practice test 3

The nurse is providing education to a client who has been prescribed sildenafil. Which client statement indicates that additional teaching is required? "I'll try to take sildenafil about a half hour before I'm planning to have sex." "Sildenafil can cause hypertension if I use my angina medicine." "I'll make sure that I don't take sildenafil more than once in a 24-hour period." "Sildenafil doesn't protect me against sexually transmitted infections."

"Sildenafil can cause hypertension if I use my angina medicine."

A client with constipation is prescribed psyllium. The client asks the nurse how the client should take the medication. What is the nurse's best response? "Drink 4 ounces of soda a day. " "Mix the medication with grapefruit juice and water." "You should sprinkle the medication on the food." "Take this medication with 8 ounces of water."

"Take this medication with 8 ounces of water."

A nurse is teaching a client who has just been prescribed lansoprazole . What statement would indicate that the client correctly understands the action of this medication? "The medication inhibits acid secretions." "The medication is an analgesic." "The medication is an antibiotic." "The medication will repair my ulcer."

"The medication inhibits acid secretions."

A nurse in the emergency department is caring for a client who experienced significant blood loss following an automobile accident. The nurse is aware that which hormone was released in response to the injury? Luteinizing hormone Melanocyte-stimulating hormone Antidiuretic hormone Oxytocin

ADH

Carter, age 13, is prescribed testosterone for delayed onset of puberty. What is a priority when monitoring the prepubescent? Sodium and potassium levels Hemoglobin levels Bone growth Fluid intake and output

Correct! Bone growth

A nurse is caring for a client with pseudomembranous colitis. The health care provider has prescribed loperamide HCl to the client. How does the nurse know that the drug has been effective? Rectal bleeding is noted. Nausea and vomiting are resolved. Diarrhea is resolved. Elevation in temperature is noted.

Correct! Diarrhea is resolved.

A nurse is performing patient education for a woman who has just been prescribed a bisphosphonate. Which diagnostic and history findings would have prompted the woman's care provider to prescribe a bisphosphonate? Reports of cold intolerance, recurrent constipation, and evidence of diverticular disease Low bone density and a family history of osteoporosis Labile moods and short-term memory deficits Height in the lowest quartile of the population and a history of joint pain

Correct! Low bone density and a family history of osteoporosis

A client is taking nonsteroidal anti-inflammatory agents for arthritis of the knees and hips. Which disease is a result of cellular destruction of the gastrointestinal tract from this medication? Esophageal cancer Bowel obstruction Liver cancer Peptic ulcer disease

Correct! Peptic ulcer disease

A 25-year-old female client is diagnosed with hypothyroidism. The client is prescribed levothyroxine. Which instruction about the administration of this medication would be important? She should take the medication at dinner time. She should take the medication when she takes her other morning medications. She should take the medication in the morning before breakfast. She should take the medication with grapefruit juice to promote absorption.

Correct! She should take the medication in the morning before breakfast

Which would the nurse identify as an drug that blocks testosterone production to relieve the symptoms of benign prostatic hypertrophy? Terazosin Doxazosin Tamsulosin Finasteride

Finasteride

Which hormone is responsible for increases in the size and number of muscle cells? Thyroid-stimulating hormone Growth hormone Corticotropin-releasing hormone Adrenocorticotropic hormone

GH

What would expected findings during an assessment of a client with hyperthyroidism include? (Select all that apply.) Goiter Weight gain Tachycardia Increased appetite Puffiness in the face

Goiter Tachycardia Increased appetite Also-low carb/salt diet, fluids/fiber,no switching meds

A nurse should monitor a client taking glimepiride (a sulfonylurea) for which of adverse effects? Weight loss Edema Hypoglycemia Lactic acidosis

Hypoglycemia

Which would a nurse expect to occur with the administration of anabolic steroids? Decreased hemoglobin Increased catabolism Increased red blood cell count Reduced tissue building

Increased RBC Also-decreased hemoglobin and tissue building

What is the mechanism that allows mannitol to produce diuresis? Inhibits the reabsorption of sodium and chloride in the loop of Henle Competes with aldosterone for cellular receptor sites Increases the osmolarity of plasma and pulls water out of the tissues into the bloodstream Interferes with absorption of sodium ions across the distal renal tubule

Increases the osmolarity of plasma and pulls water out of the tissues into the bloodstream

A client has refused a scheduled dose of metformin (a biguanide), stating that he/she is worried about inducing hypoglycemia because his/her blood glucose level is currently 86 mg/dL. The nurse should convey what teaching points to the client?

Metformin does not cause hypoglycemia.

