EAQ Practice Test 3

Which nutrient would help the client at 6 weeks gestation reduce the risk for neural tube defects in her baby?

Folic Acid

Within which period of time would a nurse advise the client to anticipate pain relief will begin when nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina?

1 to 3 minutes

A parent of three young children has contracted tuberculosis. Which medication would the nurse anticipate being prescribed for members of the family who have been exposed?

Isoniazid

Which laboratory value would the nurse use to determine whether a client is receiving a therapeutic dose of intravenous heparin?

activated partial thromboplastin time (aPTT) is 70 seconds

Which medication is indicated to treat bradycardia for a client whose heart rate drops to 38 bpm during a procedure?

atropine sulfate

Which action would the nurse take to avoid red man syndrome when preparing to administer a vancomycin infusion?

infuse slowly

Which issue related to antibiotic use is an increased risk for the older adult?

toxicity

Which response indicates that sublingual nitroglycerin prescribed for a client with unstable angina is effective?

pain subsides as a result of arteriole and venous dilation

Which instruction will the nurse teach the client who had a femoropopliteal bypass graft and is receiving clopidogrel postoperatively?

report any occurrence of multiple bruises

Which response would the nurse expect the client to exhibit when a therapeutic effect of digoxin is achieved?

resolution of heart failure

Which assessment is the nurse's priority before beginning an infusion of tissue plasminogen activator (t-PA) to a client in the emergency department?

signs of bleeding

Which assessment finding indicates a need for the nurse to consult with the healthcare provider before administering the prescribed metoprolol to a client with stable angina?

sinus bradycardia (rate 54 on monitor)

Which information would the nurse include when teaching a client with coronary artery disease about aspirin therapy?

take aspirin with food, report ringing in the ears, monitor and report excessive bleeding and bruising, avoid OTC pain medications that contain aspirin

Which statement by a client who had an endarterectomy that is prescribed clopidogrel would cause the nurse to conclude that teaching was effective?

taking this medication will help prevent further clogging of my arteries

The nurse completes medication reconciliation in preparation for discharge of a client recovering from osteomyelitis and a ruptured Achilles tendon. For which medication would the nurse contact the primary healthcare provider?

Levofloxacin

Which medication would the nurse anticipate to be prescribed to a client who has developed a methicillin-resistant Staphylococcus aureus (MRSA) infection after surgical repair of a fracture?

Linezolid

Which antipyretic medication may cause Reye syndrome in children?

Aspirin

Which action would help prevent venous thrombosis in a client during the perioperative period?

administer subcutaneous heparin injections, assist the client to don antiembolism stockings, apply pneumonic compression devices to the legs

Which statement made by the nurse will be most significant when teaching strategies to reduce the risk for developing antibiotic-resistant infections?

do not skip any prescribed doses of your antibiotics

Which action describes a therapeutic effect of atenolol?

heart rate decreases

Which class is contraindicated in clients who take rifampin?

oral contraceptives

Which client would benefit from the administration of prophylactic antibiotics?

preoperative hip replacement, congenital bicuspid aortic valve, current chemotherapy treatment

An older client who has been undergoing months of treatment for osteomyelitis reports perianal itching and diarrhea. Which assessment finding would the nurse expect to identify?

whitish-yellow lesions in the oral cavity

Which medication would the nurse expect the be prescribed to a pregnant adolescent reporting painful vesicles in the labia minora who is diagnosed with a herpes simplex virus infection?

Acyclovir

Which vitamin would the nurse anticipate may become deficient in a client prescribed cholestyramine for the treatment of type 2 hyperlipoproteinemia?

Calciferol (Vitamin D)

The nurse identifies which anticoagulant medications as safe to be administered during pregnancy for treatment of thrombophlebitis?

Heparin & Enoxaparin

Which rationale would the nurse include to address the client's concern about why both warfarin and intravenous heparin are needed at the same time for a partial occlusion of the left common carotid artery?

Heparin provides anticoagulant effects until Warfarin reaches therapeutic levels

Which statement by a client prescribed ampicillin indicates that teaching by the nurse was effective?

I must increase my fluid intake

Which statement regarding vitamin B12 injections by a client with pernicious anemia indicates that teaching was understood?

I must take this medication for the rest of my life

Which statement by the client indicates the teaching about the prophylactic use of sublingual nitroglycerin prescribed to a client with a history of a myocardial infarction and atrial tachycardia was effective?

I should take one tablet before attempting activity that has caused angina

The nurse obtains a laboratory report that shows acid-fast rods in a client's sputum. Which disorder would the nurse consider may be related to these results?

