Updated Pharm Exam 3 (Neuro and Resp) ATI questions
A nurse in the post-anesthesia recovery unit is caring for a client who received a nondepolarizing neuromuscular blocking agent and has muscle weakness. The nurse should expect a prescription for which of the following medications? a. Neostigmine b. Naloxone c. Dantrolene d. Vecuronium
A
A nurse is assessing a client who has been taking alprazolam for several days. Which of the following findings should the nurse identify as an adverse drug reaction cause by alprazolam? a. Anxiety b. Ringing in the ears c. Increased appetite d. Muscle spasms
A
A nurse is caring for a client who has a new prescription for phenelzine for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication? a. Orthostatic hypotension b. Hearing loss c. Gastrointestinal bleeding d. Weight loss
A
A nurse is caring for a client who has a prescription for fluoxetine and who reports self-administration St. John's wort daily for the past 2 weeks. Which of the following findings should the nurse report to the provider as an indication of serotonin syndrome? a. Hallucinations b. Decreased temperature c. Hypersexual behavior d. Constipation
A
A nurse is monitoring plasma drug levels in a client who is taking theophylline. Which of he following findings should the nurse expect to see if the client's drug level indicates toxicity? a. Seizures b. Constipation c. Normal sinus rhythm d. Somnolence
A
A nurse is preparing to administer phenylephrine to a client. The nurse should identify that which of the following manifestations is an adverse effect of this drug? a. Headache b. Sleepiness c. Hypotension d. Constipation
A
A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine for posttraumatic stress disorder. Which of the following statements should the nurse include in the teaching? a. "You can have a decreased desire for intimacy while taking this medication" b. "You should take this medication at bedtime to help promote sleep" c. "You will have fewer urinary adverse effects if you urinate just before taking this medication" d. "You'll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication"
A
A nurse is providing information to a client who has an early Parkinson's disease and a new prescription for pramipexole. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? a. Hallucinations b. Increased salivation c. Diarrhea d. Discoloration of urine
A
A nurse is providing instructions to a client who has a new prescription for zolpidem. Which of the following instructions should the nurse include? a. "Notify the provider if you plan to become pregnant" b. "Take the medication 1 hr before you plan to go to sleep" c. "Allow at least 6 hr for sleep when taking zolpidem" d. "To increase the effectiveness of zolpidem, take it with a bedtime snack"
A
A nurse is providing teaching to a client who has a prescription for buspirone to treat anxiety. Which of the following instructions should the nurse include? a. "Take a missed dose as soon as you remember" b. "Take the drug as needed at the first sign of anxious feeling" c. "Take the drug in the morning with a glass of grapefruit juice" d. "Drink a cup of chamomile tea at night with the drug"
A
A nurse is reviewing laboratory findings and notes that a client's lithium level is 2.1 mEq/L. Which of the following is an appropriate action by the nurse? a. Preform immediate gastric lavage b. Preform the client for hemodialysis c. Administer an additional oral dose of litium d. Request a stat repeat of the laboratory test
A
A nurse is reviewing the drug history of a client who is taking lithium carbonate for bipolar disorder. Which of the following findings should indicate to the nurse to monitor for lithium toxicity? a. Furosemide for hypertension b. Acetaminophen for headaches c. Ciprofloxacin for a urinary tract infection d. Montelukast for asthma
A
A nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for the prescription modification? a. Renal function impairment b. Cataracts c. Recent weight loss d. Smoking
A
A nurse is teaching a client who has a new prescription for beclomethasone. Which of the following instructions should the nurse include? a. "Rinse your mouth after each use of this medication" b. "Limit fluid intake while taking this medication" c. "Increase your intake of Vitamin B12 while taking this medication" d. "You can take the mediation as needed"
A
A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone via inhaler for asthma management. For which of the following reasons should the nurse instruct the client to use the albuterol inhaler before using the fluticasone inhaler? a. Albuterol will increase the absorption of fluticasone b. Albuterol will decrease inflammation c. Albuterol will reduce nasal secretions d. Fluticasone will reduce the adverse effects of albuterol
A
