NUR 205 practice questions
The nurse teaches a patient about bethanechol (Urecholine). Which statement by the patient requires an intervention by the nurse? a. "The medication should be taken with meals." b. "Urgency may occur so I should be near a bathroom." c. "I should plan to take the drug 3 times each day." d. "This drug may cause a drop in my blood pressure."
a
A patient is concerned about developing Alzheimer's disease (AD). What should the nurse include in the teaching plan? A. Estrogen replacement therapy improves cognitive functioning. B. No solid evidence supports the use of drugs to prevent AD. C. Naproxen taken daily after age 50 years decreases the risk of AD. D. Daily doses of gingko biloba can prevent cognitive decline.
b
A patient is newly prescribed carbamazepine (Tegretol) for seizure control. Which food should the patient be taught to avoid? A. Tomatoes B. Grapefruit juice C. Spinach D. Kiwi fruit
b
A patient taking levodopa/carbidopa (Sinemet) for Parkinson's disease experiences frequent "on-off" episodes (or abrupt loss of effect) Which action by the nurse is best? a. Administer the medication on an empty stomach. B.Instruct the patient to avoid high-protein foods. C.Have the patient increase intake of vitamin B6 D.Discontinue the drug for 10 days (for a "drug holiday").
b
A patient who takes oxybutynin (Ditropan) for an overactive bladder takes an over-the-counter antihistamine for hay fever symptoms. What symptoms should the nurse watch for that would indicate toxicity? A. Cool, moist skin; confusion; and bradycardia B. Dry mouth, increased temperature, and blurred vision C. Hallucinations, increased salivation, and diaphoresis D. Hypothermia, increased respiratory rate, and pupil constriction
b
A patient with multiple sclerosis is prescribed baclofen (Lioresal). The nurse will observe the patient for which intended effect? A. Decreased strength B. Suppression of spasticity C. Improved muscle tone D. Increased muscle resistance
b
After an intramuscular injection of penicillin, the patient develops severe difficulty breathing and a swollen tongue. Which medication should the nurse prepare to administer? A. Dopamine (Inotropin) B. Epinephrine (Adrenalin) C. Norepinephrine (Levophed) D. Pseudoephedrine (Sudafed)
b
The nurse cares for a patient receiving pramipexole (Mirapex). The nurse is most concerned if the patient makes which statement? "I now use a patch instead of taking birth control pills." "Sometimes I just fall asleep without warning." "The pills make me sleepy, so I take a nap in the afternoon." "I have noticed that this medicine makes me constipated."
b
An elderly patient with skin cancer and hypertension is prescribed levodopa/carbidopa (Sinemet) to treat Parkinson's disease. Which action by the nurse is best? A.Give the medication if the blood pressure is normal. B.Administer the medication as prescribed C.Ask the patient about the type of skin cancer. D.Hold the medication if the patient is older than 65 years.
c
The nurse instructs a patient about taking dantrolene (Dantrium) for muscle spasm. The nurse determines that teaching is successful if the patient makes which statement? a. "It is common to experience insomnia when taking this drug." b. "Prescription muscle relaxants do not cause dependence." c. "I should avoid drinking alcohol while taking this medication." d. "This medication may cause increased saliva and diarrhea."
c
A patient is prescribed a dopamine agonist, pramipexole (Mirapex). Which statement made by the patient indicates a need for further teaching? A. "The drug should be taken with food to prevent nausea." B. "I may experience hallucinations while taking this drug." C. "I should rise slowly to prevent dizziness and fainting." D. "This drug will stop the progression of Parkinson's disease."
d
A patient is prescribed bethanechol (Urecholine) for urinary retention. If the patient exhibits signs of an overdose (e.g., increased salivation and sweating, bradycardia, hypotension), which medication should the nurse administer? A. Acetylcholine (Miochol-E) B. Cevimeline (Evoxac) C. Oxybutynin (Ditropan) D. Atropine (AtroPen)
d
A patient is prescribed phenytoin (Dilantin) for epileptic seizures. What is a priority nursing action? A. Warn the patient against using alcoholic beverages. B. Tell the patient to take the medication with meals. C. Inform the patient about prevention of gingival hyperplasia. D. Teach the patient to avoid abrupt cessation of treatment.
d
A patient is receiving dopamine (Inotropin) for treatment of shock. What would indicate to the nurse that the medication is effective? A. Decreased mean arterial pressure B. Gain of 2 kg in 24 hours C. Increased heart rate D. Increased urine output
d
The nurse prepares to administer dantrolene (Dantrium) to a patient. The nurse should assess which value before administration of the medication? a. Serum amylase b. Creatinine clearance c. Blood glucose d. Liver function tests
d