Pharm Exam 3
When a patient complains of pain accompanying a peptic ulcer, why should the nurse give an antacid? a. Antacids decrease gastrointestinal motility. b. Antacids decrease gastric acid secretion. c. Antacids strengthen the lower esophageal sphincter's action. d. Antacids neutralize hydrochloric acid and reduce pepsin activity.
d
Which statement below is not a true statement about Antiretroviral Treatment? A. "The patient starts out taking 3 medications from at least 2 drug classes." B. "ART decreases the amount of virus in the blood within about 6 months." C. "ART helps decrease the risk of developing an opportunistic infection." D. "Antiretroviral medications are taken when signs and symptoms appear and then tapered off."
d
a nurse is caring for a client who has a new Rx for famotidine to treat GERD. The RN should instruct the pt to wait at least 1 hr between taking famotidine & which OTC drug? a. ginkgo biloba. b. antidiarrheals. b. st. John's wort. d. antacids.
d
nurse is teaching a client who has recently had a myocardial infarction and has a new Rx for docusate sodium. The nurse should inform them that docusate sodium has which therapeutic effect? a. reduces inflammation. b. reduces gastric acid. c. prevents diarrhea. d. prevents straining
d
the RN explains to the pt that a common side effect of optic anticholinergic includes photophobia, blurred vision, & xerophthalmia, also known as ....
dry eyes
cerumenolytics are comprised of mineral oil and hydrogen peroxide and help to soften or break up what?
ear wax
which condition has more than 60 million worldwide cases & is one of the leading causes of blindness?
glaucoma
this eye medication has many unique side effects including: eye itching, redness, thickening of the lashes, darkening of the eyelid, permanent change in the color of the iris
latanoprost
this medication reduces IOP by increasing aqueous humor outflow by relaxing blood vessel smooth muscle & allowing alternate pathways for outflow
latanoprost
The cholinergic agonist, pilocarpine, works by constricting the pupil & increasing room between the iris & lens. This allows fluid to flow better & reduce intraocular pressure. Pupil constriction can also be defined as _____
miosis
trabecular network of the eye is open but becomes clogged for unknown reasons
open angle glaucoma
you should use ___ ____ after instilling eye drops to reduce the risk of _________ absorption; thus, reducing the risk of adverse side effects
punctal occlusion; systemic
to correctly instill eardrops in an adult, the RN must ask the patients to tilt their head and pull __ & __ on the pinna
up & back
A client has been taking omeprazole (Prilosec) for 4 weeks. The nurse determines that the client is receiving the optimal intended effect of the medication if the client reports absence of which of the following symptoms? A. Diarrhea B. Heartburn C. Flatulence D. Constipation
b
When metoclopramide is given for nausea, the nurse plans to caution the patient to avoid which substance? a. Milk b. Coffee c. Alcohol d. Carbonated beverages
c
your elderly pt is being administered diphenoxylate with atropine (Lomotil), what kind of drug is it? A. Antiflatulent B. Laxative C. Antidiarrheal D. Emetic
c
Which of the following therapeutic agents for the treatment of constipation increases fluid content within the lumen of the large intestine and stimulates peristalsis? a) methylcellulose b) docusate sodium c) magnesium hydroxide d) senna
c
You know, as the nurse, that metoclopramide (Reglan) is classified as which kind of drug? A. Proton pump inhibitor B. H2 blocker C. Prokinetic drug D. ATPase inhibitor
c
a nurse is assessing a client who was administered metoclopramide IV 1 hr ago. Which finding should the RN recognize as an adverse effect of this drug? a. dizziness. b. bradycardia. c. tardive dyskinesia. d. dyspepsia
c
Bisacodyl has been ordered for a patient who is constipated. The nurse realizes that bisacodyl a. increases peristalsis to produce a bowel movement. b. is incompatible with alcohol consumption. c. should be avoided during pregnancy as it is teratogenic. d.may lead to paralytic ileus.
