Question 1

At a follow-up appointment at the urologist's office, the nurse is gathering data on a patient who takes VESIcare (solifenacin) for an overactive bladder. Which of the following statements would be most concerning to the nurse?

Accepted Answer

St. John's wort can interact with solifenacin and decrease its effectiveness. The patient should be advised to stop taking St. John's wort and to consult with their healthcare provider before starting any new medications or supplements. The other options may be relevant to the patient's overall health, but they do not specifically interact with solifenacin.

Question 2

To monitor the peak efficacy after providing oral Dilaudid (hydromorphone) Immediate Release for a patient reporting pain ranked 6 out of 10 on a numeric pain scale. The patient should report some relief in pain at the peak action of the drug. Which of the following reflects the peak action of Dilaudid Immediate Release?

Accepted Answer

Dilaudid Immediate Release reaches peak action within 30-90 minutes after administration. Therefore, the patient should report some relief in pain at this time.

Question 3

A nurse caring for a patient who's prescribed Inderal LA (propranolol) is being tapered off over a 2-wk period. The nurse would include which of the following statements in the patient teaching?

Accepted Answer

Stopping Inderal LA (propranolol) suddenly can lead to potentially dangerous withdrawal symptoms, so it is crucial to follow the tapering schedule as prescribed by the healthcare provider. The other options are either incorrect or not relevant to the patient's care.

Question 4

Which of the following would indicate to the nurse that treatment was effective in a patient being treated with propylthiouracil?

Accepted Answer

Propylthiouracil is used to treat hyperthyroidism by inhibiting the production of thyroid hormone. Hyperthyroidism can cause weight loss, so weight gain is a positive indicator that the medication is working. The other options (sleeping excessively, fine tremors, and elevated pulse rate) are all symptoms of hyperthyroidism and would indicate that treatment is not yet effective.

Question 5

An infant being treated for colic was prescribed Mylicon (simethicone) drops and has returned to the clinic for follow-up evaluation. Which of the following nursing action has the highest priority?

Accepted Answer

Since the infant was prescribed Mylicon drops for colic, the highest priority nursing action would be to inspect and auscultate the abdomen to assess for any improvements in the infant's digestive issues. This will help the nurse evaluate the effectiveness of the medication and determine if any changes need to be made to the treatment plan. The other options, such as assessing the startle reflex or measuring the head circumference, may be important components of a general infant assessment but are not directly related to the treatment for colic. Palpation of the anterior fontanel can also be important to assess for signs of dehydration, but should not take priority over assessing for the effectiveness of the prescribed medication.

Question 6

A nurse working on the postpartum floor is checking orders and notes the following, "Methergine (methylergonovine) 200 mcg po q 6 hr for 48 hr." Which of the following nursing interventions should be added to the patient's plan of care?

Accepted Answer

Methergine is a uterine stimulant used to prevent or treat postpartum hemorrhage due to uterine atony. Therefore, the nurse should monitor for signs of uterine atony or change in menstrual bleeding, which are potential adverse effects of the medication. Assessing respiratory rate and rhythm, instructing the patient to wear a tight-fitting bra and avoid facing the water during shower, or collecting urine for protein dipstick are not relevant to the administration of Methergine.

Question 7

A hospice nurse is caring for a patient with end-stage stomach cancer who has a new order to be kept NPO. The patient complains of nausea and has a standard order for promethazine for this complaint. Which of the following actions should the nurse take?

Accepted Answer

Promethazine can be administered as a rectal suppository, which is appropriate for a patient who is NPO (nothing by mouth) to manage nausea without violating the NPO status.

Question 8

The nurse observing a patient who uses a prescribed Serevent Diskus (salmeterol) recognizes that teaching has been effective if which of the following is observed?

Accepted Answer

The Serevent Diskus should be kept horizontal during administration to ensure proper dosing.

Question 9

While caring for a patient with myasthenia gravis and a history of dysphasia who is taking Mestinon (pyridostigmine), the nurse recognizes the need for further teaching by which of the following statements?

