NURS 3110 exam 2
The nurse has provided a postpartum client education about oxytocin (Pitocin). Which statement made by the client indicates an understanding of the information?
Oxytocin will increase my uterine contractions
Which finding indicates that endocrine pharmacotherapy has been successful in treating a male client?
Patient's sperm count is 22 million/mL
A nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include?
Have blood pressure checked regularly
Which initial question should the nurse ask the client that is receiving chlorpropamide (Diabinese) experiencing nausea, flushing, and palpitations?
Have you had any alcoholic beverages to drink this week?
After administering terbutaline to a client to inhibit preterm labor, the nurse should assess which of the following?
Heart Rate
A client asks the nurse for emergency contraception. Which question should the nurse ask the client?
How long ago did you have unprotected sex
A nurse should question the use of ethinyl estradiol and drospirenone by a client who has renal disease due to the increased risk of which of the following?
Hyperkalemia
Which electrolyte disturbance should the nurse assess a client for that is receiving hydrocortisone therapy?
Hypernatremia and hyperglycemia
Which should the nurse monitor the client for that is receiving glucocorticoid therapy?
Hypertension
A nurse at a provider's office is assessing a client who has been taking hydrocortisone for adrenal insufficiency. The client reports fatigue and feeling overwhelmed by personal responsibilities. Which of the following findings should the nurse identify as an indication the provider might need to increase the client's dosage?
Hypotension
Which is the initial step of the negative feedback regulation that results in the suppression of secretion of TSH and TRH thyroid hormone?
Hypothalamus secretes thyroid-releasing hormone (TRH)
The nurse is reviewing the records of a child being treated for a short stature. Which prescription should the nurse anticipate the child is receiving?
Octreotide (Sandostatin)
A nurse is caring for a client who has diabetes mellitus and reports feeling shaky and weak. The client's blood glucose is 53 mg/dL. Which of the following actions should the nurse take?
Offer the cleint 120 mL (4 oz) fruit juice
Which classification of prescription should the nurse plan to administer to the client experiencing a closed angle glaucoma attack?
Osmotic diuretics
Which is responsible for the secretion of estrogen?
Ovarian follicles
A nurse is caring for a client who is about to begin clomiphene therapy to treat infertility. The nurse should monitor the client for which of the following adverse effects?
Ovarian hyperstimulation syndrome
Which history of clinical conditions should the nurse inquire about from a client with azoospermia?
- Sexually transmitted infections - Mumps - Tuberculosis
A nurse is taking with a client who has a new diagnosis of diabetes mellitus type 2 and their caregiver. Which of the following sweeteners should the nurse include as a zero-calorie sweetener option?
- Sucralose - Aspartame
Which should the nurse include in the client education about the structure and function of the skin?
- The outermost later of the epidermis serves as the major waterproof barrier to the environment - The amount of subcutaneous tissue varies and is determined by nutritional status and heredity - the deepest epidermal layer provides new cells
Which information should the nurse include in the education about anabolic steroids for a group of high school athletes?
- The use of anabolic steroids can lead to infertility - the entire body is affected by anabolic steroids, especially your liver - The use of anabolic steroids can lead to very aggressive behavior
The nurse has completed the education for a client being treated for benign prostatic hypertrophy (BPH). Which statements by the client indicate an understanding of the disease?
- These medications are not a cure - taking an antihistamine might make my problem worse
A nurse is teaching a client who has cancer about ways to increase protein and calories in foods. Which of the following actions should the nurse include? Select all that apply.
- Top fruit with yogurt - Dip chicken in eggs before cooking - Use peanut butter as a spread on crackers - Sprinkle cheese on a baked potato
Which interventions for the treatment of a client with a severe sunburn should the nurse anticipate?
- Topical anesthetics - PO analgesics - Hydration
A male patient has been started on a 5-alpha reductase inhibitor for the treatment of benign prostatic hyperplasia (BPH). Which information should the nurse provide?
- Use a condom during intercourse - Keep this medication in a secure place away from children - Do not give blood while you are taking this medication
Which testing should the nurse schedule the client for 2 months after pharmacotherapy has begun to treat open angleglaucoma?
- Visual field changes - Intraocular pressure
Which assessment findings should the nurse anticipate for the client that has overdosed on vitamin D?
- Vomiting - Fatigue - Excessive thirst
A client calls the family planning clinic and states, "I had unprotected sex, and now I am afraid I will get pregnant." Which information about Plan B should the nurse provide to client?
- You can purchase Plan B without a prescription - You may take two separate doses of PlanB - Plan B will prevent ovulation and implantation
Which information should the nurse provide for a client prescribed permethrin (Nix) for the treatment of body mites?
- You may feel some stinging or tingling while the lotion is being used - You should not use this medication if you are sensitive to chrysanthemums
Which prescription information should the nurse provide the client prescribed Premarin?
- You may notice a decrease in your libido while on this prescription - You may experience depression while taking the prescription - Do not become pregnant while on this prescription
A nurse is caring for a client who is about to begin taking pioglitazone to treat type 2 diabetes mellitus. The nurse should explain to the client about the need to monitor which of the following laboratory values?
- alanine aminotransferase (ALT) - LDL
A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following information should the nurse include?
- avoid being near people who are sick with a communicable illness - periodic laboratory tests are required - report bruising or petechiae - avoid drinking alcohol
A nurse is providing teaching to a client who is taking bethanechol for urinary retention. Which of the following instructions should the nurse include?
- avoid driving and activities that require alertness - increase fluid intake - stay close to a bathroom after taking the drug
A nurse is teaching a client who has a new prescription for transdermal testosterone gel to treat delayed puberty. Which of the following instructions should the nurse include?
