Question 1

The nurse is advising a client whose triglyceride levels remain elevated despite 3 mo of following a low-fat,low-cholesterol diet.The client is started on Lovaza (omega-3 acid ethyl esters).Which of the following statements would the nurse include in the teaching? Select all that apply.

Accepted Answer

A) "You still need to follow a low-fat diet while you're taking this medication." 
B) "This medication may be taken with meals." 
C) "Limiting cholesterol intake is not as critical as limiting intake of carbohydrates." 
D) "Diabetes contributes to elevated triglyceride levels,so it is important to maintain good control or your diabetes." 
E) "It is important to establish an exercise routine that works with diet and medication to help control your weight."
F)"You probably inherited this from one of your parents,so aside from medication,there isn't much you can do."

Question 2

While caring for a 31-year-old female client who is initiating therapy with Thalomid (thalidomide),the nurse recognizes the need for further teaching by which of the following statements.

Accepted Answer

A) "I can't start the medication until I've had a negative pregnancy test." 
B) "I must have a pregnancy test every month for the first 3 months I take this medication." 
C) "I must use two methods of birth control while I am taking this medication." 
D) "I will not be able to donate blood while taking this medication."

Question 3

Which of the following would indicate to the nurse that treatment was effective in a patient being treated with propylthiouracil?

Accepted Answer

A) Patient reports sleeping 12 hr a day. 
B) Fine tremors noted in both hands. 
C) Patient gains 2 pounds in 4 days. 
D) Pulse is 110 bpm.

Question 4

A nurse is caring for a 14-year-old patient with epilepsy.The child takes phenytoin and started taking Lamictal (lamotrigine)50 mg/day approximately 10 days ago.The child's mother calls to report a newly noted rash across the girl's face and arms.Which of the following statements by the nurse is best?

Accepted Answer

A) "Did your daughter use a new soap?" 
B) "Has your daughter been exposed to poison ivy or other plant irritants?" 
C) "Do not give the Lamictal;your daughter will need to be seen by the doctor today." 
D) "This is commonly seen with Lamictal.A mild soap and calamine lotion may reduce any itching."

Question 5

The nurse is caring for an infant with oral thrush whose medications include Mycostatin (nystatin)suspension 5 mL QID.Which of the following actions should the nurse take?

Accepted Answer

A) Dilute the medication in 30 mL of water and provide it to the infant in a bottle. 
B) Use a needleless syringe to gently squirt small amounts into the baby's mouth. 
C) Dip a pacifier into the medication and allow the infant to suck on the pacifier;repeat until the dose is consumed. 
D) Use a cotton swab to paint the inside of the infant's cheeks,gums,and tongue.

Question 6

The nurse is caring for a client who is to receive Trileptal (oxcarbazepine).The nurse recognizes this client most likely has a history of which of the following?

Accepted Answer

A) Diabetes mellitus 
B) Depression 
C) Seizures 
D) Hypothyroidism

Question 7

A nurse working on the postpartum floor is checking orders and notes the following,"Methergine (methylergonovine)200 mcg po q 6 hr for 48 hr." Which of the following nursing interventions should be added to the patient's plan of care?

Accepted Answer

A) Assess respiratory rate and rhythm q 2 hr. 
B) Monitor for signs of uterine atony or change in menstrual bleeding. 
C) Instruct patient to wear a tight-fitting bra and avoid facing the water during shower. 
D) Collect urine for protein dipstick every 4 hr.

Question 8

The nurse would be most concerned if a patient taking phenobarbital reported daily consumption of which of the following?

Accepted Answer

A) Grapefruit juice 
B) Beer 
C) Milk 
D) Coffee

Question 9

While caring for a patient taking Carafate (sucralfate),the nurse recognizes the medication is effective by which of the following?

Accepted Answer

A) Patient is able to pass formed stool daily. 
B) Patient has increased range of motion in the small joints of her hands. 
C) Patient reports decreased abdominal pain. 
D) Patient remains afebrile for 24 hr.

Question 10

The nurse is caring for a patient taking Xenical (orlistat).Which of the following symptoms would be most concerning to the nurse?

Accepted Answer

A) Nausea and vomiting 
B) Orange-colored oil noted in stool 
C) Reports of fecal urgency 
D) Flatus with discharge

Question 11

The nurse is caring for a patient who takes Betapace (sotalol)80 mg po BID.Prior to administering the dose,which of the following actions should the nurse take first?

Accepted Answer

A) Assess respiratory rate and depth. 
B) Determine apical pulse rate and rhythm. 
C) Identify recent food intake. 
D) Check color and presence of pulses in lower extremities.

Question 12

The nurse is counseling a patient who has been given a prescription for Imitrex (sumatriptan)for migraine headaches.Which of the following statements indicates teaching has been effective?

Accepted Answer

A) "This medication will prevent migraine headaches." 
B) "I can take this medication at any time during a migraine headache attack." 
C) "I can repeat the medication in 15 minutes if I have not gotten relief from the first injection." 
D) "I can use up to 4 doses in a 24-hour period."

Question 13

The nurse is caring for a patient with multiple medications,including Sinemet (carbidopa/levodopa)QID.The nurse knows this medication is effective by which of the following signs or symptoms?

Accepted Answer

A) The patient has fewer hand tremors. 
B) The patient's apical pulse is regular. 
C) The patient has less edema in the ankles bilaterally. 
D) The patient's cough is well controlled.

