Question 1

While investigating the medications taken by a client in the hospital,the student nurse understands that Plendil (felodipine)works to lower blood pressure by causing which of the following physiologic changes?

Accepted Answer

A)  Dilatation of the vascular wall
B)  Blocking the transport of calcium
C)  Inhibiting the beta receptors on cell membranes
D)  Reducing the formation of ectopic beats B

Question 2

Which of the following would cause the nurse to suspect that a client taking Glucophage (metformin)may be developing lactic acidosis? Select all that apply.

Accepted Answer

A)  Client reports chills and muscle aches.
B)  Blood pressure = 98/54 mmHg.
C)  Client reports profound headache and ringing in the ears.
D)  Client complains of dizziness and diarrhea.
E)  White blood cell count = 7,500 cell/mm3.F) Pupils are dilated and unresponsive to light. A,B,D

Question 3

The nurse is preparing to start therapy with IV Dobutrex (dobutamine).The pre-mixed solution has 250 mg in 250 mL.The orders read 5 mcg/kg/min and the client weighs 165 pounds.At what rate,expressed in mL/hr,should the infusion be started? (Round to the nearest tenths place. )___________ mL/hr

Accepted Answer

22.5 
See Route/Dosage and Availability for dobutamine.Drug calculation involves converting client's weight to kg [165 divided by 2.2 = 75 kg] followed by calculation of the dose [5 mcg x 75 kg = 375 mcg/min] followed by dose conversion to mg [375 divided by 1,000 = 0.375 mg/min] followed by calculation for an hourly rate [0.375 x 60 = 22.5 mg/hr] since the solution has 1 mg/mL,the final conversion does not change the rate [22.5 x 1 = 22.5 mL/hr].

Question 4

As part of a new treatment regimen for hypothyroidism,a 48-year-old woman is prescribed Levoxyl (levothyroxine).The nurse should include which of the following statements in the client teaching? Select all that apply.

Accepted Answer

A)  "You should take this medication at roughly the same time each day."
B)  "Once you've been taking this medication for a few weeks,you should be cured and the doctor will stop it."
C)  "Let the doctor know if you lose more than 2 pounds per week while taking this medication."
D)  "Do not take this medication at the same time as any other medications."
E)  "Avoid eating beef or pork while taking this medication."F) "Some clients experience headaches,nervousness,sweating,and palpitations while taking this medication."

Question 5

While providing care for a 45-year-old woman client who has been started on Tapazole (methimazole)15 mg every 4 hr,the nurse would include which of the following in the plan of care? Select all that apply.

Accepted Answer

A)  Teach client self-injection techniques.
B)  Monitor for signs and symptoms of hyper- or hypothyroidism.
C)  Place client in protective isolation.
D)  Assess white blood cell and differential counts.
E)  Strain all urine.F) Monitor for signs or symptoms of bleeding.

Question 6

While providing care for an 84-year-old patient with Parkinson disease who is taking Sinemet (carbidopa/levodopa),the nurse notes abnormalities in the client's lab values.Which of the following could be attributed to the medication?

Accepted Answer

A)  Platelet count-440,000 c/mm3
B)  Hemoglobin-10.4 g/dL
C)  Albumin-3.2 g/dL
D)  B-type natriuretic peptide (BNP) -449 pg/mL

Question 7

A nurse caring for a client who is to initiate therapy with Merrem (meropenem)500 mg intravenously every 12 hr would include which of the following statements in the client teaching? Select all that apply.

Accepted Answer

A)  "This medication is used to treat various infections."
B)  "The dose is reduced since you have a history of renal impairment."
C)  "Be sure to let us know if you develop any diarrhea."
D)  "Since you have an allergy to penicillin,there is no risk of allergy to this medication."
E)  "The medication can cause dizziness for some people so be sure to call for help when you need to get up out of bed."

Question 8

The nurse is providing care for a 64-year-old client on the telemetry unit whose heart rate suddenly jumps to 144 bpm.Telemetry shows supraventricular tachycardia and the client reports feeling a bit lightheaded and dizzy.The nurse attempts vagal stimulation without success and prepares to administer Adenocard (adenosine)6 mg IV push.The nurse would expect which of the following to occur?

