Pharm Final
A client is prescribed enoxaparin 0.5 mg/kg sub. The client weighs 50kg and the enoxaparin comes in a prefilled syringe containing 40 mg/mL. The nurse should prepare a dose of how many mL?
0.63 mL
A client is diagnosed as being in the primary stage of syphilis? Which of the following would the nurse expect as a finding? 1. genital chancres 2. palmar rash 3. development of gummas 4. development of CNS lesions
1
A client is taking a high dose of fludrocortisone to treat Addison disease. The nurse should provide which instruction to the client? 1. keep a log of weekly early-morning weights 2. report weight loss greater than 2.3 kg per week 3. there will be reduced ability to resist infection 4. it's important to measure potential blood pressures
1
A client who recently started taking desmopressin reports onset of a headache, lethargy, and drowsiness with hyperthyroidism. The nurse should assess for which set of intended outcomes? 1. change in HR, reduced anxiety, reduced sweating 2. regrowth of scalp hair, increased tolerance of extreme temp changes 3. weight gain, improved respiratory status 4. decreased insomnia, decreased restlessness
1
A client with acute bronchitis is apprehensive because the flaps on the nonrebreather oxygen mask close during exhalation. The nurse should make which adjustment? 1. none, because the mask is functioning properly 2. change client to a nasal cannula 3. replace nonrebreather mask with a new one 4. call the respiratory therapist
1
A patient arrives at the clinic with a wound inflicted by a rust nail. After checking the patient's history, the nurse finds that the patient last received the tetanus booster about 10 years earlier. What is the most appropriate nursing action in this situation? 1. admin Tdap 2. admin DTaP 3. admin immunoglobulin 4. admin polyvalent vaccine
1
A patient has been taking sildenafil for ED. The patient reports episodes of dizziness and fainting spells after using this drug. For which other drug should the nurse assess while taking the drug history of the patient? 1. nitrates 2. anticoagulants 3. antibiotics 4. alpha agonists
1
A patient is prescribed sildenafil for ED. Which is the best time to take the dose? 1. 1 hour before sexual intercourse 2. 2 hours before sexual intercourse 3. 30 minutes before sexual intercourse 4. 10 minutes before sexual intercourse
1
A patient is receiving IV methylergonovine after vaginal delivery. Which postpartum assessment is the nurse's priority to prevent complications of therapy? 1. HTN 2. hypoglycemia 3. decreased lochia 4. uterine contractions
1
A patient is taking guaifenesin (Humibid) as part of treatment of a sinus infection. Which instruction will the nurse include during patient teaching? 1. force fluids to help loosen and liquefy secretions 2. report clear-colored sputum to the prescribe 3. avoid driving a care or operating heavy machinery because of the sedating effects 4. report symptoms that last longer than 2 days
1
A patient with a tracheostomy has difficulty removing excessive, thick mucus from the respiratory tract. The nurse expects that which drug will be ordered to aid in the removal of mucus? 1. guaifenesin (Humibid) 2. benzonatate (Tessalon Perles) 3. diphenhydramine (Benadryl) 4. dextromethorphan (Robitussin DM)
1
A patient with menopausal symptoms is seeking hormone replacement therapy. During the assessment, the nurse finds that the patient has a history of endometrial cancer and is a smoker. Which is the most important information for this patient? 1. "the therapy may cause thromboembolic events" 2. "you may need to stop smoking during the therapy" 3. "the treatment should be started as soon as possible" 4. "the treatment is likely to cause endometrial cancer"
1
A patient's BP elevates to 270/150, and a hypertensive ER is obvious. He's transferred to the ICU and stated on a sodium nitroprusside (Nipride) drip to be titrated per his response. With this medication, the nurse knows that the maximum dose of this drug should be infused for how long? 1. 10 minutes 2. 30 minutes 3. 1 hour 4. 24 hours
1
After a female client taking an estrogen-progestin combo reports by phone a sudden onset of blurred vision, the nurse at the outpatient clinic should ask what most appropriate question? 1. "Is there someone there with you?" 2. "when was the last time you had your eyeglasses prescription changed?" 3. "when is your next appointment with your gynecologist?" 4. "do you have problems with migraine headaches?"
1
After the nurse administers albuterol to a 24 year old client with symptoms of an acute asthma attack, which of the following outcomes is best? 1. relief of wheezing 2. respiratory status decreased from 34 to 22 3. dyspnea rating scale decreased from 9 to 6 4. o2 sat of 82%
1
An infant girl with a tympanic membrane temp of 38.3 C is scheduled to receive the second diphtheria, pertussis, and tetanus (DPT) vaccine along with the inactivated poliovirus vaccine (IPV). The nurse should take which action? 1. withhold vaccines and reschedule her visit when she is not febrile 2. admin injection and instruct mother to administer 3. admin acetaminophen orally and give immunizations 4. obtain titers on needed immunizations and withhold them until results are obtained
1
An operating room nurse prepares a patient who has type 2 diabetes for surgery. Which type of insulin that can be given IV does the nurse administer? 1. regular insulin 2. insulin glargine 3. insulin zinc suspension 4. isophane insulin suspension (NPH insulin)
1
Because of a potential side effect of guaifenesin, the nurse at the outpatient clinic should provide which instruction to the client? 1. considered using OTC antiemetic 2. report increased production of respiratory secretions 3. follow medication with a sip of water 4. take aspirin 625 mg for temp elevation
1
Before a child begins therapy with GH, the nurse should stress which teaching point with the parents? 1. "your child's expected growth rate is 7.6 to 12.7 cm during the first year of treatment" 2. "you need to measure your child's height and weight daily" 3. "GH therapy, once started, must be taken until the child reaches the age of 21" 4. "the amount of subq fat your child has will increase during the treatment period"
1
Before a client receives metoprolol as treatment for HTN, the nurse should ask the client about a history of which health problem? 1. asthma 2. seizures 3. peripheral arterial disease 4. myasthenia gravis
1
During a postpartum assessment, the nurse notes a boggy uterus and increased vaginal bleeding. Which drug should the nurse anticipate will be prescribed? 1. oxytocin 2. terbutaline 3. clomiphene 4. prostaglandin E
1
Several weeks ago calcitonin was prescribed for a client with Paget disease. To determine therapeutic effectiveness, the nurse should review which follow-up testing results for this client? 1. decreased alkaline phosphate levels 2. increased serum calcium levels 3. bone x-rays for return of bones to normal 4. MRI results of skull deformities
1
The HCP at an outpatient clinic is considering prescribing sildenafil for a 61 year old client. The nurse would make it a priority to discuss which item in the client's health history with the prescriber? 1. CAD with nitro use 2. renal impairment with elevated creatinine levels 3. blurred vision of unknown etiology 4. gout managed with allopurinol
1
The client taking an estrogen-progesterone combo oral contraceptive calls the clinic reporting that she has forgotten her pills for the last two days. What medication directions should the nurse provide? 1. "take two pills today and two pills tomorrow, then one pill daily for the rest of the pack" 2. "take two pills today and then one pill every day until the pack is finished" 3. "notify your HCP of the missed dosage 4. "stop taking the pills and have your partner use condoms until the next menses, then start a new pill pack"
1
