Question 1

The nurse is providing care for a patient who is to take Tagamet (cimetidine) 400 mg BID upon discharge. Which of the following statements should the nurse include in the patient's teaching? Select all that apply.

Accepted Answer

Cimetidine is an H2 blocker that reduces stomach acid. Smoking can interfere with its effectiveness, so it's advised not to smoke after taking it. Patients should avoid over-the-counter medications with aspirin or NSAIDs without consulting a physician, as these can irritate the stomach. Cimetidine may cause drowsiness, so patients should be aware of this side effect. It is used to treat heartburn and reduce stomach acid, which can help prevent esophageal irritation.

Question 2

The nurse is caring for a patient receiving intravenous antibiotic therapy with tobramycin 100 mg every 8 hr. Which of the following nursing actions are appropriate for this medication? Select all that apply.

Accepted Answer

The answer of The nurse is caring for a patient...

Question 3

Which of the following lab values must be monitored during therapy with Tegretol CR (carbamazepine)? Select all that apply.

Accepted Answer

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

Question 4

The nurse is teaching a patient with prostate cancer about the planned treatment of Casodex (bicalutamide) and Goserelin (an LHRH analog). Which of the following statements should be included in the patient teaching? Select all that apply.

Accepted Answer

The answer of The nurse is teaching a patient with...

Question 5

The nurse is preparing to provide Norvasc (amlodipine) to a 69-year-old patient with a history of multifocal premature ventricular contractions (PVCs). His cardiac monitor has shown normal sinus rhythm with rare PVCs for the past 24 hr. Which of the following assessment findings would cause the nurse to withhold the medication? Select all that apply.

Accepted Answer

A blood pressure of 86/50 indicates hypotension, which could be exacerbated by amlodipine, a calcium channel blocker that can lower blood pressure. A pulse of 48 bpm indicates bradycardia, and administering amlodipine could further decrease the heart rate, potentially leading to hemodynamic instability.

Question 6

A nurse providing hypertension screening and education recognizes which of the following medications as an ACE inhibitor? Select all that apply.

Accepted Answer

ACE inhibitors end in "-pril" such as captopril, enalapril, and benazepril. Therefore, the correct choices are B, C, and E. The other options - atenolol, eprosartan, and candesartan - are not ACE inhibitors but belong to different drug classes.

Question 7

While caring for elderly residents in a nursing home, the nurse recognizes the use of Advil (ibuprofen) places these clients at increased risk for which of the following? Select all that apply.

Accepted Answer

Advil (ibuprofen) can cause gastrointestinal bleeding, renal toxicity and hepatic toxicity in elderly residents. It is important to monitor for these adverse effects and consider alternative medications or lower doses. There is less evidence suggesting a link between Advil and cerebrovascular accident, pulmonary embolism and peripheral vascular disease.

Question 8

A nurse working with patients in an HIV clinic recognizes the following medications as antivirals that may be included in patient medication regimens. Select all that apply.

Accepted Answer

The answer of A nurse working with patients in an...

Question 9

Which of the following medications can be used to prevent or treat nausea and vomiting? Select all that apply.

Accepted Answer

Chlorpromazine, Zofran (ondansetron), Reglan (metoclopramide), and Emend (aprepitant) are all medications that can be used to prevent or treat nausea and vomiting. Chlorpromazine is an antipsychotic that has antiemetic properties. Zofran (ondansetron) is a serotonin 5-HT3 receptor antagonist commonly used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy, and surgery. Reglan (metoclopramide) works by increasing the movements or contractions of the stomach and intestines, which helps with gastric emptying and can relieve symptoms of nausea and vomiting. Emend (aprepitant) is part of a class of medications called substance P/neurokinin 1 (NK1) receptor antagonists, which are used to prevent nausea and vomiting caused by chemotherapy.

Question 10

The nurse is counseling a patient who has been given a prescription for Prozac (fluoxetine). Which of the following statements should the nurse include in the patient's teaching? Select all that apply.

Accepted Answer

A) "The medicine can cause some dizziness, so you should change position slowly."
This is important information to include as Prozac can cause dizziness as a side effect.

B) "Sugarless gum or candy may help the feeling of dry mouth that some patient's experience with this medicine."
Dry mouth is a common side effect of Prozac, and sugarless gum or candy can help to alleviate this symptom.

C) "Most likely you will notice a huge change in your mood immediately."
This statement is not accurate as it may take several weeks for a patient to notice an improvement in their mood while taking Prozac.

D) "You may experience a decrease in your sex drive while on this medication."
This is an important potential side effect to discuss with the patient as it may impact their quality of life.

E) "It is important to wear protective clothing and sunscreen since the drug can cause increased sensitivity to the sun."
Prozac can increase a patient's sensitivity to the sun, so it is important for them to take measures to protect their skin while outdoors.

F) "This medicine should always be taken on an empty stomach."
This statement is not accurate as Prozac can be taken with or without food. It is recommended to take it at the same time each day to maintain consistent blood levels.

Question 11

Which of the following are classified as potassium-sparing diuretics? Select all that apply.

Accepted Answer

Aldactone (spirinolactone), Dyrenium (triamterene), and Midamor (amiloride) are classified as potassium-sparing diuretics because they reduce sodium reabsorption in the collecting ducts of the kidneys without causing potassium loss. Lasix (furosemide), Diuril (chlorothiazide), and Microzide (hydrochlorothiazide) are classified as loop diuretics and thiazide diuretics, respectively, and do not spare potassium.

Question 12

The nurse caring for a patient taking hydrochlorothiazide and Lanoxin (digoxin) instructs the patient to notify the physician with which of the following symptoms? Select all that apply.

