ROADMAP TO A+
A nurse is caring for a client who requests information on the use of Feverfew.
Which of the following responses should the nurse make?
A. "It is used to treat skin infections."
B. "It can decrease the frequency of migraine headaches."
C. "It can lessen the nasal congestion in the common cold."
D. "It can relieve nausea of morning sickness during pregnancy."
B (Feverfew is used to decrease the frequency of migraine headaches, but it has not
been
proven to relieve an existing migraine headache.)
A nurse is completing an assessment of a client's current medications. The client
states she also takes Gingko Biloba. Which of the following medications is
contraindicated for a client taking Gingko Biloba?
A. Acetaminophen
B. Warfarin
C. Digoxin
D. Lisinopri
B (Warfarin is contraindicated for a client taking gingko biloba because ginkgo biloba
can suppress coagulation and increase the risk of bleeding or hemorrhage)
A nurse is reviewing the health care record of a client who is asking about
conjugated equine estrogens. The nurse should inform the client this medication
is contraindicated in which of the following conditions?
A. Atrophic vaginitis
B. Dysfunctional uterine bleeding
C. Osteoporosis
D. Thrombophlebitis
,D (Estrogen increases the risk of thrombolytic
events. Estrogen use is contraindicated for a client who has a history of
thrombophlebitis)
A nurse is providing teaching to a female client who is taking Testosterone to
treat advanced breast cancer. The nurse should tell the client that which of the
following are adverse effects of this medication? (Select all that apply.)
A. Deepening voice
B. Weight gain
C. Low blood pressure
D. Dry mouth
E. Facial hair
a, b, e
(A. Virilization, the development of adult male characteristics in a female, is an adverse
effect of testosterone. The nurse should tell the client that a deepening voice is an
adverse effect of testosterone.
B. Edema and weight gain are adverse effects of testosterone
E. Virilization is an adverse effect of testosterone.
The nurse should tell the client that the development of facial hair is an adverse effect of
testosterone)
A nurse is explaining the mechanism of action of combination oral contraceptives
to a group of clients. The nurse should tell the clients that which of the following
actions occur with the use of combination oral contraceptives? (Select all that
apply.)
A.Thickening the cervical mucus
B.Inducing maturation of ovarian follicle
C.Increasing development of the corpus luteum
,D.Altering the endometrial lining
E.Inhibiting ovulation
a, d, e,
(A. Oral contraceptives cause thickening of the cervical mucus, which slows sperm
passage
D. Oral contraceptives alter the lining of the endometrium, which inhibits implantation of
the fertilized egg.
E. Oral contraceptives prevent pregnancy by inhibiting ovulation.)
A nurse is providing teaching to a client who will start Alfuzosin for treatment of
Benign Prostatic Hyperplasia. The nurse should instruct the client that which of
the following is an adverse effect of this medication?
A.Bradycardia
B. Edema
C. Hypotension
D. Tremor
C (Alfuzosin relaxes muscle tone in veins and cardiac output decreases, which leads to
hypotension. Clients taking this medication are advised to rise slowly from a sitting or
lying position.)
A nurse is caring for a client who has angina and asks about obtaining a
prescription for sildenafil to treat erectile dysfunction. Which of the following
medications is contraindicated with Sildenafil?
A. Aspirin
B. Isosorbide
C. Clopidogrel
D. Atorvastatin
, B (Isosorbide is an organic nitrate that manages pain from angina. Concurrent use of it
is contraindicated because fatal hypotension can occur. The client should avoid taking a
nitrate medication for 24 hr after taking isosorbide.)
A nurse is teaching a client about Terbutaline. Which of the following statements
by the client indicates understanding of the teaching?
A. "This medication will stop my contractions."
B. "This medication will prevent vaginal bleeding."
C. "This medication will promote blood flow to my baby."
D. "This medication will increase my prostaglandin production
A (Terbutaline blocks beta2-adrenergic receptors, which causes uterine smooth muscle
relaxation)
A nurse is caring for a client who has Preeclampsia and is receiving Magnesium
Sulfate IV continuous infusion. Which of the following findings should the nurse
report to the provider?
A. 2+ deep tendon reflexes
B. 2+ pedal edema
C. 24 mL/hr urinary output
D. Respirations 12/mi
C (Urine output less than 25 to 30 mL/hr is associated with magnesium sulfate toxicity
and should be reported to the provider)
A nurse is caring for a client who has a new prescription for Oxytocin to stimulate
uterine contractions. Which of the following interventions should the nurse
make? (Select all that apply.)
A. Use an infusion pump for medication administration.
B. Obtain vital signs frequently and with every dosage change.
C. Stop infusion if uterine contractions occur every 4 min and last 45 seconds.
D. Increase medication infusion rate rapidly.
E. Monitor fetal heart rate continuously