The client taking an estrogen-progestin combo oral contraceptive calls the clinic reporting that she has forgotten her pills for the last 2 days. What medication directions should the nurse provide? 1. "take 2 pills today and 2 pills tomorrow, and then one pill daily for the rest of the pill pack" 2. "take two pills today and then one each day until the pill pack is finished" 3. "notify you HCP of the missed dosage" 4. "stop taking the pills and have your partner use condoms until the next menses, then restart a new pill pack"
1
The client with preterm labor is receiving mag sulfate IV. To detect an early side effect, the nurse should perform which assessment? 1. check deep tendon reflexes 2. auscultate lung sounds every 15 minutes 3. ask the client to report sudden flank pain 4. percuss the suprapubic area every hour
1
The nurse determines a client with endometriosis understands the purpose of the newly prescribed danazol when the client makes which statement? 1. "It suppresses pituitary output of the follicle-stimulating hormone (FSH) 2. "I have to take this medication for the rest of my life" 3. "I have to administer injections weekly" 4. "this medication will relieve hot flashes"
1
The nurse is administering lispro (Humalog) insulin and will keep in mind that this insulin will start to have an effect within which time frame? 1. 15 minutes 2. 1-2 hours 3. 80 minutes 4. 3-5 hours
1
The nurse is providing care to a patient following a non-accidental traumatic brain injury. The patient has developed diabetes insipidus due to the injury. What medication is most often used in the management of DI? 1. desmopressin (DDAVP) 2. corticotrophin (Acthar) 3. octreotide (Sandostatin) 4. somatropin (Humatrope)
1
The nurse should conclude that a female client has understood medication instruction when she makes which statement about clomiphene? 1. "this medication will help make me ovulate" 2. "I'll take this medicine orally for 1 month" 3. "the medication prepares the wall of the uterus for fertilization" 4. "my husband is going to ask if he can take the medication as well"
1
The nurse should prepare which of the following medications for chemical cardioversion for a client in a fib? 1. amiodarone 2. verapamil 3. nifedipine 4. lidocaine
1
The nurse would question an order for steroids in a patient with which condition? 1. uncontrolled DM 2. rheumatoid arthritis 3. septic shock 4. exacerbation of COPD
1
The nursing instructor asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a newborn. Which student statement indicates that FURTHER teaching is needing? 1. I will flush the eyes after instilling the ointment 2. I will clean the newborn's eyes before instilling ointment 3. I need to admin the eye ointment within 1 hour after delivery 4. I will instill the eye ointment into each of the newborn's conjunctival sac
1
The patient is prescribed 30 units regular insulin and 70 units NPH insulin subq every morning. The nurse will provide which instruction to the patient? 1. draw up the regular insulin into the syringe first, followed by the cloudy NPH insulin 2. mixing insulins will help increase insulin production 3. rotate sites at least once weekly 4. use a 23-25 gauge syringe with a 1inch needle for maximum absorption
1
The perinatal nurse is assigned to several clients. The nurse anticipates that which client is most likely to be a candidate for drug therapy with terbutaline? 1. client at 27 weeks gestation who has regular uterine contractions 2. client at 41 weeks gestation with irregular uterine contractions 3. client with postpartum hemorrhage following delivery 4. client at 38 weeks gestation with HTN and seizures
1
To better help a client understand the action of clomiphene, the nurse should include which information in the teaching plan for a female client who will begin taking the drug? 1. teach normal process of conception 2. explain uterine involution process 3. teach the client to keep a record of daily temps 4. explain function of female hormones
1
When the nurse teaches a client about insulin administration, what information about the client alerts the nurse that special instruction is needed? 1. client closely restricts foods high in carbs 2. client wants spouse to learn to admin insulin 3. client performs 30 minutes of aerobic exercise every other day 4. client takes nap each day in the afternoon
1
Which long-acting insulin mimics natural, basal insulin with no peak action and a duration of 24 hours? 1. insulin glargine (Lantus) 2. insulin glulisine (Apidra) 3. regular insulin (Humulin R) 4. NPH insulin
1
Which statement by the patient demonstrates an understanding of discharge instructions on the use of levothyroxine (Synthroid)? 1. "I will take this medication in the morning so as not to interfere with sleep" 2. "I will double my dose if I gain more than 1 lbs/day 3. "I will stop the medication immediately if I lose more than 2lbs/week 4. "I can expect to see relief of my symptoms within 1 week"
1
Because the client is being prepared for labor induction with oxytocin, the nurse instructs the LPN/LVN to report which client data? (SATA) 1. sudden rise in BP 2. changes in discomfort level immediately after during is initiated 3. gain of more than 2.27 kg during the last month 4. sensation of nausea without vomiting 5. changes in LOC
1 and 5
Adverse effects of terbutaline are: (SATA) 1. maternal tachycardia 2. diarrhea 3. hypokalemia 4. fetal bradycardia 5. palpitations 6. tremors 7. anxiety 8. hypotension
1, 2, 3, 5, 6, and 7
A 69 year old client, who is taking desmopressin for von Willebrand disease, asks the nurse to provide information about the drug. An appropriate response by the nurse includes which statements? (SATA) 1. desmopressin helps restore and release deficient clotting factors that are reduced in von Willebrand disease 2. you can ask your HCP about using an intranasal preparation 3. you should monitor your fluid intake and output while taking this drug 4. take your BP every day while taking this drug 5. you will receive cryoprecipitate transfusions while you are taking this drug
1, 2, 3, and 4
The nurse is reviewing a client's medication record and notes the levothyroxine is prescribed. The nurse considers that the client may have which condition? (SATA) 1. cretinism 2. thyroid cancer 3. myxedema coma 4. adrenal insufficiency 5. type 2 DM
1, 2, and 3
The nurse is reviewing the health history of a client who to begin drug therapy with a combined oral contraceptive drug. Which findings in the client's history should the nurse address with the client? (SATA) 1. use of St. John's wort for depression 2. smoking cessation over 10 years ago 3. frequent migraine headaches 4. follows a vegan diet 5. cholecystectomy 3 months ago
1, 2, and 3
When managing of the care of a client receiving IV anistreplase, the nurse should take which of the following actions? (SATA) 1. instruct client to avoid activities that could lead to bruising or bleeding 2. handle client gently when turning and positioning in bed 3. post sign at bedside that states, "No IM injections" 4. anticipate medicating the client with ibuprofen for joint pain PRM 5. monitor lab results for 50% decrease in bleeding time
1, 2, and 3
A client recently diagnosed with type 2 DM is beginning drug therapy with tolbutamide. The nurse should conduct a drug history with special emphasis on which drugs? (SATA) 1. ginseng, which increases hypoglycemic effects 2. alcoholic beverages, which cause a disulfiram-like reaction 3. thiazide diuretics, which increases risk for aplastic anemia 4. beta blockers, which mask signs and symptoms of hypoglycemic reaction 5. garlic, which increases risk of bleeding
1, 2, and 4
A new parent asks the maternal-newborn nurse for information about immunizations for the infant. Which information should be included in client teaching? (SATA) 1. "immunizations to prevent contagious diseases are required by law" 2. "infants tend to be more susceptible to contagious diseases" 3. "immunizations are safe without side effects" 4. "the injections are inexpensive or free at the health department" 5. "immunity to disease develops immediately after the first immunizations, so you may consider not having booster vaccines"
