Question 1

A nurse caring for a client with chronic obstructive pulmonary disease notes the recent addition of a new inhaler,formoterol.The nurse knows this medication is designed to prevent which of the following symptoms?

Accepted Answer

A) Mucous production 
B) Salivation 
C) Bleb formation 
D) Bronchospasm

Question 2

A nurse from the medical unit is floated to the surgical unit.While preparing to provide morning medications,the nurse realizes many clients are taking Demerol (meperidine)and knows the drug must be given cautiously or in reduced doses to which of the following clients? Select all that apply.

Accepted Answer

A) A 42-year-old patient taking Nitro-Bid (nitroglycerine) 
B) A 68-year-old patient taking Prozac (fluoxetine) 
C) A 74-year-old patient taking Matulane (procarbazine) 
D) A 66-year-old patient taking Dilantin (phenytoin) 
E) A 51-year-old patient taking Zovirax (acyclovir)
F)A 76-year-old patient taking Synthroid (levothyroxine)

Question 3

In reviewing new orders,the nurse notes Azactam (aztreonam)1 gram IV every 8 hr has been ordered.Before initiating therapy,the nurse should assess for an allergy history to which of the following? Select all that apply.

Accepted Answer

A) Penicillins 
B) MAO inhibitors 
C) Antifungals 
D) Cephalosporins 
E) Non-steroidal anti-inflammatory agents

Question 4

A 21-year-old client is brought to the emergency room with suspected overdose with Tylenol (acetaminophen).Which of the following medications would the nurse expect to be ordered?

Accepted Answer

A) Protamine sulfate 
B) Primaxin (imipenem) 
C) Acetadote (acetylcysteine) 
D) Diabeta (glyburide)

Question 5

A student nurse is preparing to participate in a mission-trip to South Africa and is prescribed Plaquenil (hydroxychloroquine).Which of the following side effects may be experienced by the student? Select all that apply.

Accepted Answer

A) Rash 
B) Headache 
C) Ringing in the ears 
D) Anorexia 
E) Diarrhea
F)Hypertension

Question 6

A new order for Foscavir (foscarnet)60 mg/kg IV every 8 hr has been noted.The patient weighs 50 kg.With a dilution required concentration of 12 mg/mL,what size IV bag will the nurse need to infuse this medication ___________________?

Accepted Answer

The answer of A new order for Foscavir (foscarnet)60 mg/kg...

Question 7

The nurse is reviewing the home medication list for a client with identified hypercholesterolemia.The client reports taking Zetia (ezetimibe)daily.The nurse understands this medication is designed to reduce the client's risk for which of the following?

Accepted Answer

A) Atherosclerosis 
B) Angina 
C) Deep vein thrombosis 
D) Gastric ulceration

Question 8

The nurse responds to a call light for a client with chronic obstructive pulmonary disease and finds the client slightly dyspneic with a respiratory rate of 20 and wheezing noted in the anterior and posterior upper lung fields.The nurse knows the client has orders for Arcapta (indacaterol)inhaler once daily,which is due in 1 hr.Which of the following actions by the nurse is best?

Accepted Answer

A) Provide the Arcapta (indacaterol)inhaler at this time. 
B) Check the client's temperature. 
C) Determine if the client has an order for other respiratory inhalers/treatment. 
D) Identify the most recent chest x-ray results.

Question 9

The nurse is providing instructions to a client who has started therapy with Buprenex (buprenorphine)to assist with opioid withdrawal.The nurse instructs the client to avoid which of the following natural substances/herbs? Select all that apply.

Accepted Answer

A) Kava-kava 
B) Valerian 
C) Garlic 
D) Ginger 
E) Chamomile
F)Hops

Question 10

While caring for a client receiving methyldopa for hypertension,the nurse recognizes elevations in which of the following labs may be caused by the medication? Select all that apply.

