Deck 13: Additional Drug Classes
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Question
Unlock Deck
Sign up to unlock the cards in this deck!
Unlock Deck
Unlock Deck
1/72
Play
Full screen (f)
Deck 13: Additional Drug Classes
1
The client receives a topical medication for treatment of a skin disorder. The nurse completes medication education and evaluates that learning has occurred when the client makes which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) "My medication only needs to be applied once a day."
2) "My daughter has a similar problem, so she can use this too."
3) "I do not need to shower prior to using this medication."
4) "I will call my doctor if I notice a change in my symptoms."
5) "I will apply the medication only to the affected area."
Standard Text: Select all that apply.
1) "My medication only needs to be applied once a day."
2) "My daughter has a similar problem, so she can use this too."
3) "I do not need to shower prior to using this medication."
4) "I will call my doctor if I notice a change in my symptoms."
5) "I will apply the medication only to the affected area."
4,5
2
A client with osteoporosis has been prescribed raloxifene (Evista). Which question should the nurse ask to determine the client's risks for complications with this drug?
1) "Have you ever had esophageal or ulcer disease?"
2) "Do you have a history of abnormal breast biopsies?"
3) "Have you ever had or been treated for blood clots?"
4) "Have you ever had any broken bones?"
1) "Have you ever had esophageal or ulcer disease?"
2) "Do you have a history of abnormal breast biopsies?"
3) "Have you ever had or been treated for blood clots?"
4) "Have you ever had any broken bones?"
3
3
A client has been prescribed allopurinol (Zyloprim) for gout. What is the purpose of this medication?
1) Relieve the inflammation caused by this disease process.
2) Reduce the formation of uric acid.
3) Help the body excrete excess uric acid.
4) Prevent the joint damage associated with this disease.
1) Relieve the inflammation caused by this disease process.
2) Reduce the formation of uric acid.
3) Help the body excrete excess uric acid.
4) Prevent the joint damage associated with this disease.
2
4
The nurse, teaching a client about safety when using topical scabicide medications, determines instruction has been effective when the client states:
1) "I need to sign a consent for this medication."
2) "I should cover the area with a clean cloth."
3) "I must avoid putting this lotion around my eyes."
4) "I will need help in showering to remove the lotion."
1) "I need to sign a consent for this medication."
2) "I should cover the area with a clean cloth."
3) "I must avoid putting this lotion around my eyes."
4) "I will need help in showering to remove the lotion."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
5
The nurse should instruct a client with the initial stages of osteoarthritis to engage in low-impact exercise and take:
1) Opioid analgesics.
2) Glucosamine and chondroitin agents.
3) Acetaminophen.
4) High anti-inflammatory doses of aspirin.
1) Opioid analgesics.
2) Glucosamine and chondroitin agents.
3) Acetaminophen.
4) High anti-inflammatory doses of aspirin.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
6
Which symptom is it critical for the nurse to monitor when caring for a client with hypoparathyroidism?
1) Decreased peristalsis
2) Tetany
3) Weakness
4) Vomiting
1) Decreased peristalsis
2) Tetany
3) Weakness
4) Vomiting
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
7
A client with rheumatoid arthritis is prescribed hydroxychloroquine (Plaquenil). What information does the nurse provide the client about when the effects of this medication will be felt?
1) 3-6 days.
2) 6-9 months.
3) 7 days.
4) 4-6 weeks.
1) 3-6 days.
2) 6-9 months.
3) 7 days.
4) 4-6 weeks.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
8
The nurse determines that teaching about gout has been effective when the client makes which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) "I should increase my fluid intake to 2 to 4 litres every day."
2) "I should avoid eating salmon, sardines, organ meats, alcohol, mushrooms, legumes, and oatmeal."
3) "I should notify my health care provider if my pain gets worse."
4) "I should weigh myself every day and notify my health care provider if I gain over 2 lbs in a day."
5) "I will expect to experience flank pain when taking this medication."
Standard Text: Select all that apply.
1) "I should increase my fluid intake to 2 to 4 litres every day."
2) "I should avoid eating salmon, sardines, organ meats, alcohol, mushrooms, legumes, and oatmeal."
3) "I should notify my health care provider if my pain gets worse."
4) "I should weigh myself every day and notify my health care provider if I gain over 2 lbs in a day."
5) "I will expect to experience flank pain when taking this medication."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
9
The nurse is teaching a client about taking risedronate (Actonel) for osteoporosis. Which statement by the client indicates a need for further teaching?
1) "I will wait at least 30 minutes before eating."
2) "I will take the medication first thing in the morning, with water."
3) "I can return to bed while I wait for the medication to work."
4) "I will report difficulties with heartburn."
1) "I will wait at least 30 minutes before eating."
2) "I will take the medication first thing in the morning, with water."
