ANSWERS
A 48-year-old male client tells the nurse they want to stop taking their prazosin
(Minipress). Which questions should the nurse ask the client? correct answer "Are
you experiencing impotence?"
"Are you experiencing nasal congestion?"
"Do you feel tired?"
A charge nurse is observing a nurse administer and intradermal injection. Which
of the following demonstrates that the nurse is using the correct technique?
correct answer Slowly inject the medication to form a small wheal or bleb.
A client admitted to the hospital tells the nurse they are very nervous about
getting all their medications while they are in the hospital because their health
care provider has them on a very "strict" schedule. The nurse understands that
which of the following describes the principles about how medication dosing
schedules are determined? ALL BUT THIS ONE correct answer Hospitals have
routine dosing intervals so that all patients receive medications at the same time
each day.
A client ask the nurse which part of the brain controls anxiety and insomnia.
Which response should the nurse provide? correct answer "The limbic system and
reticular activating system control anxiety and insomnia."
A client asks a nurse how many Americans take at least one prescription drug per
year. What is the nurse's best response? correct answer 50%
,A client asks a nurse how medications are distributed within the body. What
among the below would be the nurse's response? correct answer Medications
that arelipid-soluble are more completelydistributed.
A client asks the nurse about the characteristics of absence seizures. Which
explanation should the nurse provide the client? correct answer "This type of
seizure manifests is characterized by staring into space for a few seconds."
A client asks the nurse how morphine will control pain. Which response should
the nurse provide the client? correct answer Interacts with receptors in your body
that produce analgesia."
A client asks the nurse if there are any over-the-counter herbs or nonprescription
medications that can be used to improve insomnia. Which response should the
nurse provide the client? correct answer "Diphenhydramine (Benadryl) and
doxylamine are over-the-counter meds sometimes taken to produce drowsiness."
"Valerian and melatonin are herbs commonly taken to improve sleep."
A client asks the nurse what causes bipolar disorder. Which neurotransmitters
should the nurse include when discussing the manic phase of the disorder?
correct answer excessive glutamate
excessive norepinephrine
deficiency of GABA
A client asks the nurse what causes schizophrenia. Which contributing factors
should the nurse include in the client teaching? correct answer biologic brain
disorder
genetic link
,abnormal levels of neurotransmitters in the brain
A client asks the nurse which prescriptions are commonly used to treat insomnia.
Which pharmacological agents should the nurse discuss with the client? correct
answer Ramelteon (Rozerem)
Flurazepam (Dalmane)
Zolpidem (Ambien)
A client asks the nurse which types of therapies are most helpful for depression.
Which therapies should the nurse plan to discuss with the client? EVERYTHING
BUT THIS ONE correct answer crisis therapy
A client asks the nurse why he or she are prescribed different types of
medications for his or her anxiety and insomnia. Which response should the nurse
provide the client? correct answer sedative-hypnotics
antidepressants
benzodiazepines
A client asks the nurse, "Can you tell me how capsaicin works to treat muscle
pain?" Which statement should the nurse include in the response? correct answer
"Decreases the sensation of pain by interfering with the chemical messengers."
A client at 14-weeks gestation is seen in the clinic with a sprained ankle. The
healthcare provider prescribes a mild analgesic, rest, compression, and
application of an ice bag. The client is very concerned about taking the prescribed
medication, telling the nurse, "I don't want to hurt my baby." How should the
nurse respond? correct answer "The most dangerous time for birth defects is
probably in the first semester and you are past that now."
, "This is a category A drug, so there is very little risk to your baby."
A client experiencing nervousness asks the nurse why escitalopram was
prescribed. Which response should the nurse provide the client? correct answer
The same brain chemicals are involved with anxiety and depression."
A client has a long history of hypertension. The healthcare provider orders an
antihypertensive drug that has just come on the market. The nurse teaches the
patient that this drug works more effectively than his prior drug and has fewer
side effects. The patient asks how this can be. What is the best response by the
nurse? correct answer "Newer drugs are altered to affect your cells' receptors in a
different way."
"Research into receptors helps 'fine-tune' drugs to be more effective."
A client has a prescription for an intravenous medication for nausea. The client
asks the nurse how it will help his nausea since it is given in his vein. What is the
best therapeutic response by the nurse? correct answer "This will work much
faster for your nausea."
A client has an adverse reaction to a drug following a change in dietary habits. The
nurse understands that which change would most likely be the cause? correct
answer Increased intake of grapefruit juice
A client has been chosen to participate in the clinical trial of a medication to treat
chemotherapy-induced nausea. When the nurse takes the informed consent form
to the bedside the client says, "I am glad there is finally a medication to cure my
cancer." How should the nurse respond? correct answer "What questions do you
have about this medication?"
"Has anyone explained the research trial to you?"