Pharm NCLEX exam 2
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that which finding indicates the presence of systemic toxicity from this medication? a) tinnitus b) diarrhea c) constipation d) decreased respirations
A
Which statement by the nurse reflects teaching for a client recently initiated on anticonvulsants? SATA a) It is important to take the medication at the same time every day with meals b) it is important to not drink excessive amounts of caffeine c) avoid driving hazardous activities until any side effects such as drowsiness can be determined d) some anticonvulsants interfere with vitamin and mineral absorption e) oral hygiene, such as gum massage and tooth brushing, is important to combat the gingival hyperplasia that meds can cause
All of the above
Colchicine is prescribed for a client with a diagnosis of gout. The nurse reviews the client's record, knowing that this medication would be used with caution in which disorder? a) myxedema b) kidney disease c) hypothyroidism d) diabetes mellitus
B
Which instructions will the nurse include in the teaching plan for a client who will be taking simvastatin? SATA a) increase dietary intake of potassium b) avoid prolonged exposure to the sun c) schedule regular ophthalmic exams d) take the med at least half hour before meals e) contact your health care provider if skin becomes gray-bronze
B, C, E
Which instructions will the nurse include in the teaching plan for a client who will be taking simvastatin? SATA a) increase dietary intake of potassium b) avoid prolonged exposure to the sun c) schedule regular eye exams d) take the medication at leas 30 min before meals e) contact your Dr if skin becomes gray-bronze
B, C, E
The nurse is assisting in the care of a client being discharged on phenytoin 100 mg three times daily. When providing client teaching about this medication, the nurse should be sure to include which points? Select all that apply. a) break the capsules so they are easier to swallow b) use a soft toothbrush while taking this medication c) if a dose is missed, just wait until the next one d) the med may turn the urine pink, red, or brown e) alcohol should be avoided f) sore throat is a common side effect
B, D, E
The nurse teaches the client who is newly diagnosed with diabetes insipidus about the prescribed intranasal desmopressin. Which statements by the client indicate understanding? SATA a) This medication will turn my urine orange b) I should decrease my oral fluids when I start this medication c) The amount of urine I make should increase if this medicine is working d) I need to follow a low fat diet to avoid pancreatitis when taking this medicine e) I should report headache and drowsiness to my doctor since these symptoms could be related to my desmopressin
B, E
Somatropin is administered to a client with growth failure. A nurse monitors the client, knowing that which is the expected therapeutic effect of this medication? a) promote weight gain b) increase bone density c) stimulate linear growth d) decrease mobilization of fats
C
The home health care nurse is visiting a client with coronary artery disease with elevated triglyceride levels and a serum cholesterol level of 398. The client is taking cholestyramine, and the nurse teaches the client about the medication. Which statement by the client indicates the need for further teaching? a) constipation and bloating might be a problem b) I'll continue to watch my diet and reduce my fats c) Walking a mile each day will help the whole process d) I'll continue my nicotinic acid from the health food store
D
The home health care nurse is visiting a client with coronary artery disease with elevated triglyceride levels and a serum cholesterol level of 398mg/dL. The client is taking cholestyramine and the nurse teaches the client about the medication. Which statement by the client indicates the need for further teaching? a) Constipation and bloating might be a problem b) I'll continue to watch my diet and reduce my fats c) Walking a mile each day will help the whole process d) I'll continue my nicotinic acid from the health food store
D
The home health nurse is providing instructions to a client who is taking probenecid for the treatment of gout. Which food should the nurse instruct the client to continue to eat? a) liver b) shrimp c) scallops d) spinach
D
The nurse is providing instructions to a client beginning medication therapy with divalproex sodium for treatment of absence seizures. The nurse instructs the client that which represents the most frequent side or adverse effect of this medication? a) tinnitus b) irritability c) blue vision d) nausea and vomiting
D
Which prescription would the nurse anticipate for the client who takes medication that interferes with fat absorption? a) high fat diet b) supplemental cod liver oil c) TPN d) water-miscible forms of vitamins A and E
D
