pharm final
When teaching a patient about isoniazid (INH) and rifampin drug therapy, which statement will the nurse include? A."Take isoniazid with meals." B."Double the amount of vitamin C in your diet to prevent the peripheral neuropathy associated with isoniazid therapy." C."Notify the primary health care provider immediately if your urine turns a red-orange color." D."Avoid exposure to direct sunlight."
"Avoid exposure to direct sunlight."
An older adult complains of insomnia. Which suggestion would be most appropriate for the nurse to provide as an initial method to deal with this issue? A."Take Benadryl pills each evening before bedtime." B."Drink warm milk or chamomile tea before bedtime." C."Develop an exercise regimen for the evening hours." D."Take naps during the day whenever you feel drowsy."
"Drink warm milk or chamomile tea before bedtime."
The nurse realizes more medication teaching is necessary when the 30-year-old patient taking lorazepam states A."I must stop drinking coffee and colas." B."I can stop this drug after 3 weeks if I feel better." C."I must stop drinking alcoholic beverages." D."I should not become pregnant while taking this drug."
"I can stop this drug after 3 weeks if I feel better."
Which comment to the nurse indicates more teaching is needed for a patient taking carbidopa/levodopa? A."I know I need to take this drug once a day." B."I know I shouldn't stop taking this drug abruptly." C."I understand my urine may become dark and discolored." D."I know it may take a few weeks or months to control my symptoms."
"I know I need to take this drug once a day."
Which statement by a patient who has received teaching on tetracycline therapy indicates that more teaching is needed? A."I will store the medication away from light and extreme heat." B."I will use an additional contraceptive technique because this drug may cause the oral contraceptive I take to be less effective." C."I will take this medication with an antacid." D."If my stomach becomes upset when taking this medication, I will take it with nondairy foods."
"I will take this medication with an antacid."
Which statement by a patient taking glipizide indicates that more teaching is indicated? • A."I will use a new needle every time I take the medication." B."I will take the medication once a day in the morning." C."I will eat my breakfast very soon after taking my Glucotrol." D."This medication stimulates my pancreatic cells to make insulin."
"I will use a new needle every time I take the medication."
Which statement will the nurse include when teaching a patient about cephalosporin therapy? A."Avoid ingesting buttermilk or yogurt when taking this medication." B."Stop taking the medication when you feel better." C."Immediately stop taking the medication if you develop nausea." D."Inform your health care provider if you develop mouth ulcers."
"Inform your health care provider if you develop mouth ulcers."
A patient with Parkinson's disease is being treated with carbidopa-levodopa. The daughter asks the nurse why he needs both agents. The nurse responds, A."The two medicines together are doubly effective." B."This combination has fewer side effects." C."You'll tolerate this better than a single-agent medication." D."The carbidopa helps the levodopa reach the brain."
"The carbidopa helps the levodopa reach the brain."
Which statement by a patient indicates that more teaching on phenothiazine therapy for the treatment of psychosis is needed? A."It might take 6 weeks or more for the drug to take effect." B."I will get up slowly from a seated position." C."When I start to feel better, I will cut the dose of my medication in half." D."I will avoid exposure to direct sunlight."
"When I start to feel better, I will cut the dose of my medication in half."
A patient asks the nurse why she gets yeast infections after a course of antibiotics. The nurse explains, A."The antibiotics lower your white blood cell count." B."People are poorly nourished and hydrated after an infection." C."Yeast infections happen if the antibiotic is not taken for the full course." D."Yeast infections are common when the normal body flora are disrupted."
"Yeast infections are common when the normal body flora are disrupted."
A patient uses herbal products. Identify at least four guidelines that the nurse should teach the patient for the responsible use of herbs.
(1)do not use herbs if pregnant or nursing (2)herbs are not for children (3)seek care from HCP for severe or persistent symptoms (4)read labels and know label requirements (5)check expiration dates (6)consult HCP about other prescription and OTC drugs before starting herbal preparations
A patient has been advised to take ibuprofen. When teaching the patient about ibuprofen, which instruction should the nurse include? (Select all that apply.) A. Avoid taking aspirin with ibuprofen. B. Take with food to reduce GI upset. C. Monitor for bleeding gums, nosebleeds, black tarry stools. D. Take herbs, ginkgo and garlic, with ibuprofen. E. Take NSAIDs 2 days before menstruation to decrease discomfort.
-Avoid taking aspirin with ibuprofen. -Take with food to reduce GI upset. -Monitor for bleeding gums, nosebleeds, black tarry stools.
A patient has developed active tuberculosis and is prescribed isoniazid and rifampin. Which information will the nurse include in teaching the patient about taking this drug? (Select all that apply.) A.Isoniazid should be given 1 hour before or 2 hours after meals. B.Have periodic eye examinations as ordered by the health care provider. C.Compliance with drug regimen is essential. D.Report numbness, tingling, and burning of hands and feet. E.Warn patient that rifampin may turn body fluids a harmless green color
-Isoniazid should be given 1 hour before or 2 hours after meals. -Have periodic eye examinations as ordered by the health care provider. -Compliance with drug regimen is essential. -Report numbness, tingling, and burning of hands and feet.
A nurse is planning to administer an intradermal injection to a patient. Which represents the appropriate technique for this route? A. 21-gauge needle at 33 degrees B. 20-gauge needle at 90 degrees C. 23-gauge needle at 45 degrees D. 26-gauge needle at 15 degrees
26-gauge needle at 15 degrees
A patient is taking furosemide 40 mg daily for heart failure and hypertension. It is most important for the nurse to assess the patient for the development of A. low serum potassium, sodium, and magnesium, and elevated calcium. B. low serum potassium and sodium, and elevated magnesium and calcium. C. low serum potassium, sodium, magnesium, and calcium. D. low serum potassium and sodium, with magnesium and calcium remaining normal.
low serum potassium, sodium, magnesium, and calcium
A patient is recovering from surgery to replace her right hip. In the early postoperative phase, the nurse anticipates administration of which drug to prevent deep vein thrombosis? A. Dipyridamole B. Low-molecular-weight heparin C. Abciximab D. Anagrelide
low-molecular-weight heparin
Which is a physiologic change seen in the older adult that has an effect on drug administration? A. Lower (acidic) gastric secretions B. Increased first-pass effect through the liver C. Increased glomerular filtration rate D. Lower cardiac output
lower cardiac output
A patient is admitted to the intensive care unit with increased intracranial pressure. The nurse would anticipate administering A. furosemide. B. mannitol. C. triamterene. D. spironolactone
mannitol
WHEN ADMINISTERING ANTIHYPERTENSIVE MEDICATIONS TO ASIAN AMERICANS, IT IS MOST IMPORTANT FOR THE NURSE TO A. INCREASE THE DOSE OF BETA BLOCKERS. B. MONITOR BLOOD PRESSURE CAREFULLY. C. EXPECT TO ADMINISTER THE USUAL DOSE OF ANTIHYPERTENSIVE MEDICATIONS. D. UNDERSTAND THAT THIS CULTURAL GROUP DOES NOT BELIEVE IN TREATING HYPERTENSION.
