3110 Exam 1

For which adverse effect should the nurse assess a client receiving a​ methylxanthine?

"How have you been sleeping?"

A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following statements should the nurse make?

"Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn."

A client asks the nurse how misoprostol​ (Cytotec) will treat their peptic ulcer disease​ (PUD)? Which response should the nurse provide the​ client?

"it increases mucus production in your stomach"

Which vitamins are lipid​ soluble? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. (Select all that apply.) A.A B.B C.C D.D E.E

A D E

A nurse is caring for several clients in an extended care facility. Which of the following clients is the highest priority to observe during meals?

A client who has Parkinson's disease

A nurse is teaching a client who has a prescription for ferrous sulfate about food interactions. Which of the following statements indicates the client understands the teaching? A. "I can take this medication with juice." B. "I can take this medication with my eggs at breakfast." C. "I will drink low-fat milk when taking this medication." D. "I will take this medication with my coffee."

A. "I can take this medicine with juice"

A charge nurse is providing information about fat emulsion added to total parenteral nutrition (TPN) to a group of nurses. Which of the following statements by the charge nurse are appropriate? (Select all that apply.) A. Concentration of lipid emulsion can be up to 30%. B. Adding lipid emulsion gives the solution a milky appearance. C. Lipid emulsion prevents essential fatty acid deficiency. D. Check for allergies to soybean oil. E. Lipids provide calories by increasing the osmolality of the PN solution.

A. Concentration of lipid emulsion can be up to 30%. B. Adding lipid emulsion gives the solution a milky appearance. C. Lipid emulsion prevents essential fatty acid deficiency. D. Check for allergies to soybean oil.

A nurse is caring for a client who is receiving chemotherapy and has a new prescription for ondansetron. Which if the following actions should the nurse plan to take? (Select all) A.) Infuse the drug 30 min prior to chemotherapy B.) Administer the drug when the patient reports nausea C.) Infuse the drug slowly over 15 min D.) Administer the drug immediately following chemotherapy E.) Repeat the dose 4 hr after chemotherapy

A. Infuse the drug 30 min prior to chemotherapy. C. Infuse the drug slowly over 15 min. E. Repeat the dose 4 hf after chemotherapy.

A nurse is caring for a client who is taking lubiprostone. The nurse should tell the client that lubiprostone can cause which of the following adverse drug reactions? A.) Nausea B.) Diarrhea C.) Urinary retention D.) Sore throat

A. Nausea

A nurse is caring for a client who has a prescription for alosetron. The nurse should recognize that alosetron therapy is effective when the client reports which of the following? A.) One formed stool per day B.) Urination without burning C.) No nausea or vomiting D.) Less GI reflux

A. One formed stool per day.

Which condition is characterized by an erosion of the mucosal layer of the stomach or​ duodenum? A.Peptic ulcer B.Diverticulum C.Hiatal hernia D.Crohn's disease

A. peptic ulcer

Which should the nurse understand about the use of albuterol​ (VoSpire ER)? a. "This is a short-acting beta agonist." b. "The effects can last up to 12 hours." c. "I can use this for chronic asthma." d. "I can use this as needed for acute episodes."

A. short-acting beta agonist

Where does the pyloric sphincter regulate the flow of food​ into? A.Small intestine B.Stomach C.Rectum D.Esophagus

A. small intestine

Which information should the nurse include in the education for a female client prescribed sulfasalazine​ (Azulfidine)? (select all) A."A headache is a common adverse​ effect." B."You can divide the daily dose throughout the day to decrease the adverse​ effects." C."You may experience infertility only during the prescribed​ treatment." D. ​"You can crush your tablets and mix it in​ juice." E."If you are outdoors be sure you use a strong​ sunscreen."

A. ​"A headache is a common adverse​ effect." B."You can divide the daily dose throughout the day to decrease the adverse​ effects." E."If you are outdoors be sure you use a strong​ sunscreen."

A client with Clostridium difficile tells the nurse they have begun taking an over the counter prescription to stop their diarrhea. Which response should the nurse provide the​ client? A."An antidiarrheal can worsen your​ infection." B."Follow the dosing on the​ packaging." C."You may experience rebound​ constipation." D."If you continue to have diarrhea contact the​ clinic."

A."An antidiarrheal can worsen your​ infection."

Which information should the nurse include in the teaching for a client that will be receiving intermittent enteral nutrition at​ home? (select all) A."Clean the equipment between each feeding​ administration." B."Once mixed, the enteral feeding should hang no more than 8​ hours." C."Refrigerate any feeding that is not needed for a​ feeding." D.​"You may use plain tap water for scheduled tubing​ flushes." E."Keep the area around the insertion site​ clean."

A."Clean the equipment between each feeding​ administration." C."Refrigerate any feeding that is not needed for a​ feeding." D."You may use plain tap water for scheduled tubing​ flushes." E."Keep the area around the insertion site​ clean."

Which statements should the nurse include in the education for a client with gastroesophageal reflux disease​ (GERD)? (select all) ​A.​"Eliminate the use of​ alcohol." B."Elevate the head of the​ bed." C."Eliminate the use of​ caffeine." D."Take measures to decrease the stress in your​ life." E."Eat meals at least 3 hours prior to​ sleeping."

A."Eliminate the use of​ alcohol." B."Elevate the head of the​ bed." E."Eat meals at least 3 hours prior to​ sleeping."

Which information should the nurse provide a client that is will receive enteral​ nutrition? A."Enteral feedings allow natural digestion to​ occur." B."Nutrition can is administered either​ continuously." C."Your nutrition will be administered through your​ veins." D."Most enteral feeding consists of thinned pureed​ food."

A."Enteral feedings allow natural digestion to​ occur."

Which assessment questions should the nurse ask the parents of a young child diagnosed with​ asthma? (select all) A."Has your child eaten any new​ foods?" B."Does anyone smoke in the​ home?" C. ​"Have any chemicals been used in your​ home?" D."Has your child recently traveled to any warm​ climates?" E."Have you changed the laundry soap​ recently?"

A."Has your child eaten any new​ foods?" B."Does anyone smoke in the​ home?" C."Have any chemicals been used in your​ home?" E."Have you changed the laundry soap​ recently?"

A nurse is explaining the process of respiration to a client. Which information should be​ given? (select all) A."Moving air in and out of the lungs is called​ ventilation." B"The smooth muscle in the alveoli helps to pull air into the lungs. C.Exchange of oxygen and carbon dioxide occurs across a thin capillary membrane. D.Respiration is not effective without perfusion. E.Your basic respiratory drive is determined by your brain.

A."Moving air in and out of the lungs is called​ ventilation." C. Exchange of oxygen and carbon dioxide occurs across a thin capillary membrane. D. Respiration is not effective without perfusion. E. Your basic respiratory drive is determined by your brain.

The nurse has provided education for a client diagnosed with asthma. Which statements made by the client indicate that further teaching is​ required? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. (Select all that apply.) A."My albuterol inhaler should be taken routinely to prevent asthma​ attacks." B. ​"I should plan to take a corticosteroid for the rest of my​ life." C."My cromolyn inhaler​ (Intal) will help prevent an asthma​ attack." D."I'll use my montelukast​ (Singulair) inhaler every​ day." E."My therapy will include both oral and inhaled​ drugs."

A."My albuterol inhaler should be taken routinely to prevent asthma​ attacks." B."I should plan to take a corticosteroid for the rest of my​ life." D."I'll use my montelukast​ (Singulair) inhaler every​ day."

Which information should the nurse provide a parent of a newborn prescribed a vitamin K​ injection? A."Newborns do not have enough intestinal bacteria to synthesize vitamin​ K." B."Vitamin K is administered if there is observed​ bleeding." C."Vitamin K is only administered to infants that are bottle​ fed." D."Newborns are unable to store vitamin K in their​ body."

A."Newborns do not have enough intestinal bacteria to synthesize vitamin​ K."

A client tells the nurse they would like to control their nausea with natural products such as herbal options instead of prescriptions. Which information should the nurse provide the​ client? (select all) A."Peppermint may be​ effective." B."Melatonin may be helpful in controlling​ nausea." C."Vitamin E oil is sometimes effective for​ nausea." D."Chamomile tea is effective in controlling​ nausea." E."Ginger can be effective for controlling​ nausea."

A."Peppermint may be​ effective." E."Ginger can be effective for controlling​ nausea."

A client asks the​ nurse, "Is there anything that I can take for my seasonal​ allergies?" Which information should the nurse provide to the​ client? (select all) A.​"Some antihistamines can help prevent the onset of​ allergies." B."Some patients find that intranasal corticosteroids help prevent their​ allergies." C."Drugs that are mast cell stabilizers may help you avoid your seasonal​ allergies." D."Oral decongestants can help you prevent​ allergies." E.​"Nasal decongestants are very good at preventing allergic​ response."

A."Some antihistamines can help prevent the onset of​ allergies." B."Some patients find that intranasal corticosteroids help prevent their​ allergies." C."Drugs that are mast cell stabilizers may help you avoid your seasonal​ allergies."

Which information should the nurse provide a client with gastroesophageal reflux disease GERD who is reluctant to make suggested lifestyle​ changes? (select all) A."The damage to your esophagus may result in​ esophagitis." B."Long-term exposure to acid increases risk for esophageal​ cancer." C."Without lifestyle​ changes, the prescriptions are​ ineffective." D.​"The lifestyle changes will be easier if you adopt them one at a time and institute them​ gradually." E."You will eventually have difficulty with swallowing if this condition is not​ treated."

