controlling the disease than oral pills." CYour body has a resistance to insulin "Your body has a resistance to insulin." DOral pills take longer to produce therapeutic effects than insulin

The nurse is caring for a client who is receiving isoniazid for tuberculosis (TB). Which assessment finding would indicate the client is having a possible adverse response to this medication? Question 8 Answer Choices AYellowing of the sclera BTinnitus and decreased hearing CHeadache and sore throat DUrinary frequency

a - The appearance of jaundice (yellowing of the sclera) may indicate an elevation of the client's serum bilirubin levels and liver enzymes (AST and ALT). A small number of clients taking isoniazid develop severe hepatitis that may progress to liver failure and death, unless the medication is stopped immediately. Other common side effects include nausea and peripheral neuropathy.

A client has been prescribed alendronate for osteoporosis. Which statements indicate that the client understands how to safely take this medication? Select all that apply. "I will notify my doctor if I experience worsening heartburn." "I will take the pill with an antacid to prevent stomach upset." "I will swallow the pill with a full glass of water." "I will stand or sit quietly for 30 minutes after taking the pill." "I will always eat breakfast before taking the pill."

a, c, d

930) The nurse concludes that a client has a hypoglycemic reaction to insulin. Which clinical findings support this conclusion? Select all that apply. One, some, or all responses may be correct. Irritability Glycosuria Dry, hot skin Heart palpitations Fruity odor of breath

a, d

1549) Which finding in a menopausal client's health history would prevent the health care provider from prescribing hormone replacement therapy? Select all that apply. One, some, or all responses may be correct. Smoking Cirrhosis Cholecystitis Breast cancer Deep vein thrombosis

all

1524) The nurse teaches an adolescent about administration of intermediate-acting insulin and regular insulin. Which response indicates the adolescent understands when to administer the second dose of NPH insulin? At lunch At dinnertime 1 hour after lunch 1 hour after dinner

1401) The nurse would instruct a client to stop taking an oral contraceptive and notify the health care provider immediately for the presence of which clinical findings? Select all that apply. One, some, or all responses may be correct. One, some, or all responses may be correct. Nausea Headaches Weight loss Visual disturbances Increased menstrual flow

b, d

A client diagnosed with tuberculosis is prescribed rifampin and isoniazid. Which information should the nurse include when reinforcing information about these medications? Question 11 Answer Choices A"You can take the medication with food." B"You may experience an increase in appetite." C"You may notice an orange-red color to your urine." D"You may have occasional problems sleeping."

A nurse is preparing to administer insulin to a client with diabetes mellitus type 1. The client has regular insulin and insulin glargine prescribed. How will the nurse prepare these medications? Question 1 Answer Choices ADraw up the glargine insulin before the regular insulin Draw up the glargine insulin before the regular insulin BMix the insulins in a larger syringe Mix the insulins in a larger syringe CUse a separate syringe for each insulin Use a separate syringe for each insulin Correct Answer DDraw up the regular insulin before the glargine insulin

The nurse is assessing a client who is taking rifampin for the treatment of tuberculosis. Which finding reported by the client should the nurse immediately report to the healthcare provider? Question 6 Answer Choices ABlurred vision BOrange-tinged tears CDark amber urine DDiarrhea

1372) A 20-year-old woman visiting the clinic says that she wishes to begin using depot medroxyprogesterone acetate as a form of birth control. Which important information would the nurse include when teaching the client about this medication? 'Medroxyprogesterone offers protection against the herpes simplex virus.' 'You will need a repeat injection every 6 months.' 'Increase your intake of iron-rich foods to prevent anemia from increased blood loss during menstruation.' 'Increase your calcium intake and exercise because loss of bone mineral density may occur.'

1425) A client is prescribed an oral contraceptive. As part of teaching, the nurse plans to inform the client of the possibility of which adverse effect? Cervicitis Ovarian cysts Fibrocystic breasts Breakthrough bleeding

352) Which statement made by a client prescribed metformin extended release to control type 2 diabetes mellitus indicates the need for further education? "I will take the medication with food." "I must swallow my medication whole and not crush or chew it." "I will notify my doctor if I develop muscular or abdominal discomfort." "I will stop taking metformin for 24 hours before and after having a test involving dye."

966) The nurse prepares to administer extended-release metformin to an older adult who has asked that it be crushed because it is difficult to swallow. Which rationale will prompt the nurse to ask the provider for a different form of metformin? a. This medication has a wax matrix frame that is difficult to crush. b. The medication has an unpleasant taste, which most clients find intolerable if crushed. c. If crushed, this medication irritates mucosal tissue and can cause oral and esophageal ulcer formation. d. Extended-release formulations are designed to be released slowly and crushing the tablet will prevent this from

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