Exam 2 Questions

**A client experiences postoperative nausea and vomiting and is prescribed an anticholinergic antiemetic. Which side effects should the nurse assess for in this client?

drowsiness blurred vision dry mouth urinary retention.

A nurse is caring for an adolescent client who is prescribed carbamazepine for partial seizure disorder. Which statement by the clients parent is the nurses priority ?

" My child has so many new bruises all over the body."

A nurse is providing information to a client with benign prostatic hypertrophy about a new prescription for finasteride. Which statement should the nurse include in the instructions?

"Decreased libido is an adverse effect of the medication."

**A nurse is providing education to a client with a new prescription for warfarin. Which statement by the client indicates a need for further teaching?

"I understand my menstrual periods should not be abnormally heavy."

A client has been recently prescribed a diuretic. Which client statement would indicate further teaching is needed?

"I will stop this medication if I am urinating too often."

A nurse is educating a client who has a binge-eating disorder and is morbidly obese about a new prescription for orlistat. Which statement by the client indicates that the client understands this information?

"I will take my dose of orlistat every morning an hour before breakfast."

**A client is who is prescribed a statin calls a primary care office nurse to report an increase in muscle pain. Which is the best response by the nurse?

"Please come to the office for an evaluation"

A client with angina has been prescribed NTG sublingual tablets. The client asks why this medicine cannot be carried in a shirt pocket. Which statement by the nurse provide the best rationale for this instruction?

"The clients body heat will rapidly decrease the potency of the tablets."

A nurse is caring for a client with nausea and a prescription for metoclopramide IV bolus every four hours as needed. The client asks the nurse how metoclopramide will relieve nausea. Which explanation should the nurse provide?

"The medication relieves nausea by promoting gastric emptying."

A nurse is providing discharge instructions to a client prescribed gabapentin for neuropathic pain. Which statement should the nurse include in the instruction?

"You may experience drowsiness while taking this medication."

What will the nurse include when providing instructions to a client taking amiodarone?

"limit or avoid the use of caffeine"

**A client with a history of partial seizures has been taking oral phenytoin. The provider decides to change the client's medication to oral carbamazepine, and the nurse educate the client regarding the medication change. Which teaching topics does the nurse include for these medications? Select whether each topic is related to phenytoin, carbamazepine or both medication. 1. used for tonic-clonic seizures 2. may cause dizziness 3. can be toxic to the liver 4. risk of Stevens-Johnson syndrome 5. risk of Stevens-Johnson syndrome

1. both 2. both 3. both 4. both 5. both

A client represents to the emergency department with SVT. The nurse receives an order to administer adenosine. What is the proper administration technique for adenosine?

IV push within 10 seconds

A nurse is preparing to administer phenytoin IV to a client with a seizure disorder. Which of the following actions should the nurse plan to take?

administer a saline solution after injection

A client is receiving a chemotherapy drug that is known to cause nausea. What is the most appropriate nursing intervention for this client?

administer antiemetic 30-60 minutes before chemotherapy begins

**When caring for a client who is taking digoxin, the nurse will monitor for which signs and symptoms of toxicity?

anorexia nausea and vomiting diarrhea visual disturbances

**A nurse is providing education to a client with stable angina and a new prescription for transdermal nitroglycerin. Which instructions should the nurse include?

apply the patch to a hairless area of the body apply a new patch each morning remove the patch for 10 to 12 hr daily

A nurse is caring for a client that has a total hip arthroplasty one day ago. The client is receiving morphine sulfate by PCA pump for pain control and reports nausea and vomiting. Which of the following actions should the nurse take?

auscultate bowel sounds

A nurse is providing instructions to a client with seizures. The client has a new prescription for phenytoin. Which of the following information should the nurse provide?

avoid alcohol while taking phenytoin

**A client presents to the clinic with a six month history of insomnia. The client states "I have tried everything." The nurse teaches the client about the prescribed zolpidem using the protocol on the agency. Which should be included in the teaching plan?

