Pharmacology Assignments

Question 1

Five days after running out of medication, a client taking clonazepam tells the nurse, “I know I shouldn’t have just stopped the drug like that, but I’m OK.” What is the nurse’s most appropriate response?

Answer 1

“You could go through withdrawal symptoms for up to two weeks.”

Question 2

The nurse is planning discharge teaching for a client who will continue taking the prescribed warfarin at home. What early symptoms of occult blood loss should the nurse teach the client?

Answer 2

Increasing fatigue and shortness of breath.

Question 3

An adolescent client ingests a large number of acetaminophen tablets in an attempt to commit suicide. Which laboratory result is most consistent with acetaminophen overdose?

Answer 3

elevated liver enzyme levelselevated liver enzyme levels

Question 4

A neonate is admitted to the neonatal intensive care unit with persistent pulmonary hypertension. Which medication should the nurse anticipate for this neonate?v

Answer 4

inhaled nitric oxide
Inhaled nitric oxide is a potent selective pulmonary vasodilator

Question 5

A child with diabetes insipidus will be receiving injectable vasopressin when discharged from the hospital. What is the most important step when teaching injection techniques?

Answer 5

Teach injection techniques to anyone who will provide care for the child as well as to the child if the child is old enough to understand.

Question 6

At the end of the alteplase infusion, the nurse notes that the client’s tongue was swollen. What is the nurse’s priority action?

Answer 6

The client has orolingual angioedema, a rare allergic reaction to alteplase that is more common in those taking ACE inhibitors. The nurse should prepare to administer antihistamines, intravenous corticosteroids, or epinephrine per provider orders. When caught early, intubation can often be prevented. If the client is in respiratory distress, and swelling is significant, the nurse should prepare for immediate intubation to protect the airway.

Question 7

A client with chronic alcohol use is admitted to the hospital for detoxification. Later that day, the client’s blood pressure increases and the client is given lorazepam to prevent:

Answer 7

seizure

Question 8

Teaching children and parents about the potential adverse effects of treatment for leukemia is important. What is an adverse effect of taking prednisone?

Answer 8

increased blood glucose

Question 9

What herbal medication should you avoid taking with aspirin

Answer 9

Ginko Biloba

Question 10

What should you assess before giving digoxin

Answer 10

Apical heart rate

Question 11

Do you need more or less insulin in the post pregnancy phase - Type 2 diabetes

Answer 11

Need less insulin now then during pregnancy

Question 12

The nurse is caring for a client with a prescribed fentanyl 25 mcg/hr transdermal patch placed 72 hours prior. After performing safe medication checks, list in order the steps the nurse will take in placing a new patch. All options must be used.v

Answer 12

Assess the client’s vital signs and pain level.

Identify and prepare a new application site.

Remove the used patch and fold its adhesive edges together.

Remove the new patch from its packaging and remove the backing from the adhesive layer.

Press the new patch firmly to the application site with the palm of the hand for 30 seconds.

Question 13

The nurse is teaching the family of a client with a psychiatric disorder about traditional antipsychotic drugs and their effect on symptoms. Which symptom would be most responsive to these types of drugs?

Answer 13

delusions

Question 14

A client with joint pain, tenderness and swelling has been admitted to the hospital. A disease modifying anti-rheumatic drug (DMARD) is prescribed by the healthcare provider. Which medication should the nurse expect to administer?

Answer 14

Methotrexate is considered a first-line DMARD for most clients with rheumatoid arthritis (RA).

Question 15

The nurse is teaching a client with iron-deficiency anemia about ferrous gluconate therapy. Which statement, if made by the client, would indicate a correct understanding of the teaching?

Answer 15

“I will take the medication on an empty stomach with orange juice.”

Question 16

A client, diagnosed with asthma, is experiencing an anaphylactic reaction to a medication. After administering initial emergency care, the nurse would

Answer 16

administer bronchodilators.

Question 17

A client calls the clinic worried about experiencing new symptoms after taking antipsychotic medicine. The client reports persistent, uncontrollable restlessness of the limbs and head despite improvement in psychotic symptoms. What is the most appropriate intervention by the nurse?

Answer 17

Direct the client to see the provider for medication to address these side effects.

Question 18

When offered acetaminophen, the client’s parents tell the nurse that they would like their child to have something stronger. What is the nurse’s best response?

Answer 18

“Opioids are avoided following a head injury because they may hide a deteriorating condition.”

