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PHARMACOLOGY hASSESSMENT hA+h
hTEST h WITH h FULLh COVERAGE
Ahnursehishcaringhforhahclienthwhohhashmultiplehsclerosishandhhashahnewhprescriptionhforh baclofen.hWhichhofhthehfollowinghfindingshindicateshtohthehnursehthaththehmedicationhishh avinghahtherapeuticheffect? A)hDecreasedhmusclehspasticity Thehnursehshouldhidentifyhthathbaclofenhishanhantispasmodichthathdecreaseshmusclehsp asticityhinhahclienthwhohhashmultiplehsclerosis. B)hIncreasedhurinaryhoutput Urinaryhfrequencyhishanhadverseheffecthofhbaclofenhratherhthanhahtherapeuticheffect. C)hIncreasedhmentalhalertness BaclofenhishanhantispasmodichthathcanhcausehCNShadverseheffects,hsuchhashdrowsines s,hfatigue,handhconfusion,handhdoeshnothproducehanhincreasehinhthehclient'shmentalhalert nesshashahtherapeuticheffect. D)hDecreasedhhearthrate Baclofenhishanhantispasmodichandhdoeshnothdecreasehthehclient'shhearthratehashahtherap euticheffect.h-hcorrecthanswer-A)hDecreasedhmusclehspasticity Thehnursehshouldhidentifyhthathbaclofenhishanhantispasmodichthathdecreaseshmusclehsp asticityhinhahclienthwhohhashmultiplehsclerosis. Ahnursehishcollectinghdatahfromhahclienthwhohishtakinghferroushsulfatehorally.hWhichhofhthe hfollowinghfindingshreportedhbyhthehclienthshouldhindicatehtohthehnursehthaththehmedicatio nhishhavinghahtherapeuticheffect? A)hPassagehofhahsoft,hformedhstoolhdaily Passinghahsoft,hformedhstoolhishnothanhindicationhthehmedicationhishhavinghahtherapeutich effect.hFerroushsulfatehcanhcausehconstipation. B)hDecreasedhnumberhofhviralhillnesses Ahdecreasedhnumberhofhviralhillnesseshishnothanhindicationhthehferroushsulfatehishhavingh ahtherapeuticheffect. C)hImprovedhabilityhtohfallhasleep Anhimprovedhabilityhtohfallhasleephishnothanhindicationhthehferroushsulfatehishhavinghahther apeuticheffect. D)hIncreasedhtolerancehtohexercise Thehclienthwhohtakeshferroushsulfate,hwhichhishusedhtohtreathiron- deficiencyhanemia,hcanhhavehfatiguehandhshortnesshofhbreathhduehtohahlowhhemoglobinh
level.hAnhincreasedhtolerancehtohexercisehishanhindicationh-hcorrecthanswer- D)hIncreasedhtolerancehtohexercise Thehclienthwhohtakeshferroushsulfate,hwhichhishusedhtohtreathiron- deficiencyhanemia,hcanhhavehfatiguehandhshortnesshofhbreathhduehtohahlowhhemoglobinh level.hAnhincreasedhtolerancehtohexercisehishanhindicationhthehferroushsulfatehishhavingha htherapeuticheffect.hIncreasedhtolerancehtohexercisehoccurshwhenhthehhemoglobinhlevelh increases,hallowinghmorehoxygenhtohbehcarriedhtohthehvitalhorganshandhtissue. Ahnursehishcollectinghdatahfromhahclienthwhohishaskinghabouthtakinghcelecoxibhforhtreatm enthofhjointhpain.hThehnursehshouldhidentifyhthathwhichhofhthehfollowinghfindingshishahcontr aindicationhtohreceivinghcelecoxib? A)hHyperglycemia Celecoxibhishnothcontraindicatedhforhahclienthwhohhashhyperglycemia. B)hAllergyhtohpenicillin Celecoxibhcanhcausehhypersensitivityhreactionshinhclientshwhoharehallergichtohsulfonami deshorhsalicylateshratherhthanhpenicillin. C)hHistoryhofhmyocardialhinfarction Celecoxibhincreaseshthehriskhofhmyocardialhinfarctionhcausedhbyhincreasedhvasoconstri ctionhandhunimpededhplatelethaggregation.hIthishcontraindicatedhforhahclienthwhohhashahh istoryhofhmyocardialhinfarctionhorhhearthdisease. D)hPeptichulcerhdisease Celecoxibhshouldhbehusedhwithhcautionhforhclientshwhohhavehpeptichulcerhdisease;hhowe ver,hithishnothcontraindicated.h-hcorrecthanswer-C)hHistoryhofhmyocardialhinfarction Celecoxibhincreaseshthehriskhofhmyocardialhinfarctionhcausedhbyhincreasedhvasoconstri ctionhandhunimpededhplatelethaggregation.hIthishcontraindicatedhforhahclienthwhohhashahh istoryhofhmyocardialhinfarctionhorhhearthdisease. Ahclienthcomeshtohanhurgenthcarehclinichandhannounceshwithhgreathenthusiasm,h"Ihamhan hexperthathallhthingshmedicalhashtheyhapplyhtohme,handhIhrequirehzolpidem."hThehclient'shp upilsharehdilated,halonghwithhanhelevatedhhearthratehandhbloodhpressurehlevel.hThehnurs ehshouldhsuspecthintoxicationhwithhwhichhofhthehfollowinghsubstances? A)hAlcohol Thehclienthwhohhashalcoholhintoxicationhtypicallyhhashslurredhspeech,hdrowsiness,himpa iredhjudgment,hirritability,handhdecreasedhbloodhpressure. B)hCocaine Thehclienthwhohhashcocainehintoxicationhtypicallyhhashtachycardia,helevatedhbloodhpres sure,hdilatedhpupils,handhdisplayshdelusions.hThishclient'shbehaviorhandhphysiologicalhd atahindicatehcocainehintoxication. C)hBarbiturates Thehclienthwhohhashbarbituratehtoxicityhtypicallyhhashrespiratoryhdepression,hconstricted hpupils,hdrowsiness,himpairedhjudgment,hirritability,handhdecreasedhbloodhpressure. D)hHeroin Thehclienthwhohhashherh-hcorrecthanswer-B)hCocaine Thehclienthwhohhashcocainehintoxicationhtypicallyhhashtachycardia,helevatedhbloodhpres sure,hdilatedhpupils,handhdisplayshdelusions.hThishclient'shbehaviorhandhphysiologicalhd atahindicatehcocainehintoxication.
