1. Calcium supplement for osteoporosis—TO HELP PREVENT BONE LOSS AND
STRENGTHEN ALREADY WEAK BONES.IMPORTANT!!!!!!!!
2. A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The
client states, "I don't need this medication. I am not constipated." The nurse should
explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of
the following components in the bloodstream?
a. Glucose
b. Ammonia
i. Rationale: Lactulose, a disaccharide, is a sugar that works as an osmotic
diuretic. It prevents absorption of ammonia in the colon. Accumulation of
ammonia in the bloodstream, which occurs in pathologic conditions of the
liver, such as cirrhosis, may affect the central nervous system, causing
hepatic encephalopathy or coma.
c. Potassium
d. Bicarbonate
3. A nurse on a medical unit is planning care for an older adult client who takes several
medications. Which of the following prescribed medications places the client at risk
for orthostatic hypotension? (Select all that apply.)
a. Furosemide
b. Telmisartan
c. Duloxetine
d. Clopidogrel
e. Atorvastatin
4. Someone has a-fib on coumadin, know what normal PT is 11.0- 12.5 SECONDS WITH
INR OF 0.8-1.1.
5. Someone is on atorvastatin (statin) what kind of labs do we look at
a. Liver function
6. CKD nephrotoxicity
a. Antibiotic
7. Heart failure and on Lasix, what are adverse effects of Lasix and what would happen
if hypokalemic-ADVERSE EFFECTS OF LASIX INCLUDE DEHYDRATION AND
ELECTROLYTE IMBALANCE- POTASSIUM SPARING DIURETICS ARE USED
LIKE SPIRONOLACTONE,INSPRA TO PREVENT HYPOKALEMIA. K
SUPPLEMENTATION WITH 40MEQ KCL IS DONE IN CASES OF
HYPOKAELIMIA .PT CAN ALSO GET SLOW K TABS INCASE OF MODERATE
HYPOKAELIMIA.DISCONTINUE LASIX.
8. Celecoxib for osteoarthritis (adverse effects??)
a. Not stroke
,9. A nurse is caring for a client who has difficulty swallowing medications and is prescribed
enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to
make it easier to swallow. Which of the following responses should the nurse provide?
, a. "Crushing the medication might cause you to have a stomachache or indigestion.
i. Rationale: The pill is enteric-coated to prevent breakdown in the stomach
and decrease the possibility of GI distress. Crushing destroys protection.
b. "Crushing the medication is a good idea, and I can mix it in some ice cream for
you.”
c. "Crushing the medication would release all the medication at once, rather than
over time."
d. "Crushing is unsafe, as it destroys the ingredients in the medication."
10. A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes
mellitus and has a prescription for glipizide. Which of the following statements by the
nurse best describes the action of glipizide?
a. "Glipizide absorbs the excess carbohydrates in your system."
b. "Glipizide stimulates your pancreas to release insulin."
i. Rationale: Glipizide is an oral antidiabetic medication in the
pharmacological classification of sulfonylurea agents. These
medications help to lower blood glucose levels in clients who have type
2 diabetes mellitus using several methods, including reducing glucose
output by the liver, increasing peripheral sensitivity to insulin, and
stimulating the release of insulin from the functioning beta cells of the
pancreas.
c. "Glipizide replaces insulin that is not being produced by your pancreas."
d. "Glipizide prevents your liver from destroying your insulin."
11. Having transdermal analgesic—INCLUDE PATCHES LIKE FENTANYL,VOLTEREN
CREAM
12. SAA--how to use cream with child ^^^
a. Use visual pain rating scale
13. A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be
started on intravenous rifampin therapy. The nurse should instruct the client that this
medication can cause which of the following adverse effects?
a. Constipation
b. Black colored stools
c. Staining of teeth
d. Body secretions turning a red-orange color
i. Rationale: Rifampin is used in combination with other medicines to
treat TB. Rifampin will cause the urine, stool, saliva
STRENGTHEN ALREADY WEAK BONES.IMPORTANT!!!!!!!!
2. A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The
client states, "I don't need this medication. I am not constipated." The nurse should
explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of
the following components in the bloodstream?
a. Glucose
b. Ammonia
i. Rationale: Lactulose, a disaccharide, is a sugar that works as an osmotic
diuretic. It prevents absorption of ammonia in the colon. Accumulation of
ammonia in the bloodstream, which occurs in pathologic conditions of the
liver, such as cirrhosis, may affect the central nervous system, causing
hepatic encephalopathy or coma.
c. Potassium
d. Bicarbonate
3. A nurse on a medical unit is planning care for an older adult client who takes several
medications. Which of the following prescribed medications places the client at risk
for orthostatic hypotension? (Select all that apply.)
a. Furosemide
b. Telmisartan
c. Duloxetine
d. Clopidogrel
e. Atorvastatin
4. Someone has a-fib on coumadin, know what normal PT is 11.0- 12.5 SECONDS WITH
INR OF 0.8-1.1.
5. Someone is on atorvastatin (statin) what kind of labs do we look at
a. Liver function
6. CKD nephrotoxicity
a. Antibiotic
7. Heart failure and on Lasix, what are adverse effects of Lasix and what would happen
if hypokalemic-ADVERSE EFFECTS OF LASIX INCLUDE DEHYDRATION AND
ELECTROLYTE IMBALANCE- POTASSIUM SPARING DIURETICS ARE USED
LIKE SPIRONOLACTONE,INSPRA TO PREVENT HYPOKALEMIA. K
SUPPLEMENTATION WITH 40MEQ KCL IS DONE IN CASES OF
HYPOKAELIMIA .PT CAN ALSO GET SLOW K TABS INCASE OF MODERATE
HYPOKAELIMIA.DISCONTINUE LASIX.
8. Celecoxib for osteoarthritis (adverse effects??)
a. Not stroke
,9. A nurse is caring for a client who has difficulty swallowing medications and is prescribed
enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to
make it easier to swallow. Which of the following responses should the nurse provide?
, a. "Crushing the medication might cause you to have a stomachache or indigestion.
i. Rationale: The pill is enteric-coated to prevent breakdown in the stomach
and decrease the possibility of GI distress. Crushing destroys protection.
b. "Crushing the medication is a good idea, and I can mix it in some ice cream for
you.”
c. "Crushing the medication would release all the medication at once, rather than
over time."
d. "Crushing is unsafe, as it destroys the ingredients in the medication."
10. A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes
mellitus and has a prescription for glipizide. Which of the following statements by the
nurse best describes the action of glipizide?
a. "Glipizide absorbs the excess carbohydrates in your system."
b. "Glipizide stimulates your pancreas to release insulin."
i. Rationale: Glipizide is an oral antidiabetic medication in the
pharmacological classification of sulfonylurea agents. These
medications help to lower blood glucose levels in clients who have type
2 diabetes mellitus using several methods, including reducing glucose
output by the liver, increasing peripheral sensitivity to insulin, and
stimulating the release of insulin from the functioning beta cells of the
pancreas.
c. "Glipizide replaces insulin that is not being produced by your pancreas."
d. "Glipizide prevents your liver from destroying your insulin."
11. Having transdermal analgesic—INCLUDE PATCHES LIKE FENTANYL,VOLTEREN
CREAM
12. SAA--how to use cream with child ^^^
a. Use visual pain rating scale
13. A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be
started on intravenous rifampin therapy. The nurse should instruct the client that this
medication can cause which of the following adverse effects?
a. Constipation
b. Black colored stools
c. Staining of teeth
d. Body secretions turning a red-orange color
i. Rationale: Rifampin is used in combination with other medicines to
treat TB. Rifampin will cause the urine, stool, saliva
