N316B Midterm
Which information would the nurse provide when administering the first dose of prednisone prescribed to a client with an exacerbation of colitis?
"Prednisone is not curative but does cause a suppression of the inflammatory process"
The nurse is teaching a client with asthma about albuterol. How should the nurse best describe the action of this medication?
"The med will help to relax smooth muscles in the airways"
The nurse is teaching a pediatric client and family about prescribed albuterol sulfate extended-release tablets. Which statement should be included?
"This med can cause restlessness"
Nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina. The nurse advises the client to anticipate pain relief will begin within which period of time?
1 to 3 mins
A client is diagnosed with rheumatoid arthritis (RA). Which types of drugs might the nurse expect to be ordered as a combination drug therapy regimen?
1. Glucocorticoids 2. Biological-response modifiers 3. Anti-inflammatory drugs
Nortriptyline is prescribed for a depressed client. Which time period identifies when the nurse would expect a therapeutic response?
2 to 3 weeks
A depressed client has been prescribed a tricyclic antidepressant. Which time period indicates how long it usually takes before the client notices a significant change in the depression?
2 to 4 weeks
A nurse is performing pain assessments on several clients. Which client would benefit the most from the administration of intravenous PRN pain medication?
A client pending bedside debridement of a wound
To which nursing home resident could a nurse safely administer tricyclic antidepressants without questioning the health care provider's order?
A client with mild hypertension
Which medication is often contraindicated when taking warfarin?
Acetylsalicylic acid
Which explanation would the nurse provide for administering prednisone to a client with an exacerbation of colitis?
Although the med decreases intestinal inflammation, it will not cure the colitis
Aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis. The nurse understands that the medication is being used primarily for which property?
Anti-inflammatory
When a client exhibits severe bradycardia, which type of medication will the nurse be prepared to administer?
Anticholinergic
A client is admitted to the emergency department with crushing chest pain. A diagnosis of acute coronary syndrome is suspected. Which medication is indicated to prevent progression to a myocardial infarction?
Aspirin
Which ophthalmic solution is contraindicated for clients with glaucoma?
Atropine
Which clinical finding indicates that a client taking digoxin may have developed digoxin toxicity?
Cardiac dysrhythmias
How would the nurse determine if a client is experiencing the therapeutic effect of valsartan?
Check the blood pressure
The nurse is caring for a client who has been prescribed atropine preoperatively. The nurse understands the intended purpose for administering this preoperatively is to induce which effect?
Decrease secretions
The nurse is caring for a client who has been taking furosemide for the past week. Which manifestation would indicate that the client may be experiencing a negative side effect?
Decreased appetite
Captopril is prescribed for a client. Which effect would the nurse anticipate?
Decreased blood pressure
A beclomethasone inhaler would be prescribed for which purpose?
Decreases inflammation
A client with heart failure is being discharged with a new prescription for the angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The nurse's discharge instructions should include reporting which problem to the healthcare provider?
Dizziness
The nurse is assessing a postpartum client who is taking labetalol. Which client report should the nurse identify as a potential adverse effect of the medication?
Dizziness
A postoperative client has a prescription for acetaminophen with codeine for pain relief. The nurse understands which action to be the primary purpose of this drug combination?
Enhanced pain relief
Which instructions will the nurse give a client for whom nitroglycerin tablets are prescribed?
Ensure that the medication is stored in its original dark container.
Which intervention would the nurse implement for a client admitted for an exacerbation of asthma?
Give prescribed medications to promote bronchiolar dilation
A client is given a prescription for bumetanide. The nurse will teach the client to watch for symptoms of which condition?
Hypokalemia
Which vitamin is essential for the synthesis of prothrombin by the liver?
K
A client takes furosemide and digoxin for heart failure. Why would the nurse advise the client to drink a glass of orange juice every day?
Maintaining potassium levels
A health care provider prescribes enalapril for a client. Which nursing action is important?
Monitor the client's blood pressure during therapy
Which sign of hypokalemia will the nurse monitor for in a client receiving furosemide?
Muscle weakness
The nurse is evaluating the effectiveness of therapy for a client who received albuterol via nebulizer during an acute episode of shortness of breath due to asthma. Which finding is the best indicator that the therapy was effective?
O2 sat greater than 90%
The client is using nonsteroidal anti-inflammatory drugs (NSAIDs) to manage arthritis pain. The nurse should caution the client about which potential side effect?
Occult bleeding
The nurse is caring for a client who is receiving aspirin therapy. Which clinical indicator would be related to this therapy?
Prolonged bleeding time
Which concern will the nurse keep in mind when a client has been taking a benzodiazepine?
Rebound insomnia may occur if the medication is discontinued abruptly.
Which information from the client's history would the nurse identify as a risk factor for developing osteoporosis?
Receives long-term steroid therapy
The nurse is reviewing the prothrombin time results for a client who is taking warfarin. The nurse notes the value is 20 seconds. What is an appropriate nursing action?
Recognize that this is a therapeutic level
Which administration guidelines would the nurse follow when administering midazolam to an older client?
The increments should be smaller, and the rate of injection should be slower.
Which conclusion would the nurse make about the development of loose stools and increased salivation two days after a client with myasthenia gravis begins taking pyridostigmine?
The med is causing cholinergic side effects
The nurse is teaching a client diagnosed with depression about a new prescription of nortriptyline. What information would be essential for the nurse to emphasize about this medication?
The use of alcohol should be avoided
A client is scheduled for a bilateral adrenalectomy. Which rationale describes why steroids are administered to the client?
To compensate for sudden lack of these hormones after surgery
Which teaching would a nurse give to a client with a prescription for potassium supplements?
To report any abdominal distress
A client recently diagnosed with heart failure has been prescribed digoxin and furosemide. Which of the following foods should the nurse teach the client to eat at least one serving a day?
Tomato juice
The nurse is preparing to apply nitroglycerin ointment. Before applying the ointment, which action will the nurse take?
Use the dose measuring application paper and spread the ointment in a thin layer to the prescribed amount.
Which medication is indicated for emergency treatment of bleeding esophageal varices?
Vasopressin
The laboratory report establishes that the client has a warfarin overdose. Which antidote would the nurse anticipate administering?
Vitamin K
How would the nurse instruct a client with arthritis to take aspirin when the client states that the aspirin causes stomach irritation?
With food and a full glass of water
Which statement about appropriate foods to consume when taking warfarin would indicate that the client needs further teaching?
"Dark green leafy vegetables are high in vitamin K, so I should eat them more often"
Which instruction regarding nutrition will the nurse give a client discharged after a short hospitalization for an episode of a transient ischemic attack (TIA) related to hypertension who is on a regimen that includes chlorothiazide?
"Eat more dark green, leafy vegetables such as spinach."
A client who has been taking the prescribed dose of zolpidem for 5 days returns to the clinic for a follow-up visit. Which statement by the client indicates the medication has been effective?
"I have been sleeping better."
Which client statement indicates that teaching about acetaminophen is effective?
"I have to be careful about which over-the-counter cold preparations I take."
A nurse is teaching a client with asthma about the correct use of the fluticasone inhaler. Which statement, if made by the client, would indicate that the teaching was effective?
"I should rinse my mouth after using the inhaler"
A nurse is providing education on activities of daily living to a client taking warfarin. Which statement made by the client indicates further teaching is required?
"I will be sure to consume plenty of green leafy vegetables"
The nurse is discharging a client on oral potassium replacement. Which of the following statements requires further teaching by the nurse?
"I will continue to use salt substitutes to flavor my food"
The nurse is educating a client with end stage chronic obstructive pulmonary disease (COPD) about medication management. Which statement by the client indicates an understanding of the teaching?
"I will use the albuterol in the nebulizer before my other inhalers each morning"
A 42-year-old male client diagnosed with hypertension tells the nurse he no longer wants to take the prescribed propranolol. Which client statement best explains the reason why he does not want to take this medication?
"I'm experiencing decreased sex drive."
Which response would the nurse give to a client taking ibuprofen for rheumatoid arthritis who asks the nurse if acetaminophen can be substituted?
"Ibuprofen has anti-inflammatory properties, and acetaminophen does not."
The nurse has provided instructions to a client on the use of warfarin. Which statement by the client requires further teaching?
"If I develop a headache, I should take ibuprofen to help my pain"
Which instruction would the nurse include when teaching about hydrochlorothiazide given to a client diagnosed with a transient ischemic attack (TIA) related to hypertension?
"Increase the intake of potassium-rich foods."
The daughter of a client with Alzheimer's disease asks the nurse, "Will the medication my mother is taking cure her dementia?" What is the best response by the nurse?
"It will not improve dementia but can help control emotional responses."
The nurse is discharging a client who is at risk for venous thromboembolism (VTE). The client is prescribed enoxaparin. Which instruction should the nurse provide to this client?
