Drugs Affecting the Urinary & GI Systems
A nurse administers metoclopramide [Reglan] to a patient who is having nausea and vomiting postoperatively. The nurse should expect which therapeutic action if the medication is having the desired result? A) Blocking of serotonin and dopamine receptors B) Inactivation of histaminergic (H1) receptors C) Activation of chloride channels in the intestine D) Reduced motility in the small intestine
A
A nurse should offer which fluid choice to a patient with acute diarrhea? A) Low-fat milk B) Apple juice C) Coffee with cream D) Prune juice
B
A patient going on a vacation cruise is prescribed a scopolamine transdermal patch for motion sickness. The nurse teaches the patient to recognize which side effect? A) Increased heart rate B) Dry mouth C) Irritability D) Urinary frequency
B
Which outcome should a nurse establish for a patient who has acromegaly and is receiving octreotide [Sandostatin]? A) Normal urine volume B) Softening of facial features C) Increase in long-bone growth D) Stimulation of the milk reflex
B
A nurse should recognize that which therapies would be beneficial to a patient with BPH? (Select all that apply.) A) Saw palmetto B) Botulinum [Botox] C) Tolterodine [Detrol] D) Alfuzosin [Uroxatral] E) Sildenafil [Viagra]
B,C,D
When assessing a patient who takes finasteride [Proscar], a nurse should monitor for which adverse effect? A) Hair loss B) Increased libido C) Ejaculatory dysfunction D) Muscle weakness
C
Misoprostol is contraindicated for patients with what condition? A) Diabetes B) Arthritis C) Hypertension D) Pregnancy
D
A group of students are reviewing the actions of laxatives on the GI tract. The students demonstrate understanding when they state which of the following about bulk stimulants? A) Increase the fluid in the intestinal contents B) Directly stimulate the nerve plexus in the intestinal wall C) Allows formation of a slippery coat on the intestinal contents D) Selectively antagonize opioid binding
A
A nurse administers which medication to inhibit an enzyme that makes gastric acid in a patient who has a duodenal ulcer? A) Omeprazole [Prilosec] B) Famotidine [Pepcid] C) Misoprostol [Cytotec] D) Ranitidine [Zantac]
A
A nurse instructs a female patient with peptic ulcer disease who is to start a treatment regimen that includes ranitidine [Zantac] and bismuth subsalicylate [Pepto-Bismol]. Which statement by the patient indicates that the teaching has been effective? A) "While I'm taking these medications, my bowel movements could look black." B) "I have a medicine at home to take when I start having some loose diarrhea stools." C) "I'm so glad that my allergies will be helped while I'm taking these medications." D) "I'll include more calcium and vitamin D in my diet to prevent osteoporosis."
A
A patient is being treated for benign prostatic hyperplasia (BPH). The patient asks the nurse how the medicine used for benign prostatic hyperplasia (BPH) is supposed to work. The nurse explains that the drug therapy is designed to relieve the symptoms associated with this condition by doing what? A) Shrinking the gland and/or relaxing the sphincter of the bladder B) Increasing testosterone levels to improve sexual functioning C) Increasing blood pressure, which will increase blood flow to the area D) Activate nitric acid, which will dilate blood vessels in the area to relieve pressure
A
A patient is having high-volume output from a new ileostomy. A nurse develops a plan that includes teaching the patient to take which antidiarrheal agent? A) Loperamide [Imodium] B) Alosetron [Lotronex] C) Bismuth subsalicylate [Pepto-Bismol] D) Paregoric (camphorated opium tincture)
A
A patient is hospitalized with head trauma after a motor vehicle accident. The nurse caring for the patient notes a marked increase in the output of pale, dilute urine. The nurse suspects which condition? A) Diabetes insipidus B) Diabetes mellitus C) Syndrome of inappropriate antidiuretic hormone secretion D) Water intoxication
A
A patient is receiving desmopressin [DDAVP] for the treatment of diabetes insipidus. Which instruction is the priority for a nurse to give the patient? A) "Reduce your water intake to prevent water intoxication." B) "Rotate the nostril you use daily to prevent irritation." C) "Weigh yourself several times each week." D) "You'll quickly see the results of a lower urine amount."
