EAQ pharmacology med surg
Which statement by the nurse regarding anesthetic drugs in pediatric clients requires correction ?
" During general anesthesia , the upper airway obstruction risk is less in pediatrics "
Which statement by the client receiving corticosteroids after a bilateral adrenalectomy indicates to the nurse that additional education is needed ?
" I am glad that I only have take the medication once a day "
Which advice will the nurse include when discussing postoperative medication therapy with a client admitted to the hospital for subtotal thyroidectomy ?
" If you develop palpitations nervousness , or tremors , the dose of thyroid hormone may need to be decreased .
Which response would a nurse give to a client who asks " Why can't take the insulin in pills instead of taking shots " during a teaching session about insulin injections ?
" Insulin is destroyed by gastric juices rendering it ineffective .
How would a nurse respond to the spouse of a client with an intracranial hemorrhage who asks the nurse " Why aren't they administering an anticoagulant ? ?
" It is not advisable because bleeding will increase . "
A depressed client is prescribed citalopram hydrobromide . Six days later the client tearfully says to the nurse , I'm taking an antidepressant , but it's not working I'm hopeless . Which response would the nurse give ?
" It takes 2 or weeks before it begins to relieve depression "
The nurse is teaching a pregnant client with sickle cell anemia about the importance of taking supplemental folic acid Which response by the nurse explains how folic acid would help ?
" It will promote production of hemoglobin .
pump After surgery an adolescent has a patient - controlled analgesia ( PCA ) that is set to allow morphine delivery every 6 minutes . Which statement indicates to the nurse that the family understand instructions about the PCA pump ?
" She needs to push the PCA button whenever she needs pain medication .
Which reply by the the nurse is appropriate when a client asks how psychotropic medications work ?
" These medications affect the chemicals used in communication between nerve cells "
The nurse is teaching calculations for pediatric dosages based on the body surface area ( BSA ) method . Which statement by the nursing student indicates understanding of teaching ?
" This method requires height and weight for calculation . "
A mood - stabilizing medication is prescribed for a client's bipolar disorder . Which client comment indicates to the nurse that further teaching is needed ?
"I know won't have to stay on this medication for too long . "
Which explanation would the nurse provide for administering prednisone to client with an exacerbation of colitis
0 0 0 0 The client will be protected from getting an infection Symptoms associated with the colitis will decrease slowly over time Although the medication causes anorexia , weight loss may not occur . O Although the medication decreases intestinal inflammation it will not cure the colitis .
How much solution will the nurse administer after the health care provider prescribes haloperidol 0.5 mg intramuscularly IM ) given that haloperidol is available in a vial that contains 2 mg mL ? Record your answer using two decimal places . Include a leading zero applicable .
0.25 ml
A client is prescribed 4 mg of hydromorphone intravenously ( IV every 4 hours , as needed . Hydromorphone is supplied at 10 mg / mL . How many milliliters of hydromorphone will the nurse administer per dose ? Record your answer using one decimal place and leading zero if applicable .
0.4 ml
A health care provider prescribes 250 mg of a medication . The vial reads 500 mg / mL How many milliliters of medication will the nurse administer ? Record your answer using one decimal place and leading zero if applicable .
0.5 mL
Filgrastim 5 mcg / kg day by injection is prescribed for a client who weighs 132 lb. The vial label reads filgrastim 300 mcg / mL . How many milliliters will the nurse administer ? Record your answer using a whole number
1 mL
Which is the maximum recommended dose of an intramuscular injection in a toddler ?
1 mL
Within which period of time would a nurse advise the client to anticipate pain relief will begin when nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina ?
1 to 3 minutes
Which is the maximum volume of an intramuscular injection recommended for a preschool - aged child ?
1.0 mL
A client is to receive metoclopramide 15 mg orally before meals . The concentrated solution contains 10 mg / mL How many milliliters of solution will the nurse administer ? Record your answer using one decimal place mL
1.5
An intravenous ( IV ) antibiotic in 50 mL of 0.9 % sodium chloride needs to be administered over 20 minutes . The nurse will set the infusion pump to milliliters per hour ? Record your answer using a whole deliver how many number .
150 mL / h
The nurse needs to administer lidocaine HCl at 1.5 mg per minute . The medication is available as 500 mg in 100 mL of D 5W . The nurse will set the intravenous ( IV ) infusion pump to deliver how many milliliters per hour ? Record your answer using a whole number .
18 mL / h
Colchicine 1200 mcg orally is prescribed for client with gout Each tablet contains 0.6 mg . How many tablets will the nurse administer ? Record your answer using a whole number
2
A woman in premature labor is prescribed betamethasone 12 mg intramuscularly ( IM ) daily for 3 days to enhance fetal lung maturity The betamethasone comes in vial labeled " 6 mg / mL . How many milliliters would the nurse administer each day ? Record your answer using whole number .
