exam 2

When teaching a patient about the proper use of metered-dose inhalers, which of the following statements should be included?

"After you inhale the medication, hold the breath for approximately 10 seconds and exhale slowly."

A patient with newly diagnosed T1D is beginning daily insulin injections. The nurse is preparing to teach the patient about injections. What should the nurse include in the teaching plan?

Rotate the insulin injection sites

Which of the following mineral/electrolyte imbalances increases the chances of digoxin toxicity?

hypokalemia

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 propylthiouracil (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 client has been diagnosed with impotence and is started on a regimen of androgens. Which statement by the client indicates that the client has understood the teaching?

if my skin appears yellow or my urine turns dark, I will contact my health care provider

Finasteride is most effective?

if stated early in the development of prostate hypertrophy

A client is taking an anabolic steroid. The client has an undiagnosed prostate tumor. What effect will the anabolic steroid have on the prostate tumor?

increase the size

A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include?

increase weight-bearing activity

An adult has decreased growth hormone. Which of the following signs or symptoms is the patient likely to develop?

increased cholesterol

Which of the following mechanism of action is shown by over-the-counter drug magnesium hydroxide (milk of magnesia)?

increased osmotic pressure in the intestinal lumen

A 63-year-old man begins to take dutasteride for benign prostatic hypertrophy. He asks the nurse how long he will need to take the medication. The man needs to take drug for how long?

indefinitely

Which of the following insulins cannot be administered in a continuous subcutaneous insulin infusion pump?

insulin glargine

An appropriate nursing measure when treating a 5-year-old child with a 1-day onset of mild diarrhea involves encouraging which of the following?

intake of clear liquids

A client asks the nurse why esomeprazole (Nexium) works better than cimetidine (Tagamet). Which response should the nurse provide the client?

it decreases acid in your stomach better than cimetidine (Tagamet)

The effects of endogenous estrogen are multifaceted. Which of the following statements is associated with the effects of endogenous estrogen?

it promotes bone formation and decreases bone loss

A girl is taking somatropin. Her mother asks the nurse when her daughter will no longer need the medication. Which of the following is the nurse's best response?

it will be stopped when she has stopped growing

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

lactic acidosis

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

Teaching for a patient who is being started on an iron supplement should include information that the preparation?

may cause stools to be dark green or black

A patient with T2D is scheduled to have a cardiac catheterization in 1 week, and the nurse makes a pre-procedure phone call. The nurse instructs the patient to stop taking which medication 2 days before the procedure?

metformin

A 19-year-old female athlete presents for her first prenatal visit and tells the nurse she has been on androgen therapy to improve her distance running. She asks the nurse if she can continue taking the androgens to maintain her "competitive edge." The nurse should instruct her that she?

must stop taking androgens immediately, because they pose a risk to the fetus; she should discuss this with her health care provider at today's visit

A 21-year-old woman is taking levothyroxine for hypothyroidism. She has recently become sexually active and would like to take an oral contraceptive. Which of the following aspects of patient teaching is most accurate?

oral contraceptive agents result in diminished levothyroxine levels due to inactivation

For which of the following reasons should a nurse instruct a client to avoid taking guaifenesin with combination over-the-counter cold products?

over-the-counter cold products can also contain guaifenesin

Four patients in an endocrine clinic are ordered to begin androgen therapy. The nurse reviews each pts current medications and identifies which pt as able to begin androgen therapy without the risk of a known drug interaction?

patient 4, taking heparin

A nurse is speaking with a client who is taking glipzide to treat type 2 diabetes mellitus 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 finger stick blood glucose check

A nurse is providing teaching to a client about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include?

perform weight-bearing activities

Two weeks ago, a 4-year-old girl fell from a backyard swing and hit her head. Her mother states her potty-trained daughter has been wetting the bed for the past 3 nights. What do you suspect the bedwetting is related to?

possible diabetes insipidus

A nurse should identify that dextromethorphan can have which of the following effects when combined with morphine?

potentiation of depression of CNS actions

A 58-year-old woman with T2DM takes glyburide (DiaBeta) 5 mg by mouth daily, and this drug controls her diabetes well. However, recently, her fast acting blood glucose has measured between 200 and 220 mg/dL. Which of the following medications have been added to the patient's regimen?

