100 Questions of cardiac & respiratory, hematological, oncology and integumentary & endocrine and gastrointestinal
The nurse is preparing to admi
... [Show More] nister prescribed medications to a client with hepatic encephalopathy. The nurse anticipates that the health care provider's prescriptions will include which medication?
Bisacodyl
*Lactulose Magnesium hydroxide
Psyllium hydrophilic mucilloid
A client has developed paroxysmal nocturnal dyspnea. Which medication should the nurse anticipate will be prescribed by the health care provider?
*Bumetanide Amiodarone Propranolol Streptokinase
A client is to be discharged from the hospital on quinidine gluconate to control ventricular ectopy. The nurse provides instructions to the client about the medication. Which statement by the client indicates a need for further instruction?
"The best time to schedule this medication is with meals."
"I need to avoid alcohol, caffeine, and cigarettes while I am on this medication."
*"I need to stop the medication immediately if diarrhea, nausea, or vomiting occurs."
"I need to take this medication regularly, even if the heartbeat feels strong and regular."
The home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse should tell the client to take which action?
Freeze the insulin.
*Refrigerate the insulin.
Store the insulin in a dark, dry place. Keep the insulin at room temperature.
A client has been prescribed pindolol for hypertension. The nurse provides anticipatory guidance, knowing that which common side effect of this medication may decrease client compliance?
*Impotence Mood swings
Increased appetite Difficulty swallowing
A female client with a diagnosis of breast cancer is taking cyclophosphamide. The client calls the health care clinic and tells the nurse that the medication is upsetting her stomach. Which instruction should the nurse provide to the client?
*Take the medication with food.
Avoid drinking fluids while taking the medication.
Try to take the medication with a small amount of orange juice.
Continue to take the medication on an empty stomach, and lie down after taking the medication.
Terbutaline is prescribed for a client with bronchitis. The nurse checks the client's medical history for which disorder in which the medication should be used with caution?
Osteoarthritis Hypothyroidism
*Diabetes mellitus Polycystic disease
A client with a gastric ulcer has a prescription for sucralfate 1 gram by mouth 4 times daily. The nurse should schedule the medication for which times?
With meals and at bedtime Every 6 hours around the clock
One hour after meals and at bedtime
*One hour before meals and at bedtime
A client with a prescription to take theophylline daily has been given medication instructions by the nurse. What statement by the client indicates the need for further education regarding the prescription?
*"I will take the daily dose at bedtime."
"I need to drink at least 2 liters of fluid per day."
"I know to avoid changing brands of the medication without my health care provider's approval." "I'll avoid over-the-counter cough and cold medications unless approved by my health care provider."
Epoetin alfa by the subcutaneous route is prescribed for a client. What is the most appropriate nursing action?
Shake the vial before use.
Freeze the medication before use.
*Refrigerate the medication until used.
Obtain syringes with 1½-inch (3.8 cm) needles for administration.
The nurse is providing discharge instructions to a client taking warfarin sodium. Which statement, based on health care provider (HCP) permission, is appropriate to include in client teaching for this medication?
"Alcohol can be consumed as long as it is in small amounts."
*"You need to check with your doctor about what can be taken for headache."
"It doesn't matter what time the daily dose is taken as long as it is taken each day."
"It is all right to take over-the-counter medications as long as they do not contain vitamin K."
A client with hypertension has a new prescription for a medication called moexipril. The nurse plans to provide written directions that tell the client to take the medication at which time?
At bedtime With meals
*1 hour before meals
With a snack in late afternoon
A daily dose of prednisone is prescribed for a client. The nurse provides instructions to the client regarding administration of the medication and should instruct the client that which time is best to take this medication?
At noon
At bedtime
*Early morning
Any time, at the same time, each day
A client is admitted to the hospital emergency department with an acute anterior wall myocardial infarction. The nurse discusses thrombolytic therapy with the client and spouse. The spouse is concerned about the dangers of this treatment. Which statement by the nurse is appropriate? "There is no reason to worry. We use this medication all the time."
"I'm certain you made the correct decision to use this medication."
*"You have concerns about whether this treatment is the best option."
"Your loved one is very ill. The health care provider has made the best decision for you."