3) "I can return to bed while I wait for the medication to work."
4) "I will report difficulties with heartburn."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
10
MCSA A nursing student is preparing to give Etidronate (Didronel) for a post menopausal client. Her instructor asks her to identify the drugs mechanism of action. What is the best response of the student?
1) Inhibits the synthesis of microtubules.
2) It promotes the intestinal absorption of calcium and elevates serum levels of calcium
3) Decrease bone resorption, thus increasing bone density and reducing the risk for fractures.
4) Inhibits bone resorption by suppressing osteoclast activity,
1) Inhibits the synthesis of microtubules.
2) It promotes the intestinal absorption of calcium and elevates serum levels of calcium
3) Decrease bone resorption, thus increasing bone density and reducing the risk for fractures.
4) Inhibits bone resorption by suppressing osteoclast activity,
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
11
A client received a minor sunburn while on vacation. What is the nurse's best advice to this client?
1) "Call your health care provider for a prescription for pain medication."
2) "Apply a local anesthetic to the sunburned area."
3) "Apply emollients to keep the skin moist until it heals."
4) "Take acetaminophen (Tylenol) or ibuprofen (Advil) for pain."
1) "Call your health care provider for a prescription for pain medication."
2) "Apply a local anesthetic to the sunburned area."
3) "Apply emollients to keep the skin moist until it heals."
4) "Take acetaminophen (Tylenol) or ibuprofen (Advil) for pain."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
12
A calcium supplement has been added to a client's drug regimen. What teaching will the nurse provide?
1) Decrease intake of dairy products to prevent hypercalcemia.
2) Increase consumption of fruits and vegetables high in vitamin C.
3) Avoid taking calcium supplements with bran or whole-grain cereal.
4) Increase consumption of lean meats for additional protein intake.
1) Decrease intake of dairy products to prevent hypercalcemia.
2) Increase consumption of fruits and vegetables high in vitamin C.
3) Avoid taking calcium supplements with bran or whole-grain cereal.
4) Increase consumption of lean meats for additional protein intake.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
13
A client with osteoarthritis does not want to use medication for pain control. What can the nurse suggest to improve the symptoms of this disorder? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Begin a walking program.
2) Perform exercises to strengthen the quadriceps muscle.
3) Discuss the use of a brace with the health care provider.
4) Consider losing weight.
5) Schedule joint replacement surgery as soon as possible.
Standard Text: Select all that apply.
1) Begin a walking program.
2) Perform exercises to strengthen the quadriceps muscle.
3) Discuss the use of a brace with the health care provider.
4) Consider losing weight.
5) Schedule joint replacement surgery as soon as possible.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
14
What would the nurse identify as a priority diagnosis for a client with osteoporosis?
1) Activity Intolerance related to inadequate nutrition and anemia
2) Injury, Risk for related to loss of bone calcium
3) Infection, Risk for related to impaired host defences
4) Constipation related to side effects of calcium replacement therapy
1) Activity Intolerance related to inadequate nutrition and anemia
2) Injury, Risk for related to loss of bone calcium
3) Infection, Risk for related to impaired host defences
4) Constipation related to side effects of calcium replacement therapy
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
15
A nurse is planning care for a client diagnosed with a vitamin D deficiency. What does the nurse include in her teaching? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) spend 15 minutes a day in the sun without sunscreen.
2) increase the intake of milk.
3) increase intake of vitamin-enriched foods.
4) increase intake of red meat.
5) increase intake of leafy greens.
Standard Text: Select all that apply.
1) spend 15 minutes a day in the sun without sunscreen.
2) increase the intake of milk.
3) increase intake of vitamin-enriched foods.
4) increase intake of red meat.
5) increase intake of leafy greens.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
16
When planning care for a client, the nurse will include interventions to address factors that predispose the client to developing gout, including: Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Taking a prescribed thiazide diuretic.
2) Taking aspirin every day.
3) Drinking four beers every night.
4) Receiving treatment for polycythemia.
5) Being diagnosed with heart failure.
Standard Text: Select all that apply.
1) Taking a prescribed thiazide diuretic.
2) Taking aspirin every day.
3) Drinking four beers every night.
4) Receiving treatment for polycythemia.
5) Being diagnosed with heart failure.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
17
The nurse is planning care for a group of clients. Which client is at risk for the development of hypocalcemia?
1) Client with renal disease
2) Client with osteoporosis
3) Client with osteoarthritis
4) Client with cardiac damage
1) Client with renal disease
2) Client with osteoporosis
3) Client with osteoarthritis
4) Client with cardiac damage
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
18
While conducting a physical assessment, the nurse is concerned that the client, who is taking a bisphosphonate, is showing signs of osteonecrosis of the jaw. What did the nurse assess in this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Jaw pain and swelling
2) Several loose teeth
3) Elevated blood pressure
4) Oral lesions
5) Difficulty swallowing
Standard Text: Select all that apply.
