Ch 15, 47, 48, 49 & 50 (NCLEX)
A patient is prescribed scopolamine. What information should the nurse include on the teaching plan for this patient? (Select all that apply.) A."Do not take this medication if you are dizzy." B."Do not use laxatives while on this medication." C."Do not use this medication for longer than a day." D."After 3 days, switch patch to alternate ear." E."Apply patch 4 hours before effect is desired." F."Drowsiness is a concern while on this medication."
"After 3 days, switch patch to alternate ear." "Apply patch 4 hours before effect is desired." "Drowsiness is a concern while on this medication."
What instruction is most important for the nurse to teach a patient who is taking an anticholinergic agent to treat nausea and vomiting? A. "Assess your stools for dark streaks." B. "Do not take more than two doses of this medication." C. "Brush your teeth and gargle to help with dryness in your mouth." D. "Check your heart rate and call the health care provider if it gets below 50 beats/min."
"Brush your teeth and gargle to help with dryness in your mouth."
A patient is prescribed isotretinoin (Amnesteem). What is the most important instruction for the nurse to teach the patient before beginning this medication? A."Do not go out in the sun while on this medication." B."Call the health care provider if you have muscle weakness." C."Increase fluid intake while on this medication." D."Do not take aspirin while on this medication."
"Call the health care provider if you have muscle weakness."
The patient has been prescribed a treatment regimen that includes nizatidine (Axid). Which statement by the patient indicates a therapeutic outcome? A."I don't have any more stomach pain." B."My constipation has been relieved." C."I don't have such frequent headaches." D."My anxiety has been under control."
"I don't have any more stomach pain."
Which patient statement indicates to the nurse a need for further teaching regarding proper administration of eye drops? A."I will put pressure on the inside corner of my eye after I administer the drops." B."I will be careful not to touch my eye with the dropper." C."I should rinse the eye dropper with tap water after each use." D."I will turn my head slightly toward the outside of the eye I am putting the drops in."
"I should rinse the eye dropper with tap water after each use."
A patient takes iron on a daily basis. which comment from the patient suggests the need for health teaching r/t iron? a. "i will swallow the tab whole." b. "i take the tab immediately before I go to bed." c. "i know the multivitamins might include iron." d. "i keep the tabs out o my children's reach."
"I take the tablet immediately before I go to bed."
Which statement by the patient indicates that further teaching is needed about antiemetic medication? A. "I will not drive while I am taking these medications because they may cause drowsiness." B. "I may take Tylenol to treat the headache caused by ondansetron (Zofran)." C. "I will apply the scopolamine patches to rotating sites on my upper arms." D. "I should take my prescribed antiemetic before receiving my chemotherapy dose and continue afterwards."
"I will apply the scopolamine patches to rotating sites on my upper arms."
A patient has been prescribed aluminum hydroxide (Amphojel) and has received patient teaching. Which statement by the patient indicates an understanding of the instructions? A. "I will take aluminum hydroxide at mealtime." B. "I will drink 2 ounces of water after taking aluminum hydroxide." C. "I will take aluminum hydroxide within 30 minutes of my other medications." D. "I will take a laxative if I develop constipation."
"I will drink 2 ounces of water after taking aluminum hydroxide."
A prenatal patient tells the nurse that she is not taking vitamins because she heard that vitamins may cause damage to the fetus if she becomes pregnant. What is the nurses beast response? A. "Vitamins can only help your baby." B. "Take extra vitamins now to make up for missed doses." C. "Megadoses of vitamins can be harmful in the first trimester." D. "Taking above the RDA of any vitamin is not recommended."
"Megadoses of vitamins can be harmful in the first trimester."
Which statement demonstrates to the nurse that the patient understands instructions regarding the use of histamine2-receptor antagonists? A. "Since I am taking this medication, it is all right for me to eat spicy foods." B."Smoking decreases the effects of the medication, so I should try a cessation program." C."I should take this medication 1 hour after each meal to decrease gastric acidity." D. "I should decrease bulk and fluids in my diet to prevent diarrhea."
"Smoking decreases the effects of the medication, so I should try a cessation program."
