Pharm Final Exam
A nurse is providing teaching to a client who has a prescription for a MAOI inhibitor. Which of the following foods should the nurse instruct the client to avoid while taking this medication?
Smoked sausage
A nurse is teaching a client who is to start taking ranitidine for peptic ulcer disease. Which of the following client statements should the nurse identify as understanding of the teaching?
"I know smoking makes ranitidine less effective."
An older female patient is diagnosed with osteoporosis. When the patient asks what this diagnosis is, the NP responds that osteoporosis: A. is a metabolic bone disorder characterized by inadequate mineralization of the bone B. develops when the loss of bone (resorption) occurs more rapidly than new bone growth (deposition) C. is a result of degenerative joint disease characterized by degeneration and loss of cartilage in the joints D. is a chronic, systemic inflammatory disorder
B. develops when the loss of bone (resorption) occurs more rapidly than new bone growth (deposition)
An appropriate drug for the treatment of depression with anxiety would be: A. alprazolam (Xanax) B. escitalopram (Lexapro) C. buspirone (Buspar) D. amitriptyline (Elavil)
B. escitalopram (Lexapro)
The ongoing monitoring for patients over 65 taking alendronate (Fosamax) or any other bisphosphonate is: A. annual dual-energy x-ray absorptiometry (DEXA) scans B. annual vit D level C. annual renal function evaluation D. electrolytes every 3-6 months
C. annual renal function evaluation
Muscle relaxants are considered second-line therapy for acute back pain. A major side effect of these medications includes: A. GI bleeding B. urinary retention C. sedation D. suicidal ideation
C. sedation
A nurse provides dietary counseling for a patient newly diagnosed with type 1 diabetes. Which instruction should be included? a. "You may eat any foods you want and cover the glucose increase with sliding scale, regular insulin." b. "Most of the calories you eat should be in the form of protein to promote fat breakdown and preserve muscle mass." c. "Your total caloric intake should not exceed 1800 calories in a 24-hour period." d. "You should use a carbohydrate counting approach to maintain glycemic control."
D
A patient is about to receive prednisone for tendonitis. The nurse reviewing the chart would be concerned about which of the following in the patient's medical history? a. Asthma and allergic rhinitis b. Gouty arthritis c. Seborrheic dermatitis d. Systemic fungal infection
D
A common side effect of trazodone may be alleviated by: A. taking this medication with food B. eating increased fiber while taking this medication C. drinking a big glass of water with each dose D. taking this medication at bedtime
D. taking this medication at bedtime
A nurse in a provider's office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately?
Hyperventilation
A nurse is providing teaching to a client about the use of ethanol estradiol/norelgestromin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching?
I will fold the sticky sides of the old patch together before disposing it
A nurse is providing teaching for a client who has a new prescription for ferrous sulfate. The nurse should instruct the client to take the medication with which of the following to promote absorption?
Orange juice
A nurse is caring for a 20 year old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgarism. Before the client can obtain a refill, the nurse should advise the client that which of the following tests is required?
Pregnancy test
A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following laboratory tests should the nurse review before administering the medication?
Total cholesterol
When displayed by a patient, which symptom would be most indicative to the nurse to withhold a recently prescribed beta-adrenergic blocker?
Wheezing
An older adult patient is to receive atenolol, a beta-adrenergic blocking agent. Prior to administration of the drug, the nurse assesses an apical pulse rate of 58 and notes ankle edema. Which action will the nurse take first?
Withhold the medication
A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report?
0830
A nurse is discussing glucocorticoids with a group of nursing students. Which statement by a student indicates understanding of the teaching? a. "Glucocorticoids have both endocrine and nonendocrine uses." b. "Patients treated for adrenocortical insufficiency receive pharmacologic doses." c. "Pharmacologic effects are achieved with low doses of glucocorticoids." d. "Physiologic doses are used to treat inflammatory disorders."
A
A nurse is teaching a patient who has taken glucocorticoids for over a year about glucocorticoid withdrawal. Which statement by the patient indicates a need for further teaching? a. "I should reduce the dose by half each day until I stop taking the drug." b. "I will need to have cortisol levels monitored during the withdrawal process." c. "The withdrawal schedule may take several months." d. "If I have surgery, I may need to take the drug for a while, even after I have stopped."
