1
NURS 1102b/bMedical-SurgicalbDrugsbEAQ
Abclientbwillbbebtakingbnitrofurantoinb50bmgborallybeverybeveningbatbhomebtobmanagebrecurrentburina
rybtractbinfections.bWhatbinstructionsbshouldbthebnursebgivebtobthebclient?
Increasebthebintakebofbfluids.
b Strainbtheburinebforbcrystalsbandbstones.b
b Stopbthebdrugbifburinaryboutputbincreases.
bb Maintainbthebexactbtimebschedulebforbtakingbthebdrug.
Abclientbwhobhadbabmyocardialbinfarctionbreceivesbabprescriptionbforbabnitroglycerinbpatch.bWhatbdo
esbthebnursebidentifybasbthebpurposebofbthebnitroglycerinbpatch?
b b Decreasedbheartbrateblowersbcardiacboutput.
b Increasedbcardiacboutputbincreasesboxygenbdemand.b
b Decreasedbcardiacbpreloadbreducesbcardiacbworkload.
b Peripheralbvenousbandbarterialbconstrictionbincreasesbperipheralbresistance.
Abhealthcarebproviderbprescribesbenalaprilbforbabclient.bWhichbisbthebmostbimportantbnursingbaction
?
Assessbthebclientbforbhypokalemia.
b
b Ensurebthatbthebmedicationbisbingestedbwithbfood.b
b Monitorbthebclient'sbbloodbpressurebduringbtherapy.
bb Teachbthatbabmissedbdosebcanbbebdoubledbatbthebnextbscheduledbtime.
Anbolderbadultbclientbwhobhasbtypeb1bdiabetesbandbchronicbbronchitisbisbprescribedbatenololbforbtheb
managementbofbanginabpectoris.bWhichbclinicalbmanifestationbshouldbalertbthebnursebtobthebfactbthat
bthebclient bmaybbebdevelopingbablife-threateningbresponsebtobthebdrug?
b Difficultybbreathingb
b Increasedbpulsebrate
b Orthostaticbhypotensionb
b Increasedbbloodbglucose
A nurse administers two units of packed red blood cells ([RB
b b b b b b b b b b
Cs] 250 mL each), followed by 500 mL of 0.9% sodium chlori
b b b b b b b b b b b
de. How much total solution (blood and sodium chloride) has
b b b b b b b b b
infused? Record your answer as a whole number. 1000
b b b b b b b b b
mL
Abnursebidentifiesbsignsbofbelectrolytebdepletionbinbabclientbwithbheartbfailurebwhobisbreceivingbbumet
anidebandbdigoxin.bWhatbdoesbthebnursebdeterminebisbthebcausebofbthebdepletion?
Diureticbtherapy
,2
NURS 1102b/bMedical-SurgicalbDrugsbEAQ
SodiumbrestrictionbCo
ntinuousbdyspnea
b Inadequateboralbintake
Abhealthcarebproviderbordersbheparinb6000bunitsbsubcutaneouslybdaily.bThebpharmacybdispensesbabvi
albcontainingb10,000bunitsbperbmilliliter.bHowbmanybmillilitersbofbheparinbshouldbthebnursebadminist
er?bIncludebableadingbzerobifbapplicable.bRecordbyourbanswerbusingbonebdecimalbplac
e.b 0.6mL
Abclientbdiagnosedbwithbgastroesophagealbrefluxbdiseaseb(GERD)bisbbeingbtreatedbwithbantacidbther
apy.bWhenbteachingbthebclientbaboutbthebtherapy,bwhatbdoesbthebnursebreinforce?
b b Antacidsbshouldbbebtakenb1bhourbbeforebmeals.
bb Thesebshouldbbebscheduledbatb4-hourbintervals.
b Antacidbtabletsbarebjustbasbfastbandbeffectivebasbthebliquidbform.b
b Antacidsbcommonlybinterferebwithbthebabsorptionbofbotherbdrugs.
Abclientbasksbabnursebwhybcaptoprilbwasbprescribed.bWhatbspecificbdrugbclassificationbshouldbthebnu
rsebincludebinbthebexplanationbtobthebclient?
b b Diuretic
b SedativebH
ypnotic
b Antihypertensive
Duringbthebadministrationbofbtotalbparenteralbnutritionb(TPN),banbassessmentbofbthebclientbrevealsba
bboundingbpulse,bdistendedbjugularbveins, bdyspnea,bandbcough.bWhat bisbthebprioritybnursingbinter
vention?
bRestartbthebclient'sbinfusionbatbanotherbsite.
b b Slowbthebratebofbthebclient'sbinfusionbofbthebTPN.
b Interruptbthebclient'sbinfusionbandbnotifybthebhealthcarebprovider.b
b Obtainbthebvitalbsignsbandbcontinuebmonitoringbthebclient'sbstatus.
