Test 2 Questions

A patient is prescribed bisacodyl. Which of the following should the nurse include in patient teaching? A. Your urine will turn yellow-brown when taking this medication. B. Crush the bisacodyl tablet and sprinkle it on your food. C. Chew the bisacodyl tablet. D. Do not take the bisacodyl with an antacid.

D. Do not take the bisacodyl with an antacid.

A patient with hyperthyroidism is taking propylthiouracil (PTU). It is most important for the nurse to assess the patient for which adverse effects? A.Gingival hyperplasia and dysphagia B.Dyspnea and a dry cough C.Blurred vision and nystagmus D. Fever and sore throat

D. Fever and sore throat

A patient who has been taking a long-acting morphine to treat severe pain for a few months complains of constipation. The nurse anticipates which of the following will be prescribed for the patient? A. Polycarbophil [FiberCon] B. Mineral oil C. Psyllium [Metamucil] D. Senna [Senokot]

D. Senna [Senokot]

Which medication is used to promote gastric ulcer healing by providing a protective barrier? A. Cimetidine B. Misoprostol C. Omeprazole D. Sucralfate

D. Sucralfate

Which statement about metoclopramide [Reglan] does the nurse identify as true? A. High-dose therapy causes nervous excitability. B. High-dose therapy causes constipation. C. Long-term high-dose therapy causes reversible tardive dyskinesia. D. The drug is contraindicated in patients with GI obstruction, perforation, or hemorrhage.

D. The drug is contraindicated in patients with GI obstruction, perforation, or hemorrhage.

A patient is prescribed cimetidine [Tagamet] and aluminum hydroxide [Maalox] for the treatment of peptic ulcer disease. What should the nurse teach the patient to do? A. Drink an 8-ounce glass of water when taking these medications. B. Take the medications together to enhance their effectiveness. C. Take the Tagamet 2 hours before the Maalox. D. Wait at least 1 hour between administration of the two medications.

D. Wait at least 1 hour between administration of the two medications.

Hydrocortisone has: A. Mineralocorticoid activity only. B. Both glucocorticoid activity and mineralocorticoid activity. C. Glucocorticoid activity only. D. Neither glucocorticoid activity nor mineralocorticoid activity.

B. Both glucocorticoid activity and mineralocorticoid activity.

A patient is prescribed amoxicillin and tetracycline to treat peptic ulcer disease. The nurse will instruct the patient that these medications will do what? A. Prevent GI infections that cause gastric bleeding. B. Destroy the bacteria in the stomach that are causing ulceration. C. Reduce gastric acid production and alkalize the stomach fluids. D. Reduce the secretion of pepsin in the stomach.

B. Destroy the bacteria in the stomach that are causing ulceration.

The nurse identifies which of the following laxatives as having the added response of ridding the body of ammonia? A. Polyethylene glycol B. Lactulose C. Lubiprostone D. Mineral oil

B. Lactulose

A patient has a new prescription for levothyroxine [Synthroid], he asks the nurse to tell him more about the medication. Which of the following statements by the nurse is correct? A. You should take this medication in the evening if you feel dizzy. B. You should take this medication 30 to 60 minutes before breakfast. C. You should take this medication with breakfast. D. If this medication upsets your stomach, take it with Maalox, Tums, or an H2 blocker like cimetidine [Tagamet].

B. You should take this medication 30 to 60 minutes before breakfast.

The nurse instructs a patient about taking levothyroxine [Synthroid]. Which statement by the patient indicates the teaching has been effective? A."To prevent an upset stomach, I will take the drug with food." B."If I have chest pain or insomnia, I should call my doctor." C."This medication can be taken with an antacid." D."The drug should be taken before I go to bed at night."

B."If I have chest pain or insomnia, I should call my doctor."

