Master Pharmacology with HESI NCLEX-PN Test Bank Insights
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Workman Junior High School**We aren't endorsed by this school
Course
SCIENCE 12A
Subject
Nursing
Date
Dec 10, 2024
Pages
67
Uploaded by arnoldsakiya4
2023 Pharmacology HESI Exam Test Bank NCLEX-PN Guaranteed A+ Actual Questionsand Answers, Complete 100%written byNursingCollegeThe Marketplace to Buy and Sell your Study MaterialAt Stuvia, you will find the best notes, summaries, flashcards & other study material. Search for yourschool or uni and find the study material you need.www.stuvia.comDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Pharmacology HESI Exam Test Bank 2023 NCLEX-PN Guaranteed A+ Actual Questions and Answers, Complete 100% 1. Albuterol (Proventil HFA) two puffs and fluticasone propionate (FloventDiskus) two puffs by metered-dose inhaler have been prescribed for a clientwith chronic obstructive pulmonary disease. The nurse caring for the clientprovides instructions regarding administration of the medication. Whichstatement by the client indicates an understanding of how to take thesemedications?1. "I will take the two puffs of the fluticasone propionate first and then thetwo puffs of the albuterol."2. "I will take the two puffs of the albuterol first and then the two puffs of thefluticasone propionate."3."I will alternate a single puff of each, beginning with the fluticasone propionate."4. "I will alternate a single puff of each, beginning with the albuterol.": Answer: 2. "I will take the two puffs of the albuterol first and then the two puffs of the fluticasone propionate."2. Disulfiram (Antabuse) is prescribed for a client who is seen in the psychiatrichealth care clinic. The nurse is collecting data on the client andis providing instructions regarding the use of this medication. Which ismost important for the nurse to determine before administration of thismedication?: Answer: 4. When the last alcoholic drink was consumed3. A nurse is caring for a client with liver disease. Laboratory studies areperformed, and the client's serum calcium level is 13 mg/dL. The nursechecks to see that which medication is available in the stock medicationsupply area on the clinical nursing unit that may be needed to treat thiscalcium imbalance?: Answer: 4. Calcitonin (Cibacalcin)4. A client with carcinoma is admitted to the hospital for a chemotherapytreatment with intravenous bleomycin sulfate. The plan of care mentionsobserving for interstitial pneumonitis as the priority of care. Which assessmentfinding most closely correlates to symptoms of interstitial pneumonitis,Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Materialrequiring reporting?: Answer: 4. Lung wheezing and shortness of breath5. Tacrolimus (Prograf) is prescribed for a client. Which of the followingdisorders, if noted on the client's record, indicates that the medication needsto be administered with caution?: Answer: 3. Renal insufficiency6. A nurse employed in the emergency department is preparing to administersyrup of ipecac to a 7-month-old child. The nurse prepares 5 mL of thesyrup and administers one half glass of water following administration ofthe ipecac syrup. Which response would the nurse expect?: Answer: 1. Vomiting7. A nurse is reinforcing dietary instructions to a client who has beenprescribed cyclosporine (Sandimmune). Which food item would the nurseinstruct the client to avoid?: Answer: 3. Grapefruit juice8. A client is being treated for acute congestive heart failure with intravenouslyadministered bumetanide. The vital signs are as follows:blood pressure, 100/60 mm Hg; pulse, 96 beats/min; and respirations, 24breaths/min. After the initial dose, which of the following is the priorityassessment?: Answer: 3. Monitoring blood pressure9. A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole.Which of the following should be included in the list of instructions?: Answer: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material2. Maintain a high fluid intake.10. Docetaxel (Taxotere) is prescribed for a client with metastatic breastcancer. In addition, dexamethasone (Decadron) is prescribed to be administeredbefore initiation of the docetaxel. The nurse tells the client that thedexamethasone is prescribed to:: Answer: 2. Reduce the severity of fluid retention.11. Streptokinase (Streptase) is being administered to a client following anacute inferior myocardial infarction. The nurse plans care, knowing that theprimary purpose of streptokinase is to:: Answer: 4. Dissolve the thrombus.12. A client is seen in the clinic for complaints of skin itchiness that hasbeen persistent over the past several weeks. Following data collection, it hasbeen determined that the client has scabies. Lindane is prescribed, and thenurse is asked to provide instructions to the client regarding the use of themedication. The nurse tells the client to:: Answer: 4. Leave the cream on for 8 to 12 hours and then remove by washing.13. A nurse is assisting in caring for a pregnant client who is receivingintravenous magnesium sulfate for the management of preeclampsia andnotes that the client's deep tendon reflexes are absent. On the basis of thisdata, the nurse reports the finding and makes which determination?: Answer: 4. The client is experiencing magnesium toxicity.14. A client who is human immunodeficiency virus (HIV) seropositive hasbeen taking zalcitabine (ddC) as a component of treatment. The nurse tells the client that which laboratory test will need to be monitored while takingthis medication?: Answer: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material4. Liver function studies15. The nurse administering medications to a group of clients notes a prescriptionto give a subcutaneous dose of heparin sodium. The nurse shoulddo which of the following to give this medication safely?: Answer: 3. Give the injection using a 25- to 27-gauge, ]-inch needle.16. The nurse is analyzing the laboratory results of a client with leukemiawho has received a regimen of chemotherapy. Which laboratory value wouldthe nurse specifically note as a result of the massive cell destruction thatoccurred from the chemotherapy?: Answer: 3. Increased uric acid level17. The client has begun medication therapy with pancrelipase (PancreaseMT). The nurse evaluates that the medication is having the optimal intendedbenefit if which effect is observed?: Answer: 3. Reduction of steatorrhea18. Sodium hypochlorite (Dakin's solution) is prescribed for a client with a legwound containing purulent drainage. The nurse is assisting in developing aplan of care for the client and includes which of the following in the plan?: Answer: 1. Ensure that the solution is freshly prepared before use.19. A client with multiple sclerosis is receiving baclofen (Lioresal). The nursemonitoring this client should look for which of the following to indicatea primary therapeutic response from the medication?: Answer: 1. Decreased muscle spasms20. A client with cancer is receiving cisplatin. Which finding indicates thatthe client is experiencing an adverse effect of the medication?: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study MaterialAnswer: 1. Tinnitus21. The nurse provides medication instructions to an older hypertensiveclient who is taking 20 mg of lisinopril (Prinivil, Zestril) orally daily. The nurseevaluates the need for further teaching when the client states which of thefollowing?: Answer: 1. "I can skip a dose once a week."22. A nurse provides instructions to a client who has been prescribed betaxolol(Betoptic) eye drops for the treatment of glaucoma. The nurse instructsthe client regarding the administration of the medication and about theimportance of returning to the clinic for monitoring of the:: Answer: 2. Blood pressure and apical pulse23. A nurse is reviewing medications with the client receiving colchicine forthe treatment of gout. The nurse determines that the medication is effectiveif the client reports a decrease in:: Answer: 3. Joint inflammation24. A nurse is providing instructions to the parents of a child with iron deficiencyanemia regarding the administration of a liquid oral iron supplement.The nurse tells the mother to:: Answer: 1. Administer the iron through a straw.25. A nurse is caring for a client with chronic congestive heart failure who istaking digoxin (Lanoxin) 0.125 mg daily. Before administering the medication,the nurse reviews the serum digoxin level that was drawn earlier in the day.The result is 1 ng/mL. Which of the following actions should the nurse takebased on this laboratory result?: Answer: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material2. Administer the dose of the medication as scheduled.26. A client has a prescription to receive albuterol (Proventil HFA) two puffsand beclomethasone dipropionate (Qvar) two puffs by metered-dose inhaler.The nurse plans to give these medications most effectively by:: Answer: 4. Administering the albuterol before the beclomethasone dipropionate27. A urinary analgesic is prescribed for a client with a urinary tract infection.The nurse tells the client that it is best to take the medication:: Answer: 1. With meals28. A nurse tells a client with leukemia that allopurinol (Zyloprim) has beenadded to the medication list. The client is currently receiving busulfan (Myleran).When the client asks the purpose of the new medication, the nurseresponds that the allopurinol is intended to prevent:: Answer: 4. Hyperuricemia29. Clients who are given a prescription for sildenafil (Viagra) should betaught that a potentially fatal medication interaction can occur with whichmedication?: Answer: 2. Nitroglycerin (Nitrostat)30. A client has a prescription to take guaifenesin (Humibid) every 4 hours, asneeded. The nurse determines that the client understands the most effectiveuse of this medication if the client states that he or she will:: Answer: 2. Take the tablet with a full glass of water.31. A nursing student is assigned to care for a 30-week gestational womanwho is admitted to the maternity unit in preterm labor. Betamethasone isprescribed to be administered to the mother. The nursing instructor asksStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Materialthe student about the purpose of the medication. Which statement by thestudent indicates an understanding of the purpose of this medication?: Answer: 3. "This medication will promote fetal lung maturity."32. A child is hospitalized with Rocky Mountain spotted fever (RMSF). Thehealth record reveals documentation that the child was bitten by a tick2 weeks ago. The child presents with complaints of headache, fever, andanorexia, and the nurse notes a rash on the palms of the hands and soles of the feet. The nurse reviews the health care provider's prescriptions andanticipates that which of the following will be prescribed?: Answer: 1. Doxycycline (Vibramycin)33. Baclofen (Lioresal) is prescribed for the client with multiple sclerosis. Thenurse evaluates that the medication is having the intended effect if which ofthe following is noted in the client?: Answer: 3. Decreased muscle spasms34. The nurse is applying a topical corticosteroid to a client with eczema. Thenurse would monitor for the potential for increased systemic absorption ofthe medication if the medication were being applied to which of the followingbody areas?: Answer: 2. Axilla35. A client who has developed atrial fibrillation that is not responding tomedication therapy has begun taking warfarin (Coumadin). The nurse isperforming dietary discharge teaching with the client. The nurse would planto teach the client to avoid which of the following foods while taking thismedication?: Answer: 4. BroccoliStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material36. When discussing the rationale for levothyroxine (Synthroid) with a clientwith hypothyroidism, the nurse should emphasize that the client can anticipatewhat primary expected outcome?: Answer: 4. Achieving normal thyroid hormone levels37. Metoclopramide (Reglan) four times daily has been prescribed for a clientwith reflux esophagitis, and the nurse provides instructions to the clientregarding administration of the medication. Which statement by the clientindicates an understanding of the use of the medication?: Answer: 3. "I need to take the medication 30 minutes before meals and at bedtime."38. The client with non-Hodgkin's lymphoma is receiving daunorubicin(DaunoXome). Which of the following would indicate to the nurse that theclient is experiencing a toxic effect related to the medication?: Answer: 4. Crackles on auscultation of the lungs39. The health care provider has prescribed silver sulfadiazine (Silvadene)for the client with a partial-thickness burn, which has cultured positive forgram-negative