"Notify your health care provider if your stools appear tarry or black"
A nurse is teaching a client with stable angina about newly prescribed SL nitroglycerin. Which statement should the nurse include in the teaching?
"Take one tab immediately when you experience chest pain"
Which instruction will the nurse include when performing discharge teaching to a client now receiving hydrocortisone by mouth after stabilization of an acute adrenal insufficiency?
"Take the med with food"
The nurse is preparing a client with rheumatoid arthritis (RA) for discharge to an assisted living facility. Which statement about the prescribed oral glucocorticoid is correct?
"The med will be gradually tapered off over 5-7 days"
The nurse is providing care for a client after surgery. The client has an order for acetaminophen with codeine. The client asks the nurse what to expect after taking this medication. Which is the best response by the nurse?
"This combination medication will better help to manage your pain."
The nurse is talking with a client who was admitted with an acute myocardial infarction due to coronary artery disease. The clients asks what the purpose for the prescribed carvedilol is. How should the nurse respond?
"This drug will decrease the workload on your heart."
Which statement regarding mealtime administration by a client who has arthritis and is prescribed corticosteroid medication indicates that the teaching was effective?
"This will decrease gastric irritation"
The nurse is teaching a school-aged child and family members about the use of inhalers prescribed for asthma. Which statement made by a family member indicates an understanding of the nurse's instructions?
"We will keep a chart of daily peak flow meter results"
Which instructions about the use of nitroglycerin to prevent angina will the nurse provide to a client?
'Before physical activity, place one tablet under the tongue, and repeat the dose in 5 mins if pain occurs'
The nurse prepares discharge instructions for a client who will take enalapril for hypertension. Which instruction would the nurse include in the client's teaching?
'Change to a standing position slowly.'
Which instruction would the nurse include when teaching the client about sublingual nitroglycerin?
'Common side effects include headache and low blood pressure.'
A school-age child with end-stage cancer has a continuous infusion of morphine to manage their pain. Breakthrough pain occurs and a fentanyl 'lollipop' is prescribed. Which instruction would the nurse give the child regarding the use of the lollipop when pain occurs?
'Hold it in your cheek only until the pain is relieved.'
Immediately after a bilateral adrenalectomy, a client is receiving corticosteroids that are to be continued after discharge from the hospital. Which statement by the client indicates to the nurse that additional education is needed?
'I am glad that I only have to take the med once a day'
A client who had surgery is discharged on warfarin. Which statement by the client is incorrect and indicates a need for further teaching?
'I know I must avoid crowds'
The health care provider prescribes neostigmine for a client with myasthenia gravis. Which client statement indicates understanding regarding medication management plans?
'I should take the med at the exact time that is listed on the prescription'
The nurse provides discharge medication education to a client who has a prescription for warfarin. Which client statement indicates to the nurse that teaching was effective?
'I will avoid taking aspirin and NSAIDs'
The nurse is providing discharge education to a client diagnosed with coronary artery disease. The client is prescribed to use a nitroglycerin transdermal patch at home. Which statement by the client indicates a correct understanding of safe medication administration?
'I will remove the old patch and cleanse the area before applying a new patch'
A 6-year-old child with asthma is prescribed an inhaled corticosteroid. The nurse would conclude the mother understands teaching about the medication side effects when the mother makes which statement?
'I'll check for white patches in the mouth'
The spouse of a client with an intracranial hemorrhage asks the nurse, 'Why aren't they administering an anticoagulant?' How will the nurse respond?
'It is not advisable because bleeding will increase'
The nurse provides medication discharge instructions to a client who received a prescription for digoxin. Which statement by the client leads the nurse to conclude that the teaching was effective?
'It will be important to check my pulse rate daily'
The nurse is preparing a teaching plan for a client prescribed nitroglycerin sublingual. Which would the nurse include in the teaching?
'Place the tablet under the tongue or between the cheek and gums.'
A client with a seizure disorder will begin taking phenytoin. Which instructions will the nurse give to the client?
'Provide meticulous oral hygiene.'
A client with chronic obstructive pulmonary disease prepares to take a medication that is delivered via a nebulizer. Which instruction would the nurse provide when teaching about use of the nebulizer?
'Seal your lips around the mouthpiece and breathe in and out, taking slow, deep breaths'
The clinic nurse receives a call from the mother of an infant prescribed digoxin. The mother reports she forgot whether she gave the morning dose of digoxin. Which response by the nurse is most appropriate?
'Skip this dose and give it at the next prescribed time'
A client with a seizure disorder is receiving phenytoin and phenobarbital. Which client statement indicates that the instructions regarding the medications are understood?
'Stopping the medications can cause continuous seizures and I may die.'
Which instruction would the nurse give to clients prescribed psychotropic medications who are experiencing anticholinergic-like side effects?
'Suck on sugar-free hard candies'
A female client receiving cortisone therapy for adrenal insufficiency expresses concern that she is developing facial hair. How would the nurse respond?
'The med contains a hormone that causes male characteristics'
Furosemide has been prescribed as part of the medical regimen for a client with hypertension. Which client statement indicates a need for medication education?
'This can decrease my vitamin K level.'
A child is prescribed fluticasone after an acute asthma attack. Which instruction would the nurse give the family about the administration of this medication?
'Watch for white patches in the mouth and report to the health care provider'
The nurse teaches the parents of a child prescribed long-term phenytoin therapy about care. Which statement indicates the teaching has been effective?
'We'll have her massage her gums and floss her teeth frequently.'
Carbidopa-levodopa is prescribed for a client with Parkinson's disease. Which instruction will the nurse include when teaching the client about this medication?
'You may experience dizziness when moving from sitting to standing.'
Which lifestyle advice does the nurse give to a client when oral digoxin therapy is initiated?
-Bran can decreased digoxin absorption -Digoxin should not be taken with hawthorn supplements -Ginseng may cause a dangerous increase in digoxin levels in the blood -Meds that lower serum potassium or magnesium can cause digoxin toxicity
According to developmental norms for a 5-year-old child, the nurse would hold digoxin if an apical heart rate falls below which number?
70 beats/min
Which client should the nurse identify as being at highest risk for complications during the use of an opioid analgesic?
A young adult with inflammatory bowel disease
When assessing an adolescent who recently overdosed on acetaminophen (Tylenol), it is most important for the nurse to assess for pain in which area of the body?
Abdomen
A nurse is evaluating a client who was prescribed 30 mg of codeine after oral surgery. Which assessment finding indicates the expected outcome of the medication?
Absence of pain
A nurse is assessing a client with heart failure who is taking prescribed torsemide. Which clinical finding indicates effectiveness of the medication?
Absence of peripheral edema
Which medication is safest to take for pain in the week before a surgical procedure?
Acetaminophen
A client is prescribed heparin therapy for a deep vein thrombosis (DVT). Which laboratory value should the nurse monitor closely?
Activated partial thromboplastin time
A nurse is teaching an 80-year-old client how to use a metered dose inhaler. The nurse is concerned that the client is unable to coordinate the release of the medication during the inhalation phase. Which intervention should improve the delivery of the medication?
Add a spacer device to the inhaler canister
The international normalized ratio (INR) results of a client receiving warfarin have been variable. Which factor can help the nurse identify the cause of the INR fluctuations?
Adherence to the prescribed med regimen
An adult client has prescriptions for morphine sulfate 2.5 mg IV every 6 hours and ketorolac (Toradol) 30 mg IV every 6 hours. Which action should the nurse implement?
Administer both medications according to the prescription.
The health care provider prescribes enoxaparin to be administered subcutaneously. To ensure client safety, which measure would the nurse take when administering this medication?
Administer in the abdomen area only
A client with a history of asthma is admitted for a minor surgical procedure. Preoperatively, the peak flow is measured at 480 liters/minute. Postoperatively, the client reports chest tightness and the peak flow is now 200 liters/minute. What should the nurse do first?
Administer the PRN dose of albuterol
A client prescribed albuterol tablets reports nausea every evening with the 9:00 p.m. dose. Which action should the nurse perform to alleviate this side effect?
Administer the dose with a snack
The nurse in a urology office is developing a plan of care for a client newly diagnosed with urge urinary incontinence due to an overactive bladder. Which interventions should the nurse include?
Administration of anticholinergic drugs
A client takes acetaminophen routinely. The nurse will advise the client to avoid which substance?
Alcohol
A client who has atrial fibrillation with rapid ventricular response is started on a continuous heparin infusion. Which clinical finding enables the nurse to conclude that the heparin therapy is effective?
An activated partial thromboplastin time (aPTT) is twice the usual value
A client with the diagnosis of primary hypertension is started on a regimen of hydrochlorothiazide. Which information will the nurse include when providing instructions regarding this medication?
An antihypertensive medication will likely be required for the remainder of life.