Accepted Answer

Hydrochlorothiazide can cause electrolyte imbalances, leading to symptoms like muscle cramps (C), confusion (D), and numbness/tingling in extremities (E). Digoxin toxicity can cause gastrointestinal symptoms such as anorexia, nausea, and vomiting (B). These symptoms indicate potential complications or side effects from the medications.

Question 13

The nurse is preparing to provide the first dose of Maxipime (cefepime) 1 gm in 50 mL D5W via intravenous piggyback to a patient diagnosed with febrile neutropenia. Place the following steps in the appropriate order:

Accepted Answer

B) Verifying the right drug, dose, and time is the first step to ensure the safety and efficacy of the medication administration.
E) Verifying the correct patient using two identifiers prevents any medication errors and ensures that the medication is given to the right patient.
F) Beginning the infusion is the next step after verifying the right drug, dose, and patient.
A) Setting the rate at 100 mL/hr is the appropriate rate for administering the medication over 30 minutes.
C) Observing for symptoms of anaphylaxis is important to ensure a timely response to any possible allergic reactions.
D) Discontinuing the infusion is necessary if any adverse reactions or complications occur during or after the administration.

Question 14

The nurse is providing care for a patient with recurrent lymphocytic leukemia who is receiving weekly treatment with Campath (alemtuzumab). Which of the following lab results would the nurse be expected to monitor prior to initiating therapy? Select all that apply.

Accepted Answer

Alemtuzumab is a monoclonal antibody used in the treatment of chronic lymphocytic leukemia. It targets CD52, a protein found on the surface of immune cells. Before initiating therapy with alemtuzumab, it is important to monitor blood counts to assess the patient's baseline status and potential risks for complications. Monitoring the White blood cell count (WBC) is crucial due to the drug's immunosuppressive effects, which can lead to leukopenia. The Platelet count is important to evaluate because thrombocytopenia is a potential side effect, increasing the risk of bleeding. The Red blood cell count (RBC) is also essential to monitor as anemia can be a complication of both the disease and its treatment.

Question 15

A nurse working in the intensive care unit would expect albumin as part of the treatment plan for which of the following patients? Select all that apply.

Accepted Answer

The answer of A nurse working in the intensive care...

Question 16

The nurse is caring for a patient who had a total hip replacement yesterday. Based on the patient's risk of developing deep vein thrombosis or pulmonary emboli, which of the following would the nurse expect to find in the patient's plan of care? Select all that apply.

Accepted Answer

The patient who had a total hip replacement is at a high risk of developing deep vein thrombosis (DVT) or pulmonary emboli (PE) due to immobility and surgery-related factors. To prevent these complications, the patient's plan of care should include measures to improve venous circulation, prophylactic anticoagulation, and close monitoring of vital signs and oxygen saturation. Bilateral thigh-high sequential compression stockings can prevent blood clots from forming in the legs by enhancing venous return. Fragmin (dalteparin) is a low-molecular-weight heparin that can reduce the risk of DVT and PE by inhibiting clot formation. Vital signs and pulse oximetry every 4 hours can detect early signs of hypoxemia, tachycardia, or hypotension that may indicate pulmonary emboli or other complications. Strict bed rest for 3 days is not recommended after hip replacement surgery, as it can increase the risk of thromboembolic events, respiratory complications, and pressure ulcers. Lovenox (enoxaparin) is administered subcutaneously, not intravenously, and needs to be given once or twice daily, depending on the patient's renal function and bleeding risk. Aspirin is not effective for preventing venous thromboembolism and can increase the risk of bleeding.

Question 17

The nurse is providing care for a 59-year-old patient with a long-term history of asthma for an acute exacerbation. The client is started on an infusion of aminophylline. Which of the following orders would the nurse expect to be written?

Accepted Answer

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

Question 18

The nurse is providing education for an immunosuppressed patient with recurrent oral herpes simplex lesions (cold sores) who is being treated with topical acyclovir ointment. Which of the following statements would be included in the nurse's teaching? Select all that apply.

Accepted Answer

A) The patient should be instructed to apply the ointment every 3 hours for 7 days as prescribed.
B) Other topical ointments should be avoided as they can worsen the lesions or cause them to spread.
C) The medication will not cure the lesions and recurrence is common in immunosuppressed patients.
D) Wearing gloves during application can prevent spreading of the virus to other areas of the body or to others.
E) There are no restrictions on eating or drinking after application.
F) The patient should avoid kissing, sharing personal items, and engaging in oral sex during an outbreak to prevent transmission to others.

Question 19

The nurse providing patient education about Questran (cholestyramine) would include which of the following statements in the education? Select all that apply.

Accepted Answer

The answer of The nurse providing patient education about Questran...

Question 20

A nurse assisting in the care of an elderly patient who received PO Librium (chlordiazepoxide) in the treatment of acute alcohol intoxication would include which of the following in the plan of care? Select all that apply.

Accepted Answer

Librium (chlordiazepoxide) is used in the treatment of acute alcohol withdrawal symptoms. Seizure precautions (B) are necessary due to the risk of seizures during withdrawal. Assessing for tremors (C) is important as tremors are a common withdrawal symptom. Instituting fall precautions (E) is crucial due to the sedative effects of Librium, which can increase the risk of falls, especially in elderly patients. Administering the medication after meals or with milk (F) can help minimize gastrointestinal upset. Leather restraints (A) are not typically part of the care plan for patients receiving Librium unless there is a specific and immediate risk of harm that cannot be managed by other means. Administering higher doses in the morning (D) is not a standard practice for Librium administration; dosing is usually spread throughout the day to manage withdrawal symptoms effectively.

Davis's Drug Guide for Nurses Test 1