307 Quizzes

A 56 year old women will soon begin treatment of her overactive bladder with oxybutynin. What patient teaching should the nurse provide to this women? A. "it's good to measure your heart rate before you take your oxybutynin each day and withhold it if your heart rate is below 60 beats/minute" B. "You might find that you get a dry mouth or drowsiness from this drug, but this does not mean It has to be discontinued." C. "you'll probably need to stop taking your hormone replacement therapy when you're taking oxybutynin" D. "you'll likely find that you have scant amounts of blood in your urine for the first few days, but this is not unusual or problematic"

B

A 91 year old client is being discharged on the diuretic spironolactone. What assessment finding would the nurse attribute to adverse effects of this medication? A. polyuria and polyphagia B. confusion and irregular heart rate C. blood pressure of 160/108 mm Hg D. diarrhea and positive stool for occult blood (FOB) test

B

A client began taking hydrochlorothiazide 1 week ago and is reporting occasional dizziness when she stands up quickly from sitting or lying. What is the nurse's best action? A. arrange for the client's potassium levels to be assessed as soon as possible. B. teach the client about the blood pressure effects of the medication and relevant safety measures C. tell the client to withhold the next scheduled dose until she can be assessed by the provider D. educate the client about the need for bed rest until her body adjusts to the new medication

B

A client is admitted to the emergency department in diabetic ketoacidosis (DKA) with a blood glucose level of 485 mg/dL. The client is prescribed an initial dose of 25 units insulin IV. Which type of insulin will be most likely be administered? A. Humulin L. insulin B. Regular insulin C. Humulin N. insulin D. NPH insulin

B

A patient is in the clinic to have blood drawn to assess his or her theophylline level. The patient is taking theophylline (Theo-Dur) and appears to being doing well on the drug. He or she reports no problems. What serum level will the nurse expect the patient to have? A) Between 0.5 to 5 mcg/mL B) Between 10 to 20 mcg/mL C) Between 25 to 35 mcg/mL D) Between 40 to 50 mcg/mL

B

A patient receives ferrous sulfate. The nurse would expect this drug to begin acting within within which time frame? A. 6 days B. 4 days C. 8 days D. 2 days

B

For what condition would the nurse expect to administer lidocaine intravenously? A. precipitous increase in blood pressure B. Multiple premature ventricular contractions (PCVs) C. increase in intracranial pressure (ICP) D. decrease in arterial oxygen saturation (SaO2)

B

How do inhaled corticosteroid agents such as budosonide assist in the treatment of asthma? A. Inhaled corticosteroid agents will reduce bronchodilation B. inhaled corticosteroid agents will reduce airway inflammation C. Inhaled corticosteroid agents will reduce respiratory rate D. inhaled corticosteroid agents will depress the central nervous system

B

The client, diagnosed with angina, reports chest pain. There is an order for oral sublingual nitroglycerin as needed. What action should the nurse take? A. apply a nitroglycerin transdermal patch to the client's back B. place one tablet under the client's tongue and repeat every 5 minutes to a maximum of three tablets until pain has been relieved C. place two nitroglycerin tablets under the client's tongue and call the provider D. have the client swallow a tablet with a full glass of water and repeat in 10 minutes

B

The nurse assesses the client before administering digoxin and withholds the drug and notifies the physician with what finding? A. blood pressure is 102/66 mm Hg B. pulse is 44 beats/minute C. History reveals livers failure D. Respiratory rate falls below 14

B

The nurse is caring for a 38-year-old client with asthma who has been started on albuterol. What assessment finding should the nurse most likely attribute to adverse medication effects? A. The client reports excessive thirst. B. The client's heart rate is 99 beats/minute. C. The client's oral temperature is 37.8°C (100°F). D. The client had diarrhea this morning.