2 mL
Nortriptyline is prescribed for a depressed client Which time period identifies when the nurse would expect a therapeutic response ?
2 to 3 weeks
Acyclovir 0.8 g by mouth is prescribed for a client with herpes zoster The oral suspension contains 200 mg 5 mL How many milliliters will the nurse administer ? Record your answer using a whole number
20 mL
A client has a prescription for 125 mg of phenytoin by mouth three times day Phenytoin is supplied as an oral suspension of 25 mg / mL How many milliliters of solution will the nurse administer for each dose Record your answer as a whole number mL
25
The health care provider prescribes intravenous fluids to be infused at 100 mL / h . The intravenous tubing delivers 15 drops / milliliters The nurse will infuse the solution at a flow rate of how many drops per minute ? Record your answer using whole number
25 drops / min
In which week of gestation would the nurse anticipate administering Rho ( ) immune globulin to Rh negative client ?
28 weeks
A health care provider prescribes aripiprazole 15 mg by mouth once a day for a client with schizophrenia The hospital pharmacy sends aripiprazole 5 mg / tablet How many tablets will the nurse administer ? Record your answer as whole number
3 tablet ( s )
A client has an intravenous ( IV solution of 5 % dextrose in water ( D 5W ) 250 mL to which 100 mg of morphine is added . The health care provider prescribes 14 mg of morphine per hour for end - of - life palliative treatment of a client . At how many milliliters per hour will the nurse set the IV pump ? Record your answer using a whole number .
35 mL / h
Metformin 2 g by mouth is prescribed for client with type 2 diabetes . Each tablet contains 500 mg How many tablets will the nurse administer ? Record your answer using whole number .
4
At 10:00 AM the nurse hangs a 1000 - mL bag of 5 % dextrose in water ( D 5W ) with 20 mEq of potassium chloride to be administered at 80 mL / h . At noon the health care provider prescribes stat infusion of an intravenous ( IV ) antibiotic of 100 mL to be administered via piggyback over 1 hour . How much longer than expected will it take the primary bag to empty if the nurse interrupts the primary infusion for infusion of the antibiotic ?
60 minutes
The health care provider prescribes divalproex sodium 375 mg twice a day by mouth . The divalproex sodium is labeled " 250 mg / 5 mL " How many milliliters of solution will the nurse administer per dose Record your answer using one decimal place .
7.5 mL
The health care provider prescribes 1000 mL of total parenteral nutrition ( TPN ) to be administered in 12 hours Based on this prescription , how many milliliters of solution will be administered per hour ?
83 mL / h
Which information would the nurse provide to a client with hyperthyroidism receiving methimazole ?
? Initial improvement will take several weeks .
The nurse prepares to administer vitamin K to a newborn . Which rationale explains why newborns are deficient in this vitamin ?
A newborn's intestinal tract does not synthesize for several days after birth .
The nurse is planning to administer a modified bacteria immunization to a preschool child Which agent will be administered ?
A vaccine
Which client problem would the nurse expect to decrease in response to the administration of serum albumin intravenously to a client with ascites ?
Abdominal girth
Which antimicrobial medication acts on susceptible pathogens by inhibiting nucleic acid synthesis ?
Actinomycin
Which action would the nurse expect in the plan of care of a client scheduled for an adrenalectomy ?
Administer parenteral corticosteroids .
Which action would be taken by the nurse caring for a client with type 1 diabetes mellitus who has a finger - stick glucose level of 258 mg / dL ( 14.3 mmol / L ) bedtime and a prescription for sliding - scale regular insulin ?
Administer the insulin as prescribed .
Which is the most important nursing action involved in caring for a client receiving medications ?
Administering the medications
The clinic nurse is planning care for a client with chlamydia . Which treatment would the nurse anticipate implementing ?
Administration of 1 g of azithromycin orally in a single dose
A client receiving high doses of haloperidol tells the nurse , " i just can't sit still , and I feel jittery . " Which side effect would the nurse suspect the client is experiencing ?
Akathisia
Which contraindication would a nurse assess for when preparing to administer eardrops to a client who has impacted cerumen ? Select all that apply . One , some , or all responses may be correct .
Allergy to the medication
A 2 - year - old toddler to have intravenous ( V antibiotic therapy . Which action will the nurse take to prevent the child from pulling out the IV line ?
Cover the IV site with a protective device
Which medication would the nurse anticipate incorporating into the plan of care to treat the client bitten by a snake that belongs to the class of North American pit vipers ?
Crotalidae polyvalent immune fab ( CroFab )
The nurse understands which preparations use toxoids but not live viruses ? Select all that apply . One , some , or all responses may be correct .
