問題一覧
1
Which of the following information should you include when teaching a client about the use of an albuterol inhaler for asthma managemnet?
Use it periodically to prevent excerside-induced asthma.
2
Which of the following information indicates that a client who is taking theophylline needs further instruction.
The client drinks two cups of coffee each morning.
3
You should instruct a client who is taking zileuton to report which if the following possible indications of a serious adverse effects of this drug?
Abdominal pain
4
You are obtaining a health history from a client who is to start using a new ipratropium inhaler. Which of the following information from the client's history alters you to take further action?
Urinary retention, Glaucoma
5
You should advise a client who is using a beclomethasone oral inhaler to watch which of the following possible indications of an adverse effect of this drug?
White coating in the mouth
6
You should recognize that which of the following is a contraindication for taking coedine?
Emphysema
7
You are instructing a client about using cromolyn via inhalation to treat excersise-induced bronchospasm. You advise the client to take the drug.
15 minutes before excercising
8
You should monitor a client taking dextromethorphan because of the potential for which of the following?
Drug abuse
9
You are instruction a client who has a new perscription for cetirizine. Which of the following information should you be sure to include?
Administer the drug prophylactically during allergy season.
10
You should instruct a client using phenylephrine spray for nasal congestion to do whaich of the following to avoid rebound congestion?
Limit the drug's use to 3 to 5 days.
11
A nurse is teaching a client who is beginning fluticasone propionate/ salmeterol therapy. Which of the following instructions should the nurse include?
Increase weight-bearing activity.
12
A nurse is caring for a client who is taking codeine. The nurse should identify that which of the following assessments is prority to make?
Respirations
13
A nurse is teaching a client who has a prescription for albuterol cia inhaler and fluticassonevia inhaler for asthma management. For which of the following reasons should the nurse instruct the client to use the albuterol inhaler before using the fluticasone inhaler?
Albuterol will increase the absorption of fluticasone
14
A nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include?
Have laboratory test performed at regular intervals.
15
A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The nurse should explain that these drugs are effective becasue they perform which of the following actions?
Prevent histamine from binding to receptors
16
A nurse is teacking a client about ipratropium. The nurse shoud include that this drug has which of the following adverse effects?
Urinary retention, Dry mouth
17
A nurse is teaching a client about the use of cromolyn sodium to prevent bronchospasm. The nurse should explain that the drug has which of the following therapeutic effects?
Reduces inflamation
18
A nurse should identify that dextromethorphan can have which of the following effects what combined with morphine?
Potentiation of depression of CNS actions
19
A nurse is teaching a lient about montelukast. Which of the follwoing instructions should the nurse include?
Take the drug once a day in the evening
20
A nurse is teaching a client about the ise of a mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeurtic effects.
Thins tha loosens mucus
21
A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include?
Wait 5 min between using the drug and another inhaled drug
22
Legal restrictions apply to the purchase of psedoephedrine because of which of the rollowing risk?
Drug abuse
23
A nurse is teaching a lient about the use of an expectorant to treat a cough. The nurse should include that an expectorant has which of the follwoing thrapeutic effects?
Reduces surface tension
24
A nurse is teaching a client about the use of beclomethasone to treat asthma. The nurse should explai that the drug has which of the following therapeutic effects?
Drecreases inflammation
25
For which of the following reasons should a client attach a spacer to a metered-dose inhaler?
To increase the amunt of drug delivered to the lungs
26
For which of the following reasons should a nurse instruct a client to acoid taking guaifenesin with combination over-the-counter- cold products?
Over-the-counter cold products also contain guaifenesin
27
A nurse is teachinga client who is taking prednsone for an acute asthma exacerbation. Which of the following instructions should the nurse include?
"Avoid taking nonsteroidal anto-inflammatory drugs."
28
A nurse should recognise that using pseudoephedrine to treat allergic rhinitis requires cautious use with clients who have which ot the following conditions?
Coronary artery disease
29
A nurse is teaching an dult client about diphenhyramine. The nurse should inform the client to expect which of the follwoing adverse effects while taking this drug?