monitor blood pressure carefully
The nurse assesses a patient receiving morphine via a PCA pump. The patient has a respiratory rate of 6 breaths/min. The nurse anticipates administration of which of the following drugs? A. Naloxone B. Sumatriptan C. Nalbuphine D. Hydromorphone
naloxone
Before administering diphenhydramine to a patient, it is most important for the nurse to assess the patient for a history of A. allergy to penicillin. B. hypertension. C. diabetes mellitus type 2. D. narrow-angle glaucoma.
narrow-angle glaucoma
Newborns receive immunities via the transfer of maternal antibodies across the placenta. This is known as • A.natural, passive immunity. B.acquired, passive immunity. C.natural, active immunity. D.acquired, active immunity.
natural, passive immunity
Before administering the varicella vaccine, it is most important for the nurse to assess the patient for a history of allergy to A.penicillin. B.eggs. C.neomycin. D.milk.
neomycin
A nurse has been teaching a patient about levothyroxine. Which side effect should the nurse teach the patient to observe for? A.Somnolence B.Bradycardia C.Constipation D.Nervousness
nervousness
A patient is diagnosed with a Candida infection in the mouth. The nurse anticipates that the patient will be treated with A.metronidazole. B.amphotericin C.isoniazid. D.nystatin.
nystatin
The nurse will teach a patient taking levothyroxine for hypothyroidism to notify the health care provider if he or she experiences A.dizziness. B.nausea. C.palpitations. D.abdominal cramps.
palpitations
A patient received morphine sulfate for severe pain. The nurse assesses the patient 20 minutes later. What is the best indication that the medication has been effective? A. Patient verbalizes pain relief. B. Patient has an increase in heart rate. C. Patient is resting. D. Patient has an increase in blood pressure.
patient verbalizes pain relief
Which is the highest priority nursing intervention for a patient who is starting on metoprolol? A. Peripheral pulses B. Respiratory rate C. Urinary retention D. Lung sounds
peripheral pulses
The nurse should teach the patient to report which of the following to the health care provider immediately if experienced after taking nitroglycerin? A. Dizziness B. Faintness C. Headache D. Persistent pain
persistent pain
Older adults are at risk for taking many medications together. This is known as A. tachyphylaxis. B. drug interaction. C. polypharmacy. D. tolerance.
polypharmacy
A nurse is preparing to administer digoxin to a patient. Which laboratory result is the nurse most concerned about? A. Sodium 138 mEq/L B. Potassium 3.0 mEq/L C. Digitalis level 1.8 ng/mL D. BNP 200 pg/mL
potassium 3.0
A health care professional is caring for a patient who has recently had a myocardial infarction and is about to begin taking docusate sodium (Colace). The health care professional should explain that docusate sodium will have which of the following therapeutic effects? A.) Reduces inflammation B.) Reduces gastric acid C.) Prevents diarrhea D.) Prevents straining
prevents straining
what is the pharmacological action of spironolactone? a. increase potassium and sodium excretion b. promote potassium retention c. promote potassium and calcium retention d. promote potassium excretion and sodium retention
promote potassium retention
A patient is on heparin therapy secondary to deep vein thromboses. The nurse has which medication on hand as an antidote in case it is needed? A. Vitamin K B. Protamine sulfate C. Warfarin D. Aminocaproic acid
protamine sulfate
A patient with peptic ulcer disease is noted to have a positive breath test for H. pylori. The nurse would anticipate treating the patient with A. antacids and narcotics. B. pepsin inhibitors and antiemetics. C. proton pump inhibitors and antibiotics. D. emetic agents and tranquilizers.
proton pump inhibitors and antibiotics
A patient with a known opioid addiction is to have surgery. In planning the patient's postoperative pain management, the nurse will • A.withhold opioid medications. B.treat the addiction before managing pain. C.provide pain management as needed. D.anticipate that the patient will experience less pain.
provide pain management as needed.
A nurse gives a patient NPH insulin at 8:00 am. At 2:00 pm the nurse finds the patient extremely lethargic but conscious. The patient is diaphoretic and slightly combative. The nurse should • A.call the health care provider. B.ensure that the patient has a meal. C.provide the patient with 4 ounces of orange juice. D.administer the next dose of insulin.
provide the patient with 4 ounces of orange juice.
During a diagnostic test for parathyroid function, a patient asks the nurse what the parathyroid gland does. The nurse correctly informs the patient that the parathyroid gland is responsible for • A.regulating the body's metabolism. B.maintaining blood glucose levels. C.controlling the release of glucocorticoids. D.regulating calcium levels.
regulating calcium levels
A patient being treated for cancer is receiving medication for palliation. The nurse understands that palliative therapy is used to A.relieve symptoms. B.kill tumor cells. C.decrease viral load. D.increase body defenses.
relieve symptoms
BEFORE ADMINISTERING THE ALPHAADRENERGIC BLOCKER PRAZOSIN, IT IS MOST IMPORTANT FOR THE NURSE TO ASSESS THE PATIENT FOR A HISTORY OF A. RENAL DISEASE. B. REFRACTORY HEART FAILURE. C. HYPERTENSION. D. BENIGN PROSTATIC HYPERTROPHY.
renal disease
The nurse is caring for an older adult who is receiving diphenoxylate with atropine (Lomotil) to treat severe diarrhea. The nurse will monitor this patient closely for which effect? a.Bradycardia b.Fluid retention c.Nervousness and tremors d.Respiratory depression
respiratory depression
Which nursing actions would be most appropriate for ensuring patient safety with a medication that has a low therapeutic index? A. Monitoring a patient's urine output B. Assessing vital signs hourly C. Maintaining strict isolation precautions D. Monitoring serum peak and trough levels
Monitoring serum peak and trough levels
Before administering a daily dose of phenytoin, it is most important for the nurse to A.maintain the patient on bed rest. B.check phenytoin levels. C.monitor intake and output. D.monitor renal function tests.
check phenytoin levels
A patient who smoked 1 pack of cigarettes a day for 2 years abruptly stopped smoking 2 days ago. The nurse performing an assessment on the patient identifies manifestations of nicotine withdrawal as including A.increased appetite and blood pressure. B.restlessness and increased blood pressure. C.depression and decreased blood pressure. D.nausea, confusion, and seizures.
depression and decreased blood pressure.
A patient is experiencing status epilepticus. The nurse anticipates immediate administration of which drug? A.Phenobarbital B.Phenytoin C.Valproic acid D.Diazepam
diazepam
A patient with chronic obstructive pulmonary disease asks the nurse what the albuterol he is taking does. The nurse should inform the patient that albuterol is used to A. mobilize respiratory secretions. B. decrease the cough response. C. increase the work of breathing. D. dilate the larger airways.
dilate the larger airways.
