MS HW Qs

Question 1

The nurse is to administer a muscle relaxant, succinylcholine, just before a client undergoes electroconvulsive therapy. Which muscles does this medication inhibit?
A. Biceps and triceps
B. Facial and thoracic
C. Intercostal and diaphragmatic
D. Sternocleidomastoid and abdominal

Answer 1

C. Intercostal and diaphragmatic

Question 2

Which statement by a client who had a laminectomy and is receiving a skeletal muscle relaxant that will be continued after discharge indicates that teaching was effective?
A. “I’m going to take the medication between meals.”
B. “If the medication makes me sleepy, I’ll stop taking it.”
C. “If the medication upsets my stomach, I’ll take it with milk.”
D. “I’ll take an extra dose of the medication before I do anything active.”

Answer 2

C. “If the medication upsets my stomach, I’ll take it with milk.”

Question 3

Which adverse effect will the nurse monitor for in a client who has been administered a neuromuscular blocking agent before electroconvulsive therapy?
A. Seizures
B. Vomiting
C. Loss of memory
D. Respiratory depression

Answer 3

D. Respiratory depression

Question 4

Which medications would the nurse identify as being used as preanesthetic agents? Select all that apply. One, some, or all responses may be correct.
A. Barbiturates
B. Benzodiazepines
C. Antiepileptic agents
D. Atypical antipsychotics
E. Mood stabilizing agents

Answer 4

A. Barbiturates
B. Benzodiazepines

Question 5

Which physiological function is the last function lost during anesthesia induction?
A. Gag reflex
B. Eyelid reflexes
C. Voluntary control
D. Respiratory movement

Answer 5

D. Respiratory movement

Question 6

The nurse is caring for a client who has just received epidural anesthesia. The nurse would monitor for which adverse effects?
A. Uterine atony
B. Hypotension
C. Decreased urine production
D. Precipitous second stage of labor

Answer 6

B. Hypotension

Question 7

Which action by a client taking alendronate requires correction? Select all that apply. One, some, or all responses may be correct.
A. Taking medication twice a week
B. Taking medication before rising
C. Taking medication with breakfast
D. Taking medication before bedtime
E. Taking medication with apple juice

Answer 7

A. Taking medication twice a week
B. Taking medication before rising
C. Taking medication with breakfast
D. Taking medication before bedtime
E. Taking medication with apple juice

Question 8

A client is being treated for osteoporosis with alendronate (Fosamax), and the nurse has completed discharge teaching regarding medication administration. Which morning schedule would indicate to the nurse that the client teaching has been effective?
A. Take medication, go for a 30-minute morning walk, then eat breakfast.
B. Take medication, rest in bed for 30 minutes, eat breakfast, go for morning walk.
C. Take medication with breakfast, then take a 30-minute morning walk.
D. Go for a 30 minute morning walk, eat breakfast, then take medication.

Answer 8

A. Take medication, go for a 30-minute morning walk, then eat breakfast.

Question 9

The nurse is caring for a client with osteoporosis who has been prescribed alendronate. When providing care, which intervention would be a priority?
A. Administer the alendronate 30 to 60 minutes before the client eats.
B. Notify the health care provider if the client reports jaw pain.
C. Encourage the client to increase their intake of vitamin D.
D. Monitor the client’s serum calcium levels.

Answer 9

B. Notify the health care provider if the client reports jaw pain.

Question 10

A client has been prescribed alendronate for osteoporosis. Which statements indicate that the client understands how to safely take this medication? Select all that apply.
A. “I will notify my doctor if I experience worsening heartburn.”
B. “I will take the pill with an antacid to prevent stomach upset.”
C. “I will swallow the pill with a full glass of water.”
D. “I will stand or sit quietly for 30 minutes after taking the pill.”
E. “I will always eat breakfast before taking the pill.”

Answer 10

A. “I will notify my doctor if I experience worsening heartburn.”
C. “I will swallow the pill with a full glass of water.”
D. “I will stand or sit quietly for 30 minutes after taking the pill.”

Question 11

A client is prescribed alendronate. Which instruction should the nurse emphasize when teaching about this medication?
A. “Take the medication with a full glass of milk two hours after meals.”
B. “It is recommended that you take this medication with calcium and a glass of juice.”
C. “Be sure to take this medication on an empty stomach.”
D. “You may take this medication after any meal, at the same time every day.”

