Exam 2

Question 1

It is important for a nurse to be aware of the normal hemodynamics of blood flow to recognize and understand pathology when it occurs. The nurse should know that incomplete closure of the tricuspid valve results in a backward flow of blood from the:

Answer 1

Right ventricle to the right atrium

Question 2

A patient’s blood pressure elevates to 270/150 mm Hg, and a hypertensive emergency is obvious. He is transferred to the intensive care unit and started on a sodium nitroprusside (Nipride) drip to be titrated per his response. With this medication, the nurse knows that the maximum dose of this drug should be infused for how long?

Answer 2

10 minutes

Question 3

The nurse notes in a patient’s medical record that nesiritide has been ordered. Based on this order, the nurse interprets that the patient has which disorder?

Answer 3

Acutely decompensated heart failure with dyspnea at rest

Question 4

A patient newly diagnosed with tuberculosis (TB) has been taking antitubercular drugs for 1 week calls the clinic and is very upset. He says, “My urine is dark orange! What’s wrong with me?” Which response by the nurse is correct?

Answer 4

“This is an expected side effect of the medicine. Let’s review what to expect.”

Question 5

The nurse is reviewing new medication orders for a patient who has an epidural catheter for pain relief. One of the orders is for enoxaparin (Lovenox), a low-molecular-weight heparin (LMWH). What is the nurse’s priority action?

Answer 5

Contact the prescriber because the LMWH cannot be given if the patient has an epidural catheter.

Question 6

During an IV infusion of amphotericin B, a patient develops tingling and numbness in his toes and fingers. What will the nurse do?

Answer 6

Discontinue the infusion immediately

Question 7

A patient reports having adverse effects with nicotinic acid (Niacin). The nurse can suggest that the patient do which of the following to minimize these undesirable effects?

Answer 7

Take small doses of aspirin 30 minutes before taking the nicotinic acid.

Question 8

The nurse will monitor a patient for signs and symptoms of hyperkalemia if the patient is taking which of these diuretics?

Answer 8

Spironolactone (Aldactone)

Question 9

A patient is infected by invasive aspergillosis, and the medical history reveals that the patient has not been able to tolerate several antifungal drugs. The nurse anticipates an order for which medication to treat this infection?

Answer 9

Caspofungin (Cancidas)

Question 10

A 74-year-old professional golfer has chest pain that occurs toward the end of his golfing games. He says the pain usually goes away after 1 or 2 sublingual nitroglycerin tablets and rest. What type of angina does he have?

Answer 10

Classic

Question 11

A patient is being discharged to home on a single daily dose of a diuretic. The nurse instructs the patient to take the dose at which time so it will be least disruptive to the patient’s daily routine?

Answer 11

In the Morning

Question 12

Patient has a digoxin level of 1.1 ng/mL. Which interpretation by the nurse is correct?

Answer 12

It is within the therapeutic range.

Question 13

When monitoring patients on antitubercular drug therapy, the nurse know that which drug may cause a decrease in visual acuity?

Answer 13

Ethambutol (Myambutol)

Question 14

During a blood transfusion, the patient begins to have chills and back pain. What is the nurse’s priority action?

Answer 14

Discontinue the infusion immediately, and notify the prescriber.

Question 15

Nurse providing counseling to a woman who is HIV positive and has just discovered shes pregnant. Which anti HIV drug is given to prevent transmission to infant?

Answer 15

Zidovudine (Retrovir)

Question 16

The nurse is reviewing the classes of antidysrhythmic drugs. Amiodarone is classified on the Vaughan Williams classification as a class III drug, which means it works by?

Answer 16

Prolonging action potential duration.

Question 17

When reviewing the mechanisms of action of diuretics, the nurse knows that which statement is true about loop diuretics?

Answer 17

They have a rapid onset of action and cause rapid diuresis.

Question 18

A patient is in the emergency department with a new onset of rapid-rate atrial flutter, and the nurse is preparing a continuous infusion. Which drug is most appropriate for this dysrhythmia?

Answer 18

Diltiazem (Cardizem)

Question 19

A patient with late-stage HIV infection also has Pneumocystis jirovecii pneumonia. The nurse anticipates treatment with which medication for this pneumonia?