A."The damage to your esophagus may result in​ esophagitis." B."Long-term exposure to acid increases risk for esophageal​ cancer."

Which statement made by a client indicates an understanding of the function of the large​ intestine? A.​"The large intestine absorbs water and eliminates​ stool." B."Food travels through the large intestine for 3 to 6​ hours." C."The large intestine absorbs most of the nutrients from​ food." D."The large intestine contains host flora that manufacture vitamin​ E."

A."The large intestine absorbs water and eliminates​ stool."

A client asks the nurse how much vitamin C should be taken to prevent a cold. Which information should the nurse discuss with the​ client? A."There is no proof that vitamin C prevents the common​ cold." B."Vitamin C must be taken prior to the onset of the cold to be most​ effective." C."Increase your dietary intake of Vitamin C as well as add an oral​ supplement." D."Vitamin C is effective if you take the recommended daily​ allowance."

A."There is no proof that vitamin C prevents the common​ cold."

A patient has been prescribed benzonatate​ (Tessalon). What medication education should the nurse​ provide? (select all) A."This medication should help relieve your​ cough." B."Do not chew this​ medication." C."This medication may increase your blood​ pressure." D."You may be nauseated when taking this​ medication." E."Adverse effects are​ uncommon, but you may develop a​ headache."

A."This medication should help relieve your​ cough." B."Do not chew this​ medication." D."You may be nauseated when taking this​ medication." E."Adverse effects are​ uncommon, but you may develop a​ headache."

Which information should the nurse include in the education for a client prescribed an intranasal​ corticosteroid? (select all) A."You may feel a burning sensation when using this​ drug." B.​"This prescription will be most effective if used only when symptoms are​ present." C."Squeeze the container cautiously so you do not inadvertently administer too much of a​ dose." D."This prescription may dry out your nasal passages enough to cause​ nosebleed." E.​"Avoid eating licorice while taking this​ prescription."

A."You may feel a burning sensation when using this​ drug." D​. "This prescription may dry out your nasal passages enough to cause​ nosebleed." E."Avoid eating licorice while taking this​ prescription."

A client has been prescribed a leukotriene modifier. Which assessment finding would cause the nurse to question this​ prescription? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. (Select all that apply.) A.A client 72 years old. B.Type II diabetic. C.A client with chronic kidney disease. D.The client has chronic hepatitis C. E.The client has a history of a CVA 2 years ago.

A.A client 72 years old. D.The client has chronic hepatitis C.

Which assessment should the nurse conduct for the client receiving beclomethasone​ (Beconase) nasal​ spray? (select all) A.Assess the​ client's mouth for any sign of fungal infection. B.Assess the​ client's blood glucose prior to administration of nasal spray. C.Assess if the client has blown his nose prior to administration of nasal spray. D.Assess if the client has had a change in taste. E.Assess the client for any hoarseness or change in voice.

A.Assess the​ client's mouth for any sign of fungal infection. C.Assess if the client has blown his nose prior to administration of nasal spray. D.Assess if the client has had a change in taste. E.Assess the client for any hoarseness or change in voice.

Which should the nurse monitor to prevent complications of a client receiving total parenteral nutrition​ (TPN)? A.Blood glucose levels B.Potassium levels C.Thyroid function D.Liver enzymes

A.Blood glucose levels

Which client assessment finding should the nurse associated with a duodenal​ ulcer? A.Burning pain several hours after eating a meal B.Anorexia and weight loss C.Nausea and lower right quadrant abdominal pain D.Nausea and vomiting

A.Burning pain several hours after eating a meal

Which foods should the nurse associate with triggering an​ asthma? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. (Select all that apply.) A.Cured meat B.Dairy products C.Grapefruit juice D.Nuts E.Shellfish

A.Cured meat B.Dairy products D.Nuts E.Shellfish

Which information should the nurse include in the education for a client with​ asthma? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. (Select all that apply.) A.Drink additional fluids. B.Eat​ small, frequent meals. C.Sleep in a warm room. D.Complete activity in the morning and rest in the afternoon. E.Avoid foods high in protein.

A.Drink additional fluids. B.Eat​ small, frequent meals.

Which vitamin should the nurse encourage a female to take prior to becoming pregnant to help prevent neural tube​ defects? A.Folic acid B.Riboflavin C.Niacin D.Thiamine

A.Folic acid

Which should the nurse monitor for a young child prescribed a corticosteroid for​ asthma? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. (Select all that apply.) A.Height B.Bone density C.IQ D.Weight E.EKG

A.Height B.Bone density D.Weight

Which assessment finding should the nurse be concerned about for the client receiving Ranitidine​ (Zantac) for treatment of peptic ulcer disease​ (PUD)? A.Increased diarrhea B.Pain 24 hours after treatment C.Headache D.Constipation

A.Increased diarrhea

Which disorders are antihistamines used to​ treat? (select all) A.Insomnia B.Vertigo C.Cystic fibrosis D.Parkinson's disease E.Nasal congestion

A.Insomnia B.Vertigo D.Parkinson's disease

Which acid-base imbalance should the nurse be concerned about for the client that has been vomiting for several​ days? A.Metabolic alkalosis B.Metabolic acidosis C.Respiratory alkalosis D.Respiratory acidosis

A.Metabolic alkalosis

Which should the nurse be prepared to administer to a client who has overdosed on diphenoxylate with atropine​ (Lomotil)? A.Naloxone B.Activated charcoal C.Large volume of normal saline D.Beta blocker

A.Naloxone

The nurse notes a client is prescribed Orlistat​ (Alli). Which condition should the nurse recognize the prescription is​ treating? A.Obesity B.Over nutrition C.Malabsorption syndrome D.Malnutrition

A.Obesity

Which information should the nurse include in the education for a client with peptic ulcer disease prescribed omeprazole​ (Prilosec)? (select all) A.Omeprazole​ (Prilosec) should not be crushed or chewed. B.Omeprazole​ (Prilosec) is best taken with yogurt. C.Omeprazole​ (Prilosec) is recommended for​ long-term treatment of peptic ulcer disease. D.Omeprazole​ (Prilosec) should be administered before meals. E.Omeprazole​ (Prilosec) should be administered after meals.

A.Omeprazole​ (Prilosec) should not be crushed or chewed. D.Omeprazole​ (Prilosec) should be administered before meals.

Which enteral formula should the nurse anticipate for a client that with a functioning GI tract experiencing​ undernourishment? A.Polymeric B.Elemental C.Semi-elemental D. Modular

A.Polymeric

A client asks the nurse how probiotics can be beneficial in the treatment of their irritable bowel syndrome. Which response should the nurse​ provide? A.Probiotics restore the normal intestinal bacteria B.Probiotics decrease the bowel frequency C.Probiotics attack infective bacteria in the intestine D.Probiotics decrease the intestinal water absorption

A.Probiotics restore the normal intestinal bacteria

Which describes an important function of vitamin​ A? A.Promote visual pigment of the eye B.Facilitates bile excretion C.Antioxidant properties D.Promotes blood clotting

A.Promote visual pigment of the eye

Which laboratory tests should the nurse evaluate for the client receiving topical vitamin​ A? (select all) ​A.Serum calcium level B.Hemoglobin level C.Blood urea nitrogen D.Serum potassium level E.Serum cholesterol

A.Serum calcium level C.Blood urea nitrogen E.Serum cholesterol

A client asks the nurse why they are prescribed a multivitamin. Which information should the nurse include in the​ discussion? (select all) A.Small amounts of vitamins are needed for health. B.Vitamins will heal many illnesses. C.Vitamins are inorganic compounds that are not always stored in the body. D.Your body cannot synthesize most vitamins. E.Vitamins are needed for growth and maintenance of normal metabolic processes.

A.Small amounts of vitamins are needed for health. D.Your body cannot synthesize most vitamins. E.Vitamins are needed for growth and maintenance of normal metabolic processes.

Which should the nurse anticipate to be prescribed for a bowl preparation prior to a​ colonoscopy? A.Sodium biphosphate​ (Fleet Phospho-Soda) B.Methylcellulose​ (Citrucel) C.Docusate sodium​ (Colace) D.Bisacodyl​ (Dulcolax)

A.Sodium biphosphate​ (Fleet Phospho-Soda)

Which information should the nurse include in the education for a client prescribed scopolamine for motion​ sickness? A.Take your prescription 20 to 60 minutes prior to travel B.Take your prescription in the evening or at bedtime C.Limit periods of movement after you take your prescription D.Take an initial dose of the prescription 1 day prior to travel

A.Take your prescription 20 to 60 minutes prior to travel

Which assessment findings should the nurse anticipate for a client experiencing allergic​ rhinitis? (select all) A.Tearing eyes B.Itching throat C.Nasal congestion D.Sneezing E.Coughing

A.Tearing eyes B.Itching throat C.Nasal congestion D.Sneezing

Which client is most at risk to develop​ constipation? A.The elderly client who routinely takes a stimulant laxative twice daily B.The young client in the hospital for an appendectomy C.The pediatric client who takes antibiotics for ear infections D.The​ middle-aged client who uses an enema during periods of travel

A.The elderly client who routinely takes a stimulant laxative twice daily

Which vitamin can be toxic if consumed in large​ amounts? A.Vitamin A B.Niacin C.Folic acid D.Vitamin C

A.Vitamin A

Which substance assists with the efficient absorption of​ calcium? A.Vitamin D B.Phosphorus C.Coenzymes D.Intrinsic factor

A.Vitamin D

Which current prescription should the nurse be concerned about for a client newly prescribed orlistat​ (alli)? A.Warfarin B.Ibuprofen C.Aspirin D.Vitamin C

A.Warfarin

The nurse has provided education about peptic ulcer disease​ (PUD) for a client. Which statement made by the client indicates an understanding of the​ information? A."I will limit my intake of caffeine​ products." B."I will drink more milk and limit spicy​ foods." C."I will join a gym and increase my​ exercise." D."I will take ibuprofen​ (Motrin) for my​ headaches."