Answer 11

C. “Be sure to take this medication on an empty stomach.”

Question 12

Which vitamin would the nurse anticipate may become deficient in a client prescribed cholestyramine for the treatment of type II hyperlipoproteinemia?
A. Niacin (vitamin B3)
B. Calciferol (vitamin D)
C. Ascorbic acid (vitamin C)
D. Cyanocobalamin (vitamin B12)

Answer 12

B. Calciferol (vitamin D)

Question 13

Which prescription would the nurse anticipate for the client who takes a medication that interferes with fat absorption?
A. High-fat diet
B. Supplemental cod liver oil
C. Total parenteral nutrition (TPN)
D. Water-miscible forms of vitamins A and E

Answer 13

D. Water-miscible forms of vitamins A and E

Question 14

A client who takes daily mega doses of vitamins is hospitalized with joint pain, loss of hair, yellow pigmentation of the skin, and an enlarged liver due to vitamin toxicity. Which type of toxicity would the nurse suspect?
A. Retinol (vitamin A)
B. Thiamine (vitamin B1)
C. Pyridoxine (vitamin B6)
D. Ascorbic acid (vitamin C)

Answer 14

A. Retinol (vitamin A)

Question 15

A thin 24-year-old woman who runs 10 miles each week asks the nurse for advice about preventing osteoporosis. Which vitamin would the nurse recommend?
A. Vitamin E
B. Vitamin B
C. Vitamin D
D. Vitamin C

Answer 15

C. Vitamin D

Question 16

Which topic will the nurse include in the discharge teaching of a client who has had a total gastrectomy?
A. Daily use of a stool softener
B. Injections of vitamin B12 for life
C. Monthly injections of iron dextran
D. Replacement of pancreatic enzymes

Answer 16

B. Injections of vitamin B12 for life

Question 17

Which body function maintained by thiamine (vitamin B1) and niacin (vitamin B3) will the nurse monitor when prescribed for a client with alcoholism?
A. Neuronal activity
B. Bowel elimination
C. Efficient circulation
D. Prothrombin development

Answer 17

A. Neuronal activity

Question 18

Which medication therapy is indicated for management of Wernicke encephalopathy associated with Korsakoff syndrome?
A. Traditional phenothiazines
B. Judicious use of antipsychotics
C. Intramuscular injections of thiamine
D. Oral administration of chlorpromazine

Answer 18

C. Intramuscular injections of thiamine

Question 19

Which rationale will the nurse provide to a client with Crohn’s disease who asks why the prescribed vitamins have to be given intravenously (IV) rather than by mouth? Select all that apply. One, some, or all responses may be correct.
A. “They provide more rapid action results.”
B. “They decrease colon irritability.”
C. “Oral vitamins are less effective.”
D. “Intestinal absorption may be inadequate.”
E. “Allergic responses are less likely to occur.”

Answer 19

A. “They provide more rapid action results.”
C. “Oral vitamins are less effective.”
D. “Intestinal absorption may be inadequate.”

Question 20

Which B vitamin deficiency will result in Wernicke encephalopathy?
A. B3 (niacin)
B. B1 (thiamine)
C. B2 (riboflavin)
D. B6 (pyridoxine)

Answer 20

B. B1 (thiamine)

Question 21

The nurse recognizes that hormonal therapy (HT) increases the risk of which condition in postmenopausal women?
A. Breast cancer
B. Rapid weight loss
C. Accelerated bone loss
D. Vaginal tissue atrophy

Answer 21

A. Breast cancer

Question 22

A client who has a habit of smoking is on estrogen therapy. Which condition is the client at most risk of developing?
A. Thrombosis
B. Gastrointestinal upset
C. Risk of developing cancer
D. Decreased effectiveness of estrogen

Answer 22

A. Thrombosis

Question 23

Which points would the nurse include when counseling a woman on hormone therapy? Select all that apply. One, some, or all responses may be correct.
A. The client should use appropriate sun protection.
B. The client should monitor any deviations in body weight.
C. The client should take the medication on an empty stomach.
D. The client should discontinue the medication if adverse effects occur.
E. The client should alternate the time of day the medication is taken.

