RN Medical Surgical Drugs EAQ 2022
A client who is receiving phenytoin to control a seizure disorder questions the nurse
regarding this medication after discharge. How will the nurse respond? - ANSWER:
"Antiseizure drugs will probably be continued for life."
A client with hyperthyroidism is to receive methimazole. What instructions does the
nurse provide? - ANSWER: Initial improvement will take several weeks.
A client is admitted to the hospital for an adrenalectomy. The nurse is providing
postoperative care before the client's replacement steroid therapy is regulated fully.
The nurse should monitor the client for which complication? - ANSWER: Hypotension
What therapeutic effect does the nurse expect to identify when mannitol is
administered parenterally to a client with cerebral edema? - ANSWER: Decreased
intracranial pressure
A healthcare provider prescribes furosemide for a client with hypervolemia. The
nurse recalls that furosemide exerts its effects in what part of the renal system? -
ANSWER: Loop of Henle
A client is undergoing diagnostic testing to determine if the client has myasthenia
gravis. The nurse understands that the test that is most specific for determining the
presence of this disease is what? - ANSWER: Edrophonium chloride test
A client is receiving doxorubicin as part of a chemotherapy protocol. The nurse
should assess the client for which major life-threatening side effect of doxorubicin? -
ANSWER: Cardiotoxicity
A client with Hodgkin disease is placed on an ABVD combination chemotherapy
regimen. Because doxorubicin is part of this therapy, what education will the nurse
provide about this drug? - ANSWER: Expect urine to turn red for a few days after
taking this drug.
While awaiting surgery, a client with a long history of Crohn disease is receiving total
parenteral nutrition (TPN) on an outpatient basis. The nurse teaches the client that
TPN helps to prepare for surgery by which process? - ANSWER: Decreasing fecal bulk
A nurse is providing discharge instructions about digoxin. Which response should a
nurse include as a reason for a client to withhold the digoxin? - ANSWER: Blurred
vision
A client with rheumatoid arthritis has been given a prescription for acetylsalicylic
acid. The client asks the nurse, "What kind of drug is acetylsalicylic acid?" The nurse
recalls that this drug has which property? - ANSWER: Analgesic
, Which relationship does the nurse consider reflective of the relationship of naloxone
to morphine sulfate? - ANSWER: Protamine sulfate to heparin
A client newly diagnosed with type 2 diabetes is receiving glyburide and asks the
nurse how this drug works. What mechanism of action does the nurse provide? -
ANSWER: Stimulates the pancreas to produce insulin
A client with rheumatoid arthritis asks the nurse why it is necessary to inject
hydrocortisone into the knee joint. What reason should the nurse include in a
response to this question? - ANSWER: Reduce inflammation
A client is receiving combination chemotherapy for treatment of metastatic
carcinoma. For which systemic side effect should the nurse monitor the client? -
ANSWER: Leukopenia
A client who is taking rifampin tells the nurse, "My urine looks orange." What action
will the nurse take? - ANSWER: Explain this is expected.
The nurse is caring for a client who is receiving azathioprine, cyclosporine, and
prednisone before receiving a kidney transplant. What does the nurse identify as the
purpose of these drugs? - ANSWER: Reduce antibody production
A nurse concludes that the simvastatin being administered to a client is effective. A
decrease in what clinical finding supports this conclusion? - ANSWER: Triglycerides
A client with myasthenia gravis has been receiving neostigmine and asks about its
action. What information about its action should the nurse consider when
formulating a response? - ANSWER: Blocks the action of cholinesterase
A nurse reviews a list of medications that have been prescribed for a client. The
nurse is aware that it is unsafe to administer which medication as an intravenous (IV)
bolus? - ANSWER: Potassium Chloride
A client with diabetes who is receiving long-term corticosteroid therapy is admitted
to the hospital with leg ulcers. What increased risk does the nurse consider when
assessing this client? - ANSWER: Inadequate wound healing
The spouse of a client with an intracranial hemorrhage asks the nurse, "Why aren't
they administering an anticoagulant?" How will the nurse respond? - ANSWER: "It is
not advisable because bleeding will increase."
A client with gastric ulcer disease asks the nurse why the health care provider has
prescribed metronidazole. What purpose does the nurse provide? - ANSWER: To
treat Helicobacter pylori infection
What client response indicates to the nurse that a vasodilator medication is
effective? - ANSWER: Blood pressure changes from 154/90 to 126/72 mm Hg
A client who is receiving phenytoin to control a seizure disorder questions the nurse
regarding this medication after discharge. How will the nurse respond? - ANSWER:
"Antiseizure drugs will probably be continued for life."
