Question 1

While planning care for a patient who takes Requip (ropinirole), the nurse would develop which of the following nursing diagnoses? Select all that apply.

Accepted Answer

Requip (ropinirole) is a medication used to treat Parkinson's disease and restless leg syndrome, which can cause physical mobility impairment and increase the risk of falls. Therefore, impaired physical mobility related to Parkinson's disease and risk for injury related to fall risk are appropriate nursing diagnoses for a patient taking Requip. Impaired gas exchange, decreased cardiac output, risk for fluid volume deficit, and ineffective coping are not directly related to the medication and the patient's diagnosis.

Question 2

Which of the following laboratory values must be closely monitored when taking amiodarone? Select all that apply.

Accepted Answer

The answer of Which of the following laboratory values must...

Question 3

The nurse is counseling a patient who is newly prescribed Lyrica (pregabalin). Which of the following statements should be included in the patient's teaching? Select all that apply.

Accepted Answer

The patient should be advised about the risk for increased depression or suicidal thoughts, as well as the indications for the use of Lyrica in reducing pain associated with diabetic neuropathy. It is important to inform the patient about the need to avoid sudden discontinuation of the medication, as this may lead to withdrawal effects. Muscle pain or weakness can be a sign of a serious condition and should be reported to the physician promptly. Weight loss and decreased appetite are not commonly associated with Lyrica use, and there is no specific requirement to take the medication with meals to avoid gastric irritation, so options D and F are incorrect.

Question 4

After the administration of rifampin, what should be included in patient education? Select all that apply.

Accepted Answer

A) Taking the dose at the same time daily helps maintain therapeutic levels in the blood.
B) Soft contact lenses may be stained by the medication, so patients should use glasses instead.
C) Rifampin can decrease the effectiveness of oral contraceptives, so an alternate form of contraception should be used.
D) Rifampin does not need to be refrigerated.
E) Rifampin can cause bodily fluids to turn reddish-orange, which can be alarming to patients but is harmless. It is important for patients to be aware of this potential side effect.

Question 5

While providing care for a patient who receives Lasix (furosemide) 20 mg IV push twice daily, the nurse would include which of the following in the plan of care? Select all that apply.

Accepted Answer

Lasix (furosemide) is a potent diuretic that can cause rapid diuresis, leading to increased urine output shortly after administration, hence the need to change the patient's incontinence brief 30-60 min after medication administration (A). It should be provided undiluted for IV push administration (D). Due to its diuretic effects, it can lead to dehydration and electrolyte imbalances, increasing the risk of falls, thus necessitating high fall risk protocol interventions (F).

Question 6

A nurse working in the psychiatric unit receives report for a new patient being admitted with symptoms of depressive disorder and possible schizophrenia. The nurse knows the treatment regimen may include which of the following medications? Select all that apply.

Accepted Answer

The appropriate medications for depressive disorder and possible schizophrenia would be antipsychotic medications, such as Seroquel (quetiapine) and Risperdal (risperidone). Apo-Quinidine (quinidine), Amaryl (glimepiride), Restoril (temazepam), and Spiriva (tiotropium) are not appropriate for these conditions.

Question 7

The nurse is caring for a patient who is to start taking Carbolith (lithium) 300 mg three times daily. Which of the following statements should be included in the patient teaching? Select all that apply.

Accepted Answer

Lithium requires regular blood level monitoring to ensure therapeutic levels and avoid toxicity. Muscle twitches or coordination changes can indicate toxicity. Lithium is used to stabilize mood in conditions like bipolar disorder. Limiting fluid intake is incorrect as adequate hydration is important, and there are no dietary restrictions regarding dairy or need for an electromyelogram before starting lithium.

Question 8

While admitting a patient to the medical unit at 9:30 a.m. for an acute episode of Crohn's disease, the nurse learns the patient typically takes Imodium (loperamide) 2 mg four times each day. The nurse recognizes that further patient teaching is needed by which of the following statements? Select all that apply.

Accepted Answer

C: The patient should not double up on the dose of loperamide. It is important to take medications as prescribed and not adjust the dose without consulting a healthcare provider.
D: Alcohol and loperamide should not be taken together as it can increase the sedative effect of loperamide. It is important to inform the healthcare provider about any alcohol consumption to prevent potential adverse effects. 
The other statements demonstrate an understanding of the medication and appropriate self-care behaviors.

Question 9

The nursing instructor is reviewing the administration of Levemir (insulin-detemir) via injectable pen. The instructor would be most concerned by which of the following statements by the student? Select all that apply.

Accepted Answer

B) Insulin should be injected into subcutaneous tissue, not muscle tissue. D) The expiration date is important for all medications, including single-patient administration devices. F) Once in use, insulin pens can be stored at room temperature, not in the refrigerator.