bacteria. The nurse is reinforcing information to the clientabout the medication. Which statement made by the client indicates a lackof understanding about the treatments?: Answer: 3. "The medication will permanently stain my skin."40. A client has been given a prescription for chloral hydrate (Somnote) forshort-term use. The nurse includes which of the following nursing interven- tions in caring for this client?: Answer: 1. Instruct the client to call for help to get out of bed.41. A client with chronic renal failure is receiving epoetin alfa (Epogen,Procrit). Which laboratory result would indicate a therapeutic effect of theStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Materialmedication?: Answer: 1. Hematocrit of 32%42. Cinoxacin (Cinobac), a urinary antiseptic, is prescribed for the client. Thenurse reviews the client's medical record and should contact the health careprovider (HCP) regarding which documented finding to verify the prescription?Refer to chart.: Answer: 1. Renal insufficiency43. A nurse is teaching a mother how to administer ear drops to an infant. Thenurse plans to demonstrate by pulling the ear:: Answer: 2. Down and back and directing the solution toward the wall of the canal44. A health care provider tells the nurse that a potassium-sparing diureticis being prescribed for the client with congestive heart failure. The nursereviews the health care provider's prescriptions, expecting that which of thefollowing medications will be prescribed?: Answer: 3. Spironolactone (Aldactone)45. A health care provider has written a prescription for calcium carbonatefor the client with hypocalcemia. The nurse preparing to administer themedication schedules the medication to be given:: Answer: 3. Two hours after meals46. A nurse is assigned to care for a client with herpes simplex virus (HSV)who is receiving acyclovir (Zovirax). The nurse is monitoring for adverseeffects of the medication. Which of the following laboratory results wouldthe nurse specifically monitor to identify an adverse effect associated withthe use of this medication?: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study MaterialAnswer: 3. Blood urea nitrogen (BUN)47. The clinic nurse is performing an admission assessment on a client. Thenurse notes that the client is taking azelaic acid (Azelex). Because of themedication prescription, the nurse would suspect that the client is beingtreated for:: Answer: 1. Acne48. A nurse reviews the laboratory results of a client with trigeminal neuralgiawho is being treated with carbamazepine (Tegretol) 400 mg orally daily. Theclient's white blood cell (WBC) count is 3000 cells/mm3, blood urea nitrogen(BUN) is 15 mg/dL, sodium is 140 mEq/L, and uric acid is 5 ng/dL. The nursewould notify the health care provider that:: Answer: 2. The WBC is low, indicating a blood dyscrasia.49. The nurse caring for the older adult client understands that dosages ofmany medications are reduced in this population because:: Answer: 3. Serum albumin levels are decreased.50. A nurse is caring for a client taking tolbutamide (Orinase) who has justbeen diagnosed with a urinary tract infection. The health care provider plansto treat the infection with sulfamethoxazole. The nurse expects that becauseof medication interactions, the health care provider will prescribe a:: Answer: 3. Lower dose of the tolbutamide51. A client with acquired immunodeficiency syndrome (AIDS) has a lowT4 count. The nurse initiates prophylactic treatment as prescribed withaerosolized pentamidine isethionate (NebuPent) and monitors for whichexpected outcome?: Answer: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material1. The client has a respiratory rate and depth within normal limits for activity level.52. A client with benign prostatic hyperplasia is being administered finasteride(Proscar). Which of the following should be included in the plan ofcare?: Answer: 3. A pregnant caregiver should not be exposed to the crushed tablets of finasteride.53. A nurse is preparing to administer eardrops to an infant. The nurse plansto:: Answer: 3. Pull down and back on the ear and direct the solution toward the wall of thecanal.54. A nurse is reviewing the laboratory results for a client receivingtacrolimus (Prograf). Which laboratory result would indicate to the nursethat the client is experiencing an adverse effect of the medication?: Answer: 1. Blood glucose of 200 mg/dL55. Auranofin (Ridaura) has been prescribed for a client with rheumatoidarthritis. The nurse who is collecting data 2 weeks later interprets that theclient may be experiencing the signs of medication toxicity based on whatdata collection findings. Select all that apply.: Answer: 2. Observes several mouth lesions3. Rash noted on trunk and neck4. Reports a metallic taste in the mouth5. Purplish blotches noticed on the skin56. A client with advanced ovarian cancer is being treated with paclitaxel(Taxol). The nurse monitors the client closely for which side effect of themedication?: Answer: 1. BradycardiaStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material57. A client is receiving tacrolimus (Prograf) to prevent organ rejection. Thenurse expects to administer the dose with which of the following medicationsthat is also normally prescribed?: Answer: 1. Prednisone58. A client is being treated for depression with amitriptyline hydrochloride.During the initial phases of treatment, the most important nursing interventionis:: Answer: 4. Getting baseline postural blood pressures before administering the medication and each time the medication is administered59. Megestrol acetate (Megace), an antineoplastic medication, is prescribedfor the client with metastatic endometrial carcinoma. The nurse reviewsthe client's history and contacts the registered nurse if which diagnosis isdocumented in the client's history?: Answer: 3. Thrombophlebitis60. A client with a partial right adrenalectomy is placed on corticosteroidreplacement therapy. Which of the following would indicate that the client isexperiencing an adverse effect related to the pharmacological treatment?1. Hypoglycemia2. Hypotension3. Dry mouth4. Tarry stools: Answer: 4. Tarry stools61. A nurse is assisting in preparing to administer acetylcysteine (Mucomyst)to a client with an overdose of acetaminophen (Tylenol). The nurse preparesto administer the medication by:1. Administering the medication subcutaneously in the deltoid muscle2. Administering the medication by the intramuscular route in the gluteal muscle3. Administering the medication by the intramuscular route, mixed in 10 mLof normal salineStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material4. Mixing the medication in a flavored ice drink and allowing the client to drink the medication through a straw: Answer: 4. Mixing the medication in a flavored ice drink and allowing the client to drink the medication through a straw62. A client with breast cancer has been given a prescription for cyclophosphamide.The nurse determines that the client understands the proper useof the medication if the client states that she needs to:1. Decrease dietary intake of magnesium.2. Increase dietary intake of potassium.3. Take the medication with large meals.4. Increase fluid intake to 2 to 3 L/day.: Answer: 4. Increase fluid intake to 2 to 3 L/day.63. A nurse is caring for a client with Paget's disease who has an elevatedserum calcium level of 12.3 mEq/L. The nurse checks to see that which ofthe following medications is available in the stock medication supply areafor possible use to reverse this elevation?1. Calcium gluconate2. Calcium chloride3. Calcitonin (Calcimar)4. Vitamin D: Answer: 3. Calcitonin (Calcimar)64. A nurse prepares to administer digoxin (Lanoxin) to a 3-year-old with adiagnosis of congestive heart failure and notes that the apical heart rate is120 beats per minute. Which nursing action is appropriate?1. Administer the digoxin.2. Recheck the apical heart rate in 15 minutes.3. Notify the registered nurse.4. Hold the medication.: Answer: 1. Administer the digoxin.Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material65. A client with aldosteronism has been instructed on spironolactone (Aldactone)treatment. Which client statement indicates that the client needs further teaching about the medication?1. "This medication will make me void frequently."2. "This medication will decrease my blood glucose."3. "My blood pressure should get back to normal."4. "My potassium level will increase.": Answer: 2. "This medication will decrease my blood glucose."66. A nurse is reviewing the laboratory results of a client receivingchemotherapy. The nurse prepares to initiate neutropenic precautions whenthe nurse notes which of the following laboratory results?1. A white blood cell (WBC) count of 2000 cells/mm32. A platelet count of 200,000 cells/mm33. A clotting time of 10 minutes4. An ammonia level of 20 mcg/dL: Answer: 1. A white blood cell (WBC) count of 2000 cells/mm367. A client is diagnosed with hypothyroidism, and levothyroxine (Synthroid)is prescribed. The nurse notes that the client is presently taking warfarinsodium (Coumadin) and anticipates that the health care provider will prescribewhich of the following?1. An increased dosage of warfarin sodium2. A decreased dosage of warfarin sodium3. An increased dosage of levothyroxine4. A decreased dosage of levothyroxine: Answer: 2. A decreased dosage of warfarin sodium68. A nurse is caring for a client with a diagnosis of chronic renal failure whois receiving dialysis. Epoetin alfa (Epogen) has been prescribed for the client.The nurse prepares to administer the medication by:1. The subcutaneous route2. Shaking the vial before drawing up the medication3. Obtaining the medication from the medication freezer4. Mixing the medication with 0.1 mL of heparin before administration toprevent clotting: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study MaterialAnswer: 1. The subcutaneous route69. A client who exhibits fatigue, lack of energy, constipation, and depressionis diagnosed with hypothyroidism. The health care provider prescribeslevothyroxine (Synthroid). To increase the likelihood of medication compliancein the early course of treatment, the nurse plans to alert the client that:1. Diarrhea as an early side effect diminishes with time.2. Weight gain or edema formation is greatest in the first month.3. The full therapeutic effect may take 1 to 3 weeks.4. The full therapeutic effect may take up to 4 months.: Answer: 3. The full therapeutic effect may take 1 to 3 weeks.70. A nurse is caring for a client who is receiving an intravenous (IV) infusionof an antineoplastic medication. During the infusion, the client complains ofpain at the insertion site. During an inspection of the site, the nurse notesredness and swelling and that the rate of infusion of the medication hasslowed. The nurse should take which appropriate action?1. Notify the registered nurse.2. Administer pain medication to reduce the discomfort.3. Apply ice and maintain the infusion rate, as prescribed.4. Elevate the extremity of the IV site, and slow the infusion.: Answer: 1. Notify the registered nurse.71. Nalidixic acid (NegGram) is prescribed for the client with a urinary tractinfection. Reviewing the client's record, the nurse notes that the client is taking warfarin (Coumadin) on a daily basis. Which of the following prescriptionswould the nurse anticipate because the client is taking this oralanticoagulant?1. An increase in the anticoagulation dosage2. A reduction in the anticoagulation dosage3. The need to discontinue the warfarin during therapy4. The need to administer an alternative medication to treat the urinary tractinfection: Answer: 2. A reduction in the anticoagulation dosageStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material72. A nurse reinforces discharge instructions to a postoperative client who istaking warfarin sodium (Coumadin). Which statement, if made by the client,reflects the need for further teaching?1. "I will take my pills every day at the same time."2. "I will be certain to avoid alcohol consumption."3. "I have already called my family to pick up a Medic-Alert bracelet."4. "I will take Ecotrin (enteric-coated aspirin) for my headaches because it iscoated.": Answer: 4. "I will take Ecotrin (enteric-coated aspirin) for my headaches because it is coated."73. A nurse is applying a topical glucocorticoid to a client with eczema. Thenurse monitors for systemic absorption of the medication if the medicationis being applied to which of the following body areas?1. Back2. Axilla3. Soles of the feet4. Palms of the hands: Answer: 2. Axilla74. Alendronate (Fosamax) is prescribed for a client with osteoporosis. Theclient taking this medication is instructed to:1. Take the medication at bedtime.2. Take the medication in the morning with breakfast.3. Lie down for 30 minutes after taking the medication.4. Take the medication with a full glass of water after rising in the morning.: Answer: 4. Take the medication with a full glass of water after rising in the morning.75. A client with coronary artery disease complains of substernal chest pain.After checking the client's heart rate and blood pressure, a nurse administersnitroglycerin, 0.4 mg, sublingually. After 5 minutes, the client states, "Mychest still hurts." Select the appropriate actions that the nurse should take.Select all that apply.1. Call a code blue.2. Contact the registered nurse.3. Contact the client's family.Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material4. Assess the client's pain level.5. Check the client's blood pressure.6. Administer a second nitroglycerin, 0.4 mg, sublingually.: Answer: 2. Contact the registered nurse.4. Assess the client's pain level.5. Check the client's blood pressure.6. Administer a second nitroglycerin, 0.4 mg, sublingually.76. Collagenase (Santyl) is prescribed for a client with a severe burn to thehand. The nurse is preparing to provide instructions to the client and spouseregarding the wound treatment. Which of the following should the nurseinclude in the instructions?1. Apply twice a day and leave the wound open to the air.2. Apply twice a day and cover the wound with a sterile dressing.3. Apply once a day and leave the wound open to the air.4. Apply once a day and cover the wound with a sterile dressing.: Answer: 4. Apply once a day and cover the wound with a sterile dressing.77. Levothyroxine sodium (Synthroid) is prescribed for a client with hypothyroidism.When would the nurse encourage the client to take the medication?1. In the morning2. At bedtime3. At lunchtime4. At dinnertime: Answer: 1. In the morning78. A client is taking trihexyphenidyl for the treatment of Parkinson's disease.The nurse would monitor for which adverse effect of this medication?1. Diarrhea2. Urinary retention3. Urinary incontinence4. Excessive perspiration: Answer: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material2. Urinary retention79. A client with heart failure is being discharged to home and will be takingfurosemide (Lasix). The nurse determines that teaching has been effective ifthe client states which of the following?1. "I will check my ankles every day for swelling."2. "I will take my pulse every day."3. "I will measure my urine output."4. "I will weigh myself every day.": Answer: 4. "I will weigh myself every day."80. A child is hospitalized with a diagnosis of lead poisoning. The nurseassisting in caring for the child would prepare to assist in administeringwhich of the following medications?1. Activated charcoal2. Sodium bicarbonate3. Syrup of ipecac syrup4. Dimercaprol (BAL in Oil): Answer: 4. Dimercaprol (BAL in Oil)81. A client who is receiving carbamazepine (Tegretol) daily has a whiteblood cell (WBC) count of 2800 cells/mm3, blood urea nitrogen (BUN) of 17mg/dL, sodium of 141 mEq/L, and uric acid of 5 mg/dL. The nurse makeswhich interpretation, based on these laboratory values?1. The uric acid level is elevated, indicating the risk for renal calculi.2. The sodium level is low, indicating an electrolyte imbalance.3. The BUN is elevated, indicating nephrotoxicity.4. The WBC count is low, indicating a blood dyscrasia.: Answer: 4. The WBC count is low, indicating a blood dyscrasia.82. A nurse is reviewing the health care provider's prescription sheet for thepreoperative client, which states that the client must be on nothing per mouth(NPO) status after midnight. The nurse would clarify whether which of thefollowing medications should be given to the client and not withheld?1. Conjugated estrogen (Premarin)2. Atenolol (Tenormin)Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material3. Cyclobenzaprine (Flexeril)4. Ferrous sulfate: Answer: 2. Atenolol (Tenormin)83. A nurse is reviewing instructions to a client with otitis media who isreceiving amoxicillin (Amoxil) 500 mg orally every 8 hours. Which of the following statements by the client would indicate an understanding of theadverse effects related to the medication?1. "If I get diarrhea, I need to call the doctor."2. "I may become dizzy from the medication."3. "Constipation means that the medication needs to be stopped."4. "A headache may mean that I need to discontinue the medication.": Answer: 1. "If I get diarrhea, I need to call the doctor."84. A nurse has completed client teaching about heart failure and prescribedmedications that include digoxin (Lanoxin) and furosemide (Lasix). Thenurse documents that the teaching goals have been met if the client statesto report a:1. Sudden increase in appetite2. Weight gain of 2 to 3 pounds in a few days3. Cough that accompanies a cold4. High urine output during the day: Answer: 2. Weight gain of 2 to 3 pounds in a few days85. A potassium-sparing diuretic is prescribed for a client with heart failure.Which of the following foods would the nurse instruct the client to avoid?1. Bananas2. Cranberry juice3. Plums4. Cheddar cheese: Answer: 1. BananasStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material86. A nurse in the emergency department is preparing to instill fluorescein into the eye of a client with the complaint of eye pain. The nurse understands the rationale for the use of this medication is to:1. Paralyze the ciliary muscles.2. Promote mydriasis of the pupil.3. Increase outflow of aqueous humor.4. Provide visualization of injury to the cornea.: Answer: 4. Provide visualization of injury to the cornea.87. Saquinavir (Invirase) is prescribed for the client who is human immunodeficiencyvirus (HIV) seropositive. The nurse provides medication instructionsand determines that the client needs further instructions if the client stateshe will:1. Avoid sun exposure.2. Eat high-calorie foods.3. Eat foods that are high in fat.4. Take the medication on an empty stomach.: Answer: 4. Take the medication on an empty stomach.88. A nurse is caring for a client who has been prescribed gabapentin (Neurontin)and is monitoring for adverse effects of the medication. Which of thefollowing findings would indicate a potential adverse effect?1. Tremors2. Slurred speech3. Dysarthria4. Weight gain: Answer: 2. Slurred speech89. The client with acquired immunodeficiency syndrome and Pneumocystisjiroveci infection has been receiving pentamidine isethionate (Pentam 300).The client develops a temperature of 101° F. The nurse does further monitoringof the client, knowing that this sign would most likely indicate:1. The dose of the medication is too low.2. The client is experiencing toxic effects of the medication.3. The client has developed inadequacy of thermoregulation.Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material4. The result of another infection caused by leukopenic effects of the medication.:Answer: 4. The result of another infection caused by leukopenic effects of themedication.90. A daily dose of prednisone is prescribed for a client. A nurse reinforcesinstructions to the client regarding administration of the medication andinstructs the client that the best time to take this medication is:1. At noon2. At bedtime3. Early morning4. Anytime, at the same time, each day: Answer: 3. Early morning91. A nurse is caring for a client who has just had rotator cuff repair. Theclient asks the nurse how soon he can resume his tai chi classes. The nursemakes which statement to the client?1. "You will never be able to do tai chi again!"2. "Tai chi is good for you so you can start any time."3. "Tai chi uses only your leg muscles, so it would be all right."4. "You shouldn't be doing any exercises that require the use of your upperarms until you have been cleared to do so by the health care provider.": Answer: 4. "You shouldn't be doing any exercises that require the use of your upper arms until you have been cleared to do so by the health care provider."92. A client has just been given a prescription for methocarbamol (Robaxin),and the nurse provides instructions to the client. Which statement by theclient indicates the need for further instructions?1. "This medication can cause nasal congestion."2. "This medication is intended to relieve muscle spasms."3. "The medication may turn the urine brown or green."4. "Blurred vision is a common but unimportant effect.": Answer: 4. "Blurred vision is a common but unimportant effect."Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material93. A client is scheduled for an intravenous pyelogram and has been instructedto take liquid magnesium citrate on the day before the scheduledprocedure. The client asks the nurse about the administration procedure forthis medication. Which of the following instructions will the nurse provide tothe client?1. "Take the medication on ice."2. "Mix the medication with apple juice only."3. "Mix the medication with a full glass of water."4. "Drink the medication at room temperature.": Answer: 1. "Take the medication on ice."94. Entacapone (Comtan) is prescribed for a client with a diagnosis of Parkinson'sdisease. The nurse provides medication instructions to the client andtells the client that a frequent side effect is:1. An elevation in blood pressure2. Joint pains3. Urine discoloration to dark yellow or orange4. Pruritus: Answer: 3. Urine discoloration to dark yellow or orange95. A client is diagnosed with an acute myocardial infarction and is receivingtissue plasminogen activator, alteplase (Activase, tPA). Which action is apriority nursing intervention?1. Monitor for renal failure.2. Monitor psychosocial status.3. Monitor for signs of bleeding.4. Have heparin sodium available.: Answer: 3. Monitor for signs of bleeding.96. A nurse is providing care for a client with a diagnosis of germ cell cancerof the testes who has been prescribed ifosfamide (Ifex). The nurse anticipatesthat the client will also be prescribed which additional antineoplasticmedication?1. Mesna (Mesnex)2. Melphalan (Alkeran)3. PrednisoneStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material4. Cisplatin (Platinol-AQ): Answer: 1. Mesna (Mesnex)97. A client is receiving diazepam (Valium) for its skeletal muscle relaxanteffects. The nurse should monitor this client for which side effect of thismedication?1. Urinary retention2. Headache3. Incoordination4. Increased salivation: Answer: 3. Incoordination98. A nurse is caring for a client diagnosed with Parkinson's disease whois prescribed benztropine mesylate (Cogentin) daily. The nurse reinforcesinstructions to both the client and the spouse regarding the side effects ofthis medication and the need to report which side effect if it occurs?1. Inability to urinate2. Decreased appetite3. Shuffling, unsteady gait4. Irregular bowel movements: Answer: 1. Inability to urinate99. A licensed practical nurse (LPN) is reviewing the medical record of anewly assigned client and notes that the client is receiving cyclobenzaprinehydrochloride (Flexeril) for the treatment of muscle spasms. The LPN questionsthe prescription if which of the following disorders is noted in theadmission history?1. Angle-closure glaucoma2. Hypothyroidism3. Chronic bronchitis4. Recurrent pneumonia: Answer: 1. Angle-closure glaucomaStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material100. A client has self-administered his first injection of regular insulin at7:30 AM, before breakfast. This client should be instructed to most closelymonitor for signs of hypoglycemia at which time?1. 7:30 AM2. 11:00 AM3. 2:30 PM4. 7:00 PM: Answer: 2. 11:00 AM101. Saquinavir (Invirase) is prescribed for the client who is human immunodeficiency virus seropositive. The nurse reinforces medication instructionsand tells the client to:1. Avoid sun exposure.2. Eat low-calorie foods.3. Eat foods that are low in fat.4. Take the medication on an empty stomach.: Answer: 1. Avoid sun exposure.102. Trimethoprim-sulfamethoxazole (TMP-SMZ) is prescribed for a client. Anurse should instruct the client to report which symptom if it developedduring the course of this medication therapy?1. Nausea2. Diarrhea3. Headache4. Sore throat: Answer: 4. Sore throat103. A client is being given a transcutaneous electrical nerve stimulation(TENS) unit to use for relief of chronic pain. Choose the instructions that thenurse provides to the client about the TENS unit. Select all that apply.1. Using this unit will help relieve the pain.2. Hospitalization is required for this treatment.3. The unit needs to be prescribed by the health care provider.4. The unit works after attaching electrodes to the skin.5. The unit will decrease the amount of pain medication needed.Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material6. The electrodes attached to the unit are placed on the skin around the area of pain.: Answer: 1. Using this unit will help relieve the pain.3. The unit needs to be prescribed by the health care provider.4. The unit works after attaching electrodes to the skin.5. The unit will decrease the amount of pain medication needed.6. The electrodes attached to the unit are placed on the skin around the area ofpain.104. A client with a closed head injury is receiving phenytoin (Dilantin), ananticonvulsant medication. Which of the following would indicate that theclient is experiencing side effects related to this medication? Select all thatapply.1. Ataxia2. Sedation3. Constipation4. Bleeding gums5. Hyperglycemia6. Decreased platelet count: Answer: 3. Constipation4. Bleeding gums5. Hyperglycemia6. Decreased platelet count105. In monitoring a client's response to disease-modifying antirheumaticdrugs (DMARDs), which findings would the nurse interpret as acceptableresponses? Select all that apply.1. Symptom control during periods of emotional stress2. Normal white blood cell counts, platelet, and neutrophil counts3. Radiological findings that show nonprogression of joint degeneration4. An increased range of motion in the affected joints 3 months into therapy5. Inflammation and irritation at the injection site 3 days after injection is given6. A low-grade temperature upon rising in the morning that remains throughoutthe day: Answer: 1. Symptom control during periods of emotional stress2. Normal white blood cell counts, platelet, and neutrophil countsStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material3. Radiological findings that show nonprogression of joint degeneration4. An increased range of motion in the affected joints 3 months into therapy106. A licensed practical nurse (LPN) is reviewing the medication list of theclient with a history of glaucoma. The LPN would consult with the registerednurse if which of the following medications is prescribed for this client?1. Pilocarpine (Pilopine HS)2. Pilocarpine hydrochloride (Isopto Carpine)3. Atropine sulfate (Isopto Atropine)4. Carteolol hydrochloride: Answer: 3. Atropine sulfate (Isopto Atropine)107. Atenolol hydrochloride (Tenormin) is prescribed for a hospitalizedclient. The nurse should perform which of the following as a priority actionbefore administering the medication?1. Listen to the client's lung sounds.2. Check the client's blood pressure.3. Check the recent electrolyte levels.4. Assess the client for muscle weakness.: Answer: 2. Check the client's blood pressure.108. A client with narcolepsy has been prescribed dextroamphetamine(Dexedrine). The client complains to the nurse that he cannot sleep wellanymore at night and does not want to take the medication any longer. Beforemaking any specific comment, the nurse plans to investigate whether theclient takes the medication at which of the following proper time schedules?1. After dinner each day2. Just before going to bed3. Two hours before bedtime4. At least 6 hours before bedtime: Answer: 4. At least 6 hours before bedtime109. A nurse caring for a client taking tamsulosin (Flomax) determines thatwhich of the following findings indicates the need for follow-up? 1. Vertigo2. Nasal congestionStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material3. Blood pressure of 135/85 mm Hg4. Pulse rate of 120 beats per minute: Answer: 4. Pulse rate of 120 beats per minute110. A nurse is reinforcing medication instructions to a client with humanimmunodeficiency virus (HIV) who will be taking saquinavir (Invirase). Thenurse instructs the client to take the medication:1. On an empty stomach2. Two hours before breakfast3. Within 2 hours after a full meal4. At bedtime: Answer: 3. Within 2 hours after a full meal111. Letrozole (Femara) is prescribed for a postmenopausal client with advancedbreast cancer. The nurse provides instructions to the client regardingthe medication and tells the client that a frequent side effect is:1. Skeletal pain2. Weakness3. Diarrhea4. Nervousness: Answer: 1. Skeletal pain112. A nurse is reviewing the health care provider's prescriptions for an adultclient who has been admitted to the hospital following a back injury. Carisoprodol(Soma) is prescribed for the client to relieve the muscle spasms; thehealth care provider has prescribed 350 mg to be administered four times aday. When preparing to give this medication, the nurse determines that thisdosage is:1. The normal adult dosage2. A lower than normal dosage3. A higher than normal dosage4. A dosage requiring further clarification: Answer: 1. The normal adult dosageStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material113. A client taking carbamazepine (Tegretol) asks the nurse what to do if hemisses one dose. The nurse responds that the carbamazepine should be:1. Withheld until the next scheduled dose2. Withheld and the health care provider is notified immediately3. Taken as long as it is not immediately before the next dose4. Withheld until the next scheduled dose, which should then be doubled: Answer: 3. Taken as long as it is not immediately before the next dose114. A client who has just been diagnosed with glaucoma has been given aprescription for a miotic medication. When teaching the client about medicationeffects, the nurse plans to tell the client that the medication will:1. Reshape the lens to eliminate blurred vision.2. Interrupt the drainage of aqueous humor from the eye.3. Lower intraocular pressure and enhance blood flow to the retina.4. Dilate the pupil to reduce intraocular pressure.: Answer: 3. Lower intraocular pressure and enhance blood flow to the retina.115. A client with suspected opioid overdose has received a dose of nalmefene.The client subsequently becomes restless, starts to vomit, and complainsof abdominal cramping. The blood pressure increases from 110/72 to160/86 mm Hg. The nurse provides emotional support and reassurance whileadministering care to the client, knowing that:1. The client may become suicidal.2. These are signs of opioid withdrawal.3. These effects will only last a few moments.4. The client may otherwise sign out against medical advice.: Answer: 2. These are signs of opioid withdrawal.116. A health care provider has written a prescription for ranitidine (Zantac),once daily. The nurse should schedule the medication for which of thefollowing times?1. At bedtime2. After lunch3. With supper4. Before breakfast: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study MaterialAnswer: 1. At bed time117. A client has been prescribed allopurinol (Zyloprim). The nurse reinforceswhich information concerning the administration of the medication?1. Take the medication 1 hour before eating.2. Drink at least eight glasses of fluid every day.3. Put ice on the upper and lower lips if they swell.4. Use an antihistamine lotion if an itchy rash develops.: Answer: 2. Drink at least eight glasses of fluid every day.118. A 15-year-old child is scheduled to receive a series of the hepatitis Bvaccine. The child arrives at the clinic for the first dose. The nurse collectsdata on the child before administering the vaccine and asks the child abouta history of an allergy to:1. Baker's yeast2. Eggs3. Penicillin4. Sulfonamides: Answer: 1. Baker's yeast119. A nurse is performing an assessment on a pregnant client who has hada severe asthma attack. The nurse asks the client about prescription andherbal medications she is taking and the client tells the nurse that she hasbeen taking the herb chamomile. The nurse refers to an herbal referencebook and discovers that chamomile:1. Is a known stimulant2. Is always safe for women and children3. Has no side effects or interactions with other medications4. Should not be used by pregnant women and persons with asthma: Answer: 4. Should not be used by pregnant women and persons with asthma120. A client who is prescribed metronidazole (Flagyl) calls the clinic nurseto report dark discoloration of the urine. The nurse interprets that the client'sreport warrants which nursing action at this time?Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material1. Instruct the client to increase oral fluid intake.2. Inform the client that this is a common side effect.3. Arrange for the client to speak with the health care provider.4. Advise the client to immediately discontinue the medication.: Answer: 1. Instruct the client to increase oral fluid intake.121. Cyclobenzaprine (Flexeril) is prescribed for a client to treat musclespasms, and the nurse is reviewing the client's record. Which of the followingdisorders, if noted in the client's record, would indicate a need to contact thehealth care provider regarding the administration of this medication?1. Glaucoma2. Emphysema3. Hyperthyroidism4. Diabetes mellitus: Answer: 1. Glaucoma122. A client with myocardial infarction is a candidate for alteplase (Activase)therapy. The nurse assisting in the care of this client is aware that it will benecessary to monitor for which frequent adverse effect if the client receivesthis treatment?1. Infection2. Bleeding3. Allergic reaction4. Muscle weakness: Answer: 2. Bleeding123. Baclofen (Lioresal) is prescribed for a client with a spinal cord injurywho is experiencing muscle spasms, and the nurse prepares a list of theassociated side effects of the medication and reviews the list with the client.Which side effect, if identified by the client, indicates a need for furtherinstruction?1. Photosensitivity2. Slurred speech3. Nasal congestion4. Tremors: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study MaterialAnswer: 1. Photosensitivity124. A nurse notes that the result of the serum theophylline level of a clienttaking theophylline is 15 mcg/mL. The nurse interprets this result as:1. Below the therapeutic range2. In the middle of the therapeutic range3. At the top of the therapeutic range4. In excess of the therapeutic range: Answer: 2. In the middle of the therapeutic range125. A client diagnosed with gout has been started on medication therapywith allopurinol (Zyloprim). The nurse reinforces teaching with this clientabout which of the following points about this medication?1. "Take the medication on an empty stomach."2. "Development of a rash frequently occurs with this medication."3. "The medication takes effect immediately."4. "It is important to drink 3 L of fluid per day.": Answer: 4. "It is important to drink 3 L of fluid per day."126. A nurse is asked to prefill syringes containing NPH and regular insulinfor a diabetic client who lives at home alone and has difficulty with seeingand accurately preparing dosages. Considering the stability of insulin, howmany prefilled syringes will the nurse prepare for the client?1. Three-day supply2. Five-day supply3. Seven-day supply4. One-month supply: Answer: 3.127. The nurse is reviewing the history and physical examination of a clientwho will be receiving asparaginase (Elspar), an antineoplastic agent. Thenurse consults with the registered nurse regarding the administration of themedication if which of the following is documented in the client's history?1. PancreatitisStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material2. Diabetes mellitus3. Myocardial infarction4. Chronic obstructive pulmonary disease: Answer: 1. Pancreatitis128. A nurse is monitoring a child who is receiving calcium disodium edetate(EDTA) for the treatment of lead poisoning. The nurse reviews the laboratoryresults of the child during treatment with this medication and is particularlyconcerned with monitoring which laboratory test result?1. Blood urea nitrogen2. Hemoglobin and hematocrit (H&H) level3. Complete blood cell (CBC) count4. Cholesterol level: Answer: 1. Blood urea nitrogen129. Warfarin sodium (Coumadin) is prescribed for a client. The nurse expectsthat the health care provider will prescribe which of the following tomonitor for a therapeutic effect of the medication?1. Platelet count2. Red blood cell (RBC) count3. Prothrombin time (PT)4. Activated partial thromboplastin time (aPTT): Answer: 3. Prothrombin time (PT)130. A client with acquired immunodeficiency syndrome has been started ontherapy with zidovudine (AZT, Retrovir). The nurse reviews the health careprovider's prescriptions, expecting to note that which laboratory test hasbeen prescribed?1. Blood glucose level2. Blood urea nitrogen3. Blood culture4. Complete blood count (CBC): Answer: 4. Complete blood count (CBC)Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material131. A client has begun taking lansoprazole (Prevacid). The nurse monitorsfor which of the following intended effects of this medication?1. Relief of abdominal pain2. Decrease in intestinal gas3. Relief of nighttime heartburn4. Absence of nausea and vomiting: Answer: 3. Relief of nighttime heartburn132. Dantrolene sodium (Dantrium) is prescribed for a client