Nurs 3110 exam 1

Which laboratory test should the nurse monitor for a client receiving albuterol​ (Proventil) reporting fatigue and​ palpitations?

Electrolytes

Which is a priority nursing assessment for the client for that is receiving a parenteral​ feeding?

Fluid overload

Which histamine receptor is blocked by the action of an​ antihistamine?

H1 receptor site

The nurse notes a client is prescribed Orlistat​ (Alli). Which condition should the nurse recognize the prescription is​ treating?

Obesity

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?

One formed stool per day.

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

Restlessness Insomnia Anxiety

A nurse in a clinic is reviewing the laboratory findings of a client who has type 2 diabetes mellitus. Which of the following findings indicates the client's plan of care is effective?

Serum creatinine 1.5 mg/dL

Where does the pyloric sphincter regulate the flow of food​ into?

Small intestine

A client asks the nurse when she should use an antitussive. Which response should the nurse provide the​ client?

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

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?

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

A client asks the nurse why he cannot take his monoamine oxidase inhibitor​ (MAOI) with diphenhydramine​ (Benadryl). Which response should the nurse​ provide?

​"You may develop a hypertensive​ crisis."

Which clients are at risk for peptic ulcer​ disease?

-A client with Type O blood -A client that smokes -A client experiencing excessive psychological stress

Which priority question should the nurse ask a client prior to the administration of ipratropium​ (Atrovent)?

​"Are you allergic to​ soy?"

Which information should the nurse provide a client that asks the nurse how they got H. Pylori​?

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

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?

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

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?

Duodenal ulcer

Which information should the nurse include in the education for a female client prescribed sulfasalazine​ (Azulfidine)?

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

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?

Swallow the capsules whole.

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

​"How have you been​ sleeping?"

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."

For which condition is the use of a​ bulk-type laxative contraindicated​ in?

-Prescribed antibiotic -Fecal impaction -Pregnancy

The nurse is reviewing the major functions of the upper respiratory tract with a client. Which information should the nurse​ include?

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

Which should the nurse monitor the client for after initiating pancreatic enzyme replacement​ therapy?

Nausea and vomiting

Which should the nurse anticipate to be prescribed for a bowl preparation prior to a​ colonoscopy?

Sodium biphosphate​ (Fleet Phospho-Soda)

Which substance assists with the efficient absorption of​ calcium?

Vitamin D

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?

:I can take this medicine with juice"

Which assessment finding should the nurse be concerned about for the client receiving Ranitidine​ (Zantac) for treatment of peptic ulcer disease​ (PUD)?

Increased diarrhea

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?

Increased emptying time of the stomach

A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions?

Inflammatory bowel disease

Which information should the nurse include when discussing inhalation therapy as part of a treatment plan for the​ client's asthma?

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

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?

Antacids

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

Aspirin sensitivity

Which condition should the nurse be concerned about for a client prescribed an antitussive with​ codeine?

Asthma

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

Which can be combined with Aluminum compounds such as Aluminum Hydroxide​ (AlternaGEL) to increase their effectiveness and reduce the potential for​ constipation?

Magnesium

Which acid-base imbalance should the nurse be concerned about for the client that has been vomiting for several​ days?

Metabolic alkalosis

Which information should the nurse include in the education for the client prescribed Montelukast​ (Singulair)?

Montelukast should not be used in pediatric clients.

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)

1. Skin integrity 2. Temperature 3. CBC

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)

1. Infuse the drug 30 min prior to chemotherapy. 2. Infuse the drug slowly over 15 min. 3. Repeat the dose 4 hf after chemotherapy.

A nurse is assessing a client who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?

Diaphoresis, irritability, and 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?

Dizziness

A nurse is providing dietary teaching for a client who has COPD. Which of the following instructions should the nurse include in the teaching?

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

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? Muscle tremors Drowsiness Excitation Insomnia

Drowsiness

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

Drug abuse

Which current medication should the nurse be concerned about for a client newly prescribed ondansetron​ (Zofran)?