A 7-year-old child is diagnosed with adrenocortical insufficiency and has been prescribed prolonged steroid therapy. Which is a steroid used for prolonged therapy? Insulin Penicillin Prednisone Cephalosporin

Prednisone

A client is experiencing signs and symptoms of an overactive bladder. Which agent would the nurse expect the health care provider to prescribe? Tolterodine Terazosin Methylene blue Norfloxacin

Tolterodine

A nurse teaching a 57-year-old client about the factors that must be considered around the use of hormone replacement therapy (HRT) should discuss what increased risk associated with the therapy? Crohn's disease malignant hyperthermia venous thromboembolism bronchiectasis

Venous thrombo

The nurse is providing care for several clients who have diabetes. Which client should the nurse monitor most closely for signs and symptoms of hypoglycemia? a client who received 15 units of Humalog 12 hours ago a client who received 12 units of Humulin R (regular) 45 minutes ago a client who receives Lantus every 24 hours a client whose most recent blood glucose level was 150 mg/dL

a client who received 12 units of Humulin R (regular) 45 minutes ago

A 24-year-old female athlete is using high doses of anabolic steroids to enhance her performance. She may be at risk for which condition? Hypotension Acne Excessive sedation Fluid deficiency

acne

Promethazine (Phenergan) is a derivative of phenothiazine making it an antiemetic and also which type of medication? Antidiarrheal Anticholinergic 5-HT3 receptor blocker Antipsychotic

antipsychotic

The nurse is reviewing a new prescription for promethazine. The nurse will immediately contact the health care provider if the prescription is for which client? An 18-month-old child An adult client taking a tricyclic antidepressant An adult client with type 1 diabetes A client in the first trimester of pregnancy

do not use on PEDI- anyone under 2yrs

After teaching a client who is receiving sucralfate about the drug, which statement indicates that the teaching has been successful? "I should eat a high-fiber diet." "I may need something to control diarrhea." "I need to limit my fluid intake." "I need to avoid sugarless lozenges."

eat a high fiber diet

A man is brought to the emergency department. He is nonresponsive, and his blood glucose level is 32 mg/dL. Which would the nurse expect to be ordered? Insulin lispro Regular insulin 0.9% NaCl Glucagon

glucagon

Which laboratory values should the nurse review prior to the administration of hydrocortisone? Magnesium level thyroid hormone level Glucose level Platelet count

glucose level

Which adverse effect is more likely to be caused by cimetidine than by other histamine-2 receptor antagonists? Seizures Hypoxia Gynecomastia Hypertension

gynecomastia

A male client is prescribed spironolactone to treat his disease process. During his annual visit to the health care provider, he reports experiencing muscle weakness and tingling in his fingers. What does the nurse suspect is wrong with this client?

hyperkalemia

Which nursing diagnosis is highest priority for a patient who is taking oxybutynin? Risk for impaired urinary elimination Risk for altered comfort: dry mouth Risk for alteration in bowel elimination Risk for alteration in body image

impaired urinary elimination

An adult client with a diagnosis of hypertension has been prescribed oral furosemide. What goal should the nurse identify when planning this client's medication teaching session? The client will accurately describe the basic structure and functions of the kidneys. The client will identify strategies for limiting sodium intake. The client will describe the rationale for increasing fluid intake. The client will be able to demonstrate correct technique for blood glucose monitoring.

limit sodium intake

A client is admitted to the emergency department with pulmonary edema. What diuretic does the nurse expect the health care provider to prescribe to achieve rapid therapeutic effect? Osmotic diuretic Loop diuretic Potassium-sparing diuretic Thiazide

loop

The nurse knows that finasteride is used to treat prostatic hypertrophy, and what other condition? Acne Male pattern baldness Erectile dysfunction Neuropathy

male pattern baldness

What best describes the action of sodium bicarbonate? Facilitate swallowing Breakdown of proteins Stomach muscle contraction Neutralize the acid bolus

neutralize the acid bolus

A patient is experiencing a prolonged labor and her contractions are ineffective. Which agent would the nurse expect to be ordered?

oxytocin

The client has been prescribed diphenoxylate with atropine (Lomotil) for diarrhea. The nurse recognizes that this drug is effective against diarrhea because of which action? Antimicrobial effects Slows peristalsis by acting on the smooth muscles of the intestine Anti-inflammatory effects allowing absorption of fluids Decreases GI secretions

slows peristalsis by acting on the smooth muscles of the intestine

A client with a recent history of benign prostatic hypertrophy (BPH) will soon begin treatment with finasteride. Before beginning this course of therapy, the nurse should caution the client to be aware of what potentially adverse effect?

urinary retention

A nurse is providing care to a client who is to receive acetazolamide for epilepsy. Before administering this drug, the nurse would assess which of the following? Intracranial bleeding and level of consciousness Response of pupils to light and blink reflex Intraocular pressure and eye pain Vital signs and weight

vital signs and weight