A)hDocusatehsodium Usehofhoxycodonehcanhresulthinhconstipation.hThehclienthcanhtakehahstoolhsoftener,hsuch hashdocusatehsodium,htohmanagehthishadverseheffect. B)hRanitidine Thereharehnohknownhinteractionshbetweenhoxycodonehandhranitidinehandhnohindicationhf orhthehclienthtohavoidhthehusehofhranitidinehwhilehtakinghoxycodone. C)hDiphenhydramine Bothhdiphenhydramine,hanhantihistamine,handhoxycodone,hanhopioidhanalgesic,hcanhca usehCNShdepression.hTherefore,hwhenhahclienthuseshthehtwohmedicationshtogether,htheh clienthishathincreasedhriskhforhsedation,hrespiratoryhdepression,handhinjury. D)hIbuprofen Clientshwhohhavehahmusculoskeletalhinjuh-hcorrecthanswer-C)hDiphenhydramine Bothhdiphenhydramine,hanhantihistamine,handhoxycodone,hanhopioidhanalgesic,hcanhca usehCNShdepression.hTherefore,hwhenhahclienthuseshthehtwohmedicationshtogether,htheh clienthishathincreasedhriskhforhsedation,hrespiratoryhdepression,handhinjury. Ahnursehishreviewinghthehlaboratoryhresultshofhahclienthwhohtakeshinsulinhforhthehmanage menthofhdiabeteshmellitus.hWhichhofhthehfollowinghfindingshshouldhindicatehtohthehnurseht hehmedicationhisheffective?h A)hFastinghbloodhglucoseh 260 hmg/dL Thehexpectedhreferencehrangehforhahfastinghbloodhglucosehlevelhish 70 htoh 110 hmg/ dL.hThehnursehshouldhidentifyhthathahclienthwhohhashahfastinghbloodhglucosehlevelhofh 260 hmg/ dLhishhyperglycemichandhdoeshnothindicateheffectivehmanagementhofhdiabeteshmellitus. B)hHbA1ch9.2% ThehexpectedhreferencehrangehforhHbA1chish5.5%htoh7%.hThehnursehshouldhidentifyhthat hahclienthwhohhashanhHbA1chofh9.2%hhashpoorhdiabetichcontrolhandhdoeshnothindicateheff ectivehmanagementhofhdiabeteshmellitus. C)hFastinghbloodhglucoseh 100 hmg/dL Thehexpectedhreferencehrangehforhahfastinghbloodhglucosehlevelhish 70 htoh 110 hmg/ dL.hThehnursehshouldhidentifyhthathahclienthwhohhashahfastinghbloodhglucosehlevelhofh 100 hmg/dLh-hcorrecthanswer-C)hFastinghbloodhglucoseh 100 hmg/dL Thehexpectedhreferencehrangehforhahfastinghbloodhglucosehlevelhish 70 htoh 110 hmg/ dL.hThehnursehshouldhidentifyhthathahclienthwhohhashahfastinghbloodhglucosehlevelhofh 100 hmg/dLhisheffectivelyhmanaginghdiabeteshmellitus. Ahnursehishassistinghwithhthehcarehofhahclienthwhohhashahmethicillin- resistanthStaphylococcushaureush(MRSA)hinfectionhandhishreceivinghvancomycinhviahIVh infusion.hWhichhofhthehfollowinghchangeshinhthehclient'shconditionhshouldhthehnursehiden tifyhashthehpriorityhfindinghtohreporthtohthehprovider? A)hNausea Althoughhthehnursehshouldhreporthnauseahforhahclienthwhohishreceivinghvancomycinhther apy,htherehishanotherhfindinghthathishthehnurse'shpriorityhtohreport. B)hBackhpain Althoughhthehnursehshouldhreporthbackhpainhforhahclienthwhohishreceivinghvancomycinhth erapy,htherehishanotherhfindinghthathishthehnurse'shpriorityhtohreport. C)hHypotension
Whenhusinghthehurgenthvs.hnonurgenthapproachhtohclienthcare,hthehnursehdetermineshth aththehpriorityhfindinghtohreporthtohthehproviderhishhypotension.hIfhthehclient'shvancomycinh infusionhishtoohrapid,hithcanhcausehredhmanhsyndrome,hwhichhishahgrouphofhadverseheffec tshthathincludesh-hcorrecthanswer-C)hHypotension Whenhusinghthehurgenthvs.hnonurgenthapproachhtohclienthcare,hthehnursehdetermineshth aththehpriorityhfindinghtohreporthtohthehproviderhishhypotension.hIfhthehclient'shvancomycinh infusionhishtoohrapid,hithcanhcausehredhmanhsyndrome,hwhichhishahgrouphofhadverseheffec tshthathincludeshtachycardia,hhypotension,hflushing,handhurticaria. Ahnursehishcollectinghdatahfromhthehparenthofhanh 11 hyrholdhchildhwhohhashpreviouslyhrecei vedhallhthehimmunizationshinhaccordancehwithhthehCDChRecommendedhImmunizationh Schedule.hWhichhofhthehfollowinghimmunizationshshouldhthehnursehplanhtohadministerhto hthishchildhaththishage? A)hHepatitishAh(HepA) HavinghreceivedhallhprevioushimmunizationshaccordinghtohthehCDChSchedule,hthehchildh shouldhhavehreceivedhthehHepAhimmunizationhserieshbetweenhthehageshofh 12 handh 24 hm onthshofhage. B)hHumanhpapillomahvirush(HPV) ThishishahvoluntaryhimmunizationhthaththehCDC'shAdvisoryhCommitteehonhImmunizationh Practiceshrecommendshforhchildrenhbetweenhthehageshofh 11 handh 12 hyearshofhage.hThishi mmunizationhishintendedhtohpreventhdevelopmenthofhhumanhpapillomahvirus.hCertainhstr ainshofhthishvirushcanhleadhtohgenitalhwartshandhcancers. C)hVaricellah(VAR) HavinghreceivedhallhprevioushimmunizationshaccordinghtohthehCDChSchedule,hthehchildh shouldhhh-hcorrecthanswer-B)hHumanhpapillomahvirush(HPV) ThishishahvoluntaryhimmunizationhthaththehCDC'shAdvisoryhCommitteehonhImmunizationh Practiceshrecommendshforhchildrenhbetweenhthehageshofh 11 handh 12 hyearshofhage.hThishi mmunizationhishintendedhtohpreventhdevelopmenthofhhumanhpapillomahvirus.hCertainhstr