Question 19

A primipara who is Rho(D) negative has just given birth to a Rh-positive baby. The nurse is developing a plan of care. How should Rho(D) immune globulin be administered?

Answer 19

to the client within 3 days

Question 20

A client, with new onset of atrial fibrillation, is receiving warfarin to help prevent thromboembolism. The client will be discharged when the warfarin reaches therapeutic levels, and when the international normalized ratio (INR) ranges from

Answer 20

2 to 3 INR
In a client with atrial fibrillation, the warfarin is at a therapeutic level when the INR ranges from 2 to 3. A range of 3.5 to 4 is too high, and increases the risk of hemorrhage.

Question 21

After a thyroidectomy, the client develops a positive Trousseau’s sign. What is the nurse’s priority action?

Answer 21

administer calcium gluconate
Damage to the parathyroid glands can inadvertently occur during a thyroidectomy. This may cause a decrease in serum calcium, which causes muscle hyperexcitability and tetany. The treatment for a client who develops hypocalcemia and tetany following a thyroidectomy is calcium gluconate.

Question 21

Which antiparkinsonian drug can cause drug tolerance or toxicity if taken for too long?

Answer 21

Long-term therapy with levodopa-carbidopa can result in drug tolerance or toxicity manifested by confusion, hallucinations, or decreased drug effectiveness.

Question 22

A child with diabetic ketoacidosis is being treated for a blood glucose level of 738 mg/dl (41.0 mmol/L). The nurse should anticipate an order for:

Answer 22

normal saline with regular insulin.

Short-acting regular insulin is the only insulin used for insulin infusions. Initially, normal saline is used until blood glucose levels are reduced, then a dextrose solution may be used to prevent hypoglycemia.

Question 23

The nurse receives an order to administer morphine to a client with an acute myocardial infarction. What is the purpose of this medication?

Answer 23

to decrease myocardial oxygen demand

Question 24

The nurse is preparing to administer I.V. insulin to a client diagnosed with diabetic ketoacidosis (DKA). What will the nurse monitor while the client is receiving this intervention?

Answer 24

hypokalemia and hypoglycemia

Question 25

The serum calcium level remains low in a client with hypoparathyroidism despite taking calcium supplements. What should the nurse ask the client related to these findings?

Answer 25

A client with hypoparathyroidism has a decreased serum calcium level. Vitamin D enhances the absorption of calcium from the gastrointestinal tract and is the most important factor in improving the client’s response to the calcium supplements.

Question 26

A nurse is teaching a client with glaucoma the proper technique for instilling eye drops. The nurse determines that teaching is effective when the client states:

Answer 26

“I should instill the drop in the lower conjunctival sac.”

Question 27

Which medication would the nurse anticipate as the provider’s treatment of choice for scarlet fever?

Answer 27

penicillin

The causative agent of scarlet fever is Group A beta-hemolytic streptococci, which is susceptible to penicillin. Erythromycin is used for penicillin-sensitive children

Question 28

The nurse and occupational therapist are planning an outdoor volleyball game and picnic for eight mental health clients. What action should the nurse take for the two clients taking nortriptyline for depression?

Answer 28

Provide protective clothing and apply sunscreen before going out.

A common adverse effect of this drug is sensitivity to the sun. Protective clothing and sunscreen should be worn while the client is exposed to sunlight.

Question 29

A nurse is providing instruction to a client undergoing treatment for anxiety and insomnia. The practitioner has prescribed lorazepam 1 mg PO t.i.d.. The nurse determines that teaching has been effective when the client states

Answer 29

Lorazepam is a benzodiazepine used to treat various forms of anxiety and insomnia. Caffeine is contraindicated because it is a stimulant and increases anxiety.

Question 30

A client has just received a renal transplant, and has started cyclosporine therapy. What is the most important information for the nurse to share with this client?

Answer 30

Fever, a flushed feeling, or lethargy suggest an infection. The nurse should closely monitor these symptoms in clients taking cyclosporine because it is an immunosuppressive drug.

Question 31

A team of nurses is preparing a trauma room for the arrival of a child with partial-thickness burns to both lower extremities and portions of the trunk. Which intravenous fluid should the nurse be prepared to administer to this client?

Answer 31

lactated Ringer’s solution

Question 32

The nurse is providing education to a client diagnosed with hyperparathyroidism. The nurse determines further teaching is necessary when the client states that they will continue to take

Answer 32

thiazide diuretics

Thiazide diuretics shouldn’t be taken by a client with hyperparathyroidism as they decrease renal excretion of calcium, and increase serum calcium levels

Question 33

Which medication will the nurse administer to a client who experienced a thrombotic stroke two days ago?