A
A patient taking a glucocorticoid for arthritis reports feeling bloated. The nurse notes edema of the patient's hands and feet. Which action by the nurse is correct? a. Ask the patient about sodium intake. b. Obtain a blood glucose level. c. Suggest the patient limit potassium intake. d. Tell the patient to stop taking the drug.
A
A patient with arthritis is admitted to the hospital. The patient's serum glucose level is 350 gm/dL, and the blood pressure is 182/98 mm Hg. The nurse notes that the patient's face appears rounded and puffy. The patient complains of feeling weak. What will the nurse do? a. Ask which drugs the patient takes for arthritis. b. Contact the provider to discuss whether the patient has a pituitary carcinoma. c. Request an order for ketoconazole [Nizoral]. d. Suspect that this patient has Addison's disease.
A
A patient with type 1 diabetes reports mixing NPH and regular insulin to allow for one injection. What should the nurse tell the patient? a. This is an acceptable practice. b. These two forms of insulin are not compatible and cannot be mixed. c. Mixing these two forms of insulin may increase the overall potency of the products. d. NPH insulin should only be mixed with insulin glargine.
A
Which disorders may be treated with glucocorticoids? (Select all that apply.) a. Allergic rhinitis b. Anaphylaxis c. Bronchiolitis d. Gout e. Ulcerative colitis
A, D, E
Harold is a 65 yo patient with a history of gout and has been taking allopurinol 300 mg per day. He presents with obvious signs of an acute gout flare. He states he has recently returned from a vacation where he did not follow a low-purine diet. The NP decides to initiate pharmacologic therapy with an NSAID. Which statement below would not be appropriate to tell this patient? A. Stop the allopurinol until your gout symptoms subside then restart at 300mg/day B. continue the allopurinol at your usual dose and add the NSAID as prescribed C. limit your dietary intake of red meat and alcohol as these contain purines that can increase your risk of gout attacks D. you can continue your omeprazole while taking the NSAID
A. Stop the allopurinol until your gout symptoms subside then restart at 300mg/day
The NP is considering starting a patient on urate lowering drug therapy for the prevention of gout. Probenecid would not be the best choice of prophylactic gout treatment in the following patient A. pt with hx of urolithiasis B. pt with BPH C. pt who is classified as a urate underexcreator D. pt with chronic gout
A. pt with hx of urolithiasis
The laboratory monitoring required when a patient is taking an SSRI is: A. there is no laboratory monitoring required B. CBC every 3 months C. Blood glucose every 4 months d. therapeutic blood levels every 6 months after steady state is achieved
A. there is no laboratory monitoring required
A nurse is reviewing the medical record of a client who has hypertension. The nurse should identify which of the following findings as a contraindication to receiving propranolol?
Asthma
A child is to begin long-term glucocorticoid therapy. The parents ask the nurse about the effects of this drug on the child's growth. Which response by the nurse is correct? a. "A smaller dose may be indicated for your child." b. "Ask your provider about every other day dosing." c. "Long-acting glucocorticoid preparations should prevent growth suppression." d. "Oral glucocorticoids rarely cause growth suppression."
B
A patient who is a long-distance runner has been diagnosed with rheumatoid arthritis in both knees and will begin glucocorticoid therapy. When teaching the patient about the medication, the nurse will include what information? a. "By reducing inflammation, this drug will slow the progression of your disease." b. "Glucocorticoids are used as adjunctive therapy during acute flare-ups." c. "Oral glucocorticoids cause less toxicity than intra-articular injections." d. "You may resume running when the pain and swelling improve."