- cover the area of application with clothing - wash your hands after applying with clothing - do not shower for several hours after applying the gel
Which information should the nurse include in the education about the mechanism of action for metformin(Glucophage)?
- decreases sugar production in the liver - reduces insulin resistance
a nurse is teaching a client who has a prescription for prednisone and takes 1,500 mg/day of calcium carbonate to reduce the risk of osteoporosis. which of the following information should the nurse inculde?
- drink 240ml of water with the calcium tablets - chew calcium tablets before swallowing them - take the drugs 1 hour apart - divide the daily dosage of calcium into three 500-mg doses is correct
Which physical assessment findings support a diagnosis of hypogonadism in an 18-year-old male?
- facial hair is minimal, soft, and light in color - absent pubic hair - small testicles
Which condition should the nurse be concerned about for a client prescribed beta-adrenergic blocker ophthalmic drops for the treatment of glaucoma?
Asthma
A nurse is teaching a client who has a prescription for glipizide therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include?
Avoid drinking alcohol
Which information should the nurse include in the education for a client prescribed sildenafil (Viagra)?
Be sure to take only one pill in a 24-hour period
A nurse is caring for a male client who has hyperthyroidism and is not responding to treatment. The nurse should identify that hyperthyroidism is a contradiction for which of the following drugs?
Bethanechol
Which best describes open-angle glaucoma?
Bilateral with a slow onset
A nurse should question the use of conjugated equine estrogen by a client who has a history of which of the following?
Blood clots
Which assessment is the best to determine the effectiveness of bisphosphonate therapy for a client withosteoporosis?
Bone density scan
A nurse is planning care for a client who has a new prescription for methotrexate. The nurse should plan to monitor the client for which of the following adverse effects?
Bone marrow depression
Which finding is a sign or symptom of hypothyroidism?
Bradycardia
The nurse reviewing the records of a female client notes a prescription for high doses of androgen. For which condition should the nurse understand the client is being treated?
Breast cancer
Which is a contributing factor to the symptoms of gout?
Buildup of uric acid in the blood
Which information should the nurse include in the teaching for a client prescribed doxazosin (Cardura)?
Do not drive 12-14 hours after starting this medication
A nurse is assessing a client who has hypoglycemia. Which of the following findings should the nurse expect?
Diaphoresis
Which should the nurse include in the plan of care when administering intranasal desmopressin (DDAVP) to a client?
Direct the spray high into the nasal cavity
Which information should the nurse include in the education for a client prescribed flibanserin (Addyi) for the treatment of sexual desire disorder?
Do not drink alcohol while taking the medication
The nurse is reviewing the blood work of a client suspected of having diabetes. Which result should the nurse be concerned about?
HBA1C level is 8.4% -- target is 6.5 or less
The nurse is preparing to educate a client prescribed levothyroxine (Synthroid). Which information should the nurse include in the teaching?
Assess for altered sleep patterns --AE insomnia
Which history should the nurse anticipate for a young child who is diagnosed with atopic dermatitis?
- Family history of asthma - Allergy to soaps and lotions
Which are the primary blood tests for diagnosing diabetes?
- Fasting plasma glucose - Hemoglobin A1C - Oral glucose tolerance test
Which are thought to be the contributing factors to the development of type I diabetes?
- Genetics - Environment - Immunology
Which information should the nurse provide the client that asks how glaucoma develops?
- Having diabetes is a risk factor in the development of glaucoma - glaucoma exists when the pressure in your eye is high enough to cause optic nerve damage - High blood pressure can certainly lead to the development of gluacoma - drugs like antihistamines and antidepressants can contribute to glaucoma
The educator has reviewed the action of the biphasic estrogen-progestin oral contraceptive with the nurse. Which statement made by the nurse indicates an understanding of the information?
"The amount of estrogen in each pill remains constant, but the amount of progestin is increased toward the end of the treatment cycle to better nourish the uterine lining."
Which should the nurse anticipate to be included in the treatment of advanced osteoarthritis?
- Acetaminophen - Topical ointments - Tramadol - Instraarticular corticosteroids
A nurse is teaching a community program on nutritional guidelines for cancer prevention. Which of the following instructions should the nurse include? Select all that apply.
- Add cruciferous vegetables. - Eat foods high in vitamin A
Which is most often associated with otitis media?
- Allergies - Auditory tube irritation
Which structures contain aqueous humor?
- Anterior chamber - Posterior chamber
Which prescriptions increase the client's risk for gout?
- Aspirin - Thiazide diuretics - Acetaminophen
Which nonpharmacological interventions should the nurse recommend for a client prescribed topical metronidazole (MetroGel) for rosacea?
- Avoid drinking alcohol - Drink your coffee at room temperature
Which classification of prescription should the nurse evaluate the client for that is experiencing psoriasis?
- Beta blockers - NSAIDs - Tetracyclines - Angiotensin converting enzyme inhibitors
Which system disorders are associated with erectile dysfunction (ED)?
- Cardiovascular - Endocrine - Nervous - Renal
Which types of dermatitis commonly respond to topical pharmacotherapy?
- Contact - Atopic - Seborrheic
Which education should the nurse include in the teaching for a client prescribed a NuvaRing?
- Contraceptive protection is provided for 3 weeks - The ring uses estrogen and progestin to provide contraception
Which conditions support the diagnosis of rheumatoid arthritis?
- Diabetes mellitus - pulmonary disease
A nurse is assessing a client who has a new prescription of oxybutynin to treat neurogenic bladder. Which of the following assessment findings should the nurse identify as an adverse effect of the drug?