A client taking multiple medications for hypertension develops a persistent, hacking cough. Which antihypertensive medication class would the nurse identify as the likely cause of the cough?
Angiotensin-converting enzyme (ACE) inhibitors
The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with osteoarthritis of the hands. The client tells the nurse that the drug does not seem to be effective after three weeks. Which is the best response for the nurse to provide?
Another type of non-steroidal anti-inflammatory drug may be indicated.
Which assessment will the nurse conduct before administering digoxin to a client?
Apical heart rate
An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent motion sickness while on a cruise. Which information should the nurse provide to the client?
Apply the patch at least 4 hours prior to departure
The nurse is caring for an 81-year-old client with colorectal cancer. Previously, the client's pain was managed with acetaminophen with codeine. However, the client is now experiencing frequent, severe pain and intravenous morphine has been prescribed. What should the nurse recognize about this order?
Appropriate pain management and should be available around the clock
When, during the first 24 hours postoperatively, will analgesics be administered to a client who undergoes an abdominal cholecystectomy for gangrene of the gallbladder?
As prescribed by the health care provider
The inpatient hospital nurse is caring for a client with hypokalemia. The health care provider prescribed a potassium intravenous (IV) infusion of 40 mEq potassium chloride in 250 mL normal saline to be infused over 4 hours. The nurse receives the infusion from the pharmacy. Which action should the nurse take next?
Ask another nurse to verify the prescription, IV solution, and serum potassium level
The home health nurse is completing a medication reconciliation of a client who has a new prescription for warfarin. Which medication should the nurse question the healthcare provider about?
Aspirin
Which is an appropriate nursing action when caring for a client taking benazepril for hypertension?
Assess for dizziness
The nurse is preparing to administer diltiazem to a client with heart disease. Which action should the nurse take first?
Assess the client's blood pressure and apical pulse
A terminally ill client is receiving a morphine drip that exceeds the typical recommended dosage. The client's spouse tells the nurse that the client is again uncomfortable and needs the morphine increased. The prescription states to titrate the morphine to comfort level. Which action will the nurse take?
Assess the client's pain before increasing the dose of morphine
A nurse is providing care to a client who takes phenytoin for seizure prevention. The latest laboratory report shows a phenytoin level of 32 mcg/mL. Which action does the nurse take next?
Assess the pupillary response
The healthcare provider prescribes digitalis (Digoxin) for a client diagnosed with heart failure. Which intervention should the nurse implement prior to administering the digoxin?
Assess the serum potassium level
Propranolol is prescribed for a client with coronary artery disease (CAD). The nurse should consult with the health care provider (HCP) before giving this medication when the client reports a history of which condition?
Asthma
The nurse is preparing to discharge a client who presented to the emergency room for an acute asthma attack. The nurse notes that upon discharge the health care provider has prescribed theophylline 300 mg orally to be taken daily at 9:00 AM. The nurse will teach the client to take the medication on which schedule?
At the specific time prescribed
A client suspected of having myasthenia gravis is scheduled for an edrophonium chloride test. To treat a common complication associated with the test, the nurse will have which medication available?
Atropine
During a procedure, the client's heart rate drops to 38 beats/min. Which medication is indicated to treat bradycardia?
Atropine sulfate
The nurse administers albuterol to a 4-year-old child. Which intervention would assist the nurse in evaluating the effectiveness of this medication?
Auscultate breath sounds
A client is admitted to the hospital with a diagnosis of heart failure and acute pulmonary edema. The health care provider prescribes furosemide 40 mg intravenous (IV) stat to be repeated in 1 hour. Which nursing action will best evaluate the effectiveness of the furosemide in managing the client's condition?
Auscultating breath sounds
A primary health care provider prescribes atenolol 20 mg by mouth four times a day. Which information is important for the nurse to include in the discharge teaching plan for this client?
Avoid abruptly discontinuing the medication.
A nurse is providing dietary instructions to a client who is taking prescribed amiloride. Which information will the nurse include in the teaching?
Avoid eating foods that are rich in potassium such as bananas
A nurse is providing education on the use of carbidopa/levodopa to a client with Parkinson's disease. What will the nurse include in the teaching?
Avoid eating meals that are high in protein
To prevent excessive bruising when administering subcutaneous heparin, which technique will the nurse employ?
Avoid massaging the injection site after the injection
The nurse is reviewing prescribed medications with a client. Which information should the nurse reinforce about captopril?
Avoid using salt substitutes
A client was prescribed furosemide. The nurse would instruct the client to include which food in the diet?
Bananas
Which complication is an adverse effect of cortisone therapy?
Behavioral changes
Which class of medication would the nurse anticipate preparing to administer to a client with alcohol dependence admitted to a detoxification unit?
Benzodiazepine
Which medications should the nurse caution the client about taking while receiving an opioid analgesic?
Benzodiazepines
A client receiving fluphenazine decanoate develops dystonia/extrapyramidal side effect early in therapy. Which medication would the nurse anticipate administering to reverse this side effect?
Benztropine
A client develops extrapyramidal effects after taking a neuroleptic medication, and the nurse notes extrapyramidal effects. Which medication can limit these side effects?
Benztropine mesylate
A client who is receiving atenolol for hypertension frequently reports feeling dizzy. Which effect of atenolol is responsible for this response?
Blocking the adrenergic resposne
A client with myasthenia gravis has been receiving neostigmine and asks about its action. Which information would the nurse consider when formulating a response?
Blocks the action of cholinesterase
A child with juvenile idiopathic arthritis is prescribed nonsteroidal anti-inflammatory drug (NSAID) therapy at home. Which important toxic effect of NSAIDs would the nurse include in discharge instructions to the child and family?
Blood in the urine
The nurse working in an intensive care unit is caring for a client diagnosed with acute angina. The client is receiving an intravenous infusion of nitroglycerin. What is the priority assessment for this client?
Blood pressure
Which client response indicates to the nurse that a vasodilator medication is effective?
Blood pressure changes from 154/90 to 126/72 mm Hg
A nurse is assessing a client who started taking prescribed olmesartan 2 weeks ago. Which finding indicates an expected response to the medication?
Blood pressure of 125/79 mmHg
The health care provider has written a new order to give metoprolol tartrate 25 mg twice a day by mouth. In assessing the client prior to administering the medications, which finding should the nurse report to the health care provider?
Blood pressure of 94/60
Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor antagonist valsartan has been achieved?
Blood pressure reduced from 160/90 mmHg to 130/80 mmHg.
Donepezil is prescribed for a client who has mild dementia of the Alzheimer type. Which information would the nurse include when discussing this medication with the client and family?
Blood tests that reflect liver function will be performed routinely.
A client with hypertensive heart disease who had an acute episode of heart failure is to be discharged on a regimen of metoprolol and digoxin. Which outcome would the nurse anticipate when metoprolol is administered with digoxin?
Bradycardia
The nurse is monitoring a 4-month-old infant who is prescribed digoxin. The infant's blood pressure is 92/78 mm Hg; resting pulse is 78 beats per minute; respirations are 28 breaths per minute; and serum potassium level is 4.8 mEq/L. The infant is irritable and has vomited twice since receiving the morning dose of digoxin. Which finding is most indicative of digoxin toxicity?
Bradycardia
Which response to morphine would need to be reported immediately to the health care provider?
Bradycardia
A client with systemic lupus erythematosus is taking prednisone. Which foods would the nurse encourage the client to eat while receiving treatment to prevent hypokalemia?
Broccoli
Which food would the nurse encourage a client to eat while receiving treatment to prevent hypokalemia?
Broccoli
The nurse is providing discharge education to a client with moderate persistent asthma. The nurse should instruct the client to administer which medication first?
Bronchodilator
The client has been treated with long-term glucocorticoid therapy. While completing the physical assessment, which finding should the nurse expect?
Buffalo hump
Which medication may be useful in managing hypertension in a child with acute glomerulonephritis?
Captopril
A client with Parkinson disease is admitted to the hospital. Which medication is prescribed to improve the physical manifestations of Parkinson disease?
Carbidopa-levodopa
The client with a seizure disorder receives intravenous (IV) phenytoin. The nurse will monitor closely for which condition?
Cardiac dysrhythmias
A client receives a cardiac glycoside, a diuretic, an angiotensin-converting enzyme (ACE) inhibitor, and a vasodilator. The client's apical pulse rate is 44 beats/minute. The nurse concludes that the decreased heart rate is caused by which medication?
Cardiac glycoside/digoxin
The nurse is teaching a client who has a new prescription for sublingual nitroglycerin. Which point should the nurse emphasize?
Carry the nitroglycerine with you at all times
Which advice would the nurse include in a teaching plan to reduce the side effects of diltiazem?
Change slowly from sitting to standing.
A client is prescribed alprazolam. Which action must the nurse include in the client assessment during the initiation of therapy?
Check the client's blood pressure.
