The client who chronically uses nonsteroidal anti-inflammatory drugs has been taking misoprostol (Cytotec). The nurse determines that the medication is
... [Show More] having the intended therapeutic effect if which of the following is noted?
1.
Resolved diarrhea
2.
Relief of epigastric pain
3.
Decreased platelet count
4.
Decreased white blood cell count - correct answer 2.
Relief of epigastric pain
Etidronate (Didronel), an antihypercalcemic medication, is prescribed for a client. The nurse instructs the client to take the medication:
1.
Two hours before meals
2.
With meals
3.
With milk
4.
With an antacid - correct answer 1.
Two hours before meals
A client is scheduled for an intravenous pyelogram and has been instructed to take liquid magnesium citrate on the day before the scheduled procedure. The client asks the nurse about the administration procedure for this medication. Which of the following instructions will the nurse provide to the 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." - correct answer 1.
"Take the medication on ice."
Which statement indicates that a client with Addison's disease knows how to safely manage a medication regimen that consists of daily doses of glucocorticoids?
1.
"I will need to call my doctor for an increase in medication dose when I'm experiencing a lot of stress."
2.
"I should stop my medication if I begin to experience any unpleasant side effects."
3.
"The medication I am taking is very safe and does not cause side effects."
4.
"If I'm nauseated and can't take my medicine for a few days, I can do without them." - correct answer 1.
"I will need to call my doctor for an increase in medication dose when I'm experiencing a lot of stress."
A client recently began medication therapy with propranolol (Inderal-LA). The nurse would be most concerned after noting the presence of which of the following in this client?
1.
Blood pressure of 136/84 from 162/90 mm Hg
2.
Heart rate of 86 beats per minute decreased to 78
3.
Complaints of insomnia
4.
Audible expiratory wheezes - correct answer 4.
Audible expiratory wheezes
A client admitted to the hospital gives the nurse a bottle of clomipramine (Anafranil). The nurse notes that the medication has not been taken by the client in 2 months. What behaviors observed in the client would validate noncompliance with this medication?
1.
Complaints of hunger
2.
Complaints of insomnia
3.
A pulse rate less than 60 beats per minute
4.
Frequent handwashing with hot, soapy water - correct answer 4.
Frequent handwashing with hot, soapy water
A client with an infected leg wound that is draining purulent material has a prescription for sodium hypochlorite (Dakin solution) to be used in the care of the wound. The nurse would do which of the following while using this solution?
1.
Let the solution run freely over normal skin tissue.
2.
Rinse off immediately following irrigation.
3.
Pour onto sterile sponges and pack in the wound.
4.
Use each bottle of solution for 1 month before replacing. - correct answer 2.
Rinse off immediately following irrigation.
A client on the nursing unit has a prescription for dextroamphetamine (Dexedrine) orally daily. The nurse collaborates with the dietitian to limit the amount of which of the following items on the client's dietary trays?
1.
Fat
2.
Protein
3.
Starch
4.
Caffeine - correct answer 4.
Caffeine
Nalidixic acid (NegGram) is prescribed for the client with a urinary tract infection. Reviewing the client's record, the nurse notes that the client is taking warfarin (Coumadin) on a daily basis. Which of the following prescriptions would the nurse anticipate because the client is taking this oral anticoagulant?
1.
An increase in the anticoagulation dosage
2.
A reduction in the anticoagulation dosage
3.
The need to discontinue the warfarin during therapy
4.
The need to administer an alternative medication to treat the urinary tract infection - correct answer 2.
A reduction in the anticoagulation dosage
A client with human immunodeficiency virus is taking nevirapine (Viramune). The nurse should monitor for which adverse effects of the medication? Select all that apply.
1.
Rash
2.
Hepatotoxicity
3.
Hyperglycemia
4.
Peripheral neuropathy
5.
Reduced bone mineral density - correct answer 1.
Rash
2.
Hepatotoxicity
A female client undergoing chemotherapy with intravenous vincristine sulfate (Oncovin) has been given information about the treatment. The nurse determines that the client has adequate understanding of the side effects of treatment if the client states that her hair:
1.
