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ANSWERS) A home health nurse is visiting an older adult client who has Alzheimer's disease. His caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg 3 x daily, to the client for restlessness and anxiety during the past few days. For which of the following effects should the nurse assess the client? A. Low-grade fever B. Sedation C. Diuresis D. Tonic-clonic seizures - ansB A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg 3 x daily po and gabapentin 1,800mg 3 x daily po to manage pain. The client tells the nurse, "I'm having pain that keeps me from doing what I'd like most of the time." which of the following additions should the nurse anticipate to the client's medication regimen? A. Oral meperidine B. Parenteral naloxone C. Parenteral diazepam D. Oral oxycodone - ansD A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40mg daily, but the client reports that she has been taking extra doses to promote weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated? A. Urine specific gravity 1. B. Distended neck veins C. BUN 18mg/dL D. Bounding radial pulse - ansA A nurse is administering adenosine via IV bolus for a client who has developed paroxysmal atrial tachycardia. For which of the following findings should the nurse assess the client during administration of adenosine? A. Seizures B. Cinchonism C. Dyspnea D. Transient pallor of the face - ansC A nurse is administering ciprofloxacin and phenazopyridine to a client who has a severe UTI. The client asks why both medications are needed. Which of the following responses should the nurse make? A. Phenazopyridine decreases adverse effects of ciprofloxacin hydrochloride. B. Combining phenazopyridine with ciprofloxacin hydrochloride shortens the course of therapy.
ANSWERS) C. The use of phenazopyridine allows for a lower dosage of ciprofloxacin hydrochloride. D. Ciprofloxacin hydrochloride treats the infection and the phenazopyridine treats pain. - ansD
ANSWERS) B. Cold intolerance C. Tremor D. Hypothermia - ansC
ANSWERS) A nurse is assessing a client who is recieving IV Gentamicin 3x daily. Which of the following findings indicates that the client is experiencing an adverse effevt of this medication? A. Hypogycemia B. Proteinuria C. Nasal congestion D. Visual disturbances - ansB A nurse is assessing a client who reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following therapeutic effects? A. Urinary health promotion B. Immune system stimulation C. Decreased leg pain from arterial disease D. Prevention of nausea caused by motion sickness. - ansA A nurse is assessing a client who takes oral theophylline for relief of chronic bronchitis. The nurse should recognize that which of the following findings indicates toxicity to theophylline? A. Constipation B. Tremors C. Fatigue D. Bradycardia - ansB A nurse is caring for a client and realizes after administering the 0900 medications that she administered digoxin 0.25mg po to the client instead of the prescribed digoxin 0.125 mg po. Which of the following actions should the nurse take first? a. Notify the provider b. Contact the nursing supervisor c. Assess the client's apical pulse d. Complete an incident report - ansC A nurse is caring for a client who had a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medication? A. Ecchymosis B. Jaundice C. Hypotension D. Hypokalemia - ansC A nurse is caring for a client who has a new diagnosis of oral candidiasis after takinng tetracyline for 7 days. The nurse should recognize that candidiasis is a
ANSWERS) A nurse is caring for a client who has a new precscription for ergotamine. The nurse should recognize that ergotamine is administerd to treat which of the following conditions? A. Raynaud's Phenomenon B. Migraine Headaches C. Ulcerative colitis D. Anemia - ansB A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan to monitor the client for which of the following adverse effects? A. Hyperkalemia B. Hypertension C. Constipation D. Nephrotoxicity - ansD A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? A. Antiestrogenic B. Antimicrobial C. Androgenic D. Anti-inflammatory - ansA A nurse is caring for a client who has a positive tuberculin skin test and is beginning a prescription for isoniazid. The nurse should teach the client that which of the following laboratory values should be monitored while taking isoniazid? A. Thyroid stimulating hormone level (TSH) B. Aspartate aminotransferase (AST) C. Potassium D. Sodium - ansB A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effects? A. Thrombophlebitis B. Hyperactive reflexes C. Muscle weakness D. Hypoglycemia - ansC A nurse is caring for a client who has alcohol use disorder and is admitted with lower extremity fractures following a motor vehicle crash. A few hours after
ANSWERS) admission, the client develops restlessness and tremors. Which of the following medications should the nurse anticipate administering to the client first? a. Acamprosate b. Naltrexone c. Chlordiazepoxide
ANSWERS) administer? A. Oxytocin B. Nifedipine C. Dinoprostone D. Misoprostol - ansB
ANSWERS) A nurse is caring for a client who is in preterm labor and has a new prescription for nifedipine (Calcium blocker). The client states she is concerned because her father takes nifedipine for his angina pectoris. The nurse should explain to the client that nifedipine works for clients who are pregnant by which of the following mechanism? A. It decreases the incidence of bacterial vaginosis, thus preventing uterine contractions. B. It inhibits uterine contractions by blocking entry of calcium into uterine cells. C. It decreases the activity within the CNS, which regulates smooth muscle. D. It stimulates beta2 receptors in the uterus, which results in decreased frequency of contractions. - ansB A nurse is caring for a client who was brought to the ED by friends who report the client has overdosed on heroin. Which of the following findings should the nurse expect to assess? A. Temperature 39.2 (102.6) B. Respiratory rate 30/min C. Pinpoint pupils D. Severe abdominal cramping - ansC A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to preform prior to starting the client on this medication? A. Hearing examination B. Glucose tolerance test C. Electrocardiogram D. Pulmonary Function tests - ansC A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effects? A. Echoymosis B. Decreased urine output C. Increased blood pressure D. Dizziness - ansD A nurse is monitoring lab values for a male client who has leukemia and is receiving weekly chemotherapy with methotrexate via IV infusion. Which of the following lab values should the nurse report to the provider? A. BUN 18mg/dL B. Platelets 78,000/mm C. Hgb 14.2 g/dL