B
According to JNC-8 guidelines, the blood pressure goal for a 65-year-old patient with no history of diabetes or chronic kidney disease is: A. <160/90 B. <150/90 C. <140/90 D. <130/90
B. <150/90
A 65 yo Caucasian woman presents for interpretation of bone density. Her personal medical hx is unremarkable, but her mother died at 75 yo due to complications of a hip fracture. Her T-score is -2.6. Which of the following choices is correct interpretation of this T-score and treatment: A. Osteopenia: alendronate (Fosamax) for treatment B. Osteoporosis; risedronate (Actonel) for treatment C. Normal bone density; supplement with calcium and vit D D. normal bone density; alendronate (Fosamax) for prevention
B. Osteoporosis; risedronate (Actonel) for treatment
A patient with major depression is reluctant to start an antidepressant due to concerns about side effects, specifically sexual dysfunction. Which of the following antidepressants increases norepinephrine and dopamine and is less likely to cause sexual dysfunction issues? A. duloxetine (Cymbalta) B. bupropion (Wellbutrin) C. fluoxetine (Prozac) D. escitalopram (Lexapro)
B. bupropion (Wellbutrin)
The NP prescribes naproxen for initial pharmacologic therapy for a patient with acute back pain. The patient has a hx of gastric ulcer but is presently asymptomatic. The NP should consider prescribing the following medication in addition to the NSAID: A. Carafate B. omeprazole C. ibuprofen D. bismuth subsalicylate (Pepto-bismol)
B. omeprazole
Which of the following is not considered an anti-resorptive medication in the treatment of bone loss: A. hormone replacement therapy B. vitamin D C. alendronate (Fosamax) D. calcitonin (Miacalcin)
B. vitamin D
A nurse is assessing a client who has received atropine eye drops during an eye examination. Which of the following findings should the nurse expect as an adverse effect of the medication?
Blurred vision
A clinic patient who has been taking a glucocorticoid for arthritis for several months remarks to the nurse, "It's a good thing my symptoms are better, because my mother has been quite ill, and I have to take care of her." The patient's blood pressure is 100/60 mm Hg. The nurse will report this to the provider and ask about: a. reducing the patient's dose. b. using every other day dosing. c. increasing the patient's dose. d. tapering the dose.
C
A nurse tells a nursing student that the glucocorticoids given for rheumatoid arthritis are nearly identical to substances produced naturally by the body. The student remarks that the drug must be very safe. Which response by the nurse is correct? a. "As long as the drug is taken as prescribed, side effects usually do not occur." b. "By interrupting the inflammatory process, these drugs inhibit side effects." c. "Side effects can occur and are dependent on the dose and duration of treatment." d. "The negative feedback loop prevents side effects."
C
Insulin glargine is prescribed for a hospitalized patient who has diabetes. When will the nurse expect to administer this drug? a. Approximately 15 to 30 minutes before each meal b. In the morning and at 4:00 PM c. Once daily at bedtime d. After meals and at bedtime
C
What is the role of calcium supplements when patients take biphosphonates? A. they only work with biphosphonates if daily intake is restricted B. They must be taken at the same times as the biphosphonate C. They must be taken in sufficient amts to provide foundational elements for bone growth D. they must be restricted to allow optimal results from the biphosphonate
C. They must be taken in sufficient amts to provide foundational elements for bone growth
In patients who exhibit depression, selective serotonin reuptake inhibitors (SSRIs) are commonly chosen as a medication for treatment. SSRIs are often chosen because they: A. are more efficacious than other drug classes B. require fewer laboratory tests for follow up C. are safer than other medications for depression D. help patients reach normal states more quickly
C. are safer than other medications for depression
A new patient presents with worsening depression and has agreed to start pharmacologic therapy and counseling. The patient has type 2 diabetes with neuropathy. What would be the best antidepressant for this patient? A. bupropion (Wellbutrin) B. sertraline (Zoloft) C. duloxetine (Cymbalta) D. aripiprazole (Abilify)
C. duloxetine (Cymbalta)
When is the use of antipsychotic medications appropriate to use in patients with dementia? A. never B. if the patients cannot sleep and are wandering C. if the patient may cause harm to themselves or others D. if the cholinesterase inhibitors such as donepezil (Aricept) are no longer effective
C. if the patient may cause harm to themselves or others
You are reviewing current lab results for a 45 yo white male with a BMI of 35. His GFR is >60, his uric acid is 8.0 and his A1C is in the non-diabetic range. He has NKDA. He is asymptomatic for gout related symptoms. Which of the following would not be acceptable treatment options for this patient?* A. patient should be advised to follow a low purine diet B. patient should be advised to lose weight and exercise C. patient should be started on Xanthine oxidase inhibitor such as allopurinol D. advise the patient if he becomes symptomatic he will be started on corticosteroids or an NSAID.
