NURS Final

A male, age 67, calls his primary care nurse to ask if he can take diphenhydramine for "hay fever." Considering this client's age, the clinic nurse assesses for which conditions that would preclude him from taking diphenhydramine?

A history of prostate or urinary conditions

Which statement is appropriate for the nurse to include in patient teaching regarding type 2 diabetes?

A person with type 2 diabetes still has functioning beta cells in his or her pancreas

Acetaminophen Antidote

Acetylcysteine

The client is diagnoses with type 1 diabetes and recently started on insulin therapy is found lying unconscious on the ground of their hospital bathroom with a blood glucose of 41 mg/dL. Which intervention should the nurse implement first?

Administer dextrose 50& IV push per protocol orders

The nurse is caring for a client who is receiving antacids to relieve GI discomfort. What nursing action is most appropriate?

Administer the antacid 2 hours before or after the other oral medications

Tyramine Foods

Aged cheese, Red wine

A patient is in an urgent care center with an acute asthma attack. The nurse expects that which medication will be used for initial treatment?

Albuterol (Proventil)

The nurse counsels the parents of a school-aged client diagnosed with asthma. The healthcare provider prescribed albuterol and beclomethasone via metered dose inhaler. Which statement by the parents indicates that teaching is effective?

Albuterol should be taken as needed when my child is short of breath. The Beclomethasone should be taken everyday to prevent asthma attacks

The client is a 34 year old man who recently started taking theophylline (xanthine derivatives). The nurse knows that medication teaching has been successful when he agrees to what activity?

Avoiding beverages that contain caffeine

A nurse is teaching a patient who will begin taking propylthiouracil for Grave's disease about the medication. Which statement by the patient indicates understanding of the teaching?

Because of the risk for neurotoxicity, I will need frequent electroencephalograms

A client taking hormonal contraceptives will soon turn 35 years of age. She is moderately obese and has smoked for 15 years. Which action should the nurse encourage to take to best minimize risk for complications associated with contraception use?

Beginning smoking cessation

A patient with a foreign body embedded in their hand. What local anesthetic would be used?

Benzocaine

A nurse counsels a patient with diabetes who is starting therapy with an alpha-glucosidase inhibitor, acarbose. The patient should be educated about the potential for which adverse reaction?

Bloating and Diarrhea

A nurse is overseeing the care of a young man whose ulcerative colitis is being treated with oral prednisone. Which action should the nurse take in order to minimize the potential for risks associated with prednisone treatment?

Carefully assess the client for infections

When teaching about hypoglycemia, the nurse will make sure that the patient is aware of the early signs of hypoglycemia, including:

Confusion and Sweating

Rosiglitazone is being considered for the treatment of diabetes in an adult client. Before the initiation of rosiglitazone therapy, the nurse should review the patient's medical history for what condition?

Congestive heart failure

The nurse is reviewing the client's morning blood work and notes a theophylline level of 22.2mcg/mL (123.21umol/L). What action should the nurse take?

Contact the care provider and inform him or her that the client has toxic theophylline levels

A patient who has asthma may e prescribed which type of inhaled drugs for its anti-inflammatory effects?

Corticosteroid

When describing the benefits of the second gen H1 receptor antagonists to those of first gen H1 receptor agonists, the nurse should cite what advantage?

Decreased sedation

When monitoring for therapeutic effects of intranasal desmopressin (DDAVP) in a patient who has diabtetes insipidus, which assessment finding will the nurse look for as indication that the medication therapy is successful?

Decreased thirst

Hospitals should have this in stock in case of...

Diazepam

An 80 year old client has recently been started on cimetidine. The nurse monitors the client for which most frequent CNS AE of this medication?

Dizziness

Child with chickenpox and a fever of 102F, the parents want to give the child Aspirin.

Do not give the child Aspirin, instead give them Acetaminophen (Tylenol)

The nurse is administering an expectorant and will provide which teaching?

Drinking extra fluids, unless contraindicated, to aid in expectoration of sputum

After administering a dose of promethazine to a patient with nausea and vomiting, what common temporary adverse effects of the medication dose the nurse explain may be experienced?

Drowsiness

After a nebulizer treatment with the beta agonist albuterol, the patient complains of feeling a little "shaky," with slight hand tremors. The patient's heart rate is 96bpm, increased from the pre-treatment of 90bpm. The nurse knows that this reaction is an..

Expected adverse effect of the medication

Benzo Antidote

Flumazenil

Patient taking a barbiturate went out to eat and was found unresponsive and was not taking an additional medication. What happened?

Had a glass of wine

A patient who has been taking cimetidine for GERD calls the clinic to say that the medication has not been effective. The nurse reviews the history and notes that which factor may be influencing the effectiveness of this drug?

He smokes two packs of cigarettes a day

Schedule II Drug

High for abuse potential which may lead to severe psychological or physical dependence

When administering insulin, the nurse must keep in mind that which is the most immediate and serious AE of insulin therapy?

