Question 1

The nurse is providing care for a client receiving Pentam 300 (pentamidine).The nurse should monitor for which of the following complications associated with this medication? Select all that apply.

Accepted Answer

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

Question 2

The physician has ordered Glycolax (polyethylene glycol/electrolyte)for an 82-year-old patient.Which of the following actions will be included in the nurse's plan of care? Select all that apply.

Accepted Answer

The answer of The physician has ordered Glycolax (polyethylene glycol/electrolyte)for...

Question 3

A student nurse is preparing to provide Lyrica (pregabalin).Which of the following side effects should be monitored by the students? Select all that apply.

Accepted Answer

Lyrica (pregabalin) is known to have several side effects, including suicidal thoughts or behaviors (B), weight gain (D), and dry mouth (E). These are common side effects that healthcare providers should monitor in patients taking pregabalin.

Question 4

The nurse is providing care for a client who is receiving Aciphex (rabeprazole).The nurse recognizes this medication is effective by which of the following assessment findings?

Accepted Answer

Aciphex (rabeprazole) is a proton pump inhibitor that is used to reduce the amount of acid produced in the stomach. Therefore, the medication will be effective if the patient denies experiencing symptoms of heartburn or abdominal pain. The other assessment findings are not related to the therapeutic effect of Aciphex.

Question 5

While preparing to pass medications on a medical unit,the student nurse notes a client is scheduled to receive Minipress (prazosin).The student recognizes this medication will cause which of the following?

Accepted Answer

Minipress (prazosin) is an alpha-adrenergic blocker that dilates both arteries and veins, leading to a decrease in blood pressure. It does not directly affect gastric acid production, oral or respiratory secretions, or cardiac preload and afterload.

Question 6

While working in the oncology clinic,the nurse provides Matulane (procarbazine)for a patient with Hodgkin disease.Which of the following medications could potentially cause deep coma and/or death if given concurrently?

Accepted Answer

Demerol (meperidine) can cause a potential interaction with Matulane (procarbazine) leading to serotonin syndrome, a potentially life-threatening condition characterized by confusion, agitation, rapid heart rate, high blood pressure, muscle rigidity, seizures, and coma. Therefore, its use should be avoided during procarbazine therapy. Advil (ibuprofen) and Carafate (sucralfate) do not have any significant interactions with procarbazine. Lanoxin (digoxin) is not used for the treatment of Hodgkin disease and is not likely to be given concurrently with Matulane.

Question 7

A new order for K-Phos (potassium phosphate)250 mg four times daily has been noted.When preparing to administer the medication,which of the following actions will the nurse take?

Accepted Answer

K-Phos tablets should be dissolved in a full glass of water and let stand for 2-5 minutes to ensure it is fully dissolved before administration. This medication should be given with meals to minimize gastrointestinal irritation.

Question 8

While working on the medical unit,the nurse is notified that one of the patients has requested a sleeping pill.A new order has been received for Rozerem (ramelteon)8 mg orally 30 min prior to sleep.The nurse will monitor most closely for which of the following potential adverse reactions?

Accepted Answer

The answer of While working on the medical unit,the nurse...

Question 9

The nurse is caring for a client who was newly prescribed Crinone (progesterone).The nurse would provide additional education in response to which of the following client statements?

Accepted Answer

Crinone (progesterone) is not designed to halt ovulation but to support a pregnancy. Therefore, additional education should be provided to the client who thinks otherwise. Option A, B, and C are valid statements and do not require additional education from the nurse.

Question 10

A diabetic patient treated with a sulfonylurea has been ordered a beta blocker for hypertension.The nurse is aware that beta blockers taken with sulfonylureas may mask the signs and symptoms of hypoglycemia.The nurse recognizes which of the following medications is included in the class of sulfonylureas?Select all that apply.

Accepted Answer

Januvia (sitagliptin) is not a sulfonylurea. Amaryl (glimepiride), Diabeta (glyburide), and Glucotrol (glipizide) are all sulfonylureas commonly used for diabetes management. Glucophage (metformin) is not a sulfonylurea, but rather a biguanide.

Question 11

A nurse caring for a client who is to initiate therapy with Amaryl (glimepiride)1 mg once daily would include which of the following statements in the client teaching?