A.​"I will limit my intake of caffeine​ products."

Which information should the nurse include in the dietary discussion with a client that consumes a vegetarian​ diet? A.​"Seek out dietary sources which include vitamin B12​." B."Increase fluids and fiber to promote the absorption of​ vitamins." C."You are not at risk for vitamin​ deficiencies." D."You may be at risk for a vitamin C​ deficiency."

A.​"Seek out dietary sources which include vitamin B12​."

A nurse is caring for a client who has a new prescription for alosetron to treat irritable bowel syndrome. The nurse should instruct the client to report which of the following adverse effects of the drug? A.) Headache B.) Drowsiness C.) Abdominal pain D.) Sore throat

Abdominal pain

A nurse is caring for a client wo is receiving TPN through a central venous access device, but the next bag of solution is not available for administration at this time. Which of the following is an appropriate action by the nurse?

Administer 20% dextrose in water IV until the next bag is available.

A nurse is caring for a client who is taking allopurinol to treat gout and has a new prescription for azathioprine to treat ulcerative colitis. For which of the following reasons should the nurse clarify these prescriptions with the provider? Allopurinol delays the conversion of azathioprine and can lead to toxicity.

Allopurinol delays the conversion of azathioprine and can lead to toxicity.

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client's phosphorus levels when administering which of the following drugs? A.) Omeprazole (Prilosec) B.) Aluminum hydroxide (Amphojel) C.) Sucralfate (Carafate) D.) Ranitidine (Zantac)

Aluminum hydroxide

A nurse is providing teaching to a client who has Crohn's disease. Which of the following statements by the client indicates an understanding of the teaching? A. "I will take a fiber supplement daily." B. "I will eat eggs for breakfast." C. "I will drink whole milk." D. "I will eat canned fruits as a daily snack."

B. "I will eat eggs for breakfast"

Which describes the mechanism of action of​ proton-pump inhibitors? A.Block H2 receptors in the stomach B. Block the enzyme that secretes acid in the stomach C.Decrease the amount of Helicobacter pylori D.Neutralize the acid in the stomach

B. Block the enzyme that secretes acid in the stomach

A nurse is providing dietary teaching for a client who has COPD. Which of the following instructions should the nurse include in the teaching? A. Eat at least three well-proportioned, large meals a day B. Drink low-protein, low-calorie nutrition formulas between meals C. Avoid adding gravies and sauces to foods D. Consume foods that are soft in texture and easy to chew

B. Drink low-protein, low-calorie nutrition formulas between meals

A nurse is caring for a client who is at 8 weeks gestation and has a BMI of 34. The client asks about weight goals during her pregnancy. The nurse should advise the client to do which of the following? A. Maintain her current BMI B. Gain approximately 6.8 kg (15 lb) C. Lower her BMI D. Gain 12.7 to 15.8 kg (28 to 35 lb)

B. Gain approximately 6.8 kg (15 lbs)

A nurse is providing information about cardiovascular risk to a client who has received his lipid panel report. Which of the following is within an expected reference range to include information? A. Total cholesterol 210 mg/dL B. HDL 79 mg/dL C. Triglycerides 175 mg/dL D. LDL 137 mg/dL

B. HDL 79 mg/dL

A client asks the nurse how metoclopramide​ (Reglan) will help their peptic ulcer disease. Which mechanism of action should the nurse discuss with the​ client? A.Relaxes the muscles of the gastrointestinal tract B.Increased emptying time of the stomach C.Neutralizes the stomach acid D.Decreased the production of hydrochloric acid

B. Increased emptying time of the stomach

A nurse is teaching a client who is recovering from pancreatitis about following a low-fat diet. Which of the following foods should the nurse recommend? (Select all that apply.) A. Ribeye Steak B. Oatmeal C. Ice Cream D. Canned Peaches E. Pretzels

B. Oatmeal D. Canned peaches E. Pretzels

A nurse is teaching a client who is starting continuous feedings about the various types of enteral nutrition (EN) formulas. Which of the following should the nurse include in the teaching? A) Formula rich in fiber is recommended when starting EN B) Standard formula contains whole protein C) Hydrolyzed formula is recommended for a full-functioning GI tract D) The high-calorie formula has increased water content

B. Standard formula contains whole protein

A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions? A.) pancreatitis B.) aspirin sensitivity C.) bronchitis D.) GERD

B. aspirin sensitivity

Which can be combined with Aluminum compounds such as Aluminum Hydroxide​ (AlternaGEL) to increase their effectiveness and reduce the potential for​ constipation? A.Potassium B.Magnesium C.Calcium D.Phosphate

B. magnesium

Which condition should the nurse identify as a complication for​ long-term use of​ proton-pump inhibitors​ (PPIs)? A.Intestinal irritation B.Osteoporosis C.Hypertension D.Anemia

B. osteoporosis

A client tells the nurse they have been taking Imodium​ (loperamide) for​ diarrhea, but it has not helped. Which response should the provide the​ client? A."Imodium is not very effective against​ diarrhea." B."Are you taking it after every episode of​ diarrhea?" C."How much Imodium are you taking​ daily?" D."You may have to take the maximum dose for 2 or 3 days before diarrhea​ slows."

B."Are you taking it after every episode of​ diarrhea?"

A client taking diphenoxylate with atropine​ (Lomotil) for diarrhea asks the nurse why they do not experience pain relief from their arthritis. Which response should the nurse provide the​ client? A.​"Diphenoxylate with atropine is not an​ opioid." B."Diphenoxylate with atropine does not have analgesic​ properties." C."You would really have to take a lot to experience pain​ relief." D."It does provide some relief from the pain associated with​ diarrhea."

B."Diphenoxylate with atropine does not have analgesic​ properties."

Which information should the nurse provide a client that asks the nurse how they got H. Pylori​? A.​"The stomach pH is too​ low." B."The bacteria has entered your body​ somehow." C."Your immune system is​ weak." D."H. Pylori naturally lives in your gastrointestinal​ tract."

B."The bacteria has entered your body​ somehow."

The client treated for GERD​ says, "I seem to have been getting many more colds and​ coughs." Which statements should the nurse include in the​ discussion? (select all) A.​"Be sure to get your flu​ shot." B."The medicine you are on for GERD changes your gastric​ pH." C."You need to avoid crowds until your GERD is under​ control." D."You may be more susceptible to respiratory infection while taking this​ medication." E."You may be having an allergic reaction to your​ medicine."

B."The medicine you are on for GERD changes your gastric​ pH." D."You may be more susceptible to respiratory infection while taking this​ medication."

A client with COPD tells the​ nurse, "I​ don't see why I need to stop smoking because the damage to my lungs is already​ done." Which statement should the nurse provide the​ client? a. "If you stop smoking, your lungs have a good chance of improving quickly." b. "Your symptoms may be lessened if you aren't smoking. c. "You should at least try because smoking is associated with other diseases." d. "If you stop smoking the disease process will not advance."

B."Your symptoms may be lessened if you​ aren't smoking."

Which clients are at risk for peptic ulcer​ disease? (select all) A.A client with decreased intrinsic factor B.A client with Type O blood C.A client that smokes D.A client experiencing excessive psychological stress E.A client with a low fiber diet

B.A client with Type O blood C.A client that smokes D.A client experiencing excessive psychological stress

Which deficiencies should the nurse understand occur after bariatric​ surgery? A.B-complex vitamins B.Copper C.Iron D.Fat-soluble vitamins E.Potassium

B.Copper

A client asks the nurse what the difference is between​ Crohn's disease and ulcerative colitis. Which information should the nurse​ provide? (select all) A.Ulcerative colitis can appear anywhere in the gastrointestinal tract. B.Crohn's disease will reoccur after surgery. C.Crohn's disease is more common in smokers. D.Client's with​ Crohn's disease are more likely to have arthritis. E.Inflammation of ulcerative colitis is limited to the lining of the digestive tract.

B.Crohn's disease will reoccur after surgery. D.​Client's with​ Crohn's disease are more likely to have arthritis. E.Inflammation of ulcerative colitis is limited to the lining of the digestive tract.

Which is the priority nursing assessment for the client with preeclampsia receiving magnesium sulfate experiencing muscle​ weakness? A.Peripheral edema B.Deep tendon reflexes C.Oxygen saturation D.Peripheral edema

B.Deep tendon reflexes

For which clinical conditions should the nurse recognize​ self-directed antacid use is not​ recommended? (select all) A.Decreased calcium levels. B.Diminished renal function. C.Perimenopause. D. Sodium-restricted diets E.Coronary artery disease.