Question 10

Which of the following assessments should cause concern for a patient who is receiving Vancomycin? Select all that apply.

Accepted Answer

The answer of Which of the following assessments should cause...

Question 11

While reviewing a patient's medication list, the nurse notes the patient takes Neurontin (gabapentin) 300 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.

Accepted Answer

Neurontin (gabapentin) is indicated as an adjunct treatment of partial seizures, prevention of migraine headaches, treatment of diabetic peripheral neuropathy, and treatment of postherpetic neuralgia. It is not indicated for the treatment of insomnia or reduction of increased intracranial pressure.

Question 12

The nurse is counseling a patient who wants to start using Nicorette (nicotine chewing gum). Which of the following statements indicates that teaching has been effective? Select all that apply.

Accepted Answer

A) Correct because the 2 mg gum is recommended for those who smoke less than 25 cigarettes a day. B) Incorrect because patients can chew up to 24 pieces per day, depending on their needs. C) Correct as it's recommended to chew one piece every 1 to 2 hours for the first six weeks. D) Correct because a gradual reduction in the amount of gum chewed over a period of about 10 weeks is recommended to wean off nicotine dependence. E) Correct as Nicorette gum does come in various flavors, providing options for users. F) Incorrect because, like any medication, Nicorette gum can have side effects, and its use should be as directed, not simply increased at will.

Question 13

An oral dose of zinc sulfate is being prescribed for a patient in the wound clinic. Patient education should emphasize that the following products should not be taken with zinc sulfate because they will decrease absorption. Select all that apply.

Accepted Answer

Zinc sulfate absorption is decreased by caffeine, bran, and dairy products.

Question 14

When administering bisacodyl, which of the following implications should the nurse consider? Select all that apply.

Accepted Answer

A) Increase fluid intake up to 2,000 mL/day is important because bisacodyl can cause dehydration and make the stool harder to pass without adequate fluid intake.

B) Administer with food is not necessary as bisacodyl can be taken on an empty stomach.

C) Dilute with normal saline prior to administration is not necessary as bisacodyl is usually given in tablet or suppository form.

D) Assess fluid and electrolyte status is important because bisacodyl can cause dehydration and electrolyte imbalances.

E) If giving rectally, encourage retention of enema for 15-30 min as this will increase the absorption of bisacodyl and improve its effectiveness in promoting a bowel movement.

Question 15

Prior to administering Lovaza, what laboratory values should be obtained? Select all that apply.

Accepted Answer

The answer of Prior to administering Lovaza, what laboratory values...

Question 16

While providing discharge instructions for a patient who is taking Naprosyn (naproxen) for rheumatoid arthritis, the nurse would include which of the following statements? Select all that apply.

Accepted Answer

The answer of While providing discharge instructions for a patient...

Question 17

While caring for a client who chose to start taking Niacin (vitamin B₃) rather than a statin agent, the nurse determines that the treatment has been effective by which of the following findings? Select all that apply.

Accepted Answer

Niacin is used to lower triglycerides and total cholesterol levels. A serum triglyceride level of 136 mg/dL and a total cholesterol level of 168 mg/dL indicate effective treatment.

Question 18

A person taking Questran should restrict intake of foods high in which of the following components? Select all that apply.

Accepted Answer

The answer of A person taking Questran should restrict intake...

Question 19

A patient in the hospital is going to receive her first dose of Reclast (zoledronic acid) prior to being discharged from the hospital. Which of the following actions are required of the nurse? Select all that apply.

Accepted Answer

B) Encouraging high fluid intake prior to administration helps ensure adequate hydration, which is important for patients receiving bisphosphonates like zoledronic acid to prevent renal complications. C) Assessing the patency of the intravenous line is crucial because Reclast is administered intravenously, and a functional IV line is necessary for administration. F) Telling the patient to notify the healthcare provider if they experience muscle spasms or cramps is important as these can be side effects of zoledronic acid, indicating possible electrolyte imbalances.

Question 20

Which laboratory values should be monitored for a person receiving Heparin? Select all that apply.

Accepted Answer

Heparin therapy primarily affects the clotting pathway, which is monitored through the activated partial thromboplastin time (aPTT). It can also cause thrombocytopenia, making it important to monitor the platelet count. Additionally, a complete blood count (CBC) is useful to monitor overall blood health and can indirectly indicate bleeding or clotting disorders.

Davis's Drug Guide for Nurses Test 1

While planning care for a patient who takes Requip (ropinirole) , the nurse would develop which of the following nursing diagnoses? Select all that apply.

Which of the following laboratory values must be closely monitored when taking amiodarone? Select all that apply.

