Question 1

The student nurse reviews a list of medications a client takes at home.Xopenex (levalbuterol)is on the list.The student expects this medication is provided in which of the following ways?

Accepted Answer

A) Orally 
B) Topically 
C) Rectally 
D) Metered dose inhaler

Question 2

The nurse is providing Tarceva (erlotinib)intravenously for a client who has small cell lung cancer.The client begins to appear slightly short of breath,respiratory rate has gone from 14 breaths per min to 20 breaths per min and he has been coughing mildly for the past 10 min.Which of the following actions should the nurse take first?

Accepted Answer

A) Listen to breath sounds to determine if the client is experiencing fluid volume overload. 
B) Stop the infusion since there is a risk of interstitial lung disease with this medication. 
C) Check the client's temperature to determine if he is developing pneumonia. 
D) Reassure the client that a cough is normal as cancer cells are destroyed and continue to monitor closely.

Question 3

A client admitted with atrial fibrillation would most likely be started on which of the following medications to reduce the risk of embolization?

Accepted Answer

A) Pradaxa (dabigatran) 
B) DDAVP (desmopressin) 
C) Effexor (venlafaxine) 
D) Flomax (tamsulosin)

Question 4

While caring for a client taking Clozaril (clozapine),the nurse determines the medication is effective by which of the following findings?

Accepted Answer

A) Decreased swelling noted at the site of cellulitis in the left hand. 
B) Apical heart rate is regular at 72 bpm. 
C) Client is cooperative;oriented to person,place,and time;and has no hallucinations or delusions. 
D) Breath sounds are clear throughout anterior,lateral,and posterior aspects.

Question 5

The nurse is providing care for an 82-year-old client with glaucoma.Diamox (acetazolamide)250 mg orally twice daily has been ordered as a new medication.The nurse would be most concerned by which of the following?

Accepted Answer

A) The client has a listed allergy to sulfonamides. 
B) The client has a history of rheumatoid arthritis. 
C) The client takes Cogentin (benztropine)daily. 
D) The client's potassium is 3.6 mEq/dL.

Question 6

A nurse is receiving shift-to-shift report for a client in the intensive care unit with multiple medical problems.The client is receiving Argatroban infusion.The nurse recognizes this medication is ordered to address which of the following health-care problems for the client?

Accepted Answer

A) Ventilator-associated pneumonia 
B) Deep vein thrombosis 
C) Hypotension 
D) Urosepsis

Question 7

The nurse is providing Epogen (epoetin)subcutaneously to a client with chronic kidney disease.Which of the following would indicate that the therapy is effective? Select all that apply.

Accepted Answer

A) The client's hematocrit rises from 27.4 to 32.9%. 
B) The client's serum creatinine falls from 5.6 mg/dL to 4.9 mg/dL. 
C) The client reports decreased fatigue and dyspnea. 
D) The client reports 500 mL of urine output in a 24-hr period. 
E) The client's WBC = 7.4 u/L.
F)The client has remained afebrile for 2 wk.

Question 8

While reviewing a client's medication list,the nurse notes the client takes Remeron (mirtazapine)15 mg daily.The nurse recognizes this medication has multiple indications and is used both on and off label for various reasons including which of the following? Select all that apply.

Accepted Answer

A) Major depressive disorder 
B) Schizophrenia 
C) Anorexia nervosa 
D) Panic disorder 
E) Generalized anxiety disorder
F)Post-traumatic stress disorder

Question 9

The nurse is providing Ethyol (amifostine)to a 51-year-old woman with ovarian cancer who is also receiving Cisplatin.Which of the following nursing assessments during the infusion is of the highest priority?

Accepted Answer

A) Monitor client blood sugar every hr. 
B) Monitor client's respiratory rate every 30 min. 
C) Monitor client's blood pressure every 5 min. 
D) Monitor client's urine output every 4 hr.

Exam 3: Drug Monographs in Alphabetical Order by Generic Name

The student nurse reviews a list of medications a client takes at home.Xopenex (levalbuterol) is on the list.The student expects this medication is provided in which of the following ways?

A client admitted with atrial fibrillation would most likely be started on which of the following medications to reduce the risk of embolization?

While caring for a client taking Clozaril (clozapine) ,the nurse determines the medication is effective by which of the following findings?

The nurse is providing care for an 82-year-old client with glaucoma.Diamox (acetazolamide) 250 mg orally twice daily has been ordered as a new medication.The nurse would be most concerned by which of the following?

A nurse is receiving shift-to-shift report for a client in the intensive care unit with multiple medical problems.The client is receiving Argatroban infusion.The nurse recognizes this medication is ordered to address which of the following health-care problems for the client?

The nurse is providing Epogen (epoetin) subcutaneously to a client with chronic kidney disease.Which of the following would indicate that the therapy is effective? Select all that apply.

While reviewing a client's medication list,the nurse notes the client takes Remeron (mirtazapine) 15 mg daily.The nurse recognizes this medication has multiple indications and is used both on and off label for various reasons including which of the following? Select all that apply.

The nurse is providing Ethyol (amifostine) to a 51-year-old woman with ovarian cancer who is also receiving Cisplatin.Which of the following nursing assessments during the infusion is of the highest priority?