ainshofhthishvirushcanhleadhtohgenitalhwartshandhcancers. Ahnursehishmonitoringhahclienthwhohishreceivinghrepaglinidehforhtypeh 2 hdiabeteshmellitus.h Whichhofhthehfollowinghlaboratoryhtestshshouldhthehnursehplanhtohreviewhtohobtainhinform ationhabouththehlong-termhtherapeuticheffecthofhthishmedication?h A)hFastinghbloodhglucosehlevel Thehfastinghbloodhglucosehlevelhindicateshthehclient'shcurrenthstatus,hnoththehlong- termhtherapeuticheffecthofhrepaglinide. B)h1-hrhoralhglucosehtolerancehtest Theh1- hrhoralhglucosehtolerancehtesthevaluateshthehclient'shresponsehtohahcarbohydratehchalle nge.hThehclienthcanhundergohthishtesthtohdeterminehifhtheyhhavehgestationalhdiabetes. C)hUrinaryhketones Thehpresencehofhurinaryhketoneshindicateshdiabetichketoacidosis,hnoththehlong- termhtherapeuticheffecthofhrepaglinide. D)hGlycosylatedhHbA1c Thehclient'shHbA1chvaluehmeasureshthehaveragehofhbloodhglucosehlevelshoverhthehpasth 2 htoh 3 hmonths.hTherefore,hthehnursehshouldhreviewhthishlaboratoryhtesth- hcorrecthanswer-D)hGlycosylatedhHbA1c
A)h"Increasehyourhfiberhintakehwithheachhmeal." Thehclienthwhohishwithdrawinghfromhlorazepamhdoeshnothneedhtohincreasehdietaryhfiberh becausehfiberhishnothassociatedhwithhwithdrawalhmanifestations. B)h"HavehsomeonehassisthyouhwithhADLs." Thehclienthwhohhashlorazepamhwithdrawalhcanhmanifesthtremorshandhdizziness,hmaking hADLshdifficulthtohperform. C)h"Watchhforhincreasedhdrowsiness." Thehclienthwhohhashlorazepamhwithdrawalhcanhmanifesthinsomnia. D)h"Limithyourhdailyhfluidhintakehtoh1,500hmilliliters." Thehclienthwhohhashlorazepamhwithdrawalhcanhmanifesthdiaphoresishandhshouldhincrea sehfluidhintakehtohpreventhdehydration.h-hcorrecthanswer- B)h"HavehsomeonehassisthyouhwithhADLs." Thehclienthwhohhashlorazepamhwithdrawalhcanhmanifesthtremorshandhdizziness,hmaking hADLshdifficulthtohperform. Ahnursehishreinforcinghteachinghwithhahclienthwhohhashahnewhprescriptionhforhetanercepth tohtreathrheumatoidharthritis.hWhichhofhthehfollowinghinstructionshabouthself- administeringhthishmedicationhshouldhthehnursehinclude? A)hDiscardhanyhsolutionshthatharehcloudy. Thehclienthshouldhdiscardhanyhvialshorhpre- filledhsyringeshthathcontainhsolutionshthatharehdiscolored,hcloudy,horhhavehanyhsedimenth inhthem. B)hAttachhah21-gaugehneedlehtohthehsyringehforhinjection. Thehclienthshouldhattachhah27- gaugehneedlehtohthehsyringehforhinjectinghthehmedicationhsubcutaneously. C)hSelf-administerhthehmedicationhonhalternatehdays. Thehclienthshouldhself-administerhthehmedicationhoncehperhweek. D)hShakehthehreconstitutedhsolutionhwellhbeforehself-administration. Thehclienthshouldhswirlhthehsolutionhgentlyhbeforehself-administration.h-hcorrecthanswer- A)hDiscardhanyhsolutionshthatharehcloudy. Thehclienthshouldhdiscardhanyhvialshorhpre- filledhsyringeshthathcontainhsolutionshthatharehdiscolored,hcloudy,horhhavehanyhsedimenth inhthem. Ahnursehishcaringhforhahclienthwhohhashahnewhprescriptionhforhsumatriptan.hThehnursehno teshthaththehclienthtakeshfluoxetine.hThehnursehshouldhnotifyhthehproviderhthaththehcombi nationhofhthesehmedicationshwillhplacehthehclienthathriskhforhwhichhofhthehfollowinghadvers eheffects? A)hTremors Concurrenthusehofhsumatriptanhandhfluoxetinehcanhleadhtohexcessivehstimulationhofhser otoninhreceptors,hplacinghthehclienthathriskhforhserotoninhsyndrome.hThehclienthcanhexper iencehtremors,hconfusion,handhhallucinations. B)hRenalhcalculi Concurrenthusehofhsumatriptanhandhfluoxetinehdoeshnothleadhtohthehformationhofhrenalhc alculi. C)hDysphagia Concurrenthusehofhsumatriptanhandhfluoxetinehdoeshnothleadhtohdysphagia. D)hHearinghloss
Concurrenthusehofhsumatriptanhandhfluoxetinehdoeshnothresulthinhhearinghloss.h- hcorrecthanswer-A)hTremors Concurrenthusehofhsumatriptanhandhfluoxetinehcanhleadhtohexcessivehstimulationhofhser otoninhreceptors,hplacinghthehclienthathriskhforhserotoninhsyndrome.hThehclienthcanhexper iencehtremors,hconfusion,handhhallucinations. Ahnursehishreviewinghmedicationhprescriptionshforhahgrouphofhclients.hThehnursehshouldh recognizehthathwhichhofhthehfollowinghprescriptionshcanhresulthinhahmedicationhadministr ationherror? A)hPenicillinhGhbenzathineh1.2hmillionhunitshIMhdaily Thehnursehshouldhrecognizehthaththishprescriptionhishwrittenhcorrectlyhandhshouldhnothre sulthinhahmedicationhadministrationherror. B)hFurosemideh10.0hmghPOhdaily Thehnursehshouldhavoidhusinghahtrailinghzerohfollowinghahwholehnumber.hThishprescripti onhcanhresulthinhahmedicationherrorhbecausehthehnursehcanhmistakehthehdosagehash 100 h mghinsteadhofh 10 hmghbecausehthehdecimalhpointhishnothalwayshrecognized. C)hAlbuterolh2.5hmgh 2 hinhalationsheveryh 6 hhrhashneededhforhshortnesshofhbreath Thehnursehshouldhrecognizehthaththishprescriptionhishwrittenhcorrectlyhandhshouldhnothre sulthinhahmedicationhadministrationherror. D)hInsulinhglargineh 15 