A
A patient is scheduled to start taking sildenafil [Viagra]. A nurse should recognize that the patient is at risk for developing an adverse cardiac event if the patient's history reveals which of these conditions? A) Angina B) Hypertension C) Varicose veins D) Prosthetic mitral valve
A
A patient who has gastroesophageal reflux disease (GERD) is taking magnesium hydroxide (milk of magnesia). Which outcome should a nurse expect if the medication is achieving the desired therapeutic effect? A) Neutralized gastric acid B) Reduced stomach motility C) Increased barrier to pepsin D) Reduced duodenal pH
A
A postoperative patient is scheduled to start taking a daily oral dose of bisacodyl [Dulcolax]. When does the nurse administer the medication? A) Just before bedtime B) Before the morning bath C) At the evening meal D) After ambulating
A
An adult patient in a physician's office reports severe diarrhea after returning from a trip to Mexico. Which medication might be prescribed for this patient? A) Ciprofloxacin [Cipro] 500 mg twice daily B) Sulfasalazine [Azulfidine] 500 mg daily C) Metoclopramide [Reglan] 10 mg three times daily 30 minutes before meals and at bedtime D) Ondansetron [Zofran] 8 mg three times daily
A
The healthcare provider orders octreotide [Sandostatin LAR] 250 mcg IM now. The available medication is octreotide [Sandostatin LAR] 1000 mcg/mL. The nurse plans to administer how much? A) 0.25 mL B) 0.5 mL C) 1.25 mL D) 4 mL
A
The nurse is about to administer a laxative to a client for the first time. Which of the following should be included in client education? A) "Laxatives may cause diarrhea, abdominal discomfort, nausea, vomiting, perianal irritation, and flatulence." B) "It is good to take this medication daily. It is safe and non-habit forming." C) "It is important to avoid a large intake of fluids when taking this medication." D) "If you are allergic to red dye number 5 you may have an allergic reaction to this medication."
A
The nurse is reviewing the home medication list with the patient. The nurse recognizes that hydrochlorothiazide is used primarily for which condition? A) Hypertension B) Edema C) Diabetes insipidus D) Protection against postmenopausal osteoporosis
A
The nurse is working with a patient who has a UTI. Because patient adherence to a medication regimen is a concern, the nurse anticipates use of which medication? A) Fosfomycin B) Amoxicillin C) Cephalexin D) Trimethoprim
A
The nurse knows that diuretics mostly affect which function of the kidneys? A) Cleansing and maintenance of extracellular fluid volume B) Maintenance of acid-base balance C) Excretion of metabolic waste D) Elimination of foreign substances
A
The nurse should monitor for which adverse effect after administering hydrochlorothiazide [HydroDIURIL] and digoxin [Lanoxin] to a patient? A) Digoxin toxicity B) Decreased diuretic effect C) Dehydration D) Heart failure
A
Urinary tract anti-infectives act directly to destroy the bacteria or through acidification of the urine. A) True B) False
A
The nurse expects laxatives to be ordered for which of the following patients? (Select all that apply.) A) A patient with chronic pain B) A patient recovering from cardiac surgery C) A patient who recently delivered a child D) A patient with acute food poisoning E) A patient with no bowel sounds
A,B,C
The nurse is aware that laxatives are contraindicated in patients with which of the following? (Select all that apply.) A) Abdominal pain B) Diverticulitis C) Constipation D) Bowel obstruction E) Pregnancy
A,B,D
Which of the following statements about mannitol [Osmitrol] are correct? (Select all that apply.) A) Mannitol cannot be given orally. B) Mannitol can cause edema. C) Mannitol can cause renal failure. D) Diuresis begins in 30 to 60 minutes after administration. E) Mannitol is a loop diuretic.
