Question 1

While working in the oncology clinic, the nurse provides Matulane (procarbazine) for a patient with Hodgkin disease. Which of the following medications could potentially cause deep coma and/or death if given concurrently?
A) Advil (ibuprofen)
B) Lanoxin (digoxin)
C) Demerol (meperidine)
D) Carafate (sulcrafate)

Accepted Answer

Demerol (meperidine) can cause serotonin syndrome if given concurrently with Matulane (procarbazine), which can lead to deep coma and/or death. This combination should be avoided. Advil (ibuprofen), Lanoxin (digoxin), and Carafate (sulcrafate) do not have significant interactions with Matulane.

Question 2

The nurse is providing care for a client receiving Pentam 300 (pentamidine). The nurse should monitor for which of the following complications associated with this medication? Select all that apply.
A) Steven-Johnson syndrome
B) Severe hypotension
C) Respiratory arrest
D) Cardiac arrhythmia
E) Hypoglycemia
F) Hemolytic anemia

Accepted Answer

The answer of The nurse is providing care for a...

Question 3

While working on the medical unit, the nurse is notified that one of the patients has requested a sleeping pill. A new order has been received for Rozerem (ramelteon) 8 mg orally 30 min prior to sleep. The nurse will monitor most closely for which of the following potential adverse reactions?
A) Dizziness
B) Angioedema
C) Nausea
D) Hallucinations

Accepted Answer

Ramelteon can cause serious allergic reactions, including angioedema, which is a swelling that can affect the face, lips, throat, and tongue, potentially leading to breathing difficulties. This is a serious adverse reaction that requires close monitoring.

Question 4

A new order for K-Phos (potassium phosphate) 250 mg four times daily has been noted. When preparing to administer the medication, which of the following actions will the nurse take?
A) Provide the tablets orally at least 2 hr before meals.
B) Provide the tablets orally directly after meals.
C) Dissolve the tablets in a full glass of water and let stand for 2-5 min to ensure it is fully dissolved.
D) Provide medication simultaneously with antacid to reduce stomach irritation.

Accepted Answer

Dissolving the tablets in a full glass of water and allowing them to stand for a few minutes ensures they are fully dissolved, which aids in the absorption and effectiveness of the medication, and helps prevent gastrointestinal discomfort.

Question 5

A student nurse is preparing to provide Lyrica (pregabalin). Which of the following side effects should be monitored by the students? Select all that apply.
A) Rash
B) Suicidal thoughts
C) Decreased serum potassium
D) Weight gain
E) Dry mouth
F) Hypertension

Accepted Answer

Lyrica (pregabalin) is known to have several side effects, including suicidal thoughts or behaviors (B), weight gain (D), and dry mouth (E). These are common side effects that healthcare providers should monitor in patients taking pregabalin.

Question 6

A client with Parkinson disease is started on Mirapex (pramipexole) 0.125 mg three times daily. The family has been told to return to the physician's office in 4 wk. Which of the following statements by the nurse is best?
A) "This medication may cause insomnia, so you may want to take melatonin to help you sleep."
B) "You can break the extended release tablet up to make it easier to swallow."
C) "If you forget to take the extended release tablet in the morning, just take it at bedtime."
D) "Be sure to let the physician know if you notice any confusion or hallucinations."

Accepted Answer

Mirapex may cause confusion or hallucinations as a side effect, especially in elderly patients. It is important for the nurse to remind the family to report any such symptoms to the physician. Option A is not correct, as melatonin may interact with Mirapex and is not always recommended. Option B is not correct, as Mirapex is not an extended release tablet. Option C is not correct, as Mirapex should be taken at specific times of the day as prescribed by the physician.

Question 7

The physician has ordered Glycolax (polyethylene glycol/electrolyte) for an 82-year-old patient. Which of the following actions will be included in the nurse's plan of care? Select all that apply.
A) Add powdered fruit punch to the prep before serving.
B) Instruct the patient to restrict their food intake to clear liquids during the prep.
C) Encourage the client to drink the fluid over a 2-3 hr period of time.
D) Shake vigorously after reconstituting with tap water.
E) Assess client hydration status prior to and throughout the prep.
F) Initiate the prep 1 hr prior to the procedure.

Accepted Answer

The answer of The physician has ordered Glycolax (polyethylene glycol/electrolyte)...

