Elaborate Study Questions with
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1. Which instruction by the nurse is best to include when teaching a client
about amlodipine?
Report any swelling of the face or extremities to the health care provider.
You need to refrigerate this medication.
Report any weight loss to the health care provider.
Photophobia is a common adverse effect that will diminish with repeated use. -
ANSWER 1. Report any swelling of the face or extremities to the health care
provider.
2. The nurse provides medication education for a client receiving lovastatin.
Which information is most important for the nurse to include?
Notify the health care provider if you experience muscle pain.
This medication may damage your kidneys.
Take the medication with a large glass of grapefruit juice.
If you miss a dose, double the medication the following day. –
ANSWER 1. Notify the health care provider if you experience muscle pain.
,3. Which 3 assessment findings indicate complications during fluid
administration?
Client is confused
Blood return is present during IV assessment
IV site is edematous and cool to the touch
Dyspnea
Blood pressure increases from 85/54 to 110/60
Apical heart rate of 74, regular - ANSWER 1, 3, 4
4. The nurse learns a client has been taking simvastatin for 7 months. Which
statement by a colleague does the nurse correct?
I should take the client's blood pressure in supine, sitting, and standing
positions.
I will check the laboratory blood values for both HDL and LDL and their ratio.
I will check the laboratory blood values for liver function tests.
I will ask the client if an eye exam has been completed since beginning the
medication. –
ANSWER 1. I should take the client's blood pressure in supine, sitting, and
standing positions.
5. A client is prescribed morphine sulfate 4 mg IV every 4 hours PRN for pain
after surgery. The nurse assesses the client 30 minutes after giving the
medication for a report of pain of 8 on the 1-10 numeric pain scale. The
client's vital signs are: BP 172/88 mm Hg, pulse 92/min, and respirations
22/min. The client reports a pain level of 8. Which action by the nurse is
most appropriate.
,Notify the health care provider to increase the dose.
Tell the client to cough and deep breathe.
Suggest the client listen to music.
Assess the client's IV site. - ANSWER 4. Assess the client's IV site
6. The nurse provides care for a client admitted with a diagnosis of diabetic
ketoacidosis. The nurse anticipates that which type of insulin will be
prescribed?
Rapid acting insulin
Long action insulin
Short acting insulin
Intermediate acting insulin - ANSWER 3. Short acting insulin
7. A client with a diagnosis of metastatic lung cancer is prescribed a
transdermal fentanyl patch. Which information must the nurse understand to
ensure the client achieves effective pain relief?
8. The transdermal patch is fully effective immediately after application.
There is little risk of respiratory depression when using a transdermal fentanyl
patch.
The client will require administration of pain medication for several hours after
application of the patch.
Desired and adverse effects of the patch cease as soon as the patch is removed/ -
ANSWER 3. The client will require administration of pain medication for
several hours after application of the patch.
, 9. The nurse recognizes which antipsychotic is used as a treatment for Tourette
syndrome?
Risperidone
Quetiapine
Ziprasidone
Haloperidol - ANSWER 4. Haloperidol
10.A client reports multiple watery bowel movements after taking a prescribed
antibiotic for several weeks. The client is prescribed loperamide. It is most
important for the nurse to follow up on which client statement?
My mouth is so dry and I feel really dizzy
I am checking my bowel movements for blood
I will stop taking the antibiotic until this diarrhea stops
This medication makes me feel very drowsy and sleepy. –
ANSWER 3. I will stop taking the antibiotic until this diarrhea stops
11.A client asks the nurse, "How does the lovastatin work?" which is the nurse's
best response?
Lovastatin prevents the reabsorption of bile acids into the small intestine.
Lovastatin prevents an enzyme in the liver from making more cholesterol.
Lovastatin is a vitamin that increases the activity of lipoprotein lipase.
Lovastatin is a fibric acid agent that activates lipoprotein lipase. –
ANSWER 2. Lovastatin prevents an enzyme in the liver from making more
cholesterol.