pharmacology final

A nurse is caring for a patient with cancer who has been prescribed dacarbazine 100 mg, which is highly emetic. Which instruciton given by the primary health care provider to the nurse is appropriate? - administer 50 mg dacarbazine when the pt has nausea and vomiting - administer antiemetic medications when the pt has nausea and vomiting - administer antiemetic medication 30 minutes before administering dacarbazine - administer electrolytes to the pt to prevent dehydration resulting from vomiting

"Administer antiemetic medications 30 minutes before administering dacarbazine."

A patient who has nausea and vomiting has been prescribed promethazine. Which is the appropriatet instruction given by the primary health care provider to the nurse to quickly relieve the patient's symptoms? - Administer promethazine through the intravenous route - Administer promethazine through the intraarterial route - Administer promethazine int eh first 24 to 48 hours of chemotherapy - Administer electrolytes to the patient to prevent dehydration caused by vomiting

"Administer promethazine through the intravenous route."

Which instruction would the nurse give a patient about administering topical clindamycin? - squeeze the tube of medication into the vagina - refrigerate the reconstituted medication between uses - cleanse the skin with an exfoliating agent before application - apply a thin layer to the affected area after it has been cleansed

"Apply a thin layer to the affected area after it has been cleansed."

A patient with mild diabetes insipidus is prescribed vasopressin intranasal aqueous preparation. Which pateint instruction does the nurse provide to ensure safe administration of the drug? - Dilute the drug preparation before administration - Shake the drug preparation thoroughly before use - Inhale the drug preparation by spraying into the nostrils - Apply the drug preparation topically to the nasal membranes

"Apply the drug preparation topically to the nasal membranes."

The nurse is teaching students about applying a transdermal estradiol patch. Which statement made by a student suggests effective learning? - rotate the patch every 2 weeks - rotate the patch at the same time each day - apply the patch to the breast area for better absorption - apply the patch to the lower abdomen for better absorption

"Apply the patch to the lower abdomen for better absorption."

The primary health care provider prescribed a sputum culture for a patient with symptoms of tuberculosis and a positive test on chest radiography. Which instructin for collecting the sputum specimen given by the nurse is appropriate? - collect the sputum for 2 consecutive days - collect the sputum specimen earily in the moring - do not rinse your mouth before collecting the sputum - do not take a deep breath while collecting the sputum

"Collect the sputum specimen early in the morning."

The nurse is teaching safe administration of medication to a patient who has been prescribed levothyroxine. Which statement would the nurse include in the teaching session? - Always take the medication thrice a day, after meals - Take this medication with 250 mL of orange juice regularly - There are no dietary restrictions while taking this medication - Consult your provider before taking over-the-Counter medications

"Consult your provider before taking over-the-counter medications."

Which information is important to teach a patient taking a traditional antihistamine? - do not drive after taking this medication - take this medicaiton on an empty stomach - do not take this medication for more than 2 days - make sure you drink a lot of liquids while on this medication

"Do not drive after taking this medication."

Which instruction is essential to teach the patient who is taking bismuth subsalicylate for diarrhea? - avoid chewing these tablets - do not use ibuprofen while on this medication - always take this medication after an episode of diarrhea - do not take aspirin for headaches while on this medication

"Do not take aspirin for headaches while on this medication."

A female patient is takng estrogen with progesterone. To facilitate monitoring of the risks associated with this therapy, which instruction would the nurse include in patient teaching? - have a yearly mammogram - have tests for serum cholesterol - perform weight-bearing exercise - reprot missed menstrual periods

"Have a yearly mammogram."

The nurse is treaching a patient who has asthma aobut the frequency of inhalation of salmetrol. Which statement by the patient indicates effective learning? - I will inhale it once a day upon waking - I will inhale it once a day before bedtime - I will inhale it twice a day at my convenience - I will inhale it twice a day approximately 12 hours apart

"I will inhale it twice a day approximately 12 hours apart."

Which statement indicates to the nurse that the patient needs additional teaching on oral hypoglycemic agents? - I will monitor my blood sugar daily - I will limit my alcohol consumption - I will take the medication only when I need it - I will report symptoms of fatigue and loss of appetite

"I will take the medication only when I need it."

A patient newly diagnosed with diabetes asks, "How does insulin normally work in my body?" Which response by the nurse is correct? - It stimulates the pancreas to reabsorb glucose - It promotes synthesis of amino acids - It stimulates the liver to convert glycogen to glucose - It promotes hte passage of glucose into cells for energy

"It promotes the passage of glucose into cells for energy." Insulin promotes the passage of glucose into cells, where it is metabolized for energy. During or after a meal, the glucose that is ingested stimulates the pancreas to secrete insulin. Insulin stimulates the synthesis of proteins and not amino acids. Insulin stimulates the liver to convert glucose to glycogen.

A patient has been takng aspirin for chronic pain. The patient states that the pain is not relieved with 650 mg of aspirin every 4 hours. Which instruction would the nurse give the patient? - increase your dose to 1000 mg every 4 hours - take ASA and a cyclooxgenase-1 (COX-1) inhibitor at the same time - alternate ASA and a narcotic analgesic every 4 hours - notify your health care provider that the medication is not effective

"Notify your health care provider that the medication is not effective."

Which information does the nurse include when teaching a patient about polyethylene glycol before a colonoscopy? - Avoid driving for at least 2 hours after ingesting the solution - You should eat a light meal within 1 hour after finishing the solution - Plan to be near a bathroom for several hours after drinking the solution - You must finish drinking the solution exactly 1 hour before your scheduled procedure

"Plan to be near a bathroom for several hours after drinking the solution."

Which instruction would the nurse give to a patient who is prescribed dextromethorphan for treatment of a cough? - use a humidifier while sleeping - elevate your bed while sleeping - increase your fluid intake to 3000 mL per day - restrict activities that require mental alertness

"Restrict activities that require mental alertness."

Which statment by the patinet demonstrates understanding of patient teaching regarding the use of H2 receptor antagnoists? - I should decrease bulk and fluids in my diet to prevent diarrhea - Because I am taking this medication, it is OK for me to eat spicy foods - Smoking decreases the effects of this medication, so I should look into cessation programs - I should take this medicaiton 1 hour after each meal in order to maximally decrease gastric acidity

"Smoking decreases the effects of this medication, so I should look into cessation programs."

The clinical reports of a patinet taking a bisphosphonate and calcium supplement indicate poor therapeutic levels of the bisphosphonate. Which changes in the medication administration will the nurse need to encourage the patient to implement? - discountinue the calcium supplement - space the medications 1 to 2 hours apart - replace the tbisphosphonate with cacitonin - obtain a prescription for increasing the bisphosphonate dose

"Space the medications 1 to 2 hours apart."

A patient received methylprednisolone intravenously for 4 days for acute asthma. The nurse is preparing for the discharge of the patient with a prescription for fluticasone. Which priority instruction would the nurse include while educating the patient before discharge? - take fluticasone exactly as it is prescribed - rinse your mouth with water after using fluticasone - avoid situation that can expose you to the infecitons - adminster albuterol before other asthma medications

"Take fluticasone exactly as it is prescribed."

A primary health care provider prescribes an antacid to a patient who is taking ciprofloxacin. Which information would the nurse provide while counseling the patient? - Take both drugs simultaneously - Take the drug on an empty stomach - Take the antacid every alternate day - Take the antacid 2 hours before the drug

"Take the antacid 2 hours before the drug."

Which instruction is essential to teach the patient who is taking loperamide? - Take the medicaiton with a meal - Take the medication only before a meal - Take the medicaiton with adequate fluids - If a dose is missed, double the next dose

"Take the medication with adequate fluids."

Which statement by the nursing student regarding endogenous testosterone indicates effective learning? - it promotes male catabolic metabolism - it helps eliminate nitrogen form the body - this drug is used to treat alcoholic hepatitis - the seminiferous tubules produce testosterone

"The seminiferous tubules produce testosterone."

The nurse is teaching students about progestin-only oral contraceptives. Which statement by a student suggests effective learning? - they are taken every week - they produce anovulatory cycles - they are taken after lunch and dinner - they may cause breakthrough bleeding

"They may cause breakthrough bleeding." The use of progestin-only formulations (often referred to as the "minipill") may cause breakthrough bleeding. They have a higher incidence of ovulatory cycles. They are taken daily. It is important for the patient to take this oral contraceptive at the same time every day to maintain effective hormone serum levels.

Which point would the nurse teach the patient about lactulose? - It is only given rectally - It is used as an antidiarrheal - It should not be taken with lactose - It decreases blood ammonia levels

"This medication decreases blood ammonia levels."

Which instruction would the nurse provide a patient who report feeling drowsy after beginning drug therapy with diphenhydramine? - Use caution when driving - this may worsen over time - stop taking the drug immediately - take a stimulant to combat fatigue

"Use caution when driving."

Which adverse effects are possible from octreotide therapy? select all that apply 1. Malaise 2. Dyspnea 3. Arthralgia 4. Constipation 5. Hypercalciuria

1 2 3

A pediatric patient is prescribed somatropin. Which parameter will the nurse monitor during the follow-up visit? select all that apply 1. Height 2. Weight 3. Skin turgor 4. Motor skills 5. Visual acuity

1 2 4

Which conditions are adverse of cycloserine? select all that apply 1. seizures 2. hepatitis 3. psychosis 4. neutropenia 5. hyperuricemia

1 3

A patient with a history of COPD experiences acute bronchospasm after being exposed to peanuts on an airplane. Which medicaitons might the patient be using? select all that apply 1. albuterol 2. salmeterol 3. tiotropium 4. ipratropium 5. arfomoterol

1 3 4

Which side effects would the nurse ask the patient to be watchful when administering mixed alpha/beta agonists? select all that apply 1. anorexia 2. drowsiness 3. hypoglycemia 4. vascular headache 5. cardiac stimulation

1 4 5

Which medications listed in a patient's medical history concern the nurse for a patient prescribed raloxifene? select all that apply 1. warfarin 2. atenolol 3. levothyroxine 4 multivitamin 5. cholestyramine

1 5

While assessing a patient who is receiving levothyroxine therapy, the nurse advises the patient to take the oral dose before breakfast. Which dosage is the patient ordered in the prescription? - 200 mg - 400 mg - 100 mcg - 300 mcg

100 mcg

Which are the symptoms of milk-alkali syndrome? select all that apply 1. Cyanosis 2. Vomiting 3. Anorexia 4. Headache 5. Muscle twitching

2 3 4

If the patient with a dust allergy has 4000 T helper cells, how many T suppressor cells does the patient have? - 3000 - 6000 - 2000 - 4000

2000

Which adverse effects will the nurse monitor in a patient who is receiving tiotropium? 1. skeletal pain 2 hyperglycemia 3. nasal congestion 4. heart palpitation 5. dry mouth or throat

3 4 5

Which symptoms characterize irritable bowel syndrome (IBS)? select all that apply 1. Nausea 2. Angina 3. Cramps 4. Diarrhea 5. Constipation - Increased bleeding time

3 4 5 Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine and is characterized by symptoms of cramps, diarrhea, and/or constipation. Nausea, angina, and increased bleeding time are not symptoms of IBS.

Which is the oral dose of aluminum hydroxide for an adult begin treated for hyperacidity? - 0.5-1.5 g - 0.65-1.3 g 3 x per day - 600-1200 mg 4 x per day - 400-2400 mg prn, up to 4 x per day

600 to 1200 mg four times per day

Which is the elimination half-life of theophylline? - 1-2 hours - 5.5 hours - 7-9 hours - 12 hours

7 to 9 hours

The nurse will question and order for misoprostol in which patient? - a 64 year old man with hyertension - a 21 year old man with Zollinger Ellison syndrome - a 32 year old pregnant woman wiht a urinary tract infection - a 45 year old woman with gastroesophageal reflux disease (GERD)

A 32-year-old pregnant woman with a urinary tract infection

Which medication given for asthma can suppress bone growth in children? - a beta agnoist - a corticosteroid - an anticholinergic - a xanthine derivative

A corticosteroid

Which nonsteroid antiinflammatory drug (NSAID) may cause Reye's syndrome in children with viral illnesses or fever? - aspirin - piroxicam - meloxicam - nabumetone

ASA

Which nonsteroidal antiinflammatory drug (NSAID) is prescribed for the patient with myocardial infarction? - ASA - celecoxib - prednisone - dexamethasone

ASA

Which site should be used for injecting insulin? - Deltoid - Abdomen - Vastus lateralis - Gluteus maximus

Abdomen

Which conditon would a nurse expect in a patient who abruptly withdraws from a glucocorticoid medication? - Characts - Osteoporosis - Addison's disease - Cushing's syndrome

Addison's disease

The care provider prescribes albuterol and beclomethasone inhalers for a patient. Which the nurse's best action? - administer each inhaler at 30 minutes intervals - question the prescription; two inhalers should not be given at one time - administer beclomethasone, wait 2 minutes, and then administer albuterol - administer the albuterol, wait 5 minutes, and then administer beclomethasone

Administer the albuterol, wait 5 minutes, and then administer beclomethasone.

Which action would the nurse take before administering intravenous (IV) amphotericin B? - set up an IV solution with potassium - administer insulin as prescribed to prevent sever hyperglycemia - administer an antipyretic, antihistamine, and antiemetic as prescribed - administer intravenous dextrose as prescribed to prevent severe hypoglycemia

Administered an antipyretic, antihistamine, and antiemetic as prescribed

A patient has been prescribed monoclonal antibody therapy for rheumatoid arthritis. Which disorder or disease is a contraindication and would alert the nurse to question the order for this class of drugs? - AIDs - hypertensive crisis - nephrotic syndrome - chronic obstructive pulmonary disease

Aids Monoclonal antibodies are usually contraindicated in patients with known active infectious processes due to their immunosuppressive qualities. Use of alemtuzumab is also contraindicated in patients with active systemic infections and immunodeficiency conditions, including AIDS.

The nurse is caring for a patient who is taking penicillin antibiotics. The patient reports flushing, itching, hives, anxiety, and throat and tongue swelling. The nurse finds that the patient has a rapid irregular pulse. Which condition may the patient have as a result of taking the antibiotic? - Tolerance to the antibiotic drugs - an allergic anaphylactic reaction - Clostriium difficile bacterial infection - Glucose-6-phosphate dehydrogenase deficiency

An allergic anaphylactic reaction

Which condition is a contraindication to the use of nandrolone? - metastatic breast cancer - androgen-sensitivt tumor - male hormone replacement - to reverse muscle debilitation

Androgen-sensitive tumor

Which category of antidiarrheal medications decreases peristalsis? - Opiates - Probiotics - Adsorbents - Anticholinergics

Anticholinergics Anticholinergics reduce peristalsis movement by decreasing the rhythmic contractions of the gastrointestinal smooth muscle. The primary and secondary actions of opiates include reduction of bowel motility and decreased pain caused by rectal spasms. Probiotics work by replenishing the bacteria such as Acidophilus lactobacillus, which helps in restoring the normal balance of flora and suppresses the growth of diarrhea-causing bacteria. Adsorbents act by binding the toxins or bacteria to their adsorbent surface, thereby eliminating the bacteria from the body through the stool.

A 46-year-old female patient who complains of hot flashes, fatigue, and sleep disorders is unwilling to start hormone therapy. Which nurisng intervention is appropriate for this patient? - persuade the patient to start the therpay - ask the patient to include soy in her diet - advise the patient to engage in quiet activities - inform the patient about the benefits and risks of the therapy

Ask the patient to include soy in her diet.

A patient who receives zafirlukast reports headache, nausea, and diarrhea. On further assessment, the nurse finds that the patient has taken the correct dose of the drug at the correct time. Which other medication taken by the patient may contricute to these adverse effects? - ASA - warfarin - erythromycin - phenobarbital

Aspirin

A patient is prescribed demeclocycline for the treatment of a respiratory infection. Which instruction does the nurse give to the patient to ensure safe and effective administration of the drug? - avoid eating high protein foods - avoid eating high calorie food - avoid eating low carbohydrate food - avid the consumption of dairy products

Avoid the consumption of dairy products.

Which cells are the functional cells of the humoral immune system that mature into immunoglobulins? - B cells - T cells - Granulocytes - Red blood cells

B cells

A patient who is 26 weeks pregnant and who has diabetes mellitus begins to experience preterm labor. Which treatment is the best initial therapy for the prevention of uterine contractions and complications in this patient's pregnancy? - ritodrine - terbutaline - magnesium sulfate - bed rest and hydation

Bedrest and hydration

A patient who reports difficulty passing urine is prescribed finasteride by the primary health care provider. Which condition would the nurse suspect to have caused difficulty in urination? - renal calculi - neurogenic bladder - urinary tract infection - benign prostatic hyperplasia

Benign prostatic hyperplasia

Which condition is an indicaitn of saw palmetto use? - dysuria - back pain - gastrointestinal upset - benign prostatic hyperplasia

Benign prostatic hyperplasia

The nurse encounters a male patient who is taking finasteride. Which condition would teh nurse suspect in the patient? - Priapism - bladder cancer - testicular cancer - benign prostatic hyperplasia (BPH)

Benign prostatic hyperplasia (BPH)

Which antidiarrheal drug is contraindicated in a child who is recovering from chickenpox? - Diphenoxylate - Hyoscyamine - Bismuth subsalicylate - Lactobacillus acidophilus

Bismuth subsalicylate May cause Reye's syndrome

A patient with primary hypothyroidism receives levothyroxine and regular insulin. Which finding does the nurse monitor in the patient to help prevent complications of the pharmacotherapy? - Blood glucose - Heat intolerance - Fatigue and edema - Anxiety and warmth

Blood glucose The nurse would assess a patient who receives levothyroxine and insulin for clinical indicators of hyperglycemia because the combination therapy decreases the effectiveness of insulin. Because the insulin is less effective when administered with levothyroxine, the patient's blood sugar is likely to increase with levothyroxine therapy, or more insulin will be required to maintain a steady serum glucose level. Heat intolerance is a clinical indicator of hyperthyroidism. Fatigue and edema are signs of hypothyroidism. Anxiety and warmth are clinical indicators of hypoglycemia.

