NURS 3110 Spring 2020 Mayerson Evolve Quizzes
What is the partial pressure of oxygen in the lung given the following conditions? Percentage of oxygen in air: 20, barometric pressure: 700 mmHg
140 mmHg
Which of the following instructions is important for a patient who is receiving chemotherapy? Select all that apply.
Eat a high fiber diet Reduce the pain of stomatitis with thorough oral hygiene and a bland diet Prepare for hair loss by deciding whether to use a wig, hairpiece or hat
Which medication may be given routinely at birth by the nurse to protect against neonatal ophthalmia? (Select all that apply.)
Erythromycin
The nurse is describing the slit-shaped space between the true vocal cords. What term should the nurse use?
Glottis
A nurse remembers to majority of total airway resistance occurs in the:
Nose
In preparing an educational program about oral contraceptives (OCs), the nurse includes what information about cancer risks? (Select all that apply.)
OCs protect against ovarian cancer OCs protect against endometrial cancer OCs promote the growth of existing breast cancer
For which of the following reasons should a nurse instruct a client to avoid taking guaifenesin with combination OTC cold products?
OTC cold products can also contain guaifenesin
How should the nurse teach a patient to apply ciclopirox?
Once daily over the previous dose, removing all of the medication once a week
What is the drug of choice for treatment of syphilis?
Penicillin G
A nurse is caring for a client who is taking codeine. The nurse should identify which of the following assessments is priority to make?
Respirations The greatest risk to clients who are taking codeine, an opioid agonist, is severe respiratory depression. Therefore, the respiratory rate is the priority assessment.
The nurse recognizes that which medication can decrease the effectiveness of oral contraceptives?
Rifampin
A nurse recalls the pleural membranes are examples of ___ membranes
Serous
For what side effects of pentamidine should the nurse monitor the patient during therapy? (Select all that apply.)
Severe hypotension Hypoglycemia dysrhythmias
The nurse understands what about malignant cells?
They are unrestrained in growth and division
A patient who is at risk for infection due to the neutropenic effects of chemotherapy demonstrates an incomplete understanding of preventive measures by making which of the following statements?
"Fresh fruits and vegetables are an important part of my diet."
Which statement by a patient taking depot medroxyprogesterone acetate (DMPA) indicates to the nurse a need for further teaching?
"I should be able to get pregnant within 6 months of stopping the drug"
The nurse informs the patient beginning therapy for neurosyphilis that the treatment will last how long?
2 weeks
The nurse understands that ________ poses the greatest risk for thromboembolic phenomena in a patient taking oral contraceptives.
smoking
During the decision-making period for a patient who has a new diagnosis of cancer, the nurse knows that surgery and radiation therapy are preferred for which types of cancer?
solid cancers
In providing teaching to a patient receiving levonorgestrel, the nurse states that this contraceptive is sufficient for up to what period?
5 years
A nurse is teaching a client who has a new prescription for valproic acid to treat a seizure disorder. The nurse should instruct the client to monitor for which of the following adverse effects.
Drowsiness Headache Rash
A nurse is teaching an adult client about diphenhydramine (antihistamine). The nurse should inform the client to expect which of the following adverse effects while taking this drug?
Drowsiness Most common!
Legal restrictions apply to the purchase of pseudoephedrine because of which of the following risks?
Drug abuse
How are antiemetics administered during chemotherapy to achieve the best outcomes? Select all that apply.
Give the first dose 30 to 60 minutes before chemotherapy Administer a dose at the end of the chemotherapy Recommend regular doses at home for the first 24 hours after chemotherapy
During inspiration, muscular contraction of the diaphragm causes air to move into the lung. The mechanism that drives air movement during inspiration results in a(n):
Increase in the size of the thorax and decrease in intrapleural pressure
A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include?
Increase weight bearing activity Bone loss is an adverse effect Inhaled glucocorticoid
Which statement by the nurse best describes the required treatment for pelvic inflammatory disease (PID)?
Multiple organisms usually are involved and require multiple antibiotics and treatment regimens
A nurse is caring for a client who is about to begin taking cabergoline to treat infertility. The nurse should explain to the client the need to monitor which of the following laboratory values?
Prolactin level
A nurse is caring for a client who is about to begin taking finasteride to treat benign prostatic hypertrophy. The nurse should explain to the client the need to monitor which of the following laboratory values?
Prostate-specific antigen (PSA) Increase indicates prostate cancer
A nurse is caring for a client who is receiving methohexital sodium. The nurse should monitor the client for which of the following adverse effects?