Question 14

While caring for an individual taking Demadex (torsemide)for hypertension,the nurse would be most concerned by which of the following assessments?

Accepted Answer

A) Patient's resting pulse is 68 bpm. 
B) Patient reports abdominal cramps and nausea. 
C) Patient has lost 2 pounds in one day. 
D) Patient eats two bananas for breakfast.

Question 15

The nurse observing a patient who uses a prescribed Serevent Diskus (salmeterol)recognizes that teaching has been effective if which of the following is observed?

Accepted Answer

A) The patient shakes the diskus vigorously before taking a dose. 
B) The patient rinses the mouthpiece after administration. 
C) The patient keeps the diskus horizontal at all times throughout administration. 
D) The patient exhales into the diskus before inhaling a dose of medication.

Question 16

The nurse is caring for a patient who has an order for Osmitrol (mannitol)1 g/kg to be infused over an hour.Which of the following actions should the nurse take prior to administering the medication?

Accepted Answer

A) Assess deep tendon reflexes. 
B) Determine the blood pressure. 
C) Evaluate level of consciousness. 
D) Listen to bowel sounds.

Question 17

While caring for a patient with myasthenia gravis and a history of dysphasia who is taking Mestinon (pyridostigmine),the nurse recognizes the need for further teaching by which of the following statements?

Accepted Answer

A) "I should set an alarm clock to make sure I take my medication on time." 
B) "I may have trouble swallowing if I do not take my medication correctly." 
C) "I will have to take this medication for a few months before my condition resolves." 
D) "I should carry an identification card with my diagnosis and medication list at all times."

Question 18

A patient is admitted with suspected overdose of Bloxiverz (neostigmine).Which of the following will be used as an antidote?

Accepted Answer

A) Narcan 
B) Vitamin K 
C) Atropine 
D) Epinephrine

Question 19

The nurse is preparing to provide Namenda (memantine)in liquid form.The ordered dose is 10 mg po BID.Liquid preparation is available in 2 mg/mL.The nurse should provide __________________ mL.

Accepted Answer

The answer of The nurse is preparing to provide Namenda...

Question 20

While caring for a patient who is taking Imodium (loperamide),the nurse would be most concerned by which of the following symptoms?

Accepted Answer

A) Patient reports abdominal cramping and loose stool. 
B) Patient complains of a headache and a sore throat. 
C) Pupils are equal,round,and reactive to direct and indirect light. 
D) Tenting across the clavicular region and decreased reflexes are noted.

Exam 2: Detecting and Managing Adverse Drug Reactions

The nurse is advising a client whose triglyceride levels remain elevated despite 3 mo of following a low-fat,low-cholesterol diet.The client is started on Lovaza (omega-3 acid ethyl esters) .Which of the following statements would the nurse include in the teaching? Select all that apply.

While caring for a 31-year-old female client who is initiating therapy with Thalomid (thalidomide) ,the nurse recognizes the need for further teaching by which of the following statements.

Which of the following would indicate to the nurse that treatment was effective in a patient being treated with propylthiouracil?

The nurse is caring for an infant with oral thrush whose medications include Mycostatin (nystatin) suspension 5 mL QID.Which of the following actions should the nurse take?

The nurse is caring for a client who is to receive Trileptal (oxcarbazepine) .The nurse recognizes this client most likely has a history of which of the following?

A nurse working on the postpartum floor is checking orders and notes the following,"Methergine (methylergonovine) 200 mcg po q 6 hr for 48 hr." Which of the following nursing interventions should be added to the patient's plan of care?

The nurse would be most concerned if a patient taking phenobarbital reported daily consumption of which of the following?

While caring for a patient taking Carafate (sucralfate) ,the nurse recognizes the medication is effective by which of the following?

The nurse is caring for a patient taking Xenical (orlistat) .Which of the following symptoms would be most concerning to the nurse?

The nurse is caring for a patient who takes Betapace (sotalol) 80 mg po BID.Prior to administering the dose,which of the following actions should the nurse take first?

The nurse is counseling a patient who has been given a prescription for Imitrex (sumatriptan) for migraine headaches.Which of the following statements indicates teaching has been effective?

The nurse is caring for a patient with multiple medications,including Sinemet (carbidopa/levodopa) QID.The nurse knows this medication is effective by which of the following signs or symptoms?

While caring for an individual taking Demadex (torsemide) for hypertension,the nurse would be most concerned by which of the following assessments?

The nurse observing a patient who uses a prescribed Serevent Diskus (salmeterol) recognizes that teaching has been effective if which of the following is observed?

The nurse is caring for a patient who has an order for Osmitrol (mannitol) 1 g/kg to be infused over an hour.Which of the following actions should the nurse take prior to administering the medication?

While caring for a patient with myasthenia gravis and a history of dysphasia who is taking Mestinon (pyridostigmine) ,the nurse recognizes the need for further teaching by which of the following statements?

A patient is admitted with suspected overdose of Bloxiverz (neostigmine) .Which of the following will be used as an antidote?

The nurse is preparing to provide Namenda (memantine)in liquid form.The ordered dose is 10 mg po BID.Liquid preparation is available in 2 mg/mL.The nurse should provide __________________ mL.

While caring for a patient who is taking Imodium (loperamide) ,the nurse would be most concerned by which of the following symptoms?