pharmacology NCLEX questions chapters 3-49

the client taking benztropine (cogentin) should be provided education on methods to manage what adverse effect 1. heartburn 2. constipation 3. hypothermia 4.increased gastric mobility

constipation

older adult clients taking bethanecohol (urecholine) need to be assessed more frequently because of what adverse effect 1. tachycardia 2. hypertension 3. dizziness 4. urinary retention

dizziness

a client is given a prescription for propranolol 40mg BID. what is the most important instruction that nurse should give to this client 1.take this med on an empty stomach as food interferes with its absorption 2.dont stop taking this med abruptly; the dosage must be decreased gradually if its discontinued 3.if the client experiences any disturbances in hearing, the client should notify the health care provider immediately 4.the client mat become very sleepy while taking this med; don't drive

dont stop taking this med abruptly; the dosage must be decreased gradually if its discontinued

a pt has been taking phenytoin for control of generalized seizures, ironic-clonic type. the pts admitted to the med unit w/ symptoms of nystagmus, confusion & ataxia. what change in the dosage does the rn anticipate will be made based on these symptoms 1. dosage will increase 2. dosage will decrease 3. dosage will remain unchanged; these symptoms unrelated to the phenytoin 4. the dosage will remain unchanged but an additional anti seizure meds may be added

dosage will decrease

77 yo pt's diagnosed w/ depression w/ anxiety & is started on imipramine. because of the pts age, the rn will take precautions for care r/t what 1. dry mouth & photosensitivity 2. anxiety, headaches, insomnia 3. drowsiness & sedation 4. urinary frequency

drowsiness & sedation

a client who is undergoing anger chemotherapy asks the nurse why she's taking 3 different chemo drugs. whats the best response 1.your cancer was very advanced and therefore requires more medications 2.each drug attacks the cancer cells in a different way, increasing the effectiveness of the therapy 3.several drugs are prescribed to find the right drug for your cancer 4.one drug will cancel out the side effects of the other

each drug attacks the cancer cells in a different way, increasing the effectiveness of the therapy

whats the term used to describe the magnitude of maximal response that can be produced from a particular drug 1.efficacy 2.toxicity 3.potency 4.comparability

efficacy

the client who hasn't responded well to other therapies has been prescribed milrinone (primacor) for treatment of his heart failure. what essential assessment must the nurse make before staring this drug 1.weight & presence of edema 2.dietary intake of sodium 3.electrolytes, especially potassium 4.hx of sleep patterns & presence of sleep apnea

electrolytes, especially potassium

planning teaching needs for a pt who's to be discharged postop w/ a prescription for oxycodone w/ acetaminophen should include what 1. refer the pt to a drug treatment center if addiction occurs 2. encourage increased fluids & fiber in the diet 3. monitor for GI bleeding 4. teach the pt to self assess BP

encourage increased fluids & fiber in the diet

which factor is most important for the nurse to assess when evaluating the effectiveness of a patients drug therapy 1.the patients promise to comply with drug therapy 2.the patients satisfaction with the drug 3.the cost of the medication 4.evidence of therapeutic benefit from the medication

evidence of therapeutic benefit from the medication

the client or family of a client taking tacrine (cognex) should be taught to be observant for what adverse effects that may signal a possible OD has occured 1. excessive sweating, salivation & drooling 2. extreme constipation 3. hypertension & tachycardia 4. excessively dry eyes & reddened sclera

excessive sweating, salivation and drooling

a client who is experiencing shock is started on norepinephrine by IV drugs. why must the nurse conduct frequent inspections of the IV insertion site while the client remains on this drug 1.the clients BP may rise if the site is occluded 2.extravasation and leakage at the IV site may cause local tissue damage 3.bleeding may occur from the site d/t localized drug effects 4.the clients BP may drop precipitously if the iV runs too quickly

extravasation and leakage at the IV site may cause local tissue damage

common adverse effects if antidysrhythmic meds include(select all) 1.hypotension 2.HTN 3.dizziness 4.weakness 5.panic attacks

-hypotension -dizziness -weakness

the rn is monitoring the pt for early signs of lithium toxicity. which symptoms may indicate that toxicity is developing? (select all) 1. persistant GI upset 2. confusion 3. increased urination 4. convulsions 5. ataxia

- persistant GI upset - confusion - increased urination

which meds may be used to treat partial seizures (select all) 1. phenytoin 2. valproic acid 3. diazepam 4. carbamazepine 5. ethosuximide

- phenytoin -valproic acid -. carbamazepine

zolpidem (ambien) has been ordered for a pt for the treatment of insomnia. what info will the rn provide to this pt. (select all) 1. be cautious when performing morning activities because it may cause a significant hangover effect w/ drowsiness & dizziness 2. take the drug w/ food this enhances the absorption for quicker effects 3. take the drug immediately before going to bed 9t has a quick onset of action 4. if the insomnia is long0lasting, this drug may safely be used for up to one year 5.alcohol & other drugs that cause CNS depression should be avoided while taking this drug

- take the drug immediately before going to bed 9t has a quick onset of action -alcohol & other drugs that cause CNS depression should be avoided while taking this drug

which client would have a higher risk for adverse effects from estradiol and norethindrone (select all) 1.18 yo w/ history of depression 2.16 yo w/ chronic acne 3.33 yo w/ obesity per her BMI 4.24 yo who smokes 1 pack of cigarettes per day 5. 41 yo who smokes has delivered 2 health children

-18 yo w/ history of depression -24 yo who smokes 1 pack of cigarettes per day

which of the following assessment findings in a client who is receiving atenolol for angina would be cause for the nurse to hold the drug and contact the provider (select all) 1.HR 50 BPM 2.HR 124 BPM 3.BP 86/56 4.BP 156/88 5.tinnitus & vertigo

-HR 50 BPM -BP 86/56

the clients prescribed timolol for treatment of glaucoma. the nurse assesses for which medical disorders during the hx & physical which may be a contraindication to the use of this drug (select all) 1.heart bloc 2.heart failure 3.liver disease 4.COPD 5.renal disease

-Heart block -Heart failure -COPD

the nurse would anticipate administering vitamin k to which of the following clients (select all) 1.a newborn infant 2.a client with hearing impairment secondary to antibiotic use 3.a teenage with sever acne 4.a client who has taken an overdose of the oral anticoagulant warfarin 5.a client with newly diagnosed type 1 diabetes

-a newborn infant -a client who has taken an overdose of the oral anticoagulant warfarin

a patient with cirrhosis of the liver exhibits decreased metabolic activity. this will require what possible changes (select all) 1.a reduction in the dosage of the drugs 2.a change in the timing of med administration 3.An increased dose of prescribed drugs 4.giving all prescribed drugs by IM injection 5.more frequent monitoring for adverse drug effects

-a reduction in the dosage of the drugs -more frequent monitoring for adverse drug effects

a client with a congenital coagulation disorder is given aminocaproic acid to stop bleeding following surgery. the nurse will carefully monitor this client for development of which adverse effects (select all) 1.anaphylaxis 2.HTN 3.hemorrhage 4.headache 5.hypotension

-anaphylaxis -headache -hypotension

the pts serum sodium level is 152mEq/L. what nursing interventions most appropriate for this client (select all) 1. assess for inadequate water intake/diarrhea 2. administer a 0.45% NaCl IV solutions 3. hold all doses of glucocorticoids 4. notify the health care provider 5. have the pt drink as much water as possible

-assess for inadequate water intake/diarrhea - notify the health care provider

which nursing assessment would be appropriate for the client who is receiving testosterone (select all) 1.monitor for a decrease in hct 2.assess for signs of fluid retention 3.assess for increased muscle mass and strength 4.check for blood dycrasias 5.assess for muscle wasting

-assess for signs of fluid retention -assess for increased muscle mass and strength

a 2 yo clients receiving vincristine for Wilms' tumor. which findings will the nurse monitor to prevent/limit the main adverse effect for this client (select all) 1.numbness of hands/feet 2.angina or dysrhythmias 3.constipation 4.diminished reflexes 5.dyspnea and pleuritis

-numbness of hands/feet -constipation -diminished reflexes

cyclobenzaprine is prescribed for a client with muscle spasms of the lower back. appropriate nursing interventions would include which (select all) 1.assessing the heart rate for tachycardia 2.assessing the home environment for client safety concerns 3.encouraging frequent ambulation 4.providing oral suction for excessive oral secretions 5.providing assistance with ADLs such as reading

-assessing the heart rate for tachycardia -assessing the home environment for client safety concerns -providing assistance with ADLs such as reading

the client returns t the post anesthesia recovery unit for observation and recovery following surgery with a general anesthetic. which assessment findings may the nurse expect to find during the recovery period (select all) 1.bradycardia 2.severe headache 3.HTN 4.respiratory depression 5.urinary frequency

-bradycardia -respirator depression

patient w/ hx of alcohol abuse is admitted to the hospital. the nursing plan includes assessment for symptoms of alcohol withdraw. what symptoms should be observed (select all) 1. confusion 2. violent yawning 3. tremors 4. constricted pupils 5. hallucinations

-confusion -tremors -hallucinations

a 35 yo male client has been prescribed omeprazole for treatment of a GERD. which assessment finding would assist the nurse to determine whether drug therapy has been effective (select all) 1.decreased gnawing upper abd pain on an empty stomach 2.decreased belching 3.decreased appetite 4.decreased nausea 5.decreased dysphagia

-decreased belching -decreased nausea -decreased dysphagia

while taking the patients admission hx, the patient describes having a sever allergy to an antibiotic. whats the nurses responsibility to prevent an allergic reaction (select all) 1.instruct the patient to alert all providers about the allergy 2.document the allergy in the med record 3.notify the provider and the pharmacy of the allergy and type of allergic reaction 4.place an allergy bracelet on the patient. 5.instruct the patient not to allow anyone to give the antibiotic

-document the allergy in the med record -notify the provider and the pharmacy of the allergy and type of allergic reaction -place an allergy bracelet on the patient.

a nurse is preparing the teaching plan for a client who will be discharged on methylprednisolone after a significant response to poison ivy. the nurse will include instruction on reporting adverse effects to the health care provider. which of the following should the client report (select all) 1.tinnitus 2.edema 3.eye pain or visual change 4.abdominal pain 5.dizziness upon standing

-edema -eye pain/visual changes -abdominal pain

whats the role of the nurse in mediation administration (select all) 1.ensure that meds are administered & delivered in a safe manner 2.be certain that health care provider orders are accurate 3.inform the patient that prescribed meds need to be taken only if the patient agrees with the treatment plan 4.ensure that the patient understands the use and administration technique for all prescribed medications 5.preven adverse drug reactions by properly administering all medications

-ensure that meds are administered & delivered in a safe manner -ensure that the patient understands the use and administration technique for all prescribed medications

which of the following meds wouldn't be administered through an NG tub (select all) 1.liquids 2.enteric coated tablets 3.sustained release tabs 4.finely crushed tablets 5.IV medications

-enteric coated tabs -sustained release tabs -Iv meds

the nurse recognizes what symptoms of inhaled anthrax. (select all) 1. cramping & diarrhea 2. skin lesions that develop into black scabs 3. fever 4. headache 5. cough & dyspnea

-fever -cough and dyspnea

a pt has been on long term therapy w/ colestipol. to prevent adverse effects r/t the length of therapy & lack of nutrients what supplements may be required(select all) 1. folic acid 2. vit A, D, E & K 3. potassium, iodine and chlorine 4. B vitamins

-folic acid -vit A, D, E & K

a clients given a prescription for finasteride for treatment of benign prostatic hyperplasia. essential teaching for this client includes what (select all) 1.full therapeutic effects may take 3-6 months 2.hai loss/male pattern baldness may be an adverse effect 3.the drug shouldn't be handled by pregnant women especially if its crushed 4.blood donation shouldn't occur while taking this drug 5.report any wt gain over 5lbs in 1 weeks time

-full therapeutic effects may take 3-6 months -the drug shouldn't be handled by pregnant women especially if its crushed -blood donation shouldn't occur while taking this drug

the patient states she's going to quit smoking cold turkey. the nurse teaches the patient to expect what symptoms during withdraw from nicotine (select all) 1. headaches & insomnia 2. increased appetite 3. tremors 4. insomnia 5. increased hr & bp

-headaches & insomnia -increased appetite -insomnia

what key roles does the nurse play in event of potential bioterrorist attack (select all) 1. helping to plan for emergencies & develop emergency management plans 2. recognizing & reporting ss of chemical/biologic agent exposure & assisting w/ treatment 3. storing antibodies, antibiotics, vaccines & supplies in their homes 4. keeping a lust of resources such s health & law enforcement agencies & other contacts who would assist in the event of an attack 5. keeping up to date on emergency management protocol & volunteering to become a member of a first response team

