Pharm #1 test

12. The patient who was administered cephalosporins has developed a skin rash. The nursing student assistant is scared and thinks that this is a serious reaction. The nurse tells him that this is a mild reaction. Which of the following should the nurse mention as the symptoms of serious hypersensitivity reaction. e. Urticaria f. Pruritis g. Renal dysfunction h. Skin rashes

Renal dysfunction

4. Mupirocin is being used nasally in a patient for treating eradication of MRSA which of the following adverse reaction to nasal mupirocin should the nurse monitor in the patient a. Respiratory disorders b. Tingling/numbness c. Watery (teary) eyes d. Mild dryness

Respiratory disorders

3. A nurse is assigned to care for a patient in a health care facility. What is the nursing responsibility before administering a drug to the patient? a. Review the related nursing diagnosis b. List the potential goals to be achieved by the patient c. Review the subjective and objective data d. Provide the basis for the selection of nursing interventions

Review the subjective and objective data

A patient has been diagnosed with ulcerative colitis. The physician prescribes sulfasalazine to the patient. What effect associated with the disorder should the nurse monitor for in the patient? Mild symptoms of contact dermatitis Abdominal pain and distention Severe blood- and mucus-filled diarrhea Frequent loose or watery stools

Severe blood- and mucus-filled diarrhea

A patient with asthma has been prescribed an anti-asthmatic drug. Before administering the drug, the nurse assesses the respiratory rate of the patient. Which of the following rates are considered as an abnormal respiratory rate? 18 breaths/min 10 breaths/min 22 breaths/min 14 breaths/min

10 breaths/min

A nurse is caring for a patient who is prescribed transdermal nitroglycerin for angina. For how many hours should the transdermal patch be applied? Six to eight hours Four to six hours 12 to 14 hours 10 to 12 hours

10 to 12 hours

6. A nurse caring for a patient with atrial fibrillation who is started on digitalis is required to monitor plasma digitalis levels in the patients blood which of the following plasma levels of digitalis indicated that the nurse should report to the practitioner a. 1.6ng/ml b. 2ng/ml c. 1.8 ng/ml d. 2 .2ng/ml

2 .2ng/ml

A nurse is caring for a patient receiving digoxin for ventricular arrhythmia. Which of the followingapical pulse rates indicates that the nurse should withhold the drug and report to the health care provider immediately? 58 beats/minute 68 beats/minute 88 beats/minute 78 beats/minute

58 beats/minute

A patient with acute respiratory symptoms is receiving a loading dose of theophylline. Which of the following signs of toxicity should alert the nurse to notify the primary health care provider immediately? Mental depression Bradycardia Abdominal cramps Constipation

Abdominal cramps

1. The nurse observes that after administration of a drug the patient has developed swollen eye lids, lips and mouth what is this kind of drug reaction called a. Crystalluria b. Toxicity c. Hypotension d. Angioedema

Angioedema

9. A patient is prescribed Ventolin (albuterol) for bronchospasm in chronic bronchia asthma. Which of the following nursing diagnoses would the nurse expect to see on the care plan as a result of the adverse effect of albuterol? a. Ineffective tissue perfusion b. Anxiety c. Risk of injury d. Risk of impaired oral mucous membranes

Anxiety

A patient is prescribes Ventolin (albuterol) for bronchospasm in chronic bronchial asthma. Which of the following nursing diagnoses would the nurse expect to see on the care plan as a result of the adverse effect of albuterol? Ineffective tissue perfusion Risk of impaired oral mucous membranes Risk of injury Anxiety

Anxiety

A patient is admitted to a health care facility with allergic conjunctivitis. The primary health care provider had prescribed nedocromil sodium. Which of the following should the nurse monitor in the patient as a systemic reaction to nedocromil sodium? Bitter taste Cold/flu symptoms Dermatitis Photophobia

Cold/flu symptoms

7. A nurse is caring for a patient with a uti after administrating a sandwich and a large glass of cranberry juice to the patient, the nurse has observed that the patient has developed diarrhea which of the following is the most likely cause of the patients condition a. Lack of activity or exercise b. Occurrence of crystalluria c. Minimized food and fluid intake d. Extremely large dose of cranberry juice