prednisone

The nurse would question the use of misoprostol (cytotec) in which population?

pregnant women at all stages of pregnancy

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 preform which of the following actions

prevent histamine from binding to receptors

A nurse knows that teaching was successful when expectant parents give which of the following rationales for administering folic acid supplements?

prevent neural tube deformity

The patient is to receive a bolus tube feeding and a medication per tube at 08:00. When should the medication be administered?

prior to the feeding at 07:30

The nurse would question an order for which of the following antiemetics for treatment of motion sickness-induced nausea?

prochlorperazine

Postmenopausal women with an intact uterus taking estrogen for hormone replacement therapy require progestin because?

progestin opposes the effects of estrogen on the endometrium

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

prolactin level

A patient with a diagnosis of hyperthyroidism has a blood pressure of 170/98 mm Hg. Which of the following medications might a physician prescribe to treat hypertension?

propranolol

As the nurse caring for a patient with nasal congestion who is using the OTC decongestant oxymetazoline, the nurse counsels the patient that this medication should be used only for the time recommended on the package and no longer because excessive use may produce?

rebound nasal congestion

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 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?

reduces inflammation

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?

reduces surface tension

Clopidogrel is indicated for which of the following?

reduction of myocardial infarction, stroke, and vascular death in patients with atherosclerosis

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

renal impairment

A nurse is caring for a client who is taking codeine. The nurse should identify which of the following assessments is priority to make?

respirations

The nurse is reviewing the history of a client who has been identified as a candidate for an adrenergic bronchodilator. What condition will the nurse identify as a reason for cautious administration of the drug?

seizure disorder

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 client's drug level indicated toxicity?

seizures

A nurse is assessing a client who has a new prescription for the combination oral contraceptive ethinyl and drospirenone. Which of the following findings should the nurse identify as a contraindication to use of this medication?

smokes half a pack of cigarettes a day

A patient has just received desmopressin. Which electrolyte is most important to assess?

sodium

A nurse is planning to teach a patient about dietary source of vitamin K. The nurse teaches that foods containing vitamin K include which of the following?

spinach, brussel sprouts, and broccoli

A nurse should question the use of an oral potassium preparation with which one of the following drugs?

spironolactone

A patient asks the nurse when the daily dose of levothyroxine should be taken. Which of the following instructions is most appropriate to teach the patient?

take it before breakfast on an empty stomach

A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include?

take the drug once a day in the evening

A nurse is caring for a client who missed a dose of her oral contraceptive. Which of the following instructions should the nurse give the client?

take the missed dose as soon as possible

The patient has pernicious anemia. Why does the nurse administer vitamin B12 by the intramuscular route?

the drug is not absorbed if taken orally

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?

thins and loosens mucus

For which of the following reasons should a client attach a spacer to a metered-dose inhaler?

to increase the amount of drug delivered to the lungs

The most clear-cut therapeutic indication for the use of male sex hormones is which of the following?

to treat androgen deficiency states in boys and men

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 is caring for a client who is taking combination oral contraceptive ethinyl estradiol and drospirenone and is about to begin taking rifampin to treat tuberculosis. Which of the following instructions should the nurse give the client due to a possible drug interaction?

use additional birth control methods

A nurse practitioner prescribes estrogen replacement therapy to relieve severe menopausal symptoms of hot flashes or flushes, which are the result of?

vasomotor instability

A woman takes large amounts of vitamins, which she buys over the counter without a prescription. The nurse should teach that excess consumption of which one of the following could result in a toxic overdose?

vitamin A

The nurse administers vitamin K if a patient is bleeding from an overdose of which of the following?

warfarin

When taking a patient's history, the nurse notes that the patient is taking warfarin and cimetidine concurrently. The nurse should anticipate which of the following?

warfarin effects would be increased

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 caring for a client who is taking pioglitazone to treat T2DM. The nurse should monitor for which of the following findings?