a
Ondansetron has been ordered for the patient undergoing cancer chemotherapy to control the severe nausea and vomiting. What side effects should the nurse observe for? a. Headache, dizziness, and fatigue b. Anorexia and hair loss c. Abdominal cramping and irritability d. Psychosis and middle ear disturbances
a
The RN is providing instructions about the use of laxatives to a pt who has heart failure. The RN should tell the pt to avoid which laxative? a. sodium phosphate b. psyllium c. bisacodyl d. polyethylene glycol
a
What statement made by Mrs. Franklin indicates the need for additional teaching regarding the calcium carbonate (Tums) that she has been taking for her heartburn symptoms? A. "I can drink milk with my Tums to settle my stomach." B. "I may need to use fiber supplements to prevent constipation while taking Tums." C. "I will notify my doctor right away if I start to have low back pain or blood in my urine." D. "I will take Tums as directed on the bottle."
a
Which medications are most likely to be included in a dual drug therapy program for peptic ulcer disease from H. pylori? a.Omeprazole and clarithromycin b.Tetracycline and metronidazole c.Ranitidine and amoxicillin d.Ciprofloxacin and sucralfate
a
Which of the following therapeutic agents for the treatment of constipation increases fluid content within the lumen of the large intestine and stimulates peristalsis? a) Magnesium hydroxide b) Magnesium hydroxide c) Docusate sodium d) Senna
a
A client experiences worsening constipation for three months and is diagnosed with a bowel obstruction. Which of the following is contraindicated for the client? a) Laxatives b) Electrolyte therapy c) Antiemetics d) Intravenous (IV) fluids
a
A client with a history of duodenal ulcer is taking calcium carbonate chewable tablets. The nurse determines that the client is experiencing optimal effects of the medication if: A. Heart burn is relieved B. Muscle twitching stops C. Serum calcium levels rise D. Serum phosphrous levels decrease
a
A nurse is preparing to administer cyclophosphamide IV to a client who has Hodgkin's disease. Which of the following medications should the nurse expect to administer concurrently with the chemotherapy to prevent an adverse effect of cyclophosphamide? A. Uroprotectant agent, such as MESNA B. Opioid, such as morphine C. Loop diuretic, such as furosemide D. H1 receptor antagonist, such as diphenhydramine
a
A nurse is teaching a client who has a new Rx for methotrexate. The nurse should instruct the pt to monitor for manifestations of which condition? a. gout. b. constipation. c. insomnia. d. hirsutism
a
A patient in the outpatient oncology clinic complains of fatigue after receiving chemotherapy. Which initial nursing intervention will be most appropriate? a. Assess for other factors contributing to her fatigue, such as trouble sleeping. b. Encourage a high-protein, high-calorie diet, and design it with the patient. c. Refer the patient to a physical therapist to develop a strenuous exercise program. e. Encourage the patient to sleep as much as possible during the day to ease fatigue.
a
A patient is diagnosed with peptic ulcer disease. The nurse realizes that which of these is a predisposing factor for this condition? a. Helicobacter pylori b. Hyposecretion of pepsin c. Decreased hydrochloric acid d. Escherichia coli
a
A patient is scheduled to receive chemotherapy drugs that will cause myelosuppression. Which action by the nurse will be most important? a. Monitor for a change in temperature. b. Evaluate gastrointestinal function. c. Assess for evidence of cardiac compromise. d. Question the patient about changes in sense of taste.
