Comprehensive Exam
133- Cyclobenzaprine(Flexeril)isprescribedtoa
clientwithmultiplesclerosisforthetreatmento
f
musclespasms.Forwhichcommonsideeffectofthism
edicationdoesthenursemonitortheclient?
A. Diarrhea
B. Drowsines
s Correct
C. Abdominalpain
D. Increasedsalivation
Anurseadministersnitroglycerinsublingualy
134-
toaclientwithanginapectoriswhocomplainsof
chestpain.Themedicationisineffective,sothenu
rsepreparestoadministeraseconddose.Before
administeringthenitroglycerin,whichactiondo
esthenursemakeapriority?
A. Checkingtheclient'sblo
o dpres
sureCorrect
B. Obtainingblo
o dlevelsofcardiacenzymes
C. Askingtheclientwhetherhehasaheadache
D. Obtaininga12-leadelectrocardiogram
(ECG)
135- Ciprofloxacinhydrochloride(Cipro)isprescri
bedtoaclientwithaurinarytractinfection.The
nurse,providinginstructionabout
themedication
,telstheclient
thatitisbest
totakethemedication
:
A. Withmilk
B. Withanantacid
C. 2hoursaftermeal
s Correct
D. Withaluminum hydroxide
136.-
Anurseprovideshomecareinstructionstoaclient
withcoronaryarterydisease(CAD)whoisbeing
dischargedfrom
thehospital.Whichstatementbytheclientindica
tesanee dforfurtherinstruction?
, 1
A. "Inee
dtocarrymynitroglycerinwithmeataltime
s."
B. "Ine
e
dtocheckmypulsebefore,during,andaftere
xercise."
C. "Ine
e dtoavoidfo
o
dswithsaturatedfatsandfo
o
dshighincholesterol."
D. "Ine
e "
dtoparticipateinaerobicandweightliftin
gexercisethre
e timesawe
e k.Correct
137-
Anurseprovidesinformationtoaclientwhowilbeun
dergoingendoscopicretrograde
cholangiopancreatography(ERCP).Thenursetels
theclientthat:
A. Thereisnone
e
dtofast(NPOstatus)beforetheprocedure
B. Thegalblad
d
eriseasilyremovedduringthisprocedureifg
alstonesarefound
C. Theprocedureisperformedspecificalytovisu
alizetheesophagus,stomach,and duodenum
D. Dyemaybeinjectedduringtheproceduretope
rmitvisualizationofthepancreaticand
biliarydu
s
ct.Correct
138ID:3837131
75
Aclientwhohasundergoneknee-
replacementsurgerywilbeself-
administeringenoxaparinsodium
(Lovenox)athome.Thenurseteachestheclientabou
t hemedicationandtelstheclient
to:
A. Storethemedicationintherefrigerator
B. Liedowntoadministerthesubcutaneousinje
ctionCorrect
, 1
C. Inject
themedicationintheup
p
erouteraspectofthearm
D. Discardthemedicationifthesolutionap
p
earspaleyelow
. ID:383703667
139
Anintravenousdoseofadenosine(Adenocard)ispre
scribedforaclient totreatWolff-Parkinson-
Whitesyndrome.Whichpieceofequipmentdoesthenu
rsemakeapriorityofobtainingbefore
administeringthemedication?
A. Pulseoximeter
B. Cardiacmonito
r Correct
, 1
C. Blo
o d-pres
surecuff
D. Suctioncatheterandsuctionmachine
. ID:383703619
140
Anurseprovidesinformationtoaclientwithcorona
ryarterydisease(CAD)aboutsmoking-ces sation
measures.Whichstatementbytheclientindicates
ane
e dforfurtherinformation?
A. "Acommunitysup
p ortgroupwilhelpmequit."
B. "Ishoulddrinkacupofcoffee ifIfe
" e
ltheurgetosmoke.Correct
C. "Relaxationexerciseswilhelpcontrolmyur
getosmoke."
D. "Icantrychewinggum
orsuckingonhardcandyifIfe
e
ltheurgetosmoke."
. ID:383708584
141
Captopril(Capoten)isprescribedforahospitaliz
edclientwithheartfailure.Whichactionisaprior
ity oncethenursehasadministeredthefirstdose?
A. Checkingtheclient'sapicalheartrate
B. Maintainingtheclientonbedrestfor3hour
s
Correct
C. Monitoringtheclientforincreasedurineou
tput
D. Checkingtheclient'sbreathsoundsfordecr
easedwhe
e zing
. ID:383706680
142
Aclientwithheartfailuresud d
enlyexperiencesprofounddyspnea,palor,audible
whe
e zing,and
cyanosis,andthenursesuspectspulmonaryedema.T
henursewouldfirst:
A. Obtainapulseoximetryreading
B. Raisetheheadoftheclient'sbedCorrect
C. Administeradoseofmorphinesulfate