1) Jaw pain and swelling
2) Several loose teeth
3) Elevated blood pressure
4) Oral lesions
5) Difficulty swallowing
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
19
A client is prescribed colchicine (Colcrys) for gout. What are the adverse effects of this therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Nausea and vomiting.
2) Abdominal pain.
3) Diarrhea.
4) Constipation.
5) Muscle pain.
Standard Text: Select all that apply.
1) Nausea and vomiting.
2) Abdominal pain.
3) Diarrhea.
4) Constipation.
5) Muscle pain.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
20
The nurse is instructing a mother to encourage her school-age children to play out of doors because it will help reduce the risk of osteomalacia by:
1) Increasing renal perfusion, which helps to activate vitamin D.
2) Increasing the level of an inactive form of vitamin D in the blood.
3)Increasing osteoblastic activity to maintain calcium in the bone.
4) Enhancing activation of the parathyroid hormone.
1) Increasing renal perfusion, which helps to activate vitamin D.
2) Increasing the level of an inactive form of vitamin D in the blood.
3)Increasing osteoblastic activity to maintain calcium in the bone.
4) Enhancing activation of the parathyroid hormone.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
21
A client with glaucoma is being treated with timolol (Timoptic) ophthalmic drops. The client complains of blurry vision and eye burning and does not want to continue to use the medication. How should the nurse respond?
1) "These are expected side effects for this type of medication and might lessen over time."
2) "If you place a finger over the inner part of your eyes, these problems should become less noticeable."
3) "In order to preserve your eyesight, it is important to keep using these drops. It is normal to experience temporary burning."
4) "These problems might indicate another eye problem. Be sure to tell your ophthalmologist about these concerns."
1) "These are expected side effects for this type of medication and might lessen over time."
2) "If you place a finger over the inner part of your eyes, these problems should become less noticeable."
3) "In order to preserve your eyesight, it is important to keep using these drops. It is normal to experience temporary burning."
4) "These problems might indicate another eye problem. Be sure to tell your ophthalmologist about these concerns."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
22
MCSA A student nurse is working in a clinic where a mother has been advised on the treatment for lice for her 6 year old son. The students instructor asks her to explain how a pediculicide works to rid lice. What is the response of the student?
1) Absorbed into lice producing seizures and death.
2) Inhibits DNA synthesis in eggs and mites.
3) Inhibits ability of the mite to burrow into skin
4) Inhibits enzyme necessary for
1) Absorbed into lice producing seizures and death.
2) Inhibits DNA synthesis in eggs and mites.
3) Inhibits ability of the mite to burrow into skin
4) Inhibits enzyme necessary for
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
23
A client with psoriasis is prescribed topical corticosteroids. What will the nurse instruct the client on the use of this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) "Apply a moist dressing over the medication on the skin."
2) "Wrap the medication and moist dressing with an occlusive covering."
3) "Remove occlusive coverings and wraps every 8 hours."
4) "Ongoing use of this medication will improve healing."
5) "If this medication does not work, you'll need to take oral medications."
Standard Text: Select all that apply.
1) "Apply a moist dressing over the medication on the skin."
2) "Wrap the medication and moist dressing with an occlusive covering."
3) "Remove occlusive coverings and wraps every 8 hours."
4) "Ongoing use of this medication will improve healing."
5) "If this medication does not work, you'll need to take oral medications."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
24
Clients in a nursing home have been prescribed permethrin (Nix) for head lice. The nurse will question the order for the client who has:
1) Seizures.
2) Hypothyroidism.
3) Diabetes mellitus.
4) An allergy to sulphites.
5) Client with renal failure
1) Seizures.
2) Hypothyroidism.
3) Diabetes mellitus.
4) An allergy to sulphites.
5) Client with renal failure
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
25
A nurse is caring for a client with psoriasis who has been ordered a topical glucocorticoid lotion. Before planning her teaching session, the nurse assesses the client's knowledge of the disorder. Which statement indicates that the client has sufficient knowledge about psoriasis?
1) "Treatment can help lessen the discomfort of my psoriasis."
2) "I wish there were some way other than lotions to treat my psoriasis."
3) "No medications are effective for treating my disorder."
4) "Oral medications are the only medications that are effective."
1) "Treatment can help lessen the discomfort of my psoriasis."
2) "I wish there were some way other than lotions to treat my psoriasis."
3) "No medications are effective for treating my disorder."
4) "Oral medications are the only medications that are effective."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
26
A client is frantic because her two children have been sent home from school with head lice. She has treated their scalps but does not know what else to do. What is the best teaching by the nurse?
1) "Isolate the children from other family members for three days."