C. patient should be started on Xanthine oxidase inhibitor such as allopurinol
Biphosphonate administration patient edu includes: A. taking the medication with H2 blockers or PPIs to protect the lining of the stomach B. taking the medication with OJ C. requiring sitting erect for at least 30 minutes after taking D. Taking the medication on a full stomach
C. requiring sitting erect for at least 30 minutes after taking
Drugs that increase the risk of osteoporosis developing include: A. high doses of Vit D B. calcium channel blockers C. steroids D. oral combined contraceptives
C. steroids
A nurse is caring for a client who has cancer and is taking oral morphine and decussate sodium. The nurse should instruct the client that taking the decussate sodium on a daily basis can minimize which of the following adverse effects of morphine?
Constipation
A patient with type 1 diabetes is eating breakfast at 7:30 AM. Blood sugars are on a sliding scale and are ordered before a meal and at bedtime. The patient's blood sugar level is 317 mg/dL. Which formulation of insulin should the nurse prepare to administer? a. No insulin should be administered. b. NPH c. 70/30 mix d. Lispro [Humalog]
D
A depressed patient is started on an SSRI. When should another antidepressant be tried if there is no response?* A. 3-7 days B. 2-3 weeks C. 4-6 weeks D. 8-12 weeks
D. 8-12 weeks
A nurse is administering baclofen for a client who has a spinal cord injury. Which of the following should the nurse document as a therapeutic outcome?
Decrease in flexor and extensor spasticity
Which of the following medications is least likely to cause medication overuse headache in a patient being treated for migraine headache?* A. a triptan B. acetaminophen C. an opioid D. NSAID
D. NSAID
Which of the following drugs for treating osteoporosis works by stimulating bone growth as opposed to decreasing bone resorption? A. Miacalcin B. Biphosphonate (Boniva) C. vit D and calcium D. Teriparatide (Forteo)
D. Teriparatide (Forteo)
Selective estrogen receptor modifiers (SERMS) treat osteoporosis by selectively: A. inhibiting magnesium resorption in the kidneys B. increasing calcium absorption from the GI tract C. acting on bone to inhibit osteoblast activity D. acting on the estrogen receptors in the bone
D. acting on the estrogen receptors in the bone
All NSAIDs have a FDA black box warning regarding: A. increased risk of systemic arthritis with prolonged use B. potential for transient changes in serum glucose resulting in increased risk of severe hypoglycemia C. Risk of life-threatening rashes, including SJS D. increased risk of serious cardiovascular thrombotic events including MI and stroke
D. increased risk of serious cardiovascular thrombotic events including MI and stroke
A 65 yo black female presents to the clinic with acute painful swelling of her RT great toe. Symptoms are consistent with acute gout. She has known CKD with a serum creatinine of 2.4. Which of the following is the best pharmacologic treatment for this patient?* A. colchicine B. naproxen C. acetaminophen D. prednisone
D. prednisone
A nurse is providing teaching about insulin glargine to a client who has type 1 diabetes mellitus. Which of the following information should the nurse include in the instructions?
Do not mic this medication in a syringe with other insulin
A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in teaching?
Drink a glass of milk with each dose of medication
A nurse is providing discharge instruction to a client who is to self-administer insulin at home. Which of the following client statements should indicate to the nurse that the teaching is effective?
I will store my unopened bottles of insulin in the refrigerator
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first?
Obtain the client's blood pressure
A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for the treatment of histoplasmosis. Which of the following findings should the nurse identify as an adverse reaction to the medication?
Oliguria
A nurse is reviewing the prescriptions of a client who has tuberculosis. The nurse should identify that which of the following medications are used to treat tuberculosis? (select all that apply)
Rifampin Isoniazid
A nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse should identify which of the following client findings as an indication that she should complete an incident report?
The client reports shortness of breath
A nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should the nurse include in the teaching as an adverse effect of the medication?