Hypoglycemia

The nurse is educating an older client diagnosed with rhinosinusitis in an outpatient clinic about the prescribed topical oxymetazoline. The client has a history of HTN and CAD. Which statement made by the client establishes the need for further clarification?

I can take OTC pseudoephedrine, too

The nurse provides teaching for a client prescribed levothyroxine. Which statement if made by the patient's indicates need for further teaching?

I should have more energy once the medication working

A patient with type 2 diabetes is started on Glyburide, a sulfonylurea. Which of the following statements by the patient causes concern?

I will consumer no more than 8oz of alcohol per week

Which of the following medications would be appropriate for a newly diagnosed type 1 diabetic patient?

Insulin lispro Insulin detemir Insulin glargine Insulin regular

Patient teaching for a patient taking antithyroid medication will include the need to avoid which foods?

Iodized salt and shellfish

What is the priority nursing intervention for a client receiving antiemetics?

Keep the bed in the lowest position at all times

Which of the following is a rare, but life threatening AE of the oral anti-diabetic drug Metformin?

Lactic acidosis

The client has been prescribed oxymetazoline nasal spray, a topical nasal decongestant, for seasonal rhinitis. The nurse will provide which of the following instructions?

Limit use of this spray to 5 days or less

The nurse is teaching a patient who will be taking a proton pump inhibitor as long term therapy about potential adverse effects. Which statement is correct?

Long term use of these drugs may contribute to osteoporosis

What would the nurse's best response if a client calls the clinic and reports that he has had a persistent cough for 2 weeks and asks the nurse for a recommendation for a cough medicine?

Look for dextromethorphan as an ingredient in any OTC cough preparation

Sumatriptan

MI, HTN

Dantrolene

Malignant hyperthermia

The nurse would consult the prescriber if a patient with type 2 diabetes was scheduled for a diagnostic test with contrast dye and the patient was taking which of the following?

Metformin

The nurse provides care for a client receiving Glipizide and Prednisone. Which is the priority nursing assessment?

Monitor serum glucose

Opioid overdose reversal

Naloxone - Narcan

Take migraine medication at...

Onset of symptoms

When taking Phenytoin...

Patient must have good oral hygiene - healthy teeth and gums

A glucocorticoid is prescribed for a patient. The nurse checks the patient's medical history knowing that the glucocorticoid therapy is contraindicated in which disorder?

Peptic Ulcer Disease

An older adult woman began taking Aspirin 2 to 3 times a day. What previous medical history would give reason to do this?

Peptic ulcer disease

A patient has been diagnosed with a condition in the patient's history presents a potential precaution to thyroid replacement therapy with levothyroxine?

Recent myocardial infarction

A patient in DKA is to be placed on an insulin drip to control his high blood glucose levels. The nurse knows that the type of insulin that would be used for this intravenous infusion would be which of these?

Regular

One of the benefits of insulin glargine (Lantus) is its ability to...

Release insulin evenly throughout the day and control basal glucose levels

The nurse determines that the client is experiencing therapeutic effects of omeprazole if which of the following is reported by the client?

Relief of symptoms of gastroesophageal reflux disease

The client has a magnesium-based antacid prescribed for administration before meals. The nurse knows to withhold the medication if the client exhibits what?

Renal dysfunction

A client who uses estrogen birth control calls the clinic with reports of dull pain in the left lower extremity. The pain started after a routine 4 mile run and has continued. Which action does the nurse take first?

Request that the client come to the clinic for evaluation

Administering Phenytoin

Slow IV push with normal saline

A client with a history of constipation has been taking OTC laxatives with good success. The client tells the nurse that he is relieved to have found a solution to his constipation. When providing health education, the nurse should prioritize what topic?

Strategies to preventing dependence on laxatives

The nurse is preparing the administer levothyroxine. Which if the following lab values, if significantly high, would be a reason for the nurse to contact the provider about increasing the dose?

TSH

What should the nurse instruct the patient to do to best enhance the effectiveness of a daily dose of docusate sodium (Colace)?

Take each dose with a full glass of water or other liquid

A client who received a prescription for zafirlukast returns to the provider's office after three days complaining that the drug is not working. She reports mild but continued dyspnea and had to maintain consistent use of her bronchodilator inhaler, albuterol. What does the nurse expect is the cause of the client's continued symptoms?

The drug has not had sufficient time of use to have full effects

A nurse is providing teaching to the parents of an 8 year old child who will receive somatropin for idiopathic short stature. Which important detail will the nurse include in the teaching?

The drug must be given by daily injection

A client with a duodenal ulcer is diagnosed with H. pylori infection. The physician orders amoxicillin, pantoprazole, and clarithromycin. Which statement by the nurse explains the purpose of these medications?

These medicines will minimize acid production and will kill the bacteria

When taking Phenytoin, it is important to teach the patient to...

Use barrier contraceptive

A client is prescribed albuterol two puffs as needed and beclomethasone two puffs each day. Which information will the nurse provide when instructing the client on the concurrent use of these inhalers?

Use the albuterol inhaler and after 5min use the beclomethasone inhaler

When monitoring a patient who is taking corticosteroids, which of these is not a typical AE?

Weight loss