Answer 33

Aspirin

Antiplatelet medication, such as aspirin, should be given by day two in the absence of a bleeding complication. Alteplase is a potent medication that breaks down blood clots. It is approved by the U.S. Food and Drug Administration (FDA) for treatment within three hours of the onset of ischemic stroke.

Question 34

What is the nurse’s priority action when administering phenytoin to a client intravenously?

Answer 34

mix phenytoin with saline solution only

Question 35

A client with chronic obstructive pulmonary disease (COPD) and cor pulmonale had been prescribed a loop diuretic to treat peripheral edema. The nurse should monitor the client closely for what side effect of loop diuretic therapy that could worsen the client’s hypercapnia?

Answer 35

hypokalemia

Question 36

A newly admitted client diagnosed with delirium has a history of hypertension and anxiety. The client had been taking digoxin, furosemide, and diazepam. The nurse suspects that this client’s impairment may be the result of:

Answer 36

drug intoxication.

Question 37

The nurse is caring for a client with Reye syndrome who is receiving pancuronium bromide. What is the most important intervention for the nurse to include in the plan of care?

Answer 37

applying artificial tears as needed
Pancuronium bromide suppresses the corneal reflex, making the eyes prone to irritation. Artificial tears prevent drying.

Question 38

A nurse is teaching a client with bipolar disorder about the drug carbamazepine. The nurse determines teaching was effective when the client state

Answer 38

I need to have my blood counts checked periodically.”

The most dangerous adverse effect of carbamazepine is bone marrow depression.

Question 39

A client with pancreatic cancer is prescribed fentanyl by patch with subcutaneous doses for breakthrough pain. The client asks the nurse why the fentanyl cannot just be provided by pill form. How should the nurse respond?

Answer 39

“This medication’s effects are greatly reduced if taken in oral forms so topical and parenteral forms must be used.”

Question 40

A nurse is teaching a client diagnosed with a pulmonary embolism about the prescribed heparin therapy. The nurse determines that teaching has been effective when the client states heparin is given to

Answer 40

slow the development of other clots.

Question 41

A laboring client in the latent stage of labor begins reporting pain in the epigastric area, blurred vision, and a headache. Which medication would the nurse anticipate for these symptoms?

Answer 41

magnesium sulfate
Magnesium sulfate is the drug of choice to treat hypertension of pregnancy because it reduces edema by causing a shift from the extracellular spaces into the intestines.

Question 42

Terbutaline

Answer 42

smooth muscle relaxant used to relax the uterus.

Question 43

A client with bipolar disorder tells the nurse that she just found out she is pregnant, and is concerned because she takes lithium. What is the most important information for the nurse to provide to this client?

Answer 43

Use of lithium usually results in serious congenital problems.

Use of lithium during pregnancy will result in congenital defects, especially cardiac defects.

Question 44

A client with acute pulmonary edema has been taking an angiotensin-converting enzyme (ACE) inhibitor. The nurse explains that this medication has been ordered to

Answer 44

reduce blood pressure

ACE inhibitors are given to reduce blood pressure by inhibiting aldosterone production, which in turn decreases sodium and water reabsorption.

Question 45

What is the most important assessment for the nurse to make when administering tamsulosin to a client with benign prostatic hyperplasia (BPH)?

Answer 45

voiding pattern

Question 46

A nurse is reviewing the healthcare provider’s orders for a client admitted with systemic lupus erythematosus (SLE). Which medication would the nurse expect to find in this client’s plan of care?

Answer 46

hydroxychloroquine

Question 47

A client with a subarachnoid hemorrhage is prescribed a 1,000 mg loading dose of I.V. phenytoin. What information is most important when administering this dose?

Answer 47

Rapid phenytoin administration can cause cardiac arrhythmias.

Question 48

A client is receiving spironolactone to treat hypertension. Which instruction should the nurse provide?

Answer 48

avoid salt substitutes
Because spironolactone is a potassium-sparing diuretic, the client should avoid salt substitutes because of their high potassium content. The client should also avoid potassium-rich foods and potassium supplements.

Question 49

A nurse is assessing a client with bipolar disorder. The client tells the nurse that the family health care provider prescribed lithium. Which symptom would indicate that the client is developing lithium toxicity?

Answer 49

lethargy

Nausea, vomiting, diarrhea, thirst, polyuria, lethargy, slurred speech, hypotension, muscle weakness, and fine hand tremors are signs of lithium toxicity.