A,B,D
Which outcomes should a nurse establish when planning care for a patient taking methenamine [Mandelamine]? (Select all that apply.) A) Maintains a urine pH of 5.5 or lower B) Consumes 3000 mL of liquid daily C) Uses an enteric-coated formulation D) Avoids sulfonamide medications E) No elevation in liver enzymes
A,C,D
The nurse identifies which statements about frequent urinary tract reinfections as true? (Select all that apply.) A) Reinfections are considered frequent if the individual has three or more a year. B) Prophylactic therapy should continue for at least 2 months. C) If reinfection is associated with sexual intercourse, the risk can be reduced by instructing the patient to void after intercourse. D) Single-dose nitrofurantoin 50 mg taken 1 hour before intercourse has been found to reduce the rate of reinfection. E) If a symptomatic episode occurs, the standard therapy for acute cystitis should be used.
A,C,E
Which medications are used in the treatment plan for chemotherapy-induced nausea and vomiting? (Select all that apply.) A) Lorazepam [Ativan] B) Meclizine [Antivert] C) Dolasetron [Anzemet] D) Loperamide [Imodium] E) Dexamethasone [Decadron]
A,C,E
A client with renal impairment is in need of a diuretic. Because of the renal problem, potassium-sparing diuretics are contraindicated but may be used if there is no other option. If they are used at all, what nursing intervention would be most important for this client? A) Administration of concurrent potassium B) Monitoring of serum electrolytes, creatinine, and BUN C) Administration of a thiazide diuretic D) Monitoring of CBC and serum albumin
B
A high school student starts vomiting and goes to the school nurse. The student asks the nurse what part of his brain makes him vomit. What will the nurse tell the student must be stimulated in order for vomiting to occur? A) Forebrain B) Chemoreceptor trigger zone C) Hypothalamus D) Thalamus
B
A nurse assesses a male patient who has developed gynecomastia while receiving treatment for peptic ulcers. Which medication from the patient's history should the nurse recognize as a contributing factor? A) Amoxicillin [Amoxil] B) Cimetidine [Tagamet] C) Metronidazole [Flagyl] D) Omeprazole [Prilosec]
B
A nurse monitors a patient who has peptic ulcer disease and is taking antibacterial medications. If the treatment has been effective, the patient's breath test result should reveal the absence of what? A) Bicarbonate B) H. pylori C) Histamine2 D) Prostaglandins
B
A patient has been taking docusate sodium [Colace] daily for 1 year. Which statement by the patient would indicate a complication associated with use of this drug? A) "My doctor says that I've developed colon polyps." B) "I only have a bowel movement when I take the medicine." C) "The dental hygienist said I was losing the enamel on my teeth." D) "I've noticed that I'm having tremors now in my left hand."
B
A patient is taking nitrofurantoin [Macrodantin]. Which finding should a nurse recognize as an indication that the treatment is having an undesired effect? A) Hyperpigmentation of the palms B) Dyspnea with chills C) Gum irritation with bleeding D) Scalp tenderness and thinning hair
B
A patient who has acute cystitis is receiving treatment with trimethoprim/sulfamethoxazole. Which manifestation should indicate to a nurse that the patient's condition is worsening? A) Incontinence B) Flank pain C) 3+ pedal edema D) Hyperactive bowel sounds
B
A patient who has had a pancreatectomy is taking pancrelipase [Viokase]. Which finding would the nurse use to evaluate the effectiveness of this drug? A) Increase in flatulence B) Reduction in fatty stools C) Resolution of jaundice D) Decrease in abdominal distention
B
A patient with renal impairment requires bowel cleansing before a diagnostic procedure. The nurse prepares to administer which laxative? A) Mineral oil B) Polyethylene glycol-electrolyte solution [GoLYTELY] C) Magnesium salts (magnesium citrate) D) Docusate sodium [Colace]
B
A patient's GI discomfort is prescribed antacids. Nursing interventions associated with this prescription should include what? A) Administer this drug with other drugs or food B) Administer the antacid 1 hour before or 2 hours after other oral medications C) Limit fluid intake to decrease fluid retention D) Have the patient swallow the antacid whole and do not crush or chew the tablet
B
A physician has prescribed a loop diuretic for a patient with hypertension. The patient also has diabetes mellitus. What condition should the nurse monitor for in this patient after administering the prescribed drug? A) Sudden pain in the joints B) Increased blood glucose levels C) Occurrence of gout attacks D) Sudden increase in weight
B
An adult patient who has GH deficiency is receiving somatropin [Nutropin]. An increase in which finding would indicate to the nurse that the patient is improving? A) Height (by 3 inches) B) Lean body mass C) Physical strength D) Joint range of motion
B
Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are products of which structure? A) Hypothalamus B) Anterior pituitary gland C) Posterior pituitary gland D) Ovaries
B
Instruction by the nurse regarding alcohol abstinence is essential when a patient will be discharged taking which medication? A) Tetracycline B) Metronidazole C) Bismuth subsalicylate D) Clarithromycin
B
Most cases (more than 80%) of uncomplicated, community-acquired urinary tract infection (UTI) are caused by which bacteria? A) Klebsiella pneumoniae B) Escherichia coli C) Enterobacter spp. D) Pseudomonas spp.