weight gain

A hospitalized patient on antibiotic therapy begins to experience fever, abdominal pain, and diarrhea containing mucus, pus, and blood. The best nursing intervention in this situation is to do which of the following?

withhold the antibiotic and notify the provider of the patients condition

Adverse effects of cimetidine include which of the following? (select all)

-headache -gynecomastia -diarrhea -confusion

Which of the following points should be included when teaching patients regarding measures to promote healthy bowel function? (select all)

-increasing activity -maintaining adequate fluid intake -establishing regular bowel habits

A nurse is providing teaching to a client who is about to begin exenatide therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include? (Select all)

-inject the drug subcutaneously -expect peak effect in 2 hr -use the drug as a supplement to an oral hypoglycemic

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

-obtain weight measurement daily -report weakness or palpitations -have blood pressure checked regularly

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

Prostate-specific antigen (PSA)

A client is admitted after overdose with acetaminophen. What medication would the nurse expect to be administered?

acetylcysteine

A nurse is caring for a client who is having difficulty mobilizing with respiratory secretions. Which of the following drugs should the nurse expect to administer to the client?

acetylcysteine

A man has sustained burns over 80% of his body in a boating accident. Which of the following hormones is released to raise the arterial blood pressure?

antidiuretic hormone

A man tells the nurse that he has bought the over-the-counter drug bismuth subsalicylate for the next episode of diarrhea. The nurse should assess for what allergy that would contraindicate use of bismuth subsalicylate?

aspirin

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

avoid drinking alcohol

A nurse is teaching a client who is taking prednisone for an acute asthma exacerbation. Which of the following instructions should the nurse include?

avoid taking non steroidal anti-inflammatory drugs

When oral contraceptives are contradicted in women with liver disease, what other birth control option would be safe?

barrier methods (condoms)

The nurse knows that antiemetics are most effective when administered?

before an emetogenic event occurs

A woman experiencing preterm labor receives terbutaline sulfate. Which of the following adverse effects should the nurse tell her to expect?

hand tremors

A nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include?

have blood pressure checked regularly

The nurse is teaching a client who has a prescription for zileuton. Which of the following should the nurse include?

have laboratory tests performed at regular intervals

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?

headache

After administering terbutaline to a client to inhibit preterm labor, the nurse should assess which of the following?

heart rate

What should the nurse assess prior to the administration of levothyroxine?

heart rate

A client with allergies has expressed interest in taking pseudoephedrine for seasonal allergies. What client condition would most strongly lead the nurse to caution against taking the drug?

history of severe hypertension

The nurse is preparing a presentation of the risk factors of oral contraceptives. What factor is an absolute contraindication?

history of thromboembolism

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 patient with T2D calls the nurse to report the following symptoms: blood glucose of 378 mg/dL, excessive urine, and feelings of becoming drowsier. To determine a possible diagnosis, which of the following questions is most important?

"Have there been any ketones in the urine?"

The nurse is educating an adult client who has been diagnosed with a nonproductive cough about the prescribed dextromethorphan. Which statement made by the client establishes the need for further clarification?

"I will dilute the drug syrup with an equal amount of water."

A client has been prescribed omeprazole by the primary health care provider. When the nurse asks whether the medication is providing relief, the client replies, "I think it's working quite well, and I've gotten in the routine of taking it every morning before breakfast." How should the nurse respond?

"I'm glad to hear that. It sounds like you're taking it exactly like it should be taken."

A client recently diagnosed with asthma anxiously reports that the symptoms of a recent episode were not relieved despite taking several puffs of the prescribed salmeterol. How should the nurse respond to the client's concern?

"Remember that your salmeterol isn't effective when you take it at time of an asthma attack."

A client with asthma has been prescribed an albuterol inhaler. What recommendation should the nurse include in client teaching?

"Stop smoking to reduce bronchoconstriction."

A client has hypertension and wants to take a nasal decongestant for cold symptoms. Which statement by the nurse indicates the effect of hypertensive medications on hypertension?

"The administration of a nasal decongestant will increase blood pressure due to vasoconstriction of blood vessels."

A client is prescribed an antitussive agent with codeine. Which statement by the client indicates that the nurse's teaching has been effective?