A patient is administered somatropin for growth improvement. Which biochemical parameter will the nurse closely monitor after administration? - Uric acid level - Blood glucose level - Creatinine clearance test - Complete blood count result

Blood glucose level

A patient wiht asthma has been prescribed albuterol. The patient reports dizziness after taking the medication. Which will the nurse assess in the patient? - visual acuity - blood pressure - respiratory rate - balance reactions

Blood pressure

Which type of cancer is present in a patient receiving tamoxifen? - Lung - Renal - Breast - colon

Breast cancer

Which laxative is most suitable for long-term use? - Saline laxatives - Emollient laxatives - Hyperosmotic laxatives - Bulk-fomring laxatives

Bulk-forming laxatives

How do H2 receptor antagonists reduce the secretion of acids? - By blocking the H2 receptors - By stimulating gastric receptors - By blocking acetylcholine receptors - By stimulating acetylcholine receptors

By blocking the H2 receptors

Which first-generation histamine (H1) antagonist is less likely than diphenhydramine to induce sleep? - hydroxyzine - promethazine - dimehydrinate - chlorpheniramine

Chlorpheniramine

The nurse is caring for a patient who is receiving octreotide and notes that the patient has a long QT interval on the electrocardiogram. Which drug may this patient be taking in addition to octreotide? - Cyclosporine - Ciprofloxacin - Demeclocycline - Carbamazepine

Ciprofloxacin Desmopressin, combined with ciprofloxacin, may cause a prolonged QT interval. Cyclosporine causes possible transplant rejection. Demeclocycline causes a reduced antidiuretic effect when given with vasopressin. Carbamazepine enhances the vasopressin effects.

Which medication is most likely to promote follicular maturation in an infertile female patient? - clomiphene - progesterone - ethinyl estradiol - choriogonadotropin alfa

Clomiphene (Clomid)

The health care provider indicates that a patient will be prescribed an opioid antitussive. Which medication would the nurse anticipate the provider will order? - codeine - benzonatate - levocetirizine - promethazine with dextromethorphan

Codeine

A patient who has hyperlipidemia reports mild diarrhea. Which drugs will the nruse expect to find in the prescription that can reduce both risk factors for the patient? - diphenoxylate and hyoscyamine - opium tincture and loperamide - colestipl and cholestyramine - dismuth subsalicylate and aluminum hydroxide

Colestipol and cholestyramine

A patient is prescribed an aluminum-containing antacid for hyperacidity. The nurse would inform the patient about which possible adverse effect? - Diarrhea - Flatulence - constipation - Msucle twitching

Constipation

A nurse is assessing a patient who has bone marrow suppression as a result of cancer treatment. Which laboratory finding in the patient report is sugggestive of myelosuppression? - increase in platelet count - decrease in uric acid level - decrease in red blooc cell (RBC) count - increase in while blood cell (WBC) count

Decrease in red blood cell (RBC) count

The nurse observes a patient who is taking finasteride for the treatment of hair loss. Which adverse effect is expected in the patient? - fluid retention - decreased libido - prolonged erection - increased amount of ejaculate

Decreased libido

The nurse is assessing a patient who is prescribed estrogen replacement therapy. A history of which medical condition would be a contraindication to this therapy? - weight loss - dysmenorrhea - uterine bleeding - deep vein thrombosis

Deep vein thrombosis

Which drug will the primary health care provider prescribe for a patient who has nighttime insomnia and motion sickness? - certirizine - loratadine - fexofenadine - diphenhydramine

Diphenhydramine

Which antihistamine causes sedation as an adverse drug effect? - loratadine - fexofenadine - desloratadine - diphenhydramine

Diphenhydramine (Benadryl)

A patient receiving inhaled ipratropium therapy visits the clinic for a follow-up. Which complaint would the nurse anticipate from the patient? - insomnia - dry mouth - anginal pain - vascular headache

Dry mouth

Which statement indicates that the patient understands the benefit of continuous administration of progestin with an estrogen regimen? - endometrial cancer risk can be reduced by adding progestin - the progestin in the regimen will help prevent breast cancer - the progestin in the regimen will help prevent ovarian cancer - vaginal cancer is prevented by adding progestin to the regimen

Endometrial cancer risk can be reduced by adding progestin Estrogen, given alone, has been associated with an increased risk of endometrial hyperplasia, which can lead to endometrial cancer. Progestin reduces the incidence of endometrial hyperplasia

Which outcome is a benefit of synthetic androgens? - prolonged erection - increased hair growth - relief from fluid retention - enhancement of the male libido

Enhancement of the male libido

Which medication is used to treat hypogonadism? - megestrol - alendronate - esterified estrogens - medroxyprogesterone

Esterified estrogens Esterified estrogens are a type of estrogen used in the treatment of hypogonadism. Megestrol is a synthetic progestin used to treat uterine bleeding. Alendronate is used to minimize bone loss in osteoporosis. Medroxyprogesterone is used to prevent pregnancy.

Which drug is classified as an antineoplastic hormone? - Mitotane - Estramustine - Hydroxyurea - Anastrozole

Estramustine

Which medication directly inhibits mycolic acid synthesis in the mycobacterium? - rifampin - kanamycin - ethambutol - ethionamide

Ethionamide

Which type of oral contraceptive (OC) delivers hormones for more than 30 days? - biphasic - triphasic - monophasic - extended-cycle

Extended-cycle

Which hormone initiates the cycle of events in the female ovary? - antidiuretic hormone - Luteininzing hormone (LH) - adrenocorticotropic hormone - follicle-stimulating hormone (FSH)

Follicle-stimulating hormone (FSH)

Which hormone is responsible for initiating activity in the ovary? - luteotropic hormone - luteininzing hormone (LH) - follicle-stimulating hormone (FSH) - interstitial cell-stimulating hormone

Follicle-stimulating hormone (FSH)

When planning care for a patient receiving a sulfonamide antibiotic, which intervention is a necessary intervention? - force fluids to at least 2000 mL/day - encourae liquids that produce acidic urine - encourage a diet that cause an alkaline ash - insert a Foley catheter for accurate input and output measurement

Force fluids to at least 2000 mL/day. Forcing fluids will help prevent crystallization in the urine and kidney stone formation associated with sulfonamide antibiotics, regardless of the type of fluid consumed. It is outside the nurse's scope of practice to decide to insert a Foley catheter. Consuming a specific type of diet will not decrease the risk of crystallization.

A patient has been prescribed a beclomethasone inhaler. When teaching the patient about the use of inhalers, the nurse instructs the patient to rinse the mouth with warm water after using the inhaler. Which side effect is the nurse tryiing to prevent? - Adrenal crisis - Fungal infection - Addison's disease - Cushing's syndrome

Fungal infection candidiasis

The adrenal cortex is essential for survival through the secretion of which substance? - Aldosterone - Epinephrine - Corticotrophins - Glucocorticoids

Glucocorticoids Glucocorticoids, which are essential for survival because they regulate protein, carbohydrate, and lipid metabolism and inhibit the release of corticotrophins, are secreted by the zona fasciculata. Aldosterone is secreted from the zona glomerulosa of the adrenal gland; the medullary layer of the adrenal gland secretes epinephrine; and corticotrophins are released from the pituitary gland.

The nurse reviews a patient's laboratory report and notes elevated thyroxin levels. Which condition does the patient have? - Goiter - Cretinism - Myxedema - Graves' disease

Graves' disease

The nurse observes that a patient has cold sores around the mouth. Which virus would have caused this condition? - herpes simplex type 1 - epstein-barr virus - cytomegalovirus (CMV) - varicella-zoster virus (VZV)

Herpes simplex type 1

A patient taking an oral theophylline drug is due for the next dose and has a blood pressure of 100/50 mm Hg and a heart rate of 110 beats/min. The patient is irritable. Which is the nurse's best action? - Administer oxygen at 2 L per minute via nasal cannula - coninue to monitor the patient and give the medication - hold the next dose of theophylline and assess the patient - call the health care provider to request an increased dose

Hold the next dose of theophylline and assess the patient.

A patient is affected by dust allergy. Which antibodies are elevated in the patient? - immunoglobulin M (IgM) - immunoglobulin D (IgD) - immunoglobulin E (IgE) - immunoglobulin G (IgG)

Immunoglobulin E (IgE)

A patient has been prescirbed corticosteroids for adrena suppression. Which behavior process may be observed in the patient because of this? - Memory loss - Hallucinations - Impaired thinking - Impaired stress response

Impaired stress response Patients who have adrenal suppression may have impaired response to stress because of alterations in epinephrine release. Acetylcholine and dopamine concentrations are not altered by adrenal suppression. Therefore, the patient would not have memory loss, hallucinations, or impaired thinking.

The health care provider has prescribed epinephrine for a patient to treat an allergic reaction. After reviewing the patient's hisotry, the nurse finds that the patient take metformin for treatment of diabets. Which changes may the nurse expect in the primary health care provider's prescription for safe drug administration? - increase in dose metformin - increase in dose of epinephrine - replacement of metformin with aminophylline - replacement of epinephrine with aminophylline

Increase in dose of metformin

Which drug is prescried to treat ankylosing spondylitis and carries a U.S. food and drug administration (FDA) black box warning for patients with heart failure or latent tubertulosis? - rituximab - golimumab - infliximab - bevacizumab

Infliximab

A patient is prescribed albuterol. The nurse is explaining the most common route of administration of albuterol to the patient. Which route would the nurse discuss? - inhalation - intravenous - subcutaneous - intramuscular

Inhalation

Which dosage form of pentamidine commonly causes hypersensitivity reactions? - oral - intravenous - inhalational - intramuscular

Inhalational

Which process refers to the insertion of a drug molecule between the two strands of DNA molecule, blocking its transcription? - cellulitis - alkylation - translation - intercalation

Intercalation

Which method of admiinistration is used for testosterone cypionate? - oral - topical transdermal - intramuscular

Intramuscular

Which antitubecular drug works by disrupting cell wall synthesis and essential cellular functions? - isoniazid - rifapentine - ethambutol - pyrazinamide

Isoniazid

Which antitubercular drug can be used as prophylaxis against tuberculosis? - Isoniazid - Ethambutol - Streptomycin - Pyrazinamide

Isoniazid

Which medication is a first-line antitubercular drug? - Isoniazid - Amikacin - Cycloserine - Capreomycin

Isoniazid

Which condition is a contraindication for the administration of montelukast? - diabetes - joint pain - peanut allergy - lactose allergy

Lactose allergy

A patient who is prescribed albuterol to treat bronchospasm develops tachycardia.Which medication would the nurse expect to administer instead of albuterol? - salmeterol - formoterol - levalbuterol - arformoterol

Levalbuterol

The nurse is providng care for a patient taking oxandrolone. Which test would the nurse evaluate to help prevent complications in the patient? - glucose - hematocrit - hemoglobin - liver function

Liver function

Which drug is utilized for patients with diarrhea? - Senna - Bisacodyl - Loperamide - Docusste sodium

Loperamide

A patient has been taking aluminum hydroxide to treat gastric hyperacidity for a few days. The patient reprots being constipated. Which drug will the health care provider order in addition to alumium hydroxide? - Sodium cirate - Magensium hydroxide - Aluminum carbonate - Calcium carbonate

Magnesium hydroxide

A patient with type 1 diabetes mellitus has been ordered insulin aspart (Novolog) 10 units at 7:00 a.m. Which nursing intervention will the nurse perform after administering this medication? - Flush the IV - Perform a fingerstick blood glucose test - Have the patient void and dipstick the urine - Make sure the patient eats breakfast immediately

Make sure the client eats breakfast immediately Insulin aspart (NovoLog) is a rapid-acting insulin that acts in 15 minutes or less. It is imperative that the client eat as it starts to work. The client should have had a fingerstick blood sugar test done before receiving the medication. There is no need to check the urine. This medication is given subcutaneously.

Which contraceptive device is most likely to prevent the transmission of sexually transmitted disease? - male condom - spermicidal agent - intrauterine device - cervical diaphragm

Male condom

Which drug, referred to as nitrogen mustard, was the first antineoplastic drug invented? - Ifosfamide - Chlorambucil - Cyclophosphamide - Mechlorethamine

Mechlorethamine (Mustargen)

For which condition will the nurse monitor in a patient using sodium bicarbonate to treat gastric hyperacidity? - Hyperkalemia - Hypercalcemia - Metabolic acidosis - Metabolic alkalosis

Metabolic alkalosis Solutions containing sodium bicarbonate (a base) can cause metabolic alkalosis. Serum potassium and serum calcium would decrease with alkalosis, not increase.

Which medicaiton would the nurse withhold for a patient with type 2 diabetes mellitus who is scheduled for a computed tomography (CT) scan with contrast? - Glipizide - Glimepiride - Humalog insulin - Metformin

Metformin

Which medicaiton helps reduced postpartum uterine hemorrhage? - megestrol - raloxifene - clomiphene - methylergonovine

Methylergonovine

Which adrenal drug is available in a long-acting (depot) formulation? - Prednisone - Betamethasone - Fludrocortisone - Methylprednisolone

Methylprednisolone

Which drug can cause tardive dyskinesia as an adverse effect? - ondansetron - promethazine - metoclopramide - prochlorperazine

Metoclopramide

The nurse is caring for a patient who has esophageal varies. Which drug will the nurse expect to administer to this patient? - Octreotide - Cosyntropin - Somatropin - Desmopressin

Octreotide it is enlarged veins in esophagus

A nurse has a sample of the medicine nystatin. Which type of patient will receive this medication? - Patients with aspergillosis infection - Patients with cryptococcus infection - patient with hisotplasmosis infeciton - Patient with oral candidiasis infection

Patients with oral candidiasis infection

Which statement made by the patient about type 1 diabetes mellitus indicates effective learning? - Endogenous insulin levels are elevated early in the disease - Type 1 diabetes mellitus accounts for 90% of all diabetic cases - Patients with type 1 diabetes mellitus require exogenous insulin - Type 1 diabetes mellitus leads to developing acute hypoglycemia

Patients with type 1 diabetes mellitus require exogenous insulin.

The nurse is planning to administer vardenafil to a patient with a past history of a myocardial infarction (MI). Which intervention would the nurse perform first? - assess the pt's bp - perform a thorough history, including medication - instruct the pt to take all cardiac medication first - call teh health care provider to change the prescription

Perform a thorough history, including medication

During the assessment of a pregnant patient, a nurse finds that the patient has active genital herpes lesions. Which action will be used to prevent the spread of infection to the newborn? - Administer folic acid supplements to the patient - Perform a cesarean section for the patient during labor - Deliver the child during the eighth month of pregnancy - administer intravenous antiviral medications to the patient

Performing a cesarean section for the patient during labor

which pahse of the menstrual cycle involves the release of an unfertilized ovum? - phase 1 - phase 2 - phase 3 - phase 4

Phase 3

The nurse is carign for a patient with erectile dysfunction who has been prescribed alprostadil. Which method will the nurse use to administer the medicaiton to the patient? - placing it in the patient's urethra - palcing it under the patient's tongue - asking the patient to chew it thoroughly -asking the patient to take it with milk

Placing it in the patients urethra

Which opportunistic infection complicates human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDs)? - giardiasis - toxoplasmosis - trichomoniasis - pneumoncystosis

Pneumocystosis

The nurse is caring for a patient with malaria who has been prescribed chloroquine. On reviewing the medical history of the patient, the nurse finds that the patient is also receiving digoxin. Which possible drug interaction can occur in this patient? - Potential toxicity of digoxin - Treatment failure of digoxin - Potential toxicity of chloroquine - Treatment failure of chloroquine

Potential toxicity of digoxin

A patient with hypertension reports pain in the abdomen, for which the primary health care provider plan to prescribe antacids. Which assessment in the patient is most important in planning the medication regiment? - Duration of abdominal pain - Activity level of the patient - Previous and current prescriptions - Patient's adherence to treatment regimen

Previous and current prescriptions

A patient who has been taking levothyroxine is experiencing weight loss, tremors, and hypertension. Which pharmacokinetic property of levothyroxine is responsible for causing toxic manifestations? - Onset of action of 1-3 days - Prolonged half-life of 10 days - Duration of action of 12 hours - Intravenous administration of the drug

Prolonged half-life of 10 days

Which drug's effect is reduced with concomitant adminstration of antacids? - Sulfonylureas - Benzodiazepines - Sympathmimetics - Quinolone antibiotics

Quinolone antibiotics

Which medication may cause thrombocytopenia? - ranitidine - cimetidine - misoprostol - magnesium hydroxide

Ranitidine

After administering etanercept subcutaenously for chronic plaque psoriasis, the nurse learns that the patient has a history of tuberculosis. Which consequence would the nurse anticipate in the patient? - HTN - reactivation of hepatitis - reactivation of tuberculosis - increased risk of malignancy

Reactivation of tuberculosis

A patient taking bismuth subsalicylate states, "My stools are black! Which should I do?" Which action would the nurse take? - Stop the medication - Adiminister diphenhydramine - Call the health care provider stat - Reassure the patient that this is an expected side effect of the medication

Reassure the patient that this is an expected side effect of the medication. Bismuth subsalicylate may turn the stool tarry black, so warn the patient that this may happen. The nurse would not have to stop the medication. Diphenhydramine does not stop this side effect from happening. The health care provider does not need to be called.

A patient is treated with rifabutin for tuberculosis. Which side effect does the nurse expect in the patient? - hyperuricemia - psychotic behavior - reddish-brown feces - hematologic disorder

Reddish-brown feces

Which function of somatropin is therapeutic for a patient who has human immunodeficiency virus (HIV)? - Decreases growth - Reduces fat levels - Reduces weight loss - Decreases fluid retention

Reduces weight loss

Which function of lactulose is in addition to its use as a hyperosmotic laxative? - reducing ammonia levels - decreasing peripheral edema - correcting sodium imbalances - alleviating galactose intolerance

Reducing ammonia levels Lactulose reduces blood ammonia levels by forcing ammonia from the blood into the colon. It is useful in treating patients with hepatic encephalopathy.

Which type of insulin can be given intravenously? - Regular insulin - Insulin glargine - Insulin zinc suspension - Isophane insulin suspension (NPH insulin)

Regular insulin

The nurse administers insulin to a patient at 8:30 a.m. and knows it will peak about 2.5 hours after administration. Which insulin did the nurse administer if this is true? - Insulin lispro - Insulin aspart - Regular insulin - Insulin glulisine

Regular insulin (Humulin R)

Which clinical finding is seen in a patient with nasal congestion caused by allergic rhinitis? - increase in body secretions - increase in capillary permeability - inhibition of histamine production - release of inflammatory mediators

Release of inflammatory mediators

The nurse checks a patient's serum creatinine level before starting antibiotic therapy in order to assess which function? - liver - renal - cardiac - neurologic

Renal

Which clinical condition in a patient's medical history would the nure look before administering an antacid - Gastritis - Peptic ulcer - Renal failure - Zollinger-Ellison syndrome

Renal failure

Which assessment will the nurse make for a patient who is prescribed metformin for treatment of type 2 diabetes? - Edema - Weight gain - Renal funciton - Cholesterol level

Renal function

Which information is essential for the nurse to teach the patient about treatment wiht alosetron? - This medication should work stat - This medicaiton should cure your conditon - Report severe constipation to the health care provider - If this medication does not work, there is nothing else we can try

Report severe constipation to the health care provider.

The nurse finds that concentrated solutions of magnesium sulfate adminstered to prevent premature labor have caused toxicity in a patient. Which nursing intervention is most appropriate? - obtain a prescription for terbutaline - decrease the drug dose immedately - obtain a prescription for indomethacin - request a prescription to give calcium gluconate

Request an order to give calcium gluconate.

