A nurse is caring for a client who has alcohol use disorder and was admitted with lower-extremity fractures following a motor-vehicle crash. A few hours
... [Show More] after admission, the client develops restlessne ss and tremors. Which of the following medications should the nurse anticipate administering to the client first?( A. Acamprosate B. Naltrexone C. Chlordiazepoxide D. Disulfiram 53% of exam takers got this question correct. Correct Answer: Question 2 out of 421 A nurse is reinforcing teaching with a client who is premenopausal and has a prescription for a combination oral contraceptive. Which of the following findings should the nurse include as an adverse effect of oral contraceptives? A. Bone fractures B. Deep-vein thrombosis C. Increased LDL cholesterol D. Increased risk of breast cancer 62% of exam takers got this question correct. Correct Answer: Question 3 out of 421 A nurse is collecting data from a client who has heart failure and is receiving digoxin. Which of the following findings should indicate to the nurse the client is experiencing digoxin toxicity? A. Suppression of dysrhythmias B. Increase in atrioventricular (AV) conduction C. Visual disturbances D. Weight gain 68% of exam takers got this question correct. Correct Question 4 out of 421 A nurse is caring for a client who has been receiving medication through a transdermal patch. The client is experiencing therapeutic benefits from the medication even though the medication in the patch is no longer active. The nurse should recognize that this is an example of which of the following? A. Pharmacodynamic tolerance( B. Placebo effect C. Metabolic tolerance D. Tachyphylaxis 72% of exam takers got this question correct. Correct Question 5 out of 421 A nurse is caring for a client who is 12 hours postoperative following a total hip arthroplasty. Which of following medications should the nurse anticipate administering to this client to prevent deep vein thrombosis (DVT)?(12 A. Aspirin B. Warfarin C. Ticagrelor D. Enoxaparin 58% of exam takers got this question correct. Correct Question 6 out of 421 A nurse is collecting data from a client who is taking duloxetine to treat diabetic neuropathy pain. For which of the following manifestations should the nurse monitor as a potential adverse effect of the medication? A. Urinary frequency(urinary retention) B. Increased appetite(decreased appetite) C. Dry mouth D. Decreased sweating(increased sweating) 70% of exam takers got this question correct. Correct Question 7 out of 421 A nurse in a long-term care facility is administering medications to a group of older adult clients. Which of the following factors of pharmacokinetics should the nurse consider when caring for this age group? A. The excretion of medication is reduced. B. The percentage of medication absorbed is increased. C. The liver metabolizes medication more quickly. D. Less medication is stored in fatty tissue.( 76% of exam takers got this question correct. Correct Question 8 out of 421 A nurse is collecting data from a client who is receiving a continuous morphine IV infusion and finds the client's respiratory rate has decreased from 20 to 12/min. Which of the following actions should the nurse take? A. Flush the IV line with saline B. Administer flumazenilopioid toxicity C. Lower the head of the bed D. Slow the rate of the infusion 71% of exam takers got this question correct. Correct Answer: D. Slow the rate of the infusion The nurse should decrease the infusion rate to reduce the amount of morphine the client receives and to lower the risk of respiratory depression. 4218 20 / min / min12 / min 71 D. Question 9 out of 421 A nurse is caring for a client who has multiple sclerosis and neurogenic bladder and is receiving bethanechol. The nurse should identify that which of the following client statements indicates a therapeutic action of the medication? A. "My mouth seems very dry lately.(excessive salivation) B. "I've noticed my heart beating faster.(cause hypotension and bradycardia) C. "I am able to urinate more freely." D. "I've noticed I can take a deep breath more easily.( 75% of exam takers got this question correct. Question 10 out of 421 . A nurse is reviewing the laboratory results of a client who is taking a medication and notes that the client's blood tests show an elevated level of the enzymes aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The nurse should recognize that these findings are potential indications of which of the following conditions?