Putting it all together
The nurse is giving instructions to a client receiving cholestyramine (Prevalite). Which statement made by the client indicates a need for further teachings?
A. "This medication will help lower my cholesterol".
B. "I will continue taking my multivitamins".
C. "I will sip the cholestyramine powder for a long time for faster absorption".
D. "I will include a high fiber rich food in my diet".
C. "I will sip the cholestyramine powder for a long time for faster absorption".
A client has been given ondansetron (Zofran) for prevent of which of the following post-operative conditions?
A. Pneumonia
B. Incisional pain
C. Constipation
D. Atelectasis
A. Pneumonia
A client with a duodenal ulcer is diagnosed with H. pylori infection. The physician prescribed amoxicillin (Wymox), pantoprazole (Prevacid), and clarithromycin (Biaxin). Which statement made by the nurse correctly explains the purpose of these medications?
A. "These medicines will minimize acid production and will coat the ulcer to allow for healing of the infection".
B. "These medicines will stop the acid production and will kill the bacteria".
C. "The ulcer will heal because the medications will kill the virus causing the break down of the intestinal wall".
D. "These medicines will control the ulcer and motion sickness".
B. "These medicines will stop the acid production and will kill the bacteria".
A patient is experiencing burning pain in the epigastric area and is later diagnosed with a peptic ulcer.
Which of the following medications would a nurse expect to be ordered for this patient?
A. Misoprostol (Cytotec)
B. Ibuprofen
C. Calcium Carbonate (Tums)
D. Milk of Magnesia
A. Misoprostol (Cytotec)
A 56 year-old woman is diagnosed with severe osteoporosis and is prescribed estrogen supplementation.
Which of the following assessment findings would make the nurse question the order?
A. History of irregular menses
B. History of 4 live births
C. Family history of breast cancer of mother and aunt
D. History of COPD
C. Family history of breast cancer of mother and aunt
A nurse is giving nothing per orem instructions to a malnourished client with diarrhea and frequent abdominal pain episodes who is about to receive a Total Parenteral Nutrition. Which statement made by the nurse is the most appropriate?
A. "It will help in your weight loss".
B. "You will feel less nauseous after the TPN is started."
C. "It will decrease your diarrhea and your bowel can rest".
D. "You will be able to continue this medication once you are discharged home."
C. "It will decrease your diarrhea and your bowel can rest".
Tincture of opium is given to a patient who is having diarrheal episodes. Which of the following is true regarding this medication?
A. Opium tincture is not a controlled substance.
B. Opium tincture can be used with medications like naltrexone and buprenorphine.
C. Has an unpleasant taste and it can be diluted with 15-30 ml water.
D. It increases intestinal motility and peristalsis.
C. Has an unpleasant taste and it can be diluted with 15-30 ml water.
A client has been prescribed with pancrelipase (Pancrease). Which of the following symptoms would prompt the nurse that the medication is having its therapeutic effect if which of the following is noted?
A. Negative abdominal pain
B. An absence of constipation
C. An absence of diarrhea
D. Reduction of excess fat in feces
D. Reduction of excess fat in feces
A geriatric patient is prescribed with cimetidine (Tagamet) for the treatment of heartburn. Which of the following is the most frequent CNS side effect of the medication?
A. Agitation
B. Drowsiness
C. Headache
D. Somnolence
A. Agitation
Which of the following should be included in the medication education for this patient?
SELECT ALL THAT APPLY
A. Side effects include weight gain, breast tenderness and irregular menses
B. If you miss a dose, you should contact your healthcare provider right away
C. This medication will protect you from some STDs
D. You may the massage the injection site and apply ice to reduce the pain
E. This medication can increase the frequency of migraines
A. Side effects include weight gain, breast tenderness and irregular menses
B. If you miss a dose, you should contact your healthcare provider right away
E. This medication can increase the frequency of migraines
A client is receiving sulfasalazine (Azulfidine) for the treatment of ulcerative colitis. Which of the following assessment findings will concern the nurse most?
A. Drowsiness
B. Decreased urine output
C. Urine discoloration
D. Vomiting
B. Decreased urine output
Which of the following categories is used for diarrhea and constipation?
A. Bulk-forming agents
B. Intestinal flora modifiers
C. Cascara
D. Milk of Magnesia
A. Bulk-forming agents
Extrapyramidal symptoms are a side effect of which of the following drugs?
A. ranitidine
B. omeprazole
C. famotidine
D. metoclopramide
D. metoclopramide
A client has been prescribed sucralfate (Carafate) for the treatment of gastric ulcers. The nurse instructs the client that this medication is taken?