Question 50

The family of a client in rehabilitation following heroin withdrawal asks a nurse why the client is receiving naltrexone. What is the nurse’s best response?

Answer 50

to help reverse withdrawal symptoms

Question 51

A 47-year-old client has been taking prescribed medication for an intestinal ulcer. During a routine office visit for blood pressure monitoring, the client reports he is no longer able to have sexual intercourse with his spouse. The nurse determines that this is most likely the result of:

Answer 51

ulcer medication.

Question 52

One hour after receiving pyridostigmine bromide for myasthenia gravis, a client reports difficulty swallowing and excessive respiratory secretions. What medication would the nurse anticipate to reverse the effects of pyridostigmine bromide?

Answer 52

atropine

These symptoms suggest cholinergic crisis or excessive acetylcholinesterase medication, typically appearing 45 to 60 minutes after the last dose of acetylcholinesterase inhibitor. Atropine, an anticholinergic drug, is used to antagonize acetylcholinesterase inhibitors.

Question 53

A 12-year-old child sustains a moderate burn injury. The parent reports that the child last received a tetanus injection at 5 years of age. Which immunization would the nurse anticipate for this child?

Answer 53

0.5 ml of tetanus toxoid I.M.

Tetanus prophylaxis is given to all clients with moderate to severe burn injuries if it has been longer than 5 years since the last immunization, or if there is no history of immunization. The correct dosage is 0.5 ml I.M., one time

Question 54

A 20-month-old toddler has been treated with permethrin for scabies. The toddler’s parent asks, “Is this medication working? My child is still itching.” Which response by the nurse is most appropriate?

Answer 54

Pruritus can be present for weeks after treatment.

Question 55

The nurse is preparing to administer vasopressin to a client who has undergone a hypophysectomy. What is the purpose of the medication?

Answer 55

to replace antidiuretic hormone (ADH) normally secreted from the pituitary

Question 56

Which nursing intervention would help to decrease the adverse effects of radiation therapy on the gastrointestinal tract?

Answer 56

encouraging fluids and a soft diet

Question 57

The nurse is caring for a newborn with unrepaired transposition of the great vessels. Which medication should the nurse anticipate giving first for treatment of this defect?

Answer 57

prostaglandin E1

Prostaglandin E1 is necessary to maintain patency of the patent ductus arteriosus, and improve systemic arterial flow in children with inadequate intracardiac mixing

Question 58

The nurse is preparing discharge instructions for a client taking lithium. What is the most important information for the nurse to give the client?

Answer 58

Maintain a consistent fluid intake each day, avoiding great fluctuations in volumes consumed.

Question 59

The nurse is instructing a client with vulvovaginal candidiasis on the use of the prescribed nystatin vaginal tablets. Which statement indicates that the client requires additional teaching?

Answer 59

“I can get up to do other activities after inserting the medicine.”

The client will need to lay down for at least 30 minutes after insertion of the vaginal tablets.

Question 60

What is the most important information for the nurse to include when teaching a 17-year-old female client about the adverse effects of isotretinoin?

Answer 60

teratogenicity
The use of even small amounts of isotretinoin has been associated with severe birth defects

Question 61

A client with atrial fibrillation is prescribed warfarin. How should the nurse explain the purpose of this medication to the client?

Answer 61

“Warfarin is prescribed to people with atrial fibrillation to reduce the risk of having a stroke.”

Question 62

The health care provider is preparing a plan of care for a client with borderline personality disorder. Which medication would the nurse anticipate for this client?

Answer 62

Selective serotonin reuptake inhibitors (SSRIs), along with an atypical antipsychotic, are used to treat mood instability and impulsivity.

Question 63

A client is experiencing status asthmaticus. For which would the nurse anticipate an immediate order?

Answer 63

inhaled Beta-2 adrenergic agonist

Question 64

The nurse understands that certain medications protect the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation. Which class of medications serve this function?

Answer 64

beta-adrenergic blockers

Question 65

A client with terminal cancer is receiving large doses of opioids for pain control. The client becomes agitated and continues trying to get out of bed but can’t stand without the assistance of two people. To reduce the client’s risk of falling, which type of restraint should the nurse request for this client?

Answer 65

chemical restraints

Antianxiety medication can be used to calm the client. Chemical restraints are effective, especially with highly agitated clients receiving large doses of opioids. Other forms of restraint will increase the client’s agitation and hostility, thus increasing the risk of injury.