A nurse is teaching a client who has a prescription for long-term use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? a. Weight gain b. Nervousness c. Bradycardia d. Constipation
A
A nurse is teaching a client who has obsessive-compulsive disorder and has a new prescription for paroxetine. Which of the following instructions should the nurse include? a. "It can take several weeks before you feel like the medication is helping" b. "Take the medication just before bedtime to promote sleep" c. "You should take the medication when needed for obsessive urges" d. "Monitor for weight gain while taking this medication"
A
A nurse is teaching a client who has tobacco use disorder about nicotine replacement therapy. Which of the following statements by the client indicates understanding of the teaching? a. "I should avoid eating right before I chew a piece of nicotine gum" b. "I will need to stop using the nicotine gum after 1 year" c. "I know that nicotine gum is safe alternative to smoking if I become pregnant" d. "I must chew the nicotine gum quickly for about 15 minutes"
A
A nurse is teaching a client who is taking prednisone for an acute asthma exacerbation. Which of the following instructions should the nurse include? a. "Avoid taking nonsteroidal anti-inflammatory drugs" b. "Rinse your mouth after taking the medication to prevent a yeast infection" c. "Stop taking the medication if you become nauseous" d. "Change position slowly when standing up"
A
A nurse is teaching an adolescent client who has a new prescription for clomipramine for OCD. Which of the following instructions should the nurse include to minimize an adverse effect of his medication? a. Wear sunglasses when outdoors b. Check your temperature daily c. Take this medication in the morning d. Add extra calories to your diet
A
A nurse should identify that timolol is contraindicated for a client who has which of the following disorders? a. Asthma b. Seizure disorder c. Diabetes mellitus d. Rheumatoid arthritis
A
For which of the following reasons should a client attach a spacer to a metered-dose inhaler? a. To increase the amount of drug delivered to the lungs b. To increase the amount of drug delivered to the oropharynx c. To increase the amount of drug delivered on exhalation
A
For which of the following reasons should a nurse instruct a client to avoid taking guaifenesin with combination over-the-counter cold products? a.OTC cold products can also contain guaifenesin b. Blood glucose levels are increased c. Rebound congestion is likely d. Drug tolerance is likely
A
A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include?(select all that apply). a. Restlessness b. Bradycardia c. Insomnia d. Muscle pain e. Anxiety
A, C, E
A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. Which of the following medications should the charge nurse include in the discussion?(select all that apply) a. Lorazepam b. Diazepam c. Disulfiram d. Naltrexone e. Acamprosate
A,B
A nurse is caring for a client who has depression and a new prescription for venlafaxine. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? (select all that apply) a. Mydriasis b. Dizziness c. Decreased libido d. Alopecia e. Hypotension
A,B,C
A nurse in a provider's office is instructing a guardian of a toddler how to administer ear drops. Which of the following instructions should the nurse include?(select all that apply) a. "Place the child on the unaffected side when you are ready to administer the medication" b. "Warm the medication by gently rolling it between your hands for a few minutes" c. "Gently shake medication that is in suspension form" d. "Keep the child on their side for 5 minutes after instillation of the ear drops" e. "Tightly pack the ear with cotton after instillation of the ear drops"
A,B,C,D
A nurse is caring for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse monitor?(select all that apply) a. Tolerance b. Anxiety c. Sedation d. Respiratory depression e. Constipation
A,B,C,D
A nurse in the post-anesthesia care unit is caring for a client unit is caring for a client who is experiencing malignant hyperthermia. Which if the following actions should the nurse take? (select all that apply) a. Place a cooling blanket on the client b. Administer oxygen at 100% c. Administer iced 0.9% sodium chloride d. Administer potassium chloride IV e. Monitor core body temperature
A,B,C,E
A nurse is following up with a client who takes chlorpromazine for the treatment of schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations?(select all that apply) a. Disorganized speech b. Bizarre behavior c. Impaired social interactions d. Hallucinations e. Decreased motivation
A,B,D
A nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following findings as indications of lithium toxicity?(select all that apply) a. Tremors b. Confusion c. Bronchospasm d. Nausea e. Muscle weakness