B

The nurse is caring for a client who does not have a respiratory disorder but has been prescribed acetylcysteine. What is an additional indication for acetylecysteine? A. treatment of bronchospasm B. antidote for acetaminophen poisoning C. conversion of cardiac dysrhythmias D. treatment of peptic ulcer disease

B

The nurse is caring for a client who is taking a urinary anti-infective. What assessment should the nurse prioritize to identify the effectiveness and appropriateness of the client's drug therapy? A. 24 hour urine quantity B. urine culture and sensitivity results C. assessment for dysuria or flank pain D. oral temperature

B

The nurse reviews the laboratory restyles of a client taking digoxin. What finding creates a risk for digoxin toxicity? A. hemoglobin 133 g/L (13.3 g/dL) B. potassium 3.3 mmol/L (3.3 mEq/L) C. Chloride 98 mmol/L (98 mEq/L) D. sodium 144 mmol/L (144 mEq/L)

B

When describing desmopressin to a group of students, the instructor explains that it is a synthetic form of A. adrenocorticotropic hormone B. antidiuretic hormone C. oxytocin D. Thyroid hormone

B

Which instruction would be most appropriate for a client who is taking a diuretic? A. "take the daily dose around dinnertime" B. "it's okay to take it with food" C. "limit the amount of fluids you drink" D. "lie down after taking the drug"

B

Which patient action requires immediate intervention by the nurse? A. The patient has been taking hydrocortisone every day at 9 am B. The patient stopped taking hydrocortisone this morning because he does not like taking pills C. the patient has taken hydrocortisone with breakfast D. the patient has received 50 mg IV hydrocortisone diluted in 1 mL as a bolus

B

Why are inhaled steroids such as ipratropium used to treat asthma and COPD? A. They act locally to improve mobilization of edema B. They act locally to decrease release of inflammatory mediators C. They act locally to decrease histamine release D. They act locally to decrease histamine release

B

A 49 year old client reports frequent muscle cramps while on hydrochlorothiazide therapy. The nurse would advise the client to do which? A. include high-sodium foods in her diet B. drink plenty of fluids C. eat potassium-rich foods D. take calcium supplements

C

A client calls the clinic nurse and reports gastrointestinal upset after taking fosfomycin on an empty stomach. What recommendation should the nurse make? A. continue to take the medicine on an empty stomach B. stopping the medication C. Taking the medicine with or after meals D. taking vitamin C along with the medication

C

A client exhibits signs and symptoms of heparin overdose. The nurse would anticipate administering A. urokinase B. drotrecogin alfa C. protamine sulfate D. vitamin K

C

A client is admitted to the acute care facility with a diagnosis of acute renal failure. While collecting the client's history, the nurse discovers that the client was taking pravastatin to reduce lipid levels and enjoyed a glass of grapefruit juice every morning. The client reports muscle pain. What does the nurse suspect caused this client's renal failure? A. gastric ulceration B. congestive heart failure C. drug toxicity D. Rhabdomyolysis

C

A client is being treated for benign prostatic hyperplasia (BPH) using doxazosin. The nurse should explain to the client that A. Activate nitric acid, which will dilate blood vessels in the area to relieve pressure B. increase testosterone levels, reducing the size of the gland C. Relax the sphincter of the bladder D. locally increase blood pressure in the prostate, reducing its size

C

A client is prescribed aliskiren. The nurse would monitor the laboratory test results of which electrolyte closely? A. sodium B. chloride C. potassium D. magnesium

C

A client is receiving low-molecular-weight heparin (LMWH), enoxaparin, to prevent thromboembolic complications. The nursing students asks the instructor the reason why this treatment is given instead of heparin. What is the instructor's best explanation of the rationale for LMWH over heparin? A. "LWMH is given to clients who have a history of blood dyscrasia." B. "LWMH is more effective than standard heparin for clients with hypertension." C. "LWMH is associated with less thrombocytopenia than standard heparin" D. "LWMH is associated with stronger anticoagulant effects than standard heparin"

C

A client newly diagnosed with type 1 diabetes asks the nurse why the client cannot just take a pill. The nurse would incorporate what knowledge when responding to this client? A. morse insulin is needed than that which the client can produce naturally B. the client most likely doe snot exercise enough to control his glucose levels C. Insulin is needed because the beta cell so the pancreas are no longer functioning D. The insulin is more effective in establishing control of blood glucose levels initially

C

A client presents to the emergency department having an acute asthma attack and has been prescribed epinephrine. The nurse should asses what therapeutic effect of this drug? A. decreased inflammatory response in the airways B. Inhibition of histamine and slow-reacting substance of anaphylaxis (SRSA) to prevent the allergic asthmatic response C. Dilation of the bronchi with increased rate and depth of respiration D. reduced surface tension within the alveoli allowing for gas exchange