Question 66

The health care provider has prescribed salicylates for an older adult client with osteoarthritis to relieve pain. The nurse knows to assess the client for what potential adverse reaction?

Answer 66

hearing loss
Many older adults already have diminished hearing, and salicylate use can lead to further or total hearing loss.

Question 67

The nurse reviews information about how to take the prescribed tetracycline. Which statement by the client allows the nurse to determine that the client understands the information?

Answer 67

“I can take tetracycline 1 hour before or 2 hours after meals with plenty of water.”
Tetracycline must be taken on an empty stomach to increase absorption, and with ample water to avoid esophageal irritation. Milk products impede absorption.

Question 68

Which medication would the nurse expect the provider to prescribe as prophylaxis against Pneumocystis carinii pneumonia for a client with leukemia?

Answer 68

co-trimoxazole

Question 69

The nurse is caring for a client on a patient-controlled analgesia (PCA) pump. What additional interventions by the nurse would be effective for pain relief? Select all that apply.

Answer 69

gentle massage of the area with positioning
encouraging relaxing of inflamed muscles and performing distraction exercises

Question 70

A client who is being discharged from the hospital with bacterial pneumonia discusses not completing all medication in antibiotic regimens in the past. Which statement should be a priority by the nurse?

Answer 70

“Taking only part of the prescription medication will result in antibiotic-resistant microbes.”

Question 71

The nurse is assessing a client who is receiving an infusion of total parenteral nutrition (TPN). The infusion rate is now faster than prescribed. After adjusting the infusion rate, the nurse should assess the client for which adverse effect?

Answer 71

circulatory overload

Question 72

A nurse is preparing a teaching plan for a client who was prescribed enalapril maleate for the treatment of hypertension. Which instructions would the nurse include in the teaching plan? Select all that apply.

Answer 72

Instruct the client to avoid salt substitutes.
Advise the client to report facial swelling or difficulty breathing immediately.
Advise the client not to change the position suddenly to minimize the risk of orthostatic hypotension.

Question 73

A client is to receive intravascular chemotherapy for 10 days. Which equipment should the nurse use for this procedure?

Answer 73

peripherally inserted central catheter (PICC)
When the duration of intravascular therapy is likely to be more than 6 days, a midline catheter or a PICC is preferred

Question 74

The nurse is reconstituting a powdered medication in a vial. After adding the solution to the powder, the nurse should

Answer 74

roll the vial gently between the palms.

Question 75

Which technique is correct when administering a subcutaneous injection?

Answer 75

Insert the needle at a 45-degree angle to the skin

Subcutaneous injections are administered at an angle of 45 to 90 degrees, depending on the size of the client. Subcutaneous needles are typically to 1/2 to 5/8 inches (1.3 to 1.6 cm) in length. The skin should be pinched up at the injection site to elevate the subcutaneous tissue. Air is not drawn into the syringe for a subcutaneous injection.

Question 76

Ear drops have been prescribed to be instilled in the adult client’s left ear to soften cerumen. To position the client, what should the nurse do?

Answer 76

Pull the auricle lobe up and back.

Question 77

Which I.M. injection site is appropriate for a 6-month-old infant?

Answer 77

vastus lateralis muscle

The nurse should give the injection in the ventrogluteal area only in a child who has been walking for about 1 year. The deltoid and gluteus maximus muscles aren’t appropriate injection sites in children.

Question 78

Which assessment findings indicates that epoetin alfa is having a therapeutic effect?

Answer 78

hemoglobin 12 g/dL
Epoetin alfa is a colony-stimulating factor used help boost red blood cell count

Question 79

Which statement indicates that a client understands discharge instructions about propranolol?

Answer 79

“I will assess my heart rate before I take my medication.”

Question 80

Which action is a priority for the nurse when finding medications at a client’s bedside?

Answer 80

Remove the medications from the room and discard them into an appropriate disposal bin.

Question 81

A client has an intravenous line in place for 3 days and begins to state discomfort at the insertion site. Based on the nurse’s progress note, what condition has most likely occurred?

Answer 81

infiltration

The assessment findings of pallor, swelling, skin that is cool to the touch at the intravenous insertion site, and a normal WBC count all indicate infiltration. The infusion would be discontinued and restarted in a different site. Phlebitis would be evidenced by redness at the cannula tip and along the length of the vein. Infection would be evidenced by an elevated WBC count.