A nurse is reviewing prescriptions for a client with a history of rheumatoid arthritis and peptic ulcer disease. The client has prescriptions for ibuprofen and ranitidine. Which action will the nurse perform?
Clarify the prescription for ibuprofen
The health care provider prescribes alprazolam 5 mg by mouth three times a day for a client with anxiety. Which intervention will the nurse take before administering this prescription?
Clarify the prescription with the health care provider.
A nurse is evaluating a client who takes naproxen for pain associated with osteoarthritis. Which documented statement indicates the expected outcome was met?
Client observed with steady gait upon ambulation
The nurse is completing a health history of a client diagnosed with Alzheimer's disease. The nurse reviews a list of the client's medications and supplements routinely taken at home. Which treatment should be a cause for concern by the nurse?
Coconut oil
Which mechanism of action explains why naloxone is administered for a heroin overdose?
Competition with opioids for occupancy of opioid receptors
A client recovering from hip replacement surgery is taking acetaminophen with codeine every three hours for pain. For which side effect should the nurse monitor the client?
Constipation
The nurse is preparing an education session for a client prescribed opioids for intractable cancer pain. The nurse should include strategies to help prevent which common side effect associated with long-term use of opioids?
Constipation
The nurse teaches a client's family about the administration of donepezil for treatment of dementia of the Alzheimer type. Which side effect identified by the caregiver indicates to the nurse that further teaching is needed?
Constipation
The nurse is caring for a client who is actively dying and has been receiving high doses of opioid analgesics. The client has become unresponsive to verbal stimuli. What action should the nurse take?
Continue the analgesic at the current dose
The nurse is preparing to administer newly prescribed intravenous phenytoin to a client. When reviewing the client's medical record, which prescription should the nurse question?
Continuous infusion of dextrose 5% in 0.9% saline
An 18-month-old toddler is being treated with intravenous diazepam every 4 hours for generalized tetanus. Which response to the medication would the nurse anticipate?
Control of hypertonicity and prevention of seizures
A client with myasthenia gravis is receiving pyridostigmine bromide to control symptoms. Recently, the client has begun experiencing increased difficulty in swallowing. Which nursing action is effective in preventing aspiration of food?
Coordinate mealtimes with the peak effect of the med
Which drink would a nurse teach a client on warfarin to avoid?
Cranberry juice
For which therapeutic effect will the nurse monitor the client who is prescribed alprazolam?
Decreased anxiety
A client who had a myocardial infarction receives a prescription for a nitroglycerin patch. Which statement would the nurse identify as the purpose of the nitroglycerin patch?
Decreased cardiac preload reduces cardiac workload.
A beta blocker is prescribed for the client with persistent ventricular tachycardia. Which response indicates that the beta blocker is working effectively?
Decreased heart rate
A client with rheumatoid arthritis has been taking a corticosteroid medication for the past year. Prolonged use of corticosteroids puts this client at increased risk for which complication?
Decreased white blood cells
A health care provider prescribes morphine for a client being treated for myocardial infarction. Which physiological response will occur if the client experiences the intended therapeutic effect of morphine?
Decreased workload of the heart
Which goal is the priority for a client with asthma who has a prescription for an inhaled bronchodilator?
Demonstrates use of a metered-dose inhaler
A client is treated with lorazepam for status epilepticus. Which effect of lorazepam is the reason it is given?
Depresses the central nervous system (CNS)
A client has a tonic-clonic seizure. The nurse anticipates that the health care provider will prescribe the intravenous administration of which medication?
Diazepam
An infant with congenital heart disease is prescribed digoxin and furosemide upon discharge. Which sign would the nurse instruct the parents to be alert for?
Difficulty feeding with vomiting
A child being treated with cardiac medications developed vomiting, bradycardia, anorexia, and dysrhythmias. The nurse understands which medication toxicity is responsible for these symptoms?
Digoxin
A client who takes multiple medications complains of severe nausea, and the client's heartbeat is irregular and slow. The nurse determines that these signs and symptoms are toxic effects of which medication?
Digoxin
A client has been given a prescription for furosemide 40 mg every day in conjunction with digoxin. Which concern would prompt the nurse to ask the health care provider about potassium supplements?
Digoxin toxicity occurs rapidly in the presence of hypokalemia
A client with arthritis takes large doses of aspirin. Which symptom would the nurse include when teaching the client about the clinical manifestations of aspirin toxicity?
Disturbances in hearing
A client is receiving metoprolol. Which potential effect will the nurse teach the client to expect?
Dizziness with strenuous activity
Morphine has been prescribed for a client in a hospice home care program. Which information will the nurse provide regarding this pain management regimen?
Dosages of the medication will be given automatically at regular intervals around the clock.
A primary health care provider prescribes 0.25 mg of alprazolam by mouth three times a day for a client with anxiety and physical symptoms related to work pressures. Which side effect of this medication will the nurse monitor for in this client?
Drowsiness
A client is experiencing anaphylaxis from an insect sting. Which medication should the nurse administer?
Epinephrine
A toddler ingested half a bottle of aspirin tablets. Which finding should the nurse expect to see in this child?
Epistaxis
A nurse is preparing to administer prescribed maintenance dose of digoxin to a client who has heart failure. Which action should the nurse to take?
Evaluate the client for nausea, vomiting, and anorexia
A client begins treatment with pyridostigmine bromide therapy for myasthenia gravis. Which action would the nurse perform in administration of the medication?
Evaluate the client's muscle strength every hour after the med is given
A client is prescribed controlled-release oxycodone. Which dosing schedule is best for the nurse to teach the client?
Every 12 hours
The client with chronic arterial insufficiency of the legs refuses the prescribed dose of aspirin (ASA). The client states, 'My legs are not painful.' Which action will the nurse take?
Explain the reason for the medication and encourage the client to take it.
A client who has been diagnosed with Raynaud's disease and hypertension is prescribed nifedipine. For which side effect should the nurse monitor the client?
Facial flushing
A nurse is reviewing analgesic prescriptions for a client with a history of liver cirrhosis. The prescriptions state to administer PRN for pain. Which medication is the nurse most likely to administer to this client?
Fentanyl
The nurse understands which anesthetic medication is commonly used for short procedures on pediatric clients?
Fentanyl
Which medication would the nurse expect to administer to actively reverse the overdose sedative effects of benzodiazepines?
Flumazenil
Hypertension develops in a school-age child with acute glomerulonephritis. Which medication would the nurse anticipate providing teaching for?
Furosemide
Which diuretic would the nurse anticipate administering to a client admitted with acute pulmonary edema?
Furosemide
After the nurse provides education about hydrochlorothiazide, the client will agree to notify the health care provider regarding the development of which symptom?
Generalized weakness
A nurse is teaching parents of a child recently prescribed the medication phenytoin for seizure control. Which side effect will the nurse include?
Gingival hyperplasia
A client prescribed atenolol has a blood pressure of 120/68 mmHg, displaying a sinus bradycardia with a rate of 58 beats/minute, and a P-R interval of 0.24. Which action should the nurse take?
Give the medication as prescribed and continue to monitor the client.
The nurse is caring for a client who was recently prescribed atropine as a treatment for symptomatic bradycardia. Which condition should the nurse question as a contraindication when taking this medication?
Glaucoma
The nurse is reviewing the medical record of a client who received a new prescription for benztropine. For which condition in the client's record should the nurse clarify the prescription with the health care provider?
Glaucoma
A client is scheduled for a craniotomy to remove a brain tumor. To prevent the development of cerebral edema after surgery, the nurse anticipates the use of medications from which class?
Glucocorticoids
The nurse is assisting a client who is taking amlodipine with meal planning. Which fluid selected by the client would require follow up by the nurse?
Grapefruit juice
The nurse is caring for a client prescribed warfarin therapy for treatment of persistent atrial fibrillation. Which of the following may potentiate the effect of this medication?
Green tea
A nurse is reviewing the INR results for caring for a client who had a cerebral vascular accident and is receiving prescribed warfarin. The nurse notes the INR is 5.2. Which finding requires priority follow-up?
Gum bleeding
The nurse is caring for a client with Parkinson's disease. Which finding indicates that the client might be experiencing an adverse side effect from the dopamine-enhancing drugs?
Hallucinations
A 65-year-old client is receiving amitriptyline. Which recommendation will the nurse make to the client concerning this medication?
Have an eye examination to check for glaucoma
The nurse is providing discharge instructions to a client with a prescription for sublingual nitroglycerin. The nurse should inform the client to prepare for this most common side effect?
Headache
The healthcare provider prescribes a beta-1 agonist medication to be administered. The nurse should anticipate the medication to be prescribed for a client diagnosed with which condition?
Heart failure
A 12-year-old child has just received a dose of epinephrine. Which assessment is the priority after this medication is administered?