A client develops a seizure disorder as a result of a traumatic fall. During a clinic visit, the client states, "I have not had a seizure in 2 years. When can I stop taking my anti seizure medications?" Which response would the nurse provide? a) a gradual reduction in seizure medication may be considered b) you will require medication for the rest of your life c) the medication probably will be discontinued at this visit d) a minimum of 10 years without seizures is necessary before discontinuation of medications is considered
A
A client has a medication prescription for phenytoin to be administered IV. After drawing up the medication, the nurse notes the presence of precipitate in the syringe. Which action should the nurse take? a) discard the syringe and begin again b) add sterile water to dissolve c) draw up an additional 1mL NS into syringe d) chart the medication as not given
A
A client has a prescription to receive valporic acid daily. To ensure the client's safety, when is the best time for the nurse to schedule the administration of this medication? a) at bedtime b) mid afternoon c) two hours after lunch d) two hours before breakfast
A
A client is scheduled for a craniotomy to remove a brain tumor. To prevent the development of cerebral edema after surgery, the nurse anticipates the use of medications from which class? a) glucocorticoids b) Anticholinergics c) anticonvulsants d) antihypertensives
A
An older client with RA has been instructed by the primary health care provider to take ibuprofen 400mg orally three times daily. The home care nurse reading the medication prescription knows that the instruction has been effective when the client states the instructed dose is which? a) the normal adult dose b) higher than the normal adult dose c) an unusual dosage for this diagnosis d) two times higher than the normal adult dose
A
Diazepam is administered to the client with status epilepticus. In addition to decreasing CNS activity, which effect would the nurse anticipate? a) relaxing of peripheral muscles b) decreased heart rate c) dilation of airways d) hypertension
A
Two weeks after starting phenobarbital sodium, the client develops new symptoms. Which symptom is probably caused by the medication? a) cognitive impairment b) frequent urination c) abdominal pain d) mania
A
Warfarin is prescribed for the client who takes phenytoin for a seizure disorder. Which medication interaction complicates seizure therapy? a) warfarin inhibits the metabolism of phenytoin b) warfarin decreases phenytoin absorption c) phenytoin competes with warfarin for receptor occupation d) warfarin promotes excretion of phenytoin
A
Which therapeutic outcomes are expected after administering ibuprofen? SATA a) diuresis b) pain relief c) temperature reduction d) bronchodilation e) anticoagulation f) reduced inflammation
B, C, F
The nurse is caring for a client who is receiving growth hormone replacement therapy. The nurse monitors the client for which option as an adverse effect of this thereapy? a) hypocalciuria b) hypoglycemia c) hyperglycemia d) hyperthyroidism
C
Which outcome does allopurinol produce to prevent acute gouty attacks? a) promotes uric acid excretion b) decreases synovial swelling c) decreases uric acid production d) prevents crystallization of uric acid
C
A client with epilepsy is prescribed phenytoin for seizure control. Which instruction about phenytoin will the nurse provide during discharge teaching? a) anti seizure medications will probably be continued for life b) phenytoin prevents any further occurrences of seizures c) this medication needs to be taken during periods of emotional stress d) your anti seizure medication usually can be stopped after a year's absence of seizures
A
Which instructions will the nurse include in the teaching plan for a client with hyperlipidemia who is being discharged with a prescription for cholestryamine? a) Increase your intake of fiber and fluid b) Take the medication before you go to bed c) Check your pulse before taking the medication d) contact your Dr if your skin turns yellow
A ( constipation is big side effect)
A client who uses NSAIDs has been taking misoprostol. The nurse determines that the misoprostol is having the intended therapeutic effect if which finding is noted? a) resolved diarrhea b) relief of epigastric pain c) decreased platelet count d) decreased WBC
B
The nurse is administering medications to a client with trigeminal neuralgia. The nurse expects which medication will be prescribed for pain relief? a) oxycodone and aspirin b) carbamazepine and gabapentin c) tylenol and codeine d) meperdine and hydroxyzine
B
A client with status epilepticus has been prescribed phenytoin to be given by the IV route. The nurse administering the medication is careful not to exceed which recommended infusion rate? a) 50mg/min b) 60mg/min c) 100mg/min d) 750mg/min
A
A clinic nurse is performing an assessment on a client with RA who has been taking aspirin. The nurse assesses the client for signs of toxicity. Which findings should alert the nurse? a) fever and hyperventilation b) constipation and abdominal bleeding c) client complaint of visual disturbances d) abdominal discomfort and diarrhea
