Question 1

While providing care for an 84-year-old patient with Parkinson disease who is taking Sinemet (carbidopa/levodopa), the nurse notes abnormalities in the client's lab values. Which of the following could be attributed to the medication?

Accepted Answer

Sinemet can cause a decrease in hemoglobin levels as it interferes with the absorption of vitamin B12, leading to anemia. Platelet count, albumin, and BNP levels are not directly affected by Sinemet.

Question 2

While caring for a client with Parkinson disease who has recently started taking Cogentin (benztropine), the client reports, "My mouth seems so dry all the time." Which of the following statements by the nurse is best?

Accepted Answer

This statement acknowledges the client's symptom and provides practical solutions for managing dry mouth. Changing the medication dosage without consulting the prescriber is not appropriate, and asking about fever or night sweats is not relevant to this symptom. While the client should inform their doctor about side effects, this answer does not provide any immediate solutions for symptom management.

Question 3

The nurse is providing Ethyol (amifostine) to a 51-year-old woman with ovarian cancer who is also receiving Cisplatin. Which of the following nursing assessments during the infusion is of the highest priority?

Accepted Answer

The most important adverse effect of Ethyol is hypotension, which can occur during the infusion. Therefore, monitoring the client's blood pressure every 5 min is essential to detect and manage any hypotensive episodes promptly. Monitoring blood sugar, respiratory rate, and urine output are also important but are not the highest priority during the administration of Ethyol.

Question 4

The nurse is providing instructions to a client who has started therapy with Buprenex (buprenorphine) to assist with opioid withdrawal. The nurse instructs the client to avoid which of the following natural substances/herbs? Select all that apply.

Accepted Answer

Buprenorphine can cause sedation, and substances like kava-kava, valerian, chamomile, and hops also have sedative effects, which can enhance the sedative effects of buprenorphine and increase the risk of CNS depression.

Question 5

While caring for a client taking Clozaril (clozapine), the nurse determines the medication is effective by which of the following findings?

Accepted Answer

The effectiveness of Clozaril (clozapine) is determined by the improvement in the client’s psychiatric symptoms, such as decreased hallucinations and delusions, and increased cooperation and orientation. A, B, and D are not relevant for evaluating the effectiveness of Clozaril.

Question 6

While providing care for a client who is to receive Abilify (aripiprazole), the nurse recognizes that the client understands this medication by which of the following statements?

Accepted Answer

This option is correct because Abilify is an antipsychotic medication that can cause suicidal thoughts or worsening depression in some individuals. It is important for the client to know to report any concerning changes in mood or behavior to their healthcare provider. The other options are incorrect because Abilify does not affect nicotine cravings, does not typically cause excessive dry mouth, and does not require a specific amount of water intake.

Question 7

The nurse is providing care for a 64-year-old client on the telemetry unit whose heart rate suddenly jumps to 144 bpm. Telemetry shows supraventricular tachycardia and the client reports feeling a bit lightheaded and dizzy. The nurse attempts vagal stimulation without success and prepares to administer Adenocard (adenosine) 6 mg IV push. The nurse would expect which of the following to occur?

Accepted Answer

Adenosine (Adenocard) works by temporarily slowing or stopping the heart, which can result in a short period of heart block or asystole immediately after injection. This effect is used to reset the heart's electrical system and allow it to resume a normal rhythm, often converting supraventricular tachycardia (SVT) to normal sinus rhythm.

Question 8

While counseling a client taking Pristiq (desvenlafaxine), the nurse recognizes that further teaching is necessary based on which of the following client statements?

Accepted Answer

Pristiq can increase the risk of bleeding, so clients should avoid taking medications that increase bleeding risk, such as aspirin and non-steroidal anti-inflammatory drugs (NSAIDs). Clients should be instructed to use acetaminophen (Tylenol) instead for pain relief. Choices A, C, and D are correct statements and do not require additional teaching.

Question 9

The nurse is caring for a 6-month-old patient receiving oral Moxatag (amoxicillin) 25 mg/kg/day divided into two doses and distributed as 50 mg/mL oral suspension. The child weighs 33 pounds. How much medication (in mL) will this nurse pour/provide each dose?

Accepted Answer

The answer of The nurse is caring for a 6-month-old...

Question 10

While preparing to give Fungizone (amphotericin B) to a client who is also receiving Dexasone (dexamethasone), the nurse recognizes the client is at increased risk for which of the following?

Accepted Answer

Administration of amphotericin B can cause potassium loss, and concurrent administration with dexamethasone further increases this risk. Therefore, the client is at an increased risk for hypokalemia.