2) "Just continue to apply the medication to their scalps as directed."
3) "Do not let your children return to the school until it is fumigated."
4) "Wash bed linens and clothing that have come into contact with the children."
1) "Isolate the children from other family members for three days."
2) "Just continue to apply the medication to their scalps as directed."
3) "Do not let your children return to the school until it is fumigated."
4) "Wash bed linens and clothing that have come into contact with the children."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
27
A client has received pilocarpine (Isopto Carpine) drops in both eyes. When assessing this client, the nurse will anticipate which reaction?
1) Unequal pupil shape
2) Dilated pupils
3) Constricted pupils
4) Improved distance vision
1) Unequal pupil shape
2) Dilated pupils
3) Constricted pupils
4) Improved distance vision
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
28
A client has scabies and will be using permethrin 5% cream (Nix). What is the best instruction by the nurse?
1) "Leave the medication on the body for 24 hours."
2) "Apply the medication twice, so it can be more effective."
3) "Apply the medication topically to the affected area."
4) " Do not use on areas of skin that have abrasions, or inflammation."
1) "Leave the medication on the body for 24 hours."
2) "Apply the medication twice, so it can be more effective."
3) "Apply the medication topically to the affected area."
4) " Do not use on areas of skin that have abrasions, or inflammation."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
29
A client newly diagnosed with open-angle glaucoma has been prescribed timolol (Timoptic). Prior to administering this medication, which condition in the client's history should the nurse immediately inform the prescriber about?
1) Primary hypertension
2) Deep-vein thrombosis
3) Supraventricular tachycardia
4) Asthma
1) Primary hypertension
2) Deep-vein thrombosis
3) Supraventricular tachycardia
4) Asthma
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
30
The nurse is teaching a client about the purpose of using betaxolol (Betoptic) to treat his open angle glaucoma. What does she include in her teaching about the action of this drug?
1) Decrease the production of aqueous humour.
2) Promote the flow of aqueous humour.
3) Reduce the redness and irritation associated with glaucoma.
4) Protect the optic nerve from the increased blood supply that could occur.
1) Decrease the production of aqueous humour.
2) Promote the flow of aqueous humour.
3) Reduce the redness and irritation associated with glaucoma.
4) Protect the optic nerve from the increased blood supply that could occur.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
31
A client is receiving latanoprost (Xalatan) for open-angle glaucoma. Which medication information provided by the nurse is incorrect?
1) "The medication will increase the outflow of aqueous humour."
2) "Your eyelashes may grow longer and thicker and could become darker."
3) "Your grey eyes might become more pigmented and turn brown."
4) "You must monitor your blood pressure and pulse prior to administration of this drug."
1) "The medication will increase the outflow of aqueous humour."
2) "Your eyelashes may grow longer and thicker and could become darker."
3) "Your grey eyes might become more pigmented and turn brown."
4) "You must monitor your blood pressure and pulse prior to administration of this drug."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
32
A client has a minor infection of the skin around the fingernails. What can the nurse suggest the client use for this infection? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Bacitracin ointment
2) Neomycin with polymyxin B (Neosporin) ointment
3) Benzoyl peroxide (Benzac)
4) Sulphacetamide
5) Acyclovir (Zovirax)
Standard Text: Select all that apply.
1) Bacitracin ointment
2) Neomycin with polymyxin B (Neosporin) ointment
3) Benzoyl peroxide (Benzac)
4) Sulphacetamide
5) Acyclovir (Zovirax)
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
33
A client receives topical glucocorticoids for the treatment of dermatitis. The nurse has completed medication education and evaluates that learning has occurred when the client makes which statement?
1) "This lotion is a lot safer and more effective than a pill."
2) "Long-term use of this lotion can lead to dependence."
3) "If this medication doesn't help me, there is nothing left to try."
4) "A pill would be more effective than this messy lotion."
1) "This lotion is a lot safer and more effective than a pill."
2) "Long-term use of this lotion can lead to dependence."
3) "If this medication doesn't help me, there is nothing left to try."
4) "A pill would be more effective than this messy lotion."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
34
The mother of a client with head lice has been ordered Permethrin. What teaching should the nurse complete with this client about the application of this drug?
1) "Do not use on your infant son."
2) "Apply every day for 7 days."
3) "Apply on wet hair after shampooing."
4) "Keep your child's hair short so it will be easier to treat next time."
1) "Do not use on your infant son."
2) "Apply every day for 7 days."
3) "Apply on wet hair after shampooing."
4) "Keep your child's hair short so it will be easier to treat next time."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
35
Which nursing diagnosis should receive highest priority when caring for a client being treated for glaucoma?