A
The nurse monitors the client taking Octreotide acetate for acromegaly for which most common side effect of this medication? a) diarrhea b) dyspnea c) constipation d) bradycardia
A
Which would the nurse include in the client's medication teaching on the administration of aspirin 650 mg every 6 hours as needed for arthritic pain? SATA a) Report persistent abdominal pain b) Do not chew enteric coated tablets c) take the aspirin with meals or a snack d) see a dentist if bleeding gums develop e) switch to Tylenol if tinnitus occurs
A, B, C
Allopurinol has been prescribed for a client with a diagnosis of gout. The nurse develops a list of instructions for the client regarding the use of this medication. Which measures should be included on the list? SATA a) increase fluid intake b) take the medication with food c) consume items to maintain an alkaline urine d) take vitamin C daily to enhance effects e) return to the clinic for liver and renal function tests
A, B, C, E
A client with gout has begun to take allopurinol. The nurse informs the client that which medication may also be necessary during the beginning phase of medication therapy with allopurinol? SATA a) naproxen b) colchicine c) oxycodone d) indomethacin e) hydromorphone
A, B, D
Which medications increase the risk for upper GI bleeds? SATA a) aspirin b) ibuprofen c) ciprofloxacin d) acetaminophen e) methylprednisolone
A, B, E
Then nurse administers decompression acetate (DDAVP) to a client with diabetes insipidus. Which would the nurse monitor to evaluate the effectiveness of the medication? a) arterial blood pH b) intake and output c) fasting serum glucose d) pulse and respiratory rate
B
A client related with lorazepam for status epilepticus. Which effect of the drug is the reason to give it? a) decreased anxiety associated with seizures b) promotes rest after the seizure episode c) depresses the CNS d) provides amnesia for the convulsive episode
C
After review of the client's lab values, the nurse notes that a phenytoin level for a client is 7mcg/mL. The nurse makes which interpretation regarding the lab result?
C
Aspirin is prescribed for a client with RA. Which clinical indicators of toxicity will the nurse teach the client to report? SATA a) bradycardia b) joint pain c) blood in the stool d) ringing in the ears e) increased urine output
C, D
A client is receiving Somatropin. The nurse should monitor which most significant laboratory study during therapy with this medication? a) lipase level b) amylase level c) blood urea nitrogen BUN d) thyroid stimulating hormone
D
A client is scheduled for discharge and will be taking phenobarbital for an extended period. The nurse would place highest priority on teaching the client what? a) take the medication only with meals b) take the medication at the same time each day c) use a dose container to help prevent missed doses d) avoid drinking alcohol
D
A client has been taking glucocorticoids to control rheumatoid arthritis. Which lab abnormality is the client at risk for as a result of taking this medication? a) increased serum glucose b) decreased serum sodium c) elevated serum potassium d) increased white blood cells
A
A client who takes four 325 mg tablets of buffered aspirin four times a day for severe arthritis complains of dizziness and ringing in the ears. Which complication would the nurse conclude that the client probably is experiencing? a) salicylate toxicity b) allergic reaction c) withdrawal symptoms d) aspirin tolerance
A
Which finding suggests to the nurse that a client with bleeding esophageal varices is experiencing a side or adverse effect of vasopressin therapy? a) complaints of chest pain b) bounding peripheral pulses c) temperature of 102 d) BUN of 20
A
Which medication is indicated for treatment of bleeding esophageal varices? a) vasopressin b) neostigmine c) lansoprazole d) phytonadione
A
Which would the nurse include in the client's medication teaching on the admin of aspirin 650 mg every 6 hours as needed? SATA a) report persistent abdominal pain b) do not chew enteric coated tablets c) take the aspirin with meals or a snack d) see a dentist if bleeding gums develop e) switch to acetaminophen if tinnitus occurs
A, B, C
A client has a tonic clonic seizure. The nurse anticipates that the health care provider will prescribe the IV administration of which medication? a) Naloxone b) Diazepam c) Epinephrine HCl d) atropine
B
A client is diagnosed with acute gouty arthritis. Which medication would the health care provider prescribe to treat the acute attack of gout and prevent future attacks? a) ibuprofen b) colchicine c) probenecid d) allopurinol
B
A client is having the dosage of clonazepam adjusted. The nurse should plan to perform which action? a) weigh the client daily b) institute seizure precautions c) monitor blood glucose levels d) observe for areas of ecchymosis
B
