Question 1

While in the recovery room,the nurse cares for a post-anesthesia patient who reports severe nausea.The nurse would most likely request an order for which of the following medications?

Accepted Answer

A)  Eldepryl (selegiline) 
B)  Transderm-Scop (scopolamine) 
C)  Januvia (sitagliptin) 
D)  Cialis (tadalafil)  B

Question 2

Which of the following lab values should be followed periodically for a patient taking Paxil (paroxetine)?

Accepted Answer

A)  Complete blood count
B)  Electrolytes
C)  Thyroxine
D)  Creatinine A

Question 3

While caring for a client who reports taking Prilosec (omeprazole),the nurse recognizes the need for further teaching if the client also reports taking which of the following? Select all that apply.

Accepted Answer

A)  Tylenol for occasional headaches
B)  Ibuprofen daily for arthritis
C)  Baby aspirin daily to prevent heart pain
D)  Maalox occasionally to reduce heartburn
E)  Flaxseed supplement to increase omega-3 intakeF) Multi-vitamin with iron to promote health B,C

Question 4

A nurse caring for a patient with non-Hodgkin lymphoma prepares to provide Leukine (sargramostim).Which of the following will indicate successful response to the medication?

Accepted Answer

A)  Patient's white blood cell count increases.
B)  Patient's platelet count increases.
C)  Patient denies nausea or vomiting with chemotherapy.
D)  Patient's hair does not fall out after chemotherapy.

Question 5

A nurse is counseling the parent of a 3-year-old child with chronic ear infections and fluid in the ears.The physician recommends Silfedrine Children's (pseudoephedrine)as a decongestant.Which of the following statements indicate that teaching has been effective? Select all that apply.

Accepted Answer

A)  "The decongestant will help clear the fluid from his ears."
B)  "I should give this medication at bedtime to help him sleep."
C)  "I should call the doctor if I notice he is having any difficulty breathing."
D)  "This medication will kill the bacteria causing the infection in his ears."
E)  "Too much of this medication can alter his heart rate,so I need to keep it out of his reach."F) "I should limit his fluid intake to help reduce the congestion in his ears."

Question 6

The nurse is caring for a patient receiving chemotherapy that includes ifosfamide 1.2 g/m² and mesna;20% of the mesna dose is to be given via IV at the same time as the ifosfamide;repeat 4 hr and 8 hr later.The patient's body surface area is 2 m².The nurse anticipates that the pharmacy will supply a ____ mg dose of mesna.

Accepted Answer

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

Question 7

Which of the following laboratory values will be closely monitored for a patient newly started on procainamide after cardioversion? Select all that apply.

Accepted Answer

A)  Mean corpuscular volume
B)  Triglycerides
C)  White blood cell count
D)  Platelet count
E)  MagnesiumF) Protein

Question 8

Which of the following would be included in the patient teaching for a client receiving Lithobid (lithium)therapy? Select all that apply.

Accepted Answer

A)  "This medication may cause dizziness or drowsiness so you should avoid driving until you know how the medication will affect you."
B)  "It is important to reduce your fluid intake while taking this medication."
C)  "Avoid drinking excessive amounts of coffee,tea,and colas while on this medication."
D)  "Weight loss may occur with this medication,so you should try to eat at least 3,000 calories a day."
E)  "Since you have a history of heart disease,you will need to have periodic electrocardiogram tests done."F) "Notify the physician immediately if you have any fainting or difficulty breathing while taking this medication."

Question 9

Which of the following patients would most likely be taking Quinidine Gluconate (quinidine)?

Accepted Answer

A)  A 45-year-old patient with atrial fibrillation.
B)  A 59-year-old patient with pneumocystis carni pneumonia.
C)  A 68-year-old patient with gastroesophogeal reflux disease.
D)  A 33-year-old patient with acute pyelonephritis.

Question 10

The nurse recognizes which of the following individuals is at highest risk for developing orthostatic hypotension?

Accepted Answer

A)  A 53-year-old patient taking Tigacil (tigecycline) .
B)  A 61-year-old patient taking Coumadin (warfarin) .
C)  A 49-year-old patient taking Zincate (zinc sulfate) .
D)  A 64-year-old patient taking Calan (verapamil) .

Question 11

In the treatment of a postmenopausal woman with osteoporosis who has been prescribed Evista (raloxifene),which of the following should be included in the patient's plan of care? Select all that apply.

Accepted Answer

A)  Daily weight-bearing exercises
B)  Supplemental iron
C)  Education on smoking cessation
D)  Instruction to limit alcohol consumption
E)  Prolonged bed restF) Dietary teaching to increase protein intake

Question 12

The nurse recognizes that the treatment plan for which of the following individuals would likely include Metamucil (psyllium)? Select all that apply.

Accepted Answer

A)  A 72-year-old patient who drinks prune juice on a daily basis and has a soft brown stool daily.
B)  A 61-year-old patient hospitalized for an anterior myocardial infarction.
C)  A 29-year-old patient with the flu who reports having diarrhea.
D)  A 57-year-old patient reporting increased difficulty with constipation since the onset of menopause.
E)  A 65-year-old patient who recently had a hemorrhoidectomy.F) An 84-year-old patient who reports walking 3 miles every day in the mall.

Question 13

A hospice nurse is caring for a patient with end-stage stomach cancer who has a new order to be kept NPO.The patient complains of nausea and has a standard order for promethazine for this complaint.Which of the following actions should the nurse take?

Accepted Answer

A)  Request intravenous dosing from pharmacy and start an IV.
B)  Call pharmacy to request an oral tablet,and allow the patient to take it with one sip of water.
C)  Obtain oral liquid preparation and add thick-it to reduce aspiration risk.
D)  Request and provide the medication in rectal suppository form.