(ast alt A. Renal dysfunction B. Myelotoxicity C. Hepatic toxicity D. Cardiac dysrhythmia 83% of exam takers got this question correct. Correct Question 11 out of 421 A nurse is caring for a client who is taking acarbose to treat type 2 diabetes mellitus. For which of the following adverse effects of this medication should the nurse monitor? A. Insomnia( sleepiness ) B. Diarrhea C. Joint pain(headaches) D. Polycythemia(anemia,decrease the absorption of iron. ) 50% of exam takers got this question correct. Correct Question 12 out of 421 A nurse is reinforcing discharge teaching with a client who has a new prescription for amlodipine. For which of the following findings should the client notify the provider? A. Tenderness of the gums(cause gingival hyperplasia) B. Blood pressure 120/78 mmHg(treatment of hypertension) C. Flushing of the face D. Heart rate of 48/min 78% of exam takers got this question correct. Correct Question 13 out of 421 A nurse is caring for a school-aged child who has cystic fibrosis (CF) and has been using a corticosteroid inhaler for long-term treatment. Which of the following findings should the nurse identify as an adverse effect of long-term use of this medication? A. Small stature for age B. Decreased weight C. Poor dentition D. Atrophied muscles 54% of exam takers got this question correct. Correct . Question 14 out of 421 A nurse is caring for a client who has a dry, nonproductive cough. Which of the following types of medication should the nurse recommend? A. Expectorantmobilize secretions. B. Mucolytichelp liquefy secretions C. Bronchodilatorhelp open air passages. D. Antitussive 55% of exam takers got this question correct. Correct Question 15 out of 421 A nurse is reinforcing teaching with the parents of a school-aged child who has asthma about medications for bronchospasm. Which of the following inhaled medications should the nurse instruct the parents to use to relieve an acute asthma attack? A. Salmeterol B. Cromolyn C. Fluticasone D. Albuterol 91% of exam takers got this question correct. Correct Question 16 out of 421 A nurse is reinforcing discharge teaching with a client who is postoperative and has a new prescription for an oral opioid analgesic. Which of the following pieces of information should the nurse include as a rationale for increasing the clients daily intake of fiber? A. Fiber binds with the medication to relieve pain. B. Dietary fiber prevents nausea caused by opioids. C. Fiber aids in the absorption of opioids. D. Dietary fiber helps prevent constipation. 91% of exam takers got this question correct. Correct Question 17 out of 421 A nurse is administering a prescription for nifedipine to a client who is pregnant. Which of the following pieces of information related to nifedipine should the nurse monitor and document? A. Hypoglycemia(hyper) B. Uterine ripening( C. Increased blood pressure(hypo) D. Number of uterine contractions 52% of exam takers got this question correct. Correct Question 18 out of 421 A nurse is caring for a client who has rheumatoid arthritis and a new prescription for etanercept. Which of the following values should the nurse review prior to the administration of the medication? A. Ability to swallow B. Results of last purified protein derivative (PPD) test C. Serum creatinine level D. Blood glucose level 40% of exam takers got this question correct. Correct Question 19 out of 421 A nurse is assisting with the admission of a client who has unstable angina. Which of the following medications should the nurse anticipate administering to the client? A. Epinephrine(cardiac arrest) B. Nitroglycerin C. Lidocaine(ventricular dysrhythmias.) D. Atropine(bradycardia and increases heart rate) 84% of exam takers got this question correct. Correct Question 20 out of 421 A nurse is preparing an in-service session for medical-surgical staff on infections and antibiotic use. Which of the following antibiotics should the nurse identify as having the highest rate of severe allergic reactions? A. Trimethoprim B. Erythromycin C. Sulfonamides D. Penicillins 84% of exam takers got this question correct. Correct Question 21 out of 421 A nurse is caring for a client at 39 weeks of gestation who has gestational hypertension. The client has a new prescription for misoprostol for cervical ripening and induction of labor. Which of the following findings in the client's medical history should the nurse identify as increasing the clients risk of complications due to the use of this medication? A. Positive bacterial vaginosis culture B. History of failure to progress C. Previous cesarean delivery D. Positive serum Rh sensitization 57% of exam takers got