Drowsiness
30
A nurse is caring for a client who is having difficulty mobilizing thick repiratory secretions. Which of the following drugs should the nurse expect to administer to the client?
Acetylcyteine
31
A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report whihc of the following as an adverse effect of this drug?
Palptations
32
A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give?
Allow at least 2 weeks for the full therapeutic effect.
33
A nurse is monitoring plasma drug levels in a client who is taking theophylline. Which of the following findng should the nurse expect to see if the client's drug level indicates toxicity?
Seizures
34
A nurse is teaching a client about the adverse effects of pseudoephedrine. Which of the following should the nurse include? (SATA)
Restlessness, Insomnia, Anxiety
35
A nurse is preparing to admnister phenylephrine to a client. The nurse should identify that which of the following manifestations is an adverse effect of this drug?
Headache
36
A client is taking bumetanidde and apironalactone. You explain to the client that using these drugs together may reduce the risk of which adverse effects?
Hypokalemia
37
A client is about to start taking hydrochlorothiazide for hypertension. To assess for adverse effects of this drug, you monitor for which during drug therapy?
Hyponatremia, Hypokalemia, Dehydration
38
You are administering lidocaine, 50 mg via IV bolus, to a client with a ventricular dysrhythmai. You monitor the client for which adverse reactions to lidocane?
Paresthesias
39
While talking with a client who is taking captopril to treat hypertension, which instructions do you include to help her manage the drug's adverse effects?
Do not use salt substituties to season your food.
40
You are talking with a client who is taking losartan for hypertension. She asks you about stopping contraception and starting a family. You inform the client that losartan is unsafe to take during pregnancy due to which risk?
Fetal injury
41
A client is about to start taking aliskiren to treat hypertension. Which of the following should you tell the client to acoid to ensure optimal absorption of this drug?
Fatty foods
42
While instruction a client about using isosorbide to treat angina, you advise the client to avoid which of the following?
Alcohol
43
*Match with the corresponding classification and action* Propanolol (Inderal)
Beta adrenergic blocker that controlls atrial and ventricular tahycardia
44
*Match with the corresponding classification and action* Amiodarone
Potassium channel blocker that treats ventricular fibrillation and ventricular tachycardia.
45
*Match with the corresponding classification and action* Verapamin (Calan)
Calcium channel blocker that treats supraventricular tachycardia and atrial fibrillation or flutter
46
*Match with the corresponding classification and action* Quinidine
Sodium channel blocker that treats supraventricular and ventricular dysrhythmias
47
You are caring for a client who is taking oral amiodarone to treat atrial fibrillation. Recognizing the adverse effects of amiodarone, you advise the client t watch for and report which of the following? (SATA)
Cough , Blurred vision, Dizziness, Fever
48
You are caring for a client whose atrial dysrhythmia fails to respond to other antidysrhythmia therapies. You anticipate that the primary care provider might try which drugs whose off-label use includes refactory atrial dyshythmias?
Flecainide
49
A nurse is caring for a client who has a glomerular filtration fate for 10 mL/min and reduced urine output. This nurse should clarify a precription a prescription for hydrochlorothiazide for this client because of which of the following characteristics of the dueg?
The drug does not promote diuresis for clients who have renal insufficiency.
50
A nurse is caring for a client who is taking spironolactone to treat hypertension. THe nurse should recognise that which of the following client lab values requires imediate intervention?
Potassium 5.2 mEq/L
51
A nurse should identify that which of the following drugs is used for the short-term treatment of a cardiac dysrhythmia because of the serious adverse effects associated with long-term use?
Procainamide
52
A nurse is reviewing new prescriptions with a client who has heart disease. The nurse should instruct the client that which of the following drugs prescribed to treat hypercholoesterolemia?
Simvastatin
53
A nurse is caring for a client who has a new prescription for dobutamine. The nurse shoudl clarify the prescription with the provider if the client is receiving which of the following typre of drugs?