a
A patient who has constipation is prescribed a bisacodyl suppository. Which explanation will the nurse use to explain the action of bisacodyl? a. Acts on smooth intestinal muscle to gently increase peristalsis b. Absorbs water into the intestines to increase bulk and peristalsis c. Lowers surface tension and increases water accumulation in the intestines d. Pulls salts into the colon and increases water in the feces to increase bulk
a
Acyclovir suspension is ordered for a child with chronic cold sores. Which instruction should the nurse include? a) Shake the liquid medication thoroughly immediately before taking b) Be sure to use a household teaspoon for more accurate dosing c) Drink plenty of water while taking to flush the liver and GI system d) If you miss a dose, take two doses to maintain drug levels in the body
a
An RN is preparing to administer cyclophosphamide IV to a pt w/Hodgkin's disease. Which of the following meds should the RN expect to administer concurrently w/the chemotherapy to prevent an adverse effect of cyclophosphamide? a. protectant agent, such as mesna b. opioid, such as morphine c. loop diuretic, furosemide d. H1 receptor antagonist, diphenhydramine
a
An older adult patient reports taking aluminum hydroxide on a daily basis to relieve symptoms of gastroesophageal reflux disease. The nurse needs to evaluate for which condition? a.Constipation b.Diarrhea c.Flatulence d.Abdominal pain
a
Which patient below is a candidate for PEP (Post-exposure Prophylaxis) A. A 32-year-old patient who reports sharing IV drug injection devices with a person who is HIV-positive 5 days ago. B. A 28-year-old patient who engages in high risk activities on a regular basis that could lead to an HIV infection. C. A 55-year-old who is HIV-positive. D. A 30-year-old who was sexually assaulted two days ago.
a
Your client is dx with end stage liver failure and receiving lactulose/granulote. which lab test tells you it is effective? A. serum ammonia B. BUN C. sodium D. serum Creatinine
a
a nurse is assessing a client who was administered ondansetron IV 1 hr ago. Which finding should the RN recognize as an adverse effect of this drug? a. dizziness. b. bradycardia. c. tardive dyskinesia. d. dyspepsia
a
a nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions? a. IBD. b. thrombophlebitis. c. agranulocytosis. d. immunization w/a live virus vaccine within the last 6 weeks
a
•The patient tells the nurse that he has been treating his stomach pain with a lot of calcium carbonate. It is most important for the nurse to assess the patient for a. Burnett's syndrome. b. hypernatremia. c. metabolic alkalosis. d. acid rebound.
a
What condition(s) is/are acyclovir prescribed for? SATA a) genital herpes lesions b) cold sores on lower lip c) shingle lesions on trunk d) impetigo on the upper lip
a, b, c
The nurse is administering difenoxin with atropine to a patient. Which should be included in the patient teaching regarding this medication? (Select all that apply.) a. Caution the patient to avoid laxative abuse. b. Record the frequency of bowel movements. c. Caution the patient against taking sedatives concurrently. d. Encourage the patient to increase fluids. e. Instruct the patient to avoid this drug if he or she has narrow-angle glaucoma. f. Teach the patient that the drug acts by drawing water into the intestine.
a, b, c, d, e
You are aware that while Mrs. Franklin is taking omeprazole and ranitidine, she should be assessed periodically for which symptoms? (Select all that apply.) A. Vitamin deficiencies B. Liver enzyme alterations C. Kidney function D. Peripheral edema E. Tachycardia F. Drug interactions
a, b, c, f
While providing care for the client receiving doxorubicin for the treatment of cancer, which lab value will the registered nurse (RN) identify as a result of the effect of this drug? Select all that apply. a) blood glucose of 232 mg/dL b) platelet count of 88,000 uL c) red blood cell count of 4.7 1012/L d) white blood cell count of 2800/μL e) hemoglobin level of 15 g/L
a, b, d
A nurse is teaching a patient who will receive chemotherapy that will cause thrombocytopenia. Which instructions will the nurse include in the patient's teaching plan? (Select all that apply.) a. Use an electric razor when shaving. b. Use a soft-bristled toothbrush. c. Use aspirin for pain or headache. d. Monitor oral temperature daily. e. Report any bleeding (gums, petechiae, bruises, hematuria, melena) to the health care provider.