1, 2, and 4
After the intramuscular administration of immune globulin, the nurse should provide which instructions to the client? (SATA) 1. 1. apply ice pack to injection site if swelling occurs 2. postpone receiving live vaccine for at least 3 months 3. use protective measures for the next 2 months until immunity develops 4. notify nurse if chills and fever develop 5. urinary output is likely to decrease
1, 2, and 4
What primary roles does testosterone play in the male body? (SATA) 1. helps in production of RBCs 2. helps development of facial hair in men 3. triggers better metabolic bodily functions 4. helps develop the male sex characteristics 5. triggers ED, leading to delayed ejaculation
1, 2, and 4
When alteplase is administered to a client dx with CVA in the ED, the nurse determines that the priority nursing interventions in this client's care should include which of the following? (SATA) 1. after admin, assess V.S every 15 minutes during the first hour 2. report dysrhythmias noted on the cardiac monitor 3. insert urinary cath and maintain accurate hourly output measures 4. monitor client for hypothermia for first 8 hours after infusion 5. report increase in PTT
1, 2, and 5
A client asks the nurse to explain why she is receiving lidocaine in her IV when her dentist uses it to numb her gums before a tooth filling. What information about lidocaine should the nurse include in a response? (SATA) 1. it regulates electrical activity in the heart 2. it acts as a local aesthetic on nerve endings of the cardiac muscles 3. it reduces irritability of the cardiac cells 4. it increases the heart rate 5. it primarily treats dysrhythmias originating in the ventricles
1, 3, and 5
The nurse at the fertility clinic is instructing a patient about the adverse effects of clomiphene. Which effects should the nurse instruct the patient to report to the HCP? (SATA) 1. anxiety 2. hirsutism 3. dizziness 4. bradycardia 5. blurred vision
1, 3, and 5
When teaching a patient about antihypertensive drug therapy, which statements by the nurse are correct? (SATA) 1. "you need to have your BP checked once a week and keep track the drug" 2. "if you notice that the symptoms have gone away, you should be able to stop taking the drug" 3. "an exercise program may be helpful in treating HTN, but let's check with your doctor first" 4. "if you experience severe side effects, stop the medicine and let us know at your next office visit" 5. "most OTC decongestants are compatible with antihypertensive drugs" 6. "please continue taking the medication, even if you are feeling better"
1, 3, and 6
A 12 month old infant has received MMR II, and her mother calls the clinic that afternoon to ask about helping her fussy infant to "feel better". What will the nurse suggest? 1. apply an ice pack to the injection site 2. apply warm compresses to the injection site 3. observe the site for further swelling and redness 4. bring the infant in to the ED for immediate exam
2
A 19 year old student was diagnosed with hypothyroidism and has started thyroid replacement therapy with levothyroxine (Synthroid). After 2 days, she called the clinic to report that she does not feel better. Which response from the nurse is correct? 1. "It will probably require surgery for a cure to happen" 2. "The full therapeutic effects may not occur for 6-8 weeks 3. "Is it possible that you did not take your medication as instructed?" 4. "Let's review your diet; it may be causing absorption problems."
2
A 46 year old female patient who complains of hot flashes, fatigue, and sleep disorders is unwilling to start hormonal therapy. Which is the best nursing interventions for this patient? 1. persuade the patient to start the therapy 2. ask the patient to include soy in her diet 3. advise the patient to engage in quiet activities 4. inform the patient about the benefits to engage in quiet activities
2
A client beginning oral contraceptive therapy with desogestrel and esthinyl estradiol asks the nurse why two different drugs are needed in the pill. Which explanation by the nurse is best? 1. "this medication is a weak estrogen and progestin combo that requires additional estrogen to work? 2. "together the hormones prevent the ovum from maturing and the sperm from penetrating through the cervical mucus" 3. "estrogens alone would prevent pregnancy, but progestins are added so that spotting doesn't occur" 4. "taking each hormone separately would prevent most pregnancies, but the combo taken together in one pill is more effective"
2
A client cannot remember the name of the antihypertensive medication that has been prescribed. Based on the presence of a dry, nonproductive cough, the nurse suspects that the client is most likely taking which antihypertensive drug? 1. propranolol 2. lisinopril 3. nifedipine 4. bumetanide
2
A client is being treated for gonorrhea. Which agent would the nurse expect the physician to prescribe? 1. Tetracycline 2. ceftriaxone 3. penicillin 4. levofloxacin
2
A client is receiving nitro by continuous IV drip to control chest pain and to increase myocardial tissue perfusion. The nurse prepares this medication by taking which action? 1. using a solution that is covered by a plastic bag 2. using a special tube designed for the medication 3. changing the bag every 2 hours because it's unstable 4. mixing the medication under a laminar flow hood
2
A client on the inpatient unit is having an acute asthma attack. The nurse is likely to administer which medication with an appropriate prescription? 1. aminophylline 2. albuterol 3. cromolyn disodium 4. salmeterol
2
A client taking dig is scheduled to receive an injection of IV calcium. The nurse should prepare to intervene if which sign of drug interaction occur? 1. HTN and tingling around the mouth 2. sustained, significant bradycardia 3. N/V and diarrhea 4. sloughing of tissue at the injection site
2
A client who has received metyrapone experiences an adrenal crisis. The nurse considers that which condition most likely predisposed the client to this occurrence? 1. hyperaldosteronism 2. adrenal insufficiency 3. pheochromocytoma 4. type 1 DM
2
A client with frequent premature ventricular contractions received a bolus of lidocaine 100 mg IV. The nurse should monitor the client for which of the following? 1. atropine sulfate 2. dig 3. propranolol 4. verapamil
2
A nurse is caring for a male patient diagnosed with gonorrhea. The patient is receiving ceftriaxone and doxycycline. The nursing instructor asks the student why the patient is receiving two antibiotics. What is the student nurse's best response? 1. "this combo of meds will eradicate the infection faster than a single antibiotic" 2. "many people infected with gonorrhea are infected with chlamydia as well" 3. "the combo of these two antibiotics reduces the risk of infection" 4. "there are many of these two antibiotics reduces the risk of reinfection"
2
A patient diagnosed with metabolic syndrome and is started on the biguanide metformin (Glucophage). The nurse knows that the purpose of the metformin, in this situation, is which of these? 1. to increase the pancreatic secretion of insulin 2. to decrease insulin resistance 3. to increase blood glucose levels 4. to decrease the pancreatic secretion of insulin
2
A patient is in an urgent-care center with an acute asthma attack. The nurse expects that which medication will used for initial treatment? 1. an anticholinergic such as ipratropium (Atrovent) 2. a short-acting beta2 agonist such as albuterol (Proventil) 3. a long-acting beta2 agonist such as salmeterol (Serevent) 4. a corticosteroid such a fluticasone (Flovent)
2
A patient is taking a xanthine derivative as part of treatment for COPD. The nurse will monitor for adverse effects associated with the use of xanthine derivates, such as 1. diarrhea 2. palpitations 3. bradycardia 4. drowsiness