Accepted Answer

Myasthenia gravis is a chronic autoimmune disorder, and the medication Mestinon is used to help improve muscle strength by preventing the breakdown of acetylcholine. It is not a medication that will cure or resolve the underlying condition, so statement C is incorrect. Statements A, B, and D are all important for a patient with myasthenia gravis and a history of dysphagia taking Mestinon to follow to help manage their symptoms and prevent complications.

Question 10

The nurse is providing care for a patient in hospice who has been converted to a continuous infusion of morphine for pain control via the use of a patient-controlled analgesia pump. The nurse recognizes that break-through pain should be handled in which of the following ways?

Accepted Answer

Additional intravenous bolus doses can be given by the nurse every 15-30 min

Question 11

The nurse is caring for an infant with oral thrush whose medications include Mycostatin (nystatin) suspension 5 mL QID. Which of the following actions should the nurse take?

Accepted Answer

The answer of The nurse is caring for an infant...

Question 12

A nurse caring for an individual taking Avandia (rosiglitazone) monitors which of the following lab results to help evaluate treatment effectiveness?

Accepted Answer

Glycosylated hemoglobin (HbA1c) is a lab test that measures the average blood sugar levels over the past 2-3 months, and it is one of the main lab tests used to evaluate the effectiveness of diabetic medication, including Avandia (rosiglitazone).

Question 13

While preparing to discharge a patient who has started taking Lopressor (metoprolol) during their hospitalization, the nurse recognizes further teaching is necessary by which of the following statements:

Accepted Answer

While Lopressor may require routine blood pressure checks, it is unlikely to cause toxic levels in the bloodstream. Taking one's pulse is not specific to Lopressor and should not be the only monitoring method. While a low-salt diet may help control blood pressure, it is not directly related to taking Lopressor. The most concerning side effects of Lopressor are related to respiratory distress, so it is important to notify the physician immediately if these symptoms occur. However, this is a common teaching point for many medications and may not warrant further instruction specific to Lopressor. Therefore, the best choice for the necessary teaching is C, to clarify that frequent blood tests are not needed to monitor for toxicity.

Question 14

While in the recovery room, the nurse cares for a post-anesthesia patient who reports severe nausea. The nurse would most likely request an order for which of the following medications?

Accepted Answer

Transderm-Scop (scopolamine) is a medication used to treat nausea and vomiting caused by motion sickness or anesthesia. It is often used in post-anesthesia care settings for this reason. Eldepryl (selegiline) is a medication used to treat Parkinson's disease, and Januvia (sitagliptin) is a medication used to treat type 2 diabetes, neither of which would be appropriate for treating post-anesthesia nausea. Cialis (tadalafil) is a medication used to treat erectile dysfunction and would not be appropriate in this situation.

Question 15

A patient is admitted with suspected overdose of Bloxiverz (neostigmine). Which of the following will be used as an antidote?

Accepted Answer

Atropine is the antidote for Bloxiverz (neostigmine) overdose. Atropine works by blocking the effects of neostigmine on the muscarinic receptors and reversing the symptoms of cholinergic excess. Narcan (A) is the antidote for opioid overdose, Vitamin K (B) is the antidote for warfarin overdose, and Epinephrine (D) is used to treat anaphylactic shock.

Question 16

A client taking vitamin B₆ (pyridoxine) calls the nurse at 3 p.m. to report she is at work and didn't take the pill at breakfast. Which of the following statements by the nurse is best?

Accepted Answer

Missing a single dose of vitamin B6 is not critical, as it is a water-soluble vitamin and the body can manage without a single dose.

Question 17

A nurse working at an adult care center for individuals with mental illness provides an individual with their dose of Risperdal (risperidone). The nurse should intervene if the client mixes the liquid medication with which of the following?

Accepted Answer

Risperdal (risperidone) liquid can be mixed with water, coffee, orange juice, or low-fat milk. It should not be mixed with cola or tea, as these can interact with the medication, potentially altering its effectiveness or absorption.