A patient with Cushing's syndrome is prescribed an antibiotic, ketoconazole [Nizoral] 600 mg/day, before an adrenalectomy. The patient asks the nurse why an antibiotic is needed. Which response by the nurse is best? A."The medication will prevent an abdominal infection after surgery." B."The medication will block the adrenal gland from producing steroids." C."You have a urinary tract infection that must be treated before surgery." D."It is essential to prevent skin infection in patients undergoing surgery."

B."The medication will block the adrenal gland from producing steroids."

A patient with a urinary creatinine clearance of 55 mL/min is prescribed desmopressin [DDAVP]. It is most important for the nurse to assess the patient for what? A.Irritability, muscle weakness, and back pain B.Drowsiness, listlessness, and headache C.Fever, tachycardia, and hypotension D.Decreased skin turgor, weight loss, and dry skin

B.Drowsiness, listlessness, and headache

A patient is prescribed metformin. Which statement about metformin does the nurse identify as true? A.Metformin increases absorption of vitamin B12. B.Metformin can delay the development of type 2 diabetes in high-risk individuals. C.Metformin causes patients to gain weight. D.Metformin use predisposes patients to alkalosis.

B.Metformin can delay the development of type 2 diabetes in high-risk individuals.

The nurse cares for a patient with primary hypoaldosteronism who took excessive doses of fludrocortisone [Florinef]. It is most important for the nurse to assess the patient for what? A.Increased urine output and bradycardia B.Muscle weakness and an irregular heartbeat C.Hypotension and poor skin turgor D.Weight loss and hyperactive reflexes

B.Muscle weakness and an irregular heartbeat

A patient takes levothyroxine [Synthroid] 0.75 mcg every day. It is most appropriate for the nurse to monitor which laboratory test to determine whether a dose adjustment is needed? A.Thyrotropin-releasing hormone (TRH) B.Thyroid-stimulating hormone (TSH) C.Serum free T4 test D. Serum iodine level

B.Thyroid-stimulating hormone (TSH)

The nurse determines the client needs further instruction on cimetidine if which statements were made? Select all that apply. a. "I will take the cimetidine with my meals." b. "I'll know the medication is working if my diarrhea stops." c. "My episodes of heartburn will decrease if the medication is effective." d. "Taking the cimetidine with an antacid will increase its effectiveness." e. "I will notify my PCP if I become depressed or anxious." f. "Some of my blood levels will need to be monitored closely since I also take warfarin for my atrial fibrillation."

a. "I will take the cimetidine with my meals." b. "I'll know the medication is working if my diarrhea stops." d. "Taking the cimetidine with an antacid will increase its effectiveness."

A client with hyperthyroidism has been given methimazole. Which nursing considerations are associated with this medication? Select all that apply. a. Administer methimazole with food. b. Place the client on a low-calorie, low-protein diet. c. Assess the client for unexplained bruising or bleeding. d. Instruct the client to report side and adverse effects such as sore throat, fever, or headaches. e. Use special radioactive precautions when handling the client's urine for the first 24 hours following initial administration.

a. Administer methimazole with food. c. Assess the client for unexplained bruising or bleeding. d. Instruct the client to report side and adverse effects such as sore throat, fever, or headaches. e. Use special radioactive precautions when handling the client's urine for the first 24 hours following initial administration.

A client with Crohn's disease is scheduled to receive an infusion of infliximab. What intervention by the nurse will determine the effectiveness of treatment? a. Monitoring leukocyte count for 2 days after the infusion. b. Checking the frequency and consistency of bowel movements. c. Checking the liver enzyme levels before and after the infusion. d. Carrying out a Hematest on gastric fluids after the infusion is completed.

b. Checking the frequency and consistency of bowel movements.