a, b, e
An RN is caring for pt who has breast cancer & asks why the treatment plan contains a combination therapy of cyclophosphamide, methotrexate, & fluorouracil. The response by the nurse should include that combination chemotherapy is used to do which of the following? SATA a. decrease medication resistance b. attack cancer cells at different stages of cell growth c. block chemotherapy agent from entering healthy cells d. stimulate immune system e. decrease injury to normal body cells
a, b, e
an RN is planning to administer ondansetron to a pt. For which of the following a/e of ondansetron should the RN monitor? SATA a. HA b. diarrhea c. shortened PR interval d. hyperglycemia e. prolonged QT interval
a, b, e
A patient is taking famotidine to inhibit gastric secretions. Which side effects of famotidine will the nurse teach the patient? (Select all that apply.) a. Dizziness b. Headaches c. Hypokalemia d. Hyperkalemia e. Blurred vision f. Erectile dysfunction
a, b, f
A nurse is planning to care for a client who is receiving chemotherapy & has a new Rx for indansetron. Which of the following actions should the RN plan to take? (select all that apply). a. infuse the drug 30 min prior to chemo. b. administer the drug when the pt reports nausea. c. infuse the drug slowly over 15 min. d. administer the drug immediately following chemo. e. repeat the dose 4 hr after chemo.
a, c, e
A patient is experiencing mucositis (stomatitis) after receiving chemotherapy. Which symptomatic treatments will be appropriate? (Select all that apply.) a. Frequent mouth rinses b. Antiemetics c. Topical anesthetics d. Stress reduction e. Antibiotics
a, c, e
A patient is taking famotidine. What information should the nurse teach the patient about this drug? (Select all that apply.) a. The drug should be administered for 4 to 8 weeks. b. The drug must be administered 30 minutes before meals. c. The drug must be administered separately from iron by at least 1 hour. d. The drug must always be administered with magnesium hydroxide. e. Smoking should be avoided while taking this drug. f. Foods high in vitamin B12 should be increased in the diet.
a, c, e, f
Acyclovir has been ordered for a patient with genital herpes. Which nursing interventions are appropriate for this patient? (Select all that apply.) a. Monitor the patient's blood urea nitrogen and creatinine. b. Monitor the patient's blood pressure for hypertension. c. Administer intravenous acyclovir over 30 minutes. d. Advise maintenance of adequate fluid intake. e. Monitor complete blood count for blood dyscrasias
a, d, e
iris blocks the trabecular network by sitting too close to the drainage angle
angle closure glaucoma
properly educate patients about the use of OTC use of ________ for ear congestion
antihistamines
the anterior chamber of the eye holds a clear fluid that flows in and out and nourishes the tissue. this fluid is called _____ _____
aqueous humor
A 25-year-old patient reports that they engage in high risk activities that could lead to an HIV infection. The patient's test results show the patient is HIV-negative. The nurse should provide the patient with education about A. PEP B. PrEP C. Opportunistic Infections D. Nucleic Acid Test (NAT)
b
A client has just been given a prescription for diphenoxylate with atropine (Lomotil). The nurse determines that the client understands important information about this medication if the client makes what statement? A. "It's best to take this medication with a laxative." B. "This medication contains a habit-forming ingredient." C. "Drooling may occur while I am taking this medication." D. "Irritability may occur while I am taking this medication."
b
A client went to a health care facility to ask instructions regarding on how to administer ophthalmic medications. The nurse correctly instructs the client to? A. Gently allow the tip of the optic bottle to touch with the conjunctival sac. B. Apply gentle pressure with a clean tissue to the nasolacrimal duct for 30 seconds after the administration. C. Blink quickly to stimulate tearing after the administration. D. Blow the nose to stimulate faster absorption.
b
A nurse is instructing a pt who has a new Rx for timolol how to insert eye drops. The RN should instruct the pt to press on which area to prevent systemic absorption of the med? a. bony orbit b. nasolacrimal duct c. conjunctival sac d. outer canthus
b
A patient complains of constipation and requires a laxative. In providing teaching for this patient, the nurse reviews the common causes of constipation, including which cause? a. Motion sickness b. Poor dietary habits c. Food intolerance d. Bacteria (Escherichia coli)
b
A patient is scheduled to receive high-dose cyclophosphamide via an intravenous infusion as treatment for cancer. Which will be most important for the nurse to include when teaching the patient about cyclophosphamide? a. An indwelling urinary catheter will be placed. b. Drink at least 2 liters of fluid per day. c. Empty the bladder every 4 to 6 hours. d. Limit fluid intake during chemotherapy.