- Dilated pupils - Dizziness - Distended bladder - Fever
Which should the nurse monitor the client for that has experienced a significant systemic absorption of Timolol (Betimol)?
- Dysrhythmias - Hypotension
A provider has prescribed a dinoprostone vaginal insert to promote cervical ripening in a client who is at 40 weeks of gestation. When administering dinosprostone, which of the following actions should the nurse take?
- Encourage the client to urinate prior to insertion - Remove the pouch when active labor beings - Monitor for uterine hyperstimulation - Monter the client's temperature
The nurse has provided education for a client prescribed (Fosamax). Which statements made by the client indicate an understanding of the information?
- I cannot lie down for at least 30 minutes after taking the prescription - I should call my healthcare provider if I experience heartburn - I must take this with a full glass of water
Which statements made by a client indicates that they may be experiencing closed angle glaucoma?
- I have a headache that will not go away - I see hallows around bright lights - I have been experiencing a dull pain in my eyes - My eyes are so blood shot
A nurse is teaching a patient about the possible adverse effects of oral contraceptives. The nurse evaluates that the patient understands this teaching if which statement is made?
- I may experience increased acne while on oral contraceptives - If i experience chest pain, I will call the clinic immediately - Any blurry vision or loss of vision should be reported immediately - If i notice swelling in my feet, hands, or face, I will notify the clinic
Which comments made by a high school athlete should the nurse interpret as indicating an understanding of the risks of using anabolic steroids?
- I might become mentally dependent on these drugs - I should not take ibuprofen while taking these other drugs
Which information should the nurse include in the education for a client prescribed denosumab (Prolia)?
- I will administer your prescription in the form of an injection - You may feel more fatigued than usual when taking this prescription - Be certain to keep your appointments for follow-up - We must monitor your cholesterol while you are taking this drug
Which statement made by a client indicates an understanding of the education for corticosteroid therapy?
- I will take my medication at the same time every day - i will take my medication with food or a meal - If i notice my vision is changing, I will contact my health care provider
Which describes the mechanism of action of selective estrogen receptor modulators (SERMs)?
- Increase bone density - Decrease bone resorption - Increase bone mass
A nurse is teaching a client about raloxifene. Which of the following information should the nurse include?
- Increase physical activity by taking walks - Use a contraceptive if there is any possibility of pregnancy - Increase intake of calcium and vitamin D
Which pharmacological effects are used to prevent hyperuricemia for a client with gout?
- Inhibit the formation of uric acid - Excrete the uric acid - convert uric acid to a less toxic form
The nurse has completed medication education for a client prescribed allopurinol (Zyloprim). Which client statements indicate an understanding of the information?
- It may take a few days or weeks for me to get the full effect of this medication -I should not drink while taking this drug - If I develop a skin rash, I should contact the prescriber -I should take this medication with food
Which statements made by a client prescribed bisphosphonate for treatment of osteoporosis require education?
- It will take at least 4 years for the maximum effect of the prescription to occur - I still need to eat food high in phosphorus
Which information should the nurse provide a client that has been prescribed tretinoin (Avita) for treatment of acne?
- It will take several weeks for you to see improvement in your skin - You will likely notice redness and scaling of your skin while using this medication
The nurse is preparing to provide education for a client prescribed Raloxifene. Which common adverse effects should the nurse include in the teaching?
- Leg cramps - Hot flashes - Weight gain
Which instructions should the nurse provide to the parents of children in an elementary school which is experiencing an outbreak of lice and body mites?
- Look for small bugs in your children's hair or small objects attached to the hair shaft - If life or mites are found, stuffed animals should be washed or sealed in an airtight bad for 2 weeks
Which conditions should the nurse associate with the development of hypocalcemia despite normal dietary intake?
- Malabsorption syndrome - Chronic kidney disease - Excessive vomiting - Multiple blood transfusions
Which statements indicate a client understands the diagnosis of open-angle glaucoma?
- My eye cannot drain the fluid that it produces - This is a gradual process; it may take years to develop - This is the most common kind of glaucoma
Which should the recognize as adverse effects from the use of sildenafil (Viagra)?
- Nasal congestion - Blurry vision - Priapism - Photophobia
The nurse is discussing the adverse effects of Phototherapy with ultraviolet-A (PUVA) therapy with a client experiencing psoriasis. Which symptoms should the nurse include in the discussion?
- Nausea - Headache - Skin sensitivity
The nurse teaches a class for clients in their first trimester of pregnancy. The nurse evaluates that learning has occurred when the clients make which statements?
- Ovulation is caused by a surge of luteinizing hormone - Follicle-stimulating hormone causes ovarian follicles to develop
A nurse is presenting community education for a group of patients with osteoarthritis. The nurse gives which information regarding the goals of pharmacotherapy for osteoarthritis?
- Prescriptions are given to help reduce the pain of osteoarthritis - Some of the prescriptions for osteoarthritis focus on reducing inflammation
Which information should the nurse include in the teaching for a client prescribed a progestin only oral contraceptive?
- Progestin oral contraceptives have a higher failure rate - Progestin oral contraceptives inhibit plantation of a fertilized egg - Works primarily by producing a thick viscous mucus that discourages the sperms entrance to the uterus
Which measurements of intraocular pressure should the nurse recognize requires pharmacological intervention?
- Readings consistently higher than 21 mmHg - A single reading of 32 mmHg
Which describe the goals of pharmacotherapy for a client with rheumatoid arthritis?