1) Noncompliance related to adverse effects of medications
2) Self-Care Deficit: Feeding related to decreased peripheral vision
3) Health Maintenance, Ineffective related to lack of knowledge of disease and pharmacological management
4) Injury, Risk for related to blurred vision secondary to medications
1) Noncompliance related to adverse effects of medications
2) Self-Care Deficit: Feeding related to decreased peripheral vision
3) Health Maintenance, Ineffective related to lack of knowledge of disease and pharmacological management
4) Injury, Risk for related to blurred vision secondary to medications
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
36
A client with chronic dermatitis is seen in the clinic with complaints of irritation to his lower legs. The nurse notes that the skin is very red. The client says, I have been on this steroid cream for many years, it has always worked to relieve my symptoms, why is it not working? What does the nurse share with the client as a possible reason for this reaction.
1) " It is common to develop an allergy to those topical medications."
2) " It is most likely that you have developed a resistance to the medication"
3) " Are you sure you were using it as directed?"
4) " Long term use can cause thinning of the skin."
1) " It is common to develop an allergy to those topical medications."
2) " It is most likely that you have developed a resistance to the medication"
3) " Are you sure you were using it as directed?"
4) " Long term use can cause thinning of the skin."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
37
A client is in the clinic and is diagnosed with tinea pedis. What medication does the nurse anticipate will be ordered for this client?
1) Antibiotic ointment
2) Retinoid
3) Antifungal Ointment
4) Pediculicide
1) Antibiotic ointment
2) Retinoid
3) Antifungal Ointment
4) Pediculicide
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
38
A teenager is taking isotretinoin (Accutane) for treatment of severe acne. What is the most important component of teaching for this client and her mother?
1) "Pay particular attention to her mood now."
2) "Assure that she is using birth control."
3) "She might complain of aches and pain."
4) "Check her cholesterol levels."
5) "Report any unusual bleeding."
1) "Pay particular attention to her mood now."
2) "Assure that she is using birth control."
3) "She might complain of aches and pain."
4) "Check her cholesterol levels."
5) "Report any unusual bleeding."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
39
Prior to administering a beta blocker to a client with glaucoma, the nurse should assess for which coexisting health problem that would place the client at increased risk of adverse events?
1) Type 2 diabetes mellitus
2) Sleep apnea
3) Cardiovascular disorders
4) Rheumatoid arthritis
1) Type 2 diabetes mellitus
2) Sleep apnea
3) Cardiovascular disorders
4) Rheumatoid arthritis
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
40
A client with glaucoma is prescribed latanoprost (Xalatan). What is the mechanism of action of this drug?
1) Is thought to protect neurons from injury.
2) Enhances the outflow of aqueous humour.
3) Decreases the production of aqueous humour by the ciliary body.
4) Has a relatively short duration of action, and adverse effects can be limited.
1) Is thought to protect neurons from injury.
2) Enhances the outflow of aqueous humour.
3) Decreases the production of aqueous humour by the ciliary body.
4) Has a relatively short duration of action, and adverse effects can be limited.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
41
A client is seen in the emergency department after being bit in the hand by a rattlesnake. What is his injury an example of?
1) Acute toxicity
2) Chronic toxicity
3) Exposure
4) Antidote
1) Acute toxicity
2) Chronic toxicity
3) Exposure
4) Antidote
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
42
The nurse is reviewing the components of the National Emergency Stockpile System (NESS). Which of the following components are included? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Intravenous administration equipment.
2) Antibiotics.
3) Standing orders for treatment.
4) Chemical antidotes.
5) Hospital beds.
Standard Text: Select all that apply.
1) Intravenous administration equipment.
2) Antibiotics.
3) Standing orders for treatment.
4) Chemical antidotes.
5) Hospital beds.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
43
A client with glaucoma is being treated with a pilocarpine (Isopto Carpine). To help reduce the risk associated with this medicine, the nurse suggests:
1) Assuring adequate lighting in the home.
2) using skin softeners to reduce the risk of dry skin.
3) wearing sunglasses when doing yard work.
4) using lubricant eyedrops to reduce its drying effects.
1) Assuring adequate lighting in the home.
2) using skin softeners to reduce the risk of dry skin.
3) wearing sunglasses when doing yard work.
4) using lubricant eyedrops to reduce its drying effects.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
44
The nurse is planning care for a client with closed-angle glaucoma. What will be included in this plan of care? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Administer prescribed pain medication.
2) Administer antiemetics as prescribed.
3) Instruct the client to use a call light for assistance with ambulation.
4) Administer oral medication as prescribed.
5) Prepare for emergency ocular surgery.
Standard Text: Select all that apply.
1) Administer prescribed pain medication.
2) Administer antiemetics as prescribed.
3) Instruct the client to use a call light for assistance with ambulation.
4) Administer oral medication as prescribed.
