Question 1

The nurse is counseling a patient who has been given a prescription for Prozac (fluoxetine). Which of the following statements should the nurse include in the patient's teaching? Select all that apply.

Accepted Answer

A)  "The medicine can cause some dizziness, so you should change position slowly." 
B)  "Sugarless gum or candy may help the feeling of dry mouth that some patient's experience with this medicine." 
C)  "Most likely you will notice a huge change in your mood immediately." 
D)  "You may experience a decrease in your sex drive while on this medication." 
E)  "It is important to wear protective clothing and sunscreen since the drug can cause increased sensitivity to the sun."
F) "This medicine should always be taken on an empty stomach."

Question 2

While working on a medical unit, the nurse answers a call light for a woman who asks to take her Ambien (zolpidem) 10 mg orally as ordered before going to sleep. After providing the medication, which of the following actions should the nurse take next?

Accepted Answer

A)  Instruct the patient to drink at least two full glasses of water in the next 30 min. 
B)  Instruct the patient to wear her slippers if she gets up during the night. 
C)  Raise the patient's bed side rail. 
D)  Document the medication provision in the patient's chart.

Question 3

While caring for a patient on post op day 1 after a total abdominal hysterectomy, the patient reports a pain level of 4 on a 1-10 scale. The nurse provides two tablets of Anexsia (hydrocodone/acetaminophen 5 mg/325 mg) orally along with the patient's other morning medications, which include Isordil (isosorbide) 10 mg and Lasix (furosemide) 20 mg orally at 9 a.m. Which of the following instructions should the nurse provide to the nursing assistant regarding the patient's activity?

Accepted Answer

A)  "Have her sit at the side of the bed for a minute before walking as she may be dizzy." 
B)  "She should only take a short walk right now since she just ate her breakfast." 
C)  "Wait to walk her until after lunch so her pain is better." 
D)  "Let's not walk her today since she seems rather tired."

Question 4

The nurse is caring for a patient taking Nexium (esomeprazole). The nurse knows teaching has been effective by which of the following statements? Select all that apply.

Accepted Answer

A)  "I should take this pill with my meals." 
B)  "This medication helps reduce the release of stomach acid and reduces my reflux." 
C)  "I should not chew or crush the pellets." 
D)  "If I miss a dose, it should be skipped for the day." 
E)  "I've eliminated alcohol from my diet completely."
F) "I can keep taking Advil for my arthritis pain."

Question 5

While providing care for an adolescent patient newly prescribed Elavil (amitriptyline), the nurse should be most concerned by which of the following patient statements?

Accepted Answer

A)  "My mouth seems really dry and I'm thirsty all the time." 
B)  "I take a nap most afternoons now because I feel sleepy sometimes." 
C)  "I'm not sure why we should even bother anymore; everything seems so pointless." 
D)  "I drink a cup of coffee most days with breakfast."

Question 6

The nurse is providing care for a patient who is taking Senokot (sennoside) two tablets orally each day. Which of the following actions by the nurse will most promote effective treatment with this planned medication?

Accepted Answer

A)  Give the medication with breakfast at 8 a.m. 
B)  Give the medication with a full glass of water. 
C)  Determine the patient's resting pulse rate prior to provision. 
D)  Assess the patient's level of consciousness 2 hr after provision.

Question 7

Match the instructions for using an inhaler in the following section with the number they should occur in.
-Step 2

Accepted Answer

A) Press down on the inhaler to release medication. 
B) Hold your breath for 10 sec. 
C) Shake the inhaler. 
D) Tilt your head back and breathe out slowly. 
E) Breathe in slowly through the mouth.
F)Connect the inhaler to a spacer/chamber.

Question 8

A nurse working on the postpartum unit is caring for a woman who had a spontaneous delivery of a 9 lb, 6 oz baby 6 hr earlier. The nurse notes the patient has soaked four peri-pads and that her uterine fundus is boggy. Which of the following medications does the nurse anticipate being ordered?

Accepted Answer

A)  Pitocin (oxytocin) 
B)  Methylergonovine (methergine) 
C)  Brethine (terbutaline) 
D)  Magnesium sulfate (magnesium sulfate)

Question 9

The nurse is caring for a patient admitted with chronic pain who has been receiving meperidine 100 mg orally every 3-4 hr as needed for pain for the past 4 days. Which of the following actions is the highest priority in the patient's care?

Accepted Answer

A)  Monitor the patient for irritability or seizure activity. 
B)  Determine when the patient last moved his bowels. 
C)  Ask the patient if he is experiencing insomnia. 
D)  Check the patient's labs to determine triglyceride levels.