b
A patient is to receive a chemotherapy protocol that includes an alkylating agent, an antimetabolite, and an antitumor antibiotic. What is the nurse's best response when the patient asks the nurse why so much chemotherapy is needed? a. Combination of chemotherapeutic drugs works in the S phase to kill cells. b. Combination chemotherapy increases the extent of tumor cell killing. c. Combination chemotherapy uses drugs that work the same way. d. Combination chemotherapy has no dose-limiting toxicities.
b
A patient who has constipation is prescribed psyllium mucilloid. Which explanation will the nurse use to explain the action of psyllium? a. Acts on smooth intestinal muscle to gently increase peristalsis b. Absorbs water into the intestines to increase bulk and peristalsis c. Lowers surface tension and increases water accumulation in the intestines d. Pulls salts into the colon and increases water in the feces to increase bulk
b
A patient with nausea is taking ondansetron. She asks the nurse how this drug works. The nurse is aware that this medication has which action? a. Enhances histamine-1 receptor sites b. Blocks serotonin receptors in the chemoreceptor trigger zone c. Blocks dopamine receptors in the chemoreceptor trigger zone d. Stimulates anticholinergic receptor sites
b
An RN is teaching a pt who has a new Rx for omeprazole. Which of the following information should the RN include in the teaching? a. take this med at bedtime b. this med decreases the production of gastric acid c. take this med 2 h after eating d. this med can cause hyperkalemia
b
An RN is teaching a pt who has breast cancer about tamoxifen. Which of the following adverse effects should the RN discuss w/the pt? a. irregular heart beat b. abnormal uterine bleeding c. yellow sclera or dark-colored urine d. difficulty swallowing
b
An RN is teaching a pt who will begin taking aluminum hydroxide. Which of the following information should the RN include in the teaching? a. if constipation develops, switch to a calcium-based antacid b. take this medication 2 hours before/after other meds c. this med increases the r/f pneumonia d. have your mag level monitored while taking this med
b
Lactulose is ordered for a patient with liver disease. What would indicate the medication is exerting a positive therapeutic effect on the patient? a.Decreased ascites b.Decreased ammonia level c.Decreased jaundice d.Decreased blood pressure
b
Mrs. Franklin is curious why she is receiving two medications that decrease the amount of stomach acid. What is the mechanism of action of ranitidine that will you explain to her? A. Ranitidine blocks ATPase from working on parietal cells in the stomach. B. Ranitidine blocks histamine-2 (H2) receptors on the parietal cells in the stomach. C. Ranitidine coats the stomach lining and protects the mucosal barrier. D. Ranitidine neutralizes stomach acid.
b
The patient is ordered famotidine. It is most important for the nurse to teach the patient about what dietary needs? a.Avoid use of salt substitutes. b.Eat foods rich in vitamin B12. c.Eat a high-protein diet. d.Avoid citrus foods.
b
Which of the following are principles of immunosuppression? A. Monotherapy reduces risk of organ rejection B. Multiple drug therapy reduces risk of drug toxicity C. Drugs which increase T-cell response reduce rejection D. Drugs that activate lymphocytes reduce risk of rejection
b
a nurse is caring for a client who has peptic ulcer disease. the nurse should monitor the client's phosphorus levels when administering which drug? a. omeprazole. b. aluminum hydroxide. c. sucralfate. d. famotidine
b
a nurse is providing teaching to a patient with a new Rx for omeprazole to treat a duodenal ulcer. which of the following instructions should the RN include? a. take the med with food. b. swallow the capsules whole. c. dissolve the tablets in water. d. take the medication at bedtime
b
the RN is caring for a pt w/diabetes who is experiencing nausea due to gastroparesis. the RN should expect an Rx for which med? a. lubiprostone b. metoclopramide c. bisacodyl d. loperamide
b
The nurse asks a parent to demonstrate administration of eardrops on a toddler. Which steps by the parent indicate the need for additional education? (Select all that apply.) a. Position with the affected ear upward. b. Pull the ear backward and upward. c. Instill one drop of medication at a time allowing 3 to 5 minutes between each drop. d. Apply gentle pressure to the flap (tragus) over the ear canal. e. Keep the ear positioned upward for 5 minutes.