Tretinoin is prescribed for a client with acne, and the nurse provides instructions to the client regarding the medication. Which statement by the client indicates a need for further instruction? "I need to avoid exposure to the sun."
"I should start to see results in 2 to 3 weeks."
"I will cleanse the skin thoroughly before applying the medication."
*"If my skin begins to peel, I will notify the health care provider (HCP)."
Thyroid replacement therapy is prescribed for the client diagnosed with hypothyroidism. The client asks the nurse when the medication will no longer be needed. Which is the appropriate nursing response?
"It depends on the results of the laboratory tests." "Most clients require medication for about 1 year."
*"The medication will need to be continued for life." "You will need to ask your health care provider."
The nurse is monitoring a client who is taking propranolol. Which assessment finding indicates a potential adverse complication associated with this medication?
The development of complaints of insomnia
*The development of audible expiratory wheezes
A baseline blood pressure of 150/80 mm Hg followed by a blood pressure of 138/72 mm Hg after 2 doses of the medication
A baseline resting heart rate of 88 beats/minute followed by a resting heart rate of 72 beats/minute after 2 doses of the medication
A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing which problem?
Hypercalcemia
*Peripheral neuritis Small blood vessel spasm
Impaired peripheral circulation
A health care provider prescribes cisplatin and vincristine to a client with bladder cancer. The nurse should explain to the client that 2 medications are administered together for which reason?
To prevent alopecia
To decrease the destruction of cells
*To increase the therapeutic response To prevent gastrointestinal side effects
A client with pulmonary edema has a prescription to receive morphine sulfate intravenously. The nurse should determine that the client is experiencing an intended effect of the medication as indicated by which assessment finding?
Increased pulse rate
*Relief of apprehension Decreased urine output Increased blood pressure
The nurse determines the client needs further instruction on cimetidine if which statements were made? Select all that apply.
*"I will take the cimetidine with my meals."
*"I'll know the medication is working if my diarrhea stops."
"My episodes of heartburn will decrease if the medication is effective."
*"Taking the cimetidine with an antacid will increase its effectiveness." "I will notify my health care provider if I become depressed or anxious."
"Some of my blood levels will need to be monitored closely since I also take warfarin for atrial fibrillation."
The client has a prescription to receive pirbuterol 2 puffs and beclomethasone dipropionate 2 puffs by metered-dose inhaler. The nurse plans to give these medications in which way to ensure effectiveness?
*Administering the pirbuterol before the beclomethasone
Alternating a single puff of each hourly, beginning with the beclomethasone Alternating a single puff of beclomethasone with pirbuterol; repeating the steps
Administering the pirbuterol; waiting 30 minutes and administering the beclomethasone
A client scheduled to take a subcutaneous anticoagulant at home says to the nurse, "I'm not sure I will be able to take this medication at home." Which statement by the nurse is appropriate? "Maybe your spouse can give you your shots."
"You'll be fine once you get used to giving your own shots."
*"What are your concerns about taking this medication at home?" "Don't worry. Your health care provider knows what's best for you."
The nurse is reviewing heparin infusion therapy and pertinent laboratory values to monitor with the nursing student. Which statement by the student indicates that teaching has been effective? "Bleeding time assesses for therapeutic effect of heparin."
"Thrombin time assesses for therapeutic effect of heparin." "Prothrombin time assesses for therapeutic effect of heparin."
*"Partial thromboplastin time assesses for therapeutic effect of heparin."
A client taking verapamil has been given information about side effects of this medication. The nurse determines that the client understands the information if the client states to watch for which most common side effect of this medication?
Weight loss
*Constipation Nasal stuffiness
Abdominal cramping
A client taking an oral laxative wants to obtain a rapid effect from the medication. How should the nurse instruct the client to take the medication?
At bedtime With breakfast
With the noon meal
*On an empty stomach
A client is taking cetirizine. The nurse should inform the client of which side effect of this medication?
Diarrhea Excitability
*Drowsiness Excess salivation
A client with heart disease is taking digoxin and complains of having no appetite and experiencing diarrhea and blurry vision. The nurse notes that the client's serum potassium level is 3.0 mEq/L (3.0 mmol/L). Based on analysis of the data, what might the nurse expect to note when reviewing the digoxin level results?