hunitshsubcutaneoushdailyhathbedtime Thehnursehshouh-hcorrecthanswer-B)hFurosemideh10.0hmghPOhdaily Thehnursehshouldhavoidhusinghahtrailinghzerohfollowinghahwholehnumber.hThishprescripti onhcanhresulthinhahmedicationherrorhbecausehthehnursehcanhmistakehthehdosagehash 100 h mghinsteadhofh 10 hmghbecausehthehdecimalhpointhishnothalwayshrecognized. AhnursehishreinforcinghteachinghwithhahclienthwhohhashHelicobacterhpylorihandhahnewhpre scriptionhforhtetracycline.hWhichhofhthehfollowinghinstructionshshouldhthehnursehincludehi nhthehteaching? A)h"Expecthyourhurinehtohturnhorange." Tetracyclinehdoeshnothcausehchangeshinhurinehcolor.hHowever,hithcanhaffecthkidneyhfunc tionhtests,hsuchhashBUNhandhcreatinine. B)h"Takehthehmedicationhwithh 240 hmillilitersh(8hounces)hmilk." Thehclienthshouldhavoidhtakinghtetracyclinehwithhfoodshhighhinhcalcium,hsuchhashmilk.hThi shdecreaseshthehabsorptionhofhthehmedication. C)h"Watchhforhexcessivehbleedinghwhenhbrushinghyourhteeth." Tetracyclinehdoeshnothcausehbleedinghcomplications.hHowever,hithcanhcausehfungalhinf ections,hsuchhashcandidiasis. D)h"Avoidhprolongedhexposurehtohsunlight." Thehnursehshouldhinstrucththehclienthtohavoidhprolongedhexposurehtohsunlighthwhilehtaki nghtetracycline.hThishmedicationhcauseshphotosensitivityhandhincreaseh- hcorrecthanswer-D)h"Avoidhprolongedhexposurehtohsunlight." Thehnursehshouldhinstrucththehclienthtohavoidhprolongedhexposurehtohsunlighthwhilehtaki nghtetracycline.hThishmedicationhcauseshphotosensitivityhandhincreasedhseverityhofhsun burn. Ahnursehishreinforcinghteachinghwithhahclienthwhohhashahnewhprescriptionhforhpropranolol .hWhichhofhthehfollowinghinformationhshouldhthehnursehincludehinhthehteaching?
Requestinghanhantianxietyhmedicationhishnonurgenthforhahclienthwhohhashmildhgeneraliz edhanxietyhdisorder.hTherefore,htherehishanotherhclienththehnursehshouldhadministerhme dicationhtohfirst. D)hAhclienthwh-hcorrecthanswer- D)hAhclienthwhohishattendinghpostoperativehphysicalhtherapyhandhrequestshpainhmedicati onh Whenhusinghthehurgenthvshnonurgenthapproachhtohclienthcare,hthehnursehshouldhdetermi nehthehfirsthclienthtohmedicatehishthehclienthwhohishpostoperativehandhgoinghtohphysicalhth erapy.hThehclienthcanhexperiencehpainhduringhandhafterhtherapy. Ahnursehishcaringhforhahclienthwhohhashahprescriptionhforhahhydromorphoneh 2 hmghimmedi atehreleasehtablethbyhmouth.hThehnursehadministershah 4 hmghimmediatehreleasehtablethb yhmistake.hWhichhofhthehfollowinghactionshshouldhthehnursehtakehfirst? A)hDocumenththehfactshabouththeherrorhinhthehmedicationhadministrationhrecord. Thehnursehshouldhdocumenthonlyhfactualhinformationhabouththeherrorhinhthehmedicationh administrationhrecordhsohthathotherhmembershofhthehhealthhcarehteamhcanhcontinuehtoh monitorhthehclienthforhadverseheffects.hHowever,htherehishanotherhactionhthehnursehshoul dhtakehfirst. B)hObtainhthehclient'shvitalhsignshandhlevelhofhconsciousness. Thehfirsthactionhthehnursehshouldhtakehwhenhusinghthehnursinghprocesshishtohcollecthdata hfromhthehclient,hsuchhashvitalhsignshandhlevelhofhconsciousness.hAfterhahmedicationherro r,hthehfirsththinghthehnursehshouldhdohishevaluatehthehclienthforhadverseheffects.hAhdoubleh dosehofh-hcorrecthanswer-B)hObtainhthehclient'shvitalhsignshandhlevelhofhconsciousness. Thehfirsthactionhthehnursehshouldhtakehwhenhusinghthehnursinghprocesshishtohcollecthdata hfromhthehclient,hsuchhashvitalhsignshandhlevelhofhconsciousness.hAfterhahmedicationherro r,hthehfirsththinghthehnursehshouldhdohishevaluatehthehclienthforhadverseheffects.hAhdoubleh dosehofhhydromorphonehincreaseshthehclient'shriskhforhoversedationhandhrespiratoryhde pression. Ahnursehishinstillinghtimololheyedropshforhahclienthwhohhashglaucoma.hWhichhofhthehfollo winghactionshshouldhthehnursehtakehafterhinstillinghtheheyedrops? A)hPresshthehnasolacrimalhduct. Thehnursehshouldhpresshthehclient'shnasolacrimalhducthafterhinstillinghtheheyehdropshtohpr evenththehmedicationhfromhabsorbinghintohsystemichcirculation. B)hApplyhpressurehtohthehupperheyelid. Thehnursehshouldhavoidhapplyinghpressurehtohthehclient'shupperheyelidhafterhinstillinghthe heyehdropshbecausehithmayhforcehthehmedicationhouthofhthehconjunctivalhsac. C)hAskhthehclienthtohblinkhherheyeshseveralhtimes. Thehnursehshouldhavoidhaskinghthehclienthtohblinkhherheyeshafterhinstillinghtheheyehdropsh becausehithcanhprevenththehmedicationhfromhenteringhthehconjunctivalhsac. D)hTellhthehclienthtohkeephherheyeshopenhforhathleasth 15 hseconds. Thehnursehshouldhavoidhaskinghthehclienthtohkeephherheyeshopenhafterhinstillinghtheheyeh dropshbecausehith-hcorrecthanswer-A)hPresshthehnasolacrimalhduct. Thehnursehshouldhpresshthehclient'shnasolacrimalhducthafterhinstillinghtheheyehdropshtohpr evenththehmedicationhfromhabsorbinghintohsystemichcirculation.