2
A patient receiving IV nitroglycerin at 20 mcg/min complains of dizziness. Nursing assessment reveals a BP of 85/40, heart rate of 110, and respiratory rate of 16. What's the nurse's best action? 1. assess the patient's lung sounds 2. decrease the IB nitro by 10 mcg/min 3. increase the IV nitro by 10 mcg/min 4. recheck the patient's V.S in 1 hour
2
A patient who has been receiving an infusion of heparin has an aPTT of 120 seconds. What's the nurse's first action? 1. assess for bleeding 2. shut of the heparin drip 3. keep the patient on bed rest 4. call the HCP
2
A surgical client has suddenly begun to bleed excessively while in the OR. The nurse should prepare which medication for possible injection? 1. alteplase 2. aminocaproic acid 3. dipyridamole 4. heparin
2
After a HCP prescribed propranolol for a client with frequent premature ventricular contractions, the nurse should include which of the following in the care plan? 1. inform the client that breathing will be improved with exercise 2. measure HR rate daily before taking dose 3. monitor for client's increased resistance to infection 4. observe for skin rashes, a rare skin effect
2
After dinoprostone is administered to a client, a nurse plans to monitor for which of the following? 1. fetal heart tones on a client who had difficulty conceiving 2. initiation of contractions for a client desiring an elective abortion 3. initiation of lactation for a client interested in breastfeeding 4 early signs and symptoms of pregnancy
2
After ingesting high dosages of glucocorticoids for several weeks, the client asks the nurse about stopping drug therapy. Which statement would be the nurse's best response? 1. "even at high doses, adverse reactions are unlikely if the medication is abruptly withdrawn" 2. "it's dangerous for steroids to be withdrawn suddenly" 3. "you may experience severe psychological symptoms when the medication is withdrawn" 4. "tapering of the medication requires daily bloodwork to measure serum chemistries"
2
Before advising a 24 year old client desiring oral contraceptives for family planning, the nurse would assess the client for signs and symptoms of which of the following? 1. anemia 2. HTN 3. dysmenorrhea 4. acne vulgaris
2
Liotrix is prescribed for a client with hypothyroidism. The nurse should include which important statement as part of client teaching prior to discharge? 1. "measure the body temp every morning" 2. "report chest pain or palpitations to you HCP immediately" 3. "you may experience sleepiness while taking this drug" 4. "you may experience nervousness while taking this drug"
2
Patients taking levothyroxine (Synthroid) and warfarin (Coumadin) concurrently would be monitored for which adverse effect? 1. cardiac arrhythmias 2. increased risk of bleeding 3. excessive weight loss 4. increased risk of DVT
2
Several clients in an outpatient clinic have requested prescriptions for sildenafil. The nurse anticipates having to inform which client that the request has been denied by the prescriber? 1. client dx with type 2 DM 2. client taking medication therapy for angina pectoris 3. client with BPH who is being managed medically 4. client who has chronic sinusitis with flare-ups in the spring
2
The current immunization for tetanus and diphtheria toxoids and pertussis, Tdap, is administered to people in which age range? 1. under 6 years of age 2. 11-12 years of age and older 3. any age range 4. in the first two years of life
2
The nurse assesses the patient's aPTT to determine the effectiveness of the heparin regimen and notes that it's 35 seconds. How will the nurse interpret this value? 1. aPTT is adequate to evaluate treamtnet 2. aPTT is significantly decreased 3. aPTT is significantly increased 4. aPTT is within normal limits
2
The nurse determines teaching regarding the levonorgestrel-releasing intrauterine delivery system has been effective when the client makes which statement? 1. "these devices are 100% effective" 2. "I can keep this device in place for up to 5 years" 3. "I will need to use a barrier method of birth control in addition to this device" 4. "I will have the device removed every two years and replaced"
2
The nurse is assessing a patient at a follow-up visit after starting treatment with sildenafil for ED. Which assessment finding would indicate that the treatment needs to be revised? 1. the patient's cardiac output is 5.6L/min 2. the patient's BP is 90/60 mm Hg 3. the patient verbalizes the ability to maintain an erection 4. the patient doesn't have dry mouth, nausea, or vomiting
2
The nurse is caring for a patient scheduled to undergo a cardiac catheterization procedure utilizing iodine-based contrast material. The nurse would question an order for which medication to be given to this patient the day of the scheduled procedure? 1. acarbose (Precose) 2. metformin (Glucophage) 3. repaglinide (Prandin) 4. pioglitazone (Actos)
2
The nurse is evaluating the effectiveness of client teaching about self-administration of zafirlukast. Which statement by the client indicates that further instruction is needed? 1. "I will take the drug a few weeks before I expect to notice an improvement in my symptoms" 2. "I will use this medication when I have the symptoms of an acute asthma attack" 3. "I will increase my fluid intake while I am taking this medication" 4. "I will plan to take my medicine one hour before meals"
2
The nurse is monitoring drug levels for a patient who is receiving theophylline. The most recent theophylline level was 13 mcg/mL, and the nurse evaluates this level to be 1. below the therapeutic level 2. at a therapeutic level 3. above the therapeutic level 4. at a toxic level
2
The nurse provides discharge instructions to a client about the use of amiodarone. Which statement indicates that the client has the knowledge necessary for safe self-administration? 1. "as soon as my provider say I am stable on this medication, I will be able to enjoy the sun again" 2. "the side effects of this medication may not begin to show up for several weeks or even months after I start taking it" 3. "if my pulse drops below 100 beats/minute, I should call the PCP right away" 4. "if I miss a dose of medication I will take two pills the next day"
2
The nurse should consult with the HCP after noting that testosterone enanthate has been prescribed for which client? 1. a 16 year old with moderate acne 2. a 32 year old client with an increased PSA level 3. a 66 year old with melanoma 4. a 65 year old male with HDL level of 88 mg/dL
2
The nurse should question a prescription for epinephrine for the treatment of acute bronchitis when the client has which health problem? 1. asthma 2. CAD 3. hypotension 4. bradycardiac
2
The nurse's assessment of the client receiving an IV of oxytocin notes that uterine contractions are 4 minutes apart and 60 seconds in duration. Which of the following nursing interventions is most important based on this assessment? 1. admin oxygen via face mask 2. monitor the client for water intoxication 3. position the client on her left side 4. discontinue the infusion immediately
2
Under which circumstance should the nurse suspend IV admin of phenylephrine and consult with the HCP? 1. after 3 days of continuous use 2. if client develops hypertension or tachycardia 3. if client develops dry, irritated oral cavity 4. if client develops rebound congestion
2
What side effect of ACE inhibitors most often results in the provider changing the treatment plan to an angiotensin receptor blocker? 1. orthostatic hypotension 2. dry, nonproductive cough 3. fatigue 4. hypokalemia
2
What teaching would the nurse provide to a patient receiving tetanus toxoid? 1. increase fluid and fiber in your diet to prevent constipation 2. soreness at the injection site is a common reaction 3. you will have lifetime immunity from this injection 4. this medication must be repeated weekly for four weeks