Diphtheria hepatitis B pertussis ( acellular ) polio , and tetanus vaccine Diphtheria and tetanus toxoids and acellular pertussis vaccine
Which symptom would the nurse include when teaching a client with arthritis who takes large doses of aspirin about the clinical manifestations of aspirin toxicity
Disturbances in hearing
Which medication is associated with sedation as a side effect ? Select all that apply . One , some or all responses may be correct .
Doxepin Zaleplon Suvorexant Nefazodone Mirtazapine Clonazepam
Which manifestation is an adverse effect of intravenous lorazepam ? Select all that apply . One , some , or all responses may be correct .
Drowsiness Sleep driving Blurred vision Respiratory depression Amnesia
The nurse is teaching a client about tricyclic antidepressants . Which potential side effects would the nurse include ? Select all that apply . One , some or all responses may be correct .
Dry mouth Drowsiness Orthostatic hypotension Constipation
Which medication is used to treat both generalized anxiety disorder and depression ?
Duloxetine
Which medication worsens uncontrolled angle - closure glaucoma when used for the treatment of generalized anxiety disorder ?
Duloxetine
Which medication may cause malformations of the male external genitalia ?
Dutasteride
.Which statement explains why are so many drugs are necessary for a client with stage III Hodgkin's disease who is started on a multiple - drug regimen of doxorubicin , bleomycin , vinblastine , and dacarbazine ?
Each drug destroys the cancer cell at different time in the cell cycle .
Which teratogenic effect is seen because of lithium ?
Ebstein anomaly
Which test would the nurse identify as specific for the diagnosis of myasthenia gravis ?
Edrophonium chloride test
Why would lactulose be prescribed for a client with a history of cirrhosis of the liver ?
Elevated ammonia levels are lowered .
Which effect of povidone - iodine would the nurse consider when using it on the client's skin before obtaining a specimen for a blood culture ?
Eliminates surface bacteria that may contaminate the culture
Which step would the nurse take when preparing to administer Rho D immune globulin to a postpartum client ?
Ensure that the client is Rh negative and the neonate is Rh positive .
Which medication can be administered via the intramuscular route to treat anaphylaxis ?
Epinephrine
Which adverse effect would a nurse monitor for in a client taking clopidogrel ?
Epistaxis
The nurse recognizes which statement as true regarding transdermal estradiol ?
Estradiol is slowly absorbed from the skin .
After surgery , a child experiences intense pain and an analgesic is prescribed Which would the nurse consider when administering the analgesic ?
Even though children do not like medicine , analgesics make them more comfortable .
Which advice will the nurse provide about doxorubicin to a client with Hodgkin's disease ?
Expect urine to turn red for a few days after taking this medication
Which research design would the nurse researcher utilize when examining subjects ' responses to chlorhexidine and povidone - iodine as antiseptics ?
Experimental research
Which action would the nurse take in a client who takes rifampin who tells the nurse , " My urine looks orange . ?
Explain that this is expected .
The nurse understands which anesthetic medication is commonly used for short procedures on pediatric clients ?
Fentanyl
Which influenza vaccine would the nurse administer via the intranasal route ?
Flu Mist
Which high - potency medication is used to treat schizophrenia ?
Fluphenazine
A 45 - year - old client who recently completed alcohol detoxification reports plans to begin using disulfirams as part of the alcoholism treatment regimen . Which client teaching would the nurse share regarding this medication ?
Foods , medications , and any topical preparation containing alcohol should be avoided
Which vaccine is used to prevent human papilloma virus infection ?
Gardasil
Which sexually transmitted infection is managed with antiviral medications as the treatment of choice ?
Genital herpes
Which hormone levels do not require monitoring during the administration of menotropins for infertility ?
Gonadotropin - releasing hormone
Which food would the nurse instruct a client taking diltiazem to avoid ?
Grapefruit juice
A child with iron - deficiency anemia is prescribed oral iron therapy . Anticipatory guidance regarding which side effect would the nurse provide
Greenish black stool
Which effect would the nurse identify as seen when the fetus is exposed to a teratogen during the embryonic period ?
Gross malformations
Which medication is the most common cause of extrapyramidal side effects ( EPSS ) ?
Haloperidol
Which action would the nurse perform first when a health care provider prescribes milrinone for a client with congestive heart failure ?
Have the prescription dosage calculations and pump settings checked by a second nurse
Which assessment after administration of diltiazem to a client with supraventricular tachycardia ( SVT and a heart rate of 170 beats / minute indicates that the medication was effective ?
Heart rate of 98 beats / minute
A client is receiving haloperidol agitation , and the nurse monitoring the client far side effects Which response identified by the nurse unrelated to an extrapyramidal tract effect
Hypertar sveces
Which condition would the nurse identify as the likely cause of profound weakness and nervousness in a client that became confused shortly after self - administering the morning dose of 10 units of regular insulin and 25 units of NPH insulin after light breakfast with no additional intake in the 3 hours since that time ?