Accepted Answer

Amaryl is an oral hypoglycemic agent used for the treatment of type 2 diabetes. Option A is incorrect as it is not used to treat infections. Option B is incorrect as it can be taken with or without food, but it should be taken at the same time every day. Option C is incorrect as alcohol intake can potentiate the effects of the medication, leading to hypoglycemia. Option D is correct as Amaryl can cause low blood sugar, also known as hypoglycemia, and the nurse should instruct the client to notify the healthcare provider if they experience any symptoms of low blood sugar.

Question 12

The student nurse reviews a list of medications a client takes at home.Prandin (repaglinide)is on the list.The student expects this medication is provided in which of the following ways?

Accepted Answer

Prandin (repaglinide) is an oral medication used to treat type 2 diabetes. It stimulates the release of insulin from the pancreas to help lower blood sugar levels after meals.

Question 13

As part of a new treatment regimen for Alzheimer,a 78-year-old woman is prescribed Exelon (rivastigmine).The nurse should include which of the following statements in the client teaching? Select all that apply.

Accepted Answer

A) Exelon can be given in transdermal patch form that is changed every 24 hours.
B) Exelon can cause dizziness, so it is important to use caution until your body adjusts to the medication.
C) It is important to report any gastrointestinal symptoms such as nausea, vomiting, anorexia, or weight loss to the doctor.
D) Exelon may take several weeks to show improvement, and it may not work for everyone.
E) The oral form of Exelon can be taken with or without food.
F) Exelon can cause headaches, weakness, diarrhea, and other gastrointestinal side effects, so it is important to report any side effects to the doctor.

Question 14

The nurse is caring for a 44-year-old patient with fibromyalgia.Savella (milnacipran)has been prescribed.Which of the following statements would be included in the client teaching?

Accepted Answer

A) Milnacipran can cause dizziness as a side effect, so the patient should be advised to move slowly and call for assistance if they feel dizzy.
B) Headaches are a known side effect of milnacipran, and the patient should be advised to inform the healthcare provider if they experience any headaches after taking this medication.
C) Milnacipran can cause constipation, and increasing fluid and fiber intake can help alleviate this side effect.
D) Milnacipran can have cardiovascular side effects, including increased blood pressure, so the patient should be monitored more frequently for changes in blood pressure and heart rate. 
E) The safety of milnacipran in pregnancy has not been established, and it should be avoided during pregnancy unless the benefits outweigh the risks. Therefore, option E is incorrect, making the best choice A, B, C, and D.

Question 15

The nurse is reviewing the home medication list for a client with a history of head and neck cancer who has been receiving radiation therapy.The client reports taking PO Salagen (pilocarpine)three times daily.The nurse understands this medication is designed to help treat which of the following?

Accepted Answer

PO Salagen (pilocarpine) is a medication used to treat xerostomia (dry mouth), which is a common symptom of head and neck cancer and radiation therapy.

Question 16

The nurse is providing medications for a male patient who has been taking Tebrazid (pyrazinamide)30 mg/kg daily.The nurse notes the patient's AST = 45 units/L.Which of the following actions by the nurse is best?

Accepted Answer

Tebrazid (pyrazinamide) is known for causing hepatotoxicity, and an increase in AST levels could indicate liver damage. Therefore, it is best to hold the medication and contact the physician to discuss adjusting or stopping the dosage. Checking total protein levels or splitting the dose will not address the potential liver damage and could potentially cause harm to the patient.

Question 17

While investigating the medications taken by a client in the hospital,the student nurse understands that Zosyn (piperacillin/tazobactam)has an extended spectrum compared to other penicillins for which of the following reasons?

Accepted Answer

Tazobactam is a beta-lactamase inhibitor, which means it inhibits an enzyme that destroys penicillins, allowing piperacillin to remain active against a wider range of bacteria. This gives Zosyn an extended spectrum compared to other penicillins.

Question 18

While preparing to provide morning medications,a new nurse realizes many clients are taking Viagra (sildenafil)and knows the drug must be given cautiously or in reduced doses to which of the following clients?

Accepted Answer

Viagra (sildenafil) is contraindicated in patients with coronary artery disease or those taking nitrates due to the risk of severe hypotension. Therefore, it should be given cautiously or in reduced doses to the patient with a history of coronary artery disease. The other clients listed do not have contraindications for taking Viagra.

