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"A nurse is caring for a client who has a prescription for tizanidine (Zanaflex) for relief of muscle spasm following a back injury. Which of the following lab values should the nurse expect to monitor while the client is taking this medication? a. Serum creatinine b. Liver enzymes c. WBC count d. RBC count - CORRECT ANSWER=> b. Liver enzymes" "A nurse is reinforcing teaching to a client with asthma about how to use cromolyn (Intal). Which of the following should the nurse include in the teaching? (Select all that apply) a. Take the medication 15 min before exercising. b. Follow a fixed-dosage schedule for long-term control of asthma. c. Expect to lose weight while taking the medication. d. Observe for adverse effects such as tremors, restlessness, and palpitations. e. Do not crush or chew tablets. - CORRECT ANSWER=> a. Take the medication 15 min before exercising. b. Follow a fixed-dosage schedule for long-term control of asthma." "A nurse is reinforcing teaching for a client with a prescription for a beclomethasone (QVAR) inhaler to be used for the long-term management of asthma. Which of the following dietary supplements should the client be sure to consume in sufficient amounts to prevent a deficiency while taking the QVAR inhaler? a. Iron and Protein b. Calcium and Vitamin D c. Vitamin B¹² and folic acid d. Vitamin E and K - CORRECT ANSWER=> b. Calcium and Vitamin D"
"A nurse is caring for a client who is prescribed oral prednisone (Deltasone) for the treatment of chronic asthma. The nurse should plan to monitor the client for which of the following findings? a. Weight loss b. Infection c. Hypoglycemia d. Angina Pain - CORRECT ANSWER=> b. Infection" "A nurse is caring for a client who states she has been taking phenylephrine (Neo-Synephrine) nasal drops for the past 10 days for her upper respiratory symptoms. The nurse should plan to monitor the client for which of the following findings? a. Sedation b. Nasal congestion c. Productive cough d. Constipation - CORRECT ANSWER=> b. Nasal congestion" "A nurse is caring for a preschool-age child who may have taken an overdose of diphenhydramine (Benadryl). To identify antihistamine toxicity, the nurse should plan to monitor the child for which of the following? a. Hallucinations b. Bradycardia c. Pinpoint pupils d. Pallor - CORRECT ANSWER=> a. Hallucinations" "A nurse is reinforcing teaching for a client who has hypertension and is prescribed hydrochlorothiazide (HydroDIURIL) twice daily. Which of the following instructions should the nurse include in the client's teaching? a. "You should avoid foods high in potassium." b. "Take the second dose of the day by early afternoon." c. "Watch for ankle swelling that may appear late in the evening." d. "Limit your daily fluid intake to 1½ L." - CORRECT ANSWER=> b. "Take the second dose of the day by early afternoon."" "A nurse is reinforcing teaching to a client who is prescribed lovastatin (Mevacor). Which of the following should be included in the teaching? a. Take the medication with the evening meal. b. Change position slowly when rising from a chair. c. Maintain a steady intake of green leafy vegetables.