- Reduce pain - Minimize disability - Control inflammation
A nurse is providing teaching to a client who is about to begin exenatide therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include?
- inject the drug subcutaneously - expect the peak effect in 2 hr - use the drug as a supplement to an oral hypoglycemic
Which information should the nurse include in the education for a client has been prescribed levothyroxine(Levothroid)?
- it may take a few weeks for you to see the full benefits from this drug - be sure to keep all of your follow-up appointments - do not start a fiber laxative without first discussing it with your health care team - take your calcium supplement at least 4 hours after taking this drug
Which information should the nurse provide a client that has stopped taking oral contraceptives so that she can become pregnant?
- it may take several months for ovulation to return to normal - it may take several months for your menstrual periods to become regular
A nurse should instruct a client who is taking alendronate to monitor for which of the following adverse effects?
- jaw pain - blurred vision - muscle pain
A nurse is providing teaching to a client about taking fludrocortisone to treat adrenocortical insufficiency. Which of the following instructions should the nurse include?
- obtain weight measurement daily - report weakness or palpitations - have blood pressure checked regularly
Which information should the nurse include in the teaching for a client prescribed testosterone?
- place the patch on a place that does not have hair - observe for a rash at the patch site - keep these patches away from children
A nurse is caring for a client who has a new prescription for transdermal conjugated estrogen and medroxyprogesterone to treat postmenopausal symptoms. The nurse should explain to the client that this drug combination includes which of the following therapeutic effects?
- reduces the risk of ovarian cancer - relieves hot flashes - prevents osteoporosis
A nurse is teaching a client about calcitonin-salmon intranasal spray to treat osteoporosis. Which of the following information should the nurse include?
- report rash or itching - prime the pump before the first dose - report nasal irritation
A nurse is caring for a client who is about to begin taking propylthiouracil (PTU) to treat hyperthyroidism. The nurse should instruct the client to report which of the following adverse effects?
- sore throat - joint pain - bradycardia - rash
The nursing instructor teaches the student nurses about the endocrine system. The nursing instructor evaluates that learning has occurred when the student nurses make which statements?
- the hypothalamus secretes releasing hormones - hormones released by the endocrine system influence every organ in the body - the pituitary gland secretes TSH (thyroid-stimulating hormone) - the endocrine system is a major controller of homeostasis
Which should the nurse instruct a client to report that has been prescribed methimazole (Tapazole)?
- unexplained bruising - decrease sense of taste - intolerance to cold
A nurse is caring for a client who is about to begin taking somatropin. The nurse should explain the need to monitor which of the following laboratory values?
- urine calcium - blood glucose
A nurse is reinforcing dietary teaching to a client who has type 2 diabetes mellitus. Which of the following instructions should the nurse include?
- you can add table sugar to cereals - use the same portion sizes to exchange carbohydrates - eat something if you choose to drink alcohol - carbs should comprise 55% of daily caloric intake
A nurse administers pramlintide at 0800 to a client who has type 1 diabetes mellitus. At which of the following times should the nurse expect the drug to exert its peak action?
0820
A client receiving Depo-Provera as a method of birth control asks the nurse how long the prescription will be effective. Which response should the nurse provide the client?
3 months
When should the nurse administer a client's prescribed 10 units of lispro (Humalog)?
5 minutes before a meal
a nurse is caring for a client who has a new prescription for etanercept. which of the following actions should the nurse take?
Administer a tuberculin skin test prior to starting the medication
A client with Addison's disease is experiencing nausea, vomiting, and confusion. Which priority intervention should the nurse anticipate to be included in the plan of care?
Administration of intravenous hydrocortisone
The nurse has provided education for a client prescribed the contraceptive Seasonale. Which statement made by the client indicates an understanding of the information?
After I have taken pills for 48 days, I will not take pills for 7 days
Which should the nurse anticipate to be prescribed for the primary treatment of mastoiditis?
Antibiotic
Which information should the nurse include when teaching a client about proper subcutaneous injection techniques?
Apply a pad to the site after injection
Which instructions should the nurse include in the education for a client has lice infestation of the eyelids?
Apply a thin coat of petroleum jelly to your eyelashes once a day for a week
Which should the nurse include in the plan of care for a client receiving Ortho-Novum experiencing vaginal bleeding?
Ask the client if she is bleeding between cycles or if this is her regular period
Which should the nurse plan to administer to a client to restore their calcium balance?
Calcium supplements and vitamin D
A nurse is teaching a client about raloxifene therapy to prevent osteoporosis. The nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug?
Calf pain
Which information should the nurse include in the teaching for a client prescribed an alpha1-adrenergic blocker for the treatment of benign prostatic hyperplasia?
Call your healthcare provider if you are unable to take the prescription for 2 days
A client receiving androgen therapy expresses concern about recent body changes as a result of the therapy. Which is the most therapeutic response by the nurse?
Can we talk about your concerns?
A nurse is providing safety education to a client who is scheduled to begin treatment with tamsulosin for benign prostatic hypertrophy (BPH). Which of the following instructions should the nurse include in the teaching?
Change positions slowly
Which is the next step in the process of vitamin D activation after the dietary products are consumed?
Cholecalciferol is synthesized
Which client behavior should the nurse be most concerned about for the client prescribed an estrogen/progestin oralcontraceptive?
Cigarette smoking increases the client's risk for a thrombolytic disorder
Which is responsible for the secretion of aqueous humor?
Ciliary body
Which describes the function of the thyroid gland?
Control basal metabolism
Which is responsible for the secretion of progestins?
