Question 1

The nurse is providing care for a 64-year-old client being prepped for a colonoscopy who is given midazolam.The nurse would expect to see which of the following responses?

Accepted Answer

Midazolam is a benzodiazepine that is commonly used for sedation prior to colonoscopies. Its most common side effect is sedation, which often leads to drowsiness. It can also cause a decrease in oral secretions, but this is not as significant as the sedative effect. Midazolam does not typically cause an increase in heart rate or a decrease in abdominal cramping.

Question 2

The nurse is providing milrinone to a 71-year-old woman with heart failure.Which of the following nursing assessments during the infusion is of the highest priority?

Accepted Answer

Milrinone is a medication used to treat heart failure by increasing the heart's ability to contract and improving cardiac output. However, it can also cause significant hypotension and arrhythmias. Therefore, monitoring the client's telemetry continuously is essential to watch for any signs of arrhythmias or changes in heart rate and rhythm that may require immediate intervention. While monitoring blood sugar, sedation level, and urine output are also important assessments, they are of lower priority during the infusion of milrinone.

Question 3

In reviewing new orders,the nurse notes Starlix (nateglinide)120 mg three times daily before meals has been ordered.Before initiating therapy,the nurse should assess for which of the following?

Accepted Answer

Before initiating therapy with a glucose-lowering medication like nateglinide (Starlix), it is important to assess the patient's blood sugar level to establish a baseline and monitor for any changes in response to the medication. Respiratory rate, level of consciousness, and creatinine clearance are not directly relevant to the monitoring of nateglinide therapy.

Question 4

While caring for a client with hypertension who has recently started taking Bystolic (nebivolol),the client reports,"This medication seems to give me a headache." Which of the following statements by the nurse is best?

Accepted Answer

The answer of While caring for a client with hypertension...

Question 5

The nurse is providing care for an elderly woman with a urinary tract infection.The nurse understands the patient is receiving Pyridium (phenazopyridine)for which of the following reasons?

Accepted Answer

Pyridium (phenazopyridine) is a urinary tract analgesic that provides local anesthetic effects to the bladder mucosa. It helps relieve the pain, burning, urgency, and frequency associated with urinary tract infections.

Question 6

The nurse caring for clients in the psychiatric unit provides Invega (paliperidone)to one of the clients.The nurse recognizes this medication is effective by which of the following observations?

Accepted Answer

The answer of The nurse caring for clients in the...

Question 7

The nurse is providing instructions to a client who has started therapy withnicardipine.The nurse instructs the client to avoid which of the following foods?

Accepted Answer

Grapefruit juice can increase the effects of nicardipine, leading to potentially severe side effects such as low blood pressure and irregular heart rhythm. It is important for clients taking nicardipine to avoid grapefruit and grapefruit juice. Kiwi, garlic, and ginger do not have any known interactions with nicardipine.

Question 8

While providing care for a client in the intensive care unit,the nurse is preparing to initiate therapy with Nitropress (nitroprusside).Orders are to start the infusion at 0.3 mcg/kg/min.The client weighs 154 pounds.The IV fluid has been sent with 50 mg in 250 mL D5W.Calculate the rate of medication in mL/hr.______________ mL/hr

Accepted Answer

The answer of While providing care for a client in...

Question 9

The nurse is providing care for a 31-year-old patient with a history of seizures.Which of the following medications would the nurse anticipate is part of the patient's home medication regimen?

Accepted Answer

Trileptal (oxcarbazepine) is an antiepileptic medication commonly used to treat seizures, making it the most likely medication to be included in the patient's home medication regimen. Pentoxil (pentoxifylline) is used to improve blood flow in certain conditions, Zyloprim (allopurinol) is used to lower uric acid levels in gout, and Dexedrine (dextroamphetamine) is a stimulant medication used to treat ADHD and narcolepsy, none of which are typically associated with seizures.