Answer 19

Atovaquone (Mepron)

Question 20

A patient has been prescribed warfarin (Coumadin) in addition to a heparin infusion. The patient asks the nurse why he has to be on two medications. The nurse’s response is based on which rationale?

Answer 20

Heparin is used to start anticoagulation so as to allow time for the blood levels of warfarin to reach adequate levels.

Question 21

The nurse is preparing to administer adenosine (Adenocard) to a patient who is experiencing an acute episode of paroxysmal supraventricular tachycardia. When giving this medication, which is important to remember?

Answer 21

Asystole may occur for a few seconds after administration.

Question 22

The nurse is discussing adverse effects of antitubercular drugs with a patient who has active tuberculosis. Which potential adverse effect of antitubercular drug therapy should the patient report to the prescriber?

Answer 22

Numbness and tingling of extremities

Question 23

When monitoring a patient for signs of hypokalemia, the nurse looks for what early sign?

Answer 23

Muscle weakness

Question 24

A patient has received an overdose of intravenous heparin, and is showing signs of excessive bleeding. Which substance is the antidote for heparin overdose?

Answer 24

Protamine sulfate

Question 25

The nurse is preparing for a community education program on hypertension. Which of these parameters determine the regulation of arterial blood pressure?

Answer 25

Cardiac output and systemic vascular resistance

Question 26

A patient about to receive a morning dose of digoxin has an apical pulse of 53 beats/minute. What will the nurse do next?

Answer 26

Withhold the dose, and notify the prescriber.

Question 27

Which of the following nursing diagnoses is appropriate for a patient who has started aminoglycoside therapy?

Answer 27

Risk for injury (renal damage)

Question 28

A patient has a new order for the adrenergic drug doxazosin (Cardura). When providing education about this drug, the nurse will include which instructions?

Answer 28

“Be sure to lie down after taking the first dose, because first-dose hypotension may make you dizzy.”

Question 29

A patient is being evaluated for a possible helminthic infection. The nurse knows that which of the following statements about anthelminthic therapy is true?

Answer 29

Anthelminthics are very specific in their actions

Question 30

A patient who is HIV-positive has been receiving medication therapy that includes zidovudine (Retrovir). However, the prescriber has decided to stop the zidovudine because of its dose-limiting adverse effect. Which of these conditions is the dose-limiting adverse effect of zidovudine therapy?

Answer 30

Bone marrow suppression

Question 31

When the nurse is administering topical nitroglycerin ointment, which technique is correct?

Answer 31

Remove the old ointment before new ointment is applied.

Question 32

A patient has an infestation with flukes. The nurse anticipates the use of which drug to treat the infestation?

Answer 32

Praziquantel (Biltricide)

Question 33

The nurse is conducting a class about antilipemic drugs. The antilipemic drug ezetimibe (Zetia) works by which mechanism?

Answer 33

Inhibiting cholesterol absorption in the small intestine

Question 34

A patient is taking procainamide for cardiac dysrhythmia. The nurse will monitor the patient for which possible adverse effect?

Answer 34

Diarrhea

Question 35

The nurse is creating a plan of care for a patient with a new diagnosis of hypertension. Which is a potential nursing diagnosis for the patient taking antihypertensive medications?

Answer 35

Sexual dysfunction

Question 36

When reviewing the health history of a patient, the nurse will note that a potential contraindication to potassium supplements exists if the patient has which problem?

Answer 36

Renal disease

Question 37

The nurse is preparing to use an antiseptic. Which statement is correct regarding how antiseptics differ from disinfectants?

Answer 37

Disinfectants are used only on nonliving objects to destroy organisms

Question 38

Which nursing diagnosis is appropriate for a patient receiving antidysrhythmics?

Answer 38

Deficient knowledge

Question 39

The nurse is providing teaching to a patient taking an oral tetracycline antibiotic. Which statement by the nurse is correct?

Answer 39

“Avoid direct sunlight and tanning beds while on this medication.”

Question 40

When reviewing the medication orders for a patient who is taking penicillin, the nurse notes that the patient is also taking the oral anticoagulant warfarin (Coumadin). What possible effect may occur as the result of an interaction between these drugs?