"Which of the following interventions should the nurse implement when preparing to administer filgrastim (Neupogen) for the first time to a client who has undergone a bone marrow transplant? a. Administer intramuscularly in a large muscle mass to prevent injury. b. Give orally with a meal or snack to prevent severe gastrointestinal upset. c. Shake vial gently to mix well before withdrawing dose. d. Discard vial after removing one dose of the medication. - CORRECT ANSWER=> d. Discard vial after removing one dose of the medication." "A nurse is caring for a client who has been receiving epoetin alfa (Epogen) three times a week for several weeks. At a visit to the clinic, the client's Hgb has increased from 7 g/dL to 8.5 g/dL in the past week. Which of the following actions should the nurse expect to take regarding today's dose of epoetin alfa? a. To increase today's dose. b. To administer the ordered dose. c. To withhold today's dose. d. To discontinue the medication. - CORRECT ANSWER=> c. To withhold today's dose." "A nurse is monitoring a client who is receiving sargramostim (Leukine) following a bone marrow transplant. For which of the following adverse reactions should the nurse monitor the client? a. Constipation b. Bone pain c. Insomnia d. Hair loss - CORRECT ANSWER=> b. Bone pain" "A nurse is reinforcing teaching for a client who has peptic ulcer disease on how to properly selfadminister ranitidine (Zantac). Which of the following client statements indicates effective teaching by the nurse? a. "I should call my doctor if my stools look black and sticky." b. "I will take ranitidine regularly until my burning symptoms disappear." c. "I need to take ranitidine on my empty stomach." d. "I can take ibuprofen if I have minor aches and pains." - CORRECT ANSWER=> a. "I should call my doctor if my stools look black and sticky."" "A nurse is reinforcing teaching for a client who is newly diagnosed with peptic ulcer disease and has prescription for several different medications. The nurse should recognize that which of the following medications is used as a mucosal protectant to promote healing of the ulcer? a. Bismuth (Pepto-Bismol)
b. Sucralfate (Carafate) c. Ranitidine hydrochloride (Zantac) d. Metronidazole (Flagyl) - CORRECT ANSWER=> b. Sucralfate (Carafate)" "A nurse is reinforcing teaching for a client who is beginning a prescription of conjugated estrogens (Premarin) for symptoms of menopause. For which of the following should the nurse plan to monitor the client? a. Lower leg pain and swelling b. Shortened stature c. Vulvar and vaginal atrophy d. Weight loss - CORRECT ANSWER=> a. Lower leg pain and swelling" "A nurse is reinforcing teaching for a client who is about to begin a prescription for an oral contraceptive. The nurse should tell the client that the oral contraceptives work by doing which of the following? (SATA) a. Thickening the cervical mucus to slow sperm passage b. Inducing maturation of ovarian follicle c. Increasing development of the corpus luteum d. Altering the endometrial lining to prevent implantation e. Inhibiting ovulation - CORRECT ANSWER=> a. Thickening the cervical mucus to slow sperm passage d. Altering the endometrial lining to prevent implantation e. Inhibiting ovulation" "A nurse is caring for a male client who has a new prescription for testosterone cypionate (DepoTestosterone) IM every 2 to 4 weeks for hypogonadism. The nurse should plan to monitor which of the following laboratory values? a. Serum creatinine b. Cholesterol levels c. BUN d. Serum potassium - CORRECT ANSWER=> b. Cholesterol levels" "A nurse is reinforcing teaching for a client who takes sildenafil (Viagra) several times weekly and has a new prescription for oral erythromycin (E-Mycin) to treat a respiratory tract infection. The nurse should instruct the client about an increased risk for which of the following findings due to an interaction between the two medications? a. Priapism b. Urinary frequency
