Steroids/Analgesics
A nurse is reviewing the medication list for a client who has osteoarthritis. Which of the following medication classes should the nurse recognize as primarily used to inhibit the activity of cyclooxygenase enzymes, thereby reducing the synthesis of inflammatory mediators in osteoarthritis?
A. Nonsteroidal anti-inflammatory drugs
B. Glucocorticoids
C. Selective serotonin reuptake inhibitors
D. Opioid analgesics
Nonsteroidal anti-inflammatory drugs
A nurse is teaching a client at risk for developing type 2 diabetes mellitus (T2DM). Identify what is contributing to the pathophysiology of T2DM?
Increased insulin resistance of cells leading to hyperinsulinemia
A nurse is reviewing the medical record of a client who has a new prescription for clindamycin. For which of the following findings should the nurse clarify the prescription with the provider?
A. History of appendectomy
B. Previous dental surgery
C. Diarrhea due to C.Diff infection
D. Known hypersensitivity to PCN
Diarrhea due to C. Diff infection
A nurse is monitoring a client who has COPD and is taking Ipratropium. Which of the following side effects should the client expect?
A. Dry mouth
B. Polyuria
C. Excessive sweating
D. Bradycardia
Dry mouth
A nurse is caring for a client who has a prescription for Furosemide for heart failure. Which of the following classes of medication should the nurse identify Furosemide belongs to?
Loop diuretic
A nurse is educating a client who has been prescribed ibuprofen. Which of the following side effects should the nurse include in the teaching?
A. Polyuria
B. Hyperglycemia
C. Bradycardia
D. Heartburn
Heartburn
A nurse is preparing to administer medication to a client with hemophilia A. Which of the following medications should the nurse anticipate administering to effectively manage the client's condition?
A. Warfarin
B. Desmopressin
C. Vitamin K1
D. Enoxaparin
Desmopressin
A nurse is caring for a client who has active tuberculosis. Which of the following classes should the nurse recognize as antimycobacterial? (Select all that apply.)
A. Isoniazid
B. Nitroimidazole
C. Ethambutol
D. Carbapenem
E. Rifampin
Isoniazid, Ethambutol, Rifampin
A nurse is educating a client about the different ways medications are classified for the treatment of high blood pressure. Which of the following classification systems should the nurse explain is based on the specific action the mediation takes within the body to achieve its effect?
A. Chemical classification
B. Dosage classification
C. Therapeutic classification
D. Pharmacologic classification
Pharmacologic classification
A nurse is educating a client who has hypertension about the potential impact on their heart health. Which of the following should the nurse explain as a possible effect of uncontrolled hypertension on the heart?
A. Increased risk of developing asthma
B. Development of left ventricular hypertrophy
C. Development of rheumatoid arthritis
D. Increased risk of gallstones
Development of left ventricular hypertrophy
A nurse is educating a client who has osteoarthritis about medications that can help manage pain and inflammation. Name three medications that are part of the nonsteroidal anti-inflammatory drugs (NSAIDs) class?
Naproxen, Aspirin, Ibuprofen, Toradol
The client is concerned about potential long-term side effects of omeprazole. Which of the following adverse effects should the nurse inform the client with prolonged high-dose use?
A. Hypertension
B. Hyperkalemia
C. Hypomagnesemia
D. Hypercalcemia
Hypomagnesemia
A nurse is providing teaching to a client who has active tuberculosis and is to begin taking rifampin. Which of the following information should the nurse include?
A. Expect body fluids to become orange or red
B. Expect the whites of the eyes to turn yellow in color
C. Avoid consuming foods that contain tyramine
D. Take the medication with a full meal
Expect body fluids to become orange or red
A nurse is caring for a client prescribed codeine as an antitussive. What is the indication for the use of codeine?
A chronic cough associated with an upper respiratory disorder
A nurse is caring for a client who has severe hypertension and has been prescribed hydralazine. The client asks how this medication will help manage their condition. Which of the following responses by the nurse demonstrates an understanding of the therapeutic effects of hydralazine?
Hydralazine is a direct-acting vasodilator that works by reducing blood volume and relaxing blood vessels. They work by inhibiting sodium reabsorption in the distal tubules of the kidney, promoting excretion of sodium and water.
A nurse is teaching a client about potential adverse effects of prednisone. List one teaching point the nurse would include in the teaching?
You cannot stop taking this medication abruptly
The medication will increase your glucose
Weight loss could indicate you are experiencing adrenal insufficiency
A nurse is teaching a client who has been prescribed acarbose for the management of Type 2 Diabetes Mellitus. Name an instruction the nurse should include regarding the administration of this medication?
Take at the beginning of each meal to decrease carbohydrate absorption
A nurse is discussing the concentration of fluroquinolones with a newly licensed nurse. Which body system should the nurse include in the discussion?
Skeletal
A nurse is reviewing the medication profile of a client who recently developed allergic rhinitis and has a history of asthma. Which of the following medications should the nurse recognize is contrindicated for this client?
A. Cetirizine
B. Diphenhydramine
C. Loratadine
D. Fexofenadine
Diphenhydramine
A nurse is caring for a client who has a new prescription for metoprolol. Which of the following classes of medications should the nurse identify metoprolol belongs?
Beta Blocker
A nurse is caring for a child who is receiving glucocorticoid therapy. Which of the following side effects should the nurse monitor the client for?
A. Premature closure of growth plates
B. Accelerated growth spurts
C. Growth suppression and delayed puberty
D. Early onset of menarche
Growth suppression and delayed puberty
A nurse is evaluating a client who has been prescribed clopidogrel following a percutaneous coronary intervention (PCI). What is an expected outcome that the medication is achieving the desired therapeutic effect?
No new episodes of thrombosis
A nurse is caring for a client who has a new prescription for metronidazole. The nurse should recognize the antibiotic belongs to which of the following classes?
Nitroimidazoles
A nurse is caring for a client receiving acetylcysteine. Which condition is it contraindicated in?
Peptic ulcer disease
A nurse is caring for a client who is being managed for hypertension and stable angina. Which medications should the nurse expect will be prescribed to the client?
Nifedipine or Calcium channel blocker