Which location would be used for placing a transdermal patch of testosterone on a patient for the treatment of primary hypogoadism? - thighs - scrotum - abdomen - upper arms

Scrotum A transdermal patch is applied on the scrotum to treat primary hypogonadism. A testosterone transdermal patch is not applied on the thighs, abdomen, or upper arms.

Which food should a patient avoid while taking antithyroid medications? - Milk - Eggs - Seafood - Chicken

Seafood Foods containing high amounts of iodine Shrimp cocktail, boiled lobster, spinach salad without dressing, milk

Which clinical finding indicates water intoxication in the patient who is taking vasopressin? - Polyuria - Seizures - Polydipsia - Hypotension

Seizures

Which drug used to treat constipation acts by stimulation of nerves? - Senna - Psyllium - Docusate salts (sodium) - Polyethylene glycol

Senna

A patient with chronic bronchitis is prescribed theophylline. An alteration in which parameter should lead the nurse to immedately notify the primary health care provider? - serum level of drug - serum level of calcium leves - serum uric acid levels - serum creatinine levels

Serum level of drug

The nurse suspects that the patient has developed bone marrow suppression after administration of methotrexate for rheumatoid arthritis. Which symtom confirms bone marrow suppression in the patient? - severe bone pain - flu-like symptoms - nausea and vomiting - edema of the limbs

Severe bone pain

Which has the greatest potential to increase the risk of thromboembolism in a patient taking norethindrone and ethinyl estradiol? - sedentary lifestyle - smoking heavily every day - consumption of saturated fats - increased body mass index (BMI)

Smoking heavily every day

Which hormone inhibits the release of growth hormone? - Somatropin - Somatostatin - Somatolactin - Choriomammotropin

Somatostatin Two hormones from the hypothalamus control GH secretion: (1) GH-releasing hormone (GHRH), which increases GH secretion; and (2) somatostatin, which inhibits it.

Which mechanism of action of raloxifene would the nurse when conducting patient teaching? - promotes bone absorption of calcium - inhibits osteoclast-medicated bone reabsorption - contains estrogen which stimulates bone reabsorption - stimulates estrogen receptors on the bone to increase bone density

Stimulates estrogen receptors on the bone to increase bone density

A patient with irritable bowel syndrome (IBS) receiving alosetron develops constipation. Which nursing intervention is appropriate? - increase fluid intake - change the route of administration - stop the medication stat - decrease the frequency of administration

Stop the medication immediately.

A patient is prescribed omalizumab by the primary health care provider. Which route would the nurse use to administer this drug? - oral - inhalation - intravenous - subcutaneous

Subcutaneous

When instructing a patient about antibiotic therapy, the nurse explains that which condition occurs when the normal flora are disturbed during antibiotic therapy? - organ toxicity - superinfeciton - hypersensitivity - rebound toxicity

Superinfection

For which reason is a medication in the same class as chlorpheniramine and clemastine administered to a patient with an upper respiratory infection? - inhibition of the cough reflex - promotion of patient sleepiness - suppression of mucus secretion - shrinkage of mucous membranes

Suppresses mucus secretion Chlorpheniramine and clemastine are alkylamine and ethanolamine antihistamines, respectively, and are used in upper respiratory infections for their anticholinergic properties in drying mucous membranes and diminishing histamine-mediated inflammation, resulting in less mucus secretion.

Which cells are activated by aldesleukin (Interleukin-2)? - T cells - Neutrophils - Red blood cells - undifferentiated cells

T-Cells Aldesleukin enhances the immune system by stimulating the production and activity of T-cells.

Which group of college students does the nurse need to include in a teaching session on the risks of androgen abuse? - those often tardy - team athletes - those who do not socialize well - high class performers

Team athletes

The nurse is assessing a patient who was receiving alosetron for irritable bowel syndrome (IBS). After 4 weeks, the patient does not see any results. Which action would be most appropriate for the nurse to take? - Assess bowel sounds - ask the patient about her diet - Assess the patient's fluid intake - tell the patient to stop the drug and notify the health care provider

Tell the patient to stop the drug and notify the health care provider.

A patient is diagnosed with acquired immunodeficinecy syndrome (AIDs) and reports anorexia associated with weight loss. Which class of drugs is used to treat the patient? - Antihistamines - Anticholinergics - Antidopaminergics - Tetrahydrocannabinoids

Tetrahydrocannabinoids

The nurse is caring for a patient who has hyperthyroidism and who has been prescribed prophylthiouracil. Which action would the nurse take to prevent stomach upset in the patient? - Administer the medication after meals - Administer the medication by dissolving it in water - Administer antacids 1 hour before drug administration - Avoid giving the patient milk after administering the medication

The nurse administers the medication after meals.

Which is the first step taken by the nurse during the preparation for the percutaneous tubal infusion? - The nurse determines a superficial vein for insertion of the tube - The nurse dissolves the powder in an appropriate amount of water - The nurse infuses the solution in a percutaneous enterogastric tube - The nurse checks the particle size in the solution and the tube size used

The nurse dissolves the powder in an appropriate amount of water

A patient with menopausal symptoms is seeking hormone replacement therapy. During the assessmetn, the nurse finds that the patient has a history of endometrial cancer and is a smoker. Which information would the nurse provide to the patient? - the therapy may cause thromboembolic events - you may need to stop smoking during the therapy - the treatment shoudl be started as soon as possible - the treatment is likely to cuase endometrial cancer

The therapy may cause thromboembolic events In patients with a history of endometrial cancer, estrogen therapy raises the possibility of recurrence of cancer. Hence, the nurse informs the patient about it so that she is aware of the risks associated with the therapy. The treatment is not started as soon as possible, but may be prevented. The progesterone therapy causes thromboembolic events as an adverse effect in some patients. The nurse may advise the patient to stop smoking if she starts the therapy.

Which drug is an alkylator? - Imatinib - Thiotepa - Anastrozole - Mitoxantrone

Thiotepa

Which statement would the nurse make to teach the patient about docustate sodium? - you can take up to 500 mg a day - this medication may cause diarrhea - this medication will soften your stools - take this medication at bedtime daily

This medication will soften your stools

Before administering promethazine to a patient who has nausea and vomiting, the nurse examines the patient's skin turgor. Why does the nurse perform this assessment? - To assess for signs and symptoms of dehydration - To assess for adverse effects of tachycardia and urinary retention - To assess for drug interactions between anticholinergics and promethazine - To assess for adverse effects of orthostatic hypertension and tardive dyskinesia

To assess for the signs and symptoms of dehydration Antidopaminergic drugs such as promethazine are to be used only after cautious assessment for signs and symptoms of dehydration and electrolyte imbalance by evaluating skin turgor

The nurse is instructed to permedicate the patient with severe rheumatoid arthritis before administering tocilizumab intravenously. Which adverse effect of tocilizumab is the reason for this instruction? - causes hypoalcuminemia - risk of allergy including anaphylaxis - can produce additive hypotensive effects - may cause organ rejection in organ transplants

Tocilizumab has a significant risk of anaphylaxis.

Nausea and vomiting are common adverse effects associated with antineoplastic therapy. Which advice would a nurse give to patients who are experiencing this unpleasant effect? - Avoid eating any food during chemotherapy - Nothing can be done for this effect, but it will pass with time - Use antacids to relieve the irritation to the stomach, which sould stop the nausea - try to maintain hydration and nutrition, which are very important during treatment

Try to maintain hydration and nutrition, which are very important during treatment.

A patient who is pregnant tells the nurse, "My husband is losing his hair, and I apply finasteride cream on his calp daily." Which test would the nurse discuss with the patient's health care provider? - lipid profile - liver function test - exercise tolerance test - ultrasonography of the fetus

Ultrasonography of the fetus

Which information would the nurse include when teaching about cancer risks in postmenopausal women? - estrogen monotherapy increases the risk of breast cancer - monotherapy with a progestin increases breast cancer risk - unopposed estrogen increases the risk of endometrial cancer - estradiol with progestin increases the risk of endometrial cancer

Unopposed estrogen increases the risk of endometrial cancer.

A patient has septic shock. Which drug will the nurse expect to administer? - Oxytocin - Octreotide - Vasopressin - Cosyntropin

Vasopressin

The nurse is caring for a patient who has nausea and vomiting and has been prescribed promethazine in suppository form. How will the nurse administer this medication? - With meals - via the oral route - Via the rectal route - By moistening it with petrolatum

Via the rectal route

The nurse anticipates an order for vitamin supplementation for a patient who is receiving isoniazid therapy. Which vitamin supplement is typically used with isoniazid? - Folate - Calcium - Vitamin E - Vitamin B6

Vitamin B6 (pyridoxine)

Which instruciton would the nurse given the patient to take docusate? - Before meals - After meals - with 6 oz of water - on an empty stomach

With 6 oz of water

Which patient is not a candidate for oxandrolone therapy? - one with severe burns over 70% of the body - a patient with catabolism after major abdominal surgery - one with AIDs - a high-school athelete who has difficulty gaining weight

a high-school athelete who has difficulty gaining weight Oxandrolone is indicated for weight gain in severe conditions with involuntary weight loss. Anabolic steroids are not approved to help athletes gain weight; there is no need to administer oxandrolone to this patient. Weight gain is important in patients with severe burns, to prevent further complications in patients with catabolism after surgery, and in patients with acquired immunodeficiency syndrome.

Which agent is used to treat most infections caused by herpes simplex viruses and varicella zoster virus? - acyclovir - zanamivir - ganciclovir - amantadine

acyclovir

How can the nurse determine whether a patient will tolerate an amphotericin B infusion? - Administer a test dose - Desensitize the patient - Administer it with corticosteroids - Administer it with an antihistamine

administer a test dose

Which medication is an alpha1-adrenergic blocker? - alfuzosin - goserelin - nilutamide - nandrolone

alfuzosin

The nurse is assessing a female patient who has osteoporosis. The nurse finds that the patient is prescribed a bisphosphonate instead of calcitonin. Which aspect of the patient's medical history may be a reason for this prescription? - breast cancer - current smoker - allergy to salmon - joint pain

allergic to salmon

Which biologic or chemical substance is recognized as foreign by the body's immune system? - antigen - antibody - adjuvant - immunostimulant

antigen

Which type of drug would the nurse expect to prescribed for a patient in the emergency department with urticaria after contact with shrubs? - antitussive - expectorant - decongestant - antihistamine

antihistamine

The nurse observes a mild cough in a patient after hernia repari. Which medicaiton would the nurse expect the provider to prescribe for this patient? - antitussive - expectorant - decongestant - antihistamine

antitussive

A pregnant patient is receiving magnesium sulfate to inhibit uterine contractions. The patient develops depressed reflexes and confusion. Which medicaiton does the nurse anticipate administering? - epinephrine - protamine sulfate - calcium gluconate - atropine

calcium gluconate.

The nurse is assessing an elderly patient who has angina pectoris who has been prescribed nitroglycerin. After reviewing the patient's medical history, the nurse advises the patient to avoid vardenafil. Which adverse effect of vardenafil does the nurse explain to the patient? - reduces the efficacy of nitroglycerin - may cause erectile dysfunction in patients - is ocntraindicated for use in elderly patients - causes hypotension if taken with nitroglycerin

causes hypotension if taken with nitroglycerin.

Which medication is a mast cell stabilizer? - zileuton - cromolyn - montelukast - arformoterol

cromolyn

Which condiction in the patient's history is a contraindication to the use of magnesium hydroxide? - Hypertension - Liver dysfunction - Renal insufficiency - Chronic constipation

renal insufficiency

A patient with asthma is prescribed fluticasone and a salmeterol inhaler. This treatment is a part of which step of asthma management? - step 2 - step 4 - step 5 - step 6

step 6

A male patient is diagnosed with mild prostate enlargment. Which drug would the nurse expect to administer to control the enlargement? - minoxidil - stanozolol - finasteride - tamsulosin

tamsulosin

The administration of beta agonist is contraindicated in which type of patients? - patients with diabetes mellitus - patients with bronchial asthma - patients with pulmonary disease - patients with a high risk of stroke

tients with a high risk of stroke

During discharge, which instruction would the nurse provide to a patient who is prescribed naphazoline after reconstructive surgery on the nose? - increase fluids to 3 L/day - aovid caffeinated products - rest with your head elevated - use a humidifier while sleeping

avoid caffeinated products

A patient is prescribed theophylline for the treatment of chronic bronchitis. Which instruction would the nurse give to the patient for safe administration of theophylline? - avoid consumption of citrus fruit - avoid intake of a high-protein diet - increase fluid intake up to 3 L per day - increase intake of low-carbohydrate food

"Avoid intake of a high-protein diet."

Which advice would the nurse give to a patient who has taken guaifenesin for 1 week and still has a productive cough? - decrease your fluid intake - take loratadine twice a day - increase the dose of guaifenesin - consult your primary health care provider

"Consult your primary health care provider."

Which instruction does the nurse given when a patient receiving metformin therapy will undergo angiography? - There are chance of renal failure after the test - Your blood glucose levels need to be reevaluated - Do not take your metformin on the day of the test - You can take the medication an hour after the test

"Do not take your metformin on the day of the test."

Which statement made by the nurse regarding the hormonal activity during the monthly menstrual cycle needs correction? - estrogen levels inhibit the release of follicle-stimulating hormone - high progesterone levels inhibits the relase of luteinizing hormone - decreased Gn-RH suppresses the release of follicle-stimulating hormone - surges of Gn-RH, FSH, LH stimulate ovulation

"High progesterone levels inhibit the release of luteinizing hormone."

Which statement made by the patient indicates that ospemifene is effective? - I no longer experience hot flashes - I have not expereinced any uterine bleeding - I am no longer experiencing painful intercourse - I have seen a great improvement in my seuxal desire

"I am no longer experiencing painful intercourse."

Which statement regarding antiemetic medicaitons, if made by the patient, indicates the need for further patient teaching? - I will not drive while I am taking these medicaitons because they may cause drowsiness - I may take acetaminophen to treat the headache caused by ondansetron - I will apply the scopolamine patches to rotating sites on my arms - I should take my prescribed antiemetic before receiving my chemotherapy dose

"I will apply the scopolamine patches to rotating sites on my arms."

Which patient statement demonstrates understanding of the nurses's teaching for levothyroxine? - I will take this medication first thing in the morning - I can expect to see relief of my symptoms within 1 week - I will double my dose if I gain more than 1 pound per day - It is the best to take the medicaiton with food to prevent gastrointestinal upset

"I will take this medication first thing in the morning."

Which instruction would the nurse include for a patient who will be using an expectorant? - take the medication once a day only, at bedtime - restrict your fluids to decrease mucus production - increase your fiber and fluid intake to prevent constipation - increase your fluid intake to decrease viscosity of secreation

"Increase your fluid intake to decrease viscosity of secretions."

A patient is prescribed guaifenesin for treatment of productive cough. Which instruction would the nurse give to the patient for maximum therapeutic effect? - increase your fluid intake - increase your fiber intake - increase your carbohydrate intake

"Increase your fluid intake."

A patient is prescribed oral albuterol to treat bronchitis. Which instruction would the nurse give to the patient to prevent gastrointestinal (GI) upset? - Take the prescribed mediction with food - increase fluid intake up to 2500 mL a day - avoid sleeping with the head in an elevated position - take the prescribed medication on an empty stomach

"Take the prescribed medication with food."

Which instruction will the nurse give a patient who takes metformin for type 2 diabetes? - You should take the medication with food - You should report any nausea immediately - If you miss a meal, you should skip the dose - You will have a decreased risk of lactic acidosis

. "You should take the medication with food."

Antidopaminergic drugs are useful to treat not only nausea and vomiting, but which other conditions? select all that apply 1. anxiety 2. seizures 3. schizophrenia 4. intractable hiccups 5. bone marrow suppression

1 3 4

Which is the correct dose of montelukast for an adult? - 2 mg - 4 mg - 5 mg - 10 mg

10 mg

Which dose of salicylate can cause severe toxicity in a patient? - 100-250 mg/kg - 300-500 mg/kg - 150-300 mg/kg - lower than 100 mg/kg

300 to 500 mg/kg

A patient is undergoing glucocorticoid therapy. Which medication would the nurse administer to the patient for mild pain managment? - Aspirin - Ibuprofen - Acetaminophen - Naproxen sodium

Acetaminophen

A patient has been diagnosed with genital herpes. Which drug will be use to treat and manage this infection? - ribavirin - acyclovir - zidovudine - amantadine

Acyclovir

A patient with a history of asthma is short of breath and says, "I feel like I'm having an asthma attack." Which is the nurse's highest priority action? - calling a code - administering a beta2-adrenergic agonist - administering a long-acting glucocortioid - asking the patient to describe the symptoms

Administering a beta 2-adrenergic agonist

Which medicaitno should be administered to a patient who has an acute asthmatic attack? - albuterol - fluticasone - ipratropium - montelukast

Albuterol

A patient is sterile becuase of low testosterone levels. Which other complication would the nurse suspect in this patient? - anemia - fatty liver - hyperacidity - hypoglycemia

Anemia

The clinical report of a patient who is undergoing estrogen therapy indicates thrombosis. Which event may the nurse suspects as the cause of thrombosis? - cigarette use - low fluid intake - use fo herbal supplements - current tricylic antidepressant use

cigarette use

A patient is receiving intravenous methylergonovine after a vaginal delivery. Which postpartum assessemnt will the nurse conduct to prevent complications of therapy? - blood pressure - blood glucose - temperature - uterine contractions

BP

Which corticosteroid drug is safe to use during pregnancy? - Predisone - Betamethasone - Fludrocortisone - Methylprednisone

Betamethasone (Celestone) Drug of choice for patients experiencing premature labor. Helps to accelerate fetal lung maturation.

How does sucralfate achieve a therapeutic effect? - By neutralizing gastric acid - By enhancing gastric absorption - By inhibiting gastric acid secretion - By forming a protective barrier over the gastric mucosa

By forming a protective barrier over the gastric mucosa

A patient is prescribed tiotropium for the treatment of chronic obstructive pulmonary disease (COPD). How can the absorption of tiotropium be improved? - by ttaking a higher dose of tiotropium for inhalation - by inhaling the tiotropium continuously for some time - by waiting for 1-2 minutes before inhaling the second dose - by avoiding rinsing the mouth with water after inhaling the medicine

By waiting for 1 to 2 minutes before inhaling the second dose

A patient with type 2 diabetes mellitus receives a prescription for metfomin. Which finding is a contraindication to therapy? - Arterial blood pH 7.4 - Creatinine clearance 1.8 mg/dL - Alanine aminotransferase 55 U/L - Fasting blood glucose 131 mg/dL

Creatinine clearance 1.8 mg/dL The risk of lactic acidosis is greater in a patient with altered renal function. A creatinine clearance level higher than 1.5 mg/dL in males or higher than 1.4 mg/dL in females indicates renal dysfunction. Because metformin can cause lactic acidosis, the nurse avoids administering the medication to this patient because the kidneys clear excess acid by excreting hydrogen ions and because metformin is eliminated from the kidneys. The arterial pH is normal. The alanine aminotransferase reading does not constitute a contraindication to metformin therapy. The increased blood glucose is an indication for therapy.