Digoxin level of 0.6 ng/mL
Digoxin level lower than 0.5 ng/mL
*Digoxin level higher than 0.8 ng/mL Digoxin level of 0 ng/mL because of diarrhea
A client has begun using a methylxanthine bronchodilator. What beverage should the nurse plan to teach the client to avoid while taking this medication?
*Coffee Orange juice Mineral water Cranberry juice
A client is scheduled to receive acetylcysteine 20% solution diluted in 0.9% normal saline by nebulizer. Which outcome would the nurse expect as a result of the administration of this medication?
Bronchodilation Decreased coughing Absence of wheezing
*Thinning of respiratory secretions
A client is receiving intravesical chemotherapy for cancer of the bladder. The nurse should plan to take which action after the completion of each treatment?
*Encourage increased intake of oral fluids. Provide increased doses of opioid analgesics.
Place the client on strict contact isolation for 24 hours.
Keep the client on nothing by mouth (nil per os [NPO]) status for 6 hours.
The nurse has a prescription to give a client salmeterol, 2 puffs, and beclomethasone dipropionate, 2 puffs, by metered-dose inhaler. The nurse should administer the medication using which procedure?
Beclomethasone first and then the salmeterol
*Salmeterol first and then the beclomethasone
Alternating a single puff of each, beginning with the salmeterol Alternating a single puff of each, beginning with the beclomethasone
The health care provider (HCP) has prescribed codeine sulfate for a client with a nonproductive cough to suppress the cough reflex. The nurse should teach the client to monitor for which side effect of the medication?
*Constipation Painful coughing Increased urination Difficulty swallowing
A topical corticosteroid is prescribed for an infant with dermatitis in the gluteal area. The nurse provides instructions to the mother regarding the use of the medication. Which statement by the mother indicates an understanding of the use of the medication?
"I should not rub the medication into the skin."
*"The medication will help relieve the inflammation."
"I need to apply the medication in a thick layer to protect the skin."
"I should protect the area by covering it with a diaper and plastic pants."
The nurse is providing discharge teaching for a client newly diagnosed with type 2 diabetes mellitus who has been prescribed metformin. Which client statement indicates the need for further teaching?
"It is okay if I skip meals now and then."
*"I need to constantly watch for signs of low blood sugar."
"I need to let my health care provider know if I get unusually tired."
"I will be sure to not drink alcohol excessively while on this medication."
An adolescent with severe cystic acne has been prescribed isotretinoin. Which statement by the client would suggest the need for further teaching?
"I will return to the clinic for blood tests."
"If my lips begin to burn, it is probably because of the medication." "My eyes may become dry and burn as a result of the medication."
*"I need to take my vitamin A supplement so that the treatment will work."
The nurse is providing instructions to a mother of a child with atopic dermatitis (eczema) regarding the application of topical cortisone cream to the affected skin sites. Which statement made by the mother indicates an understanding of the use of this medication?
"I shouldn't rub the medication into the skin."
"The medication is applied everywhere except the face."
*"I need to wash the sites gently before I apply the medication."
"I need to apply the medication generously and allow it to absorb."
A client reports frequent use of sodium bicarbonate to relieve heartburn after meals. The nurse should monitor the client for which condition that the client is at risk for with long-term frequent use of this medication?
Urinary calculi Chronic bronchitis
*Metabolic alkalosis Respiratory acidosis
The nurse is preparing to administer furosemide to a client with a diagnosis of heart failure. Which is the most important laboratory test result for the nurse to check before administering this medication?
Creatinine level
*Potassium level Cholesterol level
Blood urea nitrogen (BUN)
A client with diabetes mellitus taking daily NPH insulin has been started on therapy with dexamethasone. The nurse anticipates that which adjustments in medication dosage will be made?
*An increased dose of NPH insulin
A change to oral diabetic medications
A lower dose of dexamethasone than usual
An increase in the amount of daily dietary calories
The health care provider has prescribed regular insulin 6 units and NPH insulin 20 units subcutaneously to be administered every morning. How should the nurse prepare to administer insulin?
Shake the NPH insulin vial to distribute the suspension. Administer regular insulin and NPH insulin in separate syringes.
*Draw up the regular insulin first and then the NPH insulin in the same syringe. Draw up the NPH insulin first and then the regular insulin in the same syringe.