Answer 40

The penicillin will cause an enhanced anticoagulant effect of the warfarin.

Question 41

The nurse is reviewing the therapeutic effects of nonsteroidal anti-inflammatory drugs (NSAIDs), which include which effect?

Answer 41

Antipyretic (antifever)

Question 42

A patient has had recent prosthetic heart valve surgery and is receiving anticoagulant therapy. While monitoring the patient’s laboratory work, the nurse interprets that the patient’s international normalized ratio (INR) level of 2.5 indicates that?

Answer 42

The patient’s warfarin dose is at therapeutic levels.

Question 43

The nurse is reviewing drug therapy for hypertension. According to the JNC 8 guidelines, antihypertensive drug therapy for a newly diagnosed stage 1 hypertensive African-American patient would most likely include which drug or drug classes?

Answer 43

Calcium Channel Blockers with Thiazide diuretics

Question 44

A patient has been taking Antitubercular therapy for 3 months. The nurse notes a therapeutic response to these drugs with which assessment findings?

Answer 44

There is a decrease in symptoms of tuberculosis along with improved chest xrays and sputum cultures.

Question 45

A 79-year-old patient is taking a diuretic for treatment of hypertension. This patient is very independent and wants to continue to live at home. The nurse will know that which teaching point is important for this patient?

Answer 45

He needs to take extra precautions when standing up because of possible orthostatic hypotension and resulting injury from falls.

Question 46

A patient with a severe fungal infection has orders for voriconazole (Vfend). The nurse is reviewing the patient’s medical record and would be concerned with what assessment finding?

Answer 46

History of cardiac dysrhythmias

Question 47

In assessing a patient before administration of a cardiac glycoside, the nurse knows that which lab result can increase the toxicity of the drug?

Answer 47

Potassium level 2.8 mEq/L

Question 48

A patient is in the intensive care unit and receiving an infusion of milrinone (Primacor) for severe heart failure. The prescriber has written an order for an intravenous dose of furosemide (Lasix). How will the nurse give this drug?

Answer 48

Administer the furosemide in a separate intravenous line.

Question 49

The nurse is reviewing the medication administration record of a patient who is taking isoniazid (INH). Which drug or drug class has a significant drug interaction with isoniazid?

Answer 49

Phenytoin (Dilantin)

Question 50

The nurse is counseling a woman who will be starting rifampin (Rifadin) as part of antitubercular therapy. The patient is currently taking oral contraceptives. Which statement is true regarding rifampin therapy for this patient?

Answer 50

Oral contraceptives are less effective while the patient is taking rifampin

Question 51

A patient with primary hypertension is prescribed drug therapy for the first time. The patient asks how long drug therapy will be needed. Which answer by the nurse is the correct response?

Answer 51

“Therapy for high blood pressure is usually lifelong.”

Question 52

A patient with type 2 diabetes mellitus has been found to have trace proteinuria in their urine. The prescriber writes an order for an angiotensin-converting enzyme (ACE) inhibitor. What is the main reason for prescribing this class of drug for this patient?

Answer 52

Renal protective effects

Question 53

The nurse is preparing an infusion of amphotericin B for a patient who has severe fungal infection. Which intervention is appropriate regarding the potential adverse effects of amphotericin B?

Answer 53

Before beginning the infusion administering an antipyretic and an antiemetic drug

Question 54

A calcium channel blocker (CCB) is prescribed for a patient, and the nurse provides instructions to the patient about the medication. What does the nurse tell the patient?

Answer 54

A high-fiber diet with plenty of fluids will help prevent the constipation that may occur.

Question 55

A patient who has a history of coronary artery disease has been instructed to take one 81-mg aspirin tablet a day. The nurse is aware that the purpose of this dose of aspirin is to

Answer 55

It will help to prevent clot formation.

Question 56

A patient with severe liver disease is receiving the angiotensin converting enzyme (ACE) inhibitor, captopril (Capoten). The nurse is aware that the advantage of this drug for this patient is that captopril

Answer 56

Captopril is not a prodrug and does not need to be metabolized by the liver before becoming active.