The nurse identifies which drug as a calcium channel blocker used for the treatment of dysrhythmias? A. Diltiazem B. Esmolol C. Flecainide D. Sotalol
diltiazem
Which medication is a first-generation antihistamine? A. Cetirizine B. Fexofenadine C. Diphenhydramine D. Loratadine
diphenhydramine
A PATIENT IS RECEIVING AN ANGIOTENSIN II RECEPTOR BLOCKER. IT IS MOST IMPORTANT FOR THE NURSE TO ASSESS THE PATIENT FOR A. CONSTIPATION. B. TREMORS. C. ASTHMATIC ATTACKS. D. DIZZINESS.
dizziness
During an admission assessment, a pt states that she takes amlodipine (Norvasc). The nurse wishes to determine whether the pt has any common side effects of a calcium channel blocker. The nurse asks the pt if she has which signs and symptoms? (Select all that apply). A.Insomnia B.Dizziness C.Headache D.Angioedema E.Ankle edema F.Hacking cough
dizziness, headache, ankle edema
A PATIENT WITH HYPERTENSION IS ORDERED TO RECEIVE AN ANGIOTENSIN-CONVERTING ENZYME INHIBITOR. THE NURSE IDENTIFIES A COMMON BENIGN SIDE EFFECT OF THIS CLASS OF MEDICATIONS AS A. HICCUPS. B. FLATULENCE. C. ABDOMINAL DISTENTION. D. A DRY COUGH
dry cough
The nurse identifies the primary purpose of federal legislation in drug standards as A. preventing overcharging for drugs. B. controlling efforts in drug research. C. ensuring public safety. D. moderating effective drug usage.
ensuring public safety
A patient receives an anticoagulant secondary to previous blood clots. The nurse should reinforce that the patient should not take • A.garlic. B.Echinacea. C.valerian. D.peppermint.
garlic
Which herb is thought by some to decrease memory loss associated with aging? • A.Ginger B.Valerian C.Ginkgo biloba D.Echinacea
ginkgo biloba
Before administering carbidopa-levodopa for the treatment of Parkinson's disease, it is most important for the nurse to assess the patient for a history of A.pulmonary disease. B.diabetes mellitus. C.allergy to penicillin. D.glaucoma.
glaucoma
Which does the nurse identify as signs and symptoms of vitamin A toxicity? (Select all that apply.) A.Euphoria B.Hair loss C.Lethargy D.Vomiting and diarrhea
hair loss lethargy vomiting and diarrhea
Ondansetron has been ordered for the patient undergoing cancer chemotherapy to control the severe nausea and vomiting. What side effects should the nurse observe for? A. Headache, dizziness, and fatigue B. Anorexia and hair loss C. Abdominal cramping and irritability D. Psychosis and middle ear disturbances
headache, dizziness, and fatigue
A patient has been prescribed atenolol. To ensure safe dosing, the nurse teaches the patient to frequently assess what parameter? A. Daily weight B. Heart rate C. Urine output D. Body temperature
heart rate
Iron toxicity is a serious cause of poisoning in children. It may be fatal because of an ulcerogenic effect, resulting in which of the following? A.Infection B.Hemorrhage C.Infarction D.Kidney failure
hemorrhage
Which is the first vaccine developed to prevent cancer? A.Rotavirus B.Pneumococcal disease C.Meningococcal disease D.Human papillomavirus
human papillomavirus
The nurse know that which diuretic is most frequently combined with an antihypertenisive drug? A.chlorthalidone B.Hydrochlorothiazide C.bendroflumethiazide D.Potassium-sparing diuretic
hydrochlorothiazide
Which finding would indicate to the nurse that a medication has activated beta2 receptors? A. Uterine contractions B. Bronchiolar constrictions C. Hyperglycemia D. Increased saliva production
hyperglycemia
the patient has been receiving spironolactone 50 mg/day for heart failure. the nurse should closely monitor for which condition? a. hypokalemia b. hyperkalemia c. hypoglycemia d. hypermagnesemia
hyperkalemia
Before administering epoetin alpha, it is most important for the nurse to assess the patient for a history of which condition? A.Anemia B.Chronic renal failure C.Pancreatitis D.Hypertension
hypertension
When working with a patient receiving epoetin alpha, which of the following is most important development for the nurse to assess? A.bone pain and headaches. B.hypertension and edema. C.nausea and vomiting. D.fluid retention and allergic reactions.
hypertension and edema
A patient is receiving furosemide. It is most important for the nurse to monitor the patient for the development of A. hyperkalemia. B. hypokalemia. C. hyponatremia. D. hypernatremia.
hypokalemia
A patient has angina pectoris. The patient's BP is 100/60 mm Hg. The nurse administers nitroglycerin 0.4 mg sublingual (SL). It is most important for the nurse to assess the patient for the development of A. bradycardia. B. hypotension. C. bradypnea. D. hypokalemia.
hypotension
When administering antianginal drugs, the nurse identifies which as the most common response? A. Tachycardia B. Bradypnea C. Hypotension D. Dry mouth
hypotension
A patient asks the nurse what part of the body is most affected by the HIV virus. The nurse informs the patient that HIV primarily affects which system? A.Cardiovascular B.Immune C.Renal D.Hepatic
immune
A patient has liver and kidney disease. He is given a medication with a half-life of 30 hours. The nurse expects the duration of this medication to A. increase. B. decrease. C. remain unchanged. D. dissipate.
increase
A patient is taking iron supplementation. It is most important for the nurse to instruct the patient to • A.increase fluid intake to avoid urinary calculi. B.increase fiber and fluid intake to avoid constipation. C.increase deep breathing to avoid atelectasis. D.use sunscreen to deal with photosensitivity.
increase fiber and fluid intake to avoid constipation
When teaching a patient about trimethoprim-sulfamethoxazole (TMP-SMZ), the nurse gives highest priority to teaching the patient to A.increase fluid intake. B.report signs of ringing in the ears or loss of hearing. C.expect the color of their urine to change to a reddish orange. D.take this drug with dairy products or antacids to protect the stomach.
increase fluid intake
When administering medications to the older adult population, the nurse is aware that the physiologic changes of aging that can affect drug activity include all of the following except A. increased fat-to-water ratio. B. decreased liver enzyme production. C. loss of nephrons. D. increased gastrointestinal blood flow.
increased gastrointestinal blood flow
The nurse is caring for a patient who is taking a cholinergic (parasympathomimetic) drug. Which assessment will indicate that the medication is having a desired effect? A. Increased gastrointestinal (GI) motility B. Mydriasis C. Urinary retention D. Vasoconstriction
increased gastrointestinal motility
Adverse reactions and drug interactions occur frequently in older adults due to all of the following except A. consumption of numerous drugs owing to multiple chronic illnesses. B. drugs ordered by several health care providers. C. increased incidence of allergic responses. D. self-medication with OTC preparations
increased incidence of allergic responses
Bisacodyl has been ordered for a patient who is constipated. The nurse realizes that bisacodyl A. increases peristalsis to produce a bowel movement. B. is incompatible with alcohol consumption. C. should be avoided during pregnancy as it is teratogenic. D. may lead to paralytic ileus.
increases peristalsis to produce a bowel movement
When teaching a patient who has been prescribed metoprolol about side/adverse effects, which is the highest priority teaching point? A. Report any complaints of stuffy nose. B. Instruct the patient how to take a pulse. C. Check for bladder distention. D. Warn of possible impotence and decreased libido.