The clinical reports of a patient taking fertility drugs indicate an increase in prolactin concentrations, which leads to impaired fertility. Which information would the nurse obtain from the patient? - current smoking status - presence of abnormal uterine bleeding - current use of medications for depression - compliance with the fertillity drugs

Current use of medications for depression

A woman who is pregnant reports to her primary health care provider that she takes ginger daily for nausea. The nurse learns that the patient is also taking warfarin as prophylaxis for venous thrombosis. Which will the nurse suggest to the patient? - Discountinuing taking ginger - Encourage the use of ginger in large quantities - Continue administration o warfarin in low doses - Administer ginger with honey for immediate relief

Discontinue taking ginger.

Which drug requires wearing gloves during administration? - minoxidil - stanozolol - dutasteride - tamsulosin

Dutasteride

Before administering the anticholinergic drug scopolamine, the nurse would be careful to assess the patient for a history of which condition? - Glaucoma - Gastroenteritis - Hyperthyroidism - Rhematoid arthritis

Glaucoma Anticholinergic drugs are contraindicated in clients with glaucoma. These drugs can cause pupillary dilation, which can obstruct the flow of aqueous humor and increase intraocular pressure.

Which medication will the nurse administer to treat hypoglycemia in a patient brought to the emergency department who was experiencing tremors, sweating, and irritability before losing consciousness? - Insulin - Glucagon - Exenatide - Liraglutide

Glucagon

The nurse is caring for a child who is diagnosed with growth hormone deficiency and is receiving somatropin. Which medication may ben the reason this child does not show improvement in linear growth? - Cyclosporine - Ciprofloxacin - Fludrocortisone - Glucocorticoids

Glucocorticoids

Which microorganism is directly affected by acyclovir? - Herpez zoster - Proteus vulgaris - pneumocystis carinii - staphylococcus aureus

Herpes zoster

Which adverse reaction may occur as a result of raloxifene used during perimenopause? - hot flashes - loss of hair - brown discoloration of face - yellow undertone to the skin

Hot flashes

Current research has led to discovery of cancer-causing viruses. Which virus that is linked to cancer can be prevented by vaccination in humans? - Leukemia viruses - Rous sarcoma virus - Shope papillomavirus - Human papillomaviurs

Human papillomavirus

Which complicaiton does the nurse expect in a patient who is using calcium antacids for a prolonged period? - Diarrhea - Urticaria - Impotence - Kidney stone

Kidney stone

Which medication is contraindicated in the patient with pseudomembranous colitis and diarrhea? - Senna - Lubiprostone - Loperamide - Cholestyramine wiht glipizide

Loperamide

The primary health care provider prescribes scopolamine to a patient who has motion sickness. Which conditions will cause consern for this patient? - Narrow-angle glaucoma - Color and turgor of skin - longtiudinal furrows on tongue - Dryness of mucous membranes

Narrow-angle glaucoma The nurse has to assess the patient's medical history for narrow-angle glaucoma because the drug is contraindicated in this situation.

The nurse will teach patients that antacids are effective in the treatment of hyepracidity because they do which of the following? - Decrease gastric pH - Neutralize gastric acid - Decrease duodenal pH - Decrease stomach motility

Neutralize gastric acid Antacids work by neutralizing gastric acid, which would cause an increase in pH. They do not affect gastric motility.

While caring for a patient who has been prescribed sildenafil for erectile dysfunction, the nurse would ask the patient about the use of which medicaiton? - metformin - leuprolide - doxycycline - nitroglycerin

Nitroglycerin

The nurse is caring for a patient who has been prescribed scopolamine for motion sickness. Which site is appropriate for application of the patch? - On the chest - On the shoulder - On the irritated skin - On a hairless area behind the ear

On a hairless area behind the ear The scopolamine transdermal patch should be applied on an area of intact skin on the head behind the ear after cleaning and drying the area to reduce secretions. The patch may be dislodged if applied to irritated skin, the shoulder, or the chest.

A patient who is receiving chemotherapy has developed nausea and vomitng. Which drug will the nurse expect to be added to the treatment plan along with the chemotherapeutic agent? - Ondansetron - Scopolamine - Promethazine - Diphenhydramine

Ondansetron

The nurse would inform a male patient about which potential type of cancer associated with testosterone therapy? - kidney cancer - prostate cancer - bladder cancer - intestine cancer

Prostate cancer

What role does the release of cortisol play in the stress response? - Decrease oxygen delivery - Provides more fuel for cells - Decrease coagulability of blood - Reduces blood flow to vital organs

Provides more fuel for cells In response to stress, the adrenal cortex secretes increased amounts of glucocorticoids and the adrenal medulla secretes increased amounts of epinephrine. Working together, glucocorticoids and epinephrine augment the blood glucose level, blood pressure, coagulation factors, and oxygenation as part of the "fight-or-flight" mechanism (stress response). If glucocorticoid levels are inadequate, hypotension and hypoglycemia may occur. If the stress response is prolonged, the patient may sustain extensive tissue damage; if the stress is extreme, glucocorticoid deficiency may result, leading to circulatory collapse and deat

Which phrase describes the purpose of administering pyridoxine to a patient for whom isoniazid has also been prescribed? - to prevent peripheral nerve damage - to prevent cardiovascular complication - to prevent gastrointestinal disturbances - to prevent the metabolic rate from rising

To prevent peripheral nerve damage

A patient is prescribed inhaled corticosteroids. Why does the nurse ask the patient to rinse the mouth after each dose? - to relieve the patient's dry mouth - to minimize the chance of nasal congestion - to reduce the risk of sore throat and infection - to prevent the development of the oral candidiasis

To prevent the development of oral candidiasis

Which patients are candidates to receive antitussive cough medication? - patients with pharyngitis and rhinitis - patients with chronic paranasal sinusitis - patients who have undergoine herina surgery - patient with bronchitis with productive cough

patients who have undergone hernia surgery

The nurse is providign postpartum care for a female patient who is prescribed methylergonovine. Which aspect of the patient's medical history would be a contraindication for receiving this drug? - hypertension - uterine atony - nausea and vomiting - pelvic inflammatory disease

pelvic inflammatory disease

The U.S. Drugn Enforcement Administration classifies anabolic steroid as Schedul III medicaiton becuase they cause which adverse effects? - endometriosis - erectile dysfunction - physical dependence - sedation and hypnosis

physical dependance

The nurse is caring for an older adult who is precribed meclizine. The nurse finds that the patient's mouth is dry. Which may the primary care provider order to alleviate this symptom? - Sugarless candy and gum - Saliva substitutes whenever required - Diluted warm saline to rinse the patient's mouth - Consuming a full glass of water every 5 minutes

Sugarless candy and gum

Which outcome is the objective of treating benign prostatic hyperplasia (BPH) with finasteride? - relaxing urine retention - reducing obstruction in the urethra - improving erectile dysfunction - increasing penile blood flow

Reducing obstruction in the urethra Finasteride focuses on the degeneration of the prostate epithelial tissue, which further helps reduce mechanical obstruction in the urethra. Finasteride inhibits 5-alpha reductase, responsible for converting testosterone to 5-dihydrotestosterone. Finasteride has no effect on urine retention. Sildenafil helps treat erectile dysfunction and increases penile blood flow.

Which form of the antifungal drug terbinafine is used primarily to treat onychomycoses of the fingernails or toenails? - Gel - Spray - cream - tablet

Tablet

In discharge teaching, the nurse will emphasize to a patient receiving a beta-agonist bronchodilator the importance of reporting which side effect? - hypoglycemia - tachycardia - bradycardia - nonproductive cough

Tachycardia A beta-agonist bronchodilator stimulates the beta receptors of the sympathetic nervous system, resulting in tachycardia, bronchodilation, hyperglycemia, and increased alertness.

The nurse administers diluted oxytocin solution to a female patient for labor induciton and continuously monitors the maternal blood pressure and pulse rate, as well as the fetal heart rate. The nurse stops the oxytocin infusion when the contractions are more frequent than every 2 minutes. What is the purpose of this action? - the fetal heart rate is stable - the pt is ready for delivery - the pt's bp is stable - the contractions can be fatal to the pt

The contractions can be fatal to the patient.

Which caution would hte nurse take during intravenous administration of ranitidine to a patient with cardiac disorder? - The nurse assesses liver function - The nurse documents the serum creatinine level - The nurse administers other drugs wiht ranitidine - The nurse contantly monitors the patient's blood pressure

The nurse constantly monitors the patient's blood pressure.

The nurse observes that a patient has moon face, acne, an increase in fat pads, and swelling. After checking the patient history, the nurse finds that the patient is taking methylprednisolone for bronchospastic disorder. Which condition will the nurse infer from the assessment? - the patient has thyrotoxicosis - the patient has hypothyroidism - the patient in Addisonian crisis - the patient has Cushing's syndrome

The patient has Cushing's syndrome.

A patient with hypothyroidism has been taknig 50 mg of levothyroxine for 2 years. On reviewing lab reports, the nurse finds that the patient's thyroid hormone levels are contantly fluctuating, even though he takes hte medication regularly. Which error during the self-administration of hte medicaiton may have caused this? - The patient takes 50 mg of levothyroxine of different brands - The patient takes 50 mg of levothyroxine once a day before meals - The patient consumes cheese and legumes while taking the medications - The patient avoids taking a double dose of medication after missing a dose

The patient takes 50 mg of levothyroxine of different brands.

What is the purpose of giving estrogen therapy in combination with progestin? - to treat ovarian cancer - to treat breast cancer - to prevent endometrial cancer - to reduce the chances of vaginal cancer

To prevent endometrial cancer

Which antidiarrheal drug causes potential side effects of dry mouth, tachycardia, abdominal pain, and burred vision? - Diphenoxylate with atropine - Colestryramine with glipizide - Oral anticoagulant warfarin with adsorbents - Anticholinergics with opiate such as loperamide

diphenoxylate wit atrophine

Which drug is a long-acting beta-agonist (LABA) inhaler? - formoterol - terbutaline - levalbuterol - metaproterenol

formoterol

The nurse is assessing a pregnant patient who has active herpes simplex virus type 2 (HSV-2). Which precaution would the nurse suggest to the patient to ensure the newborn's safety? - Receive a vaccination - Take antiviral therapy in first trimester - increase the intake of iron supplements - give birth via cesarean section (C-seciton)

give birth via cesarean section (C-section)

Which medicine would the nurse expect the health care provider to prescribe for a pregnant patient with respiratory congestion? - loratadine - fexofenadine - guaifenesin - diphenhydramine

guaifenesin

How is the congenital malaria transmitted to an infant? - mosquito bite - blood transfusion - infected placenta - contaminated needle

infected placenta

Loperamide has which mechanism of action? - Improves the intestinal barrier function - Inhibits peristalsis in the intestinal wall - Inhibits the growth of intestina microflora - Suppress the growth of pathogenic bacteria

inhibits peristalsis in the intestinal wall.

Which action of finasteride helps in the treatment of benign prostatic hypertrophy? - relieves male urine retention - relaxes the prostatic sphincter - increases the penile blood flow - inhibits the growth of the prostate

inhibits the growth of the prostate.

Which medicaiton is used to induce labor? - oxytocin - terbutaline - methylegonovine - magnesium sulfate

oxytocin

A patient with hypothyroidism reports severe sleeping disturbances. Which statement given by the patient is helpful in identifying the reason for the insomnia? - I always take the same brand of tablet - I take the tablet every evening at the same time - I take the tablet every morning at the same time - I take the tablet every morning on an empty stomach

"I take the tablet every evening at the same time."

A patient with gout asks the nurse about the mechanism of action of the antigout drugs. Which statement would the nurse make to the patient? - it increases the RBCs - it decreases the fatty acid level - it increases the blood oxygen level - it decreases the serum uric acid level

"It decreases the serum uric acid level."

The nurse is teaching a group of students about the use of megestrol. Which statement by a student suggests the need for additional teaching? - it is used for breast cancer - it is used for endometrial cancer - it is used for the prevention of pregnancy - it is used for cachexia of acquired immunodeficiency syndrome (AIDs)

"It is used for the prevention of pregnancy."

The nurse is assessing an older adult who has asthma and has been prescribed an inhaled corticosteroid. Which information would the nurse teach the patient to prevent oral candidiasis? - Rinse your mouth after inhaling the medication - Do not drink water immediately after inhalation - Minimize the use of the inhaler to every other day - Report any throat irritation to the primary health care provider

"Rinse your mouth after inhaling the medication."

The nurse is assessing a geriatric patient who takes antacids. The patient says to the nurse, "When I am constipated, I take senna, but I do not get immediate relief. Is it safe to take it?" Which response is appropriate? - Sena takes effet 1 hour after administration - Take senna 1 hour before taking other medicaitons - Discontinue taking senna; it is not safe to take with antacids - Senna is not effective to relieve constipation in elderly patients

"Take senna 1 hour before taking other medications."

A patient is prescribed ipratropium and cromolyn sodium. Which information would the nurse teach the patient? - take the ipratropium only in the mornings - take the ipratropium 5 minutes before the cromolyn - do not take these medications w/in 4 hours of each other - administer both medications together in a metered-dose inhaler

"Take the ipratropium 5 minutes before the cromolyn."

The patient has been prescribed sulfamethoxazole/trimethoprim. The nurse notes that the patient has a history of kidney stones. Which statement is the highest priority instruciton for the nurse to give to the patient? - take the medication on a full stomach - take the medication on an empty stomach - take the medication with a full glass of fluid - take the medication a tregularly spaced intervals

"Take the medication with a full glass of fluid." Of the instructions provided, the only one that would affect the prevention of kidney stones is to take the medication with a full glass of fluid.

A patient will begin taking diphenhydramine to treat motion sickness. Which instruction would the nurse give the patient to prevent gastrointestinal (GI) upset? - take the medication with food - use a humidifier while sleeping - increase fluid intake to up to 3000 mL - sleep with your head in an elevated position

"Take the medication with food."

A patinet is prescribed enteric-coated omperazole for hyperacidity. Which instructions would the nurse provide to the patient regarding medication administration? - Take the medicaton by chewing or crushing it - Take this medication 30-60 minutes after meals - Take this medicaiton 30-60 minutes before meals - Take the medication by dissolving it in water or milk

"Take this medication 30 to 60 minutes before meals."

A nursing student is asked to administer prednisone to a patient. Which statement by the nursing student reflects effective planning? - The medication is adminstered on a strict, unchanging schedule to prevent adverse effects - The medication should be adminisered with food to diminishe the risk of gastric irritation - The medication should not be administered intravenously because of the risk of hypotension - The medication is administered early in the evening to coincide with the natural secretion of the adrenal cortex

"The medication should be administered with food to diminish the risk of gastric irritation."

The nurse is providing care for multiple patients who are prescribed nasal decongestants. For which patients does the nurse need to obtain a change of prescription? select all that apply 1. pt with skin disease 2. pt with HTN 3. pt with hyperthyroidism 4. pt with genitourinary disease 5. pt with narrow-angle glaucoma

2 3 5

The patient has been ordered azithromycin and asks the nurse why the medication does not have to be taken as often as other antibiotics that have previously been ordered. Which is the nurse's best response? - You'll need to ask your health care provider questions like that - I'll call the pharmacy and ask about the chemical makeup of the drug - This is a much more effective drug than what you received previously - This drug has a longer duration of action than some of the other antibiotics

"This drug has a longer duration of action than some of the other antibiotics."

Which instruciton is essentail to teach the patient about safe usage of a stimulant laxative? - this medication has to be taken with food - do not take this medication in the morning - hold other medications when taking this drug - this medication can cause electrolyte and nutrient imbalances

"This medication can cause electrolyte and nutrient imbalances.".

Which instruction would the nurse include for a patient pescribed an antitussive medication? - watch for diarrhea and abdominal cramping - this medication may cause tremors and anxiety - headache and hypertension are common side effects - this medication may cause drowsiness and dizziness

"This medication may cause drowsiness and dizziness."

Which information would the nurse include regarding the use of antileukotriene agents such as zafirlukast in the patient teaching? - take the medications as soon as you begin wheezing - it will take about 3 weeks before you notice a hterapeutic effect - increase fiber and fluid iin your diet to prevent the side effect of constipation - this medication will prevent the inflammation that causes your asthma attack

"This medication will prevent the inflammation that causes your asthma attack."

Which information would the nurse give a patient who mentions being afraid to take antihistamines because of being a truck driver? - take the medication only when you are not driving - you are correct; your should not take antihistamines - take a lower dose than normal when you have to drive - you may be able to safey take a nonsedating antihistamine

"You may be able to safely take a nonsedating antihistamine."

The primary health care provider prescribes metoclopramide to a patient for the treatment of nausea and vomiting. Which will the nurse advise the patient when administering this drug? - You should avoid long-term use of this medication - You should take the medication without regard to meals - You should use relaxation techniques while taking this medication - You should take the medication with prochlorperazine for fast action

"You should avoid long-term use of this medication."

During an assessment, a nurse finds that the patient's mother had breast cancer. Which advice does the nurse give the patient? - You should increase your intake of energy drinks - You should have an alanine aminotransferase test - You should get tested for a BRCA gene mutation - You should avoid consuming food with high protein content

"You should get tested for a BRCA gene mutation."

The primary health care provider prescribes diphenhydramine to a patient who has nausea and vomiting. Which advice will the nurse give to the patient while administering this drug? - You should not consume alcohol - You should not comsume oral fluids - You should consume coffee frequently - You should not do relaxation techniques

"You should not consume alcohol."

A patient is prescribed enteric-coated aspirin for joint pain management. Which statement does the nurse make to the patient while administering enteric-coated aspirin? - You should chew the tablet properly - You shoild swallow the tablet with water - You should crush the tablet and mix with food - You should dissolve the tablet in water and then ingest

"You should swallow the tablet with water."

Which information will the nurse include in the teaching plan for repaglinide? - This medication will not cause hypoglycemia - You will need to be sure you eat as soon as you take this medication - You do not have to worry about side effects when taking this medication - When taking this medication, use aspirin rather than acetaminophen for pain relief

"You will need to be sure you eat as soon as you take this medication."