Ahnursehishreinforcinghteachinghwithhahclienthwhohhashahprescriptionhforhalendronate.hW hichhofhthehfollowinghclienthresponseshindicateshtohthehnursehanhunderstandinghofhthehte aching? A)h"Ihwillhtakehthehmedicationhwithhmyhbreakfast." Thehclienthshouldhtakehalendronatehuponharisinghandhathleasth 30 hminuteshbeforeheatingh orhdrinkinghliquidshotherhthanhwater. B)h"Ihwillhtakehthehmedicationhwithh 1 htablespoonhofhanhantacid." Thehclienthshouldhavoidhtakinghalendronatehwithhantacidshcontaininghcalciumhbecauseht heyhcanhdecreasehabsorptionhofhalendronate. C)h"Ihwillhliehdownhforh 30 hminuteshafterhtakinghthehmedication." Thehclienthshouldhsithuprighthforh 30 hminhafterhtakinghthehmedicationhbecausehalendronat ehcanhcauseherosionhofhthehesophagus. D)h"Ihwillhtakehthehmedicationhwithh 8 hounceshofhwater." Thehclienthshouldhtakehalendronatehonhanhemptyhstomachhwithh 240 hmLh(8hoz)hofhwaterht ohensurehithdoeshnothlodgehinhthehesophagus,hwhh-hcorrecthanswer- D)h"Ihwillhtakehthehmedicationhwithh 8 hounceshofhwater." Thehclienthshouldhtakehalendronatehonhanhemptyhstomachhwithh 240 hmLh(8hoz)hofhwaterht ohensurehithdoeshnothlodgehinhthehesophagus,hwhichhcanhresulthinhesophagealhulceratio ns. Ahnursehishcollectinghdatahfromhahfemalehclienthwhohhashbeenhtakinghpropylthiouracilh(P TU)hforh 2 hmonthshtohtreathGraves'hdisease.hWhichhofhthehfollowinghfindingshshouldhthehn ursehrecognizehashanhindicationhthaththehmedicationhisheffective?h A)hWeighthloss MYhANSWER Thehnursehshouldhidentifyhthathweighthlosshishahmanifestationhofhhyperthyroidism,hwhich hindicateshthehmedicationhishnotheffective. B)hPulseh82/min Tachycardiahishahmanifestationhofhhyperthyroidism.hThehnursehshouldhidentifyhthathahpul sehofh82/minhishwithinhthehexpectedhreferencehrangehofh 60 htoh100/ min,hindicatinghthaththehmedicationhisheffective. C)hRespiratoryhrateh22/min Thehnursehshouldhidentifyhthathtachypneahishahmanifestationhofhhyperthyroidism,hwhichhi ndicateshthehmedicationhishnotheffective. D)hDecreasedhmenstrualhflow Thehnursehshouldhidentifyhthathamenorrheahishahmanifestationhofhhyperthyroidism,hwhic hhindicateshthehmedicationhishnotheffective.h-hcorrecthanswer-B)hPulseh82/min Tachycardiahishahmanifestationhofhhyperthyroidism.hThehnursehshouldhidentifyhthathahpul sehofh82/minhishwithinhthehexpectedhreferencehrangehofh 60 htoh100/ min,hindicatinghthaththehmedicationhisheffective. Ahnursehishcontributinghtohthehplanhofhcarehforhahclienthwhohhashschizophreniahandhahne whprescriptionhforhclozapine.hThehnursehshouldhincludehinhthehplanhtohmonitorhthehclienth forhwhichhofhthehfollowinghadverseheffectshofhthishmedication? A)hHypoglycemia Thehnursehshouldhmonitorhthehclienthforhhyperglycemia,hratherhthanhhypoglycemia. B)hIron-deficiencyhanemia
Thehnursehshouldhinstrucththehclienthtohreducehorhavoidhallhusehofhalcoholhbecausehisoni azidhcanhcausehliverhdamage;htherefore,hithishimportanthforhthehnursehtohdeterminehthehcl ient'shdailyhalcoholhintake. Ahnursehishcaringhforhahclienthwhohhashchronichkidneyhdiseasehandhhashbeenhreceivinghe poetinhalfahforh 2 hweeks.hWhichhofhthehfollowinghfindingshshouldhindicatehtohthehnursehtha ththehclient'shmedicationhishhavinghthehdesiredhtherapeuticheffect? A)hAlbuminhishwithinhthehexpectedhreferencehrange. Epoetinhalfahdoeshnothaffecththehclient'shalbuminhlevel. B)hUrinehoutputhincreaseshtoh 60 hmL/hr. Epoetinhalfahdoeshnothaffecththehclient'shurinehoutput. C)hHemoglobinhrisesh0.5hg/dL. Initialhtherapeuticheffects,hsuchhashhemoglobinhrisingh0.5hg/ dL,hcanhoccurhwithinhthehfirsth 2 hweekshofhtherapy.hThehclient'shhemoglobinhshouldhreach htargethlevelsh(10htoh 11 hg/dL)hinh 2 htoh 3 hmonths. D)hBloodhureahnitrogenhlevelhishwithinhthehexpectedhreferencehrange. Epoetinhalfahdoeshnothaffecththehclient'shBUNhlevel.h-hcorrecthanswer- C)hHemoglobinhrisesh0.5hg/dL. Initialhtherapeuticheffects,hsuchhashhemoglobinhrisingh0.5hg/ dL,hcanhoccurhwithinhthehfirsth 2 hweekshofhtherapy.hThehclient'shhemoglobinhshouldhreach htargethlevelsh(10htoh 11 hg/dL)hinh 2 htoh 3 hmonths. Ahnursehishreviewinghthehhistoryhofhahclienthwhohishtohstarthtakinghcefotetanhtohtreathahbac terialhinfection.hWhichhofhthehfollowinghinformationhfromhthehclient'shmedicalhrecordhsho uldhthehnursehreporthtohthehproviderhbeforehthehclienthbeginshreceivinghthishmedication? A)hHearinghimpairment Hearinghlosshishahcontraindicationhforhsomehtypeshofhantibiotics,hsuchhashaminoglycosid es,hduehtohtheirhototoxicheffects. B)hMilk-proteinhallergy Cefditoren,hahcephalosporin,hcanhcausehanhallergichreactionhinhclientshwhohhavehmilk- proteinhhypersensitivity. C)hTendonhpain Clientshwhohhavehtendonhpainhshouldhusehfluoroquinolonehantibioticshwithhcautionhdueht ohthehpossiblehadverseheffecthofhtendonhrupture. D)hPenicillinhallergy Cefotetanhishahcephalosporin,hanhantibiotichstructurallyhsimilarhtohpenicillins.hThehclienth whohhashahseverehallergyhtohpenicillinhcanhdevelophcross- reactivityhandhhavehanhallergichreactionhtohcephalosporins.h-hcorrecthanswer- D)hPenicillinhallergy Cefotetanhishahcephalosporin,hanhantibiotichstructurallyhsimilarhtohpenicillins.hThehclienth whohhashahseverehallergyhtohpenicillinhcanhdevelophcross- reactivityhandhhavehanhallergichreactionhtohcephalosporins. Ahnursehishplanninghtohreinforcehteachinghregardinghnewbornhimmunizationshwithhahclie nthwhohish 24 hhrhpostpartum.hWhichhofhthehfollowinghinformationhshouldhthehnursehplanhto hinclude? A)h"YourhbabyhwillhreceivehthehfirsthhepatitishBhvaccinehbeforehdischarge."