Question 10

The nurse is preparing to pass morning medications, including newly prescribed Coreg (carvedilol), for a patient admitted with an acute myocardial infarction and congestive heart failure. Which of the following actions should the nurse take first?

Accepted Answer

A)  Check to make sure the medication has been delivered from pharmacy. 
B)  Take the patient's blood pressure. 
C)  Monitor the patient's respiratory rate and rhythm. 
D)  Determine the patient's level of pain.

Question 11

A student nurse is taking care of patients on a medical unit and receives new orders for Lunesta (eszopiclone) 2 mg orally each evening. In transcribing this order, the student should take which of the following actions?

Accepted Answer

A)  Schedule the medication routinely at 6 p.m. 
B)  Schedule the medication 1 hr prior to the evening meal. 
C)  Call the pharmacy to ask what time the medication should be given. 
D)  Schedule the medication at bedtime.

Question 12

While counseling a patient who takes Dulcolax (bisacodyl) for constipation, the nurse recognizes that further teaching is required by which of the following statements?

Accepted Answer

A)  "I try not to take it very often, but when I need it, it sure helps." 
B)  "If I take it at night, I can usually have a bowel movement in the morning." 
C)  "They told me it was important not to strain when I move my bowels." 
D)  "I usually drink about three cups of water or coffee every day; I don't like milk or juice."

Question 13

The nurse is caring for a patient who had a total hip replacement yesterday. Based on the patient's risk of developing deep vein thrombosis or pulmonary emboli, which of the following would the nurse expect to find in the patient's plan of care? Select all that apply.

Accepted Answer

A)  Bilateral thigh-high sequential compression stockings 
B)  Fragmin (dalteparin) 5,000 IU SQ every day 
C)  Strict bed rest for 3 days 
D)  Vital signs and pulse oximetry every 4 hr 
E)  Lovenox (enoxaparin) 30 mg IV push-single dose now
F) Aspirin 650 mg every 4 hr while awake

Question 14

The nurse is caring for a patient who reports taking 20 mg Adalat (nifedipine) three times daily. The hospital has 10 mg capsules. The patient should take ____________________ capsules in a 24-hr period.

Accepted Answer

The answer of The nurse is caring for a patient...

Question 15

The nurse is caring for a patient experiencing dysphagia and weight loss due to oral mucositis. Which of the following should be the nurse's highest priority?

Accepted Answer

A)  Instruct the patient to use hydrogen-peroxide-based mouthwash three times daily. 
B)  Provide Xylocaine (viscous lidocaine) topically prior to meals. 
C)  Encourage normal saline rinses each morning. 
D)  Order a puree diet.

Question 16

While working with a patient who takes Dalmane (flurazepam), the nurse should be most concerned by which of the following patient statements?

Accepted Answer

A)  "I usually take the medication at 10 p.m." 
B)  "I have to take it every night or I won't get any sleep." 
C)  "I work out at the gym three to four times per week." 
D)  "I stopped drinking coffee at dinner now."

Question 17

A 58-year-old woman with a history of cardiac arrhythmias visits her health-care provider with complaints of sunburn on her arm while riding in a car. What should the health-care provider suspect?

Accepted Answer

A)  Allergic reaction related to cardizem 
B)  Photosensitivity related to amiodarone 
C)  Dermatitis related to verapamil 
D)  Hypersensitivity related to sotalol

Question 18

A nurse in the intensive care unit is establishing a continuous infusion of Levophed (norepinephrine). The pharmacy has supplied 1,000 mL of D5NS with 4 mg of norepinephrine. In terms of mL/hr, the rate the nurse should program into the pump to keep the patient on a continuous infusion of 2 mcg/min is ____________________.

Accepted Answer

The answer of A nurse in the intensive care unit...

Question 19

While caring for elderly residents in a nursing home, the nurse recognizes the use of Advil (ibuprofen) places these clients at increased risk for which of the following? Select all that apply.

Accepted Answer

A)  Gastrointestinal bleeding 
B)  Renal toxicity 
C)  Hepatic toxicity 
D)  Cerebrovascular accident 
E)  Pulmonary embolism
F) Peripheral vascular disease

Question 20

An overdose of Starlix (nateglinide) would present with which symptom?

Accepted Answer

A)  Hypertension 
B)  Hypotension 
C)  Hyperglycemia 
D)  Hypoglycemia

Davis's Drug Guide for Nurses Test 1

The nurse is counseling a patient who has been given a prescription for Prozac (fluoxetine) . Which of the following statements should the nurse include in the patient's teaching? Select all that apply.