Question 1

The nurse is providing care for a client receiving Pentam 300 (pentamidine).The nurse should monitor for which of the following complications associated with this medication? Select all that apply.

Accepted Answer

A)  Steven-Johnson syndrome
B)  Severe hypotension
C)  Respiratory arrest
D)  Cardiac arrhythmia
E)  HypoglycemiaF) Hemolytic anemia A,B,D,E

Question 2

The physician has ordered Glycolax (polyethylene glycol/electrolyte)for an 82-year-old patient.Which of the following actions will be included in the nurse's plan of care? Select all that apply.

Accepted Answer

A)  Add powdered fruit punch to the prep before serving.
B)  Instruct the patient to restrict their food intake to clear liquids during the prep.
C)  Encourage the client to drink the fluid over a 2-3 hr period of time.
D)  Shake vigorously after reconstituting with tap water.
E)  Assess client hydration status prior to and throughout the prep.F) Initiate the prep 1 hr prior to the procedure. B,C,D,E

Question 3

The nurse is caring for a 44-year-old patient with fibromyalgia.Savella (milnacipran)has been prescribed.Which of the following statements would be included in the client teaching?

Accepted Answer

A)  "This medication can cause dizziness so move slowly and call for assistance if you feel dizzy."
B)  "One side effect of this medication is headaches;let me know if you experience that."
C)  "This can be constipating,so I suggest increasing your fluid and fiber intake."
D)  "We will be monitoring your blood pressure and heart rate more frequently since this medication can cause an increase in blood pressure."
E)  "There are minimal risks for fetal harm with this medication so you don't need to worry." A,B,C,D

Question 4

While counseling a client taking Kepivance (palifermin),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 develop a rash or any tongue discolorations."
B)  "As long as I'm taking this,I won't get any side effects from my chemotherapy."
C)  "This medication helps prevent the mouth sores that were so bad with my last chemotherapy treatment."
D)  "I have to get this medication in an IV 3 days before and 3 days after my chemotherapy."

Question 5

While caring for a client receiving Ultram (tramadol)for moderate pain control,the nurse recognizes increased CNS depression can occur if this medication is given concurrently with which of the following? Select all that apply.

Accepted Answer

A)  Antineoplastic agents
B)  Antihistamines
C)  Opioid analgesics
D)  Anticoagulants
E)  Sedative/hypnoticsF) Bisphosphonates

Question 6

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

Accepted Answer

A)  Benign prostatic hypertrophy
B)  Rheumatoid arthritis
C)  Venous-thrombosis embolic prophylaxis
D)  Urinary tract infection

Question 7

The nurse is providing instructions to a client who has started therapy withnicardipine.The nurse instructs the client to avoid which of the following foods?

Accepted Answer

A)  Kiwi
B)  Grapefruit juice
C)  Garlic
D)  Ginger

Question 8

While caring for a client who is receiving Serax (oxazepam),the nurse notes the client is drowsy and slightly confused upon waking.Which of the following conclusions should the nurse draw?

Accepted Answer

A)  The client may be experiencing symptoms of a stroke and the physician should be contacted immediately.
B)  The client may be experiencing hypersensitivity and the drug should be held.
C)  This is an expected and normal finding with the medication and the patient should be monitored for safety concerns.
D)  The client may have underlying psychiatric disorders and should be assessed for the presence of hallucinations.

Question 9

The nurse is preparing to provide Fleet Enema (phosphate/biphosphate).Prioritize the following steps in correct order for this procedure.
A.Gently squeeze until the bottle is empty.
B.Assist the client onto the left side with knees flexed.
C.Discontinue with resistance or abdominal cramping.
D.Insert pre-lubricated tip about 2 in.into the rectum
E.Perform hand hygiene and don clean gloves.

Accepted Answer

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

Question 10

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

Accepted Answer

A)  "If my migraine headache doesn't go away,I can repeat the dose within 30 minutes."
B)  "This medication will typically make me very sleepy after I take it."
C)  "I need to let the doctor know right away if I have any chest pain or tightness after taking this medication."
D)  "I need to be sure and take a laxative when I take this medication."

Question 11

While investigating the medications taken by a client in the hospital,the student nurse understands that Zosyn (piperacillin/tazobactam)has an extended spectrum compared to other penicillins for which of the following reasons?

Accepted Answer

A)  Neither drug is able to cross the placenta well.
B)  Tazobactam inhibits an enzyme that destroys penicillins.
C)  The half-life of the combined drugs is over 6 hr.
D)  Pipercillin is highly metabolized with less than 10% excreted in an unchanged form.

Question 12

The nurse is caring for a client who was newly prescribed Crinone (progesterone).The nurse would provide additional education in response to which of the following client statements?

Accepted Answer

A)  "I should stop taking this medication if I suspect I may be pregnant."
B)  "If I have spotting or a change in my bleeding pattern,I should call the physician."
C)  "I should use sunscreen and protective clothing to reduce the chance of irritation."
D)  "This medication is designed to halt ovulation."

Question 13

A new order for K-Phos (potassium phosphate)250 mg four times daily has been noted.When preparing to administer the medication,which of the following actions will the nurse take?

Accepted Answer

A)  Provide the tablets orally at least 2 hr before meals.
B)  Provide the tablets orally directly after meals.
C)  Dissolve the tablets in a full glass of water and let stand for 2-5 min to ensure it is fully dissolved.
D)  Provide medication simultaneously with antacid to reduce stomach irritation.

Question 14

The nurse is providing care for a client who is receiving Aciphex (rabeprazole).The nurse recognizes this medication is effective by which of the following assessment findings?