A client with a history of coronary artery disease has developed diabetes insipidus as a result of cranial surgery. The client's medication therapy will include vasopressin. The nurse monitors this client most carefully for which sign or symptom that indicates a side or adverse effect of this medication? a) depression b) chest pain c) joint stiffness d) nagging cough
B
A client with a seizure disorder will be taking phenytoin. Which instructions will the nurse give to the client? a) Take on an empty stomach b) provide meticulous oral hygiene c) taper off the med if seizures are controlled for 3 months d) stop taking if you become pregnant
B
Which clinical indicator would the nurse monitor to determine if the client's simvastatin is effective? a) heart rate b) triglycerides c) blood pressure d) INR
B
The nurse is told that the result of a serum carbamazepine level for a client who is receiving the medication for the control of seizures is 13 mcg/mL (55.03 mmol/L). Based on this laboratory result, the nurse anticipates that the primary health care provider (PHCP) will document which prescription? A) discontinue medication b) decrease dose c) increase dose d) continue same dose
B ( 4-12)
A client taking carbamazepine asks the nurse what to do if a dose is missed. The nurse responds that which action should be taken? a) withhold until the next scheduled dose b) withhold and call the primary health care provider c) take the dose as long as it is not close to the time for the next dose d) withhold until the next dose
C
A client with a seizure disorder is receiving phenytoin and phenobarbital. Which client statement indicates that the instructions regarding the medications are understood? a) I will not have any seizures with these medications b) These medicines must be continued to prevent falls and injury c) Stopping these medications can cause continuous seizures and I may die d) by my staying on the medicines, I will prevent post seizure confusion
C
A client with diabetes insipidus asks the nurse about the purpose of a new medication, vasopressin. The nurse provides teaching about the medication. Which statement by the client indicates successful teaching? a) It causes muscle contractions b) It opens up my blood vessels c) it prevents me from peeing so much d) it decreases stomach and colon motility
C
The nurse is evaluating the serum acetylsalicylic acid results for a client receiving aspiring for RA. Which noted result is indicative that the client is within the range for the medication's anti arthritis effect? a) 10 mg/dL b) 19mg/dL c) 26mg/dL d) 38mg/dL
C
The nurse has a prescription to administer phenytoin 100mg mixed in 5% dextrose in water by the IV route to a client. After reading this prescription, which action should the nurse take? a) prepare the solution for administration b) contact the agency pharmacy to obtain the medication c) contact the PHCP to question the prescription d) mix the medication in the prescribed solution and attach an inline filter
C ( only NS)
A client is diagnosed with trigeminal neuralgia. Which nonanalgesic can decrease the client's pain? a) echinacea b) leucovorin c) allopurinol d) carbamazepine
D
A client is scheduled to begin therapy with carbamazepine. The nurse should assess the results of which tests before administering the first dose of this medication? a) liver function b) renal function c) pancreatic enzymes d) CBC
D
A client is scheduled to receive phenytoin extended release 100 mg orally at 6pm but is having difficult swallowing capsules. The unit has phenytoin suspension, suppositories, and injectable solution in stock. Which action will the nurse take? a) crush the capsule and mix into a soft food b) insert a rectal suppository containing 100mg of phenytoin c) administer 4 ml of phenytoin suspension containing 125mg/5mL d) request a prescription for phenytoin suspension
D
A health care provider prescribes sim Simvastatiin 20mg daily for elevated cholesterol and triglyceride levels for a female client. Which advice is important for the nurse to teach when the client initially takes the medication? a) take the med with breakfast b) have liver function tests every 6 months c) wear sunscreen to prevent photosensitivity reactions d) inform the health care provider if you wish to become pregnant
D
Allopurinol is prescribed when the client with type 2 diabetes develops gout. When teaching about the administration of allopurinol, which instruction will the nurse provide? a) allopurinol masks symptoms of hypoglycemia b) increase your oral hypoglycemic medications c) increase attention to diabetic foot care d) monitor blood glucose levels more frequently
D
The nurse provides instructions to the client about nicotinic acid prescribed for hyperlipidemia. Which statement by the client indicates understanding of the instructions? A) The medication should be taken with meals to decrease flushing b) It is not necessary to avoid the use of alcohol when taking nicotinic acid c) clay colored stools are a common side effect and should not be of concern d) ibuprofen taken 30 minutes before the nicotinic acid may decrease the flushing
D