-helping to plan for emergencies & develop emergency management plans -recognizing & reporting ss of chemical/biologic agent exposure & assisting w/ treatment - keeping a lust of resources such s health & law enforcement agencies & other contacts who would assist in the event of an attack -keeping up to date on emergency management protocol & volunteering to become a member of a first response team

a client with HIV has been taking lopinavir with ritonavir for the past 8 yrs and has noticed a redistribution of body fat in the arms, legs, and abd. the nurse will evaluate this client for what other additional adverse effects associated w/ this drug (select all) 1.renal failure 2..hyperglycemia 3.pancreatitis 4.bone marrow suppression 5.hepatic failure

-hyperglycemia -pancreatitis -hepatic failure

lisinipril (prinivil) is part of the treatment regimen for a client with HF. the nurse monitors the client for the development of which adverse effects of the drug(select all) 1.hyperkalemia 2.hypocalcemia 3.cough 4.dizziness 5.heartburn

-hyperkalemia -cough -dizziness

the nurse is preparing to administer the first dose of enalapril (vasotec). identify the potential adverse effects of this medication (select all) 1.reflex hypertension 2.hyperkalemia 3..persistent cough 4.angiodema 5.Hypotension

-hyperkalemia -persistent cough -angiodema -Hypotension

a client diagnosed w/ pernicious anemia is to state cyanocobalamin injections. which client statements demonstrates an understanding of the nurses teaching (select all) 1.i need to be careful to avoid infections 2.i will need to take this drug for the rest of my life 3.i should increase my intake of foods that contain vitamin b12 4.i need to take the liquid preparation through a straw 5.i may be able to switch over to nasal sprat once my vit b12 levels are normal

-i will need to take this drug for the rest of my life -i may be able to switch over to nasal sprat once my vit b12 levels are normal

a client with a hx of HTN is to start drug therapy for rheumatoid arthritis. which drugs would be contraindicated/used cautiously for this client (select all) 1.aspirin 2.ibuprofen (Advil, Motrin) 3.acetaminophen (Tylenol) 4.naproxen (aleve) 5.methylprednisolone (medrol)

-ibuprofen -naproxen -methylprednisolone

which of the following statements by the client who is undergoing antineoplastic therapy would be of concern to the nurse (select all) 1.i have attended a meeting of a cancer support group 2.my husband and I are planning a short trip next week 3.im eating 6 small meals plus 2 protein shakes a day 4.im taking my 15month old granddaughter to the pediatrician next week to get her baby shots 5.i'm going to go shopping at the mall next week

-im taking my 15month old granddaughter to the pediatrician next week to get her baby shots -i'm going to go shopping at the mall next week

the nurse evaluates the effectiveness of dopamine therapy for a client in shock. which may indicate treatment is successful (select all) 1.improved urine output 2.increased BP 3.breath sounds are diminished 4.slight hypotension occurs 5.peripheral pulses are intact

-improved urine output -increased BP

a client has been diagnosed with genital herpes and has been started on oral acyclovir. what should be included in the teaching instructions for this client (select all) 1.increase fluid intake up to 2L/day 2.report any dizziness, tremors, or confusion 3.decrease the amount of fluids taken so that the drug can be more concentrated 4.take the drug only when having the most itching/pain from the outbreak 5.use barrier methods such as condoms for sexual activity

-increase fluid intake up to 2L/day -report any dizziness, tremors, or confusion -use barrier methods such as condoms for sexual activity

a female client is prescribed dantrolene sodium for painful muscle spasms associated with multiple sclerosis. the nurse is writing the discharge plans for the client and will include which of the following teaching points (select all) 1.if muscle spasms are severe supplement the medication with hot baths/showers TID 2.inform the health care provider if she's taking estrogen products 3.sip water ice or hard candy to relieve dry mouth 4.return periodically for required lab work 5.obtain at least 20 minutes of sun exposure per day to most vitamin d levels

-inform the health care provider if she's taking estrogen products -sip water ice or hard candy to relieve dry mouth -return periodically for required lab work

the rn is instructing a pt on home use of niacin and will include important instructions on how to take the drug & about its possible adverse effects. what may be expected adverse effects of this drug (select all) 1. fever and chills 2. intense flushing and hot flashes 3. tingling of fingers & toes 4. hypoglycemia 5. dry mucous membranes

-intense flushing and hot flashes - tingling of fingers & toes

a client who has not responded well to other drug therapy for Alzheimer's disease is placed on tacrine. which are major disadvantages to the use of this drug (select all) 1.it must be administered QID 2.it causes wt gain 3.iit ma cause vision difficulties 4.it may cause serious hepatic damage 5.it may be purchased OTC

-it must be administered QID -it may cause serious hepatic damage

a client has been diagnosed w/ TB & is prescribed rifater. while the clients on this med what teaching is essential (select all) 1.its critical to continue therapy for at least 6-12 months 2.2 or more drugs are used to prevent TB bacterial resistance 3.these drugs may also be used to prevent TB 4.no special precautions are required 5.after 1 month of treatment, the med will be discontinued

-its critical to continue therapy for at least 6-12 months -.2 or more drugs are used to prevent TB bacterial resistance -these drugs may also be used to prevent TB

metronidazole is being used to treat a clients giardia lambila infection, a protozoal infection of the intestines. which are appropriate to teach this client (select all) 1.metronidazole may leave a metallic taste in your mouth 2.the urine may turn dark amber brown while on the med 3.the metronidazole may be discontinued once the diarrhea subsides to minimize adverse effects 4.taking the metronidazole w/ food reduces GI upset 5.current sexual partners don't require treatment for this infection

-metronidazole may leave a metallic taste in your mouth -the urine may turn dark amber brown while on the med -taking the metronidazole w/ food reduces GI upset -current sexual partners don't require treatment for this infection

what client education should the nurse provide to the client with diabetes who's planing an exercise program (select all) 1.monitor blood glucose levels before and after exercise 2.eat a complex carb prior to strenuous exercise 3.exercise may increase insulin needs 4.withhold insulin prior to engaging in strenuous exercise 5.take extra insulin prior to exercise

-monitor blood glucose levels before and after exercise -eat a complex carb prior to strenuous exercise

a client undergoing treatment for cancer complains about nausea and fatigue. in approaching this client problem holistically, what actions would the nurse take (select all) 1.give an anti nausea drug as ordered and place the patient on bed rest 2.observe for specific instances of nausea/fatigue and report them to the oncologist 3.take a medication hx on the client noticing specific medication or food triggers 4.talk to the patient about the symptoms, the impact they have on daily activities and techniques that have helped lessen the problem 5.continue to give the cancer drug therapy as ordered but always medicare the client for nausea first

-observe for specific instances of nausea/fatigue and report them to the oncologist -talk to the patient about the symptoms, the impact they have on daily activities and techniques that have helped lessen the problem

anticholinergics may be ordered for which conditions. (select all) 1. peptic ulcer disease 2. bradycardia 3. decreased sexual function 4. irritable bowel syndrome 5. urine retention

-peptic ulcer disease -IBS

the pt admitted for heart failure has been receiving hydrochlorothiaizide. what lab levels should the rn carefully monitor (select all) 1. platelet count 2. WBC count 3. potassium 4. sodium 5. uric acid

-potassium -sodium -uric acid

the nurse would question an order for peg interferon alfa-2a if the client had which of the following conditions (select all) 1.pregnancy 2.renal disease 3.hepatitis 4.liver disease 5.malignant melanoma

-pregnancy -renal disease -liver disease

which clients may be most at risk for adverse reactions r/t specialty supplements (select all) 1.adolescents 2.pregnant women 3.school aged children 4.older adult clients 5.clients taking prescription medication

-pregnant women -older adult clients -clients taking prescription medications

after trying many other treatments, a 28 yo female is started on isotretinoin for treatment of severe acne. while she's on this med, what explicit instructions must be followed (select all) 1.she must use 2 forms of birth control and have pregnancy tests before beginning, during and after she's on the therapy 2.she must have vision checks performed every 6 months 3.she must increase intake of vitamin a rich foods 4.she must return every 2-3 months for lab tests 5.she must delay ant future pregnancies for a period of 5 years

-she must use 2 forms of birth control and have pregnancy tests before beginning, during and after she's on the therapy -she must have vision checks performed every 6 months -she must return every 2-3 months for lab tests

62 yo female has received a prescription for alendrnate for treatment of osteoporosis. the nurse would be concerned about this order if the client reported which conditions (select all) 1.she enjoys milk, yogurt, and other dairy products and tries to consume some with each meal 2.shes unable to sit upright for prolonged periods because of severe back pain 3.shes lactose intolerant and rarely consumes dairy products 4.she has had trouble swallowing and has been told she has problems with her esophagus 5.she has a cup of green tea every night before bed

-shes unable to sit upright for prolonged periods because of severe back pain -shes lactose intolerant and rarely consumes dairy products -she has had trouble swallowing and has been told she has problems with her esophagus

a nurse is administering a liquid med to a 15 month old cold. whats the most appropriate approach to med administration by the nurse (select all) 1.tell the child the medicine tastes like candy 2.mix the med in 8oz of oj 3.ask the child if she would like to take her medication now 4.sit the child up, hold the medicine cup to her lips, and kindly instruct her to drink 5.offer the child a choice of cup in which to take the medicine

-sit the child up, hold the medicine cup to her lips, and kindly instruct her to drink -offer the child a choice of cup in which to take the medicine

the nurse is preparing to administer magnesium sulfate IV to a client. the nurse should assess or which early signs of magnesium toxicity (select all) 1.skin flushing 2.anxiety or excitement 3.complete heart block 4.muscle weakness 5.intense thirst

-skin flushing -muscle weakness -intense thirst

pancrelipase granules are ordered for a client. which of the following will the nurse complete before administering the drug (select all) 1.sprinkle the granules on a nonacidic food 2.give the granules with or just before a meal 3.mix the granules with orange or grapefruit juice 4.ask the client about an allergy to pork or pork products 5.administer the granules followed by an antacid

-sprinkle the granules on a nonacidic food -give the granules with or just before a meal -ask the client about an allergy to pork or pork products

a client is receive treatment for asthma with albuterol. the nurse teaches the client that while serious adverse effects are uncommon, which of the following may occur(select all) 1.tachycaria 2.sedation 3.temporary dyspnea 4.nervousness 5.headach

-tachycardia -nervousness -headache

nursing implications of the administration of haloperidol to a client exhibiting psychotic behavior include what (select all) 1. take 1 hr before/ 2 hr after antacids 2. the incidence of EPS is high 3. its therapeutic if ordered on PRN basis 4. haldol is contraindicated in Parkinson's disease, seizure disorders, alcoholism, & severe mental depression 5. crush the sustained release form for easier swallowing

-take 1 hr before/ 2 hr after antacids -the incidence of EPS is high -haldol is contraindicated in Parkinson's disease, seizure disorders, alcoholism, & severe mental depression

to reduce the chance of duplicate medication order for the older adult returning home after surgery, what actions should the nurse take (select all) 1.call in all prescriptions to the patients pharmacy rather than relying on paper prescriptions 2.give all prescriptions to the patients family member 3.take a med hx including all OTC and prescription meds and pharmacy hx with each patient visit 4.work with the patients health care provider to limit the number of prescriptions 5.perform a medication reconciliation before sending the patient home

-take a med hx including all OTC and prescription meds and pharmacy hx with each patient visit -perform a medication reconciliation before sending the patient home

an older adult client diagnosed with iron deficiency anemia will be taking ferrous sulfate. the nurse will teach which required administration guidelines to the client (select all) 1.take the tabs on an empty stomach if possible 2.increased fluid intake and increase dietary fiber while taking this med 3.if liquid preparations are used, dilute w/ water/juice and sip through a straw placed in the back of the mouth 4.crush/dissolve sustained release tabs in water if they're too big to swallow 5.take the drug at bedtime for best results

-take the tabs on an empty stomach if possible -increased fluid intake and increase dietary fiber while taking this med -if liquid preparations are used, dilute w/ water/juice and sip through a straw placed in the back of the mouth

what client education should be included for a client receiving enoxaprin (select all) 1.teach the client or family to give subcutaneous injections at home 2.teach the client or family not to take any OTC drugs w/o first consulting with the health care provider 3.teach the to observe for unexplained bleeding such s pink, red or dark brown urine or bloody gums 4.teach the client to monitor for the development of DVT 5.teach the client about the importance of drinking grapefruit juice daily