B
The nurse is providing education to a patient with ulcerative colitis who is being treated with sulfasalazine [Azulfidine]. What statement by the patient best demonstrates understanding of the action of sulfasalazine? A) "It treats the infection that triggers the condition." B) It reduces the inflammation." C) "It enhances the immune response." D) "It increases the reabsorption of fluid."
B
The nurse is reviewing the prescriber's orders and notes that omeprazole [Prilosec] has been ordered for a patient admitted with acute coronary syndrome (ACS). The nurse should be concerned if this medication is combined with which medication noted on the patient's record? A) Aspirin 81 mg daily B) Clopidogrel [Plavix] 75 mg daily C) Heparin 5000 units subQ every 12 hours D) Metoprolol 50 mg every 8 hours
B
The nurse reviews the patient's medication record and notes the following: sucralfate [Carafate] 1 gram orally four times daily before meals (7:30 AM, 11:30 AM, and 4:30 PM) and at bedtime (10:00 PM); phenytoin [Dilantin] 200 mg orally daily at 8 AM. Which modifications, if any, should be made to the medication regimen? A) The medications can be administered as ordered. B) The nurse should obtain a prescriber order to administer the phenytoin at 9:30 AM daily. C) The nurse should obtain a prescriber order for intravenous phenytoin to avoid a drug interaction. D) The nurse should administer the phenytoin with the 7:30 AM dose of sucralfate [Carafate], because this is more time efficient.
B
Why is intramuscular (IM) administration of promethazine [Phenergan] preferred over intravenous (IV) administration? A)The risk of respiratory depression is eliminated with IM injection. B) Extravasation of IV promethazine can lead to abscess formation or tissue necrosis. C) Extrapyramidal reactions do not occur when the drug is administered IM. D) IM injection has a more rapid onset of action.
B
A nurse assesses the history of a patient who has had multiple complicated UTIs for which risk factors? (Select all that apply.) A) Female gender, child-bearing age B) Indwelling catheter C) Prostate hypertrophy D) Fair skin tone E) Urinary tract stones
B,C,E
Which of the following administration techniques would be appropriate when giving a sucralfate [Carafate] tablet to a patient with a duodenal ulcer? (Select all that apply.) A) Crush the tablet into a fine powder before mixing it with water. B) Administer the tablet with sips of water 1 hour before meals. C) Allow the tablet to dissolve in water before administering it. D) Administer the tablet with an antacid for maximum benefit. E) Break the tablet in half so it is easier to swallow.
B,C,E
A nurse administers palifermin to reduce oral mucositis from chemotherapy in a patient with which type of malignancy? A) Brain B) Breast C) Leukemia D) Lung
C
A nurse is educating a patient about sildenafil [Viagra]. The nurse should instruct the patient that which adverse effect would be a priority for the patient to report to his prescriber? A) Flushing B) Diarrhea C) Hearing loss D) Dyspepsia
C
A nurse should give which nonmedication instruction to a patient who has peptic ulcers? A) "Reduce your intake of caffeine-containing beverages, such as coffee and colas." B) "Take a nonsteroidal anti-inflammatory drug once a day to help with pain." C) "It would be better to eat five or six small meals a day instead of three larger ones." D) "An ulcer diet of bland foods with milk and cream products will speed healing."
