Exam 5 practice Qs patho

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A client is being initiated on bisphosphonates. Which advice will the nurse provide A. Take on empty stomach B. This medication should be taken at night right before bed C. These medications should be taken with food or milk D. Lie down for a bit after taking the medication

A. Take on empty stomach With 8 oz of water

Permethrin 1% lotion is prescribed for a 5-year-old child with pediculosis capitis. Which instruction would the nurse include when teaching the parent about treatment? A. Personal belongings must be discarded B. Side effects are nonexistent with the medicated shampoo C. Other children should be kept away from the child for a week D. The child's hair must be combed with a fine-toothed comb to remove nits

D. The child's hair must be combed with a fine-toothed comb to remove nits

A client is undergoing highly active antiretroviral therapy (HAART). What viral disease could the client be suffering ?

HIV

Which lab blood test result would the nurse report in a client with an infection who is receiving vancomycin? A. Hematocrit 45% B. Calcium 9.0 mg/ dL C. WBC: 10,000 D. BUN: 30 mg/dL

D. BUN: 30 mg/dL Vancomycin is highly nephrotoxic. Normal bun is 8-20

The primary health care provider prescribed medications to four clients with osteoporosis. Which client would the nurse instruct to remain upright for 30 minutes after receiving the medication A. Alendronate B. Zoledronic acid C. Calcium supplements D. Raloxifene

A. Alendronate

Which medication is derived from a natural source and may be prescribed for the treatment of osteoporosis A. Calcitonin B. Raloxifene C. Clomiphene D. Bisphosphonates

A. Calcitonin

Which action would the nurse take when a client receiving an infusion of penicillin reports having an anaphylactic reaction to penicillin in the past SATA A. Notifying a rapid response B. Measuring oxygen level C. Administering epinephrine D. Inserting an indwelling catheter E. Assessing respiratory pattern

ALL

Which assessment would the nurse perform before administering a dose of vancomycin to a client? SATA A. Creatinine B. Trough level C. Hearing ability D. Intravenous site E. BUN

ALL

Which medication would the nurse anticipate may be prescribed to produce diuresis and inhibit formation of aqueous humor for a client with glaucoma A. Chlorothiazide B. Acetazolamide C. Methazolamide D. Aclidinium bromide

B. Acetazolamide

A child is prescribed permethrin 5% cream for scabies. The nurse would instruct the parent to apply the medication at which time? A. Before each meal and rinse it off in 1 hour B. At bedtime and wash it off the next morning C. After bathing and rinse it off after 15 minutes D. Each morning for a week and wash it off on the last day

B. At bedtime and wash it off the next morning

Which statement made by the nurse will be most significant when teaching strategies to reduce the risk for developing antibiotic-resistant infections A. Wash your hands frequently with warm soapy water B. Do not skip any prescribed doses of your antibiotic C. Do not safe unfinished antibiotics for later use D. Do not stop taking the antibiotics when you feel better.

B. Do not skip any prescribed doses of your antibiotic

Which meal on the clients dietary record provides the most calcium A. Breakfast: Two eggs, toast, coffee B. Lunch: Grilled cheddar cheese sandwich, spinach salad, milk C. Dinner: Half breast of grilled chicken, carrots, baked potato, apple juice D. Snack: Strawberry yogurt, apple

B. Lunch: Grilled cheddar cheese sandwich, spinach salad, milk

What action would the nurse take when administering tetracycline? A. Administer the medication with meals or a snack B. Provide orange or other citrus fruit juice with the medication C. Administer the medication at least an hour before ingestion of milk products D. Offer antacids 30 minutes after administration if GI side effects occur

C. Administer the medication at least an hour before ingestion of milk products

Which information would the nurse include about future treatment and precautions when teaching a client who has glaucoma? A. Avoidance of cholinergic B. Surgical replacement of lens C. Continuation of therapy for life D. Prevention of high blood pressure

C. Continuation of therapy for life

Which outcome does allopurinol produce to prevent acute gouty attacks? A. Promotes uric acid excretion B. Decreases synovial swelling C. Decreases uric acid production D. Prevents crystallization of uric acid

C. Decreases uric acid production

Which statement made by the client with glaucoma who is receiving a carbonic anhydrase inhibitor will require the nurse to notify the primary health care provider? A. I have asthma B. I use contact lenses C. I am allergic to sulfonamides D. I have been taking phenelzine

C. I am allergic to sulfonamides

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

D. " Monitor blood glucose levels more frequently"


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