Quiz 2 Senior Seminar

Megestrol acetate, an antineoplastic medication, is prescribed for a client with metastatic endometrial carcinoma. The nurse reviews the client's history and should contact the primary health care provider, if which diagnosis is documented in the client's history? 1. Gout 2. Asthma 3. Myocardial infarction 4. Venous thromboembolism

4. Venous thromboembolism

A client has a new prescription for metochloproma. On review of the chart, the nurse identifies that this medication can be safely administered with which condition? 1. Intestinal obstruction 2. Peptic ulcer with melena 3. Diverticulitis with perforation 4. Vomiting following cancer chemotherapy

4. Vomiting following cancer chemotherapy

Silver sulfadiazine is prescribed for a client with a burn injury. Which laboratory finding requires the need for follow up by the nurse? 1. Glucose level of 99 2. Platelet level of 300,000 3. Magnesium level of 1.5 4. White blood cell count of 3,000

4. White blood cell count of 3,000

The nurse is teaching the client about his prescribed prednisone. Which statement is made by the client indicates that further teaching is necessary? 1. " I can take aspirin or my antihistamine if I need it" 2. " I need to take the medication every day at the same time" 3. " I need to avoid coffee, tea, cola, and chocolate in my diet" 4. " if I gain 5 pounds or more in a week, I will call my doctor"

1. " I can take aspirin or my antihistamine if I need it"

The nurse is caring for a client receiving an albuterol/ipratropium nebulizer breathing treatment. Which report from the client should the nurse note as an expected side effect of this combination medication? 1. "I feel like my heart is racing" 2. "I feel more bloated than usual" 3. "My eyes have been watering lately" 4. "I haven't had a bowel movement in 4 days"

1. "I feel like my heart is racing"

The nurse receives a call from a client concerned about eliminating brown-colored urine after taking nitrofurantoin for a urinary tract infection. The nurse should make which appropriate response? 1. "continue taking the medication; the brown urine occurs and is not harmful" 2. "take the magnesium hydroxide with your medication to lighten the urine color' 3. "discontinue taking the medication and make an appointment for a urine culture" 4. "decrease your medication to half the dose, because your urine is too concentrated"

1. "continue taking the medication; the brown urine occurs and is not harmful"

A client with hyperthyroidism has been given methimazole. Which nursing considerations are associated with this medication? Select all that apply 1. Administer methimazole with food 2. Place the client on a low calorie, low protein diet 3. Assess the client for unexplained bruising or bleeding 4. Instruct the client to report side and adverse effects such a sore throat, fever, or headaches 5. Use special radioactive precautions when handling the clients urine for the first 24 hours following initial administration

1. Administer methimazole with food 3. Assess the client for unexplained bruising or bleeding 4. Instruct the client to report side and adverse effects such as sore throat, fever, and headaches

A client is prescribed an eye drop and eye ointment for the right eye. How should the nurse best administer the medications? 1. Administer the eye drop first, followed by the eye ointment 2. Administer the eye ointment first, followed by the eye drop 3. Administer the eye drop, wait 15 minutes, and administer the eye ointment 4. Administer the eye ointment, wait 15 minutes, and administer the eye drop

1. Administer the eye drop first, followed by the eye ointment

The nurse is applying a topical corticosteroid to a client with eczema. The nurse understands that it is safe to apply the medication to which body areas? Select all that apply 1. Back 2. Axilla 3. Eyelids 4. Soles of the feet 5. Palms of the hands

1. Back 4. Soles of the feet 5. Palms of the hands

A client begins therapy with theophylline. The nurse plans to teach the client to limit the intake of which items while taking this medication? 1. Coffee, cola, and chocolate 2. Oysters, lobster, and shrimp 3. Melons, oranges, and pineapple 4. Cottage cheese, cream cheese, and dairy creamers

1. Coffee, cola, and chocolate

Allopurinol is prescribed for a client and the nurse provides medication instructions to the client. Which instruction should the nurse provide? 1. Drink 3000 ml fluid daily 2. Take the medication on an empty stomach 3. The effect of the medication will occur immediately 4. Any swelling of the lips is a normal expected response

1. Drink 3000 ml fluid daily

A client with human immunodeficiency virus seri-positive has been taking stavudine. The nurse should monitor which most closely while the client is taking the medication? 1. Gait 2. Appetite 3. Level of consciousness 4. Gastrointestinal function

1. Gait

Cyclobenzaprine is prescribed for muscle spasms, and the nurse is reviewing the client's record. Which disorder, if noted in the record, would indicate a need to contact the primary health care provider about the administration of this medication? 1. Glaucoma 2. Emphysema 3. Hypothyroidism 4. Diabetes mellitus

1. Glaucoma

A burn client is receiving treatments of topical mafenide acetate to the site of injury. The nurse monitors the client, knowing that which finding indicates that a systemic effect has occurred? 1. Hyperventilation 2. Elevated blood pressure 3. Local rash at the burn site 4. Local pain at the burn site

1. Hyperventilation

A client with diabetes mellitus is taking Humulin NPH insulin and regular insulin every morning. The nurse should provide which instructions to the client? Select all that apply 1. Hypoglycemia may be experienced before dinner time 2. The insulin dose should be decreased if illness occurs 3. The insulin should be administered at room temperature 4. The insulin vial needs to be shaken vigorously to break up the precipitates 5. The NPH insulin should be drawn into the syringe first, then the regular insulin

