Question 1

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)Penicillins
B)MAO inhibitors
C)Antifungals
D)Cephalosporins
E)Non-steroidal anti-inflammatory agents

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 2

While caring for a client taking Clozaril (clozapine),the nurse determines the medication is effective by which of the following findings?
A)Decreased swelling noted at the site of cellulitis in the left hand.
B)Apical heart rate is regular at 72 bpm.
C)Client is cooperative;oriented to person,place,and time;and has no hallucinations or delusions.
D)Breath sounds are clear throughout anterior,lateral,and posterior aspects.

Accepted Answer

Clozaril is an atypical antipsychotic used to treat schizophrenia. The medication is effective when the client is cooperative, oriented to person, place, and time, and has no hallucinations or delusions, indicating a reduction in positive symptoms of schizophrenia. The other answer choices are unrelated to the action or effectiveness of Clozaril.

Question 3

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?
A)A gradual slowing of the heart rate over the next 30 min with an end result of normal sinus rhythm and improved symptoms.
B)Slowing of the tachycardia with an end rate between 100-120 bpm and improved dizziness within 5 min.
C)Loss of consciousness for the client in preparation for electric shock/cardioversion.
D)A short period of heart block or asystole immediately after injection followed by conversion to normal sinus rhythm.

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 4

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?
A)Hypoglycemia
B)Hyponatremia
C)Hypocalcemia
D)Hypokalemia

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 5

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?
A)The client has a listed allergy to sulfonamides.
B)The client has a history of rheumatoid arthritis.
C)The client takes Cogentin (benztropine)daily.
D)The client's potassium is 3.6 mEq/dL.

Accepted Answer

Diamox (acetazolamide) is a sulfonamide drug, and therefore, the nurse should be most concerned if the client has a listed allergy to sulfonamides. This may indicate a potential hypersensitivity reaction and the need to avoid the use of Diamox. The other options do not necessarily pose a significant concern for the use of Diamox in this client.

Question 6

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?
A)Hypokalemia
B)Hypotension
C)Anorexia
D)Nephrotoxicity

Accepted Answer

See Adverse Reactions/Side Effects for cyclosporine: Can cause hyperkalemia and hypertension (not hypokalemia or hypotension)as well as anorexia and nephrotoxicity-the highest priority of those listed (anorexia and nephrotoxicity)is nephrotoxicity.

Question 7

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)There is a risk of hemolytic cystitis with this medication and the next dose should be held.
B)The client may be experiencing liver toxicity;the physician should be contacted to request laboratory analysis be done.
C)This is an expected and normal finding with the medication due to the excretion of iron.
D)The client may have a secondary urinary tract infection and a urinalysis should be sent.

Accepted Answer

Desferal (deferoxamine) is a medication used to chelate excess iron from the body. One of the expected side effects of this medication is red or reddish-brown urine due to the excretion of iron. Therefore, the nurse should conclude that this is an expected and normal finding with the medication. There is no need to hold the next dose, contact the physician for laboratory analysis, or assume the client has a urinary tract infection without further assessment.

Question 8

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?
A)"Dry mouth is common with your new medications.You should rinse frequently and consider using hard sugarless candies or gum to help with the symptom."
B)"I wonder if your dose is too high;try taking half the pill twice a day instead of all at once and see if that helps."
C)"You should call your doctor and let them know about that-it could be a serious side effect of the new medication."
D)"Have you noticed any fever or night sweats lately?"

Accepted Answer

Dry mouth is a common side effect of anticholinergic medications like Cogentin. The nurse should offer strategies for managing the symptom, such as frequent rinsing and the use of sugarless candies or gum to stimulate saliva production. Option B is not the best choice since adjusting the medication dose should be left to the healthcare provider. Option C may be necessary if the symptom is severe or persistent, but it is not the first-line action. Option D is not relevant to the client's concern.

Question 9

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.
A)Kava-kava
B)Valerian
C)Garlic
D)Ginger
E)Chamomile
F)Hops

Accepted Answer

The answer of The nurse is providing instructions to a...

Question 10

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?
A)DDAVP (desmopressin)
B)Lasix (furosemide)
C)Lopurin (allopurinol)
D)Dexedrine (dextroamphetamine)

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.

Question 11

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?
A)"This medication will help prevent gout,which occurs when clients are given radiation therapy."
B)"Allopurinol binds to the uric acid being released by the destroyed cancer cells and prevents it from damaging your kidneys."
C)"Chemotherapy agents can reduce the number of white blood cells,red blood cells,and platelets in your body;this medication helps protect those cells."
D)"This is part of the chemotherapy regimen since some chemo agents are given in your IV and others are given by mouth."

Accepted Answer

Allopurinol is a medication that binds to uric acid and prevents it from being excreted into the urine. This is important because when cancer cells are destroyed, they release uric acid, which can cause damage to the kidneys. In this case, the patient is at risk for tumor lysis syndrome, a condition that can occur when large amounts of cancer cells are destroyed rapidly. Allopurinol can help prevent this condition by binding to the uric acid and preventing it from causing harm. Option A is incorrect because gout is not related to radiation therapy. Option C is incorrect because allopurinol does not protect white blood cells, red blood cells, or platelets. Option D is incorrect because allopurinol is not a chemotherapy agent.