Question 18

The nurse is caring for a patient with tuberculosis who is on a diet with honey-thick liquids. Which action should the nurse take to administer the dose of Rifadin (rifampin)?

Accepted Answer

Since the patient is on a diet with honey-thick liquids, the nurse should avoid giving the pill with water. Rifadin (rifampin) comes in capsule form, which cannot be crushed or opened, therefore obtaining the medication in liquid form is not an option. Parenteral dose is not necessary for Rifadin (rifampin). The best option in this case is to open the capsule onto a spoonful of applesauce or other soft food as directed by the healthcare provider.

Question 19

A nurse caring for a patient with non-Hodgkin lymphoma prepares to provide Leukine (sargramostim). Which of the following will indicate successful response to the medication?

Accepted Answer

Leukine (sargramostim) is a medication that stimulates the production of white blood cells. Therefore, an increase in the patient's white blood cell count would indicate a successful response to the medication. Platelet count and hair loss are not directly affected by Leukine, and nausea or vomiting are not typically associated with this medication.

Question 20

The nurse is caring for a patient who recently started taking Compro (prochlorperazine) 10 mg po QID. Which of the following symptoms would cause the nurse to contact the physician immediately?

Accepted Answer

A temperature of 104.5°F is very high and the new onset of urinary incontinence could be a sign of a severe adverse reaction to Compro. This requires immediate physician notification. The other symptoms are not as urgent and can be addressed at a later time.

Davis's Drug Guide for Nurses Test 2

At a follow-up appointment at the urologist's office, the nurse is gathering data on a patient who takes VESIcare (solifenacin) for an overactive bladder. Which of the following statements would be most concerning to the nurse?

A nurse caring for a patient who's prescribed Inderal LA (propranolol) is being tapered off over a 2-wk period. The nurse would include which of the following statements in the patient teaching?

Which of the following would indicate to the nurse that treatment was effective in a patient being treated with propylthiouracil?

An infant being treated for colic was prescribed Mylicon (simethicone) drops and has returned to the clinic for follow-up evaluation. Which of the following nursing action has the highest priority?

A nurse working on the postpartum floor is checking orders and notes the following, "Methergine (methylergonovine) 200 mcg po q 6 hr for 48 hr." Which of the following nursing interventions should be added to the patient's plan of care?

A hospice nurse is caring for a patient with end-stage stomach cancer who has a new order to be kept NPO. The patient complains of nausea and has a standard order for promethazine for this complaint. Which of the following actions should the nurse take?

The nurse observing a patient who uses a prescribed Serevent Diskus (salmeterol) recognizes that teaching has been effective if which of the following is observed?

While caring for a patient with myasthenia gravis and a history of dysphasia who is taking Mestinon (pyridostigmine) , the nurse recognizes the need for further teaching by which of the following statements?

The nurse is providing care for a patient in hospice who has been converted to a continuous infusion of morphine for pain control via the use of a patient-controlled analgesia pump. The nurse recognizes that break-through pain should be handled in which of the following ways?

The nurse is caring for an infant with oral thrush whose medications include Mycostatin (nystatin) suspension 5 mL QID. Which of the following actions should the nurse take?

A nurse caring for an individual taking Avandia (rosiglitazone) monitors which of the following lab results to help evaluate treatment effectiveness?

While preparing to discharge a patient who has started taking Lopressor (metoprolol) during their hospitalization, the nurse recognizes further teaching is necessary by which of the following statements:

While in the recovery room, the nurse cares for a post-anesthesia patient who reports severe nausea. The nurse would most likely request an order for which of the following medications?

A patient is admitted with suspected overdose of Bloxiverz (neostigmine) . Which of the following will be used as an antidote?

A client taking vitamin B₆ (pyridoxine) calls the nurse at 3 p.m. to report she is at work and didn't take the pill at breakfast. Which of the following statements by the nurse is best?