Corpus luteum
A nurse is caring for a client who is taking alendronate to treat postmenopausal osteoporosis. The nurse should explain to the client that alendronate increases bone mass by which of the following actions?
Decreases activity of osteoclasts
Which area of the structure of the skin is responsible for the sensation of itching?
Dermis
For which condition does vasopressin (Vasostrict) treat?
Diabetes insipidus
A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. Which of the following instructions should the nurse include?
Do not take the drug with high-fat foods
The nurse reviewing the records of a client notes that he does not have a history of benign prostatic hyperplasia but is receiving finasteride (Proscar). Which assessment question should the nurse ask the client?
Do you have male pattern baldness?
Which question should the nurse ask the client that is requesting a refill of prescribed tadalafil (Cialis)?
Do you use nitroglycerine?
A nurse is teaching about self-administrating methotraxate to a client who has rheumatoid arthritis. Which of the following statements should the nurse make?
Drink a minimum of 2 liters of water per day to promote the drug's excretion
Which is progestin primarily prescribed to treat?
Dysfunctional uterine bleeding
Which information should the nurse include in the teaching of a client with type 1 diabetes mellitus that would like to participate in a sports?
Eat a meal 1 hour before the game and consume a carbohydrate snack and fluids during the game
Which describes the mechanism of action of prostaglandin analogs used for the treatment of intraocular pressure?
Enhance the outflow of aqueous humor
A nurse is caring for a client who has benign prostatic hypertrophy and is taking tamsulosin. The nurse should question the use of the drug if the client also has which of the following?
Erectile dysfunction for which he takes sildenafil
Which testing should the nurse instruct the client receives hydroxychloroquine sulfate (Plaquenil) to do on a regularbasis?
Eye exams
Which finding is an adverse effect of prostaglandins, such as latanoprost (Xaltan)?
Eye pain
Which symptom is common for a client with untreated type 1 diabetes mellitus?
Fatigue -- from sustained hyperglycemia
Which statement made by a client indicates an understanding of the role of follicle-stimulating hormone (FSH) and the male reproductive system?
Follicle-stimulating hormone (FSH) regulates sperm production
A nurse is caring for a client who is received human menopausal gonadotropin (hMG). Which of the following findings should the nurse expect?
Follicular maturation
Which initial steps occurs in the process of the formation of the corpus luteum?
Gonadotropin-releasing hormone (GnRH) is secreted
Which statement made by a client prescribed 0.1% tacrolimus (Protopic) for treatment of severe atopic dermatitis indicates an understanding of the information?
I am at increased risk for skin cancer because I am using this drug
The nurse has provided education for a client prescribed glucocorticoid therapy. Which statement made by the client indicates further teaching is required?
I can take the medication at any time as long as I don't forget it - important to take after eating, monitor blood sugar on the reg, eat diet high in protein
A client receiving insulin tells the nurse their blood glucose has been low the last few mornings. Which additional statement made by the client may be a contributing factor to the decrease in the blood glucose?
I have been taking a garlic supplement to prevent colds -- garlic may potentiate the hypoglycemic effect of insulin
Which statement made by an older female client prescribed medroxyprogesterone (Provera) should the nurse be most concerned about?
I have experienced moments of confusion
A nurse is teaching a client who has a new prescription for a testosterone transdermal patch. Which of the following statements made by the client indicates an understanding of the teaching?
I should apply the medication to a different site each time
Which statement made by a client indicates an understanding of the education about insulin administration?
I should only use a calibrated insulin syringe for the injections
The nurse has completed the education for a client prescribed timolol (Timoptic). Which statement made by the client indicates an understanding of the information?
I understand I may experience blurred vision after administering the prescription
A nurse is teaching a client who is undergoing cancer treatment about interventions to manage stomatitis. Which of the following statements by the client indicates understanding of the teaching?
I will avoid toasting my bread
The nurse has provided education for a client prescribed a transdermal patch for contraception. Which statement made by the client indicates an understanding of the teaching?
I will change the patch every 3 weeks and be patch free week 4
The nurse has provided client education about the treatment for open-angle glaucoma. Which statement made by the client indicates an understanding of the information?
I will have to use eyedrops for the rest of my life
The nurse has provided education for a client prescribed topical scabicide. Which statement made by the client indicates an understanding of the teaching?
I will monitor the area daily for the next few weeks
a nurse is teaching a client about adverse effects of etanercept. which of the following statements by the client indicates understanding of the teaching?
I will need to get my blood drawn periodically while on this medication
A nurse is teaching a group of clients who have diabetes about meal planning. Which of the following client statements indicates understanding?
I will not eat fruit canned in syrup
The nurse has provided education to a client prescribed Adalimumab (Humira). Which statement made by the client indicates further teaching is required?
I will practice drawing up the prescription in a syringe
a nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. which of the following statements by the client indicates understanding of the teaching?
I will take a birth control pill every day
The nurse has taught the client with osteoporosis about how to manage the illness. Which statement by the client indicates that additional teaching is necessary?
I will take my calcium when I wake up
The nurse has provided discharge teaching for a client prescribed a mydriatic drug. Which statement made by the client indicates further teaching is required?
I will use artificial tears if my eyes feel dry
Which assessment finding indicates the pharmacological treatment for the client with open angle glaucoma istherapeutic?
Improved visual acuity
Alendronate is contraindicated for administration to clients who have which of the following conditions?
Inability to sit upright
Which triggers the release of insulin in the body?
Increase in blood sugar
Which describes the goal of androgen therapy in men?
Increase the libido
Which symptom should the nurse monitor the client for that is diagnosed with diabetes insipidus?