C
A nurse teaches a patient who has ulcerative colitis about the side effects of the treatment medication, sulfasalazine [Azulfidine]. Which statement by the patient would indicate understanding of the information? A) "My tongue may become discolored and my taste altered." B) "I may have constipation, so I'll increase my fluid intake." C) "I'll report any fatigue or sore throat and fever to my doctor." D) "I'll immediately report any chest pain or shortness of breath."
C
A patient in cardiac arrest receives vasopressin [Pitressin] during cardiopulmonary resuscitation (CPR). An increase in which finding would indicate a desired effect of the medication? A) Respiratory rate B) Blood pH C) Blood pressure D) Body temperature
C
A patient is using psyllium hydrophilic mucilloid (Metamucil) to promote evacuation of stool. What is the action of this bulk-forming laxative? A) It reduces the surface tension of bowel contents B) It irritates the intestinal mucosa, thus increasing intestinal motility. C) It increases mass and water content of stool, promoting evacuation D) It creates a barrier between the colon wall and feces.
C
A patient who has peptic ulcer disease and is receiving magnesium hydroxide (milk of magnesia) is experiencing an increased number of bowel movements. Which is the nurse's priority action? A) Ask the healthcare provider for a reduction in dose. B) Encourage the patient to increase dietary fiber. C) Administer the drug with an aluminum hydroxide antacid. D) Instruct the patient to keep an accurate stool count.
C
A patient with hepatic encephalopathy receives lactulose. The nurse expects which therapeutic outcome if the medication is having the desired effect? A) Less ascitic fluid B) Normal serum sodium level C) Reduced ammonia level D) Release of glycogen stores
C
An 80-year-old patient with a history of renal insufficiency recently was started on cimetidine. Which assessment finding indicates that the patient may be experiencing an adverse effect of the medication? A) +3 pitting edema B) Pain with urination C) New onset of disorientation to time and place D) Heart rate changes from a baseline of 70 to 80 beats per minute (bpm) to 110 to 120 bpm
C
The healthcare provider orders furosemide [Lasix] 20 mg IV twice daily. The medication available is furosemide [Lasix] 10 mg/mL. How many mL will the nurse administer with each dose? A) 0.5 mL B) 1 mL C) 2 mL D) 4 mL
C
The healthcare provider orders mannitol 72 gm infusion over 24 hours. The nurse plans to set the infusion pump for how many grams per hour? A) 1 gm B) 2 gm C) 3 gm D) 4 gm
C
The nurse is aware that acute cystitis occurs most often in which patient population? A) Older-adult male patients B) Children younger than 12 years C) Women of child-bearing age D) Women older than 50 years
C
The nurse is caring for a patient with heart failure who needs a diuretic. Which agent is likely to be chosen, because it has been shown to greatly reduce mortality in patients with heart failure? A) Furosemide [Lasix] B) Hydrochlorothiazide [HydroDIURIL] C) Spironolactone [Aldactone] D) Mannitol [Osmitrol]
C
The nurse is teaching a patient who has a new prescription for spironolactone [Aldactone]. Which statement by the patient indicates that the teaching was effective? A) "I will use salt substitutes to lower my sodium intake." B) "I will increase my intake of foods that are high in potassium." C) "I will call my doctor if I begin having menstrual irregularities." D) "I will take this medication at bedtime each evening."
C
The nurse plans to closely monitor for which clinical manifestation after administering furosemide [Lasix]? A) Decreased pulse B) Decreased temperature C) Decreased blood pressure D) Decreased respiratory rate
C
Which assessment should a nurse monitor more frequently in a patient who takes both an alpha blocker for BPH and metoprolol [Lopressor]? A) Blood glucose level B) Hemoglobin level C) Blood pressure D) Urine output
C
Which instruction should the nurse give a patient who is to take bismuth subsalicylate for eradication of H. pylori? A) "Nausea and diarrhea are common side effects." B) "Do not drink alcohol while taking this medication." C) "The drug can cause your bowel movements to be black." D) "Take the medication through a straw to prevent staining of your teeth."