Urinary retention
Prior to administration of a beta-adrenergic blocker, the nurse notes the patient to have a heart rate of 52 beats/min, peripheral edema, crackles in the bases of the lungs, and mottled skin. Which is the priority nursing action?
Withhold the medication and notify the healthcare provider
The nurse is caring for a 27-year-old female client who has just been prescribed misoprostol. What is a priority teaching point for this client? Select one: a. "You will need to use a barrier-type contraceptive." b. "Do not take NSAIDs with this drug." c. "Adverse effects include nausea and diarrhea." d. "It protects the lining of the stomach."
a. "You will need to use a barrier-type contraceptive."
When caring for a client diagnosed with a peptic ulcer, the nurse administers omeprazole and amoxicillin. What diagnostic finding indicates therapeutic effects of this drug regimen? Select one: a. Absence of Helicobacter pylori b. Absence of gastroesophageal reflux c. Absence of dyspepsia d. Increased appetite and absence of nausea
a. Absence of Helicobacter pylori
The nurse is caring for a client who is receiving antacids to relieve GI discomfort. What nursing action is most appropriate? Select one: a. Administer the antacid 1 hour before or 2 hours after other oral medications b. Limit fluid intake to decrease dilution of the medication in the stomach c. Have the client swallow the antacid whole and do not crush or chew the tablet d. Administer this drug with other drugs or food to prolong therapeutic effects
a. Administer the antacid 1 hour before or 2 hours after other oral medications
A new mother required an episiotomy during the birth of her baby. Two days after the birth of her baby, the client is in need of a laxative. What will be the most effective drug for the nurse to administer? Select one: a. Docusate b. Magnesium sulfate c. Bisacodyl d. Castor oil
a. Docusate
For what action would the nurse administer magnesium citrate? Select one: a. Increase motility and the bulk of fecal matter b. Block absorption of fats c. Form a slippery coat on the contents of intestine d. Directly stimulate the nerve plexus in the intestinal wall
a. Increase motility and the bulk of fecal matter
A clinic client with a history of heart failure requires a laxative for treatment of chronic constipation. What medication would be most appropriate for this client? Select one: a. Lactulose b. Senna c. Magnesium sulfate d. Castor oil
a. Lactulose
The nurse teaches the client to best promote optimal GI function by including what in the daily routine? Select one: a. Nutritious diet, adequate fluid intake, and exercise b. Avoiding prescription medications, increased fluid intake, and vigorous exercise c. Nutritious diet, avoiding alcohol, and cautious use of laxatives d. Exercise, adequate sleep, and avoiding caffeine
a. Nutritious diet, adequate fluid intake, and exercise
The client who experiences nausea produces less stomach acid. The nurse recognizes this as having what effect? Select one: a. Protects the lining of the upper GI tract b. Increases the feeling of nausea c. Stimulates the parasympathetic nervous system d. Directs fluid to mucus production in the small bowel
a. Protects the lining of the upper GI tract
A client with diarrhea was instructed by the pharmacist to take bismuth subsalicylate. The client took the medication as instructed for 36 hours and has now called the clinic reporting dark stools that are "nearly black." What is the nurse's best action? Select one: a. Reassure the client that this is an expected effect of the drug that does not indicate pathology b. Have the client come be assessed for a gastrointestinal bleed c. Have the client monitor his or her bowel movements for 24 hours and then call the clinic again d. Have the client come in for fecal occult blood testing
a. Reassure the client that this is an expected effect of the drug that does not indicate pathology
A client has been prescribed esomeprazole (Nexium). What statement by the client describes safe and effective use of this medication? Select one: a. "I should open the capsules and crush the drug into applesauce." b. "I need to swallow the drug whole and not chew the capsules." c. "It is important that I take the drug after each meal." d. "I should always take the drug with an antacid."
b. "I need to swallow the drug whole and not chew the capsules."