Heart rate
The anticholinesterase medication pyridostigmine is prescribed for the client with myasthenia gravis. When providing medication teaching, the nurse explains that the client should expect a decrease in which function?
Heart rate
Which action describes a therapeutic effect of atenolol?
Heart rate decreases
The nurse is preparing to administer an albuterol nebulizer treatment to a patient with asthma. Which assessment finding should be brought to the health care provider's attention prior to administering the medication?
Heart rate of 116 bpm
A client with supraventricular tachycardia (SVT) has a heart rate of 170 beats/minute. After treatment with diltiazem, which assessment indicates to the nurse that the diltiazem is effective?
Heart rate of 98 beats/minute
A client develops a deep vein thrombophlebitis in her leg 3 weeks after giving birth and is admitted for anticoagulant therapy. The nurse would anticipate developing a teaching plan for which anticoagulant?
Heparin
Warfarin is prescribed for a client who has been receiving intravenous (IV) heparin for a partial occlusion of the left common carotid artery. The client expresses concern about why both medications are needed at the same time. Which rationale would the nurse include to address the client's concern?
Heparin provides anticoagulant effects until warfarin reaches therapeutic levels
A nurse is providing education to a client about newly prescribed diltiazem. Which statement will the nurse include in the teaching?
Hold the dose if your heart rate is less than 50 beats/min
A hospitalized 8-month-old infant is receiving digoxin to treat Tetralogy of Fallot. Prior to administering the next dose of the medication, the parent reports that the baby vomited one time, just after breakfast. The infant's heart rate is 92 bpm. What action should the nurse take?
Hold the med and notify the primary health care provider
The nurse is caring for a client who is scheduled for a bilateral adrenalectomy. Which medication would the nurse expect to be prescribed for this client?
Hydrocortisone
A client with cirrhosis of the liver develops ascites, and the health care provider prescribes spironolactone. The nurse will monitor the client for which adverse medication effect?
Hyperkalemia
Valsartan, an angiotensin II receptor antagonist, is prescribed for a client. The nurse will monitor the client for which adverse effect?
Hyperkalemia
A client is receiving furosemide to relieve edema. The nurse will monitor the client for which adverse effect?
Hypokalemia
A client with cirrhosis of the liver has been taking chlorothiazide. The provider adds spironolactone to the client's medication regimen to prevent which condition?
Hypokalemia
A client presents to the emergency department with chest pain. A myocardial infarction is suspected, and 500 mL of 5% dextrose in water (D 5W) with 50 mg of nitroglycerin intravenously (IV) has been prescribed. The nurse will monitor the client for which common side effect of nitroglycerin?
Hypotension
An older adult client has been prescribed zolpidem for insomnia. The nurse should monitor the client for which side/adverse effect of this medication?
Hypotension
The health care provider prescribes atenolol for a client with angina. Which potential side effect will the nurse mention when instructing the client about this medication?
Hypotension
A nurse is assessing a client who takes prescribed oral indomethacin. Which client statement indicates an intended response to the medication?
I am able to rotate my wrists without pain
The nurse is educating a client on self-administration of a fluticasone inhaler. What statement indicates an understanding of the teaching?
I will rinse my mouth with water after using the inhaler
The nurse is providing education to the client prescribed montelukast for the treatment of asthma. What medication should the nurse instruct the client to avoid?
Ibuprofen
The nurse is caring for a client diagnosed with heart failure who will begin treatment with digoxin. Which therapeutic effect would the nurse expect to find after administering this medication?
Improved respiratory status with increased urinary output
Which times for the medication schedule would a nurse teach when corticosteroid therapy is prescribed for a client with an exacerbation of ulcerative colitis?
In the early morning with food
Which increased risk would the nurse consider when assessing a client with diabetes who is receiving long-term corticosteroid therapy and is admitted with leg ulcers?
Inadequate wound healing
A client is receiving dexamethasone to treat acute exacerbation of asthma. For which side effect would the nurse monitor the client?
Increased blood glucose
Digoxin is prescribed for a client. Which therapeutic effect of digoxin would the nurse expect?
Increased contractile force of the myocardium
The nurse is caring for a client who received digoxin-specific immune fab. Which finding indicates the treatment is having the intended effect?
Increased heart rate
The nurse is teaching a client about newly prescribed inhaled budesonide. The nurse should teach the client to report which finding to the healthcare provider?
Increased thirst
A health care provider prescribes simvastatin 20 mg daily for elevated cholesterol and triglyceride levels for a female client. Which advice is important for the nurse to teach when the client initially takes the medication?
Inform the health care provider if you wish to become pregnant
The nurse provides instructions about how to use a metered-dose inhaler (MDI) to a client with chronic obstructive pulmonary disease. The nurse concludes that additional teaching is needed when the client demonstrates which technique?
Inhales rapidly with the lips sealed around the nebulizer opening
A client receiving corticosteroid therapy states, 'I have difficulty controlling my temper, which is so unlike me, and I don't know why this is happening.' How will the nurse respond?
Inquire about mood swings
A client who is 34 weeks gestation is diagnosed with a pulmonary embolism. Which of these medications should the nurse plan to administer?
Intravenous heparin
The nurse administers acetaminophen to a child who complains of pain after abdominal surgery. The mother asks the nurse why her child isn't being given ibuprofen. Which response by the nurse is most appropriate?
It could prolong bleeding time
The nurse is caring for a child undergoing chemotherapy for acute lymphoid leukemia. The parents ask why the child needs prednisone. Which response by the nurse would be correct?
It decreases inflammation
The client wants to know why midazolam will be administered preoperatively. Which reason would the nurse provide?
It induces sedation.
The nurse is teaching the parents of a child prescribed a high dose of oral prednisone for asthma. Which information is critical for the nurse to include when teaching about this medication?
It should be stopped gradually
The nurse is providing discharge instructions to an older adult client with heart failure. The client asks, "What is the purpose for taking the furosemide?" How should the nurse respond?
It will help with decreasing fluid buildup in your lungs.
A client who is receiving medication for an eye disorder reports bleeding in the eye. Which medication will the nurse expect to find in the client's recent medication history?
Ketorolac
A client with Parkinson's disease is taking carbidopa-levodopa (Sinemet). Which observation by the nurse would indicate that the desired outcome of the medication is being achieved?
Lessening of tremors.
The nurse is teaching a client who is postoperative cesarean section about prescribing morphine via a patient-controlled device. Which statement should the nurse include in client teaching about the medication?
Let a staff member know if you experience any trouble breathing
Which member of the health care team would the nurse ask to serve as a witness when wasting unused morphine?
Licensed practical nurse (LPN)
The nurse provides care for a client with a long history of alcohol abuse. Which medication would the nurse anticipate will be prescribed for the client to prevent symptoms of withdrawal?
Lorazepam
The nurse is caring for a child diagnosed with seizures. While teaching the family and the child about the medication phenytoin, which concept should the nurse emphasize?
Maintain good oral hygiene and dental care
A client who was prescribed atorvastatin (Lipitor) one month ago calls the triage nurse at the clinic complaining of muscle pain and weakness in his legs. Which statement reflects the correct drug-specific teaching the nurse should provide to this client?
Make an appointment to see the healthcare provider, because muscle pain may be an indication of a serious side effect.
A health care provider prescribes transdermal fentanyl 25 mcg/h every 72 hours. During the first 24 hours after starting the fentanyl, the nurse recognizes the need to take which action?
Manage pain with an analgesic by a different route.
Which medications would the nurse identify as commonly used as an adjunct during conscious sedation for minor surgeries?
Midazolam (Versed)
When a client with type 1 diabetes develops heart failure, digoxin is prescribed. Which nursing action is important to include when planning care?
Monitor the client for cardiac dysrhythmias
The nurse incorrectly administers carvedilol (Coreg) to a client with an order for benztropine (Cogentin). What is the priority nursing intervention after making this medication error?
Monitor the client's blood pressure
Which side effect would the nurse assess for in a child receiving prednisone?
Mood changes
A client has increased intracranial pressure and is unconscious with a heart rate of 60 beats/min, respirations 16 breaths/min, and blood pressure 142/64 mm Hg. The nurse reviews the treatment plan and questions which regularly scheduled drug?
Morphine
A client who has been diagnosed with a myocardial infarction receives digoxin, fluoxetine, morphine, and docusate sodium. Which medication would the nurse identify as a risk factor for straining due to constipation?
Morphine
Which medication would the nurse anticipate will be prescribed to relieve anxiety and apprehension in a client with pulmonary edema?
Morphine
A client, admitted to the cardiac care unit with a myocardial infarction, complains of chest pain. Which intervention will be most effective in relieving the client's pain?
Morphine sulfate 2 mg IV
The nurse is preparing to administer metoprolol to a client with a history of hypertension. Which of the following data is the priority for the nurse to review prior to administration?
Most recent heart rate
A nurse is providing care to a client post-cholecystectomy. Which observation indicates the client may require PRN pain medication?