-teach the client or family to give subcutaneous injections at home -teach the client or family not to take any OTC drugs w/o first consulting with the health care provider -teach the to observe for unexplained bleeding such s pink, red or dark brown urine or bloody gums -teach the client to monitor for the development of DVT

the rn administers morphine sulfate 4mg IV to a pt for treatment of sever pain. what assessments require immediate nursing interventions (select all) 1. the pts BP is 110/70 2. the pts drowsy 3. the pts pain is unrelieved in 15 min 4. the pts respiratory rate is 10 BPM 5. the pt becomes unresponsive

-the pts pain is unrelieved in 15 min - the pts respiratory rate is 10 BPM -the pt becomes unresponsive

the client in hypovalemic shock is prescribed an infusion of lactated ringers. whats the purpose for infusing this solution in shock (select all) 1.the solution will help replace fluid and promote urine output 2.the solution will draw water into cells 3.the solution will draw water from cells to blood vessels 4.the solution will help maintain vascular volume 5.the solutions used to provide adequate calories for metabolic needs

-the solution will help replace fluid and promote urine output -the solution will help maintain vascular volume

which are correct statements regarding nursing diagnoses (select all) 1.they identify the medical problem experienced by the patient 2.they are identified for the patient by the nurse 3.they identify the patients response to actual/potential health and life processes 4.they assist in determining nursing interventions 5.they remain the same throughout the patients health care encounter to ensure continuity of care

-they identify the patients response to actual/potential health and life processes -they assist in determining nursing interventions

the teaching plan for a 24 yo female who is receiving tretinonin for treatment of acne should include which instructions (select all) 1.obtain 20-30 minutes of sun exposure per day pro help dry the. skin and prevent breakouts 2.wash the face with a mild soap, avoiding scrubbing, twice a day 3.use oil free sunscreens, sun has, and protective clothing to avoid sun exposure 4.expect some dryness, redness & peeling while on the drug but report severe skin irritation 5.cover the area with a light dressing covered in plastic wrap to prevent the cream from rubbing off

-wash the face with a mild soap, avoiding scrubbing, twice a day -use oil free sunscreens, sun has, and protective clothing to avoid sun exposure -expect some dryness, redness & peeling while on the drug but report severe skin irritation

the nurse is administering meds and the client states I've never seen that blue pill before. what would be the nurses most appropriate acton 1.verify the older and double check the drug label 2.administer the medication in the existing form 3.instruct the client that different brands are frequently used and may account for the change of color 4.recommend that the client discuss the med with the provider and give the medication

.verify the older and double check the drug label

the nurse is preparing to administer chemo to an oncology client who has an order for ondansetron. when should the nurse administer the ondansetron 1.every time the client complains of nausea 2.30-60 minutes before starting chemo 3.only if the client complains of nausea 4.when the client begins to experience vomiting during the chemo

30-60 minutes before starting chemo

a client on chemotherapy has a CBC drawn & the nurse calculates the absolute neutrophil count. the WBC is 2500 with 0.22 segmented neutrophils and 0.06 banded neutrophils. whats the ANC 1.18.93 2.89 3.700 4.2500.28

700

a pt w/ a hx of HF will be started on spironolactone. what drug groups shouldn't be used/used w/ extreme caution in pts taking potassium sparing diuretics 1. NSAIDs 2. corticosteroids 3. loop diuretic 4. ACE inhibitors/ ARBs

ACE inhibitors/ ARBs

the nurse has administered prochlorperazine to a client for postoperative nausea. before administering this medication, its essential that the nurse check which of the following 1.pain level 2.BP 3.breath sounds 4.temperature

BP

the client has been given a prescription of furosemide (lasix) as an adjunct to treatment of hypertension and returns for a follow up check.Which of the following is the most objective data for determining the therapeutic effectiveness of the furosemide 1. absence of edema in lower extremities 2.weight loss of 6 lbs 3.BP log notes BP 120/70 to 134/88 since discharge 4.frequency of voiding of at least 6 times per day

BP log notes BP 120/70 to 134/88 since discharge

a client is receiving plasmaLyte for treatment of hypovolemic shock. when monitoring for therapeutic effects, which will the nurse expect to occur 1.breath sounds are clear 2.Potassium, glucose, and sodium levels renal within normal range 3.BP returns to within normal range & urine output increases 4.the pulse rate and ECG return to normal rate and pattern

BP returns to within normal range & urine output increases

to best monitor of therapeutic effects from filgrastim, the nurse will assess which lab finding 1.hgb & hct 2.WBS/ANC counts 3.serum electrolytes 4.RBC count

WBS/ANC counts

the nurse is teaching a community health class to a group of young adults who have recently I,,migrated to the US about printing hep B. whats the most effective method of preventing this infection 1.peginterferon alfa-2a 2.HBV vaccine 3.adfovir dipivoxil 4.entecavir

HBV vaccine

an older adult client has arthritis in her hands and takes several prescription drugs. which statement requires further assessment by the nurse 1.my pharmacist outs my pills in screw top bottles to make it easier for me to take them 2.i fill my prescription once per month 3.i care for my 2 yo grandson twice a week 4.my arthritis medicine helps my stiff hands

I care for my 2 yo grandson twice a week

the community health nurse is working with a pt taking simvastatin. whats statement may indicate the need for further teaching about the drug 1. I'm trying to teach my ideal body wt by increasing my exercise 2. I didn't have any symptoms even though I had high lipid levels. I hear thats common 3. I've been taking my pill before my dinner 4. I take my pill with grapefruit juice. I've always taken my meds that way

I take my pill with grapefruit juice. I've always taken my meds that way

a pts treated for psychosis w/ fluphenazine. what drug will the rn anticipate may be given to prevent the development of acute dystonia 1. benztropine 2. diazepam 3. haloperidol 4. lorazepam

benztropine

darbepoetin is ordered for each of the following clients. the nurse would question which condition 1.a client w/ chronic renal failure 2.a client w/ AIDS who's receiving anti AIDS drug therapy 3.a client with HTN 4.a client on chemotherapy for cancer

a client with HTN

which of the following assessment findings would cause the nurse to withhold the clients regularly scheduled dose of levothyroxine 1.a 1kg wt gain 2.a bp of 90/62 3.a heart rate of 110 bpm 4.a temperature of 37.9 degrees

a heart rate of 110 bpm

a Mae age 67 reports taking diphenhydramine for hay fever. considering this clients age the nurse assesses for which finding 1.a history of prostate/urinary conditions 2.any recent wt gain 3.a history of allergic reactions 4.a history of peptic ulcers

a history of prostate/urinary conditions

a client with heart failure has an order for lisinipril (prinivil, zestril). which conditions in the clients hx would lead the nurse to confirm the order w/ the provider 1.a hx of HTN previously treated w/ diuretic therapy 2.a hx of seasonal allergies currently treated w/ antihistamines 3.a hx of angioedema after taking enaapril (vasotec) 4.a hx of alcoholism, currently abstaining

a hx of angioedema after taking enaapril (vasotec)

a 65 yo client is prescribed ipratropium for the treatment of asthma. which conditions should be reported to the health care provider before giving this client the ipratropium 1.a reported allergy to peanuts 2.a hx of intolerance to albuterol 3.a hx of bronchospasms 4.a reported allergy to chocolate

a reported allergy to peanuts

whats the difference between an herbal product and a specialty supplement 1.an herbal product is safer to use than a specialty supplement 2.a specialty supplement tends to be more expensive than an herbal product 3.a specialty supplement is a nonverbal dietary product used to enhance a variety of body functions 4.there are less adverse effects or risk of allergy with specialty supplements than there are with herbal products

a specialty supplement is a nonverbal dietary product used to enhance a variety of body functions

a pts receiving cholestyramine for elevated low density lipoprotein levels. as the rn completes the nursing care plan, which of the following adverse effects will be included for continued monitoring 1. abd pain 2. orange red urine & saliva 3. decreased capillary refill time 4. sore throat & fever

abd pain

before administering drugs by the enteral route, the nurse should evaluate which of the following 1.ability of the patient to lay supine 2.compatibility of the drug with IV fluid 3.ability of the patient to swallow 4.patency of the injection port

ability of the patient to swallow

the nurse is assisting the older adult diagnosed with gastric ulcer to schedule her medication administration. what would be the most appropriate tie for this client to take her lansoprazole 1.about 30 before morning meal 2.at night before bed 3.after fasting at least 2 hours 4.30 minutes after each meal

about 30 before morning meal

a 16 yo adolescent is 6 weeks pregnant. the pregnancy has exacerbated her acne. she asks the nurse if she can resume taking her isotretinoin prescription, a category x drug. what is the most appropriate response by the nurse 1.since you have a prescription for accurate its safe to resume using it 2.you should check with your health care provider at your next visit 3.accutanre is known t o cause birth defects and should never be taken during pregnancy 4.you should reduce the accurate dosage by half during pregnancy

accutanre is known t o cause birth defects and should never be taken during pregnancy

a client with DVT is receiving an infusion of heparin and will be stated on Coumadin soon. while the client is receiving the heparin what lab test will provide the nurse with information about its therapeutic effects 1.prothrombin time (PT) 2.international normalized ratio (INR) 3.activated partial thromboplastin time (aPTT) 4.platelet count

activated partial thromboplastin time (aPTT)

following a surgical procedure the client states that he doesn't want tt are narcotic analgesic for pain because he's afraid he will become addicted to the drug. whats the best response by the nurse to the clients concerns 1.dependence on narcotics is common among post op clients but can be managed successfully 2.addiction to prescription drugs is rare when used as prescribed and according to medical protocol such as for pain control 3.female patients are more likely to become addicted 4.addiction is rare if the patient has a high pain threshold

addiction to prescription drugs is rare when used as prescribed and according to medical protocol such as for pain control

whats the most effective treatment method for the nausea and vomiting that accompanies many forms of chemotherapy 1.administer an oral antiemetic when the client complains of NV 2.administer an antiemetic by IM injection when then client complains of NV 3.administer an antiemetic prior to the antineoplastic med 4.encourage additional fluids prior to administering the antineoplastic med

administer an antiemetic prior to the antineoplastic med

the order reads: lasix 40mg IV STAT. which actions should the nurse take 1.administer the med within 30 minutes of the order 2.administer the med within 5 minutes of the order 3.administer the med as required by the patients condition 4.assess the patients ability to tolerate the med before giving

administer the med within 5 minutes of the order

which drugs is most immediately helpful in treating a severe acute asthma attack 1.beclomethasone 2.zileuton 3.albuterol 4.salmeterol

albuterol

a 32 yo femalee is started on metronidazole for treatment of trichomonad vaginal infection. what must the client eliminate from her diet for the duration she's on this med 1.caffeine 2.acidic juices 3.antacids 4.alcohol

alcohol

the nurse is caring for a client with gastroesophageal reflux disease and would question an order for which of the following 1.amoxicillin 2.ranitidine 3.pantoprazole 4.calcium carbonate

amoxicillin

the provider has ordered atropine, a drug that will prevent the patients own chemical, acetylcholine, from causing parasympathetic effects. what type of drug would atropine be considered 1.an antagonist 2.a partial agonist 3.an agonist 4.a protagonist

an antagonist

while planning care for a client receiving plasma protein fraction (plasmanate) the nurse will include frequent assessments for what possible adverse reactions 1.electrolyte imbalance 2.hyperglycemia 3.anaphylatic reaction 4.hypotension

anaphylactic reaction

the nurse emphasizes to the client with glaucoma the importance of notifying the health care provider performing an eye examination of a glaucoma diagnosis because of potential adverse reactions to which of the following drugs 1.antibiotic drops 2.cycloplegic drops 3.anti inflammatory drops 4.anticholinergic mydriatic drops

anticholinergic mydriatic drops

what important info should be included in the clients education regarding taking ciprofloxacin 1.the drug can cause discoloration of the teeth 2.fluid intake should be decreased to prevent urine retention 3.any heel or lower leg pain should be reported immediately 4.the drug should be taken w/ an antacid to reduce gastric effects

any heel or lower leg pain should be reported immediately

a client has purchased capsaicin OTC cream to use for muscle aches and pains. what education is most important to give this client 1.apply with a gloved hand only to the site of pain 2.apply the medication liberally above and below the site of pain 3.apply to areas of redness and irritation only 4.apply liberally with a bare hand to the affected limb

apply with a gloved hand only to the site of pain

the client with erectile dysfunction is being evaluated for the use of sildenafil. which of the following questions should the nurse ask before initiating therapy with sildenafil 1.are you currently taking meds or angina 2.do you have a hx of diabetes 3.have you ever had an allergic reaction to dairy products 4.have you ever been treated for migraine headaches

are you currently taking meds or angina

a 32 yo female has been stated on amoxicillin for a severe UTI. before sending her home with this prescription the nurse will provide which instruction 1.teach ehr to wear sunscreen 2.ask her about oral contraceptive use and recommend an alternative method for the duration of the drug course 3.assess for hearing loss 4.recommend taking the pill w/ some antacid to prevent GI upset

