Pharm Practice Test 5

A patient has expressed frustration at the fact that he has been taking Sudafed for several days and "it still hasn't really cured my cold." What teaching point should the nurse convey to the patient? A) "Drugs like this can often relieve some of the symptoms of a cold, but they won't cure it." B) "Most people find that cold medications are essentially ineffective." C) "It usually takes between 6 and 8 days for Sudafed to cure your cold." D) "Sudafed can sometimes mask the effects of your cold, essentially prolonging it."

A) "Drugs like this can often relieve some of the symptoms of a cold, but they won't cure it."

Which of the following statements by your patient leads you to believe that he has understood how to safely and effectively use bulk-forming laxatives? A) "I will mix the medication with around a cup of fluid and then drink the mixture." B) "I will mix the dry medication with applesauce and then eat prunes before bedtime." C) "I will use milk of magnesia in conjunction with Metamucil until I have a bowel movement. " D) "I will decrease the roughage in my diet while I am taking the bulk-forming laxative and eat rice."

A) "I will mix the medication with around a cup of fluid and then drink the mixture."

An older adult patient has been using levothyroxine (Synthroid) for several years on an outpatient basis. The patient has recently sought care, with complaints that are consistent with hypothyroidism. To which of the patient's following statements may the nurse attribute the decreased effect of Synthroid? A) "I've been using a lot of antacids lately because of my indigestion." B) "My daughter and I have started the Atkin's diet to try to lose some weight." C) "Overall, I'd say that I'm under a lot of stress lately." D) "I've stopped taking aspirin for my arthritis and started using Tylenol."

A) "I've been using a lot of antacids lately because of my indigestion."

A patient is diagnosed with erectile dysfunction. He asks what effect sildenafil (Viagra) has because he is taking nitroglycerin for chest pain. What is the best explanation for why nitrates are contraindicated with sildenafil (Viagra)? A) "Nitroglycerin and Viagra cause a severe decrease in blood pressure." B) "Nitroglycerin and Viagra can lead to prostate cancer." C) "Nitroglycerin decreases the effect of Viagra for erectile dysfunction." D) "Nitroglycerin and Viagra will diminish the effectiveness of chest pain relief."

A) "Nitroglycerin and Viagra cause a severe decrease in blood pressure."

A patient has hypertension and wants to take a nasal decongestant for cold symptoms. Which of the following statements by the nurse best describes the effect of decongestants on blood pressure? A) "The administration of a nasal decongestant will increase blood pressure due to vasoconstriction of blood vessels." B) "The administration of a nasal decongestant will cause bradycardia and increase peripheral blood pressure." C) "The administration of a nasal decongestant will decrease the thyroid production and increase blood pressure." D) "The administration of nasal decongestant will act on the central nervous system to cause vasodilation of blood vessels."

A) "The administration of a nasal decongestant will increase blood pressure due to vasoconstriction of blood vessels."

A patient asks the nurse why a quick-acting sugar given by mouth is better in the regulation of insulin than the use of intravenous glucose for a low blood sugar. Which of the following statements by the nurse represents the most appropriate response to this question? A) "The ingestion of food allows the digestive tract to stimulate vagal activity and the release of incretins." B) "The combination of insulin and food will yield a higher blood sugar than intravenous glucose." C) "Both food and intravenous glucose will produce changes similarly in the gastrointestinal tract to increase blood sugar." D) "You are mistaken. The intravenous glucose yields a higher blood glucose through the release of incretins."

A) "The ingestion of food allows the digestive tract to stimulate vagal activity and the release of incretins."

A nurse who works with patients in a bariatric clinic is teaching a man about the potentially beneficial effects of phentermine. How should the nurse best explain this drug's mechanism of action? A) "This drug will cause you to have less of an appetite." B) "This drug will cause you to absorb less of the fat that you eat." C) "This drug will cause you to burn more calories than you normally do." D) "This drug prevents fat from being deposited in your tissues."

A) "This drug will cause you to have less of an appetite."

A surgical patient's postoperative orders include the twice-daily administration of docusate sodium. The patient is concerned about developing diarrhea from this medication, so the nurse has begun patient education. What should the nurse teach the patient about docusate sodium? A) "This medication will soften your stools over the next couple of days." B) "You'll usually have a bowel movement within 2 to 3 hours of taking this." C) "This medication will cause your bowels to contract more strongly than they normally do." D) "This drug will help you pass regular stools while you're in the hospital, but you should not take it for more than 5 days."

A) "This medication will soften your stools over the next couple of days."

A primiparous woman tells the nurse that she and her partner are highly reluctant to have their infant vaccinated, stating, "We've read that vaccines can potentially cause a lot of harm, so we're not sure we want to take that risk." How should the nurse respond to this family's concerns? A) "Vaccinations are not without some risks, but these are far exceeded by the potential benefits." B) "The potential risks of vaccinations have been investigated and determined to be nonexiste nt. " C) "Unfortunately, state laws mandate that your child receive the full schedule of vaccines." D) "Vaccines indeed cause several serious adverse effects, but these are usually treated at the site where your child receives the vaccination."

A) "Vaccinations are not without some risks, but these are far exceeded by the potential benefits."

Laboratory testing reveals that a patient is in a severely hyperthyroid state and propylthiouracil (PTU) has been prescribed. When providing health education related to this drug, what should the nurse teach the patient? A) "You'll need to take these pills every 8 hours." B) "I'm going to show you how to perform your daily injectio n. " C) "At first, you'll come to the outpatient clinic for your IV infusion once per day." D) "It's best to inject PTU into your abdomen rather than your arm."

A) "You'll need to take these pills every 8 hours."

A patient who suffers from allergies to grass and mold is getting ready to cut grass. Prior to cutting grass, he takes cetirizine (Zyrtec). When will the patient expect the medication to reach maximum effects? A) 1 hour B) 2 to 3 hours C) 8 to 12 hours D) 12 to 24 hours

A) 1 hour

A patient is experiencing chest pain and administers her nitroglycerin sublingually. When should the patient expect to notice relief of her chest pain? A) 1 to 3 minutes B) 5 to 10 minutes C) 15 to 20 minutes D) 30 to 60 minutes

A) 1 to 3 minutes

A patient has contacted the clinic, stating to the nurse, "I've been taking Imodium for the past day-and-a-half, and my diarrhea shows no signs of slowing down." The nurse should respond to the patient in the knowledge that Imodium should be discontinued if her diarrhea does not improve in the next A) 12 hours. B) 2 days. C) 3 to 4 days. D) week.

A) 12 hours.

A patient has purchased an OTC cold remedy that advertises a "nondrowsy" formulation. The nurse should recognize that this produce likely contains which of the following? A) A nasal decongestant but not an antihistamine B) An expectorant, a mucolytic, and a benzodiazepine C) An expectorant but not a decongestant D) A narcotic analgesic and a decongestant

A) A nasal decongestant but not an antihistamine

Which of the following patients is at highest risk for alteration in bowel elimination? A) A patient who is paralyzed from a spinal cord injury B) A patient who has a diagnosis of type 2 diabetes C) A patient who has hypertension D) A patient who takes thyroid replacements

A) A patient who is paralyzed from a spinal cord injury

An unlicensed care provider administered Benadryl to an elderly resident who has been suffering from seasonal pollen allergies. Which of the following assessment findings should prompt the nurse at the facility to suspect that the resident is experiencing anticholinergic effects of this drug? A) Blurry vision B) Tinnitus C) Wheezing on expiration D) Urticaria

A) Blurry vision

A patient with a long-standing diagnosis of asthma is prescribed a beta-blocker for the treatment of angina. The nurse should consequently prioritize assessment for what health problem? A) Bronchospasm B) Hyperglyce mia C) Pleural effusion D) Pneumonia

A) Bronchospasm

A patient is having an allergic reaction to mold. The patient describes chest tightness and difficulty breathing. Which of the following body effects is occurring? A) Contraction of smooth muscle in the bronchi B) Suppression of the vagus nerve endings producing tachycardia C) Decreased permeability of the veins and capillaries D) Decreased secretion of the mucous glands

A) Contraction of smooth muscle in the bronchi

A pediatric patient is receiving chemotherapy. What is the recommended treatment of nausea and vomiting with pediatric chemotherapy agents? A) Corticosteroids and 5-HT3 receptor antagonists B) Phenothiazines and benzodiazepines C) Proton pump inhibitors and antacids D) Prokinetic agents and antihistamines

A) Corticosteroids and 5-HT3 receptor antagonists

A 1-year-old child will receive her scheduled MMR vaccination shortly. The nurse should teach the child's parents that she may develop what possible adverse effect related to the administration of this medication? A) Cough and fever B) Pallor and listlessness C) Serum sickness D) Nausea and vomiting

A) Cough and fever

A patient with chronic renal failure is prescribed filgrastim (Neupogen). What is the major effect of filgrastim (Neupogen)? A) Decreases neutropenia related to chemotherapy B) Decreases white blood cells related to infection C) Decreases growth of blood vessels due to ischemia D) Decreases platelet count related to bleeding

A) Decreases neutropenia related to chemotherapy

An elderly patient has begun taking bisoprolol (Zebeta) 10 mg PO once daily for the treatment of angina. The nurse should administer this drug in the knowledge that it achieves a therapeutic effect in what way? A) Decreasing heart rate B) Increasing the force of myocardia l contractions C) Prolonging the QT interval D) Shortening the time required for repolarization

A) Decreasing heart rate

A community health is conducting a health promotion session with a group from a local seniors' center. The nurse has addressed the issue of laxative overuse in this population. The nurse should highlight what consequence of the overuse of laxatives? A) Dependence B) Impaired absorption of water-soluble vitamins C) Fecal incontinence D) Abdominal pain

A) Dependence

A patient with a persistent and debilitating cough is confused that his physician has prescribed codeine. He tells the nurse, "I was sure that codeine was a narcotic that people take for pain." The nurse should cite what mechanism of action when describing this use of codeine? A) Depression of the cough center in the medulla oblongata B) Vasodilation of the alveolar capillaries C) Stimulation of the reticular activating system (RAS) D) Desensitization of the cough receptors in the sinuses and trachea

A) Depression of the cough center in the medulla oblongata

Your patient is taking psyllium hydrophilic mucilloid (Metamucil) daily. What information should be included in the discharge plan? A) Drink at least 8 ounces of fluid with the medication. B) Mix the medication with your food at the evening meal. C) Combine all of your medications with the mucilloid. D) Discontinue the mucilloid if you do not have a bowel movement daily.