What information will the nurse include in a teaching plan for the patient who is prescribed sucralfate (Carafate)? A."This medication will neutralize gastric acid." B."This medication will enhance gastric absorption of meals." C."This medication will form a protective barrier over the gastric mucosa." D. "This medication will inhibit gastric acid."
"This medication will form a protective barrier over the gastric mucosa."
A patient asks the nurse, "What does copper do for me I think it must be bad for me." What is the nurses best response? a. "copper is needed for red blood cell formation." b. "be sure to include nuts and seeds in your diet." c. "why do you think copper is bad for you?" d. "are you taking 5 mg of copper a day?"
"Why do you think copper is bad for you?"
A patient asks the nurse for information about fat-soluble vitamins. What is the nurses best response? a. "fat-soluble vitamins are metabolize rapidly." b. "fat-soluble vitamins cannot be stored in the liver." c. "fat-soluble vitamins are excreted slowly in urine." d. "fat-soluble vitamins can never be toxic."
"fat soluble vitamins are excreted slowly in urine."
a student nurse is preparing to administer sucralfate (Carafate) to a patient. which statement by the student nurse demonstrates understanding of sucralfates mode of action? a. "sucralfate neutralizes gastric acidity." b. "gastric acid secretion is decreased by inhibiting histamine at H2 receptors in parietal cells." c. "gastric acid secretion is suppressed by inhibiting the hydrogen/potassium ATPase enzyme." d. "sucralfate combines with protein to form a viscous substance that forms a protective covering of ulcer."
"sucralfate combines with protein to form a viscous substance that forms a protective covering of ulcer."
a patient who has constipation is prescribed a bisacodyl (Dulcolax) suppository. which explanation will the nurse use to explain the action of bisacodyl? a. acts on smooth intestinal muscle to gently increase peristalsis. b. absorbs water into the intestines to increase bulk and peristalsis c. lowers surface tension and increases water accumulation in the intestines d. pulls salts into the colon and increases water in the feces to increase bulk
Acts on smooth intestinal muscle to gently increase peristalsis.
What is a priority nursing intervention when administering ranitidine (Zantac)? A. Administer just before meals. B. Administer right after eating. C. Administer 1 to 2 hours after meals. D. Administer during meals.
Administer just before meals.
The nurse is caring for a patient who is taking sucralfate (Carafate) for treatment of a duodenal ulcer. Which assessment requires action by the nurse? A. A sodium level 140 mEq/L B. Absent bowel sounds, hard abdomen C. Urinary output of 30 mL/hr D. A calcium level 8.5 mg/dL
Absent bowel sounds, hard abdomen
The nurse is caring for a patient who is experiencing gastric distress from the long-term use of aspirin for treatment of arthritis. Which intervention does the nurse anticipate that the provider may order? A.Stop all aspirin therapy. B.Administer misoprostol (Cytotec). C.Instruct the patient to take the aspirin with milk. D.Instruct the patient to take the aspirin on an empty stomach.
Administer misoprostol (Cytotec).
A patient is prescribed lorazepam (Ativan) and a glucocorticoid during chemotherapy treatments. What is the nurse's best action? A. Call the health care provider and question the order. B. Only administer the Ativan if the patient seems anxious. C. Administer the two medications at least 12 hours apart. D. Administer the medications and assess the patient for relief.
Administer the medications and assess the patient for relief
when metoclopramide (Reglan) is given for nausea, the nurse plans to caution the patient to avoid which substance? a. milk b. coffee c. alcohol d. carbonated beverages
Alcohol
The health care provider has prescribed lansoprazole (Prevacid) for the patient. Within 30 minutes of receiving the first dose of the medication, the patient experiences shortness of breath and develops a rash on his skin. What does the nurse expect that the patient is experiencing? A.Unexpected side effect of the medication B.Toxic level of the medication C.Allergic reaction to the medication D.Typical side effect of the medication
Allergic reaction to the medication
The patient has had natamycin (Natacyn Ophthalmic) added to the treatment regimen. The patient complains to the nurse of experiencing a stinging or burning sensation. What does the nurse suspect the patient is experiencing? A.An allergic reaction to the medication B.An expected side effect of the medication C.An idiosyncratic reaction to the medication D.An overdosage of the medication
An expected side effect of the medication
Before applying povidone-iodine (Betadine) to a patient's skin, what is a primary nursing intervention? A.Apply a cortisone cream. B.Wash the skin. C.Shave and prepare the area. D.Ask patient if he or she has any allergies.
