pharm

A nurse is administering diazepam to a client who is having a colonoscopy. Which of the following actions should the nurse take? A. Ensure flumazenil is available to administer for toxicity management. B. Monitor the client for an increase in blood pressure. C. Expect the client to become unconscious within 30 seconds. Measure the capnography level every hour until the client is awake and oriented.

A

A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider? A. Chest pressure B. White patches on the tongue C. Bruising D. Insomnia

A

A nurse is caring for a client with Parkinson's disease who has a prescription for selegiline (Eldepryl). Which of the following is true about this medication? (Select all that apply) A. It causes dizziness B. It affects sleep patterns C. It is taken intravenously only D. It can be administered with MAOI (monoamine oxidase inhibitor) E. It is ototoxic F. It's best to administer when symptoms occur G. It can be combined with fluoxetine

A, B

A nurse is educating a female client about the use of Soriatane (Acitretin) for the treatment of psoriasis. Which of the following information should the nurse include? (Select all that apply.) A. Do not consume alcohol while taking this medication. B. Initiate reliable contraception 1 month before taking this medication. C. This medication increases susceptibility to infections. D. This medication is administered as an IV infusion. E. Take a vitamin A supplement twice per day while on this medication.

A, B

Which of the following describes the purpose of a nerve block for pain relief? (Select all that apply.) A. For short-term pain management after surgery B. To use as a type of anesthesia for a minor surgery C. As an amnestic during surgery so the patient will not remember the pain D. To allow more time for an area to heal E. As a sedative before a procedure

A, B

A nurse is reviewing the medication records of several clients who have bipolar disorder. The nurse should identify that which of the following medications are mood stabilizers used to treat bipolar disorder? (Select all that apply.) A. Lamotrigine B. Lithium C. Donepezil D. Valproate E. Carbamazepine

A, B, D, E

A nurse is teaching a female client who has a new prescription for oxcarbazepine to treat partial seizures. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. "Do not drink alcohol while taking this medication." B. "Consider using an alternate form of contraception if you are using oral contraceptives." C. "Chew gum to increase saliva production." D. "Avoid driving until you see how the medication affects you." E. "Notify your provider if you develop a skin rash."

A, B, D, E

A nurse is teaching a client who has rapid cycling bipolar disorder and a new prescription for carbamazepine. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. "Blood tests will be done weekly during the first several months of treatment." B. "You should not drink alcohol while taking this medication." C. "You will be more alert while taking this medication." D. "Refrain from taking Monoamine oxidase inhibitor medications for several days after starting this treatment." E. "Do not abruptly discontinue this medication."

A, B, E

A nurse is providing teaching for a client who is scheduled for elective surgery. Which of the following herbal supplements should the nurse instruct the client to discontinue due to increased risk of bleeding? (Select all that apply)? A. Ginseng B. St. John's wort C. Ginkgo biloba D. Kava E. Echinacea

A, C

A client with ulcerative colitis is scheduled for treatment with sulfasalazine (Azulfidine). Which of the following are correct about this drug? (Select all that apply) A Can cause folate deficiency B Can cause hyperchloremia C Can cause megaloblastic anemia D Can cause anaphylactic reaction E Can cause blindness F Can cause thrombocytosis

A, C, D

A nurse is teaching a client who has a new prescription for amitriptyline methods to minimize anticholinergic effects. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. "Void just before taking the medication." B. "Increase your dietary intake of sodium." C. "Wear sunglasses when you are outside." D. "Change positions slowly when you get up." E. "Increase your fiber intake."