B.Diminished renal function. D.Sodium-restricted diets.

Which action should the nurse take with the prescribed dose of orlistat​ (Alli) for the client that has ordered dry toast for​ breakfast? A.Double the​ pre-breakfast dose B.Hold the​ pre-breakfast dose C.Give the normal dose D.Reduce the dose by half

B.Hold the​ pre-breakfast dose

A client asks the nurse what has caused their irritable bowel syndrome. Which information should the nurse prepare to discuss with the​ client? A.Autoimmune response B.Hyperactive immune response C.Imbalance of the normal flora D.Psychosomatic

B.Hyperactive immune response

Which is the anticipated treatment outcome for a client that has developed nausea and​ vomiting? A.Replacing fluids B.Identifying and eliminating the cause C.Encouraging the client to lie still D.Providing the client with soft foods

B.Identifying and eliminating the cause

Which should the nurse include in the plan of care for the client experiencing frequent​ constipation? (select all) A.Increase dietary protein. B.Increase the fluid intake. C. Increase dairy products. D.Increase dietary fiber. E.Increase daily physical exercise.

B.Increase the fluid intake. D.Increase dietary fiber. E.Increase daily physical exercise.

For which condition is the use of a​ bulk-type laxative contraindicated​ in? (select all) A.Coronary heart disease B.Prescribed antibiotic C.Type 2 diabetes D.Fecal impaction E.Pregnancy

B.Prescribed antibiotic D.Fecal impaction E.Pregnancy

Which is the primary goal of treatment for gastroesophageal reflux disease​ (GERD)? A.Prevent infection B.Reduce gastric acid secretions C.Promote ulcer healing D.Decrease stomach pain

B.Reduce gastric acid secretions

Which should the nurse anticipate to be included in the treatment plan for a client suspected to have developed peptic ulcer disease​ (PUD)? (select all) A.Antibiotic treatment B.Testing for H. pylori C.Multiple prescriptions D.Pharmacotherapy for 4 weeks E.Lifestyle changes

B.Testing for H. pylori C.Multiple prescriptions D.Pharmacotherapy for 4 weeks E.Lifestyle changes

Which clinical conditions would the nurse most likely associate with a client who has a documented history of​ alcoholism? (select all) A.Carbohydrate deficiency B.Thiamine deficiency C.Scurvy D.Vitamin A deficiency E.Pellagra

B.Thiamine deficiency C.Scurvy D.Vitamin A deficiency E.Pellagra

Which information should the nurse include in the teaching for a client with an increased risk for the development a Clostridium difficile ​infection? (select all) A.Report any episode of diarrhea. B.Treat diarrhea with​ over-the-counter antidiarrheal drugs. C.Increase intake of active culture yogurt. D.Avoid fatty foods. E.Increase fluid intake.

B.Treat diarrhea with​ over-the-counter antidiarrheal drugs. C.Increase intake of active culture yogurt.

A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Which of the following statements should the nurse plan to include? A.) Dissolve the powder thoroughly in 8 oz of water B.) Have diphenhydramine available C.) Avoid activities that require alertness D.) Take 30 min before activities that trigger nausea

C. "Avoid driving or activities requiring alertness."

A client tells the​ nurse, "My healthcare provider told me that I have COPD and might develop emphysema. I always thought I had chronic​ bronchitis." Which response should the nurse provide the​ client? (Select all that apply.) A.Are you certain you do not have​ asthma?" B."Chronic bronchitis has no relation to​ COPD." C.COPD is either​ asthma, chronic​ bronchitis, or​ emphysema, or a combination of those​ disorders." D."As COPD​ progresses, it becomes​ emphysema." E.​"Both diagnoses are​ correct."

C. "COPD is either​ asthma, chronic​ bronchitis, or​ emphysema, or a combination of those​ disorders." D. "As COPD​ progresses, it becomes​ emphysema." E. "Both diagnoses are​ correct."

A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus how to count carbohydrates. Which of the following statements indicates an understanding of the teaching? A. "I am including vegetables as starch items in my carbohydrate count." B. "I am limiting the number of carbohydrates to four carbohydrate choices or 60 grams per day." C. "I know the serving size can affect the number of carbohydrates I eat." D. "I know the carbohydrate count is dependent on the calories in the food item."

C. "I know serving size can affect the number of carbohydrates I eat"

A nurse is teaching a female client about a healthy diet to control hypertension. Which of the following statements indicates an understanding of the teaching? A. "I will drink two glasses of whole milk daily." B. "I will decrease the potassium in my diet." C. "I will eat four servings of unsalted nuts per week." D. "I will limit alcohol consumption to two drinks per day."

C. "I will eat four servings of unsalted nuts per week"

A nurse is updating s plan of care for a client who is receiving intermittent enteral feedings and is experiencing diarrhea. Which of the following interventions should the nurse include in the plan? A. Discard the client's opened cans of formula within 48 hr B. Administer the client's formula cold C. Feed the client in small, frequent volumes D. Consider a low-calorie formula for the client

C. Feed the client in small, frequent volumes

A nurse in a clinic is reviewing the laboratory findings of a client who has type 2 diabetes mellitus. Which of the following indicates the client's plan of care is effective? A. Serum creatinine 1.5 mg/dL B. BUN 25 mg/dL C. HbA1c 6.5% D. Pre-meal blood glucose 145 mg/dL

C. HgbAlc 6.5%

Which​ long-term control prescriptions have an​ anti-inflammatory mechanism of​ action? (select all) a. Immunomodulators b. Methylxanthines c. Mast cell stabilizers d. Leukotriene modifiers e. Inhaled corticosteroids

C. Mast cell stabilizers D. Leukotriene modifiers E. Inhaled corticosteroids

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following laboratory findings indicate that the TPN therapy is effective? A. Calcium 8 mg/mL B. Hemoglobin 9 g/dL C. Prealbumin 30 mg/dL D. Cholesterol 140 mg/dL

C. Prealbumin 30 mg/dL

Which describes the purpose for the use of an opioid​ antitussive? a. Decrease nasal congestion b. Break down mucus c. Relieve severe cough d. Relieve mild cough

C. Relieve severe cough

A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include? (Select all) A.) Sit upright for 30 min after taking the drug B.) Avoid antacids when taking the drug C.) Take the drug 30 to 60 min before activities that trigger nausea D.) Avoid activities that require alertness E.) Increase fluid and fiber intake

C. Take the drug 30 to 60 min before activities that trigger nausea. D. Avoid activities that require alertness. E. Increase fluid and fiber intake.

A nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions? A.) A seizure disorder B.) Rheumatoid arthritis C.) A positive pregnancy test D.) Heart failure

C. a positive pregnancy test

Which electrolyte should the nurse assess for a client prescribed aluminum hydroxide​ (AlternaGEL)? A.Sodium B.Calcium C.Phosphate D.Potassium

C. phosphate

A client with a peptic ulcer colonized with H. pylori asks how the prescription of bismuth​ (Pepto-Bismol) will help them. Which information should the nurse provide the​ client? (select all) A.​"Bismuth (Pepto-Bismol) increases stomach acid to help kill​ bacteria." B.​"Bismuth (Pepto-Bismol) helps prevent the side effects of​ antibiotics." C."Bismuth (Pepto-Bismol) is effective for inhibiting bacterial​ growth." D."Bismuth (Pepto-Bismol) keeps bacteria from sticking in your​ stomach." E."Bismuth (Pepto-Bismol) helps relieve​ ulcer-related constipation."

C."Bismuth (Pepto-Bismol) is effective for inhibiting bacterial​ growth." D.​"Bismuth (Pepto-Bismol) keeps bacteria from sticking in your​ stomach."

The nurse has completed the education for a client prescribed psyllium mucilloid​ (Metamucil). Which statement made by the client indicates further teaching is​ required? A."This prescription takes several days to​ work." B."This prescription is a lot more natural than other​ laxatives." C."I don't need to drink extra fluids while I take this​ prescription." D."My cholesterol level will be reduced somewhat with this​ prescription."

C."I don't need to drink extra fluids while I take this​ prescription."

Which client as being at greatest risk for developing vitamin​ deficiencies? A.A client newly prescribed phenytoin​ (Dilantin) for the treatment of epilepsy B.A client who eats a​ well-balanced diet and does not take a vitamin supplement C.A client prescribed oral contraceptives for birth control D.A pregnant client that is receiving prenatal vitamins

C.A client prescribed oral contraceptives for birth control

The nurse is preparing to assess a client receiving enteral feedings. Which finding should the nurse be concerned​ about? A.No change in weight B.Weight gain of 3 lb in a week C.Dry lips D.Respiratory rate of 20

C.Dry lips

Which condition is associated with a cyanocobalamin ​(B12​) ​deficiency? A.Pellagra. B.Scurvy. C.Pernicious anemia. D.Rickets.

C.Pernicious anemia.

Which describes a function of Vitamin​ C? A.Promotes the manufacturing of platelets. B.Maintains vision. C.Promotes development of bones and teeth. D.Regulates digestion.

C.Promotes development of bones and teeth.