A nurse working at an adult care center for individuals with mental illness provides an individual with their dose of Risperdal (risperidone) . The nurse should intervene if the client mixes the liquid medication with which of the following?

The nurse is caring for a patient with tuberculosis who is on a diet with honey-thick liquids. Which action should the nurse take to administer the dose of Rifadin (rifampin) ?

A nurse caring for a patient with non-Hodgkin lymphoma prepares to provide Leukine (sargramostim) . Which of the following will indicate successful response to the medication?

The nurse is caring for a patient who recently started taking Compro (prochlorperazine) 10 mg po QID. Which of the following symptoms would cause the nurse to contact the physician immediately?

Davis's Drug Guide for Nurses Test 2

At a follow-up appointment at the urologist's office, the nurse is gathering data on a patient who takes VESIcare (solifenacin) for an overactive bladder. Which of the following statements would be most concerning to the nurse?

A nurse caring for a patient who's prescribed Inderal LA (propranolol) is being tapered off over a 2-wk period. The nurse would include which of the following statements in the patient teaching?

Which of the following would indicate to the nurse that treatment was effective in a patient being treated with propylthiouracil?

An infant being treated for colic was prescribed Mylicon (simethicone) drops and has returned to the clinic for follow-up evaluation. Which of the following nursing action has the highest priority?

A nurse working on the postpartum floor is checking orders and notes the following, "Methergine (methylergonovine) 200 mcg po q 6 hr for 48 hr." Which of the following nursing interventions should be added to the patient's plan of care?

A hospice nurse is caring for a patient with end-stage stomach cancer who has a new order to be kept NPO. The patient complains of nausea and has a standard order for promethazine for this complaint. Which of the following actions should the nurse take?

The nurse observing a patient who uses a prescribed Serevent Diskus (salmeterol) recognizes that teaching has been effective if which of the following is observed?

While caring for a patient with myasthenia gravis and a history of dysphasia who is taking Mestinon (pyridostigmine) , the nurse recognizes the need for further teaching by which of the following statements?

The nurse is providing care for a patient in hospice who has been converted to a continuous infusion of morphine for pain control via the use of a patient-controlled analgesia pump. The nurse recognizes that break-through pain should be handled in which of the following ways?

The nurse is caring for an infant with oral thrush whose medications include Mycostatin (nystatin) suspension 5 mL QID. Which of the following actions should the nurse take?

A nurse caring for an individual taking Avandia (rosiglitazone) monitors which of the following lab results to help evaluate treatment effectiveness?

While preparing to discharge a patient who has started taking Lopressor (metoprolol) during their hospitalization, the nurse recognizes further teaching is necessary by which of the following statements:

While in the recovery room, the nurse cares for a post-anesthesia patient who reports severe nausea. The nurse would most likely request an order for which of the following medications?

A patient is admitted with suspected overdose of Bloxiverz (neostigmine) . Which of the following will be used as an antidote?

A client taking vitamin B6 (pyridoxine) calls the nurse at 3 p.m. to report she is at work and didn't take the pill at breakfast. Which of the following statements by the nurse is best?

A nurse working at an adult care center for individuals with mental illness provides an individual with their dose of Risperdal (risperidone) . The nurse should intervene if the client mixes the liquid medication with which of the following?

The nurse is caring for a patient with tuberculosis who is on a diet with honey-thick liquids. Which action should the nurse take to administer the dose of Rifadin (rifampin) ?

A nurse caring for a patient with non-Hodgkin lymphoma prepares to provide Leukine (sargramostim) . Which of the following will indicate successful response to the medication?

The nurse is caring for a patient who recently started taking Compro (prochlorperazine) 10 mg po QID. Which of the following symptoms would cause the nurse to contact the physician immediately?

A client taking vitamin B₆ (pyridoxine) calls the nurse at 3 p.m. to report she is at work and didn't take the pill at breakfast. Which of the following statements by the nurse is best?