A) Drink at least 8 ounces of fluid with the medication.

A patient is prescribed phentermine (Ionamin) in an effort to promote weight loss. What is the most common adverse effect of phentermine? A) Dry mouth B) Hypernatremia C) Fatigue D) Hypoglyce m ia

A) Dry mouth

A 20-month-old child is experiencing diarrhea. When planning the child's care, the nurse should prioritize assessments related to what health problem? A) Electrolyte deficie nc ie s B) Anorectal bleeding C) Anal fissures D) Nausea

A) Electrolyte deficie nc ie s

A patient has been diagnosed with chronic renal failure. Which of the following agents will assist in raising the patient's hemoglobin levels? A) Epoetin alfa (Epogen, Procrit) B) Pentoxifylline (Pentoxil) C) Estazolam (ProSom) D) Dextrometho rp ha n hydrobromide

A) Epoetin alfa (Epogen, Procrit)

You are the school nurse educating a group of parents on the prevention of the common cold among their children. Which of the following preventive measures is most important to teach the parents? A) Frequent handwashing B) Maintaining vaccinations C) Taking 1200 mg of vitamin C D) Taking Echinacea daily

A) Frequent handwashing

A patient of Italian descent has been prescribed antidiabetic medications. Heavy intake of which of the following herbs should be avoided by this patient? A) Garlic B) Anise C) Basil D) Oregano

A) Garlic

When reviewing a patient's medication history, the nurse observes that the patient has recently completed a course of treatment with nitazoxanide (Alinia). The nurse is justified in suspecting that the patient was infected with what microorganism? A) Giardia lamblia B) E. coli C) Salmonella D) Campylobacter jejuni

A) Giardia lamblia

A 17-year-old boy has been brought to the emergency department by his mother who is distraught by the fact that she caught him and his friend "guzzling cough syrup." What assessment finding is suggestive of an overdose of dextromethorphan? A) Halluc ina t io ns B) Dysrhythmias C) Kussmaul's respirations D) Profound diaphoresis

A) Halluc ina t io ns

A nurse has begun the assessment process with an obese patient who states that he is highly motivated to lose weight. How can the nurse most accurately gauge the patient's normal eating and drinking patterns? A) Have the patient keep a detailed food diary for 2 or 3 days. B) Ask the patient to describe a typical meal and snack. C) Check laboratory reports of total and LDL cholesterol, triglycerides, and blood sugar. D) Have the patient describe the differences between a healthy meal and an unhealthy meal.

A) Have the patient keep a detailed food diary for 2 or 3 days.

A patient is to be administered an immunization. The serum contains aluminum phosphate. What route is most appropriate to administer this immunization? A) Intramusc ular ly B) Subcutaneously C) Intravenously D) Orally

A) Intramuscularly

A patient is experiencing episodes of chest pain. He smokes one pack of cigarettes per day and has done so for many years. When teaching him about the effect of smoking on the cardiovascular system, the nurse will teach the patient about the effects of nicotine, including which of the following? A) It increases catecholamines to increase heart rate. B) It diminishes the blood's ability to clot. C) It increases myocardial contractility of the heart. D) It increases high-density lipoproteins.

A) It increases catecholamines to increase heart rate.

A patient with a diagnosis of diabetes is prescribed pramlintide (Symlin). How will this drug assist in controlling the patient's blood sugar? A) It slows gastric emptying. B) It blocks the absorption of food. C) It is absorbed by insulin. D) It increases the release of insulin.

A) It slows gastric emptying.

A patient has a low erythrocyte count. How may a colony-stimulating factor affect the patient's erythrocyte count? A) It stimulates growth of red blood cells. B) It suppresses T-cell production. C) It inhibits protein synthesis. D) It stimulates antibody production.

A) It stimulates growth of red blood cells.

A 5-year-old child is diagnosed with hypothyroidism. What will the patient likely develop if the condition is left untreated? A) Mental retardation B) Renal dysfunction C) An immune disorder D) Paralytic ileus

A) Mental retardation

A patient who regularly takes metformin has developed a severe infection. How will the infection change his diabetic regimen? A) Metformin is contraindicated in the presence of an infection. B) Metformin will be given more frequently to decrease blood sugar. C) Metformin will result in better regulation of blood sugar. D) Metformin will allow the patient to decrease the absorption of glucose.

A) Metformin is contraindicated in the presence of an infection.

Defecation is normally stimulated by what physiologic trigger? A) Movements and reflexes in the gastrointestinal tract B) Stimulation from the medulla oblongata C) Synthesis and release of digestive enzymes D) Changes in the osmolarity of bowel contents

A) Movements and reflexes in the gastrointestinal tract

A patient suffers from hyponatremia, hypoglycemia, and lactic acidosis. What condition is most consistent with this clinical presentation? A) Myxedema coma B) Psychotic depression C) Cretinism D) Congenital hypothyroidism

A) Myxedema coma

A grade school has an outbreak of gastroenteritis and vomiting with nearly half of the school—both students and staff—affected. Which organism is most likely the cause? A) Norwalk-like virus (calicivirus) B) Clostridium difficile C) Vibrio vulnificus D) E. coli

A) Norwalk-like virus (calicivirus)

A patient has been admitted to the postsurgical unit from postanesthetic recovery following a transurethral prostatic resection. The patient is experiencing nausea subsequent to anesthesia. What antiemetic is the most common first-line drug for the treatment of postoperative nausea and vomiting? A) Ondansetron (Zofran) B) Dronabinol (Marinol) C) Dimenhydrinate (Dramamine) D) Hydroxyzine (Vistaril, Atarax)

A) Ondansetron (Zofran)

An adult resident of an assisted living facility has not responded appreciably to bulk-forming laxatives so the primary care provider has prescribed bisacodyl. The nurse who oversees the care at the facility should know that this drug may be administered by what routes? Select all that apply. A) Oral B) Intravenous C) Subcutaneous injectio n D) Suppository E) Intramusc ular injectio n

A) Oral D) Suppository

A school nurse is in the planning stages of a health promotion campaign that will address childhood obesity. Of the following, which is an environmental factor believed to have contributed most to increased weight in children? A) Playing video games B) Genetic changes C) Increased social acceptance of obesity D) Increased incidence of depression

A) Playing video games

A patient who has been experiencing liquid stools is prescribed polycarbophil (FiberCon). What is the reason for administering a bulk-forming laxative? A) Polycarbophil absorbs large amounts of water and decreases fluidity of stools. B) Polycarbophil will diminish the absorption of intestinal fiber and water. C) Polycarbophil will provide pain relief and decrease cramping and bloating. D) Polycarbophil will increase bile and diminish bacterial flora in the intestines.

A) Polycarbophil absorbs large amounts of water and decreases fluidity of stools.

A patient is experiencing nausea and vomiting as a response to radiation therapy. Which of the following antiemetic agents is a phenothiazine administered to control nausea and vomiting? A) Prochlorperazine (Compazine) B) Metoclopramide (Reglan) C) Mesna (Mesnex) D) Dexamethaso ne

A) Prochlorperazine (Compazine)

A 1-year-old postoperative patient has been experiencing repeated vomiting. What antiemetic drug has a black box warning against use in a patient of this age? A) Promethazine (Phenergan) B) Benzquinamide (Emete-Con) C) Buclizine (Bucladin-S) D) Cyclizine (Marezine)

A) Promethazine (Phenergan)

A 55-year-old female patient was successfully treated for thyroid storm earlier in the year. In subsequent health education, the nurse should caution the patient against excessive intake of what foods? A) Seafood and kelp B) Leafy green vegetables and beef C) Purine-rich foods D) Red wine and aged cheeses

A) Seafood and kelp

An obese patient has asked her nurse practitioner to prescribe sibutramine. What variable will most affect the nurse's decision? A) Sibutramine has been taken off the market due to adverse cardiovascular effects. B) Sibutramine is prohibitively expensive and is not covered by most insurers. C) The use of sibutramine requires weekly blood work. D) Sibutramine must be combined with an anticholinergic drug in order to potentiate its effects.

A) Sibutramine has been taken off the market due to adverse cardiovascular effects.

A patient who is undergoing chemotherapy for the treatment of non-Hodgkin's lymphoma will soon begin treatment with epoetin alfa (Epogen). The nurse should be aware that this drug may be administered by which of the following routes? Select all that apply. A) Subcutaneous B) Intramusc ular C) Oral D) Buccal E) Intravenous

A) Subcutaneous E) Intravenous

A 59-year-old male patient has a long history of heavy alcohol use and was diagnosed with liver cirrhosis several months earlier. The patient's medical history includes numerous other health problems, including angina. When considering the use of nifedipine in the management of this patient's angina, what consideration should the nurse be aware of? A) The patient is likely to experience an increased effect of the medication. B) This patient will require a higher dose than a patient without this medical history. C) Nifedipine is contraindicated because it is highly hepatotoxic. D) The patient's increased albumin levels will negate the therapeutic effect.

