Musculoskeletal/Men's & Women’s Health/Motley Crew HW Qs

Question 1

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 1

C. Restrict alcohol intake.

Question 2

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 2

B. Decreased muscle spasms

Question 3

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 3

C. Drowsiness

Question 4

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 4

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

Question 5

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

Answer 5

C. Intercostal and diaphragmatic

Question 6

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 6

D. Respiratory depression

Question 7

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

Answer 7

D. Respiratory movement

Question 8

Which medication would the nurse identify as being used as preanesthetic agents?
A. Benzodiazepines
B. Antiepileptic agents
C. Atypical antipsychotics
D. Mood stabilizing agents

Answer 8

A. Benzodiazepines

Question 9

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 9

B. Hypotension

Question 10

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 10

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

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

A nurse is caring for four clients for whom she has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast?

A. Alendronate
B. Digoxin
C. Mycostatin mouthwash
D. Divalproex

Answer 12

A. Alendronate

Question 13

A nurse is teaching a client who is starting to take alendronate effervescent tablets to treat osteoporosis. Which of the following information should the nurse include?

A. “Sit upright or stand for at least 30 minutes after taking this medication.”
B. “Take this medication with food.”
C. “Take this medication with orange juice.”
D. “Chew or suck on the tablet.”

Answer 13

A. “Sit upright or stand for at least 30 minutes after taking this medication.”

Question 14

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 14

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

Question 15

A nurse is caring for a client with a new diagnosis of Paget’s disease (bone disease with osteoporosis). The nurse anticipates the provider will prescribe which of the following medications for this client?

A. Alendronate
B. Colchicine
C. Prednisone
D. Allopurinol

Answer 15

A. Alendronate

Question 16

Which vitamin would the nurse anticipate may become deficient in a client prescribed cholestyramine (fat binding drug) for the treatment of type II hyperlipoproteinemia?
A. Niacin (vitamin B 3)
B. Calciferol (vitamin D)
C. Ascorbic acid (vitamin C)
D. Cyanocobalamin (vitamin B 12)

Answer 16

B. Calciferol (vitamin D)

Question 17

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 17

D. Water-miscible forms of vitamins A and E

Question 18

A client who takes daily megadoses 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 B 1)
C. Pyridoxine (vitamin B 6)
D. Ascorbic acid (vitamin C)

Answer 18

A. Retinol (vitamin A)

Question 19

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 19

C. Vitamin D

Question 20

Which body function maintained by thiamine (vitamin B 1) and niacin (vitamin B 3) will the nurse monitor when prescribed for a client with alcoholism?
A. Neuronal activity
B. Bowel elimination
C. Efficient circulation
D. Prothrombin development

Answer 20

A. Neuronal activity

Question 21

A nurse is caring for a client who has Wernicke–Korsakoff psychosis as a result of chronic alcohol use disorder. Which of the following interventions should the nurse anticipate?
A. Laboratory analysis of cardiac enzymes
B. Monitoring for the presence of esophageal varices
C. Administration of thiamine
D. Placing the client in protective isolation

Answer 21

C. Administration of thiamine

Question 22

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 (Vitamin B1)
D. Oral administration of chlorpromazine

Answer 22

C. Intramuscular injections of thiamine (Vitamin B1)

Question 23

Which B vitamin deficiency will result in Wernicke encephalopathy?
A. B 3 (niacin)
B. B 1 (thiamine)
C. B 2 (riboflavin)
D. B 6 (pyridoxine)

Answer 23

B. B 1 (thiamine)

Question 24

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 B 12 for life
C. Monthly injections of iron dextran
D. Replacement of pancreatic enzymes

Answer 24

B. Injections of vitamin B 12 for life

Question 25

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 25

C. Drawing fluid from brain cells into the bloodstream

Question 26

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 26

B. Osmotic

Question 27

A nurse is caring for a client who has a traumatic head injury and is exhibiting signs of increasing intracranial pressure. Which of the following medications should the nurse plan to administer? A. Albumin 25% B. Dextran 70 C. Hydroxyethyl glucose D. Mannitol 25%

Answer 27

D. Mannitol 25%

Question 28

A nurse is caring for a client who is experiencing Cushing's Triad following a subdural hematoma. Which of the following medications should the nurse plan to administer? A. Albumin 25% B. Dextran 70 C. Hydroxyethyl glucose D. Mannitol 25%

Answer 28

D. Mannitol 25%

Question 29

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 29

B. Decreased intracranial pressure

Question 30

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 30

A. 'It relieves cerebral pressure.'

Question 31

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 31

D. Decrease fluid in the brain

Question 32

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 32

C. Intracranial pressure reading of 14 mmHg

Question 33

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 33

B. Urine output hourly

Question 34

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 34

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

Question 35

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 35

D. Hypovolemic shock

Question 36

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 36

A. Thrombosis

Question 37

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 37

D. Pulmonary embolism

Question 38

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 38

A. “Have you ever had a blood clot?”

Question 39

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 39

A. Breast cancer

Question 40

Which finding in a menopausal client’s health history would NOT prevent the health care provider from prescribing hormone replacement therapy? A. Smoking B. Breast cancer C. Deep vein thrombosis D. Depression

Answer 40

D. Depression

Question 41

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 41

A. 'Oral contraceptives can cause thrombophlebitis.'

Question 42

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 42

A. Blood clots

Question 43

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 43

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

Question 44

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 44

D. Blood pressure 162/110

Question 45

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 45

C. Hypertension

Question 46

A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide? A. "Do not have vaginal intercourse until after your next period." B. "Stop taking the pills and switch to a different contraceptive method." C. "Take the missed dose now, then continue the medication as ordered." D. "Take a home pregnancy test."

Answer 46

C. "Take the missed dose now, then continue the medication as ordered.”

Question 47

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 47

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

Question 48

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 48

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

Question 49

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 49

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

Question 50

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 50

A. 'Report irregular vaginal bleeding.'

Question 51

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 51

D. Nonadherence to protocol

Question 52

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 52

D. Breakthrough bleeding

Question 53

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 53

A. User motivation

Question 54

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

Answer 54

B. Vitamin C

Question 55

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 55

C. Medroxyprogesterone

Question 56

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 56

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

Question 57

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

Answer 57

B. Intramuscular progestin

Question 58

Sildenafil is prescribed for a man with erectile dysfunction. Which of the following is NOT a side effect? A. Flushing B. Headache C. Dyspepsia/Stomach Upset/GERD D. Hypertension

Answer 58

D. Hypertension

Question 59

A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil? A. Isosorbide Dinitrate B. Phenytoin C. Metronidazole D. Prednisone

Answer 59

A. Isosorbide Dinitrate

Question 60

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 60

D. Severe hypotension

Question 61

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 61

D. Sildenafil