5) Prepare for emergency ocular surgery.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
45
A client with open-angle glaucoma is prescribed an alpha2-adrenergic agonist. What will the nurse instruct the client about this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) "You may feel like there is something in your eye when using this medication."
2) "You may have headaches and feel sleepy with this medication."
3) "You may have blurred vision when using this medication."
4) "You may feel nervous or anxious, but this is rare."
5) "Acute eye pain is expected when taking this medication."
Standard Text: Select all that apply.
1) "You may feel like there is something in your eye when using this medication."
2) "You may have headaches and feel sleepy with this medication."
3) "You may have blurred vision when using this medication."
4) "You may feel nervous or anxious, but this is rare."
5) "Acute eye pain is expected when taking this medication."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
46
The nurse is reviewing a list that identifies bioterrorism agents that can easily be spread by person-to-person contact. What agents would be on this list?
1) Plague
2) Botulism
3) Hemorrhagic fever
4) Anthrax
1) Plague
2) Botulism
3) Hemorrhagic fever
4) Anthrax
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
47
The nurse is caring for an older client who has difficulty hearing because of suspected wax accumulation. What measures will the nurse take to help this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Instil a cerumen emulsifier as prescribed prior to the irrigation.
2) Warm the irrigating solution to normal body temperature.
3) After instilling the irrigating solution, use a cotton-tipped applicator to gently dry the ear canal.
4) Use a large-bore syringe to apply enough pressure to loosen the impacted cerumen.
5) Pull the pinna up and back prior to instilling any medications.
Standard Text: Select all that apply.
1) Instil a cerumen emulsifier as prescribed prior to the irrigation.
2) Warm the irrigating solution to normal body temperature.
3) After instilling the irrigating solution, use a cotton-tipped applicator to gently dry the ear canal.
4) Use a large-bore syringe to apply enough pressure to loosen the impacted cerumen.
5) Pull the pinna up and back prior to instilling any medications.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
48
A client was exposed to cyanogen chloride. What will the nurse do to help this client?
1) Remove contaminated clothing.
2) Apply sodium bicarbonate to skin lesions.
3) Administer antibiotics intravenously.
4) Initiate emetic measures.
1) Remove contaminated clothing.
2) Apply sodium bicarbonate to skin lesions.
3) Administer antibiotics intravenously.
4) Initiate emetic measures.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
49
The nurse contacts the pharmacy to have the antidote for nerve agent poisoning available when victims of a mass casualty event arrive in the emergency department. Which agent is the nurse requesting?
1) Methylprednisolone.
2) Acetylcysteine.
3) Protamine sulfate.
4) Atropine sulfate.
1) Methylprednisolone.
2) Acetylcysteine.
3) Protamine sulfate.
4) Atropine sulfate.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
50
What is the most essential competency for nurses in an age of bioterrorism?
1) Managing mass casualties.
2) Knowing the offending agent.
3) Emergency preparedness.
4) Teaching awareness of bioterrorism.
1) Managing mass casualties.
2) Knowing the offending agent.
3) Emergency preparedness.
4) Teaching awareness of bioterrorism.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
51
A client is using an ophthalmic beta blocking agent for the treatment of glaucoma. Orthostatic hypotension and bradycardia are possible side effects of this medication. What instruction should the nurse provide to reduce the risk of these problems?
1) Apply pressure with the finger over the inside corner of each eye for one minute.
2) Arise from sitting positions slowly.
3) Instil the eyedrops in a sitting position and remain sitting for at least 5 minutes.
4) Assess the blood pressure and pulse before and after each dose.
1) Apply pressure with the finger over the inside corner of each eye for one minute.
2) Arise from sitting positions slowly.
3) Instil the eyedrops in a sitting position and remain sitting for at least 5 minutes.
4) Assess the blood pressure and pulse before and after each dose.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
52
MCMA Which of the following classifications of drugs to treat glaucoma act by only increasing the outflow of aqueous humour?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Carbonic Anhydrase Inhibitors
2) Beta adrenergic blockers
3)Cholinergic Agonists
4) Non selective adrenergics
5) Prostaglandins
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Carbonic Anhydrase Inhibitors
2) Beta adrenergic blockers
3)Cholinergic Agonists
4) Non selective adrenergics
5) Prostaglandins
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
53
During a medication history, a client reports taking acetazolamide (Diamox) for glaucoma. What should the nurse assess this client for? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Changes in energy level.
2) Nausea and vomiting.
3) Known allergies to any medications.
4) Recent blood work done for electrolytes.
5) Eye burning or excessive tearing.
Standard Text: Select all that apply.
1) Changes in energy level.
2) Nausea and vomiting.
3) Known allergies to any medications.
4) Recent blood work done for electrolytes.