this question correct. Correct Question 22 out of 421 A nurse is caring for a client who is receiving a continuous IV infusion of erythromycin lactobionate to treat a Bordetella pertussis infection. Which of the following actions should the nurse perform to minimize the risk of thrombophlebitis? A. Make sure the medication infuses slowly B. Stop the infusion after the client has received half the dosage C. Make sure the solution is not dilute D. Request a prescription for intermittent dosing 84% of exam takers got this question correct. Correct Question 23 out of 421 A nurse is preparing to administer digoxin to a client. Which of the following findings should the nurse identify as a contraindication to the client receiving this medication? A. Blood pressure 180/70 mmHg B. Oxygen saturation rate 94% C. Heart rate 51/min D. Respiratory rate 21/min 87% of exam takers got this question correct. Question 24 out of 421 A nurse is assessing a client who was recently admitted and has a history of alcohol use disorder. The client displays ataxia, an altered level of consciousness, and nystagmus. Which of the following medications should the nurse anticipate administering to the client? A. Parenteral thiamine B. Niacin extended-release capsules C. Parenteral pyridoxine D. Riboflavin tablets 51% of exam takers got this question correct. Correct Question 25 out of 421 A nurse is reinforcing teaching with a client who has allergic rhinitis about a new prescription for brompheniramine. Which of the following pieces of information should the nurse include in the teaching? A. "Report gastrointestinal disturbances immediately." B. "You might find that you develop a dry mouth." C. "You should not experience any central nervous system alterations." D. "Increased urinary frequency is an expected effect." 65% of exam takers got this question correct. Correct Question 25 out of 421 A nurse is reinforcing teaching with a client who has allergic rhinitis about a new prescription for brompheniramine. Which of the following pieces of information should the nurse include in the teaching?first-generation antihistamine "Report gastrointestinal disturbances immediately.(gi "You might find that you develop a dry mouth." "You should not experience any central nervous system alterations." "Increased urinary frequency is an expected effect.urinary retention 65% of exam takers got this question correct. Correct Question 26 out of 421 A nurse is reviewing the medical record of a client who has been taking a vitamin D supplement. Which of the following findings from the client's record should the nurse identify as a risk factor for developing vitamin D deficiency? A. Middle-agepregnancy B. Obesity C. Dark-colored eyes D. Light-pigmented skind 46% of exam takers got this question correct. Correct Question 27 out of 421 A nurse is administering an enteric-coated tablet to a client and explaining the pharmaceutical preparation. Which of the following statements should the nurse make? A. "This coated tablet dissolves better in your stomach and intestines." B. "You are less likely to have an upset stomach with this pill because of the coating on the tablet." C. "The coating on the tablet improves the absorption of the medication." D. "The coating on the tablet allows a gradual release of the medication." 49% of exam takers got this question correct. Correct Question 28 out of 421 A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to obtain prior to administering the medication? A. Hearing examination B. Glucose tolerance test C. Electrocardiogram D. Pulmonary function tests 61% of exam takers got this question correct. Correct Question 29 out of 421 A nurse is reinforcing teaching about food-drug interactions with a client who is prescribed sirolimus following a kidney transplant. Which of the following pieces of information should the nurse include in the teaching? A. "Increase your intake of high-fat foods.maintain consistency for absorption B. "Avoid eating grapefruit while taking sirolimus." C. "Drink apple juice just before dosing.taking cyclosporine D. "Reduce your intake of gluten.celiac disease 85% of exam takers got this question correct. Correct Question 30 out of 421 A nurse is preparing to administer nitroglycerin topical ointment to a client who has angina. Which of the following actions should the nurse take?