A) The patient is likely to experience an increased effect of the medication.

A patient will soon begin treatment for diabetes using glyburide. Which of the following conditions must be met in order for treatment to be effective? A) The patient must have functioning pancreatic beta cells. B) The patient must have hemoglobin A1C of 7%. C) The patient must not have hyperglycemia. D) The patient must be able to self-administer the medication.

A) The patient must have functioning pancreatic beta cells.

A patient is being administered epinephrine for the treatment of anaphylaxis. This patient is experiencing what type of hypersensitivity reaction? A) Type I B) Type II C) Type III D) Type IV

A) Type I

A patient is diagnosed with allergic rhinitis. What type of hypersensitivity reaction is causing allergic rhinitis? A) Type I B) Type II C) Type III D) Type IV

A) Type I

A pregnant woman suffers from morning sickness. Which of the following should be considered a first-line treatment? A) Vitamin B6 B) Promethazine (Phenergan) C) Vitamin E D) Diphenhydramine (Benadryl)

A) Vitamin B6

A 70-year-old patient is seen in the family practice clinic. Which of the following vaccines should be administered to prevent shingles? A) Zoster vaccine B) Haemophilus influenzae Type b (Hib) vaccine C) Human papillomavirus (HPV) D) Pneumococcal polyvalent

A) Zoster vaccine

An elderly patient is given diphenhydramine (Benadryl) for allergic response to mold. The nurse should consequently assess the patient for A) anticholinergic effects. B) dysrhythmias. C) increased muscle tone. D) respiratory depression.

A) anticholinergic effects.

When the nurse is educating a women's group on obesity and healthy eating, which of the following statements is most accurate? A) consuming 3500 extra calories in a week will result in 1 pound of fat B) Extra calories are converted to amino acids or protein C) Food that contains large amounts of fat stimulates energry D) Women will typically expend more energy than men because of muscle tissue

A) consuming 3500 extra calories in a week will result in 1 pound of fat

A patient has been diagnosed with myxedema. She currently takes ibuprofen (Motrin) for knee pain. For what is this patient at increased risk? A) Nephrotoxicity B) pulmonary congestion C) tachycardia D) apnea

A) nephrotoxocity

A female patient with obesity will soon begin treatment with orlistat. The nurse should teach the patient that A) there will be fat present in her stools. B) her appetite will decline over the next 48 hours. C) she will have to increase her fiber intake. D) she will need to temporarily eliminate fats from her diet

A) there will be fat present in her stools.

A hospital patient has a standing order for aprepitant on an as-needed basis. The patient should be encouraged to request a dose of the drug A) when she anticipates that she will become nauseous. B) at the same time each day. C) as soon as she senses the onset of nausea. D) when her nausea results in vomiting.

A) when she anticipates that she will become nauseous.

A nurse educator is explaining the pathophysiology of diabetes to a newly diagnosed patient. The patient does not understand why she had a "constant, insatiable thirst" in the months preceding her diagnosis. What phenomenon should the nurse describe? A) "The excess glucose in your blood accumulates in your blood vessels and neurons, including the neurons that control thirst." B) "Excess glucose pulled more water through your kidneys and the increased urination caused thirst." C) "Increased thirst is your body's attempt to dilute your blood because it contains too much glucose." D) "When your body cells are starved for useful glucose, they signal your body to increase food and fluid intake."

B) "Excess glucose pulled more water through your kidneys and the increased urination caused thirst."

A patient has been administered hydroxyzine for the treatment of nausea. Which of the following statements indicates that she has understood the teaching provided by the nurse? A) "I will take repeated doses of this medication until my nausea resolves." B) "I may experience drowsiness with this medication." C) "I should eat before I take this medication." D) "I will need to take potassium with this medication."

B) "I may experience drowsiness with this medication."

A patient in his mid-30s has received a diagnosis of type 2 diabetes. Following his diagnosis, he has been meeting with a nurse regularly as well as performing extensive online research. Which of the patient's statements should prompt the nurse to perform further teaching? A) "I don't like getting this diagnosis, but I know that treatment now can prevent future health consequences." B) "I'm disappointed, but I take some solace in the fact that I won't ever have to have insulin injections." C) "People always tried to encourage me to lose weight, and I suppose they might have been right." D) "From what I've learned, I know that the basic problem is that my pancreas can't keep up with my insulin needs."

B) "I'm disappointed, but I take some solace in the fact that I won't ever have to have insulin injections."

A 40-year-old patient has a body mass index that classifies him as being severely obese. For several months, the patient has been working with an interdisciplinary team in an effort to lose weight, but he has experienced nominal success. His physician has proposed the use of orlistat, and the nurse has conducted appropriate health education. What statement by the patient indicates a need for further teaching? A) "They explained to me that I have to take the medicine with my meals." B) "I'm excited that I won't have to cut down on my favorite fried foods anymore." C) "It still amazes me that you can take a pill that will actually help you lose weight." D) "If I understand correctly, these pills will help me lower my cholesterol as well as lose weight."

B) "I'm excited that I won't have to cut down on my favorite fried foods anymore."

A patient with a long-standing history of seasonal allergies has sought care during the spring and been advised to take a second-generation antihistamine. Which of the patient's following statements suggests a need for the nurse to perform health education? A) "I know these can be a bit expensive, but hopefully it will be worth it for me." B) "I'm really hoping that these pills will cure my allergies before summer starts." C) "I'll check with my doctor to make sure that the diet supplements I'm taking are okay to take at the same time as these pills." D) "It's handy that I don't necessarily have to take these pills at bedtime."

B) "I'm really hoping that these pills will cure my allergies before summer starts."

A patient with coronary artery disease is prescribed nitroglycerin ointment. When teaching the patient to safely administer this medication, the nurse should convey which of the following instructions? A) "The backs of your hands and the tops of your feet are ideal sites for applying the ointment. " B) "Make sure you squeeze the ointment on to a paper measuring scale before applying it." C) "Massage the ointment into your skin for 10 to 15 seconds after applying it." D) "Don't apply the ointment unless you're experiencing chest pain at the time."

B) "Make sure you squeeze the ointment on to a paper measuring scale before applying it."

A 69-year-old woman has been diagnosed with angina pectoris, and her primary care provider has prescribed nifedipine (Adalat, Procardia). After administering a dose of the drug at 08:00, the nurse should anticipate maximum effect at what time? A) Between 08:30 and 09:00 B) 09:00 to 10:00 C) Between 12:00 and 14:00 D) 11:30 to 12:30

B) 09:00 to 10:00

A 69-year-old woman has been taking metformin for the treatment of type 2 diabetes for several years. Which of the following changes in the woman's laboratory values may demonstrate a need to discontinue the medication? A) A decrease in hemoglobin and hematocrit B) A decrease in glomerular filtration rate C) A decrease in potassium accompanied by an increase in sodium D) An increase in white blood cells

B) A decrease in glomerular filtration rate

A community health nurse is cautious when recommending the use of OTC cold remedies to patients. The use of pseudoephedrine would most likely be contraindicated in which of the following patients? A) A woman who is breast-feeding B) A man with a history of angina and hypertension C) A man who has diagnoses of chronic obstructive pulmonary disease and diabetes D) A woman who has myasthenia gravis

B) A man with a history of angina and hypertension

A nurse educator is working with a patient of a bariatric clinic who has just begun taking orlistat. The nurse should encourage the patient to supplement her diet with which of the following? A) An iron supplement B) A multivitamin C) An omega-3 fatty acid supplement D) A potassium suppleme nt

B) A multivitamin

A health care worker has received her annual influenza vaccination and has remained at the clinic after administration so that the nurse may observe for adverse reactions. The worker complains of pain at the site of IM injection. The nurse should recommend which of the following? A) ASA B) Acetaminop he n C) Meperidine (Demerol) D) Heat application

B) Acetaminophen

Which of the following nursing diagnoses would provide the most plausible indication for the use of epoetin alfa (Epogen) in a patient with renal failure? A) Risk for infection related to decrease erythropoeisis B) Activity intolerance related to decrease oxygen carrying capacity C) Powerlessness-related sequelae of renal failure D) Ineffective breathing pattern related to inadequate erythropoietin synthesis

B) Activity intolerance related to decrease oxygen carrying capacity

A patient is administered promethazine. The patient has an elevated creatinine level. Which of the following is important when administering promethazine to this patient? A) Administer the routine dose. B) Administer a lower dose. C) Administer a higher dose. D) Hold the medicatio n.

B) Administer a lower dose.

