Respiratory
A nurse is caring for a client who has asthma and is prescribed a short acting beta 2 agonist. Which of the following should the nurse identify as the expected outcome of this medication?
a. Reduces the frequency of attacks
b. Reverses bronchospasms
c. Prevents inflammation
d. Decreases chronic manifestations
b. Reverses bronchospasms
A nurse is teaching clients in an outpatient facility about the use of insulin to treat type 1 diabetes mellitus. For which of the following types of insulin should the nurse tell the clients to expect a peak effect 2 to 4 hours?
a. Insulin glargine
b. Insulin lispro
c. Regular insulin
d. Insulin detemir
c. Regular insulin
A nurse is reviewing the medical record of a client who reports taking acetaminophen at home. The nurse should identify that which of the following client conditions is a contraindication for acetaminophen?
a. Asthma
b. Diabetes Mellitus
c. Heart Failure
d. Alcohol use disorder
d. Alcohol use disorder
The nurse is giving discharge instructions to a woman who will be taking amoxicillin for treatment of acute otitis media. The nurse teaches the client that which symptom indicates the development of a superinfection and should be reported to the physician?
a. Nausea
b. Abdominal pain
c. Vaginal itching and discharge
d. Swelling and itching of the throat
c. Vaginal itching and discharge
A nurse is caring for a client who has diabetes and is experiencing nausea due to gastroparesis. The nurse should anticipate a prescription for which of the following medications?
a. Bisacodyl
b. Ondansetron
*c. Metoclopramide
d. Loperamide
*c. Metoclopramide
The nurse instructs a patient who is using albuterol for exercise-induced bronchospasm to use the inhaler at which time?
a. 15 minutes before exercising
b. One hour before exercising
c. 45 minutes after beginning exercise
d. In the morning of the day exercise is planned
a. 15 minutes before exercising
A nurse is caring for a client who receives gastrostomy tube feedings and insulin. The client is scheduled to receive a tube feeding at 0700. At which of the following times should the nurse plan to administer insulin lispro subcutaneously?
a. 0600
b. 0630
c. 0645
d. 0730
c. 0645
A nurse working in a mental health facility is admitting a client with opioid use disorder who is experiencing withdrawal. The nurse should anticipate a prescription for which of the following medications from the provider?
a. Sumatriptan
b. Methadone
c. Naloxone
d. Hydromorphone
b. Methadone
A nurse in a community health clinic is assessing a new client who has prescriptions for isoniazid and rifampin. Which of the following disorders should the nurse expect the client to have?
a. Tuberculosis
b. Hypertension
c. Diabetes
d. Cirrhosis
a. Tuberculosis
A nurse is providing teaching for a client who has a prescription for phenelzine. The nurse should instruct the client to avoid tyramine enriched foods because of an increases risk for which of the following adverse reactions?
a. Respiratory depression
b. Hypertensive crisis
c. Neuroleptic malignant syndrome
d. Serotonin syndrome
b. Hypertensive crisis
A nurse should recognize that using pseudoephedrine to treat allergic rhinitis requires cautious use with clients who have which of the following conditions?
a. Peptic ulcer disease
b. A seizure disorder
c. Anemia
d. Coronary artery disease
d. Coronary artery disease
A nurse is admitting a client to an acute care facility for a total hip arthroplasty. The client takes hydrocortisone for Addison’s disease. Which of following actions is the nurse’s priority?
a. Administering a supplemental dose of hydrocortisone
b. Instructing the client about coughing and deep breathing
c. Withholding the hydrocortisone before the client’s surgery
d. Inserting an indwelling urinary catheter
a. Administering a supplemental dose of hydrocortisone
A nurse is assessing a client with the rheumatoid arthritis who has been taking high doses of prescribed hydroxychloroquine. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of hydroxychloroquine?
a. I have developed sores in my mouth
b. I often feel like the room is spinning
c. I noticed that the whites of my eyes look yellow
d. I have had a change in my vision recently
d. I have had a change in my vision recently
A patient with a gram-negative infection is being treated with an aminoglycoside. What system should the nurse expect to monitor closely while the patient is taking this medication?
a. Respiratory system
b. Ophthalmic system
c. Renal system
d. Musculoskeletal system
c. Renal system
A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. Which of the following instructions should the nurse include?
a. Consume a low sodium diet
b. Reduce fluid intake
c. Avoid taking NSAIDs
d. Take the drug with food
c. Avoid taking NSAIDs
A nurse is providing medication teaching to a client receiving theophylline. The nurse instructs the client to limit the intake of which of the following?
a. Apples and bananas
b. Yogurt and cheese
c. Tuna and oysters
d. Cola and chocolate
d. Cola and chocolate
A client who has Grave’s disease is being treated with methimazole. The client has the following labs drawn to check for the appropriateness of her dose: TSH, T3, and T4. Which of the following results would the nurse anticipate an increase of the client’s dosage?
a. Elevated TSH, elevated T3 and T4
b. Elevated TSH, elevated T4, and reduced T3
c. Reduced TSH, T3 and T4
d. Reduced TSH, elevated T3 and T4
d. Reduced TSH, elevated T3 and T4
A nurse is caring for a client who is receiving morphine to relieve severe pain. The nurse should monitor the client for which of the following adverse drug reactions? (Select all that apply).
a. Diarrhea
b. Urinary retention
c. Respiratory depression
d. Sedation
e. Orthostatic hypotension
*b. Urinary retention
*c. Respiratory depression
*d. Sedation
*e. Orthostatic hypotension
A 67-year old client with a history of chronic illness is undergoing clindamycin therapy. Client age and health history indicate an increased susceptibility to pseudomembranous colitis. Which symptoms should a nurse monitor for when caring for this client? Select all that apply.
a. Bloody diarrhea
b. White furry tongue
c. Fever
d. Constipation
e. Abdominal cramping
a. Bloody diarrhea
c. Fever
e. Abdominal cramping
A nurse is assessing a child who has acute lymphocytic leukemia and is receiving vincristine. Which of the following findings is the nurse’s priority?
a. Paresthesia
b. Alopecia
c. Stomatitis
d. Constipation
a. Paresthesia