A,B,D,E
A nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat major depressive disorder. Which of the following instructions should the nurse include?(select all that apply) a. Change positions slowly from sitting or lying to standing b. Do not stop taking the drug abruptly c. Avoid crushing the tablet d. Take the drug at bedtime to prevent daytime drowsiness e. Increase fiber and fluid intake
A,B,D,E
A nurse is reviewing a new prescription for oxcarbazepine with a client who has partial seizures. Which of the following instructions should the nurse include?(select all that apply) a. "Use caution if given a prescription for a diuretic medication" b. "Consider using an alternate form of contraception if you are using oral contraceptives" c. "Chew gum to increase saliva production" d. "Avoid driving until you see how the medication affect you" e. "Notify your provider if you develop a skin rash"
A,B,D,E
A nurse is providing teaching to a client about instilling pilocarpine for managing open-angle glaucoma. Which of the following instructions should the nurse include in the teaching?(select all that apply) a. Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops b. Do not touch the tip of the dropper c. Wash hands after instilling the drops d. Rub eyes gently after instilling the drops e. Remove contact lenses prior o instilling the drops
A,B,E
A nurse is caring for a client who has a new prescription for valproic acid. The nurse should instruct the client to have which of the following blood laboratory tests completed periodically? (select all that apply) a. Thrombocyte count b. Glucose c. Amylase d. Liver function tests e. Potassium
A,C,D
A nurse is caring for a client who takes paroxetine to treat posttraumatic stress disorder and reports that they grind their teeth during the night. The nurse should identify which of the following interventions to manage bruxism?(select all that apply) a. Concurrent administration of buspirone b. Administration of a different SSRI c. Use of a mouth guard d. Changing to a different class of antidepressant medication. e. Increasing the dose of paroxetine
A,C,D
A nurse is teaching the guardians and their school-age child about a new prescription for lisdexamfetamine. Which of the following information should the nurse include in the teaching?(select all that apply) a. An adverse effect of this medication is CNS stimulation b. Administer the medication before bedtime c. Monitor blood pressure while taking this medication d. Therapeutic effects of this medication will take 1-3 weeks to fully develop e. This medication raises the levels of dopamine in the brain
A,C,E
A nurse is providing instructions to a client who has been experiencing insomnia and has a new prescription for temazepam. The nurse should inform the client that which of the following manifestations are adverse effects of temazepam? (select all that apply) a. Incoordination b. Hypertension c. Pruritus d. Sleep driving e. Amnesia
A,D,E
A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication?(select all that apply) a. Dry mouth b. Nonproductive cough c. Skin rash d. Drowsiness e. Urinary hesitation
A,D,E
A nurse is assessing a client who recently began taking haloperidol. which of the following findings is the priority to report to the provider? a. Shuffling gait b. Neck spasms c. Drowsiness d. Sexual dysfunction
B
A nurse is assessing a client who takes lithium carbonate for the treatment of bipolar disorder. The nurse should identify which of the following findings is a possible indication of toxicity to this medication? a. Severe hypertension b. Coarse tremors c. Constipation d. Muscle spasms
B
A nurse is caring for a client who has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurse should assess the client for which of the following manifestations as an adverse effect of this medication? a. Sedation b. Nasal congestion c. Productive cough d. Constipation
B
A nurse is caring for a client who has been taking sertraline for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing serotonin syndrome? a. Bruising b. Fever c. Tinnitus d. Rash
B
A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine IV. Which of the following client findings should the nurse monitor after administering the medication? a. BUN level b. Blood pressure c. Urine specific gravity d. Pedal pulse strength
B
A nurse is caring for a school-age child who has a new prescription for atomoxetine. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? a. Kidney toxicity b. Liver damage c. Seizure activity d. Adrenal insufficiency
B
A nurse is instructing a client who has a new prescription for timolol how to insert eye drops. The nurse should instruct the client to press on which of the following areas to prevent systemic absorption of the medication? a. Bony orbit b. Nasolacrimal duct c. Conjunctival sac d. Outer canthus