Answer 23

A. The client should use appropriate sun protection.
B. The client should monitor any deviations in body weight.

Question 24

A 25-year-old woman on estrogen therapy has a history of smoking. Which complication would the nurse anticipate in the client?
A. Osteoporosis
B. Hypermenorrhea
C. Endometrial cancer
D. Pulmonary embolism

Answer 24

D. Pulmonary embolism

Question 25

A registered nurse teaches a nursing student about caring for a client prescribed estradiol to treat low estrogen levels. Which statement by the student indicates to the nurse a need for additional learning?
A. ‘I should apply the emulsion once a day on the thighs.’
B. ‘I should avoid covering the medication with clothing after it is dried.’
C. ‘I should educate the client about the pharmacokinetic effects of estradiol.’
D. ‘I should advise the client to avoid applying sunscreen at the same time as the medication intake.’

Answer 25

B. ‘I should avoid covering the medication with clothing after it is dried.’

Question 26

Which conditions would the nurse identify as decreasing the effectiveness of estrogen therapy? Select all that apply. One, some, or all responses may be correct.
A. Habit of smoking
B. Use of anticoagulants
C. Use of tricyclic antidepressants
D. Presence of endometrial cancer
E. Presence of thromboembolic disorders

Answer 26

A. Habit of smoking
B. Use of anticoagulants

Question 27

Which finding in a menopausal client’s health history would prevent the health care provider from prescribing hormone replacement therapy? Select all that apply. One, some, or all responses may be correct.
A. Smoking
B. Cirrhosis
C. Cholecystitis
D. Breast cancer
E. Deep vein thrombosis

Answer 27

A. Smoking
B. Cirrhosis
C. Cholecystitis
D. Breast cancer
E. Deep vein thrombosis

Question 28

The nurse is caring for a female client who is requesting hormonal contraceptives. Which of the following questions should the nurse ask to assess for contraindications?
A. “Have you ever had a blood clot?”
B. “How many children do you have?”
C. “Do you drink alcohol?”
D. Did you experience acne in adolescence?

Answer 28

A. “Have you ever had a blood clot?”

Question 29

The health care provider prescribes finasteride for a client with benign prostatic hyperplasia. Which information would the nurse provide to the client?
A. Male pattern baldness can occur.
B. Results can be expected in 4 to 6 weeks.
C. The medication relaxes the muscles in the bladder neck.
D. A condom should be worn during intercourse with a pregnant female.

Answer 29

D. A condom should be worn during intercourse with a pregnant female.

Question 30

Which medication would the nurse anticipate may be prescribed to produce diuresis and inhibit formation of aqueous humor for a client with glaucoma?
A. Chlorothiazide
B. Acetazolamide
C. Methazolamide
D. Aclidinium bromide

Answer 30

B. Acetazolamide

Question 31

A health care provider prescribes teriparatide for a client with osteoporosis. Which statement about this medication would the nurse recognize as accurate?
A. It requires increased intake of vitamin A.
B. It prevents existing bone from being destroyed.
C. Sunscreen should be used to prevent vitamin D absorption.
D. Osteoblastic activity is stimulated more than osteoclastic activity.

Answer 31

D. Osteoblastic activity is stimulated more than osteoclastic activity.

Question 32

Which medication is derived from a natural source and may be prescribed for the treatment of osteoporosis?
A. Calcitonin
B. Raloxifene
C. Clomiphene
D. Bisphosphonates

Answer 32

A. Calcitonin

Question 33

Which statements accurately describe the different medications available for the treatment of osteoporosis? Select all that apply. One, some, or all responses may be correct.
A. Denosumab acts by stimulating bone formation.
B. Individuals with an allergy to salmon can’t take calcitonin.
C. Bisphosphonates inhibit osteoclast-mediated bone resorption.
D. Denosumab is a subcutaneous injection given once every 6 months.
E. Teriparatide is used for the prevention of postmenopausal osteoporosis.

Answer 33

B. Individuals with an allergy to salmon can’t take calcitonin.
C. Bisphosphonates inhibit osteoclast-mediated bone resorption.
D. Denosumab is a subcutaneous injection given once every 6 months.

Question 34

Which information would the nurse give to a client interested in kava and valerian supplements for the treatment of anxiety and insomnia? Select all that apply. One, some, or all responses may be correct.
A. Valerian can cause restlessness and insomnia.
B. Both kava and valerian are contraindicated with liver disease.
C. Kava is contraindicated with Parkinson’s disease or depression.
D. Kava can cause temporary yellow discoloration of the skin, hair, and nails.
E. Both kava and valerian can have adverse effects on the central nervous system.