Hypoglycemia
Which adverse effect would a nurse monitor for when caring for a client receiving furosemide to relieve edema ?
Hypokalemia
Which complication will a nurse monitor for before replacement steroid therapy is regulated fully in a client who has had an adrenalectomy ?
Hypotension
In which category of fluids would the nurse classify an intravenous solution of 0.45 % sodium chloride ?
Hypotonic
client who has been taking the prescribed dose of zolpidem for days returns to the clinic for a follow - visit . Which statement by the client indicates the medication has effective
I have been sleeping better
A client with a history of methamphetamine use is admitted to the medical unit . Which clinical manifestation would the nurse expect when assessing the client who is under the influence on admission ?
Increased heart rate
Which benefit would be provided by administering patient - controlled analgesia ( PCA to a client after surgery ? Select all that apply . One , some , or all responses may be correct .
Increases client sense of autonomy Client is able to self - administer pain relieving medications as necessary Decreases client dependency
Which mechanism of action explains how hydrochlorothiazide increases urine output ?
Increases the excretion of sodium
Which is an indication for the nurse to adminster an ordered oxytocin infusion to a pregnant client ?
Induction of labor at full term
The nurse understands which vaccine is administered through the intranasal route ?
Influenza ( live ) vaccine
Which mechanism is specifically responsible for the action of the medication ranitidine ?
Inhibiting the histamine at h2 receptors
Which birth control agent requires administration once every 3 months ?
Intramuscular progestin
Which method of medication administration is commonly used in toddlers when the child has poor intravenous ( IV access during an emergency situation ?
Intraosseous
A child is administered a rotavirus vaccine . Which adverse medication effect would the nurse monitor for ?
Intussusception
Which medication would the nurse initiate immediately for a client experiencing an anaphylactic attack ?
Isoproterenol
Which medication is used to treat acne vulgaris adolescents but is contraindicated in pregnancy
Isotretinoin
Which primary advantage applies to the use of fluphenazine for treatment of schizophrenia ?
It has a long - lasting effect .
Which is the purpose of a vitamin K injection in a newborn ?
It provides protection from hemorrhage
The nurse is caring for a child receiving prednisone Which consideration is most important for the nurse to remember when administering adrenocorticosteroid therapy ?
It suppresses inflammation
An Rh - negative client has a spontaneous abortion at the end of the second trimester and is prescribed Rho ( D ) immune globulin The client asks the nurse " Why do I need this medication ? " Which information would the nurse consider before answering the client's question ?
It will prevent the woman from producing antibodies .
Which complication associated with type 1 diabetes should the nurse include in the teaching plan for the parent of a newly diagnosed child ?
Ketoacidosis
Which medications may cause an increase in the serum clozapine level ? Select all that apply . One , some or all responses may be correct .
Ketoconazole Erythromycin
A client with endometriosis reports having hot flashes Which of the client's medications would the nurse identify as the cause of this side effect ?
Leuprolide
Which medication may lead to bruxism ?
Levorilnacipran
type Which of medication would the nurse identify as readily crossing the placenta ?
Lipid - soluble medications
Which medication may cause Ebstein anomaly as a teratogenic effect and is contraindicated in breast feeding clients ?
Lithium
Which part of the renal system does furosemide exerts its effects ?
Loop of Henle
Which antihistamine is considered safe for a woman who plans to breast feed ?
Loratadine
Which antipsychotic medication has the highest risk of causing tardive dyskinesia ? Select all that apply One some or all responses may be correct .
Loxapine Haloperidol
Which ovulation stimulant would the nurse identify as being derived from the urine of postmenopausal women ?
Menotropins
A client in active labor who is 90 % effaced 7 cm dilated with the vertex presenting at 2+ station , complains of pain and asks for medication . Which medication would the nurse anticipate causing respiratory depression in the newborn ?
Meperidine
Which medication is administered to women after delivery to prevent postpartum uterine atony and hemorrhage ?
Methylergonovine
Which medication may be used to treat postpartum hemorrhage ?
Methylergonovine
Which medication is the first choice of medication for the treatment of attention deficit / hyperactivity disorder ADHD ) ?
Methylphenidate
Which over - the - counter medication is used to treat vulvovaginal candidiasis ? Select all that apply . One some , or all responses may be correct
Miconazole Clotrimazole
The nurse identifies which medication as an abortion pill
Mifepristone
The nurse understands which is the medication of choice for a client who wants to abort her pregnancy at 3 months of gestation ?
Mifepristone
Which medication would the nurse identify as one that can be prescribed for the elective termination of a pregnancy ?
Mifepristone
Which medication would the nurse identify being used to induce abortion ?
Mifepristone
Which medication would the nurse identify as being used both for cervical ripening during labor and for the prevention of gastric ulcers ?
Misoprostol
Which would the nurse identify as the most widely used off - label medication for cervical ripening and the enhancement of uterine muscle tone ?