B
A nurse is providing instructions to a client who has a new prescription for albuterol and beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in teaching? a. Take the albuterol at the same time each day b. Administer the albuterol inhaler prior to using the beclomethasone inhaler c. Use beclomethasone if experiencing an acute episode d. Avoid shaking the beclomethasone before use
B
A nurse is providing instructions to client who has a new prescription for albuterol, PO. Which of the following instructions should the nurse include? a. "You can take this medication to abort an acute asthma attack" b. "Tremors are an adverse effect of this medication" c. "Prolonged use of this medication can cause hyperglycemia" d. "This medication can slow skeletal growth rate"
B
A nurse is providing teaching for a client who has a prescription for phenelzine. The nurse should instruct the client to avoid tyramine-enriched foods based of an increased risk for which of the following adverse reactions? a. Respiratory depression b. Hypertensive crisis c. Neuroleptic malignant syndrome d. Serotonin syndrome
B
A nurse is providing teaching for a client who is to begin taking risperidone. Which of the following instructions should the nurse include? a. "Add extra snacks to your diet to prevent weight loss" b. "Notify the provider if you have trouble sleeping" c. "You may begin to have mild seizures while taking this medication" d. "This medication is likely to increase your libido"
B
A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include? a. "weigh yourself twice a month" b. "If you have persistent headaches, let the provider know" c. "Reduce your daily sodium intake" d. "If your symptoms don't improve in 10 days, you will need a higher dosage"
B
A nurse is providing teaching to a client who has a prescription for chlorpromazine. Which of the following instructions should the nurse include? a. Stop taking the drug immediately with the sign of a sore throat b. Wear sunscreen when exposed to sunlight c. Take the drug with food to reduce gastrointestinal distress d. Take the drug in the morning to prevent nocturia
B
A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include? a. Do not drink anything for 30 minutes after using the drug b. Wait 5 min between using the drug and another inhaled drug c. This drug is used to thin respiratory secretions d. Check pulse rate after inhaling the drug
B
A nurse is teaching a client about the use of an expectorant to treat a cough. The nurse should include that an expectorant has which of the following therapeutic effects? a. Suppresses the cough stimulus b. Reduces surface tension c. Reduces inflammation d. Dries mucous membranes
B
A nurse is teaching a client about the use of fluticasone to treat perennial rhinitis. Which of the following statements by the client indicates an understanding of the teaching? a. "I should use the spray every 4 hours while I am awake" b. "It can take as long as 3 weeks before the medication takes maximum effect" c. "This medication can also be used to treat motion sickness" d. "I can use this medication when my nasal passages are blocked"
B
A nurse is teaching a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects? a. Diarrhea b. Dry mouth c. Insomnia d. Hypertension
B
A nurse is teaching a client who has a new prescription for ramelteon. The nurse should instruct the client to avoid which of the following foods at the time of medication administration? a. Baked potato b. Fried Chicken c. Whole-grain bread d. Citrus-fruits
B
A nurse is teaching a client, who has schizophrenia, strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects? a. Take the medication in the morning to prevent insomnia b. Chew sugarless gum to moisten the mouth c. Use cooling measures to decrease fever d. Take an antacid to relieve nausea
B
A nurse is teaching an adult client about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug? a. Muscle tremors b. Drowsiness c. Excitation d. Insomnia
B
A nurse is teaching the caregiver of a school-age child about transdermal methylphenidate. Which of the following instructions should the nurse include? a. Apply one patch twice per day b. Leave the patch on for 9hr c. Apply the patch to the child's waist d. Use opened tray within 6 months
B
A nurse is teaching the family of a child who has cystic fibrosis and a new prescription for acetylcysteine. Which of the following information should the nurse include in the instructions? a. "Expect this medication to suppress your child's cough" b. "Expect this medication to smell like rotten eggs" c. "Expect this medication to cause euphoria" d. "Expect this medication to turn your child's urine orange"
B