Question 57

A patient tells the nurse that he likes to eat large amounts of garlic “to help lower his cholesterol levels naturally.” The nurse reviews his medication history and notes that which drug has a potential interaction with the garlic?

Answer 57

Warfarin (coumadic)

Question 58

The nurse is monitoring a patient who has been on antibiotic therapy for 2 weeks. Today the patient tells the nurse that he has had watery diarrhea since the day before and is having abdominal cramps. His oral temperature is 101° F (38.3° C). Based on these findings, which conclusion will the nurse draw?

Answer 58

The patient needs to be tested for Clostridium difficile infection.

Question 59

The nurse will assess the patient for which potential contraindication to antitubercular therapy?

Answer 59

Hepatic impairment

Question 60

A patient is in an urgent care center and is receiving treatment for mild hyponatremia after spending a long time doing gardening work in the heat of the day. The nurse expects which drug therapy will be used to treat her condition?

Answer 60

Oral administration of sodium chloride tablets.

Question 61

An elderly patient will be taking a vasodilator for hypertension. Which adverse effect is of most concern for the older adult patient taking this class of drug?

Answer 61

Hypotension

Question 62

When teaching a patient who has a new prescription for transdermal nitroglycerin patches, the nurse tells the patient that these patches are most appropriately used for which situation?

Answer 62

To prevent the occurrence of angina

Question 63

Furosemid (Lasix) is prescribed for a patient who is about to be discharged, and the nurse provides instructions to the patient about the medication. Which statement by the nurse is correct?

Answer 63

Be sure to change positions slowly and rise slowly after sitting or lying so as to prevent dizziness and possible fainting because of blood pressure changes.

Question 64

When administering heparin subcutaneously, the nurse will follow which procedure?

Answer 64

Using a ½ to 5/8 inch, 25- to 28- gauge needle

Question 65

A patient arrives in the emergency department with severe chest pain. The patient reports that the pain has been occurring off and on for a week now. Which assessment finding would indicate the need for cautious use of nitrates and nitrites?

Answer 65

Blood pressure of 88/62 mm Hg

Question 66

The nurse is administering IV acyclovir (Zovirax) to a patient with a viral infection. Which administration technique is correct?

Answer 66

Infuse intravenous acyclovir slowly, over at least 1 hour

Question 67

When a patient is on aminoglycoside therapy, the nurse will monitor the patient for which indicators of potential toxicity?

Answer 67

Tinnitus and dizziness

Question 68

The nurse is reviewing the sputum culture results of a patient with pneumonia and notes that the patient has a gram-positive infection. Which type of cephalosporin is most appropriate for this infection?

Answer 68

First generation

Question 69

A patient is taking the nonsteroidal antiinflammatory drug indomethacin (Indocin) as treatment for pericarditis. The nurse will teach the patient to watch for which adverse effect?

Answer 69

Nausea and vomiting

Question 70

The nurse is reviewing the orders for a patient and notes a new order for an angiotensin- converting enzyme (ACE) inhibitor. The nurse checks the current medication orders, knowing that this drug class may have a serious interaction with what other drug class?

Answer 70

Nonsteroidal anti-inflammatory drugs

Question 71

The nurse is reviewing medication orders for a patient who will be receiving gentamicin therapy. which other medication or medication class. if ordered, would be a potential interactions concern

Answer 71

Loop diuretics

Question 72

A patient is receiving cidofovir (Vistide) as part of treatment for a viral infection, and the nurse is preparing to administer probenecid, which is also ordered. Which is the rationale for administering probenecid along with the cidofovir treatment?

Answer 72

Concurrent drug therapy with probenecid reduces the nephrotoxicity of the cidofovir.

Question 73

While assessing a patient who is taking a beta blocker for angina, the nurse knows to monitor for which adverse effect?

Answer 73

Bradycardia

Question 74

A patient has been diagnosed with carbapenemase-resistant Enterobacteriaceae (CRE). The nurse expects to see orders for which drug

Answer 74

Colistimethate sodium (Coly-Mycin), a polypeptide antibiotic

Question 75

A patient who has a helminthic infection has a prescription for pyrantel (Antiminth). Which is one of the common adverse effects that the patient may experience while on this therapy?