Extremely large dose of cranberry juice

9. A patient has been prescribed actinex for the removal of warts. Which of the following is an adverse reaction to keratolytic drug actinex about which the nurse should inform the patient a. Flu-like symptoms b. Numbness c. Transient pain d. Dermatitis

Flu-like symptoms

A patient is receiving a diuretic for the treatment of hypertension. For which of the following conditions should the nurse monitor for in patients taking diuretics? Hypocalcemia Hyponatremia Hyperkalemia Hypomagnesaemia

Hyponatremia

A nurse is monitoring a patient who is prescribed milrinone for heart failure. Which of the following signs in the patient indicates that the nurse should withhold the drug? Hypotension Edema Cyanosis Bradycardia

Hypotension

A nurse is caring for a patient who has been prescribed collagenase by the primary health care provider. The nurse should know that in which of the following is collagenase contraindicated? A sole therapy in widespread plague psoriasis As monotherapy for bacterial skin infections In wounds in contact with major body cavities For use on the face, groin, or axilla

In wounds in contact with major body cavities

The health care professional has recommended sulfonamide therapy for a patient. While obtaining the patient's medical history, the nurse discovers that the patient is taking oral anticoagulants. Which of the following are the possible effects of combining sulfonamide therapy with oral anticoagulants? Increased risk of an anaphylactic shock Sulfonamide therapy is rendered ineffective Increased action of the anticoagulant Patient may develop leucopenia

Increased action of the anticoagulant

10. A physician has prescribed difenoxin HCl to a patient with acute diarrhea. The patient informs the nurse that he is also taking MAOI antidepressants. What condition should the nurse monitor for in this patient as a result of the interaction of the two drugs? a. Decreased effect of difenoxin HCl b. Increased risk of hypertensive crisis c. Increased cholinergic-blocking adverse reactions d. Increased risk of CNS depression

Increased risk of hypertensive crisis

9. A nurse is caring for a patient who is being administered penicillin. What are common adverse reactions to penicillin a nurse should assess for? a. Inflammation of the tongue and mouth b. Impaired oral mucous membranes c. Sudden loss of consciousness d. Severe hypotension

Inflammation of the tongue and mouth

A patient is prescribed a cardiotonic medication. Which of the following pre-administration assessments should the nurse perform on this patient? Obtain blood glucose levels Inspect skin for rash Inspect joints for swelling Check for jugular vein distention

Inspect joints for swelling Check for jugular vein distention

A patient with acne vulgaris was administered macrolides, after which the patient developed diarrhea. What nursing intervention should the nurse perform in this case? Obtain allergy history Inspect stools for blood and mucus Record symptoms of infection Measure urine output

Inspect stools for blood and mucus

The nurse is caring for a patient receiving cardiotonic drugs. The patient has edema. Which of the following interventions should be taking to alleviate edema? Measurement of intake and output Observation of respiratory rate Observation of pulse rate Auscultation of the lungs

Measurement of intake and output

A nurse is caring for a patient brought to the health care facility for a drug overdose. In which of the following cases can the patient be administered an emetic? Patient has an existing condition of severe hypertension Patient has an existing condition of hemorrhagic diathesis Patient has a medical history of convulsions Patient is not having an altered mental status

Patient is not having an altered mental status

A patient has been diagnosed with amebiasis. Which of the following interventions should the nurse perform regularly while caring for the patient? Avoid food that acidify the urine Provide the patient with small, frequent meals Take vital signs every eight hours Freeze any stool samples for testing

Provide the patient with small, frequent meals

10. A patient admitted to a health care facility with cardiac arrhythmias is prescribed propranolol which of the following factors should the nurse closely monitor as a part of the ongoing assessment during the therapy a. Hydration b. Visual acuity c. Tendon reflexes d. Pulse rate

Pulse rate

5. A nurse in a health care facility is caring for a patient who is administered MOM to control constipation which of the following nurse diagnosis should the care plan for the patient include a. Ineffective tissue perfusion b. Disturbed sensory perception c. Impaired physical mobility d. Risk for imbalanced fluid volume