Which assessment findings would the nurse expect to see in a toddler who is unconscious after consumption of over-the-counter cold medication? select all that apply 1. seizures 2. tachycardia 3. hypocalcemia 4. hyperuricemia 5. hyeprglycemia

1 2

Which tissue types are the common primary tissues that are affected by infection with the Trichophyton spp.? select all that apply 1. Skin 2. Scalp 3. Brain 4. Lungs 5. Blood

1 2

Besides treating nausea and vomiting, which are the uses of antidopaminergic drugs? 1. terating anxiety 2. treating schizophrenia 3. treating intractable hiccups 4 treatgin nonproductive cough 5. treating delayed gastric emptying

1 2 3

Which are the adverse effects of ipratropium and tiotropium therapy? select all that apply 1. Headache 2. dry mouth 3. nasal congestion 4. increased urinary frequency 5. increased intraocular pressure

1 2 3

Which clinical manifestations can be observed in a patient who is receiving teriparatide therapy? select all that apply 1. vertigo 2. joint pain 3. chest pain 4 hot flashes 5. loss of appetite

1 2 3

Which common adverse effects associated with the use of adrenal medications will the nurse assess for? select all that apply 1. Fatigue 2. Sodium retention 3. Increased intraocular pressure 4. Decreased blood glucose levels 5. Increased serum potassium levels

1 2 3

Which drugs are peripherally acting antihistamines? select all that apply 1. cetirizine 2. loratadine 3. fexofenadine 4. diphenhydramine 5. brompheniramine

1 2 3

When diarrhea occurs in the pediatric patient, the nurse will advise the parents to seek emergency medical treatment for the patient if which symptom occur? select all that apply 1. bloody diarrhea 2. malaise or lethargy 3. severe abdominal pain 4. firm or rigid abdomen 5. urination every 3-4 hours

1 2 3 4

Which patient conditions indicate the need for a nasal decongestant? select all that apply 1. hay fever 2 dust allergy 3. nasal surgery 4. chronic rhinitis 5. productive cough

1 2 3 4

A 67-year-old man is prescribed tstosterone. Which sites may be used for the reservior patch? select all that apply 1. back 2. thights 3. shoulder 4 abdomen

1 2 4

A patient who presents with cough and difficulty breathing is prescribed decongestants and antitussive. Which assessment findings in the follow-up visit would the nurse immediately reprot to the health care provider? select all that apply 1. T of 100.8 F 2. change in color of the sputum 3. increased expectoration of mucus 4. respiratory rate of 30 breaths/min 5. clear breath sounds on auscultation

1 2 4

Which are adverse effect of H2 receptor antagonist? select all that apply 1. diarrhea 2. jaundice 3. spine fracture 4. aplastic anemia 5. erosive esophagitis

1 2 4

Which are possible adverse effects of zafirlukast? select all that apply 1. nausea 2. diarrhea 3. anorexia 4. headache 5. hyperglycemia

1 2 4

Which monitoring parameter should be evaluated for drug effectiveness for a patient in labor who is reeciving oxytocin? select all that apply 1. fetal heart rate 2. fetal movement 3. uterine hyperactivity 4. the pt's bp and pulse 5 complete blood cell count

1 2 4

Which primary roles does testosterone play in the male body? select all that apply 1. helps in produciton of RBCs 2. helps development of facial hair in men 3. triggers better metabolic bodily functions 4. helps develop the male sex characteristics 5. triggers erectile dysfunction (ED)

1 2 4

Which baseline measurements does the nurse obtain before administering pituitary hormones? select all that apply 1. Weight 2. Blood pressure 3. Liver enzyme levels 4. Blood glucose levels 5. Renal function studies

1 2 4 In the assessment of patients receiving pituitary hormones, the nurse should measure baseline vital signs, review blood glucose levels, and measure weight.

Which BBW for oral contraceptives would the nurse teach to a patient? select all that apply 1. dementia 2. breast cancer 3. ovarian cancer 4. cigarette smoking 5. cardiovascular disease 6. serious cardiovascular events

1 2 4 5 6

A patient who underwent coronary artery bypass surgary 2 months ago has an acute upper respiratory infection and is losing sleep because of a cough. Which instrucitons would the nurse give to manage the URI if the patient is using codeine as an antitussive? select all that apply 1. maintain hydration 2. take an expectorant 3. take a decongestant 4. take an antihistamine 5. productively cough

1 2 5

Which clinical findings may indicates diabetes mellitus in a patient? select all that apply 1. Hemoglobin A1C level greater than 6.5% 2. Casual plasma glucose level of 130 mg/dL or higher 3. Fasting plasma glucose level of 126 mg/dL or higher 4. Two-hour plasma glucose level of 120 mg/dL or higher 5. Random blood glucose level between 70-100 mg/dL

1 3

Which information is important to teach a patient who has irritable bowel syndrome (IBS) and has been prescribed alosetron? select all that apply 1. avoid irritating foods 2. stool softeners should be used daily 3. don't take over the counter laxatives 4. there are no medicaitons for irritable bowel syndrome 5. daily laxatives are the best treatment for IBS with constipation

1 3

The nurse is assessing a patient with asthma. Which symptoms would hte nurse expect to find in the patient? select all that apply 1. wheezing 2. rhinorrhea 3. chest tightness 4. SOB 5 conjunctival swelling

1 3 4

Which are adverse effects of albuterol? select all that apply 1. tremors 2. skin rashes 3. palpitations 4. tachycardia 5. hypoglycemia

1 3 4

The obstetrics nurse reviews a postpartum patient's history. The patient is prescribed methylergonovine for control postpartum hemorrhage. Which are essential nursing interventions for a patient receiving this medication? Select all that apply 1. monitoring the pt for blurred vision 2. administer it before placenta delivery 3. monitor blood pressure during administration 4. assess for pelvic inflammatory disease 5. quesiton the prescription if the patient has liver disease

1 3 4 5

A nursing student asks the nurse which patient conditions are more susceptible to tuberculosis infection. Which response by the nurse is correct? select all that apply 1. cancer 2 diarrhea 3 malnutrition 4. gastric ulcer 5 huam immunodeficiency virus (HIV)

1 3 5

A patient is suspected of overdosing on diphenoxylate with atropine. Which assessment findings will the nurse expect to find related to this? select all that apply 1. dry mouth 2. joint pain 3. tachycardia 4 bradycardia 5. blurred vision

1 3 5

Which conditions are contraindications for treatment with testosterone? select all that apply 1. pregnancy 2. oligospermia 3. renal disease 4. hypogonadism 5. hepatic disease

1 3 5

Which conditions are contraindications for belladonna alkaloids? select all that apply 1. paralytic ileus 2. chronic diarrhea 3. myasthenia gravis 4. vitmain K deficiency 5. narrow angle glaucoma

1 3 5 Use of belladonna alkaloid preparations is contraindicated in patients who have a known hypersensitivity to anticholinergics and in patients with paralytic ileus, myasthenia gravis, narrow-angle glaucoma, gastrointestinal obstruction, and toxic megacolon. Chronic diarrhea is not a reason to withhold this medication, nor is Vitamin K deficiency.

Which hormones play a role in regulation of glucose homeostasis? select all that apply 1. Insulin 2. Ketone 3. Dextrose 4. Glucagon 5. Glycogen

1 4 Insulin and glucagon are the hormones produced by the pancreas that play an important role in the regulation of glucose homeostasis. They are responsible for the use, mobilization, and storage of glucose by the body. Excessive glucose in the blood is converted into glycogen and stored in the liver. When the body breaks down fatty acids for fuel, ketones are produced as a metabolic by-product. Dextrose is the simplest form of carbohydrate found in the body.

A patient is receiving vasopressin. Which symptoms warrant immediate notificaiton of the primary health care provider? select all that apply 1. Diarrhea 2. Pale skin 3. Yellow eyes 4. Hypertension 5. Abdominal carmping

1 4 5

A patinet on theophylline therapy complains of gastroesophageal reflux during sleep. Which other complications would the nurse anticipate in the patient? select all that apply 1. vomiting 2. insomnia 3. dry mouth 4. increased urination 5. ventricular dysrhythmias

1 4 5

The primary health care provider has prescribed a hyperosmotic laxative for a patient who has constipation. Which questions wil the nurse ask the patient before administering the medication to help ensure drug safety? select all that apply 1. do you have nausea 2. do you have hypertension? 3. do you have hypotension 4. do you have abdominal pain 5. have you lost weight recently

1 4 5

A patient is prescribed sildenafil for erectile dysfunction. At which time should the patient take the dose? - 1 hour before sexual intercourse - 2 hours before sexual intercourse - 30 minutes before sexual intercourse - 10 minutes before sexual intercourse

1 hour before sexual intercourse

Which daily dose of finasteride is prescribed for an adult patient who is being treated for androgenetic alopecia? - 1 mg by mouth - 5 mg by mouth - 25-100 mg 1 hour before intercourse - 50-400 mg by intramuscular injection

1 mg by mouth

Which symptom is a contraindication for milk of magnesia? select all that apply 1. flatulence 2. rectal bleeding 3. abdominal pain 4 N/V 5 recent weight loss

2 3 4

The nurse is counseling a patient who is prescribed a xanthine-derivative drug. Which items does the nurse advise the patient to avoid? select all that apply 1. sugar 2. coffee 3. charcoal-broiled foods 4. cigarettes 5. low-protein foods 6. low-carbohydrate foods

2 3 4 6

Which actions will the nurse take during the insertion of rectal suppository? select all that apply 1. insert the suppository as far as possible into the rectum 2. wear gloves or a finger cot while inserting the suppository 3. place the patient on the left side while inserting the suppository 4. place the patient in a supine position for 30 minutes after insertion 5. lubricate the suppository with water-soluble gel before instertion

2 3 5

Which side effects are associated with naphazoline? select all that apply 1. pruritus 2. headache 3. dizziness 4. drowsiness 5. nervousness

2 3 5

The nurse is assessing a professional weightlifter who has been banned from practicing weightlifting because of drug doping. The patient's reports reveal excessive concentration of nandrolone in the blood. Which risk would the nurse interpret form these findings? select all that apply 1. anemia 2. infertility 3. msucle atrophy 4. cardiovascular disorder 5. malasorption syndrome

2 4

A patient is undergoing treatment for erosive esophagitis. Which advice given by the nurse will be helpful in reducing stomach acidity? select all that apply - increase water intake - avoid intake of alcohol - increase physical activity - avoid greasy and spicy food - avoid stressful environments

2 4 5

Which lifestyle changes will the nurse instruct the patient to implement to successfully manage diabetes mellitus? select all that apply 1. restrict sodium in your diet 2. reduce the amount of alcohol yo consume 3. include rest periods between physical activities 4. incorporate daily physical exercise into your life 5. decrease the amout of carbohydrates in your diet

2 4 5

Which effects are possible from drug therapy growth hormone deficiency in children? 1. Higher blood sugar levels 2. Increased lipid mobilization 3. Retention of potassium levels 4. Increased retention of sodium 5. Improved tissue-building processes

2 4 5 The drugs that mimic growth hormone are somatropin and somatrem. They promote growth by lipid mobilization from body fat stores, retention of sodium, and phosphorus; stimulation of various anabolic (tissue-building) processes; and liver glycogenolysis (to raise blood sugar levels). These drugs do not cause higher blood sugar levels or retention of potassium levels, however. Both drugs promote linear growth in children who lack normal amounts of the endogenous hormone.

What are sings and symptoms of an adrenal crisis? select all that apply 1. Buffalo hump 2. Hyperkalemia 3. Hypernatremia 4. Delayed wound healing 5. Drop in extracellular fluid volume

2 5 An adrenal crisis is a life-threatening state of profound adrenocortical insufficiency and requires immediate medical management. The symptoms of adrenal crisis include hyperkalemia, a drop in extracellular fluid volume, and hyponatremia. A buffalo hump is a clinical manifestation of Cushing's syndrome. Delayed wound healing is a clinical manifestation of long-term glucocorticoid therapy.

Antitussives are used for what purpose? Select all that apply. 1. To reduce pain 2. To relieve cough 3. To decrease hives 4. To decrease mucous 5. To treat itchy, watery eyes 6. To reduce activity of the cough center in the brain

2 6

Which hormones are produced by the anterior pituitary gland? select all that apply 1. Thyroxine 2. Aldosterone 3. Growth hormone (GH) 4. Thyroid-stimulating hormone (TSH) 5. Thyrotropin-releasing hormone (TRH) 6. Adrenocorticotropic hormone (ACTH)

3 4 6 GH, TSH, and ACTH are produced by the anterior pituitary gland. Aldosterone is secreted from the adrenal cortex. TRH is released from the hypothalamus. Thyroxine is released from the thyroid gland.

Which point would the nurse teach the patient who is takng a hyperosmotic laxative? select all that apply 1. This laxative is safe to use daily 2. Call the health care provider for rectal pain 3. Excessive use can cause electrolyte imbalance 4. everyday use is encouraged to remain regular 5. you may have abdominal bloating with the use of this laxative

3 5

The nurse is teaching a patient about finasteride therapy. How long will the drug take to achieve its full effect? - 1-2 weeks - 2-4 weeks - 1-3 months - 3-6 months

3 to 6 months

Which method of administering glipizide is correct? - With food - At bedtime - 15 minutes postprandial - 30 minutes before a meal

30 minutes before a meal poor absorption with meals

Sildenafil is used for which conditions? select all that apply 1. hypoglycemia 2. liver disorders 3. hyopthyroidism 4. erectile dysfunciton 5 pulmonary hypertension

4 5

To avoid fecal impaction, psyllium (Metamucil) should be administered with at least how many ounces of fluid? - 4 - 6 - 8 - 10

8 Bulk-forming laxatives such as psyllium must be given with at least 8 ounces of liquid plus additional liquid each day to avoid intestinal impaction.

The nurse is assessing a geriatric patient who has high blood pressure and prediabetes and was prescribed propranolol 10 mg. Which treatment can be given to the patient to reduce the risk of coronary artery disease? - 81 mg of aspirin - 10 units of insulin - 50 mg of ketorolac - 20 mg of propranolol

81 mg of aspirin

The nurse is caring for a patient who has symptoms of acute toxicity due to an overdose of immediate-release ibuprofen, which was administered 1 hour earlier. Which is the appropriate action in this situation? - administer aspirin to the patient - conduct hemodialysis on the patient - administer mercaptopurine to the patient - administer activated charcoal to the patient

Administer activated charcoal to the patient

The primary health care provider prescribes oxymetazoline to a patient with sinusitis who complains of nasal congestion and difficulty in breathing. Which possible adverse effect would the nurse teaching to the patient? - dry mouth - palpitation - constipation - gastrointestinal irritation

Palpitations

Which is an important point that the nurse would explain when a patient is prescirbed an enteric-coated drug along with an antacid? - possible drug interactions - the prescribed dose of the drug - the schedule for taking the drug - why the drug prescription is neccessary

Possible drug interactions

By which mechanism do sympathomimetics work? - Stimulating alpha2-adrenergic receptors on nasal capillaries - Activating alpha1-adrenergic receptors on nasal blood vessels - Activating beta1-adrenergic receptors to relieve nasal congestion - Working with beta2-adrenergic receptors to suppress nasal secretions

Activating alpha1-adrenergic receptors on nasal blood vessels Sympathomimetics (e.g., phenylephrine, pseudoephedrine) reduce nasal congestion by activating alpha1-adrenergic receptors on nasal blood vessels, causing vasoconstriction.

A patient is in the emergency department to treat a xanthine overdose. Which will the care provider prescribe to treat this patient? - formoterol - arformoterol - theophylline - activated charcoal

Activated charcoal

For which condition would daily fludrocortisone be prescribed? - Organ transplant - Addison's disease - Rheumatoid arthritis - Chronic obstructive pulmonary disease (COPD)

Addison's disease

A provider prescribes octreotide to treat the symptoms of a patient diagnosed with carcinoid tumors. Which adverse effect will the nurse instruct the patient to report immediately? - Vertigo - Drowsiness - Bleeding gums - Abdominal stress

Abdominal stress Octreotide is used to treat symptoms like diarrhea, flushing, and hypotension. Appearance of any symptoms of abdominal stress such as diarrhea, nausea, or vomiting should be reported to the primary health care provider. Vertigo is an adverse effect of desmopression and vasopressin. The incidence of drowsiness is less common or very rare with the administration of octreotide. Administration of octreotide does not cause bleeding gums.

The nurse is assessing a patient with pneumonia who is prescribed amikacin. After reviewing the medication history, the nurse finds that the patient is taking anticoagulants. For which adverse drug-interaction effect would the nurse monitor in the patient? - Abnormal bleeding - Venous thrombosis - Impaired consciousness - Burning sensation of feet

Abnormal bleeding

The nurse assesses a patient who has a closed head injury that has resulted in trauma to the hypothalamus which patient assessment finding is a clinical indicator of hypothalamic dysfunction? - Oozing blood - Watery diarrhea - Loss of consciousness - Abundant, diluted urine

Abundant, dilute urine Antidiuretic hormone is released from the posterior pituitary gland, so hypothalamic dysfunction may impair the kidney's ability to conserve water, resulting in excessive urine output. Oozing blood and watery diarrhea are indications for other pituitary medications. A patient with a closed head injury is likely to be obtunded or unconscious; however, the impaired level of consciousness is a result not of hypothalamic dysfunction but of increased intracranial pressure.

Which neurotransmitter induces nausea and vomiting by triggering vestibular and labyrinthine pathways in the inner ear? - Dopamine (D2) - Acetylcholine - Prostaglandins - Serotonin (5-HT3)

Acetylcholine

Which condition is contraindicated with somatrem? - Polyuria - Polydipsia - Acromegaly - Hypopituitary dwarfism

Acromegaly Acromegaly is caused by excessive growth hormone, and thus this drug would be contraindicated.

Which action would the nurse anticipate performing when a patient reprots a cold, coughing, and a feeling of fluid in the lungs? - administering fluticasone - adminstering guaifenesin - administering dextromethorphan - encouraging the patient to drink fluids hourly

Administer guaifenesin. The patient needs an expectorant. This medication will help the patient cough the fluid out of her lungs. Dextromethorphan and fluticasone will not help the patient expectorate. There is no information about the patient's fluid intake, so hourly fluids may be too much.

Which action does the nurse take when finding a hospitalized patient with type 1 diabetes mellitus unresponsive, cold, and clammy? - Start an insulin drip - Administer intravenous glucose - Draw blood and send to the laboratory - Administer subcutaneous regular insulin

Administer intravenous glucose. This patient is showing signs of hypoglycemia. In the hospital setting or when the patient is unconscious, intravenous glucose is an obvious option to treat hypoglycemia.

A patient with COPD is retaining carbon dioxide. Which respiratory therapy would the nurse administer to lwoer the patient's carbon dioxide concentration? - salmeterol - albuterol nebulizer - bluticasone propionate - oxygen via a nasal cannula, 2 L/min

Albuterol nebulizer

Which hormone is affected by renal failure? - Epinephrine - Aldosterone - Norepinephrine - Coricotropin

Aldosterone Aldosterone is a mineralocorticoid hormone produced by the adrenal cortex that acts on the renal tubule, regulating sodium and potassium levels. This hormone would not be effective in a patient with renal failure. Epinephrine and norepinephrine affect the cardiovascular system. Corticotropin is secreted by the pituitary gland and works on the adrenal glands.

