9/11/22 quiz

A nurse is teaching a client who has a prescription for glipizide therapy to treat type 2 DM. Which of the following instructions should the nurse include?

Avoid drinking alcohol

A nurse is caring for a client who is about to begin insulin glargine therapy. The nurse should identify the need for additional precautions because the client also takes which of the following types of drugs?

Beta blockers

A nurse is caring for a client who is taking desmopressin. The nurse should make which of the following assessments to evaluate the drug's effectiveness?

Urine output

A nurse administers pramlintide at 0800 to a client who has type 1 DM. At which of the following times should the nurse expect the drug to exert its peak action?

0820

A nurse is educating the parents of a child who has a new diagnosis of Prader-Willi Syndrome (PWS) and has been prescribed somatropin. Which of the following statements by a parent indicates understanding of the teaching?

"We will use a different spot for injection each time we give the medication."

A nurse is reviewing the medication record of a client who is receiving alteplase following an acute MI. Which of the following meds should the nurse expect the client to be taking in addition to the alteplase?

Heparin

A nurse is caring for a client who is about to begin taking epoetin. An increase in which of the following lab values should indicate to the nurse that the therapy is effective?

Hgb

A nurse is caring for a client who is about to begin taking pioglitazone to treat type 2 DM. The nurse should explain to the client about the need to monitor which of the following laboratory values?

ALT, LDL

A nurse is caring for a client who is taking metformin and is scheduled to undergo angiography using iodine-containing contrast dye. The nurse should identify that an interaction between metformin and the IV contrast dye increases the client's risk for which of the following conditions?

Acute renal failure

A nurse is teaching a client who has a prescription for pramlintide therapy to treat type 1 DM. Which of the following instructions should the nurse include?

Administer pramlintide before meals

A nurse is administering epoetin IV to a client who has renal failure. Which of the following actions should the nurse take?

Administer via IV bolus over 1-3 min.

A nurse is caring for a client who is experiencing an acute ischemic cerebrovascular event due to a thrombus in a cerebral vessel. Which of the following drugs should the nurse expect to administer?

Alteplase

A nurse is caring for a client who is about to begin alteplase therapy to treat pulmonary embolism. Which of the following drugs should the nurse have available in the event of a severe adverse reaction?

Aminocaproic acid

A nurse is preparing to administer a prescribed dose of desmopressin to a client who has hemophilia A. The client has a sodium level of 130 mEg/L. Which of the following actions should the nurse take?

Clarify the prescription with the provider.

A nurse is caring for a client who has chronic stable angina. The nurse should identify that which of the following drugs inhibits the action of adenosine diphosphate receptors (ADP) on platelets and can be prescribed to reduce the client's risk for MI?

Clopidogrel

A nurse is monitoring a client following ferrous sulfate administration. The nurse should monitor the client for which of the following adverse effects?

Constipation

A nurse is caring for a client who is about to begin therapy with recombinant factor IX to treat hemophilia B. The client asks the nurse about the risk of disease transmission with recombinant factor IX as compared with plasma-derived factor IX. The nurse should explain that recombinant factor IX practically eliminates the risk for which of the following?

Creutzfeldt-Jakob disease

When considering replacement therapy options for a client who has chronic adrenocortical insufficiency, a nurse should recognize that the provider will choose which of the following drugs?

Hydrocortisone

A nurse is caring for a client who is taking ferrous sulfate to treat iron-deficiency anemia and develops iron toxicity. Which of the following drugs should the nurse expect to use to treat this complication?

Deferoxamine

A nurse is teaching a client who is starting treatment with warfarin. The nurse should plan to include information on which of the following topics to promote the effectiveness of the drug?

Dietary modifications

A nurse is caring for a client who is taking ferrous sulfate to treat iron-deficiency anemia. Which of the following instruction should the nurse include

Eat iron-enriched foods (egg yolks, wheat germ, meat, fish) Spread the dosage across each day (throughout waking hours to allow bone marrow to maximize production of RBCs) Take the drug on an empty stomach (food reduces absorption of ferrous sulfate unless GI effects are troublesome). Increase dietary fiber intake as ferrous sulfate can cause constipation. Dark green/black stools are expected and not necessary to report.

A nurse is teaching a client about acarbose therapy to treat type 2 DM. Which of the following instructions should the nurse include?

Eat more iron rich foods

A nurse is caring for a client who has hemophilia A and is about to begin taking desmopressin to prevent bleeding. The nurse should monitor the client for which of the following adverse reactions?

