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1. If a patient with a history of asthma is prescribed propranolol, what should the
nurse do?
Increase the dosage to manage asthma symptoms.
Monitor the patient for signs of hypertension.
Administer the medication as prescribed without any changes.
Consult the healthcare provider for an alternative medication.
2. A patient with heart failure is prescribed a calcium channel blocker (CCB) and
is also a regular consumer of grapefruit juice. What should the nurse advise
the patient regarding their diet?
The nurse should suggest mixing grapefruit juice with water to reduce
its effects.
The nurse should advise the patient to avoid grapefruit juice while
taking the CCB.
The nurse should encourage the patient to increase grapefruit juice
intake for better drug efficacy.
The nurse should inform the patient that grapefruit juice is safe to
consume with any medication.
3. The nurse administers lispro 5 units SC to a client at 0800. what is a priority
nursing intervention for this client?
monitor for hypoglycemia at 0900.
ensure the client's evening meal tray is on time for 1700.
ensure the client eats a bedtime (HS) snack/
, add apple juice to the lunch (1200) meal tray
4. If a patient with heart failure on captopril develops a persistent cough, what
should the nurse's next step be in managing the patient's care?
Assess the patient for other side effects and consult with the
healthcare provider about possible medication adjustment.
Increase the dosage of captopril to counteract the cough.
Immediately discontinue the medication without consulting the
provider.
Advise the patient to take cough syrup to manage symptoms.
5. What is a common medication used to treat multiple sclerosis?
Interferon beta
Metformin
Aspirin
Ibuprofen
6. Describe the therapeutic effect of baclofen in the treatment of multiple
sclerosis.
Baclofen increases muscle strength in patients with multiple sclerosis.
Baclofen improves cognitive function in multiple sclerosis patients.
Baclofen helps reduce muscle spasticity associated with multiple
sclerosis.
Baclofen is used to treat seizures in multiple sclerosis patients.
7. Which class of medications is known to interact with grapefruit juice,
particularly in patients with heart failure?
, Diuretics
CCBs
Beta-blockers
Antibiotics
8. The nurse is administering vancomycin to a client. During the infusion, the
nurse notes the client has a pruritic, erythematous rash of the face, neck, and
upper torso. What is the priority nursing action?
Notify the provider
Administer diphenhydramine
Reassure the client
Stop the infusion
9. A patient on metformin reports experiencing gastrointestinal discomfort.
What nursing intervention should be prioritized based on the medication's
administration guidelines?
Instruct the patient to stop taking the medication immediately.
Suggest the patient take the medication on an empty stomach.
Advise the patient to take the medication with meals.
Recommend the patient to take the medication only at bedtime.
10. A patient treated with Bactrim for a UTI reports persistent dysuria and fever
after three days of therapy. What should the nurse consider as the next step?
Reassess the patient for possible treatment failure or alternative
infection.
Increase the dosage of Bactrim immediately.
, Continue the current medication and monitor for side effects.
Advise the patient to drink more fluids without further assessment.
11. A patient is being treated with interferon beta-1a [Avonex] for MS. The patient
calls the clinic to report headache, fever, chills, and muscle aches after
administering a dose. What will the nurse recommend?
Acetaminophen or ibuprofen
Asking the provider to order a complete blood count (CBC)
Discontinuing the drug immediately
Coming to the clinic for evaluation for leukoencephalopathy
12. A patient with MS who has been taking interferon beta 1-a (Rebif) calls the
physician nurse and complains of "flu-like" symptoms. The nurse's best
response to the patient is:
"Take acetaminophen and ibuprofen for your symptoms."
"Stop taking the medication immediately."
"The physician will call out an antibiotic for you."
"Report to the physician's office immediately for a follow-up."
13. Why is it important for a patient to take metformin with meals?
Taking metformin with meals is necessary for proper absorption.
Taking metformin with meals prevents drug interactions.
Taking metformin with meals helps to reduce gastrointestinal side
effects.
Taking metformin with meals increases its effectiveness.