Part 5 Q201 to the end

A film-coated form of diflunisal has been prescribed for a client for the treatment of chronic rheumatoid arthritis. The client calls the clinic nurse because of difficulty swallowing the tablets. Which initial instruction should the nurse provide to the client?

Swallow the tablets with large amounts of water or milk

A client receiving lithium carbonate (Lithobid) complains of loose watery stools and difficulty walking. The nurse would expect the serum lithium level to be which of the following?

1.7 mEq/L

A adult client with muscle spasms is taking an oral maintenance dose of baclofen (Lioresal). The nurse reviews the medication record expecting that which dose should be prescribed?

15mg four times a day

A client with rheumatoid arthritis is taking acetylsalicylic acid (aspirin) on a daily basis. Which medication dose should the nurse expect the client to be taking?

4 g daily

A health care provider instructs a client with rheumatoid arthritis to take ibuprofen (Motrin). The nurse reinforces the instructions, knowing that the normal adult dose for this client is which of the following?

400 mg orally three times a day

Diphenhydramine hydrochloride (Benadryl) is used in the treatment of allergic rhinitis for a hospitalized client with a chronic psychotic disorder. The client asks the nurse why the medication is being discontinued before hospital discharge. The nurse responds knowing that:

Addictive properties are enhanced in the presence of psychotropic medications

A client is suspected of having myasthenia gravis, and the health care provider administers edrophonium (Enlon) to determine the diagnosis. After administration of this medication, which of the following would indicate the presence of myasthenia gravis?

An increase in muscle strength

A client who was started on anticonvulsant therapy with clonazepam (Klonopin) tells the nurse of increasing clumsiness and unsteadiness since starting the medication. The client is visibly upset by these manifestations and asks the nurse what to do. The nurse's response is based on the understanding that these symptoms:

Are worse during initial therapy and decrease or disappear with long-term use

Neuroleptic malignant syndrome is suspected in a client who is taking chlorpromazine. Which medication would the nurse prepare in anticipation of being prescribed to treat this adverse effect related to the use of chlorpromazine?

Bromocriptine (Parlodel)

A client who is on lithium carbonate (Lithobid) will be discharged at the end of the week. In formulating a discharge teaching plan, the nurse will instruct the client that it is most important to:

Check with the psychiatrist before using any over-the-counter (OTC) medications or prescription medications

A health care provider prescribes auranofin (Ridaura) for a client with rheumatoid arthritis. Which of the following would indicate to the nurse that the client is experiencing toxicity related to the medication?

Complaints of a metallic taste in the mouth

A nurse is preparing to give the postcraniotomy client medication for incisional pain. The family asks the nurse why the client is receiving codeine sulfate and not something stronger. In formulating a response the nurse incorporates the understanding that codeine:

Does not alter respirations or mask neurological signs as do other opioids

A client with MS is receiving diazepam (Valium), a centrally acting skeletal muscle relaxant. Which of the following would indicate that the client is experiencing a side effect related to this medication?

Drowsiness

A client with Parkinsons disease has been prescribed benztropine (Cogentin). The nurse monitors for which gastrointestinal side effect of this medication?

Dry mouth

A client has a prescription for valproic acid (Depakene) orally once daily. The nurse plans to:

Ensure the medication is administered at the same time each day

A client with a psychotic disorder is being treated with haloperidol (Haldol). Which of the following would indicate the presence of a toxic effect of this medication?

Excessive salivation

A client admitted to the hospital gives the nurse a bottle of clomipramine (Anafranil). The nurse notes that the medication has not been taken by the client in 2 months. What behaviors observed in the client would validate noncompliance with this medication?

Frequent hand washing with hot soapy water

A client with myasthenia gravis verbalizes complaints of feeling much weaker than normal. The health care provider plans to implement a diagnostic test to determine if the client is experiencing a myasthenic crisis and administers edrophonium (Enlon). Which of the following would indicate that the client is experiencing a myasthenic crisis?

Increasing weakness

Mannitol (Osmitrol) is being administered to a client with increased intracranial pressure following a head injury. The nurse assisting in caring for the client knows that which of the following indicates the therapeutic action of this medication?

Induces diuresis by raising the osmotic pressure of glomerular filtrate, thereby inhibiting tubular reabsorption of water and solutes.

A hospitalized client is having the dosage of clonazepam (Klonopin) adjusted. The nurse should plan to:

Institute seizure precautions

A client is placed on a chloral hydrate (Somnote) for short-term treatment. Which nursing action indicates an understanding of the major side effect of this medication?

Instructing the client to call for ambulation assistance

A nursing student is assigned to care for a client with a diagnosis of schizophrenia. Haloperidol (Haldol) is prescribed for the client, and the nursing instructor asks the student to describe the action of the medication. Which statement by the nursing student indicates an understanding of the action of this medication?