Answer 75

Diarrhea

Question 76

What action is often recommended to help reduce tolerance to transdermal nitroglycerin therapy?

Answer 76

Remove the patch at bedtime, and then apply a new one in the morning

Question 77

A patient who has recently started therapy on a statin drug asks the nurse how long it will take until he sees an effect on his serum cholesterol. Which statement would be the nurse’s best response?

Answer 77

“It takes 6 to 8 weeks to see a change in cholesterol levels.”

Question 78

A patient will be having oral surgery and has received an antibiotic to take for 1 week before the surgery, the nurse knows that this is an example of which type of therapy?

Answer 78

Prophylactic

Question 79

An infant has been hospitalized with a severe lung infection caused by the respiratory syncytial virus (RSV) and will be receiving medication via the inhalation route. The nurse expects which drug to be used?

Answer 79

Ribavirin (Virazole)

Question 80

A patient with elevated lipid levels has a new prescription for nicotinic acid (niacin). The nurse informs the patient that which adverse effects may occur with this medication?

Answer 80

Pruritus, cutaneous flushing

Question 81

A patient will be receiving a thrombolytic drug as part of the treatment for acute infarction. The nurse explains to the patient that this drug is used for which purpose?

Answer 81

To dissolve the clot in the coronary artery

Question 82

The nurse is administering a vancomycin (Vancocin) infusion. Which measure is appropriate for the nurse to implement in order to reduce complications that may occur with this drug is administration?

Answer 82

Infusing the drug over at last 1 hour

Question 83

During a follow-up visit, the health care provider examines the fundus of the patients eye. Afterward, the patient asks the nurse, Why is he looking at my eyes when I have high blood pressure? It does not make sense to mw! What is the best response by the nurse?

Answer 83

The provider is making sure the treatment is effective over the long term

Question 84

A patient on diuretic therapy calls the clinic because he had the flu, with terrible vomiting and diarrhea, and he has not kept anything down for 2 days. He feels weak and extremely tired. Which statement by the nurse is correct?

Answer 84

Please come into the clinic for an evaluation to make sure there are no complications

Question 85

During an infusion of albumin, the nurse monitors the patient closely for the development of which adverse effect?

Answer 85

Fluid volume overload

Question 86

A patient is concerned about the adverse effects of the fibric acid derivative she is taking to lower her cholesterol level. Which is an adverse effect of this class of medication?

Answer 86

Diarrhea

Question 87

A patient who has undergone a lung transplant has contracted cytomegalovirus (CMV) retinitis. The nurse expects which drug to be ordered for this patient?

Answer 87

Gancidovir (cytovene)

Question 88

The nurse is reviewing antimalarial drug therapy with a patient and instructs the patient to watch for and report which potential adverse reactions?

Answer 88

Visual disturbances

Question 89

A patient is receiving an infusion of fresh frozen plasma. Based on this order, the nurse interprets that this patient has which condition?

Answer 89

Coagulation disorder

Question 90

Mannitol (osmitrol) has been ordered for a patient with acute renal failure. The nurse will administer this drug using which procedure?

Answer 90

Intravenously, through a filter

Question 91

A patient will be discharged on quinicline sulfate (quiniclex) extended-release tablets for the treamtment of ventricular ectopy. The nurse will include which information in the teaching plan?

Answer 91

Signs of cinchonism, such as tinnitus, loss of hearing, or slight blurring of vision may occur

Question 92

A patient who is being treated for malaria has started therapy with quinine and tetracycline. He asks the nurse why he is on an antibiotic when malaria is caused by a parasite. Which response by the nurse is correct?

Answer 92

The two drugs are more effective against malaria when given together

Question 93

A patient has had a recent mechanical heart valve surgery and is receiving anticoagulant therapy. While monitoring the patients laboratory work, the nurse interprets that the patients international normalized ratio (INR) level of 3 indicates that:

Answer 93

The patients warfarin dose is at therapeutic levels

Question 94

The nurse notes in the patients medication orders that the patient will be taking ibutilide (Corvert). Based on this finding, the nurse interprets that the patient has which disorder?

Answer 94

Atrial fibrillation

Question 95

A pregnant woman is experiencing hypertension. The nurse knows that which drug is commonly used for a pregnant patient who is experiencing hypertension?