1. Hypoglycemia may be experienced before dinner time 3. The insulin should be administered at room temperature

A client with a urinary tract infection is receiving ciprofloxacin by the intravenous (IV) route. The nurse appropriately administers the medication by performing which action? 1. Infusing slowly over 60 minutes 2. Infusing in a light-protective bag 3. Infusing only through a central line 4. Infusing rapidly as a direct IV push medication

1. Infusing slowly over 60 minutes

The nurse is monitoring a client receiving levothyroxine sodium for hypothyroidism. Which findings indicate the presence of a side effect associated with this medication? Select all that apply 1. Insomnia 2. Weight loss 3. Bradycardia 4. Constipation 5. Mild heat intolerance

1. Insomnia 2. Weight loss 5. Mild heat intolerance

The clinic nurse is performing an admission assessment on a client and notes that the client is taking azelaic acid to treat acne. The nurse determines that which client complaint may be associated with the use of this medication? 1. Itching 2. Euphoria 3. Drowsiness 4. Frequent urination

1. Itching

The nurse is monitoring a client for adverse effects of medications. Which findings are characteristic of adverse effects of hydrochlorothiazide? Select all that apply 1. Sulfa allergy 2. Osteoporosis 3. Hypokalemia 4. Hypouricemia 5. Hyperglycemia 6. Hypercalcemia

1. Sulfa allergy 3. Hypokalemia 5. Hyperglycemia 6. Hypercalcemia

Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client knowing that which finding indicates the presence of systemic toxicity from this medication? 1. Tinnitus 2. Diarrhea 3. Constipation 4. Decreased respirations

1. Tinnitus

The nurse has given medication instructions to a client receiving phenytoin. Which statement indicates that the client has an adequate understanding of the instructions" 1. "Alcohol is not contraindicated while taking this medication" 2. "Good oral hygiene is needed, including brushing and flossing" 3. "The medication dose may be self-adjusted depending on the side effects" 4. "The morning dose of the medication should be taken before a serum medication level is drawn"

2. "Good oral hygiene is needed, including brushing and flossing"

The nurse is preparing discharge instructions for a client who sustained a skeletal muscle injury and is receiving baclofen. Which instruction should be included in the teaching plan? 1. Restrict fluid intake 2. Avoid the use of alcohol 3. Stop the medication if diarrhea occurs 4. Notify the primary health care provider if fatigue occurs

2. Avoid the use of alcohol

Phenazopyridine is prescribed for a client with a urinary tract infection. The nurse evaluates that the medication is effective based on which observation? 1. Urine is clear amber 2. Urination is not painful 3. Urge incontinence is not present 4. A reddish-orange discoloration of the urine is present

2. Urination is not painful

The nurse administered intravenous bumetadine to a client being treated for heart failure. Which outcome indicates that the medication has achieved the expected effect? 1. Cough becomes productive of frothy, pink sputum 2. Urine output increases from 10 mL/hr to greater than 50 3. The serum potassium level changes from 3.8 to 3.1 4. B-type natriuretic peptide (bnp) factor increases from 200 to 262

2. Urine output increases from 10 mL/hr to greater than 50

The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instructions should the nurse provide? Select all that apply 1. Sunscreen should be applied every 8 hours 2. Use sunscreen when participating in outdoor activities 3. Wear a hat, opaque clothing, and sunglasses whenever in the sun 4. Avoid sun exposure in the late afternoon and early evening hours 5. Examine your body monthly for any lesions that may be suspicious

2. Use sunscreen when participating in outdoor activities 3. Wear a hat, opaque clothing, and sunglasses whenever in the sun 5. Examine your body monthly for any lesions that may be suspicious

A clinic nurse prepares a teaching plan for a client receiving an antineoplastic medication. When implementing the plan, the nurse should make which statement to the client? 1. "You can take aspirin as needed for headaches" 2. "You can drink beverages containing alcohol in moderate amount each evening" 3. "You need to consult with your primary care provider before receiving immunizations" 4. "It is fine to receive a flu vaccine at the local health fair without PCP approval because the flu is so contagious"

3. "You need to consult with your primary care provider before receiving immunizations"

The nurse is monitoring the laboratory results of a client receiving antineoplastic medication by the intravenous route. The nurse plans to initiate bleeding precautions if which laboratory result is noted? 1. A clotting time of 10 minutes 2. An ammonia level of 10 mcg/dl 3. A platelet count of 50,000 4. A white blood cell count of 5000

3. A platelet count of 50,000

A client was just admitted to the hospital to rule out a gastrointestinal (GI) bleed. The client has brought several bottles of medication prescribed by different specialists. During the admission assessment, the client states "Lately, I have been hearing some roaring sounds in my ears, especially when I am alone". Which medication would the nurse identify as the cause of the client's complaint? 1. Doxycyline 2. Atropine sulfate 3. Acetylsalcylic acid 4. Diltiazem hydrochloride

3. Acetylsalcylic acid

A client with atrial fibrillation is receiving a continuous heparin infusion at 1000 units/hour. The nurse determines that the client is receiving the therapeutic effect based on which results? 1. Prothrombin time of 12.5 seconds 2. Activated partial thromboplastin time of 28 seconds 3. Activated partial thromboplastin of 60 seconds 4. Activated partial thromboplastin time longer than 120 seconds

3. Activated partial thromboplastin of 60 seconds

The nurse should report which assessment finding to the primary care provider before initiating thrombolytic therapy in a client with pulmonary embolism? 1. Adventicious breath sounds 2. Temperature of 99.4 orally 3. Blood pressure of 198/110 4. Respiratory rate of 28 breaths per minute