Respiratory depression
A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include?
Restlessness Insomnia Anxiety
A nurse is monitoring plasma drug levels in a client who is taking theophylline. Which of the following findings should the nurse expect to see if the client's drug level indicates toxicity?
Seizures Likely when plasma drug levels are higher than 30 mcg/mL = toxicity
What does the nurse identify as the preferred treatment for adults with gonorrhea?
ceftriaxone
A nurse is caring for a client who has a new prescription amphetamine sulfate. The nurse should monitor the client for which of the following adverse effects?
tachycardia
A nurse is teaching a client about receiving leuprolide to treat endometriosis. The nurse should instruct to expect which of the following side effects?
vaginal dryness
What is the preferred treatment of pneumonia infections in infants born to women with cervical Chlamydia trachomatis?
erythromycin
Which medication can be combined with amphotericin B to produce antifungal effects equivalent to those of high-dose amphotericin alone?
flucytosine
What electrolyte abnormality should the nurse monitor in a patient receiving amphotericin B infusions?
hypokalemia
When giving the anticancer drug cisplatin, the nurse is aware that the major dose-limiting toxicity of this drug is:
kidney damage
What is the best tolerated of the nucleoside reverse transcriptase inhibitors (NRTIs)?
lamivudine
Which drug when taken with metronidazole should concern the nurse?
lithium
What is the drug of choice for symptomatic intestinal amebiasis and systemic amebiasis?
metronidazole
Bone marrow suppression may cause which adverse effect?
neutropenia
Surfactant facilitates alveolar distention and ventilation by:
Decreasing surface tension in alveoli
How should the nurse respond to a patient who is taking emtricitabine and reports darkening pigmentation in the hands and feet?
"This is an unusual side effect of the medication that can develop in some people"
Which patient taking tinidazole should the nurse monitor closely?
A 40 year old with a seizure disorder
The nurse understands that unless the person is experiencing a life-threatening illness, which patient should not receive itraconazole?
A 60 year old patient with heart failure
In which patient should tinidazole be used with caution?
A 60 year old with meningitis
A nurse is teaching a client who received a prescription for interferon beta-1a for the treatment of multiple sclerosis. Which of the following information should the nurse include?
Administer the drug in your thigh or upper arm subQ route!
What medications can be given by the nurse during an intravenous infusion of amphotericin B if the patient experiences rigors?
Meperidine and dantrolene
The nurse would administer what pretreatment for a patient receiving amphotericin B intravenously?
Acetaminophen and diphenhydramine
A nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the nurse expect to administer to the client?
Acetylcysteine Mucolytic that loosens thick respiratory secretions
A nurse is caring for a client who recently began taking chlor[romazine to treat schizophrenia and who was admitted to the ER with spasms of their face and back. Which of the following adverse reactions should the nurse suspect?
Acute dystonia Acute dystonia can develop during the first few days of treatment with chlorpromazine. Manifestations include muscle spasms of the back, neck, face, and tongue. Treatment includes immediate administration of an anticholinergic drug, such as diphenhydramine.
A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone/salmeterol via inhaler for asthma management. For which of the following reasons should the nurse instruct the client to use the albuterol inhaler before using the fluticasone inhaler?
Albuterol will increase the absorption of fluticasone (glucocorticoid)
A nurse is providing teaching to a client who has a prescription for buspirone
Allow 2-4 weeks for full therapeutic effects
A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give?
Allow at least 2 weeks for the full therapeutic effect It can take 2 or 3 weeks to see the full therapeutic effect of intranasal glucocorticoids
The pressure required to inflate an alveolus is inversely related to:
Alveolar radius
Diffusion of respiratory gases takes place at the:
Alveolocapillary membrane
A nurse is assessing a client who has been taking alprazolam for several days. Which of the following findings should the nurse identify as an adverse drug reaction caused by alprazolam?
Anxiety The client can experience a paradoxical effect when taking benzodiazepines or buspirone, indicated by increased anxiety rather than relief of anxiety. The nurse should report this to the provider, who might consider a different medication.
A nurse is providing teaching to a client about instilling pilocarpine for managing open-angle glaucoma. Which of the following instructions should the nurse include in the teaching?
Apply gentle pressure to then nasolacrimal duct for 1 min after instilling the drops Do not touch the tip of the dropper Remove contact lenses prior to instilling the drops
What physiology is present at the base of the lungs?