Ask patient if he or she has any allergies.
The nurse is assessing a patient who follows a vegan diet. What assessment is highest priority for the nurse to make? A. Assess for vitamin B12 deficiency. B. Assess for vitamin A deficiency. C. Assess for impaired elimination. D. Assess for bleeding disorders.
Assess for vitamin B12 deficiency.
Which nursing intervention is a priority before administering magnesium hydroxide to a patient? A. Obtain a history of constipation and causes. B. Record baseline vital signs. C. Assess renal function. D. Advise the patient to take the medication with a glass of water.
Assess renal function.
A patient diagnosed with alcoholism has questions about his medications. the nurse correctly explains that alcoholism can associated with deficiency of which vitamin? a. A b. B12 c. D d. K
B12
a patient with nausea is taking ondansetron (Zofran). she asks the nurse how this drug works. th nurse is aware that this med has which action? a. enhances histamine1 receptor sites b.blocks serotonin receptors in the CTZ c. blocks dopamine receptors in the CTZ d. stimulates anticholinergic receptor sites
Blocks serotonin receptors in the CTZ
A patient is prescribed calcipotriene (Dovonex) for treatment of psoriasis. What diagnostic finding requires immediate intervention by the nurse? A.Calcium 12 mg/dL B.Potassium 3.8 mEq/L C.Sodium 135 mmol/L D.Phosphorus 3.2 mg/dL
Calcium 12 mg/dL
The nurse assesses a patient with hyperparathyroidism and notes that the patient is to receive a vitamin D supplement. What is essential for the nurse to assess initially? A.Urinary output B. Hemoglobin and hematocrit C. Clotting factors D. Calcium levels
Calcium levels
A patient is complaining of excessive earwax that diminishes hearing ability. Which medication will the nurse use to assist the patient? A.Acetic acid (vinegar) B. Carbamide peroxide (Debrox) C.Hydrocortisone D. Glycerin
Carbamide peroxide (Debrox)
The patient has been ordered diclofenac sodium (Voltaren Ophthalmic). The nurse recognizes that the patient has probably undergone which procedure? A.Surgery for corneal ulcers B.Cataract surgery C.Surgery for a detached retina D.Surgery for ophthalmic cancer
Cataract surgery
The patient has experienced an ophthalmic infection that has not responded to the usual antibiotics administered. What medication does the nurse anticipate that the provider will order? A.Tetracycline (Achromycin Ophthalmic) B.Diclofenac sodium (Voltaren Ophthalmic) C.Chloramphenicol D.Gentamycin sulfate (Garamycin)
Chloramphenicol
The nurse is reviewing a patient's medication history and notes that the patient is taking vitamin K. What is highest priority for the nurse to assess? A.Coagulation studies B. Confusion C. Diarrhea D. Seizure activity
Coagulation studies
The nurse is doing preconception counseling with a patient. Folic acid is included in the health teaching plan because it is known to prevent CNS anomalies and may offer protection from which disorder? A. Colorectal cancer B. DM C. Celiac disease D. Migraine headaches
Colorectal cancer
What will the nurse teach the patient about the reason for administering multiple medications for relief of nausea and vomiting? A. Combination therapy decreases the risk of constipation. B. Combination therapy is more cost-effective. C. Combination therapy blocks different vomiting pathways. D. Combination therapy decreases side effects due to lower doses of each drug.
Combination therapy blocks different vomiting pathways.