Misoprostol
Which important reason accounts for why medications used to treat acquired immunodeficiency syndrome ( AIDS ) become ineffective ?
Missing doses of the prescribed medications
Which medication is indicated to treat shift work sleep disorder ( SWSD ) ?
Modafinil
A health care provider prescribes methylphenidate for a child with attention - deficit / hyperactivity disorder ( ADHD . Which instruction would the nurse provide when teaching the parents about this medication ?
Monitor the effect of the medication on their child's behavior .
Which side effect would the nurse assess for in a child receiving prednisone ?
Mood changes
Which adverse effects of fertility medications are consequences of their extended action ? Select all that apply . One , some , or all responses may be correct .
Multiple pregnancies Ovarian hyperstimulation
Which adverse effect is least likely to occur in a client who is prescribed clozapine ?
Myocarditis
Which medication is indicated for management of clinical manifestations associated with an opioid overdose ?
Naloxone
The nurse understands which group of the pediatric population is at higher risk of developing respiratory complications upon administration of general anesthesia ?
Neonates
Which medication is used to inhibit preterm contractions ?
Nifedipine
Which intrauterine medication exposure may lead to a child being born with a cleft lip ?
Nitrofurantoin
Which medication would the nurse identify as potential cause for the formation of abnormally small eyes in the newborn used during pregnancy ?
Nitrofurantoin
Which role would norepinephrine's mechanism of action perform in managing anaphylaxis ?
Norepinephrine functions as a peripheral vasoconstrictor
Which action will the nurse take in a client hospitalized for uncontrolled hypertension and chest pain on a daily diuretic for 2 days whose potassium level this morning is 2.7 mEq / L ( 2.7 mmol / L ) ?
Notify the health care provider that the potassium level is below normal .
Which site would the nurse use to administer vitamin K to a newborn ?
OVastus lateralis
How will the nurse evaluate the effectiveness of the training after teaching a family member how to administer subcutaneous enoxaparin sodium ?
Observing the family member administering enoxaparin sodium to the client .
Which atypical antipsychotic is approved for long term use to prevent the recurrence of mood episodes in clients with bipolar disease ? Select all that apply . One , some , or all responses may be correct
Olanzapine Ziprasidone Aripiprazole
Which reason would the nurse include in a response to client with rheumatoid arthritis who asks the nurse why it is necessary to inject hydrocortisone into the knee joint ?
Reduces inflammation
A client has been prescribed lithium . Which intervention must be implemented while the client is on lithium therapy ?
Regularly testing the serum medication level
Which outcome would the nurse use to determine the effectiveness of sublingual nitroglycerin ?
Relief of anginal pain
Which instruction would the nurse include in a teaching plan for nitroglycerin patches ?
Remove previous patch before applying the next one .
Which action will a nurse take first when caring for a client reporting chest pain , difficulty breathing , and feeling cold twenty minutes after an infusion of packed red blood cells begins ?
Stop the transfusion .
The nurse understands which medication class may cause kernicterus in neonates ?
Sulfonamides
Which major reason explains why clients with severe psychiatric disorders are prescribed antipsychotic medications ?
Symptom management of psychosis
Which cardiovascular adverse effect would the nurse associate with the use of clomiphene
Tachycardia
A client with schizophrenia is given an antipsychotic medication Which adverse effect would lead to this medication being discontinued ?
Tardive dyskinesia
Which issues would the nurse identify as being associated with the difficulty in identification of teratogens ? Select all that apply . One , some , or all responses may be correct .
Teratogenic effects may be delayed Prolonged medication exposure may be required Animal test results may not be applicable to humans .
Which medication treatment may have been given during gestation to a mother whose baby was born with shortened limbs ?
Thalidomide
Which precaution will the nurse consider when initiating treatment with fluoxetine ?
The blood level may not be sufficient to cause noticeable improvement for 2 to 4 weeks .
A medication is administered to a client in her third trimester of pregnancy . Which statement regarding the medication administration is correct ?
The dose of a medication may need to be increased for pregnant clients .
For which circumstance would the nurse use the Z track technique to administer a medication ?
The medication is irritating to subcutaneous tissue and skin .
Which response would the nurse provide to a client receiving digoxin who calls the clinic and complains of " yellow vision " ?
The medication may need to be discontinued Come to the clinic this afternoon "
Which statement about benzodiazepines requires correction ?
These medications increase the activity of gamma - aminobutyric acid .
Which action is accurate in explaining how neuroleptic medications act in the body to promote mental health for clients diagnosed with schizophrenia ?
They block access to dopamine receptors at the postsynaptic receptor site
Which reason explains why so many psychiatric clients are given benztropine or trihexyphenidyl in conjunction with phenothiazine derivative neuroleptic medications ?
They combat the extrapyramidal side effects of the neuroleptic medication .