A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus previously had been well controlled with glyburide daily, but recently the fasting blood glucose level has been 180 to 200 mg/dL. Which medication, if added to the client's regimen, may have contributed to the hyperglycemia? a. Atenolol b. Prednisone c. Phenelzine d. Allopurinol

b. Prednisone

The nurse should tell the client who is taking levothyroxine to notify the PCP if which problem occurs? a. Fatigue b. Tremors c. Cold intolerance d. Excessively dry skin

b. Tremors

A client with gastric ulcer has a prescription for sucralfate 1 g PO QID. The nurse should schedule the medication for which times? a. With meals and at bedtime b. Every 6 hours around the clock c. One hour after meals and at bedtime d. One hour before meals and at bedtime

d. One hour before meals and at bedtime

A child with type 1 diabetes mellitus is diagnosed with growth hormone deficiency and is started on somatropin [Humatrope]. It is most appropriate for the nurse to monitor the child for which condition? A.Renal insufficiency B.Hypertension C.Hyperglycemia D.Hypothyroidism

C.Hyperglycemia

A Patient with which condition would most likely be prescribed a glucocorticoid in low doses for replacement therapy? A. Addison's Disease B. Rheumatoid Arthritis (RA) C. Systemic lupus erythematosus (SLE) D. Cushing's Syndrome

A. Addison's Disease

Which glucocorticoid can also be used to diagnose Cushing's syndrome? A. Dexamethasone B. Prednisone C. Hydrocortisone D. Fludrocortisone [Florinef]

A. Dexamethasone

A patient is prescribed metformin (Glucophage). Which statement does the nurse identify about metformin as true? A. Metformin can delay the development of type 2 diabetes in high-risk individuals. B. Metformin causes patients to gain weight. C. Metformin predisposes patients to alkalosis. D. Metformin increases the absorption of vitamin B12.

A. Metformin can delay the development of type 2 diabetes in high-risk individuals.

A patient is experiencing chemotherapy-induced nausea. Which prescribed medication would be most effective for this patient? A. Ondansetron [Zofran] B. Prochlorperazine [Compazine] C. Dexamethasone [Decadron] D. Promethazine [Phenergan]

A. Ondansetron [Zofran]

Ondansetron (Zofran) is frequently used as an antiemetic. This drug is in which of the following medication classifications? A. Serotonin antagonists B. Glucocorticoids C. Benzodiazepines D. Cannabinoids

A. Serotonin antagonists

A patient with which condition would most likely be prescribed a glucocorticoid in low doses for replacement therapy? A.Addison's disease B.Rheumatoid arthritis C.Systemic lupus erythematosus D.Cushing's syndrome

A.Addison's disease

The nurse should advise patients who are taking calcium to avoid consumption of which food? A.Spinach B.Lettuce C.Tomatoes D.Squash

A.Spinach

A patient is prescribed NPH insulin. Which statement should the nurse include in the discharge instructions? A.The insulin will have a cloudy appearance in the vial. B.The onset of action is rapid. C.The patient should not mix Lantus with short-acting insulin. D.The patient will have no risk of allergic reactions with this insulin.

A.The insulin will have a cloudy appearance in the vial.

A patient with hyperparathyroidism has a calcium level of 13.2 mg/dL. What medication does the nurse anticipate being prescribed? A.Alendronate [Fosamax] B.Calcium acetate [PhosLo] C.Salmon calcitonin [Calcimar] D.Raloxifene [Evista]

C.Salmon calcitonin [Calcimar]

A nurse is providing patient education regarding insulin administration. Which comment by the patient indicates the patient needs additional education? A. "If aspart [NovoLog] insulin becomes cloudy, I should throw it out." B. "I will only use an insulin syringe calibrated in units or my insulin pen to administer my dose of insulin." C. "Unopened insulin should be frozen until needed." D. "NPH [Humulin N] insulin should be rolled between the palms of my hands to disperse the particles evenly."

C. "Unopened insulin should be frozen until needed."

The nurse should advise patients who are taking non-micronized Glyburide [DiaBeta] to avoid consumption of which of the following? A. Grapefruit juice B. Milk C. Alcohol D. Coca cola

C. Alcohol

A patient with irritable bowel syndrome is prescribed alosetron [Lotronex]. Before this drug is administered, it is most important for the nurse to do what? A. Assess for abdominal bruits. B. Check serum potassium and sodium levels. C. Ask the patient about any problems with constipation. D. Mix the powder in 8 ounces of fruit juice.