2
When reviewing the laboratory values of a patient who is taking the antithyroid drug PTU, the nurse will monitor for which adverse effect? 1. decreased glucose levels 2. decreased WBCs 3. increased RBCs 4. increased platelet count
2
Which has the greatest potential to increase the risk of thromboembolism in a patient taking norethindrone and ethinyl estradiol? 1. sedentary lifestyle 2. smoking heavily every day 3. consumption of saturated fats 4. increased BMI
2
Which nursing action is the priority for a patient in preterm labor who is receiving mag sulfate? 1. documenting body temp 2. obtaining deep tendon reflexes 3. measuring intake and output 4. monitoring the intensity of contractions
2
Which statement would be most appropriate during discharge teaching for a patient receiving transdermal clonidine (Catapre)? 1. "you BP should be checked by a physician at least once a year" 2. "the patch should be applied to a nonhairy site, and abrupt withdrawal should be avoided" 3. "excessive exercise of prolonged standing is not a problem with clonidine as it can be with other antihypertensive drugs" 4. "if you are having difficulty with the common side effect of excessive drooling, notify your physician so your dosage can be adjusted"
2
Which vaccination is recommended in the prevention of a virus that is known to cause cervical cancer? 1. herpes zoster vaccine 2. HPV 3. pneumococcal vaccine 4. hep B virus vaccine
2
After assessing a client with COPD who is being treated with beclomethasone dipropionate via oral inhaler, which clinical manifestations should the nurse conclude are medication side effects? (SATA) 1. excess salivation 2. delayed healing 3. oral fungal infection 4. fluid retention with weight gain 5. decreased RR
2 and 3
The nurse checks the lab values of a client receiving chemo who is scheduled to receive epoetin alfa subq. Upon finding the hgb is 12.2 g/dL, the nurse should take which actions? (SATA) 1. administer the medication as prescribed 2. withhold the medication dose 3. check the client's platelet count before administering the epoetin alfa 4. notify the PCP of the client's lab value 5. assess the client for signs and internal bleeding
2 and 3
The nurse is providing medication information about warfarin to a client who is being discharged following a mechanical heart valve replacement. Which items of information would provide the best protection to the client? (SATA) 1. follow up lab testing is required every 3 months 2. use an electric razor and a soft-bristle toothbrush 3. take this medication upon arising in the morning on an empty stomach 4. if a dose is missed, take the missed dose with the next scheduled dose 5. eat a diet containing consistent but not large amounts of vitamin K
2 and 5
What information should the nurse present in an educational seminar for clients who are taking nicotinic acid for elevated cholesterol levels? (SATA) 1. because niacin treatment is individualized, dose adjustments are correlated with lab values 2. facial flushing may occur immediately after ingesting dose 3. eating a diet high in niacin will ensure that the medication works effectively 4. for maximum effect, niacin can be taken concurrently with lovastatin 5. taking an aspirin 30 minutes before taking niacin helps to reduce flushing
2 and 5
A client hospitalized for heart failure is receiving dig IV push. The nurse obtains the following data on the client place the data in order from that of highest concern to least concern to the nurse. 1. K level is 3.2 2. apical pulse is 53 beats/min 3. client has been taking furosemide 20 mg daily for 2 days 4. client enjoys orange juice with breakfast
2, 1, 3 and 4
The nurse is reviewing the various types of insulins. For each insulin listed below, place in order from shortest duration (1) to longest duration (4). 1. Glargine insulin 2. Aspart insulin 3. Regular insulin 4. NPH insulin
2, 3, 4, and 1
What are common side effects of nitro? (SATA) 1. blurred vision 2. flushing 3. headache 4. hypotension
2, 3, and 4
When making a home visit to a male client who has been receiving insulin for 2 weeks, the nurse should include which statements in follow-up client teaching? (SATA) 1. "a family member also needs to learn how to admin insulin injections" 2. "visual changes can occur over time if blood glucose is not sufficiently controlled with insulin" 3. "you may experience impotence as an effect of the disease process" 4. "loss of sight and toe or leg amputation are common in clients with diabetes who take insulin 5. "a high glucose level is not always an indication for an increase in insulin dosage"
2, 3, and 5
A client with adrenal insufficiency is prescribed to take hydrocortisone 3x daily on a long-term basis. What should the nurse include in client teaching? (SATA) 1. "immediately stop taking this medication if weight gain of diarrhea occurs" 2. "alcohol and caffeine should be avoided while taking this medication" 3. "you will likely notice an improvement in your daily blood glucose levels and hgb A1C levels 4. "report symptoms of persistent heartburn or indigestion" 5. "report any wound that will not heal or is healing very slowly"
2, 4, and 5
A nurse is providing client education regarding prescribed intranasal desmopressin (DDVAP). What items of information should the nurse include during the teaching session? (SATA) 1. shake the drug rigorously prior to use 2. keep a record of each night's sleep and record incidents of bed-wetting 3. angle the top of the nasal spray low into the cavity when administering this drug 4. report a rapid weight gain to the prescriber immediately 5. report drowsiness to the prescribe
2, 4, and 5
A pregnant client is being prepared for labor induction with oxytocin. The nurse concludes that the client has adequate understanding when the client verbalizes the medication will have which action? (SATA) 1. cause an increase in BP to provide adequate oxygen for the baby 2. cause the uterus to contract harder and more often 3. start contractions that will be almost continuous until the baby is born 4. be giving through the IV line in small continuous amounts that can be adjusted as needed 5. cause the client to be in real labor
2, 4, and 5
A pregnant client is being prepared for labor induction with oxytocin. The nurse concludes that the client has adequate understanding when the client verbalizes the medication will have which action? (SATA) 1. cause an increased in BP to provide adequate oxygen for the baby 2. cause the uterus to contract harder and more often 3. start contractions that will be almost continuous until the baby is born 4. be given through the IV in small continuous amounts that can be adjusted as needed 5. cause the client to be in real labor
2, 4, and 5
After initiating a continuous infusion of nitro IV, the nurse would use which data to conclude that the client is experiencing an unintended effect? (SATA) 1. pulmonary capillary wedge pressure falling from 13 to 11 mmHg 2. tachycardia 3. HR falling from 96 to 78 4. BP falling from 130/80 to 90/64 5. headache
2, 4, and 5
The nurse is assessing a patient who is a professional weightlifter who has been banned from practicing weightlifting because of drug doping. The patient's reports reveal excessive concentration of nandrolone in the blood. What should the nurse interpret from these findings? (SATA) 1. the patient is at a risk of developing anemia 2. the patient is at a risk of developing infertility 3. the patient is at a risk of developing atrophy 4. the patient is at a risk of cardiovascular disorder 5. the patient is at a risk of malabsorption syndrome 6. the patient is at risk for increased cholesterol
2, 4, and 6
The nurse is caring for a patient who is prescribed long-term aspirin therapy to prevent a stroke. Which parameters should the nurse assess as a result of this prescription? (SATA) 1. heart rate 2. hgb 3. respirations 4. platelet count 5. BP 6. aPTT
