315 HESI Review

Patient Gavin is taking antacids, which instruction would be included in the teaching plan? A. "Avoid taking other medications within 2 hours of this one." B. "Continue taking antacids even when pain subsides." C. "Weigh yourself daily when taking this medication." D. "Take the antacids with 8 oz of water."

"Avoid taking other medications within 2 hours of this one."

The client with a seizure disorder is prescribed phenytoin. Which statement indicates the client understands the medication teaching?

"I will use a soft-bristled toothbrush to brush my teeth."

The client reporting "acid" when lying down at night asks the nurse if there is any medication that might help. Which statement is the nurse's best response?

"There are several OTC and prescription medications available to treat this. You should discuss this with your HCP

What type of overdose does Acetylcysteine treat?

Acetaminophen

A client arrives in the emergency room with a tricyclic antidepressant overdose. The nurse should do all of the following except? Maintain pt airway administration of sodium bicarbonate Gastric lavage with activated charcoal Obtain an EKG Administration of an antipyretic

Administration of an antipyretic

Nurse Victoria is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse should mention:

Alcohol abuse and smoking

Amphetamines and amphetamine-like compounds are most commonly used for: Attention deficit disorder Narcolepsy Exogenous obesity All of the above

All of the above

Which of the following statements describes the action of antacids?

Antacids neutralize gastric acid (They act to bring the pH above 3)

A client is prescribed sertraline (Zoloft). To guarantee a safe administration of the medication, a nurse would administer the dose:

At bedtime

When monitoring a client who is taking benzodiazepines, the nurse should be alert for which CNS side effects?

Ataxia, sedation, dizziness

A nurse is giving instructions to a client receiving lithium citrate. The nurse tells the client to do which of the following to prevent lithium toxicity?

Avoid becoming dehydrated during exercise

A nurse is giving discharge instructions to a client who will be taking phenobarbital (Luminal). The nurse would educate the client in which of the following directly correlates with the safety of the client?

Avoid using sleep aids while taking the medication

Which medication can help treat muscle spasms in a patient with MS? SATA

Baclofen Diazepam

A pt with MS has issues with completely emptying their bladder. The physician orders the patient to take _______, which will help with bladder emptying

Bethanechol

A nurse is giving instructions to a client taking risperidone (Risperdal). The nurse advises the client to do which of the following?

Change position slowly

A patient is experiencing Digoxin Toxicity. What is the antidote for this medication?

Digibind

Patients taking MAOIs have the tendency to experience hypertensive crisis especcially during an interaction with other drugs such as epinephrine. Which of the following is a sign of hypertensive crisis?

Diplopia

A nurse is given discharge instructions to a client who isprescribed with isocarboxazid (Marplan). The nurse will tell the client to anticipate which of the following side effects of this medication?

Dizziness

A nurse provides instructions to a client taking fluoxetine (Prozac) an SSRI antidepressant. The nurse tells the client to take the medication:

Early in the morning

Ansherina who is receiving a traditional antipsychotic agent complains that she is gaining weight. The nurse would: A) Be aware that this is probably delusional thinking because these agents cause weight loss B) Encourage the client to follow a healthy diet and use diet soda to help stabilize her weight C) Discuss a switch to a high potency agent so the weight gain will not be a problem D) Establish a contract with the client to carefully follow her high calorie diet.

Encourage the client to follow a healthy diet and use diet soda to help stabilize her weight.

Amphetamines are included in the category of drugs of abuse because of their ability to:

Enhance performance

A client who has been taking buspirone (BuSpar) for two months returns to the clinic for a follow up. The nurse determines that the medication is effective if there is an absent display of?

Feelings of panic, fear, and uneasiness

A 76-year-old male is admitted to the ER. The patient accidently overdosed on Atenolol. The patient's hear rate is 38 bpm and blood pressure 70/50. The patient is lethargic, sweaty, and vomiting. What is the antidote for this medication?

Glucagon

Which statement is an advantage to administering a histamine (H2) blocker rather than an antacid to a client diagnosed with GERD?

H2 blockers require less frequent dosing than antacids

Methyphenidate (Ritalin) is prescribed to an 8yr old child for the treatment of ADHD. The nurse will most likely monitor which of the following during the medication therapy?