The healthcare provider’s prescription for intravenous fluid st
b b b b b b b
ates that the client is to receive 1 L of fluid every 8 hours. If the
b b b b b b b b b b b b b b b b
equipment delivers 15 drops/mL, at what rate should the nurs
b b b b b b b b b
e regulate the flow? Record your answer using a whole n
b b b b b b b b b b
umber. 31 drops/minute
b b
Abclientbisbadmittedbtobthebhospitalbwithbabdiagnosisbofbacutebpancreatitis.bThebhealthbcarebprovider's
bprescriptionsbincludebnothingbbybmouthbandbtotalbparenteralbnutrition b(TPN).bThebnursebexplainsbth
atbthebTPNbtherapybprovidesbwhatbbenefit?
b b Isbthebeasiestbmethodbforbadministeringbneededbnutrition
,3
NURS 1102b/bMedical-SurgicalbDrugsbEAQ
Isbthebsafestbmethodbforbmeetingbthebclient'sbnutritionalbrequirements
Willbsatisfybthebclient'sbhungerbwithoutbthebdiscomfortbassociatedbwithbeating
b Willbmeetbthebclient'sbnutritionalbneedsbwithoutbcausingbthebdiscomfortbprecipitatedbbybeati
ng
Abclientbwithbmidsternalbpainbpresentsbtobthebemergencybdepartment.bVitalbsignsbarebstable.bWhichbf
ormbofbnitroglycerinbdoesbthebnursebanticipatebgivingbinitially?
b b Oral
b Spray
b Intravenousb
Transdermal
Whichbinformationbshouldbbebincludedbinbthebteachingbplanbforbthebelderlybclientbwithbpepticbulcerbd
iseasebwhobisbtakingbanbantacidbandbsucralfate?
b b Antacidsbshouldbbebtakenb30bminutesbbeforebabmeal.
bb Sucralfatebshouldbbebtakenbonbanbemptybstomachbonebhourbbeforebmeals.
bb Sucralfatebisbprescribedbforbtheblong-termbmaintenancebofbpepticbulcerbdisease.
b Sodiumbbicarbonatebisbanbinexpensivebover-the-
counterbantacidbwithbfewbadversebeffects.
Abclientbwithbirritablebbowelbsyndromebhasbinstructionsbtobtakebpsylliumb2broundedbteaspoonsbfullbt
wicebabdaybforbconstipation.bWhatbisbmostbimportantbforbthebnursebtobincludebinbthebteachingbplan?
Urinebmaybbebdiscolored.
b
bb Stopbtakingbtheblaxativeboncebabbowelbmovementboccurs.
bb Eachbdosebshouldbbebtakenbwithbabfullbglassbofbwaterborbjuice.
b Dailybusebmaybinhibitbthebabsorptionbofbsomebfat-solublebvitamins.
Abnursebisbpreparingbabclientbforbdischargebfrombthebemergencybdepartment.bWhichbclientbstatement
bprovidesbevidencebthatbthebclientbunderstandsbthebinstructionsbforbthebprescribedbhigh-
bdosebampicillin?
b b "Ibshouldbtakebthisbmedicationbwithbmeals."
b b "Ibcanbstop btakingbthisbmedicationbwhenbIbfeelbbetter."
b "Ibwillbmissbeatingbmybyogurtbwhilebtakingbthisbmedication."
b "Ibmustbincreasebmybintakebofbfluidsbwhilebtakingbthisbmedication."
Abhealthcarebproviderbprescribesbfamotidinebandbmagnesiumbhydroxide/aluminumbhydroxidebanta
cidbforbabclientbwithbabpepticbulcer.bThebnursebshouldbteachbthebclientbtobtakebthebantacidbatbwhatbtim
e?
b b Onlybatbbedtime,bwhenbfamotidinebisbnotbtaken
b Onlybifbfamotidinebisbineffective
, bb Atbthebsamebtimebasbfamotidine,bwithbabfullbglassbofbwater
NURS 1102b/bMedical-SurgicalbDrugsbEAQ
Abclientbwillbbebtakingbnitrofurantoinb50bmgborallybeverybeveningbatbhomebtobmanagebrecurrentburina
rybtractbinfections.bWhatbinstructionsbshouldbthebnursebgivebtobthebclient?