ThehnewbornhshouldhreceivehthehfirsthhepatitishBhvaccinehathbirth,hwithhthehnexthtwohdos eshathleasth 2 hmonthshapart. B)h"Yourhbabyhwillhreceivehthehrotavirushvaccinehifhyourhbloodhtiterhishlow." Thehbloodhtiterhofhahnewborn'shmotherhdoeshnothdeterminehthehneedhforhahrotavirushvacc ine.hThehrotavirushvaccinehishadministeredheveryh 2 hmonthshstartinghath 24 hweeks. C)h"Yourhbabyhwillhreceivehthehfirsthinfluenzahvirushvaccinehaththeh4-weekhcheckup." Childrenhshouldhreceivehanhannualhinfluenzahvirushvaccinehstartinghathageh 6 hmonths. D)h"Yourhbabyhwillhreceivehthehvaricellahvaccinehifhyouhhavehahhistoryhofhchickenpox." Childrenhshouldhreceivehthehfirsthofhtwohdoseshofhthehvh-hcorrecthanswer- A)h"YourhbabyhwillhreceivehthehfirsthhepatitishBhvaccinehbeforehdischarge." ThehnewbornhshouldhreceivehthehfirsthhepatitishBhvaccinehathbirth,hwithhthehnexthtwohdos eshathleasth 2 hmonthshapart. Ahnursehishreinforcinghteachinghwithhthehparenthofhahpreschoolerhwhohhashotitishmedia.hT hehchildhhashhadhahlow- gradehfeverhandhirritabilityhforh 2 hdays.hWhichhofhthehfollowinghinstructionshshouldhthehnur sehincludehinhthehteaching?h A)h"Administerhamoxicillinhtwicehahdayhforh 3 hdays." Thehnursehshouldhinstrucththehparenthtohadministerhthehfullhcoursehofhantibiotics,hwhichhi shexpectedhtohbeh 5 htoh 7 hdayshforhmildhtohmoderatehinfectionhandh 10 hdayshforhseverehinfe ction. B)h"Applyhcoldhpacksheveryh 4 hhourshforhreliefhofhpain." Thehnursehshouldhinstrucththehparenthtohapplyhheathtohthehearhwhilehthehchildhlieshonhtheh affectedhsidehtohreducehdiscomfort.hThishpositionhpromoteshdrainagehofhexudate. C)h"Givehacetaminophenhashneededhforhdiscomforthandhfever." Thehnursehshouldhinstrucththehparenthtohadministerhanalgesics,hsuchhashacetaminophe nhorhibuprofen,htohdecreasehdiscomforthandhfeverhrelatedhtohotitishmedia. D)h"Returnhtohtheh-hcorrecthanswer- C)h"Givehacetaminophenhashneededhforhdiscomforthandhfever." Thehnursehshouldhinstrucththehparenthtohadministerhanalgesics,hsuchhashacetaminophe nhorhibuprofen,htohdecreasehdiscomforthandhfeverhrelatedhtohotitishmedia. Ahnursehishreinforcinghteachinghwithhahfemalehclienthwhohhashahnewhprescriptionhforhisotr etinoin.hWhichhofhthehfollowinghinstructionshshouldhthehnursehincludehinhthehteaching? h(Selecthallhthathapply) A)h"Youhwillhneedhtohhavehyourhliverhenzymeshmonitoredhafterh 1 hmonth".hThehclienthsho uldhhavehherhliverhenzymeshmonitoredh 1 hmonthhafterhtherapyhandhperiodicallyhthereafte rhbecausehisotretinoinhishmetabolizedhinhthehliver. B)h"Youhcanhhavehnosebleedshwhilehtakinghthishmedication".hDuehtohthehdryingheffectsho fhisotretinoin,hnosebleedsharehveryhcommon. C)h"Youhshouldhreporthanyhthoughtshofhharminghyourself"h.hIsotretinoinhcanhcausehdepre ssion,hwhichhcanhleadhtohsuicide.hThehclienthorhthehclient'shfamilyhshouldhreporththesehth oughtshtohthehprovider. D)h"Youhwillhneedhtohhavehtwohnegativehpregnancyhtestshpriorhtohstartinghthehmedication ".hDuehtohthehpotentialhforhseverehbirthhdefects,hithishimportanthtohconfirmhthehclienthish- hcorrecthanswer- A)h"Youhwillhneedhtohhavehyourhliverhenzymeshmonitoredhafterh 1 hmonth".hThehclienthsho
Thehgreatesthriskhtohthehclienthishhepatotoxicityhandhpancreatitis,hwhichhcanhcausehabdo minalhpain.hTherefore,hthehclienthshouldhnotifyhthehproviderhimmediatelyhifhexperiencingh ahdecreasehinhappetite,hnausea,habdominalhpain,horhyellowinghofhthehskin. Ahnursehishreinforcinghteachinghwithhahclienthabouththehusehofhsublingualhnitroglycerinhfo rhchesthpain.hWhichhofhthehfollowinghstatementshbyhthehclienthindicateshanhunderstandin ghofhthehteaching? A)h"Ihwillhstorehmyhnitroglycerinhtabletshinhmyhcarhglovehboxhwhenhtraveling." Thehnursehshouldhinstrucththehclienthtohstorehnitroglycerinhathroomhtemperature,hnothinht hehextremehheathorhcoldhinsidehahcar'shglovehbox. B)h"Ihwillhtakehahnitroglycerinhtableth 60 hminuteshpriorhtohexercise." Thehnursehshouldhinstrucththehclienthtohtakehahnitroglycerinhtablethprophylacticallyh 5 htoh 1 0 hminhpriorhtohexercisehbecausehsublingualhnitroglycerinhhashanhonsethofh 1 htoh 3 hminhwith hahdurationhofhuphtoh 60 hmin. C)h"Ihwillhcallh 911 hifhmyhchesthpainhishnothrelievedhwithinh 5 hminuteshofhtakinghnitroglycerin ." Thehnursehshouldhinstrucththehclienthtohcallh 911 hifhchesthpainhishnothrelievedhwithinh 5 hminh afterhtakinghnitroglycerin.hChesthpainhnothrelievh-hcorrecthanswer- C)h"Ihwillhcallh 911 hifhmyhchesthpainhishnothrelievedhwithinh 5 hminuteshofhtakinghnitroglycerin ." Thehnursehshouldhinstrucththehclienthtohcallh 