A 20-year-old female patient is starting isotretinoin (Amnesteem) therapy. What is an essential nursing intervention for this patient? A.Performing a pregnancy test B.Assessing sputum cultures C.Making sure IV is patent D.Forcing oral fluids
Performing a pregnancy test
Which outcome assessment is essential to monitor for in the patient taking diphenoxylate with atropine (Lomotil)? A. Increase in bowel sounds B. Increase in number of bowel movements C. Decrease in gastric motility D. Decrease in urination
Decrease in gastric motility
The health care provider prescribes lansoprazole (Prevacid) for a patient. Which assessment indicates to the nurse that the medication has had a therapeutic effect? A.The patient has no diarrhea. B.The patient has no gastric pain. C.The patient has no esophageal pain. D.The patient is able to eat.
The patient has no esophageal pain.
a patient is using scopolamine (Transderm-Scop) to prevent motion sickness. about which common side effect should the nurse teach the patient? a. diarrhea b. vomiting c. insomnia d. dry mouth
Dry mouth
the nurse reviews the patients med history. based on the patients prolonged use of topical glucocorticoids, what could the nursing assessment include? select all that apply a. weight gain b. thinning of the skin c. erythematous lesions d. purpura e. urinary retention
Thinning of the skin & purpura
In developing a plan of care for a patient receiving an antihistamine antiemetic agent, which nursing diagnosis is of highest priority? A. Knowledge deficit regarding medication administration B. Fluid volume deficit related to nausea and vomiting C. Risk for injury related to side effects of medication D. Alteration in comfort related to nausea and vomiting
Fluid volume deficit related to nausea and vomiting
The nurse assesses a patient's laboratory results and finds a decreased white blood cell count as well as evidence of anemia. The nurse suspects that a vitamin deficiency is the source of the change in lab values. Based on the results, the patient is most likely to be experiencing a deficiency of which vitamin? A. Folic acid B. Vitamin A C. Vitamin B6 D. Vitamin B1
Folic acid
The nurse is administering loperamide (Imodium) to a patient with diarrhea. What assessment is essential for the nurse to perform? A. Vascular assessment B. Gastric assessment C. Hourly blood pressure measurements D. Intake and output every shift
Gastric assessment
The nurse is instructing a group of patients about nutrition. The nurse is discussing vitamin deficiencies in this week's class. A patient asks if a B12 deficiency is a significant problem. The nurse explains that a B12 deficiency can result in which symptom? A. Dermatitis B. Blurred vision C. Gastrointestinal disorders D. Loss of appetite
Gastrointestinal disorders
a patient is diagnosed with peptic ulcer disease. the nurse realizes that which factor is predisposing factor for this condition? a. helicobacter pylori b. hyposecretion of person c. decreased hydrochloric acid d. e. coli
Helicobacter pylori
The nurse evaluates the patient using eyedrops. The patient puts two drops into his eye. What is the nurse's best action? A.Continue to observe the patient. B.Instruct the patient that one drop is optimal. C.Have the patient irrigate his eye to remove excess medication. D.Have the patient close his eye and rub to assist in absorption.
Instruct the patient that one drop is optimal.
The patient has been started on benzoyl-peroxide (Benzac, Persa-Gel) as part of the treatment regimen. The nurse recognizes that this drug belongs to which drug class? A.Systemic antibiotic B.Keratolytic agent C.Topical antibiotic D.Topical vitamin A derivative
Keratolytic agent
Which assessment is most important for the patient who is taking stimulant laxatives? A. Monitor bowel elimination daily. B. Monitor intake and output. C. Monitor signs and symptoms of fluid and electrolyte imbalance. D. Monitor heart rate and blood pressure every 4 hours.
Monitor signs and symptoms of fluid and electrolyte imbalance.
The nurse is caring for a patient who is taking ascorbic acid (vitamin C). The nurse plans to monitor the patient for which adverse effect of ascorbic acid? A. Frequent constipation B. Excessive bleeding tendencies C. Nausea, vomiting, heartburn D. Seizure activity
Nausea, vomiting, heartburn
The nurse administers pilocarpine to a patient with glaucoma. What assessment finding would indicate a therapeutic effect of the medication? A.Patient's eyes appear clear, without drainage. B.Patient states that her eyes feel very dry. C.Patient's pupils are dilated to 4 mm. D.Patient's pupils are constricted to 2 mm.