Question 11

The nurse is providing care for an 82-year-old client with glaucoma. Diamox (acetazolamide) 250 mg orally twice daily has been ordered as a new medication. The nurse would be most concerned by which of the following?

Accepted Answer

Diamox (acetazolamide) is a sulfonamide medication, and clients with a known allergy to sulfonamides should not take it. The other options may require monitoring, but do not contraindicate the use of Diamox.

Question 12

In reviewing new orders, the nurse notes Azactam (aztreonam) 1 gram IV every 8 hr has been ordered. Before initiating therapy, the nurse should assess for an allergy history to which of the following? Select all that apply.

Accepted Answer

Azactam is a beta-lactam antibiotic, and as such, patients with a history of allergy to penicillins or cephalosporins may be at risk of cross-reactivity and allergic reaction to aztreonam. MAO inhibitors, antifungals, and non-steroidal anti-inflammatory agents are not known to have cross-reactivity with aztreonam.

Question 13

A client admitted with atrial fibrillation would most likely be started on which of the following medications to reduce the risk of embolization?

Accepted Answer

A client admitted with atrial fibrillation would most likely be started on Pradaxa (dabigatran) to reduce the risk of embolization. Pradaxa is an anticoagulant that works by blocking thrombin, a protein responsible for clot formation. Atrial fibrillation increases the risk of blood clots, and therefore, the risk of embolization, which can cause stroke or other serious complications. Pradaxa helps to prevent those clots from forming and reduce the risk of embolization.

Question 14

The nurse is caring for a 34-year-old patient with a large hilar mass due to lymphoma. Chemotherapy is being provided and the client also has orders for Zyloprim (allopurinol) 300 mg orally twice daily. When providing this medication, the nurse would include which of the following statements in the client teaching?

Accepted Answer

Allopurinol is given to prevent tumor lysis syndrome, which is a potential complication of chemotherapy where destroyed cancer cells release large amounts of uric acid, leading to kidney damage. Allopurinol binds to the uric acid and prevents it from damaging the kidneys. Choices A, C, and D are not accurate statements regarding the use of allopurinol in this situation.

Question 15

A client with breast cancer is taking Arimidex (anastrozole). The nurse recognizes that teaching has been effective by which of the following client statements?

Accepted Answer

Option A is incorrect because doubling up on a missed dose can lead to overdose and toxicity. Option B is incorrect because anastrozole should be taken with food, not on an empty stomach. Option C is incorrect because anastrozole is not an oral chemotherapy drug, it is a hormonal therapy drug. Option D is the correct answer because anastrozole can cause allergic reactions, and the client needs to be aware of the signs and symptoms of such reactions and report them immediately to the doctor.

Question 16

While caring for a client who is taking Sandimmune (cyclosporine) after a cardiac transplant, the nurse is aware that it is most important to monitor for which of the following?

Accepted Answer

Sandimmune (cyclosporine) is an immunosuppressive drug that is commonly used in transplant patients to prevent rejection of the new organ. However, it can also cause nephrotoxicity (toxicity to the kidneys) as a side effect. Therefore, it is essential for the nurse to monitor the client's renal function closely and report any signs of nephrotoxicity, such as decreased urine output, elevated creatinine levels, or electrolyte imbalances. While hypokalemia, hypotension, and anorexia are all potential side effects of Sandimmune, they are not as critical as monitoring for nephrotoxicity.

Question 17

While caring for a client who is receiving Desferal (deferoxamine), the nurse notes the client's urine is reddish colored. Which of the following conclusions should the nurse draw?

Accepted Answer

Desferal is a medication used for iron chelation therapy to remove excess iron from the body in conditions such as thalassemia and hemochromatosis. Reddish-colored urine is an expected and normal finding with this medication due to the excretion of iron. There is no indication of hemolytic cystitis or liver toxicity, nor is there a need for a urinalysis to test for a secondary urinary tract infection. Holding the next dose of Desferal is not necessary as reddish-colored urine is an expected finding.

Question 18

A nurse is receiving shift-to-shift report for a client in the intensive care unit with multiple medical problems. The client is receiving Argatroban infusion. The nurse recognizes this medication is ordered to address which of the following health-care problems for the client?

Accepted Answer

Argatroban is a medication used to prevent or treat blood clots, specifically deep vein thrombosis (DVT). It works by inhibiting the enzyme thrombin, which is responsible for blood clot formation. It is often used in the intensive care unit for clients who are at high risk for developing DVT, such as those who are immobile or have undergone surgery. It is not indicated for treating ventilator-associated pneumonia, hypotension, or urosepsis.