"This medication will cause drowsiness, and I will not drive."

A woman begins using an albuterol inhaler and a beclomethasone inhaler for her asthma. She asks if it matters which inhaler she uses first. The best response by the nurse is which of the following?

"You should use the albuterol inhaler first followed in 5 to 10 minutes by the beclomethasone inhaler."

After patient teaching of the warning signs associated with combination hormonal contraception, what statement would result in the nurse providing additional education?

"breakthrough bleeding is a sign of a uterine abnormality."

A man who is using a steroid inhaler complains of anorexia and discomfort when he eats. The nurse reports this to the care provider, and the patient receives a diagnosis of oropharyngeal candidiasis. It is possible to decrease this adverse effect by which of the following actions? (Select all that apply.)

- reducing the dose -rinsing the mouth after use -using a spacer device

A nurse is assessing a client who has a new prescription of oxybutynin to treat neurogenic bladder. Which of the following assessment finding should the nurse identify as an adverse effect of the drug? (select all)

-dilated pupils -dizziness -distended bladder -fever

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

-Alanine aminotransferase (ALT) -LDL

A client with a peptic ulcer colonized with H. pylori asks how the prescription of bismuth will help them. Which information should the nurse provide the client? (select all)

-Bismuth if effective for inhibiting bacterial growth -bismuth keeps bacteria from sticking in your stomach

A provider has prescribed a dinoprostone vaginal insert to promote cervical ripening in a client who is at 40 weeks of gestation. When administering dinoprostone, which of the following actions should the nurse take? (select all)

-Encourage the client to urinate prior to insertion -Remove the pouch when active labor begins -Monitor the uterine hyperstimulation -Monitor the client's temperature

Which of the following statements by a male patient taking transdermal androgens indicates that teaching has been adequate? (select all)

-I need to weigh myself once ir twice weekly and record the amount -I should wash my face and body thoroughly to decrease the risk of acne -the patch systems should be applied nightly to skin on my back, abdomen, upper arm, or thigh

A nurse is caring for a client who has a new prescription for transdermal conjugated estrogen and medroxyprogesterone to treat postmenopausal symptoms. The nurse should explain to the client that this drug combination includes which of the following therapeutic effects? (select all)

-Reduces risk of ovarian cancer -Relieves hot flashes -Prevents osteoporosis

The FDA pediatric safety labeling changes, warning against the use of prescription opioid cough and cold medicines in children younger than 18 years, are based on available data and expert opinion that supports which of the following statements? (select all that apply)

-a cough should not be suppressed unless it is causing clinical consequences, such as consecutive nights of poor sleep and/or vomiting, rib fractures, or hypoxia -the safety labeling changes should protect children from unnecessary exposure to opioids -the risks for prescription opioid cough products typically outweigh the potential benefits in children of all ages -addiction or abuse potential is a concern regarding the use of hydrocodone or codeine in children

A nurse is providing teaching to a client who is taking bethanechol for urinary retention. Which of the following instructions should the nurse include? (select all)

-avoid driving and activities that require alertness-increase fluid intake -stay close to a bathroom after taking the drug

A patient presents with a blood pressure of 162/88, heart rate of 100 bpm, triglycerides of 378 mg/dL, and HDL of 25 mg/dL. Which of the following are characteristics of metabolic syndrome? (select all)

-blood pressure of 162/88 mm Hg -triglycerides of 378 mg/dL -HDL of 25 mg/dL

A nurse is teaching a client who has a new prescription for transdermal testosterone gel to treat delayed puberty. Which of the following instructions should the nurse include? (select all)

-cover the area of application with clothing -wash your hands after applying the gel -do not shower for several hours after applying the gel

The client diagnosed with peptic ulcer diseases states, "I've never been a really anxious type of person, so I never thought I'd develop ulcers." The nurse has responded with health education addressing the etiology of peptic ulcer disease (PUD). What causative factors should the nurse cite? (select all)

-physiologic or psychological stress -cigarette smoking -infections -nonsteriodal anti-inflammatory drugs

A nurse is caring for a patient preparing to undergo a colonoscopy. Which of the following drugs do health care providers commonly use to enhance bowel cleansing? (select all)

-polyethylene glycol-electrolyte solution -bisacodyl

A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include? (select all)

-restlessness -insomnia -anxiety

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? (Select all)

-sore throat -joint pain -bradycardia -rash

A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects? (select all)

-urinary retention -dry mouth

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? (Select all)

-urine calcium -blood glucose

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

0820

A client is prescribed a proton pump inhibitor to treat erosive gastritis. How soon will the client's symptoms be resolved?