Accepted Answer

A) Serum creatinine 
B) White blood cells 
C) Amylase 
D) Albumin 
E) Potassium
F)Sodium

Question 11

While caring for a client with Parkinson disease who has recently started taking Cogentin (benztropine),the client reports,"My mouth seems so dry all the time." Which of the following statements by the nurse is best?

Accepted Answer

A) "Dry mouth is common with your new medications.You should rinse frequently and consider using hard sugarless candies or gum to help with the symptom." 
B) "I wonder if your dose is too high;try taking half the pill twice a day instead of all at once and see if that helps." 
C) "You should call your doctor and let them know about that-it could be a serious side effect of the new medication." 
D) "Have you noticed any fever or night sweats lately?"

Question 12

While observing in the operating room,the student nurse notes a client was given Robinul (glycopyrrolate)pre-operatively as part of the anesthesia regimen.The student recognizes this medication will cause which of the following?

Accepted Answer

A) Decreased pain perception during the procedure 
B) Reduced oral and respiratory secretions 
C) Neuromuscular blockage and paralysis 
D) Reduced consciousness and sedation

Question 13

The nurse is talking to a neighbor who spent 3 days in the hospital on intravenous antibiotics including erythromycin the week before.The individual states,"I've had such bad diarrhea all night and it really isn't any better today." Which of the following statements by the nurse is best?

Accepted Answer

A) "Are you taking any oral antibiotics now?" 
B) "Antibiotics commonly cause diarrhea;be sure to drink plenty of fluids." 
C) "Have you noticed any blood or pus in the stool?" 
D) "Is anyone else in the family experiencing the same symptoms?"

Question 14

The nurse is caring for a 34-year-old patient with a large hilar mass due to lymphoma.Chemotherapy is being provided and the client also has orders for Zyloprim (allopurinol)300 mg orally twice daily.When providing this medication,the nurse would include which of the following statements in the client teaching?

Accepted Answer

A) "This medication will help prevent gout,which occurs when clients are given radiation therapy." 
B) "Allopurinol binds to the uric acid being released by the destroyed cancer cells and prevents it from damaging your kidneys." 
C) "Chemotherapy agents can reduce the number of white blood cells,red blood cells,and platelets in your body;this medication helps protect those cells." 
D) "This is part of the chemotherapy regimen since some chemo agents are given in your IV and others are given by mouth."

Question 15

While providing care for a client who is to receive Abilify (aripiprazole),the nurse recognizes that the client understands this medication by which of the following statements?

Accepted Answer

A) "This medication may cause me to have a dry mouth or lower my saliva production." 
B) "This medication will reduce my nicotine cravings and help me quit smoking." 
C) "I need to let the doctor know right away if I have any thoughts of suicide or worsening depression." 
D) "I need to be sure and drink at least 4 quarts of water each day while I'm taking this medication."

Question 16

The nurse is caring for a client newly admitted with pelvic inflammatory disease.An order for Primaxin (imipenem/cilastatin)500 mg IV every 6 hr is noted.The nurse would be most concerned by which of the following findings in the client's history?

Accepted Answer

A) Use of an intrauterine device for birth control 
B) Family history of hypertension 
C) Order for morphine sulfate 2 mg IV every 4 hr as needed for pain 
D) History of seizures

Question 17

The nurse is caring for a 6-month-old patient receiving oral Moxatag (amoxicillin)25 mg/kg/day divided into two doses and distributed as 50 mg/mL oral suspension.The child weighs 33 pounds.How much medication (in mL)will this nurse pour/provide each dose?

Accepted Answer

The answer of The nurse is caring for a 6-month-old...

Question 18

While working in the psychiatric hospital,the nurse provides Fanapt (iloperidone)2 mg twice daily.Which of the following assessments indicates the medication is effective?

Accepted Answer

A) The client's mood is stabilized. 
B) The client is able to sleep for 8 hr at night. 
C) The client denies hearing voices. 
D) The client's weight is stabilized

Question 19

While caring for a client who is taking Sandimmune (cyclosporine)after a cardiac transplant,the nurse is aware that it is most important to monitor for which of the following?