Question 19

A 21-year-old client is brought to the emergency room with suspected overdose with Tylenol (acetaminophen). Which of the following medications would the nurse expect to be ordered?

Accepted Answer

Acetadote (acetylcysteine) is the antidote for acetaminophen overdose, as it helps prevent liver damage by restoring glutathione in the liver. Protamine sulfate is used to reverse the effects of heparin, Primaxin (imipenem) is an antibiotic, and Diabeta (glyburide) is an antidiabetic medication, none of which are indicated for acetaminophen overdose.

Question 20

The nurse is providing care for a 41-year-old patient with a severe head injury following a motor vehicle accident. The nurse notes the client's urinary output for the past four hr is 900 mL. Which of the following medications would the nurse anticipate being ordered?

Accepted Answer

A urinary output of 900 mL in four hours may indicate diabetes insipidus, which is a possible complication of severe head injury. DDAVP (desmopressin) is a medication commonly used to treat diabetes insipidus by increasing water reabsorption in the kidneys. Lasix (furosemide) is a diuretic, which would worsen the patient's condition by increasing urine output. Lopurin (allopurinol) is used to treat gout and Dexedrine (dextroamphetamine) is a CNS stimulant used to treat ADHD and narcolepsy, neither of which are relevant to this patient's condition.

Davis's Drug Guide for Nurses Test 3

While providing care for an 84-year-old patient with Parkinson disease who is taking Sinemet (carbidopa/levodopa) , the nurse notes abnormalities in the client's lab values. Which of the following could be attributed to the medication?

While caring for a client with Parkinson disease who has recently started taking Cogentin (benztropine) , the client reports, "My mouth seems so dry all the time." Which of the following statements by the nurse is best?

The nurse is providing Ethyol (amifostine) to a 51-year-old woman with ovarian cancer who is also receiving Cisplatin. Which of the following nursing assessments during the infusion is of the highest priority?

The nurse is providing instructions to a client who has started therapy with Buprenex (buprenorphine) to assist with opioid withdrawal. The nurse instructs the client to avoid which of the following natural substances/herbs? Select all that apply.

While caring for a client taking Clozaril (clozapine) , the nurse determines the medication is effective by which of the following findings?

While providing care for a client who is to receive Abilify (aripiprazole) , the nurse recognizes that the client understands this medication by which of the following statements?

While counseling a client taking Pristiq (desvenlafaxine) , the nurse recognizes that further teaching is necessary based on which of the following client statements?

The nurse is caring for a 6-month-old patient receiving oral Moxatag (amoxicillin) 25 mg/kg/day divided into two doses and distributed as 50 mg/mL oral suspension. The child weighs 33 pounds. How much medication (in mL) will this nurse pour/provide each dose?

While preparing to give Fungizone (amphotericin B) to a client who is also receiving Dexasone (dexamethasone) , the nurse recognizes the client is at increased risk for which of the following?

The nurse is providing care for an 82-year-old client with glaucoma. Diamox (acetazolamide) 250 mg orally twice daily has been ordered as a new medication. The nurse would be most concerned by which of the following?

In reviewing new orders, the nurse notes Azactam (aztreonam) 1 gram IV every 8 hr has been ordered. Before initiating therapy, the nurse should assess for an allergy history to which of the following? Select all that apply.

A client admitted with atrial fibrillation would most likely be started on which of the following medications to reduce the risk of embolization?

A client with breast cancer is taking Arimidex (anastrozole) . The nurse recognizes that teaching has been effective by which of the following client statements?

While caring for a client who is taking Sandimmune (cyclosporine) after a cardiac transplant, the nurse is aware that it is most important to monitor for which of the following?

While caring for a client who is receiving Desferal (deferoxamine) , the nurse notes the client's urine is reddish colored. Which of the following conclusions should the nurse draw?

A nurse is receiving shift-to-shift report for a client in the intensive care unit with multiple medical problems. The client is receiving Argatroban infusion. The nurse recognizes this medication is ordered to address which of the following health-care problems for the client?

A 21-year-old client is brought to the emergency room with suspected overdose with Tylenol (acetaminophen) . Which of the following medications would the nurse expect to be ordered?

The nurse is providing care for a 41-year-old patient with a severe head injury following a motor vehicle accident. The nurse notes the client's urinary output for the past four hr is 900 mL. Which of the following medications would the nurse anticipate being ordered?