The nurse is preparing a client for discharge with a prescription for sucralfate and should teach the client to take the medication when? Select one: a. With an antacid before breakfast b. 1 hour before or 2 hours after meals and at bedtime c. After each meal, no more than 15 minutes after finishing d. With meals
b. 1 hour before or 2 hours after meals and at bedtime
A client with a duodenal ulcer is receiving sucralfate for short-term treatment. What should the nurse advise the client to avoid? Select one: a. Calcium carbonate b. Aluminum salts c. Proton pump inhibitors d. Milk of magnesia
b. Aluminum salts
The nurse assesses a newly admitted client and finds the muscle tone in his left leg has sustained muscle contraction and that the client is unable to relax the muscle even when prompted. What is the nurse's most appropriate action? Select one: a. Document the presence of muscle spasticity b. Administer phenytoin as prescribed c. Administer diphenhydramine as prescribed d. Document the fact that the client has atonic muscles
b. Assessment of level of consciousness
Water is primarily absorbed in which portion of the gastrointestinal tract? Select one: a. Ileum b. Colon c. Duodenum d. Jejunum
b. Colon
The nurse administers loperamide to decrease the number and liquidity of stool by what mechanism? Select one: a. Blocking the chemoreceptor trigger zone (CTZ) b. Decreasing intestinal motility c. Absorbing toxins d. Binding with fecal material to increase bulk
b. Decreasing intestinal motility
The nurse collects a stool culture from a client diagnosed with traveler's diarrhea. What bacterium does the nurse expect the culture to grow? Select one: a. Pseudomonas b. Escherichia coli c. Staphylococcus aureus d. Streptococcus type B
b. Escherichia coli
What symptoms would the nurse find to be consistent with a diagnosis of a peptic ulcer? Select one: a. Unable to stand comfortably due to abdominal pain b. Pain a few hours after eating c. Pain described as sharp and stabbing d. Explosive diarrhea within 1 hour of eating
b. Pain a few hours after eating
A client with a history of constipation has been taking OTC laxatives with good success. The client tells the nurse that he is relieved to have found a solution to his constipation. When providing health education, the nurse should prioritize what topic? Select one: a. Optimal timing of food intake, fluid intake, and laxative use b. Strategies for preventing dependence on laxatives c. Preventative strategies against nausea and vomiting d. Appropriate use of antidiarrheals in case of laxative overdose
b. Strategies for preventing dependence on laxatives
A nurse is caring for a client who is receiving long-term treatment for systemic lupus erythematosus with prednisone. The nurse should inform the client to expect to undergo which of the following diagnostic tests to monitor for long-term complications of prednisone?
bone density scans
The nurse is teaching a client who is to be discharged with an order to use chemical stimulant laxatives PRN. The nurse should caution the client about what potential adverse effect? Select one: a. Confusion b. Gastroesophageal reflux c. Abdominal cramping d. Rectal bleeding
c. Abdominal cramping
The health care provider prescribes codeine 20 mg PO q4h as an adjunctive therapy to a client's NSAID. What is the nurse's best action? Select one: a. Contact the care provider to question the frequency of administration b. Contact the care provider to question concurrent use of an NSAID and codeine c. Administer the medication as prescribed, and monitor the client's pain d. Contact the care provider to question the dose
c. Administer the medication as prescribed, and monitor the client's pain
The nurse should question an order for bismuth salts in a client with what condition? Select one: a. Hypertension b. Viral gastroenteritis c. Allergy to aspirin d. Rheumatoid arthritis
c. Allergy to aspirin
Which client would the nurse expect to be the best candidate for misoprostol? Select one: a. A 22-year-old pregnant client b. A 46-year-old trial lawyer with hypertension c. An 83-year-old man with rheumatoid arthritis d. A 12-year-old with obsessive-compulsive disorder
c. An 83-year-old man with rheumatoid arthritis
When the nurse administers a medication that stimulates the parasympathetic nervous system, the drug will have what impact on the GI system? Select one: a. Decreases secretions b. Decreases muscle tone c. Decreases sphincter tone d. Decreases contractions
c. Decreases sphincter tone
The home health nurse is caring for an 82-year-old man in his home. He reports almost daily diarrhea. The nurse should assess for what common cause of diarrhea in older adults? Select one: a. Inadequate fluid intake b. Antihypertensive medications c. Laxative overuse d. Inactivity