instruct the patient how to take a pulse
A patient with type 1 diabetes mellitus is ordered insulin therapy once daily to be administered at bedtime. What is the type of insulin the patient is most likely receiving? A.Insulin glargine B.Lente insulin C.Lispro insulin D.Regular insulin
insulin glargine
The Z-track method is the preferred method of administration for which drug? A. Vitamin B12 B. Iron dextran C. Penicillin D. Morphine
iron dextran
Which statement about herpes zoster vaccine does the nurse identify as being true? Herpes zoster vaccine A.is indicated for the treatment of patients at age 40 years. B.is a live attenuated vaccine. C.should be administered every other year. D.prevented zoster in 90% of the people who received the vaccine.
is a live attenuated vaccine
The patient experiences the Somogyi effect. Which statement regarding the Somogyi effect does the nurse identify as being true? A.This is a hyperglycemic condition. B.The condition usually occurs immediately after dinner. C.It is a response to excessive insulin. D.Management usually requires increase of the bedtime insulin dose.
it is a response to excessive insulin
Which advice will the nurse include when teaching the patient about lithium therapy? A.Take the drug on an empty stomach. B.Eliminate all sodium from your diet. C.Stop taking the lithium when you feel better. D.It may take 1 to 2 weeks before you have any benefits from taking the medication.
it may take 1 to 2 weeks before you have any benefits from taking the medication.
The nurse identifies which of the following as the drug of choice for the treatment of chronic lymphocytic (Hashimoto) thyroiditis? A.Calcitriol B.Levothyroxine sodium C.Prednisone D.Alprazolam
levothyroxine sodium
What is the primary site of metabolism for most drugs? A. kidney. B. small intestine. C. liver. D. brain.
liver
A patient is receiving an expectorant. The nurse knows the drug is exerting its therapeutic effect when the patient experiences A. bronchodilation. B. decreased coughing. C. loosening of bronchial secretions. D. relief of nasal congestion
loosening of bronchial secretions.
a patient has heart failure and a high dose of furosemide is ordered. what suggests a favorable response to furosemide? a. decrease in level of consciousness occurs, and the patient sleeps more b. respiratory rate decreases form 28 to 20/min and depth increases c. increased congestion is heard in breath sounds, and the patient complains of shortness of breath d. urine output is 50 ml/4h and intake is 200 mL
respiratory rate decreases from 28 to 20/min and depth increases
A nurse who is administering atorvastatin calcium realizes the importance of monitoring for which serious adverse reaction? A. Pharyngitis B. Rash/pruritus C. Rhabdomyolysis D. Agranulocytosis
rhabdomyolysis
What is the highest priority nursing diagnosis for a patient taking phenytoin? A.Anxiety B.Risk for falls C.Risk for constipation D.Deficient fluid volume
risk for falls
Which laboratory test is most important for the nurse to monitor when a patient is receiving lithium? A.Urinalysis B.Serum glucose C.Serum electrolytes D.Complete blood count
serum electrolytes
A nurse at an adult day care center notes that many patients are on rivastigmine. The nurse knows that the function of this medication is to A.increase physical mobility. B.cure Alzheimer disease. C.slow the progression of symptoms of Alzheimer disease. D.restore full memory to the patients.
slow the progression of symptoms of Alzheimer disease.
A patient with major depression has been prescribed fluoxetine. What nursing diagnosis would be most appropriate? A.Social Isolation B.Mobility, Impaired Physical C.Urinary Elimination, Impaired D.Sensory Perception, Disturbed
social isolation
A nurse is administering epinephrine to a patient during a cardiac arrest. The primary desired action of this medication is to A. stimulate a heart rate. B. decrease cerebral blood flow. C. initiate respirations. D. increase blood flow to the kidneys.
stimulate a heart rate
A health care professional is caring for a patient who takes phenytoin (Dilantin) for a seizure disorder and is about to begin sucralfate (Carafate) therapy to treat a duodenal ulcer. The health care professional should tell the patient to take the drugs at least 2 hr apart because: A.) phenytoin increases the metabolism of sucralfate B.) phenytoin reduces the effectiveness of sucralfate C.) sucralfate increases the risk of phenytoin toxicity D.) sucralfate interferes with the absorption of phenytoin
sucralfate interferes with the absorption of phenytoin
The nurse is preparing class for patients with asthma. The nurse will inform the patients that leukotriene modifiers are used in the treatment of asthma to A. assist in opening narrowed airways. B. suppress the release of histamine and other mediators from the mast cells. C. loosen mucus from the airways. D. prevent serious complications from bacterial infections.
suppress the release of histamine and other mediators from the mast cells.
Travelers visiting malaria-infested countries are instructed to A.avoid mosquitoes in these countries. B.receive immunizations before travel. C.visit these countries only while in good health. D.take prophylactic antibiotics before traveling.
take prophylactic antibiotics before traveling.
A nurse caring for a patient in an outpatient setting notes that the patient is currently taking lorazepam for anxiety and her breath smells of alcohol. The nurse reports this to the health care provider because A.taking alcohol with Ativan can be fatal. B.taking alcohol with Ativan may increase sedative effects. C.all patients using alcohol should be referred for assistance. D.Ativan and alcohol antagonize one another.
taking alcohol with Ativan may increase sedative effects.
A patient received regular insulin at 7:30 am. At 9:30 am the patient feels slightly hungry and has a dull headache. The nurse should • A.test the patient's blood glucose level. B.ensure that the patient has a meal. C.provide the patient with 4 ounces of orange juice. D.administer the next dose of insulin.
test the patients blood glucose level
Although adolescents have physical appearance and organ structure and function similar to that of adults, the nurse understands that their bodies continue to grow, requiring the nurse to follow increased vigilance in monitoring what? A. Therapeutic and toxic drug levels B. Side effects of medications C. Route of medication administration D. Frequency of medication administration
therapeutic and toxic drug levels
When assessing a patient taking hydantoin therapy for seizure disorder, which indicates an adverse reaction to this therapy? A.Thrombocytopenia B.Leukocytosis C.Gingival atrophy D.Hypoglycemia
thrombocytopenia
The nurse identifies which condition as a common bacterial opportunistic infection seen in patients with HIV? A.Cytomegalovirus B.Candidiasis C.Toxoplasmosis D.Tuberculosis
tuberculosis
A patient has been diagnosed with Alzheimer disease. The patient's daughter asks the nurse what the cause of Alzheimer disease is. The best response by the nurse is "The cause of Alzheimer disease is A.a virus." B.a cancer." C.unknown." D.normal aging."
unknown
An 18-year-old has an external ear infection to be treated with eardrops. The nurse correctly instructs the patient to angle the ear A. down and back. B. up and out. C. down and forward. D. up and forward.