Which drugs can cause both syncope and dyspnea as adverse reactions? - androgens - alpha1-adrenergic blockers - 5-alpha reductase inhbitors - topical peripheral vasodilators

Alpha1-adrenergic blockers

Which drug will prescribed for a patient who presents with erectile dysfunction? - finasteride - alprostadil - testosterone - fluoxymesterone

Alprostadil

Which medication reduces the risk of renal toxicity associated with cisplatin? - Amifostine - Allopurinol - Tobramycin - Gentamicin

Amifostine

The nurse is caring for a patient who is receiving epinephrine for status asthmaticus. The nurse finds that symptoms of status asthamticus are persistent, even after administrations of epinephrine. Which medicaiton will the primary health care provider prescribe for this patient? - albuterol - salmeterol - terbutaline - aminophylline

Aminophylline

Which increases the concentration of gastric acids? - Hypersecretion of parietal cells - Inhibition of proton pump activity - inhibition of acetylcholine receptors - hypersecretion of proteolytic enzymes

Hypersecretion of parietal cells

A primary health care provider prescribes omalizumab for a patient. Which would the nurse assess to ensure safety of drug administration? - urine frequency - body temperature - gastrointestinal upset - hypersensitivity reactions

Hypersensitivity reactions

A patient has been on sulfonamides for urinary tract infections. The nurse assesses the patient and finds bruises on the leg and arm. Which action would the nurse take next? - tell the patient to be more careful - assess the patient's platelet coutns - administer vitamin K to the patient - ask the patient if someone is abusing her

Assess the patient's platelet counts.

The nurse is assessing a patient who has been prescribed clindamycin for a bone infection and vecuronium for persistent pain. Which intervention would the nurse perform to ensure the patient's safety? - Elevate the patient's legs - Provide support to the patient's hip - Rub the patient's foot continuously - Assess the patient' srespiratory rate

Assess the patient's respiratory rate.

Which information does the nurse provide to a patient regarding how oral contraceptives prevent pregnancy? - inhibition of the release of gonadotropins - diminished endometrial tissue proliferaton - interference with the proliferation of the fertilized ovum - elevated progesterone levels inhibiting the release of the luteinizing hormone

Inhibition of the release of gonadotropins

Which condition would the nurse suspect in a patient prescribed dutasteride? - impotence - testicular cancer - hypogonadism - benign prostatic hyperplasia (BPH)

Benign prostatic hyperplasia (BPH) Dutasteride is an alternative for finasteride, indicated for the treatment of benign prostatic hyperplasia (BPH). The medicine is available in 0.5 mg capsules.

A patient with a history of asthma is brought to the clinic with acute dyspnea, wheezing, hypercapnia, and hypoxemia. Which type of medication will be administered first to this patient? - glucocorticoids - beta2 agonists - anticholinergics - leukotriene modifiers

Beta 2 Agonists

Which drug interacts with insulin and increases the risk of unrecognized hypoglycemia in a patient? - Aspirin - Codeine - Thiazide direutics - Beta-adrenergic blockers

Beta-adrenergic blockers Beta-adrenergic blockers block the initial sympathetic response to hypoglycemia; therefore, the patient will not exhibit the initial symptoms of nervousness, diaphoresis, and sweating that typically alert the patient to the onset of hypoglycemia. Aspirin and other salicylates can cause hypoglycemia by stimulating insulin secretion. There are no known interactions of codeine and insulin. Thiazide diuretics worsen insulin sensitivity.

Which adrenal medication is the drug of choice to accelerate fetal lung maturation in premature neonates? - Betamethasone - Fludrocortisone - Aminoglutethimide - Methylprednisolone

Betamethasone Betamethasone accelerates fetal lung maturation in premature neonates. Fludrocortisone is the most commonly prescribed mineralocorticoid used to treat Addison's disease. Aminoglutethimide is used in the treatment of Cushing's syndrome and is available only in oral form. Methylprednisolone is the preferred oral glucocorticoid for antiinflammatory or immunosuppressant purposes.

The nurse would teach patients receiving filgrastim to expect which side effect? - Insomnia - Bone pain - Hypotension - Constipation

Bone pain

The health care provider orders ritonavir for a patient who has acquired immune deficiency syndrome. The nure would inform the patient about which advers effect of ritonavir therapy? - pancreatitis - photphobia - bone marrow suppression - bony appearance of the face

Bony appearance of the face

Which cells in the stomach secrete hydrochloric acid (HCI)? - Chief cells - Parietal cells - Mucous cells - Endocrine cells

Parietal cells Parietal cells in the stomach secrete hydrochloric acid. They are the primary site of action for many acid-controlling drugs. Chief cells are involved in the secretion of pepsinogen. Mucous cells secrete mucus, which protects the gastrointestinal layers. Endocrine cells secrete hormones used in the digestion of food.

Which type of antacid can lead to milk-alkali syndrome? - Calcium-containing antacids - Alumium-containing antacids - magnesium-containing antacids - sodium bicarbonate-containing antacids

Calcium-containing antacids The milk-alkali syndrome consists of the triad of hypercalcemia, metabolic alkalosis, and acute kidney injury associated with the ingestion of large amounts of calcium and absorbable alkali.

Which point about filgrastim would the nurse keep in mind before beginning myelosuppressive antineoplastic drug therapy in a patinet with cancer? - can be started druing chemotherapy - can be initiated 24 hours prior to chemotherapy - used in the treatment of chemotherapy-induced thrombocytopenia - discontinued when the absolute neutrophil count (ANC) is below 1000 cells/mm3

Can be initiated 24 hours prior to chemotherapy.

Which condition would be the result of a drug-drug interaction between mefloquine and beta blockers in a patient with malaria? - potential toxicity - treatment failure - muscle weakness - cardiac dysrhythmia

Cardiac dysrhythmia

Which drug interaction could be avoided when taking diphenhydramine and consuming alcohol? - Allergic rhinitis - Motion sickness - nighttime insomnia - central nervous system (CNS) depression

Central nervous system (CNS) depressionDiphenhydramine interacts with alcohol, causing CNS depression and leading to a decrease in respiratory and heart rate as well as loss of consciousness. Therefore the nurse would instruct the patient to avoid alcohol consumption. Allergic rhinitis, motion sickness, and nighttime insomnia are indications for the use of diphenhydramine. These conditions are not the result of an interaction between diphenhydramine and alcohol.

The health care provider prescribes a thyroid replacement drug to a patient with hypothyroidism. Which is the first intervention that helps determine the dosage of thyroid replacement drug for the patient? - Checking the physical parameters of the patient - Checking the patient's knowledge of thyroid therapy - Checking the medication history of patient and family - Checking the patient's serum thyroid-stimulating hormone level

Checking the patient's serum thyroid-stimulating hormone levels

Which medication is suitable therapy for oral contraception in women who cannot take estrogen? - estrone - megestrol - estropipate - medroxyprogesterone

Medroxyprogesterone (Provera) Because it prevents follicular maturation and ovulation, medroxyprogesterone is a suitable oral contraceptive for women who cannot take estrogen. Megestrol is unsuitable because it is indicated in the palliative treatment of endometrial and breast cancers. Estropipate and estrone are synthetic estrogens.

A patient has a positive Mantoux test. Which test will the health care provider order next? - sputum culture - chest radiography - tuberculin skin test - stomach secretion culture

Chest radiography

Which medication was likely prescribed to a male patient with enlarged breasts who has been receiving treatment for gastroesophagela reflux disease? - Sucralfate - Cimetidine - Aluminum hydroxide - Magnesium hydroxide

Cimetidine

Which antibiotic can be used against several anaerobic organisms? - Daptomycin - Quinupristin - Clindamycin - Nitrofurantoin

Clindamycin Clindamycin is active against several anaerobic organisms. Daptomycin is used for treatment of infections caused by gram-positive organisms. Quinupristin is used for skin infections caused by streptococcal and staphylococcal infections. Nitrofurantoin is used for urinary tract infections caused by gram-negative organisms and Staphylococcus aureus.

Which medication is used for treating infertility? - oxytocin - clomiphene - indomethacin - dinoprostone

Clomiphene

A patient receiving antibiotics for chronic tonsillitis has been experiencing abdominal pain and cramps associated with frequent watery stools. Which infectin does the nurse suspect? - klebsiella infection - clostridium infection - acinetobacter infection - enterococcus infection

Clostridium infection

The primary health care provider prescribes aprepitant to pregnant patient to treat nausea and vomiting. After assessment, the nurse finds that the patient is taking warfarin. Which will the nurse assess form the laboratory test reports in this situation? - Red blood cell count - Clotting time of blood - White blood cell count - Hemoglobin concentrations

Clotting time of blood

Which antitussive should be administered to a patient with peripheral arterial disease (PAD)? - codeine - benzonatate - diphenhydramine - dextromethorphan

Codeine Codeine is the best choice of antitussive for a patient with PAD because it does not have the side effect profile of the nonopioid antitussive agents. It is a better choice for this patient than hydrocodone because it is less sedating and, therefore, less likely to result in a fall or patient injury due to sedation.

The nurse makes a home visit to a middle-aged patient who has a history of asthma. The patient's spouse purchased an OTC antihistamine. However, the nurse instructs the spouse not to administer the drug to the patient. Which complication is the nurse trying to prevent? - paradoxical reactions - collapse of lung alveoli - decrease in respiratory rate - allergic reactions to the drug

Collapse of lung alveoli

A patient with a history of inflammatory bowel disease is prescribed insulin therapy and acarbose for the treatment of high postprandial glucose levels. Which nursing action is a priority in this case? - Assess blood glucose levels before administering insulin - Ask the patient about allergic reactions to any drugs - Assess the patient's weight before administering the drug - Consult the primary health are provider befor eadmininstering acarbose

Consult the primary healthcare provider before administering acarbose. Acarbose is contraindicated in patients with inflammatory bowel disease

The patient has been started on a medicaiton regimen that includes sulfamethoxazole/trimethoprim. The nurse noes that the source of the patient's infection has been determined to be viral in origin. Which action is the nurse's highest priority? - administer the medications as ordered by the health care provider - ensure that the information is documented in the chart - contact the health care provider to discuss the medication - ask the patient if he knows he contracted the infection

Contact the health care provider to discuss the medication. The health care provider should be contacted regarding the ordering of Bactrim for this patient since it has not been shown to be effective in treating viral infections.

The nurse is caring for a patient with a theophylline level of 14 mcg/mL. Which is the priority nursing intervention? - monitor the patient toxicity - increase the intravenous (IV) drip rate - continue to assess the patient's oxygenation - stop the IV for an hour then restart at a lower rate

Continue to assess the patient's oxygenation The therapeutic theopylline level is 10 to 20 mcg/mL. The nurse should continue interventions and monitor oxygenation.

When assessing for potential adverse effects of fludrocortisone, which electrolyte imbalance would the nurse would monitor for? - Hypokalmia - Hyperkalemia - Hyonatremia - Hypercalcemia

Hypokalemia

The nurse observes that a female patient is at risk for postpartum uterine hemorrhage. Which meidcaiton would the nurse discuss with the health care provider to initiate? - estradiol - megestrol - alendronate - methylergonovine

Methylergonovine

A nurse is caring for a patient with meningeal leukemia who has been prescribed the drug cytarabine. After administering the medication, the nurse finds that the patient has a fever, a maculopapular rash, and malaise. Which medicaiton should be administered to the patient in this condition? - calcium - vitamin D - antifungal medications - corticosteroid medications

Corticosteroid medications

Which antiasthmatic drugs work by preventing the inflammation commonly provoked by the substances released form mast cells? - corticosteroids - anticholinergics - mast cell stabilizers - xanthine derivatives

Corticosteroids .Corticosteroids prevent the inflammation commonly provoked by the substances released from mast cells. Anticholinergics prevent the binding of cholinergic substances that cause bronchoconstriction and increase secretions. Mast cell stabilizers (cromolyn and nedocromil) stabilize the cell membranes of the mast cells in which antigen-antibody reactions take place, thereby preventing the release of substances such as histamine that cause constriction. Xanthine derivatives raise intracellular levels of cyclic adenosine monophosphate.

Which drug may cause hypervolemia? - Oxytocin - Octreotide - Cosyntropin - Thyroid hormone

Cosyntropin cosyntropin a synthetic adrenocorticotropic hormone, stimulates the adrenal cortex to release cortisol. Cortisol is a glucocorticoid that promotes renal reabsorption of sodium, leading to the passive movement of water with the sodium. Oxytocin stimulates uterine contractions, octreotide helps diminish the watery diarrhea associated with acquired immunodeficiency syndrome (AIDS), and thyroid hormone is replacement therapy for inadequate thyroid levels.syntropin

ovulation commonly occurs at which day during the menstrual cycle? - day 3 - day 7 - day 14 - day 21

Day 14

A patient who has a VIPoma tumor reports severe watery diarrhea and sudden reddening of the face. The primary health care provider instructs the nurse to administer octreotide. Which form of octreotide dosage is preferred? - Oral tablet - Capsule dosage - Injection (IV/IM) - Depot suspnsion

Depot suspension The patient should receive octreotide depot suspension to treat symptoms produced by excessive substances that are produced by tumors. Oral dosage forms such as tablets and capsules are not manufactured. The nurse should not confuse this form of dosage with octreotide injection, as this mimics the actions of somatostatin.

A patient is prescribed ipratropium for treatment of chronic obstructive pulmonary disease (COPD). After checking the medical history, the nurse finds that the patinet is taking diphenhydramine to treat allergies. Which wuold the nurse anticipate that the provider will prescribe for this patient? - discontinue the ipratropium - discontinue the dose of diphenhydramine - administer both medications as prescribed - administer both medicines simultaneously

Discontinue the dose of diphenhydramine. Using diphenhydrAMINE together with ipratropium may increase side effects such as drowsiness, blurred vision, dry mouth, heat intolerance, flushing, decreased sweating, difficulty urinating, abdominal cramping, constipation, rapid heart beat, confusion, memory problems, and glaucoma.

A primary health care provider has prescribed capecitabine to a patient to treat cancer. During the assessment the nurse finds that the patient is taking warfarin. The nurse would contact the health care provider to discuss which action? - administering warfarin in a double dose - discontinuing administration of warfarin - discontinuing administration of capecitabine - administering capecitabine twice a day for 3 weeks

Discontinuing administration of warfarin

The nurse is caring for a patient who is takng rifampin. The patient has a heart rate of 90 beats/min, blood pressure of 100/89 mm Hg, and red-orange urine. Which action by the nurse is appropriate? - collect a urine culture - call the health care provider - document the findings and teach the patient - discard the first void and start a 24-hour urine collection

Document the findings and teach the patient. Red-orange discoloration of body fluids is a common side effect of rifampin (Rifadin), but it is not harmful and does not indicate infection. There is no need to call the health care provider, collect a urine culture, or start 24-hour urine collection.

Which technique would the nurse teach the patient about mixing insulin when the patient must administer 30 units regular insulin and 70 units NPH insulin in the morning? - Use the Z-track method for administration - Draw the medication into two separate syringes but inject it into the same spot - Draw up the regular insulin into the syringe first, followed by the cloudy NPH insulin - Administer these insulins at least 10 minutes apart so that you will know when they are working

Draw up the regular insulin into the syringe first, followed by the cloudy NPH insulin.

Which side effect would the nurse watch for in a patient with motion sickness, who has been prescribed diphendydramine? - pruritis - headache - dry mouth - lightheadedness

Dry mouth

A patient receiving an anticholinergic drug to treat nausea and vomiting should be taught to expect which adverse effect? - Diarrhea - Dry mouth - Bradycardia - Lacrimation

Dry mouth Anticholinergic drugs block the parasympathetic nervous system, which causes the body to "rest and digest." Blocking of these effects leads to constipation, urinary retention, and decreased secretions (dry mouth).

Which side effect of a histamine (H1) antagonist is used therapeutically for patients with allergic rhinitis? - dryness - drowsiness - palpitations - constipation

Dryness H1 antagonists exert anticholinergic effects, including constipation, dry mouth, and blurred vision. It is these drugs' capacity for drying the mucous membranes that makes them useful in treating upper respiratory infections and allergic rhinitis.

The primary health care provider has instructed the nurse to administer HP Acthar Gel sucutaneously. Which adverse effect of this exogenous corticotropin will the nurse anticipate in the patient? - Edema - Seizures - Heartburn - Hyperglycemia

Edema H.P. Acthar Gel is an exogenous corticotropin that is available for subcutaneous administration. It helps in increasing the cortisol levels, which may cause renal retention of sodium that, in turn, results in edema. Cortisol does not aggravate seizure activity, as it shows no effect on the muscles. Cortisol does not increase the risk of heartburn. Cortisol also does not alter the blood glucose levels, so there is no risk of hyperglycemia.p. 484

Which action will the nurse take before administering glucagon to an unconscious patient? - Assess the patient's oxygen saturation levels - Ensure that the patient is rolled onto one side - Initiate cardiopulmonary resuscitation (CPR) - Administer an incretin mimetic intravenously

Ensure that the patient is rolled onto one side The nurse rolls the patient onto one side because administration of glucagon may induce vomiting.

Which corticosteroid has exclusive mineralocorticoid activity? - Alclometasone - Fludrocortisone - Beclomethasone - Aminoglutethimide

Fludrocortisone Fludrocortisone is the only corticosteroid that has exclusive mineralocorticoid activity. It helps control the amount of sodium and fluids in the body. Alclometasone is a synthetic glucocorticoid used topically as an antiinflammatory agent. Beclomethasone is a glucocorticoid used to treat asthma. Aminoglutethimide is an adrenal steroid inhibitor used to treat asthma.