Question 8

The nurse is reviewing the home medication list for a client with a history of head and neck cancer who has been receiving radiation therapy. The client reports taking PO Salagen (pilocarpine) three times daily. The nurse understands this medication is designed to help treat which of the following?
A) Xerostomia
B) Nausea
C) Metastatic disease
D) Taste changes

Accepted Answer

PO Salagen (pilocarpine) is a medication used to treat xerostomia or dry mouth, which is a common side effect of radiation therapy for head and neck cancer.

Question 9

While investigating the medications taken by a client in the hospital, the student nurse understands that Zosyn (piperacillin/tazobactam) has an extended spectrum compared to other penicillins for which of the following reasons?
A) Neither drug is able to cross the placenta well.
B) Tazobactam inhibits an enzyme that destroys penicillins.
C) The half-life of the combined drugs is over 6 hr.
D) Pipercillin is highly metabolized with less than 10% excreted in an unchanged form.

Accepted Answer

Tazobactam inhibits an enzyme called beta-lactamase, which is responsible for destroying penicillins. By inhibiting this enzyme, piperacillin can exert its antimicrobial effects against a wider range of bacteria, giving it an extended spectrum compared to other penicillins. The other answer choices are incorrect and/or irrelevant to the question.

Question 10

The nurse is providing care for a client who is receiving Aciphex (rabeprazole). The nurse recognizes this medication is effective by which of the following assessment findings? A) Patient voids 250 mL urine and reports feeling reduced bladder spasms. B) Patient denies abdominal pain or heartburn. C) Patient reports improvement in itching. D) Patient's white blood cell count is less than 10,000/mm³.

Accepted Answer

Aciphex is a proton pump inhibitor that reduces the amount of acid produced in the stomach. Therefore, the medication is effective if the patient denies abdominal pain or heartburn, which are symptoms of excessive stomach acid. The other assessment findings are not related to the action of Aciphex.

Question 11

While preparing to pass medications on a medical unit, the student nurse notes a client is scheduled to receive Minipress (prazosin). The student recognizes this medication will cause which of the following?
A) Decreased gastric acid production
B) Reduced oral and respiratory secretions
C) Dilatation of arteries and veins
D) Increased cardiac preload and afterload

Accepted Answer

Minipress (prazosin) is an alpha blocker medication that causes dilatation of both arteries and veins. It is used to treat hypertension and benign prostatic hyperplasia. It does not affect gastric acid production, oral or respiratory secretions, or increase cardiac preload and afterload.

Question 12

While preparing to provide morning medications, a new nurse realizes many clients are taking Viagra (sildenafil) and knows the drug must be given cautiously or in reduced doses to which of the following clients?
A) A 52-year-old patient with a history of coronary artery disease
B) A 68-year-old patient with a history of benign prostatic hypertrophy
C) A 64-year-old patient admitted with cellulitis
D) A 56-year-old patient admitted for knee replacement surgery

Accepted Answer

Viagra (sildenafil) is a medication that can cause hypotension (low blood pressure), especially in clients with a history of cardiovascular disease. Therefore, it should be given cautiously or in reduced doses to clients with a history of coronary artery disease. The other clients listed do not have a significant risk factor that would require cautious or reduced dosing of sildenafil.

Question 13

As part of a new treatment regimen for Alzheimer, a 78-year-old woman is prescribed Exelon (rivastigmine). The nurse should include which of the following statements in the client teaching? Select all that apply.
A) "This medication can be given in transdermal patch form that is changed every 24 hours."
B) "Revastigmine can cause dizziness so it is important to use caution until your body adjusts to it."
C) "Let the doctor know if you have nausea, vomiting, anorexia, or weight loss."
D) "You should notice an improvement in your memory and thinking within a few days."
E) "The oral form of this medication should be taken on an empty stomach."
F) "Some clients experience headaches, weakness, and diarrhea with this medication."

Accepted Answer

A) Exelon is available in a transdermal patch form that is changed every 24 hours. 
B) Rivastigmine can cause dizziness, especially when starting therapy or increasing the dose. Until the client knows how the medication will affect them, they should use caution when performing activities requiring alertness such as driving or operating heavy machinery. 
C) Exelon can cause nausea, vomiting, anorexia, or weight loss. It is important to report these symptoms to the doctor because they could indicate a need to adjust the dose or discontinue the medication. 
D) Clients should not expect to see an improvement in cognitive function for several weeks after starting treatment. 
E) The oral form of this medication is recommended to be taken with food to help decrease the risk of gastrointestinal side effects. 
F) Some client experience headaches, weakness, and diarrhea with Exelon. These symptoms should be reported to the doctor because they could indicate a need to adjust the dose or discontinue the medication.