Haloperidol​ (Haldol)

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

Urinary retention Dry mouth

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

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

Which current prescription should the nurse be concerned about for a client newly prescribed orlistat​ (alli)?

Warfarin

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?

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

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 To increase the amount of drug delivered to the oropharynx To increase the amount of drug delivered on exhalation To increase the speed of drug delivery into the mouth

​To increase the amount of drug delivered to the lungs

Which information should the nurse include in the education for a client prescribed an intranasal​ corticosteroid?

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

A client asks the nurse what the difference is between​ Crohn's disease and ulcerative colitis. Which information should the nurse​ provide?

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

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?

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

A patient has been prescribed benzonatate​ (Tessalon). What medication education should the nurse​ provide?

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

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?

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

The nurse has provided education for a client prescribed zafirlukast​ (Accolate). Which statement made by the client indicates an understanding of the​ information?

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

The nurse has completed the education for a client prescribed an antihistamine. Which statement made by the client indicates an understanding of the​ information?

​"This medication could make me very​ sleepy."

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?

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

Which information should the nurse include in the teaching of a client with chronic bronchitis prescribed breathing treatments with acetylcysteine​ (Mucomyst)?

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

The nurse is preparing to assess a client receiving enteral feedings. Which finding should the nurse be concerned​ about?

Dry lips

Which condition is associated with a cyanocobalamin ​(B12​) ​deficiency?

Pernicious anemia.

Which describes an important function of vitamin​ A?

Promote visual pigment of the eye

Which should the nurse understand about the use of albuterol​ (VoSpire ER)?

A ​short-acting beta agonist

Which describes the primary role of the large​ intestine?

Excrete fecal matter

For which class of prescription should the nurse monitor a client for a fungal infection of the​ throat?

Inhaled corticosteroid

Which should the nurse be prepared to administer to a client who has overdosed on diphenoxylate with atropine​ (Lomotil)?

Naloxone

Which condition should the nurse be concerned about for a client prescribed fluticasone​ (Flonase)?

Pregnancy

Which describes the purpose for the use of an opioid​ antitussive?

Relieve severe cough

Which should the nurse include in the plan of care for the client experiencing frequent​ constipation?

-Increase the fluid intake. -Increase dietary fiber. -Increase daily physical exercise.

Which disorders are antihistamines used to​ treat?

-Insomnia -Vertigo -​Parkinson's disease

Which​ long-term control prescriptions have an​ anti-inflammatory mechanism of​ action?

-Mast cell stabilizers -Leukotriene modifiers -Inhaled corticosteroids

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?

"Avoid driving or activities requiring alertness."

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

"Avoid taking nonsteroidal anti-inflammatory drugs."

Which client as being at greatest risk for developing vitamin​ deficiencies?

A client prescribed oral contraceptives for birth control

Which information should the nurse provide a client that is will receive enteral​ nutrition?

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

The nurse has provided education for a client diagnosed with asthma. Which statements made by the client indicate that further teaching is​ required?

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

A client has been prescribed a leukotriene modifier. Which assessment finding would cause the nurse to question this​ prescription?

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

Which assessment should the nurse conduct for the client receiving beclomethasone​ (Beconase) nasal​ spray?

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

Which deficiencies should the nurse understand occur after bariatric​ surgery?

-Copper

Which foods should the nurse associate with triggering an​ asthma?

-Cured meat -Dairy products -Nuts -Shellfish -(not grapefruit juice)

For which clinical conditions should the nurse recognize​ self-directed antacid use is not​ recommended?

-Diminished renal function. -​Sodium-restricted diets.

Which information should the nurse include in the education for a client with​ asthma?

-Drink additional fluids. -Eat​ small, frequent meals.

Which foods high in vitamin A should the nurse recommend to a​ client?

-Eggs -Butter -Whole milk -Dark leafy vegetables -NOT lean red meat

A nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions?

A positive pregnancy test

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?