up and out
Which assessment most assists the nurse in determining if bethanechol has had a therapeutic effect? A. Neurologic assessment B. Muscular assessment C. Urinary assessment D. Gastric assessment
urinary assessment
A patient has received atropine. It is most important for the nurse to assess the patient for which effect? A. Anxiety B. Constipation C. Urinary retention D. Impaired oral mucous membrane
urinary retention
The nurse identifies which of the following as a common side effect/adverse effect of morphine therapy? A. Diarrhea B. Hypertension C. Urinary retention D. Tachypnea
urinary retention
A patient has been prescribed trimethoprim-sulfamethoxazole (TMP-SMZ). The nurse realizes that this drug is most likely used to treat which condition? u A.Gonorrhea B.Rickettsial infection C.Chlamydial infection D.Urinary tract infection
urinary tract infection
A PATIENT IS RECEIVING AN ANGIOTENSIN II RECEPTOR BLOCKER. WHICH DOES THE NURSE RECOGNIZE AS AN ANGIOTENSIN II RECEPTOR BLOCKER? A. VALSARTAN B. AMLODIPINE C. CAPTOPRIL D. METOPROLOL
valsartan
A patient is admitted to the health care facility with methicillin-resistant Staphylococcus aureus (MRSA). The nurse anticipates administration of which drug? A.Nafcillin B.Vancomycin C.Aztreonam D.Piperacillin-tazobactam
vancomycin
A toddler requires an oral medication. It is most appropriate for the nurse to administer the oral medication A. in a nipple. B. dipped in a pacifier. C. via an oral syringe. D. mixed with formula in a bottle.
via an oral syringe
A patient with pernicious anemia most likely has a deficiency of A.iron. B.vitamin B12. C.vitamin K. D.selenium.
vitamin B12
A patient is admitted to the emergency department after taking high doses of vitamin B and vitamin D. The nurse is more concerned about the vitamin D because • A.vitamin D is fat-soluble. B.vitamin D is water-soluble. C.vitamin D in high doses causes bleeding. D.vitamin D in low doses results in scurvy.
vitamin d is fat-soluble
A patient is scheduled to receive gemfibrozil. It is most important for the nurse to assess for concurrent use of which medication? A. Acetaminophen B. Ibuprofen C. Warfarin D. Folic acid
warfarin
A PATIENT'S BLOOD PRESSURE (BP) IS 132/82 MM HG. THE HEALTH CARE PROVIDER PRESCRIBED A DIURETIC TO LOWER THIS BP. THE NURSE KNOWS THAT THIS BP IS A. WITHIN THE NORMAL BP RANGE. B. WITHIN THE ELEVATED BP RANGE. C. INDICATING STAGE 1 HYPERTENSION. D. INDICATING STAGE 2 HYPERTENSION
within the elevated BP range
The nurse should teach the patient's family to administer the rivastigmine A.without food. B.with meals. C.at 3:00 am and 3:00 pm. D.when the patient is acting most confused.
without food
A patient is taking piperacillin-tazobactam. Which nursing interventions are most appropriate for this drug? (Select all that apply.) A.Give with an aminoglycoside. B.Send specimen to lab for C&S before antibiotic therapy is started. C.Instruct patient to take entire prescribed drug. D.Instruct patient to restrict fluid intake. E.Monitor for symptoms of superinfection, including stomatitis and vaginitis.
-Send specimen to lab for C&S before antibiotic therapy is started. -Instruct patient to take entire prescribed drug. -Monitor for symptoms of superinfection, including stomatitis and vaginitis.
The nurse is teaching an older adult patient about guaifenesin. Which information is appropriate to include in this teaching? (Select all that apply.) A. Take the drug with a glass of water. B. Read labels on over-the-counter drugs and check with health care provider before taking cold remedies. C. Take the drug at bedtime. D. Advise patient to contact health care provider if cough persists more than 2 days.
-Take the drug with a glass of water. -Read labels on over-the-counter drugs and check with health care provider before taking cold remedies.
the nurse knows that which statement is correct regarding nursing care of a patient receiving HCTZ? (select all that apply) a. monitor patients for signs of hypoglycemia b. administer ordered potassium supplements c. monitor serum potassium and uric acid levels d. assess blood pressure before administration e. notify the health care provider is a patient has had oliguria for 24 hours
-administer ordered potassium supplements -monitor serum potassium and uric acid levels -assess blood pressure before administration -notify the health care provider is a patient has had oliguria for 24 hours
A patient is receiving gentamicin therapy: 100 mg intravenously at 0800, 1600, and 2400. At 0730, the nurse is informed that peak and trough levels need to be drawn. When is the best time to obtain the peak level? A.0800 B.0900 C.1600 D.2330
0900
When teaching a patient about use of nasal decongestant sprays, the nurse informs the patient that they are most effective and less likely to lead to rebound congestion when administered for how many days? A. 3 days B. 10 days C. 14 days D. 20 days
3 days
The nurse identifies the act that provides for the privacy of patient health information as the A. Drug Regulation Reform Act. B. Drug Relations Act. C. Food and Drug Administration Modernization Act. D. Health Insurance Portability and Accountability Act.
Health Insurance Portability and Accountability Act.
A health care provider has been exposed to HIV while caring for a patient. Following the postexposure prophylaxis regimen (PEP), the health care provider will most likely receive treatment for how long? A.1 week B.2 weeks C.3 weeks D.4 weeks
4 weeks
A patient is receiving chemotherapy for the treatment of cancer. The nurse anticipates nadir to occur in A.2 days. B.8 days. C.15 days. D.30 days.
8 days
A patient with chronic glaucoma is most likely to receive which drug? A. A thiazide diuretic B. A loop diuretic C. A potassium-sparing diuretic D. A carbonic anhydrase inhibitor
A carbonic anhydrase inhibitor
A client has had diarrhea for 36 hours. The healthcare provider orders diphenoxylate with atropine (Lomotil). A) What classification of drugs is atropine? B) The nurse should contact the physician if the client has a history of:
A) Anticholerginic B) Glaucoma
Which statement about St. John's wort is true? • A.Current research suggests that it is no more effective than placebo when used by individuals with depression. B.Side effects include hypotension, breast tenderness, menstrual irregularities, hypoglycemia. C.St. John's wort has been approved by the U.S. Food and Drug Administration to treat depression. D.Users of St. John's wort should avoid tyramine-rich foods while taking the supplement.
A. Current research suggests that it is no more effective than placebo when used by individuals with depression.
The nurse is administering vancomycin to a patient. Which nursing interventions are appropriate? Monitor the patient for _______. (Select all that apply.) A.adequate hearing B.appropriate IV rate C.Clostridium difficile-associated diarrhea D.hypotension and tachycardia E.Purplish color of the face, neck, and chest
A.adequate hearing B.appropriate IV rate D.hypotension and tachycardia
Which information will the nurse include in the patient teaching? (Select all that apply.) A. Cost of drugs B. Administration technique C. Instructions regarding drug discontinuation D. Foods to avoid when taking a certain drug E. Side effects to report to health care provider
Administration technique Instructions regarding drug discontinuation Foods to avoid when taking a certain drug Side effects to report to health care provider
Which teaching for the patient who is taking fluconazole is a priority for the nurse? A.Take concurrent vitamin B6 to prevent peripheral neuropathy. B.Take 1 hour before or 2 hours after meals. C.Advise that hypoglycemia may occur with concurrent oral sulfonylureas. D.Warn that gingival hyperplasia may occur with prolonged use.
Advise that hypoglycemia may occur with concurrent oral sulfonylureas.