May be lost temporarily but will grow back normally
2.
May be lost temporarily but may grow back with a different color and texture
3.
Will not be lost with this medication
4.
Will permanently be lost with this medication - correct answer 2.
May be lost temporarily but may grow back with a different color and texture
A client uses the alternative therapy of cascara sagrada known as Californian buckthorn for ongoing management of chronic constipation. The nurse monitors the client's laboratory results for which electrolyte imbalance related to long-term use of this medication?
1.
Hypokalemia
2.
Hyperkalemia
3.
Hyponatremia
4.
Hypernatremia - correct answer 1.
Hypokalemia
The client has a new prescription for metoclopramide (Reglan). On review of the chart, the nurse identifies that this medication can be safely administered with which condition?
1.
Intestinal obstruction
2.
Peptic ulcer with melena
3.
Diverticulitis with perforation
4.
Vomiting following cancer chemotherapy - correct answer 4.
Vomiting following cancer chemotherapy
A client receiving nitrofurantoin (Macrodantin) calls the health care provider's office complaining of side effects related to the medication. Which side effect indicates the need to stop treatment with this medication?
1.
Nausea
2.
Diarrhea
3.
Anorexia
4.
Cough and chest pain - correct answer 4.
Cough and chest pain
The nurse should instruct the client taking codeine sulfate to do which of 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. - correct answer 4.
Increase fluid intake.
A client with myasthenia gravis is receiving pyridostigmine (Mestinon). The nurse monitors for signs and symptoms of cholinergic crisis caused by overdose of the medication. The nurse checks the medication supply to ensure that which medication is available for administration if a cholinergic crisis occurs?
1.
Vitamin K
2.
Atropine sulfate
3.
Protamine sulfate
4.
Acetylcysteine (Mucomyst) - correct answer 2.
Atropine sulfate
A client who will undergo thyroidectomy at a later date has been started on medication therapy with potassium iodide (Lugol solution). As the licensed practical nurse (LPN) prepares to administer a scheduled dose, the client states that there is a burning sensation and a brassy taste in the mouth. The LPN should:
1.
Give half the prescribed dose and notify the registered nurse (RN).
2.
Withhold the medication and notify the RN.
3.
Continue to administer the medication.
4.
Stop the medication for 24 hours. - correct answer 2.
Withhold the medication and notify the RN.
A client with tuberculosis is being started on antituberculosis therapy with isoniazid (INH). Before giving the client the first dose, a nurse ensures that which of the following baseline studies has been completed?
1.
Electrolyte levels
2.
Coagulation times
3.
Liver enzyme levels
4.
Serum creatinine level - correct answer 3.
Liver enzyme levels
Entacapone (Comtan) is prescribed for a client with a diagnosis of Parkinson's disease. The nurse provides medication instructions to the client and tells the client that a frequent side effect is:
1.
An elevation in blood pressure
2.
Joint pains
3.
Urine discoloration to dark yellow or orange
4.
Pruritus - correct answer 3.
Urine discoloration to dark yellow or orange
A client is receiving meperidine hydrochloride (Demerol) for pain. Which of the following are side effects of this medication. Select all that apply.
1.
Diarrhea
2.
Tremors
3.
Drowsiness
4.
Hypotension
5.
Urinary frequency
6.
Increased respiratory rate - correct answer 2.
Tremors
3.
Drowsiness
4.
Hypotension
The client with acute myelocytic leukemia is being treated with busulfan (Myleran). Which laboratory value would the nurse specifically monitor during treatment with this medication?
1.
Clotting time
2.
Uric acid level
3.
Potassium level
4.
Blood glucose level - correct answer 2.
Uric acid level
Fluoxetine (Prozac) is prescribed for the client. The nurse reinforces instructions to the client regarding the administration of the medication. Which statement 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." - correct answer 3.
"I should take the medication in the morning when I first arise."
The nurse is providing education to the client with gestational diabetes who was recently placed on insulin therapy. The nurse tells the client that insulin needs in the second and third trimesters of pregnancy:
1.
Increase
2.
Decrease [Show Less]