Which information should the nurse include in the education for the client prescribed inhaled ipratropium​ (Atrovent)? ​Note: Credit will be given only if all correct choices and no incorrect choices are selected. (Select all that apply.) A.Wait 15 minutes between inhaled dosages. B.The prescription may also be used for acute asthma attacks. C.Report any increased dyspnea. D.Report any changes in urinary pattern. E.Use the medication​ consistently, not occasionally.

C.Report any increased dyspnea. D.Report any changes in urinary pattern. E.Use the medication​ consistently, not occasionally.

How is the body mass index calculated to diagnose​ obesity? (select all) A.Age B.Gender C.Weight D.Height E.Skinfold thickness

C.Weight D.Height

Which information should the nurse include in the teaching for a client prescribed aluminum hydroxide​ (AlternaGEL)? (select all) A.You should expect this medication to take up to 2 days to start taking effect. B.Take this medication with a glass of milk. C.You may notice constipation as an effect of this drug. D.Take this medication at least 2 hours before or after any other medication you are taking. E.This medication will reduce the acid your stomach produces.

C.You may notice constipation as an effect of this drug. D.Take this medication at least 2 hours before or after any other medication you are taking.

A home health nurse is providing teaching to the parents of a 3-year-old child. Which of the following indicates the parents understand the teaching? A. "I will offer my child a cup of peanut butter to dip her celery in." B. "I can leave her grapes whole so that she can practice getting them with her fork. "C. "I can giver her popcorn as a snack to provide a serving of whole grains." D. "I will put low-fat milk in her cup for her to drink."

D. "I will put low-fat milk in her cup to drink"

A client asks the nurse why esomeprazole​ (Nexium) works better than cimetidine​ (Tagamet). Which response should the nurse provide the​ client? A."It is not as effective as cimetidine​ (Tagamet) but kills bacteria​ better." B."It is about the same but a lot cheaper than your cimetidine​ (Tagamet)." C."It is about the same but has fewer side effects than your cimetidine​ (Tagamet)." D."It decreases acid in your stomach better than cimetidine​ (Tagamet)."

D. "It decreases acid in your stomach better than cimetidine​ (Tagamet)."

A client is experiencing anorexia related to cancer treatment. Which of the following interventions should the nurse implement to increase the clients nutritional intake? A. Recommend cooking aromatic foods to stimulate appetite B. Serve hot foods rather than cold foods C. Instruct the client to eat three meals per day D. Add extra calories and protein to every meal

D. Add extra calories and protein to every meal

Which information should the nurse include in the education of a client prescribed an​ antacid? A.Antacids can be safely administered with antibiotics. B.Antacids can be safely administered with H2​-receptor medications. C.Lie down for 30 minutes after taking antacids. D.Administer antacids at least 2 hours before other oral medications.

D. Administer antacids at least 2 hours before other oral medications.

Which of the following drugs has protocols that require clients to meet specific risk-management criteria and sign a treatment agreement before the nurse can administer the drug? A.) Lubiprostone (Amitiza) B.) Azathioprine (Imuran) C.) Sulfasalazine (Azulfidine) D.) Alosetron (Lotronex)

D. Alosetron

A nurse is caring for a client who has a new prescription for ranitidine to treat GERD. The nurse should instruct the client to wait at least 1 hr between taking ranitidine and which of the following over-the-counter drugs? A.) Ginkgo biloba B.) Antidiarrheals C.) St. John's wort D.) Antacids

D. Antacids

A nurse is educating a group of women about vitamin and mineral intake during pregnancy. Which of the following should the nurse instruct the women to avoid taking at the same time as iron supplements? A. Magnesium B. Vitamin B12 C. Vitamin A D. Calcium

D. Calcium

A client with peptic ulcer disease and positive for H. pylori asks the nurse why the healthcare provider would like to treat them with a combination therapy. Which information should the nurse provide the​ client? A. The use of sucralfate​ (Carafate) along with antibiotics is the best combination therapy for peptic ulcer disease​ (PUD). B. Combination therapy has the best outcomes when antibiotics are used with antacids. C. Various antibiotics are used to eradicate the bacteria that are responsible for the development of peptic ulcer disease​ (PUD). D. Combination therapy has the best outcomes when antibiotics are used with​ proton-pump inhibitors.

D. Combination therapy has the best outcomes when antibiotics are used with​ proton-pump inhibitors.

A nurse is teaching a client who recently had a myocardial infarction and has a new prescription for docusate sodium. The nurse should inform the client that docusate sodium has which of the following therapeutic effects? A.) Reduces inflammation B.) Reduces gastric acid C.) Prevents diarrhea D.) Prevents straining

D. Prevents straining

Which are leukotriene modifiers primarily used​ for? a. Status asthmaticus b. Treat infection c. Bronchodilation in asthma d. Prophylaxis of asthma symptoms

D. Prophylaxis of asthma symptoms

A nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new prescription for sucralfate to treat a duodenal ulcer. The nurse should instruct the client to take the drugs at least 2 hr apart for which of the following reasons? A.) phenytoin increases the metabolism of sucralfate B.) phenytoin reduces the effectiveness of sucralfate C.) sucralfate increases the risk of phenytoin toxicity D.) sucralfate interferes with the absorption of phenytoin

D. Sucralfate interferes with the absorption of phenytoin.

A nurse is teaching a client who has constipation about a high-fiber, low-fat diet. Which of the following food choices by the client indicates understanding of the teaching? A. Peanut Butter B. Peeled Apples C. Hardboiled Egg D. Brown Rice

D. brown rice

Which is the most important question the nurse should ask a client with ulcerative colitis prior to administering sulfasalazine​ (Azulfidine)? A."Are you experiencing any​ pain?" B."Are you currently experiencing any​ diarrhea?" C."What other prescriptions have you take for ulcerative​ colitis?" D."Do you have any medication​ allergies?"

D."Do you have any medication​ allergies?"

Which information should the nurse include in the teaching for a client prescribed a stool softener for​ constipation? A."If you do not have a bowel movement by​ tomorrow, return to the​ clinic." B."This medication should work within 12​ hours." C.​"Continue to take this prescription until your stool is very loose and​ diarrhea-like." D."If your discomfort gets​ worse, return to the​ clinic."

D."If your discomfort gets​ worse, return to the​ clinic."

A client with pancreatitis asks the nurse why they are receiving pancrelipase​ (Pancreaze). Which information should the nurse provide as the primary reason the client is receiving the​ prescription? A.​"The prescription will promote digestion of starches and​ fats." B."The prescription will help digest all of the food you​ eat." C."The prescription will help promote healing of your​ pancreas." D."The prescription will replace the enzymes your pancreas cannot​ make."

D."The prescription will replace the enzymes your pancreas cannot​ make."

Which is the best statement the nurse should use when discussing the primary reason constipation occurs with a​ client? A."The dietary intake is not high in​ fiber." B."Too much water has been reabsorbed in the large​ intestine." C."The motility of the intestines are too​ slow." D."The waste material remains in the colon for too​ long."

D."The waste material remains in the colon for too​ long."

The nurse has provided education for a client prescribed zafirlukast​ (Accolate). Which statement made by the client indicates an understanding of the​ information? a. "Zafirlukast will activate my fight-or-flight response." b. "I can use this prescription for acute asthma attacks." c. "This prescription will dilate my airways so I can breathe better." d. "This decreases the inflammation in my lungs."

D."This decreases the inflammation in my​ lungs."

Which priority intervention should the nurse implement for a client that is experiencing magnesium​ toxicity? A.Assess the​ client's reflexes B.Administer an IV bolus of NS C.Monitor the​ client's breathing D.Administer IV calcium gluconate

D.Administer IV calcium gluconate

Which describes the mechanism of action of diphenoxylate with atropine​ (Lomotil)? A.Blockage of dopamine receptors B.Increase in stool formation C.Promotion of stool passage D.Decrease peristalsis

D.Decrease peristalsis

A client tells the nurse their​ "stomach pain is completely relieved after eating and returns a couple hours after the​ meal." Which condition should the nurse suspect the client is​ experiencing? A.Ulcerative colitis B.Gastric ulcer C.Crohn's disease D.Duodenal ulcer

D.Duodenal ulcer

Which describes the primary role of the large​ intestine? A.Excrete enzymes B.Control peristalsis C.Absorb nutrients D.Excrete fecal matter

D.Excrete fecal matter

Which is a priority nursing assessment for the client for that is receiving a parenteral​ feeding? A.Weight loss B.Overnutrition C.Electrolyte imbalance D.Fluid overload

D.Fluid overload

Which current medication should the nurse be concerned about for a client newly prescribed ondansetron​ (Zofran)? A.Warfarin​ (coumadin) B.Metformin​ (Glucophage) C.Atenolol​ (Tenormin) D.Haloperidol​ (Haldol)

D.Haloperidol​ (Haldol)

Which best describes the pathogenesis of​ diarrhea? A.It is infrequent uncontrolled passage of stool. B.It occurs when the large intestine reabsorbs too little water. C.It is an increase in the amount of bowel movements. D.It is an increase in frequency and fluidity of bowel movements.

D.It is an increase in frequency and fluidity of bowel movements.