experiencingflexor spasms, and the client asks the nurse about the action of the medication.The nurse responds, knowing that the therapeutic action of thismedication is which of the following?1. Depresses spinal reflexes2. Acts directly on the skeletal muscle to relieve spasticity3. Acts within the spinal cord to suppress hyperactive reflexes4. Acts on the central nervous system (CNS) to suppress spasms: Answer: 2. Acts directly on the skeletal muscle to relieve spasticity133. A client taking an angiotensin-converting enzyme (ACE) inhibitor reviewedthe medication information sheet and notes that the medication isused to treat hypertension. He states, "I have heart failure. Why am I takingthis medicine?" The nurse responds by stating:1. "There must be some mistake, I will check the medication prescriptions."2. "The medication causes relaxation in your arteries and veins and decreasesthe heart's work."3. "The medication makes your heart beat faster and this improves bloodflow to your tissues."4. "An additional medication will be added to the ACE inhibitor to strengthenyour heart muscle.": Answer: 2. "The medication causes relaxation in your arteries and veins and decreases the heart's work."134. The nurse is caring for a female client receiving chemotherapy and notesthat the client has developed myelosuppression. Which of the following laboratoryvalues would support the client's diagnosis of myelosuppression?1. Hemoglobin 9.4 g/dL, hematocrit 26%Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material2. Blood urea nitrogen (BUN) 15 mg/dL, creatinine 0.9 mg/dL3. Protein 7 g/dL4. Magnesium 1.8 mg/dL: Answer: 1. Hemoglobin 9.4 g/dL, hematocrit 26%135. A client with a history of simple partial seizures is taking clorazepate(Tranxene). The client asks the nurse whether there is a risk of addiction. Thenurse's response is based on the understanding that clorazepate:1. Is not habit forming either physically or psychologically2. Leads to physical and psychological dependence with prolonged highdose therapy3. Leads to physical tolerance, but only after 10 or more years of therapy4. Can result in psychological dependence only, because of the nature of themedication: Answer: 2. Leads to physical and psychological dependence with prolonged high dose therapy136. A client has been prescribed oral erythromycin. The nurse reinforceswhich information regarding the administration of this medication?1. Take with juice.2. Schedule at bedtime.3. Take on an empty stomach.4. Ingest just before performing an activity.: Answer: 3. Take on an empty stomach.137. A nurse is caring for a client with myasthenia gravis who has receivededrophonium (Enlon) intravenously to test for myasthenic crisis. The clientasks the nurse how long the improvement in muscle strength will last. Thenurse's response is based on the understanding that the effects have aduration of approximately:1. 5 minutes2. 15 minutes3. 30 minutes4. 60 minutes: Answer: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material3. 30 minutes138. Fludrocortisone (Florinef) is prescribed for a client with Addison's disease.The nurse prepares to administer the medication, knowing that theprimary action of this medication is to:1. Enhance the reabsorption of sodium and chloride ions in the distal tubulesof the kidney.2. Promote the retention of potassium in the distal tubules of the kidney.3. Promote the retention of hydrogen ions in the distal tubules of the kidney.4. Promote the excretion of water in the distal tubules of the kidney.: Answer: 1. Enhance the reabsorption of sodium and chloride ions in the distal tubules of thekidney.139. A nurse is preparing a subcutaneous dose of bethanechol chloride(Urecholine) prescribed for a client with urinary retention. Before giving thedose, the nurse checks to see that which of the following medications isavailable on the emergency cart for use if needed?1. Protamine sulfate2. Vitamin K3. Atropine sulfate4. Acetylcysteine (Mucomyst): Answer: 3. Atropine sulfate140. A newborn infant receives naloxone hydrochloride (Narcan) to reverseopiate-induced respiratory depression that occurred following labor anddelivery. The nurse continues to monitor the respiratory status of a newborninfant following the administration of this medication because:1. The newborn infant may demonstrate a reappearance of respiratory depression.2. The newborn infant may have an underlying respiratory disorder.3. The effects of naloxone are long lasting.4. The use of naloxone in newborn infants is toxic.: Answer: 1. The newborn infant may demonstrate a reappearance of respiratory depression.141. A nurse has given a client taking ethambutol (Myambutol) informationabout the medication. The nurse determines that the client understands theinstructions if the client states that he or she will immediately report:Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material1. Impaired sense of hearing2. Problems with visual acuity3. Gastrointestinal (GI) side effects4. Orange-red discoloration of body secretions: Answer: 2. Problems with visual acuity142. Rifabutin (Mycobutin) is prescribed for a client with active Mycobacteriumavium complex (MAC) disease and tuberculosis. The nurse monitors forwhich side effects of the medication? Select all that apply.1. Signs of hepatitis2. Flu-like syndrome3. Low neutrophil count4. Vitamin B6 deficiency5. Ocular pain or blurred vision6. Tingling and numbness of the fingers: Answer: 1. Signs of hepatitis2. Flu-like syndrome3. Low neutrophil count5. Ocular pain or blurred vision143. After kidney transplantation, cyclosporine (Sand immune) is prescribedfor a client. Which laboratory result would indicate an adverse effect from theuse of this medication?1. Decreased creatinine level2. Decreased hemoglobin level3. Elevated blood urea nitrogen level4. Decreased white blood cell count: Answer: 3. Elevated blood urea nitrogen level144. Bethanechol chloride (Urecholine) is prescribed for a client with urinaryretention. Which disorder would be a contraindication to the administrationof this medication?1. Gastric atony2. Urinary strictures3. Neurogenic atony4. Gastroesophageal reflux: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study MaterialAnswer: 2. Urinary strictures145. A client receiving nifedipine (Procardia) for angina complains of feelinglistless, with generalized weakness and no energy. To support the client mosteffectively, the nurse must understand that these symptoms:1. Are unrelated to taking the medication2. Indicate underdosing of the medication3. Are an expected effect of the medication4. Indicate a toxic reaction to the medication: Answer: 3. Are an expected effect of themedication146. A nurse working in a pediatric clinic is preparing to administer childhoodvaccinations to a 15-month-old child. Which vaccine should be addedto the child's routine immunizations at this time because the child is olderthan 12 months of age?1. Varicella2. Hepatitis B3. Hepatitis A4. Pneumococcal vaccine (PVC): Answer: 1. Varicella147. A nurse is caring for a client in the oncology unit who has developedstomatitis during chemotherapy. The nurse would plan which of the followingmeasures to treat this complication?1. Use lemon and glycerin swabs liberally on painful oral lesions.2. Brush the teeth and use nonwaxed dental floss at least twice a day.3. Rinse the mouth with dilute baking soda or saline solution.4. Place the client on nothing-by-mouth (NPO) status for 12 hours, thenresume liquids.: Answer: 3. Rinse the mouth with dilute baking soda or saline solution.148. A nurse is assigned to care for a client with a diagnosis of hepaticencephalopathy. Which prescribed medication does the nurse anticipateStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Materialadministering?1. Phenolphthalein (Ex-Lax)2. Lactulose syrup (Chronulac)3. Magnesium hydroxide (Milk of Magnesia)4. Psyllium hydrophilic mucilloid (Metamucil): Answer: 2. Lactulose syrup (Chronulac)149. A nurse is planning to administer hydrochlorothiazide (HydroDIURIL)to a client. The nurse understands that which of the following are concernsrelated to the administration of this medication?1. Hypouricemia, hyperkalemia2. Increased risk of osteoporosis3. Hypokalemia, hyperglycemia, sulfa allergy4. Hyperkalemia, hypoglycemia, penicillin allergy: Answer: 3. Hypokalemia, hyperglycemia, sulfa allergy150. A licensed practical nurse (LPN) is assisting in the care of a client whois receiving oxytocin (Pitocin) to induce labor. The LPN plans to notify theregistered nurse immediately if which of the following is noted?1. The client complains of fatigue.2. The client becomes drowsy.3. There are early decelerations of fetal heart rate.4. The uterus becomes hyperstimulated.: Answer: 4. The uterus becomes hyperstimulated.151. The client with non-Hodgkin's lymphoma is receiving daunorubicin(DaunoXome). Which of the following would indicate to the nurse that theclient is experiencing a toxic effect related to the medication?1. Fever2. Diarrhea3. Complaints of nausea and vomiting4. Crackles on auscultation of the lungs: Answer: 4. Crackles on auscultation of the lungsStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material152. The nurse is caring for a postrenal transplant client taking cyclosporine(Sandimmune, Gengraf, Neoral). The nurse notes an increase in one of theclient's vital signs, and the client is complaining of a headache. What is thevital sign that is most likely increased?1. Pulse2. Respirations3. Blood pressure4. Pulse oximetry: Answer: 3. Blood pressure153. A client with lung cancer is receiving a high dose of methotrexate(Rheumatrex). Leucovorin (citrovorum factor, folic acid) is also prescribed.The nurse who is assisting in planning care for the client understands thatthe purpose of administering the leucovorin is to:1. Preserve normal cells.2. Promote DNA synthesis.3. Promote medication excretion.4. Promote the synthesis of nucleic acids.: Answer: 1. Preserve normal cells.154. A nurse is providing instructions to a client who will be taking phenytoin(Dilantin) for seizure control. Which statement will the nurse make to theclient regarding the administration of this medication?1. "If you have difficulty swallowing the capsules, open them and mix thecontents with applesauce."2. "You need to cancel your next dentist visit and plan dentist appointmentsyearly rather than twice a year."3. "If you miss a dose of medication, wait until the next dose and take bothdoses."4. "If you develop a sore throat, it is necessary to notify the health careprovider.": Answer: 4. "If you develop a sore throat, it is necessary to notify the health care provider."155. A nurse is employed in a newborn nursery. The nurse is aware thatmedication toxicity is more likely to occur in the neonate than in an adultbecause:Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material1. The lungs are not developed.2. The kidneys are smaller than those of adults.3. Cerebral function is not fully developed.4. The liver is immature.: Answer: 4. The liver is immature.156. Which of these findings indicates a side effect associated with the useof latanoprost (Xalatan) eye drops?1. Irregular pulse2. Periorbital edema3. Elevated blood pressure4. Brown pigmentation of the iris: Answer: 4. Brown pigmentation of the iris157. A nurse is assisting in monitoring a preterm infant in the neonatalintensive care unit who received surfactant (Infasurf). The nurse monitorsfor which desired therapeutic outcome of this medication?1. Decreased acrocyanosis2. Improved cardiac output3. Increased body temperature4. Decreased tachypnea and nasal flaring: Answer: 4. Decreased tachypnea and nasal flaring158. A client with multiple sclerosis is receiving diazepam (Valium), and thehome care nurse provides instructions to the client regarding the side effectsof the medication. The nurse tells the client that which of the following is aside effect of this medication?1. Insomnia2. Incoordination3. Inability to urinate4. Increased salivation: Answer: 2. IncoordinationStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material159. A client is to receive medication via a client-controlled analgesia (PCA),and the nursing instructor asks the nursing student caring for the clientto describe the use of the PCA. The instructor determines that the studentneeds instructions about the PCA if the student states that:1. PCA enables the client to titrate analgesics.2. PCA delivers predetermined amounts of analgesia at preset intervals.3. Clients using PCA initiate the infusion by programming a pump.4. A continuous intravenous (IV) solution is needed to keep the vein openbetween analgesia infusions.: Answer: 3. Clients using PCA initiate the infusion by programming a pump.160. A client with a history of prostatic hypertrophy has