Question 14

An individual with chronic schizophrenia who recently started taking Zyprexa (olanzapine)is smacking his lips,puffing his cheeks,and chewing.Which of the following statements by the nurse is best?

Accepted Answer

A)  "Don't worry,this is commonly seen with advancing schizophrenia;you may need a higher dose of medication."
B)  "These are symptoms seen in withdrawal from the medication;have you stopped taking your medication for some reason?"
C)  "These movements are a side effect of the medication;you should stop taking it."
D)  "We see this a lot,it will go away after you've been on the medication for a month or so."

Question 15

Which of the following would cause the nurse to intervene for a patient taking Protonix (pantoprazole)?

Accepted Answer

A)  The client takes the medication an hour before breakfast.
B)  The client orders eggs and bacon for breakfast.
C)  The client drinks a glass of orange juice when taking the medication.
D)  The client chews the medication before swallowing.

Question 16

While caring for a client with a history of epilepsy,the nurse would expect which of the following medications to be included in the patient's treatment plan? Select all that apply.

Accepted Answer

A)  Clinoril (sulindac) 
B)  Dilantin (phenytoin) 
C)  Phenobarbital
D)  Depakote (divalproex sodium) 
E)  NabumetoneF) Tegretol (carbamazepine)

Question 17

An order for Restoril (temazepam)30 mg po prn for sleep would be questioned for which of the following patients? Select all that apply.

Accepted Answer

A)  A 42-year-old patient hospitalized with a broken femur
B)  A 29-year-old patient admitted with depression and attempted suicide
C)  A 51-year-old patient admitted with migraine headache
D)  A 33-year-old patient admitted with exacerbation of Crohn's disease
E)  A 79-year-old patient admitted with a hip fractureF) A 48-year-old patient admitted with cirrhosis

Question 18

The nurse is caring for a woman with metastatic breast cancer who was recently admitted with hypercalcemia.Which of the following medications does the nurse anticipate would be included in the treatment plan?

Accepted Answer

A)  Zometa (zoledronic acid) 
B)  Oscal (calcium carbonate) 
C)  Sandostatin (octreotide) 
D)  Emend (aprepitant)

Question 19

Which of the following interventions would be helpful for a patient taking Claritin (loratadine)who complains of a dry mouth? Select all that apply.

Accepted Answer

A)  Frequent oral rinses with water
B)  Sugarless gum or candy
C)  Flossing twice daily
D)  Increased intake of caffeine
E)  Fluid intake of 1,000 mL/dayF) Use of alcohol-based mouth wash

Question 20

A nurse caring for an individual with diabetes insipidus who is taking Vasostrict (vasopressin).Which of the following assessments would indicate treatment has been effective?

Accepted Answer

A)  Urine output is 800 mL at the end of an 8-hr shift.
B)  Urine specific gravity is 0.998.
C)  Patient has lost 2 pounds in 1 day.
D)  Mucous membranes are dry and sticky.

Exam 2: Detecting and Managing Adverse Drug Reactions

While in the recovery room,the nurse cares for a post-anesthesia patient who reports severe nausea.The nurse would most likely request an order for which of the following medications?

Which of the following lab values should be followed periodically for a patient taking Paxil (paroxetine) ?

While caring for a client who reports taking Prilosec (omeprazole) ,the nurse recognizes the need for further teaching if the client also reports taking which of the following? Select all that apply.

A nurse caring for a patient with non-Hodgkin lymphoma prepares to provide Leukine (sargramostim) .Which of the following will indicate successful response to the medication?

A nurse is counseling the parent of a 3-year-old child with chronic ear infections and fluid in the ears.The physician recommends Silfedrine Children's (pseudoephedrine) as a decongestant.Which of the following statements indicate that teaching has been effective? Select all that apply.

Which of the following laboratory values will be closely monitored for a patient newly started on procainamide after cardioversion? Select all that apply.

Which of the following would be included in the patient teaching for a client receiving Lithobid (lithium) therapy? Select all that apply.

Which of the following patients would most likely be taking Quinidine Gluconate (quinidine) ?

The nurse recognizes which of the following individuals is at highest risk for developing orthostatic hypotension?

In the treatment of a postmenopausal woman with osteoporosis who has been prescribed Evista (raloxifene) ,which of the following should be included in the patient's plan of care? Select all that apply.

The nurse recognizes that the treatment plan for which of the following individuals would likely include Metamucil (psyllium) ? Select all that apply.

A hospice nurse is caring for a patient with end-stage stomach cancer who has a new order to be kept NPO.The patient complains of nausea and has a standard order for promethazine for this complaint.Which of the following actions should the nurse take?

An individual with chronic schizophrenia who recently started taking Zyprexa (olanzapine) is smacking his lips,puffing his cheeks,and chewing.Which of the following statements by the nurse is best?

Which of the following would cause the nurse to intervene for a patient taking Protonix (pantoprazole) ?

While caring for a client with a history of epilepsy,the nurse would expect which of the following medications to be included in the patient's treatment plan? Select all that apply.

An order for Restoril (temazepam) 30 mg po prn for sleep would be questioned for which of the following patients? Select all that apply.

The nurse is caring for a woman with metastatic breast cancer who was recently admitted with hypercalcemia.Which of the following medications does the nurse anticipate would be included in the treatment plan?

Which of the following interventions would be helpful for a patient taking Claritin (loratadine) who complains of a dry mouth? Select all that apply.

A nurse caring for an individual with diabetes insipidus who is taking Vasostrict (vasopressin) .Which of the following assessments would indicate treatment has been effective?