ask her about oral contraceptive use and recommend an alternative method for the duration of the drug course

the rn weighs the pt who's on an infusion of lacerated ringer's postop & finds that there has been a weight gain of 1.5 kg since the previous dat. what would be the RNs next highest priority 1. check w/ the pt to determine whether there has ben any dietary changes in the last few days 2. assess the client for signs of edema and BP for possible HTN 3. contact dietary to change the pts diet to reduced sodium 4. request a diuretic from the pts provider

assess the client for signs of edema and BP for possible HTN

the nurse provides teaching about a drug to an older adult couple. to ensure that the instruction are understood which of the following actions would be most appropriate for the nurse to take 1.provide detailed written material about the drug 2.provide labels and instructions in large print 3.assess the clients reading levels and have the client teach back the instructions in large print 4.provide instruction only when family members are present

assess the clients reading levels and have the client teach back the instructions in large print

place the following nursing interventions in order for a client who is experiencing chest pain 1.administer nitroglycerin sublingually 2.assess HR & BP 3.assess the location, quality and intensity of pain 4.document interventions and outcomes 5.evaluate the location, quality and intensity of pain

assess the location, quality and intensity of pain, assess HR & BP, administer nitro, evaluate the location, quality and intensity of pain, assess HR & BP again, document interventions and outcomes

what action by the rn is most important when caring for a pt w/ renal disease who has an order for furosemide 1. assess urine output and renal lab values for signs nephrotoxicity 2. check the specific gravity of urine daily 3. eliminate potassium rich foods from the diet 4. encourage the pt to void q4h

assess urine output and renal lab values for signs

a client has been prescribed clonazepam for muscle spasms and stiffness secondary to automobile accident. while the clients taking this drug, whats the nurses primary concern 1.monitoring hepatic lab work 2.encouragihng fluid intake to prevent dehydration 3.assessing for drowsiness and implementing safety measures 4.providing social services referral for client concerns about the cost of the drug

assessing for drowsiness and implementing safety measures

the nurse should assess a client who is taking lorazepam (Ativan) for the development of what adverse effect 1. tachypnea 2. astigmatism 3. ataxia 4. euphoria

ataxia

the nurse is teaching a client about the use of dextromethorphan with guaifenesin syrup for a cough accompanied by thick mucus. which instruction should be included in the clients teaching 1.lie supine for 30 min after taking the liquid 2.drink minimal fluids to avoid stimulating the cough reflex 3.take the drug w/ food for best results 4.avoid drinking fluids immediately after the syrup but increase overall fluid intake throughout the day

avoid drinking fluids immediately after the syrup but increase overall fluid intake throughout the day

the nurse is teaching a client who has a new prescription for testosterone gel. which instructions should the nurse give to this client 1.avoid exposing women to the gel/to areas of skin where gel has been applied 2.report any wt gain over 5lbs in 1 month 3.avoid showering/swimming for at least 12 hours after applying the gel 4.apply the gel to the scrotal and perineal areas daily

avoid exposing women to the gel/to areas of skin where gel has been applied

how does the CDC categorize biologic threats 1. based on their potential adverse effects 2. based on the potential impact on public health 3. based on their potential cost of treatment 4. based on the potential loss of life

based on the potential impact on public health

an oder adult has been diagnosed with pernicious anemia and replacement therapy is ordered. the nurse will anticipate administering which vitamin and by what technique 1.b6 orally in liquid form 2.k by IM injection 3.d by light box therapy or increased sun exposure 4.b12 by IM injection

b12 by IM injection

a client has been taking hydroxychloroquine for rheumatoid arthritis. which symptoms may alert the nurse to a possible toxic effect 1.cardiac dysrhythmias 2.joint stiffness or effusions 3.blurred vision or diminished ability to read 4.decreased muscle strength

blurred vision or diminished ability to read

which assessment findings in a client who is receiving calcitriol should the nurse immediately report to the health care provider 1.muscle aches, fever, dry mouth 2.tremor, abd cramping, hyperactive bowel sounds 3.bone, pain, lethargy, anorexia 4.muscle twitching, numbness and tingling of the extremities

bone, pain, lethargy, anorexia

propanolol (inderal) has been ordered for a client w/ hypertension. Because of adverse effects r/t this drug, the nurse would carefully monitor which effect 1. bronchodilation 2. tachycardia 3. edema 4. bradycardia

bradycardia

nursing assessment of a client receiving normal serum albumin for treatment of shock should include which assessment 1.breath sounds 2.serum glucose levels 3.potassium level 4.hemoglobin and hematocrit

breath sounds

a client is receiving a thrombolytic drug, alteplase, following an acute myocardial infraction. which effect is most lieu attributed to this drug 1.skin rash with urticaria 2.wheezing with labored respirations 3.bruising and epistaxis 4.temp elevation of 100.8

bruising and epistaxis

the nurse is planning teaching for a client prescribed desoximetasone for atopic dermatitis. the nurse will teach the client to anticipate which possible adverse effects 1.localized pruritus and hives 2.hair loss in the application area 3.worsening of acne 4.burning and stinging of the skin in the affected area

burning and stinging of the skin in the affected area

the nurse is preparing to give an oral med to a 6 month old infant. how should this drug be administered 1.by placing the med in the next bottle of formula 2.by mixing the med with juice in a bottle 3.by placing the medicine dropper in the inner cheek allowing time for the infant to swallow 4.by placing the medication toward the back of the mouth to avoid having the infant immediately spit out the medication

by placing the medicine dropper in the inner cheek allowing time for the infant to swallow

what clinical manifestations may indicate that the pt taking metolazone is experiencing hypokalemia 1. hypertension 2. polydipsia 3. cardiac dysthythmias 4. skin rash

cardiac dysthythmias

the nurse is assessing a client with chronic adrenal insufficient to plan for medication consistency while on a family vacation trip. he's taking hydrocortisone and fludrocortisones as replacement therapy. what essential detail does this client need to remember to do 1.take his BP once or twice daily 2.avoid crowded indoor areas to avoid infections 3.have his vision checked before he leaves 4.carry an oral and injectable form of both drugs with him on his trip

carry an oral and injectable form of both drugs with him on his trip

in taking a new clients hx the nurse notices that he has been taking omeprazole consistently over the past 6 months for treatment of do-gastric pain. which recommendation would e best for the nurse to give this client 1.try switching to a different form of the drug 2.try a drug like cimetidine or famotidine 3.try taking the drug after meals instead of before meals 4.check with his health care provider about his continued discomfort

check with his health care provider about his continued discomfort

what medication is primarily used as treatment of anthrax 1. diphtheria vaccine 2. amoxicillin 3. ciprofloxacin 4. smallpox vaccine

ciprofloxacin

a female client reports using OTC aluminum hydroxide for relief of gastric upset. she's on renal dialysis 3 times a week what should the nurse teach this client 1.continue using the antacids but if she needs to continue beyond a few months, she should consult the health care provider about different therapies 2.take the antacid no longer than 2 weeks; if it hs not worked by then it won't be effective 3.consult with the health care provider about the appropriate amount and type of antacid 4.continue to take the antacid; its OTC and safe

consult with the health care provider about the appropriate amount and type of antacid

a client with type 2 diabetes has been NPO since midnight for surgery in the AM. he's been on a combination of oral type 2 anti diabetic drugs. what would be the best action for the nurse to take concerning the administration of his meds 1.hold all meds as per the NPO order 2.give him the meds with a sip of water 3.give him half of the original dose 4.contact the health care pricier for further orders

contact the health care pricier for further orders

a health care provider has written an order for digoxin for the client but the nurse can't read whether the order is for 0.25, 0.125 or 125mg because there no zero and the decimal point may be a one. what action would be the best to prevent a med error 1.check the dosage with a more experienced nurse 2.consult a drug handbook and administer the normal dose 3.contact the hospital pharmacist about the order 4.contact the health care provider to clarify the illegible order

contact the health care provider to clarify the illegible order

a patient with diabetes has been NPO since midnight for a surgery in the morning. he usually takes an oral type 2 anti diabetic drug to control his diabetes. what would be the best action for the nurse to take concerning the administration of his medication 1.hold all medications as ordered 2.give him the medication with a sip of water 3.give him half of the original dose 4.contact the provider for further orders

contact the provider for further orders

the nurse completes an assessment of a client in labor who is receiving and IV infusion of oxytocin. which assessments indicate the need for prompt intervention 1.theres no vaginal bleeding noted 2.the clients managing her pain through breathing techniques 3.fetal HR remains at baseline parameters 4.contractions are sustained for 2 minutes in duration

contractions are sustained for 2 minutes in duration

clients who may have been exposed to nerve agents may be expected to display what symptoms 1. convulsions & loss of consciousness 2. memory loss & fatigue 3. malaise & hemorrhaging 4. fever & headaches

convulsions and loss of consciousness

simethicone may be added to some medications or given pain for what therapeutic effect 1.decrease amount of gas associated w/ GI disorders 2.increase acid fighting ability of some meds 3.prevent constipation associated with GI drugs 4.preven diarrhea associated with GI drugs

decrease amount of gas associated w/ GI disorders

a client with severe diarrhea has an order for diphenoxylate with atropine. when assessing for therapeutic effects which of the following will the nurse expect to find 1.increased bowel sounds 2.decreased belching and flatus 3.decrease in loose, watery stools 4.decreased abd cramping

decrease in loose, watery stools

which of the following findings would suggest that myelpsupression is occurring in a client taking zidovudine 1.increae serum blood urea nitrogen (BUN)levels 2.increase in WBC count 3.decrease in platelet count 4.decrease in BP

decrease in platelet count

20 yo man is admitted to the psychiatric unit for treatment of acute schizophrenia & is started on riseridone. what effects should the rn assess to determine whether the drug is having therapeutic effects 1. restful sleep, elevated mood, & coping abilities 2. decreased delusional thinking & lessened auditory/visual hallucinations 3. orthostatic hypotension, reflex tachycardia & sedation 4. relief of anxiety & improved sleep & dietary habits

decreased delusional thinking & lessened auditory/visual hallucinations

the clients scheduled to receive rimabotulinumtoxinB for treatment of muscle spasticity. which will the nurse teach the client to report immediately 1.fever aches or chills 2.difficulty swallowing, ptosis, blurred vision 3.continuous spasms and pan on affected side 4.moderate levels o muscle weakness on the affected side

difficulty swallowing, ptosis, blurred vision

a client with type 2 diabetes treated with oral antidiabetic meds is receiving oral flucconazole for treatment of chronic tine cruis. the nurse instructs the client to monitor blood glucose levels more frequently because of what potential drug effects 1.diflucan antagonizes the effects of many anti diabetic medications causing hyperglycemia 2.diflucan interacts with certain anti diabetic drugs, causing hypoglycemia 3.diflucan causes hyperglycemia 4.diflucan causes hypoglycemia

diflucan interacts with certain anti diabetic drugs, causing hypoglycemia

a patient has a malignant brain tumor. what pharmacokinetic phase may be affected by the presence of the tumor 1.absorption 2.distributon 3.metabolism 4.excretion

distribution

the rn should immediately report the development of what symptom in a pt taking antipsychotic meds 1. fever, tachycardia, confusion, incontinence 2. pacing, squirming/ difficulty w/ gait such as bradykinesia 3. sever spasms of the muscles of the tongue, face, neck/back 4. sexual dysfunction/ gynecomastia

fever, tachycardia, confusion, incontinence

the nursing plan of care or a client receiving oprelvekin should include careful monitoring for symptoms of which adverse effect 1.fluid retention 2.severe hypotension 3.impaired liver function 4.severe diarrhea

fluid retention

the nurse is evaluation drug effects in a client who has been given interferon alfa-2b for hepatitis B & C. which is a common adverse effect 1.depression & thoughts of suicide 2.flulike symptoms of fever, chills/fatigue 3.edema, hypotension, and tachycardia 4.HTN, renal/hepatic insufficiency

flulike symptoms of fever, chills/fatigue

32 yo female pt has been taking lorazepam for her anxiety & is brought into the ED after taking 30 days worth at once. what antagonist for benzodiazepines may be used in this case 1. epinephrin 2. atropine 3. flumazenil 4. naloxone

flumazenil

when planning got teach the client about the use of epoetin, the nurse would give what instructions 1.eating raw fruits & veggies must be avoided 2.frequent rest periods should be taken to avoid excessive fatigue 3.skin & mucous membranes should be protected from traumatic injury 4.exposure to direct sunlight must be minimized & sunscreen used when outdoors