A hospital patient's complex medical history includes a recent diagnosis of kidney cancer. Which of the following medications is used to treat metastatic kidney cancer? A) Filgrastim (Neupogen) B) Aldesleuk in (Proleukin) C) Interferon alfa-2b (Intron A) D) Darbepoetin alfa (Aranesp)

B) Aldesleuk in (Proleukin)

A patient is administered a phenothiazine for nausea and vomiting. What is the action of phenothia zi ne? A) Increases gastric motility B) Antagonizes dopamine receptors C) Blocks histamine receptors D) Antagonizes serotonin receptors

B) Antagonizes dopamine receptors

Cholestyramine (Questran) and colestipol (Colestid) are useful in treating diarrhea due to which of the following causes? A) Gram-positive bacterial infection B) Bile salt accumulation C) Retroviruses D) Autoimmune processes

B) Bile salt accumulation

A nurse has administered a scheduled dose of 50-mg atenolol PO for the treatment of angina. Following administration, the nurse should prioritize what assessment? A) Level of consciousness B) Blood pressure C) SaO2 D) Oral temperature

B) Blood pressure

Oral atenolol has been ordered for a resident of a long-term care facility who has a diagnosis of angina. Which of the following assessment findings would prompt the nurse to withhold a scheduled dose of the drug? Select all that apply. A) Heart rate of 68 beats per minute B) Blood pressure of 88/49 mm Hg C) Heart rate of 58 beats per minute D) Blood pressure of 141/92 mm Hg E) Oxygen saturation of 90% on room air

B) Blood pressure of 88/49 mm Hg C) Heart rate of 58 beats per minute

When reviewing a newly admitted patient's previous medication record, the nurse notes that the patient has previously been treated with aprepitant (Emend). The nurse is justified is suspecting that this patient's medical history includes which of the following? A) Placement ofanasogastric tube B) Chemotherapy C) Endoscopy D) Radiation therapy

B) Chemotherapy

A patient is being treated for hypothyroidism and has developed symptoms of adrenal insufficiency. What medication will be added to the patient's medication regimen? A) Anti-infective agent B) Corticosteroid agent C) Nonsteroidal anti-inflammatory agent D) Antiadrener gic agent

B) Corticosteroid agent

An oncology nurse is providing for an adult patient who is currently immunocompromised. The nurse is aware of the physiology involved in hematopoiesis and immune function, including the salient role of cytokines. What is the primary role of cytokines in maintaining homeostasis? A) Cytokines perform phagocytosis in response to bacterial and protozoal infection. B) Cytokines perform a regulatory role in the development of diverse blood cells. C) Cytokines can be considered to be the basic "building blocks" of all blood cells. D) Cytokines are formed in response to the presence of antibodies.

B) Cytokines perform a regulatory role in the development of diverse blood cells.

A patient is administered a granulocyte colony-stimulating factor (G-CSF). What is the expected outcome of a G-CSF? A) Red blood cell count of 3000 mm B) Decreased number of infections C) Decreased fatigue and increased energy 3 D) White blood cell count of 20,000 mm

B) Decreased number of infections

An adult patient has questioned whether fexofenadine (Allegra) would be preferable to the first-generation H1 receptor antagonists that he has long taken in the treatment of his environmental allergies. When describing the benefits of second-generation drugs such as Allegra, the nurse should cite what advantage? A) Lower cost B) Decreased sedation C) Absence of adverse effects D) Once-weekly dosing

B) Decreased sedation

A 3-year-old child is seen in the pediatric office for a dry, hacking cough. The mother is requesting a prescription for dextromethorphan. In providing patient education, which of the following provides the most effective teaching regarding the use of dextromethorphan in children? A) Dextromethorphan suppresses cough in children. B) Dextromethorphan is ineffective in children. C) Dextrometho rp ha n must be combined with codeine. D) Dextrometho rp ha n raises blood pressure in children.

B) Dextromethorphan is ineffective in children.

A patient with anorexia nervosa has taken a saline cathartic to lose weight. What is the patient at risk for? A) Constipatio n B) Diarrhea C) Bowel obstruction D) Hyponatremia

B) Diarrhea

A patient is seen in the emergency room for a laceration sustained on broken glass. The nurse assesses the patient for the last tetanus toxoid he received. How often should the patient be administered a tetanus toxoid? A) Every year B) Every 10 years C) Every 2 years D) Every 5 years

B) Every 10 years

A patient is diagnosed with type 1 diabetes. What distinguishing characteristic is associated with type 1 diabetes? A) Blood glucose levels can be controlled by diet. B) Exogenous insulin is required for life. C) Oral agents can control blood sugar. D) The disease always starts in childhood.

B) Exogenous insulin is required for life.

An adult patient has developed renal failure secondary to an overdose of a nephrotoxic drug. Which of the following assessment findings would the nurse recognize as being most suggestive of impaired erythropoiesis? A) Frequent infections and low neutrophil levels B) Fatigue and increased heart rate C) Agitatio n and changes in cognitio n D) Increased blood pressure and peripheral edema

B) Fatigue and increased heart rate

A hospital patient is complaining of nausea and vomiting that has failed to respond to first-line antiemetics. Which of the following medications may be administered for the treatment of nausea and vomiting? A) First-generation antihistamine agent: chlorpheniramine (Chlor-Trimeton) B) First-generation antihistamine agent: hydroxyzine (Vistaril) C) Second-generation antihistamine agent: loratadine (Claritin) D) Second-generation antihistamine agent: cetirizine (Zyrtec)

B) First-generation antihistamine agent: hydroxyzine (Vistaril)

What is a nonpharmacological measure that is effective in treating nausea and vomiting in pregnant women? A) Ginkgo biloba B) Ginger C) Garlic D) Ginseng

B) Ginger

A patient is experiencing diarrhea and being treated with diphenoxylate (Lomotil). The presence of which condition requires that diphenoxylate (Lomotil) be administered cautiously? A) Edema B) Hepatorenal disease C) Congestive heart failure D) Cardiovascular insufficiency

B) Hepatorenal disease

A home care nurse observes that a client's supply of Synthroid has run out in less than half the time that it should have. What assessment findings would be most consistent with overuse of Synthroid? A) Constipation and abdominal distention B) Hyperactivity and insomnia C) Bradycardia and hypotension D) Joint pain and decreased mobility

B) Hyperactivity and insomnia

A woman is started on propylthiouracil (PTU). What is the primary mode of action for propylthio urac i l? A) Destroys part of the thyroid gland B) Inhibits production of thyroid hormone C) Suppresses the anterior pituitary hormones D) Stimulates the thyroid cells

B) Inhibits production of thyroid hormone

A patient is admitted to the emergency department with chest pain that is unrelieved with sublingual organic nitrates. What medication will most likely be administered? A) Intravenous morphine sulfate B) Intravenous nitroglycerin C) Oral nonsteroidal anti-inflammatory agents D) Duragesic topical patch

B) Intravenous nitroglycerin

A child is born with cretinism. What element was lacking in the mother's diet during pregnancy? A) Potassium B) Iodine C) Sodium D) Magnesium

B) Iodine

A patient has been suffering from repeated sinus infections and is diagnosed with allergic rhinitis. The patient is prescribed a first-generation H1 receptor antagonist. What is one of the effects of this medication? A) It depletes norepinephrine and serotonin. B) It decreases capillary permeability. C) It catalyzes the enzymatic oxidation of uric acid. D) It raises the seizure threshold by impairing vitamin D.

B) It decreases capillary permeability.

An infant is being administered an immunization. Which of the following provides an accurate description of an immunization? A) It should be administered to a pregnant woman prior to the infant's birth. B) It is the administration of an antigen for an antibody response. C) It produces many adverse reactions, particularly autism, in the infant. D) It protects the infant from exposure to infectious antibodies.

B) It is the administration of an antigen for an antibody response.

Sitagliptin (Januvia) is prescribed for a patient who has been diagnosed with type 2 diabetes. What is the action of sitagliptin (Januvia)? A) It blocks the S phase of the cell cycle. B) It slows the rate of inactivation of the incretin hormones. C) It is a synthetically prepared monosodium salt. D) It inhibits hydrogen, potassium, and ATPase.

B) It slows the rate of inactivation of the incretin hormones.

When teaching new parents about the benefits of adhering to the recommended vaccination schedule, the nurse should cite protection against which of the following diseases? Select all that apply. A) HIV B) Measles C) Varicella D) Poliomye l it is E) Hepatitis B

B) Measles C) Varicella D) Poliomye l it is E) Hepatitis B

A medical nurse has administered an oral dose of 30 mg nifedipine long-acting to a patient with a diagnosis of angina. What principle should guide the nurse's follow-up assessment after administering this drug? A) Nifedipine has the potential to induce prodysrhythmic effects. B) Nifedipine does not affect heart rate, so assessment after administration is not normally necessary. C) The patient's heart rate will be at its lowest approximately 45 minutes to 1 hour after oral administration of nifedipine. D) The patient's blood pressure, heart rate, and oxygen saturation level should be assessed 30 minutes after administration of nifedipine.

B) Nifedipine does not affect heart rate, so assessment after administration is not normally necessary.