Which should the nurse monitor the client for after initiating pancreatic enzyme replacement​ therapy? A.Sedation B.Headache C.Dry mouth D.Nausea and vomiting

D.Nausea and vomiting

Which should the nurse recognize is the function of the​ duodenum? A.Secretes hydrochloric acid B.Performs most of the digestion and chemical absorption C.Reabsorbs water and vitamins D.Receives chyme from the stomach

D.Receives chyme from the stomach

Which should the nurse include in the plan of care when administering total parenteral​ nutrition? A.Maintain a dedicated percutaneous endoscopic gastrostomy​ (PEG) tube for the solution. B.Check the feeding tube for residual prior to initiating feedings. C.Withhold oral medications while the total parenteral nutrition​ (TPN) is hanging. D.Remove the solution from the refrigerator 30 minutes prior to hanging.

D.Remove the solution from the refrigerator 30 minutes prior to hanging.

Which describes the​ body's need for​ vitamins? A.They are needed in large amounts to support metabolic processes. B.They are needed in large amounts to promote health. C.They are needed in small amounts to detoxify chemicals. D.They are needed in small amounts to promote growth.

D.They are needed in small amounts to promote growth.

A nurse is teaching a client who has a new prescription for methotrexate. The nurse should instruct the client to monitor for manifestations of which of the following conditions?

Gout

A nurse is caring for an older adult client who has renal impairment and a new prescription for cimetidine. The nurse should instruct the client to report which of the following manifestations?

Lethargy

A nurse is reviewing prescribed medications for a newly admitted client. Which of the following medications increases the body's rate of metabolism?

Levothyroxine

A charge nurse is teaching a group of nurses about medication compatibility with TPN. Which of the following statements should the charge nurse make?

Regular insulin can be added to the TPN solution.

A nurse is preparing to administer lipid emulsion and notes a layer of fat floating in the IV solution bag. Which of the following actions should the nurse take?

Return the bag to the pharmacy.

A nurse is discussing the use of a low-profile gastrostomy device with the guardian of a child who is receiving enteral feeding. Which of the following is an appropriate statement by the nurse?

The device is usually comfortable for children.

A nurse is caring for a male client who asks the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting 3 months. Which of the following information should the nurse provide the client about alosetron?

The drug is prescribed to female clients who have IBS-D lasting more than 6 months.

A client asks the nurse what has caused her allergic rhinitis. Which statements should the nurse include in the​ discussion? (select all) a. "Allergic rhinitis can occur after exposure to animal dander." b. "Tobacco smoke can cause allergic rhinitis. c. "Exposure to pollens from weeds and grass causes an allergic rhinitis." d. "Asthma is associated with allergic rhinitis." e. "There is a strong genetic predisposition for allergic rhinitis."

a. "Allergic rhinitis can occur after exposure to animal dander" b. "Tobacco smoke can cause allergic rhinitis" c. "Exposure to pollens from weeds and grass causes an allergic rhinitis" e. "there is a strong genetic predisposition for allergic rhinitis"

A nurse is teaching a client who is taking prednisone for chronic asthma. Which of the following instructions should the nurse include? a. "Avoid taking nonsteroidal anti-inflammatory drugs." b. "Rinse your mouth after taking the medication to prevent a yeast infection." c. "Stop taking the medication if you become nauseous." d."Change position slowly when standing up."

a. "Avoid taking nonsteroidal anti-inflammatory drugs."

The nurse has completed the education for a client prescribed diphenhydramine​ (Benadryl) for allergies. Which statement made by the client indicates an understanding of the​ teaching? a. "Drowsiness is common but should lessen over time." b. "If this medication makes my nose run, I can use a nasal spray." c. "I need to watch my intake of sodium with this medication." d. "I cannot take this medication with pseudoephedrine (Sudafed)."

a. "Drowsiness is common but should lessen over time"

The nurse teaches a client about the difference between oral and nasal decongestants. The nurse evaluates that learning has been effective when the client makes which​ statement? a."Oral decongestants can cause hypertension." b."Intranasal decongestants are safe to use for a few weeks." c. "Oral and nasal decongestants can cause rebound congestion." d. "Oral decongestants are the most effective at relieving severe congestion."

a. "Oral decongestants can cause hypertension"

A client prescribed an albuterol​ (Proventil) via inhaler asks the nurse why they​ can't just take a pill. Which response should the nurse​ provide? a. "When you inhale the drug the blood supply in your lungs picks it up rapidly, resulting in quicker effects." b. "Because pills cannot help your illness; you must have inhaled medications for relief of symptoms." c. "Because pills would produce too many side effects; you will have very few side effects with inhaled medications." d. "Because this medication cannot be absorbed from your GI tract; the acid in your stomach would destroy it."

a. "When you inhale the prescription the blood supply in the lungs absorb it rapidly resulting in quicker effects"

A nurse is administering bolus enteral feedings to a client who has malnutrition. Which of the following are appropriate nursing interventions? (Select all that apply.) a. Administer the feeding at room temperature. b. Verify the presence of bowel sounds. c. Elevate the head of the bed 20°. d. Instill the formula over 60 minutes. e. Flush the feeding tube with warm water.

a. Administer the feeding at room temperature. b. Verify the presence of bowel sounds. e. Flush the feeding tube with warm water.

The nurse is providing education for a client prescribed albuterol​ (ProAir HFA). Which information should the nurse include in the​ teaching? a. Administer the prescription 15 to 30 minutes prior to activity. b. Albuterol can be used for prevention of an asthma attack. c. Oral solutions can terminate an acute asthma attack. d. A nebulizer must be used to deliver the prescription.

a. Administer the prescription 15 to 30 prior to activity.

A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone/salmeterol via inhaler for asthma management. For which of the following reasons should the nurse instruct the client to use the albuterol inhaler before using the fluticasone inhaler? a. Albuterol will increase the absorption of fluticasone. b. Albuterol will decrease inflammation. c. Albuterol will reduce nasal secretions. d. Fluticasone will reduce the adverse effects of albuterol.

a. Albuterol will increase the absorption of fluticasone.

Which condition should the nurse be concerned about for a client prescribed an antitussive with​ codeine? a. Asthma b. Diabetes mellitus c. Chronic kidney disease d. Coronary artery disease

a. Asthma

A nurse is assessing a client who has diabetes mellitus. Which of the following findings should the nurse identify is a manifestation of hypoglycemia (low blood sugar)? (select all) a. Diaphoresis b. irritability c. tremors

a. Diaphoresis b. irritability c. tremors

A nurse is assessing a client who was administered ondansetron IV 1 hr ago. Which of the following findings should the nurse recognize as an adverse effect of this drug? a. Dizziness b. Rash c. Tardive dyskinesia d. Abdominal cramping

a. Dizziness

A nurse is assessing a client who is postoperative from a gastric bypass and who just finished eating a meal. Which of the following findings are manifestations of dumping syndrome? (Select all that apply.) a. Dizziness b. Diarrhea c. Dry skin d. Bradycardia e. Hypotension

a. Dizziness b. Diarrhea e. Hypotension

What foods high in Vitamin A should the nurse recommend to a client? (select all) a. Eggs b. Butter c. Whole milk d. Dark leafy vegetables e. lean red meat

a. Eggs b. Butter c. Whole milk d. Dark leafy vegetables

A nurse is collecting data from a client who has peptic ulcer disease (PUD). Which of the following findings should the nurse expect? (Select all that apply.) a. Epigastric pain b. Swollen lymph nodes c. Tarry stools d. Steatorrhea e. Anemia

a. Epigastric pain c. Tarry stools e. Anemia

Which histamine receptor is blocked by the action of an​ antihistamine? a. H1 receptor site b. B1 receptor site c. B2 receptor site d. H2 receptor site

a. H1 receptor site

The educator has reviewed the role of histamine receptors associated with allergic symptoms with a nurse. Which statement made by the nurse indicates further instruction is needed? a. "H1 receptors are found in the stomach." b. "H1 receptors are responsible for allergic symptoms." c. "H2 receptors increase mucus secretion in the stomach. d. "H2 receptors are responsible for peptic ulcers."

a. H1 receptors are found in the stomach

A nurse is preparing to administer phenylephrine to a client. The nurse should identify that which of the following manifestations is an adverse effect of this drug? a. Headache b. Sleepiness c. Hypotension d.Constipation

a. Headache

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 with a live virus

a. Inflammatory bowel disease

A client prescribed beclomethasone​ (Beconase) intranasally asks the nurse whether the prescription is safe. Which response should the nurse provide the​ client? a. "Intranasal glucocorticoids produce almost no serious adverse effects." b. "Intranasal glucocorticoids will provide immediate relief." c. "Intranasal glucocorticoids are safe if they are not used too long." d. "Intranasal glucocorticoids are safe only if used once a day."

a. Intranasal glucocorticoids produce almost no serious adverse effects.

For which of the following reasons should a nurse instruct a client to avoid guaifenesin with combination over the counter products? a. Over-the-counter cold products can also contain guaifenesin. b. Blood glucose levels are increased. c. Rebound congestion is likely. d. Drug tolerance is likely.

a. Over-the-counter cold products can also contain guaifenesin.

A nurse is planning care for a client who has a new prescription for peripheral parenteral nutrition (PPN). Which of the following actions should the nurse include in the plan of care? (Select all that apply.) a. Review prealbumin finding. b. Examine trends in wieght loss. c. Use an IV infusion pump. d. Add a micron filter to IV tubing. e. Administer an IV solution of 20% dextrose.

a. Review prealbumin finding. b. Examine trends in wieght loss. c. Use an IV infusion pump. d. Add a micron filter to IV tubing.