2, 4, and 6
The nurse is providing instructions to a patient who has a new prescription for a corticosteroid metered-dose inhaler. Which statement by the patient indicates that further instruction is needed? (SATA) 1. "I will rinse my mouth with water after using the inhaler and then spit out the water" 2. "I will gargle after using the inhaler and then swallow" 3. "I will clean the plastic inhaler casing weekly by removing the canister and then washing the casing in warm soapy water. I will then let it dry before reassembling" 4. "I will use this inhaler for asthma attacks" 5. "I will continue to use this inhaler, even if I am feeling better" 6. "I will use a peak flow meter to measure my response to therapy"
2, and 4
A 26 year old woman is considering Depo-Provera as the form of contraception that is best for her since she does not like to worry about taking a pill every day. To assist this woman with decision making concerning this method of contraception, the nurse would tell her that Depo-Provera: 1. is a combo of progesterone and estrogen 2. is a small adhesive hormonal birth control patch that is applied weekly 3. thickens and decreases cervical mucus, thereby inhibiting sperm penetration and ovulation 4. has an effectiveness rate in preventing pregnancy of 100% when used correctly
3
A 6 year old child who has chickenpox also has a fever of 102.9. The child's mother asks the nurse is she should use aspirin to reduce the fever. What is the best response by the nurse? 1. "it's best to wait to see if the fever gets worse" 2. "you can use the aspirin, but watch for worsening symptoms" 3. "acetaminophen should be used to reduce his fever, not aspirin" 4. "you can use aspirin, but be sure to follow the instructions on the bottle"
3
A client is taking epoetin alfa for treatment of anemia related to chronic renal disease. The nurse uses which clinical finding as the best measure of the drug's therapeutic effectiveness? 1. the client is not experiencing any related bone bone when the medication is being administered 2. the H&H levels are rising rapidly based on latest two daily blood draws 3. the client's hgb increases to 12 g/dL 4. the client maintains an afebrile state
3
A client taking atenolol for HTN tells the nurse, "Since I have been taking the medicine I feel so tired." What is the most appropriate priority nursing concern? 1. potential for reduced tolerance to activity 2. reduced cardiac output 3. inability to manage health maintenance 4. inability to perform self-care
3
A client treated with heparin sodium exhibits signs and symptoms of heparin OD. The nurse should place priority on initiating which action? 1. admin standard dose of 50 mg of protamine sulfate over a 10 minute peroid 2. draw client's aPTT level during injection of protamine sulfate 3. determine amount of heparin infused along with time frame associated with the infusion 4. admin protamine sulfate concurrently with vit K to increase its therapeutic effect
3
A client who recently began antihypertensive drug therapy states she needs to go to the pharmacy to buy an OTC product to treat a common cold. The home health nurse should provide which most helpful instruction first? 1. "buy a generic brand of medicine because it's more cost effective and they act in similar ways" 2. "do not purchase a product that contains aspirin" 3. "read the label carefully and avoid products with pseudoephedrine" 4. "many of the common products are contraindicated if you are taking medications for high BP"
3
A client with a history of mild CHF is receiving diltiazem or HTN. The nurse should give priority to which of the following assessments? 1. tachycardia and rebound HTN 2. weight loss and euphoria 3. bradycardia and peripheral edema 4. improved ability to perform ADLs
3
A client with primary syphillis is allergic to penicillin. The nurse would expect the physician to order which agent? 1. podophyllum resin 2. ceftriaxone 3. doxycycline 4. acyclovir
3
A gardener needs a decongestant because of seasonal allergy problems and asks the nurse whether he should take an oral form or a nasal spray. The nurse's answer considers that one benefit of orally administered decongestants is: 1. immediate onset 2. a more potent effect 3. lack of rebound congestion 4. shorter duration
3
A nurse instructor is about to administer a vitamin K injection to a newborn. The student nurse asks the instructor regarding the purpose of the injection. The appropriate response would be: 1. the vitamin K provides active immunity 2. the vitamin K will prevent the occurrence of hyperbilirubinemia 3. the vitamin K will protect the newborn from bleeding 4. the vitamin K will serve as protection against jaundice and anemia
3
A nurse is assessing an athlete who has been admitted for cardiac arrest. The investigation reports reveal increased blood viscosity. Which drug did the patient likely received? 1. folic acid 2. ferrous fumarate 3. epoetin alfa 4. cyanocobalamin (vit. B12)
3
A patient is in the ICU and receiving an infusion of milrinone (Primacor) for severe heart failure. The prescribe has written an order for an IV dose of furosemide (Lasix). How will the nurse give this drug? 1. infuse the drug into the same IV line as the milrinone 2. stop the milrinone, flush the line, and then admin the furosemide 3. admin the furosemide in a separate IV line 4. notify the prescribe that the furosemide cannot be given at this time
3
A patient is in the ICU because of an acute MI. He's experiencing severe ventricular dysrhythmias. The nurse will prepare to give which drug of choice for this dysrhythmia? 1. diltiazem (Cordarone) 2. verapamil (Calan) 3. amiodarone (Cordarone) 4. adenosine (Adenocard)
3
A patient who is near term gestation is receiving oxytocin (Pitocin). Which response should the nurse expect if the medication is having the desired therapeutic effect? 1. decreased force of uterine contraction 2. promotion of cervical ripening 3. stimulation of uterine smooth muscle 4. inhibition of milk ejection reflex
3
A woman comes into the ED. She says that she's pregnant and that she's having contractions every 3 minutes but she's "not due yet." She is very upset. While assessing her V.S and fetal heart tones, what is the most important question the nurse must ask the client? 1. "what were you doing when the contractions started?" 2. "are you preregistered at this hospital to give birth?" 3. "how many weeks have you been pregnant?" 4. "have you felt the baby move yet?"
3
After taking propylthiouracil for 6 weeks, a client with Graves disease reports a sore throat and fever. What should the outpatient clinic nurse do next as a priority? 1. ask the client about exposure to the common cold 2. measure client's body temp and ask about history of fever over last weeks 3. review lab report for client's WBCs with differential 4. ask about current mental stressors that could be weakening the immune system
3
After teaching a group of students about STIs, the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment? 1. syphillis 2. gonorrhea 3. gential herpes 4. chlamydia
3
Assuming the patient eats breakfast at 9a, lunch at noon, and dinner at 6p, he or she is at highest risk of hypoglycemia following an 8:30a dose of NPH insulin at what time? 1. 10a 2. 0200 3. 3p 4. 8p
3
Because a hypertensive client is experiencing postpartum hemorrhage, the nurse anticipates that the HCP will most likely prescribe which drug to treat the hemorrhage? 1. ergonovine 2. methylergonovine 3. oxytocin 4. carboprost tromethamine
3
Parents are concerned that their 5 year old son is not growing fast enough and asks the nurse if he should be receiving growth hormone (GH). Which response by the nurse would be most appropriate? 1. "GH will only affect your child's short bones" 2. "can your son swallow pills easily?" 3. "scientific evidence is required before GH can be administered to children" 4. "how tall do you think your son should be?"