A patient has a body mass index of 27 and weighs 160 pounds. What is this patient considered to be? A) Underweight B) Overweight C) Obese D) Desired weight

B) Overweight

A nursing student is scheduled to receive the hepatitis B series. What type of immunity will this immunization provide? A) Active immunity B) Passive immunity C) Innate immunity D) Natural immunity

B) Passive immunity

A patient is scheduled for a colonoscopy in the morning. Which laxative is most likely prescribed the evening before the colonoscopy? A) Psyllium (Metamucil) B) Polyethylene glycol-electrolyte solution (NuLYTELY) C) Castor oil D) Lactulose (Cephulac)

B) Polyethylene glycol-electrolyte solution (NuLYTELY)

An older adult's constipation has not responded to first-line laxatives, so lactulose has been prescribed. The nurse should know that this medication achieves a therapeutic effect by which of the following means? A) Decreasing the viscosity of intestinal contents in the duodenum B) Pulling water into the intestinal lumen by osmotic pressure C) Irritating the intestinal mucous membrane D) Relaxing the muscle tone of the ileocecal valve and anal sphincter

B) Pulling water into the intestinal lumen by osmotic pressure

A patient's current medical condition is suggestive of impaired erythropoiesis. Which of the following laboratory studies would be most clinically relevant in diagnosing this health problem? A) White blood cell count with differential B) RBC, hemoglobin, and hematocrit C) INR and aPTT D) d-dimer and C-reactive protein

B) RBC, hemoglobin, and hematocrit

A patient is being administered chemotherapeutic agents for the treatment of cancer. Which of the following blood cells will be stimulated by the colony-stimulating factors in response to the effects of the chemotherapy? A) White blood cells B) Red blood cells C) Phagocytes D) Myocardial cells

B) Red blood cells

A gerontological nurse has encouraged a group of caregivers who work with older adults to avoid administering first-generation H1 receptor antagonists to these patients. The nurse's cautionary message is an acknowledgment of what possible nursing diagnosis? A) Risk for infection related to adverse effects of antihistamines B) Risk for falls related to sedation C) Risk for deficient fluid volume related to diuresis D) Risk for impaired skin integrity related to urticaria

B) Risk for falls related to sedation

A patient is scheduled to begin a drug regimen for the treatment of hyperthyroidism. Prior to administering propylthiouracil (PTU), the nurse has reviewed the relevant black box warning and should teach the patient about the need for what form of follow-up? A) Serial complete blood counts B) Routine liver functio n testing C) Daily nonfasting blood glucose testing D) Chest radiographs every 3 months

B) Routine liver functio n testing

A hospice patient is receiving opioids for treatment of cancer pain. Which laxative will best assist in the prevention of constipation? A) Lactulose (Cephulac) B) Stimula nt C) Saline D) Bulk-forming

B) Stimula nt

An adult patient with long-standing obesity has been deemed an appropriate candidate for treatment with phentermine. When teaching the patient to safely and effectively administer the drug, the nurse should convey what message to the patient? A) Take phentermine with food, preferably at mealtimes. B) Take the medicatio n on an empty stomach. C) Take the medication 15 minutes after meals to reduce fat absorption. D) Take an increased dose of phentermine if a large meal is anticipated.

B) Take the medicatio n on an empty stomach.

A patient is discharged with octreotide (Sandostatin) and has been given minimal patient teaching. What is the most important aspect of patient teaching for this patient? A) The importance of maintaining a diet high in fiber B) The administration of subcutaneous injections C) The concurrent use of bismuth subsalicylate and octreotide D) The administration of morphine to decrease pain

B) The administration of subcutaneous injections

The nurse has an order to administer a saline cathartic to a patient who has a history of congestive heart failure. Why is this type of cathartic contraindicated with this patient? A) The patient is at risk for hypomagnesemia. B) The patient is at risk for excess fluid volume. C) The patient is at risk for third spacing. D) The patient is at risk for hyperphosphatemia.

B) The patient is at risk for excess fluid volume.

A middle-aged female has presented to the emergency department (ED) after 36 hours of severe diarrhea that shows no sign of abating. The patient's family members are asking that the care team provide medications to resolve her diarrhea. The ED nurse should be aware that the use of diphenoxylate (Lomotil) would be contraindicated in which of the following circumstances? A) The patient has a documented history of laxative abuse. B) The patient's diarrhea is caused by the ingestion of toxins. C) The patient's diarrhea is attributable to psychosocial stress. D) The patient has an allergy to aspirin.

B) The patient's diarrhea is caused by the ingestion of toxins.

The college health nurse is providing health education for freshmen. Which of the following pieces of information about immunizations is applicable to individuals of this age group? A) The oral polio should be updated. B) The yearly administration of flu vaccine is recommended. C) The tetanus toxoid must be within 2 years. D) The administration of hepatitis A vaccine is mandatory.

B) The yearly administration of flu vaccine is recommended.

A middle-aged patient is frustrated by her increasingly frequent episodes of constipation. She tells the nurse that she is highly reluctant to take medications. What nonpharmacologic measure should the nurse recommend? A) Adoption of a low-fat diet B) Use of a fiber supplement C) Daily consumption of 6 to 8 L of fluids D) Use of a ginger or ginseng supplement

B) Use of a fiber supplement

A patient is admitted to the emergency room after consuming 50 acetaminophen tablets in a suicide attempt. What medication will be administered to counteract the effect of the acetaminophen? A) oxymetazoline B) acetylcysteine C) daptomycin D) darbepoetin

B) acetylcysteine

An older adult's physician has recommended the occasional use of hydroxyzine for relief of nausea. Following administration, the nurse should assess the patient for A) pruritus. B) drowsiness. C) urinary frequency. D) bradycardia.

B) drowsiness.

A 58-year-old patient who has been living with diabetes since age 14 states he has pain in his feet and hands. What is this pain most likely a result of?A) A diabetes-related infectious process B) peripheral neuropathy C) an autoimmune disorder D) hypertension resulting from diabetes

B) peripheral neuropathy

A 30-year-old woman with two preschoolers has sought the nurse's advice because she has heard conflicting reports about the safety and efficacy of cough and cold products in young children. The nurse should inform the woman that A) cough and cold remedies are generally safe and effective for children over the age of 2. B) there are concerns among health professionals about how safe and effective these medications are. C) media reports about the risks of cough and cold medications in children have greatly exaggerated the risks. D) it is imperative to use age-specific preparations of cough and cold remedies.

B) there are concerns among health professionals about how safe and effective these medications are.

A patient is instructed to take diphenhydramine (Benadryl) after an allergic reaction. Which of the following statements by the patient indicates successful teaching concerning the safe and effective use of diphenhydramine? A) "I will still be able to have my after-dinner drink with this medication." B) "I will eat a diet low in sodium while taking this medication." C) "I should not drive my car after taking this medication." D) "I can take this medication every 2 hours until I feel better."

C) "I should not drive my car after taking this medication."

During a teaching session on the care of the diabetic patient, a family member asks why her daughter has a different insulin than her best friend. The nurse should make which of the following statements to explain the differences in insulin? A) "Insulin is prescribed based on the insurer's criteria for reimbursement." B) "Insulin is prescribed based on the patient's age." C) "Insulins have different onsets and durations of action." D) "Insulin type is matched with the appropriate oral hypoglycemic agent."

C) "Insulins have different onsets and durations of action."

A hospital patient is to receive 4 units of regular insulin prior to lunch. The nurse knows that the lunch trays are usually distributed at approximately 12:15. The nurse should plan to administer the patient's insulin at what time? A) 12:15 B) 12:10 C) 11:45 D) 11:15

C) 11:45

A patient is undergoing a course of radiotherapy for the treatment of leukemia. Treatments in the past have caused the patient severe nausea and vomiting. The oncology nurse should normally administer antiemetics on what schedule? A) Simultaneous with radiation treatment B) The night before a scheduled radiation treatment C) 30 to 60 minutes before the treatment D) 10 to 15 minutes before the treatment

C) 30 to 60 minutes before the treatment

Which of the following patients would be the most appropriate candidate for treatment with orlistat? A) A 31-year-old woman who has been unable to lose her "baby fat" in the months following the birth of her child B) A patient with a body mass index of 25.5 C) A man who is morbidly obese and who has osteoarthritis in his knees D) A 66-year-old man who was previously healthy but who has been gradually gaining weight since retirement

C) A man who is morbidly obese and who has osteoarthritis in his knees

A patient's severe diarrhea has necessitated treatment with polycarbophil (FiberCon). The nurse should caution the patient about the possibility of what adverse effect? A) Nausea and vomiting B) Headache and visual disturbances C) Abdominal fullness and bloating D) Gastroesophageal reflux

C) Abdominal fullness and bloating

A team of community health nurses have been commissioned to plan and implement a community-based health promotion initiative aimed at addressing obesity. During the planning stages, the nurses should be aware that the prevalence of obesity is highest in which of the following groups? A) Caucasian women B) Caucasian men C) African American women D) African American men

C) African American women

A patient is to be administered glipizide (Glucotrol). Which of the following factors would contraindicate the administration of glipizide (Glucotrol) to this patient? A) A diagnosis of hypertension B) The ingestion of carbohydrates C) Allergy to sulfonamides D) Increase in alkaline phosphatase

C) Allergy to sulfonamides

A woman is seen in the primary care provider's office with chronic severe diarrhea-predominant irritable bowel syndrome, which has not responded to conventional therapy. Which medication should the nurse anticipate administering? A) Rifaximin (Xifaxan) B) Nitazoxanide (Alinia) C) Alosetron (Lotronex) D) Cholestyramine (Questran)

C) Alosetron (Lotronex)

A mother is distraught that her 13-year-old son weighs 260 pounds and continues to gain weight. She has asked her family's primary care provider if her child would be a candidate for treatment with orlistat, which she read about on the Internet. What fact should primarily guide the care provider's decision? A) Orlistat is not approved for use in children under the age of 18. B) Orlistat can only be administered to children in an inpatient setting. C) Alternatives such as increased activity and decreased caloric intake should first be exhausted. D) The drug is not likely to be effective until the boy completes puberty.

C) Alternatives such as increased activity and decreased caloric intake should first be exhausted.

The physician orders bismuth subsalicylate (Pepto-Bismol) for your patient. What assessment is most important to make before administering this medication? A) Assess for pain B) Assess electrolytes C) Assess for allergy to aspirin D) Assess for allergy to opioids

C) Assess for allergy to aspirin

An adult patient has asked the nurse to recommend an OTC cold remedy because she is unsure which of the many options available is most appropriate. Before making a recommendation, the nurse should do which of the following? A) Consult with a pharmacist or pharmacy technician. B) Assess the patient's understanding of the epidemiology of the common cold and upper respiratory infections. C) Assess the patient for health problems that may contraindicate the use of a particular remedy. D) Ensure that the patient has tried some of the more common herbal and natural remedies.