Which side effect/adverse effect of carbidopa/levodopa does the nurse realize is most important to monitor? A.Dysphagia B.Increased libido C.Agranulocytosis D.Urinary retention
Agranulocytosis
Stimulation of which adrenergic receptor results in dilation of vessels and decrease in blood pressure? A. Alpha1 B. Alpha2 C. Beta1 D. Beta2
Alpha2
A nurse is preparing to administer a beta blocker to a patient. The nurse recognizes that beta blockers are used to treat which conditions? (Select all that apply) A. Angina pectoris B. Cardiogenic shock C. COPD D. CHF E. Hypertension F. Sinus bradycardia
Angina pectoris CHF Hypertension
A patient is receiving aldesleukin. It is most important for the nurse to assess for concurrent use of which group of medications? A.Antihypertensives B.Opioid analgesics C.Positive inotropes D.Antiviral drugs
Antihypertensives
A patient is ordered bisacodyl. Before administering the drug, it is most important for the nurse to assess the patient for what? A. Hypertension B. Anemia C. Allergy to penicillin D. Appendicitis
Appendicitis
The nurse is caring for a patient who has been recently diagnosed with hypertension and is to receive an initial dose of atenolol. What is the nurse's primary intervention? A. Assess the patient's urinary output B. Teach the change position slowly C. Encourage increase in fluid intake D. Assess for history in any respiratory disease
Assess for history in any respiratory disease
A patient with cardiac decompensation is receiving dobutamine as a continuous infusion. The patient's blood pressure has increased from 100/80 mm Hg to 130/90 mm Hg. What is the nurse's priority action? A. Assess hourly blood pressure readings. B. Assess the patient's ECG and slow the infusion. C. Assess the patient's respiratory rate and measure ABGs. D. Assess the patient's I&O and decrease IV fluids.
Assess hourly blood pressure readings.
Before information about drug therapy is presented to a patient, it is most important for the nurse to A. determine the patient's reading level. B. plan the number of teaching sessions. C. assess the patient's readiness to learn. D. tell the patient that he or she must comply with the drug therapy.
Assess the patient's readiness to learn
A patient has been taking metoprolol and tells the home care nurse, "I can't afford this medication any more, and I stopped it yesterday." What is the nurse's priority action? A. Refer the patient to the social worker. B. Call the drug company to ask for assistance. C. Assess the patient's blood pressure D. Teach the patient that abrupt medication withdrawal may lead to a rebound hypertensive crisis.
Assess the patients blood pressure
Which is the most appropriate nursing intervention for a patient who is taking hydroxychloroquine? A.Collect a stool specimen. B.Assess the patient's hearing. C.Advise the patient to take showers, not baths. D.Encourage female patients to have a Pap test every 6 months.
Assess the patients hearing
A patient is ordered to receive digoxin to treat congestive heart failure. The nurse is most concerned about which assessment finding? A. Heart rate 56 beats/min B. BP 138/90 mm Hg C. RR 18 breaths/min D. 1+ pitting edema of the lower extremities
Heart rate 56 breats/min
What is the first step of the nursing process when working with patients receiving drug therapy? A. Assessment B. Planning C. Implementation D. Evaluation
Assessment
Which antibacterial drug has the potential to cause adverse reactions of tendinitis, tendon rupture, and peripheral neuropathy? A. Cephalosporins B. Tetracyclines C. Fluoroquinolones D. Aminoglycosides
C. Fluoroquinolones
A patient's serum lipids are cholesterol 197 mg/dL, low-density lipoprotein (LDL) 110 mg/dL, and highdensity lipoprotein (HDL) 35 mg/dL. The nurse knows what about these values? A. Serum lipids are within desirable values. B. Cholesterol is within desirable value, but LDL and HDL are not. C. Cholesterol is not within desirable value, though LDL and HDL are. D. Cholesterol, LDL, and HDL are not within desirable values.
Cholesterol is within desirable value, but LDL and HDL are not.
Which herb may decrease the effect and drug levels of the statins? A. Cranberry B. Licorice C. St. John's wort D. Ginkgo biloba
St. John's wort
Which situation regarding controlled substances requires the supervising RN to intervene? A. The staff keeps a separate controlled substances record for all required information. B. Controlled substances are locked away from patients, and all staff members have keys for necessary access. C. Opioids are kept under double lock to limit access to them. D. All discarded or wasted controlled substances are countersigned.
Controlled substances are locked away from patients, and all staff members have keys for necessary access.
The parent of a child who is receiving chemotherapy asks the nurse why metoclopramide (Reglan) is not being used to suppress vomiting. The nurse will explain that, in children, this drug is more likely to cause which effect? a.Excess sedation b.Extrapyramidal symptoms c.Paralytic ileus d.Vertigo
Extrapyramidal symptoms
A young woman is being treated for psychosis with fluphenazine. Which sign would indicate the need to add an anticholinergic to the patient's medication regimen? A.A decrease in pulse and respiratory rate B.Facial grimacing and tongue spasms C.An increase in hallucinations D.A decrease in the patient's level of orientation
Facial grimacing and tongue spasms
When assessing older adults and those with renal dysfunction, the nurse would expect the creatinine clearance to be which of the following? A. substantially increased. B. slightly increased. C. decreased. D. in the normal range.
Decreased
A patient sustains significant burns to the skin and is experiencing fluid shift associated with edema in the fluid overload phase. The nurse would anticipate that this will interfere most with which phase of pharmacodynamics? A. Absorption B. Distribution C. Metabolism D. Excretion
Distribution
When providing teaching for the patient being discharged home on antiretroviral therapy for HIV, which statement will the nurse include? A.Do not eat raw fish. B.Limit food intake to proteins only. C.Avoid ingesting bananas. D.Applesauce may cause you to experience side effects of the medication.
Do not eat raw fish.
When teaching the patient about the storage of insulin, which statement will the nurse include? A.Keep the insulin in the freezer. B.Warm the insulin in the microwave before administration. C.Do not place insulin in sunlight or a warm environment. D.Open insulin vials lose their strength after one year.
Do not place insulin in sunlight or a warm environment.
Which information will the nurse include when teaching a patient about warfarin therapy? A. Increase the amount of green, leafy vegetables in your diet. B. Rinse your mouth instead of brushing your teeth. C. Follow up with laboratory tests such as PT or INR to regulate warfarin dose. D. Use a new razor blade each time you shave.
Follow up with laboratory tests such as PT or INR to regulate warfarin dose.
The next day, the patient's pain medication is changed from morphine sulfate to hydromorphone. Which statement regarding hydromorphone does the nurse identify as being true? A. Hydromorphone must be administered intravenously. B. Hypertension is a common side effect. C. Physical dependence does not occur with hydromorphone therapy. D. Hydromorphone is more potent than morphine
Hydromorphone is more potent than morphine
The nurse has taught a patient about sucralfate (Carafate). Which statement indicates that the patient requires further teaching? A) "I need to increase my fluid intake." B) "I need to report pain or vomiting of blood." C) "I need to take Carafate 30 minutes after meals." D) "I need to take Maalox 30 minutes before or after Carafate."
I need to take Carafate 30 minutes after meals
Which is a priority nursing diagnosis for a patient receiving an anticholinergic (parasympatholytic) medication? A.Impaired gas exchange related to thickened respiratory secretions B. Knowledge deficit related to pharmacologic regimen C. Risk for injury related to excessive CNS stimulation D. Urinary retention related to loss of bladder tone
Impaired gas exchange related to thickened respiratory secretions
A patient has liver and kidney disease. He is given a medication with a half-life of 30 hours. What is the expected duration of this medication? A. increase. B. decrease. C. remain unchanged. D. dissipate.