Risk for imbalanced fluid volume

14. A nurse is caring for a patient who is prescribed omeprazole for a duodenal ulcer. The patient is also taking benzodiazepines for the management of a seizure disorder. Which of the following should be the effect of the interaction of these two drugs? a. Increased risk of respiratory depression b. Risk for toxic level of benzodiazepines c. Increased risk of bleeding d. Decreased absorption of the portion pump inhibitor

Risk for toxic level of benzodiazepines

1. An HIV positive patient on antiretroviral therapy informs a nurse that he is considering taking Viagra what should the nurse tell the patient about taking the Viagra while on antiretroviral therapy a. Risk of hypertension b. Feeling of dizziness, c. Depression d. itching of the skin

Risk of hypertension

A patient has been prescribed a nasal decongestant for nasal stuffiness due to a common cold. The patient is also taking a drug from the momoamine oxidase inhibitors class for the treatment of depression. Which of the following interactions between the two drugs should the nurse warn the patient about? Bradycardia Severe headache Sedation Hypotension

Severe headache

6. A patient with TB is undergoing initial therapy in the treatment. The nurse has to administer three or more drugs in combination to the patient. The patient wishes to know the reasons for administering a combination of drugs. Which of the following of the following explanations does the nurse offer related to the combination or medications? a. Slows body's resistance to medication b. Prevents the incidence of live dysfunction c. Slows down bacterial resistance d. Prevents further spreading of TB

Slows down bacterial resistance

A nurse is caring for a patient who is prescribed benzocaine for topical anesthesia in local skin. Which of the following adverse reactions to benzocaine should the nurse monitor in the patient? Oiliness or dryness or hair Erythema, flaking, and dryness Transient burning sensation Stinging, tenderness, and sloughing

Stinging, tenderness, and sloughing

3. A patient is prescribed an inhalational corticosteroid therapy along with bronchodilator therapy. Which of the following points should the nurse include in the patient teaching plan a. Before each dose of corticosteroids, rinse the mouth thoroughly with water b. Take the corticosteroid several minutes after the bronchodilator dose c. The corticosteroid drug provides rapid relief during an asthma attack d. Stop the corticosteroid therapy immediately if you notice any adverse effects

Stop the corticosteroid therapy immediately if you notice any adverse effects

2. A patient has been admitted to a health care facility with acute broncospasm the physician prescribed the drug epinephrine, which of the following routes should the nurse use to administer the drug a. Intramuscular b. Subcutaneous c. Intravenous d. Intradermal

Subcutaneous

14. The nurse is caring for a patient receiving cromolyn orally. Which of the following points should the nurse include in the patient's teaching plan? m. Swallow the drug without chewing n. Do not take the drug at bedtime o. Take the drug at least 30 minutes before meals p. Take the drug with food or milk

Take the drug at least 30 minutes before meals

A patient with hypercholesterolemia is prescribed lovastatin. What should the nurse recommend to the patient for the self-administration of the drug? Take with the artificial sweetener aspartame Take the drug with his evening meal Take the drug with grapefruit juice Mix with highly fluid soups or pulpy fruits

Take the drug with his evening meal

12. A client with exercise-induced bronchospasm calls the physician's office to obtain a refill for his breathing medication. Which of the following should the nurse ask the physician to refill? Select all that apply: a. Levalbuterol (Xopenex) b. Mometasome (Asmanex) c. Theophylline (Theo-Dur) d. Beclomethasone (Qvar) e. Bitolterol (Tornalate

Theophylline (Theo-Dur) Bitolterol (Tornalate)

A 21-year-old patient complains of a mild stinging sensation on using nasal spray containing a nasal decongestant. Which of the following information should the nurse provide the patient? Medication needs to be stopped immediately This sensation usually disappears with continued use Consult the physician immediately Dose of the medication needs reduction

This sensation usually disappears with continued use

15. A patient with hyperlipidemia has been has been prescribed niacin by a physician. Which of the following adverse reactions should the nurse monitor in the patient? q. Diarrhea r. Constipation s. Tingling t. Cholelithiasis

Tingling

7. What is the significance of the nursing diagnoses developed by the North American Nursing Diagnosis Association(NANDA)? a. Useful in classifying the drugs as per their action b. Useful in identifying patient problems related to drug therapy c. Useful in identifying the expected outcome of treatments given d. Useful in classifying the patients as per their age group