b, c
What discharge teaching instructions will you give Mrs. Franklin regarding omeprazole? (Select all that apply.) A. "Take your blood pressure before taking the medication." B. "Report any severe diarrhea, worsening abdominal pain, or blood in stools or urine." C. "Drink with a full glass of water." D. "Take 30 minutes before breakfast every day." E. "You must remain upright for 30 minutes after taking medication."
b, c, d
this beta-adrenergic antagonist is used as initial & maintenance therapy to treat open-angle glaucoma
betaxolol
A client has a PRN order for diphenoxylate with atropine (Lomotil). The nurse should plan to administer this medication if the client is experiencing which symptom? A. Constipation with abdominal distension B. Abdominal pain, followed by nausea and vomiting C. An episode of diarrhea D. Hematest-positive nasogastric tube drainage
c
A client reports frequent use of sodium bicarbonate to relieve heartburn after meals. The nurse should monitor the client for which condition that the client is at risk for with long-term frequent use of this medication? a. Urinary calculi b. Chronic bronchitis c. Metabolic alkalosis d. Respiratory acidosis
c
A client who was given metoclopramide to increase gastric emptying begins lip smacking, sucking lip motion, puffing of cheeks, and chewing movements. Which priority action should be implemented by the nurse? a) Stop the medication immediately. b) Ask the client when these symptoms began. c) Notify the healthcare provider about the symptoms. d) Administer the next dose of the medication as ordered.
c
A nurse is administering doxorubicin to a patient in the outpatient oncology clinic. Which information would be most important for the nurse to include in patient teaching? a. Blood counts will most likely remain normal. b. Complete alopecia rarely occurs with this drug. c. Report any shortness of breath, palpitations, or edema to the health care provider. d. Tissue necrosis usually
c
A nurse teaches a client taking metoclopramide (Reglan) to discontinue the medication immediately and call the physician if which side effect occurs with long- term use? A. Excessive excitability B. Anxiety or irritability C. Uncontrolled rhythmic movements of the face or limbs D. Dry mouth not helped by the use of sugar-free hard candy
c
A patient diagnosed with cancer is scheduled to receive vincristine. Which nursing assessment will have the highest priority when providing care for this patient? a. Degree of alopecia b. Increased digoxin levels c. Decreased phenytoin effects d. Peripheral neuropathy
c
A patient in the outpatient oncology clinic has developed mucositis after receiving fluorouracil. Which statement made by the patient indicates the need for additional teaching about mucositis? a. I will frequently rinse out my mouth with normal saline. b. To relieve my mouth pain, I will use ice pops or ice chips. c. I will use mouthwash with alcohol to clean my mouth. d. Using a soft toothbrush will clean my teeth and freshen my breath.
c
A patient who has constipation is prescribed docusate. Which explanation will the nurse use to explain the action of docusate? a. Acts on smooth intestinal muscle to gently increase peristalsis b. Absorbs water into the intestines to increase bulk and peristalsis c. Lowers surface tension and increases water accumulation in the intestines d. Pulls salts into the colon and increases water in the feces to increase bulk
c
A patient with peptic ulcer disease is noted to have a positive breath test for H. pylori. The nurse would anticipate treating the patient with a.antacids and narcotics. b.pepsin inhibitors and antiemetics. c.proton pump inhibitors and antibiotics. d.emetic agents and tranquilizers.