purchased theover-the-counter medication, diphenhydramine (Benadryl), to treat symptomsof a runny nose. The nurse explains to the client that this medicationcombined with prostatic hypertrophy could cause increased symptoms of:1. Lowered heart rate2. Excessive sweating3. Urinary retention4. Excessive drooling: Answer: Urinary retention161. A nurse is collecting data from a client and the client's spouse reportsthat the client is taking donepezil hydrochloride (Aricept). Which disorderwould the nurse suspect that this client may have based on the use of thismedication?1. Dementia2. Schizophrenia3. Seizure disorder4. Obsessive-compulsive disorder: Answer: 1. Dementia162. A nurse performs an admission assessment on a client who visits ahealth care clinic for the first time. The client tells the nurse that propylthiouracil(PTU) is taken daily. The nurse continues to collect data from theclient, suspecting that the client has a history of:1. MyxedemaStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material2. Graves' disease3. Addison's disease4. Cushing's syndrome: Answer: 2. Graves' disease163. When teaching a client who is being started on imipramine hydrochloride(Tofranil), the nurse would inform the client that the desired effects ofthe medication may:1. Start during the first week of administration2. Not occur for 2 to 3 weeks of administration3. Start during the second week of administration4. Not occur until after a month of administration: Answer: 2. Not occur for 2 to 3 weeks of administration164. A client with acquired immunodeficiency syndrome (AIDS) is receivingintravenous (IV) pentamidine isethionate (Pentam). The nurse assigned tocare for the client monitors for signs of which toxic effect related to theadministration of this medication?1. Hypertension2. Anorexia3. Dizziness4. Hypoglycemia: Answer: 4. Hypoglycemia165. An adult client with hypothyroidism is admitted to the hospital. Whenreviewing the client's health record, the nurse notes that the client is taking a maintenance dose of levothyroxine (Synthroid). The nurse checks the dosagethat the client is taking, knowing that the normal adult maintenance dose ofthis medication is:1. 0.025 to 0.05 mg daily2. 0.075 to 0.1 mg daily3. 0.05 to 0.075 mg daily4. 0.1 to 0.2 mg daily: Answer: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material4. 0.1 to 0.2 mg daily166. A nurse has given medication instructions to a client beginning therapywith carisoprodol (Soma). The nurse determines that the client understandsthe effects of the medication if the client states to:1. Expect muscle spasticity as a side effect.2. Take a missed dose when remembered, regardless of when the next dose is due.3. Avoid alcohol while taking this medication.4. Drive on city streets, but avoid highway driving.: Answer: 3. Avoid alcohol while taking this medication.167. A film-coated form of diflunisal has been prescribed for a client for thetreatment of chronic rheumatoid arthritis. The client calls the clinic nursebecause of difficulty swallowing the tablets. Which initial instruction shouldthe nurse provide to the client?1. "Crush the tablets and mix them with food."2. "Notify the health care provider for a medication change."3. "Open the tablet and mix the contents with food."4. "Swallow the tablets with large amounts of water or milk.": Answer: 4. "Swallow the tablets with large amounts of water or milk."168. A nurse is assisting with caring for a client with cancer who is receivingcisplatin. Select the adverse effects that the nurse monitors for that areassociated with this medication. Select all that apply.1. Tinnitus2. Ototoxicity3. Hyperkalemia4. Hypercalcemia5. Nephrotoxicity6. Hypomagnesemia: Answer: 1. Tinnitus2. Ototoxicity5. Nephrotoxicity6. Hypomagnesemia169. An oral hypoglycemic medication, a sulfonylurea, is prescribed for aStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Materialclient with type 2 diabetes mellitus. The nurse plans to administer the medication,knowing that the primary action of this medication is which of thefollowing?1. Decrease glucose production by the liver.2. Inhibit carbohydrate digestion.3. Promote insulin secretion by the pancreas.4. Decrease insulin resistance.: Answer: 3. Promote insulin secretion by the pancreas.170. A postoperative client has been receiving morphine sulfate every 3 to4 hours for pain. The nurse should be sure to implement which measure toreduce the risk of adverse effects from this medication?1. Monitor the client's temperature 2. Encourage fluids.3. Maintain the client in a supine position.4. Encourage coughing and deep breathing.: Answer: 4. Encourage coughing and deep breathing.171. A client with epilepsy is taking the prescribed dose of phenytoin (Dilantin)to control seizures. A phenytoin blood level is drawn, and the resultsreveal a level of 35 mcg/ml. Which of the following symptoms would beexpected as a result of this laboratory result?1. Nystagmus2. Tachycardia3. Slurred speech4. No symptoms, because this is a normal therapeutic level: Answer: 3. Slurred speech172. A health care provider initiates carbidopa/levodopa (Sinemet) therapyfor the client with Parkinson's disease. A few days after the client starts themedication, the client complains of nausea and vomiting. The nurse tells theclient that:1. Taking an antiemetic is the best measure to prevent the nausea.2. Taking the medication with food will help to prevent the nausea.3. This is an expected side effect of the medication and will decrease overtime.Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material4. The nausea and vomiting will decrease when the dose of levodopa isstabilized.: Answer: 2. Taking the medication with food will help to prevent the nausea.173. A nurse is caring for a client who is receiving lithium carbonate (Lithobid)for the treatment of bipolar disorder and monitors the client for signs oflithium toxicity. Which sign would alert the nurse to the potential for toxicity?1. Vomiting2. Headaches3. Constipation4. Increased urination: Answer: 1. Vomiting174. A client is receiving a daily dose of oral fluphenazine. The nurse wouldteach the client to do which of the following to minimize common side effectsof this medication?1. Have blood pressure checked once a week.2. Monitor pulse daily.3. Eat snacks at midmorning and bedtime.4. Use hard, sour candy or sugarless gum.: 4. Use hard, sour candy or sugarlessgum.175. Isotretinoin is prescribed for a client with severe acne. Before the administrationof this medication, the nurse anticipates that which laboratorytest will be prescribed?1. Platelet count2. Triglyceride level3. Complete blood count4. White blood cell count: Answer: 2. Triglyceride level176. A client experiencing spasticity because of a spinal cord injury has beenprescribed dantrolene (Dantrium). Before administering the first dose, thenurse checks to see whether which baseline study has been done?1. Liver functionStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material2. Renal function3. Otoscopic examination4. Blood glucose measurements: Answer: 1. Liver function177. Heparin sodium is prescribed for the client. The nurse expects that thehealth care provider will prescribe which of the following to monitor for atherapeutic effect of the medication?1. Hematocrit level2. Hemoglobin level3. Prothrombin time (PT)4. Activated partial thromboplastin time (aPTT): Answer: 4. Activated partial thromboplastin time (aPTT)178. Fluoxetine (Prozac) is prescribed for the client. The nurse reinforces instructions to the client regarding the administration of the medication. Whichstatement by the client indicates an understanding about administration of the medication?1. "I should take the medication with my evening meal."2. "I should take the medication at noon with an antacid."3. "I should take the medication in the morning when I first arise."4. "I should take the medication right before bedtime with a snack.": Answer: 3. "I should take the medication in the morning when I first arise."179. A nurse is caring for a client with a diagnosis of metastatic breastcarcinoma. Tamoxifen citrate 10 mg orally twice daily is prescribed for theclient, and the nurse provides instructions to the client regarding the medication.Which statement by the client would indicate an understanding ofthe medication?1. "If hot flashes occur, I need to call the health care provider."2. "If I have difficulty seeing, I need to call the health care provider."3. "Pelvic pain and pressure from this medication are expected."4. "Vaginal bleeding should not occur with this medication.": Answer: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material2. "If I have difficulty seeing, I need to call the health care provider."180. A nurse is caring for a client with renal failure. The serum phosphatelevel is reported as 7 mg/dL. Which of the following medications should thenurse plan to administer as prescribed to the client?1. Calcium gluconate2. Calcium chloride3. Aluminum hydroxide gel (AlternaGEL)4. Calcitonin (Calcimar): Answer: 3. Aluminum hydroxide gel (AlternaGEL)181. The nurse is assigned to care for a client with cytomegalovirus retinitisand acquired immunodeficiency syndrome who is receiving foscarnet. Thenurse should check the latest results of which of the following laboratorystudies while the client is taking this medication?1. CD4 cell count2. Serum albumin3. Serum creatinine4. Lymphocyte count: Answer: 3. Serum creatinine182. A client has been prescribed cyclobenzaprine (Flexeril) in the treatmentof painful muscle spasms accompanying a herniated intervertebral disk. Thenurse would withhold the medication and question the prescription if theclient had concurrent prescriptions to take:1. Furosemide (Lasix)2. Valproic acid (Depakene)3. Ibuprofen (Motrin)4. Tranylcypromine (Parnate): Answer: 4. Tranylcypromine (Parnate)183. A nurse is caring for a hospitalized client who has been taking clozapine(Clozaril) for the treatment of a schizophrenic disorder. Which laboratorystudy prescribed for the client will the nurse specifically review to monitorfor an adverse effect associated with the use of this medication?1. Platelet countStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material2. Cholesterol level3. White blood cell count4. Blood urea nitrogen level: Answer: 3. White blood cell count184. Prednisone is prescribed for a client with diabetes mellitus who istaking Humulin neutral protamine Hagedorn (NPH) insulin daily. Which of thefollowing prescription changes does the nurse anticipate during therapy withthe prednisone?1. An additional dose of prednisone daily2. A decreased amount of daily Humulin NPH insulin3. An increased amount of daily Humulin NPH insulin4. The addition of an oral hypoglycemic medication daily: Answer: 3. An increased amount of daily Humulin NPH insulin185. Atropine sulfate is prescribed for a client with gastrointestinal hypermotility,and the nurse reviews the client's record before administering themedication. Which of the following, if noted on the client's record, indicatesthe need to contact the health care provider before administering the medication?1. Biliary colic2. Sinus bradycardia3. Narrow-angle glaucoma4. History of peptic ulcer disease: Answer: 3. Narrow-angle glaucoma186. A client with myasthenia gravis becomes increasingly weaker. Thehealth care provider injects a dose of edrophonium (Enlon) to determinewhether the client is experiencing a myasthenia crisis or a cholinergic crisis.The nurse expects that the client will have which of the following reactionsif the client is in cholinergic crisis?1. An improvement of the weakness2. A temporary worsening of the condition3. No change in the condition4. Complaints of muscle spasms: Answer: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material2. A temporary worsening of the condition187. The nurse plans to emphasize which statement when providing instructionsabout the use of indinavir (Crixivan) to a client?1. Take the medication with a large meal.2. Store the medication in the refrigerator.3. Take the medication with a high-protein snack.4. Moisture can affect the potency of the medication.: Answer: 4. Moisture can affect the potency of the medication.188. Which of the following precautions will the nurse specifically take duringthe administration of ribavirin (Virazole) to a child with respiratory syncytialvirus (RSV)?1. Wearing goggles2. Wearing a gown3. Wearing a gown and a mask4. Handwashing before administration: Answer: 1. Wearing goggles189. A client with recurrent constipation has begun using psyllium (Metamucil).The nurse tells this client that this medication should be taken with:1. Any cold beverage2. Any hot beverage3. Any type of gelatin4. A full glass of liquid, followed by a second glass of liquid: Answer: 4. A