C

A client recently began taking lovastatin. The nurse should assess the client for what potential adverse effects? A. Hiccoughs, sinus congestion and dizziness B. confusion and mental disorientation C. nausea, flatulence and constipation D. increased appetite and blood pressure

C

A health care provider prescribes spironolactone, a potassium-sparing diuretic, for a client with cirrhosis. For which category of clients is the use of potassium-sparing diuretics contraindicated? A. gout B. liver disease C. hyperkalemia D. diabetes

C

A male client is receiving heparin by continuous intravenous infusion. The nurse will instruct the client and family members to report what should it occur? A. dizziness B. sudden occurrence of sleepiness and drowsiness C. presence of blood in urine or stools D. a skin rash

C

A nurse is visiting a female client in her home for treatment of a wound. The client is concerned that her husband, a truck driver, is bothered by his seasonal allergies. A friend suggested diphenhydramine. What is the nurse's best response? A. "the drug is safe if it is purchased over the counter" B. "the drug is safe in small doses" C. "The drug may cause drowsiness and make driving unsafe" D. "the drug may exacerbate the allergies if used routinely"

C

A patient with benign prostatic hypertrophy is receding treatment with finasteride (Proscar). What is an appropriate patient instruction? A. Enhance the drug with saw palmetto B. your libido may be increased by this drug C. do not let your wife handle the pills D. you may donate blood every 3 months

C

After reviewing information about different insulin preparations, a nursing student demonstrates understanding of the information when the student identifies which medication as an example of a long-acting insulin? A. insulin aspart B. insulin regular C. insulin glargine D. insulin lispro

C

An inhaled sympathomimetic drug has been ordered for a teenage athlete who has exercise-induced asthma. What should the patient be instructed to do? A) Use the inhaler every day at the same time each day. B) Use the inhaler as soon as the symptoms start. C) Use the inhaler 15 to 60 minutes before exercising to ensure peak therapeutic levels when needed. D) Use the inhaler 2 to 3 hours before exercising to ensure peak effectiveness.

C

During a teaching session on the care of the diabetic client, the nurse should make which statement to explain the differences in insulin? A. "insulin is prescribed based on the client's age" B. "insulin type is matched with the appropriate oral hypoglycemic agent." C. "insulins have different onsets and durations of action" D. "insulin is prescribed based on the insurer's criteria for reimbursement"

C

The nurse is caring for a client who has been prescribed nitroglycerin sublingually. When providing client education, the nurse should tell the client to expect relief of chest pain in what amount of time? A. 15 to 20 minutes B. 30 to 60 minutes C. 1 to 3 minutes D. 5 to 10 minutes

C

The nurse is caring for a client who is experiencing elevated intracranial pressure following neurosurgery. The health care provider orders an osmotic diuretic to reduce pressure. Which medication would the nurse expect to be ordered? A. Bumetanide B. Hydrochlorothiazide C. Mannitol D. Spironolactone

C

The nurse should advise clients taking phenazopyridine (Pyridium) that they may notice a change in urine color. Which color would the nurse identify? A. green B. purple C. orange D. blue

C

What statement by the client indicates that the client understands the nurse's teaching about diuretics? A. "if my leg gets swollen again, I'll take an additional pill" B. "I will take my medication before bedtime on an empty stomach" C. "I will weigh myself daily and report significant changes" D. "I will have to limit my high sugar foods"

C

Which patient should not receive epoetin alfa (Epogen) as ordered at 9 am? A. the patient who is "too tired to get out of bed" B. the patient who has missed a round of chemotherapy C. the patient who has a blood pressure of 240/120 mm Hg D. the patient with a heart rate of 100 beats per minute

C

A client is prescribed zafirlukast, a leukotriene receptor antagonist. The nurse should evaluate the effectiveness of the medication therapy based on the long-term management of symptoms associated with which respiratory condition? A. Emphysema B. Pneumonia C. Asthma D. Chronic Bronchitis

C. Asthma

A 22 year old female client is seen in the primary care provider's office for follow-up. The client was diagnosed six weeks ago with iron deficiency anemia and has been taking the prescribed iron supplement, ferous sulfate, when she notices that her stool has turned black. She tells the nurse that she fears that she is bleeding to death inside her belly. The nurse teaches the client about which expected outcome? A. " don't worry, black stool is not a sign of internal bleeding" B. "iron supplements may cause bleeding but this is nothing to worry about" C. "don't worry, iron supplements cannot cause bleeding" D. "don't worry, iron supplements can cause black or dark stools because of the iron composition."