c
An RN is teaching a pt who takes phenytoin & has a new Rx for sucralfate tablets. Which of the following instructions should the RN include? a. take an antacid w/sucralfate b. take sucralfate w/glass of milk c. allow a 2h interval b/w the meds d. chew the sucralfate thoroughly before swallowing
c
An RN is teaching a pt with a new Rx for a combination oral NRTI for treatment of HIV. Which of the following statements should the RN include? a. these meds works by blocking HIV entry into cells b. these meds works by weakening the cell wall of the HIV virus c. these meds work by inhibiting enzymes to prevent HIV replication d. these meds work by preventing protein synthesis within the HIV cell
c
Lactulose (Chronulac) is prescribed for a client with a diagnosis of hepatic encephalopathy. The nurse should determine that this medication has had a therapeutic effect if assessment reveals which finding? A. Increased protein level B. Increased red blood cell count C. Decreased serum ammonia level D. Decreased white blood cell count
c
Mineral oil has been prescribed for a child with constipation, and the nurse teaches the mother about administration of the mineral oil. Which statement by the mother indicateseffective teaching? a. "I will administer the mineral oil before each meal." b. "I will administer the mineral oil followed by a glass of warm water." c. "I will mix the mineral oil with a chilled drink before administration." d. "I will mix the mineral oil with 8 ounces of warm juice before administration."
c
The nurse has administered prochlorperazine to a client for relief of nausea and vomiting. The nurse should then assess the client for which frequent side effect of this medication? a. Diarrhea b. Drooling c. Blurred vision d. Excessive tearing
c
The nurse is caring for a patient with colorectal cancer who is to receive fluorouracil. Which symptom will be most important for the nurse to report to the health care provider? a. Nausea b. Decreased appetite c. Bleeding gums d. Constipation
c
The patient is taking esomeprazole for erosive gastroesophageal reflux disease. Which should the nurse include in patient teaching? a. Take the medication daily with breakfast. b. Healing should occur in 1 week. c. This medication decreases stomach acid secretion. d. A blood test to check kidney function should be done.
c
When collecting a medication history from a patient with primary open-angle glaucoma, the nurse identifies several drugs that could exacerbate glaucoma. Which drug poses a priority concern for this particular patient? a. Cyclobenzaprine, an antispasmodic b. Oxymetazoline, a decongestant c. Prednisone, a corticosteroid d. Sulfamethoxazole-trimethoprim, a sulfonamide-antibiotic combination
c
2. In reviewing Marco's medical record, you understand that he is receiving metoclopramide (Reglan) for which reason? (Select all that apply.) A. To prevent a small bowel obstruction while he is not eating B. To restore normal levels of intestinal bacteria after antibiotic use C. To increase the movement of stomach contents into intestines D. To prevent any postoperative nausea and vomiting E. To prevent any infections while in surgery F. To prevent the occurrence of stress ulcers during surgery
c, d
a nurse is providing teaching to a client about to start taking psyllium to treat constipation. which of the following instruction should the nurse include? (select all that apply). a. expect results in 6-12 hrs. b. urinate every 4 hrs. c. take the drug with at least 8 oz of fluid. d. avoid activities that require alertness. d. increase fluid & fiber intake.
c, d
A client is prescribed timolol ophthalmic drops to decrease the intraocular eye pressure associated with glaucoma. Which comorbidity should the nurse notify the health care provider about? Select all that apply. a) Cataracts b) Diabetes c) asthma d) HF e) bradycardia
c, d, e
An RN is teaching a pt about cimetidine. Which of the following are adverse effects of cimetidine? SATA a. increased libido b. insomnia c. enlargement of breast tissue d. confusion e. decreased sperm count
c, d, e
side effects of this group of meds include cardiac irregularities, hyperhidrosis, incontinence of urine, diarrhea, & vomitting
cholinergic
A client has a prescription for magnesium citrate to prevent constipation after undergoing barium studies of the gastrointestinal tract. How should the nurse administer the magnesium citrate? A. With fruit juice only B. At room temperature C. With a full glass of water D. After it is chilled in the refrigerator
d
A client who was previously treated for severe constipation, returns after two months. Which of the following statements indicates the client is no longer constipated? a) The client consumes daily fruits, vegetables, and whole grain cereal for breakfast. b) The client has external hemorrhoids after a bowel movement. c) The client has two bowel movements per week consisting of hard stools. d) The client has three bowel movements per week consisting of soft stools without straining.
