exam 2 practice questions
A client is diagnosed with peptic ulcer due to H. pylori. The nurse would anticipate administering which agent in conjunction with an antibiotic? A. Omeprazole B. Magaldrate C. Sucralfate D. Cimetidine
A
A client prescribed epoetin alfa asks how the medication works. Which is the nurse's best response? A. "Increases the release of cells to increase the hemoglobin and hematocrit levels." B. "Decreases release of reticulocytes, which inhibits red blood cell (RBC) production." C. "Stimulates the growth and development of white blood cells (WBC) to prevent neutropenia." D. "Releases erthyropoiesis from the kidneys to increase the number of platelets."
A
A nurse notes that a newly admitted client is currently prescribed both a loop diuretic as well as a thiazide diuretic. The nurse understands what primary rationale for the concurrent use of these two drugs? A. increased diuretic effect B. reduced risk of potassium imbalances C. decreased blood pressure without a risk of bradycardia D. increased adherence to treatment
A
A nurse obtains an allergy history from a client based on the understanding that which class is associated with a cross-sensitivity reaction with sulfonamides? A. Thiazide diuretics B. Carbonic anhydrase inhibitors C. Potassium-sparing diuretics D. Osmotic diuretics
A
A patient is prescribed a proton pump inhibitor to treat erosive gastritis. How soon will the patient's symptoms be abolished? A. 1-2 weeks B. 6 weeks C. 10 weeks D. 12 weeks
A
As part of a class presentation, a nursing student is describing the actions of the different diuretics. Which medication would the student include as exerting its diuretic effect by inhibiting the reabsorption of sodium and chloride ions in the ascending portion of the loop of Henle and the early distal tubule of the nephron? A. Hydrochlorothiazide B. Acetazolamide C. Furosemide D. Spironolactone
A
Ms. Crampton is prescribed furosemide for chronic heart failure. The nurse knows that furosemide can cause electrolyte imbalances and what other serious side effect? A. Metabolic alkalosis B. Metabolic acidosis C. Compensated respiratory alkalosis D. Compensated respiratory acidosis
A
The nurse is caring for a 68-year-old female client with type 1 diabetes mellitus whose health care provider has ordered hydrochlorothiazide. As a consequence of taking the diuretic, the client may need to: A. increase her insulin dose. B. decrease her insulin dose. C. decrease her consumption of potassium-rich foods. D. increase her consumption of sodium-rich foods.
A
The nursing instructor is teaching a session explaining the various drugs used to treat urinary tract infections. The instructor determines the session is successful when the students correctly choose which organ as most often affected by infections? A. Bladder B. Kidney C. Urethra D. Ureters
A
When describing the function of vitamin B12, what would be appropriate to include? A. Maintenance of myelin sheath B. Prevention of neural tube defects C. Important role in cell division D. Oxygen transport to the tissues
A
When preparing the teaching plan for a male client who is prescribed spironolactone, the nurse would alert the client to the possibility of which of the following? A. Gynecomastia B. Erectile dysfunction C. Priapism D. Alopecia
A
Prior to administering oxybutynin (Ditropan) to a client, the nurse should get a full medical history because the use of oxybutynin (Ditropan) is contraindicated in clients with what issues? (Select all that apply.) A. Myasthenia gravis B. Urinary tract blockage C. Diabetes D. Intestinal blockage E. Hypertriglyceridemia
A, B, D
A client is prescribed phenazopyridine. In addition to informing the client that the drug can cause a change in urine color, the nurse would tell the client that which may also change color? A. nail beds B. fluid lubricating the eyes C. tooth enamel D. facial color
B
A nurse is providing care to a client who is to receive acetazolamide for epilepsy. Before administering this drug, the nurse would assess which of the following? A. Intraocular pressure and eye pain B. Response of pupils to light and blink reflex C. Vital signs and weight D. Intracranial bleeding and level of consciousness
C
The nurse assesses a client receiving furosemide for: A. Acidosis B. Hypercalcemia C. Hypotension D. Hypoglycemia
C
Which adverse effect is more likely to occur with cimetidine than with other histamine2 receptor antagonists? A. hypoxia B. hypertension C. gynecomastia D. seizures
C
A client is unconscious and experiencing increasing intracranial pressure. What type of diuretic will the client most likely be prescribed? A. loop diuretic B. potassium-sparing diuretic C. thiazide diuretic D. osmotic diuretic
D
After reviewing the major types of anemia, students demonstrate understanding of the information when they identify what as an example of a hemolytic anemia? A. Iron deficiency anemia B. Pernicious anemia C. Folic acid deficiency anemia D. Sickle cell anemia
D
What would be most important to monitor in a client receiving an agent for BPH? A. Complete blood count B. Serum electrolyte levels C. Renal function studies D. Prostate-specific antigen level
D