MAOI, Gerneral anesthetic , Tricyclic antidepressant , Beta Blocker
54
A nurse is teaching a client who has a new prescription for nitroglycerin. The nurse should instruct the client that which of the following manifestations is a potential adverse effect of this drug?
Headache
55
A nurse is caring for a client who has depressive disorder and requires a prescription drug to treat hypertension. The nurse should recognize that which of the following antihypertensive drugs is contraindicated for this client?
Reserpine
56
A nurse is caring for a client who taking atorvastatin and has a new prescription for gemfibrozil. The nurse should recognize that this drug combination places the client at an increased risk for which of the follwoing adverse effects?
Myopathy
57
A nurse is caring for a client who is taking amiodarone to treat atrial fibrillation. Which of the following should the nurse instruct the client to avoid while taking this drug?
Grapefruit juice
58
A nurse is caring for a client who is about to begin captopril therapy. Which of the following adverse effects shoudl the nurse instruct the client to report because it can indicate a need to discontinue drug therapy? (SATA)
Rash, Distorted taste, Swelling of the tongue, Dry cough
59
A nurse is caring for a client who has a new prescription for aliskiren to treat hypertension. The nurse should monitor the client for which of the following findings as an adverse effect of the drug? (SATA)
Hyperkalemia, Throat swelling, Cough
60
A nurse is teaching a client who has a new prescription for gemfibrozil. Which if the following instructions should the nurse include? (SATA)
Report any new intolerance to fried foods, Report muscle tenderness, Expect periodic liver function testing
61
A nurse is caring for a client who is taking a diuretic. The nurse should instruct the client to include which of the following foods in their diet to increase potassium intake?
Raisins
62
A nurse is caring for a client whi is taking carvedilol and has a prescription for an oral antidiabetic drug to manage their new diagnosis of typre 2 dibetes amellitus. By taking both drugs concurrently, the nurse should identify that the client is at an increased risk for which of the following conditions?
Hypoglycemia
63
A nurse is caring for a client who has a new prescription for propranolol to treat tachydyrrhythmia. The nurse should instruct the client to acoid taking which of the following types of over-the-counter drugs while taking propranolol?
NSAIDs
64
A nurse is caring for a client who is taking digoxin and develops changes on their ECG tracing and other manifestation that indicate the client has severe digoxin toxicity. Which of the following drugs should the nurse expect to administer to treat this complication?
Antigen-binding fragments
65
A nurse is assessing a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should identify that these manifestations indicate which of the following adverse effects?
Hypokalemia
66
A nurse is administering hydrchlorothiazide to a client who has gouty arthristis. The nurse should monitor the client for which of the following findings that indicate an adverse effect of this drug?
Hyperuricemia
67
A nurse is caring for alient who has a new prescription for verapamil. The nurse should clarify the prescription with the provider if the client has a history of which of the following conditions?
Second-degree AV block
68
A nurse is providing teaching to a client who has a new prescription for lostartan to treat hypertension. The nurse should instruct the client that which of the following findings could indicate an adverse reaction to th drug and needs to be reported?
Facial Edema
69
A nurse is caring for a client who has a new prescription for verapamil to treat atrial fibrillation. The nurse should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause the client to experience which of the following conditions?
Hypotension
70
A client is about to start taking liquid ferrous sulfate to treat iron deficiency anemia. Which of the following instructions should you include when taking with the client about taking this drug? (SATA)
Drink it through a straw, Dilute it frist with water, Take it with food if needed
71
A client is about to start taking cyanocobalamin, a vitamin B12 prepartaion. You understand that this drug treats which of the following types of anemia?
Pernicious
72
Therapeutic use of Facotr VII
Hemophilla A
73
Therapeutic use for Filgrastim
Chronic neutropenia
74
Therapeutic use of Heparin
Deep vein thrombosis
75
Therapeutic use of Folic Acid
Megaloblastic anemia
76
Before administering IV folic acid, you should explain to the client that this drug can cuase which of the following adverse effects?