5) Eye burning or excessive tearing.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
54
A client is prescribed medication for otitis media. What should the nurse instruct the spouse about the administration of this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Warm the solution in the microwave before using.
2) The client should be lying down with the affected ear dominant.
3) Pull the ear pinna down and back before administering the medication.
4) Instil the prescribed number of drops so that they slide down the ear canal.
5) The client should not change position for 5 to 10 minutes after the medication is instilled.
Standard Text: Select all that apply.
1) Warm the solution in the microwave before using.
2) The client should be lying down with the affected ear dominant.
3) Pull the ear pinna down and back before administering the medication.
4) Instil the prescribed number of drops so that they slide down the ear canal.
5) The client should not change position for 5 to 10 minutes after the medication is instilled.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
55
Clients arrive in the emergency department complaining of difficulty breathing and eye tearing after a bomb explosion in a nearby store. What is the priority intervention of the health care team?
1) Notify local law enforcement.
2) Flush the skin and eyes with water.
3) Complete a history and physical.
4) Identify the offending agent.
1) Notify local law enforcement.
2) Flush the skin and eyes with water.
3) Complete a history and physical.
4) Identify the offending agent.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
56
In late 2001, a number of American citizens died from Anthrax poisoning that caused widespread fear amongst citizens. What is the best reason why widespread distribution of antibiotics was not recommended?
1) Antibiotics are not used to treat anthrax exposure
2) This is a very expensive course of treatment
3) Indescriminate use may cause significant side effects
4) Overuse of antibiotics could result in a resistant strain of the agent
1) Antibiotics are not used to treat anthrax exposure
2) This is a very expensive course of treatment
3) Indescriminate use may cause significant side effects
4) Overuse of antibiotics could result in a resistant strain of the agent
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
57
A client tells the nurse, "It feels like there's something in my eye." What type of eye solution will most likely be used by the examiner to determine whether a corneal abrasion is the cause of the client's discomfort?
1) fluorescein sodium (Fluorescite).
2) Tropicamide ( Mydriacyl).
3) Timolol (Timoptic).
4) Proparacaine( Alcaine).
1) fluorescein sodium (Fluorescite).
2) Tropicamide ( Mydriacyl).
3) Timolol (Timoptic).
4) Proparacaine( Alcaine).
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
58
The nurse instructs a client who has been prescribed cyclopentolate (Cyclogyl) about appropriate safety measures. Additional teaching is required if the client states:
1) "I might experience a dry mouth until the effects of the medication are gone."
2) "I will avoid driving or operating hazardous machinery until the effects of the medication are gone."
3) "I will wear dark glasses until the light sensitivity and blurred vision have resolved."
4) "I will use sunscreen when outdoors because of the risk of sunburn due to photosensitivity."
1) "I might experience a dry mouth until the effects of the medication are gone."
2) "I will avoid driving or operating hazardous machinery until the effects of the medication are gone."
3) "I will wear dark glasses until the light sensitivity and blurred vision have resolved."
4) "I will use sunscreen when outdoors because of the risk of sunburn due to photosensitivity."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
59
Which medication will the nurse prepare to administer as the primary antibiotic of choice for the treatment of anthrax?
1) Erythromycin
2) Ciprofloxacin
3) Ampicillin
4) Vancomycin
1) Erythromycin
2) Ciprofloxacin
3) Ampicillin
4) Vancomycin
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
60
A client is being treated for acute closed-angle glaucoma. Immediate treatment to reduce the client's intraocular pressure would include:
1) Morphine sulfate to reduce blood pressure.
2) Antihistamines for sedation.
3) Mannitol administered intravenously.
4) Tricyclic antidepressants to relieve anxiety.
1) Morphine sulfate to reduce blood pressure.
2) Antihistamines for sedation.
3) Mannitol administered intravenously.
4) Tricyclic antidepressants to relieve anxiety.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
61
A client is suspected of exposure to Clostridium botulinum because of respiratory distress experienced after eating food from a street vendor during a carnival. What care should the nurse provide for this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Prepare for endotracheal intubation.
2) Administer the trivalent botulinum antitoxin.
3) Administer the pentavalent toxoid vaccine.
4) Administer penicillin.
5) Administer ciprofloxacin and doxycycline.
Standard Text: Select all that apply.
1) Prepare for endotracheal intubation.
2) Administer the trivalent botulinum antitoxin.
3) Administer the pentavalent toxoid vaccine.
4) Administer penicillin.
5) Administer ciprofloxacin and doxycycline.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
62
A client with spinal stenosis was found unconscious by family members. The client's opioid pain medication and tricyclic antidepressant medication containers were empty. What will the nurse prepare to administer to this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Naloxone (Narcan)
2) Sodium bicarbonate
3) Pyridoxine (vitamin B6)
4) Syrup of ipecac
5) Activated charcoal
Standard Text: Select all that apply.