911 hifhchesthpainhishnothrelievedhwithinh 5 hminh afterhtakinghnitroglycerin.hChesthpainhnothrelievedhbyhnitroglycerinhcanhbehanhindicationht haththehclienthishhavinghahmyocardialhinfarction.hThehclienthshouldhcontinuehtohtakehtwoh morehnitroglycerinhtabletsheveryh 5 hminhforhcontinuedhchesthpain,hwhilehwaitinghforhemer gencyhresponsehtoharrive. Ahnursehishcollectinghdatahfromhahclienthwhohishreceivinghdigoxinhforhtreatmenthofhhearthf ailure.hThehnursehshouldhidentifyhwhichhofhthehfollowinghfindingshashadverseheffectshofht hishmedication?h(Selecthallhthathapply) A)hBlurredhvision.hThehnursehshouldhidentifyhvisualhchangeshsuchhashblurredhvision,hhal os,handhahyellowhorhgreenhtingehtohvisionhashadverseheffectshofhdigoxin. B)hNausea.hThehnursehshouldhidentifyhthathnauseahandhvomitingharehadverseheffectshofh digoxin. C)hHyperactivityhishincorrect.hThehnursehshouldhidentifyhthathfatiguehandhweaknesshareh adverseheffectshofhdigoxin. D)hIncreasedhappetitehishincorrect.hThehnursehshouldhidentifyhthathanorexiahishanhadvers eheffecthofhdigoxin. E)hDysrhythmia.hThehnursehshouldhidentifyhthathdysrhythmiasharehanhadverseheffecthofh digoxin.h-hcorrecthanswer- A)hBlurredhvision.hThehnursehshouldhidentifyhvisualhchangeshsuchhashblurredhvision,hhal os,handhahyellowhorhgreenhtingehtohvisionhashadverseheffectshofhdigoxin. B)hNausea.hThehnursehshouldhidentifyhthathnauseahandhvomitingharehadverseheffectshofh digoxin. E)hDysrhythmia.hThehnursehshouldhidentifyhthathdysrhythmiasharehanhadverseheffecthofh digoxin.
Ahnursehishreinforcinghteachinghwithhahclienthabouththehadverseheffectshofhsimvastatin.hF orhwhichhofhthehfollowinghadverseheffectshshouldhthehnursehinstrucththehclienthtohnotifyhth ehprovider? A)hMusclehpain Thehnursehshouldhinstrucththehclienthtohnotifyhthehproviderhifhmusclehpainhorhtendernessh developshbecausehthishcanhindicatehthehclienthishdevelopinghrhabdomyolysis. B)hFinehhandhtremors Finehhandhtremorsharehnothanhadverseheffecthofhsimvastatin. C)hUrinaryhretention Urinaryhretentionhishnothanhadverseheffecthofhsimvastatin. D)hDoublehvision Doublehvisionhishnothanhadverseheffecthofhsimvastatin.h-hcorrecthanswer-A)hMusclehpain Thehnursehshouldhinstrucththehclienthtohnotifyhthehproviderhifhmusclehpainhorhtendernessh developshbecausehthishcanhindicatehthehclienthishdevelopinghrhabdomyolysis. Ahnursehishreinforcinghteachinghwithhahclienthwhohhashahnewhprescriptionhforhethinylhestr adiol/ norethindrone,hanhoralhcontraceptive.hWhichhofhthehfollowinghclienthstatementshshouldhi ndicatehtohthehnursehanhunderstandinghofhthehteaching? A)h"Ihshouldhexpecthmyhmenstrualhflowhtohincrease." Thehnursehshouldhreinforcehwithhthehclienththaththehvolumehofhherhmenstrualhflowhwillhde crease,hashwellhashthehnumberhofhdayshofhmenses. B)h"Ihshouldhmonitorhmyhbloodhpressurehforhhypotensionhwhilehonhthishmedication." Thehclienthshouldhmonitorhherhbloodhpressurehforhhypertensionhbecausehthehmedication hcauseshincreasedhsecretionhofhaldosteronehandhangiotensin. C)h"Ihwillhtakehthehmedicationhaththehsamehtimeheachhday." Thehclienthshouldhtakehthishmedicationhaththehsamehtimeheachhdayhtohmaintainhahconsist enthlevelhtohreducehfertilityhandhthehchancehofhpregnancy. D)h"Thishtypehofhmedicationhishthehmostheffectivehbecausehithonlyhcontainh- hcorrecthanswer-C)h"Ihwillhtakehthehmedicationhaththehsamehtimeheachhday." Thehclienthshouldhtakehthishmedicationhaththehsamehtimeheachhdayhtohmaintainhahconsist enthlevelhtohreducehfertilityhandhthehchancehofhpregnancy. Ahnursehishreinforcinghteachinghwithhahclienthwhohhashbipolarhdisorderhandhahnewhprescr iptionhforhlithium.hWhichhofhthehfollowinghinstructionshshouldhthehnursehincludehinhthehtea ching? A)hTakehthehmedicationhonhanhemptyhstomach. Thehclienthshouldhtakehlithiumhwithhmealshorhmilkhtohreducehgastrointestinalhupset. B)hMonitorhforhsignshofhhyperthyroidism. Thehnursehshouldhinstrucththehclienththathhypothyroidismhcanhoccurhwhenhtakinghlithium. C)hWatchhforhsignshofhurinaryhretention. Thehnursehshouldhinstrucththehclienththathpolyuriahcanhoccurhwhenhtakinghlithium. D)hMaintainhahconsistenthsodiumhintake. Thehclienthshouldhmaintainhahconsistenthsodiumhintakehwhilehtakinghlithium.hDecreasedh serumhsodiumhlevelshcausehlithiumhexcretionhtohdecline,hwhichhcanhleadhtohtoxicity.h- hcorrecthanswer-D)hMaintainhahconsistenthsodiumhintake. Thehclienthshouldhmaintainhahconsistenthsodiumhintakehwhilehtakinghlithium.hDecreasedh serumhsodiumhlevelshcausehlithiumhexcretionhtohdecline,hwhichhcanhleadhtohtoxicity.
