BSN 315 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
A client with a history of COPD receives a new RX for an ipratropium inhaler.
Which action indicates to the nurse that additional teaching is needed?
A. Primes the inhaler with 7 pumps
B. Attaches spacer device to the inhaler
C. Rinses the mouth after each use
D. Stores the medication at room temp
A. Primes the inhaler with 7 pumps
A client with HF develops hyperaldosteronism and spironalactone is prescribed.
Which instruction should the nurse include in this clients plan of care?
A. Cover your skin before going outside
B. Limit intake of high potassium foods
C. Replace salt with a salt substitute
D. Monitor skin for excessive bruising
B. Limit intake of high potassium foods
A client with peptic ulcer receives a new RX for cimetidine. Which statement
provided by the client requires additional instruction by the nurse?
A. Notify the healthcare provider of lethargy
B. Monitor for any signs of sexual dysfunction
,C. Decrease cigaretter use to a pack per day
D. Take the medication an hour after antacids
A. Notify the HCP of lethargy
A client with chemo induced nausea receives a RX for metoclopramide. Which
adverse effect is most important for the nurse to report?
A. Diarrhea
B. Involuntary movements
C. Unusual irratability
D. Nausea
B. Involuntary movements
The nurse admits a client with a diagnosis of stage 4 cancer. The client has a RX
to wear a subq morphine sulfate patch for pain, The client is short of breath and
difficult to arouse, While performing a head to toe assessment the nurse
discovers 4 patches on the clients body, Which action should the nurse take
first?
A. Monitor BP
B. Administer a narcotic reversal drug
C. Remove the morphine patches
D. Apply oxygen face mask
C. Remove the morphine patches
The nurse is providing instructions about clients new medications, How should
the nurse explain the purpos of probenecid a uricosuric drug?
A. Decreases pain and burning during urination
, B. Prevents the formation of kidney stones
C. Increases the strength of the urine stream
D. Promotes excretion of uric acid in urine.
D. Promotes excretion of uric acid in the urine.
A client taking atorvastatin develops an increased serum creatine phosphokinase
(CK) level. The nurse shold assess the client for the onset of which problem?
A. Excessive bruising
B. Muscle tenderness
C. Peripheral edema
D. Nausea and vomitting
B. Muscle tenderness
A client receives a new RX for levothyroxine. Which statement made by the client
indicates to the nurse the education was effective?
A. Take medication on an empty stomach
B. Avoid the use of iron supplements
C. Administer levothyroxine at bed time
D. Consume foods that are high in iodine.
A. Take medication on an empty stomach
A client with Parkinsons disease who is taking carbidopa/levodpa reports the
urine appears to be darker in color. Which action should the nurse take?
A. Explain the color change is normal
B. Measure the clients urinary output
SOLUTIONS VERIFIED
A client with a history of COPD receives a new RX for an ipratropium inhaler.
Which action indicates to the nurse that additional teaching is needed?
A. Primes the inhaler with 7 pumps
B. Attaches spacer device to the inhaler
C. Rinses the mouth after each use
D. Stores the medication at room temp
A. Primes the inhaler with 7 pumps
A client with HF develops hyperaldosteronism and spironalactone is prescribed.
Which instruction should the nurse include in this clients plan of care?
A. Cover your skin before going outside
B. Limit intake of high potassium foods
C. Replace salt with a salt substitute
D. Monitor skin for excessive bruising
B. Limit intake of high potassium foods
A client with peptic ulcer receives a new RX for cimetidine. Which statement
provided by the client requires additional instruction by the nurse?
A. Notify the healthcare provider of lethargy
B. Monitor for any signs of sexual dysfunction
,C. Decrease cigaretter use to a pack per day
D. Take the medication an hour after antacids
A. Notify the HCP of lethargy
A client with chemo induced nausea receives a RX for metoclopramide. Which
adverse effect is most important for the nurse to report?
A. Diarrhea
B. Involuntary movements
C. Unusual irratability
D. Nausea
B. Involuntary movements
The nurse admits a client with a diagnosis of stage 4 cancer. The client has a RX
to wear a subq morphine sulfate patch for pain, The client is short of breath and
difficult to arouse, While performing a head to toe assessment the nurse
discovers 4 patches on the clients body, Which action should the nurse take
first?
A. Monitor BP
B. Administer a narcotic reversal drug
C. Remove the morphine patches
D. Apply oxygen face mask
C. Remove the morphine patches
The nurse is providing instructions about clients new medications, How should
the nurse explain the purpos of probenecid a uricosuric drug?
A. Decreases pain and burning during urination
, B. Prevents the formation of kidney stones
C. Increases the strength of the urine stream
D. Promotes excretion of uric acid in urine.
D. Promotes excretion of uric acid in the urine.
A client taking atorvastatin develops an increased serum creatine phosphokinase
(CK) level. The nurse shold assess the client for the onset of which problem?
A. Excessive bruising
B. Muscle tenderness
C. Peripheral edema
D. Nausea and vomitting
B. Muscle tenderness
A client receives a new RX for levothyroxine. Which statement made by the client
indicates to the nurse the education was effective?
A. Take medication on an empty stomach
B. Avoid the use of iron supplements
C. Administer levothyroxine at bed time
D. Consume foods that are high in iodine.
A. Take medication on an empty stomach
A client with Parkinsons disease who is taking carbidopa/levodpa reports the
urine appears to be darker in color. Which action should the nurse take?
A. Explain the color change is normal
B. Measure the clients urinary output