1-2 weeks

A patient is taking NPH insulin once daily in the morning. What is the most likely time for a hypoglycemic reaction?

4 to 12 hours after administration

In which of the following men would the use of sildenafil be contradicted?

58-year-old with unstable angina

A nurse is caring for a client who received human menopausal gonadotropin (hMG). Which of the following findings should the nurse expect?

Follicular maturation

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

Administer pramlintide before meals

A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone 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?

Albuterol will increase the absorption of fluticasone

A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give?

Allow at least 2 weeks for the full therapeutic effect

A man has a low level of adrenocorticotropic hormone and a high level of cortisol. What disease does he have?

Cushing's disease

An adult client diagnosed with asthma has been prescribed montelukast. The nurse should teach the client that this drug will help relieve symptoms by which mechanism?

Preventing the bronchoconstriction and inflammation that is caused by leukotrienes

Once an ovum is fertilized, what hormone works to maintain pregnancy?

Progesterone

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?

Drowsiness

A nurse is caring for a client who has benign prostatic hypertrophy and is taking tamsulosin. The nurse should question the use of the drug if the client also has which of the following?

Erectile dysfunction for which he takes sildenafil

A nurse should question the use of ethinyl estradiol and drospirenone by a client who has renal disease due to the increased risk of which of the following?

Hyperkalemia

A nurse is teaching a client who has a new prescription for a testosterone transdermal patch. Which of the following statements made by the client indicates an understanding of the teaching?

I should apply the medication to a different site each time

A nurse is caring for a client who is about to begin clomiphene therapy to treat infertility. The nurse should monitor the client for which of the following adverse effects?

Ovarian hyperstimulation syndrome

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?

Palpitations

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

Skip the dose

Which fact regarding administration should the nurse include in patient teaching about the drug sucralfate?

Take sucralfate before meals

A patient is taking ketoconazole for the treatment of Cushing's disease. When providing patient teaching, which of the following is most important?

Take the medication with juice or an acidic beverage

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 68-year-old man, well controlled on theophylline for 2 years, complains of insomnia, nervousness, nausea and vomiting, and tachycardia. He originally thought the nervousness was due to his recent smoking cessation. He has smoked one pack per day for 10 years. The nurse practitioner assesses the patient and tells him that he is likely to experiencing theophylline toxicity. A serum theophylline level confirms the diagnosis. What is the best explanation for theophylline toxicity in this patient?

The metabolism of theophylline has decreased with the recent smoking cessation

The nurse should teach a patient to avoid large amounts of potassium-containing foods or a potassium supplement if the patient is taking which one of the following drugs for control of blood pressure?

an angiotensin-converting enzyme inhibitor

A nurse is caring for a client who has a new prescription for conjugated equine estrogen. The nurse should instruct the client to report which of the following indications of a serious adverse reaction?

Vaginal bleeding

A nurse is teaching a client about receiving leuprolide to treat endometriosis. The nurse should instruct the client to expect which of the following side effects?

Vaginal dryness

A client, after presenting at the clinic with sneezing and coughing, is diagnosed with the common cold. Which type of microorganism causes the common cold?

Virus

A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include?

Wait 5 min between using the drug and another inhaled drug

A nurse is preparing to administer finasteride to a client who has benign prostatic hypertrophy (BPH). Which of the following precautions should the nurse plan to take when administering this drug?