Question 14

Which of the following would allow the nurse to determine that a client taking Flomax (tamsulosin) was achieving clinical benefit from the medication? A) Client's white blood cell count = 10,500/mm³^. B) Client blood pressure = 142/88 mmHg. C) Client reports decreased nocturia. D) Family reports noting improved cooperation and cohesive thought patterns.

Accepted Answer

Flomax is primarily prescribed for the treatment of benign prostatic hyperplasia (BPH) in men by relaxing the muscles in the prostate gland and bladder neck, which improves urinary flow rate and symptoms associated with BPH. Therefore, a decrease in nocturia (frequent urination at night) would indicate that the medication is providing clinical benefit to the client. The other options (A, B, and D) are not relevant indicators of Flomax's effectiveness in treating BPH.

Question 15

The nurse is providing medications for a male patient who has been taking Tebrazid (pyrazinamide) 30 mg/kg daily. The nurse notes the patient's AST = 45 units/L. Which of the following actions by the nurse is best?
A) Provide the pyrazinamide at this time.
B) Check the client's total protein level.
C) Hold the medication and call the physician regarding dosage.
D) Contact the pharmacy and ask them to split the dose.

Accepted Answer

Pyrazinamide can cause hepatotoxicity, especially in patients with liver disease or those taking other hepatotoxic drugs. AST levels above normal indicate possible liver damage or injury. Holding the medication and consulting with the physician about adjusting the dosage or switching to an alternative medication is the best course of action. Checking the total protein level or splitting the dose is not indicated in this case.

Question 16

A diabetic patient treated with a sulfonylurea has been ordered a beta blocker for hypertension. The nurse is aware that beta blockers taken with sulfonylureas may mask the signs and symptoms of hypoglycemia. The nurse recognizes which of the following medications is included in the class of sulfonylureas? Select all that apply.
A) Januvia (sitagliptin)
B) Amaryl (glimepiride)
C) Diabeta (glyburide)
D) Glucophage (metformin)
E) Glucotrol (glipizide)

Accepted Answer

Januvia is not a sulfonylurea. Sulfonylureas include Amaryl, Diabeta, and Glucotrol. Therefore, the best choices are B, C, and E.

Question 17

A nurse caring for a client who is to initiate therapy with Amaryl (glimepiride) 1 mg once daily would include which of the following statements in the client teaching?
A) "This medication is used to treat infections."
B) "You should take this in the evening on an empty stomach for optimal effectiveness."
C) "You can continue to eat or drink whatever you like, including alcohol, while taking this medication."
D) "Please notify me if you have any feelings of low blood sugar such as sweating, dizziness, or tremors."

Accepted Answer

Amaryl (glimepiride) is an oral antidiabetic medication used to treat type 2 diabetes. Option A is incorrect as Amaryl is not used for infections. Option B is also incorrect as Amaryl can be taken with food, although taking it at the same time each day is recommended. Option C is incorrect as alcohol can interact with Amaryl and increase the risk of low blood sugar. Option D is the correct answer as low blood sugar is a common side effect of Amaryl, and it's important to notify the healthcare provider if experiencing any symptoms to prevent potential complications.

Question 18

The student nurse reviews a list of medications a client takes at home. Prandin (repaglinide) is on the list. The student expects this medication is provided in which of the following ways?
A) Topically
B) Rectally
C) Orally
D) Subcutaneously

Accepted Answer

Prandin (repaglinide) is an oral medication used to treat type 2 diabetes by stimulating the release of insulin from the pancreas. It is not given topically, rectally, or subcutaneously.

Question 19

The nurse is caring for a 44-year-old patient with fibromyalgia. Savella (milnacipran) has been prescribed. Which of the following statements would be included in the client teaching? Select all that apply.
A) "This medication can cause dizziness so move slowly and call for assistance if you feel dizzy."
B) "One side effect of this medication is headaches; let me know if you experience that."
C) "This can be constipating, so I suggest increasing your fluid and fiber intake."
D) "We will be monitoring your blood pressure and heart rate more frequently since this medication can cause an increase in blood pressure."
E) "There are minimal risks for fetal harm with this medication so you don't need to worry."