Accepted Answer

A)  Patient voids 250 mL urine and reports feeling reduced bladder spasms.
B)  Patient denies abdominal pain or heartburn.
C)  Patient reports improvement in itching.
D)  Patient's white blood cell count is less than 10,000/mm3.

Question 15

The nurse is preparing to provide a Symlin (pramlintide)to a client with diabetes.Prioritize the following nursing actions in the correct order for provision.
A.Adjust insulin dose.
B.Assess recent blood glucose data.
C.Inject pramlintide and insulin separately.
D.Provide meal immediately.

Accepted Answer

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

Question 16

While providing care for a 35-year-old client who has been started on (Topiramate)Topamax 25 mg twice daily,the nurse would include which of the following in the plan of care? Select all that apply.

Accepted Answer

A)  Ensure patient drinks 2,000-3,000 mL of fluid to prevent kidney stone formation.
B)  Monitor for signs and symptoms of hyper- or hypokalemia.
C)  Initiate seizure precautions.
D)  Monitor for suicidal thoughts or depression.
E)  Place patient in contact isolation.F) Place patient on telemetry monitoring

Question 17

A client with Parkinson disease is started on Mirapex (pramipexole)0.125 mg three times 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)  "This medication may cause insomnia,so you may want to take melatonin to help you sleep."
B)  "You can break the extended release tablet up to make it easier to swallow."
C)  "If you forget to take the extended release tablet in the morning,just take it at bedtime."
D)  "Be sure to let the physician know if you notice any confusion or hallucinations."

Question 18

As part of a new treatment regimen for Alzheimer,a 78-year-old woman is prescribed Exelon (rivastigmine).The nurse should include which of the following statements in the client teaching? Select all that apply.

Accepted Answer

A)  "This medication can be given in transdermal patch form that is changed every 24 hours."
B)  "Revastigmine can cause dizziness so it is important to use caution until your body adjusts to it."
C)  "Let the doctor know if you have nausea,vomiting,anorexia,or weight loss."
D)  "You should notice an improvement in your memory and thinking within a few days."
E)  "The oral form of this medication should be taken on an empty stomach."F) "Some clients experience headaches,weakness,and diarrhea with this medication."

Question 19

The nurse is providing care for an elderly woman with a urinary tract infection.The nurse understands the patient is receiving Pyridium (phenazopyridine)for which of the following reasons?

Accepted Answer

A)  To reduce the frequency and severity of bladder spasms.
B)  To provide local anesthetic effects to the bladder mucosa.
C)  To kill
D)  To promote diuresis and subsequently prevent stone formation.
E)  coli bacteria commonly associated with urinary tract infection.

Question 20

A diabetic patient treated with a sulfonylurea has been ordered a beta blocker for hypertension.The nurse is aware that beta blockers taken with sulfonylureas may mask the signs and symptoms of hypoglycemia.The nurse recognizes which of the following medications is included in the class of sulfonylureas?Select all that apply.

Accepted Answer

A)  Januvia (sitagliptin) 
B)  Amaryl (glimepiride) 
C)  Diabeta (glyburide) 
D)  Glucophage (metformin) 
E)  Glucotrol (glipizide)

Exam 4: Drugs Approved in Canada

The nurse is providing care for a client receiving Pentam 300 (pentamidine) .The nurse should monitor for which of the following complications associated with this medication? Select all that apply.

The physician has ordered Glycolax (polyethylene glycol/electrolyte) for an 82-year-old patient.Which of the following actions will be included in the nurse's plan of care? Select all that apply.

The nurse is caring for a 44-year-old patient with fibromyalgia.Savella (milnacipran) has been prescribed.Which of the following statements would be included in the client teaching?

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

While caring for a client receiving Ultram (tramadol) for moderate pain control,the nurse recognizes increased CNS depression can occur if this medication is given concurrently with which of the following? Select all that apply.

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

The nurse is providing instructions to a client who has started therapy withnicardipine.The nurse instructs the client to avoid which of the following foods?

While caring for a client who is receiving Serax (oxazepam) ,the nurse notes the client is drowsy and slightly confused upon waking.Which of the following conclusions should the nurse draw?

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

While investigating the medications taken by a client in the hospital,the student nurse understands that Zosyn (piperacillin/tazobactam) has an extended spectrum compared to other penicillins for which of the following reasons?

The nurse is caring for a client who was newly prescribed Crinone (progesterone) .The nurse would provide additional education in response to which of the following client statements?

A new order for K-Phos (potassium phosphate) 250 mg four times daily has been noted.When preparing to administer the medication,which of the following actions will the nurse take?

The nurse is providing care for a client who is receiving Aciphex (rabeprazole) .The nurse recognizes this medication is effective by which of the following assessment findings?

The nurse is preparing to provide a Symlin (pramlintide)to a client with diabetes.Prioritize the following nursing actions in the correct order for provision. A.Adjust insulin dose. B.Assess recent blood glucose data. C.Inject pramlintide and insulin separately. D.Provide meal immediately.

While providing care for a 35-year-old client who has been started on (Topiramate) Topamax 25 mg twice daily,the nurse would include which of the following in the plan of care? Select all that apply.

A client with Parkinson disease is started on Mirapex (pramipexole) 0.125 mg three times 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?

As part of a new treatment regimen for Alzheimer,a 78-year-old woman is prescribed Exelon (rivastigmine) .The nurse should include which of the following statements in the client teaching? Select all that apply.

The nurse is providing care for an elderly woman with a urinary tract infection.The nurse understands the patient is receiving Pyridium (phenazopyridine) for which of the following reasons?