D

A child with adrenal insufficiency takes PO hydrocortisone daily. The nurse follows the child regularly and assesses the child every three months. What assessment data should the nurse prioritize during these assessments? A. gait and range of motion B. orientation and level of consciousness C. signs of early onset of puberty D. height and weight

D

A client has been prescribed losartan for hypertension. What client teaching points should the nurse include about this drug? A. take the drug late in the day to prevent sleepiness B. limit your fluid intake to decrease urinary output, if this becomes problematic for you C. monitor your blood pressure once a week and make sure to record your results D. report onset of a fever or persistent cough to your healthcare provider

D

A client is brought to the emergency department with a blood glucose level of 19 mg/dL. What drug should the nurse prepare to administer intravenously? A. Insulin subcutaneous injection B. glyburide oral C. disable oral D. glucagon intravenous injection

D

A client is receiving epoetin alfa for anemia. Which adjunctive therapy is imperative with epoetin alfa? A. potassium supplements B. renal dialysis C. sodium restriction D. iron supplement

D

A client with a urinary tract infection is experiencing intense burning and pain. What aspect of the client's health history would contraindicate the safe and effective use of phenazopyridine? A. asthma B. hypertension C. diabetes mellitus D. renal insufficiency

D

A client with hyperlipidemia has been taking atorvastatin for several months. How can the therapeutic effect of the medication be best determined? A. performing a focused cardiac assessment B. Assessing the client's exercise tolerance and activities of daily living C. assessing the client's resting heart rate and postural blood pressures D. reviewing the client's laboratory blood work results

D

A nurse is caring for a patient with diabetes mellitus who is receiving an oral antidiuretic drug, metformin. Which of the following ongoing assessments should the nurse perform when caring for this patient? A. Monitor the patient for lipodystrophy B. Assess the skin for ulcers, cuts and sores C. document family medical history D. Observe the patient for hypoglycemic episodes

D

A nurse is preparing to discharge a client who has been prescribed warfarin. While assessing the client's knowledge of the drug, what statement should the nurse address? A. "I take vitamin C when I feel like I'm getting a cold" B. "I aim to walk 2 miles a day" C. "I drink a glass of wine with dinner some evenings" D. "I take aspirin to help with the pain of my arthritis"

D

A nurse would instruct a client to take an oral glucocorticoid, such as prednisone, at which time? A. before dinner B. at bedtime C. around lunchtime D. in the morning

D

An ED nurse is caring for a patient who is receiving furosemide for treatment of pulmonary edema. What will the nurse monitor to observe for adverse effects of the drug? A. blood oxygen saturation B. temperature C. bone marrow function D. potassium levels

D

The effects of warfarin (Coumadin) are monitored by what laboratory test(s)? A. aPTT B. platelet count C. RBC D. PT and INR

D

The nurse is caring for a client who has been prescribed an antiarrhythmic agent. What nursing assessment should the nurse prioritize? A. mental status B. activity level and exercise tolerance C. breath sounds and respiratory rate D. apical heart rate and blood pressure

D

The nurse is prepping to administer sublingual nitroglycerin to a client for the first time and warns that the client may experience what right after administration? A. Tinnitus or diplopia B. drowsiness or blurred vision C. nervousness or paresthesia D. throbbing headache or dizziness

D

The nurse is teaching a client about the administration of decongestant nasal spray. What information is most important to include in the discussion? A. administer the nasal spray in a prone position B. Finish the bottle of nasal spray to clear the infection effectively C. nasal spray can be shared between family members only D. overuse of nasal spray may cause rebound congestion

D

The nurse should instruct the client to take what action if nitroglycerin tablets taken sublingually are not effective in eliminating chest pain? A. lie down after taking an aspirin B. Take more tablets until pain subsides, to a maximum of six tablets C. call the health care provider D. go to the emergency department