A. 1 hour before meals
B. 1 hour after meals
C. At the same time as the scheduled antacid
D. Lunch time
A. 1 hour before meals
A couple is planning to become pregnant and has clomiphene ordered for infertility issues.
Which of the following should the nurse include in the patient's discharge teaching?
SELECT ALL THAT APPLY
A. Please start increasing your daily intake of folic acid and iron.
B. Side effects of this medication are breast tenderness, irritability, bloating and vaginal bleeding.
C. You should start taking daily pregnancy tests to confirm effectiveness of the drug.
D. Please mark your menstrual cycle dates on your calendar.
E. If you develop any abnormal vaginal bleeding, please contact the medical provider as soon as possible
A. Please start increasing your daily intake of folic acid and iron.
B. Side effects of this medication are breast tenderness, irritability, bloating and vaginal bleeding.
D. Please mark your menstrual cycle dates on your calendar.
E. If you develop any abnormal vaginal bleeding, please contact the medical provider as soon as possible
A nurse is caring for a patient with iron deficiency anemia. Which of the following interventions should the nurse perform first?
A. Assess the patient for numbness of fingers and pallor
B. Suggest that the patient begin taking an OTC iron supplement
C. Analyze the patient's latest hemoglobin levels
D. Create a discharge plan that includes dietary sources of iron such as lean red meats.
D. Create a discharge plan that includes dietary sources of iron such as lean red meats.
Which category of drugs prevents/treats constipation by the osmotic drawing of water from extravascular space to intestinal lumen?
A. Stimulants
B. Bulk-forming agents
C. Hyperosmotic agents
D. Lubricants
C. Hyperosmotic agents
A patient is undergoing chemotherapy in which nausea is an expected side effect. After noticing that the patient has an allergy to ondansetron which of the following drugs would the nurse expect to be prescribed for this side effect?
A. metoclopromide (Reglan)
B. famotidine (Pepcid)
C. Bismuth subsalicylate (Pepto Bismol)
D. cimetadine
A. metoclopromide (Reglan)
Hydrochloric acid secretion is blocked by which of the following categories of drugs?
A. Antacids
B. Gastric stimulants
C. Histamine-2 antagonists
D. Antihistamines
C. Histamine-2 antagonists
A pregnant woman admitted to the labor and delivery unit of the local hospital is prescribed oxytocin.
Which of the following interventions is the most important for the nurse to perform?
A. Calculate the drip factor of the medication carefully
B. Place telemetry and oxygen saturation monitors on the patient.
C. Monitor the patient for increased abdominal pain.
D. Place the maternal fetal monitors on the patient
D. Place the maternal fetal monitors on the patient
A nurse is caring for a patient that is taking liquid iron supplementation for anemia. Which of the following should the nurse include in the discharge plan?
SELECT ALL THAT APPLY
A. Advise the client to use a straw
D. Advise the client to not dilute the medication
C. Take the medication with tomato juice
D. Educate the client that dark, tarry stool is a common side effect
E. Evaluate the patient for decreased dyspnea and pallor
A. Advise the client to use a straw
C. Take the medication with tomato juice
E. Evaluate the patient for decreased dyspnea and pallor
A patient is experiencing decreased appetite related to treatment of metastasized lung cancer.
The nurse should educate the patient about which of the following?
SELECT ALL THAT APPLY
A. Your dronabinol medication may increase your anxiety
B. Creating a care plan with 5-6 small meals per day
C. Advise the patient to eat more high calorie foods to increase weight gain
D. Advising the client to take the prescribed zofran 30 minutes to 90 minutes before her chemo treatment
E. Weighing themselves every week to monitor for weight loss
B. Creating a care plan with 5-6 small meals per day
D. Advising the client to take the prescribed zofran 30 minutes to 90 minutes before her chemo treatment
Which of the following statements best describes the action of antacids?
A. Antacids neutralize gastric acid
B. Antacids block the production of gastric acid
C. Antacids block dopamine
D. Antacids enhance the action of acetylcholine
A. Antacids neutralize gastric acid
Which histamine-2 antagonist is associated with the most drug interactions?
A. ranitidine
B. cimetidine
C. Prilosec
D. nizatidine
B. cimetidine
A patient is prescribed terbutaline to prevent pre term labor.
Which of the following should the nurse assess the patient for to best evaluate effectiveness of the medication?
A. Increased effectiveness of the contractions.
B. Decreased abdominal and back pain
C. Contractions are becoming less and less frequent
D. The patient has no seizure activity during infusion.
C. Contractions are becoming less and less frequent