Arterial perfusion pressure exceeds alveolar gas pressure
A nurse should identify that timolol is contraindicated for a client who has which of the following disorders?
Asthma Timolol, a beta-adrenergic antagonist, can cause bronchospasm and difficulty breathing
A nurse is providing teaching to a client who is taking bethanechol for urinary retention. Which of the following instructions should the nurse include?
Avoid driving and activities that require alertness Can cause dizziness and fainting Increase fluid intake Can cause diarrhea and increased salivary and gastric secretions Need to maintain hydration! Stay close to a bathroom after taking the drug Rapid relief = incontinence
A nurse is teaching a client who has a prescription for baclofen. Which of the following instructions should the nurse include?
Avoid driving until the drug's effects are evident Baclofen causes CNS depression, need to avoid alcohol and other depressants and should not drive
A nurse is teaching a client who is taking prednisone for chronic asthma. Which of the following instructions should the nurse include?
Avoid taking NSAIDS
A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. Which of the following instructions should the nurse include?
Avoid taking NSAIDs NSAIDs increase renal reabsorption of lithium and sodium. Clients who take lithium should not take NSAIDs.
A nurse is teaching a client who has Alzheimer's disease and their caregiver about memantine. Which of the following instructions should the nurse include?
Avoid taking over the counter antacids Antacids that contain sodium bicarbonate increase urine alkalinity and can decrease drug excretion, ultimately leading to toxicity.
A nurse is teaching the family of a client who has a new diagnosis of Alzheimer's disease about donepezil. Which of the following information should the nurse include?
Avoid the use of NSAIDs for pain Major GI bleeding
A nurse should recognize that using pseudoephedrine to treat allergic rhinitis requires cautious use with clients who have which of the following conditions?
Coronary artery disease Causes vasoconstriction, caution in hypertension and coronary artery disease
A nurse is teaching a client who has a prescription for carbamazepine. Which of the following instructions should the nurse include to help the client avoid adverse effects of this drug?
Begin taking the drug at a low dosage Visual disturbances, vertigo, and ataxia can result from taking carbamazepine, a drug that treats seizure disorders. Dosages should be low to minimize or prevent these adverse effects.
A nurse is caring for a male client who has hyperthyroidism and is not responding to treatment.the nurse should identify that hyperthyroidism is a contraindication for which of the following drugs?
Bethanechol A cholinergic drug can cause cardiac dysrhythmias in clients who have hyperthyroidism by triggering the release of norepinephrine
A nurse should question the use of conjugated equine estrogen by a client who has a history of which of the following?
Blood clots Clients who have a history of thromboembolic disease should not use estrogen replacement therapy because of the risks of thrombophlebitis, myocardial infarction, pulmonary embolism, and cerebrovascular accident.
A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine. Which of the following laboratory values should the nurse monitor during and immediately after IV administration of the drug?
Blood pressure Clients who receive chlorpromazine are at risk for hypotension during and immediately after IV administration. They should remain supine for 30 min while the nurse monitors their blood pressure. It is essential to infuse the chlorpromazine solution slowly and not to mix it with other drugs.
The nurse recognizes that ________ is the greatest adverse effect associated with depot medroxyprogesterone acetate (DMPA).
Bone loss
When giving chemotherapy, the nurse recognizes that toxicity to normal cells occurs mostly in tissues with a high growth fraction, including which of the following? Select all that apply.
Bone marrow GI epithelium Hair follicles
A patient asks how oxygen is transported in the body. The nurse's best response ins that most oxygen is transported
Bound to Hemoglobin
A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. Which of the following adverse effects should the nurse include in the teaching?
Bradycardia Betaxolol and timolol can cause bradycardia because of the blockade of cardiac beta1 receptors. Clients should check their pulse rate regularly and report any sustained decreases.
A patient involved in a motor vehicle accident experiences a severe head injury and dies as a result of the loss of respirations. The nurse suspects the area of the brain most likely damaged is the:
Brainstem
What does the nurse recognize as the recommended therapy for neonatal gonococcal ophthalmia?
Ceftriaxone
A patient is experiencing respiratory difficulty and retaining too much carbon dioxide. Which receptor sites would be stimulated in an attempt to maintain a normal homeostatic state?
Central
A nurse is teaching a client who is taking levodopa/carbidopa to treat Parkinson's disease. Which of the following instructions should the nurse take?
Change position slowly to prevent orthostatic hypotension
A nurse is providing safety education to a client who is scheduled to begin treatment with tamsulosin for benign prostatic hypertrophy (BPH). Which of the following instructions should the nurse include in the teaching?
