Safety #1
Side effects of loperamide (Imodium) include all of the following except: a. diarrhea b. epigastric pain c. dry mouth d. anorexia
a
List various anti platelet aggregators. What do they do?
aspirin, heparin, clopidogrel (Plavix) - decrease the chance of clots, thins clots that may be present - prevents platelets from clumping together
Histamine 2 receptor antagonists: a. compete with histamine for binding sites on the parietal cells b. irreversibly bind to H+/K+ATPase c. cause a decrease in stomach pH d. decrease signs and symptoms of allergies related to histamine release
a
The nurse is collecting a client's medication history who has GERD. Which medication below is not typically used to treat GERD? a. hydroxyzine (Vistaril) b. omeprazole (Prilosec) c. metoclopramide (Reglan) d. ranitidine HCL (Zantac)
a
The patient with a ventricular septal defect (VSD) may be prescribed which medication to alleviate pulmonary edema? a. furosemide (Lasix) b. captopril (Capoten) c. penicillin d. lanoxin (Digoxin)
a
Which of the following is a proton pump inhibitor (PPI) used in the treatment of gastroesophageal reflux disease (GERD)? Select all that apply. a. lansoprazole (Prevacid) b. rabeprazole (AcipHex) c. esomeprazole (Nexium) d. famotidine (Pepcid) e. nizatidine (Axid)
a, b, c
A nurse is providing information about probiotic supplements to a client with inflammatory bowel disease. Which of the following information should the nurse include? Probiotics... Select all that apply. a. are microorganisms that are normally found in the GI tract b. are used in clients with Clostridium difficile c. are used to treat benign prostatic hyperplasia d. can cause bloating and increase flatulence e. should be administered at the same time as antibiotics
a, b, d
The nurse recognizes the drug classifications used in the treatment of angina are: Select all that apply. a. nitrates b. glycosides c. calcium channel blockers d. sodium blockers e. beta blockers
a, c, e
Following surgery for closure of atrial septal defect (ASD), the nurse expects which of the following medications to prevent clots from forming on the repaired area? a. lanoxin (Digoxin) b. furosemide (Lasix) c. prostaglandin (Alprostadil) d. clopidogrel (Plavix)
d
A client with a duodenal ulcer is diagnosed with H. pylori infection. The physician prescribed amoxicillin (Moxatag), pantoprazole (Protonix), and clarithromycin (Biaxin). Which statement made by the nurse correctly explains the purpose of these medications? a. "these medicines will minimize acid production and will coat the ulcer" b. "these medicines will stop the acid production and will kill the bacteria" c. "the ulcer will heal because the medications will kill the bacteria" d. "these medicines will control the ulcer and motion sickness"
b
A nurse is caring for a client who is recovering from surgical placement of an artificial heart valve and is to be started of warfarin (Coumadin) prior to discharge. Which of the following diagnostic tests should the nurse use to monitor the effect of this therapy a. platelet count b. prothrombin time (PT) c. bleeding time d. aPPT
b
A patient diagnosed with hypoplastic left heart syndrome would be prescribed prostaglandin (Alprostadil) for which reason? a. maintain patency of FO b. maintain patency of DA c. closure of FO d. closure of DA
b
In evaluating the effectiveness of nadolol (Corgard), which is prescribed for a patient with coronary artery disease, the nurse would expect: a. increased urinary output and increased peripheral pulses b. decreased heart rate, decreased blood pressure, and relief of chest pain c. decreased respirations, increased diastolic pressure, and relief of chest pain d. decreased blood pressure, increased heart rate, and reduced coronary vasospasm
b
The nurse should assess the patient taking non-selective beta blockers for which side effect? a. dry mouth b. bronchospasm c. tachycardia d. urinary retention
b
nifedipine (Procardia) is prescribed for a client with newly diagnosed prinzmental (variant) angina. When teaching; the nurse includes information that nifedipine (Procardia) will: a. help prevent clotting in the coronary arteries b. decrease spasm of the coronary arteries c. increase the force of myocardial contraction d. reduce the "fight or flight" response
b
A nurse is caring for a client who is receiving esomeprazole (Nexium). Which of the following best indicates the desired therapeutic effect? a. "I don't pass gas often" b. "my abdomen is no longer firm" c. " I don't have pain in my stomach" d. "I have regular BM's"
c
A nurse is teaching a client who is taking sucralfate (Carafate) for PUD has a new prescription for phenytoin (Dilantin) to control seizures. Which of the following instructions should the nurse include? a. take an antacid with the sucralfate (Carafate) b. take the sucralfate (Carafate) with a glass of milk c. allow a 2 hour interval between these medications d. chew the sucralfate (Carafate) thoroughly before swallowing
c
The nurse knows the therapeutic effect of metoprolol (Lopressor) for a patient with MI is? a. increased cardiac output b. decreased cholesterol level c. decreased resting heart rate d. decreased platelet aggregation
c
The nurse teaches the client using transdermal nitroglycerin (Nitrostat) patches to: a. use the same site, washing the area between applications b. shave the skin area closely to remove all hair prior to placing the patch c. best be placed at the same time each day d. apply to hairless area of distal extremities
c
Which of the following interventions should be included in the medical management of Crohn's disease? a. increasing oral intake of fiber b. administering laxatives c. using long-term steroid therapy d. increasing physical activity
c
You are working in the ED caring for a client who has just been admitted with left anterior chest pain, possible acute coronary syndrome (ACS). Which action will you take first? a. insert IV catheter b. auscultate heart sounds c. administer sublingual nitroglycerin (Nitrostat) d. draw blood for troponin 1 measurement
c
sucralfate (Carafate) achieves a therapeutic effect by: a. neutralizing gastric acid b. enhancing gastric absorption c. forming a protective barrier around gastric mucosa d. inhibiting gastric acid secretion
c
Teaching has been effective on the use of atenolol (Tenormin) for angina by which statement? a. "atenolol (Tenormin) will increase the strength of my heart muscle" b. "I can expect to feel short of breath when taking atenolol (Tenormin)" c. "atenolol (Tenormin) will improve the blood flow to my coronary arteries" d. "it is important not to suddenly stop taking the atenolol (Tenormin)"
d
The nurse knows an expected outcome of beta adrenergic blocking agents is: a. increase glucose production b. decreased cardiac perfusion c. increased cardiac output d. decreased myocardial oxygen consumption
d
You have given morphine sulfate 4mg IV to a client who has an acute MI. When you evaluate the client's response 5 minutes after giving the medication, which findings indicate a need for immediate action? a. BP 114/65 to 106/58 b. RR drops from 18 to 12 breaths/min c. cardiac monitor indicates SR at a rate of 96 beats/min d. persisting pain at a level of 2 (on a scale of 0-10)
d