avoid driving after the medication the signs of hypnotic hangover hangover in the morning after taking zolpidem avoid alcohol when taking this medication this medication should be only used for 10 days

**A nurse is planning discharge instructions for a client with a prescription for cyclobenzaprine. What should the nurse include in the instructions? x2

avoid driving until effects are known

A client wants to prevent problems associated with constipation and asks the nurse for advice. Which laxative class should the nurse recommend that is considered safe to use on a long-term basis?

bulk-forming

A nurse is educating a client about their new prescription for zolpidem. The nurse should advise the client about which adverse effect?

daytime sleepiness

A nurse is instructing a client with a new prescription for diazepam. Which of the following information should the nurse include in the instructions?

diazepam can cause drowsiness

A nurse is caring for a client with schizophrenia. The client is taking haloperidol. The nurse should monitor for which of the following adverse effects of haloperidol?

extrapyramidal symptoms

A nurse is caring for a client receiving diazepam IV for moderate sedation. The client becomes over-sedated. Which medication should the nurse plan to administer?

flumazenil

A nurse is caring for a client with cancer who has a new prescription for ondansetron to treat chemotherapy-induced nausea. The nurse should monitor for which adverse effect?

headache

**A nurse is caring for a client who is prescribed a loop diuretic. The nurse should monitor the client for which adverse effects?

hypokalemia hypotension

A nurse is preparing to administer verapamil by IV bolus to a client with cardiac dysrhythmias. The nurse should monitor for which adverse effect?

hypotension

A nurse is planning an education program on sildenafil to a group of older male clients. Which information should the nurse include in the educational program?

ingestion of the medication with nitrates causes hypotension

A nurse in a health care providers clinic is caring for a client with erectile dysfunction. The client requests a prescription for sildenafil. Which of the clients currently prescribed medications should the nurse report to the health care provider?

isosorbide

Which data should the nurse recognize as potential evidence of autoinduction for a client who is prescribed carbamazepine for seizure management?

lower than expected drug levels

A nurse is providing information to a client with a new prescription for captopril. Which instruction should the nurse include?

monitor for a cough

A client with narcolepsy will begin treatment with modafinil. The nurse should instruct the client to monitor for which adverse effect?

nervousness

A nurse is educating a client that has a seizure disorder and is to start taking phenytoin. The nurse should instruct the client that the healthcare provider will taper the dose when discontinuing the medication to prevent which disorder?

status epilepticus

A nurse is providing instructions about orlistat to a client that is obese. The nurse should instruct the client to report which finding as an adverse effect of the medication?

oily fecal spotting

Which drug used to treat nausea does the nurse identify as most likely to cause a prolonged QT interval?

ondansetron

A nurse is admitting a client with an exacerbation of asthma. When reviewing the PCPs orders, the nurse should recognize that clarification is needed for which of the following medications?

propranolol

A nurse is caring for a client receiving heparin by continuous IV infusion. Which of the following medication should the nurse plan to administer in the event of an overdose?

protamine

Which condition may result from stopping clonidine therapy abruptly?

rebound hypertension

Which instruction should the nurse include for a client prescribed phentermine?

report palpitations to your health care provider

A nurse is developing a care plan for a client who is to start taking diltiazem. The nurse should plan to instruct the client to report which finding as an adverse effect of the medication?

shortness of breath

A nurse s caring for a client who is prescribed diuretic therapy to treat heart failure. Which medications puts a client at risk for both hyperkalemia and hyponatremia?

spironolactone

A nurse is providing instructions for a client with anemia who has a new prescription for ferrous sulfate liquid. Which instructions should the nurse provide?

take the medication with orange juice to enhance absorption

A nurse is instructing a client on diuretic therapy about a new prescription for potassium chloride (KCL) 20 mEq immediate-release by mouth (PO) daily, following instructions should the nurse provide about the new prescription?

take the tablets with a full glass of water