Useful in identifying patient problems related to drug therapy

A patient with viral flu is prescribed drugs to be administered at home. The nurse prepares a teaching plan to help the patient learn the administration of the prescribed drugs at home. Which of the following factors could pose obstacles in the patient's learning process? Lack of high grasping skills Varied or different literacy levels Previous experience Prior knowledge

Varied or different literacy levels

A patient who is on sulfonamide therapy is about to be discharged. Which of the following precautions should the nurse instruct the patient to follow to reduce the effects of photosensitivity? Wear protective eyewear Avoid light while indoors Wear protective clothing and sunscreen when outside Increase fluid intake

Wear protective clothing and sunscreen when outside

3. a patient is being digitalized for atrial fibrillation the first dose has been administered how frequently should the nurse administer dig a. every 2 to 4 hours b. every 4 to 6 hours c. every 6 to 8 hours d. every 8 to 10 hours

every 6 to 8 hours

2. a nurse caring for a patient is describing steps for caring out nursing activities that will assist in achieving patient goals at which step of the nursing process is the nurse a. evaluation b. planning c. implementing d. assessment

planning

A patient is being discharges from a nursing home. The nurse caring for the patient has to educate the patient regarding the appropriate use of prescribed drugs. Which of the following factors is most important is helping the patient to learn faster? Interest Motivation Attitude Grasping power

Motivation

Patients taking antibiotics, especially cephalosporins, are susceptible to superinfection, so the nurse wants to ensure of the signs and symptoms of superinfections. Which of the following should the nurse mention as the symptoms of superinfections? Cough and cold Abdominal cramps Constipation Headaches

Abdominal cramps

5. When educating a group of nursing students on the mechanism of the action of various anti-arrhythmic drugs, the nurse identifies which of the following drugs as inhibiting the beta-adrenergic receptors of the heart and the kidney? a. Amiodarone b. Disopyramide c. Acebutolol d. Propaferone

Acebutolol

When educating a group of nursing students on the mechanism of the action of various anti-arrhythmic drugs, the nurse identifies which of the following drugs as inhibiting beta-adrenergic receptors of the heart and kidney? Acebutolol Disopyramide Amiodarone Propafenone

Acebutolol

A patient is required to be administered vancomycin for an abdominal abscess. What should the nurse ensure when monitoring the IV infusion of vancomycin in the patient when caring for him? Observe for signs of headache Administer each dose over 60 minutes Report increase in the urinary output Report an increase in blood pressure

Administer each dose over 60 minutes

A nurse is caring for a patient receiving bismuth subsalicylate for the relief of diarrhea. Which of the following should the nurse perform to promote an optimal response to the prescribed drug therapy? Administer the drug after each loose bowel movement Ensure the patient receives adequate sunlight Thoroughly mix and stir the drug before administering Encourage the patient to lightly exercise on a daily basis

Administer the drug after each loose bowel movement

A nurse is caring for a patient with intestinal stenosis who has been prescribed psyllium. During the course of the treatment, the patient shows signs of colon obstruction. What intervention should the nurse perform with the occurrence of colon obstruction? Provide foods high in bulk or roughage Administer the drug after chilling it Administer the drug with adequate fluid intake Give mineral oil to the patient after meals

Administer the drug with adequate fluid intake

A cancer patient needs supplemental oxygen at home through an oxygen cylinder. The nurse assigned to the patient teaches the patient's brother to administer oxygen from the cylinder at home. Which of the following is the most effective for the nurse to evaluate the patient's brother understanding? Ask questions such as "Do you understand?" Ask the patient's brother to demonstrate the procedure Ask the patient's brother to document the technique Asking questions related to the procedure

Ask the patient's brother to demonstrate the procedure

A nurse is caring for a patient receiving the anticoagulant drug warfarin. What pre-administration assessments should the nurse perform before administering the drug to the patient. Observe for signs of thrombus formation Monitor for hypersensitivity reaction Assess for signs of bleeding Assess prothrombin time (PT) and INR

Assess prothrombin time (PT) and INR

If a nurse needs to administer otic preparations in both of the patient's ears, how long should the nurse wait to place drops in the second ear? At least 5 minutes At least 3 minutes At least 1 minute At least 30 seconds