"A nurse is caring for a toddler who was just admitted for an acetaminophen overdose. Which of the following medications should the nurse anticipate being administered to this client? a. Acetylcysteine (Mucomyst) b. Pegfilgrastim (Neulasta) c. Misoprostol (Cytotec) d. Naltrexone (Re Via) - CORRECT ANSWER=> a. Acetylcysteine (Mucomyst)" "A nurse is caring for postoperative client who is prescribed ketorolac (Toradol) for pain management. The nurse should recognize that which of the following is true regarding the administration of ketorolac? a. Ketorolac is prescribed postoperatively to lower the dosage of opioids needed. b. Client's who take ketorolac avoid the adverse reactions of NSAIDS. c. Ketorolac is available as a timed-release transdermal patch. d. Client's maybe prescribed ketorolac for long-term relief of chronic pain, such as arthritis - CORRECT ANSWER=> a. Ketorolac is prescribed postoperatively to lower the dosage of opioids needed." "A nurse is monitoring a client who received regular doses of meperidine (Demerol) for postoperative pain for 36 hr. For which of the following should the nurse monitor the client? a. Hypothermia b. Bradycardia c. Delirium d. Watery diarrhea - CORRECT ANSWER=> c. Delirium" "A nurse is caring for a client who has been receiving morphine for postoperative pain for the past few days. For which of the following should the nurse monitor the client? (Select all that apply) a. Dilated pupils b. Urinary retention c. Orthostatic hypotension d. Constipation e. Nausea - CORRECT ANSWER=> b. Urinary retention c. Orthostatic hypotension d. Constipation e. Nausea"
"A nurse is caring for a client with severe pain whose prescription for morphine IV bolus has been changed to transdermal fentanyl (Duragesic). The nurse should understand which of the following information when administering a fentanyl transdermal patch? a. Apply a hot pack to the area containing the patch to enhance therapeutic effect. b. Administer a short-term opioid for pain for the first 24hr after patch application. c. Have the client replace the patch daily. d. Remove the patch for immediate relief of the respiratory depression and do not give any further treatment. - CORRECT ANSWER=> b. Administer a short-term opioid for pain for the first 24hr after patch application." "A nurse is caring for a client who has back pain and has been prescribed nalbuphine (Nubain). The nurse should know that agonist-antagonist opioids, such as nalbuphine, differ from pure opioid agonists in that they... a. have a greater risk for abuse due to an increase in euphoria. b. cause a higher incidence of respiratory depression. c. may not be reversed with an opioid antagonist. d. may cause abstinence syndrome in clients physically dependent to opioids. - CORRECT ANSWER=> d. may cause abstinence syndrome in clients physically dependent to opioids." "A nurse is caring for a hospitalized client who has cancer and has a variety of prescribed adjuvant medications which may be administered along with opioids for pain. When the client describes having "burning pain shooting down my leg." Which of the following adjuvants should the nurse administer? a. Etidronate (Didronel) b. Gabapentin (Neurontin) c. Methylphenidate (Ritalin) d. Hydroxyzine (Vistaril) - CORRECT ANSWER=> b. Gabapentin (Neurontin)" "A nurse is caring for a client who has cancer and is receiving opioids along with prednisone (Deltasone) daily for pain control. While the client is taking prednisone, the nurse should plan to monitor the client for which of the following findings? a. Hypoglycemia b. GI Bleeding c. Weight loss d. Asthma - CORRECT ANSWER=> b. GI Bleeding" "A nurse is caring for a client who has severe pain in his right foot. Which of the following laboratory values tell the nurse that the client is having a flare-up of gout?
b. Palpitations c. Seizures d. Urinary retention - CORRECT ANSWER=> a. Edema" "A nurse is reinforcing teaching for a client newly diagnosed who has type 2 diabetes mellitus. Which of the following should the nurse include the teaching? (SATA) a. Check blood glucose levels less frequently when feeling ill. b. Take an extra dose of the oral hypoglycemic agent the next day if a dose is missed. c. Carry a fast-acting glucose source at all times. d. Eat a snack prior to planned exercise. e. Inspect feet surfaces daily - CORRECT ANSWER=> c. Carry a fast-acting glucose source at all times. d. Eat a snack prior to planned exercise. e. Inspect feet surfaces daily" "A nurse is caring for a client who is taking levothyroxine (Synthroid). For which of the following should the nurse monitor to identify levothyroxine toxicity? a. Hair loss b. Lethargy c. Weight loss d. Cold intolerance - CORRECT ANSWER=> c. Weight loss" "A nurse is reinforcing teaching for a client with hyperthyroidism who has a new prescription for propranolol (Inderal). The nurse should teach the client that propranolol should perform which of the following actions? a. Increase blood flow to the thyroid gland b. Prevent thyroid hormone synthesis c. Suppress tachycardia d. Promote conversion of T4 to T3 - CORRECT ANSWER=> c. Suppress tachycardia" "A nurse is reinforcing teaching for a client who is prescribed strong iodide solution (Lugol's solution) prior to thyroid surgery. For which of the following adverse effects should the nurse monitor the client? a. Blurred vision b. Metallic taste c. Absence seizures d. Frontal headache - CORRECT ANSWER=> b. Metallic taste"