frequent rest periods should be taken to avoid excessive fatigue

a pt has been ordered gemfibrozil for hyperlipidemia. the rn will first validate the order w/ the health care provider if the pt reports a hx of what disorder 1. hypertension 2. angina 3. gallbladder disease 4. tuberculosis

gallbladder disease

whats the most appropriate method to ensure adequate pain relief in the immediate postop period from an opioid drug 1. give the drug only when the family member report that the pt is complaining of pain 2. give the drug every time the client complains of acute pain 3. give the drug as consistently as possible for the first 24-48 hr 4. give the drug only when the RN observes s/s of pain

give the drug as consistently as possible for the first 24-48 hr

the nurse is teaching a postop. patient about the medications ordered for the use at home. because this client also has a primary care provider in addition to the surgeon, what strategy should the. nurse include in this teaching session that might prevent a med error in the home setting 1.encourage the client to consult the internet about possible side effects 2.delay taking any new medications prescribed by the surgeon until the next health visit with the primary provider 3.have all prescriptions filled at one pharmacy 4.insist on using only brand name drugs because there easier to remember than generic ones

have all prescriptions filled at one pharmacy

verapamil should be used with extra caution/is contraindicated in clients with which cardiovascular disease 1.HTN 2.tachycardia 3.heart failure 4.angina

heart failure

the client receiving heparin therapy asks how the blood thinner works. whats the best response by the nurse 1.heparin makes the blood less thick 2.heparin doesn't thin the blood but prevents cots from forming as easily in the blood vessels 3.heparin decreases the # of platelets so that blood clots more slowly 4.heparin dissolves the clot

heparin doesn't thin the blood but prevents cots from forming as easily in the blood vessels

a 24 yo client reports taking acetaminophen fairly regularly for headaches. the nurse knows that a client who consumes excess acetaminophen per day or regularly consumes alcoholic beverages should be observed for what adverse effect 1.hepatic toxicity 2.renal damage 3.trombotic effects 4.pulmonary damage

hepatic toxicity

following admission if phenylephrine (neosynephrine) the nurse would assess for which of the following adverse effects 1. insomnia, nervousness & hypertension 2. nausea, vomiting and hypotension 3. dry mouth, drowsiness & dyspnea 4. increased bronchial secretions, hypotension & bradycardia

insomnia, nervousness & hypertension

the nurse evaluates the clients understanding of the procedure for application of triamcinolone cream for acute contact dermatitis of the neck, secondary to a reaction to perfume. the client asks why she can't just use up some fluocinonide cream she has left over fro a poison ivy dermatitis last month. the nurses response will be based on which of the following 1.high potent corticosteroid creams should be avoided in the neck or face because of the possibility if additional adverse effects 2.all creams should be discarded after the initial condition has been resolved 3.fluocinonide cream is too ow potency to use for contact dermatitis 4.contact dermatitis from perfume is harder to treat than poison ivy dermatitis

high potent corticosteroid creams should be avoided in the neck or face because of the possibility if additional adverse effects

timolol drops have been ordered to treat glaucoma. because of the possibility of systemic adverse effects, what essential instruction should the client receive 1.monitor urine output and daily wt. promptly report any edema 2.monitor blood glucose and alert the health care provider to any significant changes 3.hold slight pressuure on the inner cants of the eye for 1 minute gayer instilling the drop 4.monitor respiratory rate and for s/s of upper respiratory infection

hold slight pressuure on the inner cants of the eye for 1 minute gayer instilling the drop

the nurse is initiating discharge teaching with the newly diagnosed client with diabetes. which statement indicated the client needs additional teaching 1.if ia m experiencing hypoglycemia I should drink 1/2 cup of apple juice 2.my insulin needs may increase when I have an infection 3.i must draw the NPH insulin 1st if I'm mixing it with regular insulin 4.if my blood glucose levels are less than 60 I should notify my health care provider

i must draw the NPH insulin 1st if I'm mixing it with regular insulin

which of the following statements by a client who is taking cyclosporine would indicate the need for more teaching by the nurse 1.I will report any reduction in urine output to my health care provider 2.I will wash my hands more frequently 3.i will take my BP at home daily 4.i will take my cyclosporine at breakfast with a glass of grapefruit juice

i will take my cyclosporine at breakfast with a glass of grapefruit juice

a patient experiencing profound drowsiness when a stimulant drug is given. this is an unusual reaction for this drug, a reaction that hasn't been associated with that particular drug. whats the term for this type of drug reaction 1.allergic reaction 2.idiosyncratic reaction 3.enzyme specific reaction 4.unaltered reaction

idiosyncratic reaction

which client statement indicates that the levodopa/carbidopa is effective 1.im sleeping a lot more especially during the day 2.my appetite has improved 3.im able to shower by myself 4.my skin doesn't itch anymore

im able to shower by myself

to reduce the effect of a prescribed medication on the infant of a breast feeding mother, how should the nurse teach the mother to take the medication 1.at night 2.immediately before the next feeding 3.in divided doses at regular intervals around the clock 4.immediately after breast feeding

immediately after breast feeding

a patient has an order for a tetracycline antibiotic and has been instructed to avoid taking the medication with foods, beverages/drugs that contain calcium, iron or magnesium. the patient takes the antibiotic along with a daily multivitamin, not realizing the vitamin contains iron. what effect may this have on the antibiotic 1.impaired absorption 2.increased distribution 3.decreased metabolism 4.impaired excretion

impaired absorption

the client informs the nurse that she will decide whether she will accept treatment after she prays with her family and minister. whats the role of spirituality in drug therapy for this client 1.irrelevant because medications act on scientific principles 2.importance to the clients acceptance of medical treatment and response to treatment 3.harmless if it makes the client feel better 4.harmful especially if treatment is delayed

importance to the clients acceptance of medical treatment and response to treatment

a patient who's in renal failure may have a diminished capacity to excrete medications. the nurse must assess the patient more frequently for what development 1.increased risk of allergy 2.decreased therapeutic drug effects 3.increased risk for drug toxicity 4.increased absorption of the drug from the intestines

increased risk for drug toxicity

the pt is to begin taking atorvastatin & the rn is providing education about the drug. which symptom r/t this drug should be reported to the health care provider 1. constipation 2. increasing muscle/joint pain 3. hemorrhoids 4. flushing/hot flash

increasing muscle/joint pain

the rn is providing education for a 12 yo pt w/ partial seizures currently prescribed valproic acid. the rn will teach the pt & the parents to immediately report which symptom 1. increasing/severe abd pain 2. decreased/foul taste in mouth 3. pruritus & dry skin 4. bone & joint pain

increasing/severe abd pain

a 55 yo female clients receiving cyclosporine after a heart transplant. the client exhibits a WBC count of 12000, a sore throat, and a low grade fever. the nurse suspects which condition 1.transplant rejection 2.heart failure 3.dehydration 4.infection

infection

as the nurse enters the room to administer meds the client states I'm in the bathroom just leave my pills on the table and il take them when I come out. whats the nurses best response 1.leave them on the table as requested and check back later to verify they were taken 2.leae the medication with the clients visitors so they can verify that they were taken 3.inform the client that the medications must be taken now otherwise they must be documented as refused 4.inform the client that the nurse will return in a few minutes when the client is available to take the medication

inform the client that the nurse will return in a few minutes when the client is available to take the medication

the client is treated for head lice with permethrin. following treatment, the nurse will reinforce which of the following instructions 1.remain isolated for 48 hours 2.inspect the hair shaft, checking for nits daily for 1 week following treatment 3.shampoo with permethrin TID 4.wash linens with cold water and bleach

inspect the hair shaft, checking for nits daily for 1 week following treatment

a client was prescribed chloroquine prior to a trip to an area where malaria is known to be endemic. the nurse will instruct the client to remain on the drug for up to 6 weeks after returning and the client asks why this is necessary. whats the best response 1.you may be carrying microscopic malaria parasites back with you on clothes/other personal articles 2.it helps prevent transmission to any of your family members 3.it will prevent any mosquito that bites you from pocking up the malaria infection 4.it continues to kill any remaining malarial parasites that may have been acquired during the trip that are in your RBC

it continues to kill any remaining malarial parasites that may have been acquired during the trip that are in your RBC

a client with a sever systemic fungal infection is to be given amphotericin B. before starting the amphotericin infusion, the nurse premeditates the client with acetaminophen, diphenhydramine, and prednisone. what is the purpose of premedication the client prior to the amphotericin? 1.it delays the development of resistant fungal infections 2.it decreases the risk of hypersensitivity reactions to the amphotericin 3.it prevents hyperthermia reactions from the amphotericin 4.it works synergistically with the amphotericin so a lower dose may be given

it decreases the risk of hypersensitivity reactions to the amphotericin

the nurse reads that the drug to be given to the patient has a narrow therapeutic index. the nurse knows that this means that the drug has what properties 1.it has a narrow range of effectiveness and may not give this patient the desired therapeutic results 2.it has a narrow safety margin and even a small increase in dose may produce adverse/toxic effects 3.it has a narrow range of conditions/diseases that the dug will expect to treat successfully 4.it has a narrow segment of the population for whom the drug will work as desired

it has a narrow safety margin and even a small increase in dose may produce adverse/toxic effects

the nurse is counseling a mother regarding antipyretic choices for her 8yo. when asked why aspirin isn't a good drug to use what should the nurse tell the mother 1.its not as good an antipyretic as is acetaminophen 2.may increase fever in children under age 10 3.may produce NV 4.it increases the risk of Reye's syndrome in children under 18 with viral infections

it increases the risk of Reye's syndrome in children under 18 with viral infections

the rn determines that the teaching plan for a pt prescribed sertraline has been effective when the pt makes what statement 1. I shouldn't decrease my sodium/water intake 2. the drug can be taken concurrently with the phenelzine that Im taking 3. it may take up to a month for the drug to reach full therapeutic effects & I'm feeling better 4. there are no other drugs I need o worry about, Zoloft doesn't react w/ them

it may take up to a month for the drug to reach full therapeutic effects & I'm feeling better

what the rationale for the administration of a loading dose of a drug 1.it decreases the number of doses that must be given 2.it results in lower dosages being required to achieve therapeutic effects 3.it decreases the risk of drug toxicity 4.it more rapidly builds plasma drug levels to a plateau level

it more rapidly builds plasma drug levels to a plateau level

the client who is receiving allopurinol for treatment of gout asks why he should avoid consumption of alcohol. the nurses response is based on the knowledge tht the use of alcohol along with allopurinol may result in which of the following 1.it significantly increases the drug level of allopurinol 2.it interferes with the absorption of antigun medications 3.it raises uric acid levels 4.it causes the urine to become more alkaline

it raises uric acid levels

the nurse is explaining to a student nurse physiological principle for how colchicine achieves its effect. what response will the nurse give to the student 1.it decreases the deposits of uric acid in the joint spaces 2.it reduces the pain associated w/ joint inflammation by uric acid crystals 3.it increases renal excretion of uric acid 4.it prevents the formation of uric acid in the liver

it reduces the pain associated w/ joint inflammation by uric acid crystals

a young client requires suturing of a laceration to the right forearm and the provider will use lidocaine with epinephrine as local anesthetic prior to the procedure. why is the epi included in the lidocaine for this client 1.it will increase vasodilation at the site of the laceration 2.it will prevent hypotension 3.it will ensure that infection risk is minimized post suturing 4.it will prolong anesthetic action at the site

it will prolong anesthetic action at the site

the nurse looks up but\orphanol in a drug reference guide prior to administering the drug and notes that its a partial agonist. what does this term tell the nurse about the drug 1.its a drug that produces the same type of response as the endogenous substance 2.its a drug that will occupy a receptor and prevent the endogenous chemical from acting 3.its a drug that causes unpredictable and unexplained drug reactions 4.its a drug that produces a weaker/less efficacious, response than an agonist drug.

its a drug that produces a weaker/less efficacious, response than an agonist drug.