Question 10

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

Accepted Answer

The client's statement that they "won't get any side effects from chemotherapy" is incorrect and indicates a misunderstanding of the medication's purpose. Kepivance helps prevent mouth sores, but does not prevent all side effects of chemotherapy. Further teaching is needed to clarify the client's expectations and understanding of the medication.

Question 11

A 71-year-old client was newly prescribed Zaroxolyn (metolazone).The nurse recognizes the drug has been effective by which of the following assessments?

Accepted Answer

Zaroxolyn is a diuretic medication used to treat hypertension and edema. One of the primary assessments of its effectiveness is a reduction in blood pressure. Therefore, a BP of 132/74 indicates the medication is working. The other options (A, B, and D) are not relevant to the assessment of Zaroxolyn's effectiveness.

Question 12

While caring for a client who is taking Dipentum (olsalazine)for ulcerative colitis,the nurse is aware that it is most important to determine if the patient has an allergy to which of the following?

Accepted Answer

Dipentum (olsalazine) belongs to the sulfonamide group of drugs and therefore it is most important to determine if the patient has an allergy to sulfonamides or salicylates before administering the medication. Allergies to penicillins, cephalosporins, NSAIDs, opioids, beta blockers or nitrosoureas are not directly related to Dipentum (olsalazine).

Question 13

The nurse is preparing to give an initial dose of Aloxi (palonosetron)as ordered prior to starting chemotherapy for breast cancer.Which of the following nursing actions is of the highest priority?

Accepted Answer

Infusing the medication undiluted 30 minutes prior to chemotherapy is the highest priority as this ensures that the medication is given at the appropriate time and allows for optimal effectiveness in preventing nausea and vomiting. Monitoring symptoms of nausea and vomiting and providing written materials on chemotherapy agents may also be important, but are not as immediately critical as administering the medication on time. Determining the client's typical food intake is not relevant to the administration of Aloxi.

Question 14

The nurse is caring for a 58-year-old male who has been prescribed Neulasta (pegfilgrastim).The nurse recognizes provision of this medication is based on which of the following lab results?

Accepted Answer

Neulasta (pegfilgrastim) is a medication that stimulates the production of white blood cells. Therefore, it is prescribed for patients with low white blood cell counts. The normal range for WBC is 4.5-11.0 cells/mm³, and a count of 2.3 cells/mm³ indicates severe leukopenia. Therefore, provision of pegfilgrastim is based on low WBC count.

Question 15

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

Accepted Answer

Nabumetone is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain and inflammation caused by conditions such as rheumatoid arthritis, osteoarthritis, and gout. It is not used to treat benign prostatic hypertrophy, venous-thrombosis embolic prophylaxis, or urinary tract infections.

Question 16

While preparing to give morning medications,Remeron (mirtazapine)was newly ordered for the patient to begin this morning.The nurse would immediately call the physician to question this order if which of the following medications was included in the patient's list of home medications?

Accepted Answer

Nardil (phenelzine) is a monoamine oxidase inhibitor (MAOI), and it should not be given with Remeron (mirtazapine), which is a serotonin-norepinephrine reuptake inhibitor (SNRI). This combination can cause a serious drug interaction, including serotonin syndrome. The other medications (enteric coated aspirin, Lasix (furosemide), Digoxin (lanoxin)) do not have significant contraindications with Remeron (mirtazapine).

Question 17

A client admitted with neutropenia would most likely be started on which of the following medications to promote neutrophil differentiation?

Accepted Answer

Neulasta (pegfilgrastim) is a medication that promotes neutrophil differentiation and can be used to treat neutropenia. Epogen (epoetin) is a medication that stimulates the production of red blood cells and is not indicated for neutropenia. Neurontin (gabapentin) is a medication used to treat seizures and neuropathic pain, but has no effect on neutrophil differentiation. Procardia (nifedipine) is a medication used to treat hypertension and angina, but has no effect on neutrophil differentiation.