Answer 34

A. Valerian can cause restlessness and insomnia.
B. Both kava and valerian are contraindicated with liver disease.
C. Kava is contraindicated with Parkinson’s disease or depression.
D. Kava can cause temporary yellow discoloration of the skin, hair, and nails.

Question 35

Which condition contraindicates the use of ginseng herbal therapy?
A. Pregnancy
B. Schizophrenia
C. Bipolar depression
D. Alzheimer’s disease

Answer 35

A. Pregnancy

Question 36

A client who has a long history of medication and alcohol abuse mentions taking ginkgo biloba. Which condition is this client taking ginkgo biloba to treat?
A. Insomnia
B. Depression
C. Memory impairment
D. Anxiety and nervousness

Answer 36

C. Memory impairment

Question 37

The health care provider prescribes finasteride for a client with benign prostatic hyperplasia (BPH). The client would like to take saw palmetto instead of the finasteride. Which information would the nurse provide to the client about this herbal supplement?
A. ‘Research has shown that saw palmetto is no better than a placebo.’
B. ‘You can take both; saw palmetto doesn’t require a prescription.’
C. ‘The herbal supplement will relieve symptoms by altering the size of the prostate.’
D. ‘Substituting saw palmetto is a good option to avoid all the bad side effects of finasteride.’

Answer 37

A. ‘Research has shown that saw palmetto is no better than a placebo.’

Question 38

Which responses would the nurse offer a client who asks whether she should take soy supplements to decrease menopausal symptoms and improve bone density? Select all that apply. One, some, or all responses may be correct.
A. These supplements can cause high cholesterol.
B. Estrasorb is applied like a lotion but can’t transfer to men.
C. Soy supplements might interfere with thyroid hormone absorption.
D. These products have fewer contraindications than other estrogen products.
E. Some women have reported nausea, bloating, diarrhea, and abdominal pain.

Answer 38

C. Soy supplements might interfere with thyroid hormone absorption.
E. Some women have reported nausea, bloating, diarrhea, and abdominal pain.

Question 39

Which item will the nurse teach a client who has had an excision of a thrombosed external hemorrhoid to use when cleaning the anus after a bowel movement?
A. Betadine pads
B. Soft facial tissue
C. Witch hazel–moistened pads
D Sterile 4 × 4-inch (10 × 10 cm) pads

Answer 39

C. Witch hazel–moistened pads

Question 40

A breast-feeding mother asks the nurse if the use of herbal medicines will increase breast milk supply. Which nursing response is most appropriate?
A. ‘It may be safe if taken with lots of water.’
B. ‘It does not effectively increase breast milk supply.’
C. ‘It may cause iron deficiency anemia in the infant.’
D. ‘You should speak to your health care provider about this.’

Answer 40

D. ‘You should speak to your health care provider about this.’

Question 41

Which condition is contraindicated for St. John’s Wort herbal therapy?
A. Anxiety
B. Seizures
C. Dementia
D. Cardiac disease

Answer 41

C. Dementia

Question 42

A primary health care provider prescribes venlafaxine for a client with a diagnosis of major depressive disorder who has been taking herbal medications. Which herbal supplement is contraindicated when taking venlafaxine?
A. Ginseng
B. Valerian
C. Kava-kava
D. St. John’s Wort

Answer 42

D. St. John’s Wort

Question 43

A client reports to the nurse, ‘I’ve been using St. John’s Wort to try and feel more like myself again. I’m not sure whether it’s going to work.’ Which symptom would the nurse further assess?
A. Depression
B. Sleep disturbances
C. Diminished cognitive ability
D. Sensory-perceptual disturbances

Answer 43

A. Depression

Question 44

Sildenafil is prescribed for a man with erectile dysfunction. Which side effects of this medication would the nurse mention in teaching? Select all that apply. One, some, or all responses may be correct.
A. Flushing
B. Headache
C. Dyspepsia
D. Constipation
E. Hypertension

Answer 44

A. Flushing
B. Headache
C. Dyspepsia

Question 45

Which complication will occur as the result of administering sildenafil to a client who takes isosorbide dinitrate?
A. Constipation
B. Protracted vomiting
C. Respiratory distress
D. Severe hypotension

Answer 45

D. Severe hypotension

Question 46

A 48-year-old male client who is being admitted to the emergency department with an acute myocardial infarction (MI) gives the following list of medications to the nurse. Which medication would the nurse recognize as having the most immediate implications for the client’s care?
A. Losartan
B. Captopril
C. Furosemide
D. Sildenafil

Answer 46

D. Sildenafil

Question 47

A 20-year-old woman visiting the clinic says that she wishes to begin using depot medroxyprogesterone acetate as a form of birth control. Which important information would the nurse include when teaching the client about this medication?
A. ‘Medroxyprogesterone offers protection against the herpes simplex virus.’
B. ‘You will need a repeat injection every 6 months.’
C. ‘Increase your intake of iron-rich foods to prevent anemia from increased blood loss during menstruation.’
D. ‘Increase your calcium intake and exercise because loss of bone mineral density may occur.’