a 63yo client with type 2 diabetes is admitted to the nursing unit with an infected for ulcer. despite previous food control on flyburide his blood glucose has been elevated the past several days and he requires sliding scale insulin. whats the most likely reason for the elevated glucose levels 1.its a temporary condition r/t stress response w/ increased glucose release 2.hes converting to type 1 diabetes 3.the oral anti diabetic drug is no longer working for him 4.clients w/ diabetes who are admitted to the hospital are switched to insulin for safety & tighter control

its a temporary condition r/t stress response w/ increased glucose release

a client has been prescribed tetracycline. when providing info regarding this drug, then nurse should include what info about tetracyclines 1.its classified as a narrow-spectrum antibiotic w/ minimal adverse effects 2.its used to treat a wide variety of disease processes 3.it has been identified to be safe during pregnancy 4.its contraindicated in children younger than 8

its contraindicated in children younger than 8

the nurse is teaching a client about the use of tadalafil. what will the nurse teach him about the effects of tadalafil 1.it should always result in penile erection within 10 minutes 2.it may heighten female sexual response 3.its not effective if sexual dysfunction is caused by psychological conditions 4.it will result in less intense sensation with prolonged use

its not effective if sexual dysfunction is caused by psychological conditions

which of the flowing is best advice that the nurse can give to a client with a viral rhinitis who intends to purchase and OTC combination cold remedy 1.dosages in these remedies provide precise dosing for each symptom that you are experiencing 2.these drugs are best used in conjunction with an antibiotic 3.its safer to use single drug preparation if you are experiencing only one symptom 4.since these drugs are available OTC its safe to use any of them as long as are needed

its safer to use single drug preparation if you are experiencing only one symptom

a 43 yo is receiving medroxyprofesterone for treatment of dysfunctional uterine bleeding. because of related adverse effects, which of these may indicate potential adverse effects 1.breakthrough bleeding between periods 2.insomnia/difficulty falling asleep 3.eye, mouth/vaginal dryness 4.joint pain/pain on ambulation

joint pain/pain on ambulation

appropriate administration is key for clients who are taking eyedrops for the treatment of glaucoma to optimize therapeutic effects and reduce adverse effects. the nurse would be concerned if the client reports administering the drops in which of the following manners 1.into the conjunctival sac 2.holding slight pressure on the tear duct for 1 minute after using the eyedrop 3.avoid direct contact with the eye dropper tip and the eye 4.leaving contact lenses in to be sure the eyedrop is maintained in the eye

leaving contact lenses in to be sure the eyedrop is maintained in the eye

teaching for a client receiving carbamazepine should include instructions that the pt should immediately report which symptom 1. leg cramping 2. blurred vision 3. lethargy 4. blister like rash

lethargy

the nurse caring for a client with chronic stable angina who is receiving iosorbide dinitrate (isordil). which of the following are common adverse effects of this drug 1.flushing and headache 2.tremors and anxiety 3.sleepiness nd lethargy 4.light headedness and dizziness

light headedness and dizziness

the client has been prescribed oxymetazoline nasal spray for seasonal rhinitis. the nurse will provide which instructions 1.limit use of this spray to 5 days or less 2.the drug may be sedating so be cautious w/ activities requiring alertness 3.this drug shouldn't be used in conjunction w/ antihistamines 4.this is an OTC drug and may be used PRN congestion

limit use of this spray to 5 days or less

the nurse discusses process of multiple sclerosis with the client and caregiver. the client will begin taking glatiramer acetate and the nurse is teaching the client about the drug. which points should be included 1.drink extra fluids while this drug is given 2.local injection site irritation is a common effects 3.take the drug with plenty of water and remain in an upright position for at least 30 minutes 4.this drug causes a loss of vitamin c so include extra citrus and foods containing vitamin c in the diet

local injection site irritation is a common effects

education given to clients about the use of all drugs to treat insomnia should include an emphasis on what important issue 1. they will be required long term to achieve lasting effects 2. they require frequent blood counts to avoid adverse effects 3. they are among the safest drugs available & have few adverse effects 4. long term use may increase the risk of adverse effects, create a sleep debt & cause rebound insomnia when stopped

long term use may increase the risk of adverse effects, create a sleep debt & cause rebound insomnia when stopped

the client is taking atenolol (tenormin) and doxazosin (cardura). what is the rationale for combining the 2 anti-hypertensive drugs 1.the BP will decrease faster 2.lower doses of both drugs may be given with fewer adverse effects 3.there is less daily medication dosing 4.combination therapy will treat the patients other medical conditions

lower doses of both drugs may be given with fewer adverse effects

the client is scheduled to receive 5 units of homolog & 25 units of NPH insulin prior to breakfast. which nursing intervention is most appropriate for this client 1.make sure the clients breakfast is available to eat before administering this insulin 2.off the client a high carb snack in 6 hours 3.hold insulin if blood glucose is greater than 100 4.administer the meds in 2 separate syringes

make sure the clients breakfast is available to eat before administering this insulin

a client with constipation is prescribed psyllium by his healthcare provider. what essential teaching will the nurse provide to the client 1.take drug with meals and at bedtime 2.take drug with minimal water so that it will not be diluted in the GI tract 3.Avoid caffeine and chocolate while taking this drug 4.mix the product in a full glass of water and drink another glassful after taking the drug

mix the product in a full glass of water and drink another glassful after taking the drug

an 8 yo boy is elevated & diagnosed w/ absence seizures. he's started in ethosuximide. which info should the rn provide to the parents 1. after school sports activities will need to be stopped because they will increase the risk of seizures 2. monitor ht & wt to assess that growth is progressing normally 3. fractures may occur, so increase the amount of vitamin D & calcium rich foods in the diet 4. avoid dehydration with activities & increase fluid intake

monitor ht & wt to assess that growth is progressing normally

during the evaluation phase of drug administration the nurse completes which responsibilities 1.prepares & administers drug correctly 2.establishes goals&. outcome criteria r/t drug therapy 3cmonitors the patient for therapeutic and adverse effects 4.gathers data in a drug & dietary hx

monitors the patient for therapeutic and adverse effects

a client with a hx of glaucoma who has been taking latanoprost eyedrops complains of severe pain in the eye, sever headache and blurred vision. what should be the nurses first response 1.document the occurrence; this symptom is expecred 2.medicate the client with a narcotic analgesic 3.notify the health care provider immediately 4.place the client in a quiet darkened environment

notify the health care provider immediately

a client has been diagnosed w/ a fungal nail infection. the health care provider has prescribed griseofulvin. the nurse will include which of the following in her teaching to the client 1.drug therapy will be for a very short time, probably 2-4 weeks 2.carefully inspect all IM injection sites for bruising 3.notify the provider if symptoms of infection worsen 4.limit fluid intake to approximately 1000ml/day

notify the provider if symptoms of infection worsen

what nursing intervention is most important when caring for a pt receiving dextran 40 1. assess the pt for DVT 2. observe for signs of fluid overload 3. encourage fluid intake 4. monitor arterial blood gases

observe for signs of fluid overload

a client will be started on desmospressin for treatment of diabetes insipudis. which instruction should the nurse include in the teaching plan 1.drink plenty of fluids especially those high in calcium 2.avoid close contact with children/pregnant women for 1 week after administration of the drug 3.obtain & record your daily weight 4.wear a mask if around children and pregnant women

obtain & record your daily weight

the client informs the nurse that he uses herbal compounds given by a family member to treat his hypertension. whats the most appropriate action by the nurse 1.inform the client that the herbal treatments will be ineffective 2.obtain more info and determine. whether the herbs are compatible with medications prescribed 3.norify the health care provider immediately 4.inform the client that the health care provider will not treat him if he doesn't accept the use of traditional medicine only

obtain more info and determine. whether the herbs are compatible with medications prescribed

whats the difference between physical and psychological dependence

physical dependence is the adaptation of the body to a substance over time such that when the substance is withdrawn, withdrawn symptoms will result. Psychological dependence is the overwhelming desire to continue using a substance after it is stopped or withdrawn but w/o physical withdraw symptoms occuring

a clients admitted to the post anesthesia recovery unit after receiving ketamine after his minor orthopedic surgery. whats the most appropriate nursing action in the recovery period for this client 1.frequently orient the client to time, place and person 2.keep the client in a bright environment so theres less drowsiness 3.frequently assess the client for sensory deprivation 4.place the client in a quiet area of the unit with low lights and away from excessive noise

place the client in a quiet area of the unit with low lights and away from excessive noise

a client has a prescription for fluticasone. place the instructions that follow in order which the nurse will instruct the client to use the drug 1.instill 1 spray directed high into the nasal cavity 2.clear the nose by blowing 3.prime inhaler prior to first use 4.spit out any excess liquid that drains into the mouth

prime inhaler prior to first use, clear nose by blowing, instill 1 spray directed high into the nasal cavity, spit out any excess liquid that drains into the mouth

which method may offer the best opportunity for patient teaching 1.providing detailed written info when the client is discharged 2.providing the patient with internet links to conduct research on drugs 3..referring the patient to external health care groups that provide patient education such as the American heart association 4.providing education about the patients medications each time the nurse administered the drugs

providing education about the patients medications each time the nurse administered the drugs

when monitoring for therapeutic effects of any antidysrhythmic drug, the nurse would be sure to assess what essential parameter 1.pulse 2.BP 3.drug level 4.hourly urine output

pule

the client is being discharged with nitroglycerin (nitrostat) for sublingual use. while planning client education what instructions will the nurse include 1.swallow 3 tabs immediately for pain & call 911 2.put 2 tab under your tongue for chest pain. if pain doesn't subside you may repeat in 5 mins, taking no more than 3 tabs 3.call your health care provider when you have chest pain he will tell you how many tabs to take 4.place three tabs under your tongue and call 911

put 2 tab under your tongue for chest pain. if pain doesn't subside you may repeat in 5 mins, taking no more than 3 tabs

what's a priority component of the teaching plan for a pt prescribed phenelzine for treatment of depression 1. headaches may occur. OTC meds will usually be effective 2. hyperglycemia may occur & any unusual thirst, hunger/ urination should be reported 3. read labels of food to avoid those w/ substances that should be avoided as directed 4. monitor BP for hypotension & report any BP below 90/60

read labels of food to avoid those w/ substances that should be avoided as directed

a pt admitted w/ hep B is prescribed hydrocodone w/ acetaminophen 2 tabs for pain. whats the most appropriate action for the rn to take 1. administer the drug as ordered 2. administed 1 tab only 3. recheck the order w/ health care provider 4. hold the drug until the health care provider arrives

recheck the order w/ health care provider

nifedipine (procardia) has been ordered for a client w/ hypertension. In the care plan, the nurse indicates the need to monitor which adverse effects 1.rash and chills 2.reflex tachycardia 3.increased urinary output 4.weight loss

reflex tachycardia

the client on home based enteral nutrition via a gastric tube has a temp of 101.5. after assessing the client the nurse uses the opportunity to talk with the family about which preventative measures to decrease the risk of infection related to the enteral nutrition 1.hang a feeding solution no longer than 2 hours 2.refrigerate any unused portions of feeding 3.use plain water to irrigate the tube between feedings 4.maintain sterile technique whenever initiating a new feeding solution

refrigerate any unused portions of feeding

nitroglycerin patches have been ordered for a client with a hx of angina, what teaching will the nurse give to this client 1.keep the patches in the refrigerator 2.use the patches only if the chest pain is severe 3.remove the old patch before applying a new one 4.apply the patch only to upper arm/thigh areas

remove the old patch before applying a new one

a pt will be sent home on diuretic therapy & has a prescription for liquid potassium chloride. what teaching will the RN provide before the pt goes home. 1. dont dilute the solution w/ water or juice, drink the solution straight 2. increase the se of salt substitutes they also contain potassium 3. report any weakness, fatigue, or lethargy immediately 4. take the med immediately before bed to prevent heartburn

report any weakness, fatigue, or lethargy immediately

when planning for a pts discharge from the hospital what teaching points would be included for a pt going home w/ a prescription for chlorothiazide 1. increase fluid & salt intake to make up for losses caused by the drug 2. increase intake of vitamin C rich foods such as grapefruit & oranges 3. report muscle cramping/weakness to the health care provider 4. take the drug at night because it may cause drowsiness

report muscle cramping/weakness to the health care provider

the client received lidocaine viscous before a gastriscioy was performed. which would be a priority for the nurse to assess during the post procedure period 1.return of gag reflex 2.ability to urinate 3.leg pain 4.ability to stand

return of gag reflex

a client with a hx of BPH is complaining of feeling like he can't empty his bladder. he has been taking finasteride for the past 9 months. what should the nurse advise this client to do 1.continue to take the drug to achieve full therapeutic effects 2.discuss the use of a low dose diuretic with the health care provider 3.decrease the intake of coffee, tea and alcohol 4.return to the health care provider for PSA lab studies and a prostate exam

return to the health care provider for PSA lab studies and a prostate exam

what health teaching should the nurse provide for the client receiving nadolol (corgard) 1.increase fluids and fiber to prevent constipation 2.report a weight gain of 1 kg per month or more 3.immediatly stop taking the med if sexual dysfunction occurs 4.rise slowly after prolonged periods of sitting/lying down

rise slowly after prolonged periods of sitting/lying down

the rn is providing teaching to a pt who has been prescribed furosemide. what should the rn teach the client 1. avoid consuming large amounts of kale, cauliflower/cabbage 2. rise slowly from a lying/sitting position to standing 3. count the pulse for one full min before taking this med 4. restrit fluor intake to no more than 1 L per 24 hr period

rise slowly from a lying/sitting position to standing

the teaching plan for a client receiving hydralazine (apresoline) should include which of the following points 1.returning for monthly urinalysis testing 2.includinf citrus fruits, melons & veggies in the diet 3.decreasing potassium rich food in the diet 4.rising slowly to standing from a lying/sitting position

rising slowly to standing from a lying/sitting position

the rn caring for a 72 yo pt taking gabapentin for a seizure disorder. because of the pts age, the rn would establish which nursing diagnosis r/t the drugs common adverse effects 1. risk for deficient fluid volume 2. risk for impaired verbal communication 3. risk for constipation 4. risk for falls

risk for falls

a clients interested in taking levonorgestrel and estradiol and asks how its taken. which explanation by the nurse is correct 1.seasonique is taken year round w/o a break and w/o a period 2.seasonique is taken for 84 days and then followed by 7 days of a lower dose contained in the same package 3.seasonique is a vagina ring that is inserted monthly 4.seasonique is taken for 2 months then off for 1 month using regular oral contraceptives

seasonique is taken for 84 days and then followed by 7 days of a lower dose contained in the same package