At least 5 minutes

When caring for a patient who has been digitalized for his heart failure, the nurse observes that the patient is experiencing bradycardia. Which of the following drugs should be administered to patients who develop bradycardia? Milrinone Atropine Inamrinone Cholestyramine

Atropine

13. A patient is being administered doxycycline. Which of the following instructions should the nurse give to the patient regarding the possible side effects of the drug? a. Avoid taking warfarin because it increases the risk of bleeding b. Take the drug with food, or immediately afterwards c. Avoid exposure to the sun by wearing protective clothing d. Do not drive or perform other activities requiring alertness

Avoid exposure to the sun by wearing protective clothing

A patient is receiving heparin by continuous IV infusion. A nurse is required to administer another drug to the patient by the IV route. What precaution should the nurse take to administer the drug to the patient? Mix the drug with heparin Use injection port Piggyback drug into continuous IV line Avoid use of the same IV tubing

Avoid use of the same IV tubing

A 26-year-old female patient with a skin infection has been prescribed 400 mg bacampicillin to be taken orally. Which of the following instructions should the nurse include in the patient teaching plan? Avoid use of skin-care products, like moisturizers, when on penicillin therapy. Bacampicillin will reduce the effectiveness of birth control pills Take the drug on an empty stomach, an hour before or two hours after meals Is a dosage is missed, increase the next dosage to meet the daily quota

Bacampicillin will reduce the effectiveness of birth control pills

4. A nurse is caring for a patient with constipation. The physician prescribes cascara sagrada to the patient. Which of the following effects should the nurse monitor for in the patient after administration of the drug? a. Black discoloration of urine b. Abdominal pain and cramping c. Reduced sperm count d. Sudden increase in weight

Black discoloration of urine

A nurse is caring for a patient with constipation. The physician prescribes cascara sagrada to the patient. Which of the following effects should the nurse monitor for in the patient after the administration of the drug? Reduced sperm count Sudden increase in weight Black discoloration of urine Abdominal pain and cramping

Black discoloration of urine

A patient has been prescribed a decongestant drug for congestion associated with rhinitis. Which of the following possible side effects of the drug should the nurse caution the patient about? Decreased pulse rate Dryness of throat Drowsiness Blurred vision

Blurred vision

What caring for a patient with angina, the nurse instructs the patient to place the nitroglycerin tablet between the cheek and the gums. Which of the following routes of administration is the nurse referring to? Buccal Transdermal Sublingual Translingual

Buccal

A nurse is caring for an elderly patient who has been administered cimetidine. Which of the following interventions should the nurse perform? Monitor the patient for concentrated urine and restlessness Inform the PHCP if the patient exhibits tardive dyskinesia symptoms Monitor the patient for complaints of pain and sour taste Closely monitor the patient for confusion and dizziness

Closely monitor the patient for confusion and dizziness

After administering penicillin as prescribed, a patient shows signs of diarrhea and informs the nurse that there is blood in his stools. Which of the following interventions should the nurse perform? Contact primary health provider immediately Include yogurt or buttermilk in patient's diet Continue with prescribed regimen Decrease fiber content in diet

Contact primary health provider immediately

Chlorhexidine gluconate is being used in a patient for preoperative skin preparation. Which of the following adverse reactions to chlorhexidine gluconate should the nurse monitor in the patient? Headache Deafness Mild erythema Taste perversion

Deafness

5. A nurse is caring for a patient who has been prescribed lidocaine viscous to be used for oral anesthesia for the control of pain. Which of the following instructions regarding the intake of food should the nurse give the patient? a. Do not eat food for one hour after use b. Ensure the food is not too hot or cold c. Drink plenty of water along with food d. Avoid intake of heavy and fibrous food

Do not eat food for one hour after use

A patient is being discharged from a health care facility. The patient is required to continue with antitussive therapy at home. Which of the following points should the nurse include in the teaching plan to educate the patient? Do not take the drug on an empty stomach Do not take the drug with tranquilizers Take the drug with milk Take the drug in small dosages

Do not take the drug with tranquilizers

A patient with allergic rhinitis is prescribed an antihistamine. To prevent which of the following conditions should the nurse instruct the patient to suck on a sugarless hard candy? Thickening of the bronchial secretion Altered sensation of taste Drowsiness and sedation Dryness of oral mucosa and the throat

Dryness of oral mucosa and the throat

A nurse is caring for a patient with thick sputum. What is the role of the nurse while for the patient? A. Provide the patient with sugarless hard candy to suck on. B. Encourage the patient to take diaphragmatic breaths. C. Inform the patient to avoid taking milk and cheese. D.Instruct the patient to decrease the consumption of fluids.