"A client taking hydrocortisone for adrenocortical insufficiency (Addison's disease) is admitted to the hospital for a total hip arthroplasty. Which is the following actions is the highest priority? a. Administration of supplemental doses of hydrocortisone b. Instruction on coughing and deep breathing c. Insertion of an indwelling urinary catheter d. Requesting a referral for physical therapy - CORRECT ANSWER=> a. Administration of supplemental doses of hydrocortisone" "A nurse is preparing to administer scheduled immunizations to a 2-month-old infant. Which of the following instructions should the nurse give the parent before discharge? a. Treat discomfort with liquid ibuprofen for the first 24 hr following the vaccinations. b. Apply warm compresses to injection site comfort. c. Call the provider if the injection site becomes slightly reddened. d. Gently move the involved extremity to decrease discomfort. - CORRECT ANSWER=> d. Gently move the involved extremity to decrease discomfort." "A nurse is caring for a client who has a suspected bacterial infection in her urine. Which of the following prescribed laboratory tests will identify which micro-organism is responsible for the injection? a. Gram stain b. Culture c. Sensitivity d. Specific gravity - CORRECT ANSWER=> b. Culture" "A nurse is caring for a client for urgent care clinic who has pneumonia. The client is prescribed ampicillin (Pricipen). Two days later the client calls the clinic and reports to the nurse that she is experiencing itchy rash. Which of the following actions should the nurse take first? a. Collect data about previous allergic reactions. b. Ask the client to describe her symptoms. c. Tell the client not to take the next dose of antibiotic. d. Have the client come to the clinic to see her provider. - CORRECT ANSWER=> b. Ask the client to describe her symptoms." "A nurse is caring for a client who is receiving vancomycin (Vancocin) for a severe infection. For which of the following should the nurse monitor the client in order to collect data about a possible adverse reaction to vancomycin? a. Visual acuity b. Hearing ability
"A nurse is caring for a client who receives amikacin (Amikin) by intermittent IV bolus for a severe infection. Which of the following laboratory values should the nurse recognize as an adverse effect of amikacin? a. Elevated serum creatinine b. Elevated triglycerides c. Decrease serum potassium d. Decrease hematocrit - CORRECT ANSWER=> a. Elevated serum creatinine" "A nurse is caring for a group of clients who each have urinary tract infections. The nurse should know that trimethroprim-sulfamethoxazole is contraindicated in clients who have had a hypersensitivity reaction to which of the following medications? a. Digoxin (Lanoxin) b. Chlorothiazide (Diuril) c. Ranitidine (Zantac) d. Rosiglitazone (Avandia) - CORRECT ANSWER=> b. Chlorothiazide (Diuril)" "A nurse is reinforcing teaching for a client with prescription for trimethoprim-sulfamethoxazole (Bactrim). Which of the following precautions should the nurse reinforce to the client in order to minimize an adverse effect of the medication? a. Avoid prolonged sun exposure. b. Slip water or suck hard candy frequently. c. Stop taking the medication if ringing in the ears occurs. d. Increase the amount of fiber and liquids in the diet. - CORRECT ANSWER=> a. Avoid prolonged sun exposure." "A nurse is caring for a client who has diabetes mellitus and pulmonary tuberculosis. The client has a new prescription for isoniazid (INH). Which of the following supplements should the nurse expect to administer to prevent an adverse effect of isoniazid? a. Ascorbic acid b. Pyridoxine c. Folic acid d. Cyanocobalamin - CORRECT ANSWER=> b. Pyridoxine" "A nurse is caring for a client who has a prescription for oral ketoconazole (Nizoral), which he will be taking for several months to treat a systemic fungal infection. Which of the following should the nurse to monitor? a. BUN and serum creatinine levels b. Hemoglobin and hematocrit levels c. Liver function tests