A client with gastrointestinal hypermotility has a prescription to receive atropine sulfate. The nurse should withhold the medication and question the prescription if the client has a history of which disease process?
Biliary colic
Sinus bradycardia Peptic ulcer disease
*Narrow-angle glaucoma
The nurse is caring for a client who is receiving heparin sodium intravenously as a continuous infusion. Which laboratory finding requires immediate nursing intervention?
*Platelet count of 100,000 mm3 (100 × 109/L) Red blood cell count of 4.2 cells (4.2 × 1012/L) International normalized ratio (INR) of 1.2 (1.2)
Activated partial thromboplastin time (aPTT) of 60 seconds (60 seconds)
The home care nurse has given instructions to a client who is beginning therapy with digoxin. The nurse determines a need for further teaching if the client makes which statement?
*"If I miss a dose, I should just take 2 the next day."
"I shouldn't change brands without asking the health care provider first."
"I should call the health care provider if my daily pulse rate is under 60 or over 100."
"The pills should be kept in their original container so they don't get mixed up with my other medicines."
Which statement made by a client taking montelukast indicates the need for further teaching? "I will need to have my liver function checked."
"I can take the medication with food or without."
"I may be able to decrease the use of my metered-dose inhaler."
*"I will take the medication when I first notice I am having trouble breathing."
The nurse caring for a client receiving vincristine is monitoring the client for toxicity. The nurse interprets that the client is experiencing a toxic effect of this medication on the basis of which assessment finding?
Nausea and vomiting Decreased platelet count
Decreased white blood cell count
*Weakness and sensory loss in the legs
A client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The nurse caring for the client anticipates that which diagnostic study will be prescribed?
Echocardiography Electrocardiography Cervical radiography
*Pulmonary function studies
The nurse provides education to the client with hyperthyroidism about potassium iodide before medication administration. The client is scheduled for a subtotal thyroidectomy. Which response by the client indicates understanding?
"It replaces thyroid hormone." "It prevents iodine absorption." "It increases thyroid hormone."
*"It suppresses thyroid hormone."
The nurse notes that a client is taking lansoprazole. Which question by the nurse helps to determine that this medication is effective?
"Has your appetite increased?"
*"Are you experiencing any heartburn?" "Do you have any problems with vision?"
"Do you experience any leg pain when walking?"
A client is taking amiloride 10 mg orally daily. What medication instruction should the nurse provide to the client?
Take the dose without food. Eat foods with extra sodium.
*Take the dose in the morning.
Withhold the dose if the blood pressure is high.
A client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?
Weight loss
Relief of heartburn
*Reduction of steatorrhea Absence of abdominal pain
A client has an "as needed" (PRN) prescription for trimethobenzamide. The nurse should assess the client for which sign or symptom to determine whether the client needs a dose of this medication? Heartburn
Constipation Abdominal pain
*Nausea and vomiting
A client has begun taking a stimulant laxative. In monitoring the client for medication side and adverse effects, the nurse is likely to note which finding?
*Abdominal cramps Peptic ulcer disease Gastrointestinal bleeding Partial bowel obstruction
Which finding suggests to the nurse that a client with bleeding esophageal varices is experiencing a side or adverse effect of vasopressin therapy?
*Complaints of chest pain Bounding peripheral pulses Temperature of 102°F (39.8°C)
Blood urea nitrogen (BUN) of 20 mg/dL (7.1 mmol/L)
A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes isotretinoin. The nurse reviews the client's medication record and would contact the HCP if the client is also taking which medication?
Digoxin Phenytoin
*Vitamin A Furosemide
A client who uses nonsteroidal antiinflammatory drugs (NSAIDs) has been taking misoprostol. The nurse determines that the misoprostol is having the intended therapeutic effect if which finding is noted?
Resolved diarrhea
*Relief of epigastric pain Decreased platelet count Decreased white blood cell count
A nurse caring for a 23-year-old client newly diagnosed with type 1 diabetes mellitus teaches the client insulin administration. Which statement by the client indicates a need for further teaching? "It is not necessary for me to aspirate before injecting my insulin."
*"I will rotate my insulin injection between my arms, thighs, and abdomen on a daily basis."
