, Liver enzyme levels
The nurse is preparing to administer the disease-modifying antirheumatic drug (DMARD)
methotrexate (Rheumatrex) to a client diagnosed with rheumatoid arthritis. Which
intervention is most important to implement prior to administering this medication?
A.
Assess the client's liver function test results.
B.
Monitor the client's intake and output.
C.
Have another nurse check the prescription.
D.
Assess the client's oral mucosa.
Give this one a try later!
Have another nurse check the prescription.
For which client(s) should the nurse withhold the initial dose of a cyclooxygenase 2
(COX-2) inhibitor until notifying the health care provider? (Select all that apply.)
A.
A middle-aged adult with a history of tinnitus while taking aspirin
B.
A middle-aged adult with a history of polycystic ovarian disease
C.
An older adult with a history of a skin rash while taking glyburide (DiaBeta)
D.
An adolescent with a history of an anaphylactic reaction to penicillin
,E.
An older adult with a history of gastrointestinal upset while taking naproxen sodium
(Naprosyn)
F.
An adolescent at 34 weeks of gestation experiencing 1+ pitting edema
Give this one a try later!
C. An older adult with a history of a skin rash while taking glyburide (DiaBeta)
D. An adolescent with a history of an anaphylactic reaction to penicillin
F. An adolescent at 34 weeks of gestation experiencing 1+ pitting edema
When providing nursing care for a client receiving pyridostigmine bromide (Mestinon)
for myasthenia gravis, which nursing intervention has the highest priority?
A.
Monitor the client frequently for urinary retention.
B.
Assess respiratory status and breath sounds often.
C.
Monitor blood pressure each shift to screen for hypertension.
D.
Administer most medications after meals to decrease gastrointestinal irritation.
Give this one a try later!
Assess respiratory status and breath sounds often.
, Which response best supports the observations that the nurse identifies in a client who is
experiencing a placebo effect?
A.
Beneficial response or cure for disease
B.
Behavioral or psychotropic responses
C.
Malingering or drug-seeking behaviors
D.
Psychological response to inert medication
Give this one a try later!
Psychological response to inert medication
Which assessment datum indicates to the nurse that a dose of granisetron (Kytril)
administered IV prior to chemotherapy has had the desired effect?
A.
Oral mucosa pink and intact
B.
Scalp intact without alopecia
C.
Client denies nausea
D.
Client denies pain
Give this one a try later!
The nurse is preparing to administer the disease-modifying antirheumatic drug (DMARD)
methotrexate (Rheumatrex) to a client diagnosed with rheumatoid arthritis. Which
intervention is most important to implement prior to administering this medication?
A.
Assess the client's liver function test results.
B.
Monitor the client's intake and output.
C.
Have another nurse check the prescription.
D.
Assess the client's oral mucosa.
Give this one a try later!
Have another nurse check the prescription.
For which client(s) should the nurse withhold the initial dose of a cyclooxygenase 2
(COX-2) inhibitor until notifying the health care provider? (Select all that apply.)
A.
A middle-aged adult with a history of tinnitus while taking aspirin
B.
A middle-aged adult with a history of polycystic ovarian disease
C.
An older adult with a history of a skin rash while taking glyburide (DiaBeta)
D.
An adolescent with a history of an anaphylactic reaction to penicillin
,E.
An older adult with a history of gastrointestinal upset while taking naproxen sodium
(Naprosyn)
F.
An adolescent at 34 weeks of gestation experiencing 1+ pitting edema
Give this one a try later!
C. An older adult with a history of a skin rash while taking glyburide (DiaBeta)
D. An adolescent with a history of an anaphylactic reaction to penicillin
F. An adolescent at 34 weeks of gestation experiencing 1+ pitting edema
When providing nursing care for a client receiving pyridostigmine bromide (Mestinon)
for myasthenia gravis, which nursing intervention has the highest priority?
A.
Monitor the client frequently for urinary retention.
B.
Assess respiratory status and breath sounds often.
C.
Monitor blood pressure each shift to screen for hypertension.
D.
Administer most medications after meals to decrease gastrointestinal irritation.
Give this one a try later!
Assess respiratory status and breath sounds often.
, Which response best supports the observations that the nurse identifies in a client who is
experiencing a placebo effect?
A.
Beneficial response or cure for disease
B.
Behavioral or psychotropic responses
C.
Malingering or drug-seeking behaviors
D.
Psychological response to inert medication
Give this one a try later!
Psychological response to inert medication
Which assessment datum indicates to the nurse that a dose of granisetron (Kytril)
administered IV prior to chemotherapy has had the desired effect?
A.
Oral mucosa pink and intact
B.
Scalp intact without alopecia
C.
Client denies nausea
D.
Client denies pain
Give this one a try later!