A nurse is teaching the guardians of a child who has a new prescription for desipramine. The nurse should include that which of the following adverse effects is a priority to report to the provider? a. Constipation b. Suicidal thoughts c. Photophobia d. Dry mouth
B
A nurse is working in an emergency department is caring for a client who has benzodiazepine toxicity. Which of the following actions is the nurse's priority? a. Administer flumazenil b. Identify the client's level of orientation c. Infuse IV fluids d. Prepare the client for gastric lavage
B
A nurse should identify that dextromethorphan can have which of the following effects when combined with morphine? a. Reduced antitussive effect of dextromethorphan b. Potentiation of depression of CNS actions c. Increased renal reabsorption of the dextromethorphan d. Delays analgesic effect of the opioid
B
Legal restrictions apply to the purchase of pseudoephedrine because of which of the following risks? a. Respiratory depression b. Drug abuse c. Drug tolerance d. Rebound congestion
B
A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects?(select all that apply) a. Muscle tremors b. Urinary retention c. Dry mouth d. Insomnia e. Tachycardia
B,C
A nurse is teaching a client who has a new prescription for baclofen to treat muscle spasms. Which of the following statements by the client indicates an understanding of the teaching?(select all that apply) a. "I will stop taking this medication right away if I develop dizziness" b. "I know the doctor will gradually increase my dose of this medication for a while" c. "I should increase fiber to prevent constipation from this medication" d. "I won't be able to drink alcohol while I'm taking this medication" e. "I should take this medication on an empty stomach each morning"
B,C,D
A nurse is preparing a teaching plan for a client who has bipolar disorder and a new prescription for carbamazepine. Which of the following instructions should the nurse include in the teaching? (Select all that apply) a. "This medication can safely be taken during pregnancy" b. "Eliminate grapefruit juice from your diet" c. "You will need to have a complete blood count and carbamazepine levels drawn periodically" d. "Notify your provider if you develop a rash" e. "Avoid driving for the first few days after starting this medication"
B,C,D,E
When reviewing the indications for various antidepressants, a nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following?(select all that apply) a. Motion sickness b. Seasonal affective disorder c. Insomnia d. Nicotine addiction e. Depression
B,D,E
A nurse is preparing to administer a medication to a client who has absence seizures. The nurse should expect to administer which of the following medications to the client?(select all that apply) a. Phenytoin b. Ethosuximide c. Gabapentin d. Carbamazepine e. Valproic acid f. Lamotrigine
B,E,F
A nurse in an emergency department is reviewing the medical record of a client who is being evaluated for angle-closure glaucoma. Which of the following findings are indicative of this condition? a. Insidious onset of painless loss of vision b. Gradual reduction in peripheral vision c. Severe pain around eyes d. Intraocular pressure 12 mm Hg
C
A nurse in the operating room is caring for a client who received a dose of succinylcholine. During the operation, the client suddenly develops rigidity and a rise in body temperature. The nurse should expect a prescription for which of the following medications? a. Neostigmine b. Naloxone c. Dantrolene d. Vecuronium
C
A nurse is assessing a client who has a prescription for bethanechol to treat urinary retention. The nurse should identify that which of the following findings is a manifestation of muscarinic stimulation? a. Dry mouth b. Hypertension c. Excessive perspiration d. Fecal impaction
C
A nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the nurse expect to administer to the client? a. Ipratropium b. Beclomethason c. Acetylcysteine d. Azelastine
C
A nurse is caring for a client who is receiving moderate sedation with diazepam IV. The client is oversedated. Which of the following medications should the nurse expect to administer to this client? a. Ketamine b. Naltrexone c. Flumazenil d. Fluvoxamine
C
A nurse is caring for a client who is taking codeine. The nurse should identify that which of the following assessments is priority to make? a. Blood pressure b. Apical heart rate c. Respirations d. Level of consciousness
C
A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnostic tests should the nurse recommend that the client undergo periodically? a. Chest x-ray b. Tonometry c. Thyroid function tests d. Endoscopic retrograde cholangiopancreatography (ERCP)
C
A nurse is caring for a client who is taking venlafaxine to treat major depressive disorder. The nurse should identify that which of the following drugs can cause serotonin syndrome when taken concurrently with venlafaxine? a. Alprazolam b. Phenytoin c. Phenelzine d. Pilocarpine