"I will perform a capillary blood glucose measurement before I administer my insulin regimen." "My glargine insulin is long acting and should be administered once a day, but insulin lispro is given just before I eat."
A client with acute myelocytic leukemia is being treated with busulfan. Which laboratory value would the nurse specifically monitor during treatment with this medication?
Clotting time
*Uric acid level Potassium level Blood glucose level
A client with a history of gastroesophageal reflux disease (GERD) is diagnosed with peptic ulcer disease (PUD). The health care provider prescribes sucralfate in addition to the client's other medications. What teaching should the nurse include in this client's instructions?
Take the sucralfate once a day at bedtime with food. Take the sucralfate daily with the proton pump inhibitor.
*Take the sucralfate before meals and at bedtime on an empty stomach.
Take the sucralfate immediately after eating and within 30 minutes of an antacid.
A client is scheduled to receive a daily morning dose of furosemide. Which client laboratory result warrants a call to the health care provider (HCP) prior to the medication administration?
Serum sodium of 135 mEq/L (135 mmol/L) Serum calcium of 10.4 mg/dL (2.6 mmol/L)
*Serum potassium of 2.8 mEq/L (2.8 mmol/L) Fasting blood glucose of 110 mg/dL (6 mmol/L)
A thrombolytic is administered in the hospital emergency department to a client who has had a myocardial infarction. The client's spouse asks the nurse about the purpose of the medication. The nurse bases the response on which fact regarding this medication?
Thrombolytics suppress the production of fibrin. Thrombolytics act to prevent thrombus formation.
*Thrombolytics act to dissolve thrombi that have already formed.
Thrombolytics have been proved to reverse all detrimental effects of heart attacks.
The nurse is monitoring a client with leukemia who is receiving doxorubicin by intravenous infusion. The nurse should monitor for which finding that would indicate doxorubicin toxicity? Elevated creatinine
Red coloration in the urine Elevated blood urea nitrogen (BUN)
*Electrocardiogram (ECG) changes
A client who has begun taking betaxolol demonstrates an effective response to the medication as indicated by which nursing assessment finding?
Increase in edema to 3+ Weight gain of 5 pounds
Decrease in pulse rate from 74 beats/min to 58 beats/min
*Decrease in blood pressure from 142/94 mm Hg to 128/82 mm Hg
Cortisone acetate is prescribed for a client with adrenal insufficiency. The nurse provides instructions to the client regarding the medication. Which statement, if made by the client, indicates a need for further instruction?
"I will limit my sodium intake." "I will avoid people with colds."
"I will eat a good breakfast every day."
*"I will stop the medication when I feel better."
A registered nurse (RN) is orienting a new RN on the use of atorvastatin. Which statement by the new RN indicates that the teaching has been effective?
"It is used in heart failure."
*"It helps to control hypertension."
"It helps to reduce episodes of angina pectoris." "It is given to clients with hypercholesterolemia."
The nurse is assigned to care for several male and female clients who take estrogen or progestins. For which complication should the nurse monitor these clients?
Sepsis Dehydration
*Deep vein thrombosis (DVT) Electrocardiographic changes
A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus previously had been well controlled with glyburide daily, but recently the fasting blood glucose level has been 180 to 200 mg/dL (10.2 to 11.4 mmol/L). Which medication, if added to the client's regimen, may have contributed to the hyperglycemia?
*Prednisone Atenolol Phenelzine Allopurinol
A client is taking Humulin NPH insulin and regular insulin every morning. The nurse should provide which instructions to the client? Select all that apply.
*Hypoglycemia may be experienced before dinnertime. The insulin dose should be decreased if illness occurs.
*The insulin should be administered at room temperature.
The insulin vial needs to be shaken vigorously to break up the precipitates.
The NPH insulin should be drawn into the syringe first, then the regular insulin.
An ambulatory care client with allergic dermatitis has been given a prescription for a tube of diphenhydramine 1% to use as a topical agent. The nurse determines that the medication was effective if which finding was noted?
Nighttime sedation
*Decrease in urticaria Absence of ecchymosis Healing of burned tissue
A client has been taking omeprazole for 4 weeks. The ambulatory care nurse evaluates medication effectiveness by asking the client if relief was obtained from which symptom?