Answer 47

D. ‘Increase your calcium intake and exercise because loss of bone mineral density may occur.’

Question 48

A client who is a smoker expresses a desire to postpone her first pregnancy for at least 5 years and declines to use a barrier method. Which method would the nurse anticipate providing education for?
A. A birth control patch
B. A vaginal ring
C. Medroxyprogesterone
D. Combined oral contraceptive pills

Answer 48

C. Medroxyprogesterone

Question 49

Which statements would the nurse include when teaching a client who is considering medroxyprogesterone injection as a form of hormonal birth control? Select all that apply. One, some, or all responses may be correct.
A. It lasts for 3 months.
B. It can cause nausea and vomiting.
C. It contains both progestin and estrogen.
D. It decreases the risk of age-related loss of bone density.
E. Side effects include drowsiness or insomnia and depression.
F. The most severe undesirable effects are liver dysfunction and thromboembolic disorders.

Answer 49

A. It lasts for 3 months.
B. It can cause nausea and vomiting.
E. Side effects include drowsiness or insomnia and depression.
F. The most severe undesirable effects are liver dysfunction and thromboembolic disorders.

Question 50

Which birth control agent requires administration once every 3 months?
A. Progestin-only pills
B. Intramuscular progestin
C. Combination biphasic forms
D. Combination monophasic forms

Answer 50

B. Intramuscular progestin

Question 51

A client asks the nurse what she should do if she forgets to take her contraceptive pill 1 day. Which response by the nurse is appropriate?
A. ‘Take your pills as instructed.’
B. ‘Call your primary health care provider immediately.’
C. ‘Continue as usual, and there shouldn’t be a problem.’
D. ‘On the next day take 1 pill in the morning and 1 pill before bedtime.’

Answer 51

D. ‘On the next day take 1 pill in the morning and 1 pill before bedtime.’

Question 52

A 28-year-old woman who is a smoker seeks advice about oral contraceptives. Which response by the nurse is appropriate?
A. ‘Oral contraceptives can cause thrombophlebitis.’
B. ‘Oral contraceptives must be used with other methods.’
C. ‘Some oral contraceptives can be used without concern.’
D. ‘Some oral contraceptives are safe, but others are not safe.’

Answer 52

A. ‘Oral contraceptives can cause thrombophlebitis.’

Question 53

Which supplement would the nurse instruct a client taking oral contraceptives to increase?
A. Calcium
B. Vitamin C
C. Vitamin E
D. Potassium

Answer 53

B. Vitamin C

Question 54

Oral contraceptives are prescribed for a client who smokes heavily. Which side effect would the nurse warn the client might occur?
A. Blood clots
B. Cervical cancer
C. Ovarian cancer
D. Risk of coronary heart disease later in life

Answer 54

A. Blood clots

Question 55

A client is taking an estrogen-progestin oral contraceptive. Which adverse effects from the contraceptive would the nurse teach the client to report to the primary health care provider? Select all that apply. One, some, or all responses may be correct.
A. Dizziness
B. Chest pain
C. Bloating
D. Nausea
E. Calf tenderness
F. Breast tenderness

Answer 55

A. Dizziness
B. Chest pain
E. Calf tenderness

Question 56

A 31-year-old client is seeking contraceptive information. While obtaining the client’s history, which factor indicates to the nurse that oral contraceptives are contraindicated?
A. Older than 30 years
B. Current hypothyroidism
C. Two multiple pregnancies
D. Blood pressure 162/110

Answer 56

D. Blood pressure 162/110

Question 57

A biphasic antiovulatory medication of combined progestin and estrogen is prescribed for a client. Which instruction would the nurse include when teaching about this oral contraceptive?
A. ‘Report irregular vaginal bleeding.’
B. ‘Restrict sexual activity temporarily.’
C. ‘Have regular bimonthly Pap smears.’
D. ‘Increase dietary intake of calcium.’

