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1. A client is receiving methylprednisolone (Solu-Medrol) 40 mg IV daily. The
nurse anticipates an increase in which laboratory value as the result of this
medication?
Serum glucose.
Serum calcium.
Red blood cells.
Serum potassium. - ANSWER Serum glucose.
2. In evaluating the effects of lactulose (Cephulac), which outcome would
indicate that the drug is performing as intended?
An increase in urine output.
Two or three soft stools per day.
Watery, diarrhea stools.
Increased serum bilirubin. - ANSWER Two or three soft stools per day.
3. A client is receiving ampicillin sodium (Omnipen) for a sinus infection. The
nurse should instruct the client to notify the healthcare provider immediately
if which symptom occurs?
Rash.
Nausea.
,Headache.
Dizziness. - ANSWER Rash.
4. A client is being treated for hyperthyroidism with propylthiouracil (PTU).
The nurse knows that the action of this drug is to
decrease the amount of thyroid-stimulating hormone circulating in the blood.
increase the amount of thyroid-stimulating hormone circulating in the blood.
increase the amount of T4 and decrease the amount of T3 produced by the
thyroid.
inhibit synthesis of T3 and T4 by the thyroid gland. - ANSWER inhibit
synthesis of T3 and T4 by the thyroid gland.
5. A client is receiving clonidine (Catapres) 0.1 mg/24hr via transdermal patch.
Which assessment finding indicates that the desired effect of the medication
has been achieved?
Client denies recent episodes of angina.
Change in peripheral edema from +3 to +1.
Client denies recent nausea or vomiting.
Blood pressure has changed from 180/120 to 140/70 mmHg. - ANSWER
Blood pressure has changed from 180/120 to 140/70 mmHg.
6. Which antidiarrheal agent should be used with caution in clients taking high
dosages of aspirin for arthritis?
Loperamide (Imodium).
Probanthine (Propantheline).
,Bismuth subsalicylate (Pepto Bismol).
Diphenoxylate hydrochloride with atropine (Lomotil). - ANSWER Bismuth
subsalicylate (Pepto Bismol).
7. A client who was prescribed atorvastatin (Lipitor) one month ago calls the
triage nurse at the clinic complaining of muscle pain and weakness in his
legs. Which statement reflects the correct drug-specific teaching the nurse
should provide to this client?
Increase consumption of potassium-rich foods since low potassium levels can
cause muscle spasms.
Have serum electrolytes checked at the next scheduled appointment to assess
hyponatremia, a cause of cramping.
Make an appointment to see the healthcare provider, because muscle pain may
be an indication of a serious side effect.
Be sure to consume a low-cholesterol diet while taking the drug to enhance the
effectiveness of the drug. - ANSWER Make an appointment to see the
healthcare provider, because muscle pain may be an indication of a serious side
effect.
8. A client is being treated for osteoporosis with alendronate (Fosamax), and
the nurse has completed discharge teaching regarding medication
administration. Which morning schedule would indicate to the nurse that the
client teaching has been effective?
Take medication, go for a 30 minute morning walk, then eat breakfast.
Take medication, rest in bed for 30 minutes, eat breakfast, go for morning walk.
Take medication with breakfast, then take a 30 minute morning walk.
, Go for a 30 minute morning walk, eat breakfast, then take medication. -
ANSWER Take medication, go for a 30 minute morning walk, then eat
breakfast.
9. When assessing an adolescent who recently overdosed on acetaminophen
(Tylenol), it is most important for the nurse to assess for pain in which area
of the body?
Flank.
Abdomen.
Chest.
Head. - ANSWER Abdomen.
10.Which change in data indicates to the nurse that the desired effect of the
angiotensin II receptor antagonist valsartan (Diovan) has been achieved?
Dependent edema reduced from +3 to +1.
Serum HDL increased from 35 to 55 mg/dl.
Pulse rate reduced from 150 to 90 beats/minute.
Blood pressure reduced from 160/90 to 130/80. - ANSWER Blood pressure
reduced from 160/90 to 130/80.
11.A client with heart failure is prescribed spironolactone (Aldactone). Which
information is most important for the nurse to provide to the client about diet
modifications?
Do not add salt to foods during preparation.
Refrain for eating foods high in potassium.