d
A client with a gastric ulcer has an order for sucralfate (Carafate), 1 g orally four times a day. The nurse schedules the medications for which of the following times? A. With meals and at bedtime B. Every 6 hours around the clock C. One hour after meals and at bedtime D. One hour before meals and at bedtime
d
A client with gastrointestinal hypermotility has a prescription to receive atropine sulfate. The nurse should withhold the medication and question the prescription if the client has a history of which disease process? A. Biliary colic B. Sinus bradycardia C. Peptic ulcer disease D. Narrow-angle glaucoma
d
A client with glaucoma is receiving betaxolol (Betoptic) eye drops. Which of the following interventions will the nurse likely do before the administration? A. Assessing orientation and neurological status. B. Assess peripheral pulses. C. Monitor blood sugar level, hold for a level between 75-120mg/dL. D. Monitor the patients heart rate before and after administration.
d
A nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new Rx for sucralfate to treat a duodenal ulcer. The nurse should instruct the client to take the drugs at least 2 hr apart for which reason? a. phenytoin increases the metabolism of sucralfate. b. phenytoin reduces the effectiveness of sucralfate. c. sucralfate increases the risk for phenytoin toxicity. d. sucralfate interferes with the absorption of phenytoin
d
A patient is ordered bisacodyl. Before administering the drug, it is most important for the nurse to assess the patient for what? a. Hypertension b. Anemia c. Allergy to penicillin d. Appendicitis
d
A patient is using scopolamine to prevent motion sickness. About which common side effect should the nurse teach the patient? a. Diarrhea b. Vomiting c. Insomnia d. Dry mouth
d
A patient who has constipation is prescribed lactulose. Which explanation will the nurse use to explain the action of lactulose? a. Acts on smooth intestinal muscle to gently increase peristalsis b. Absorbs water into the intestines to increase bulk and peristalsis c. Lowers surface tension and increases water accumulation in the intestines d. Pulls salts into the colon and increases water in the feces to increase bulk
d
A patient with a gastric ulcer is ordered sucralfate. This medication works to a.calm the patient to reduce acid production. b.block the H2 receptors. c.neutralize the gastric acids. d.coat the gastric lining.
d
A student nurse is preparing to administer sucralfate to a patient. Which statement by the student nurse demonstrates understanding of sucralfate's mechanism of action? a. Sucralfate neutralizes gastric acidity. b. Gastric acid secretion is decreased by inhibiting histamine at histamine2 receptors in parietal cells. c. Gastric acid secretion is suppressed by inhibiting the hydrogen/potassium adenosine triphosphatase enzyme. d. Sucralfate combines with protein to form a viscous substance that forms a protective covering over the ulcer.
d
An RN is preparing to administer leucovorin to a pt who has cancer and is receiving chemotherapy w/methotrexate. Which of the following responses should the RN use when the pt asks why leucovorin is being given? a. it reduces the risk of a transfusion rxn from methotrexate b. it increases platelet production & prevent bleeding c. it potentiates the cytotoxic effects of methotrexate d. it protects healthy cells from methotrexate's toxic effect
d
The RN is caring for a pt who received prochlorperazine 4 hrs ago. The pt reports facial spasms. The RN should expect an Rx for which of the following medications? a. fomepizole b. naloxone c. phytonadione d. diphenhydramine
d
The nurse is preparing to give a client directions for proper use of aluminum hydroxide tablets. Which instruction by the nurse is appropriate? a. "Take the tablet at the same time as an antacid." b. "Swallow the tablet whole with a full glass of water." c. "Take each dose with a laxative to prevent constipation." d. "Chew the tablet thoroughly and then drink 8 ounces of water."
d