Increasebthebintakebofbfluids.
b Strainbtheburinebforbcrystalsbandbstones.b
b Stopbthebdrugbifburinaryboutputbincreases.
bb Maintainbthebexactbtimebschedulebforbtakingbthebdrug.
Abclientbwhobhadbabmyocardialbinfarctionbreceivesbabprescriptionbforbabnitroglycerinbpatch.bWhatbdo
esbthebnursebidentifybasbthebpurposebofbthebnitroglycerinbpatch?
b b Decreasedbheartbrateblowersbcardiacboutput.
b Increasedbcardiacboutputbincreasesboxygenbdemand.b
b Decreasedbcardiacbpreloadbreducesbcardiacbworkload.
b Peripheralbvenousbandbarterialbconstrictionbincreasesbperipheralbresistance.
Abhealthcarebproviderbprescribesbenalaprilbforbabclient.bWhichbisbthebmostbimportantbnursingbaction
?
Assessbthebclientbforbhypokalemia.
b
b Ensurebthatbthebmedicationbisbingestedbwithbfood.b
b Monitorbthebclient'sbbloodbpressurebduringbtherapy.
bb Teachbthatbabmissedbdosebcanbbebdoubledbatbthebnextbscheduledbtime.
Anbolderbadultbclientbwhobhasbtypeb1bdiabetesbandbchronicbbronchitisbisbprescribedbatenololbforbtheb
managementbofbanginabpectoris.bWhichbclinicalbmanifestationbshouldbalertbthebnursebtobthebfactbthat
bthebclient bmaybbebdevelopingbablife-threateningbresponsebtobthebdrug?
b Difficultybbreathingb
b Increasedbpulsebrate
b Orthostaticbhypotensionb
b Increasedbbloodbglucose
A nurse administers two units of packed red blood cells ([RB
b b b b b b b b b b
Cs] 250 mL each), followed by 500 mL of 0.9% sodium chlori
b b b b b b b b b b b
de. How much total solution (blood and sodium chloride) has
b b b b b b b b b
infused? Record your answer as a whole number. 1000
b b b b b b b b b
mL
Abnursebidentifiesbsignsbofbelectrolytebdepletionbinbabclientbwithbheartbfailurebwhobisbreceivingbbumet
anidebandbdigoxin.bWhatbdoesbthebnursebdeterminebisbthebcausebofbthebdepletion?
Diureticbtherapy
,2
NURS 1102b/bMedical-SurgicalbDrugsbEAQ
SodiumbrestrictionbCo
ntinuousbdyspnea
b Inadequateboralbintake
Abhealthcarebproviderbordersbheparinb6000bunitsbsubcutaneouslybdaily.bThebpharmacybdispensesbabvi
albcontainingb10,000bunitsbperbmilliliter.bHowbmanybmillilitersbofbheparinbshouldbthebnursebadminist
er?bIncludebableadingbzerobifbapplicable.bRecordbyourbanswerbusingbonebdecimalbplac
e.b 0.6mL
Abclientbdiagnosedbwithbgastroesophagealbrefluxbdiseaseb(GERD)bisbbeingbtreatedbwithbantacidbther
apy.bWhenbteachingbthebclientbaboutbthebtherapy,bwhatbdoesbthebnursebreinforce?
b b Antacidsbshouldbbebtakenb1bhourbbeforebmeals.
bb Thesebshouldbbebscheduledbatb4-hourbintervals.
b Antacidbtabletsbarebjustbasbfastbandbeffectivebasbthebliquidbform.b
b Antacidsbcommonlybinterferebwithbthebabsorptionbofbotherbdrugs.
Abclientbasksbabnursebwhybcaptoprilbwasbprescribed.bWhatbspecificbdrugbclassificationbshouldbthebnu
rsebincludebinbthebexplanationbtobthebclient?
b b Diuretic
b SedativebH
ypnotic
b Antihypertensive
Duringbthebadministrationbofbtotalbparenteralbnutritionb(TPN),banbassessmentbofbthebclientbrevealsba
bboundingbpulse,bdistendedbjugularbveins, bdyspnea,bandbcough.bWhat bisbthebprioritybnursingbinter
vention?
bRestartbthebclient'sbinfusionbatbanotherbsite.
b b Slowbthebratebofbthebclient'sbinfusionbofbthebTPN.
b Interruptbthebclient'sbinfusionbandbnotifybthebhealthcarebprovider.b
b Obtainbthebvitalbsignsbandbcontinuebmonitoringbthebclient'sbstatus.