A, C, E

A nurse is caring for a client who has a new prescription for Clopidogrel after placement of a coronary artery stent. The nurse should develop a teaching plan that includes which of the following points? (Select all that apply.) A. The client should report unexpected bleeding or bleeding that lasts a long time B. The client should always take Clopidogrel with food C. The client may bruise more easily and may experience bleeding gums D. Clopidogrel works by preventing platelets from forming a clot E. The client should drink a glass of water after taking Clopidogrel

A, C,D

A nurse is preparing to administer pancrelipase (Lipancreatin) to a client with cystic fibrosis. Which of the following should the nurse include when administering this drug? (Select all that apply) A. Assess for lactose intolerance B. Monitor renal function C. Monitor blood coagulation studies D. Provide antidiuretic hormone E. Assess for shortness of breath and leg swelling F. Monitor for joint pain

A, E, F

A nurse is caring for a client who is receiving a transfusion of whole blood and notes that the client has developed circulatory overload as a result of the infusion. Which of the following symptoms would the nurse consider to be a sign of circulatory overload? (Select all that apply) A. Decrease in venous pressure B. Cough C. Distended neck veins D. High fever E. Headache

B, C

A nurse is caring for a client with pre-eclampsia who has a prescription for infusion of magnesium sulfate. Which of the following actions will be implemented by the nurse? (Select all that apply.) A Dilute IV solutions to <10% B Monitor urine output C Assess deep tendon reflexes D Monitor pupillary response E Monitor oxygen saturation continuously

B, C

The nurse is administering cromolyn sodium (Intal) for a client with asthma. Which of the following are true about this drug? (Select all that apply) A. It causes confusion B. It causes headache C. It prevents an attack D. It treats an acute attack E. It causes photosensitivity F. It does not cause wheezing

B, C

A nurse is providing medication teaching to a client who has Addison's disease and has been prescribed hydrocortisone. Which of the following instructions should the nurse include? (Select all that apply.) A. "Take the medication before meals." B. "Notify the provider of any illness or stress." C. "Report any episodes of weakness or dizziness." D. "Do not discontinue the medication suddenly." E. "Eat a high-sodium diet."

B, C, D

The nurse is administering an antidiarrheal drug, which is an opium derivative, to a client with chronic diarrhea. Which of the following medications belong to this class of drug? (Select all that apply) A bismuth salicylate B camphorated tincture of opium C diphenoxin D diphenoxylate E Laudanum F kaolin and pectin G loperamide hydrochloride H belladonna alkaloyd

B, C, D, E, G

A nurse is providing medication teaching to a client who has major depressive disorder and a new prescription for trazodone. Which of the following information should the nurse include? (Select all that apply.) A. "Swollen gums are a common adverse effect of this medication." B. "Expect to have a dry mouth while taking this medication." C. "This medication might make you feel drowsy." D. "You might have difficulty urinating while taking this medication." E. "This medication can cause a decrease in blood pressure."

B, C, E

The nurse is administering silver sulfadiazine to an older adult client. Which of the following is true about this drug? (Select all that apply) A It causes black stains of the skin B It causes leukopenia C It causes flushing and a tingling sensation D It forms sulfa crystals in the urine E Sulfamylon is the brand name F It interferes with liver function

B, D

A nurse is assessing a client who received an increased dose of fluvoxamine 4 hr ago. Which of the following findings should the nurse report to the provider as indications of serotonin syndrome? (Select all that apply.) A. Hypothermia B. Hallucinations C. Muscular flaccidity D. Tachycardia E. Agitation

B, D, E

The cardiac rhythm shown in the image below is called SVT (supraventricular tachycardia). What would be an appropriate intervention for a stable client?(Select all that apply.) A Have the client rest quietly in bed until it passes B Administer adenosine C Ambulate client in hallway D Give client a snack E Ask the client to cough or bear down as if having a bowel movement (Valsalva maneuver)

B, E

Which of the following would be an indication for a blood product transfusion in an adult client? (Select all that apply.) A. Hemoglobin 12 grams per deciliter B. Hemorrhage that causes 30 percent total volume blood loss C. Platelet count of 100,000 micrograms per liter D. International Normalized Ratio (INR) level greater than 2.0 E. Sickle cell disease that causes severe anemia

B, E

A nurse is caring for a client who has absence seizures. The nurse should recognize that which of the following medications are indicated for the treatment of absence seizures? (Select all that apply.) A. Phenytoin B. Ethosuximide C. Gabapentin D. Primidone E. Valproic acid F. Lamotrigine