Encourage the patient to take diaphragmatic breaths.

The primary health care provider has prescribed benzoyl peroxide for a patient being treated for moderate acne vulgaris. Which of the following adverse reactions to benzoyl peroxide should the nurse monitor in the patient? Excessive drying Taste perversion Photosensitivity Pharyngitis

Excessive drying

A patient has been advised to use a transdermal patch of clonidine for hypertension. For which of the following time periods should the nurse ensure that the patch in intact? For four weeks For two weeks For three weeks For one week

For one week

A patient with hyperlipidemia is prescribes ezetimibe. Which of the following ongoing assessments should the nurse perform during treatment? Frequently monitor blood cholesterol Take a dietary history of the patient Obtain reports of fasting blood sugar levels Inspect skin and eyelids for evidence of xanthoma

Frequently monitor blood cholesterol

8. A patient arrives at the health care clinic and informs the nurse that he has consumed several aspirin tablets for a severe headache. Which of the following are harmful effects of aspirin? a. Visual disturbances b. Breathing difficulties c. Loss of balance d. Gastrointestinal bleeding

Gastrointestinal bleeding

A nurse is required to educate a patient prescribed albuterol on the adverse effects associated with the drug. Which of the following symptoms, if experienced, should the nurse instruct the patient to report to the health care provider? Hearing impairment or deficit Increased nighttime urination Headache or flushing Fall in blood pressure

Headache or flushing

3. a physician has prescribed simethicone to a patient with postoperative distention. Which of the following adverse reactions to the drug should the nurse monitor for in the patient? a. Heartburn b. Nausea c. Vomiting d. Fainting

Heartburn

11. Patient is administered dexpanthenol IV immediately after abdominal surgery. In which of the following conditions is the drug contraindicated? a. Bone softening b. Electrolyte imbalance c. Hemorrhage d. Metabolic alkalosis

Hemorrhage

A patient with hypertension has a fingal infection and has been prescribed fluconazole for the fungal infection and losartan for hypertension. Which of the following risks are associated with such concomitant drug usage? Decreased hypotensive effect of losartan Increased risk of adverse effects of losartan Increased risk of hypoglycemia Increased risk of hypersensitivity reaction

Increased risk of adverse effects of losartan

A nurse is caring for a patient with cystic fibrosis. The nurse is administering acetylcysteine to the patient. For which of the following adverse effects should the nurse monitor the patient? Postural hypotension Irritation of the trachea Increased salivation Skin eruptions

Irritation of the trachea

A patient is admitted to a health care facility to the treatment of uveitis. The primary health care provider has prescribed phenylephrine hydrochloride. Which of the following should the nurse monitor in the patient as a systemic reaction to phenylephrine hydrochloride? Edema of the eyes or eyelids Pruritus or inflammation Corneal clouding Myocardial infarction

Myocardial infarction

Which of the following should a nurse carefully monitor in a patient who has been administered cephalosporin as well as aminoglycosides for a wound infection? Nephrotoxicity Increased bleeding Respiratory difficulty Nausea

Nephrotoxicity

A patient arrives at the community health center complaining of chest pain and is diagnosed with angina pectoris. Which of the following drugs is administered for treating angina? Isoxsuprine Cilostazol Nicardipine Papaverine

Nicardipine

A patient with severe stomach ache visits the health care facility. Which of the following interventions should the nurse perform if a pinworm infection is suspected? Obtain stool samples Obtain urine sample Obtain blood sample Obtain sample of saliva

Obtain stool samples

A patient has been prescribed verapamil capsules for hypertension. Which of the following instructions should the nurse provide the patient taking verapamil capsules? Open the capsules and sprinkle the contents over food Chew the drug thoroughly before swallowing Take the drug two hours before food Take the drug after crushing and powdering it

