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A nurse is administering oral hydroxyzine to a client. Which of the following adverse effects should the nurse instruct the client to expect? A. Diarrhea B. Anxiety C. Nausea and vomiting D. Dry mouth - -- <> ---D A nurse is providing teaching to a client who has postmenopausal osteoporosis and a new prescription for intranasal calcitonin-salmon. Which of the following statements by the client indicates an understanding of the teaching? A. I will administer a spray into each nostril daily. B. I should expect nasal bleeding for the first week. C. I will need to depress the side arms to activate the pump. D. I should expect to take this medication for a short-term course of treatment - -- <> ---C A nurse is providing discharge teaching to a client who had venous thrombosis and a prescription for warfarin. Which of the following instructions should the nurse include in the teaching?
A. Take ibuprofen as needed for headache or other minor pains B. Carry a medic alert ID card C. Report to the lab weekly to have a blood drawn for aPTT D. Increase intake of dark green vegetables. - -- <> ---B A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of the following findings should alert the nurse that the client is experiencing acute levothyroxine overdose? A. Bradycardia B. Cold intolerance C. Tremor D. Hypothermia - -- <> ---C A nurse is providing discharge to a client who has angina pectoris and a new prescription for verapamil. The client tells the nurse, "my brother takes verapamil for high blood pressure. Do you think the provider made a mistake?" which of the following responses should the nurse make? A. Verapamil is used to treat both high blood pressure and angina. B. You should talk to your provider to make sure the prescription is correct for you. C. Are you concerned that you might have high blood pressure? D. Your provider has prescribed verapamil so that you will not develop high blood pressure. - -- <> ---A A nurse is providing teaching to a client who is to start taking hydrochlorothiazide for hypertension. The nurse instructs the client to eat foods rich in potassium.
A nurse is providing discharge teaching to a client who had kidney transplant and has a prescription for oral cyclosporine. Which of the following statements by the client indicates an understanding of the teaching? A. I will be able to stop this medication 6 months after my surgery. B. I am likely to develop higher blood pressure while taking this medication. C. I am likely to lose my hair while taking this medication. D. I am taking this medication to boost my immune system. - -- <> ---B A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg 3 x daily po and gabapentin 1,800mg 3 x daily po to manage pain. The client tells the nurse, "I'm having pain that keeps me from doing what I'd like most of the time." which of the following additions should the nurse anticipate to the client's medication regimen? A. Oral meperidine B. Parenteral naloxone C. Parenteral diazepam D. Oral oxycodone - -- <> ---D A nurse is caring for a client who has CHF and is taking digoxin. The client reports nausea and refuses to eat breakfast. Which of the following actions should the nurse take first? a. Encourage the client to eat the toast on the breakfast tray. b. Administer an antiemetic c. Inform the client's provider. d. Check the client's apical pulse - -- <> ---D
A nurse is preparing a discharge teaching plan for a client who is to begin long term oral prednisone for asthma. Which of the following instructions should the nurse include in the plan? A. Stop taking medication if a rash occurs. B. Take the medication on an empty stomach to enhance absorption. C. Schedule the medication on alternate days to decrease adverse effects. D. Treat SOB with an extra dose of medication. - -- <> ---C A nurse is assessing a client who reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following therapeutic effects? A. Urinary health promotion B. Immune system stimulation C. Decreased leg pain from arterial disease D. Prevention of nausea caused by motion sickness. - -- <> ---A A nurse is providing discharge teaching to a client who has been hospitalized for MDD and has a prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? A. I will take amitriptyline in the morning because I'm likely to have trouble falling asleep if I take it in the evening. B. I will move slowly when I stand up because amitriptyline can cause my blood pressure to decrease. C. I can drink a glass of beer or wine with my evening meal because amitriptyline doesn't interact with alcohol.
B. The client must stop taking alosetron if diarrhea continues 1 week after beginning the medication. C. The client should expect to have a slower heart rate while taking alosetron. D. The client should use a barrier birth control method because alosetron interacts with oral contraceptives. - -- <> ---A A nurse is planning to administer epoetin alfa to a client who had chronic kidney failure. Which of the following data should the nurse plan to review prior to administration of this medication.? A. Blood pressure B. Temperature C. Blood glucose levels D. Total protein level - -- <> ---A A nurse is monitoring lab values for a male client who has leukemia and is receiving weekly chemotherapy with methotrexate via IV infusion. Which of the following lab values should the nurse report to the provider? A. BUN 18mg/dL B. Platelets 78,000/mm C. Hgb 14.2 g/dL D. Aspartate aminotransferase (AST) 35 units/L - -- <> ---B
A nurse is caring for a client who has alcohol use disorder and is admitted with lower extremity fractures following a motor vehicle crash. A few hours after admission, the client develops restlessness and tremors. Which of the following medications should the nurse anticipate administering to the client first? a. Acamprosate b. Naltrexone c. Chlordiazepoxide d. Disulfiram - -- <> ---C A nurse is providing discharge teaching to a client who had a bleeding duodenal ulcer and is prescribed omeprazole. Which of the following statements should the nurse include in the teaching? A. You will need to take this medication for the next 6 months. B. Taking this medication will decrease your risk for acquiring pneumonia C. You should take this medication before breakfast everyday. D. Watch for the serious adverse effects of tachycardia and heart palpitations while taking this medications. - -- <> ---C A nurse is providing teaching to the parents of a school age child who has asthma about medications for bronchospasm. Which of the following inhaled medications should the nurse instruct the parents to used to relieve an acute asthma attack? a. Salmeterol b. Cromolyn c. Fluticasone d. Albuterol - -- <> ---D
A nurse is administering adenosine via IV bolus for a client who has developed paroxysmal atrial tachycardia. For which of the following findings should the nurse assess the client during administration of adenosine? A. Seizures B. Cinchonism C. Dyspnea D. Transient pallor of the face - -- <> ---C A nurse is preparing a discharge teaching plan for a 6 year old client who has asthma and several prescription medication using metered dose inhalers (MDIs). Which of the following interventions should the nurse include in the plan? A. Add a spacer to each MDI. B. Instruct the child to inhale more rapidly than usual when using an MDI. C. Request that the provider change the child's medications from inhaled to oral formulation. D. Administer oxygen by facemask along with the MDI. - -- <> ---A A nurse is providing discharge teaching to a client who has heart failure and a prescription for digoxin 0.125mg po daily and furosemide 20mg po daily. Which of the following statements by the clients indicates an understanding of the teaching? A. I know that blurred vision is something I will expect to happen while taking digoxin. B. I will measure my urine output each day and document it in my diary.