Increase
Which finding would indicate to the nurse that a medication has activated alpha 1 receptors? A. Increase in blood pressure B. Pupillary constriction C. Bradycardia D. Increased saliva production
Increase in blood pressure
Which teaching by the nurse has highest priority for the patient taking azithromycin? A.Instruct the patient to use sunblock and protective clothing during sun exposure. B.Instruct the patient to store the drug out of light and extreme heat. C.Inform parents that children younger than 8 years should not take the drug, to avoid tooth discoloration. D.Instruct the patient to report any loose stools or diarrhea.
Instruct the patient to report any loose stools or diarrhea.
The patient is being discharged home on warfarin therapy. Which information will the nurse include when teaching the patient? A. Results of activated partial thromboplastin time (aPTT) will determine if the medication is effective. B. International normalized ratio (INR) results should be between 2 and 3. C. A normal response to warfarin is for your stools to look tarry. D. Increase the amount of green leafy vegetables in your diet.
International normalized ratio (INR) results should be between 2 and 3.
The patient develops a deep vein thrombosis. The nurse anticipates administration of which medication? A. Intravenous heparin B. Clopidogrel C. Vitamin K D. Protamine sulfate
Intravenous heparin
Which statement about benzonatate does the nurse identify as being true? A. It is an opioid antitussive. B. It suppresses the cough center of the medulla. C. It suppresses respirations. D. It causes physical dependence
It suppresses the cough center of the medulla.
A patient received atropine as a preoperative medication 30 minutes ago. The nurse evaluates the medication as effective if the patient states, A. "I feel like I need to throw up." B. "I need to urinate." C. "My mouth feels dry." D. "I have a headache.
My mouth feels dry
Which medications are most likely to be included in a dual drug therapy program for peptic ulcer disease from H. pylori? A. Omeprazole and clarithromycin B. Tetracycline and metronidazole C. Ranitidine and amoxicillin D. Ciprofloxacin and sucralfate
Omeprazole and clarithromycin
Which is a correctly written goal by the nurse? A. Patient will administer the prescribed dose. B. Patient will learn to administer insulin. C. Patient will know how to take insulin correctly. D. Patient will independently administer the prescribed dose of insulin at the end of 1 hour of instruction.
Patient will independently administer the prescribed dose of insulin at the end of 1 hour of instruction.
A patient is receiving dopamine intravenously. Which drug should the nurse have available to treat extravasation and tissue necrosis? A. Norepinephrine bitartrate B. Nadolol C. Phentolamine mesylate D. Clonidine
Phentolamine mesylate
Patients receiving sargramostim are most likely to develop which adverse reaction? A.Tumor lysis syndrome B.Hemorrhagic cystitis C.Pleural/pericardial effusion D.Hypertensive crisis
Pleural/pericardial effusion
An older client has been prescribed omeprazole for the treatment of gastroesophageal reflux disease (GERD). What explanation should the nurse provide when asked by the client why they are not being treated with famotidine? A) "Famotidine and omeprazole are both histamine-2 antagonists and could be used interchangeably." B) "Famotidine is more expensive than omeprazole." C) "Omeprazole is taken at bedtime making it easier to remember." D) Proton pump inhibitors, like omeprazole, produce fewer adverse effects among the older population."
Propton pump inhibitors, like omeprazole, produce fewer adverse effects amount the older population
Which nursing intervention is designed to treat the most common side effects of filgrastim? A.Provide antihypertensives to lower blood pressure. B.Provide bronchodilators to treat wheezing. C.Provide antibiotics to treat secondary infections. D.Provide antiemetic to relieve vomiting.
Provide antiemetic to relieve vomiting.
A patient is taking a hypnotic nightly to enhance sleep. The patient experiences vivid dreams and nightmares. This may be associated with A.hangover. B.tolerance. C.hypersensitivity. D.REM rebound.
REM rebound.
Which statement will the nurse include when teaching a patient about loop diuretics? A. Take the medication at bedtime. B. Take the medication on an empty stomach. C. Rise slowly from a lying or sitting to standing position to prevent dizziness. D. Avoid fruit and vegetables in the diet.
Rise slowly from a lying or sitting to standing position to prevent dizziness.
A patient was discharged 3 days ago on phenytoin therapy for seizure disorder. The patient comes to the emergency department experiencing seizures. What will be of most value to determine the etiology of the returned seizures? A.A CT scan B.An EEG C.Serum phenytoin levels D.Serum electrolytes
Serum phenytoin levels
Atropine is most useful in the treatment of which cardiovascular condition? A. Ventricular fibrillation B. First-degree heart block C. Premature atrial contraction D. Sinus bradycardia
Sinus bradycardia
A nurse has just administered atropine to a patient. It is most important for the nurse to assess the patient for the development of which effect? A. Nausea B. Tachycardia C. Rales D. Hypotension
Tachycardia
Which nursing intervention would be most appropriate for a patient taking alprazolam? A.Monitor for fever. B.Give drug intravenously only. C.Monitor daily weights. D.Tell patient to ask for help before standing.
Tell patient to ask for help before standing.
A patient with reactive depression is ordered to receive fluoxetine. Which information will the nurse include when teaching this patient? A.The medication takes effect in 1 to 2 days. B.The medication increases libido. C.The medication should be taken with grapefruit juice. D.The medication may cause headaches and insomnia.
The medication may cause headaches and insomnia.
What would indicate to the nurse that a patient taking a sedative-hypnotic requires more teaching? A.The patient wants to listen to music on the radio. B.The patient has saved her urine to be measured. C.The patient says she has taken 1800 mL of fluid today. D.The patient requests a cup of kava kava tea to help her get to sleep faster.
The patient requests a cup of kava kava tea to help her get to sleep faster.
The nurse is caring for a patient who is prescribed propranolol. Which assessment finding will reveal if the medication is having a therapeutic effect? A. The patient's lung sounds are clear B. The patient is in sinus rhythm C. The patient has strong peripheral pulses D. The patient's blood pressure is 130/75 mm Hg
The patient's blood pressure is 130/75 mm Hg
What is the primary purpose of selfmedication administration? A. To cut down on the amount of staff needed in the health care facility B. To empower the patient to be more effective in management of the therapeutic regimen C. To decrease medication errors D. To decrease the time the patient needs to wait for the medication
To empower the patient to be more effective in management of the therapeutic regimen
Which statement about transdermal drugs is true? A. Transdermal drugs are preferred because they exert only a local effect. B. Transdermal drugs provide more consistent blood levels than oral and injection forms. C. For maximum effectiveness, transdermal patches should be reapplied to the same location when reapplied. D. For maximum effectiveness, the skin should not be cleansed with soap once it has been exposed to a transdermal drug.
Transdermal drugs provide more consistent blood levels than oral and injection forms.