Abdominal pain

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? Ipratropium Beclomethasone Acetylcysteine Azelastine

Acetylcysteine

Which​ over-the-counter (OTC) antihistamine combination contains an analgesic​ property?

Actifed Plus

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? Albuterol will increase the absorption of fluticasone. Albuterol will decrease inflammation. Albuterol will reduce nasal secretions. Fluticasone will reduce the adverse effects of albuterol.

Albuterol will increase the absorption of fluticasone.

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.

A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include?

Avoid activities that require alertness.

Which information should the nurse include in the teaching for a client prescribed dextromethorphan​ (Delsym)?

Avoid grapefruit juice.

Which describes the mechanism of action of​ proton-pump inhibitors?

Block the enzyme that secretes acid in the stomach

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?

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

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

Coronary artery disease

Which describes the mechanism of action of diphenoxylate with atropine​ (Lomotil)?

Decrease peristalsis

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? Thins mucus Relaxes bronchial smooth muscle Decreases inflammation Increases the cough threshold

Decreases inflammation

Which is the priority nursing assessment for the client with preeclampsia receiving magnesium sulfate experiencing muscle​ weakness?

Deep tendon reflexes

Which vitamin should the nurse encourage a female to take prior to becoming pregnant to help prevent neural tube​ defects?

Folic acid

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 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 in the information?

HDL 79 mg/dL

Which assessment finding should the nurse be most concerned about for a client receiving pseudoephedrine​ (Sudafed)?

Heart rate 82 and irregular

Which action should the nurse take with the prescribed dose of orlistat​ (Alli) for the client that has ordered dry toast for​ breakfast?

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?

Hyperactive immune response

A home health nurse is providing dietary teaching to the parents of a 3-year-old child. Which of the following indicates the parents understand the teaching?

I will put ow fat milk in her cup to drink

Which prescription is used to prevent allergic​ rhinitis?

Intranasal corticosteroids

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?

Ketoconazole

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

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

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? Fever Bruising Polyuria Palpitations

Palpitations

Which condition is characterized by an erosion of the mucosal layer of the stomach or​ duodenum?

Peptic ulcer

Which electrolyte should the nurse assess for a client prescribed aluminum hydroxide​ (AlternaGEL)?

Phosphate

Which enteral formula should the nurse anticipate for a client that with a functioning GI tract experiencing​ undernourishment?

Polymeric

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following laboratory findings indicates that the TPN therapy is effective?

Prealbumin level of 30 mg/dL

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? Decrease viscosity of nasal secretions Block H2 receptors Prevent histamine from binding to receptors Reduce nasal congestion

Prevent histamine from binding to receptors

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?

Prevents straining

Which should the nurse include in the plan of care when administering total parenteral​ nutrition?

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

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? Blood pressure Apical heart rate Respirations Level of consciousness

Respirations

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?

Sucralfate interferes with the absorption of phenytoin.

Which condition is an adverse effect of a​ beta-adrenergic agonist?

Tachycardia

Which describes the​ body's need for​ vitamins?

They are needed in small amounts to promote growth.

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? Suppresses the cough stimulus Reduces inflammation Thins and loosens mucus Dries secretions

Thins and loosens mucus

Which vitamin can be toxic if consumed in large​ amounts?

Vitamin A

A client is experiencing anorexia related to cancer treatment. Which of the following interventions should the nurse implement to increase the client's nutritional intake?

add extra calories and protein to every meal

Which information should the nurse include when discussing the appropriate dosing and administration needs for​ self-administering prescriptive​ therapy?

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

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?

gain approx. 15 pounds (6.8 kg)

Which vitamins are lipid​ soluble?

-A,D,E

Which should the nurse monitor for a young child prescribed a corticosteroid for​ asthma?

-Height -Bone density -Weight

Which information should the nurse include in the education for a client with peptic ulcer disease prescribed omeprazole​ (Prilosec)?

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

Which information should the nurse include in the education for the client prescribed inhaled ipratropium​ (Atrovent)?