Muscle tension when repositioning in bed
The nurse is providing care for a client admitted to the hospital with a diagnosis of digoxin toxicity. The client reports more than usual urine output over the previous 48 hours, because of the prescribed diuretic. Which assessment finding does the nurse anticipate?
Muscle weakness or cramping
A client who receives morphine by patient-controlled analgesia has a respiratory rate of 6 breaths/minute. Which intervention is needed?
Naloxone administration
The nurse is caring for a client who is being treated for heart failure. After completing the medication reconciliation process, the nurse notes that the prescriber has added lisinopril 5mg orally bid. Which medication from the list below should the nurse question due to possible drug-to-drug interaction with lisinopril?
Naproxen
The nurse is reinforcing medication interactions with a client who is taking warfarin. Which over-the-counter (OTC) medication should the nurse remind the client to avoid?
Naproxen
The nurse is reviewing medication instructions with a client who is taking digoxin. The nurse should reinforce to the client to report which of the following side effects?
Nausea, vomiting, fatigue
A client with acute myocardial infarction is admitted to the coronary care unit. Which medication should the nurse administer to lessen the workload of the heart by decreasing the cardiac preload and afterload?
Nitroglycerin
The nurse is assessing a client who is taking prescribed opioids for pain. Which finding should indicate to the nurse that the client is having a side effect of the medication?
No bowel movement for four days
The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-yearold client with arthritis. The client reports hearing non-stop ringing in the ears. Which action should the nurse implement?
Notify the healthcare provider of the finding immediately.
Intravenous (IV) potassium is prescribed for a client with a diagnosis of hypokalemia. Which statement about administration of IV potassium is accurate?
Oliguria is an indication for withholding IV potassium
A nurse has administered sublingual nitroglycerin to a client in the emergency department. Which clinical finding indicates an adverse response to the medication?
Orthostatic hypotension
Which principle explains how loop diuretics promote diuresis?
Osmosis
Sublingual nitroglycerin has been prescribed for a client with unstable angina. Which client response indicates that nitroglycerin is effective?
Pain subsides as a result of arteriole and venous dilation.
The nurse is providing teaching to the client prescribed albuterol for the management of asthma. The nurse is including reportable side effects in the teaching plan. Which of the following side effects is the priority?
Palpitations
A client with insomnia takes a new medication to promote sleep. Two hours later, the client is wide awake and feeling more energized than before the medication was taken. Which type of response is the client demonstrating?
Paradoxical
A client who has type 1 diabetes and chronic bronchitis is prescribed atenolol for the management of angina pectoris. Which clinical manifestation will alert the nurse to the fact that the client may be developing a life-threatening response to the medication?
Paroxysmal nocturnal dyspnea
Which action will a nurse take when a male client receiving prolonged steroid therapy complains of always being thirsty and urinating frequently?
Perform a finger stick to test the client's blood glucose level
Which information would the nurse include when teaching a client about warfarin?
Periodic blood testing is necessary
A client who is receiving phenytoin asks why folic acid (Vitamin B) was prescribed. Which explanation would the nurse provide?
Phenytoin inhibits absorption of folate from foods
A client who had a myocardial infarction receives 15 mg of morphine sulfate for chest pain. Fifteen minutes after receiving the medication, the client complains of feeling dizzy. Which action will the nurse take?
Place the client in the supine position and take the vital signs.
A pediatric client is prescribed an intravenous infusion of methylprednisolone. Which clinical manifestation requires immediate intervention during administration of the initial dose?
Polyuria
The nurse administers sodium polystyrene sulfonate to a client with chronic renal failure. Which finding provides evidence that the intervention is effective?
Potassium decreases to 4.2
A client is admitted to the hospital for a new onset of supraventricular tachycardia (SVT) and is prescribed digoxin. For which laboratory finding should the nurse notify the healthcare provider immediately?
Potassium level of 3.1 mEq/L
An 80-year-old client who is taking digoxin reports nausea, vomiting, abdominal cramps and halo vision. Which laboratory result should the nurse evaluate first?
Potassium levels
The client who was admitted with exacerbation of ulcerative colitis has developed hyperglycemia. Which medication that the client was prescribed most likely caused this adverse drug effect?
Prednisone
A child recovering from a severe asthma attack is given oral prednisone 15 mg twice daily. Which intervention would be a priority for the nurse?
Preventing exposure of the child to infection
Which effect explains the purpose for gradual dosage reduction of glucocorticoids such as dexamethasone?
Promotes return of cortisone production by the adrenal glands
The nurse is admitting a client to the hospital with findings of liver failure and ascites. A health care provider (HCP) orders spironolactone. The nurse understands that the pharmacological effects of the medication, are which of the following?
Promotes sodium and chloride excretion
The nurse is caring for a client who is receiving a continuous intravenous heparin infusion. The client's most recent activated partial thromboplastin time (aPTT) is 120 seconds. Which medication should the nurse plan to administer?
Protamine
Which substance does vitamin K contributes to the formation of?
Prothrombin
A client being discharged is prescribed warfarin for the treatment following a pulmonary embolism. Which diagnostic test should the nurse instruct the client to receive once a month?
Prothrombin Time (PT)
The nurse is caring for a client who was prescribed alprazolam. When educating the client about the new medication, which intended effect should the nurse include?
Reduce anxiety and provide a calming effect
A hospice client who has severe pain asks for another dose of oxycodone/morphine/opioid. Which consideration is the nurse's primary concern when responding to the client's request?
Reduce the client's pain
Dexamethasone has been prescribed for a client after a craniotomy for a brain tumor. Which physiological response is responsible for this medication's therapeutic effect?
Reduced cerebral edema
A nurse is providing care to a client with diabetes insipidus. The client is on a prescribed vasopressin infusion with orders to titrate as needed. The nurse decreases the dose of vasopressin based on which clinical finding?
Reduced volume of urine output
A client with rheumatoid arthritis asks the nurse why it is necessary to inject hydrocortisone into the knee joint. Which reason would the nurse include in a response to this question?
Reduces inflammation
The nurse provides client teaching on the administration of a topical steroid application to a basal cell carcinoma surgical site. The nurse evaluates the teaching as effective when the client identifies which action as the primary purpose of the medication?
Reducing inflammation at the surgical site
Which action is the primary purpose of a topical steroid application to a basal cell carcinoma surgical site?
Reducing inflammation at the surgical site
A health care provider prescribes metaproterenol for a client. For which therapeutic effect would the nurse monitor the client?
Relaxed bronchial spasm
A client in the coronary care unit develops 'viselike' chest pain radiating to the neck. Assessment reveals a blood pressure of 124/64 mm Hg, an irregular apical pulse of 64 beats per minute, and diaphoresis. Cardiac monitoring is instituted, and morphine sulfate 4 mg intravenous (IV) push stat is prescribed. Which intervention is the priority nursing care for this client?
Relief of pain
A client using fentanyl transdermal patches for pain management in late-stage cancer dies. Which action will the hospice nurse take regarding the patch in use at the time of death?
Remove and dispose of the patch in an appropriate receptacle.
A nurse is reviewing a client's medical history. The client has been newly diagnosed with hypertension and has been prescribed oral losartan as treatment. The nurse will clarify the use of losartan if which comorbidity is noted in the client's medical record?
Renal stenosis
The nurse administers carbidopa-levodopa to a client with Parkinson's disease. Which activity describes the mechanism of action of this medication?
Replacement of a neurotransmitter in the brain
Which advice will the nurse include when teaching a client about digoxin for left ventricular failure?
Report increasing fatigue
A client is being discharged with a prescription for warfarin. Which information is most important to be included in the nurse's discharge teaching?
Report nose or gum bleeding
A nurse has removed a 2 ml vial of fentanyl from the medication dispensing system. After dosage calculations, the nurse determines only 1 ml will be administered to the client. Which action will the nurse perform with the remainder of the medication?
Request another nurse to witness wasting of the unused medication
A client is given a loading dose of digoxin and placed on a maintenance dose of digoxin 0.25 mg by mouth daily. Which responses would the nurse expect the client to exhibit when a therapeutic effect of digoxin is achieved?
Resolution of heart failure
The healthcare provider prescribes naloxone (Narcan) for a client in the emergency room. Which assessment data would indicate that the naloxone has been effective?
Respiratory rate is 16 breaths/minute
A nurse is preparing to administer morphine to a client with chronic pain. Which assessment finding would prompt the nurse to withhold the medication?
Respiratory rate of 11 breaths/min
A client with chronic obstructive pulmonary disease (COPD) is receiving aminophylline 25 mg/hour intravenously (IV). Which finding would be associated with side effects of this medication?
Restlessness and palpitations
Which mechanism of action would the nurse identify for levodopa therapy prescribed to a client diagnosed with Parkinson disease?