A middle-aged adult is diagnosed with tuberculosis. Which is true of treatment for this diagnosis? A.Treatment may take about 10 days to 2 weeks. B.Usually two to three agents are needed. C.The bacteria is usually resistant to treatment therapy. D.Treatment for tuberculosis is usually without side effects.
Usually two to three agents are needed
Which time frame would be most appropriate for administering sliding-scale lispro insulin? A.Within 30 minutes of consuming breakfast B.When the breakfast tray is served and ready to eat C.Within 1 hour of obtaining blood glucose measurement D.Within 15 minutes of obtaining blood glucose measurement
When the breakfast tray is served and ready to eat
Drug calculations for children are based on which factors? (Select all that apply.) A. Sex B. Age C. Weight D. Height
age weight height
A patient who has metastatic renal cell carcinoma is ordered to receive a biologic response modifier. Which drug does the nurse anticipates the patient will receive? A. interferon. B. filgrastim. C. aldesleukin. D. epoetin alpha.
aldesleukin
A 65-year-old man has been diagnosed with chronic gout. The nurse anticipates that the patient will be treated with A. allopurinol. B. colchicine. C. adalimumab. D. infliximab.
allopurinol
A nurse is teaching a client who is taking sucralfate PO for peptic ulcer disease has a new prescription for phenytoin to control seizures. Which of the following instructions should the nurse include? A. take an antacid with the sucralfate B. Take sucralfate with a glass of milk C. Allow a 2hr interval between these medications D. Chew the sucralfate thoroughly before chewing
allow a 2hr interval between these medications
AN AFRICAN-AMERICAN PATIENT IS TO BE TREATED WITH INITIAL MONOTHERAPY TO CONTROL HYPERTENSION. THE NURSE EXPECTS THE PATIENT TO RECEIVE A. DIURETICS. B. ANGIOTENSIN-CONVERTING ENZYME INHIBITORS. C. ALPHA-ADRENERGIC BLOCKERS. D. BETA BLOCKERS.
alpha adrenergic blockers
A primary care provider should use caution when prescribing bisacodyl (Dulcolax) for a patient who has: A.) anorexia nervosa B.) myelosupression C.) hypomagnesemia D.) diabetes mellitus
anorexia nervosa
A patient has been diagnosed with the common cold. The nurse should question if which drug is ordered to treat this patient? A. Antihistamines B. Antitussives C. Expectorants D. Antibiotics
antibiotics
The nurse is required to chart the patient's response to all of the following groups of medications except A. opioids. B. antiemetics. C. sedatives. D. antihyperlipidemics.
antihyperlipidemics
A patient is prescribed aspirin, 81 mg, and clopidogrel. The nurse identifies the drug classification of clopidogrel as A. anticoagulant. B. thrombotic inhibitor. C. antiplatelet. D. thrombolytic.
antiplatlet
what should the nurse do when a patient is taking furosemide? a. instruct the patient to change positions quickly when getting out of bed b. assess blood pressure before administration c. administer the drug at bedtime for maximum effectiveness d. teach the patients to avoid fruits to prevent hyperkalemia
assess blood pressure before administration
A patient with angina and a long history of severe chronic obstructive pulmonary disease is ordered beta blocker therapy. Which beta blocker would be most effective for this patient? A. Propranolol B. Nadolol C. Pindolol D. Atenolol
atenolol
The nurse is caring for a patient who is going home on sucralfate (Carafate). The nurse would teach the patient to take sucralfate: A) before meals B) after meals C) with meals D) with antacid before breakfast
before meals
A patient is prescribed metformin. Which is a side effect/adverse effect common to metformin? A.Seizures B.Constipation C.Bitter or metallic taste D.Polyuria and polydipsia
bitter or metallic taste
A nurse is monitoring a patient receiving atropine. Which finding requires nursing action? A. Heart rate of 60 beats/min B. Nasal congestion C. Blood pressure of 90/40 mm Hg D. Dilated pupils
blood pressure of 90/40
When assessing older adults' renal function, which laboratory value will the nurse monitor? A. Liver enzymes B. Serum electrolytes C. Complete blood count D. Blood urea nitrogen and creatinine
blood urea nitrogen and creatinine
The nurse is teaching the patient about the side effects of atenolol. These include A. pupillary constriction. B. blood vessel dilation. C. bronchospasm. D. tachycardia.
bronchospasm
A patient has hypoparathyroidism. The nurse anticipates administration of which medication? A.Metronidazole B.Fluphenazine C.Diltiazem D.Calcitriol
calcitriol
A nurse reads the following order: "Take one multivitamin qod." The nurse will A. administer 1 multivitamin every morning. B. give the patient 1 multivitamin every other day. C. call the prescriber to clarify the order. D. refuse to administer the multivitamin and document it as not administered
call the prescriber to clarify the order
The nurse performing an assessment on a patient identifies the manifestations of cocaine use, which include • A.fatigue and hallucinations. B.cardiac dysrhythmias and violent behavior. C.shock and hypotension. D.shallow respirations and pallor.
cardiac dysrhythmias and violent behavior.
A nurse is administering digoxin, 0.125 mg, to a patient. Which nursing interventions will the nurse implement? (Select all that apply.) A. Checking the apical pulse rate before administration. B. Monitoring the patient's serum digoxin level. C. Instructing patient to report pulse rate less than 60. D. Advising patient to avoid foods high in potassium. E. Always giving an antacid with digoxin to reduce GI distress.
check the apical pulse rate before administration monitoring the patients serum digoxin level instructing patient to report pulse less than 60
A patient is receiving medication therapy for peripheral vascular disease. Which medication does the nurse identify as an antiplatelet drug? A. Cilostazol B. Atenolol C. Heparin D. Diltiazem
cilostazol
A patient with a gastric ulcer is ordered sucralfate. This medication works to A. calm the patient to reduce acid production. B. block the H2 receptors. C. neutralize the gastric acids. D. coat the gastric lining.
coat the gastric lining
An older adult patient reports taking aluminum hydroxide on a daily basis to relieve symptoms of gastroesophageal reflux disease. The nurse needs to evaluate for which condition? A. Constipation B. Diarrhea C. Flatulence D. Abdominal pain
constipation
A patient enters the emergency department with a draining wound. Once the patient is admitted and assessed, the priority nursing intervention is to A.administer the ordered antibiotics. B.teach the patient about the ordered antibiotics. C.culture the wound. D.enforce droplet isolation precautions.
culture the wound
A patient who is taking diphenoxylate with atropine (Lomotil) to treat diarrhea asks the nurse why it contains atropine. The nurse will explain that atropine is added to a.decrease abdominal cramping. b.increase intestinal motility. c.minimize nausea and vomiting. d.provide analgesia.
decrease abdominal cramping
A patient is using a glucocorticoid inhaler. The patient asks the nurse why he has to rinse his mouth out after using the glucocorticoid inhaler. The nurse should inform the patient that rinsing the mouth is done to A. avoid mucous membrane breakdown. B. increase hydration of the oral mucosa. C. decrease risk of infection. D. slow the development of cavities.
decrease risk of infections
Children have higher metabolic rates than adults. The nurse realizes that this affects administration of medication for pain in children in all of the following ways except A. higher requirement for medication. B. increased dosage. C. decreased frequency. D. increased frequency.
decreased frequency