Change positions slowly Can cause blood pressure to drop = orthostatic hypotension
A nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat major depressive disorder. Which of the following instructions should the nurse include?
Change positions slowly from sitting or lying to standing Do not stop taking the drug abruptly Take the drug at bedtime to prevent daytime drowsiness Increase fiber and fluid intake
Just before the second course of chemotherapy, the lab calls to report that a patient's neutrophil count is 450/mm3. The nurse knows to expect which of the following will occur?
Chemotherapy will be withheld until the neutrophil count returns toward normal
A nurse is teaching a client who is about to begin sumatriptan therapy to treat migraine headaches. The nurse should instruct the client to monitor for which of the following adverse effects?
Chest pain Sumatriptan, a serotonin agonist, can cause coronary vasospasm and chest pain. Clients should report any pressure, pain, or tightness in the jaw, chest, or back. Sumatriptan is not an appropriate choice for clients who have a history of coronary artery disease.
The nurse understands that, according to the Centers for Disease Control and Prevention (CDC), there is an increase in which sexually transmitted disease (STD)? (Select all that apply)
Chlamydia Syphilis gonorrhea
What is the most common cause of bacterial STDs in the United States?
Chlamydia trachomatis
A nurse is preparing to administer memantine to a client who has Alzheimer's disease. Which of the following findings in the client's medical history indicates a need to withhold the drug and notify the provider?
Cirrhosis Memantine should be used cautiously in clients who have severe hepatic impairment. The nurse should contact the provider about the client's history of cirrhosis to see if laboratory testing is required before starting the drug or if the dosage needs to be adjusted.
The nurse recognizes that the most effective mode of treating cancer is what?
Combination drug therapy
If an individual with respiratory difficulty were retaining too much carbon dioxide, which of the following compensatory responses would the nurse expect to be initiated?
Increase in respiratory rate
A nurse is teaching a client who has a new prescription for transdermal testosterone gel to treat delayed puberty. Which of the following instructions should the nurse include?
Cover the area of application with clothing Wash your hands after applying the gel Do not shower for several hours after applying gel
A nurse is caring for a client who has a new prescription for pramipexole to treat Parkinson's disease. The nurse should recognize which of the following laboratory tests requires monitoring?
Creatinine clearance Pramipexole, a direct-acting dopamine receptor agonist, should be used with caution for clients who have renal disease
Which medications should be avoided in a patient taking itraconazole? (Select all that apply.)
Cyclosporine Warfarin Quinidine digoxin
The nurse recognizes what as the positive effects on a patient taking abacavir and another antiretroviral medication? (Select all that apply.)
Decrease in viral load Increased CD4 T-cell count Reduction in symptom severity
A nurse is teaching a client about the use of beclomethasone to treat asthma. The nurse should explain that the drug has which of the following therapeutic effects?
Decreases inflammation Beclomethasone, an intranasal glucocorticoid, treats asthma by reducing inflammation
What adverse effects do all protease inhibitors have in common? (Select all that apply.)
Development of diabetes Lipodystrophy Elevation of serum transaminases Decreases cardiac conduction velocity
A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should instruct the client to report which of the following adverse effects?
Diarrhea Prolonged diarrhea can cause dehydration and other serious effects. Diarrhea, nausea, and vomiting are adverse effects of dantrolene.
A nurse is assessing a client who has a new prescription of oxybutynin to treat neurogenic bladder. Which of the following assessment findings should the nurse identify as an adverse effect of the drug.
Dilated pupils Dizziness Distended bladder Fever
A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. Which of the following instructions should the nurse include?
Do not take the drug with high-fat foods High-fat foods delay absorption and reduce peak effects of sildenafil. Clients who take the drug should not take it with high-fat foods.
What is the drug of choice for both East African and West African trypanosomiasis (sleeping sickness)?
Melarsoprol
A provider has prescribed a dinoprostone vaginal insert to promote cervical ripening in a client who is at 40 weeks of gestation. When administering dinoprostone, which of the following actions should the nurse take?
Encourage the client to urinate prior to insertion Remove the pouch when active labor begins Monitor for uterine hyperstimulation Monitor the client's temperature
A nurse is caring for a client who has benign prostatic hypertrophy and is taking tamsulosin. The nurse should question the use of the drug if the client also has which of the following?
Erectile dysfunction for which he takes sildenafil Drugs that lower blood pressure, such as sildenafil, can exacerbate hypotension in combination with tamsulosin. Clients who take sildenafil should not take tamsulosin.