Restores the dopamine levels in the brain
The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should the nurse provide the client regarding the new medication?
Rise slowly when getting out of bed or chair.
Which nursing diagnosis is important to include in the plan of care for a client receiving the angiotensin-2 receptor antagonist irbesartan (Avapro)?
Risk for injury
A client who takes four 325-mg tablets of buffered aspirin four times a day for severe arthritis complains of dizziness and ringing in the ears. Which complication would the nurse conclude that the client probably is experiencing?
Salicylate (chemical of aspirin) toxicity
A client is admitted to the hospital for an adrenalectomy. When teaching the client about the prescribed medications, which advice will the nurse emphasize?
Salt intake may have to be restricted
Which action would the nurse take when a client refuses to take deep breaths and cough, saying, "It's too painful." after an abdominal cholecystectomy?
Schedule coughing and deep-breathing exercises after analgesic has taken effect.
The nurse is providing discharge education to a client who is prescribed alprazolam for a panic disorder. What concept should the nurse emphasize concerning the drug action?
Short-term relief can be expected
Which finding would the nurse report to the health care provider when caring for a client prescribed temazepam at bedtime?
Sleep driving
A client who recently started receiving oral corticosteroids for a severe allergic reaction is instructed that the dosage will be reduced gradually until all medication is stopped at the end of 2 weeks. Which reason would the nurse provide for this gradual reduction in dosage?
Slow reduction of the med will prevent a physiological crisis because the adrenal glands are suppressed
The nurse is providing discharge education to a client who will be starting daily atenolol for the treatment of hypertension. Which side effect is most important for the client to notify their health care provider about?
Slow, irregular heart rate
A client with heart failure is to receive digoxin. Which therapeutic effect is associated with this medication?
Slows and strengthens cardiac contractions
An adolescent client has orders for morphine sulfate for severe pain and acetaminophen-codeine compound for moderate pain after a spinal fusion. The pain assessment reveals the client is rigid and crying in pain. Which information would influence the nurse's choice of analgesic?
Spinal fusion causes considerable pain during the early postoperative days, and morphine is the more effective analgesic.
A child who has nephrotic syndrome is prescribed steroid therapy. Which explanation would the nurse give the parents regarding the goal of this treatment?
Stimulates diuresis
A staff nurse is assisting a charge nurse with checking controlled substances at the change of shift. The charge nurse is urgently called to a client's room and has to leave the medication room. Which action will the staff nurse take?
Stop the check and sign out of the medication dispensing system
The nursing is preparing to administer phenytoin IV push to a client. The client has dextrose 5% in water infusing continuously. Which action is appropriate?
Stop the infusion and flush the port with normal saline prior to administration
A client with midsternal pain presents to the emergency department. Vital signs are stable. Which form of nitroglycerin would the nurse anticipate giving initially?
Sublingual spray
Hydrocortisone is prescribed for a client with Addison's disease. Which response is a therapeutic effect of this medication?
Supports a better response to stress
Which outcome would the nurse expect when caring for a child receiving adrenocorticosteroid therapy?
Suppressed inflammatory process
A health care provider in the emergency department identifies that a client is in cardiogenic shock. Which type of medication is indicated for management of this condition?
Sympathomimetic
Naloxone effectively reverses a client's respiratory depression from an overdose of heroin. Which rationale explains why the nurse will continue to closely monitor this client's status?
Symptoms of the heroin overdose may return after the naloxone is metabolized.
The nurse administers albuterol to a child with asthma. Which common side effect would the nurse monitor for in the child?
Tachycardia
Which information will the nurse include when teaching a client about potassium chloride effervescent tablets?
Take the med with food
A health care provider prescribes aspirin for a client with severe arthritis. Which advice will the nurse provide to the client?
Take the medicine with meals
Pyridostigmine is prescribed for a client with myasthenia gravis. Why would the nurse instruct the client to take pyridostigmine about 1 hour before meals?
Taking it before meals improves the ability to chew
The nurse is caring for a client that is taking prednisone and aspirin for rheumatoid arthritis. Which action by the nurse is appropriate for this client?
Test the client's stool for occult blood
Which nursing assessment is important for a school-age child undergoing long-term steroid therapy?
Testing of stools for occult blood
The nurse is caring for a client after cardiac surgery who has been prescribed protamine sulfate. Which finding indicates that the treatment is having the intended effect?
The bleeding from the surgical site has slowed
A client has been taking alprazolam for three days. For which expected effect of the medication should the nurse evaluate the client?
The client reports sleeping through the night.
A client is prescribed the benzodiazepine alprazolam for the management of panic attacks. Which action by the patient makes the nurse confident that the medication information discussed has been understood?
The client requests a prescription for oral contraceptives before being discharged.
A client received 40 mg of furosemide by mouth at 10 am. Which information is most important for the nurse to provide to the next nurse in the change-of-shift report?
The client's urine output was 1500 mL over nine hours.
A pain scale of 1 to 10 is used by the nurse to assess a client's degree of pain. The client rates the pain as an 8 before receiving an analgesic and a 7 after being medicated. Which conclusion would the nurse make regarding the client's response to pain medication?
The medication is not adequately effective.
Which would the nurse include when teaching a client with Parkinson disease about carbidopa-levodopa?
The medication should be taken with meals.
The nurse is providing education to the parents of a 10-year-old child who is diagnosed with diabetes insipidus (DI) and has been prescribed vasopressin. What important information should the nurse include regarding this medication?
The parents must closely monitor the child's fluid intake.
Which criterion is an indicator that the nitroglycerin sublingual tablets have lost their potency?
The tablets are more than 3 months old
The nurse is educating a client about newly prescribed alprazolam. Which information should the nurse include in the teaching?
The use of grapefruit juice should be avoided.
Which statement about benzodiazepines requires correction?
These medications increase the activity of gamma-aminobutyric acid.
The nurse is discharging a client with a new prescription for tiotropium to help manage the symptoms of chronic obstructive pulmonary disease. What information should the nurse include in the discharge teaching?
This med cannot be used to relieve sudden breathing problems
After abdominal surgery, a client is prescribed low molecular weight heparin (LMWH). During administration of the medication, the client asks the nurse the reason for the medication. Which is the best response for the nurse to provide the client?
This med is given to prevent blood clot formation
A client has primary open-angle glaucoma. Which ophthalmic preparation is indicated to manage this condition?
Timolol maleate
Enoxaparin 40 mg subcutaneously daily is prescribed for a client who had abdominal surgery. The nurse explains that the medication is given for which purpose?
To provide prophylaxis against postoperative thrombus formation
In addition to hydration, parenteral lorazepam is prescribed for a client during alcohol withdrawal delirium. Which primary purpose accurately explains why this medication is given during detoxification?
To reduce the anxiety tremor state and prevent more serious withdrawal symptoms
A client with a known history of opioid addiction has a surgical repair of multiple stab wounds to the abdomen. After surgery, the client's pain is not relieved by the prescribed morphine injections. Which phenomenon is the client experiencing when they fail to achieve pain relief?
Tolerance
Which intervention would the nurse anticipate providing teaching on when a client presents with extensive lesions caused by psoriasis?
Topical application of steroids
Which method would the nurse recommend when teaching the client with asthma how to determine if an inhaler is empty?
Track the number of doses taken
Which clinical indicator would the nurse monitor to determine if the client's simvastatin is effective?
Triglycerides
Which symptom of levodopa toxicity will a client taking levodopa be taught as a reason to contact the primary health care provider?
Twitching
Which assessment would be brought to the health care provider's attention before administration of intravenous potassium chloride?
Urinary output of 200 mL during the previous 8 hours
The health care provider prescribes a cholinergic medication to treat a client's urinary problem. Which effect would the nurse anticipate?
Urinary retention is prevented
Cholinergic agonists are prescribed for which type of urinary condition?
Urine retention
The nurse is transcribing a new prescription for spironolactone (Aldactone) for a client who receives an angiotensin-converting enzyme (ACE) inhibitor. Which action should the nurse implement?
Verify both prescriptions with the healthcare provider.
Warfarin is prescribed for the client who takes phenytoin for a seizure disorder. Which medication interaction complicates seizure therapy?
Warfarin inhibits the metabolism of phenytoin.
The nurse is providing care for a client prescribed propranolol. Which symptoms should the nurse report to the healthcare provider immediately?
Wheezing, hypotension, and AV block.
In which time frame would the nurse advise a client with a long leg cast for a fractured bone to take the prescribed as-needed oxycodone?
When the discomfort begins
During the admission process, the client reports heavy alcohol use for at least one year. What effect does the nurse anticipate the hospitalized client will experience when alcohol consumption stops?
Withdrawal
After surgery the client has a prescription for morphine sulfate via intravenous (IV) route every 3 hours as needed for pain. The client's preoperative blood pressure was 128/76 mm Hg. Postoperative assessments reveal that the client's blood pressure ranges between 90/60 mm Hg and 100/70 mm Hg. Which action will the nurse take if the client requests medication for pain?