Vasopressin is prescribed for a client with diabetes insipidus. The nurse should be particularly cautious in monitoring the client receiving this medication if the client has which preexisting condition? a) depression b) endometriosis c) pheochromocytoma d) coronary artery disease
D
Which medication is safest to take for pain in the week before a surgical procedure? a) naproxen b) aspirin c) ketorolac d) acetaminophen
D
A health care provider prescribes aspirin therapy for a client with arthritis. The nurse will advise the client to report which adverse effects? SATA a) ongoing nausea b) constipation c) easy bruising d) decreased pulse e) ringing in the ears
A, C, E
A health care provider prescribes aspirin therapy for a client with arthritis. The nurse will advise the client to report which adverse effects? SATA a) ongoing nausea b) constipation c) easy bruising d) decreased pulse e) ringing in the ears
A, C, E
A client has a prescription for valporic acid. To maximize the client's safety, the nurse should plan to monitor for which potential complications of this medication? SATA a) pancreatitis b) hypotension c) renal failure d) hepatotoxicity e) cardio toxicity
A, D
A client who is receiving phenytoin asks why folic acid was prescribed. Which explanation would the nurse provide? a) phenytoin inhibits absorption of folate from foods b) folic acid potentiates the action of phenytoin c) absorption of iron from foods is improved d) neuropathy caused by phenytoin is prevented
A
A client with RA starts taking ibuprofen 800mg by mouth 3x a day. The nurse concludes that the teaching was effective when the client makes which statements? SATA a) I need to report any dark tarry stools b) I will need to stop taking this medication before any scheduled surgery c) I should change positions slowly d) I will take this medication on an empty stomach e) I need to stop taking low dose aspirin while i take this
A, B
A client with rheumatoid arthritis is to begin taking ibuprofen 800 mg by mouth 3x a day. The nurse provides education about the medication's side effects. The nurse concludes that the teaching was effective when the client makes which statements? SATA a) I need to report any dark tarry stools b) I will need to stop taking this medication before any scheduled surgery c) I should change positions slowly d) I will take the medication on an empty stomach e) I need to stop taking low dose aspirin while I take this medication
A, B
A client with a diagnosis of trigeminal neuralgia is started on a regimen of carbamazepine. The nurse provides instructions to the client about the side and adverse effects of the medication. Which client statement indicates an understanding of the side and adverse effects of the medication? A) I will report a fever or sore throat to my doctor b) I must brush my teeth frequently to avoid damage to my gums c) if i notice ringing in my ears I'll seek medical attention d) If I notice a pink color to my urine I will stop taking
A
A client with a new medication prescription for allopurinol asks the nurse I know this is for gout, but how does it work? The nurse plans to reply based on which medication action? a) decreases uric acid production b) reduces the production of fibrinogen c) decreases the risk of sulfa crystal formation in the urine d) prevents influx of calcium ions during cell depolarization
A
Allopurinol is prescribed for a client and the nurse provides medication instructions to the client. Which instruction should the nurse provide? a) drink 3000mL of fluid a day b) take the medication on an empty stomach c) the effect of the medication will occur immediately d) any swelling of the lips is s normal expected response
A
Allopurinol is prescribed for a client and the nurse provides medication instructions to the client. Which instruction should the nurse provide? a) drink 3000mL of fluid per day b) take the medication on an empty stomach c) the effect of the medication will occur immediately d) any swelling of the lips is a normal expected response
A
An 8 year old boy is being treated with desmopressin. Understanding the purpose of this medication, the nurse should set which client goal? a) the boy will have 5 nights in sequence without enuresis b) the boy will have increased urine output to 2400 mL per day c) the boy will have an increase in WBC count to 4000 d) the boy will have decreased use of the metered dose inhaler to 3x per week
A
Diazepam is administered to the client with status epilepticus. In addition to decreasing central neuronal activity, which effect would the nurse anticipate? a) relaxing of peripheral muscles b) decreased heart rate c) dilation of airways d) hypertension
A
Hydrocortisone is prescribed for a client with Addison's disease. Which response is a therapeutic effect of this medication? a) supports a better response to stress b) promotes a decrease in blood pressure c) decreases episodes of SOB d) control an excessive loss of potassium
A