Question 12

A client admitted with atrial fibrillation would most likely be started on which of the following medications to reduce the risk of embolization?
A)Pradaxa (dabigatran)
B)DDAVP (desmopressin)
C)Effexor (venlafaxine)
D)Flomax (tamsulosin)

Accepted Answer

Pradaxa (dabigatran) is an anticoagulant medication that is commonly used to reduce the risk of embolization in patients with atrial fibrillation.

Question 13

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 14

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?
A)Monitor client blood sugar every hr.
B)Monitor client's respiratory rate every 30 min.
C)Monitor client's blood pressure every 5 min.
D)Monitor client's urine output every 4 hr.

Accepted Answer

The highest priority nursing assessment during the infusion of Ethyol (amifostine) and Cisplatin is monitoring the client's blood pressure every 5 minutes due to the potential for severe hypotension as a side effect of Ethyol. It is important to monitor the client's blood sugar, respiratory rate, and urine output as well, but they are not as high of a priority as monitoring blood pressure during the infusion.

Question 15

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)Ventilator-associated pneumonia
B)Deep vein thrombosis
C)Hypotension
D)Urosepsis

Accepted Answer

Argatroban is a medication used as an anticoagulant to prevent or treat thrombosis (blood clots) in patients with conditions such as deep vein thrombosis, pulmonary embolism, or heparin-induced thrombocytopenia. It is not used for ventilator-associated pneumonia, hypotension, or urosepsis.

Question 16

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?
A)Platelet count-440,000 c/mm3
B)Hemoglobin-10.4 g/dL
C)Albumin-3.2 g/dL
D)B-type natriuretic peptide (BNP)-449 pg/mL

Accepted Answer

Sinemet (carbidopa/levodopa) can cause changes in blood counts, including a decrease in hemoglobin levels. Platelet count, albumin levels, and BNP levels are not typically affected by this medication.

Question 17

While counseling a client taking Pristiq (desvenlafaxine),the nurse recognizes that further teaching is necessary based on which of the following client statements?
A)"I'll be sure to let my doctor know if I have any thoughts of suicide."
B)"If I need something for pain,I should take aspirin,ibuprofen,or another non-steroidal anti-inflammatory instead of Tylenol while I'm taking this medication."
C)"I shouldn't drive a car for a few weeks since this medication can cause dizziness."
D)"I should avoid drinking alcohol while I'm taking this medication

Accepted Answer

Pristiq can increase the risk of bleeding, so clients should avoid taking Tylenol or other acetaminophen-containing medications. Instead, they should opt for non-steroidal anti-inflammatory drugs like aspirin or ibuprofen. The other statements are correct and do not require further teaching.

Question 18

A client with breast cancer is taking Arimidex (anastrozole).The nurse recognizes that teaching has been effective by which of the following client statements?
A)"If I miss a dose,I should take a double dose the next day."
B)"I must take this medication on an empty stomach before going to bed each night."
C)"Oral chemotherapy generally has fewer side effects and is much safer."
D)"There is a risk of allergic reaction for this medication so I need to notify the doctor right away if I have any swelling in my face,difficulty swallowing,or rashes."

Accepted Answer

Option D shows an understanding of the potential side effects of anastrozole and the importance of promptly reporting them to the healthcare provider. The other options are incorrect and potentially dangerous, as missing a dose should not be followed by a double dose, anastrozole should be taken with food and not on an empty stomach, and anastrozole is not oral chemotherapy.

Question 19

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?
A)"This medication may cause me to have a dry mouth or lower my saliva production."
B)"This medication will reduce my nicotine cravings and help me quit smoking."
C)"I need to let the doctor know right away if I have any thoughts of suicide or worsening depression."
D)"I need to be sure and drink at least 4 quarts of water each day while I'm taking this medication."

Accepted Answer

Aripiprazole is an atypical antipsychotic medication used to treat schizophrenia, bipolar disorder, and depression. One of the major side effects of this medication is an increased risk of suicidal thoughts or behavior, especially in younger adults. Therefore, it is important for the client to know to report worsening depression or suicidal thoughts to their healthcare provider immediately. Choices A, B, and D are not accurate statements about aripiprazole.

Question 20

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?
A)Protamine sulfate
B)Primaxin (imipenem)
C)Acetadote (acetylcysteine)
D)Diabeta (glyburide)

Accepted Answer

Acetadote (acetylcysteine) is the antidote for acetaminophen overdose. The other options are not indicated for this condition. Protamine sulfate is used to reverse heparin overdose, Primaxin (imipenem) is an antibiotic used to treat infections, and Diabeta (glyburide) is an oral hypoglycemic medication used to treat diabetes.

Quiz 3: Drug Monographs in Alphabetical Order by Generic Name

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.

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

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?

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?

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 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.

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?

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

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?

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?

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?

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

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 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?

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?