Withhold morphine until the blood pressure stabilizes.
The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor blocker (ARB), for a client with hypertension and heart failure. The nurse reviews the client's laboratory results and notes that the client's serum potassium level is 5.9 mEq/L. Which action should the nurse take first?
Withhold the scheduled dose
When teaching a client about digoxin, which symptom will the nurse include as a reason to withhold the digoxin?
Yellow vision
Which instruction about phenytoin will the nurse provide during discharge teaching to a client with epilepsy who is prescribed phenytoin for seizure control?
"Antiseizure medications will probably be continued for life."
The nurse is teaching a client diagnosed with asthma about the medication albuterol. Which statement by the nurse demonstrates appropriate teaching?
"Call your doctor's office if you need to use the drug more often"
The nurse is reinforcing the correct use of a metered-dose inhaler (MDI) for a client newly-diagnosed with asthma. The client asks, "how will I know the canister is empty?" What is the best response by the nurse?
"Count the number of doses as the inhaler is used"
A client is started on long-term corticosteroid therapy for an autoimmune disorder. Which statement by the client indicates the need for more teaching by the nurse?
"For 1 week each month, I will stop taking the med"
The nurse is providing information to a client about propranolol. Which statement by the client indicates the teaching has been effective?
"I can have a heart attack if I stop this medication suddenly."
Which information is most important for the nurse to teach a client prescribed an antihypertensive medication to be taken once in the morning and a 2-gram sodium diet?
"Take your medicine exactly as prescribed."
The mother of a toddler with hemophilia A (bleeding disorder) asks the nurse, 'Can I give my child ibuprofen for fever or pain?' How will the nurse respond?
'Give your child acetaminophen. Ibuprofen may cause bleeding.'
Hydrochlorothiazide (HCTZ) has been prescribed for a client with hypertension. The client reports hearing that furosemide is more effective and requests a prescription change. How will the nurse respond?
'HCTZ has fewer side effects.'
Which client statement indicates understanding of the side effects of nitroglycerin ointment?
'I may experience a headache.'
The nurse provides instruction when the beta-blocker (BB) atenolol is prescribed for a client with moderate hypertension. Which client statement indicates to the nurse that further teaching is needed?
'I must take the medication before going to bed.'
Pyridostigmine bromide is prescribed for a client with myasthenia gravis. The nurse evaluates that the medication regimen is understood when the client makes which statement?
'I need to set an alarm so I take the med on time'
Sublingual nitroglycerin is prescribed for a client with a history of a myocardial infarction and atrial tachycardia. The nurse instructs the client about the prophylactic use of these tablets. Which statement by the client indicates the teaching was effective?
'I should take one tablet before attempting activity that has caused angina'
At which time would the nurse plan to administer morphine 2 mg by mouth every 2 hours as needed to a client who has burns on 55% of the body surface and requires dressing changes?
60 minutes before the dressing change
A client is scheduled for an adrenalectomy. Which action would the nurse expect in the plan of care?
Administer parenteral corticosteroids
Which action is likely to reduce the pancreatic and gastric secretions of a client with pancreatitis?
Administer prescribed anticholinergic med
A client's phenytoin level is 16 mcg/L. Which action will the nurse take?
Administer the next dose of the medication as prescribed.
Which medication would the nurse anticipate the health care provider will prescribe to relieve the pain experienced by a client with rheumatoid arthritis?
Aspirin
A client develops tinnitus. Which of the client's medications would the nurse suspect is the cause of this new development?
Aspirin 325 mg, two tablets every 4 hours
The nurse has administered fentanyl, atropine, cefazolin and benzocaine to a client for an endoscopic procedure. The nurse is monitoring the client and notes that the heart rate has increased from the pre-procedure baseline. The nurse knows that which of the following medications is most likely responsible for the client's increased heart rate?
Atropine
A client is receiving hydrochlorothiazide. Which physiological alteration will the nurse monitor to best determine the effectiveness of the client's hydrochlorothiazide therapy?
Blood pressure
The nurse administers a dose of metoprolol for a client. Which assessment is most important for the nurse to obtain?
Blood pressure
A client with myasthenia gravis is to receive immunosuppressive therapy with corticosteroids. Which mechanism of action assures the nurse that this therapy will be effective?
Decreases the production of autoantibodies that attack acetylcholine receptors
The nurse is monitoring the client who is taking newly prescribed antihypertensive medication. Which finding should indicate to the nurse that the client might be experiencing an allergic reaction to the medication?
Development of a rash
Amlodipine is prescribed for a client with hypertension. Which response to the medication will the nurse instruct the client to report to the health care provider?
Difficulty breathing
One week after being hospitalized for an acute myocardial infarction, a client reports nausea and loss of appetite. Which of the client's prescribed medications would be withheld and the health care provider notified?
Digoxin
A client with a history of osteoporosis and vertebral compression has been coming to the clinic more frequently for prescription refills of hydrocodone/acetaminophen. Which inference will the nurse make?
Higher doses are needed to achieve pain relief.
When a client is receiving dexamethasone for adrenocortical insufficiency, which action would the nurse take to monitor for an adverse effect of the medication?
Measure blood glucose levels
Which primary reason identifies why oxazepam is given during detoxification?
Minimizes withdrawal symptoms the client may experience
A client with a history of heart disease has been prescribed prophylactic aspirin daily. Which action should the nurse implement to help prevent aspirin toxicity?
Monitor serum albumin
The client is discharged from the hospital with a new prescription for furosemide. During a follow-up visit one week later, the nurse notes the following findings. Which finding is most important to report to the health care provider?
Muscle cramps
An 80-year-old client with depression requires the prescription of antidepressant medication. Which tricyclic antidepressant medication causes fewer complications in older clients?
Nortriptyline
When the nurse is administering intravenous potassium to a client with hypokalemia, which finding is most important to communicate to the health care provider?
QRS duration of 0.28 seconds
A health care provider prescribes dexamethasone for a client with head trauma. The nurse recognizes that it reduces swelling in the brain by which process?
Reduces the inflammatory response of tissues
A client with heart failure is prescribed spironolactone (Aldactone). Which information is most important for the nurse to provide to the client about diet modifications?
Refrain from eating foods high in potassium
Diazepam is administered to the client with status epilepticus/seizure. In addition to decreasing central neuronal activity, which effect would the nurse anticipate?
Relaxing of peripheral muscles
The nurse is assessing a client with hypertension who reports experiencing dizziness after taking prescribed diltiazem. It is most important that the nurse assesses for which client characteristic?
Schedule for taking med
The nurse is teaching the client how to properly use a dry powder capsule inhaler. How should the nurse instruct the client to use this type of inhaler?
Seal lips tightly around mouthpiece and inhale deeply
A client is receiving methylprednisolone 40 mg IV daily. The nurse should monitor which laboratory value closely?
Serum glucose
The nurse is providing discharge medication teaching to a client who will be taking furosemide and digoxin after discharge from the hospital. Which information is important for the nurse to include in the teaching plan?
Signs and symptoms of digoxin toxicity
Which medication requires the nurse to monitor the client for signs of hyperkalemia?
Spironolactone
A client who is on long-term corticosteroid therapy after an adrenalectomy is admitted to the surgical intensive care unit after being involved in a motor vehicle crash. Which statement is an important concern for client safety?
Steroid therapy will need to be increased to avert a life-threatening crisis
A client with Parkinson's disease is prescribed benztropine (Cogentin). For which of the following should the nurse call the health care provider immediately?
The client has a history of primary angle-closure glaucoma
The nurse is preparing to administer prescribed warfarin to a client with a mechanical heart valve. Which finding should the nurse report to the healthcare provider?
The client has cola-colored urine
A client has been robbed, beaten, and sexually assaulted. The primary health care provider prescribes 0.25 mg of alprazolam for agitation. Which event would alert the nurse to administer this medication?
The client requests something to calm her.
The nurse is observing a new graduate nurse preparing to administer bumetanide 4 mg orally to a client with heart failure. Which client finding requires the nurse to intervene immediately?
The client's most recent serum potassium level is 2.9 mEq or mmol/L.
The nurse educating a client who is postpartum about the use of ibuprofen for uterine cramping. Which statement should the nurse include in the teaching?
This medication could cause gastrointestinal discomfort
Which medication class includes amitriptyline?
Tricyclics
While receiving an adrenergic beta 2 agonist medication for asthma, the client complains of palpitations, chest pain, and a throbbing headache. Which nursing action is the most appropriate?
Withhold the medication and notify the health care provider
The nurse is educating a client with seizure disorder about newly prescribed phenytoin. Which statement should the nurse include in the teaching?
You will need to have routine visits with a dentist when taking this medication