Increased dilute urine output
A nurse should identify that a client who has diabetes mellitus and is taking etanrecept is at an increased risk for which of the following adverse effects?
Infection
The nurse is preparing to provide education for a client prescribed an estrogen progestin combination oral contraceptive. Which information should the nurse include in the teaching?
Inhibit ovulation
Which initial technique should the nurse use to facilitate the removal of cerumen?
Instill an earwax softener
The home health nurse observes a client's 3-month supply of insulin vials are not refrigerated. Which action should the nurse take?
Instruct the client that the insulin should be stored away from direct sunlight or excessive heat
Which insulin has the longest onset?
Insulin detemir (Levemir) -- onset of 1.6 hours
Which type of insulin should the nurse anticipate to administer intravenously to a client with a blood glucose of 563?
Insulin regular (Humulin R) -- only one that can be given intravenously
Which assessment should the nurse include in the treatment plan for a client receiving calcium intravenously (IV)?
Intravenous (IV) site
The nurse reviewing the records of a client notes a prescription for tretinoin (Avita). Which question should the nurse include in the assessment?
Is your acne clearing up?
A client asks the nurse what swimmer's ear is. Which information should the nurse include in the discussion?
It is an inflammation of your external auditory canal
A male client prescribed estrogen for prostate cancer asks the nurse why they are receiving a female hormone. Which response should the nurse provide?
It suppresses secretion of the androgens that make your cancer grow
Which response should the nurse provide a client that asks why infertility drugs are not being developed for men?
It's difficult because only about 5% of infertile men have an endocrine problem
Which is the most important symptom that the nurse should instruct the client prescribed a bisphosphonate to immediately to report the healthcare provider?
Jaw pain
Which information should the nurse include in the education for a client prescribed eye drops for glaucoma?
Keep the lights dim after administration to avoid light sensitivity
Which condition is a client at risk for that is prescribed a biguanide?
Lactic acidosis
The physician writes orders for the client with diabetes mellitus. Which order should the nurse clarify with the healthcare provider?
Lantus insulin 20U BID
Which should the nurse plan to administer to a client that requires the enhancement of tear production?
Lifitegrast (Xiidra)
A nurse is teaching a client about self-administering regular insulin. The nurse should instruct the client to rotate injection sites to prevent which of the following?
Lipohypertrophy
Which level of potency does the topical corticosteroid dexamethasone have?
Low
Which describes the primary goal of pharmacotherapy for the treatment of hyperthyroidism (Graves' disease)?
Lower the activity of the thyroid gland
Which prescription is classified as a biguanide?
Metformin HCI (Glucophage)
Which of the following is a therapeutic action of raloxifene?
Mimics the effects of estrogen on bone tissue
Which symptom should the nurse associate with hypoglycemia?
Moist skin
Which symptoms associated with an adverse effect of alendronate (Fosamax) should the nurse instruct the client to report?
Muscle spasms
Which should the nurse monitor a client for that has been on long-term steroid therapy?
Muscle wasting
Which statement made by a client supports their diagnosis of acute gouty arthritis?
My attacks occur at night
Which statement made by a client indicates an understanding of type 2 diabetes mellitus?
My cells are resistant to the insulin my pancreas makes
Which classification of drugs should the nurse anticipate to be administered for a client requiring an eye exam?
Mydriatics
Which area of a client's body should the nurse prepare to assess that is diagnosed with tinea unguium?
Nails
The nurse is preparing to assess a client suspected of having benign prostatic hyperplasia. Which common finding should the nurse anticipate?
Nocturia
A nurse is speaking with a client who is taking glipizide to treat type 2 diabetes mellitus and has called to report feeling shaky, hungry, and fatigued. Which of the following actions should the nurse instruct the client to take?
Perform a fingerstick blood glucose check
A nurse is providing teaching to a client about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include?
Perform weight-bearing activities
Which laboratory test should the nurse monitor the client for that is receiving insulin?
Potassium
Which information should the nurse include in the education for a client prescribed finasteride (Proscar)?
Pregnant women should not touch this medication
Which should the nurse include in the education for a client prescribed testosterone buccally?
Produces a continuous supply of testosterone in the blood
A nurse is caring for a client who is about to begin taking cabergoline to treat infertility. The nurse should explain to the client the need to monitor which of the following laboratory values?
Prolactine level
Which is the mechanism of action for finasteride (Proscar)?
Promotes the shrinkage of an enlarged prostate gland
A nurse is caring for a client who is about to begin taking finasteride to treat benign prostatic hypertrophy. The nurse should explain to the client the need to monitor which of the following laboratory values?
Prostate-specific antigen (PSA)
Which describes the primary function of the dermis?
Provides foundation for hair and nails
Which is a characteristic of dermatitis?
Pruritus
A client taking oral contraceptives tells the nurse she is experiencing nausea and breast tenderness and is afraid she might be pregnant. Which information should the nurse provide the client?
Reassure the client that these symptoms can be a side effect of oral contraceptives
Which describes the primary mechanism of action of beta-adrenergic blockers for the treatment of open-angle glaucoma?
Reduce production of aqueous humor
Which is an important function of calcium?
Regulate nerve transmission
Which describes the primary function of luteinizing hormone (LH) in men?
Regulate testosterone
Which information should the nurse include in the teaching for the parent of a child with head lice?
Remove all nits from the hair shaft with a nit comb or a fine-tooth comb
A nurse is collecting data from a client who has suspected HIV-associated muscle wasting. Which of the following findings supports this diagnosis?
Report of fever for 30 days
Which symptom does the nurse anticipate for a client that has experienced systemic absorption of a cholinergic eyedrops?