Accepted Answer

A)  A gradual slowing of the heart rate over the next 30 min with an end result of normal sinus rhythm and improved symptoms.
B)  Slowing of the tachycardia with an end rate between 100-120 bpm and improved dizziness within 5 min.
C)  Loss of consciousness for the client in preparation for electric shock/cardioversion.
D)  A short period of heart block or asystole immediately after injection followed by conversion to normal sinus rhythm.

Question 9

While caring for a client who is receiving Desferal (deferoxamine),the nurse notes the client's urine is reddish colored.Which of the following conclusions should the nurse draw?

Accepted Answer

A)  There is a risk of hemolytic cystitis with this medication and the next dose should be held.
B)  The client may be experiencing liver toxicity;the physician should be contacted to request laboratory analysis be done.
C)  This is an expected and normal finding with the medication due to the excretion of iron.
D)  The client may have a secondary urinary tract infection and a urinalysis should be sent.

Question 10

A client with Alzheimer is started on Razadyne (galantamine)4 mg twice daily.The family has been told to return to the physician's office in 4 wk.Which of the following statements by the nurse is best?

Accepted Answer

A)  "Sometimes a higher dose of this medication is needed to see improvement."
B)  "You should notice improvement within a day or two."
C)  "If you forget a dose one day,just have her take two the next day."
D)  "This medication can cause dizziness so be extra careful to avoid falls."

Question 11

The nurse is preparing to provide a chemotherapy treatment for a client with non-small cell lung cancer.It is day 8 of the 28-day chemotherapy cycle and the client is scheduled to receive Gemzar (gemcitabine)IV.Match the following nursing actions in the correct order for provision.
A)Infuse over 30 min.
B)Identify absolute granulocyte and platelet counts.
C)Monitor vital signs every 15 min.
D)Obtain medication from pharmacy.

Accepted Answer

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

Question 12

While counseling a client taking Pristiq (desvenlafaxine),the nurse recognizes that further teaching is necessary based on which of the following client statements?

Accepted Answer

A)  "I'll be sure to let my doctor know if I have any thoughts of suicide."
B)  "If I need something for pain,I should take aspirin,ibuprofen,or another non-steroidal anti-inflammatory instead of Tylenol while I'm taking this medication."
C)  "I shouldn't drive a car for a few weeks since this medication can cause dizziness."
D)  "I should avoid drinking alcohol while I'm taking this medication

Question 13

The nurse is caring for a 68-year-old male who is taking Cardura (doxazosin).He denies any history of hypertension.The nurse recognizes this medication can also be used to treat which of the following conditions?

Accepted Answer

A)  Psoriasis
B)  Gout
C)  Lymphoma
D)  Benign prostatic hypertrophy

Question 14

While preparing to give Fungizone (amphotericin B)to a client who is also receiving Dexasone (dexamethasone),the nurse recognizes the client is at increased risk for which of the following?

Accepted Answer

A)  Hypoglycemia
B)  Hyponatremia
C)  Hypocalcemia
D)  Hypokalemia

Question 15

The nurse is providing care for a client who has new orders to start Victoza (liraglutide)0.6 mg subcutaneously each day.Which of the following orders should the nurse anticipate? Select all that apply.

Accepted Answer

A)  Check blood sugar before meals and at bedtime.
B)  Teach client self-injection techniques.
C)  Conduct liver function tests every morning for the next 3 days.
D)  Discontinue low molecular weight heparin.
E)  Notify physician of acute abdominal pain,nausea,or vomiting.F) Hold all aspirin products.

Question 16

The nurse is providing care for a client with end stage renal disease who is receiving Fosrenol (lanthanum carbonate).The nurse recognizes this medication is effective by which of the following laboratory values?

Accepted Answer

A)  Serum potassium = 3.7 mEq/L
B)  Hemoglobin = 10.2 g/dL
C)  Uric acid = 3.7 mg/dL
D)  Serum phosphate = 5.4 mg/dL

Question 17

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

Accepted Answer

A)  "I might be constipated while I'm on this medication."
B)  "Most people who take this medication have fewer muscle spasms and less pain."
C)  "This can cause dizziness,blurred vision,and sleepiness so I shouldn't drive while I'm on it."
D)  "I need to move slowly so I don't faint."
E)  "I can drink up to 2 beers per day safely while I'm on this medication."F) "If I forget this medication,I can take it within one hour or skip that dose and remain on the schedule."