ANSWERS) A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following lab values should the nurse plan to monitor? Select all that apply. A. BUN B. PTT C. Aspartate amintransferase (AST) D. Urinalysis E. Alanine aminotransferase - ansB, C, E A nurse is planning care for a female client who has severe irritable bowel syndrome with diarrhea (IBS-D) and a new prescription for alosetron. Which of the following interventions should the nurse include in the plan of care? A. The nurse must sign an agreement with the provider before beginning alosetron. B. The client must stop taking alosetron if diarrhea continues 1 week after beginning the medication. C. The client should expect to have a slower heart rate while taking alosetron. D. The client should use a barrier birth control method because alosetron interacts with oral contraceptives. - ansA A nurse is planning discharge teaching for a client who has MDD and a new prescription for phenelzine. Which of the following foods should the nurse include in the plan as safe for the client consume while taking phenelzine? A. Broiled beef steak B. Macaroni and cheese C. Pepperoni pizza D. Smoked salmon - ansA A nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem? A. Hypotension B. Tachycardia C. Decreased level of consciousness D. History of diuretic use - ansA A nurse is planning to administer diphenhydramine 50 mg via IV bolus to a client who is having an allergic reaction. The client has an IV infusion containing a medication that is incompatible with diphenhydramine in solution. Which of the following actions should the nurse take? A. Choose an IV post for IV bolus of the diphenhydramine as near as possible to the client's hanging IV bag
ANSWERS) B. Flush the IV tubing with 2 ml of o.9% sodium chloride before and after administering diphenhydramine. C. Allow the IV infusion to keep running while administering the diphenhydramine via IV bolus. D. Aspirate to check for IV patency before administering the diphenhydramine. - ansD
ANSWERS) A nurse is providing discharge teaching about lithium toxicity to a client who has a new prescription for lithium. Which of the following statements by the client indicates an understanding of the teaching? A. I should take naproxen if I have a headache because aspirin can cause lithium toxicity B. I can develop lithium toxicity if I eat foods with lots of sodium C. I can develop lithium toxicity if I experience vomiting or diarrhea. D. I might need to take a daily diuretic along with my lithium to prevent lithium toxicity. - ansC A nurse is providing discharge teaching to a client who had a bleeding duodenal ulcer and is prescribed omeprazole. Which of the following statements should the nurse include in the teaching? A. You will need to take this medication for the next 6 months. B. Taking this medication will decrease your risk for acquiring pneumonia C. You should take this medication before breakfast everyday. D. Watch for the serious adverse effects of tachycardia and heart palpitations while taking this medications. - ansC A nurse is providing discharge teaching to a client who had kidney transplant and has a prescription for oral cyclosporine. Which of the following statements by the client indicates an understanding of the teaching? A. I will be able to stop this medication 6 months after my surgery. B. I am likely to develop higher blood pressure while taking this medication. C. I am likely to lose my hair while taking this medication. D. I am taking this medication to boost my immune system. - ansB A nurse is providing discharge teaching to a client who had venous thrombosis and a prescription for warfarin. Which of the following instructions should the nurse include in the teaching? A. Take ibuprofen as needed for headache or other minor pains B. Carry a medic alert ID card C. Report to the lab weekly to have a blood drawn for aPTT D. Increase intake of dark green vegetables. - ansB A nurse is providing discharge teaching to a client who has been hospitalized for MDD and has a prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? A. I will take amitriptyline in the morning because I'm likely to have trouble falling asleep if I take it in the evening. B. I will move slowly when I stand up because amitriptyline can cause my blood pressure to decrease. C. I can drink a glass of beer or wine with my evening meal because
ANSWERS) amitriptyline doesn't interact with alcohol. D. I will avoid goods high in fiber because amitriptyline can cause diarrhea. - ansB
ANSWERS) C. Oral Candidiasis D. Sedation - ansA A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching? A. Reduces Blood pressure
ANSWERS) B. Inhibits clotting of fistula C. Promotes RBC production D. Stimulates growth of neutrophils - ansC A nurse is providing teaching to a client who has cirrhosis and new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects? A. Increases blood pressure B. Prevents esophageal bleeding C. Decreases heart rate D. Reduces Ammonia - ansD A nurse is providing teaching to a client who has gout and new prescription for allopurinol. The nurse should instruct client to discontinue taking the medications for which of the following adverse effects? A. Nausea B. Metallic taste C. Fever D. Drowsiness - ansC A nurse is providing teaching to a client who has heart failure and is taking spironolactone. Which of the following statements by the client indicates an understanding of the teaching? A. I will increase my intake of citrus fruits, bananas, and potatoes. B. I will use salt substitutes on my food C. I will drink as much water as I can while taking this medication. D. I will watch for increased breast tissue growth while taking this medication. - ansD A nurse is providing teaching to a client who has hypertension and a new prescription for oral clonidine. Which of the following instructions should the nurse include in the teaching? A. Discontinue the medication if a rash develops. B. Expect increased salivation during the first few weeks of therapy. C. Minimize fiber intake to prevent diarrhea. D. Avoid driving until the client's reaction to the medication is known. - ansD A nurse is providing teaching to a client who has hypertension and type I diabetes mellitus and a new prescription for metoprolol. Which of the following statements by the clients indicates an understanding of the teaching? A. I might have difficulty recognizing when my blood sugar is low. B. I will have less risk for developing an infection while I take this medication. C. I should be concerned about losing excess weight while I take this medication.