16 yo pt has taken an overdosage of citalopram & is Brough the the ED. what symptoms would the rn expect 1. seizures, hypertension, tachycardia, extreme anxiety 2. hypotension, bradycardia, hypothermia, sedation 3. miosis, respiratory depression, absent bowel sounds, hypoactive reflexes 4. manic behavior, paranoia, delusions, tremors

seizures, hypertension, tachycardia, extreme anxiety

the pt is receiving IV sodium bicarbonate for treatment of metabolic acidosis. during this infusion, how will the rn monitor for therapeutic effect 1. blood urea nitrogen 2. WBC counts 3. serum ph 4. renal function lab values

serum ph

the nurse reviews lab studies of a client receiving digoxin (lanoxin). intervention by the nurse is requires if the results include which of the following lab values 1.serum digoxin 1.2 2.serum potassium level of 3 3.hemoglobin of 14.4 4.serum sodium level of 140

serum potassium level of 3

prior to discharge the rn plans for the pt teaching related to side effects of phenothiazines to the pt, family/caregiver. what should be included 1. the pt may experience withdrawal & slowed activity 2. severe muscle spasms may occur early in therapy 3. tardive dyskinesia is likely early in therapy 4. meds should be taken as prescribed to prevent adverse effects

severe muscle spasms may occur early in therapy

17 yo pt has been prescribed escitalopram (lexapro) for increasing anxiety uncontrolled by other treatment measures. because of pts age, the rn will ensure the pt & parents are taught what important information 1. cigarette smoking will counteract the effects of the drug 2. signs of increasing depression/thoughts of suicide should be reported immediately 3. the drug causes dizziness & alternative schooling arrangements may be needed for the first 2 months of use 4. anxiety & excitability may increase during 1st 2 weeks of use but then will have significant improvement

signs of increasing depression/thoughts of suicide should be reported immediately

a 15 yo started using topical benzoyl peroxide 1 week ago for treatment of acne and is discouraged that her acne is still visible. whats the nurses best response 1.the cream should've started working by now. check with your provider about switching to a different type 2.some improvement will be noticed quickly but full effects may take several weeks to a month or longer 3.acne is very difficult to treat. it may be several months before you notice any effects 4.if your acne isn't gone by now, you may need an antibiotic too. ask your provider

some improvement will be noticed quickly but full effects may take several weeks to a month or longer

a client is being treated with propylthiouracil (PTU) for hyperthyroidism, pending thyroidectomy. while the client is taking this drug, why symptoms will the nurse teach the client to report to the health care provider 1.tinnitus, altered taste, thicker saliva 2.insomnia, nightmares, night sweats 3.sore throat, chills, low grade fever 4.dry eyes, decreased blinking, reddened conjunctiva

sore throat, chills, low grade fever

an early sign of levodopa toxicity is which of the following 1.orthosratic hypotension 2.drooling 3.spasmodic eye wrinkling and muscle twitching 4.nausea, vomiting & diarrhea

spasmodic eye wrinkling and muscle twitching

the ED rn is caring for a pt w/ a migraine. which drug would the rn anticipate administering to abort the pos migraine attack 1. morphine 2. propanolol 3. ibuprofen 4. sumatriptan

sumatriptan

the client asks what can be expected from the levodopa/carbidopa he's taking for treatment of Parkinsonism. whats the best response by the nurse 1.a cure can be expected within 6 months 2.symptoms can be reduced sand the ability to perform ADLS can be improved 3.disease progression will be stopped 4.EPS will be prevented

symptoms can be reduced sand the ability to perform ADLS can be improved

the pt states that he hasn't taken his antipsychotic drug for the past 2 weeks because it was causing sexual dysfunction. whats the primary concern at this time 1. a hypertensive crisis may occur w/ such abrupt withdraw of the drug 2. significant muscle twitching may occur, increasing fall risk 3. EPS symptoms such as pseudoparkinsonism are likely to occur 4. symptoms of psychosis are likely to return

symptoms of psychosis are likely to return

a client has been prescribed orlistat. which of the following will the nurse teach this client 1.take the drug once in the morning 2.take the drug only when feeling hungry 3.take the drug before exercising daily but no more than TID 4.take the drug with or just before a meal containing fats

take the drug with or just before a meal containing fats

which of the following teaching points will the nurse provide to a client with a new prescription for alendronate 1.take the med w/ a full glass of water 30 minutes before breakfast 2.take the med w/ a small snack/meal containing dairy 3.take the med immediately before bed 4.take the med w/a calcium supplement

take the med w/ a full glass of water 30 minutes before breakfast

levodopa is prescribed to a client with Parkinsons disease. at discharge which teaching points should the nurse include 1.monitor BP every 2 hours for the first 2 weeks 2.report development of diarrhea 3.take the pill on an empty stomach/2 hours after a meal containing protein 4.if tremors seem to worsen take a double dose for 2 doses and call the provider

take the pill on an empty stomach/2 hours after a meal containing protein

appropriate teaching to provide safety for a client who is planning to use herbal productions should include which of the following 1.take the smallest amount possible when starting herbal therapy even less than the recommended dose, to see if allergies or other adverse effects occur 2.read the labels to determine composition of the product 3.research the clinical trials before using the products 4.consult the internet/herbal store staff to determine the safest dose and length of time the dose should be taken

take the smallest amount possible when starting herbal therapy even less than the recommended dose, to see if allergies or other adverse effects occur

a 24 yo colee has been taking sulfasalazine for IBS and complains to the nurse that he wants to stop taking the drug because of the nausea, headaches, and abd pain it causes. what would the nurse best recommendation be for this client 1.the drug is absolutely necessary even with the adverse effects 2.talk to the health care provider about dividing the doses throughout the day 3.stop taking the drug and see if the symptoms of the IBS have resolved 4.take an antidiarrheal drug such as loperamide along with the sulfasalazine

talk to the health care provider about dividing the doses throughout the day

the client has been takin aspirin for several days for a headache. during the assessment the nurse discovers that the client is experiencing ringing in the ears and dizziness. what is the most appropriate action by the nurse 1.question the client about hx of sinus infections 2.determine whether the client has mixed the aspirin w/ other meds 3.tell the client not to take any more aspirin 4.tell the client to take aspirin with food or milk

tell the client not to take any more aspirin

a client has received succinylcholine along with the general anesthetic in surgery. which abnormal findings in the recovery period should be reported to the provider immediately 1.temp 38.9 2.HR 56 3.BP 92/58 4.respiratory rate 15

temp 38.9

a client has been discharged home on total parenteral nutrition therapy. when making a home visit, which are the most important assessments that should be monitored. by the family and home care nurse 1.temperature and BP 2.temperature and wt 3.pulse and BP 4.pulse and wt

temperature and wt

a client has been using fluticasone inhaler as a component of his asthma therapy. he returns to his health care providers office complaining go a sore mouth. on inspection the nurse notices white patches in the clients mouth. whats a possible explanation for these findings 1.the client has been consuming hot beverages after the use of the inhaler 2.the client has limited his fluid intake resulting in dry mouth 3.the residue of the inhaler propellant is coating the inside of the mouth 4.the client has developed thrush as a result of the fluticasone

the client has developed thrush as a result of the fluticasone

a nurse is preparing to administer a hep B vaccination to a client. which would cause the nurse to withold the vaccination and check with the health care provider 1.the clients smokes 1 pack of cigarettes a day 2.the clients frightened by needles & injections 3.the clients allergic to yeast & yeast products 4.the client has HTN

the clients allergic to yeast & yeast products

a client has started taking clomiphene after an infertility work-up and asks the nurse why she's not having in vireo fertilization. which of the following nursing statements would be most helpful in explaining the nurse of clomiphene to the client 1.the clients diagnostic work up suggests that infrequent ovulation may be the cause for her infertility and clomiphene increases ovulation 2.in vitro fertilization is expensive because clomiphene is less expensive its always tried first 3.there is less risk of multiple births with clomiphene 4.the clients past history of oral contraceptive use has prevented her from ovulating. clomiphene is given stimulate ovulation again in these conditions

the clients diagnostic work up suggests that infrequent ovulation may be the cause for her infertility and clomiphene increases ovulation

the nurse notes the client has reached his nadir. what does this finding signify 1.the clients receiving the highest dose possible of the chemo 2.the clients experiencing bone marrow suppression and his blood counts are at their lowest point 3.the client has peaked on his chemo level and should be going home in a few days 4.the clients experiencing extreme depression and will be having a psychiatric consult

the clients experiencing bone marrow suppression and his blood counts are at their lowest point

the nurse is planning health teaching for a client who has been prescribed latanoprost drops for open angle glaucoma. the nurse should include which of the following in the teaching plan 1.the drops may cause darkening and thickening of the eyelashes and upper lid and darkening of the iris color 2.the drops may cause a temporary loss of eyelashes that will regrow once the drug is stopped 3.the drops will cause dilation of pupils and darkened glasses should be worn in bright light 4.the drops will cause a permanent bluish tint to the conjunctive but its harmless

the drops may cause darkening and thickening of the eyelashes and upper lid and darkening of the iris color

a clients who received a prescription for zafirlukast returns to his providers office after 3 days complaining that the drug isn't working. reports a mild but continued dyspnea and has had o maintain consistent use of her bronchodilator inhaler, pirbuterol. what does the nurse suspect the cause of the failure of the zafirlukast 1.the clients not taking the drug correctly 2.the clients not responding to the drug and will need to be switched to another formulation 3.the drug hasn't had sufficient time of use to have full effects 4.the pirbuterol inhaler is interacting with the zafirlukast

the drug hasn't had sufficient time of use to have full effects

the nurse is talking with the parents of a child who will receive somatotropin about the drug therapy. which important detail will the nurse include in the teaching of these parents 1.the drug must be given by injection 2.the drug must be given regularly to prevent mental retardation 3.if the drug therapy is given throughout adolescent, it could add 6-8 inches to the child's height 4.daily lab monitoring will be required during the first weeks of therapy

the drug must be given by injection

the patient requires a drug thats known to be completely metabolized by the first pass effect. what change will be needed when this drugs administered 1.the drug must be given more frequently 2.the drug must be given in higher doses 3.the drug use be given in a lipid-soluble form 4.the drug must be given by monorail route such as parenterally

the drug must be given by monorail route such as parenterally

a client will be discharged after surgery with a prescription for penicillin. when planning at home instructions what will the nurse include 1.penicillins can be taken while breast feeding 2.the entire prescription must be finished 3.all penicillins can be taken w/o regard to eating 4.some possible side effects include abd pain & constipation

the entire prescription must be finished

the. nurse obtains information during the admission interview the the client is taking herbal supplements in addition to prescribed medications. whats the nurses primary concern for this client 1.herbal products are natural and pose no risk to the client but may be costly 2.herbal products are a welcome supplement to conventional medications but do not always come with instructions 3.the client may be at risk for allergic reaction 4.the herbal product may interact with prescribed medications and affect drug action

the herbal product may interact with prescribed medications and affect drug action

a client with significant hypertension unresponsive to other medications s given a prescription of hydralazine (apresoline). an additional prescription of propranolol (inderal) is also given to the client. the client inquires why two drugs are needed. what is the nurses best response 1.giving the 2 drugs together will lower the BP even more than just 1 alone 2.the hydralazine may cause tachycardia and the propranolol will help keep the HR within normal limits 3.the propranolol is to prevent lupus erythematous from developing 4.direct-acting vasodilations such as hydralazine cause fluid retention and the propranolol will prevent excessive fluid buildup