C. Ask the patient about any problems with constipation.

The nurse identifies which of the following as the most common type of laxative abused by the general public? A. Magnesium hydroxide [Milk of Magnesia] B. Docusate sodium [Colace] C. Bisacodyl [Dulcolax] D. Polyethylene glycol [MiraLax]

C. Bisacodyl [Dulcolax]

A patient is experiencing chemotherapy-induced nausea. Which prescribed medication would be most effective for this patient? A. Promethazine (Phenergran) B. Prochlorperazine (Compazine) C. Ondansetron (Zofran) D. Dexamethasone (Decadron)

C. Ondansetron (Zofran)

Which drug class does canaglifloxin (Invokana) belong to? A. Thiazolidinediones B. Alpha-glucosidase inhibitors C. Sodium-glucose-co-transporter 2 (SGCT-2) inhibitors D. Dipeptidyl peptidase-4 (DDP-4) inhibitors

C. Sodium-glucose-co-transporter 2 (SGCT-2) inhibitors

The nurse teaches a patient with Addison's disease about hydrocortisone replacement therapy. Which statement, made by the patient, indicates that the teaching was effective? A."I can expect my blood sugar levels to be high." B."If I become ill, the dose needs to be reduced." C."It's important to take the medication at bedtime." D."I should keep an emergency supply of this drug available at all times."

D."I should keep an emergency supply of this drug available at all times."

The nurse teaches a patient with hypothalamic diabetes insipidus about desmopressin [DDAVP]. The nurse determines that the teaching was effective if the patient makes which statement? A."I should increase my fluid intake to prevent dehydration." B."The medication should be taken every day for 6 months." C."I can expect to urinate more often while taking this drug." D."The medication can be taken by inhaling through my nose."

D."The medication can be taken by inhaling through my nose."

A patient is prescribed insulin glargine [Lantus]. Which statement should the nurse include in the discharge instructions? A.The insulin will have a cloudy appearance in the vial. B.The insulin should be injected twice daily (before breakfast and dinner). C.The patient should mix Lantus with the intermediate-acting insulin. D.The patient will have less risk of hypoglycemic reactions with this insulin.

D.The patient will have less risk of hypoglycemic reactions with this insulin.

The nurse is teaching a client with diabetes mellitus how to mix regular insulin and NPH insulin in the same syringe. Which action, if performed by the client indicates the need for further teaching? a. Withdraws the NPH insulin first b. Withdraws the regular insulin first c. Injects air into NPH insulin vial first d. Injects an amount of air equal to the desired dose of insulin into each vial

a. Withdraws the NPH insulin first

The nurse teaches the client who is newly diagnosed with diabetes insipidus about the prescribed intranasal desmopressin. Which statements by the client indicate understanding? Select all that apply. a. "This medication will turn my urine orange." b. "I should decrease my oral fluids when I start this medication." c. "The amount of urine I make should increase if this medicine is working." d. "I need to follow a low-fat diet to avoid pancreatitis when taking this medication." e. "I should report headache and drowsiness to my doctor since these symptoms could be related to my desmopressin."

b. "I should decrease my oral fluids when I start this medication." e. "I should report headache and drowsiness to my doctor since these symptoms could be related to my desmopressin."

A client has an as needed (PRN) prescription for loperamide hydrochloride. For which condition should the nurse administer this medication? a. Constipation b. Abdominal pain c. An episode of diarrhea d. Hematest-positive nasogastric tube drainage

c. An episode of diarrhea

A client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed? a. Weight loss b. Relief of heartburn c. Reduction of steatorrhea d. Absence of abdominal pain

c. Reduction of steatorrhea