c. Laxative overuse
What is the basic type of movement that occurs in the esophagus? Select one: a. Segmentation b. Churning c. Peristalsis d. Mass movement
c. Peristalsis
A hospital client has been scheduled for a barium enema the following morning. The nurse should anticipate what prescription for the client's bowel preparation? Select one: a. Magnesium sulfate b. Polycarbophil c. Polyethylene glycol-electrolyte solution d. Senna
c. Polyethylene glycol-electrolyte solution
A client with peptic ulcer disease is experiencing fewer symptoms because of suppression of hydrochloric acid secretion into the lumen of the stomach. What medication category is this client most likely receiving? Select one: a. Antipeptic agent b. Prostaglandin c. Proton pump inhibitor d. Histamine-2 antagonist
c. Proton pump inhibitor
The nurse questions an order for a proton pump inhibitor when the client is known to take what other medication? Select one: a. Heparin b. Penicillin c. Theophylline d. Digoxin
c. Theophylline
The chemoreceptor trigger zone in a client's medulla has been stimulated. What will most likely occur following repeated stimulation? Select one: a. Repeated swallowing b. Increased peristalsis c. Vomiting d. Decreased respiratory rate
c. Vomiting
A client is undergoing chemotherapy and is experiencing severe nausea. The nurse has administered ondansetron intravenously, with good effect. This client has benefited from: Select one: a. increased gastric emptying and small bowel peristalsis. b. stimulation of antinausea receptors in the medulla. c. blockage of receptors in the CTZ. d. recalibration of the vestibular apparatus.
c. blockage of receptors in the CTZ.
A nurse is providing teaching about adverse effects of clindamycin to a client. Which of the following findings should the nurse instruct the client to report to the provider?
watery diarrhea
A client with a history of peptic ulcer disease has responded well to treatment with a histamine-2 antagonist. This client is most likely experiencing: Select one: a. coating and protecting of the stomach lining. b. destruction of Helicobacter pylori. c. reduction in the quantity of hydrochloric acid secreted. d. increased pH of secreted hydrochloric acid.
c. reduction in the quantity of hydrochloric acid secreted.
When would the nurse recommend that a traveler take an oral antiemetic to prevent motion sickness? Select one: a. When symptoms first begin b. 10 minutes prior to trip c. 3 hours prior to trip d. 30 minutes prior to trip
d. 30 minutes prior to trip
The nurse is caring for four clients. Which client would have the highest risk for hepatotoxicity from dantrolene? Select one: a. An 87-year-old man who is taking a cardiac glycoside b. A 48-year-old woman who is taking a loop diuretic c. A 32-year-old man who is taking an antipsychotic drug d. A 60-year-old woman who is on hormone replacement therapy
d. A 60-year-old woman who is on hormone replacement therapy
The nurse has administered a prescribed dose of ondansetron IV to a client? What assessment finding best indicates therapeutic effect? Select one: a. Client requests food. b. Client participates in activities. c. Client's vital signs are within reference ranges. d. Client denies nausea.
d. Client denies nausea.
A client receiving loperamide (Imodium) should be alerted by the nurse to what possible adverse effect? Select one: a. Urinary retention b. Anxiety c. Bradycardia d. Constipation
d. Constipation
What is the priority nursing diagnosis for an 89-year-old client with frequent liquid stools? Select one: a. Pain related to abdominal cramping b. Deficient knowledge related to medications c. Imbalanced nutrition: less than body requirements d. Deficient fluid volume
d. Deficient fluid volume
The nurse is providing education for a client with peptic ulcer disease resulting from chronic nonsteroidal anti-inflammatory drug (NSAID) use who will begin a prescription of misoprostol. The nurse evaluates that the client understands the actions of this drug when he or she says it does what? Select one: a. Increases lower esophageal sphincter pressure b. Reduces the stomach's volume of hydrochloric acid c. Increases the speed of gastric emptying d. Protects the stomach's lining
d. Protects the stomach's lining
The nurse is caring for a client who has recently been prescribed misoprostol. What change in the client's health status should the nurse communicate most promptly to the care provider? Select one: a. The client received the annual influenza vaccine 48 hours ago. b. The client has had two nosebleeds in the past week. c. The client's blood pressure is 146/98 mm Hg. d. The client believes that she may be pregnant.
d. The client believes that she may be pregnant.
A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report?
tingling of fingers