C
Which medication is useful for stimulating the appetite in patients with acquired immunodeficiency syndrome (AIDS)? A) Aprepitant [Amend] B) Ondansetron [Zofran] C) Dronabinol [Marinol] D) Metoclopramide [Reglan]
C
Which nursing diagnosis should be the priority for a patient who is receiving desmopressin [DDAVP]? A) Activity intolerance B) Alteration in comfort C) Fluid volume imbalance D) Deficient knowledge
C
You are caring for a patient with a severe head injury. An osmotic diuretic is ordered. Which drug is an osmotic diuretic? A) Spironolactone (Aldactone) B) Bumetanide (Bumex) C) Mannitol (Osmitrol) D) Ethacrynic (Edecrin)
C
A nurse administering 30 mL of magnesium hydroxide (milk of magnesia) tells the patient to expect a bowel movement when? A) In 15 minutes to 1 hour In 2 to 4 hours In 1 to 3 days In 6 to 12 hours
D
A nurse is planning care for a patient undergoing chemotherapy. The care plan includes medications to reduce chemotherapy-induced nausea and vomiting (CINV). Which regimen should the nurse recognize as effective? A) Scopolamine [Transderm Scop] and lorazepam [Ativan] B) Prochlorperazine [Compazine] and diphenhydramine [Benadryl] C) Ondansetron [Zofran] and dimenhydrinate [Dramamine] D) Aprepitant [Emend] and ondansetron [Zofran]
D
A nurse is planning care for a patient who has peptic ulcer disease and is taking amoxicillin [Amoxil]. The nurse is aware that the action of this medication is which of the following? A) Inhibition of an enzyme to block acid secretion B) Coating of the ulcer crater as a barrier to acid C) Selective blockade of parietal cell histamine2 receptors D) Disruption of the bacterial cell wall, causing lysis and death
D
A nurse should teach a patient who takes alosetron [Lotronex] for diarrhea-prominent irritable bowel syndrome (IBS-D) to stop the medication immediately if the patient develops which condition? A) Blurred vision B) Heart palpitations C) Bruising D) Constipation
D
A patient in the emergency department reports taking sildenafil [Viagra] and nitroglycerin 1 hour before sexual activity. Which finding should the nurse immediately report to the physician? A) White blood cell (WBC) count of 3200 units/L B) Respiratory rate of 26 breaths per minute C) Body temperature of 100.4°F (38°C) D) Blood pressure (BP) of 70/50 mm Hg
D
A patient is to begin taking nitrofurantoin [Macrodantin]. The nurse should teach the patient that which manifestation should be the priority to report to the healthcare provider? A) Headache and drowsiness B) Brown-colored urine C) Nausea and vomiting D) Muscle weakness and tingling
D
A patient reports abdominal bloating and infrequent, small, hard stools after taking psyllium [Metamucil] for 2 weeks. Which is the nurse's priority action? A) Consult the physician about another laxative choice. B) Check the dose, because an increase may be indicated. C) Ask whether the patient is toileting at the same time every day. D) Ask whether the patient is using at least 8 ounces of fluid to prepare the psyllium.
D
A patient taking sildenafil [Viagra] asks a nurse what action to take if priapism occurs. Which response should the nurse make? A) "Take an additional half-strength dose of sildenafil." B) "The condition usually resolves in 12 hours or less." C) "Wait until the following day and notify the doctor." D) "Seek emergency help, because permanent damage can occur."