The nurse is counseling a patient who is newly prescribed Lyrica (pregabalin) . Which of the following statements should be included in the patient's teaching? Select all that apply.

After the administration of rifampin, what should be included in patient education? Select all that apply.

While providing care for a patient who receives Lasix (furosemide) 20 mg IV push twice daily, the nurse would include which of the following in the plan of care? Select all that apply.

A nurse working in the psychiatric unit receives report for a new patient being admitted with symptoms of depressive disorder and possible schizophrenia. The nurse knows the treatment regimen may include which of the following medications? Select all that apply.

The nurse is caring for a patient who is to start taking Carbolith (lithium) 300 mg three times daily. Which of the following statements should be included in the patient teaching? Select all that apply.

The nursing instructor is reviewing the administration of Levemir (insulin-detemir) via injectable pen. The instructor would be most concerned by which of the following statements by the student? Select all that apply.

Which of the following assessments should cause concern for a patient who is receiving Vancomycin? Select all that apply.

While reviewing a patient's medication list, the nurse notes the patient takes Neurontin (gabapentin) 300 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.

The nurse is counseling a patient who wants to start using Nicorette (nicotine chewing gum) . Which of the following statements indicates that teaching has been effective? Select all that apply.

An oral dose of zinc sulfate is being prescribed for a patient in the wound clinic. Patient education should emphasize that the following products should not be taken with zinc sulfate because they will decrease absorption. Select all that apply.

When administering bisacodyl, which of the following implications should the nurse consider? Select all that apply.

Prior to administering Lovaza, what laboratory values should be obtained? Select all that apply.

While providing discharge instructions for a patient who is taking Naprosyn (naproxen) for rheumatoid arthritis, the nurse would include which of the following statements? Select all that apply.

While caring for a client who chose to start taking Niacin (vitamin B₃) rather than a statin agent, the nurse determines that the treatment has been effective by which of the following findings? Select all that apply.

A person taking Questran should restrict intake of foods high in which of the following components? Select all that apply.

A patient in the hospital is going to receive her first dose of Reclast (zoledronic acid) prior to being discharged from the hospital. Which of the following actions are required of the nurse? Select all that apply.

Which laboratory values should be monitored for a person receiving Heparin? Select all that apply.

Davis's Drug Guide for Nurses Test 1

While planning care for a patient who takes Requip (ropinirole) , the nurse would develop which of the following nursing diagnoses? Select all that apply.

Which of the following laboratory values must be closely monitored when taking amiodarone? Select all that apply.

The nurse is counseling a patient who is newly prescribed Lyrica (pregabalin) . Which of the following statements should be included in the patient's teaching? Select all that apply.

After the administration of rifampin, what should be included in patient education? Select all that apply.

While providing care for a patient who receives Lasix (furosemide) 20 mg IV push twice daily, the nurse would include which of the following in the plan of care? Select all that apply.

A nurse working in the psychiatric unit receives report for a new patient being admitted with symptoms of depressive disorder and possible schizophrenia. The nurse knows the treatment regimen may include which of the following medications? Select all that apply.

The nurse is caring for a patient who is to start taking Carbolith (lithium) 300 mg three times daily. Which of the following statements should be included in the patient teaching? Select all that apply.

The nursing instructor is reviewing the administration of Levemir (insulin-detemir) via injectable pen. The instructor would be most concerned by which of the following statements by the student? Select all that apply.

Which of the following assessments should cause concern for a patient who is receiving Vancomycin? Select all that apply.

The nurse is counseling a patient who wants to start using Nicorette (nicotine chewing gum) . Which of the following statements indicates that teaching has been effective? Select all that apply.

An oral dose of zinc sulfate is being prescribed for a patient in the wound clinic. Patient education should emphasize that the following products should not be taken with zinc sulfate because they will decrease absorption. Select all that apply.

When administering bisacodyl, which of the following implications should the nurse consider? Select all that apply.

Prior to administering Lovaza, what laboratory values should be obtained? Select all that apply.

While providing discharge instructions for a patient who is taking Naprosyn (naproxen) for rheumatoid arthritis, the nurse would include which of the following statements? Select all that apply.

While caring for a client who chose to start taking Niacin (vitamin B3) rather than a statin agent, the nurse determines that the treatment has been effective by which of the following findings? Select all that apply.

A person taking Questran should restrict intake of foods high in which of the following components? Select all that apply.

A patient in the hospital is going to receive her first dose of Reclast (zoledronic acid) prior to being discharged from the hospital. Which of the following actions are required of the nurse? Select all that apply.

Which laboratory values should be monitored for a person receiving Heparin? Select all that apply.

While caring for a client who chose to start taking Niacin (vitamin B₃) rather than a statin agent, the nurse determines that the treatment has been effective by which of the following findings? Select all that apply.