What is the function of aldosterone? - Fluid and water retention - Stimulation of the erythorid cells - Production of glycogen in the liver - Inhibition of inflammatory and immune responses

Fluid and water retention

A nurse is teaching a patient how to self-administer sildenafil. Which patient statement indicates effective learning? - I will apply it to my abdomen - I will apply it onto the scrotal skin - I will push the suppository into my urethra - I will take the tablet 1 hour before intercourse

I will take the tablet 1 hour before intercourse

Which substance facilitates the gastric absorption of vitamin B12? - Bicarbonate - Gycoprotein - Prostaglandin - Hydrochloric acid (HCl)

Glycoprotein

Which laboratory test provides evidence of adequate glucose management and adherence to a diaetes treatment over the past few months? - Serum albumin - Fasting serum glucose level - 2-hour postpradial blood glucose - Glycosylated hemoglobin (HbA1C)

Glycosylated hemoglobin (HbA1C)

The health care provider indicates that the patient will be prescribed an expectorant. Which medication does the nurse anticipate the provider will prescribe? - guaifenesin - brompheniramine maleate - chlorpheniramine maleate - dexchlorpheniramine maleate

Guaifenesin

The nurse is assessing a patient with mucosal ulceration. While conducting medical reconcilation, the nurse finds that the patient has developed this disorder as a result of long-term use of an herbal product containing godenseal (Hydrastis canadensis). Which other complications may the nurse find in this patient? - HTN - motion sickness - nasal congestion - urinary infections

HTN

The nurse has administered the morning does of tobramycin to a patient according to the prescription. In the evening, the nurse collects a blood sample from the patient and observes that the serum drug concentration is greater than 2 mcg/mL. Which adverse drug effect would the nurse need to monitor for? - Heartburn - Hearing impairment - Metallic taste - Red man syndrome

Hearing impairment

For which adverse effect would the nurse be alert in a patient who is taking tobramycin as an antibiotic therapy? - nausea - confusion - hearing loss - pain on injeciton

Hearing loss

A nurse is assessing a patient who has a serious eye infection. Which human herpesviurs may cause this infection? - Type 3 - Type 4 - Type 5 - Type 1

Human herpesvirus type 5 There are many strains of herpesvirus, each of which is responsible for different infections. Human herpesvirus type 5 is also called cytomegalovirus; it causes cytomegalovirus retinitis, which is a serious eye infection. Human herpesvirus type 3 causes chickenpox. Human herpesvirus type 4 causes chronic fatigue syndrome. Herpes simplex virus type 1 (HSV-1) causes mucocutaneous herpes—usually in the form of perioral blisters ("fever blisters" or "cold sores").

A nurse is assessing a patient who had cervical cancer caused by a viral infection. Which viral infectin did teh patient have? - Enterococcus infection - Varicella zoster infection - Human papillomavirus infection - Human parainfluenza virus infection

Human papillomavirus infection

Which drug is contraindicated in a patient who has Addison's disease? - naphazoline - benzonatate - fexofenadine - hydrocodone

Hydrocodone Hydrocodone is contraindicated in a patient who has Addison's disease, because administration of hydrocodone may worsen the disease condition. Naphazoline, fexofenadine, and benzonatate can be administered to the patient, because they do not worsen the symptoms of Addison's disease.

Which category of laxatives is contraindicated in elderly patients? - Emollient laxatives - Stimulant laxatives - Bulk-forming laxatives - Hypersomotic laxatives

Hyperosmotic laxatives With hyperosmotic laxatives (e.g., polyethylene glycol, lactulose, sorbitol, and glycerin), assess baseline fluid and electrolyte levels to identify any deficits before use. Older adult patients react more adversely to this class of laxatives, so their use should be avoided. Emollient, stimulant, and bulk-forming laxatives are not contraindicated in elderly patients.

Which drug would the nurse administer to relieve severe bone pain in a patient administered methotrexate for rheumatoid arthritis? - Ibuprofen - Epinephrine - Filgrastim - Diphenhydramine

Ibuprofen

Diphenoxylate has which mechanims of action? - Increases intestinal motility - Increases intestinal excretion - Decreases peristalsis in the intestine - Decrease the reabsorption of water in the bowel

Idecreases peristalsis in the intestinal

The nurse is caring for an older adult who has nausea and vomiting and has been prescribed diphenydramine. How will thenurse administer this medication to the patient? - intramuscular in the deltoid - in a single dose at a rate of 25 mg/min - in an undiluted form while the patient is sleeping - by adding metoclopramide for syndergistic action

In a single dose at a rate of 25 mg/min Diphenhydramine should be administered via the intravenous route at a rate of 25 mg/min.

The nurse is caring for a patient who has myxedema. The nurse administers a hypotyroid drug and later learns that the drug was improperly mixed and that an inccreased dose of the drug was administered to the patient. For which symptom would the nurse initially assess? - Blood stools - Increased sleep - Increased heart rate - Reduced urine output

Increased heart rate

Which assessment finding indicates to the nurse that vasopressin has been effective? - Relief of pain - Increased urine specific gravity - Increased serum albumin levels - Decreased adrenocorticotropic hormone levels

Increased urine specific gravity Vasopressin (Pitressin) causes decreased water excretion in the renal tubule, thus increasing urine specific gravity. It is used to treat diabetes insipidus, which presents with a low urine specific gravity. This medication does not affect serum albumin, decrease adrenocorticotropic hormone levels, or decrease pain.

Which mechanism of action of desmopressin in the rationale for prescribing it to a patient with hemophilia A? - Constricts the blood vessels - Increases the water reabsorption - Increases the percentatge of clotting factor VIII - Stimulates the release of von Willebrand factor

Increases the percentage of clotting factor VIII Hemophilia A is a hereditary disorder characterized by lack of blood-clotting factor VIII. This absence may lead to bleeding from even a small injury. Desmopressin is used to increase the percentage of clotting factor VIII in the blood and control the bleeding.

which medication is used in managmet of preterm labor? - megestrol - indomethacin - mehtylergonovien - medroxyprogesterone acetate

Indomethacin

Which assessment finding indicates that a patient is a suitable candidate for oxytocin therapy? - vaginal bleeding at 38 weeks' gestation - ineffective contractions in a full-term pregnancy - absence of cervical riperning at 42 weeks' gestation - radiographic confirmation of cephalopelvic disproportion

Ineffective contractions in a full term pregnancy

Which action would the nurse take when a patient reports typically taking glipizide with food? - Immediately call the health care provider - Immediately check the patient's blood glucose level - Inform the patient to take the medication 15 minutes after a meal - Inform the patient to take the medication 30 minutes before a meal

Inform the patient to take the medication 30 minutes before a meal Food inhibits the absorption of glipizide, the only sulfonylurea agent that should be given 30 minutes before a meal. The health care provider does not have to be called; the nurse should intervene. The blood glucose level does not have to be taken right away. The medication is not to be taken after a meal.

A patient udnergoing chemotherapy develops severe nausea and vomiting and is not able to retain oral food or fluids. Which treatment strategy is included in the treatment plan to prevent dehydartion? - intravenous fluids - small, frequent meals - frequent oral hygiene - deep breathing exercises

Intravenous fluids

Which point would the nurse teach parents about the use of bismuth subsalicylate? - It has an aspirin base - It cannot be given orally - It cannot be given to teenagers - It is a prescription drug

It has an aspirin base.

Which statement describes a malignant tumor? - Its borders are well defined - it has very slow growth rate - It has the potential to metastasize - it is encapsulated with connective tissue

It has the potential to metastasize

A patient receiving propylithouracil asks the nurse, "How will this medication help relieve my symptoms?" With which would the nurse respond? - It helps your thyroid gland use iodine and synthesize hormones more efficiently - It inactivates any circulating thyroid hormone, thus decreasing signs and symptoms of hyperthyroidism - It inhibits formation of new thyroid hormone, thus gradulally returning your metabolism to normal - It stimulates the pituitary to secrete thyroid-stimulating hormone (TSH), which inhibits acticity of the thyroid

It inhibits formation of new thyroid hormone, thus gradulally returning your metabolism to normal

How does penicillin work to destroy bacteria? - It interferes with cell wall synthesis - It binds irreversibly to the cell wall - It interrupts bacterial DNA processes - It interrupts bacterial RNA processes

It interferes with cell wall synthesis.

Which prescribing guideline for methotrexate would the nurse keep in mind before administering the drug to a patient for rheumatoid arthritis? - It is given at 4-week intervals - It can be given to patients with liver disease - It is given once per week and not once per day - It can be given to patients with pulmonary disease

It is given once per week and not once per day

The nurse is reviewing the prescription of a patient who has myxedema coma. Which drug would the nurse expect the health care provider to prescribe to the patient? - Liotrix - Liothyronine - MEthimazole - Levothyroxine

Levothyroxine

Which drug used to treat hypothyroidism is also used to diagnose hyperthyroidism? - Liotrix - Methimazole - Levothyroxine - Propylthiouracil

Levothyroxine

Which prescription concerns the nurse for a patient taking estradiol? - ferritin - levothyroixne - metformin - amoxicillin

Levothyroxine

Which thyroid preparation, considered the purest form of thyroxine (T4), is the drug of choice for hypothyroidism? - Liotrix - Liothyronine - Levothyroxine - Propylthiouracil

Levothyroxine The drug of choice for thyroid hormone replacement therapy is the purest form of thyroxine, levothyroxine. Liotrix is a combination of levothyroxine and liothyronine and is rarely used. Propylthiouracil is an antithyroid medication used in the treatment of hyperthyroidism.

A patient who is taking ipratropium for asthma is complaining of a dry cough. Which action would the nurse implement first? - administer rescue therapy - listen to the patient's lungs - instruct the patient to drink water - adminster 30 mg of dextromethorphan

Listen to the patient's lungs.

Which characteristic of desmopressin makes it the drug of choice for the treatment of diabetes insipidus? - Topical formulation - Relatively inexpensive - Only minor side effects - Long duration of action

Long duration of action Desmopressin is the drug of choice for diabetes insipidus because it has a long duration of action. Dosage forms include oral, intravenous (IV), intranasal, and subcutaneous. It is expensive, and the smallest effective dosage should be used to prevent water intoxication. Adverse effects associated with desmopressin include increased blood pressure, fever, headache, abdominal cramps, and nausea.

Which organ is the most common site of infection caused by Mycobacterium tuberculosis? - Lung - Liver - Spleen - Kidney

Lung

Which medication would be described for a patient experiencing an exacerbation of chronic obstructive pulmonary disease (COPD)? - Aldosterone - Betamethasone - Fludrocortisone - Methylprednisone

Methylprednisolone Methylprednisolone is a corticosteroid administered intravenously to treat COPD exacerbations to reduce bronchial inflammation. Aldosterone controls renal absorption of electrolytes. Betamethasone is available as a topical corticosteroid used to treat dermatological conditions and is also used intravenously to accelerate fetal lung development. Fludrocortisone is prescribed to control Addison's disease.

Which medication is used to treat baldness in both men and women? - sildenafil - minoxidil - finasteride - methyltestosterone

Minoxidil finasteride only for man

The nurse is caring for a patient who is taking levothyroxine and warfarin. Which intervention is a priority for the nurse? - Monitor the patient for cardiac dysrhythmias - Assess peripheral pulses and Homan's sign daily - Weigh the patient daily for excessive weight loss - Monitor the patient for increased risk of bleeding

Monitor the patient for increased risk of bleeding.

A pregnant patient has been prescribed oxytocin. Which nursing intervention is appropriate? - assess pulse oximetry continuously - administer acetaminophen as needed - monitor the patient's blood pressure frequently - suggest the patient take aluminum hydroxide with the medication

Monitor the patient's blood pressure frequently.

A patient has taken metaproterenol. Which is the nurse's priority action? - monitor for sedation - monitoring for heart rate (100 beats/min) - telling the patient not to drive for 2 hours - assessing for decreaased blood glucose levels

Monitoring for heart rate (100 beats/min)

Which antiasthmatic, available only for oral use, is approved for use in children 2 years of age and older? - albuterol - terbutaline - montelukast - systemic corticosteroid

Montelukast Montelukast is a leukotriene receptor antagonist that is approved for use in adults and children 2 years of age and older. It is available only for oral use. Albuterol and terbutaline are available in oral and inhalation forms. Systemic corticosteroids are not approved for children.

Which medication disrupts the inflammatory response and is indicated in the treatment of asthma? - salmeterol - ipratropium - montelukast - theophylline

Montelukast (Singulair) Montelukast is a leukotriene-receptor antagonist indicated in the treatment of asthma and allergic rhinitis and acts by binding to the D4 leukotriene receptor in the respiratory tract. Salmeterol, ipratropium, and theophylline cause bronchodilation and play a small role or no role in the inflammatory response.

A patient who has asthma is prescribed ipratropium. The nurse instructs the patient to rinse the mouth with water immediately after inhaling ipratropium. This is done to prevent which complicaiton of therapy? - oral candidiasis - throat infection - nasal congestion - mucosal irritation and dryness

Mucosal irritation and dryness

Which cells protect the stomahc lining from acids? - Chief cells - Mucous cells - Parietal cells - Epithelial cells

Mucous cells Mucous cells are mucus-secreting cells that form a protective coating against digestive enzymes and gastric acids. Parietal cells are where acids are produced by the proton pump. Chief cells secrete proteolytic enzymes, such as pepsinogen, which are activated when they come in contact with acid. Epithelial cells are found in the lining of the stomach.

Which microorganism, along with Mycobacterium intracellulare, causes a disease that is similar to tuberculosis and causes gastrointestinal symptoms - mycobacterium bovis - mycobacterium avium - mycobacterium leprae - mycobacterium tuberculosis

Mycobacterium avium

From which bacterial strain is Bacille Calmette-Guerin derived? - Mycobacterium bovis - Mycobacterium leprae - Mycobacterium tuberculosis - Mycobacterium avium-intravelluare complex

Mycobacterium bovis

Which organism is the most common cause of pulmonary infection characterized by granuloma in the lungs? - Mycobacterium bovis - Mycobacterium avium - Mycobacterium leprae - Mycobacterium tuberculosis

Mycobacterium tuberculosis

While reading the history and the lab reports of an adult patient, the nurse finds that the patient has decreased metabolic rate, weight gain, and hair loss. wich condition can the nurse interpret from these findings? - Cretinism - Myxedema - Grave's disease - Plummer's disease

Myxedema Hyposecretion of thyroid hormone as an adult may lead to myxedema. The manifestations of myxedema are decreased metabolic rate, weight gain, hair loss, and yellowish discoloration of the skin. Hyposecretion of thyroid hormone during youth leads to cretinism. The characteristics are a low metabolic rate, retarded growth and sexual development, and possible mental retardation. Graves' disease and Plummer's disease are caused by excessive secretion of thyroid hormones.

The nurse administers repaglinide to a patient at 8:00 a.m. When is the patient at the highest risk for hypoglycemia? - Noon - 9:00 a.m. - 10:00 a.m. - 11:00 a.m

Noon Repaglinide is a rapid-acting oral hypoglycemic agent whose action peaks within 1 hour of the drug's administration. If the drug is given at 8:00 a.m., it will have its peak effects at 9:00 a.m. The drug reaches its elimination half-life phase within the next few hours; in this, from 10 am to noon

Which medication, administered with vasopressin, impairs the action of vasopressin to conserve water? - Thioridazine - Carbamazepine - Acetaminophen - Norepinephrine

Norepinephrine (Levophed)

A female patient using ocntraceptive complains of headaches. Which contraceptive is the patient likely using? - medroxyprogesterone - cervical cap with spermicidal jelly - norethindrone and ethinyl estradiol - male condom with spermicidal jelly

Norethindrone and ethinyl estradiol (Necon) The patient has headaches, which are common side effects of estrogens. The cervical cap, male condom, and progestin are reasonable alternatives for the prevention of pregnancy in this patient.

The nurse finds that a patient with type 2 diabetes mellitus who is taking glipizide is also prescribe sitagliptin. Which action will the nurse take? - Decrease the oral dose of glipizide - Administer both medications simultaneously - Notify the prescribing primary health care provider - Give both drugs and checks the patient's blood glucose

Notify the prescribing primary health care provider

Which antifungal drug is applied topically for the treatment of candidal diaper rash? - Nystatin - Terbinafine - Caspofungin - Voriconazole

Nystatin Nystatin is a polyene antifungal drug that is often applied topically for the treatment of candidal diaper rash. Terbinafine is an allylamine antifungal drug and is used for the treatment of superficial dermatologic infections, including tinea pedis. Caspofungin is used for the treatment of severe Aspergillus infection. Voriconazole is used for the treatment of severe fungal infections caused by Aspergillus spp.

The nurse is caring for a patient who is 2 months pregnant and is experiencing morning sickness. Which antinausea drug would the nurse expect to be prescribed for the patient? - Dolasetron - Palonosetron - Promethazine - Ondansetron

Ondansetron The patient should be administered ondansetron to relieve nausea associated with morning sickness during pregnancy.

Which medication can be prescribed for the treatment of hyperemesis gravidarum? - Ondansetron - Dronabinol - Dimethydrinate - Diphenhydramine

Ondansetron hyperemesis gravidarum: severe N/V during pregnancy Vomiting and nausea during pregnancy is called hyperemesis gravidarum. Ondansetron is a serotonin blocker that blocks serotonin receptors in the vomiting center in the medulla and prevents emesis. It is prescribed for the treatment of hyperemesis gravidarum

A patient who has diarrhea reports pain due to rectal spasms. Which type of antidiarrheal would relieve the pain in the patient? - Opiates - Probiotics - Adsorbents - Anticholinergics

Opiates

A patient is precribed theophylline to treat emphysema. After reviewing the patient's history, the nurse finds that the patient is taking an oral contraceptive. The nurse recommends that the patient to use another method of contraception. Which is the probable reasone for this? - oral contraceptive inhibit theophylline action - theophylline decrases the effectiveness of contraceptives - oral contraceptives increase the serum level of the theophylline - theophylline and oral contraceptives cause additive toxicity

Oral contraceptives increase the serum level of theophylline.

Which response is appropriate when a patient complains of worsening nasal congestion despite the use of oxymetazoline nasal spary every 2 hours? - oxymetazoline is not an effective nasal decongestant - overuse of nasal decongestants results in rebound congestion - you are probably displaying an unexpected reaction to oxymetazoline - oxymetazoline should be adminstered every hour for severe congestion

Overuse of nasal decongestants results in rebound congestion."

During a postpartum assessmetn, the nurse notes a boggy uterus and increased uterine bleeding. Which drug would the nurse anticipate will be prescribed? - oxytocin - terbutaline - clomiphene - prostaglandin E

Oxytocin

Constipation is a side effect of which medical disorder? - Hypercalcemia - Hyperthyroidism - Parkinson's disease - Crohn's disease

Parkinson's disease The autonomic nervous system function is impaired in patients with Parkinson's disease. This may cause impaired intestinal peristalsis, leading to constipation. Hypercalcemia is a metabolic disorder that does not cause constipation. Hyperthyroidism is an endocrine disorder that results from high levels of thyroxine. It does not cause constipation. Diarrhea is a classic sign of Crohn's disease.

The labor and delivery nurse is caring for a patient in preterm labor who is receiving indomethacin. The patient develops hypotension. Which aciton would the nurse perform? - place the patient on her left side - immediately discontinue intravenous (IV) fluids - adminster phenotlamine mesylate - instruct the patient to bear down and push

Place the patient on her left side. Placement of the patient in the left lateral recumbent position minimizes hypotension, increases renal blood flow, and increases blood flow to the fetus. Phentolamine mesylate is an alpha-adrenergic blocker and antihypertensive and is not indicated in the treatment of hypotension. Bearing down and pushing when the patient is not ready to deliver could result in fetal compromise.