The healthcare provider’s prescription for intravenous fluid st
b b b b b b b
ates that the client is to receive 1 L of fluid every 8 hours. If the
b b b b b b b b b b b b b b b b
equipment delivers 15 drops/mL, at what rate should the nurs
b b b b b b b b b
e regulate the flow? Record your answer using a whole n
b b b b b b b b b b
umber. 31 drops/minute
b b
Abclientbisbadmittedbtobthebhospitalbwithbabdiagnosisbofbacutebpancreatitis.bThebhealthbcarebprovider's
bprescriptionsbincludebnothingbbybmouthbandbtotalbparenteralbnutrition b(TPN).bThebnursebexplainsbth
atbthebTPNbtherapybprovidesbwhatbbenefit?
b b Isbthebeasiestbmethodbforbadministeringbneededbnutrition
,3
NURS 1102b/bMedical-SurgicalbDrugsbEAQ
Isbthebsafestbmethodbforbmeetingbthebclient'sbnutritionalbrequirements
Willbsatisfybthebclient'sbhungerbwithoutbthebdiscomfortbassociatedbwithbeating
b Willbmeetbthebclient'sbnutritionalbneedsbwithoutbcausingbthebdiscomfortbprecipitatedbbybeati
ng
Abclientbwithbmidsternalbpainbpresentsbtobthebemergencybdepartment.bVitalbsignsbarebstable.bWhichbf
ormbofbnitroglycerinbdoesbthebnursebanticipatebgivingbinitially?
b b Oral
b Spray
b Intravenousb
Transdermal
Whichbinformationbshouldbbebincludedbinbthebteachingbplanbforbthebelderlybclientbwithbpepticbulcerbd
iseasebwhobisbtakingbanbantacidbandbsucralfate?
b b Antacidsbshouldbbebtakenb30bminutesbbeforebabmeal.
bb Sucralfatebshouldbbebtakenbonbanbemptybstomachbonebhourbbeforebmeals.
bb Sucralfatebisbprescribedbforbtheblong-termbmaintenancebofbpepticbulcerbdisease.
b Sodiumbbicarbonatebisbanbinexpensivebover-the-
counterbantacidbwithbfewbadversebeffects.
Abclientbwithbirritablebbowelbsyndromebhasbinstructionsbtobtakebpsylliumb2broundedbteaspoonsbfullbt
wicebabdaybforbconstipation.bWhatbisbmostbimportantbforbthebnursebtobincludebinbthebteachingbplan?
Urinebmaybbebdiscolored.
b
bb Stopbtakingbtheblaxativeboncebabbowelbmovementboccurs.
bb Eachbdosebshouldbbebtakenbwithbabfullbglassbofbwaterborbjuice.
b Dailybusebmaybinhibitbthebabsorptionbofbsomebfat-solublebvitamins.
Abnursebisbpreparingbabclientbforbdischargebfrombthebemergencybdepartment.bWhichbclientbstatement
bprovidesbevidencebthatbthebclientbunderstandsbthebinstructionsbforbthebprescribedbhigh-
bdosebampicillin?
b b "Ibshouldbtakebthisbmedicationbwithbmeals."
b b "Ibcanbstop btakingbthisbmedicationbwhenbIbfeelbbetter."
b "Ibwillbmissbeatingbmybyogurtbwhilebtakingbthisbmedication."
b "Ibmustbincreasebmybintakebofbfluidsbwhilebtakingbthisbmedication."
Abhealthcarebproviderbprescribesbfamotidinebandbmagnesiumbhydroxide/aluminumbhydroxidebanta
cidbforbabclientbwithbabpepticbulcer.bThebnursebshouldbteachbthebclientbtobtakebthebantacidbatbwhatbtim
e?
b b Onlybatbbedtime,bwhenbfamotidinebisbnotbtaken
b Onlybifbfamotidinebisbineffective
, bb Atbthebsamebtimebasbfamotidine,bwithbabfullbglassbofbwater