Answer 95

Methyldopa (aldomet)

Question 96

A patient is in the intensive care unit because of an acute myocardial infarction. He is experiencing severe ventricular dysrhythmias. The nurse will prepare to give which drug of choice for this dysrhythmia?

Answer 96

Amiodarone (cordarone)

Question 97

A patient who has been taking isoniazid (INH) has a new prescription for pyridoxine. She is wondering why she needs this medication, the nurse explains that pyridoxine is often given concurrently with the isoniazid to prevent which condition?

Answer 97

Peripheral neuropathy

Question 98

A patient is taking digoxin (Lamoxin) and a loop diuretic daily. When the nurse enters the room with the morning medications, the patient sates, i am seeing a funny yellow color around the lights. What is the nurses next action?

Answer 98

Assess the patient for symptoms of digoxin toxicity

Question 99

While a patient is receiving antilipemic therapy, the nurse knows to monitor the patient closely for the development of which problem?

Answer 99

Liver dysfunction

Question 100

During drug therapy for pneumonia, a female patient develops a vaginal superinfection. The nurse explains that this infection is caused by:

Answer 100

Large doses of antibiotics that kill normal flora

Question 101

A patient is receiving aminoglycoside therapy and will be receiving a beta-lactam antibiotic as well. The patient asks why two antibiotics have been ordered. What is the nurses best response?

Answer 101

The combined effect of both antibiotics is greater than each of them alone

Question 102

If a patient is taking fluconazole (Diflucan) with an oral anticoagulant, the nurse will monitor for which possible interaction?

Answer 102

Increased effects of oral anticoagulants


Question 103

A patient is receiving thrombolytic therapy, and the nurse monitors the patient for adverse effects. What is the most common undesirable effect of thrombolytic therapy?

Answer 103

Internal and superficial bleeding

Question 104

The nurse administering the phosphodiesterase inhibitor milrinone (Primacor) recognizes that this drug will have a positive inotropic effect, which results reflects this effect?

Answer 104

Increased force of cardiac contractions

Question 105

A patient is started on a diuretic for antihypertensive therapy. The nurse expects that a drug in which class is likely to be used initially?

Answer 105

Thiazide diuretics

Question 106

The nurse is working with a graduate nurse to prepare an intravenous dose of potassium. Which statement by the graduate nurse reflects a need for further teaching?

Answer 106

The intravenous potassium dose will be given undiluted

Question 107

When applying transdermal nitroglycerin patches, which instruction by the nurse is correct?

Answer 107

Rotate application sites with each dose

Question 108

While assessing a patient who is receiving intravenous digitalis, the nurse recognizes that the drug has a negative chronotropic effect. How would this drug effect be evident in the patient?

Answer 108

Decreased heart rate

Question 109

A mother brings her toddler into the emergency department and tells the nurse that she thinks the toddler has eaten an entire bottle of chewable aspirin tablets. The nurse will assess for which most common signs of salicylate intoxication in children?

Answer 109

Hyperventilation and drowsiness

Question 110

A patient who is diagnosed with shingles is taking topical acyclovir, and the nurse is providing instructions about adverse effects. The nurse will discuss which adverse effects of topical acyclovir-therapy?

Answer 110

Burning when applied

Question 111

A patient who has started drug therapy for tuberculosis wants to know how long he will be on the medications. Which response by the nurse is correct?

Answer 111

You should expect to take these drugs for as long as 24 months

Question 112

During assessment of a patient with osteoarthritis pain, the nurse knows that which condition is a contraindication to the use of nonsteroidal anti-inflammatory drugs (NSAIDS)?

Answer 112

Renal disease

Question 113

A patient is receiving hydroxychloroquine therapy but tells the nurse that she has never traveled out of her city. The nurse knows that possible reason for this drug therapy is which condition?

Answer 113

Systemic lupus erythematous

Question 114

The nurse is giving intravenous nitroglycerin to a patient who has just been admitted because of an acute myocardial infarction. Which statement is true regarding the administration of the intravenous form of this medication?