D
A patient who has diabetes insipidus is receiving desmopressin [DDAVP]. Which laboratory test should a nurse obtain to evaluate the effectiveness of the medication? A) Urine ketones B) Blood urea nitrogen (BUN) C) Creatinine D) Urine specific gravity
D
A patient who is taking nitrofurantoin calls the nurse to report several side effects. Which side effect of this drug causes the most concern and would require discontinuation of the medication? A) Anorexia, nausea, and vomiting B) Brown-colored urine C) Drowsiness D) Tingling of the fingers
D
A patient with a urinary tract infection (UTI) has a new prescription for nitrofurantoin (Macrodantin). The nurse would question this order if the patient has a history of which of the following? A) Chronic UTI B) Hypertension C) Glaucoma D) Renal dysfunction
D
A pediatric patient has gigantism caused by excess growth hormone (GH). Which finding would indicate to the nurse that the patient has developed an additional complication related to this condition? A) Blood glucose below 70 mg/dL B) Elevation of liver function test results C) Atrophy of sweat glands D) Enlarged heart on chest x-ray
D
An 85-year-old patient is administered an antiemetic agent. Which of the following is an important nursing intervention? A) Force fluids with this patient B) Have the patient void after administration C) Maintain IV access D) Protect from injury
D
The nurse caring for a patient taking furosemide [Lasix] is reviewing the patient's most recent laboratory results, which are: sodium, 136 mEq/L; potassium, 3.2 mEq/L; chloride, 100 mEq/L; blood urea nitrogen, 15 mg/dL. What is the nurse's best action? A) Administer Lasix as ordered. B) Place the patient on a cardiac monitor. C) Begin a 24-hour urine collection. D) Hold the Lasix and notify the physician.
D
Which statement should a nurse include when providing teaching to a patient who is scheduled to start taking dutasteride [Avodart]? A) "Protect yourself from sun exposure to avoid any skin sensitivity." B) "You may notice immediate relief of your urinary symptoms." C) "Dutasteride will increase both ejaculatory volume and libido over time." D) "You cannot donate blood while on this medication or for 6 months after stopping it."
D
With the exception of pyelonephritis, the nurse is aware that most urinary tract infections are treated by which method? A) IV antibiotics at the hospital B) IV antibiotics in the urgent care setting C) IM antibiotics at the primary physicians office D) Oral antibiotics in the home setting
D
You are an ED nurse caring for a patient who is receiving furosemide (a diuretic) for treatment of pulmonary edema. Which of the following will you monitor to observe for adverse effects of the drug? A) Temperature B) Bone marrow function C) Blood oxygen saturation D) Potassium levels
D
You are the clinic nurse admitting a 39-year-old female who has come to the clinic complaining of left-sided tenderness, fever, chills, and flank pain. What does the nurse suspect the patient has? A) Cystitis B) Kidney stones C) Neurogenic bladder D) Pyelonephritis
D
A client is diagnosed with Helicobacter pylori infection. The physician will order amoxicillin and what other type of medication? A) Proton pump inhibitors B) Sucralfate C) H2RAs D) Antacids
A
The patient has an order for magnesium oxide/anhydrous citric acid/sodium picosulfate [Prepopik] to be given in 2 doses. The nurse knows that this medication is used for which indication? A) Preparation before a colonoscopy B) Preparation before an abdominal surgery C) Prevention of constipation D) Treatment of constipation
A
You are conducting patient teaching with a patient has just been prescribed lansoprazole (Prevacid). What statement would indicate that the patient correctly understands the action of this medication? A) "The medication inhibits acid secretion" B) "The medication is an antibiotic." C) "The medication is an analgesic." D) "The medication will repair my ulcer."
A
A nurse should associate which factors with the pathophysiology of peptic ulcer disease? (Select all that apply.) A) Poor submucosal gastric blood flow B) Presence of Zollinger-Ellison syndrome C) Reduced stomach production of bicarbonate D) Increased synthesis of prostaglandins E) Gastrointestinal (GI) tract colonized with Haemophilus influenzae
A,B,C
The nurse prepares to administer a bisacodyl suppository to a patient who has not had a bowel movement in several days. When should the nurse administer the PRN medication? A) In the morning, before breakfast B) In the morning, after breakfast C) In the afternoon, before lunch D) In the evening, before bed
B
Which manifestation would the nurse most clearly associate with a tumor of the hypothalamus? A) Mood swings B) Unstable body temperature C) Irregular respirations D) Increased heart rate
B