C) Assess the patient for health problems that may contraindicate the use of a particular remedy.

A patient is experiencing allergy symptoms after being exposed to environmental dust. This reaction involves the action of histamine, which is released by what cells? A) Lymphocytes B) CD4 T cells C) Basophils D) Platelets

C) Basophils

A hospital patient with a diagnosis of type 1 diabetes is ordered Humulin R on a sliding scale. Based on the patient's blood glucose reading, the nurse administered 8 units of insulin at 07:45. The nurse recognizes the need to follow up this intervention and will reassess the patient's blood glucose level when the insulin reaches peak efficacy. The nurse should consequently check the patient's blood glucose level at what time? A) 08:15 B) Between 08:45 and 09:45 C) Between 09:45 and 10:45 D) Between 11:15 and 11:45

C) Between 09:45 and 10:45

A patient with a diagnosis of renal failure is being treated with epoetin alfa (Epogen). Frequent assessment of which of the following laboratory values should be prioritized before and during treatment? A) AST B) C-reactive protein C) CBC D) ALT

C) CBC

A patient with Crohn's disease is experiencing diarrhea during an exacerbation of symptoms. What medication will the nurse most likely administer? A) Bismuth salts (Pepto-Bismol) B) Ciprofloxacin (Cipro) C) Cholestyramine (Questran) D) Octreotide acetate (Sandostatin)

C) Cholestyramine (Questran)

A patient is suffering from constipation. He is a truck driver and does not always have access to a toilet. When providing patient teaching, what will result when the patient fails to respond to the defecation reflex? A) Involuntary evacuation B) Increased defecation reflex C) Decreased defecation reflex D) Diarrhea

C) Decreased defecation reflex

A patient is administered a stimulant cathartic. Which of the following is the most common adverse effect of a stimulant cathartic? A) Nausea B) Vomiting C) Diarrhea D) Rectal bleeding

C) Diarrhea

An adult patient has complained to the nurse that she has been experiencing a dry mouth and urinary retention after several nights of taking an OTC sleep aid. The nurse should suspect that this medication contains what antihistamine? A) Loratadine (Claritin) B) Promethazine (Phenergan) C) Diphenhydramine (Benadryl) D) Olopatadine (Patanol)

C) Diphenhydramine (Benadryl)

A patient has been taking phentermine for the past month and a half. During the patient's most recent follow-up visit to the clinic, she tells the nurse, "The pills seemed to work wonders for me for the first few weeks, but now I feel like they don't really make much of a difference." The nurse should anticipate that the prescriber will take what action? A) Increasing the daily dosage of the drug by approximately 50% B) Ordering blood work to ascertain the serum level of phentermine C) Discontinuing the drug D) Changing the route and schedule of administration

C) Discontinuing the drug

A patient with Parkinson's disease develops nausea and vomiting. Promethazine may be contraindicated because it depletes levels of what neurotransmitter? A) Acetylcho li ne B) Serotonin C) Dopamine D) Adenosine

C) Dopamine

A patient is started on levothyroxine (Synthroid) for treatment of hypothyroidism. During patient teaching, how frequently can the dosage be increased until symptoms are relieved? A) Every 3 to 5 days B) Weekly C) Every 2 weeks D) Monthly

C) Every 2 weeks

A 69-year-old female patient has been diagnosed with malignant melanoma. The care team has collaborated with the patient and her family and agreed on a plan of care that includes administration of interferon alfa-2b. After administering interferon alfa-2b, the oncology nurse should anticipate that the patient may develop which of the following adverse effects? A) Profound diaphoresis B) Decreased level of consciousne ss C) Flu-like symptoms D) Cyanosis and pallor

C) Flu-like symptoms

A nurse who provides care at a long-term care facility is preparing to administer a resident's scheduled dose of levothyroxine (Synthroid). What assessment should the nurse perform prior to administration? A) Level of consciousness and orientatio n B) Oxygen saturation level C) Heart rate D) Respiratory rate

C) Heart rate

A patient is using oxymetazoline (Afrin) to relieve nasal congestion. Which of the following conditions would contraindicate the use of this drug? A) Nasal congestion B) Cough C) Hypertensio n D) Skin rash

C) Hypertensio n

A patient is receiving epoetin alfa (Epogen) for anemia. Which of the following adjunctive therapies is imperative with epoetin alfa? A) Potassium supplements B) Sodium restriction C) Iron supplement D) Renal dialysis

C) Iron supplement

A patient is prescribed orlistat (Xenical) to promote weight loss. What is the action of orlistat? A) It increases central nervous system stimulation. B) It inhibits the reuptake of serotonin and norepinephrine. C) It decreases fat absorption, which leads to decreased caloric intake. D) It decreases appetite because of the caffeine contained in the medication.

C) It decreases fat absorption, which leads to decreased caloric intake.

A patient has been prescribed acarbose (Precose). What is the advantage of acarbose over alternative drugs? A) It can replace the use of insulin. B) The patient does not have to limit food intake. C) It delays the digestion of complex carbohydrates. D) It prevents alkalosis.

C) It delays the digestion of complex carbohydrates.

When instructing a patient on the use of a nitroglycerin patch, what should the patient be taught regarding the advantage of the nitroglycerin patch? A) It is only administered one time per week. B) It is more effective than the tablets. C) It has a longer duration of action. D) It has a faster action than the tablets.

C) It has a longer duration of action.

A patient is using psyllium hydrophilic mucilloid (Metamucil) to promote evacuation of stool. What is the action of this medication? A) It reduces the surface tension of bowel contents. B) It irritates the intestinal mucosa, thus increasing intestinal motility. C) It increases mass and water content of stool, promoting evacuation. D) It creates a barrier between the colon wall and feces.

C) It increases mass and water content of stool, promoting evacuation.

A patient with alcoholism and chronic liver failure is admitted to the medical unit. He is confused and has an elevated serum ammonia level. What laxative will the nurse administer to lower the serum ammonia level? A) Docusate sodium (Colace) B) Polyethylene glycol-electrolyte solution (NuLYTELY) C) Lactulose (Cephulac) D) Sorbitol

C) Lactulose (Cephulac)

An older adult patient is experiencing diarrhea. Which of the following is a likely cause of diarrhea? A) Fluid volume deficit B) Antihypertensive agents C) Laxative abuse D) Anemia

C) Laxative abuse

A patient with a history of angina has sustained a mild head injury in a motor vehicle accident. He has nitroglycerin tablets for chest pain and asks the nurse for one due to chest pain. What effect will the nitroglycerin have on the patient's current status? A) Nitroglycerin will raise the patient's blood pressure. B) Nitroglycerin will cause decreased cerebral edema. C) Nitroglycerin will increase intracranial pressure. D) Nitroglycerin will decrease blood glucose.

C) Nitroglycerin will increase intracranial pressure.

A patient is scheduled to receive an immunization. In which of the following patients may the administration of a live vaccine be contraindicated? A) Patient with renal insufficiency B) Patient with hepatic failure C) Patient taking steroid therapy D) Patient over the age of 65 years

C) Patient taking steroid therapy

A patient is diagnosed with ischemic heart disease. She is prescribed filgrastim (Neupogen). What effect will this medication provide in the treatment of ischemic heart disease? A) Increase platelets B) Decrease platelets C) Promote angiogenesis D) Prevent thrombus formatio n

C) Promote angiogenesis

A patient is scheduled for a thyroidectomy to treat thyroid cancer. What is the medication of choice administered preoperatively? A) Sodium iodide 131I (Iodotope) B) Methima zo le (Tapazole) C) Propylthiouracil (PTU) D) Propranolol (Inderal)

C) Propylthiouracil (PTU)

A child is experiencing severe flu-like symptoms with nausea and vomiting and is admitted to the hospital. Which disorder in children will contraindicate the administration of promethazine? A) Chickenpox B) Endocarditis C) Reye's syndrome D) Hypertensive crisis

C) Reye's syndrome

A patient is to receive a medication that the nurse recognizes as an expectorant that is normally administered for the treatment of hyperthyroidism. Which medication will be administe red? A) Propylthiouracil (PTU) B) Methima zo le (Tapazole) C) Saturated solution of potassium iodide (SSKI) D) Sodium iodide131I (Iodotope)

C) Saturated solution of potassium iodide (SSKI)

When assessing a patient's bowel habits, which of the following descriptions is the best indication of normal bowel elimination? A) One bowel movement daily in the AM B) One bowel movement daily in the PM C) Soft, formed stool D) Liquid stool

C) Soft, formed stool

A patient with hypothyroidism is started on levothyroxine (Synthroid). What should the patient be taught regarding medication administration in the home setting? A) Take medicatio n with milk or food. B) Do not exercise with the medication. C) Take the medication on an empty stomach. D) Levothyroxine has a short half-life.

C) Take the medication on an empty stomach.

A patient who is scheduled to begin chemotherapy for the treatment of breast cancer is anxious about the possibility of experiencing nausea and has asked the nurse multiple questions about the physiology of the phenomenon. When explaining the physiology of nausea and vomiting, the nurse should include which of the following statements? A) The vomiting center is a cluster of cells in the cerebellum. B) The vomiting center sends afferent signals to the chemoreceptor trigger zone (CTZ). C) The chemoreceptor trigger zone CTZ is composed of neurons in the fourth ventric le. D) The CTZ is located partly within the central nervous system and partly in the peripheral nervous system.