Patient's pupils are constricted to 2 mm.
The patient's health care provider prescribes rabeprazole (Aciphex) to a patient. The nurse recognizes that this drug is effective for the patient because it belongs to which drug class? A.Antiinfective agent B.Proton pump inhibitor C.Antacid D.Histamine2 blocker
Proton pump inhibitor
The nurse routinely includes health teaching about vitamins to patients. Vitamin D has a major role in which process? A. Ensuring night and color vision B. Regulating calcium and phosphorous metabolism C. Body growth D. DNA and prothrombin synthesis
Regulating calcium and phosphorous metabolism
Which intervention is most appropriate for the patient with second-degree burns? A.IV antibiotics B.Isolation C.IV dextrose infusion D.Silver sulfadiazine (Silvadene) cream
Silver sulfadiazine (Silvadene) cream
A patient comes to the office with a chief complaint of hair loss and peeling skin. The nurse notes that many vitamins and minerals are on the list of medications that the patient reports using to treat liver disease. the patients complaint may be caused by excess of what vitamin or mineral? A. Vitamin A B. Zinc C. Vitamin C D. Vitamin D
Vitamin A
The patient arrives at a local health clinic complaining of dry skin and not being able to see well in dim light. The nurse suspects that the patient is experiencing a vitamin deficiency. Based on the symptoms, the patient is most likely to be experiencing a deficiency of which vitamin? A. Folic acid B. Vitamin A C. Vitamin B6 D. Vitamin B1
Vitamin A
The nurse is caring for an older adult patient who arrives at the health clinic complaining of fatigue, lack of appetite, and changes in his vision. The nurse suspects that the symptoms may be related to a vitamin deficiency. Based on the symptoms, the patient is most likely to be experiencing a deficiency of which vitamin? A. Vitamin B1 B. Vitamin B2 C. Vitamin B6 D. Vitamin B12
Vitamin B1
The patient arrives at the health clinic complaining of experiencing numbness in his extremities. He also tells the nurse that the rash on his nose will not go away despite use of many home remedies. The nurse suspects that the patient is deficient in which vitamin? A. Vitamin B1 B. Vitamin B2 C. Vitamin B6 D. Vitamin B12
Vitamin B2
The nurse is caring for a patient who has been experiencing convulsions. The patient's laboratory results also show evidence of anemia. The nurse suspects that the patient may be experiencing a deficiency of which vitamin? A. Folic acid B. Vitamin A C. Vitamin B6 D. Vitamin B1
Vitamin B6
The nurse is reviewing a patients laboratory test results and current medications and notes that the patients prothrombin time is prolonged. The nurse checks the patients medication list. What vitamin or mineral might be contributing to this? A. Vitamin A B. Selenium C. Vitamin D D. Vitamin E
Vitamin E
The nurse is planning to administer eardrops. What intervention is essential to include in the plan of care? A.Eardrops should be cool when being administered. B.Warm the eardrops to room temperature before administration. C.The pinna of an adult should be held down and back to administer eardrops. D.Eardrops may be warmed in the microwave before administration.
Warm the eardrops to room temperature before administration.