3. Blood pressure of 198/110

The nurse is administering an intravenous dose of methocarbamol to a client with a muscle skeletal injury. For which adverse effect should the nurse monitor? 1. Tachycardia 2. Rapid pulse 3. Bradycardia 4. Hypertension

3. Bradycardia

The nurse who is administering bethanchol chloride, is monitoring for cholinergic overdose associated with this medication. The nurse should check the client for which sign of overdose? 1. Dry skin 2. Dry mouth 3. Bradycardia 4. Signs of dehydration

3. Bradycardia

In preparation for cataract surgery, the nurse is to administer cyclopentolate eye drops at 9:00am for surgery that is scheduled for 9:15am. What initial action should the nurse take in relation to the characteristics of the medication action? 1. Provide lubrication to the operative eye prior to giving the drops 2. Call the surgeon, as this medication will further constrict the operative pupil 3. Consult the surgeon, as there is not sufficient time for the dilative effects to occur 4. Give the medication as prescribed; the surgeon needs optimal constriction of the pupil

3. Consult the surgeon, as there is not sufficient time for the dilative effects to occur

The nurse is providing dietary instructions to a client who has been prescribed cyclosporine. Which food item should the nurse instruct the client to exclude from their diet? 1. Red meats 2. Orange juice 3. Grapefruit juice 4. Green, leafy vegetables

3. Grapefruit juice

Amikacin is prescribed for a client with a bacterial infection. The nurse instructs the client to contact the primary health care provider immediately if which occurs? 1. Nausea 2. Lethargy 3. Hearing loss 4. Muscle aches

3. Hearing loss

A client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed? 1. Weight loss 2. Relief of heartburn 3. Reduction of steatorrhea 4. Absence of abdominal pain

3. Reduction of steatorrhea

A client with severe acne is seen in the clinic and the primary health care provider prescribes isotretinoin. The nurse reviews the client's medication record and would contact the PCP if the client is also taking what medication? 1. Digoxin 2. Phenytoin 3. Vitamin A 4. Furosemide

3. Vitamin A

A client with trigeminal neuralgia is being treated with carbamazepine 400 mg orally daily. Which value indicates that the client is experiencing an adverse effect to the medication? 1. Sodium level, 140 2. Uric acid level, 4.0 3. White blood cell count, 3000 4. Blood urea nitrogen level, 10

3. White blood cell count, 3000

The nurse is caring for a post renal transplantation client taking cyclosporine. The nurse notes an increase in one of the client's vital signs, and the client is complaining of a headache. What vital sign is most likely increased? 1. Pulse 2. Respirations 3. Blood pressure 4. Pulse oximetry

3. blood pressure

The nurse provides instructions to the client about nicotinic acid prescribed for hyperlipidemia. Which statement by the client indicates understanding of the instructions? 1. "The medication should be taken with meals to decrease flushing" 2. "It is not necessary to avoid the use of alcohol when taking nicotinic acid" 3. "Clay-colored stools are a common side effect and should not be of concern" 4. "Ibuprofen taken 30 minutes before the nicotinic acid may decrease the flushing"

4. "Ibuprofen taken 30 minutes before the nicotinic acid may decrease the flushing"

The nurse has just administered the first dose of omalizumab to a client. Which statement by the client alerts the nurse of a life-threatening effect? 1. "I have a severe headache" 2. "My feet are quite swollen" 3. "I am nauseated and may vomit" 4. "My lips and tongue are swollen"

4. "My lips and tongue are swollen"

Silver sulfadiazineis prescribed for a client with a partial-thickness burn, and the nurse provides teaching about the medication. Which statement made by the client indicates a need for further teaching about the treatments? 1. "This medication is an antibacterial" 2. "The medication will help heal the burn" 3. "The medication should be applied directly to the wound" 4. "The medication is likely to cause stinging every time it is applied"

4. "The medication is likely to cause stinging every time it is applied"

A client with myasthenia graves has become increasingly weaker. The primary health care provider prepares to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or an increasing severity of the disease (myasthenia crisis). An injection of edrophonium is administered. Which finding would indicate that the client is in cholinergic crisis? 1. No change in the condition 2. Complaints of muscle spasms 3. An improvement of the weakness 4. A temporary worsening of the condition

4. A temporary worsening of the condition

The nurse is caring for a client in the emergency department who has been diagnosed with Bell's palsy. The client has been taking acetaminophen and acetaminophen overdose is suspected. Which antidote should the nurse prepare for administration if prescribed? 1. Pentostatin 2. Auranofin 3. Fludarabine 4. Acetylcystine

4. Acetylcystine

The client with acquired immunodeficiency syndrome and pneumocytisis jiroveci infection has been receiving pentamidine. The client develops a temperature of 101. The nurse continues to assess the client, knowing that this sign most likely indicates which condition? 1. That the dose of the medication is too low 2. That the client is experiencing toxic effects of the medication 3. That the client has developed inadequacy of thermoregulation 4. That the client has developed another infection caused by leukopenic effects of the medication

4. That the client has developed another infection caused by leukopenic effects of the medication

A client who uses nonsteroidal anti-inflammatory drugs (NSAIDs) has been taking misoprostol. The nurse determines that the misoprostol is having the intended therapeutic effect if which finding is noted? 1. Resolved diarrhea 2. Relief of epigastric pain 3. Decreased platelet count 4. Decreased white blood cell count