C) The chemoreceptor trigger zone CTZ is composed of neurons in the fourth ventric le.

A public health nurse is responsible for the administration of numerous immunizations. Which of the following guidelines regarding anaphylaxis should the nurse adhere to? A) The patient should be observed for anaphylaxis for 1 minute after administration. B) The patient should be observed for anaphylaxis for 5 minutes after administration. C) The patient should be observed for anaphylaxis for 30 minutes after administr at io n. D) The patient should be observed for anaphylaxis for 90 minutes after administr at io n.

C) The patient should be observed for anaphylaxis for 30 minutes after administr at io n.

An adult hospital patient has been experiencing intractable nausea and vomiting for several hours, so the nurse has obtained an order for an antiemetic from the primary care provider. The order reads: "Promethazine 25 mg sub-Q every 6 hours PRN." The nurse should contact the care provider to question what aspect of this order? A) The drug B) The dose C) The route D) The frequency

C) The route

A patient has developed a decubitus ulcer on the coccyx. What defense mechanism is most affected by this homeostatic change? A) The mucous membrane is affected. B) The respiratory tract is affected. C) The skin is affected. D) The gastrointestinal tract is affected.

C) The skin is affected.

A patient is administered an antihistamine for nausea. Which of the following is an adverse effect of this classification of medication? A) Diarrhea B) Prolonged QRS complex C) Urinary retention D) Inverted T wave

C) Urinary retention

A patient presents at the clinic with sneezing and coughing. He is diagnosed with the common cold. Which type of microorganism causes the common cold? A) Gram-positive bacteria B) Gram-negative bacteria C) Virus D) Fungus

C) Virus

A patient is beginning therapy with isosorbide dinitrate (Isordil). When will the nurse know that the patient has maximal tolerance? A) When nausea develops B) When halos are seen around lights C) When a headache develops D) When the heart rate increases to 100

C) When a headache develops

A 34-year-old woman with a body mass index of 56 has recently started to take orlistat. The nurse has educated the patient about the common adverse effects of this medication, including the potential for diarrhea and flatulence. Which of the following meals would be most likely to exacerbate the adverse effects of orlistat? A) a Cobb salad with romaine lettuce, boiled egg, chicken breast, tomato, and cheese B) a tomato, green pepper, and ham omelet C) a salami, sausage, and pepperoni pizza topped with mozzarella and parmesan D) a bowl of beef chili con come topped with diced onions

C) a salami, sausage, and pepperoni pizza topped with mozzarella and parmesan

A young adult man is despondent that he has been unable to lose weight and keep it off. Now that his weight has crested 350 pounds, he has sought advice from the nurse. He states that obesity runs in his family but that his mother had great success in losing weight with the use of amphetamines in the late 1970s. The nurse should explain to the man that this is not a treatment option because A) amphetamines have been shown to be largely ineffective in clinical studies. B) amphetamines have been superseded by more modern lipase inhibitors. C) amphetamines carry a high risk of dependence and abuse. D) amphetamines are prohibitively expense and are not covered by most health insurers.

C) amphetamines carry a high risk of dependence and abuse.

A patient has been treated successfully for diarrhea and has had only one loose bowel movement during the day. Which of the following foods should be introduced back into the diet first? A) chicken breast B) beef stew C) baked potato D) lentils

C) baked potato

A critically ill patient with a diagnosis of ventilator-associated pneumonia has been administered acetylcysteine by inhalation. The critical care nurse knows that this medication helps to liquefy secretions in the respiratory tract by A) increasing the osmolality of mucus. B) decreasing the osmolality of mucus C) breaking the protein bonds that exist in mucus. D) drawing increased amounts of water from interstitial spaces into mucus.

C) breaking the protein bonds that exist in mucus.

The nurse is preparing to administer a vaccine to a newborn. Before administering the vaccine, the nurse should A) warm the vaccine to well above room temperature. B) vigorously massage the chosen injection site. C) check the infant's temperature. D) divide the dose for administration to three injection sites

C) check the infant's temperature.

An elderly patient has presented to the clinic for a scheduled visit and states that he has been taking a combination antitussive/decongestant/expectorant for several weeks in order to prevent the common cold. The nurse should cite which of the following effects of long-term use of OTC cold remedies? Select all that apply. A) chronic epistaxis B) anticholinergic effects C) chronic congestion D) damage to the nasal mucosa E) hepatotoxicity

C) chronic congestion D) damage to the nasal mucosa

A patient has been diagnosed with hypothyroidism and admits to the nurse that she has heard of her thyroid gland but does not know the function of thyroid hormone. The nurse should explain the fact that thyroid hormone is responsible for A) regulating the levels of most other hormones in the body. B) stimulating the brain and sex organs. C) controlling the rate of cell metabolism throughout the body. D) regulating levels of glucose in the blood and body tissues.

C) controlling the rate of cell metabolism throughout the body.

Constipation is defined as A) the passage of fewer than three stools in any 7-day period. B) the passage of fewer than five stools in any 7-day period. C) the infreque nt and painful expulsio n of hard, dry stools. D) a subjective sensation of bowel fullne ss.

C) the infreque nt and painful expulsio n of hard, dry stools.

The nurse is teaching the patient about angina pectoris. Which of the following statements by the patient indicates that he has understood the teaching? A) "I will avoid exercise because it will precipitate my angina." B) "As long as I take my medicines, I will not need to decrease my fat intake." C) "My high blood pressure has no effect on my episodes of chest pain." D) "High fat in the diet and smoking can cause my episodes of chest pain."

D) "High fat in the diet and smoking can cause my episodes of chest pain."

A patient with a diagnosis of chronic renal failure will soon begin a regimen of epoetin that will administered by the patient at home. Which of the following statements indicates that the nurse's initial health education has been successful? A) "I'll make sure to take my Epogen pill on a strict schedule and make sure I never miss a dose." B) "I'm glad that Epogen can help to protect me from getting an infection." C) "I'm excited that there's a medication that can help my kidneys work better." D) "I'm not all that comfortable with giving myself an injection, but I'm sure I'll be able to learn."

D) "I'm not all that comfortable with giving myself an injection, but I'm sure I'll be able to learn."

A patient is prescribed an antitussive agent with codeine. Which of the following statements by the patient indicates that the nurse's teaching has been effective? A) "I will take this medicatio n whenever I am coughing. " B) "This medication may make me anxious and nervous." C) "I will call my physician if I develop diarrhea when I take it." D) "This medication will cause drowsiness, and I will not drive."

D) "This medication will cause drowsiness, and I will not drive."

A patient has asked the nurse if it would be appropriate to use dextromethorphan to treat her cough. What type of cough is best suited to treatment with dextromethorphan? A) An occasional, productive cough B) A cough that is nearly continuous and that is accompanied by copious secretions C) A cough that occurs when the patient is exposed to airborne irritants D) A dry, nonproductive cough

D) A dry, nonproductive cough

Antihistamines are used to treat nasal congestion. Which of the following patients should not be administered an antihistamine? A) A male patient with Parkinson's disease B) A female patient with asthma C) A male patient with diabetes mellitus D) A male patient with prostatic hypertrophy

D) A male patient with prostatic hypertrophy

Which of the following patients would likely be the most appropriate candidate for treatment with filgrastim (Neupogen)? A) A patient who has undergone a mastectomy for the treatment of breast cancer B) A patient with acquired immune deficiency syndrome (AIDS) who has been diagnosed with Kaposi's sarcoma C) A patient who developed acute renal failure secondary to rhabdomyolysis D) A patient whose acute myelogenous leukemia necessitated a bone marrow transplant

D) A patient whose acute myelogenous leukemia necessitated a bone marrow transplant

Which of the following patients with diarrhea would be most likely to be prescribed octreotide (Sandostatin)? A) A child who has been diagnosed with E. coli infection B) An older adult who has been abusing laxatives for several months C) A teenage patient who has been diagnosed with ulcerative colitis D) A patient with HIV/AIDS who has developed intractable diarrhea

D) A patient with HIV/AIDS who has developed intractable diarrhea

A patient has substernal chest pain that radiates to the neck. The pain lasts 5 minutes and then subsides with relaxation. What is the most likely cause of the chest pain? A) Myocardial infarction B) Intermittent claudication C) Hypertensio n D) Angina pectoris

D) Angina pectoris

A patient is scheduled to receive one unit of packed red blood cells. The patient states that she has had an allergic reaction to a transfusion in the past. What class of medication will assist in preventing a reaction to the packed red blood cell transfusion? A) Antipyretics B) Antimic rob ia ls C) Antiangina ls D) Antihis ta mi nes

D) Antihis ta mi nes

Following the completion of diagnostic testing, an adult patient has received a diagnosis of hyperthyroidism. What nursing diagnosis should the nurse prioritize in this patient's care? A) Risk for hypothermia related to hyperthyroidism B) Constipation related to hyperthyroidism C) Risk for imbalanced nutrition: less than body requirements related to hyperthyro id is m D) Anxiety related to hyperthyroidism

D) Anxiety related to hyperthyroidism

An older adult patient has received his third dose of diphenoxylate (Lomotil) and the nurse is monitoring the patient's bowel patterns closely. In addition to monitoring the number and consistency of the patient's stools, the nurse should prioritize what assessment? A) Assessment of cognitio n and neurologica l status B) Assessment of oxygen saturation and respiratory rate C) Assessment of nutritional status D) Assessment of fluid and electrolyte balance

D) Assessment of fluid and electrolyte balance

It is important for the nurse to stay informed of the most current recommendations for immunizations. Which of the following sources is most accurate regarding immunization guidelines? A) American Academy of Pediatrics B) American Academy of Family Physicians C) American Academy of Infectious Disease Physicians D) Centers for Disease Control and Prevention

