REx-PN® Exam Test Bank 1 With Questions
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Lithium toxicity can cause a potentially fatal condition. Which symptoms lead the nurse to
suspect lithium toxicity in their client?
A. Photosensitivity, dryness of the skin
B. Deafness, ringing in the ears
C. Diarrhea, nausea, polydipsia
D. Loss of sense of smell, cough, and colds
Answer: C. Diarrhea, nausea, polydipsia
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Lithium toxicity can result in gastrointestinal symptoms, including nausea, diarrhea, and
bloating. It may also cause polydipsia (increased thirst) and polyuria (increased frequency of
urination) due to lithium's ability to block ADH production or its action in the renal tubules.
Thus, the client's occurrence of these three symptoms, together with his known history of
lithium intake, led the healthcare professional to think that he has lithium intoxication.
Which statement about tardive dyskinesia developed as a side effect of chlorpromazine is
true?
A. It begins a few hours after the dug intake
B. It refers to the restlessness of the client after years of taking the drug
C. It often occurs in clients who have been taking the drug for years
D. It refers aggressive involuntary movements in the limbs
Answer: 3. It often occurs in clients who have been taking the drug for years
Tardive dyskinesia is a common side effect of drugs that are used to treat psychotic clients.
It may occur after months or years of taking antipsychotic medications.
Tardive dyskinesia produces involuntary repetitive movements such as eye blinking and
grimacing. In some cases, especially if the antipsychotic drug was taken for many years,
tardive dyskinesia could be irreversible.
Akathisia relates to the restlessness of an individual. Hemiballismus produces sudden and
aggressive involuntary limb movements, often on one side of the body.
A client is admitted with inflammatory bowel disease. Which therapies should the nurse
expect to be part of the plan of care? (SELECT ALL THAT APPLY)
A. Lactulose therapy
B. High-fiber diet
C. High-protein milkshakes
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D. Corticosteroid therapy
E. Antidiarrheal medications
Answer: C, D
Clients with IBD have an increase in the number of stools daily, therefore, any therapies that
would intensify peristalsis would be contraindicated i.e., Lactulose High-fiber diet.
Due to poor absorption of nutrients and weight loss secondary to their condition, clients
require an increase in protein and calories. Corticosteroid therapy helps a client with IBD
achieve remission and manages the inflammation of the bowel. Antidiarrheal medications
are of limited value with this chronic disease.
A client was scheduled for a myelogram at 1000 hours. A nurse was preparing the client for
the procedure. Which of the following statements by the client should the nurse report to
the Health Care Provider as the myelogram may have to be rescheduled?
A. "I took warfarin sodium (Coumadin) before going to bed last night."
B. "I am scared of being in cramped spaces."
C. "I am allergic to seafood."
B. "I had a headache after getting a spinal tap two years ago."
Answer: A. "I took Coumadin before going to bed last night."
A myelogram is a diagnostic test that involves the injection of a contrast material to evaluate
the spinal cord and the spinal lining and the nerve roots.
Since it is considered ae invasive process, patients scheduled for this procedure are
instructed to stop taking anticoagulants such as warfarin (Coumadin®) as early as 5 days
prior to reduce the risk of excessive bleeding.
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A nurse was assigned to care for elderly clients in a nursing home. Which of the following is
the best consideration when preparing the dosage of medications administered to geriatric
clients?
A. Never put older adults on medications with side effects that affect the nervous system
B. Administer medications at a high dose right away to ensure effectiveness of the drug
therapy
C. Begin by administering medications at a low dose and gradually increasing the dose over
time
D. Change the dose of the medications each week, depending on how the client responds
Answer: C. Begin by administering medications at a low dose and gradually increasing the
dose over time
Aging alters the way the body processes, metabolizes and absorbs medications. For
example, in older clients, the body may be less efficient in breaking down drugs or excreting
them, making them stay in the body longer. Thus, the dosing of medications administered to
older adults usually differs from the dose for younger or middle-aged persons.
Considering the physiological changes in older adults, it would be best to give medications
at the lowest effective dose at first and slowly increase it to the target amount through
time.
A client spoke to the nurse about her and her husband's plans to have their first child soon.
Which of the following indicates that the client understands the nurse's communication
about the association between alcohol consumption and the development of fetal alcohol
syndrome?
A. "I can drink a few cans of beer since it is not hard alcohol."
B. "I should drink alcohol only after meals to reduce the effects of alcohol on the baby."
C. "I should drink a glass of wine after meals since it is good for the baby's heart and mine."
D. "Drinking alcohol shortly before and during the pregnancy may harm the baby."
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