d. Thyroid function tests - CORRECT ANSWER=> c. Liver function tests" "A nurse is monitoring a client with latent tuberculosis who has been taking twice-weekly isoniazid (INH) for the past 3 months. For which of the following findings should the nurse monitor the client? a. Jaundice b. Renal impairment c. Hypotension d. Palpitations - CORRECT ANSWER=> a. Jaundice" "A nurse is reinforcing teaching to a client who has HIV-positive and has a new prescription for efavirenz (Sustiva), an NNRTI medication. Which 0f the following adverse effects should the nurse teach the client to watch for? a. A rash, which may begin within two weeks b. Orthostatic hypotension, which may occur following the first dose c. Hair loss, which may start after 2 to 3 days d. Ankle edema, which may occur after several months of therapy - CORRECT ANSWER=> a. A rash, which may begin within two weeks" "A nurse is preparing to administer medication for a client who is receiving intermittent enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take? a. Crush extended release tablets b. Administer sublingual tablets under the tongue c. Flush with 10 mL of warm water when completed d. Add medications to enteral feeding - CORRECT ANSWER=> b. Administer sublingual tablets under the tongue" "A health care provider prescribes furosemide (Lasix) 40 mg PO now. The nurse should recognize this as which types of order? a. Single order b. Stat order c. Routine order d. Standing order - CORRECT ANSWER=> b. Stat order" "A nurse is preparing to administer a client's morning insulin dosage. Which of the following actions should the nurse take first? a. Review the client's blood glucose level b. Verify the client's identity
c. Grand mal seizures d. Urinary Retention - CORRECT ANSWER=> b. Reflex tachycardia" "A nurse is caring for a client on a medical unit who takes regular doses of propranolol (Inderal) for hypertension. Before administering the client's morning dose of propranolol, which of the following should the nurse plan to monitor? (SATA) a. Urinary output b. Pulse rate c. Temperature d. Blood pressure e. Deep tendon reflexes - CORRECT ANSWER=> b. Pulse rate d. Blood pressure" "7. A nurse is reinforcing teaching for a client who is prescribed digoxin (Lanoxin). Which of the following should the nurse instruct the client to report to the provider? (SATA) a. Fatigue b. Constipation c. Anorexia d. Rash e. Diplopia - CORRECT ANSWER=> a. Fatigue c. Anorexia e. Diplopia" "A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for chronic stable angina. The nurse should plan to monitor the client for which of the following findings? a. Bradycardia b. Fever c. Hypertension d. Headache - CORRECT ANSWER=> d. Headache" "A nurse is obtaining a medication history from a client who is to start a new prescription for warfarin (Coumadin). Which of the following over-the-counter medications should the nurse instruct the client to avoid? a. Ranitidine (Zantac) b. Docusate sodium (Colace) c. Acetaminophen d. Aspirin - CORRECT ANSWER=> d. Aspirin"
"A nurse is caring for a client who has angina pectoris and is prescribed a nitroglycerin patch (Nitro-Dur) once daily. Which of the following are true regarding the administration of transdermal nitroglycerin? (SATA) a. Apply the patch at the same time each morning b. Leave the patch in place for 24 hr before replacing. c. Put patch on a hairless area of skin. d. Rotate the sites of administration with each application. e. Cut patches in half to allow for smaller doses of prescribed medication. - CORRECT ANSWER=> a. Apply the patch at the same time each morning c. Put patch on a hairless area of skin. e. Cut patches in half to allow for smaller doses of prescribed medication." "After instilling an eye drop that has a systematic effect, the nurse should press on which of the following to prevent absorption into the circulation? a. The bony orbit b. The nasolacrimal duct c. The conjunctival sac d. The outer cantus of the eye - CORRECT ANSWER=> b. The nasolacrimal duct" "A nurse is caring for a client who has just been diagnosed with primary open-angle glaucoma (POAG) during a screening examination. Which of the following data collection finding should the nurse expect? a. Sudden loss of central vision b. Intraocular pressure 19 mm Hg c. No reports of pain d. Intact peripheral vision - CORRECT ANSWER=> c. No reports of pain" "A nurse is preparing to administer timolol (Timoptic) ophthalmic drops into the eye of a client who has glaucoma. For which of the following adverse effects should this client be monitored? a. Hypertension b. Bradycardia c. Seizures d. Jaundice - CORRECT ANSWER=> b. Bradycardia"