2. Relief of epigastric pain

A client is to begin a 6-month course of therapy with isoniazid. The nurse should plan to teach the client to take which action? 1. Ase alcohol in small amounts only 2. Report yellow eyes or skin immediately 3. Increase intake of Swiss or aged cheese 4. Avoid vitamin supplements during therapy

2. Report yellow skin or eyes immediately

A client with chronic kidney disease is receiving epoetin-alfa. Which laboratory results would indicate a therapeutic effect of the medication? 1. Hematocrit of 33% 2. Platelet count of 400,000 3. White blood cell count of 6000 4. Blood urea nitrogen level of 15

1. Hematocrit of 33%

The home health care nurse is visiting a client who was recently diagnosed with type two diabetes. The client is prescribed repaglinide and metformin. The nurse should provide which instructions to the client? Select all that apply 1. Diarrhea may occur secondary to the metformin 2. The repaglinide is not taken if a meal is skipped 3. The repaglinide is taken 30 minutes before eating 4. A simple sugar food item is carried and used to treat mild hypoglycemia episodes 5. Muscle pain is an expected effect of metformin and may be treated with acetaminophen 6. Metformin increases hepatic glucose production to prevent hypoglycemia associated with repaglinide

1. Diarrhea may occur secondary to the Metformin 2. The repaglinide is not taken if a meal is skipped 3. The repaglinide is taken 30 minutes before eating 4. A simple sugar food item is carried and used to treat mild hypoglycemia episodes

The nurse is providing instructions to a client who will be self administering eye drops. To minimize systemic absorption of the eye drops, the nurse should instruct the client to take which action? 1. Eat before instilling the drops 2. Swallow several times before instilling the drops 3. Blink vigorously to encourage tearing after administering the drops 4. Occlude the nasolacrimal duct with a finger after instilling the drops

1. Eat before instilling the drops

The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase, an antineoplastic agent. The nurse contacts the primary health care provider before administering the medication if which disorder is documented in the client's history? 1. Pancreatitis 2. Diabetes mellitus 3. Myocardial infarction 4. Chronic obstructive pulmonary disease

1. Pancreatitis

The nurse monitoring the IV infusion of an antineoplastic medication. During the infusion, the client complains of pain at the insertion site. On inspection of the site, the nurse notes redness and swelling and that the infusion of the medication has slowed in rate. The nurse suspects extravasation and should take which actions? Select all that apply 1. Stop the infusion 2. Prepare to apply ice or heat to the site 3. Restart the IV at a distal part of the same vein 4. Notify the primary health care provider 5. Prepare to administer a prescribed antidote into the site 6. Increase the flow rate of the solution to flush the skin and subcutaneous tissues

1. Stop the infusion 2. Prepare to apply ice or heat to the site 4. Notify the primary health care provider 5. Prepare to administer a prescribed antidote into the site

The client arrives at the emergency department complaining of back spasms. The client states, "I have been taking 2 to 3 aspirin every 4 hours for the last week and it hasn't helped my back". Since acetylcystic acid overdose is suspected, the nurse should assess the client for which manifestation? 1. Tinnitus 2. Diarrhea 3. Constipation 4. Photosensitivity

1. Tinnitus

An older client recently has been taking cimetidine. The nurse monitors the client for which most frequent central nervous system side effect of this medication? 1. Tremors 2. Dizziness 3. Confusion 4. Hallucinations

1. Tremors

The nurse prepares a client for ear irrigation as prescribed by the primary health care provider. Which action should the nurse take when performing the procedure? 1. Warm the irrigating solution to 98.6 2. Position the client with the affected side up following the irrigation 3. Direct a slow, steady stream of irrigation solution toward the eardrum 4. Assist the client to turn his or her head so that the ear to be irrigated is facing upward

1. Warm the irrigating solution to 98.6

The nurse is teaching a client with diabetes mellitus how to mix regular insulin and NPH insulin in the same syringe. Which action, if performed by the client, indicates the need for further teaching? 1. Withdraws the NPH insulin first 2. Withdraws the regular insulin first 3. Injects air into the NPH insulin vial first 4. Injects an amount of air equal to the desired dose of insulin into each vial

1. Withdraws the NPH insulin first

The primary healthcare provider prescribes exenatide for a client with type 1 diabetes mellitus who takes insulin. The nurse should plan to take which most appropriate intervention? 1. Withhold the medication and call the PCP, questioning the prescription for the client 2. Teach the client about the signs and symptoms of hypoglycemia and hyperglycemia 3. Monitor the client for gastrointestinal side effects after administering the medication 4. Withdrawal the insulin from the prefilled pen into an insulin syringe and prepare for administration

1. Withhold the medication and call the PCP, questioning the prescription for the client

Intravenous heparin therapy is prescribed for a client with atrial fibrillation. While implementing this prescription, the nurse ensures that which medication is available on the nursing unit? 1. Vitamin K 2. Protamine sulfate 3. Potassium chloride 4. Aminocaproic acid

2. Protamine sulfate

Glimepiride is prescribed for a client with diabetes Mellitus. The nurse instruct the client that which food items are most acceptable to consume while taking this medication? Select all that apply 1. Alcohol 2. Red meats 3. Whole grain cereals 4. Low calorie desserts 5. Carbonated beverages

2. Red meats 3. Whole grain cereals 5. Low calorie desserts

The home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse should tell the client to take which action? 1. Freeze the insulin 2. Refrigerate the insulin 3. Store the insulin in a dark, dry place 4. Keep the insulin at room temperature

