Course Point Quizzes Exam 1

The nurse is providing discharge instructions to a client who has just been diagnosed with type 1 diabetes. What instructions are most important for the client to follow related to diet? (Select all that apply.)

-Avoid drinking beer, wine or liquor - use artificial sweeteners instead of sugar in tea and coffee - read food labels carefully to look for hidden sources of sugar

An 8-year-old is going home on medication for a chronic condition. The nurse preparing to review the discharge instructions with the mother should include what basic information and/or instructions to help minimize the child's risk for injury? (Select all that apply.)

-The drugs' potential side effects - Schedule and duration of administration - Description of the intended therapeutic effects

A client tells the nurse, "I took my sleeping pill yesterday evening, but it didn't seem to work for me like it usually does." The nurse should consider which variable that can affect drug absorption? Select all that apply.

-The presence of other drugs -blood flow to the site of administration -GI function -Route of administration

The nurse determines that a prescription to be given to the client is appropriately written when what information is included? Select all that apply.

-name of the drug -the frequency of administration -the full name of the client - signature of prescriber

A nurse is to administer 175 mg of a medication intramuscularly. The label on the multidose vial states that the concentration is 100 mg/mL. What volume of the drug should the nurse administer? (Record your answer using two decimal places.)

1.75mL

At 0700 (7 AM) the health care provider has ordered the nurse to begin an IV infusion and has ordered the client to receive 125 mL/hr of IV fluid. At what time will the nurse be prepared to hang the next liter of IV fluid?

1500 (3pm)

A health care provider orders "aspirin gr x." The label on the bottle states that one tablet contains 5 grains. How many tablets would the nurse administer?

2

A client with recurrent urinary tract infections was prescribed sulfamethoxazole-trimethoprim and experienced an allergic reaction. The client states, "I don't understand. I had a two-day course of the same drug last year with no problems." What is the nurse's best response?

Allergic reactions happen after your body has been sensitized to a drug in the past.

Preoperative atropine belongs to what classification of drugs?

Anticholinergic

A client on the psychiatry unit with a longstanding history of schizophrenia has been prescribed risperidone. What assessment should the nurse prioritize to best evaluate therapuetic effect of the treatment in the care of this client?

Assessment of the clients behaviors/thought process

The nurse administers a medication to the client that induces the secondary action of hypoglycemia. What organ will be most acutely affected by inadequate circulating glucose?

Brain

For several days, a client with hypertension has been inadvertently taking an excessive dose of spironolactone, a potassium-sparing diuretic. The client has presented to the emergency department with signs and symptoms that suggest hyperkalemia. What assessment should the nurse prioritize?

Cardiac monitoring

A nurse is to administer medications to a pregnant woman. What class of drug would the nurse interpret as being shown to have adverse effects on animal fetuses but no human studies have been done?

Category C

A client is receiving a tricyclic antidepressant for treatment of obsessive-compulsive disorder. Which agent most likely would be prescribed?

Clomipramine

When assessing a client prior to starting a drug regimen, it is often necessary to have a baseline kidney function study done. What might kidney impairment indicate in relation to drug therapy?

Contradiction to the use of the drug

When determining if the client understands teaching, what step of the nursing process is the nurse performing?

Evaluation

When assessing a client who has developed a serum sickness reaction, which would the nurse expect to find?

Facial Edema

The nurse is currently participating in phase IV of a clinical study of a chemotherapeutic drug. What action would the nurse be expected to perform during this phase of testing?

Gathering data from clients taking the drug after its been released to market

Before administering a prescribed 20 units of NPH insulin to a client, the nurse should implement which intervention?

Have a colleague confirm the dosag

A nurse is caring for a client who is taking a monoamine oxidase (MAO) inhibitor for treatment of a depressive disorder. What is a potentially serious side effect of MAO inhibitors?

Hypertension

The nurse checks a client's temperature before administering a standing prescription for acetaminophen for temperatures over 100°F (37.8°C). The client's temperature is 98.9°F (37.2°C), so the nurse decides to withhold the dose of acetaminophen. Withholding the dose represents which phase of the nursing process?

Implementation

A client is being treated with phenytoin for treatment of seizures. What should the nurse monitor to prevent toxic reactions to drugs in a client?

Monitor the clients blood level of the drug

What should be the nurse's initial response when a client diagnosed with type 1 diabetes suddenly reports feeling weak, shaky, and dizzy?

Perform a blood sugar analysis

The nurse is administering an antibiotic to a client with a diagnosis of cellulitis of the left leg. Which client condition would have the greatest effect on the drug's distribution?

Peripheral vascular disease

A client has been taking a selective serotonin reuptake inhibitor (SSRI) for the treatment of depression. Which represents the action of the medication?

SSRIs prevent serotonin from being reabsorbed

A nurse is administering a large number of medications to a diverse group of clients. What types of drugs will be excluded from these medications?

Schedule 1

A nurse is working with a newly diagnosed diabetic client on understanding hypoglycemia and insulin reactions. Which action would be most important for the client to understand when planning the response to an insulin reaction?

Take an oral dose of some form of glucose as soon as possible

A client is receiving a selective serotonin reuptake inhibitor (SSRI) and is being switched to a monoamine oxidase inhibitor (MAOI) due to lack of response. When would the nurse teach the client to begin the MAOI?

The MAOI would be started 2 to 4 weeks after stopping the SSRI. *

A client was diagnosed with type 2 diabetes several months ago and has presented for a scheduled follow-up appointment. Which stated behavior most clearly indicates that the client has established effective health maintenance?

The client frequently check his/her blood glucose levels

What is the relation between the activity level of older adults and the response to medication?

The older adult who is more physically active is less likely to have an adverse drug effect

After teaching a group of students about the sources of drugs, the instructor determines that the students need additional teaching when they identify what as an example of a drug from a plant source?

Thyroid Hormone

How may drugs be prescribed?

by generic or trade name

A nurse is caring for a patient with depression. The patient has been prescribed amitriptyline, a tricyclic antidepressant. What should the nurse identify as the effect of this antidepressant on the patient's body?

decreased reuptake of NE (norepinephrine)

A nurse should recognize what as a metric system unit? (Select all that apply.)

gram kg mL

The nurse is explaining the action of exenatide to a patient. Which would the nurse include?

increase insulin resistance

A nurse in a nutrition clinic is to give 2 cups of organic prune juice to a client every night. The nurse is to document this on the nursing chart. What unit will the nurse use to document the amount of juice according to the metric system of measurement?

mL

The nurse is administering regular insulin (Novolog) using a weight-based protocol. The nurse administers the insulin by using calculations performed by the

nurse with verification by a second nurse

The nurse is caring for a client with hypertension who was prescribed a loop diuretic one week ago. The client reports malaise and weakness and the nurse's assessment reveals an irregular heart rate. The nurse should prioritize assessment of the client's:

potassium levels

A nurse is caring for a 92-year-old who is taking multiple drugs and displaying increased cognitive impairment and memory loss. The initial action of the nurse would be to:

try to distinguish between normal aging and the adverse drug effects

What instructions should a nurse include when teaching a client who has depression about the use of amitriptyline?

use sugarless candies and gum to deal with dry mouth