Answer 114

Non-polyvinylchloride (non-PVC) plastic intravenous bags and tubing must be used

Question 115

A woman is traveling to a country where she will be at high risk for malarial infection. What will the nurse teach her regarding prophylactic therapy with hydroxychloroquine (Plaqueil)

Answer 115

The drug is usually started 1 to 2 weeks before traveling to endemic areas and is continues for 4 weeks after leaving the area

Question 116

A patient is receiving his third intravenous dose of a penicillin drug. He calls the nurse to report that he is feeling “anxious” and is having trouble breathing. What will the nurse do first?

Answer 116

Stop the antibiotic infusion

Question 117

A patient has a urinary tract infection. The nurse knows that which class of drugs is especially useful for such infections?

Answer 117

Sulfonamides

Question 118

The nurse is reviewing instructions for vaginal antifungal drugs with a patient. Which statement by the nurse is an appropriate instruction regarding these drugs?

Answer 118

Abstain from sexual intercourse until the treatment has been completed and the infection has been resolved

Question 119

During drug therapy with a tetracycline antibiotic, a patient complains of some nausea and anorexia. The nurse’s best advice to the patient would be which of the following?

Answer 119

“Drink a full glass of water with each dose.”

Question 120

The nurse notes in the patient medication orders that the patient will be starting anticoagulant therapy. What is the primary goal of anticoagulant therapy?

Answer 120

Preventing thrombus therapy

Question 121

When receiving the allergy history of a patient, the nurse notes that the patient is allergic to penicillin. Based on this finding, the nurse would question an order for which class of antibiotic?

Answer 121

Sulfonamides

Question 122

A patient has been placed on a milrione infusion as part of the therapy for end-stage heart failure. What adverse effect of this drug will the nurse watch for when assessing the patient during the infusion?

Answer 122

Cardiac dysthymias

Question 123

When administering digoxin immune fab to a patient with severe digoxin toxicity, the nurse knows that each vial can bind with how much digoxin?

Answer 123

0.5 mg

Question 124

The nurse is administering one of the lipid formulations of amphotericin B. when giving this drug, which concept is important to remember?

Answer 124

The lipid formulations are associated with fewer adverse effects that the older adults

Question 125

A patient is being discharged on anticoagulant therapy. The nurse will include in the patient-education conversation that it is important to avoid herbal products that contain which substance?

Answer 125

Ginkgo

Question 126

A patient has received a prescription for a 2-week course of antifungal suppositories for a vaginal yeast infection. She asks the nurse if there is an alternative to this medication, saying, I don’t want to do this for 2-weels! Which is a possibility in this situation?

Answer 126

A single dose of a fluconazole (diflucan) oral tablet

Question 127

A patient with a long-term intravenous catheter is going home. The nurse knows that is he is allergic to seafood, which antiseptic agent is contraindicated?

Answer 127

Povidone-iodine (Beatdine)

Question 128

A patient who is severely anemic also has acute heart failure with severe edema due to fluid overload. The prescriber wants to raise the patient’s hemoglobin and hematocrit levels. The nurse anticipates that the patient will receive which blood product?

Answer 128

Packed red blood cells (PRBC)

Question 129

A patient is taking nystatin oral lozengens to treat an oral candidiasis infection resulting from inhaled corticosteroid therapy for asthma. Which instruction by the nurse is appropriate?

Answer 129

Let the lozenge dissolve slowly and completely in your mouth without chewing it

Question 130

When teaching a patient who is beginning antilipemic therapy about possible drug-food interactions, the nurse will discuss which food?

Answer 130

Grapefruit Juice

Question 131

A 79 year old patient is receiving a quinolone as treatment for a complicated incision infection. The nurse will monitor for which adverse effect that is associated with these drugs?

Answer 131

Tendinitis and tendon rupture

Question 132

A patient calls the clinic to ask about taking a glucosamine-chondroitin supplement for arthritis. The nurse reviews the medication history and notes that there will be a concern for drug interactions if the patient is also taking medications for which disorder?

Answer 132

Type 2 Diabetes mellitus

Question 133

The nurse is preparing to transfuse a patient with a unit of packed red blood cells. Which intravenous solution is correct for use within the PRBC transfusion?