D) Centers for Disease Control and Prevention

A nurse is instructing parents about health and nutrition. The nurse should state that overweight children are more likely than normal-weight children to develop which disease process? A) Glaucoma B) Migraine headache C) Scoliosis D) Diabetes mellitus

D) Diabetes mellitus

An adult patient is administered hydroxyzine for nausea. What adverse effect is most likely with this medication? A) Thrombocytope nia B) Palpitatio ns C) Hypertonic muscle tone D) Dry mouth

D) Dry mouth

A nurse is administering a mumps vaccine to an adolescent. Which of the following medications should be available when administering an immunization? A) Diphenhydramine (Benadryl) B) Hydroxyzine (Vistaril) C) Physostigmine D) Epinephrine

D) Epinephrine

A patient is being administered propranolol (Inderal) to treat hypertension related to hyperthyroidism. Which condition will warrant the tapering and discontinuation of the propranolol (Inderal)? A) Hyperthyro id is m B) Hypertensio n C) Angina pectoris D) Euthyro id state

D) Euthyro id state

You are the nurse educating new parents on prevention and treatment of constipation with infants. What is the most effective and safest way to treat constipation in infants prior to bowel training? A) Milk of magnesia B) Sorbitol C) Dulcola x suppositories D) Glycerin suppositories

D) Glycerin suppositories

A patient's medication administration record specifies that the patient is to receive 20 units of NPH insulin at 08:00. Before administering this medication, the nurse must do which of the following? A) Massage the chosen injectio n site. B) Assess the patient's understand ing of diabetes. C) Assess the patient's urine for the presence of glucose. D) Have a colleague confirm the dosage.

D) Have a colleague confirm the dosage.

A patient is stung by a bee. What is the chemical mediator released in immune and inflammatory response to the bee sting? A) Norepinephrine B) Mast cells C) Epinephrine D) Histamine

D) Histamine

A nurse has taught an adult patient about the fact that guaifenesin is not necessarily an effective way of liquefying secretions. To help liquefy the patient's secretions, the nurse should encourage which of the following measures? A) Reducing salt intake B) Deep breathing and exercises C) Gargling with normal saline D) Increasing fluid intake

D) Increasing fluid intake

When providing patient teaching to parents regarding measles, mumps, and rubella vaccine administration, which of the following is most important regarding the schedule for administration? A) It is administered at 1-2 months B) It is administered at 3-4 months C) It is administered 5-6 months D) It is administered 12-15 months

D) It is administered 12-15 months

An 8-month-old infant is admitted to the pediatric floor of the community hospital with a new diagnosis of diabetes. The patient is to receive 1 unit of regular insulin subcutaneously. How will that 1 unit be administered? A) It is administered orally. B) It is administered as U-5. C) It is administered with a TB syringe. D) It is administered as U-10.

D) It is administered as U-10.

A patient is exposed to a viral infection. What role will interferon most likely play during this exposure? A) It will stimulate B-lymphocyte activity. B) It will interfere with stem cell multiplication. C) It will stimulate growth of lymphoid cells. D) It will interfere with virus replication.

D) It will interfere with virus replication.

A patient diagnosed with HIV/AIDS has diarrhea that is not responding to antidiarrheal agents. Which medication will best assist in treating this patient's diarrhea? A) Bismuth salts (Pepto-Bismol) B) Ciprofloxacin (Cipro) C) Cholestyramine (Questran) D) Octreotide acetate (Sandostatin)

D) Octreotide acetate (Sandostatin)

A cancer patient has intractable diarrhea that is not of an infectious nature. Which of the following medications will most likely be prescribed? A) Bismuth B) Pepto-Bismol C) Psyllium D) Opioids

D) Opioids

An obese patient has been receiving extensive health education prior to beginning treatment with phentermine. The nurse has taught the patient about the varied factors that contribute to obesity. Which of these factors is addressed by the use of phentermine? A) Psychosocial factors B) Enviro nme nta l factors C) Genetic factors D) Physiologic factors

D) Physiologic factors

An 85-year-old patient is administered dimenhydrinate (Dramamine). Which of the following is the priority nursing intervention? A) Encourage fluids with this patient. B) Have the patient void after administration. C) Maintain IV access. D) Protect from injury.

D) Protect from injury.

A patient is prescribed ranolazine (Ranexa) to treat chronic angina. Which of the following electrocardiogram changes will contraindicate the use of ranolazine? A) Normal ST segment B) Inverted P wave C) Shortened QRS D) QT prolongation

D) QT prolongation

A patient is in diabetic ketoacidosis. The patient blood glucose level is over 600 mg/dL. The physician has ordered the patient to receive an initial dose of 25 units of insulin intravenously. What type of insulin will most likely be administered? A) NPH insulin B) Lente insulin C) Ultralente insulin D) Regular insulin

D) Regular insulin

A patient has received a rubella immunization. The patient was unaware that she was pregnant. What risk is associated with the administration of the rubella immunization in this patient? A) Risk of development of the disease in the newborn B) Risk of low infant birth weight C) Risk of preterm labor D) Risk of birth defects

D) Risk of birth defects

A patient is undergoing a bone marrow transplant. Which of the following medications is most effective in stimulating the production of granulocytes and macrophages? A) Bacillus Calmette-Guérin (BCG) B) Epoetin alfa (Epogen) C) Aldesleuk in (Proleukin) D) Sargramostim (Leukine)

D) Sargramostim (Leukine)

A patient has suffered from hypoglycemia twice in the past week. She states she eats one meal per day and snacks the rest of the day. What patient education will you provide for this patient? A) She should limit her alcohol with meals. B) She should increase her caloric intake. C) She should increase her protein intake during snacks. D) She should not eat at sporadic times

D) She should not eat at sporadic times

An infant is seen in the clinic for her first immunizations. When providing patient teaching to the parent, which of the following is no longer recommended for administr at io n? A) Rubella and mumps vaccine B) Polio vaccine C) Diphtheria, pertussis, and tetanus vaccine D) Smallpox vaccine

D) Smallpox vaccine

A patient has been diagnosed with hyperthyroidism. She is scheduled to receive a medication to destroy the thyroid gland. Which medication will be administered? A) Propylthiouracil (PTU) B) Methima zo le (Tapazole) C) Saturated solution of potassium iodide (SSKI) D) Sodium iodide 131I (Iodotope)

D) Sodium iodide 131I (Iodotope)

When instructing the parents of a child who has received immunization in the vastus lateralis, which reaction is most common in the days after the administration? A) Nausea, vomiting, and diarrhea B) Rash and edema C) Weakness and difficulty walking D) Tenderness and redness at the site

D) Tenderness and redness at the site

A patient has been taking cephalexin (Keflex) for an upper respiratory infection. On the seventh day of treatment, the patient develops myalgia and fever. What reaction is the patient likely having? A) The patient has developed a new infection. B) The patient has developed an autoimmune disease. C) The patient has become septic. D) The patient has serum sickness.

D) The patient has serum sickness.

A 55-year-old male patient has been living with type 1 diabetes for many years and has begun to experience diabetic nephropathy over the past year. How will this patient's current health status influence the possible use of pseudoephedrine in the treatment of cold symptoms? A) The patient should monitor his blood glucose levels more frequently when taking pseudoephedrine. B) The use of pseudoephedrine is absolutely contraindicated by the fact that the patient has diabetes and takes insulin. C) The patient may require a higher-than-average dose of pseudoephedrine because of excess fluid volume secondary to renal failure. D) The patient should use caution and will likely require a lower dose of pseudoephedrine because of his impaired renal function.

D) The patient should use caution and will likely require a lower dose of pseudoephedrine because of his impaired renal function.

A patient is taking a nasal decongestant. Which of the following medications may dangerously increase the effects of nasal decongestants? A) Anti-infective agents B) Anti-inflammatory agents C) Proton pump inhibitors D) Thyroid preparations

D) Thyroid preparations

An older adult patient whose medical history includes angina is gardening outside his home when he experiences a sudden onset of chest pain. This patient would most likely administer a dose of nitroglycerin by what route? A) Subcutaneous injectio n B) Oral sustained-release tab C) Nebulized inhalation D) Transmucosal spray

D) Transmucosal spray

When providing a health promotion presentation to a group of seniors, how often should you instruct the senior group to obtain influenza vaccines? A) One time only B) Every 10 years C) Two times per year D) Yearly

D) Yearly

A second-generation H1 receptor antagonist antihistamine formulated as a nasal spray for topical use is A) chlorpheniramine B) clemastine C) cyproheptadine D) azelastine

D) azelastine

An older adult has told the nurse practitioner that she has regularly drunk mineral oil to treat occasional episodes of constipation. The nurse should encourage the patient to explore other treatments because the use of oral mineral oil can result in A) edema from changes in intestinal solute content. B) paralytic ileus. C) rebound constipation. D) decreased absorption of drugs and vitamins.

D) decreased absorption of drugs and vitamins.

A patient with angina is prescribed propranolol (Inderal). Following absorption of the drug, the nurse should expect to assess A) relief of fatigue. B) increased oxygen saturation levels. C) mild to moderate drowsiness. D) decreased heart rate.

D) decreased heart rate.

A patient is administered promethazine (Phenergan) for nausea and vomiting. Which of the following is an adverse effect of promethazine (Phenergan)? A) urinary incontinence B) tachycardia C) taste alteration D) extrapyramidal symptoms

D) extrapyramidal symptoms