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

Which laboratory tests should the nurse evaluate for the client receiving topical vitamin​ A?

-Serum calcium level -Blood urea nitrogen -Serum cholesterol

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?

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

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?

"I will eat eggs for breakfast."

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?

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

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."

How is the body mass index calculated to diagnose​ obesity?

-Weight -Height

Which information should the nurse include in the teaching for a client prescribed aluminum hydroxide​ (AlternaGEL)?

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

Which information should the nurse include in the education of a client prescribed an​ antacid?

Administer antacids at least 2 hours before other oral medications.

The nurse is providing education for a client prescribed albuterol​ (ProAir HFA). Which information should the nurse include in the​ teaching?

Administer the prescription 15 to 30 prior to activity.

For which should the nurse monitor a client suspected of abusing dextromethorphan​ (Delsym)?

CNS toxicity

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?

Calcium

Which is the anticipated treatment outcome for a client that has developed nausea and​ vomiting?

Identifying and eliminating the cause

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?

Nausea

Which condition should the nurse identify as a complication for​ long-term use of​ proton-pump inhibitors​ (PPIs)?

Osteoporosis

Which is the primary goal of treatment for gastroesophageal reflux disease​ (GERD)?

Reduce gastric acid secretions

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? Increases leukocyte activity Blocks muscarinic receptors Causes bronchodilation Reduces inflammation

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? Suppresses the cough stimulus Reduces surface tension Reduces inflammation Dries mucous membranes

Reduces surface tension

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

Take the drug once a day in the evening.

Which information should the nurse include in the education for a client prescribed scopolamine for motion​ sickness?

Take your prescription 20 to 60 minutes prior to travel

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.

Which client is most at risk to develop​ constipation?

The elderly client who routinely takes a stimulant laxative twice daily

Which describes the primary action of stool​ softeners?

Increase water absorption in the stool

Which best describes the pathogenesis of​ diarrhea?

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

Which statement is true regarding dry powder inhalers​ (DPI)?

The device is activated by inhalation.

A client asks the nurse why they are prescribed a multivitamin. Which information should the nurse include in the​ discussion?

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

Which assessment findings should the nurse anticipate for a client experiencing allergic​ rhinitis?

-Tearing eyes -Itching throat -Nasal congestion -Sneezing (not coughing)

Which should the nurse anticipate to be included in the treatment plan for a client suspected to have developed peptic ulcer disease​ (PUD)?

-Testing for H. pylori -Multiple prescriptions -Pharmacotherapy for 4 weeks -Lifestyle changes -NOT antibiotic treatment

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?

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

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?

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

Which statements should the nurse include in the education for a client with gastroesophageal reflux disease​ (GERD)?

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

Which assessment questions should the nurse ask the parents of a young child diagnosed with​ asthma?

-​"Has your child eaten any new​ foods?" -​"Does anyone smoke in the​ home?" -​"Have any chemicals been used in your​ home?" -​"Have you changed the laundry soap​ recently?" -(not warm climates)

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?

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

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)

1. Take the drug 30 to 60 min before activities that trigger nausea. 2. Avoid activities that require alertness. 3. Increase fluid and fiber intake.

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)

1. Take the drug with at least 8 oz (237 mL) of fluid. 2. Increase fluid and fiber intake.

Which priority intervention should the nurse implement for a client that is experiencing magnesium​ toxicity?

Administer IV calcium gluconate

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

Allow at least 2 weeks for the full therapeutic effect.

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?

Alosetron

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?

Aluminum hydroxide

Which should the nurse monitor to prevent complications of a client receiving total parenteral nutrition​ (TPN)?

Blood glucose levels

Which client assessment finding should the nurse associated with a duodenal​ ulcer?

Burning pain several hours after eating a meal

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

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 Sleepiness Hypotension Constipation

Headache

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

Increase weight-bearing activity.

Which should the nurse recognize is a​ long-term control prescription used to treat​ asthma?