2. Refrigerate the insulin

A client with metastatic breast cancer is receiving tamoxifen. The nurse specifically monitors which laboratory value while the client is taking this medication? 1. Glucose level 2. Calcium level 3. Potassium level 4. Prothrombin time

2. Calcium level

A client with Crohn's disease is scheduled to receive an infusion of infliximab. What intervention by the nurse will determine the effectiveness of treatment? 1. Monitoring the leukocyte count for 2 days after the infusion 2. Checking the frequency and consistency of bowel movements 3. Checking serum liver enzyme levels before and after the infusion 4. Carrying out a Hematest on gastric fluids after the infusion is completed

2. Checking the frequency and consistency of bowel movements

A client with valvular heart disease who has a clot in the right atrium is receiving a heparin sodium infusion at 1000 units/hour and warfarin sodium 7.5 mg at 5:00pm daily. The morning laboratory results are as follows: aPTT 32 seconds, INR 1.3. The nurse should take which action based on the client's laboratory results? 1. Collaborate with the primary health care provider to discontinue the heparin infusion and administer warfarin sodium as prescribed 2. Collaborate with the PCP to obtain a prescription to increase the heparin infusion and continue the warfarin sodium as perscribed 3. Collaborate with the PCP to withhold the warfarin sodium since the client is receiving a heparin infusion and the aPTT is within a therapeutic range 4. Collaborate with the PCP to continue the heparin infusion at the same rate and to discuss use of dabigatran etexilate in place of the warfarin sodium

2. Collaborate with the PCP to obtain a prescription to increase the heparin infusion and continue the warfarin sodium as perscribed

The nurse monitoring a client with hypertension who is taking propranolol. Which assessment finding indicates a potential adverse complication associated with this medication? 1. Report of infrequent insomnia 2. Development of expiratory wheezes 3. A baseline blood pressure of 150/80 mmHg after 2 doses of the medication 4. A baseline resting heart rate of 88 beats per minute followed by a resting heart rate of 72 beats per minute after 2 doses of the medication

2. Development of expiratory wheezes

The nurse is providing discharge instructions to a client receiving trimethoprim-sulfamethoxazole. Which instruction should be included on the list? 1. Advise that sunscreen is not needed 2. Drink 8 to 10 glasses of water per day 3. Decrease the dosage when symptoms are improving to prevent an allergic response 4. If the urine turns dark brown, call the primary health care provider immediately

2. Drink 8 to 10 glasses of water per day

A client has been taking omeprazole for four weeks. The ambulatory care nurse evaluates that the client is receiving the optimal intended effect of the medication if the client reports the absence of which symptom? 1. Diarrhea 2. Heartburn 3. Flatulence 4. Constipation

2. Heartburn

The nurse is providing medication instructions to a client with breast cancer who is receiving cyclophosphamide. The nurse should tell the client to take which action? 1. Take the medication with food 2. Increase fluid intake to 2000-3000 ml daily 3. Decrease sodium intake while taking the medication 4. Increase potassium intake while taking the medication

2. Increase fluid intake to 2000-3000 ml daily

Colchicine is prescribed for a client with a diagnosis of gout. The nurse reviews the client's record, knowing that this medication would be used with caution in which disorder? 1. Myxedema 2. Kidney disease 3. Hypothyroidism 4. Diabetes mellitus

2. Kidney disease

The nurse is caring for a client with chronic back pain. Codeine has been prescribed for the client. Specific to this medication, which intervention should the nurse include in the plan of care while the client is taking this medication? 1. Monitor radial pulse 2. Monitor bowel activity 3. Monitor apical heart rate 4. Monitor peripheral pulses

2. Monitor bowel activity

A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesias, a tingling in the extremities. The nurse interprets that the client is experiencing which problem? 1. Hypercalcemia 2. Peripheral neuritis 3. Small blood vessel spasm 4. Impaired peripheral circulation

2. Peripheral neuritis

A client with diabetes mellitus visits a healthcare clinic. The clients diabetes previously had been well-controlled with glyburide daily, but recently the fasting blood glucose level has been 180 to 200. Which medication, if added to the clients regimen, may have contributed to the hyperglycemia? 1. Atenolol 2. Prednisone 3. Phenelzine 4. Allopurinol

2. Prednisone

The nurse is providing instructions to the client newly diagnosed with diabetes who has been prescribed pramlintide. Which instruction should the nurse include in the discharge teaching? 1. Inject the pramlintide at the same time you take your other medications 2. Take your prescribed pills one hour before or two hours after the injection 3. Be sure to take the pramlintide with food so you don't upset your stomach 4. Make sure you take your pramlintide immediately after you eat so you don't experience a low blood sugar

2. Take your prescribed pills one hour before or two hours after the injection

A client has been on treatment for rheumatoid arthritis for 3 weeks. During the administration of etanercept, which is most important for the nurse to assess? 1. The injection site for itching and edema 2. The white blood cell counts and platelet counts 3. Whether the client is experiencing fatigue and joint pain 4. Whether the client is experiencing a metallic taste in the mouth and a loss of appetite

2. The white blood cell counts and platelet counts

The nurse should tell the client who is taking levothyroxine to notify the primary healthcare provider if which problem occurs? 1. Fatigue 2. Tremors 3. Cold intolerance 4. Excessively dry skin

2. Tremors

Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed? 1. Potassium level 2. Triglyceride level 3. Hemoglobin A1C 4. Total cholesterol level