One of the functions of the pulmonary system is the:
Exchange of gases between the environment and blood
A nurse is caring for a client who is taking interferon beta-1b. The nurse should identify which of the following findings indicates a potential serious adverse effect of this drug?
Fatigue serious adverse effects of interferon beta-1b include unexplained bruising, bleeding, and fatigue
A nurse is caring for a client who received human menopausal gonadotropin (hMG). Which of the following findings should the nurse expect?
Follicular maturation Before a client receives human chorionic gonadotropin (hCG) to stimulate ovulation, they must receive a drug that induces follicular maturation, such as hMG, which is a mixture of LH and FSH, clomiphene, or follitropin. Clients receive hCG 1 day after the last dose of hMG or follitropin or 7 to 9 days after the last clomiphene dose.
Which of the following terms should the nurse use when there is a balance between outward recoil of the chest wall and inward recoil of lungs at rest?
Functional residual capacity (FRC) is reached
A nurse is reviewing the drug history of a client who is taking lithium carbonate for bipolar disorder. Which of the following findings should indicate the nurse to monitor for lithium toxicity?
Furosemide for hypertension Furosemide, a high-ceiling loop diuretic, increases sodium loss and can cause lithium reabsorption. The nurse should evaluate the client for lithium toxicity.
The nurse recognizes what as a major determinant of how a tumor will react to chemotherapy?
Growth fraction
A nurse is caring for a client who has a prescription for fluoxetine and who reports self-administering St. John's wort daily from the past 2 weeks. Which of the following findings should the nurse report to the provider as an indication of serotonin syndrome?
Hallucinations
A nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include?
Have blood pressure checked regularly Using conjugated estrogen and medroxyprogesterone, a combination of estrogen and progestin for hormone replacement, can cause hypertension. Clients taking the drug combination should have their blood pressure checked regularly and report headache or edema.
A nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include?
Have laboratory tests performed at regular intervals Can cause liver injury!
A nurse is preparing to administer phenylephrine to a client, should the nurse identify which of the following manifestations is an adverse effect of this drug?
Headache Stimulate adrenergic receptors, causing blood vessel constriction = nervousness, headache blurred vision, tremors
After administering terbutaline to a client to inhibit preterm labor, the nurse should assess which of the following?
Heart rate Can cause tachycardia, chest pain and palpitations
What laboratory value(s) should the nurse monitor in the patient receiving zidovudine?
Hemoglobin and hematocrit (H & H) and neutrophil count
The nasopharynx is lined with a ciliated mucosal membrane with a highly vascular blood supply. One function of this membrane is to:
Humidify air
A nurse should question the use of ethinyl estradiol and drospirenone by a client who has renal disease due to the increased risk of which of the following?
Hyperkalemia Can cause potassium retention, so a client who has renal, adrenal or liver disease should not take the drug combination
A nurse is providing teaching for a client who has a prescription for phenelzine. The nurse should instruct the client to avoid tyramine-enriched foods because of an increased risk for which of the following adverse reactions?
Hypertensive crisis
A nurse is teaching a client who has a new prescription for a testosterone transdermal patch. Which of the following statements made by the client indicates an understanding of the teaching?
I should apply the medication to a different site each time The client should rotate the application sites with each application to prevent skin irritation
A nurse is providing teaching to a client who has a new prescription for diazepam for anxiety disorders. Which of the following client statements indicates an understanding of the teaching?
If i become pregnant it is important to let my provider know Contraindicated in pregnancy
A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include?
If you have persistent headaches, let the provider know The client should report persistent headache, anxiety, or insomnia to the provider as an adverse drug reaction
A nurse is providing teaching to a client about the adverse effects of drug therapy. The nurse should include that orthostatic hypotension is a common adverse reaction of which of the following drugs?
Imipramine Imipramine, a tricyclic antidepressant, can result in orthostatic (postural) hypotension. Clients who take this drug should change positions slowly from sitting or lying to standing.
A nurse is teaching a client who has a new diagnosis of Parkinson's disease about how levodopa/carbidopa can help control symptoms.
Increases available dopamine in the brain
The nurse is caring for a patient receiving amphotericin B. What action should the nurse take to minimize kidney damage?
Infuse 1 L of saline on the days amphotericin is infused
What is the primary effect of combination oral contraceptives?
Inhibit ovulation
The nurse should inform the patient starting efavirenz about what side effects that may occur within the first 2 to 4 weeks of treatment and should be reported to a health care professional? (Select all that apply.)