full glass of liquid, followed by a second glass of liquid190. A nurse notes that a client in a long-term care facility is receiving adaily dose of furosemide (Lasix). The nurse writes in the care plan to monitorwhich of the following parameters on a daily basis?1. Weight2. Radial pulse3. Hemoglobin4. Serum creatinine clearance: Answer: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material1. Weight191. A client is being treated for heart failure and is receiving digoxin (Lanoxin).The client's vital signs are blood pressure 85/50 mm Hg, pulse 96 beatsper minute, respirations 26 breaths per minute. To evaluate therapeutic effectivenessof this medication, the nurse would expect which of the followingchanges in the client's vital signs?1. Blood pressure 85/50 mm Hg, pulse 60 beats per minute, respirations 26breaths per minute2. Blood pressure 98/60 mm Hg, pulse 80 beats per minute, respirations 24breaths per minute3. Blood pressure 130/70 mm Hg, pulse 104 beats per minute, respirations 20breaths per minute4. Blood pressure 110/40 mm Hg, pulse 110 beats per minute, respirations 20breaths per minute: Answer: 2. Blood pressure 98/60 mm Hg, pulse 80 beats per minute, respirations 24 breaths per minute192. A client with multiple sclerosis is receiving dantrolene (Dantrium) forrelief of muscle spasticity. The nurse checks the results of which laboratoryvalue periodically prescribed while the client is taking this medication?1. Liver function studies2. Creatinine3. Blood urea nitrogen4. Hematocrit level: Answer: 1. Liver function studies193. A nurse is collecting medication information from a client, and theclient states that she is taking garlic as an herbal supplement. The nurseunderstands that the client is most likely treating which of the followingconditions?1. Eczema2. Insomnia3. Migraines4. Hyperlipidemia: Answer: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material4. Hyperlipidemia194. A licensed practical nurse (LPN) is assisting in the care of a client inpreterm labor who is being started on intravenous magnesium sulfate tostop the contractions. The LPN checks to see that which of the following isavailable on the unit as an antidote to magnesium sulfate?1. Magnesium oxide2. Vitamin K3. Aluminum hydroxide4. Calcium gluconate: Answer: 4. Calcium gluconate195. A nurse is working in the primary care office and is conducting aninterview with the parents of a child. The parents of the child state thatsyrup of ipecac is kept at home in case of an accidental poisoning. The nurse provides which appropriate instruction specific to the use of thismedication?1. "This medication is only appropriate for clients who are unconscious."2. "This medication is administered routinely for potential accidental poisoning."3. "Ipecac syrup should not be given unless the poison control centerindicates to do so."4. "This medication is safe and effective when given for suspicion of accidentalpoisoning.": Answer: 3. "Ipecac syrup should not be given unless the poison control center indicates to do so."196. A nurse is reviewing the health care provider's prescriptions of a clientadmitted to the hospital with a diagnosis of liver disease. Which medicationprescription would the nurse question?1. Lorazepam (Ativan)2. Acetaminophen (Tylenol)3. Furosemide (Lasix)4. Omeprazole (Prilosec): Answer: 2. Acetaminophen (Tylenol)197. A client taking fexofenadine (Allegra) is scheduled for allergy skin testingStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Materialand tells the nurse in the health care provider's office that a dose wastaken this morning. The nurse determines that:1. The client should reschedule the appointment.2. A lower dose of allergen will need to be injected.3. A higher dose of allergen will need to be injected.4. The client should have the skin test read a day later than usual.: Answer: 1. The client should reschedule the appointment.198. A nurse is providing instructions to an adolescent who is taking phenytoin(Dilantin) for the control of seizures. Which statement by the adolescentindicates a need for further teaching regarding the medication?1. "The medication may cause oily skin."2. "Drinking alcohol may affect the medication."3. "If my gums become sore, I need to stop the medication."4. "Birth control pills may not be effective when I take this medication.": Answer: 3. "If my gums become sore, I need to stop the medication."199. A client is taking Humulin NPH insulin daily every morning. The nursereinforces instructions for the client and tells the client that the most likelytime for a hypoglycemic reaction to occur is:1. 2 to 4 hours after administration2. 4 to 12 hours after administration3. 16 to 18 hours after administration4. 18 to 24 hours after administration: Answer: 2. 4 to 12 hours after administration200. A nurse is assigned to care for a client with a diagnosis of toxoplasmosis.The health care provider has prescribed sulfasalazine (Azulfidine).The nurse preparing to administer this medication understands that thismedication is a(n):1. Antibiotic2. Sulfonamide3. Opioid analgesic4. Nonsteroidal anti-inflammatory: Answer: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material2. Sulfonamide201. A client with diabetes mellitus visits a health care clinic. The client's diabetesmellitus previously had been well controlled with glyburide (DiaBeta)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 tothe hyperglycemia?1. Prednisone2. Phenelzine (Nardil)3. Atenolol (Tenormin)4. Allopurinol (Zyloprim): Answer: 1. Prednisone202. A health care provider (HCP) writes a prescription for digoxin (Lanoxin),0.25 mg daily. The nurse teaches the client about the medication and tells theclient that it is important to:1. Count the radial and carotid pulses every morning.2. Check the blood pressure every morning and evening.3. Stop taking the medication if the pulse is higher than 100 beats per minute.4. Withhold the medication and call the HCP if the pulse is less than 60 beatsper minute.: Answer: 4. Withhold the medication and call the HCP if the pulse is less than 60 beats per minute.203. Vasopressin (Pitressin) is prescribed for the client with diabetes insipidus.During data collection, the nurse is particularly cautious in checkingthe client for which of the following preexisting conditions?1. Depression2. Endometriosis3. Coronary artery disease4. Pheochromocytoma: Answer: 3. Coronary artery disease204. A client informs the nurse that she has been taking acarbose (Precose)as prescribed. The nurse determines that a therapeutic effect of the medicationhas occurred if which of the following is noted?Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material1. A serum lipase of 100 units/L2. A 2-hour postprandial serum glucose of 120 mg/dL3. A sodium level of 140 mEq/L4. A blood urea nitrogen (BUN) level of 15 mg/dL: Answer: 2. A 2-hour postprandial serum glucose of 120 mg/dL205. Which of the following herbal therapies would be prescribed for its useas an antispasmodic? Select all that apply.1. Aloe2. Kava3. Ginger4. Chamomile5. Peppermint oil: Answer: 4. Chamomile5. Peppermint oil206. Amantadine hydrochloride (Symmetrel) 100 mg orally twice daily hasbeen prescribed for a client with Parkinson's disease, and the nurse teachesthe client about the medication. Which statement by the client indicates thatfurther teaching is necessary?1. "I'll take this medication early in the morning and just before I go to bed."2. "I can empty the capsules into food or fluid to make swallowing easier."3. "I can get this medication in syrup form if I have difficulty swallowing."4. "I should see improvement in my condition in about 7 days.": Answer: 1. "I'll take this medication early in the morning and just before I go to bed."207. A nurse is administering a dose of prochlorperazine to a client for nauseaand vomiting. The nurse tells the client to report which of the followingsymptoms, which is a frequent side effect of this medication?1. Excessive perspiration2. Blurred vision3. Diarrhea4. Drooling: Answer: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material2. Blurred vision208. A 1-year-old child has been prescribed digoxin (Lanoxin) to treat congestiveheart failure (CHF). The nurse would plan on withholding the prescribeddose of the medication if:1. A dose is missed by more than 1 hour.2. The child has a fever greater than 101° F.3. The child's pulse is less than 80 beats per minute.4. The child's pulse is more than 100 beats per minute.: Answer: 3. The child's pulse is less than 80 beats per minute.209. The client with a gastric ulcer has a prescription for sucralfate(Carafate), 1 g by mouth four times daily. The nurse schedules the medicationfor which times?1. With meals and at bedtime2. Every 6 hours around the clock3. One hour after meals and at bedtime4. One hour before meals and at bedtime: Answer: 4. One hour before meals and at bedtime210. A licensed practical nurse employed in the ambulatory clinic is assistinga registered nurse with preparing to administer a dose of intravenousimmune globulin (IVIG). The licensed practical nurse ensures that whichmedication is readily available before the medication is administered?1. Protamine sulfate2. Phytonadione (vitamin K)3. Epinephrine (adrenalin)4. Acetylcysteine (Mucomyst): Answer: 3. Epinephrine (adrenalin)211. Bethanechol (Urecholine) is prescribed for the client with urinary retention,and an injectable form of bethanechol is available for use as prescribed.The nurse informs the client of the health care provider's prescription, knowingthat the medication will be administered:1. Intravenously2. IntramuscularlyStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material3. Intradermally4. Subcutaneously: Answer: 4. Subcutaneously212. A nurse is providing instructions to a client who is taking codeine sulfatefor severe back pain. The nurse tells the client to:1. Increase fluid intake.2. Maintain a low-fiber diet.3. Avoid all exercise to prevent lightheadedness.4. Avoid the use of stool softeners to prevent diarrhea.: Answer: 1. Increase fluid intake.213. A client is diagnosed with pulmonary embolism and is to be treatedwith streptokinase (Streptase). A nurse would report which priority datacollection finding to the registered nurse before initiating this therapy?1. Adventitious breath sounds2. Temperature of 99.4° F orally3. Blood pressure of 198/110 mm Hg4. Respiratory rate of 28 breaths/min: Answer: 3. Blood pressure of 198/110 mm Hg214. A client with cancer is receiving daunorubicin (Cerubidine) intravenously.The nurse assigned to assist in caring for the client monitors for whichcommonly expected side effect?1. Hypertension2. Polycythemia3. Hypovolemia4. Nausea and vomiting: Answer: 4. Nausea and vomiting215. A nurse is caring for a client with hyperparathyroidism and notes thatthe client's serum calcium level is 13 mg/dL. Which medication should thenurse prepare to administer as prescribed to the client?Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material1. Calcium chloride2. Calcium gluconate3. Calcitonin (Miacalcin)4. Large doses of vitamin D: Answer: 3. Calcitonin (Miacalcin)216. A client is taking ticlopidine hydrochloride (Ticlid). The nurse tells theclient to avoid which of the following while taking this medication?1. Vitamin C2. Vitamin D3. Acetaminophen (Tylenol)4. Acetylsalicylic acid (aspirin): Answer: 4. Acetylsalicylic acid (aspirin)217. A client who recently began medication therapy with levodopa (Larodopa)for Parkinson's disease complains of nausea. The nurse reminds theclient to do which of the following to best manage this problem?1. Take the medication with three glasses of water.2. Eat a snack before taking the medication.3. Take an antiemetic at the same time as the levodopa.4. Lie down and rest after taking the dose.: Answer: 2. Eat a snack before taking the medication.218. A histamine (H2)-receptor antagonist will be prescribed for a client. Thenurse understands that which medications are H2-receptor antagonists?Select all that apply.1. Nizatidine (Axid)2. Ranitidine (Zantac)3. Famotidine (Pepcid)4. Cimetidine (Tagamet)5. Esomeprazole (Nexium)6. Lansoprazole (Prevacid): Answer: 1. Nizatidine (Axid)Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material2. Ranitidine (Zantac)3. Famotidine (Pepcid)4. Cimetidine (Tagamet)219. The nurse should instruct the client taking codeine sulfate to do whichof the following?1. Avoid the use of stool softeners to prevent diarrhea.2. Avoid exercise to prevent lightheadedness.3. Maintain a low-fiber diet.4. Increase fluid intake.: Answer: 4. Increase fluid intake.220. A nurse is emphasizing discharge instructions to a mother of a childwho has been prescribed tetracycline hydrochloride. The nurse stresses theimportance of which instruction?1. Mix the medication with water in a glass container.2. Use a straw when the child is taking the medication.3. Administer the medication 1 hour before bedtime.4. Give the medication in combination with milk.: Answer: 2. Use a straw when the child is taking the medication.221. A nurse is reinforcing dietary instructions to a client who is currentlyprescribed probenecid (Benemid). Which food should the nurse encouragethe client to continue to eat?1. Spinach2. Scallops3. Shrimp4. Liver: Answer: 1. Spinach222. An older client with rheumatoid arthritis has been instructed by thehealth care provider to take ibuprofen (Motrin) 300 mg orally four times daily.The nurse reading the medication prescription interprets that the prescribeddosage is:1. The normal adult dosage2. An unusual dosage for this diagnosisStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material3. Higher than the normal adult dosage4. Lower than the normal adult dosage: Answer: 1. The normal adult dosage223. A nurse is providing care to a client diagnosed with multiple sclerosisand prescribed baclofen (Lioresal). Which information should the nurse planto reinforce in the client instructions?1. Stop taking the medication if diarrhea occurs.2. Watch for urinary retention as a side effect.3. Restrict fluid intake while taking this medication.4. Notify the health care provider if fatigue occurs.: Answer: 2. Watch for urinary retention as a side effect.224. A client diagnosed with acute lymphocytic leukemia has been prescribedasparaginase (Elspar). Which finding represents possible drug toxicity?1. Hair loss2. Oral ulcerations3. Prolonged blood clotting times4. Decreased white blood cell count: Answer: 3. Prolonged blood clotting times225. A client diagnosed with testicular cancer is prescribed cisplatin (Platinol-AQ). The nurse monitors for which toxic effect of this medication?1. Tinnitus2. Leukocytosis3. Nausea4. Vomiting: Answer: 1. Tinnitus226. A nurse is caring for a client diagnosed with scabies who has justbeen prescribed crotamiton (Eurax). The nurse provides which instructionfor application of this medication?1. Apply the medication to the entire body and leave it on for 2 hours, followedStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Materialby a cleansing bath.2. Apply the application to the entire body and leave it on for 24 hours, followed by a cleansing bath.3. Massage the medication into the skin of the upper trunk and extremities,avoiding any skin folds and creases; sponge bathe the medication off in 12hours.4. Massage the medication into the skin from the chin downward, and applya second application in 24 hours, followed up with a cleansing bath 48 hoursafter the second application.: Answer: 4. Massage the medication into the skin from the chin downward, and apply a second application in 24 hours, followed up with a cleansing bath 48 hours after the second application.227. A nurse has obtained ribavirin (Virazole) in powder form from the pharmacyto give to a child with respiratory syncytial virus (RSV). The nurse understandsthat the medication will be administered by which of the followingroutes?1. Inhalation2. Intravenous3. Subcutaneous4. Oral in formula: Answer: 1. Inhalation228. A client with tuberculosis (TB) is prescribed rifampin (Rifadin). Thenurse reinforces which information regarding this medication?1. Orange discoloration of the skin is common.2. Wear glasses instead of soft contact lenses.3. Take the medication on an empty stomach.4. A negative sputum culture warrants stopping the therapy.: Answer: 2. Wear glasses instead of soft contact lenses.229. A client is taking a monoamine oxidase (MAO) inhibitor. The nurse planscare, knowing that:1. This classification of medications increases the amount of MAO in the liver.2. Hypotensive crisis may be precipitated by foods that contain tyramine andtryptophan.Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material3. Symptomatology of drug toxicity includes headache, hypertension, andnausea and vomiting.4. Increased salivation, bradycardia, constipation, and mild insomnia are anexpected side effect.: Answer: 3. Symptomatology of drug toxicity includes headache, hypertension, and nausea and vomiting.230. A nurse is caring for a client who is receiving hydralazine (Apresoline).The nurse evaluates the effectiveness of the medication by monitoring whichof the following client parameters?1. Cardiac rate2. Urine output3. Blood pressure4. Blood glucose level: Answer: 3. Blood pressure231. A client has received atropine sulfate intravenously during a surgicalprocedure. The nurse monitors the client for which of the following effects ofthe atropine sulfate in the postoperative period?1. Diarrhea2. Bradycardia3. Urinary retention4. Excessive salivation: Answer: 3. Urinary retention232. A nurse is monitoring a client taking an antipsychotic medication forsigns of neuroleptic malignant syndrome (NMS). The nurse would expect tonote which of the following if NMS occurred?1. Bradycardia2. Dysphagia3. Hypotension4. Hyperpyrexia: Answer: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material4. Hyperpyrexia233. A nurse is caring for a client in preterm labor who is receiving terbutalinesulfate to stop uterine activity. During this medication therapy, the nurseimplements nursing interventions to monitor which specific body organsthat can be affected by this medication?1. Kidneys and lungs2. Heart and kidneys3. Heart and lungs4. Lungs and gastrointestinal tract: Answer: 3. Heart and lungs234. Iron dextran (InFeD) is prescribed to be administered intramuscularlyto a client. The nurse prepares the medication and determines that theappropriate method of administration is:1. Using the Z-track technique2. Injecting into the deltoid muscle3. Using a 5/8-inch needle on a large syringe4. Applying heat to the injection site before administration: Answer: 1. Using the Z-track technique235. A client with acquired immunodeficiency syndrome (AIDS) is receivingintravenous (IV) pentamidine isethionate (Pentam). The nurse assigned tocare for the client monitors for signs of which toxic effect related to theadministration of this medication?1. Hypertension2. Anorexia3. Dizziness4. Hypoglycemia: Answer: 4. Hypoglycemia236. A client is receiving heparin sodium by continuous intravenous (IV) infusion.The licensed practical nurse (LPN) is concerned that the client receiveda bolus of medication when the tubing was removed from the IV pump duringa gown change. The LPN immediately notifies the registered nurse or healthcare provider and then checks to see whether which medication is availableStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Materialin the medication cart?1. Protamine sulfate2. Enoxaparin (Lovenox)3. Aminocaproic acid (Amicar)4. Phytonadione (Vitamin K): Answer: 1. Protamine sulfate237. A client returning to the medical nursing unit following cardiac catheterizationhas a stat prescription to receive a dose of procainamide. The licensedpractical nurse assisting in caring for the client obtains which of the followingpieces of equipment to adequately determine the client's response tothis medication?1. Glucometer2. Pulse oximeter3. Cardiac monitor4. Noninvasive blood pressure cuff: Answer: 3. Cardiac monitor238. A client in pulmonary edema has a prescription to receive morphinesulfate intravenously. The licensed practical nurse assisting in caring forthe client determines that the client experienced an intended effect of themedication if which of the following is noted?1. Increased pulse rate2. Relief of apprehension3. Decreased urine output4. Increased blood pressure: Answer: 2. Relief of apprehension239. A client uses the alternative therapy of cascara sagrada known asCalifornian buckthorn for ongoing management of chronic constipation. Thenurse monitors the client's laboratory results for which electrolyte imbalancerelated to long-term use of this medication?1. Hypokalemia2. Hyperkalemia3. HyponatremiaStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material4. Hypernatremia: Answer: 1. Hypokalemia240. A client has been started on cyclobenzaprine (Flexeril) for the managementof muscle spasms in the cervical spine. The client is experiencingdrowsiness, dizziness, and dry mouth. The nurse interprets that these:1. Are the common side effects of this medication2. Represent an allergic reaction to the medication3. Effects are related to the problem with the cervical spine4. Effects are dose-related; the client should cut the medication dose inhalf.: Answer: 1. Are the common side effects of this medication241. A nurse is teaching a client about the use of ceftriaxone, an antibiotic,for treating cervical gonorrhea. Further teaching is necessary if the clientmakes which statement?1. "I can expect to get this one shot."2. "I will take the pills for twenty full days."3. "I may experience some discomfort at the injection site."4. "If I have a penicillin allergy, I may be allergic to this medication too.": Answer: 2. "I will take the pills for twenty full days."242. A nurse has provided instructions to a client receiving enalapril maleate(Vasotec). Which statement by the client indicates a need for further education?1. "I need to notify the health care provider if nausea occurs."2. "I need to notify the health care provider if a sore throat occurs."3. "I need to rise slowly from a lying to sitting position."4. "I know that several weeks of therapy may be required for the full therapeuticeffect.": Answer: 1. "I need to notify the health care provider if nausea occurs."243. Enoxaparin sodium (Lovenox) is prescribed for the client following hipreplacement surgery. The nurse prepares to have which of the followingStuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Materialavailable in the event that an overdose of the medication occurs?1. Protamine sulfate2. Naloxone (Narcan)3. Epinephrine (Adrenaline)4. Phytonadione (vitamin K): Answer: 1. Protamine sulfate244. A client receiving a blood transfusion begins to exhibit flushing, stridor,and a drop in blood pressure. The nurse would initially obtain which of thefollowing medications from the emergency cart to have ready for use asprescribed?1. Lidocaine (Xylocaine)2. Theophylline (Theo-Dur)3. Norepinephrine (Levophed)4. Epinephrine (Adrenalin): Answer: 4. Epinephrine (Adrenalin)245. A nurse is providing instructions to a client with glaucoma receivingacetazolamide (Diamox) daily. Which of the following statements by the clientindicates an understanding of the adverse effects related to the medication?1. "I need to call the doctor if I notice dark urine and stools."2. "If I get really irritable, I need to stop the medication."3. "Constipation will probably be a problem with this medication."4. "If difficulty with swallowing occurs, I need to taper the medication.": Answer: 1. "I need to call the doctor if I notice dark urine and stools."246. A client has a history of seizures. The health care provider has prescribedamitriptyline three times daily. The nurse plans care, knowing that theclient is at risk for injury because of which adverse effect of the amitriptyline?1. Decreased mental acuity2. Decreased seizure threshold3. Decreased platelet aggregation4. Depressed immunological system: Answer: Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?
Stuvia.com - The Marketplace to Buy and Sell your Study Material2. Decreased seizure threshold247. A nurse is providing instructions to the family of a client withAlzheimer's disease regarding tacrine (Cognex). Which statement by thefamily would indicate an understanding of the adverse effects related to thismedication?1. "I need to call the health care provider if constipation occurs."2."Fever is a sign of an adverse effect of the medication."3. "Increased urination may be an indication of an adverse effect."4. "If difficulty voiding occurs, I need to call the health care provider immediatelybecause the medication will need to be discontinued.": Answer: 3. "Increased urination may be an indication of an adverse effect."248. A nurse is asked to assist in preparing a heparin sodium infusion fora client with a diagnosis of thrombophlebitis. Which of the following is anunnecessary item?1. Intravenous (IV) tubing2. Protamine sulfate3. Phytonadione (vitamin K)4. IV infusion controller: Answer: 2. Protamine sulfate249. A nurse is assisting in developing a plan of care for a client receivingwarfarin sodium (Coumadin). The nurse selects which problem as the priorityin caring for this client?1. Potential for injury2. Potential for infection3. Fluid volume overload4. Potential for inability to tolerate activity: Answer: 1. Potential for injuryPowered by TCPDF (www.tcpdf.org)Downloaded by: shantayjackson | shantayj.mcfarland@gmail.comDistribution of this document is illegalWant to earn $1.236 extra per year?