C
A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol. Which of the following information should the nurse include in the teaching? a. Increases the risk for seizure activity b. Provides a form of aversion therapy c. Decreases cravings d. Can increase blood pressure
C
A nurse is providing teaching to a client about the adverse effects of drug therapy. The nurse should include that orthostatic hypotension is a common adverse reaction of which of the following drugs? a. Venlafaxine b. Bupropion c. Imipramine d. Valproic acid
C
A nurse is providing teaching to a client who has a prescription for buspirone. Which of the following instructions should the nurse include? a. Take the drug with grapefruit juice to increase absorption b. Use the drug as needed for anxiety c. Allow for 2-4 weeks for full therapeutic effects d. Take the drug on an empty stomach
C
A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. Which of the following instructions should the nurse include? a. Consume a low-sodium diet b. Reduce fluid intake c. Avoid taking NSAIDs d. Take the drug with food
C
A nurse is teaching a client about intranasal glucocorticoids. Which of the following instructions should the nurse give? a. Start at a low dose and gradually increase it b. Take the drug as needed for nasal congestion c. Allow at least 2 weeks for the full therapeutic effect d. Use the drug prior to exercise
C
A nurse is teaching a client about the use of a mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects? a. Suppresses the cough stimulus b. Reduces inflammation c. Thins and loosens mucus d. Dries secretions
C
A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The nurse should explain that these drugs are effective because they preform which of the following actions? a. Decrease viscosity of nasal secretions b. Block H2 receptors c. Prevent histamine from binding to receptors d. Reduce nasal congestion
C
A nurse is teaching a client about the use of beclomethasone to treat asthma. The nurse should explain that the drug has which of the following therapeutic effects? a. Thin mucus b. Relaxes bronchial smooth muscle c. Decreases inflammation d. Increases the cough threshold
C
A nurse is teaching a client who has a new prescription for brimonidine ophthalmic drops and wears soft contact lenses. Which of the following instructions should the nurse include in the teaching? a. "This medication can stain your contacts" b. "This medication can cause your pupils to constrict" c. "This medication can absorb into your contacts" d. "This medication can slow your heart rate"
C
A nurse is teaching a client who has a new prescription for dextromethorphan to suppress a cough. The nurse should instruct the client to monitor which of the following manifestations as an adverse effect of this medication? a. Diarrhea b. Anxiety c. Sedation d. Palpitations
C
A nurse is teaching a client who has a new prescription for escitalopram for treatment of generalized anxiety disorder. Which of the following statements by the client indicated understanding of the teaching? a. "I should take the medication on an empty stomach" b. "I will follow a low-sodium diet while taking this medication" c. "I need to discontinue this medication slowly" d. "I should not crush this medication before swallowing"
C
A nurse is teaching a client who has a new prescription for levodopa/carbidopa for Parkinson's disease. Which of the following instructions should the nurse include? a. Increase intake of protein-rich foods b. Expect muscle twitching to occur c. Take this medication with food d. Anticipate relief of manifestations in 24 hr
C
A nurse is providing teaching to a client who has a new prescription for amitriptyline for treatment of depression. Which of the following should the nurse include in the teaching?(select all that apply) a. Expect therapeutic effects in 24-48 hrs b. Discontinue the medication after a week of improved mood c. Change positions slowly to minimize dizziness d. Decrease dietary fiber intake to control diarrhea e. Chew sugarless gum to prevent dry mouth
C,E
A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from opioid use and has a new prescription for clonidine. Which of the following actions should the nurse identify as the priority? a. Administer the clonidine on the prescribed schedule b. Provide ice chips at the client's bedside c. Educate the client on the effects of clonidine d. Obtain baseline vital signs
D
A nurse is caring for a client who has a new prescription for lithium carbonate. When teaching the client about ways to prevent lithium toxicity, the nurse should advise the client to do which of the following? a. Avoid the use of acetaminophen for headaches b. Restrict intake of foods rich in sodium c. Decrease fluid intake to less than 1,500 mL daily d. Limit aerobic activity in hot weather