Accepted Answer

The client teaching for Savella should include all of the options except for E. It is important for the patient to be aware of potential side effects such as dizziness, headaches, and constipation. Monitoring of blood pressure and heart rate is also necessary due to the potential for an increase in these levels with the medication. However, it is not recommended for pregnant women, as there has not been enough research on the medication's effect on fetal development.

Question 20

The nurse is caring for a client who was newly prescribed Crinone (progesterone). The nurse would provide additional education in response to which of the following client statements?
A) "I should stop taking this medication if I suspect I may be pregnant."
B) "If I have spotting or a change in my bleeding pattern, I should call the physician."
C) "I should use sunscreen and protective clothing to reduce the chance of irritation."
D) "This medication is designed to halt ovulation."

Accepted Answer

Crinone (progesterone) is actually administered to support a pregnancy, as progesterone is essential to maintain the uterine lining for implantation and the early stages of pregnancy. It does not halt ovulation. Therefore, the nurse should provide additional education to the client regarding the purpose of the medication.

Davis's Drug Guide for Nurses Test 4

While working in the oncology clinic, the nurse provides Matulane (procarbazine) for a patient with Hodgkin disease. Which of the following medications could potentially cause deep coma and/or death if given concurrently?

The nurse is providing care for a client receiving Pentam 300 (pentamidine) . The nurse should monitor for which of the following complications associated with this medication? Select all that apply.

While working on the medical unit, the nurse is notified that one of the patients has requested a sleeping pill. A new order has been received for Rozerem (ramelteon) 8 mg orally 30 min prior to sleep. The nurse will monitor most closely for which of the following potential adverse reactions?

A new order for K-Phos (potassium phosphate) 250 mg four times daily has been noted. When preparing to administer the medication, which of the following actions will the nurse take?

A student nurse is preparing to provide Lyrica (pregabalin) . Which of the following side effects should be monitored by the students? Select all that apply.

A client with Parkinson disease is started on Mirapex (pramipexole) 0.125 mg three times daily. The family has been told to return to the physician's office in 4 wk. Which of the following statements by the nurse is best?

The physician has ordered Glycolax (polyethylene glycol/electrolyte) for an 82-year-old patient. Which of the following actions will be included in the nurse's plan of care? Select all that apply.

The nurse is reviewing the home medication list for a client with a history of head and neck cancer who has been receiving radiation therapy. The client reports taking PO Salagen (pilocarpine) three times daily. The nurse understands this medication is designed to help treat which of the following?

While investigating the medications taken by a client in the hospital, the student nurse understands that Zosyn (piperacillin/tazobactam) has an extended spectrum compared to other penicillins for which of the following reasons?

The nurse is providing care for a client who is receiving Aciphex (rabeprazole) . The nurse recognizes this medication is effective by which of the following assessment findings?

While preparing to pass medications on a medical unit, the student nurse notes a client is scheduled to receive Minipress (prazosin) . The student recognizes this medication will cause which of the following?

While preparing to provide morning medications, a new nurse realizes many clients are taking Viagra (sildenafil) and knows the drug must be given cautiously or in reduced doses to which of the following clients?

As part of a new treatment regimen for Alzheimer, a 78-year-old woman is prescribed Exelon (rivastigmine) . The nurse should include which of the following statements in the client teaching? Select all that apply.

Which of the following would allow the nurse to determine that a client taking Flomax (tamsulosin) was achieving clinical benefit from the medication?

The nurse is providing medications for a male patient who has been taking Tebrazid (pyrazinamide) 30 mg/kg daily. The nurse notes the patient's AST = 45 units/L. Which of the following actions by the nurse is best?

A nurse caring for a client who is to initiate therapy with Amaryl (glimepiride) 1 mg once daily would include which of the following statements in the client teaching?

The student nurse reviews a list of medications a client takes at home. Prandin (repaglinide) is on the list. The student expects this medication is provided in which of the following ways?

The nurse is caring for a 44-year-old patient with fibromyalgia. Savella (milnacipran) has been prescribed. Which of the following statements would be included in the client teaching? Select all that apply.

The nurse is caring for a client who was newly prescribed Crinone (progesterone) . The nurse would provide additional education in response to which of the following client statements?