A nurse is monitoring plasma drug levels in a client who is taking theophylline. Which of the following findings should the nurse expect to see if the clients drug level indicates toxicity? a. Seizures b. Constipation c. Normal sinus rhythm d. Somnolence

a. Seizures

A nurse is teaching about food safety and foodborne illness to a group of adults at a local community center. Which of the following information should the nurse include? a. "unpasteurized fruit juice is a common cause of food borne illness" b. "store hard-boiled eggs in the refrigerator for up to 2 weeks" c. "the recommended cooking temp for ground beef is 145 degrees F" d. "the onset of norovirus is 5 to 7 days after exposure to the bacteria

a. Unpasteurized fruit juice is a common cause of foodborne illness.

A nurse is instructing a client on how to administer cyclic enteral feedings at home. Which of the following information should the nurse include? (Select all that apply.) a. Weigh yourself daily. b. Ensure your head is elevated to 15 degrees during administration. c. Set the feeding up before you go to bed. d. Flush the tube with a carbonated beverage to dislodge clogs. e. Give a feeding every 6 hours.

a. Weigh yourself daily. c. Set the feeding up before you go to bed.

Which information should the nurse include in the teaching for a client prescribed dextromethorphan​ (Delsym)? a. Avoid grapefruit juice. b. Dextromethorphan can be used with a chronic cough. c. The prescription may have a slow onset of action d. Decrease your alcohol intake while taking this prescription.

a. avoid grapefruit juice

A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include (Select all) a. Restlessness b. Bradycardia c. Insomnia d. Muscle pain e. Anxiety

a. restlessness c. insomnia e. anxiety

A nurse is providing teaching about food allergies to a group of new parents. Infants who react to which of the following foods typically outgrow the sensitivity? (Select all that apply) a. soy b. wheat c. cow's milk d. eggs e. fish

a. soy c. cow's milk

For which of the following reasons should a client attach a spacer to a metered dose inhaler? ​a. To increase the amount of drug delivered to the lungs b. To increase the amount of drug delivered to the oropharynx c. To increase the amount of drug delivered on exhalation d. To increase the speed of drug delivery into the mouth

a. ​To increase the amount of drug delivered to the lungs

A client asks the nurse how benzonatate​ (Tessalon) works to suppress her cough. Which response should the nurse provide the​ client? a. "Anesthetizes the receptor sites of the lungs" b. "Raises the cough threshold in the CNS" c. "Reduces the viscosity of the mucus" d. "Anticholinergic effects decrease the cough reflex"

a."Anesthetizes the receptor sites of the​ lungs"

Which priority question should the nurse ask a client prior to the administration of ipratropium​ (Atrovent)? a. "Are you allergic to soy?" b. "Do you have diabetes mellitus?" c. "Do you have seizures?" d. "Do you have gout?"

a."Are you allergic to​ soy?"

Which information should the nurse include in the client education for the administration of an intranasal​ decongestant? a. "Wait 15 minutes in between additional nasal sprays." b. "Spit out any excess intranasal decongestant that drains in the mouth." c. "Clear the nasal passage after administering the intranasal decongestant." d. "Limit the use of the nasal decongestant to 2 weeks."

b. "Spit out any excess intranasal decongestant that drains in the mouth"

A client asks the nurse why they must continue to take their asthma prescription when they have not had an asthma attack in several months. Which response should the nurse provide the​ client? a. "The medication needs to be taken indefinitely according to your doctor, so you should discuss this with him." b. "The medication is still needed to decrease inflammation in your airways and help prevent an attack." c. "The medication needs to be taken or your lungs will be severely damaged and we will not be able to stop an acute attack." d. "The medication needs to be taken for at least a year; then, if you have not had an acute attack, you can stop it."

b. "The prescription is still needed to decrease inflammation in your airways and help prevent an attack"

A nurse is providing teaching about food allergies to a group of new parents. Infants who react to which of the following foods typically outgrow the sensitivity? Select all that apply. a. Fish b. Cow's milk c. Soy d. Wheat e. Eggs

b. Cow's milk c. Soy

A nurse is teaching an adult client about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug? a. Muscle tremors b. Drowsiness c. Excitation d. Insomnia

b. Drowsiness

Legal restrictions apply to the purchase of pseudoephedrine (Sudafed) because of which of the following risks? a. Respiratory depression b. Drug abuse c. Drug tolerance d. Rebound congestion

b. Drug abuse

A nurse is reviewing the medical record of a client who has a new prescription for ranitidine. The nurse should recognize that which of the following drugs interacts with ranitidine? a. Phenobarbital sodium b. Ketoconazole c. Lisinopril d. Hydrochlorothiazide

b. Ketoconazole

A nurse should identify that dextromethorphan can have which of the following effects when combined with morphine? a. Reduced antitussive effect of dextromethorphan b. Potentiation of depression of CNS actions c. Increased renal reabsorption of the dextromethorphan d. Delayed analgesic effect of the opioid

b. Potentiation of depression of CNS actions

A nurse is teaching a client about the use of an expectorant to treat a cough. The nurse should include that an expectorant has which of the following therapeutic effects? a. Suppresses the cough stimulus b. Reduces surface tension c. Reduces inflammation d. Dries mucous membranes

b. Reduces surface tension

A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction? (Select all) a. Level of consciousness b. Skin integrity c. Temperature d. Urine output e. CBC

b. Skin integrity c. Temperature e. CBC

A nurse is providing teaching to a client who has a new prescription for omeprazole to treat a duodenal ulcer. Which of the following instructions should the nurse include? a. Take the drug with food b. Swallow the capsule whole c. Dissolve the tablet in water d. Take the drug at bedtime

b. Swallow the capsules whole.

The nurse is reviewing the major functions of the upper respiratory tract with a client. Which information should the nurse​ include?(select all) a. Inward airflow from the trachea branches off to the two bronchi. b. The nose warms the air before it reaches the lungs. c. The nasal mucosa is the first line of immunological defense. d. Activation of the parasympathetic nervous system constricts arterioles in the nose. e. Activation of the sympathetic nervous system constricts arterioles in the nose.

b. The nose warms the air before it reaches the lungs c. The nasal mucosa is the first line of immunological defense e. Activation of the sympathetic nervous system constricts arterioles in the nose

A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects. (Select all) a. Muscle tremors b. Urinary retention c. Dry mouth d. Insomnia e. Tachycardia

b. Urinary retention c. Dry mouth

A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include? a. Do not drink anything for 30 min after using the drug. b. Wait 5 min between using the drug and another inhaled drug. c. This drug is used to thin respiratory secretions. d. Check pulse rate after inhaling the drug.

b. Wait 5 min between using the drug and another inhaled drug.

Which laboratory test should the nurse monitor for a client receiving albuterol​ (Proventil) reporting fatigue and​ palpitations? a. Amylase b. Electrolytes c. Hemoglobin d. Arterial blood gases

b. electrolytes

Which condition should the nurse be concerned about for a client prescribed fluticasone​ (Flonase)? a. Diabetes mellitus b. Pregnancy c. Glaucoma d. Hypertension

b. pregnancy

A client receiving ipratropium​ (Atrovent) tells the nurse they are going to stop taking their prescription because of the bitter taste left in their mouth after its use. Which response should the nurse provide the​ client? a. "A bitter taste may indicate you are experiencing a serious side effect." b. "This is a common side effect that will go away over time." c. "You can decrease that side effect by rinsing your mouth after use. d. "You may be administering too high of a dose."

c. "You can decrease that side effect by rinsing your mouth after use"

A nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the nurse expect to administer to the client? a.Ipratropium b. Beclomethasone c. Acetylcysteine d. Azelastine

c. Acetylcysteine

A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give? a. Start at a low dose and gradually increase it. b. Take the drug as needed for nasal congestion. c. Allow at least 2 weeks for the full therapeutic effect. d. Use the drug prior to exercise.

c. Allow at least 2 weeks for the full therapeutic effect.

A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include? a. Dissolve the powder thoroughly in 8oz of water b. Have diphenhydramine available c. Avoid activities that require alertness d. Take 30 min before activities that trigger nausea

c. Avoid activities that require alertness.

For which should the nurse monitor a client suspected of abusing dextromethorphan​ (Delsym)? a. Nephrotoxicity b. Cardiotoxicity c. CNS toxicity d. Hepatoxicity

c. CNS toxicity

A nurse is teaching a client about the use of beclomethasone to treat asthma. The nurse should explain that the drug has which of the following therapeutic effects? a. Thins mucus b. Relaxes bronchial smooth muscle c. Decreases inflammation d. Increases the cough threshold

c. Decreases inflammation

A nurse is preparing to administer intermittent enteral feeding to a client. Which of the following are appropriate nursing interventions? (Select all that apply.) a. Fill the feeding bag with 24 hours worth of formula. b. Elevated the head of the clinet's bed for 15 minutes after administration. c. Discard feeding equipment after 24 hours. d. Flush the feeding tube every 4 hours. e. Place any unused formula in open cans in the refrigerator.

c. Discard feeding equipment after 24 hours. d. Flush the feeding tube every 4 hours. e. Place any unused formula in open cans in the refrigerator.