Insomnia Dizziness Severe depression Hallucinations
In counseling a patient about birth control, the nurse would indicate which form is contraindicated in a patient with multiple sexual partners?
Intrauterine devices
After entering a room of chemical fog, a 20-year old male cannot stop coughing. Which of the following structures are primarily responsible for his response?
Irritant receptors in the nostrils
What term is used to describe receptors that respond to increase pulmonary capillary pressure?
J-receptors
A nurse is providing teaching for a client who has a new prescription for valproic acid to treat a seizure disorder. The nurse should instruct the client to monitor for which of the following adverse effects?
Jaundice Can cause hepatotoxicity = jaundice, abdominal pain and nausea
While auscultating a patient's lungs, a nurse recalls the alveoli in the apices of the lungs are _____ than alveoli ni the bases
Larger
A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should identify which of the following lab tests requires monitoring?
Liver function Liver toxicity is a serious side effect
The nurse recognizes that a patient taking dolutegravir may have decreased serum levels of the medication when taken with which over-the-counter supplement? (Select all that apply.)
Magnesium Iron calcium
A patient asks why intrathecal administration is necessary for the prescribed chemotherapy. What is the nurse's best response?
Many anticancer agents cannot cross the blood-brain barrier
A nurse is caring for a client who has been taking selegiline to treat PArkinson's disease. The provider is considering the use of analgesics for the client but should be aware that a drug interaction between selegiline and meperidine can result in which of the following?
Muscle rigidity A drug interaction between selegiline and opioids, especially meperidine, can result in rigidity, stupor, agitation, hypertension, and fever
A nurse is administering fentanyl to a client to reduce pain. Which of the following drugs should the nurse have available to reverse the effects of fentanyl?
Naloxone Naloxone is an opioid antagonist that reverses the effects of opioids. Fentanyl, an opioid agonist, can cause severe respiratory depression.
A nurse is caring for a client who is taking donepezil to treat Alzheimer's disease. For which of the following adverse effects should the nurse monitor?
Nausea The most common adverse effects of donepezil, a cholinesterase inhibitor, are nausea, vomiting, and diarrhea. Taking donepezil with food can help minimize adverse effects.
Which tumors are most susceptible to chemotherapy?
Non-solid tumors
A nurse is caring for a client who is about to begin clomiphene therapy to treat infertility. The nurse should monitor the client for what adverse effects?
Ovarian hyperstimulation syndrome
A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report which of the following as an adverse effect of this drug?
Palpitations Beta2 agonists can cause cardiac stimulation = chest pain, palpitations, hypertension and arrhythmias
A patient has a low platelet count as a result of chemotherapy for colon cancer. The nurse plans to include which of the following statements in a teaching plan designed to help the patient prevent bleeding?
Perform oral care gently
A nurse is providing teaching to a client about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include?
Perform weight bearing activities Leuprolide suppresses estrogen and can cause bone loss. The nurse should instruct the client to perform weight-bearing activities and increase their intake of calcium and vitamin D.
The nurse is describing the movement of blood into and out of the capillary beds of the lungs to the body organs and tissues. What term should the nurse use to describe this process?
Perfusion
A nurse is caring for a client who is taking venlafaxine to treat major depressive order. The nurse should identify which of the following drugs can cause serotonin syndrome when taken concurrently with venlafaxine?
Phenelzine Clients should not take venlafaxine, a serotonin norepinephrine reuptake inhibitor, within 14 days of taking phenelzine, other MAOIs, or serotonergic drugs. Serotonin syndrome is a life-threatening complication characterized by anxiety, confusion, hallucinations, and fever.
A nurse is reviewing the medical record of a client who has a newly diagnosed seizure disorder and a new prescription for valproic acid and phenytoin. The nurse should identify which of the following can occur as a result of an interaction between these drugs?
Phenytoin toxicity Valproic acid can cause an increase in phenytoin blood levels, resulting in phenytoin toxicity. The nurse should monitor serum phenytoin levels and notify the provider if levels begin to exceed the therapeutic range.
During therapy with amphotericin B, the nurse confirms that what laboratory values are measured every 3 to 4 days?
Plasma creatinine
The nurse should monitor which laboratory value(s) in patients taking flucytosine?
Platelets and leukocyte count
A nurse should identify that dextromethorphan can have which of the following effects when combined with morphine?
Potentiation of depression of CNS actions
A nurse is teaching a client about interferon beta-1a. Which of the following instructions should the nurse give to help the client avoid adverse effects of this drug?