the nurse is reviewing a patients lit of meds. the patient asks, "what do kerolytic agents remove?" what is the nurses best response? a. a horny layer of dermis b. a horny layer of epidermis c. erythematous lesions d. hair follicles
a horny layer of epidermis
the nurse is administering diphenoxylate with atropine (Lomotil) to a patient. which should be included in the patient teaching regarding this med? (select all that apply) a. caution the patient to avoid laxative abuse b. record the frequency of bowel movements c. caution the patient against taking sedatives concurrently d. encourage the patient to increase fluids e. instruct the patient to avoid this drug if he or she has narrow-angle glaucoma f. teach the patient that the drug acts by drawing water into the intestine
a. caution the patient to avoid laxative abuse b. record the frequency of bowel movements c. caution the patient against taking sedatives concurrently d. encourage the patient to increase fluids e. instruct the patient to avoid this drug if he or she has narrow-angle glaucoma
A patient is receiving etanercept (Enbrel). which nursing interventions are appropriate for this patient? select all that apply a. drug is administered by SQ route b. PPD is required before start of therapy c. monitor for injection site reaction d. monitor for seizures e. monitor for HF
a. drug is administered by SQ route b. PPD is required before start of therapy c. monitor for injection site reaction e. monitor for HF
the school nurse prepares a program for jr. high school students on sun safety. what is important information to include? select all that apply a. sunscreen products should contain information about UVA and UVB SPF protection b. UVB radiation is greatest between 10 AM and 3 PM c. clouds block radiation, so sunscreen is not needed on cloudy days d. SPF should be at least 15 in in sunscreen products e. sunscreen is to be applied once daily
a. sunscreen products should contain information about UVA and UVB SPF protection b. UVB radiation is greatest between 10 AM and 3 PM d. SPF should be at least 15 in in sunscreen products
The patient has been started on benzoyl-peroxide (Benzac, Persa-Gel) as part of the treatment regimen. The patient asks the nurse, "Why do my lips seem to swell whenever I use the medication?" The nurse recognizes that the patient's symptoms are indicative of A.overdosage of the medication. B.getting the medication too close to the mouth. C.allergic reaction to the medication. D.ineffectiveness of the medication.
allergic reaction to the medication.
when a patient c/o pain accompanying a peptic ulcer, why should the nurse give an antacid? a. antacids decrease GI motility b. antacids decrease gastric acid secretion c. antacids strengthen the lower esophageal sphincters action d. antacids neutralize HCl and reduce pepsin activity
antacids neutralize HCl and reduce pepsin activity
a male patient is to begin therapy with isotretinoin and asks, "what do i have to remember to do while taking this medicine?" what is the nurses best response? select all that apply a. avoid sunlight b. monitor your weight c. keep appts for lab tests d. avoid pregnancy
avoid sunlight and pregnancy keep appts for lab tests
a 20 y.o. woman comes to the clinic for follow-up r/t isotretinoin use. the nurse reviews the iPLEDGE program, which includes which important information? select all that apply a. one method of contraception must be used through out treatment b. a review of iPLEDGE educational method c. a negative pregnancy test is required before each monthly refill d. informed consent is not required e. a prescription for 60 days' worth of drug is to be given
b. a review of iPLEDGE educational method c. a negative pregnancy test is required before each monthly refill
The nurse asks a parent to demonstrate administration of eardrops on a toddler. which steps by the parent indicate the need for additional education? select all that apply a. position with the affected ear upward b. pull the ear backward and upward c. instill one drop of med at a time allowing 3 to 5 mins between each drop d. apply gentle pressure to the flap (tragus) over the ear canal e. keep the ear positioned upward for 5 mins
b. pull the ear backward and upward c. instill one drop of med at a time allowing 3 to 5 mins between each drop
the nurse is teaching the patient about the med clobetasol (Clobex) to be started today. what information needs to be included in the teaching session? select all that apply a. appropriate treatment for 6 months' duration b. can apply lotion to all body parts c. super-high-potency corticosteroid d. maximum dose is 50 g/kg e. occlusive dressing speeds healing
c. super-high-potency corticosteroid d. maximum dose is 50 g/kg
The ophthalmologist prescribes mannitol 20% to be administered IV at a dose of 1.5 g/kg to a patient with acute narrow-angle glaucoma who is awaiting surgery. before administration, the nurse will assess the patient for which condition? a. dehydration b. constipation c. GI bleeding d. allergies to sulfonamides
dehydration