3
Several clients were exposed to hep A. The nurse should question a prescription for immune serum globulin by the IM route with which client situation? 1. diagnosis of diabetes insipidus 2. exposure to rubeola 3. exposure to hep B 4. platelet count less than 100,000
3
The client states, "I always put my nitro patch in the same place so I do not forget to take it off." Which of the following is the best response by the nurse? 1. "change the patch every 24 hours" 2. "take two acetaminophen tablets 30 minutes prior to applying the patch" 3. "rotate the NTG patch to a different hairless area each day" 4. "after removing with patch, scrub the area vigorously with soap and water"
3
The nurse has just administered a dose of hydralazine IV to a client. After the initial dose, which of the following assessments is the priority? 1. cardiac rhythm 2. o2 sat 3. BP 4. RR
3
The nurse is discussing with a patient the time of day for taking prednisone. What information would the nurse include in the teaching based on knowledge of glucocorticoids? 1. It's usually administered early in the to coincide with the natural secretion pattern of the adrenal cortex 2. It's usually administered on a strict, unchanging schedule in order to prevent adverse reactions 3. It should be administered with food to diminish the risk of gastric irritation 4. It should be administered with the patient's morning coffee to enhance its effects
3
The nurse is evaluating a client's knowledge of the treatment of an insulin reaction. The nurse would place highest priority on determining that the client understands which point? 1. symptoms indicating the need to notify the HCP 2. when to schedule fasting (serum) blood glucose level 3. when to ingest orange juice and crackers with peanut butter 4. importance of maintaining sufficient oral fluid intake
3
The nurse is monitoring a patient receiving alteplase for treatment of an arterial embolism in the left leg. Which finding indicates that the therapy is effective? 1. 2+ pitting edema 2. faint posterior tibial pulse 3. left leg warm to touch 4. numbness in left leg
3
The nurse is teaching the patient an antithyroid medication to avoid foods high in iodine. Which food will the nurse advise the patient against? 1. milk 2. eggs 3. seafood 4. chicken
3
The nurse received a prescription to start IV heparin on a client admitted with DVT. To implement this order appropriately, what action should the nurse take? 1. place vit K at the bedside 2. tell client about need for being NPO while the medication is infusing 3. use an infusion pump to administer the drug 4. weigh the client twice weekly
3
The prescribe has charged the patient's medication regimen to include the leukotriene receptor antagonist montelukast (Singulair) to treat asthma. The nurse will emphasize which point about this medication? 1. the proper technique for inhalation must be followed 2. the patient needs to keep it close by at all times to treat acute asthma attacks 3. it needs to be taken every day on a continuous schedule, even if symptoms improve 4. when the asthma symptoms improve, the dosage schedule can be tapered and eventually improve
3
What is the priority nursing assessment to monitor when administering vaccinations? 1. pain at the injection site 2. signs and symptoms of infection 3. anaphylaxis 4. myalgias
3
When caring for a patient with angina, the nurse would question an order for a noncardioselective beta blocker in a patient with what coexisting medical diagnosis? 1. HTN 2. a fib 3. bronchial asthma 4. MI
3
When giving dextromethorphan, the nurse understands that this drug suppresses the cough reflex by which mechanism of action? 1. causing depression of the CNS 2. anesthetizing the stretch receptors 3. having direct action on the cough center 4. decreasing the viscosity of the bronchial secretions
3
When the client with pernicious anemia asked why vit. B12 injections are necessary, the nurse should provide which of the following responses? 1. "they contribute to the increased production of RBCs after a significant blood loss" 2. "vit B12 is needed to prevent the RBCs from sickling" 3. "you stomach doesn't produce a substance needed for intestinal absorption of vit B12" 4. "vit B12 is needed to prevent excessive production of RBCs"
3
Which is a priority nursing diagnosis for a patient receiving desmopressin (DDAVP)? 1. risk for injury 2. acute pain 3. excess fluid volume 4. deficient knowledge regarding medication
3
Which statement indicates to the nurse that the patient needs additional teaching on oral hypoglycemic agents? 1. I will monitor my blood sugar daily 2. I will limit my alcohol consumption 3. I will take the medication only when I need it 4. I will report my symptoms of fatigue and loss of appetite
3
When teaching a patient who will be receiving antihistamines, the nurse will include which instructions? (SATA) 1. antihistamines are generally safe to take with OTC meds 2. take the medication on an empty stomach to maximize absorption of the drug 3. take the medication with food to minimize GI distress 4. drink extra fluids if possible 5. antihistamines may cause restlessness and disturbed sleep 6. avoid activities that require alertness until you know how adverse effects are tolerated
3, 4, and 6
A 22 year old patient has presented to her primary care provider for her scheduled Pap smear. Abnormal results of this diagnostic test may imply infection with: 1. Chlamydia trachomatis 2. Candida albicans 3. HPV 4. Trichomonas vaginalis
3. HPV
A client diagnosed with iron-deficiency anemia is taking iron supplements. The nurse should instruct the client to include which of the following foods to enhance the absorption of the medication? 1. green leafy vegatables 2. whole-grain bread and cereals 3. yogurt 4. orange juice or lemonade
4
A client receiving theophylline asks the nurse why a specific item was removed from the food tray. Which response is most appropriate? 1. "peas contain a chemical that can reduce the effects of the drug" 2. "brown beans are high in protein and can increase the effects of the drug" 3. "milk is high in calcium and increases the cardiac rate" 4. "coffee contains caffeine, which can increase the drug more quickly"
4
A female client with a tumor on the posterior pituitary gland is taking cabergoline 0.25 mg PO 2. weekly. The nurse should monitor for which of the following therapeutic outcomes? 1. normal serum calcium levels 2. reduced number of hot flashes per day 3. lowering of BP 4. relief from inappropriate lactation
4
A nurse assesses a 75 year old client for side effects of verapamil. Which side effect would be of most concern regarding this client? 1. HTN 2. angina 3. skin rash 4. constipation
4
A nurse assesses the urine output of a patient receiving oxytocin (Pitocin). Which finding would require immediate follow-up by the nurse? 1. 250 mL in the past 8 hours 2. 150 mL in the past hour 3. 400 mL in the past 12 hours 4. 80 mL in the past 4 hours
4
A patient with warfarin toxicity is prescribed vit K. Which nursing assessment ensures patient safety? 1. assess the site for intramuscular drug delivery 2. assess the WBC of the patient 3. assess the amount of blood loss in the patient 4. assess the prothrombin time of the patient
4
After taking an antiplatelet medication for several weeks, a client presents with a noticeable bruise on the right arm. What assessment data is most significant to managing the client's health needs? 1. whether the bruise is the result of specific injury 2. whether the client is taking the medication as prescribed 3. if the client self monitors for skin manifestations 4. if the client's response to injury is different now
4