Question 18

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

Accepted Answer

Chest pain and tightness are potential side effects of Amerge, and the client should notify the doctor immediately if this occurs. Option A is incorrect because Amerge should not be repeated within 24 hours, and option B is incorrect because drowsiness is not a common side effect of this medication. Option D is also incorrect because Amerge does not cause constipation, so there is no need to take a laxative with it.

Question 19

The nurse works in a pediatric psychiatry unit.Ritalin (methylphenidate)5 mg three times daily is commonly prescribed for many of the clients.The nurse recognizes this drug needs to be used cautiously in which of the following children?

Accepted Answer

Ritalin can increase blood pressure and heart rate, so it should be used cautiously in children with a history of cardiovascular disease. Scoliosis and taking Singulair daily are not contraindications for Ritalin use, and there is no known interaction between Ritalin and sickle cell anemia.

Question 20

While caring for a client who is receiving Serax (oxazepam),the nurse notes the client is drowsy and slightly confused upon waking.Which of the following conclusions should the nurse draw?

Accepted Answer

Drowsiness and confusion are expected side effects of Serax (oxazepam) and do not warrant immediate discontinuation of the medication. However, the nurse should monitor the client closely for safety concerns such as falls or difficulty with activities of daily living. Option A is not applicable to the situation described, option B is not necessary based on the expected side effects of the medication, and option D is not supported by the information given.

Quiz 4: Drugs Approved in Canada

The nurse is providing care for a 64-year-old client being prepped for a colonoscopy who is given midazolam.The nurse would expect to see which of the following responses?

The nurse is providing milrinone to a 71-year-old woman with heart failure.Which of the following nursing assessments during the infusion is of the highest priority?

In reviewing new orders,the nurse notes Starlix (nateglinide) 120 mg three times daily before meals has been ordered.Before initiating therapy,the nurse should assess for which of the following?

While caring for a client with hypertension who has recently started taking Bystolic (nebivolol) ,the client reports,"This medication seems to give me a headache." Which of the following statements by the nurse is best?

The nurse is providing care for an elderly woman with a urinary tract infection.The nurse understands the patient is receiving Pyridium (phenazopyridine) for which of the following reasons?

The nurse caring for clients in the psychiatric unit provides Invega (paliperidone) to one of the clients.The nurse recognizes this medication is effective by which of the following observations?

The nurse is providing instructions to a client who has started therapy withnicardipine.The nurse instructs the client to avoid which of the following foods?

The nurse is providing care for a 31-year-old patient with a history of seizures.Which of the following medications would the nurse anticipate is part of the patient's home medication regimen?

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

A 71-year-old client was newly prescribed Zaroxolyn (metolazone) .The nurse recognizes the drug has been effective by which of the following assessments?

While caring for a client who is taking Dipentum (olsalazine) for ulcerative colitis,the nurse is aware that it is most important to determine if the patient has an allergy to which of the following?

The nurse is preparing to give an initial dose of Aloxi (palonosetron) as ordered prior to starting chemotherapy for breast cancer.Which of the following nursing actions is of the highest priority?

The nurse is caring for a 58-year-old male who has been prescribed Neulasta (pegfilgrastim) .The nurse recognizes provision of this medication is based on which of the following lab results?

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

While preparing to give morning medications,Remeron (mirtazapine) was newly ordered for the patient to begin this morning.The nurse would immediately call the physician to question this order if which of the following medications was included in the patient's list of home medications?

A client admitted with neutropenia would most likely be started on which of the following medications to promote neutrophil differentiation?

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

The nurse works in a pediatric psychiatry unit.Ritalin (methylphenidate) 5 mg three times daily is commonly prescribed for many of the clients.The nurse recognizes this drug needs to be used cautiously in which of the following children?

While caring for a client who is receiving Serax (oxazepam) ,the nurse notes the client is drowsy and slightly confused upon waking.Which of the following conclusions should the nurse draw?