And Correct Solutions
A charge nurse is mentoring a new nurse who has a prescription to
administer promethazine to a client with vomiting. Which statement by the
new nurse indicates understanding for safe administration of the drug?
a. "I need to dilute the medication before administering it intravenously."
b. "I would administer this medication rapidly, if administering it as an
intravenous push."
c. "I will assess for nervousness and insomnia, which are common adverse
effects of this drug."
d. "I should administer this medication only as a subcutaneous injection." -
Ans--a. "I need to dilute the medication before administering it
intravenously."
A nurse is caring for a client who is taking propylthiouracil. Which of the
following findings should the nurse monitor for as an adverse effect of this
medication?
a. bradycardia
b. insomnia
c. heat tolerance
d. weight loss - Ans--A. bradycardia
A nurse is teaching a client who has Grave's disease and a new prescription
for propranolol. Which of the following client statements indicates effective
teaching?
a. propranolol helps increase blood flow to my thyroid gland
b. propranolol is used to prevent excess glucose in my blood
c. propranolol will decrease my tremors and fast heart beat
,d. propranolol promotes a decrease of thyroid hormone in the body. - Ans--
c. propranolol will decrease my tremors and fast heart beat
A nurse is caring for an older adult client who has hypothyroidism and a new
prescription for levothyroxine. Which of the following dosage schedules
should the nurse expect for this client?
a. the client will start at a high dosage, and the amount will be tapered as
needed.
b. the client will remain on the initial dosage during the course of treatment.
c. the client dosage will be adjusted daily based on blood levels
d. the client will start on a low dosage, which can be gradually increased. -
Ans--d. the client will start on a low dosage, which can be gradually
increased.
A nurse is caring for a client who is taking somatropin to stimulate growth.
The nurse should plan to monitor the clients urine for which of the following?
a.bilirubin
b.protein
c.potassium
d.calcium - Ans--d.calcium
A large amount of calcium can be present in a client who take somatropin.
This puts them at risk for renal calculi.
A nurse is reviewing the medical record of a client who takes desmopressin
for diabetes insipidus. Which of the following findings is an adverse effect of
desmopressin?
a.hypovolemia
b.hypercalcemia
c. agitation
d.headache - Ans--d. headache
A nurse is admitting a client for a total hip arthroplasty. The client takes
hydrocortisone for Addison's disease. Which of the following actions is the
nurse's priority?
, a. administering a supplemental dose of hydrocortisone
b. instruct client about coughing and deep breathing
c.collect additional info about the clients history of Addison's disease
d. Inserting an indwelling urinary catheter - Ans--a. administering a
supplemental dose of hydrocortisone
A nurse is teaching clients about the use of insulin to treat type 1 diabetes
mellitus. For which of the following types of insulin should the nurse tell the
clients to expect a peak effect 1 to 5 hr after administration?
a. insulin glargine
b. nph insulin
c. regular insulin
d. insulin lispro - Ans--c. regular insulin
A nurse is caring for a client who has been taking acrabose for type 2
diabetes mellitus. Which of the following laboratory tests should the nurse
plan to monitor?
a.WBC
b. Amylase
c. platelet count
d. liver function tests - Ans--d. liver function tests
Acarbose can cause liver toxicity when taken long term
a nurse is providing teaching to a client who has type 2 diabetes mellitus and
is starting repaglinide. which of the following statements by the client
indicates understanding of the administration of this medication?
a. ill take this medication after I eat
b. ill take this medicine 30 mins before I eat
c. ill take this medicine just before I go to bed
d. ill take this medication at least 1 hour before I eat - Ans--b. ill take this
medicine 30 mins before I eat