2. Triglyceride level

A client with acute myelocytic leukemia is being treated with busulfan. Which laboratory value would the nurse specifically monitor during treatment with this medication? 1. Clotting time 2. Uric acid level 3. Potassium level 4. Blood glucose level

2. Uric acid level

Bethanechol chloride is prescribed for a client with urinary retention. Which disorder would be a contraindication to the administration of this medication? 1. Gastric atony 2. Urinary strictures 3. Neurogenic atony 4. Gastroesophageal reflux

2. Urinary strictures

The nurse is reviewing the results of serum laboratory studies drawn on a client with acquired immunodeficiency syndrome who is recieving didanosine. The nurse interprets that the client may have the medication discontinued by the health care provider if which elevated result is noted? 1. Serum protein level 2. Blood glucose level 3. Serum amylase level 4. Serum creatinine level

3. Serum amylase level

A client is taking the prescribed dose of phenytoin to control seizures. Results of a phenytoin blood level study reveal a level of 35. Which finding would be expected as a result of this laboratory level? 1. Hypotension 2. Tachycardia 3. Slurred speech 4. No abdominal finding

3. Slurred speech

A client has a prescription to take guaifenesin. The nurse determines that the client understands the proper administration of this medication if the client states that she or he will perform which action? 1. Take an extra dose if fever develops 2. Take the medication with meals only 3. Take the tablet with a full glass of water 4. Decrease the amount of daily fluid intake

3. Take the tablet with a full glass of water

Chemotherapy dosage is frequently based on total body surface area (BSA), so it is important for the nurse to perform which assessment before administering chemotherapy? 1. Measure the client's abdominal girth 2. Calculate the client's body mass index 3. Measure the client's current weight and height 4. Ask the client about his or her weight and heights

3. Measure the client's current weight and height

A client is diagnosed with an ST segment elevation myocardial infarction (STEMI) and is receiving a tissue plasminogen activator, alteplase. Which action is a priority nursing intervention? 1. Monitor for kidney failure 2. Monitor for psychosocial status 3. Monitor for signs of bleeding 4. Have heparin sodium available

3. Monitor for signs of bleeding

Betaxolol hydrochloride eye drops have been prescribed for a client with glaucoma. Which nursing action is most appropriate related to monitoring for side and adverse effects of this medication? 1. Assessing for edema 2. Monitoring temperature 3. Monitoring blood pressure 4. Assessing blood glucose level

3. Monitoring blood pressure

The nurse provides instructions to a client who is taking levothyroxine. The nurse should tell the client to take the medication in which way? 1. With food 2. At lunchtime 3. On an empty stomach 4. At bedtime with a snack

3. On an empty stomach

The nurse is providing discharge teaching for a client newly diagnosed with type two diabetes who has been prescribed Metformin. Which client statement indicates the need for further teaching? 1. " it is OK if I skip meals once in a while" 2. " I need to let my doctor know if I get unusually tired" 3. " I need to constantly watch for signs of low blood sugar" 4. " I will be sure to not drink alcohol excessively while on this medication"

3. " I need to constantly watch for signs of low blood sugar"

A miotic medication has been prescribed for the client with glaucoma, and the client asks the nurse about the purpose of the medication. Which response should the nurse provide to the client? 1. "The medication will help dilate the eye to prevent pressure from occurring" 2. "The medication will relax the muscles of the eyes and prevent blurred vision" 3. "The medication causes the pupil to constrict and will lower the pressure in the eye" 4. "The medication will help block the responses that are sent to the muscles in the eye"

3. "The medication causes the pupil to constrict and will lower the pressure in the eye"

Tamoxifen citrate is prescribed for a client with metastatic breast carcinoma. The client asks the nurse if her family member with bladder cancer can also take this medication. The nurse most appropriately responds by making which statement? 1. "This medication can be used only to treat breast cancer" 2. "Yes, your family member can take this medication for bladder cancer as well" 3. "This medication can be taken to prevent and treat clients with breast cancer" 4. "This medication can be taken by anyone with cancer as long as the health care provider approves it"

3. "This medication can be taken to prevent and treat clients with breast cancer"

The nurse has given instructions to a client who has just been prescribed cholestyramine. Which statement by the client indicates a need for further instruction? 1. "I will continue taking vitamin supplements" 2. "This medication will help lower my cholesterol" 3. "This medication should only be taken with water" 4. "A high fiber diet is important while taking this medication"

3. "This medication should only be taken with water."

A client has an as needed prescription for loperamide hydrochloride. For which condition should the nurse administer this medication? 1. Constipation 2. Abdominal pain 3. An episode of diarrhea 4. Hematest-positive nasogastric tube drainage

3. An episode of diarrhea

A client is being treated with procinamide for a cardiac dysrhythmia. Following intravenous administration of the medication, the client complains of dizziness. What intervention should the nurse take first? 1. Obtain a 12-lead electrocardiogram 2. Check the client's finger stick blood glucose level 3. Auscultate the client's apical pulse and blood pressure 4. Measure the QRS interval duration on the rhythm strip

3. Auscultate the client's apical pulse and blood pressure

Following kidney transplantation, cyclosporine is prescribed for a client. Which laboratory result would indicate an adverse effect from the use of this medication? 1. Hemoglobin level of 14.0 2. Creatinine level of 0.6 3. Blood urea nitrogen level of 25 4. Fasting blood glucose level of 99