Salivation
Which is a primary function of the islets of Langerhans?
Secretion of glucagon
Clients who have contracted head lice in the nursing home are prescribed lindane (Kwell). Which medical diagnosis should the nurse be concerned about when administering lindane?
Seizures
Which is the nurse's primary concern for a client with a low calcium level?
Seizures
Which finding is an adverse effect of 5-alpha reductase inhibitors?
Sexual dysfunction
A nurse is caring for a client who is taking etanercept for rheumatoid arthritis. The nurse should monitor the client for which of the following indications of a serious adverse reaction to the drug?
Shortness of breath
A nurse is caring for a client who takes repaglinide 15 to 30 min before each meal to treat type 2 diabetes mellitus. The client asks, "If I skip a meal, what should I do?" Which of the following responses should the nurse make?
Skip the dose
The nurse has provided education for a client prescribed desmopressin (DDAVP). Which statement made by the client indicates an understanding of the information?
This medication increases water reabsorption in my kidneys
Which assessment finding should the nurse anticipate for a client diagnosed with rosacea?
Small papules
A nurse is assessing a client who has a new prescription for the combination oral contraceptive ethinyl estradiol and drospirenone. Which of the following findings should the nurse identify as a contradiction to use of this medication?
Smokes half a pack of cigarettes a day
Which food selection should the client with hyperthyroidism be instructed to avoid?
Soy sauce (high iodine)
Which describes the action of oxytocics?
Stimulate uterine contractions
Which supplies and replaces skin cells in the epidermis?
Stratum basale
A nurse is caring for a client who missed a dose of her oral contraceptive. Which of the following instructions should the nurse give the client?
Take the missed dose as soon as possible
Which statement should the nurse include in a client's education when discussing calcium supplementation?
Take you calcium with a meal
Which prescription is most appropriate for a client with benign prostatic hyperplasia (BPH) and hypertension?
Terazosine (Hytrin)
A client has been advised to use an over-the-counter acne product that contains benzoyl peroxide and salicylic acid. Which information should the nurse include in the teaching?
Test this product on a small area of skin for 3 days before applying to your face
Which is responsible for the secretion of androgen?
Testes
Which client has the highest risk of developing type 2 diabetes mellitus?
The 42-year-old client who is 50 pounds overweight
A client with type 1 diabetes mellitus receiving insulin asks the nurse if they can have a glass of wine with their dinner. Which information should the nurse provide the client?
The alcohol could predispose you to hypoglycemia
Which should the nurse be most concerned about during the treatment of a client experiencing a thyroid storm?
The client begins to shiver
Which findings should the nurse discuss with the prescriber prior to administering a client prescribed brinzolamide(Azopt)?
The client is allergic to sulfa
Which outcome should the nurse anticipate for the client receiving treatment with radioactive iodine (Iodine-131) therapy?
The client will most likely require thyroid replacement therapy
Which result from the diagnostic testing with cosyntropin (Cortrosyn) for adrenocortical insufficiency indicates secondary adrenocortical insufficiency has occurred?
The clients plasma level of cortisol rises following the injection
Which information should the nurse provide the client prescribed cycloplegic eye drops prior to an eye examination?
The drops dilute the pupil and paralyze the ciliary muscle to prevent the lens from moving during examination
Which response should the nurse provide the client that asks how skin cells are replaced?
The epidermis supplies new cells after older cells have been damaged or lost
The nurse has provided education for a client with benign prostatic hyperplasia (BPH). Which statement made by the patient indicates an understanding of the condition?
The glands around the urethra are enlarged
A client prescribed ultraviolet (UV) light therapy for a skin condition states to the nurse "This treatment is so expensive, I think I will go to the tanning salon instead." Which information should the nurse provide the client?
The light therapy you require should be closely monitored
A client asks the nurse how dipivefrin (Propine) will decrease their IOP. Which information should the nurseprovide?
The prescription will dilate the pupil increasing the outflow of the aqueous humor
A client being treated for acne asks the nurse why they are prescribed doxycycline. Which response should the nurse provide?
The prescription will lessen the inflammation
A client with type 1 diabetes mellitus asks the nurse why they cannot receive insulin in a pill form. Which response should the nurse provide the client?
The stomach acid would destroy the insulin
A client tells the nurse that the timolol (Timoptic) eyedrops they're using sting their eyes. Which response should the nurse provide the client?
This is a normal and expected effect of the drops
The nurse has completed the education for a client prescribed clomiphene (Clomid). Which statement made by the client indicates an understanding of the information?
This medication stimulates LH (luteinizing hormone)
Which information should the nurse include in the education for a client with psoriasis vulgaris?
This type of psoriasis requires long-term treatment
The nurse is preparing to provide education for a client prescribed sodium hyaluronate (Hyalgan). Which information should the nurse plan on including in the instructions?
This will help prevent friction of the joints
a nurse is caring for a client who is currently taking methotrexate for rheumatoid arthritis. the nurse should identify that which of the following is an adverse effect of this medication?
Thrombocytopenia
Which should the nurse monitor the client for that is receiving hormone replacement therapy (HRT)?
Thrombophlebitis
A client asks why they cannot take a glucocorticoid pill for their dermatitis instead of using a lotion. Which information should the nurse discuss with the client?
Topical glucocorticoids are most effective for controlling inflammation
Which treatment should the nurse anticipate for a client with tinea capitis?
Undecylenic acid
Which assessment findings should the nurse anticipate for the client with Cushing's syndrome?
Upper body obesity
A nurse in an oncology clinic is caring for a client who is undergoing treatment for cancer and reports difficulty eating due to inability to taste food. Which of the following interventions should the nurse recommend?