Hydrocortisone is prescribed for a client with Addison's disease. Which response is a therapeutic effect of this medication? A) supports a better response to stress b) promotes a decrease in blood pressure c) decreases episodes of SOB d) controls an excessive loss of potassium
A
The client arrives at the ED complaining of back spasms. The client states "I have been taking 2-3 aspirin every 4 hours for the last week, and it hasn't helped my back." Since acetylsalicylic acid intoxication is suspected, the nurse should assess the client for which manifestation? a) tinnitus b) diarrhea c) constipation d) photosensitivity
A
The client with a seizure disorder receives IV phenytoin. The nurse will monitor closely for which condition? a) cardiac dysrhythmias b) hypoglycemia c) polycythemia d) paradoxical excitation
A
Which effect would the nurse monitor to evaluate the effectiveness of carbamazepine in the management of a client's trigeminal neuralgia? a) pain intensity b) gait c) ROM d) seizure activity
A
A client is admitted to the ED after experiencing a seizure. Which action would the nurse take first? a) ask the ED doctor for an anticonvulsant b) obtain a history of seizure type and incidence c) ask the client to remove any dentures or eyeglasses d) observe the client for increased restlessness and agitation
B
A client is prescribed cholestyramine for the treatment of type 2 hyperlipoproteinemia. Which vitamin would the nurse anticipate may become deficient because of this therapy? a) Niacin (vitamin B3) b) Calciferol (vitamin D) c) Ascorbic acid (Vitamin C) d) Cyanocobalamin (vitamin B12)
B
A client newly diagnosed with gout has been prescribed allopurinol. The nurse would be concerned if the client was also currently taking which medication? a) digoxin b) warfarin c) adenosine d) ergonovine maleate
B
A client with a seizure disorder will begin taking phenytoin. Which instructions will the nurse give to the client? a) take the medication on an empty stomach b) provide meticulous oral hygiene c) taper off the medication if seizures are controlled for 3 months d) stop taking the medication if you become pregnant
B
A client with arthritis takes large doses of aspirin. Which symptom would the nurse include when teaching the client about the clinical manifestations of aspirin toxicity? a) drowsiness b) disturbances in hearing c) intermittent constipation d) metallic taste in mouth
B
The nurse has given medication instructions to a client receiving phenytoin. Which statement indicates that the client has an adequate understanding of the instructions? a) alcohol is not contraindicated while taking this medication b) good oral hygiene is needed, included brushing and flossing c) the medication dose may be self adjusted depending on the side effects d) the morning dose of the medication should be taken before a serum medication level is drawn
B
The nurse has given medication instructions to a client receiving phenytoin. Which statement indicates that the client has an adequate understanding of the instructions? a) alcohol is not contraindicated while taking this medication b) good oral hygiene is needed, including brushing and flossing c) the medication dose may be self adjusted depending on side effects d) the morning dose of the medication should be taken before a serum medication level is drawn
B
The nurse is caring for a client with hyperlipidemia who is taking cholestyramine. Which nursing assessment is most significant for this client relative to the medication therapy? a) observe for joint pain b) auscultate bowel sounds c) assess deep tendon reflexes d) monitor cardiac rate and rhythm
B
A client's phenytoin level is 16 mcg/L. Which action will the nurse take? a) hold the medication and notify the health care provider b) administer the next dose of the med as prescribed c) hold the next dose and then resume administration as prescribed d) call the health care provider to obtain a prescription with an increased dose
B ( therapeutic range is 10-20)
A client's phenytoin level is 16mcg/L. Which action will the nurse take? a) hold the medication and notify the health care provider b) administer the next dose of the medication as prescribed c) hold the next dose and then resume administration as prescribed d) call the health care provider to obtain a prescription with an increased dose
B (therapeutic range is 10-20)
A client has a tonic clonic seizure caused by an overdose of aspirin. Which action would the nurse take next? a) check reflexes every 2 hours b) insert a urinary retention catheter c) monitor vital signs every 15 minutes d) prepare a setup for central venous pressure CPV line
C
A client is taking the prescribed dose of phenytoin to control seizures. Results of a phenytoin blood level study reveal a level of 35mcg/mL. Which finding would be expected as a result of this lab result? a) hypotension b) tachycardia c) slurred speech d) no abnormal finding
C
A client is treated with lorazepam for status epilepticus. Which effect of lorazepam is the reason it is given? a) decreases anxiety associated with seizures b) promotes rest after the seizure episodes c) depress the CNS d) provides amnesia for the convulsive episode