Mast cell stabilizers

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

Potentiation of depression of CNS actions

A client asks the nurse how probiotics can be beneficial in the treatment of their irritable bowel syndrome. Which response should the nurse​ provide?

Probiotics restore the normal intestinal bacteria

Which describes a function of Vitamin​ C?

Promotes development of bones and teeth.

Which are leukotriene modifiers primarily used​ for?

Prophylaxis of asthma symptoms

Which describes the effect of saline​ cathartics?

Pull water into the fecal mass creating a waterier stool

Which should the nurse recognize is the function of the​ duodenum?

Receives chyme from the stomach

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? Seizures Constipation Normal sinus rhythm Somnolence

Seizures

Which symptom should the nurse instruct the client prescribed diphenhydramine​ (Benadryl) to report to the healthcare​ provider?

Urinary hesitancy

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?

​"An antidiarrheal can worsen your​ infection."

A client asks the nurse how benzonatate​ (Tessalon) works to suppress her cough. Which response should the nurse provide the​ client?

​"Anesthetizes the receptor sites of the​ lungs"

Which information should the nurse include in the teaching for a client with allergic symptoms prescribed an​ antihistamine?

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

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?

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

Which information should the nurse include in the teaching for a client that will be receiving intermittent enteral nutrition at​ home?

​-"Clean the equipment between each feeding​ administration." -"Refrigerate any feeding that is not needed for a​ feeding." -​"You may use plain tap water for scheduled tubing​ flushes." -​"Keep the area around the insertion site​ clean." -NOT ​"Once mixed, the enteral feeding should hang no more than 8​ hours."

Which clinical conditions would the nurse most likely associate with a client who has a documented history of​ alcoholism?

-Thiamine deficiency -Scurvy -Vitamin A deficiency -Pellagra -NOT carbohydrate deficiency

Which information should the nurse include in the teaching for a client with an increased risk for the development a Clostridium difficile ​infection?

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

A client asks the nurse what has caused her allergic rhinitis. Which statements should the nurse include in the​ discussion?

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

Which information should the nurse provide a client with gastroesophageal reflux disease GERD who is reluctant to make suggested lifestyle​ changes?

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

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?

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

A client prescribed beclomethasone​ (Beconase) intranasally asks the nurse whether the prescription is safe. Which response should the nurse provide the​ client?

​"Intranasal glucocorticoids produce almost no serious adverse​ effects."

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​."

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)."

Which information should the nurse provide a parent of a newborn prescribed a vitamin K​ injection?

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

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?

​"Oral decongestants can cause​ hypertension."

Which information should the nurse include in the dietary discussion with a client that consumes a vegetarian​ diet?

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

Which information should the nurse include in the client education for the administration of an intranasal​ decongestant?

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

The nurse has provided a client with asthma education about bronchodilators. Which statement made by the client indicates an understanding of the​ information?

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

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?

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

Which is the most important question the nurse should ask a client with ulcerative colitis prior to administering sulfasalazine​ (Azulfidine)?

​"Do you have any medication​ allergies?"

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?

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

A nurse is explaining the process of respiration to a client. Which information should be​ given?

-​"Moving air in and out of the lungs is called​ ventilation." -Exchange of oxygen and carbon dioxide occurs across a thin capillary membrane. -Respiration is not effective without perfusion. -Your basic respiratory drive is determined by your brain. -(alveoli are not smooth muscle)

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?

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

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?

​"H1 receptors are found in the​ stomach."

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?

​"How long have you been using the​ prescription?"

Which statement made by a client indicates an understanding of the function of the large​ intestine?

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

The nurse has completed the education for a client prescribed psyllium mucilloid​ (Metamucil). Which statement made by the client indicates further teaching is​ required?

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

A nurse is updating a 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?

Feed the client in small, frequent volumes.

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?

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

Which information should the nurse include in the teaching for a client prescribed a stool softener for​ constipation?

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

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?

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

Which is the best statement the nurse should use when discussing the primary reason constipation occurs with a​ client?

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