3. Blood urea nitrogen level of 25

A client has been started on long term therapy with rifampin. The nurse should provide which information to the client about the medication? 1. Should always been taken with food or antacids 2. Should be double-dosed if one dose is forgotten 3. Causes orange discoloration of sweat, tears, urine, and feces 4. May be discontinued independently if symptoms are gone within 3 months

3. Causes orange discoloration of sweat, tears, urine, and feces

Terbutaline is prescribed for a client with bronchitis. Which disorder in the client's medical history requires caution by the nurse? 1. Osteoarthritis 2. Hypothyroidism 3. Diabetes mellitus 4. Polycystic disease

3. Diabetes mellitus

The daily dose of prednisone is prescribed for a client. The nurse provides instructions the client regarding administration of the medication and should instruct the client that which time is best to take this medication? 1. At noon 2. At bedtime 3. Early morning 4. Anytime, at the same time, each day

3. Early morning

The nurse is reviewing the laboratory results for a client receiving tacrolimus. Which laboratory result would indicate to the nurse that the client is experiencing an adverse effect of the medication? 1. Potassium level of 3.8 2. Platelet count of 300,000 3. Fasting blood glucose of 200 4. White blood cell count of 6000

3. Fasting blood glucose of 200

The nurse is analyzing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory value would the nurse specifically note as a result of the massive cell destruction that occurred from the chemotherapy? 1. Anemia 2. Decreased platelets 3. Increased uric acid level 4. Decreased leukocyte count

3. Increased uric acid level

A client with tuberculosis is starting antituberculosis therapy with isoniazid. Before giving the client the first dose, the nurse should ensure that which baseline study has been completed? 1. Electrolyte levels 2. Coagulation times 3. Liver enzyme levels 4. Serum creatinine level

3. Liver enzyme levels

The nurse is analyzing the laboratory studies on a client receiving dantrolene to treat muscle spasms from an injury. Which laboratory test would identify an adverse effect associated with the administration of this medication? 1. Platelet count 2. Creatinine level 3. Liver function tests 4. Blood urea nitrogen level

3. Liver function tests

Zafirlukast is prescribed for a client with bronchial asthma. Which laboratory test does the nurse expect to be prescribed before the administration of this medication? 1. Platelet count 2. Neutrophil count 3. Liver function tests 4. Serum creatinine level

3. Liver function tests

The nurse is preparing to administer a dose of nalaxone intravenously to a client with an opioid overdose. Which supportive medical equipment should the nurse plan to have at the clients bedside? 1. Nasogastric tube 2. Paracentesis tray 3. Resuscitation equipment 4. Central line insertion tray

3. Resuscitation equipment

A client with a peptic ulcer is diagnosed with Helicobacter Pylori infection. The nurse is teaching the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statement by the client indicates the best understanding of the medication regimen? 1. My ulcer will heal because these medication's will kill the bacteria 2. These medications are only taken when I have pain from my ulcer 3. The medications will kill the bacteria and stop the acid production 4. These medications will coat the ulcer and decrease the acid production in my stomach

3. The medications will kill the bacteria and stop the acid production

The home health nurse visits a client who is taking phenytoin for control of seizures. During the assessment, the nurse notes that the client is taking birth control pills. Which information should the nurse include in the teaching plan? 1. Pregnancy must be avoided while taking phenytoin 2. The client may stop the medication if it is causing severe gastrointestinal effects 3. There is a potential for decreased effectiveness of birth control pills while taking phenytoin 4. There is the increased risk of thrombophlebitis while taking phenytoin and birth control pills together

3. There is a potential for decreased effectiveness of birth control pills while taking phenytoin

A client with trigeminal neuralgia tells the nurse that acetaminophen is taken daily for the relief of generalized discomfort. Which laboratory value would indicate toxicity associated with the medication? 1. Sodium level of 140 2. Platelet count of 400,000 3. Prothrombin time of 12 seconds 4. Direct bilirubin level of 2

4. Direct bilirubin level of 2

Carbidopa-levodopa is prescribed for a client with Parkinson's disease. The nurse monitors the client for side and adverse effects of the medication. Which finding indicates that the client is experiencing an adverse effect? 1. Pruritis 2. Tachycardia 3. Hypertension 4. Impaired voluntary movements

4. Impaired voluntary movements

The nurse provides discharge instructions to a client with atrial fibrillation who is taking warfarin sodium. Which statement, by the client, reflects the need for further teaching? 1. "I will avoid alcohol consumption" 2. "I will take my pills every day at the same time" 3. "I have already called my family to pick me up a Medic-Alert bracelet 4. "I will take coated aspirin for my headaches because it will coat my stomach"

4. "I will take coated aspirin for my headaches because it will coat my stomach"

The home health care nurse is visiting a client with coronary artery disease with elevated triglyceride levels and a serum cholesterol level of 398. The client is taking cholestyramine, and the nurse teaches the client about the medication. Which statement by the client indicates the need for further teaching? 1. "Constipation and bloating might be a problem" 2. "I'll continue to watch my diet and reduce my fats" 3. "Walking a mile each day will help the process" 4. "I'll continue my nicotinic acid from the health food store"

4. "I'll continue my nicotinic acid from the health food store"

A client who is receiving digoxin daily has a serum potassium level of 3 mEq/L and reports anorexia. The health care provider prescribes a serum digoxin level to be done. The nurse checks the results and should recognize which level that is outside of the therapeutic range? 1. 0.5 2. 0.8 3. 0.9 4. 2.2