A client with hyperthyroidism is to receive methimazole. What instructions does the
nurse provide? - ANSWER: Initial improvement will take several weeks.
A client is admitted to the hospital for an adrenalectomy. The nurse is providing
postoperative care before the client's replacement steroid therapy is regulated fully.
The nurse should monitor the client for which complication? - ANSWER: Hypotension
What therapeutic effect does the nurse expect to identify when mannitol is
administered parenterally to a client with cerebral edema? - ANSWER: Decreased
intracranial pressure
A healthcare provider prescribes furosemide for a client with hypervolemia. The
nurse recalls that furosemide exerts its effects in what part of the renal system? -
ANSWER: Loop of Henle
A client is undergoing diagnostic testing to determine if the client has myasthenia
gravis. The nurse understands that the test that is most specific for determining the
presence of this disease is what? - ANSWER: Edrophonium chloride test
A client is receiving doxorubicin as part of a chemotherapy protocol. The nurse
should assess the client for which major life-threatening side effect of doxorubicin? -
ANSWER: Cardiotoxicity
A client with Hodgkin disease is placed on an ABVD combination chemotherapy
regimen. Because doxorubicin is part of this therapy, what education will the nurse
provide about this drug? - ANSWER: Expect urine to turn red for a few days after
taking this drug.
While awaiting surgery, a client with a long history of Crohn disease is receiving total
parenteral nutrition (TPN) on an outpatient basis. The nurse teaches the client that
TPN helps to prepare for surgery by which process? - ANSWER: Decreasing fecal bulk
A nurse is providing discharge instructions about digoxin. Which response should a
nurse include as a reason for a client to withhold the digoxin? - ANSWER: Blurred
vision
A client with rheumatoid arthritis has been given a prescription for acetylsalicylic
acid. The client asks the nurse, "What kind of drug is acetylsalicylic acid?" The nurse
recalls that this drug has which property? - ANSWER: Analgesic
, Which relationship does the nurse consider reflective of the relationship of naloxone
to morphine sulfate? - ANSWER: Protamine sulfate to heparin
A client newly diagnosed with type 2 diabetes is receiving glyburide and asks the
nurse how this drug works. What mechanism of action does the nurse provide? -
ANSWER: Stimulates the pancreas to produce insulin
A client with rheumatoid arthritis asks the nurse why it is necessary to inject
hydrocortisone into the knee joint. What reason should the nurse include in a
response to this question? - ANSWER: Reduce inflammation
A client is receiving combination chemotherapy for treatment of metastatic
carcinoma. For which systemic side effect should the nurse monitor the client? -
ANSWER: Leukopenia
A client who is taking rifampin tells the nurse, "My urine looks orange." What action
will the nurse take? - ANSWER: Explain this is expected.
The nurse is caring for a client who is receiving azathioprine, cyclosporine, and
prednisone before receiving a kidney transplant. What does the nurse identify as the
purpose of these drugs? - ANSWER: Reduce antibody production
A nurse concludes that the simvastatin being administered to a client is effective. A
decrease in what clinical finding supports this conclusion? - ANSWER: Triglycerides
A client with myasthenia gravis has been receiving neostigmine and asks about its
action. What information about its action should the nurse consider when
formulating a response? - ANSWER: Blocks the action of cholinesterase
A nurse reviews a list of medications that have been prescribed for a client. The
nurse is aware that it is unsafe to administer which medication as an intravenous (IV)
bolus? - ANSWER: Potassium Chloride
A client with diabetes who is receiving long-term corticosteroid therapy is admitted
to the hospital with leg ulcers. What increased risk does the nurse consider when
assessing this client? - ANSWER: Inadequate wound healing
The spouse of a client with an intracranial hemorrhage asks the nurse, "Why aren't
they administering an anticoagulant?" How will the nurse respond? - ANSWER: "It is
not advisable because bleeding will increase."
A client with gastric ulcer disease asks the nurse why the health care provider has
prescribed metronidazole. What purpose does the nurse provide? - ANSWER: To
treat Helicobacter pylori infection
What client response indicates to the nurse that a vasodilator medication is
effective? - ANSWER: Blood pressure changes from 154/90 to 126/72 mm Hg