Rash
77
You are reviewing the history of a client who is about to start therapy with fator VII to treat hemophilia A. Which of the following drugs the client takes should alert you to take further action?
Asprin
78
A client is about to start taking warfarin to prevent venous thrombosis. You should explain to the client that taking this drug initiallly requires daily blood samples to monitor the results of which of the following lab tests?
PT/INR
79
You are caring for a client who is receiving alteplase to dissolve a thrombus. Which of the followinging should you include in your care plan for this client?(SATA)
Monitor temperature, Limit venipuncutes, Assess neurologic status, Apply pressure to oozing sites
80
Pharmacologic action of Alteplase
Dissolves blood clots
81
Pharmacologic action of Filrastim
Stimulates leukocyte production
82
Pharmacologic action of Epoetin
Stimulates RBC production
83
Pharmacologic action of Clopidogrel
Inhibits platelet aggregation
84
A client is about to start taking clopidogrel to prevent transient ischemic attacks. You should instruct the client to watch for and report which of the following adverse effects of this drug? (SATA)
Petechiae, Weakness, Vision changes
85
A client is about to start taking oprelvekin for thrombocytopenia. To assess for adverse effects of this drug, you should monitor which of the following carefully during drug therapy?
ECG
86
A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the client for which of the following adverse effects?
Headache
87
A nurse in an emergency department is assessing a client who has been taking warfarin and is experiencing rectal bleeding. Which of the following drugs should the nurse expect to administer to the client?
Vitamin K
88
A nurse is caring for a client who has chronic stable angina. The nurse should identify that which of the following drugs inhibits the action of adenosine diphosphate receptors (ADP) on platelets and can be prescribed to reduce the client's risk for myocardial infarction?
Clopidogrel
89
A nurse is preparing to administer a prescribed dose of desmopressin to a client who has hemophilia A. The client's laboratory results indicate that the client has a sodium level of 130 mEq/L. Which of the following actions should the nurse take?
Clarify the prescription with the provider.
90
A nurse is caring for a client who has hemophilia A is about to begin taking desopressin to prevent bleeding. The nurse should monitor the client for which of the following adverse reactions?
Edema
91
A nurse is monitoring a client following ferrous sulfate administration. The nurse should monitor the client for which of the following adverse effects?
Constipation
92
A nurse is caring for a client who is about to begin alteplase therapy to treat pulmonary embolism. Which of the following drugs should the nurse have available in the even of a severe adverse reaction?
Aminocaproic acid
93
A nurse should assess a client who has megaloblastic anemia for indication of which of the following vitamin deficiencies?
Vitamin B12
94
A nurse is caring for a client who is about to begin factor VII therapy to treat hemophillia A. When administering factor VII, which of the following actions should the nurse take?
Have emergency equipement ready.
95
A nurse is caring for a client who is taking clopidogrel to prevent stent restenosis. The nurse should monitor the client for which of the following adverse reactions?
Thrombocytopenia
96
A nurse is caring for a client who is scheduled for an outpatient surgical procedure and reports taking asprin 81 mg daily, including this morning. The nurse should identify that this places the client at risk for which of the following complications?
Uncontolled bleeding
97
A nurse is teaching a client about taking ferrous sulfate to treat iron-deficiency anemia. Which of the following instructions should the nurse include? (SATA)
Eat iron-enriched foods, Spread the dosage across each day, Take the drug on an empty stomach , Increase dietary fiber intake
98
A nurse should identify that clopidogel is contraindicated for clients who have which of the following conditions?
Peptic ulcer disease
99
A nurse is teaching a client who is starting treatment with warfarin. The nurse should plan to include information on which of the following topics to promote the effectiveness of the drug?
Dietary modifications
100
A nurse is caring for a client who is about to begin therapy with recombinant factor IX to treat hemophillia B. The client asks the nurse about the risk of disease transmission with recombinant factor IX as compared with plasma-derived factor IX. The nurse should explain that recombinant facotr IX practically eliminates the risk for which of the following?
Creutzfeld-Jakob disease