Open the capsules and sprinkle the contents over food

A patient in a local health care center is prescribed information on drug administration by the nurse. All of the following affects the patient's interpretation of the information except: Prior perceptions Patient's financial status Previous experiences Prior knowledge

Patient's financial status

In which of the following patients are anthelmintic drugs contraindicated? Patients with myasthenia gravis Patients who are pregnant Children younger than 15 years Patients with clinical depression

Patients who are pregnant

1. In which of the following patients should a nurse use expectorant drugs with caution? a. Patients with a persistent cough b. Patients with a persistent headache c. Patients with renal impairment d. Patients with convulsive disorders

Patients with a persistent cough

A patient is taking ginger medicinally for motion sickness. For which of the following categories of patients should ginger be used with caution? Patients with severe liver disease Patients with gallstones Patients with Parkinson's disease Patients with blood dyscrasia

Patients with gallstones

A patient is receiving heparin by continuous IV infusion. What interventions should the nurse perform for the patient? Perform baseline PT/INR test Perform blood coagulation tests every four hours Perform blood count test Perform APTT test four to six hours after injection

Perform blood coagulation tests every four hours

A nurse caring for a patient is describing steps for carrying out nursing activities that will assist in achieving patient goals. At which step of the nursing process is the nurse? a. Implementation b. Assessment c. Evaluation d. Planning

Planning

2. A patient is admitted to the cardiology unit of a health care facility for ventricular arrhythmia. In which of the following conditions can an anti-arrhythmic drug be safely administered? a. Third-degree heart block b. Premature ventricular contraction c. Aortic stenosis d. Severe congestive heart failure

Premature ventricular contraction

A patient diagnosed with TB is undergoing treatment. The nurse knows that which of the following preventive therapies will avoid the spreading of TB? Long-term therapy DOT therapy Short-term therapy Prophylactic therapy

Prophylactic therapy

16. A nurse is caring for a patient with high blood pressure. The patient has a sphygmomanometer at home. A family member wishes to learn how to measure blood pressure. The nurse demonstrates to the patient and the family member how to take blood pressure measurements using the sphygmomanometer. What kind of learning domain does this learning belong to? a. Cognitive domain b. Affective domain c. Intellectual domain d. Psychomotor domain

Psychomotor domain

A patient on anti-arrhythmic drug therapy complains of nausea, vomiting, abdominal pain, diarrhea, and a ringing sensation in the ears. Which of the following drugs should the nurse consider as the cause for these adverse effects? Procainamide Quinidine Lidocaine Flecainide

Quinidine

A 10-year-old child with asthma is prescribed prednisone. Which of the following does the nurse know if affected by this medication? Urine output Blood pressure Turgidity of the skin Rate of growth

Rate of growth

A patient is being discharged after being treated with nitroglycerin for angina. Which of the following instructions should the nurse include in the teaching plan for the patient? Place the nitroglycerin capsules along with other capsules Recap the container tightly after taking the capsules Do not store nitroglycerin in a dark container Store the nitroglycerin capsules in a plastic container

Recap the container tightly after taking the capsules

A nurse is preparing the medical history report of a patient with a urinary tract infection. Which of the following conditions should the nurse identify as one in which of cephalosporins is restricted? Aplastic anemia Headache Renal disease Abdominal cramps

Renal disease

1. An HIV-positive patient on antiretroviral therapy informs the nurse that he is considering taking Viagra. What should the nurse tell the patient about taking Viagra while on antiretroviral therapy? a. Depression b. Feeling of dizziness c. Itching of skin d. Risk of hypotension

Risk of hypotension

A patient is admitted to a health care facility for diarrhea. The patient's stool tested positive for blood and mucus. What immediate nursing intervention should follow after this observation? Measure and record vital signs Save stool sample for occult blood test Check patient's blood pressure Save urine sample for tests

Save stool sample for occult blood test

A nurse is caring for an outpatient undergoing laxative therapy. Which of the following is an effect of the prolonged use of a laxative that the nurse should inform the client about? Serious electrolyte imbalances Fecal impaction Obstruction of small intestine Renal impairment