Diarrhea
*Heartburn Flatulence Constipation
A client is diagnosed with iron deficiency anemia, and ferrous sulfate is prescribed. The nurse should tell the client that it would be best to take the medication with which food?
Milk Boiled egg
*Tomato juice Pineapple juice
The nurse administers ondansetron to a client. Which statement by the client indicates that this medication has been effective?
"My headache is gone."
*"I no longer feel nauseous." "The dizziness has stopped."
"The pain at my incision has decreased."
The client with peptic ulcer disease is prescribed medication therapy. The nurse explains the medications to the client and explains that sucralfate will help to heal the ulcer by doing what? Eradicate Helicobacter pylori.
Reduce gastric acidity. Treat bacterial infection.
*Enhance mucosal defenses.
The diabetes nurse specialist conducts a teaching session to a group of nursing students regarding sulfonylureas, oral hypoglycemic medications used for type 2 diabetes mellitus. Which statement, describing the primary action of these medications, should the nurse include in the teaching session?
"Sulfonylureas decrease insulin resistance." "Sulfonylureas inhibit carbohydrate digestion." "Sulfonylureas decrease glucose production by the liver."
*"Sulfonylureas promote insulin secretion by the pancreas."
The client has begun taking misoprostol. Which statement by the client indicates that the misoprostol is effective?
"I have fewer joint aches."
"My joint mobility has improved."
*"I no longer have pain above my stomach." "I am no longer experiencing constipation."
A client with portosystemic encephalopathy is receiving oral lactulose daily. The nurse should check which item to determine that this medication has been effective?
Lung sounds Blood pressure
*Blood ammonia level Serum potassium level
Chemotherapy dosage is frequently based on total body surface area (BSA), so it is important for the nurse to perform which assessment before administering chemotherapy?
Measure the client's abdominal girth. Calculate the client's body mass index.
*Measure the client's current weight and height. Ask the client about his or her weight and height.
The nurse provides instructions to a client who has a prescription for ticlopidine. Which statement made by the client indicates a need for further teaching?
"I'll take my medicine with meals."
"Blood work will be done every 2 weeks for the first 3 months."
"I should not stop the medication without talking to my doctor first."
*"Food will affect the medication, so I need to take the medication on an empty stomach."
The nurse has given a client the prescribed dose of intravenous hydralazine. The nurse evaluates the effectiveness of the medication by monitoring which client parameter?
Pulse rate Urine output
*Blood pressure Potassium level
The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied at which times?
Immediately before swimming
5 minutes before exposure to the sun Immediately before exposure to the sun
*At least 30 minutes before exposure to the sun
A client is taking lansoprazole. The nurse anticipates that the health care provider will advise the client to take which product if needed for a headache?
Naproxen Ibuprofen
*Acetaminophen Acetylsalicylic acid
The nurse is providing dietary instructions to the client with anemia. The client tells the nurse that the iron pills are very expensive and it will be difficult to pay for the pills and buy the proper food. What is the most appropriate nursing response?
"You will have to find a way to afford both."
"You will be fine as long as you take the iron pills."
"Why don't you ask your family to help you out financially?"
*"Would you like for me to check into some other options for you?"
A client scheduled to undergo subtotal thyroidectomy is taking a potassium iodide solution. The client complains to the nurse that she is experiencing a brassy taste in her mouth when taking the medication. Which instruction should the nurse provide to the client?
Dilute the medication in 8 ounces of water.
*Report the symptom to the health care provider (HCP). Continue to take the medication because the symptom is normal.
Take one half dose of the prescribed medication for the next 2 days.
A client is being discharged to home with enoxaparin for short-term therapy. What should the nurse explain to the family about the medication action?
Relieves joint pain Dissolves urinary calculi
Stops progression of multiple sclerosis
*Reduces the risk of deep vein thrombosis
A client has received a dose of dimenhydrinate. The nurse should observe relief of what sign or symptom to evaluate that the medication has been effective?
Chills Headache
*Nausea and vomiting Buzzing sound in the ears
The clinic nurse is performing an admission assessment on a client and notes that the client is taking azelaic acid. The nurse determines that which client complaint may be associated with use of this medication?
*Itching Euphoria Drowsiness
Frequent urination
The nurse has provided instructions to a client receiving enalapril maleate. Which statement by the client indicates a need for further instruction?