C. I will skip a dose of my digoxin if my resting heart rate is below 72 beats per minute. D. I will eat fruits and vegetables that have high potassium content everyday - -- <> ---D A nurse is preparing to administer iron dextran IV to a client. Which of the following actions should the nurse plan to take? A. Administer a small test dose before giving the full dose. B. Infuse the medication over 30 seconds C. Monitor the client closely for hypertension after the infusion D. Administer cyanocobalamin as an antidote if iron dextran toxicity occurs. - -- <> ---A A nurse is planning to administer diphenhydramine 50 mg via IV bolus to a client who is having an allergic reaction. The client has an IV infusion containing a medication that is incompatible with diphenhydramine in solution. Which of the following actions should the nurse take? A. Choose an IV post for IV bolus of the diphenhydramine as near as possible to the client's hanging IV bag B. Flush the IV tubing with 2 ml of o.9% sodium chloride before and after administering diphenhydramine. C. Allow the IV infusion to keep running while administering the diphenhydramine via IV bolus. D. Aspirate to check for IV patency before administering the diphenhydramine. - -- <> ---D
A. Reduces Blood pressure B. Inhibits clotting of fistula C. Promotes RBC production D. Stimulates growth of neutrophils - -- <> ---C A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer? A. Ibuprofen (NSAID) B. Naproxen (NSAID) C. Aspirin (NSAID) D. Acetominophen (ANALGESIC) - -- <> ---D A nurse is caring for a client who has prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects? A. Insomnia B. Hypotension C. Bleeding D. Constipation - -- <> ---C A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse should include a severe allergy to which of the following medications as contraindication to ceftriaxone? A. Gentamicin B. Clindamycin
C. Piperacillin D. Sulfamethoxazole- Trimethroprim - -- <> ---C A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should include in the teaching that which of the following conditions is a contraindication to this medication? A. Hyperthyroidism B. Intestinal obstruction C. Glaucoma D. Low blood pressure - -- <> ---B A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has. mask like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? A. Amantadine B. Bupropion (Atypical antidepressant) C. Phenelzine (MAOI) D. Hydroxyzine (Antihistamine) - -- <> ---A A nurse is administering subQ epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects? A. Hypotension B. Hyperthermia
B. Somatropin C. Levothyroxine D. Propythiouracil - -- <> ---C A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching? A. Take the hydrochlorothiazide as needed for edema B. Check your weight once each week C. Take the hydrochlorothiazide on an empty stomach D. Take the hydrochlorothiazide in the morning. - -- <> ---D A nurse is caring for a client who is at 28 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? A. Oxytocin B. Nifedipine C. Dinoprostone D. Misoprostol - -- <> ---B A nurse is providing teaching to a client who has cirrhosis and new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects? A. Increases blood pressure B. Prevents esophageal bleeding
C. Decreases heart rate D. Reduces Ammonia - -- <> ---D 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 preform prior to starting the client on this medication? A. Hearing examination B. Glucose tolerance test C. Electrocardiogram D. Pulmonary Function tests - -- <> ---C A nurse is providing teaching to a client who has gout and new prescription for allopurinol. The nurse should instruct client to discontinue taking the medications for which of the following adverse effects? A. Nausea B. Metallic taste C. Fever D. Drowsiness - -- <> ---C A nurse is assessing a client who is recieving IV Gentamicin 3x daily. Which of the following findings indicates that the client is experiencing an adverse effevt of this medication? A. Hypogycemia B. Proteinuria C. Nasal congestion
A nurse is providing teaching to a client who had rheumatoid arthritis and a prescription for long term prednisone therapy. The nurse should instruct the client to monitor for which of the following adverse effects? A. Stress fractures B. Orthostatic hypotension C. Gingival ulcerations D. Weight loss - -- <> ---A A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? A. Antiestrogenic B. Antimicrobial C. Androgenic D. Anti-inflammatory - -- <> ---A A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan to monitor the client for which of the following adverse effects? A. Hyperkalemia B. Hypertension C. Constipation D. Nephrotoxicity - -- <> ---D A nurse is administering subQ heparin to a client who is at risk for DVT. Which of the following should the nurse take?
A. Administer the medication into the client's abdomen B. Inject the medication into a muscle C. Massage the site after administering the medication D. Use a 22 gauge needle to administer the medication - -- <> ---A A nurse is reviewing the lab results for a client who has a prescription for filgastrim. The nurse should recognize that an increase in which of the following values indicates a therapeutic effect of this medication? A. Erythrocyte count B. Neutrophil count C. Lymphocyte count D. Thrombocyte count - -- <> ---B A nurse is providing teaching to a client who has a ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Jaundice B. Constipation C. Oral Candidiasis D. Sedation - -- <> ---A A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following lab values should the nurse plan to monitor? Select all that apply. A. BUN