Edema

A nurse is caring for a client who is taking filgrastim to treat neutropenia. The nurse should assess the client for which of the following adverse effects?

Enlarged spleen

A nurse is providing teaching to a client who is about to begin levothyroxine therapy to treat hypothyroidism. Which of the following instructions should the nurse include?

Expect life-long therapy with the drug

Which of the following drugs should a nurse have available for a client who is experiencing insulin toxicity?

Glucagon

A nurse is caring for a client who is about to begin factor VIII therapy to treat hemophilia A. When administering factor VIII, which of the following actions should the nurse take?

Have emergency equipment ready

A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the client for which of the following adverse effects?

Headache

A nurse is caring for a client who has renal failure and is receiving epoetin. The nurse should monitor the client for which of the following adverse effects?

Hypertension

A nurse at a provider's office is assessing a client who has been taking hydrocortisone for adrenal insufficiency. The client reports fatigue and feeling overwhelmed by personal responsibilities. Which of the following findings should the nurse identify as an indication the provider might need to increase the client's dosage?

Hypotension

A nurse is caring for a client who is taking PTU and reports weight gain, drowsiness, and depression. The nurse should identify that the client is experiencing which of the following adverse reactions to the drug?

Hypothyroidism

A nurse is caring for a client who is about to begin taking aspirin to reduce the risk of a CV event. The nurse should ID that the drug inhibits platelet aggregation by which of the following mechanisms?

Inhibiting cyclooxygenase action in platelets

A nurse is providing teaching to a client who is about to begin exenatide therapy to treat type 2 DM. Which of the following instructions should the nurse include?

Inject the drug subcutaneously Expect the peak effect in 2 hr Use the drug as a supplement to an oral hypoglycemic

A nurse is caring for a client who is taking metformin to treat type 2 DM and reports muscle pain. Which of the following adverse reactions should the nurse suspect?

Lactic acidosis

A nurse is caring for a client who is about to begin taking somatropin. The nurse should explain the need to monitor which of the following laboratory values?

Urine calcium and blood glucose

A nurse is teaching a client about self-administering regular insulin. The nurse should instruct the client to rotate injection sites to prevent which of the following?

Lipohypertrophy

A nurse is providing teaching to a client about taking fludrocortisone to treat adrenocortical insufficiency. Which of the following instructions should the nurse include?

Obtain weight measurements daily Report weakness or palpitations Have blood pressure checked regularly

A nurse should identify that clopidogrel is contraindicated for clients who have which of the following conditions?

Peptic ulcer disease

A nurse is speaking with a client who is taking glipizide to treat type 2 DM and has called to report feeling shaky, hungry, and fatigued. Which of the following actions should the nurse instruct the client to take?

Perform a fingerstick blood glucose check

A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. Which of the following findings should the nurse identify as a possible indication of hemorrhage?

Rapid pulse

A nurse is assessing a client who has a new prescription for levothyroxine. The nurse should identify which of the following findings as a contraindication for this drug?

Recent myocardial infarction

A nurse should recognize that a provider will prescribe a lower dose of sitagliptin for a client who has type 2 DM and who also has which of the following?

Renal impairment

A nurse is monitoring for a client who is about to begin taking folic acid to treat megaloblastic anemia. The nurse should monitor which of the following lab values to determine therapeutic effectiveness?

Reticulocyte count

A nurse is caring for a client who takes repaglinide 15 to 30 min before each meal to treat type 2 DM. The client asks, "If I skip a meal, what should I do?" Which of the following responses should the nurse make?

Skip the dose

A nurse is caring for a client who is about to begin taking propylthiouracil (PTU) to treat hyperthyroidism. The nurse should instruct the client to report which of the following adverse effects?

Sore throat, joint pain, bradycardia, and rash

A nurse is caring for a client who is taking clopidogrel to prevent stent restenosis. The nurse should monitor the client for which of the following adverse reactions?

Thrombocytopenia

A nurse is caring for a client who is scheduled for an outpatient surgical procedure and reports taking aspirin 81 mg daily, including this morning. The nurse should identify that this places the client at risk for which of the following complications?

Uncontrolled bleeding.

A nurse should assess a client who has megaloblastic anemia for indications of which of the following vitamin deficiencies?

Vitamin B12

A nurse in the ED is assessing a client who has been taking warfarin and is experiencing rectal bleeding. Which of the following drugs should the nurse expect to administer to the client?

Vitamin K

A nurse is caring for a client who is taking pioglitazone to treat type 2 DM. The nurse should monitor for which of the following findings?

Weight gain