Question 19

Which of the following would allow the nurse to determine that a client taking Flomax (tamsulosin)was achieving clinical benefit from the medication?

Accepted Answer

Flomax (tamsulosin) is a medication used to treat symptoms of an enlarged prostate, such as difficulty urinating and frequent urination. Therefore, a decrease in nocturia (frequent urination during the night) would be an indication that the medication is providing clinical benefit to the client. The other options do not provide any information on the effectiveness of Flomax.

Question 20

A client with Parkinson disease is started on Mirapex (pramipexole)0.125 mg three times daily.The family has been told to return to the physician's office in 4 wk.Which of the following statements by the nurse is best?

Accepted Answer

Mirapex (pramipexole) can cause confusion and hallucinations as a side effect. It is important for the nurse to instruct the client and family to report any of these symptoms to the physician immediately. Option A is not accurate as melatonin may interact with Mirapex and cause excessive drowsiness. Option B is not recommended as breaking extended release tablets can alter the drug delivery system and cause an overdose. Option C is not recommended as the medication should be taken at the same time every day for optimal effectiveness.

Quiz 4: Drugs Approved in Canada

The nurse is providing care for a client receiving Pentam 300 (pentamidine) .The nurse should monitor for which of the following complications associated with this medication? Select all that apply.

The physician has ordered Glycolax (polyethylene glycol/electrolyte) for an 82-year-old patient.Which of the following actions will be included in the nurse's plan of care? Select all that apply.

A student nurse is preparing to provide Lyrica (pregabalin) .Which of the following side effects should be monitored by the students? Select all that apply.

The nurse is providing care for a client who is receiving Aciphex (rabeprazole) .The nurse recognizes this medication is effective by which of the following assessment findings?

While preparing to pass medications on a medical unit,the student nurse notes a client is scheduled to receive Minipress (prazosin) .The student recognizes this medication will cause which of the following?

While working in the oncology clinic,the nurse provides Matulane (procarbazine) for a patient with Hodgkin disease.Which of the following medications could potentially cause deep coma and/or death if given concurrently?

A new order for K-Phos (potassium phosphate) 250 mg four times daily has been noted.When preparing to administer the medication,which of the following actions will the nurse take?

While working on the medical unit,the nurse is notified that one of the patients has requested a sleeping pill.A new order has been received for Rozerem (ramelteon) 8 mg orally 30 min prior to sleep.The nurse will monitor most closely for which of the following potential adverse reactions?

The nurse is caring for a client who was newly prescribed Crinone (progesterone) .The nurse would provide additional education in response to which of the following client statements?

A nurse caring for a client who is to initiate therapy with Amaryl (glimepiride) 1 mg once daily would include which of the following statements in the client teaching?

The student nurse reviews a list of medications a client takes at home.Prandin (repaglinide) is on the list.The student expects this medication is provided in which of the following ways?

As part of a new treatment regimen for Alzheimer,a 78-year-old woman is prescribed Exelon (rivastigmine) .The nurse should include which of the following statements in the client teaching? Select all that apply.

The nurse is caring for a 44-year-old patient with fibromyalgia.Savella (milnacipran) has been prescribed.Which of the following statements would be included in the client teaching?

The nurse is reviewing the home medication list for a client with a history of head and neck cancer who has been receiving radiation therapy.The client reports taking PO Salagen (pilocarpine) three times daily.The nurse understands this medication is designed to help treat which of the following?

The nurse is providing medications for a male patient who has been taking Tebrazid (pyrazinamide) 30 mg/kg daily.The nurse notes the patient's AST = 45 units/L.Which of the following actions by the nurse is best?

While investigating the medications taken by a client in the hospital,the student nurse understands that Zosyn (piperacillin/tazobactam) has an extended spectrum compared to other penicillins for which of the following reasons?

While preparing to provide morning medications,a new nurse realizes many clients are taking Viagra (sildenafil) and knows the drug must be given cautiously or in reduced doses to which of the following clients?

Which of the following would allow the nurse to determine that a client taking Flomax (tamsulosin) was achieving clinical benefit from the medication?

A client with Parkinson disease is started on Mirapex (pramipexole) 0.125 mg three times daily.The family has been told to return to the physician's office in 4 wk.Which of the following statements by the nurse is best?