Which assessment finding should the nurse be most concerned about for a client receiving pseudoephedrine​ (Sudafed)? a. Temperature of 100°F b. Respiratory rate of 223. c. Heart rate 82 and irregular d. Complaints of a dry mouth

c. Heart rate 82 and irregular

A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The nurse should explain that these drugs are effective because they perform which of the following actions? a. Decrease viscosity of nasal secretions b. Block H2 receptors c. Prevent histamine from binding to receptors d. Reduce nasal congestion

c. Prevent histamine from binding to receptors

Which condition is an adverse effect of a​ beta-adrenergic agonist? a. Bradycardia b. Constipation c. Tachycardia d. Runny nose

c. Tachycardia

A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. Which of the following instructions should the nurse include? (Select all) a. expect results in 6 to 12 hr b. urinate every 4 hr c. take the drug with atleast 8oz of fluid d. avoid activities that require alertness e. increase fluid and fiber intake

c. Take the drug with at least 8 oz (237 mL) of fluid. e. Increase fluid and fiber intake.

Which statement is true regarding dry powder inhalers​ (DPI)? a. The prescription has to be reconstituted prior to administration. b. The prescription is delivered by fine mist. c. The device is activated by inhalation. d. The canister must be pressed for the prescription to be delivered.

c. The device is activated by inhalation.

A nurse is teaching a client about the use of a mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects? a. Suppresses the cough stimulus b. Reduces inflammation c. Thins and loosens mucus d. Dries secretions

c. Thins and loosens mucus

A nurse is caring for a client who is taking codeine. The nurse should identify that which of the following assessments is priority to make? a. Blood pressure b. Apical heart rate c. Respirations d. Level of consciousness

c. respirations

Which information should the nurse include when discussing the appropriate dosing and administration needs for​ self-administering prescriptive​ therapy? a. "Drink water when you take cough syrup." b. "Avoid drinking liquids with expectorants." c. "Take your antihistamine as soon as you begin experiencing allergy symptoms." d. "Clear your nasal passages by blowing prior to using your nasal spray."

c. ​"Take your antihistamine as soon as you begin experiencing allergy​ symptoms."

Which prescription is used to prevent allergic​ rhinitis? a. Oral corticosteroids b. Oral decongestants c. Intranasal corticosteroids d. Intranasal decongestants

c.Intranasal corticosteroids

Which information should the nurse include in the education for the client prescribed Montelukast​ (Singulair)? a. This prescription is indicated for acute asthma attacks. b. Montelukast should be taken 30 minutes prior to exercise. c. Montelukast should not be used in pediatric clients. d. This prescription has very few side effects.

c.Montelukast should not be used in pediatric clients.

The nurse has completed client education about the use of a​ metered-dose inhaler​ (MDI) and spacer. Which statement made by the client indicates further teaching is​ required? a. "While I depress the canister I will make sure that I inhale slowly." b. "After each use of my metered-dose inhaler (MDI) I will rinse my mouth." c. "It is important that I drink plenty of fluids while I am using the metered-dose inhaler (MDI)." d. "I should keep the spacer moist between uses by storing it in a plastic zip bag.

d. "I should keep the spacer moist between uses by storing it in a plastic zip​ bag."

The nurse has provided a client with asthma education about bronchodilators. Which statement made by the client indicates an understanding of the​ information? a. "The medication widens the airways because it decreases the production of mucous that narrows them." b. "The medication widens the airways because it decreases the production of histamine that narrows them." c. "The medication widens the airways because it acts on the parasympathetic nervous system." d. "The medication widens the airways because it stimulates the fight-or-flight response of the nervous system."

d. "The prescription widens the airways because it stimulates the fight-or-flight response of the nervous system"

The nurse has completed the education for a client prescribed an antihistamine. Which statement made by the client indicates an understanding of the​ information? a. "I can still have my after-dinner drink. b. "I may experience diarrhea while taking this prescription." c.. "This prescription is safe because it is sold over-the-counter (OTC)." d."This medication could make me very sleepy."

d. "This medication could make me very sleepy"

Which information should the nurse include in the teaching of a client with chronic bronchitis prescribed breathing treatments with acetylcysteine​ (Mucomyst)? a. "Stop the treatment if you start to cough." b. "Do not use the prescription if you notice it has a foul odor." c. "This drug is used to decrease bronchospasms." d. "You may experience nausea while using this drug."

d. "You may experience nausea while using this drug"

Which​ over-the-counter (OTC) antihistamine combination contains an analgesic​ property? a. Sudafed PE Sinus and Allergy b. Triaminic Cold/Allergy c. Tavist Allergy 12-hour d. Actifed Plus

d. Actifed Plus

A nurse should recognize that using pseudoephedrine to treat allergic rhinitis requires cautious use with clients who have. which of the following conditions? a. Peptic ulcer disease b. A seizure disorder c. Anemia d. Coronary artery disease

d. Coronary artery disease

The nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include? a. Check apical pulse before taking the drug. b. Take the drug only as needed before exercising. c. Rinse mouth after using the drug. d. Have laboratory tests performed at regular intervals.

d. Have laboratory tests performed at regular intervals.

A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include? a. Take the drug as needed for acute asthma. b. Follow a low-sodium diet. c. Use an alternate-day dosing schedule. d. Increase weight-bearing activity.

d. Increase weight-bearing activity.

Which information should the nurse include when discussing inhalation therapy as part of a treatment plan for the​ client's asthma? a. Inhalation therapy is effective because it provides around-the-clock therapy, as opposed to oral medications. b. Inhalation therapy is the preferred treatment for adolescents because it is easier for them to manage. c. Inhalation therapy is effective because it provides systemic relief of symptoms as well as local relief. d. Inhalation therapy is effective because it goes to the direct site of action in the respiratory tract.

d. Inhalation therapy is effective because it goes to the direct site of action in the respiratory tract

For which class of prescription should the nurse monitor a client for a fungal infection of the​ throat? a. Methylxanthines b. Inhaled beta-adrenergic agonists c. Mast cell inhibitors d. Inhaled corticosteroid

d. Inhaled corticosteroid

Which should the nurse recognize is a​ long-term control prescription used to treat​ asthma? a. Systemic corticosteroids b. Intermediate acting beta2-adrenergic agonists c. Anticholinergics d. Mast cell stabilizers

d. Mast cell stabilizers

A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report which of the following as an adverse effect of this drug? a. Fever b. Bruising c. Polyuria d. Palpitations

d. Palpitations

A nurse is teaching a client about the use of cromolyn sodium to prevent bronchospasm. The nurse should explain that the drug has which of the following therapeutic effects? a. Increases leukocyte activity b. Blocks muscarinic receptors c. Causes bronchodilation d. Reduces inflammation

d. Reduces inflammation

A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include? a. Use a spacer to improve inhalation. b. Take the drug at the onset of bronchospasm. c. Rinse mouth to prevent an oral fungal infection. d. Take the drug once a day in the evening.

d. Take the drug once a day in the evening.

A nurse is providing teaching to a client who is to begin taking phenelzine. Consuming which of the following foods while taking this medication could cause a hypertensive crisis? a. grapefruit juice b. dark green vegetables c. greek yogurt d. smoked fish

d. smoked fish

Which symptom should the nurse instruct the client prescribed diphenhydramine​ (Benadryl) to report to the healthcare​ provider? a. Sedation b. Diarrhea c. Weight gain d. Urinary hesitancy

d. urinary hesitancy

A client asks the nurse why he cannot take his monoamine oxidase inhibitor​ (MAOI) with diphenhydramine​ (Benadryl). Which response should the nurse​ provide? a. "The diphenhydramine (Benadryl) interferes with the therapeutic effect of the MAOI." b. "You are at risk for the development of seizures." c. "The MAOI prescription decreases the effectiveness of diphenhydramine (Benadryl)." d. "You may develop a hypertensive crisis."

d. ​"You may develop a hypertensive​ crisis."

A client with nasal congestion tells the nurse that his symptoms have worsened since he has been using oxymetazoline (Afrin). Which question should the nurse ask the client? a. Have you checked the expiration date on the prescription? b. Have you experienced a recent fever? c. "Are you using any other inhaled prescriptions? d."How long have you been using the prescription?"

d."How long have you been using the prescription?"

A nurse is instructing a client who has celiac disease about foods to avoid. Which of the following foods should the nurse include in the teaching?

graham crackers

Which describes the primary action of stool softeners?

increase water absorption in the stool

The nurse has provided a client with education about intrinsic factor. Which statement indicates an understanding of the​ information?

intrinsic factor is necessary for absorption of vitamin B12

Which describes the effect of saline cathartics?

pull water into the fecal mass creating a waterier stool

A nurse is providing teaching to a client who is to begin taking phenelzine. Consuming which of the following foods while taking this medication could cause a hypertensive crisis?

smoked fish

Which information should the nurse include in the teaching for a client with allergic symptoms prescribed an​ antihistamine? a. "Antihistamines are most effective when taken prophylactically." b. "Antihistamines are useful in reversing allergic symptoms." c. "Antihistamines are effective for long-term therapy." d. "Antihistamines have minimal side effects."

​a. "Antihistamines are most effective when taken​ prophylactically."

A client asks the nurse when she should use an antitussive. Which response should the nurse provide the​ client? a. "When you are coughing up secretions." b. "When your temperature is 101.2°F." c. "When you have been diagnosed with a respiratory infection." d. "When you have a dry cough and cannot rest."

​d. "When you have a dry cough and cannot​ rest."