Use plastic utensils to eat
a nurse is caring for a client who was diagnosed with postmenopausal osteoporosis. which of the following actions should the nurse take prior to administering calcitonin-salmon to the client for the first time?
Use skin testing to check the client for allergies
When caring for a laboring client, which assessment finding indicates the oxytocin (Pitocin) infusion should be discontinued?
Uterine contractions that are continuous and sustained
A nurse is caring for a client who has a new prescription for conjugated equine estrogen. The nurse should instruct the client to report which of the following indications of a serious adverse reaction?
Vaginal bleeding
A nurse is teaching a client about receiving leuprolide to treat endometriosis. The nurse should instruct the client to expect which of the following side effects?
Vaginal dryness
Which does the nurse anticipate to be prescribed for the treatment of a client's erectile dysfunction (ED)?
Viagra
A nurse is teaching a client who has a prescription for calcium citrate about manifestations of hypercalcemia. Which of the following manifestations should the nurse include in the teaching?
Vomiting
A nurse is educating the parents of a child who has a new diagnosis of Prader-Willi Syndrome (PWS) and has been prescribed somatropin. Which of the following statements by a parent indicates understanding of the teaching?
We will use a different spot for injection each time we give the medication
Which finding should the nurse be most concerned about for a client with hypothyroidism?
Weight gain
A nurse is teaching a client who has a new prescription for etanercept. Which of the following statements should the nurse make?
You should report signs of infection to your provider immediately
A client calls the clinic and tells the nurse that she has missed taking several of her contraceptive pills during the current cycle. What is the best instruction for the nurse to give the client?
You should use an alternative form of birth control for the rest of this cycle
Which response should the nurse provide a client that asks about dawn phenomenon?
Your body naturally produces cortisol and growth hormone between 4:00 and 8:00 am
Which information should the nurse include in the education of a client when explaining type 1 diabetes mellitus?
Your pancreas cannot secret insulin
A nurse is caring for a client who is taking metformin and is scheduled to undergo angiography using iodine-containing contrast dye. The nurse should identify that an interaction between metformin and the IV contrast dye increases the client's risk for which of the following conditions?
acute renal failure
The nurse finds a client with diabetes mellitus type 1 unresponsive. Which is the priority nursing action?
administer glucagon
A nurse is teaching a client who has a prescription for pramlintide therapy to treat type 1 diabetes mellitus. Which of the following instructions should the nurse include?
administer pramlintide before meals
Which should the nurse anticipate will be included in a client's treatment plan to limit the incidence of serious adverse effects when prescribing corticosteroids?
administer steroids every other day
A nurse is caring for a client who is about to begin insulin glargine therapy. The nurse should identify the need for additional precautions because the client also takes which of the following types of drugs?
beta blockers
A nurse is teaching a client about methotrexate. The nurse should inform the client to monitor for which of the following as an adverse effect of this drug?
black, tarry stools
A nurse is teaching a client about acarbose therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include?
eat more iron-rich foods
A nurse is providing teaching to a client who is about to begin levothyroxine therapy to treat hypothyroidism. Which of the following instructions should the nurse include?
expect life-long therapy with the drug
Which of the following drugs should a nurse have available for a client who is experiencing insulin toxicity?
glucagon
When considering replacement therapy options for a client who has chronic adrenocortical insufficiency, a nurse should recognize that the provider will choose which of the following drugs?
hydrocortisone
A nurse is caring for a client who is taking propylthiouracil (PTU) and reports weight gain, drowsiness, and depression. The nurse should identify that the client is experiencing which of the following adverse reactions to the drug?
hypothyroidism
A nurse is caring for a client who has a prescription for methotrexate. Which of the following drugs would likely be prescribed in conjunction during the initial treatment for rheumatoid arthritis?
ibuprofen
a nurse is caring for a client who has a prescription for etanecept. the nurse should identify that etanercept treats rheumatoid arthritis by which of the following actions?
inactivation of tumor necrosis factor.
a nurse is preparing to administer alendronate to a client who has osteoporosis. the nurse should recognize which of the following as an adverse effect of alendronate?
joint pain
A nurse is caring for a client who is taking metformin to treat type 2 diabetes mellitus and reports muscle pain. Which of the following adverse reactions should the nurse suspect?
lactic acidosis
A nurse is assessing a client who has a new prescription for levothyroxine. The nurse should identify which of the following findings as a contraindication for this drug?
recent myocardial infarction
A nurse should recognize that a provider will prescribe a lower dose of sitagliptin for a client who has type 2 diabetes mellitus and who also has which of the following?
renal impairment
A nurse is teaching a client who is taking etanercept for rheumatoid arthritis. The nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug?
skin rash
Which information should the nurse include in the education for the parent of a child with rickets?
spend at least 20 mins/day in the sunlight.
A nurse is caring for a client who is taking desmopressin. The nurse should make which of the following assessments to evaluate the drug's effectiveness?
urine output
A nurse is caring for a client who is taking combination oral contraceptive ethinyl estradiol and drospirenone and is about to begin taking rifampin to treat tuberculosis. Which of the following instructions should the nurse give the client due to a possible drug interaction?
use additional birth control methods
A nurse is preparing to administer finasteride to a client who has benign prostatic hypertrophy (BPH). Which of the following precautions should the nurse plan to take when administering this drug?
wear gloves when handling the tablet.
A nurse is caring for a client who is taking pioglitazone to treat type 2 diabetes mellitus. The nurse should monitor for which of the following findings?
weight gain