Height and weight

Protamine Sulfate is an antidote for what medication?

Heparin

When administering antianxiety medications to an elderly client, which of the following actions by the nurse is essential?

Implement a fall prevention

The client is having status epilepticus and is prescribed IV diazpam. The client has an IV of D5W 75ml/hr in the right arm and a saline lock in the left arm. Which intervention should the nurse implement?

Inject 3mL of normal saline in the saline lock and administer diazepam undiluted

The client newly diagnosed with a seizure disorder also has type 2 diabetes. The HCP prescribes phenytoin for the client. Which intervention should the nurse implement?

Instruct the client to monitor his or her blood glucose more closely

Sheila who has been on a low-potency antipsychotic for 2 weeks has shown minimal response. The most probable explanation is: A) The client probably has refractory illness. B) The client needs a stronger medication C) It is too early to see a full therapeutic response D) The client is definitely not taking the medication

It is too early to see a full therapeutic response

Which data should the nurse assess for the client with a seizure disorder who is taking valproate?

Liver enzymes

The nurse would monitor for decreased effect of amphetamines when these drugs are given with:

MAOI inhibitors

The risk of experiencing serotonin syndrome when SSRI's are given with monoamine oxidase inhibitors such as phenelzine (Nardil). Serotonin syndrome is best characterized in which of the following? A. Hypotension and urinary retention. B. Muscle rigidity and high fever. C. A productive cough and vomiting. D. Tea-colored urine and constipation.

Muscle rigidity and high fever

The adult client recently has been diagnosed with asthma. Which medication is recommended to treat this problem?

Omeprazole daily Up to 90% of adult-onset asthma is the result of GERD. Treating the gastric reflux will treat the asthma

Which statement is the scientific rationale for administering a proton pump inhibitor (PPI) to a client diagnosed with GERD?

PPI medications inhibit the enzyme that generates gastric acid

The nurse on a medical unit has received the morning report. Which medication should the nurse administer first?

Pantoprazole (Protonix) to a client on call to surgery

For which of the following medical conditions would the nurse anticipate that an antianxiety agent would not be indicated?

Parkinson's disease

Which medication below is NOT considered a Benzodiazepine?

Phenobarbital

During HTN crisis the nurse makes sure which of the following medications is readily available?

Phentolamine

A newly admitted client has started taking bupropion (Wellbutrin). The nurse monitors which of the following side effects would indicate an overdosage of the medication?

Seizure

A nurse notes that a client with schizophrenia and receiving an antipsychotic medication is having an uncontrolled movement of the lips and tongue. The nurse determines that the client is experiencing?

Tardive dyskinesia

Which client diagnosed with PD should the nurse question administering benztropine?

The client diagnosed with glaucoma. Anticholinergic medications such as benztropine (Cogentin), block cholinergic receptors in the eye and may precipitate or aggravate glaucoma

The older adult client diagnosed with Parkinson's disease (PD) has been prescribed the combination medication carbidopa/levodopa. Which data indicates the medication is effective?

The client is able to walk upright without stumbling

The home-health-care nurse is caring for a male client diagnosed with a hiatal hernia and reflux. Which data indicates the medication therapy is effective?

The client states that he did not wake up with heartburn during the night

The nurse is preparing a care plan for a client diagnosed with Parkinsons Disease. Which statement is the goal of medication therapy for the client diagnosed with PD?

The client will maintain functional ability

Which statement made by the wife of a client diagnosed with Parkinson's disease indicates the medication teaching is effective?

The medications provide symptom management, but the effects may not last.

A client taking lithium carbonate (Lithobid) started complaining of nausea, vomiting, diarrhea, drowsiness, muscle weakness, tremor, blurred vision and ringing in the ears. The lithium level is 2 mEq/L. The nurse interprets this value as:

Toxic level

Vitamin K can be used to treat toxicity of what medication?

Warfarin

The client with a seizure disorder who is taking carbamazepine tells the clinic nurse, "I am taking evening primrose oil for my premenstrual (PMS) cramps, and it is really working." Which statement is the nurse's best response?

You should inform your HCP about taking this herb

Joseph is a child diagnosed with ADD. Which of the following drugs is commonly used for his condition?

methylphenidate (Ritalin)