the hydralazine may cause tachycardia and the propranolol will help keep the HR within normal limits

an older adult client tells the nurse that she has been using several herbal products recommended by a friend. why would the nurse be concerned with this statement given the age of the client 1.the older client may have difficulty reading labels and opening bottles and confuse medications 2.the oder client may have difficulty paying for additional medications and stir using prescribed drug 3.the older adult may be more prone to allergic reactions from herbal products 4.the older adult client may have other disease conditions that could increase the risk of a drug reaction

the older adult client may have other disease conditions that could increase the risk of a drug reaction

superinfection are an adverse effect common to all antibiotic therapy. which best describes a superinfection 1.an initial infection so overwhelming that it requires multiple antimicrobial drugs to treat successfully 2.bacterial resistant that treats infections that are difficult to treat & that are often resistant to multiple drugs 3.infections requiring high-dose antimicrobial therapy w/ increased chance of organ toxicity 4.the overgrowth of normal body flora/of opportunistic organisms such as viruses & yeast no longer held in check by normal, beneficial flora

the overgrowth of normal body flora/of opportunistic organisms such as viruses & yeast no longer held in check by normal, beneficial flora

which represents an appropriate outcome established during the planning phase 1.the nurse will teach the patient to recognize and respond to adverse effects fro the medication 2.the patient will demonstrate self administration of the medication using a preload syringe into the subcutaneous tissue of the thigh prior to discharge 3.the. nurse will teach the patient to accurately prepare the dose of medications 4.the patient will be able to self manage his disease and meds

the patient will demonstrate self administration of the medication using a preload syringe into the subcutaneous tissue of the thigh prior to discharge

a client with type 1 diabetes on insulin therapy reports that he takes propranolol for his HTN. the nurse will teach the client to check his glucose levels more frequently because of what concern 1.the propranolol can produce insulin resistance 2.the 2 drugs used together will increase the risk of ketoacidosis 3.propranolol will increase insulin requirements by antagonizing the effects at the receptors 4.the propranolol may mask symptoms of hypoglycemia

the propranolol may mask symptoms of hypoglycemia

a client is receiving temazepam (restoril) which response should the nurse expect the client to have if the med is achieving the desired effect 1. the pt sleeps in 3 hr intervals, awakens for a short time & then falls back asleeo 2. he pt reports feel less anxiety during ADLs 3. The pt repots having fewer episodes of panic attacks when stressed 4. the pt reports sleeping 7 hr w/o awakening

the pt reports sleeping 7 hr w/o awakening

a client receives NPH & regular insulin every morning. the nurse is verifying that the client understands that there are 2 different peak times to be aware for this insulin regimen. why is this an important concept for the nurse to stress 1.the client needs to plan the next insulin injection around the peak times 2.additional insulin may be needed at peak times to avoid hyperglycemia 3.its best to plan exercise/other activities around peak insulin activity 4.the risk for hyperglycemia is greatest around the peak of insulin activity

the risk for hyperglycemia is greatest around the peak of insulin activity

a pts receiving 5% dextrose in water. what statement is correct 1. the solution may cause hypoglycemia in the pt who has diabetes 2. the solution may be used to dilute mixed IV drugs 3. the solutions considered a colloid solution 4. the solutions used t provide adequate calories for metabolic needs

the solution may be used to dilute mixed IV drugs

while educating the client about hydrocortisone the nurse would instruct the client to contact the health care provider immediately if what occurs 1.theres a decrease of 2lb in weight 2.theres an increase in appetite 3.theres tearing of the eyes 4.theres any difficulty breathing

theres any difficulty breathing

the nurse is admitting a client w/ rheumatoid arthritis. the clients bee taking prednisone for an extended time. during the assessment the nurse observers that the client has very round moon shaped face, bruising and an abnormal contour of the shoulders. what does the nurse conclude based on these findings 1.these are normal reactions with the illness 2.these are probably birth defects 3.these are symptoms of myasthenia gravis 4.these are symptoms of adverse drug effects from the prednisone

these are symptoms of adverse drug effects from the prednisone

a 5 yo child is due for prekindergarten immunizations. after interviewing her mother, which responses may indicate a possible contraindication for giving this preschooler a live vaccine at this visit and would require further exploration by the nurse 1.her cousin has the flu 2.the mother has just finished a series of hep B vaccines 3.her arm became very sore after her last tetanus shot 4.they are caring for her grandma who has just finished her 2nd chemotherapy treatment for breast cancer

they are caring for her grandma who has just finished her 2nd chemotherapy treatment for breast cancer

clients characterized as slow acetylators may experience what effects r/t drug therapy 1.they are more prone to drug toxicity 2.they require more time to absorb internal medications 3.they must be given liquid medications only 4.they should be advised to decrease protein intake

they are more prone to drug toxicity

erectile dysfunction drugs such as sildenafil (viagra) are contraindicated in clients taking nitrates for angina. what is the primary concern with concurrent administration of these drugs 1.they contain nitrates resulting in OD 2.they decrease BP and may result in prolonged and severe hypotension when combined with nitrates 3.they will adequately treat the patients angina as well as erectile dysfunction 4.they will increase the possibility of nitrate tolerance developing and should be avoided unless other drugs can be used

they decrease BP and may result in prolonged and severe hypotension when combined with nitrates

the rn teaches the pt relaxation techniques & guided imagery as an adjunct to med for treatment of pain. whats the main rationale for the use of these techniques as an adjunct to analgesic med 1. they are less costly techniques 2. they may allow lower doses of drugs w/ fewer adverse effects 3. they can be used at home 4. they don't require self injection

they may allow lower doses of drugs w/ fewer adverse effects

the client is prescribed digoxin (lanoxin) for treatment of HF. what statements by the client indicates the need for further teaching 1.i may notice my heart rate decrease 2.i may feel tired during early treatment 3.this drug should cure my heart failure 4.my energy level should gradually improve

this drug should cure my heart failure

potassium iodine taken immediate following a nuclear accident can prevent 100% of radioactive iodine from entering which organ 1. brain 2. thyroid 3. kidney 4. liver

thyroid

a client received a prescription for zanamivir for flulike symptoms. the client states "I think ill hold off on starting this, I don't feel that bad yet" whats the best response 1.the drug has a stable shelf life so you can save it for later infections 2.it can be saved for later but you will also require an antibiotic to treat your symptoms if you want 3.it can be stated within 2 weeks after the onset of symptoms 4.to be effective it must be started within 48 hours after the onset of symptoms

to be effective it must be started within 48 hours after the onset of symptoms

the parents of a young pt receiving methylphenidate express concern that the health care provider has suggested the child have a holiday from the drug. whats the purpose of a drug-free period 1. to reduce/eliminate the risk of drug toxicity 2. to allow the childs normal behavior to return 3. to decrease drug dependence & assess the pts status 4. to prevent the occurrence of a hypertensive crisis

to decrease drug dependence & assess the pts status

a client has stated clopidogrel after experiencing a transient ischemic attack (TIA). whats the desired therapeutic effect of this drug 1.anti inflammatory and antipyretic effects 2.to reduce the risk of a stroke from a blood clot 3.analgesic as well as clot dissolving effects 4.to stop clots from becoming emboli

to reduce the risk of a stroke from a blood clot

the patient states she's been increasing the amount and frequency of the anti anxiety drug she's using because it just isn't working like before. what effect does the indicate 1. immunity 2. resistance 3. tolerance 4. addiction tolerance

tolerance

the client states that he has been using the herbal product saw palmetto. the nurse recognizes that this supplement is often used to treat what condition 1.insomnia 2.urinary problems associated with prostate enlargement 3.symptoms od menopause 4.UTI

urinary problems associated with prostate enlargement

a client with asthma has a prescription for 2 inhalers, albuterol & beclomethasone. how should the nurse instruct this client on the proper use of the inhalers 1.use albuterol, & use beclomethasone only if symptoms aren't relieved 2.use beclomethasone, & use albuterol only if symptoms arent relieved 3.use albuterol, wait 5-10 minutes then use belcomethasone 4.use belcomethasone inhaler, wait 5-10 minutes then use the albuterol inhaler

use albuterol, wait 5-10 minutes then use belcomethasone

a client has been prescribed fluticasone to use with oxymetazoline. how should the client be taught to use these drugs 1.use fluticasone first, then oxymetazoline after waiting 5 minutes 2.use oxymetazoline first, then fluticasone after waiting 5 minutes 3.the drugs may be used in either order 4.the fluticasone should be used only if the oxymetazoline fails to relieve the nasal congestion

use oxymetazoline first, then fluticasone after waiting 5 minutes

the health care agent is implementing the use of root cause analysis (RCA) to reduce the occurrence of medication errors. what areas does RCA analyze in order to prevent errors from recurring 1.why the medication was ordered whether is was the correct med and whether the client experienced therapeutic results 2.what happened, why it happened and what can be done to prevent it from happening again 3.what the cosy of the med was, whether it was the most appropriate med to order or whether there is a better alternative 4.whether the med was documented in the providers orders medication administration record and pharmacy

what happened, why it happened and what can be done to prevent it from happening again

a client who has been prescribed baclofen returns to the health care provider after a week of drug therapy complaining of continued muscle spasms of the lower back. what further assessment data will the nurse gather 1.whether the client has been taking the medication consistently or only the pain is severe 2.whether the client has been consuming alcohol during this time 3.whether the client has increased the dosage w/o consulting the health care provider 4.whether the clients log of symptoms indicates that the client is telling the truth

whether the client has been taking the medication consistently or only the pain is severe

a client was admitted from the ED after receiving treatment for dysrhythmias and will be started on amiodarone because of lack of therapeutic effects from his other antidysrhythmic therapy. when the nurse checks with him in the afternoon he complains of feeling light headed and dizzy. what will the nurse assess 1st 1.whether theres the possibility of sleep deprivation from the stress of admission to the hospital 2.whether an allergic reaction is occurring with anticholinergic like symptoms 3.whether the amidarone level isn't yet therapeutic enough to treat the dysrhythmias 4.whether the clients pulse and BP are within normal limits

whether the clients pulse and BP are within normal limits

a 15 yo adolescent with a hx of diabetes is treated in the ED for complications r/t skipping her medication for diabetes. she confides in the nurse that she deliberately skipped some of her medication doses because she didn't want to gain weight and she's afraid of needle marks. before establishing a diagnosis of "noncompliance" what should the nurse assess 1.whether the patient received adequate teaching/t her medication and expresses an understanding of that teaching 2.whether the patient was encouraged to skip her medication by a family member/friend 3.whether the patient is old enough to understand consequences of her actions 4.whether the provider will write another prescription because the patient refused to take the medications the first time

whether the patient received adequate teaching/t her medication and expresses an understanding of that teaching

17 yo confides to the nurse that he smokes marijuana but it isn't as bad as tobacco. what statement would be appropriate by the nurse 1. while weed may not be addicting in the same way as nicotine is it damages lung tissue & may cause breathing problems & cancer 2. weed isn't approved for any use except under highly regulated conditions 3. weed is 4 times as addicting as nicotine 4. the effects of weed are much more prolonged than nicotine because it stays in the system longer

while weed may not be addicting in the same way as nicotine is it damages lung tissue & may cause breathing problems & cancer

the nurse understands that gender issues also influence pharmacotherapy. what are some important considerations for the nurse to remember about these differences 1.men seek health care earlier than women 2.women may not seek treatment for cardiac conditions as quickly as men 3.women are more likely to stop taking medications because of side effects 4.all drug trials are conducted on male subjects

women may not seek treatment for cardiac conditions as quickly as men

a client is started on efavirenz for HIV. what should the nurse teach the client about this drug 1.wil cure the disease over time 2.wont cure the disease but may significantly extend the life expectancy 3.will be used prior to vaccines 4.will prevent the transmission of the disease

wont cure the disease but may significantly extend the life expectancy

a woman consults the nurse about plan b after unprotected intercourse that occurred 2 days ago. which instructions will the nurse give to this client 1.you must wait 7 days before taking the pills for plan b to be effective 2.plan b is effective only within 24 hours of unprotected intercourse 3.you will take one pill of plan b first followed by another pill 12 hours later 4.you will need to obtain a prescription for plan b

you will take one pill of plan b first followed by another pill 12 hours later

the client who is scheduled to have a minor in office surgical procedure will receive nitrous oxide and expresses concern to the nurse that the procedure will hurt. whats the best response from the nurse 1.you may feel pain during the procedure but you wont remember any of it 2.you will be unconscious the entire time and wont feel any pain 3.you wont feel any pain during the procedure because the drug blocks the pain signals 4.you will feel pain but you won't perceive it the same way thats why its called laughing gas

you wont feel any pain during the procedure because the drug blocks the pain signals