It blocks the binding of dopamine to the postsynaptic dopamine receptors in the brain

A client with a history of simple partial seizures is taking clorazepate (Tranxene), and asks the nurse if there is a risk of addiction. The nurse's response is based on the understanding that clorazepate:

Leads to physical and psychological dependence with prolonged high-dose therapy

A client is seen in the emergency clinic for complaints of skin itchiness that has been persistent over the past several weeks. Following data collection, it has been determined that the client has scabies. Lindane is prescribed, and the nurse is asked to provide instructions to the client regarding the use of the medication. The nurse tells the client to:

Leave the cream on for 8 to 12 hours and then remove by washing

Dantrolene (Dantrium) is prescribed for a client with a spinal cord injury for discomfort resulting from spasticity. The nurse tells the client about the importance of follow-up and the need for which blood study?

Liver function studies

A nurse is assisting in preparing to administer acetylcysteine (Mucomyst) to a client with an overdose of acetaminophen (Tylenol). The nurse prepares to administer the medication by:

Mixing the medication in a flavored ice drink and allowing the client to drink the medication through a straw

A client receives a dose of edrophonium (Enlon). The client shows improvement in muscle strength for a period of time following the injection. The nurse interprets that this finding is compatible with:

Myasthenia gravis

When teaching a client who is being started on imipramine hydrochloride (Tofranil), the nurse would inform the client that the desired effects of the medication may:

Not occur for 2 to 3 weeks of administration

A tricyclic antidepressant is administered to a client daily. The nurse plans to monitor for the common side effects of the medication and includes which of the following in the plan of care?

Offer hard candy or gum periodically

A nurse has administered a dose of diazepam (Valium) to a client. The nurse would take which important action before leaving the clients room?

Per agency putting up the side rails on the bed

A client receiving anxiolytic medication complains that he feels very faint wen he tries to get out of bed in the morning. The nurse recognizes this complaint as a symptom of?

Postural hypotension

A nurse is preparing to administer eardrops to an infant. The nurse plans to:

Pull down and back on the ear and direct the solution toward the wall of the canal

A nurse is caring for a client with gout who is taking Colcrys (colchicine). The client has been instructed to restrict the diet to low-purine foods. Which of the following foods should the nurse instruct the client to avoid while taking this medication?

Scallops

A client is receiving baclofen (Lioresal) for muscle spasms caused by a spinal cord injury. The nurse monitors the client knowing that which of the following is a side effect of this medication?

Slurred speech

A client with epilepsy is taking the prescribed dose of phenytoin (Dilantin) to control seizures. A phenytoin blood level is drawn, and the results reveal a level of 35 mcg/ml. Which of the following symptoms would be expected as a result of this laboratory result?

Slurred speech

A client in mental health unit is administered haloperidol (Haldol). The nurse would check which of the following to determine medication effectiveness?

The client's orientation and delusional status

A client who is taking lithium carbonate (Lithobid) is scheduled for surgery. The nurse informs the client that:

The medication will be discontinued 1 to 2 days before the surgery and resumed as soon as full oral intake is allowed

A nurse is reviewing the health care providers prescriptions for an adult client who has been admitted to the hospital following a back injury. Carisoprodol (Soma) is prescribed for the client to relieve the muscle spasms. the health care provider has prescribed 350 mg to be administered four times a day. When preparing to give this medication, the nurse determines that this dosage is:

The normal adult dosage

A client is admitted to the hospital with complaints of back spasms. The client states "I have been taking two or three aspirin every 4 hours for the past week and it hasn't helped my back. Aspirin intoxication is suspected. Which of the following complaints would indicate aspirin intoxication?

Tinnitus

Ribavirin (Virazole) is prescribed for the hospitalized child with respiratory syncytial virus (RSV). The nurse prepares to administer this medication via which of the following routes?

Via face mask

Which of the following precautions will the nurse specifically take during the administration of ribavirin (Birazole) to a child with respiratory syncytial virus (RSV)?

Wearing goggles

A hospitalized client is started on phenelzine sulfate (Nardil) for the treatment of depression. At lunchtime, a tray is delivered to the client. Which food item on the tray will the nurse remove?

Yogurt

A client is being treated for depression with amitriptyline hydrochloride. During the initial phases of treatment the most important nursing intervention is:

Getting baseline postural blood pressures before administering the medication and each time the medication is administered

A client taking carbamzepine (Tegretol) asks the nurse what to do if he misses one dose. The nurse responds that the carbamazepine should be:

Taken as long as it is not immediately before the next dose

A health care provider initiates carbidopa/levodopa (Sinemet) therapy for the client with Parkinson's disease. A few days after the client starts the medication, the client complains of nausea and vomiting. The nurse tells the client that:

Taking the medication with food will help to prevent the nausea