Mycobacterium tuberculosis

After completing a week of antibiotic therapy, an infant develops oral thrush. Which medication is indicated for treatment of this condition?

Nystatin

Which medication will the nurse be prepared to administer to a client admitted to the hospital with a diagnosis of deep vein thrombosis who is prescribed intravenous heparin sodium if the client experiences excessive bleeding?

Protamine sulfate

How would the nurse determine if a client is experiencing the therapeutic effect of valsartan?

check the blood pressure

Which describes the purpose of preoperative antibiotics for a client scheduled for a surgical resection of the colon and creation of a colostomy?

to decrease bacteria in the intestines

Which clinical indicator would the nurse monitor to determine if the client's simvastatin is effective?

triglycerides

The nurse is preparing to initiate antibiotic therapy for a client who developed an incisional infection. Which task would the nurse ensure has been completed before starting the first dose of intravenous antibiotics?

wound culture

Which laboratory value would the nurse assess to evaluate response to the medication epoetin?

hemoglobin

Which potential side effect will the nurse mention when instructing the client with angina who is prescribed atenolol?

hypotension

Which response will the nurse give to a client with chronic angina pectoris when asked why isosorbide dinitrate is prescribed?

it decreases cardiac oxygen demand

Which drug action will the nurse include when describing the purpose of heparin in a client who develops thrombophlebitis in the right calf and is prescribed bed rest and initiated on an intravenous infusion of heparin?

it prevents extension of the clot

Which medication is indicated to prevent progression of a myocardial infarction for a client admitted to the emergency department with crushing chest pain?

aspirin

Which action will the nurse take when caring for a client with chronic arterial insufficiency of the legs who refuses the prescribed dose of aspirin (ASA) and states "my legs are not painful"?

explain the reason for the medication and encourage the client to take it

Which client statement indicates a need for further education when the nurse is reviewing statin therapy for hyperlipidemia in a female of childbearing age?

I will take my medication with grapefruit juice

Which statement indicates effective discharge teaching for a client with osteomyelitis?

I will take the antibiotic at the same time every day, I will take the antibiotic with food if I develop gastric distress when on the antibiotic, I will notify my healthcare provider and stop taking the medication if I develop a rash or shortness of breath

Which clinical finding enables the nurse to conclude that the heparin therapy is effective in a client who has atrial fibrillation with rapid ventricular response and is started on a continuous heparin infusion?

an activated partial thromboplastin time (aPTT) is twice the usual value

Which antihypertensive medication class would the nurse identify as the likely cause of the cough in a client taking multiple medications for hypertension who develops a persistent, hacking cough?

angiotensin-converting enzyme (ACE) inhibitors

Which treatment for anthrax would be included in the biological agent portion of a disaster plan for terrorist attacks?

antibiotics

Which adverse effect would a nurse monitor for when caring for a client with hypertension who is prescribed metoprolol?

bradycardia

Which medication would a nurse conclude is the cause of decreased heart rate in a client receiving a cardiac glycoside, a diuretic, an ACE inhibitor, and a vasodilator?

cardiac glycoside

Which instruction would the nurse include when preparing discharge instructions for a client who will take enalapril for hypertension?

change to a standing position slowly

The nurse would include which instruction to the parents of a child being treated with oral ampicillin for otitis media?

complete the entire course of antibiotic therapy

What action would the nurse take first when preparing to teach a client about self-injection of epoetin subcutaneously at home?

assess the client's readiness to learn

Which effect would the nurse anticipate after captopril is prescribed for a client?

decreased blood pressure

Which symptom would the nurse include when teaching a client with arthritis who takes large doses of aspirin about the clinical manifestation of aspirin toxicity?

disturbances in hearing

Which clinical manifestation will alert the nurse to the fact that a client who has type 1 diabetes and chronic bronchitis and is prescribed atenolol for the management of angina pectoris may be developing a life-threatening response to the medication?

paroxysmal nocturnal dyspnea

Which effect has resulted in the avoidance of tetracycline use in children under 8 years old?

permanent tooth discoloration

Which technique will the nurse employ to prevent excessive bruising when administering subcutaneous heparin?

avoid massaging the injection site after the injection

Which instruction would the nurse teach when initiating a client with tuberculosis on rifampin?

avoid drinking alcohol as long as you are on this medication, notify your provider immediately if you develop a yellow appearance to your skin, and your soft contact lenses will become permanently stained because of this medication

Which reason would the nurse provide to a client who asks why blood tests are necessary after a healthcare provider prescribes peak and trough levels after initiation of intravenous antibiotic?

they determine if the dosage of the medication is adequate