1) Naloxone (Narcan)
2) Sodium bicarbonate
3) Pyridoxine (vitamin B6)
4) Syrup of ipecac
5) Activated charcoal
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
63
A client is believed to have been exposed to the variola virus while working in a laboratory. What should the nurse assess before administering the vaccination to this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) White blood cell count
2) HIV status
3) History of eczema
4) Allergy to antibiotics
5) Blood pressure and heart rate
Standard Text: Select all that apply.
1) White blood cell count
2) HIV status
3) History of eczema
4) Allergy to antibiotics
5) Blood pressure and heart rate
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
64
A client was exposed to iodine-131) Which medication would the nurse administer to counteract the effects of this exposure?
A) Anti-iodine vaccine intramuscularly
B) Potassium iodide orally
C) Penicillin intravenously
D) Antiviral nasal spray
A) Anti-iodine vaccine intramuscularly
B) Potassium iodide orally
C) Penicillin intravenously
D) Antiviral nasal spray
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
65
Which health problem is a direct effect of exposure to ionizing radiation?
1) Type 2 diabetes
2) Leukemia
3) Hypertension
4) Gout
1) Type 2 diabetes
2) Leukemia
3) Hypertension
4) Gout
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
66
At a local health fair, the community nurse is educating the public on poison-control strategies. Which principle guides these strategies?
1) Keeping the Poison Control Hotline number handy
2) Preventing potential household poisoning
3) Identifying household poisons
4) Maintaining a stockpile of selected antidotes
1) Keeping the Poison Control Hotline number handy
2) Preventing potential household poisoning
3) Identifying household poisons
4) Maintaining a stockpile of selected antidotes
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
67
A group of concerned people ask the community nurse speaking at a local town hall meeting if there is a vaccine for anthrax and, if so, if they should get it. The nurse's best response would be:
1) "Yes, the vaccine is available, but it is limited to select groups."
2) "No vaccine has been developed to prevent anthrax."
3) "Yes, the vaccine is available, and you should ask your primary health care provider for it."
4) "Yes, the vaccine is available, but it has not been approved by the Food and Drug Administration."
1) "Yes, the vaccine is available, but it is limited to select groups."
2) "No vaccine has been developed to prevent anthrax."
3) "Yes, the vaccine is available, and you should ask your primary health care provider for it."
4) "Yes, the vaccine is available, but it has not been approved by the Food and Drug Administration."
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
68
What do the dangers of radiation exposure primarily arise from? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) The amount of exposure.
2) The long-lasting effects.
3) The amount of cellular death.
4) The distance from the initial incident.
5) The amount of potassium iodine ingested after exposure.
Standard Text: Select all that apply.
1) The amount of exposure.
2) The long-lasting effects.
3) The amount of cellular death.
4) The distance from the initial incident.
5) The amount of potassium iodine ingested after exposure.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
69
A client is brought to the emergency department after being exposed to nitrogen mustard. Which symptom(s) is the nurse likely to assess? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Conjunctivitis
2) Skin blisters
3) Nasal irritation
4) Vomiting
5) Excessive salivation
Standard Text: Select all that apply.
1) Conjunctivitis
2) Skin blisters
3) Nasal irritation
4) Vomiting
5) Excessive salivation
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
70
A client is being treated for acute ethanol overdose. What interventions will the nurse perform when caring for this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Ensure placement of an intravenous access device.
2) Ensure that dextrose 5% and water is available for infusion.
3) Notify the health care provider with serum electrolyte levels.
4) Monitor urine output.
5) Administer chelating medication as prescribed.
Standard Text: Select all that apply.
1) Ensure placement of an intravenous access device.
2) Ensure that dextrose 5% and water is available for infusion.
3) Notify the health care provider with serum electrolyte levels.
4) Monitor urine output.
5) Administer chelating medication as prescribed.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
71
The nurse is attending a course to prepare for mass casualty incidents (MCIs). What viruses does the nurse identify as possible threats in a bioterrorism act? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Polio
2) Cutaneous anthrax
3) Variola
4) Rubella
5) Tularemia
Standard Text: Select all that apply.
1) Polio
2) Cutaneous anthrax
3) Variola
4) Rubella
5) Tularemia
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck
72
A client who experienced whole-body radiation exposure 6 hours ago is brought to the emergency department with radiation sickness. On assessment, the nurse would expect the client to report:
1) Bleeding from the gums and nose.
2) Bruises on skin not covered by clothing.
3) Nausea and vomiting.
4) Hair loss.
1) Bleeding from the gums and nose.
2) Bruises on skin not covered by clothing.
3) Nausea and vomiting.
4) Hair loss.
Unlock Deck
Unlock for access to all 72 flashcards in this deck.
Unlock Deck
k this deck