Question 18

A client with breast cancer is taking Arimidex (anastrozole).The nurse recognizes that teaching has been effective by which of the following client statements?

Accepted Answer

A)  "If I miss a dose,I should take a double dose the next day."
B)  "I must take this medication on an empty stomach before going to bed each night."
C)  "Oral chemotherapy generally has fewer side effects and is much safer."
D)  "There is a risk of allergic reaction for this medication so I need to notify the doctor right away if I have any swelling in my face,difficulty swallowing,or rashes."

Question 19

The nurse is providing care for a 41-year-old patient with a severe head injury following a motor vehicle accident.The nurse notes the client's urinary output for the past four hr is 900 mL.Which of the following medications would the nurse anticipate being ordered?

Accepted Answer

A)  DDAVP (desmopressin) 
B)  Lasix (furosemide) 
C)  Lopurin (allopurinol) 
D)  Dexedrine (dextroamphetamine)

Question 20

The nurse receives orders to begin Robaxin (methocarbamol)4.5 grams per day in 3 equally divided doses.The medication is available in 500 mg tablets.How many pills will the nurse provide with each dose? __________ pills

Accepted Answer

The answer of The nurse receives orders to begin Robaxin...

Exam 3: Drug Monographs in Alphabetical Order by Generic Name

While investigating the medications taken by a client in the hospital,the student nurse understands that Plendil (felodipine) works to lower blood pressure by causing which of the following physiologic changes?

Which of the following would cause the nurse to suspect that a client taking Glucophage (metformin) may be developing lactic acidosis? Select all that apply.

The nurse is preparing to start therapy with IV Dobutrex (dobutamine).The pre-mixed solution has 250 mg in 250 mL.The orders read 5 mcg/kg/min and the client weighs 165 pounds.At what rate,expressed in mL/hr,should the infusion be started? (Round to the nearest tenths place. )___________ mL/hr

As part of a new treatment regimen for hypothyroidism,a 48-year-old woman is prescribed Levoxyl (levothyroxine) .The nurse should include which of the following statements in the client teaching? Select all that apply.

While providing care for a 45-year-old woman client who has been started on Tapazole (methimazole) 15 mg every 4 hr,the nurse would include which of the following in the plan of care? Select all that apply.

While providing care for an 84-year-old patient with Parkinson disease who is taking Sinemet (carbidopa/levodopa) ,the nurse notes abnormalities in the client's lab values.Which of the following could be attributed to the medication?

A nurse caring for a client who is to initiate therapy with Merrem (meropenem) 500 mg intravenously every 12 hr would include which of the following statements in the client teaching? Select all that apply.

While caring for a client who is receiving Desferal (deferoxamine) ,the nurse notes the client's urine is reddish colored.Which of the following conclusions should the nurse draw?

A client with Alzheimer is started on Razadyne (galantamine) 4 mg twice daily.The family has been told to return to the physician's office in 4 wk.Which of the following statements by the nurse is best?

While counseling a client taking Pristiq (desvenlafaxine) ,the nurse recognizes that further teaching is necessary based on which of the following client statements?

The nurse is caring for a 68-year-old male who is taking Cardura (doxazosin) .He denies any history of hypertension.The nurse recognizes this medication can also be used to treat which of the following conditions?

While preparing to give Fungizone (amphotericin B) to a client who is also receiving Dexasone (dexamethasone) ,the nurse recognizes the client is at increased risk for which of the following?

The nurse is providing care for a client who has new orders to start Victoza (liraglutide) 0.6 mg subcutaneously each day.Which of the following orders should the nurse anticipate? Select all that apply.

The nurse is providing care for a client with end stage renal disease who is receiving Fosrenol (lanthanum carbonate) .The nurse recognizes this medication is effective by which of the following laboratory values?

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

A client with breast cancer is taking Arimidex (anastrozole) .The nurse recognizes that teaching has been effective by which of the following client statements?

The nurse is providing care for a 41-year-old patient with a severe head injury following a motor vehicle accident.The nurse notes the client's urinary output for the past four hr is 900 mL.Which of the following medications would the nurse anticipate being ordered?

The nurse receives orders to begin Robaxin (methocarbamol)4.5 grams per day in 3 equally divided doses.The medication is available in 500 mg tablets.How many pills will the nurse provide with each dose? __________ pills