Question 1

While reviewing a client's medication list, the nurse notes the client takes Oleptro (trazodone) 50 mg three times daily. The nurse recognizes this medication has multiple indications and is used both on and off label for various reasons including which of the following? Select all that apply.
A) Insomnia
B) Chronic pain syndromes
C) Appetite stimulation
D) Major depression
E) Migraine headaches
F) Diabetic neuropathy

Accepted Answer

Trazodone is primarily used for major depression (D) but is also commonly used off-label for insomnia (A). It can be used for chronic pain syndromes (B) and diabetic neuropathy (F) due to its sedative and analgesic properties. It is not typically used for appetite stimulation (C) or migraine headaches (E).

Question 2

While providing care for a 35-year-old client who has been started on (Topiramate) Topamax 25 mg twice daily, the nurse would include which of the following in the plan of care? Select all that apply.
A) Ensure patient drinks 2,000-3,000 mL of fluid to prevent kidney stone formation.
B) Monitor for signs and symptoms of hyper- or hypokalemia.
C) Initiate seizure precautions.
D) Monitor for suicidal thoughts or depression.
E) Place patient in contact isolation.
F) Place patient on telemetry monitoring.

Accepted Answer

- A) Topiramate can increase the risk of kidney stones, so ensuring adequate hydration is important to prevent stone formation.- C) Since Topiramate is used to control seizures, implementing seizure precautions is a standard safety measure.- D) Topiramate may increase the risk of depression and suicidal thoughts, so monitoring for these symptoms is crucial.

Question 3

The nurse is overseeing medication provision by a student nurse for a client taking Vitamin B-1 (thiamine). The nurse knows the student has a solid understanding of this medication by which of the following statements? Select all that apply.
A) "The patient may have some diarrhea while taking this medication."
B) "Many people who take this medication have a history of alcohol use."
C) "This medication helps prevent Wernicke's encephalopathy."
D) "Sometimes thiamine is given in IV form."
E) "This medication helps prevent bone loss."
F) "We typically get thiamine from foods such as whole grains, pork, and fresh vegetables."

Accepted Answer

B) Thiamine deficiency is common in individuals who abuse alcohol and can lead to serious neurological effects.
C) Thiamine is given to prevent Wernicke's encephalopathy, a neurological disorder caused by thiamine deficiency.
D) Thiamine can be given in IV form for patients who cannot take it orally or who need immediate treatment of thiamine deficiency.
F) Thiamine is found naturally in many foods, including whole grains, pork, and fresh vegetables.

Question 4

The nurse is providing care for a client who has new orders to start Renagel (sevelamer) 800 mg with each meal. Which of the following orders should the nurse anticipate? Select all that apply.
A) Serum calcium and phosphorous in the morning.
B) Teach client self-injection techniques.
C) Administer with meals.
D) Do not give other medications less than 1 hr before or 3 hr after sevelamer.
E) Low protein, renal diet.

Accepted Answer

Sevelamer is a phosphate binder used to control phosphorus levels in patients with chronic kidney disease. Monitoring serum calcium and phosphorus is necessary (A). It should be administered with meals to effectively bind dietary phosphorus (C). Other medications should not be given close to sevelamer to avoid interference with absorption (D). A low protein, renal diet is often recommended for patients with kidney disease (E). Self-injection techniques are not relevant to sevelamer administration (B).

Question 5

While caring for a client receiving Ultram (tramadol) for moderate pain control, the nurse recognizes increased CNS depression can occur if this medication is given concurrently with which of the following? Select all that apply.
A) Antineoplastic agents
B) Antihistamines
C) Opioid analgesics
D) Anticoagulants
E) Sedative/hypnotics
F) Bisphosphonates

Accepted Answer

Concurrent use of Ultram with antihistamines, opioid analgesics, and sedative/hypnotics can increase CNS depression due to additive pharmacological effects. Antineoplastic agents, anticoagulants, and bisphosphonates do not have a significant interaction with Ultram.

Davis's Drug Guide for Nurses Test 4

While reviewing a client's medication list, the nurse notes the client takes Oleptro (trazodone) 50 mg three times daily. The nurse recognizes this medication has multiple indications and is used both on and off label for various reasons including which of the following? Select all that apply.

While providing care for a 35-year-old client who has been started on (Topiramate) Topamax 25 mg twice daily, the nurse would include which of the following in the plan of care? Select all that apply.

The nurse is overseeing medication provision by a student nurse for a client taking Vitamin B-1 (thiamine) . The nurse knows the student has a solid understanding of this medication by which of the following statements? Select all that apply.

The nurse is providing care for a client who has new orders to start Renagel (sevelamer) 800 mg with each meal. Which of the following orders should the nurse anticipate? Select all that apply.

While caring for a client receiving Ultram (tramadol) for moderate pain control, the nurse recognizes increased CNS depression can occur if this medication is given concurrently with which of the following? Select all that apply.