Wear gloves when handling the tablet

Which one of the following patients taking vitamin A supplements is most concern to the nurse?

a 21-year-old woman who is pregnant

cold remedies listed as "non drowsy" or labeled as "daytime" formulas do not contain?

a first-generation antihistamine

Which one of the following findings in a nursing assessment of a newly admitted patient would be most likely to result in a vitamin deficiency?

a history of liver disease

The certified nurse midwife administers misoprostol in the woman's vagina to increase cervical ripening. The cervix ripens, but the contractions are not significant for the fetus to pass through the birth canal, and oxytocin is ordered. Which of the following is most important with regard to the administration of oxytocin?

begin the oxytocin in 4 hours

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

beta blockers

A nurse is caring for a client who has hyperthyroidism and is not responding to treatment. The nurse should identify that hyperthyroidism is a contraindication of which of the following drugs?

bethanechol

A nurse should question the use of conjugated equine estrogen by a client who has a history of which of the following?

blood clots

A nurse is providing safety education to a client who is scheduled to begin treatment with tamsulosin for benign prostatic hypertrophy (BPH). Which of the following instructions should the nurse include in the teaching?

change positions slowly

A client is given theophylline to treat asthma symptoms. Which food should the client avoid?

chocolate

A couple has been trying to conceive for the past 8 months without success. Which of the following medications is the first drug of choice?

clomiphene citrate

A client is taking androgens and warfarin. What effect will these two medications have on the client's coagulation?

coagulation will be decreased

A laxative is contradicted in a patent?

complaining of abdominal pain and distention

In caring for a patient with nasal congestion, the nurse knows that adrenergic drugs are used as nasal decongestants to relieve symptoms by?

constricting arterioles and reducing blood flow to nasal mucosa

A nurse is caring for a patient who is "nothing by mouth" (NPO) before surgery scheduled at 10:00 am. He routinely receives 30 units of Humulin 70/30 every morning at 7:00 am. What is the appropriate nursing action in this situation?

contact the physician for a pre surgery insulin order

A patient who is newly diagnosed with diabetes mellitus demonstrates extreme anxiety. The most appropriate intervention to decrease the patient's anxiety would be to do which of the following?

convey empathy, trust, and respect toward the patient

A nurse should recognize that using pseudoephedrine to treat allergic rhinitis requires cautious use with clients who have which of the following conditions?

coronary artery disease

Progesterone is a progestin concerned almost entirely with reproduction. In nonpregnanat women, progesterone is secreted by which of the following?

corpus luteum

An infant has diminished growth and development with a very slow pulse and below normal temperature. Based on the symptoms, what disorder is suspected?

cretinism

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?

decreases inflammation

When administering 5-HT3 receptor antagonists before cancer chemotherapy, the nurse should also be prepared to administer which of the following adjunctive medications?

dexamethasone

A patient is started on Mylanta for peptic ulcer disease. It is important for the nurse to inform the patient about which of the following adverse effects?

diarrhea

A woman is admitted to labor and delivery for labor induction due to poster pregnancy. Labor has not begun on its own, and the cervix is unfavorable. Which of the following medications promotes cervical ripening?

dinoprostone

A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. Which of the following instructions should the nurse include?

do not take the drug with high-fat foods

The nurse caring for a patient with diabetes mellitus has lipodystrophy of the abdomen. What should the nurse assess?

does the patient rotate sites for giving each injection?

When teaching a patient who has recently received a diagnosis of diabetes how to self-administer short-acting and intermediate-acting insulin subcutaneously, which of the following instructions is correct?

draw the short-acting insulin into the syringe first, followed by the intermediate-acting insulin

Legal restrictions apply to the purchase of pseudoephedrine because of which of the following risks?

drug abuse

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

eat more iron-rich foods

A patient with DKA is admitted to the hospital. Which of the following does the nurse expect to see?

elevated blood glucose and decreased plasma bicarbonate

A client is admitted to the emergency department with inspiratory stridor and air hunger. When anticipating treatment, the nurse will prepare which medication for administration?

epinephrine

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

A woman receives a prescription of hydrocortisone for adrenal insufficiency. It is necessary to report which of the following conditions to the primary health care provider?

fever

The nurse has finished administering medication through a percutaneous endoscopic gastrostomy tube. Which one of the following steps should the nurse take next?

flush the tube with water and record the amount

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

glucagon