Accepted Answer

A) Hypokalemia 
B) Hypotension 
C) Anorexia 
D) Nephrotoxicity

Question 20

While observing in the oncology clinic,a student nurse is reviewing chemotherapy orders for a client with advanced colorectal cancer.The nurse providing care explains the client is to receive "high dose methotrexate with leucovorin rescue." The student understands the leucovorin calcium is given for which of the following reasons?

Accepted Answer

A) As a catalyst to increase the number of cancer cells destroyed by the methotrexate. 
B) As an antidote to the methotrexate to reduce the destruction of blood cells. 
C) As a second chemotherapeutic agent that will destroy cancer cells using a different mechanism. 
D) As a carrying agent to ensure delivery of the methotrexate into the cells.

Exam 3: Drug Monographs in Alphabetical Order by Generic Name

A nurse caring for a client with chronic obstructive pulmonary disease notes the recent addition of a new inhaler,formoterol.The nurse knows this medication is designed to prevent which of the following symptoms?

A nurse from the medical unit is floated to the surgical unit.While preparing to provide morning medications,the nurse realizes many clients are taking Demerol (meperidine) and knows the drug must be given cautiously or in reduced doses to which of the following clients? Select all that apply.

In reviewing new orders,the nurse notes Azactam (aztreonam) 1 gram IV every 8 hr has been ordered.Before initiating therapy,the nurse should assess for an allergy history to which of the following? Select all that apply.

A 21-year-old client is brought to the emergency room with suspected overdose with Tylenol (acetaminophen) .Which of the following medications would the nurse expect to be ordered?

A student nurse is preparing to participate in a mission-trip to South Africa and is prescribed Plaquenil (hydroxychloroquine) .Which of the following side effects may be experienced by the student? Select all that apply.

A new order for Foscavir (foscarnet)60 mg/kg IV every 8 hr has been noted.The patient weighs 50 kg.With a dilution required concentration of 12 mg/mL,what size IV bag will the nurse need to infuse this medication ___________________?

The nurse is reviewing the home medication list for a client with identified hypercholesterolemia.The client reports taking Zetia (ezetimibe) daily.The nurse understands this medication is designed to reduce the client's risk for which of the following?

The nurse is providing instructions to a client who has started therapy with Buprenex (buprenorphine) to assist with opioid withdrawal.The nurse instructs the client to avoid which of the following natural substances/herbs? Select all that apply.

While caring for a client receiving methyldopa for hypertension,the nurse recognizes elevations in which of the following labs may be caused by the medication? Select all that apply.

While caring for a client with Parkinson disease who has recently started taking Cogentin (benztropine) ,the client reports,"My mouth seems so dry all the time." Which of the following statements by the nurse is best?

While observing in the operating room,the student nurse notes a client was given Robinul (glycopyrrolate) pre-operatively as part of the anesthesia regimen.The student recognizes this medication will cause which of the following?

The nurse is talking to a neighbor who spent 3 days in the hospital on intravenous antibiotics including erythromycin the week before.The individual states,"I've had such bad diarrhea all night and it really isn't any better today." Which of the following statements by the nurse is best?

While providing care for a client who is to receive Abilify (aripiprazole) ,the nurse recognizes that the client understands this medication by which of the following statements?

The nurse is caring for a client newly admitted with pelvic inflammatory disease.An order for Primaxin (imipenem/cilastatin) 500 mg IV every 6 hr is noted.The nurse would be most concerned by which of the following findings in the client's history?

The nurse is caring for a 6-month-old patient receiving oral Moxatag (amoxicillin)25 mg/kg/day divided into two doses and distributed as 50 mg/mL oral suspension.The child weighs 33 pounds.How much medication (in mL)will this nurse pour/provide each dose?

While working in the psychiatric hospital,the nurse provides Fanapt (iloperidone) 2 mg twice daily.Which of the following assessments indicates the medication is effective?

While caring for a client who is taking Sandimmune (cyclosporine) after a cardiac transplant,the nurse is aware that it is most important to monitor for which of the following?