D
A nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. The nurse should identify that abruptly stopping alprazolam therapy can result in which of the following adverse effects? a. Anterograde amnesia b. Respiratory depression c. Paradoxical reaction d. Withdrawal symptoms
D
A nurse is caring for a client who is to undergo a surgical procedure. Which of the following preexisting conditions can be a contraindication for the use of ketamine as an intravenous anesthetic? a. Peptic ulcer disease b. Breast cancer c. Diabetes mellitus d. Schizophrenia
D
A nurse is caring for a client who recently began taking chlorpromazine to treat schizophrenia and who was admitted to the emergency room with spasms of their face and back. Which of the following adverse reactions should the nurse suspect? a. Cholinergic crisis b. Serotonin syndrome c. Steven-Johnson syndrome d. Acute dystonia
D
A nurse is caring for a client who was admitted to the emergency department with a head injury. The nurse notes that the client has an existing prescription for bupropion hydrochloride to treat depression. For which of the following adverse effects is the client at increased risk? a. Ischemic stroke b. Drowsiness c. Respiratory depression d. Seizure activity
D
A nurse is providing discharge teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? a. "You should have a high-carbohydrate snack between meals and at bedtime" b. You are likely to develop hand tremors if you take this medication for a long period of time" c. "You may experience temporary numbness of your mouth after each dose" d. "You should have your white blood cell count monitored every week"
D
A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. Which of the following adverse effects should the nurse include in the teaching? a. Constricted pupils b. Discoloration of the iris c. Hypertension d. Bradycardia
D
A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include? a. "Take this medication on an empty stomach" b. "Expect optimal therapeutic effects within 24 hr" c. "Take this medication when needed for anxiety" d. "This medication has a low risk for dependency"
D
A nurse is providing teaching to a client who has a new prescription for diazepam for anxiety disorders. Which of the following client statements indicates an understanding of the teaching? a. "It is not a big deal if I forget my pills for a couple of days" b. "I should limit alcohol intake to one drink daily while taking this medication" c. "I will avoid salt because this medication can increase my blood pressure" d. "If I become pregnant, it is important to let my health care provider know"
D
A nurse is reviewing the medical record of a client who reports urinary incontinence and asks about a prescription for oxybutynin. The nurse should recognize that oxybutynin is contraindicated in the presence of which of the following conditions? a. Bursitis b. Sinusitis c. Depression d. Glaucoma
D
A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report which of the following adverse effect of this drug? a. Fever b. Bruising c. Polyuria d. Palpitations
D
A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include? a. Use a spacer to improve inhalation b. Take the drug at the onset of bronchospasm c. Rinse mouth to prevent an oral fungal infection d. Take the drug once a day in the evening
D
A nurse is teaching a client about preventing otitis externa. Which of the following instructions should the nurse include? a. Clean the ear with a cotton-tipped swab daily b. Place earplugs in the ears when sleeping at night c. Use a cool water irrigation solution to remove wax d. Tip the head to the side to remove water from the ears after showering
D
A nurse is teaching a client about the use of cromolyn sodium to prevent bronchospasm. The nurse should explain that the drug has which of the following therapeutic effects? a. Increases leukocyte activity b. Blocks muscarinic receptors c. Causes bronchodilation d. Reduces inflammation
D
A nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include? a. check apical pulse before taking the drug b. Take the drug only as needed before exercising c. Rinse mouth after using the drug d. Have laboratory tests performed at regular intervals
D
A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include? a. Take the drug as needed for acute asthma b. Follow a low-sodium diet c. Use an alternate-day dosing schedule d. Increase weight-bearing activity
D
A nurse should recognize that using pseudoephedrine to treat allergic rhinitis requires cautious use with clients who have which of the following conditions? a. Peptic ulcer disease b. A seizure disorder c. Anemia d. Coronary artery disease
D