A)hObtainhahurinehspecimen. Thehnursehshouldhobtainhahurinehspecimenhtohdeterminehthehextenthofhthehreaction;hhow ever,hthishishnoththehfirsthactionhthehnursehshouldhtake. B)hAdministerhdiphenhydramine. Thehnursehmighthneedhtohadministerhanhantihistamine,hsuchhashdiphenhydramine,hasha nhemergencyhmedication;hhowever,hthishishnoththehfirsthactionhthehnursehshouldhtake. C)hStophthehtransfusion. Thehgreatesthriskhtohthishclienthishinjuryhfromhanhelevatedhtemperature;htherefore,hthehfirs thactionhthehnursehshouldhtakehishtohstophthehtransfusion. D)hNotifyhthehchargehnurse. Thehnursehshouldhnotifyhthehchargehnursehofhahpossiblehtransfusionhreactionhbecausehith ishanhemergenthsituation;hhowever,hthishishnoththehfirsthactionhthehnursehsh- hcorrecthanswer-C)hStophthehtransfusion. Thehgreatesthriskhtohthishclienthishinjuryhfromhanhelevatedhtemperature;htherefore,hthehfirs thactionhthehnursehshouldhtakehishtohstophthehtransfusion. AhnursehishcollectinghdatahfromhahclienthwhohhashParkinson'shdiseasehandhishtakinghlevo dopa/ carbidopa.hThehnursehshouldhidentifyhwhichhofhthehfollowinghfindingshashanhadverseheffe cthofhthishmedication? A)hDarkhurine Thehnursehshouldhidentifyhthathlevodopa/ carbidopahcanhcausehahdarkeninghofhthehclient'shurine,hsweat,handhsaliva. B)hHypertension Thehnursehshouldhidentifyhthathlevodopa/carbidopahcanhcausehorthostatichhypotension. C)hIncreasedhsalivation Thehnursehshouldhidentifyhthathlevodopa/carbidopahcanhcausehdryhmouth. D)hBradycardia Thehnursehshouldhidentifyhthathlevodopa/carbidopahcanhcausehtachycardia.h- hcorrecthanswer-A)hDarkhurine Thehnursehshouldhidentifyhthathlevodopa/ carbidopahcanhcausehahdarkeninghofhthehclient'shurine,hsweat,handhsaliva. Ahnursehishcollectinghdatahfromhthehparenthofhahtoddlerhwhohishabouthtohreceivehthehvaric ellahimmunization.hThehnursehshouldhidentifyhthathanhanaphylactichreactionhtohwhichhofht hehfollowinghsubstanceshishahcontraindicationhforhreceivinghthishimmunization? A)hGelatin Thehnursehshouldhidentifyhthathhypersensitivityhreactionshtoheitherhgelatinhorhneomycinh arehcontraindicationshforhreceivinghthehvaricellahvaccinehbecausehithcontainshbothhofhthe sehsubstances. B)hPenicillin Anhanaphylactichreactionhtohpenicillinhishnothahcontraindicationhtohreceivinghthishvaccine. hAnaphylactichreactionshtohspecifichimmunizationshorhtohtheirhcomponentsharehtruehcontr aindicationshforhreceivinghthosehvaccines. C)hSulfa Ahhypersensitivityhreactionhtohsulfahishahcontraindicationhforhreceivinghmedicationshcont aininghsulfonamide.
D)hEggs Administeringhthehmeasles,hmumps,handhrubellahvaccinehrequireshcautionhwithhclientsh whohhavehhadhhypersensitih-hcorrecthanswer-A)hGelatin Thehnursehshouldhidentifyhthathhypersensitivityhreactionshtoheitherhgelatinhorhneomycinh arehcontraindicationshforhreceivinghthehvaricellahvaccinehbecausehithcontainshbothhofhthe sehsubstances. Ahnursehishcaringhforhahclienthwhohhashahnewhprescriptionhforheplerenonehtohtreathhypert ension.hThehnursehshouldhmonitorhforhwhichhofhthehfollowinghadverseheffectshofhthishme dication? A)hHematuria Thehnursehshouldhidentifyhthatheplerenonehcanhcausehvaginalhbleeding,hnothbloodhinhthe hurine. B)hHypernatremia Thehnursehshouldhidentifyhthatheplerenonehcanhcausehdecreasedhsodiumhlevels,hnothinc reasedhsodiumhlevels. C)hHyperkalemia Thehnursehshouldhidentifyhthatheplerenonehcanhplacehthehclienthathriskhforhincreasedhpot assiumhlevelshbecauseheplerenonehcanhcausehpotassiumhretention. D)hConstipation Thehnursehshouldhidentifyhthatheplerenonehcanhcausehdiarrhea,hnothconstipation.h- hcorrecthanswer-C)hHyperkalemia Thehnursehshouldhidentifyhthatheplerenonehcanhplacehthehclienthathriskhforhincreasedhpot assiumhlevelshbecauseheplerenonehcanhcausehpotassiumhretention. Ahnursehishcaringhforhahclienthwhohhashahhistoryhofhpsychosishandhishtakinghchlorpromazi ne.hWhichhofhthehfollowinghactionshshouldhthehnursehtakehtohcounteracththehadverseheffe ctshofhthishmedication? A)hSuggesththaththehclienthapplyhantiperspiranthmorehfrequently. Chlorpromazinehhashthehadverseheffecthofhreducedhperspiration.hTricyclichantidepressa nts,hratherhthanhantipsychotics,hcanhcausehexcessivehsweating. B)hInformhthehclienthtohapplyhsunblockhbeforehgoinghoutside. Thehnursehshouldhinformhthehclienthtohapplyhsunblock,hwhichhwillhcounteracththehadvers eheffectshofhphotosensitivity.hChlorpromazinehincreaseshskin'shsensitivityhtohultraviolethli ghthcausinghtemporaryhpigmentationhchangeshandhincreaseshthehriskhofhsunburn. C)hGivehthehclienthahlisthofhover-the-counterhantidiarrhealhmedications. Thehanticholinergichpropertieshofhantipsychotichdrugshcausehconstipation,hnothdiarrhea. D)hRecommendhthaththehclienthtakehthehmh-hcorrecthanswer- B)hInformhthehclienthtohapplyhsunblockhbeforehgoinghoutside. Thehnursehshouldhinformhthehclienthtohapplyhsunblock,hwhichhwillhcounteracththehadvers eheffectshofhphotosensitivity.hChlorpromazinehincreaseshskin'shsensitivityhtohultraviolethli ghthcausinghtemporaryhpigmentationhchangeshandhincreaseshthehriskhofhsunburn. Ahnursehishreinforcinghteachinghwithhahclienthwhohhashhypertensionhandhahnewhprescripti onhforhspironolactone.hWhichhofhthehfollowinghinstructionshshouldhthehnursehincludehinht hehteaching?