After testosterone cypionate is prescribed for a 16 year old male client diagnosed with hypogonadism, the client asks, "Why do I need these hormones, anyways?" The nurse should provide which description of the relationship between hypogonadism and this drug? 1. "testosterone is necessary to prevent your muscles from atrophying" 2. "this medication is a form of testosterone. Your doctor can best explain it to you" 3. "testosterone prevents your body from becoming feminine-looking" 4. "this medication will increase your testosterone to a normal level"
4
An allergy to which substance is listed as a contraindication to the administration of an immunizing drugs? 1. soy 2. corn 3. wheat 4. egg
4
Because a client with hypocalcemia needs to increase the level of calcium with absorption, which activity should the nurse perform as part of the therapeutic plan of care? 1. admin mag sulfate PO 2. encourage increase in exercise 3. admin verapamil 80 mg PO q8h 4. admin ergocalciferol (vit D)
4
The client in preterm labor who has a history of asthma received 2.5mg of terbutaline sulfate subq. After the drug, which reply by the nurse would be most appropriate? 1. "the HCP wanted to make sure you did not have asthma problems and early labor" 2. "I am sure the HCP has a very good reason for ordering this medication" 3. "what do you normally take to control your asthmatic attacks?" 4. "Terbutaline sulfate causes the respiratory tract to relax as well as the uterine wall"
4
The home health nurse instructs the client to avoid taking ibuprofen after noting a decrease in which lab test result? 1. ferritin level 2. triglyceride level 3. neutrophil count 4. platelet count
4
The home health nurse is scheduling appointments for several clients who are taking folic acid for treatment of folic-acid anemia. Which client should have the first appointment? 1. client taking vit B12 100 mcg daily by subq injection for pernicious anemia 2. client taking tetracycline 500 mg PO 4x daily for gonorrhea 3. client taking allopurinol 100 mg PO daily for hyperuricemia 4. client taking an oral contraceptive daily
4
The nurse admitting a patient with acromegaly anticipates administering which medication? 1. desmopressin (DDVAP) 2. corticotropin (Acthar) 3. somatropin (Nutropin) 4. octreotide (Sandostain)
4
The nurse anticipates a prescription to admin which drug to a client with aplastic anemia? 1. dipyridamole 2. allopurinol 3. acetylsalicylic acid 4. cyclosporine
4
The nurse finds that concentrated solutions of mag sulfate administered to prevent premature labor have caused toxicity in a patient. What is the best nursing intervention in the case? 1. obtain a prescription for terbutaline 2. decrease he drug dose immediately 3. obtain a prescription for indomethacin 4. request a prescription to give calcium gluconate
4
The nurse is assessing a patient who has been taking warfarin and vitamin K for the past week. The lab reports reveal that the patient has developed venous thromboembolism. What vitamin ingestion may be the reason for this finding? 1. vit A 2. vit D 3. vit E 4. vit K
4
The nurse is monitoring the aPTT for a client receiving heparin therapy. When the latest aPTT is 2.0 times the normal aPTT, the nurse should perform which action based on this result? 1. assess for bleeding gums after toothbrushing is complete 2. perform a test for occult blood on stool 3. assess client for abnormal bleeding 4. report the value during intershift report
4
The nurse is scheduled to administer a dose of dig to an adult client with a fib. The client has a potassium level of 4.3. The nurse should perform which of the following activities next? 1. withhold dose only for that day 2. obtain prescription for dose of potassium before giving dig 3. withhold dose and notify physician 4. admin dose as prescribed
4
The nurse should conclude that which client is most likely to have testosterone transdermal prescribed for his condition? 1. a 45 year old with status-post bilateral vasectomy 2. a 17 year old with status-post right cryptorchidism repair 3. a 23 year old with status-post varicocele repair 4. a 32 year old with status-post bilateral orchidectomy
4
The nurse should teach which item of information to a client being discharged on long-term warfarin therapy following cardiac valve replacement surgery? 1. eat lettuce and tomatoes for lunch only a few times per week 2. limit dietary intake of yellow wax beans to twice weekly 3. use aspirin for minor aches and pains 4. wear shoes that completely enclose the feet
4
The nurse would monitor a client beginning drug therapy with sotalol for which life-threatening manifestations of an adverse drug reaction? 1. increase in systolic BP and fatigue 2. report of blurry vision and the appearance of halos 3. bluish discoloration of the skin 4. bradycardia and dyspnea
4
What action is often recommended to help reduce tolerance to transdermal nitroglycerin therapy? 1. omit a dose once a week 2. leave the patch on for 2 days at a time 3. cut the patch in half for 1 week until the tolerance subsides 4. remove the patch at bedtime, and then apply a new one in the morning
4
What education and discharge information for a patient receiving an antilipemic medication would the nurse include for the patient? 1. "This medication will take over for other interventions you have been trying to decrease your cholesterol" 2. "It's important for you to double your dose if you miss one in order to maintain therapeutic blood levels" 3. "Stop taking the medication if it causes nausea and vomiting" 4. "Continue your exercise program, and maintain a diet high in omega-3 fatty acids"
4
What instructions are given to a patient who is prescribed oral iron tablets? 1. take the iron tablet in a powdered form 2. take an iron tablet just before going to bed 3. take the iron tablet after dissolving it in water using a straw 4. take the iron tablet with plenty of fluids
4
What is the best method of administering glipizide? 1. with food 2. at bedtime 3. 15 minutes postprandial 4. 30 minutes before a meal
4
Which category of drugs is contraindicated in pregnancy according to the five-category system that will be phased out? 1. category A 2. category C 3. category D 4. category X
4
Which medication helps reduce postpartum uterine hemorrhage? 1. megestrol 2. raloxifene 3. clomiphene 4. methylergonovine
4
Which patient statement indicates to the nurse full patient understanding of the discharge instructions regarding alendronate? 1. "I need to decreased my intake of dairy products to prevent hypercalcemia" 2. "I need to take this medication with food to prevent damage to my esophagus" 3. "this medication will help relieve the bone pain I have from my osteoporosis" 4. "I will take the medication on an empty stomach and not lie down for 30 minutes"
4
Which statement should the nurse include when teaching a client about loratadine? 1. "this medication may make you feel nervous: 2. "it will take this medication a few hours before it becomes effective" 3. "this medication will help in an acute asthma attack" 4. "be sure to take this medication of an empty stomach"
4
Which statement, made by the patient, demonstrates a knowledge deficit regarding colestipol (Colestid)? 1. "the medication may cause constipation, so I will increase fluid and fiber in my diet" 2. "I should take this medication 1 hour after or 4 hours before my other medications" 3. "I might need to take fat-soluble vitamins to supplement my diet 4. "I should mix and stir the powder in a small amount of fluid as possible in order to maintain potency of the medication"
4
The nurse has prepared nitroprusside 5 mg in 250 mL of 5% dextrose in water. The client is to received 1.5 mg/min. What rate should the nurse set the infusion to administer per minute?
7.5 mL