Premedicate with acetaminophen Interferon beta drugs can cause fever, chills, headaches, and muscle aches. Acetaminophen can help minimize these symptoms.
A nurse is preparing to administer sumatriptan to a client for the first time. The nurse should instruct the client that sumatriptan is indicated for which of the following conditions?
Presence of a migraine headache
A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The nurse should explain that these drugs are effective because they perform which of the following actions?
Prevent histamine from binding to receptors
A nurse is teaching a client about the use of cromolyn sodium to prevent bronchospasm, the nurse should explain that the drug has which of the following therapeutic effects?
Reduces inflammation Cromolyn sodium, a mast cell stabilizer, reduces inflammation by inhibiting the inflammatory response
A nurse is teaching a client about the use of an expectorant to treat a cough. The nurse should include than an expectorant has which of the following therapeutic effects?
Reduces surface tension Thinning thick mucus which makes it easier to cough and drain
A nurse is caring for a client who has a new prescription for transdermal conjugated estrogen and medroxyprogesterone to treat postmenopasual symptoms. The nurse should explain to the client that this drug combination includes which of the following therapeutic effects?
Reduces the risk of ovarian cancer Relieves hot flashes Prevents osteoporosis
In what ways can patients be their first line of defense against infection? (select all that apply).
Refuse direct contact with other people who have not washed their hands in patient's presence Avoid people who have an infection Be aware of their risk for infection
A nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for the prescription modification?
Renal function impairment
When reviewing the indications for various antidepressants, a nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following?
Seasonal affective disorder (type of depression associated with the reduction of natural light during winter months) Nicotine addiction Depression
The nurse recognizes metastases as what?
Secondary tumors that appear at sites different from the primary cancer
A nurse is caring for a client who was admitted to the emergency department with a head injury. The nurse notes that the client has an existing prescription for bupropion hydrochloride to treat depression. For which of the following adverse effects is the client at increased risk?
Seizure activity
A nurse is assessing a client who has a new prescription for the combination oral contraceptive ethinyl estradiol and drospirenone. Which of the following findings should the nurse identify as a contraindication to use of this medication?
Smokes half a pack of cigarettes a day (sounds like Kayla Kasmire) Smoking increases the risks of thromboembolic events, hypertension, and cardiovascular disease for clients who are taking combination oral contraceptives, especially for those clients who are older than 35 years. Clients should quit smoking before starting this drug therapy.
During chemotherapy, the physician writes an order for the patient to begin receiving epoetin (erythropoietin) injections. The nurse knows that this drug is used to:
Stimulate production of red blood cells
If extravasation of a chemotherapy drug occurs during IV administration, the nurse will respond immediately by:
Stopping the infusion
The nurse is describing the receptors in the lung that decrease ventilatory rate and volume when stimulated. Which receptors is the nurse discussing?
Stretch receptors
A nurse is providing teaching to a client who has a prescription for buspirone to treat anxiety. Which of the following instructions should the nurse include?
Take a missed dose as soon as you remember Buspirone should be taken on a regular scheduled basis to be therapeutic. If a client misses a dose, then they should take one as soon as they remember, as long as it is not close to time for the next scheduled dose.
A nurse is teaching a client who has a prescription for modafinil to treat narcolepsy. Which of the following instructions should the nurse include?
Take the drug in the morning Modafinil is a nonamphetamine stimulant. Taking it in the morning helps improve wakefulness for clients who have narcolepsy. Clients taking the drug for shift-work sleepiness should take it 1 hr before work.
A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include?
Take the drug once a day in the evening Montelukast, a leukotriene modifier, is most effective when taken once per day in the evening
A nurse is caring for a client who missed a dose of her oral contraceptive. Which of the following instructions should the nurse give the client?
Take the missed dose ASAP
A patient is experiencing gastrointestinal symptoms associated with chemotherapy. What is the nurse's best explanation for this effect?
The high growth fraction of the gastrointestinal epithelium makes it sensitive to the drugs
During treatment of a patient who has breast cancer, the nurse hears the physician mention that the patient has reached the nadir. The nurse knows that this term means:
The lowest level of neutrophils during therapy
While reviewing a patient's history, the nurse identifies what finding as a contraindication to the administration of oral contraceptives?
The patient has a history of thrombophlebitis
What is the nurse's concern when a patient taking an NRTI experiences nausea, malaise, and anorexia?
