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2 - ANSWER Which nursing action is the priority when administering chelation therapy
for a toddler-age client?
1 Assessing vital signs
2 Monitoring urine output
3 Conducting a behavioral assessment
4 Providing education to reduce lead exposure
2 - ANSWER A 67-year-old client has tested positive for influenza A. The client also
has asthma. Which drug would the nurse recommend be avoided in this client?
1 Ribavirin
2 Zanamivir
3 Oseltamivir
4 Amantadine
1 - ANSWER Which first line medication would the nurse state is used to treat
anaphylactic reactions?
1 Epinephrine
2 Norepinephrine
3 Dexamethasone
4 Diphenhydramine
1 - ANSWER A mother complains that her child's teeth have become yellow in color.
With prolonged use, which medication may be responsible for the child's condition?
1 Tetracycline
2 Promethazine
3 Chloramphenicol
,4 Fluoroquinolones
2,3,6 - ANSWER What are the desired outcomes that the nurse expects when
administering a nonsteroidal antiinflammatory drug (NSAID)? Select all that apply
1 Diuresis
2 Pain relief
3 Antipyresis
4 Bronchodilation
5 Anticoagulation
6 Reduced inflammation
2 - ANSWER A client with tuberculosis is started on a chemotherapy protocol that
includes rifampin. The nurse evaluates that the teaching about rifampin is effective
when the client makes which statement?
1 "I need to drink a lot of fluid while I take this medication."
2 "I can expect my urine to turn orange from this medication."
3 "I should have my hearing tested while I take this medication."
4 "I might get a skin rash because it is an expected side effect of this medication.
1 - ANSWER Which statement regarding treatment with interferon indicates that the
client understands the nurse's teaching?
1 "I will drink 2 to 3 quarts (2 to 3 liters) of fluid a day."
2 "Any reconstituted solution must be discarded in 1 week."
3 "I can continue driving my car as long as I have the stamina."
4 "While taking this medicine I should be able to continue my usual activity."
2 - ANSWER A nurse administers the drug desmopressin acetate (DDAVP) to a client
with diabetes insipidus. What should the nurse monitor to evaluate the effectiveness of
the drug?
1 Arterial blood pH
2 Intake and output
3 Fasting serum glucose
4 Pulse and respiratory rates
1 - ANSWER A client will be taking nitrofurantoin 50 mg orally every evening at home
to manage recurrent urinary tract infections. What instructions should the nurse give to
the client?
1 Increase the intake of fluids.
2 Strain the urine for crystals and stones.
3 Stop the drug if urinary output increases.
4 Maintain the exact time schedule for taking the drug
3 - ANSWER A client admitted to the hospital with a diagnosis of chronic obstructive
pulmonary disease has received a prescription for a medication that is delivered via a
nebulizer. When teaching about use of the nebulizer, the nurse should teach the client
to do what?
, 1 Hold the breath while spraying the medication into the mouth.
2 Position the lips loosely around the mouthpiece and take rapid, shallow breaths.
3 Seal the lips around the mouthpiece and breathe in and out, taking slow, deep
breaths.
4 Inhale the medication from the nebulizer, remove the mouthpiece from the mouth, and
then exhale.
4 - ANSWER A client is diagnosed with pulmonary tuberculosis, and the healthcare
provider prescribes a combination of rifampin and isoniazid. The nurse evaluates that
the teaching regarding the drug is effective when the client reports which action as most
important?
1 "Report any changes in vision."
2 "Take the medicine with my meals."
3 "Call my doctor if my urine or tears turn red-orange."
4 "Continue taking the medicine even after I feel better.
2 - ANSWER A nurse administers beclomethasone by inhalation to a client with
asthma, and the client asks why this medication is necessary. What should the nurse
explain is the purpose of this pharmacologic therapy?
1 Promotes comfort
2 Decreases inflammation
3 Stimulates smooth muscle relaxation
4 Reduces bacteria in the respiratory tract
1,2,4 - ANSWER A nurse is caring for a female client who is receiving rifampin for
tuberculosis. Which statements indicate that the client understands the teaching about
rifampin? Select all that apply
1 "This drug may be hard on my liver so I must avoid alcoholic drinks while taking it."
2 "This drug may reduce the effectiveness of the oral contraceptive I am taking."
3 "I cannot take an antacid within 2 hours before taking my medicine."
4 "My healthcare provider must be called immediately if my eyes and skin become
yellow.
4 - ANSWER The nurse provides discharge teaching to a client with tuberculosis.
Which treatment measure does the nurse reinforce as the highest priority?
1 Getting sufficient rest
2 Getting plenty of fresh air
3 Changing the current lifestyle
4 Consistently taking prescribed medication
1 - ANSWER A client is diagnosed with tuberculosis associated with human
immunodeficiency virus infection. What crucial laboratory test results should the nurse
review before antitubercular pharmacotherapy is started?
1 Liver function studies
2 Pulmonary function studies
3 Electrocardiogram and echocardiogram