Which medication is considered a typical antipsychotic ? Select all that apply . One , some or all responses may be correct .
Thioridazine Chlorpromazine
Which adverse effect can be seen in a female client with gonadotropin deficiency and who is undergoing hormone replacement therapy ?
Thrombosis
Which medication is beta - adrenergic blocker used to reduce intraocular pressure ?
Timolol
Which situation would indicate the need for naltrexone be administered ?
To decrease the recovering alcoholic's desire to drink
Which rationale explains the purpose of administering diphenoxylate hydrochloride to clients with acquired immunodeficiency syndrome ( AIDS ) ?
To manage diarrhea
For which purpose would enoxaparin 40 mg subcutaneously daily be prescribed for a client who had abdominal surgery ?
To provide prophylaxis against postoperative thrombus formation
Which explanation would the nurse provide to a client with gastric ulcer disease who asks the nurse why the health care provider has prescribed metronidazole ?
To treat Helicobacter pylori infection
Which medication is responsible for neonatal hypoglycemia ?
Tolbutamide
A client who has been taking a conventional antipsychotic for several days comes to the clinic complaining of neck spasms . The figure illustrates the client's physical status observed by the nurse . Which extrapyramidal side effect has the client developed ?
Torticollis
the medication ? The nurse is teaching a client how to self - administer an intravaginal medication . In which direction would the nurse instruct the client to direct
Toward the sacrum
Which clinical indicator would the nurse monitor to determine the client's simvastatin effective ?
Triglycerides
Which medication reduces the risk for human immunodeficiency virus ( HIV ) infection in unaffected individuals ?
Truvada
Which side effect will the nurse monitor for when assessing a client who has been receiving fluphenazine for several months ? Select all that apply . One , some or all responses may be correct .
Uncoordinated movement of extremities Tremors
The nurse understands which antiepileptic medication would be used as the first - line treatment for absence seizures ?
Valproic acid
Which action will the nurse take when a client receiving buspirone is admitted to the hospital with a diagnosis of possible hepatitis ?
Withhold the medication
mg An older adult living in a long - term care facility has been receiving 600 of lithium twice a day for 3 weeks to ease manic behavior The client is experiencing nausea and vomiting , diarrhea thirst , polyuria slurred speech , and muscle weakness Which intervention is appropriate ?
Withholding the next dose of lithium and drawing blood for a lithium level
Which symptom will the nurse include as a reason to withhold the medication when teaching a client about digoxin therapy ?
Yellow vision
Which medication is a leukotriene modifier used to manage and prevent allergic rhinitis ?
Zileuton
Which medication treats hay fever by preventing leukotriene synthesis ?
Zileuton
Which mechanism of action would the nurse identify for levodopa therapy prescribed to a client diagnosed with Parkinson disease
restores the dopamine levels in the brain
Which action would the nurse teach to a client with pulmonary tuberculosis who is prescribed a combination of rifampin and isoniazid ?
" Continue taking the medicine even after I feel better . "
Which blood type must a person have to be a universal recipient ?
AB
Which medication is used to treat Helicobacter pylori infection ? Select all that apply . One , some , or all responses may be correct .
Amoxicillin Tetracycline Pantoprazole Metronidazole Bismuth subsalicylate
Which property of acetylsalicylic acid would a nurse recall when administering to a client ?
Analgesic
Which property would the nurse understands that the medication is being used primarily for when aspirin is prescribed on regular schedule for a client with rheumatoid arthritis ?
Anti - inflammatory
Which prescribed medication will the nurse administer to the client with pertussis ?
Antibiotics
Which instruction about phenytoin will the nurse provide during discharge teaching to a client with epilepsy who is prescribed phenytoin for seizure control ?
Antiseizure medications will probably be continued for life "
Which type of laser is used in the treatment of vascular and other pigmented lesions ?
Argon
A pediatric client with a past history of chicken pox reports a fever and headache . Which medication would the nurse avoid giving to the client ?
Aspirin
The nurse understands which medication increases the risk of Reye syndrome in children ?
Aspirin
Which antipyretic medication may cause Reye syndrome in children ?
Aspirin
How would the nurse respond to a client admitted for dehydration who has an intravenous ( IV infusion of normal saline is started at 125 mL / h and one hour later begins screaming , " I can't breathe ! " ?
Assess the client for allergies and change the IV to an intermittent lock .
The nurse understands which antihypertensive medication is contraindicated in lactating women ?
Atenolol
Which client response indicates to the nurse that vasodilator medication is effective ?
Blood pressure changes from 154/90 to 126/72 mm Hg
Which patient condition would contraindicate the use of the medication clozapine ?
Bone marrow depression
Which medication would the nurse recognize as being contraindicated for use in clients with eating and seizure disorders ?
Bupropion
A client in active labor becomes very uncomfortable and asks the nurse for pain medication . Nalbuphine is prescribed . The nurse understands that this medication relieves pain by which mechanism ?