C
A client with trigeminal neuralgia is being treated with carbamazepine, 400mg daily. Which value indicates that the client is experiencing an adverse effect to the medication? a) sodium level, 140 b) uric acid level 4.0 c) WBC count 3000 d) BUN 10mg
C
A male client receiving prolonged steroid therapy complains of being thirsty and urinating frequently. Which is the nurse's initial action? a) have the client assessed for an enlarged prostate b) obtain a urine specimen from the client to test for ketonuria c) perform a finger stick to test the client's blood glucose level d) assess the client's lower extremities for the presence of pitting edema
C
Acetylsalicylic acid has been prescribed for a client with angina, and the client asks the nurse how the medication will help. The nurse responds that this medication has been prescribed for which purpose? a) to reduce pain b) to reduce inflammation c) to inhibit platelet aggregation d) to maintain a normal body temperature
C
Fenofibrate is prescribed for a client with hyperlipidemia. The nurse reviews the client's medical history for the presence of what condition that contraindicates the use of this medication? a) angina b) mitral valve stenosis c) cirrhosis of the liver d) coronary artery disease
C
Somatropin, a growth hormone, is prescribed for a client. The nurse reviews the assessment data in the client's health record, knowing that the medication would be contraindicated for which client? a) a child with growth failure b) A child with pituitary dwarfism c) a 20 year old with growth failure d) a child with growth hormone deficiency
C
The home health nurse visits a client who is taking phenytoin for control of seizures. During the assessment, the nurse notes that the client is taking birth control pills. Which information should the nurse include in the teaching plan? a) pregnancy must be avoided when taking this drug b) the client may stop the medication if it is causing severe GI effects c) There is the potential of decreased effectiveness of birth control pills when taking this drug d) There is the increased risk of thrombophlebitis while taking phenytoin and birth control together
C
A client on prolonged cortisone therapy for adrenal insufficiency is being discharged. Which side effects would the nurse teach the client and family to expect? SATA a) oliguria b) anorexia c)weakness d) moon face e) weight gain f) nervousness
C, D, E
A client taking ibuprofen for RA asks the nurse if acetaminophen can be substituted. Which response by the nurse is appropriate? A) yes, both are antipyretics and have the same effect b) acetaminophen irritates the stomach more than ibuprofen does c) acetaminophen is the preferred treatment for RA d) ibuprofen has anti-inflammatory properties, and acetaminophen does not
D
A client who is taking phenytoin for a seizure disorder is being admitted to the hospital because of an increase in seizure activity. The client reports severe vomiting for the last 24 hours and an inability to take phenytoin during that time. The nurse anticipates that the primary health care provider will most likely prescribe which medication? a) clonazepam b) phenobarbital c) carbamazepine d) fosphenytoin sodium
D
A client with trigeminal neuralgia tells the nurse that acetaminophen is taken daily for the relief of generalized discomfort. Which lab value would indicate toxicity associated with the medication? a) sodium level of 140 b) platelet count of 400,000 c) prothrombin Time of 12 seconds d) direct bilirubin level of 2mg/dL
D
A health care provider prescribes simvastatin 20 mg family for elevated cholesterol and triglyceride levels for a female client. Which advice is important for the nurse to teach when the client initially takes this medication? a) take the med with breakfast b) have liver function tests every 6 months c) wear sunscreen to prevent photosensitivity reactions d) inform the health care provider if you wish to become pregnant
D
Cortisone acetate is prescribed for a client with adrenal insufficiency. The nurse provides instructions to the client regarding the medication. Which statement, if made by the client indicates a need for further instruction? a) I will limit my sodium intake b) I will avoid people with colds c) I will eat a good breakfast every day d) I will stop the medication when I feel better
D
Octreotide acetate is prescribed for a client with acromegaly. The nurse monitors the client, knowing that which side or adverse effect is associated with the administration of medication? a) polyuria b) hypotension c) constipation d) abdominal pain
D
Probenecid has been prescribed for a client with a diagnosis of gout, and the nurse provides instructions to the client regarding medication. Which statement indicates a need for further teaching? a) I need to increase my fluid intake b) I need to take the medication with food c) I need to have a periodic uric acid level drawn d) I should take aspirin for relief of headache
D