Answer 57

A. ‘Report irregular vaginal bleeding.’

Question 58

A client comes in for a pregnancy test. She tells the nurse that pregnancy may have occurred because she missed her contraceptive pills for 1 week when she had the flu. Which response by the nurse is appropriate?
A. ‘That’s the trouble with using contraceptive pills. People frequently forget to take them.’
B. ‘You may be correct. The effect of contraceptive pills depends on them being taken on a regular schedule.’
C. ‘Let’s find out whether you really are pregnant. If you are, you may want to consider having an abortion.’
D. ‘Contraceptive pills are unpredictable. You could have become pregnant even if you had taken them regularly.’

Answer 58

B. ‘You may be correct. The effect of contraceptive pills depends on them being taken on a regular schedule.’

Question 59

A client taking oral contraceptives for 3 months tells the nurse she has breakthrough bleeding between menstrual cycles. For which causative factor would the nurse first assess in the client?
A. Illness
B. Anorexia nervosa
C. Ectopic pregnancy
D. Nonadherence to protocol

Answer 59

D. Nonadherence to protocol

Question 60

The nurse is counseling a 34-year-old client who has requested a prescription for oral contraceptives. Which condition would warrant additional discussion?
A. Anemia
B. Depression
C. Hypertension
D. Dysmenorrhea

Answer 60

C. Hypertension

Question 61

The nurse would instruct a client to stop taking an oral contraceptive and notify the health care provider immediately for the presence of which clinical findings? Select all that apply. One, some, or all responses may be correct.
A. Nausea
B. Headaches
C. Weight loss
D. Visual disturbances
E. Increased menstrual flow

Answer 61

B. Headaches
D. Visual disturbances

Question 62

A client is concerned about taking hormones for birth control. Which contraceptives, explained to the client by the nurse, have a hormonal component? Select all that apply. One, some, or all responses may be correct.
A. Oral contraceptives
B. Diaphragm
C. Cervical cap
D. Female condom
E. Foam spermicide
F. Transdermal agents

Answer 62

A. Oral contraceptives
F. Transdermal agents

Question 63

The nurse provides client teaching on the use of oral contraceptives. Which statement made by the client indicates to the nurse that teaching was effective?
A. ‘I will take my pill at the same time every day.’
B. ‘I can stop the pill and try to get pregnant right away.’
C. ‘I may miss two periods and not worry about being pregnant.’
D. ‘I am so glad we won’t have to use condoms even if I miss just one pill during the month.’

Answer 63

A. ‘I will take my pill at the same time every day.’

Question 64

A client is prescribed an oral contraceptive. As part of teaching, the nurse plans to inform the client of the possibility of which adverse effect?
A. Cervicitis
B. Ovarian cysts
C. Fibrocystic breasts
D. Breakthrough bleeding

Answer 64

D. Breakthrough bleeding

Question 65

The nurse teaches a client about side effects that necessitate discontinuation of oral contraceptives. Which statement made by the client indicates that the teaching was effective?
A. ‘I’ll stop taking the pills if I have chest pain.’
B. ‘I’ll stop taking the pills if I start to retain fluid.’
C. ‘I’ll stop taking the pills if I have white discharge from the vagina.’
D. ‘I’ll stop taking the pills if I have pain during the middle of my cycle.’

Answer 65

A. ‘I’ll stop taking the pills if I have chest pain.’

Question 66

A woman questions the nurse about the effectiveness of oral contraceptives. Which important factor about the effectiveness of oral contraceptives would the nurse include in the response?
A. User motivation
B. Simplicity of use
C. Reliability record
D. Identified risk factors

Answer 66

A. User motivation

Question 67

A client is diagnosed with acute gouty arthritis. Which medication would the health care provider prescribe to treat the acute attack of gout and prevent future attacks?
A. Ibuprofen
B. Colchicine
C. Probenecid
D. Allopurinol

Answer 67

B. Colchicine

Question 68

Which outcome does allopurinol produce to prevent acute gouty attacks?
A. Promotes uric acid excretion
B. Decreases synovial swelling
C. Decreases uric acid production
D. Prevents crystallization of uric acid

Answer 68

C. Decreases uric acid production

Question 69

A nurse is providing instructions to a client receiving baclofen. Which of the following would be included in the teaching plan?
A. Limit Fluid Intake
B. Hold the medication if diarrhea occurs.
C. Restrict alcohol intake.
D. Notify the Physician if weakness occurs.

