Guide
A nurse is assessing a client who reports using several herbal and
vitamin supplements daily, including saw palmetto. The nurse should
recognize that saw palmetto is a supplement used by clients to elicit
which of the following therapeutic effects
A. urinary health promotion
B. immune system stimulation
C. decreased leg pain from arterial disease
D. prevention of nausea caused by motion sickness - ANSWER>>>A.
urinary health promotion
Saw palmetto is used primarily for manifestations related to prostatic
conditions, such as benign prostatic hypertrophy (BPH). Its
effectiveness has not been scientifically proven, however. The nurse
should teach the client to check with the provider about interactions
between saw palmetto and other medications.
A nurse is providing teaching to a group of new parents about
medications. The nurse
should include that aspirin is contraindicated for children who have a
viral infection due
to the risk of developing which of the following adverse effects?
a. Reye's syndrome
b. Visual disturbances
c. Diabetes mellitus
d. Wilm's tumor - ANSWER>>>a. Reye's syndrome
A nurse is providing teaching to a client who has chronic kidney failure
with an AV fistula for hemodialysis and new prescription for epoetin
alfa. Which of the following therapeutic effects of epoetin alfa should
the nurse include in the teaching?
,a. Reduces blood pressure
b. Inhibits clotting of fistula
c. Promotes RBC production
d. Stimulates growth of neutrophils - ANSWER>>>c. Promotes RBC
production
A nurse is caring for a client who has peptic ulcer disease and reports
a headache. Which of the following medications should the nurse plan
to administer?
a. Ibuprofen (NSAIDS)
b. Naproxen (NSAIDS)
c. Aspirin (NSAIDS)
d. Acetaminophen (anlagesics) - ANSWER>>>d. Acetaminophen
(anlagesics)
A nurse is caring for a client who has prescription for clopidogrel. The
nurse should monitor the client for which of the following adverse
effects?
a. Insomnia
b. Hypotension
c. Bleeding
d. Constipation - ANSWER>>>c. Bleeding
A nurse is teaching a newly licensed nurse about contraindications to
ceftriaxone. The nurse should include a severe allergy to which of the
following medications as contraindication to ceftriaxone?
a. Gentamicin
b. Clindamycin
c. Piperacillin
d. Sulfamethoxazole-trimethroprim - ANSWER>>>c. Piperacillin
A nurse is providing teaching to a newly licensed nurse about
metoclopramide. The nurse should include in the teaching that which
of the following conditions is a
contraindication to this medication?
,a. Hyperthyroidism
b. Intestinal obstruction
c. Glaucoma
d. Low blood pressure - ANSWER>>>b. Intestinal obstruction
A nurse is assessing a client who has a new prescription for
chlorpromazine to treat schizophrenia. The client has a mask like
facial expression and is experiencing involuntary movements and
tremors. Which of the following medications should the nurse
anticipate administering?
a. Amantadine
b. Bupropion (aytpical antidepressant)
c. Phenelzine (MAOI)
d. Hydroxyzine (Antihistamine) - ANSWER>>>a. Amantadine
A nurse is administering subQ epinephrine for a client who is
experiencing anaphylaxis.
The nurse should monitor the client for which of the following adverse
effects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia - ANSWER>>>d. Tachycardia
A nurse is providing teaching to a client who has UTI and new
prescription for
phenazopyridine and ciprofloxacin. Which of the following statements
by the client indicates the need for further teaching?
a. If the phenazopyridine upsets my stomach, I can take it with meals.
b. The phenazopyridine will relieve my discomfort, but the cipro will
get rid of the
infections.
c. I need to drink2 liters of fluid per day while I am taking cipro.
, d. I should notify my provider immediately if my urine turns an orange
color. - ANSWER>>>d. I should notify my provider immediately if my
urine turns an orange color.
A nurse is caring for an older adult client who has a prescription for
zolpidem at bedtime to promote sleep. The nurse should plan to
monitor the client for which of the following
adverse effects?
a. Ecchymosis
b. Decreased urine output
c. Increased blood pressure
d. Dizziness - ANSWER>>>d. Dizziness
A nurse is reviewing laboratory values for a client who reports fatigue
and cold intolerance. The client has an increased thyroid stimulating
hormone (TSH) level and a decreased total T3 and T4 level. The
nurse should anticipate a prescription for which of
the following medications?
a. Methimazole
b. Somatropin
c. Levothyroxine
d. Propylthiouracil - ANSWER>>>c. Levothyroxine
A nurse is providing teaching to a client who has a new prescription
for
hydrochlorothiazide 50mg po daily to treat hypertension. Which of the
following instructions should the nurse include in the teaching?
a. Take the hydrochlorothiazide as needed for edema
b. Check your weight once each week
c. Take the hydrochlorothiazide on an empty stomach