4. 2.2

The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied at which times? 1. Immediately before swimming 2. 5 minutes before exposure to the sun 3. Immediately before exposure to the sun 4. At least 30 minutes before exposure to the sun

4. At least 30 minutes before exposure to the sun

Which medication, if prescribed for the client with glaucoma, should the nurse question? 1. Betaxolol 2. Pilocarpine 3. Erythromycin 4. Atropine sulfate

4. Atropine sulfate

A cromolyn sodium inhaler is prescribed for a client with allergic asthma. The nurse provides instructions regarding the adverse effects of this medication and should tell the client that which undesirable effect is associated with this medication? 1. Insomnia 2. Constipation 3. Hypotension 4. Bronchospasm

4. Bronchospasm

A client with non-Hodgkins lymphoma is receiving daunorubicin. Which finding would indicate to the nurse that the client is experiencing an adverse effect related to the medication? 1. Fever 2. Sores in the mouth and throat 3. Complaints of nausea and vomiting 4. Crackles on auscultation of the lungs

4. Crackles on auscultation of the lungs

A client who has a cold is seen in the emergency department with an inability to void. Because the client has a history of benign prostate hyperplasia, the nurse determines that the client should be questioned about the use of which medication? 1. Diuretics 2. Antibiotics 3. Antilipemics 4. Decongestants

4. Decongestants

The nurse has given a client taking ethambutol information about the medication. The nurse determines that the client understands the instructions if the client states that they will immediately report which finding? 1. Impaired sense of hearing 2. Gastrointestinal side effects 3. Orange-red discoloration of body secretions 4. Difficulty in discriminating the color red from green

4. Difficulty in discriminating the color red from green

A client has an as needed prescription for ondansetron. For which condition should the nurse administer this medication? 1. Paralytic ileus 2. Incisional pain 3. Urinary retention 4. Nausea and vomiting

4. Nausea and vomiting

A client with a gastric ulcer has a prescription for sucralfate 1 gram by mouth 4 times daily. The nurse should schedule the medication for which times? 1. With meals and at bedtime 2. Every 6 hours around the clock 3. One hour after meals and at bedtime 4. One hour before meals and at bedtime

4. One hour before meals and at bedtime

A client with small cell lung cancer is being treated with etoposide. The nurse monitors the client during administration, knowing that which adverse effect is specifically associated with this medication? 1. Alopecia 2. Chest pain 3. Pulmonary fibrosis 4. Orthostatic hypotension

4. Orthostatic hypotension

A client with ovarian cancer is being treated by vincristine. The nurse monitors the client, knowing that which manifestation indicates an adverse effect specific to this medication? 1. Diarrhea 2. Hair loss 3. Chest pain 4. Peripheral neuropathy

4. Peripheral neuropathy

A client with squamous cell carcinoma of the larynx is receiving bleomycin IV. The nurse caring for the client anticipates that which diagnostic study will be prescribed? 1. Echocardiography 2. Electrocardiography 3. Cervical radiology 4. Pulmonary function studies

4. Pulmonary function studies

Oxybutynin chloride is perscribed for a client with urge incontinence. Which sign would indicate a possible toxic effect related to this medication? 1. Pallor 2. Drowsiness 3. Bradycardia 4. Restlessness

4. Restlessness

The nurse is assigned to care for a client with cytomegalovirus rents and acquired immunodeficiency syndrome who is receiving foscarnet, an antiviral medication. The nurse should monitor the results of which laboratory study while the client is taking this medication? 1. CD4+ cell count 2. Lymphocyte count 3. Serum albumin level 4. Serum creatinine level

4. Serum creatinine level

Prior to administering a client's daily dose of digoxin to treat heart failure, the nurse reviews the client's laboratory data and notes the following results: serum calcium 9.8, serum magnesium 1.0, serum potassium 4.1, serum creatinine 0.9. Which result should alert the nurse that the client is at risk for digoxin toxicity? 1. Serum calcium level 2. Serum potassium level 3. Serum creatinine level 4. Serum magnesium level

4. Serum magnesium level

Trimethoprim/Sulfamethoxazole is prescribed for a client. The nurse should instruct the client to report which symptom if it develops during the course of this medication therapy? 1. Nausea 2. Diarrhea 3. Headache 4. Sore throat

4. Sore throat

Tacrolimus is perscribed for a client who underwent a kidney transplant. Which instruction should the nurse include when teaching the client about this medication? 1. Eat at frequent intervals to avoid hypoglycemia 2. Take the medication with a full glass of grapefruit juice 3. Change positions carefully due to risk of orthostatic hypotension 4. Take the oral medication every 12 hours at the same times every day

4. Take the oral medication every 12 hours at the same times every day

Nitrofurantoin is prescribed for a client with a urinary tract infection. The client contacts the nurse and reports a cough, chills, fever, and difficulty breathing. The nurse should make which interpretation about the client's complaints? 1. The client may have contracted the flu 2. The client is experiencing anaphylaxis 3. The client is experiencing expected side effects of the medication 4. The client is experiencing a pulmonary reaction requiring cessation of the medication

4. The client is experiencing a pulmonary reaction requiring cessation of the medication

Alendronate is prescribed for a client with osteoporosis, and the nurse is providing instructions on administration of the medication. Which instruction should the nurse provide? 1. take the medication at bedtime 2. take the medication in the morning with breakfast 3. lie down for 30 minutes after taking the medication 4. take the medication with a full glass of water after rising in the morning

4. take the medication with a full glass of water after rising in the morning