Answer 69

C. Restrict alcohol intake.

Question 70

A client diagnosed with multiple sclerosis is prescribed baclofen. Which assessment finding would indicate to the nurse that the client is experiencing a therapeutic response from the medication?
A. Decreased nausea
B. Decreased muscle spasms
C. Increased muscle tone and strength
D. Increased range of motion to all extremities

Answer 70

B. Decreased muscle spasms

Question 71

A nurse is monitoring a pt receiving baclofen (Lioresal) for side effects related to the medication. Which of the following would indicate that the pt is experiencing a side effect?
A. Polyuria
B. Diarrhea
C. Drowsiness
D. Muscular excitability

Answer 71

C. Drowsiness

Question 72

Which therapeutic effect would the nurse expect to identify when mannitol is administered to a client?
A. Improved renal blood flow
B. Decreased intracranial pressure
C. Maintenance of circulatory volume
D. Prevention of the development of thrombi

Answer 72

B. Decreased intracranial pressure

Question 73

Which assessment would the nurse perform specific to the safe administration of intravenous mannitol?
A. Body weight daily
B. Urine output hourly
C. Vital signs every 2 hours
D. Level of consciousness every 8 hours

Answer 73

B. Urine output hourly

Question 74

A 6-year-old child is receiving an intravenous solution of 10% glucose and mannitol to reduce cerebral edema. Which complication would the nurse monitor the child for?
A. Overhydration
B. Seizure activity
C. Acute heart failure
D. Hypovolemic shock

Answer 74

D. Hypovolemic shock

Question 75

A child is prescribed intravenous mannitol. The nurse understands mannitol belongs to which classification of diuretics?
A. Loop
B. Osmotic
C. Potassium sparing
D. Carbonic anhydrase inhibitor

Answer 75

B. Osmotic

Question 76

The nurse is caring for a 6-year-old child who has undergone craniotomy. The parents ask what effect mannitol has. Which response by the nurse is most appropriate?
A. ‘It relieves cerebral pressure.’
B. ‘It increases the bladder’s filtration rate.’
C. ‘It reduces glucose excretion in the urine.’
D. ‘It decreases the peripheral retention of fluid.’

Answer 76

A. ‘It relieves cerebral pressure.’

Question 77

A health care provider prescribes mannitol for a client with a head injury. Which mechanism of action is responsible for therapeutic effects of this medication?
A. Decreasing the production of cerebrospinal fluid
B. Limiting the metabolic requirements of the brain
C. Drawing fluid from brain cells into the bloodstream
D. Preventing uncontrolled electrical discharges in the brain

Answer 77

C. Drawing fluid from brain cells into the bloodstream

Question 78

A client is prepared for a supratentorial craniotomy with burr holes, and an intravenous infusion of mannitol is instituted. The nurse concludes that this medication is primarily given for which purpose?
A. Lower blood pressure
B. Prevent hypoglycemia
C. Increase cardiac output
D. Decrease fluid in the brain

Answer 78

D. Decrease fluid in the brain

Question 79

A nurse is preparing to administer intravenous mannitol to a client with increased intracranial pressure. Which action will the nurse perform prior to administering the medication?
A. Connect an in-line filter to the infusion tubing
B. Dilute the medication with lactated ringers
C. Prepare an infusion warmer
D. Ensure the client has a patent central line

Answer 79

A. Connect an in-line filter to the infusion tubing

Question 80

The nurse is administering an osmotic diuretic to a client with a traumatic brain injury. Which finding best indicates that the medication was effective?
A. 250 mL clear, yellow urine output over four hours
B. Clear bilateral lung sounds to posterior auscultation
C. Intracranial pressure reading of 14 mmHg
D. Bilateral ovoid pupils that are slow to constrict

Answer 80

C. Intracranial pressure reading of 14 mmHg

Question 81

A client with benign prostatic hypertrophy has been prescribed tamsulosin. Which statement by the nurse correctly describes how this medication works?
A. “This medication will shrink your enlarged prostate gland.”
B. “This medication will eliminate your nocturia.”
C. “Your sexual desire will increase with this medication.”
D. “This medication will improve the flow of urine.”

Answer 81

D. “This medication will improve the flow of urine.”