By acting on opioid receptors to reduce pain
The nurse administers intravenous magnesium sulfate to a client admitted with severe preeclampsia . The nurse identifies which as the classification of this medication ?
Central nervous system depressant
Which advice would the nurse include in a teaching plan to reduce the side effects of diltiazem ?
Change slowly from sitting to standing
Which malnourished condition may predispose a client to secondary immunodeficiency ?
Cachexial
Which medication is derived from a natural source and may be prescribed for the treatment osteoporosis ?
Calcitonin
Which mineral deficiency would a nurse suspect in a client who reports tingling in the fingers and around the mouth and exhibits carpopedal spasm and tremors after a surgical thyroidectomy ?
Calcium
Which medication is contraindicated during pregnancy but can be safely used by lactating mothers ?
Carbamazepine
Which complication would a nurse try to avoid by slowly administering a parenteral preparation of potassium ?
Cardiac arrest
Place the following nursing actions in the correct order for a client with esophageal varices prescribed a blood transfusion .
Check the client's vital signs . Check the client's vital signs . Verify the blood product with another nurse against the client's identification ID bracelet Check the client's vital signs . Verify the blood product with another nurse against the client's identification ID bracelet Monitor the client's vital signs and status according to agency policy Check the client's vital signs . Verify the blood product with another nurse against the client's identification ID bracelet Monitor the client's vital signs and status according to agency policy Establish intravenous ( IV ) access with IV normal saline .
Which action would the nurse take after contacting the primary health care provider of a post - surgical client complaining of nausea , fatigue , and a headache during the fourth hour of the infusion of total parenteral nutrition ( TPN ) instituted via a central venous infusion who has an hourly urine output that is twice the amount of the previous hour ?
Check the serum glucose level
Which foods should the client receiving a monoamine oxidase inhibitor avoid ?
Cheese , beer , and products with chocolate
Which medication is contraindicated in clients with blood dyscrasias ?
Chlorpromazine
Which antidepressant is second - generation medication ?
Citalopram
Which statement will the nurse need to consider when developing the teaching plan for a client with type 2 diabetes prescribed an oral hypoglycemic medication ?
Clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control
The nurse understands which medication is used as an ovulation stimulant but may cause multiple pregnancies ?
Clomiphene
Which medication may cause photophobia as an adverse effect ?
Clomiphene
Which medication used to promote fertility would the nurse identify as a potential cause of esophageal burns ?
Clomiphene
Which medication is indicated for treating obsessive - compulsive disorder
Clomipramine
Which statement is true regarding antipsychotic medications ?
Clozapine is more effective than other second generation antipsychotics
Which finding would lead the nurse to recheck the blood glucose level of a diabetic client before administering a mealtime insulin dose ? Select all that apply One , some , or all responses may be correct .
Confusion Drowsiness Diaphoresis Nervousness Heart rate 110 beats / min
A client is taking fertility medications for the first time Which adverse effect of the medication would the nurse inform the client about ?
Constipation
A client with schizophrenia who is receiving an antipsychotic medication begins to exhibit a shuffling gait and tremors The primary health care provider prescribes the anticholinergic medication benztropine mg daily Which symptom should the nurse should inquire about when assessing the client ?
Constipation
Which clinical finding leads the nurse to conclude that an IV has infiltrated rather than caused inflammation ?
Coolness
Which medication is a teratogen that may cause masculinization of female fetus
Danazol
Which teratogen causes masculinization of the female fetus ?
Danazol
Which response indicates that a beta blocker prescribed for persistent ventricular tachycardia is working effectively ?
Decreased heart rate
Which assessment finding indicates an improvement when the nurse is evaluating the results of treatment with erythropoietin ?
Decreased pallor
By which process would total parenteral nutrition ( TPN ) on an outpatient basis help a client with Crohn's disease prepare for surgery ?
Decreasing fecal bulk **** Preventing bowel infection Providing stimulation of secretions Maintaining negative nitrogen balance
Which condition contraindicated for St. John's wort herbal therapy ?
Dementia
Which goal is the priority for a client with asthma who has a prescription for an inhaled bronchodilator ?
Demonstrates use of a metered - dose inhaler
Which condition will the nurse assess for when patient states I've been using St. John's wort to try and feel more like myself " ?
Depression
Which infection is caused by a fungus ?
Dermatophytosis
The nurse understands which medication may cause gynecological malignancies in females ?
Diethylstilbestrol
The nurse understands which medication places a client's offspring at risk for vaginal cancer
Diethylstilbestrol
The nurse understands which medication taken by a pregnant woman may show a delayed teratogenic effect in the offspring ?
Diethylstilbestrol
Which hormone may cause vaginal carcinoma in a female child after birth ?