( A. Cover the applied ointment with cotton gauzeplastic wrap B. Apply the ointment using a dose-measuring applicator C. Apply the ointment using the index finger(using gloves and a dose-measuring applicator) D. Massage the ointment onto the client's skin( 74% of exam takers got this question correct. Correct Question 31 out of 421 A nurse is reinforcing teaching with a client who has been taking an NSAID to treat rheumatoid arthritis. During the client's first month checkup, the provider prescribed methotrexate to be added to the medication regimen. Which of the following statements should the nurse include in the teaching about the purpose of this change in the client's medication? A. "Your current medication was not strong enough to manage this condition. B. "Once your blood levels of methotrexate are within the therapeutic range, the NSAID will be discontinued." C. "This medication was added to delay the disease progression." D. "Treating this disease with 2 medications will help protect you from becoming treatment-resistant. 47% of exam takers got this question correct. Correct Question 32 out of 421 A nurse is planning care for a client who is receiving gentamicin IM and has a new prescription to obtain gentamicin peak and trough levels. At which of the following times should the nurse plan to obtain a blood sample to evaluate the gentamicin peak? A. 1 hour after administering the IM injection B. Just before administering the IM injectionafter C. 12 hours after the last IM injection30min-1hr D. 30 minutes after administering the IM injection1hr 50% of exam takers got this question correct. Correct Question 33 out of 421 A nurse is preparing to administer the first injection of the diphtheria, tetanus, and pertussis (DTaP) vaccine to an infant. Which of the following pieces of information should the nurse tell the guardian prior to administering the immunization? A. "Your child might develop diarrhea or vomiting within 24 hours of receiving this vaccine.localized reactions, fever, fretfulness, drowsiness, and anorexia B. "I can either give your child all of the injections in this series at once or individually.The DTaP vaccine consists of a series of five injections C. "The vaccine will be injected into the infant's thigh." D. "This injection contains a live virus.(inactivated bacteria ) 80% of exam takers got this question correct. Correct Question 34 out of 421 A nurse is reinforcing discharge teaching with a client who has major depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse include in the plan as safe for the client to consume while taking phenelzine?maoi A. Broiled beef steak B. Macaroni and cheese C. Pepperoni pizza D. Smoked salmon 58% of exam takers got this question correct. Correct Question 35 out of 421 A nurse is reinforcing teaching about glucocorticoid therapy with the parent of a child who has severe reactive airway disease. The parent asks why her child has to inhale the medication instead of taking it orally. Which of the following pieces of information should the nurse provide the parent? 42% of exam takers got this question correct. Correct Question 35 out of 421 A nurse is reinforcing teaching about glucocorticoid therapy with the parent of a child who has severe reactive airway disease. The parent asks why her child has to inhale the medication instead of taking it orally. Which of the following pieces of information should the nurse provide the parent? A. Inhaled glucocorticoids are less likely to cause thrush. B. Oral glucocorticoids are hazardous during times of stress.( C. Oral glucocorticoids are more likely to slow linear growth in children. D. Inhaled glucocorticoids are more effective for acute bronchospasm.adrenal suppression 42% of exam takers got this question correct. Correct Question 36 out of 421 A nurse is caring for a client who takes ginkgo biloba daily at home. Which of the following effects should the nurse expect from the use of this herbal supplement? A. Decreased platelet aggregation B. Prevention of migraine headaches(feverfew C. Increased risk of deep-vein thrombosis D. Lowered cholesterol and triglyceride levelsGarlic 50% of exam takers got this question correct. Correct Question 37 out of 421 A nurse is assisting with the care of a client who is postoperative. The client reports a pain level of 8 on a scale of 0 to 10 and has a prescription for meperidine. Which of the following routes of administration will deliver the medication with the shortest time of onset? A. Oral B. Intravenous C. Intramuscular D. Subcutaneous 85% of exam takers got this question correct. Correct Question 38 out of 421 A nurse is reinforcing teaching with a client who has a new prescription for human chorionic gonadotropin (HCG) to treat infertility. Which of the following statements should the nurse make [Show Less]