Answer 133

0.9% sodium chloride

Question 134

The nurse is reviewing discharge teaching for a patient who will be taking digoxin therapy. The nurse will teach the patient to avoid which foods when taking the digoxin?

Answer 134

Bran muffins

Question 135

A patient with coronary artery disease asks the nurse about the good cholesterol laboratory values. The nurse knows that good cholesterol refers to which lipids?

Answer 135

High-density lipoproteins (HDLs)

Question 136

The nurse is preparing to transfuse a patient with a unit of packed red blood cells. Which patient would be best treated with this transfusion?

Answer 136

A patient with severe anemia

Question 137

Which nursing diagnosis is appropriate for patient who has started aminoglycoside therapy?

Answer 137

Risk for injury (renal damage)

Question 138

A patient with gout has been treated with allopurinol for 2 months. The nurse will monitor laboratory results for which therapeutic effect?

Answer 138

Decreased uric acid levels

Question 139

When counseling a male patient about the possible adverse effects of antihypertensive drugs, the nurse will discuss which potential problem?

Answer 139

Impotence

Question 140

When starting a patient on antidysrhythmic therapy, the nurse will remember that which problem is a potential adverse effects of any antidyssrhythmic drug?

Answer 140

Dysrhythmias

Question 141

A patient has been started on therapy of a continuous infusion of lidocaine after receiving a loading dose of the drug. The nurse will monitor the patient for which adverse effect?

Answer 141

Convulsions

Question 142

During therapy with amphotencin B, the nurse will monitor the patient for known adverse effects that would be reflected by which laboratory result?

Answer 142

Serum potassium level of 2.7 mEq/L

Question 143

The nurse note sin patients medication history that the patient is taking allopurinol (Zyloprim). Based on this finding, the nurse interprets that the patient has which disorder?

Answer 143

Gout

Question 144

A patient with an intestinal infection that is positive for the Giardia lamblia organism will be taking an antiprotozoal drug. The nurse will include which information in the teaching plan for this patient?

Answer 144

Taking the medications with food reduces gastrointestinal upset

Question 145

A patient has been taking digoxin at home but took an accidental overdose and has developed toxicity. The patient has been admitted to the telemetry unit, where the physician has ordered digoxin immune Fab (Digifab). The patient asks the nurse why the medication is ordered. What is the nurses best response?

Answer 145

This drugs is an antidote to digoxin and will help to lower the blood levels

Question 146

The nurse checks the patients laboratory work prior to administering a dose of vancomycin (Vancocin) and finds that the trough vancomycin level is 24 mcg/Ml. What will the nurse do next?

Answer 146

Hold the drug, and notify the provider

Question 147

A patient has received an overdose of intravenous heparin, and is showing signs of excessive bleeding. Which substance is the antidote for heparin overdose?

Answer 147

Protamine sulfate

Question 148

A patient is taking a combination of antiviral drugs as treatment for early stages of a viral infection. While discussing the drug therapy, the patient asks the nurse if the drugs will kill the virus. When answering, the nurs keeps in mind which fact about antiviral drugs?

Answer 148

They may also kill healthy cells while killing viruses

Question 149

A patient who has been anticoagulated with warfarin (coumadin) has been admitted for gastrointestinal bleeding. The history and physical examination indicated that the patient may have taken too much warfarin. The nurse anticipates that the patient will receive which antidote?

Answer 149

Vitamin K

Question 150

A 62-year old man is to receive lidocaine as treatment for a symptomatic dysrhythmia. Upon assessment the nurse notes that he has a history of alcoholism and has late-stage liver failure. The nurse will expect which adjustments to his drug therapy?

Answer 150

The dosage will be reduced by 50%

Question 151

The nurse is preparing to give a potassium supplement. Which laboratory test should be checked before the patient receives a dose of potassium?

Answer 151

Serum potassium level

Question 152

When a patient is receiving diuretic therapy, which of these assessment measures would best reflect the patients fluid volume status?

Answer 152

Intake, output, and daily weight

Question 153

The nurse is teaching a patient who is taking colchicine for the treatment of gout. Which instruction will the nurse include during the teaching session?

Answer 153

Call your doctor if you have increased pain or blood in the urine