B, E, F

A nurse is providing education for a client undergoing chemotherapy who has a new prescription for nabilone (Cesamet.) What are the potential side effects of administering this drug? (Select all that apply) A. Bradycardia B. Dizziness C. Nausea D. Vomiting E. Distorted thinking F. Hallucination

B, E, F

A client with increased intraocular pressure has a new prescription for timolol eye drops. Which of the following describes this class of medication by mechanism of action? A. Prostaglandin analog B. Carbonic anhydrase inhibitor C. Beta adrenergic blocker D. Alpha adrenergic agonist

C

A nurse is caring for a client with type 1 diabetes who has prescriptions for NPH insulin and regular insulin. At 0700, the breakfast tray has arrived, and the client has a blood glucose level of 280 milligram per deciliter (mg/dL). Which of the following is the most appropriate action by the nurse? A. Administer 15 units of NPH now and 9 units of regular insulin after breakfast B. Administer NPH and regular insulin in the same syringe, drawing NPH first C. Administer NPH and regular insulin in same syringe, drawing regular first D. Administer the two insulin doses in separate injections

C

A charge nurse is providing in-service education about insulin preparations to nursing staff on a medical-surgical unit. Which of the following is true about the different types of insulin preparations? (Select all that apply.) A. Regular insulin has a duration of 16 hours B. Lente insulin peaks at 2 to 4 hours C. Insulin glargine has an onset at 1.5-2 hours D. NPH insulin has a peak effect at 4-6 hours E. Ultralente has a peak effect at 6 to 12 hours

C, D

A nurse is developing a plan of care for a client who is scheduled for surgery the following day. Which of the following statements should the nurse incorporate into the plan? (Select all that apply.) A. Use of analgesics will eventually lead to addiction B. Each client's expression of pain is the same. C. Breakthrough pain can occur in the postoperative client. D. Pain level and pain tolerance can be assessed using a scale from 0 to 10. E. The client will express the feeling of pain both verbally and nonverbally.

C, D

A nurse is providing education to a client with severe cystic acne vulgaris who has a new prescription for isotretinoin (Accutane). Which of the following information items need to be provided to the client? (Select all that apply.) A. Take medication after meals B. Take vitamin A supplements C. Avoid prolonged sun exposure D. Night vision may worsen E. Safe in pregnancy

C, D

A nurse is caring for a client with a prescription of nitrofurantoin for treatment of a urinary tract infection. Which of the following nursing responsibilities should be implemented after administering this drug? (Select all that apply) A. Administer 30 minutes before meals B. Decrease fluid intake C. Monitor for cough D. Monitor for chills E. Assess for peripheral neuropathy F. Assess for tunnel vision G. Assess for blood coagulation

C, D, E

The nurse is administering fibric acid derivative to a client with coronary heart disease. Which of the following fall under this classification of drugs? (Select all that apply) A Lovastatin B Simvastatin C Gemfibrozil D Atorvastatin E Fluoroquinolone F Colestipol G Clofibrate

C, G

A nurse is caring for a 56-year-old client who is taking warfarin (Coumadin). Which of the following laboratory parameters should be monitored? (Select all that apply) PT PTT INR Platelets CRP

PT, INR

A client is admitted with hypertension, type 1 diabetes, and COPD. BP is 216/108. The physician orders hydralazine (Apresoline) 10mg IV push now, then 5 mg IV every 30 minutes PRN. Prior to the administration of this medication, what should the nurse have in place? (Select all that apply.) A. Noninvasive blood pressure cuff B. 6L oxygen by nasal cannula C. Continuous cardiac monitoring D. Peripheral IV site E. An IV of D5W

a, c, d

A nurse is caring for a client that is scheduled for outpatient hernia repair who took furosemide (Lasix) the morning of surgery. The nurse knows that the client might be at risk for which of the following complications as a result of the furosemide? (Select all that apply.) A. Hypertension B. Fluid volume deficit C. Hypoglycemia D. Hypotension E. Malignant hyperthermia

b, d