D

The patient has been placed on a nitroprusside drip for the treatment of a hypertensive crisis. Which mechanism of action does the nurse know is true for nitroprusside? A. It binds selectively to the mineralocorticoid receptors B. It blocks the action of angiotensin II from all the different pathways where it is formed, not just the single substrate altered by ACE inhibitors C. It inhibits the movement of calcium ions across cell membranes D. it directly relaxes vascular smooth muscle, allowing dilation of peripheral arteries and veins

D

While reviewing a client's history, an allergy to which of the following would alert the nurse to a possible problem with the use of ipratropium? A. Dairy B. Shellfish C. Eggs D. peanuts

D

A client presents with a dry nonproductive cough. The client is diagnosed with bronchitis, and it has been determined that assistance is needed in timing the sputum so the cough can become productive. What does the nurse expect the provider will prescribe? A. Hydrocodone B. Benzonatate C. Dextromethorphan D. Guaifenesin

Guaifenesin

A client asks the nurse what the atorvastatin (Lipitor) prescribed for the client will do. What is an expected outcome? A. Decrease in serum cholesterol and LDL levels B. decrease in camperterol and LDL levels C. decrease in sitosterol and serum cholesterol D. decrease in serum cholesterol only

A

A client asks, "What is the difference between antitussive medications and expectorants?" What information should the nurse's response be based upon? A. Antitussives suppress coughing while expectorants loosen bronchial secretions. B. Antitussives liquefy bronchial secretions while expectorants assist in the expectoration of those secretions. C. Both drug types loosen bronchial secretions for ease of removal. D. Antitussives kill cold viruses while expectorants liquefy bronchial secretions.

A

A client is prescribed levothyroxine asks the nurse to explain when the medication should be taken. Which should the nurse include in the response? A. in the morning on an empty stomach B. in the evening on a full stomach C. in the evening of an empty stomach D. in the morning on a full stomach

A

A client recently began taking theophylline for treatment of asthma. Which changes in the client's lifestyle would suggest that the client understands proper use of the drug and management of the disease? A. avoiding caffeine B. limiting fluid intake to one liter a day C. Increasing dietary intake of B vitamins D. sleep eight hours each night

A

A client with type 1 diabetes has been prescribed 12 units of regular insulin and 34 units of NPH insulin in the morning. How should the nurse explain why two different types of insulin are required to control the client's blood glucose? A. "the different onsets and peaks of the two types provide better overall glucose control." B. "NPH prevents regular insulin from being broken down in the body, allowing the use of a lower dose." C. "NPH stimulate the pancreases to produce more insulin, while regular insulin provides your body's short-term needs." D. "the combination relates the risk of adverse effects that would likely accompany a single, larger dose."

A

A nurse is caring for a patient who has been prescribed pseudoephedrine, a nasal decongestant. Which of the following factors should the nurse assess before administering the drug? A. Blood pressure B. Motor coordination C. Auditory tests D. Vision

A

After administering somatropin to an 11 year old client with growth failure, what outcome would indicate that the drug should be stopped? A. closure of the epiphyses in long bones B. thyroid over activity C. early sexual development D. gynecomastia

A

The nurse admits a 26 year old client with sickle cell anemia. What drug should the nurse most likely administer? A. Hydroxyurea B. Methoxy polyethylene glycol-epoetin beta C. Leucovorin D. Methoxy polyethylene glycol-epoetin beta

A

The nurse is administering an intravenous dose of amiodarone to a client in distress. What action should the nurse prioritize? A. establish cardiac monitoring and maintain it until full recovery B. perform medication reconciliation C. provide reassurance and support to the client D. document resuscitation efforts in detail

A

What type of insulin would the nurse administer if the fastest therapeutic effects are needed? A. aspart B. regular C. NPH D. Lispro

A

The nurse suspects the client may have toxic levels of digoxin in the bloodstream when what are assessed? SATA A. nausea B. anorexia C. irregular heart rhythms D. hemorrhage

A, B, C

You are caring for a patient who is taking an oral potassium channel blocker, amiodarone (Cardarone) to treat atrial fibrillation. You should advise the patient to watch for and report which of the following? SATA A. fever B. blurred vision C. dizziness D. cough E. sore throat

A,B,C,D

What assessment findings would the nurse expect to see in a client who has taken an excess levothyroxine? A. nervousness, tachycardia, tremors B. central obesity, constipation, sodium loss C. somnolence, bradycardia, paresthesia D. hyperglycemia, hypertension, edema

A.