a patient is taking famotidine (Pepcid) to inhibit gastric secretions. which side effects of famtidine will the nurse teach the patient? select all that apply a. diarrhea b. dizziness c. dry mouth d. headaches e. blurred vision f. decreased libido
dizziness, headaches, and decreased libido
a 55 y.o. man is concerned about hair loss. the nurse expects that the patients baldness may be treated with which oral drug? a. dexamethasone b. PABA c. mupirocin d. finaseride
finaseride
A patient c/o night blindness. the nurse correctly recommends which foods? a. skim milk and peas b. fortified milk and eggs c. nuts and yeast d. enriched bread and cereal
fortified milk and eggs
the camp nurse is reviewing the shopping list of supplies needed for the upcoming camping season. which product will the nurse purchase to prevent and treat cerumen impaction? a. hydrogen peroxide b. rubbing alcohol c. charcoal d. clove oil
hydrogen peroxide
a patient is taking oral acetazolamide, a carbonic anhydrase inhibitor to decrease intraocular pressure. when providing drug education, what will the nurse advise the patient to anticipate? a. increased weight b. light sensitivity c. burning or stinging of the eyes d. increased urine output
increased urine output
the nurse is doing health teaching with a patient with psoriasis. which is a nursing implication of a biologic agent such as infliximab (Remicade) for the management of psoriasis? a. monitor daily weight b. monitor electrolytes c. monitor urine output d. monitor CBC
monitor CBC
a patient is about to undergo a diagnostic eye exam. the ophthalmologist asks the nurse to prepare to assist in the adminsitration of tetracain (Pontocaine), fluorescein stain (Fluorescite), and atropine (Isopto Atropine). before assisting in the procedure, it is most important for the nurse to inform the ophthalmologist if the patient has a history of which condition? a. cataracts b. narrow-angle glaucoma c. open-angle glaucoma d. macular degeneration
narrow-angle glaucoma
A patient c/o constipation and requires a laxative. in providing teaching for his patient, the nurse reviews the common causes of constipation, including which cause? a. motion sickness b. poor dietary habits c. food intolerance d. bacteria (e. coli)
poor dietary habits
When collecting a med history from a patient with primary open angle glaucoma, the nurse identifies several drugs that could exacerbate glaucoma. which drug poses a priority concern for this particular patient? a. cyclobenzaprine (Flexeril), an antispasmodic b. oxymetaoline (Afrin nasal spray), a decongestant c. prednisone (Deltasone), a corticoseriod d. sulfamethoxsole with trimethoprim (Bactrim) a sulfonamide antibiotic combination
prednisone (Deltasone), a corticoseriod
a patient is taking ranitidine (Zantac). what information should the nurse teach the patient about this drug? (select all that apply) a. drug-induced impotence is irreversible. b. the drug must be administered 30 minutes before meals. c. the drug must be administered separately from an antacid by at least 1 hr. d. the drug must always be administered with magnesium hydroxide. e. smoking should be avoided while taking this drug f. foods high in vitamin B12 should be increased in diet.
the drug must be administered separately from an antacid by at least 1 hr. smoking should be avoided while taking this drug foods high in vitamin B12 should be increased in diet.
The patient tells the nurse "I have had such good results from using the gentamicin sulfate (Garamycin Ophthalmic) eyedrops! Could I keep taking them prophylactically as prevention against future infection?" The nurse bases her response on the knowledge that A.the medication is known for being ototoxic. B.the medication is known for being toxic to the eyes. C.the medication has a limited lifetime dosage. Incorrect D.the medication should be given for a limited number of doses preventatively.
the medication is known for being ototoxic.
The nurse is caring for a patient who is a new mother. The patient tells the nurse, "I saw the nurses put some kind of drops in my baby's eyes after she was born. Could those drops damage her eyes?" The nurse frames a response based on the knowledge that A.the medication was likely given to enhance the newborn's visual acuity. B.the nurse should ask the health care provider why the medication was given. C.the medication was likely given to prevent infection of the newborn's eyes. D.the eye drops can cause short-term changes to the newborn's vision.
the medication was likely given to prevent infection of the newborn's eyes.
The patient is taking esomeprazole magnesium (Nexium) for an erosive GERD. which should the nurse include in patient teaching? a. take with breakfast daily b. healing should occur in one week c. this med decreases stomach acid secretion d. blood test to check kidney function should be done
this med decreases stomach acid secretion
A patient c/o anorexia, nausea, and vomiting. The patients list of meds includes multiple large doses of vitamins. the nurse notes that the patients complaints may be r/t early signs of toxicity of which vitamin? a. A b. B c. C d. D
vitamin D