Diethylstilbestrol
Which medication would a nurse suspect is the cause of severe nausea and a heartbeat that is irregular and slow in a client who takes multiple medications ?
Digoxin
Which medication is indicated for evacuation in case of a miscarriage ?
Dinoprostone
Which medication would the nurse identify as being used to manage nonmetastatic gestational trophoblastic disease ?
Dinoprostone
A health care provider prescribes teriparatide for a client with osteoporosis . Which statement about this medication would the nurse recognize as accurate ?
Osteoblastic activity is stimulated more than osteoclastic activity .
Which type of behavior exhibited by a patient would haloperidol most effectively treat ?
Overactive
Which hypothalamic hormone would the nurse identify as helping treat postpartum uterine atony and hemorrhage ?
Oxytocin
Which medication is available in an injectable form ?
Oxytocin
Which oxytocic medication may help control uterine bleeding postdelivery and promote milk ejection ?
Oxytocin
Which medication for depression would be safe to use with a breast feeding mother ?
Paroxetine
Which preferred medication of choice would be prescribed for the treatment of syphilis in a pregnant adolescent ?
Penicillin G
Which therapy is indicated for client admitted to the hospital after general paresis develops as a complication of syphilis ?
Penicillin therapy
correct The nurse identifies which antimicrobial medications as safe during breast - feeding ? Select all that apply One , some or all responses may be
Penicillins Macrolides Cephalosporins
The nurse is teaching a group of new parents on sudden infant death syndrome Which medication would the nurse include as a potential cause ?
Phenothiazines
Which condition contraindicates the use of ginseng herbal therapy ?
Pregnancy
Which is the action of oxytocin ? Select all that apply . One some , or all responses may be correct .
Promotes milk ejection during lactation Controls uterine bleeding after delivery Induces labor when uterine contractions are weak
Which chemical would the nurse identify as being responsible for the occurrence of Braxton Hicks contractions during the final weeks of pregnancy ?
Prostaglandins
Which relationship reflects the relationship of naloxone to morphine sulfate ?
Protamine sulfate to heparin
A client with a diagnosis of schizophrenia paranoid type has been receiving a phenothiazine medication Which action is important for the nurse to take to assist this client when the psychiatric daycare center plans fishing trip ?
Provide the client with sunscreen .
corticosteroids ? Which dermatological problem is treated by using intralesional
Psoriasis
Which action would the nurse take when administering eardrops to a 4 year - old ?
Pull the auricle up and out
Which food item will a client diagnosed with tuberculosis and taking isoniazid be advised to avoid to prevent a food and medication interaction ?
Red wine
Which medication action would the nurse identify as the purpose of azathioprine cyclosporine and prednisone given before receiving a kidney transplant ?
Reduce antibody production
Which adverse effect will the nurse assess for when caring for a client taking morphine sulfate for severe metastatic bone pain ?
Respiratory depression
Which advice will the nurse give the client to avoid lipodystrophy when self - administering insulin therapy ?
Rotate injection sites
Which vaccine would the nurse administer orally children
Rotavirus vaccine
Which clinical manifestation is associated with hypernatremia in burns ?
Seizures
Which manifestation is an extrapyramidal side effect of chlorpromazine ? Select all that apply . One , some , or all responses may be correct .
Shuffling gait Tongue rolling Restless movements Drooling Facial tics
Which assessment is the nurse's priority before beginning an infusion of tissue plasminogen activator ( t - PA ) to a client in the emergency department ?
Signs of bleeding
Which medication treatment in the client during her gestation may cause a single - lobed brain and neural tube defects ?
Simvastatin
Which statement is true for collecting a urine sample in toddlers
Single - use bags can be placed over the child's urethral meatus .
How will the nurse respond to a client with cancer experiencing severe nausea and vomiting from chemotherapy who wants to know if it is true that smoking marijuana will help ?
Some tetrahydrocannabinol ( THC -based medications that contain marijuana control chemotherapy - induced nausea and vomiting in some people "
Which action will the nurse take during administration of blood products to ensure the client's safety ?
Stay with client during first 15 minutes of infusion .
Which drug category applies to cocaine ?
Stimulants
Which mechanism of action explains how glyburide decreases serum glucose levels ?
Stimulates the pancreas to produce insulin
Which cytokine would the nurse teach a client treatment for multiple sclerosis ?
beta - Interferon
A client with history of schizophrenia , who responds poorly to medication , is now being treated for acute depression Which informaton would the nurse provide in light of the information elicited from medication list and laboratory results Laboratory Results Hemoglobin : 13.5 g / dL Hematocrit 45 % Red blood cells ( RBCs 4.8 x 106 / mL Platelet count 150,000 mm³ White blood cells WBCs 3,500 mm³ D Neutrophils : 100 mm³ Medications Clozapine Fluoxetine
come in for weekly blood tests to monitor for medication-induced agranulocytosis.