The patient may be experiencing lactic acidosis
The nurse recognizes that the principal barrier to success in chemotherapy is what?
The toxicity to normal cells
The nurse correlates which action with the contraceptive effects of the mini pill?
Thickens cervical mucus
A nurse is teaching a client about the use of a mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects?
Thins and loosens mucus Increases cough's productivity
A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnostic tests should the nurse recommend that the client undergo periodically
Thyroid function tests Hypothyroidism is an adverse effect of lithium carbonate. Clients should report neck enlargement, weight gain, lethargy, and constipation. They should also have their thyroid function checked before they begin taking lithium and annually thereafter.
For which of the following reasons should a client attach a spacer to a metered-dose inhaler?
To increase the amount of drug delivered to the lungs
The nurse understands that the treatment of HIV involves more than one medication for what reasons? (Select all that apply.)
To increase the potential of decreasing the viral load To decrease the incidence of HIV mutation
In a patient with acidosis, the nurse would expect the oxyhemoglobin dissociation curve to shift:
To the right, causing more O2 to be released to the cells
A nurse is caring for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse monitor?
Tolerance Anxiety Sedation Respiratory depression
A nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder.
Tremors Confusion Nausea Muscle weakness
A newborn is in respiratory distress and requires ventilation. Tests reveal that he does not produce surfactant due to the absence of:
Type II alveolar cells
A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects?
Urinary retention Dry mouth
The nurse would provide what teaching to the patient with genital herpes? (Select all that apply.)
Use a condom at all times for sex to decreases the risk of transmission A recurrence can happen at any time throughout life
A nurse is caring for a client who is taking combination oral contraceptive ethinyl estradiol and drospirenone and is about to begin taking rifampin to treat TB. Which of the following instructions should the nurse give the client due to a possible drug interaction?
Use additional birth control methods Rifampin can increase the metabolism of oral contraceptives, reducing the effectiveness. Clients who are taking oral contraceptives and rifampin should use additional contraceptive methods to prevent an unwanted pregnancy. Other drugs that can reduce the effects of oral contraceptives include some antifungal agents and anticonvulsants.
A nurse is caring for a client who has a new prescription for conjugated equine estrogen. The nurse should instruct the client to report which of the following indications of a serious adverse reaction?
Vaginal bleeding Estrogen hormone replacement therapy increases the risk of endometrial cancer. The nurse should instruct clients using the drugs to report recurrent or persistent vaginal bleeding and pelvic pain.
What nerve provides the lungs with parasympathetic innervation?
Vagus
While reviewing the results of the pulmonary functions test, the nurse is aware that the maximum amount of gas that can be displaced (expired) from the lung is called:
Vital capacity (VC)
A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include?
Wait 5 min between using the drug and another inhaled drug This allows bronchodilation to take effect
A nurse is preparing to administer finasteride to a client who has benign prostatic hypertrophy (BPH). which of the following precautions should the nurse plan to take when administering this drug?
Wear gloves when handling the tablet Can be absorbed through the skin
A nurse is providing teaching to a client who has a prescription for chlorpromazine. Which of the following instructions should the nurse include?
Wear sunscreen when exposed to sunlight Chlorpromazine, a conventional antipsychotic, can cause photosensitivity, or increased susceptibility to sunburn, when exposed to sunlight. Clients should limit their exposure to sunlight and wear sunscreen and protective clothing while outdoors
A nurse is caring for a client who has been taking amphetamine/dextroamphetamine sulfate for the treatment of attention deficit hyperactivity disorder (ADHD) for two weeks. The nurse should report which of the following findings to the provider?
Weight loss of 2.3 kg (5 lb) Amphetamine/dextroamphetamine sulfate can cause a decreased appetite and weight loss. The nurse should instruct the client to weigh themself twice weekly and report unintended weight loss
A nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. The nurse should identify that abruptly stopping alprazolam therapy can result in which of the following adverse effects?
Withdrawal symptoms Physical dependence can develop with extended use of alprazolam, a benzodiazepine
About what harmless side effect should the nurse warn a patient taking nitazoxanide?
Yellow discoloration of the sclera
What should the nurse teach a patient with asthma who is taking inhaled pentamidine?
You may experience cough or bronchospasm, which can be controlled with the use of an inhaled bronchodilator
The nurse instructs the patient to avoid what when taking abacavir?
alcohol
The nurse should teach a patient taking metronidazole to avoid what?
alcohol
What is a drug of choice for American trypanosomiasis (Chagas' disease)?
benznidazole