Serious electrolyte imbalances

8. A patient has been admitted to a health care facility with acute bronchospasm. The physician prescribes the drug epinephrine. Which of the following routes should the nurse use to administer the drug? a. Intravenous b. Subcutaneous c. Intradermal d. Intramuscular

Subcutaneous

A patient with a nonproductive cough has been prescribed the oral administration of dextromethorphan HBr liquid-caps. What instructions should the nurse provide the patient to promote and optimal response to therapy? Swallow the whole tablet and do not chew it Take the drug on an empty stomach Dissolve the tablet in water and take the drug Take the drug with a glass of milk

Swallow the whole tablet and do not chew it

A nurse is caring for a patient who is being administered Azulfidine. Which of the following interventions should the nurse perform to ensure the patient get the full benefits of the treatment? Take the drug with a full glass of milk instead of water Take dosage while eating or immediately after eating Drink at least two or three 8-oz glasses of fluid every day Increase food intake for the duration of sulfonamide therapy

Take dosage while eating or immediately after eating

A patient has be prescribed an anti-arrhythmic drug for cardiac arrhythmia. Which of the following points should the nurse include in the patient teaching plan? Take the drug only on an empty stomach Decrease the dose if adverse effects occur Chew the tablets well before swallowing Take frequent sips of water or chew gum

Take frequent sips of water or chew gum

A nurse is caring for a pregnant patient; during the assessment the nurse learns that the patient is addicted to cocaine. The nurse informs the patient of a major risk related to cocaine addiction. Which of the following is a major risk of drug abuse in pregnancy? The child may be born with CNS defects The child may be born with hypertension The child may be born with diabetes The child may be born with an addiction to drugs

The child may be born with an addiction to drugs

6. A patient with skin lesions due to a viral infection has been prescribed topical application of an antiviral. Which of the following points should the nurse inform the patient regarding the therapy and the infection? a. All lesions should be left open and not covered in any way b. Sexual contact during lesions is permissible if barrier methods are used c. Topical drugs should be applied by hand and not finger cot or gloves d. The drug will not prevent the spread of the disease to others

The drug will not prevent the spread of the disease to others

A patient with skin lesions due to a viral infection has been prescribed topical application of an antiviral. Which of the following points should the nurse inform the patient regarding the therapy and the infection? Sexual contact during lesions is permissible if barrier methods are used The drug will not prevent the spread of the disease to others All lesions should be left open and not covered in any way Topical drugs should be applied by hand and not finger cot or gloves

The drug will not prevent the spread of the disease to others

4. The nurse assigned to take care of a patient is unable to read the primary-care provider's handwriting. Which of the following interventions is the most appropriate in this situation? a. The nurse should confirm the order with a nearby care provider b. The nurse should try to interpret the handwriting c. The nurse should obtain a verbal order d. The nurse should question the order with the primary-care provider

The nurse should question the order with the primary-care provider

7. A nurse is caring for a client who is being administered in intravenous anti-infective. The nurse should be alert for the signs for which of the following conditions when caring for this client with an intravenous anti-infective? a. Pseudomembranous colitis b. Hypotension c. Tinnitus d. Insomnia

Tinnitus

What is the significance of the nursing diagnoses developed by the North American Nursing Diagnosis Association (NANDA)? Useful in identifying patient problems related to drug therapy Useful in identifying the expected outcome of treatments given Useful in classifying the drugs as per their actions Useful in classifying the patients as per their age groups

Useful in identifying patient problems related to drug therapy

13. "Dose desired / dose on hand = dose administered" is the formula for calculating the dose to be administered. Under which of the following circumstances is this to be used? i. When the dosage is written in the apothecary system j. When the label of the drug is in the metric system k. When the physician is not available to calculate the dosage l. When the dose desired and dose on hand are in the same system

When the dose desired and dose on hand are in the same system

2. a nurse is caring for a patient receiving bismuth subsalicylate for the relief of diarrhea. Which of the following interventions should the nurse perform to promote an optimal response to the prescribed drug therapy a. ensure the patient receives adequate sunlight b. thoroughly mix and stir the drug before administering c. administer the drug after each loose bowel movement d. encourage the patient to lightly exercise on a daily basis

administer the drug after each loose bowel movement