Which medicaiton leads to hyperglycemia when co-administered with asparaginase? - vincristine - prednisone - methotrexate - cyclophosphamide

Prednisone

The laboratory results for a patient indicate markedly elevated blood glucose levels. After assessing the patient, the nurse obtains a prescription for intravenous insulin therapy from the primary health care provider. Which other assessment finding is present in the patient's reports? - Increased weight - Exterme hypoglycemia - Presence of ketones in the serum - High levels of endogenuous insulin

Presence of ketones in the serum

A patient who is about to undergo an open colecystectomy is administered intravenous ceftriaxone. Which antibioitc treatment is the patient likely getting? - Empiric - Definitive - Prophylactic - Colonization

Prophylactic

Minoxidil is prescribed to a patient to treat hair loss. Which nurisng intervention will help curtail the adverse effects of the therapy? - drink excess water - rest to eliminat high bp - stop eating sodium rich foods - report any occurrence of erythema

Report any occurrence of erythema.

Which medicaiton may decrase the effectiveness of norethindrone and ethinyl estradiol? - rifampin - furosemide - calcium citrate - acetaminophen

Rifampin (Rifadin) A variety of drugs, including rifampin, ritonavir, troglitazone, carbamazepine, phenobarbital, phenytoin, tetracyclines, and ampicillin, can decrease the effectiveness of oral contraceptives.

A patient is prescribed a somatropin injection subcutaneously. Which nursing intervention promotes safe administration of the drug? - Rotating the injection site - Shaking the vial vigorously - Administering in the ventral gluteal site - Administering if the drug in the vial is cloudy

Rotating the injection site

Which adverse effect is assoicated with filgrastim? - Migraine - severe bone pain - hypoalbuminemia - massive fluid retention

Severe bone pain

Which possible effect will the nurse anticipate in a patient who has received amphotericin B along with thiazide diuretics? - severe hypoklalemia - additive nephrotoxicity - increased adrenal cortex response to corticotrophin - prolongation of the QT interval on an electrocardiogram

Severe hypokalemia Administration of amphotericin B along with thiazide diuretics causes severe hypokalemia because both drugs may cause loss of fluids and electrolytes. Administration of amphotericin B along with nephrotoxic drugs causes additive nephrotoxicity. Administration of amphotericin B along with thiazide diuretics causes a decreased adrenal cortex response to corticotrophin. Administration of voriconazole along with quinidine causes prolongation of the QT interval on an electrocardiogram.

A child has contracted chickenpox and is treated successfully. Which infection is the child prone to develop as an adult? - Shingles - Retinitis - Gastroenteritis - Kaposi sarcoma

Shingles

Which drug should be prescribed fro patients suffering from flatulence due to calcium containing antacids? - Cimetidine - Famotidine - Simethicone - Omeprazole

Simethicone

A patient is prescribed an inhaled corticosteroid for the treatment of asthma. Which biochemical test may be performed in the patient before drug administration? - sputum test - hemoglobin test - liver enzyme test - prothrombin time

Sputum test

Which OTC product would the nurse instruct a patient to avoid when taking theophylline? - echinacea - st. john's wort - acetaminophen - diphenhydramine

St. John's wort

Which instruction would the nurse give a patient about allergic reactions to an antibacterial drug? - allergic reactions always manifest a urticaria or pruritus - an allergic reaction will only occur after the first dose of medication - any adverse effect of an antibacterial is considered an allergic reaction - stop taking the medicaiton immediately at the firt sign of an allergic reaction

Stop taking the medication immediately at the first sign of an allergic reaction."

Which antiuberculosis medicaiton inhibits the deoxyribonucleic acid (DNA) an dribonucleic acid (RNA) synthesis in the mycobacterium? - isoniazid - cycloserine - sterptomycin - pyrazinamide

Streptomycin -is an aminoglycoside, an antibiotic that is prescribed for treating tuberculosis. Streptomycin interferes with protein synthesis in the mycobacterium by inhibiting DNA and RNA synthesis. Because of its mechanism of action, it inhibits the growth of the mycobacterium and destroys it.

A patient with type 1 diabetes mellitus asks the nurse, "Why can't I take a sulfonylurea like my friend with has diabete?" which response is correct? - You must be mistaken. If your friend has diabetes mellitus, she is taking insulin - Sulfonylurea will lower your blood sugar too much, and you will be hypoglycemic - Sulfonylurea increases beta-cell stimulation to secrete insulin, and your beta-cells do not contain insulin - You are unable to store glucose because you do not have insulin, and sulfonylurea helps with glucose storage

Sulfonylurea increases beta-cell stimulation to secrete insulin, and with your type of diabetes, the beta cells do not contain insulin.

How does an increased progesterone level promote pregnancy? - thinning the cervical mucosa - thickening the vaginal mucosa - suppressing uterine contractions - stimulating the development of breast tissue

Suppressing uterine contractions

The nurse is caring for a patient who has a urnary tract infection. The primary health care provider prescribes ciprofloxacin and cimetidine for this patient. Which instruciton will the nurse give to this patient? - Take ciprofloxacin and cimetidine together - Take ciprofloxacin first because it is the priority - Take cimetidine first because it gives immediate relief - Take ciprofloxaicn and cimetidine at least 2 hours apart

Take ciprofloxaicn and cimetidine at least 2 hours apart

The nurse counsels a patient about preventing insomnia caused by liotrix. Which information would the nurse provide? - Take the drug before breakfast - Take the drug along with meals - Take the drug 1 hour after meals - Take a nap during the day, after lunch

Take the drug before breakfast. The nurse would suggest taking the drug early in the morning before breakfast to avoid insomnia. The drug activity is better achieved on an empty stomach

Which information is essential for the nurse to teach the patient who is takng methylcellulose? - Take the medication with a meal - Take the medication without water - Wait 20 minutes after mixing the medicaiton to drink it - Take the medication with liberal amounts of water, immediately after thoroughly stirring

Take the medication with liberal amounts of water, immediately after thoroughly stirring.

A patient who is taking terazosin for benign prostatic hyerplasia (BPH) reports symptoms of hypotension. Which drug would the nurse expect to prescribed to the patient as an alternative to terazosin? - sildenafil - doxazosin - finasteride - tamsulosin

Tamsulosin Tamsulosin has a higher specificity to alpha1-receptors and is thus known to have fewer hypotensive effects in comparison to terazosin. Thus, the patient should ideally be prescribed this drug in place of terazosin.

While investigating the cause of sudden death in a patient with asthma, the nurse finds that the patient's medications were changed from systemic corticosteroids to inhaled corticosteroids. Which intervention, if followed, might have saved the patient from dying? - tapering the dose of systemic corticosteroid - providing an initial high dose of inaled corticosteroid - adminstering the same dose of systemic corticosterid - reducing the dose frequency of the inhaled corticosteroid

Tapering the dose of systemic corticosteroid

The nurse is caring for a patient who has nausea and vomiting and is prescribed metoclopramide. The nurse instructs the patient about which possible side effect? - Hypertension - Bronchospasm - motion sickness - Tardive dyskinesia

Tardive dyskinesia

The nurse is caring for a child who has been prescribed an inhaler for asthma control. The child is having difficulty using the inhaler. Which intervention would the nurse implement? - Teach the child to use a spacer - tell the parent to hold the inhaler for the child - ask the health care provider to switch to oral medicaiton - tell the parent that young children should not use inhalers

Teach the child to use a spacer.

A patient is diagnosed with an oral candida infection. Which intervention will the nurse expect to implement? - teach the patient how to take nystatin - instruct the patient to brush the teeth and garlge hourly - administer valacyclovir hydrochloride and monitor lips and gums - start an intravenous line so the patient does not have to eat by mouth

Teach the patient how to take nystatin.

A patient reports a burning sensation when voiding. The nurse reveiws the patient's record and notes a history of high blood pressure, urinary tract infection, and gastric hyperacidity. The primary health care provider has prescribed antihypretensives, antibiotics, and aluminum-based antacids. Which is the most improtant information that the nurse will provide to the patient? - the dosage and method of intake of the antacid - the adverse effects of aluminum-based antacids - the reason for choosing an aluminum-based antacid - the order in which to take the antacids and anthypertensive drug

The order in which to take the antacids and antihypertensive drug

A patient reports nausea, SOB, joint pain, weakness, and fatigue. On review of the patient's history, the nurse finds that the patient is prescribed prednisone to treat asthma.The nurse also learns that the patient has abruptly discontinued the medicine shortly after getting some relief form asthma. Which would the nurse interpret form the assessment? - the patient experiences Addisoniam Crisis - the patient has coronary ischemia - the patient has rheumatoid arthritis - the patient has Cushing's syndorme

The patient has Addisonian crisis. Prednisone is a systemic corticosteroid. If a systemic corticosteroid is abruptly discontinued, Addisonian crisis ensues. Nausea, shortness of breath, joint pain, weakness, and fatigue are symptoms of Addisonian crisis. Coronary ischemia causes shortness of breath, fatigue, and weakness but is not associated with discontinuation of steroid therapy. Rheumatoid arthritis is an autoimmune disease, which is not caused by abrupt cessation of corticosteroid therapy. Nausea, shortness of breath, joint pain, weakness, and fatigue do not indicate Cushing's syndrome. Therefore, the patient does not have Cushing's syndrome. Moon face, acne, an increase in fat pads, and swelling are symptoms of Cushing's syndrome.

The nurse observes that a patient has yellow dullness of the skin, weight gain, and severe hair loss. Which would the nurse suspect? - The patient has a goiter - The patient has thyroid storm - The patient has hypothyroidism - The patient has hyperthyroidism

The patient has hypothyroidism

The nurse finds that, after 6 months of treatment for hyperthyroidism, a patient has little evidence of hyperthyroidism. Which condition does this imply regarding the patient's present condition? - The patient is receiving a higher dose of drug than prescribed - The disease is progressing silently without any manifestations - The patient has met the predicated outcomes of the treatment regimen - The patient needs a slightly higher dose to resolve the condition completely

The patient has met the predicted outcomes of the treatment regimen.

A patient who has allergic rhinitis comes to the clinic for a scheduled allergy test. After performing a health history, the nurse informs the patient that the allergy test will have to be rescheduled. Which statement explains the reason for this? - the patient is afraid of injections - the patient has severe symptoms of rhinitis - the patient is being treated with antihistamine drugs - the patient is being treated with oral antibiotic drugs

The patient is being treated with antihistamine drugs. Allergic rhinitis is usually treated with antihistamines. The drug may give false results in an allergy test, as allergic reactions are also medicated by histamines. All antihistamines should be stopped 4 days before the scheduled allergy test. Severe symptoms of rhinitis are unrelated to the allergy test, and hence cannot be a reason for rescheduling the test.

A patient is admitted to the intensive care unit after a myocardial infarction. The health care provider has ordered drugs to prevent gastrointestinal disorders. Which is the reason for administering acid-controlling drugs?t - The patient is prone to stress ulcers - The patient's stress levels are treated by these drug - The general procedures for the treatment include these drugs - The adverse effects of the treamen are treated by these drugs

The patient is prone to stress ulcers

The nurse is assessing a patient diagnosed with cancer who is experiencing nausea and vomiting and has been prescribed dronabinol. Which side effect will the nurse anticipate in this patient? - The patient may lose weight - The patient may gain weight - The patient may amnesia - The patient may have glaucoma

The patient may gain weight

The nurse is assessing a patient at a follow-up visit after starting treatment with sildenafil for erectile dysfunction. Which assessment finding would indicate that the treatment needs to be revised? - the patient's cardiac output is 5.6 L/min - the patient's blood pressure is 90/60 mm Hg - the patient verbalizes the ability to maintain an erection - the patient does not have dry mouth, nausea, or vomiting

The patient's blood pressure is 90/60 mm Hg.

Which interaction can occur when an asthmatic patient consumes rifampin along with xanthine derivatives? - theophylline levels are decreased - theophylline metabolism is decreased - additive cardiac stimulation is produced - additive central nervous system stimulation is produced

Theophylline levels are decreased .Xanthine derivatives are used as bronchodilators in asthmatic patients. Administration of rifampin along with xanthine derivatives causes increased metabolism of theophylline, which results in decreased levels of theophylline. Additive cardiac and central nervous system stimulation is produced when caffeine is administered along with theophylline.

Which statement about glucocorticoids is correct? - They are not produced during stressful situations - They decrease serum sodium and glucose concentrations - They influence carbohydrate, fat, and protein metabolism - They stimulate defense mechanisms to produce immunity

They influence carbohydrate, fat, and protein metabolism.

Which statement about glucocorticoids is accurate? - They decrease serum sodium and glucose concentrations - They stimulate defense mechanisms to produce immunity - They influence carbohydrate, lipid, and protein metabolism - They are produced in decreased amounts during times of stress

They influence carbohydrate, lipid, and protein metabolism.

The nurse is caring for a patient who has nausea and vomiting who has been prescribed metoclopramide. How will the nurse administer the medication? - In combination with opiates - In combination iwth phenothiazines - Thirty minutes before meals and at bedtime - After meals to decrease gastrointestinal upset

Thirty minutes before meals and at bedtime Metoclopramide should be administered 30 minutes before meals and at bedtime. Administering the medication before meals allows time for onset to increase gastrointestinal motility before food ingestion, thus decreasing stomach distention and the resulting nausea and vomiting

The nurse is caring for a patient who has hypothyroidism.The patient is also receiving digitalis therapy. The nurse advises the patient to discuss getting an electrocardiogram (ECG) with the provider. Which reason is given for having an ECG? - Thyroid drugs normalize the metabolic rate - Thyroid drugs decrease serum digitalis levels - Thyroid drugs have an adverse effect of cold intolerance - Thyroid drugs decrease the thyroid-stimulating hormone (TSH) levels

Thyroid drugs decrease serum digitalis level digoxin

What is the reason for prescribing dinoprostone to a patient who is at 38 weeks' gestatioin of pregnancy? - to terminate pregnancy - to induce cervical ripening - to treat gestational hypertension - to treat pelvic inflammatory disease

To induce cervical ripening Dinoprostone is a cervical ripening agent that is used to induce labor near term. Although certain forms of this medication can be used to terminate a pregnancy, this is not its use near term. This medication is not used to treat gestational hypertension or pelvic inflammatory disease.

Which drug is used to treat pulseless cardiac arrest according to the Advanced Cardiac Life Support (ACLS) guidelines? - Somatropin - Vasopressin - Desmopressin - Luteinizing hormone

Vasopressin Rationale: Vasopressin is also a potent vasoconstrictor in larger doses and is therefore used in certain hypotensive emergencies, such as vasodilatory shock (septic shock). It is also used in the (ACLS) guidelines for treatment of pulseless cardiac arrest. Desmopressin is useful in treating certain blood disorders. Cosyntropin is used in the diagnosis of adrenocortical insufficiency. Somatropin and somatrem are effective in stimulating skeletal growth in patients with an inadequate secretion of normal endogenous GH.

Which statement by a nursing student about insulin glargine indiates effective learing? - The duration of action of this insulin is about 8-10 hours - You can mix this insulin with Lente insulin to enhance its effects - You cannot mix this insulin int he same syringe with regular insulin - This insullin in injected just before meals because it is very fast acting

You cannot mix this insulin in the same syringe with regular insulin.

Which is the appropriate intervention while administering lansoprazole to a patient with a nasogastric tube? - Administering the medication at bedtime - Administering the medication along with a meal - Adminstering the medicaiton 1 hour before meals - Administering the medicaiton by mixing it with apple juice

administering the medication by mixing it with apple juice

The nurse is assessing a patient with diarrhea who received diphenoxylate with atropine. Which symptoms would the nurse assess for? - somnolence - bradycardia - hypertension - increased urination

bradycardia. BradycardiaThe nurse would assess for potential bradycardia. Use of atropine can cause anxiety, bradycardia, hypotension, urinary retention, impotence, headaches, dizziness, dry skin, flushing, and blurred vision. Atropine does not cause somnolence, hypertension, or increased urination.

Anabolic steroids have which adverse effect? - chest pain - dermatitis - tachycardia - chages in libido

changes in libido The use of anabolic steroids is associated with changes in libido. Patients receiving medications for erectile dysfunction may report chest pain. Dermatitis is associated with the topical use of peripheral vasodilators. Tachycardia is an adverse effect associated with the use of alpha1adrenergic blockers.

Which is the action of H2 receptor antagonists? - They causes a decrease in stomach pH - They irreversible bind to H+/K+ ATPase - They compete with histamine for binding sites on teh parietal cells - They decrease signs and symptoms of allergies related to histamine release

hey compete with histamine for binding sites on the parietal cells. Histamine receptor-blocking drugs decrease gastric acid by competing with histamine for binding sites on the parietal cells.

Which information would the nurse to teach a patient who is switching allergy medications from diphenhydramine to loratadine? - loratadine has fewer sedative effects - loratadine causes less gastrointestinal upset - loratadine can potentially cause dysrhythmias - loratadine has increased bronchodilating effects

loratadine has fewer sedative effects

While assessing a patient, the nurse finds that the patient is an athlete by profession and takes oxymetholone without a medical prescription. Which reason does the nurse suspect for the patient taking oxymetholone? - pain relief - stress relief - euphoric effect - muscle hypertrophy

muscle hypertropy

Which drug works by blocking serotonin in the gastrointestinal tract, vomiting center, and chemoreceptor trigger zone? - Metoclopramide - Meclizine - Droperidol - Ondansetron

ondansetron (zofran) it is a serotonin blocker metoclopramide is a prokinetic drug Meclizine is an antihistamine, and droperidol is an antidopaminergic drug

A patient with hypogonadism gives a return demonstration of applicaiton of a testosterone dermal patch. Which patient action when applying the patch indicates the need for additional teaching? - applies the patch on the scrotum - applies the patch on shaved skin - replaces the patch every other day - applies the patch on clean, dry skin

replaces the patch every other day.

The nurse ia carign for a patient with prostate cancer who has been prescribed finasteride. After continuing the medication for a few months, the patient's prostate-specific antigen (PSA) value is less than 2.5 ng/mL. Which inference would the nurse make about the patient? - nonadherence to the medicaiton - hypersensitivity reaciton - increased risk fo liver failure - responding effectively to the treatment

responding effectively to the treatment.

Which first line antitubercular drug causes ototoxicity with chronic use? - isoniazid - rirampin - streptomycin - pyrazinamide

streptomycin

A patient who reports nasal congestion is prescribed naphazoline, 2 drops in each nostril, every 6 hours, 5 days. The patient reports increased nasal congestion after 10 days. On assessment the nurse learns that the patient had increased the drug frequency to every 3 hours for 10 days. Which statement describes what the nurse would interpret form this information? - the pt has developed an allergic reaction - the pt has developed rebound congestion - the pt has developed paradoxical reaction - the pt has experienced a side effect of the drug

the patient has developed rebound congestion

The nurse is assessing a patient who has been taking the OTC aluminum hydroxide for a long time to treat hyperacidity. The nurse finds that the aptient is confused and drowsy and has elevated blood pressure. Which condition can the nurse interpret from these symptoms? - The patient has hypercalcemia - The patient has metabolic alkalosis - The patient has hypophosphatemia - The patient has milk-alkali syndomr

the patient has hypercalcemia