"I need to rise slowly from a lying to a sitting position."
*"I need to notify the health care provider if fatigue occurs."
"I need to notify the health care provider if a sore throat occurs."
"I know that several weeks of therapy may be required for the full therapeutic effect."
Silver sulfadiazine is prescribed for a client with a burn injury. Which laboratory finding requires the need for follow-up by the nurse?
Glucose level of 99 mg/dL (5.65 mmol/L) Magnesium level of 1.5 mEq/L (0.75 mmol/L) Platelet level of 300,000 mm3 (300 × 109/L)
*White blood cell count of 3000 mm3 (3.0 × 109/L)
A clinic nurse prepares a teaching plan for a client receiving an antineoplastic medication. When implementing the plan, the nurse should make which statement to the client?
"You can take aspirin as needed for headache."
"You can drink beverages containing alcohol in moderate amounts each evening."
*"You need to consult with the health care provider (HCP) before receiving immunizations."
"It is fine to receive a flu vaccine at the local health fair without HCP approval because the flu is so contagious."
The nurse is caring for a client with a history of heart failure just diagnosed with type 2 diabetes mellitus. The health care provider prescribes an oral hypoglycemic for the client. Which oral hypoglycemic medication prescribed for this client should the nurse question?
Acarbose Glyburide Repaglinide
*Pioglitazone
The nurse is reviewing medical record notes of a client with bladder cancer who is prescribed concentrations of methotrexate followed by leucovorin (citrovorum factor, folic acid). The nurse should include in the client's education which information about the anticipated therapeutic effect of leucovorin?
"It promotes medication excretion." "It will promote protein synthesis."
*"It will help to preserve normal cells."
"It speeds up the effect of the methotrexate."
Ribavirin is prescribed for a hospitalized child with severe respiratory syncytial virus (RSV). The nurse prepares to administer this medication via which route?
Oral
*Oxygen tent Intramuscular Subcutaneous
Atorvastatin has been prescribed for a client. The nurse tells the client that which blood test will be done periodically while the client is taking this medication?
Neutrophil count
*Liver function studies
White blood cell (WBC) count Complete blood cell (CBC) count
A client is due for a dose of bumetanide. The nurse should temporarily withhold the dose and notify the health care provider (HCP) if which laboratory test result is noted?
Sodium 137 mEq/L (137 mmol/L)
Chloride 106 mEq/L (106 mmol/L)
*Potassium 2.9 mEq/L (2.9 mmol/L) Magnesium 2.1 mEq/L (1.05 mmol/L)
A client with an exacerbation of chronic obstructive pulmonary disease (COPD) has been on oral glucocorticoids and is currently being weaned to triamcinolone by inhalation. The nurse determines that the client understands the potential adverse effects to watch for during this medication change when the client states the need to report which signs and symptoms?
Chills, fever, and generalized rash Vomiting, diarrhea, and increased thirst
*Blurred vision, headache, and insomnia Anorexia, nausea, weakness, and fatigue
A client has been taking pyrazinamide for 6 months. The nurse determines that the medication is effective if which cultures yield a negative result?
Urine Blood Wound
*Sputum
The nurse is caring for a child with heart failure (HF). The nurse provides instructions to the mother regarding the procedure for administration of the prescribed digoxin. Which statement by the mother indicates a need for further teaching?
*"I will make sure to mix the medication with food."
"I need to take my child's pulse before administering the medication." "If more than 1 dose is missed, I need to call the health care provider."
"If my child vomits after being given the medication, I should not repeat the dose."
A client who experiences allergic rhinitis asks the nurse about a nasal corticosteroid. How should the nurse reply?
"Clear the nasal passages after use." "Take the medication only as needed."
"The medication should start to work immediately."
*"The medication works locally and decreases inflammation."
A client with small cell lung cancer is being treated with etoposide. The nurse monitors the client during administration, knowing that which adverse effect is specifically associated with this medication?
Alopecia Chest pain
Pulmonary fibrosis
*Orthostatic hypotension
A client has an as needed prescription for loperamide hydrochloride. For which condition should the nurse administer this medication?
Constipation Abdominal pain
*An episode of diarrhea
Hematest-positive nasogastric tube drainage [Show Less]