Question 82

A client with bacterial pneumonia is receiving an aminoglycoside antibiotic. To ensure safe use of the drug, the nurse should monitor which laboratory value?

Answer 82

serum creatinine

Question 83

The client was admitted to the hospital with the diagnosis of iron overload. Over time, an excess of iron can damage the liver and cause heart problems. Which medication does the nurse anticipate the healthcare provider to order?

Answer 83

deferoxamine

Question 84

Immediately after receiving an injection of bupivacaine, the client becomes restless and nervous and reports a feeling of impending doom. What should the nurse do next?

Answer 84

Assess the client’s vital signs.

Question 85

The client has come to the hospital emergency room reporting lethargy and vomiting. The healthcare provider makes a tentative diagnosis of Reye’s syndrome. The client’s history reveals a recent acute viral infection and the use of several medications. The nurse suspects which medication to be implicated in the development of Reye’s syndrome?

Answer 85

Aspirin is implicated in the development of Reye’s syndrome in children with a history of recent acute viral infection.

Question 86

An Asian-American client with hyperglycemia is admitted to the healthcare facility. After the client is stable, the nurse discovers that the client has not had the prescribed medicines. The client believes that eating saffron will keep blood glucose level under control. The nurse determines that saffron is not known to influence blood glucose levels. What is the most appropriate response by the nurse?

Answer 86

“Why don’t you take the medicines, too, and benefit from both?”

Question 87

The health care provider has prescribed a saline lock for a client. In which order from first to last should the nurse implement this prescription? All options must be used.

Answer 87

Use the nondominant hand to stabilize the vein by pulling the skin taut.
Apply clean gloves, and locate and clean the venipuncture site.
Stabilize the catheter and apply dressing to secure the saline lock.
Insert an over-the-needle catheter, advancing the catheter once flashback is observed.

Question 88

The nurse administers an intradermal injection to a client. Proper technique has been used if the injection site has which appearance?

Answer 88

evidence of a bleb

Question 89

A client has sustained a head injury and is to receive mannitol by I.V. push. In evaluating the effectiveness of the drug, the nurse should expect to find:

Answer 89

decreased cerebral edema.

Question 90

The nurse establishes the goal of preventing the development of a stress ulcer in a burn client. Which would most likely contribute to the achievement of this goal?

Answer 90

administering famotidine as ordered
Prevention is the best treatment, and clients are frequently treated prophylactically with antacids and H2 histamine blockers such as famotidine.

Question 91

A client’s caretaker calls the home care nurse and states accidentally puncturing the central venous catheter after discontinuing the total parenteral nutrition. What instructions should the nurse provide to the caretaker?

Answer 91

Clamp the catheter.

Question 92

What information should the nurse provide to the client who is receiving warfarin?

Answer 92

International Normalized Ratio (INR) is used to assess effectiveness.

Question 93

The home care nurse is conducting a follow-up visit to a client who was recently discharged to home with intermittent total parental nutrition (TPN) therapy. What statement by the client leads the nurse to determine that additional teaching is needed?

Answer 93

“I will change the I.V. administration tubing every week.”

Question 94

Small air bubbles adhering to the interior surface of the syringe might have which effect on parenteral administration?

Answer 94

altered drug dose

Question 95

A client is using patient-controlled analgesia (PCA) to manage postoperative pain. What should the nurse do when assisting the client with the PCA?

Answer 95

Document the client’s response to pain medication.

Question 96

A client is receiving warfarin for newly diagnosed atrial fibrillation. Which laboratory result would indicate that the nurse should withhold the medication and contact the health care provider?

Answer 96

INR of 4.8

Question 97

What should a nurse expect to find while assessing the vital signs of a client who has abruptly stopped taking beta-adrenergic blocker?

Answer 97

irregular pulse

Question 98

When positioned properly, the tip of a central venous catheter should lie in the

Answer 98

superior vena cava.

Question 99

A client’s serum ammonia level is elevated, and the health care provider prescribes 30 mL of lactulose. The nurse should assess the client for which expected effect of this drug?

Answer 99

increased bowel movements

Question 100

Which instruction should a nurse give a client with prostatitis who is receiving co-trimoxazole double strength?

Answer 100

“Drink 6 to 8 glasses of fluid daily while taking this medication.”

Question 101

Which type of solution raises serum osmolarity and pulls fluid from the intracellular and intrastitial compartments into the intravascular compartment?

Answer 101

hypertonic

Question 102

The client’s blood sugar is 210 mg/dL (11.7 mmol/L) this morning. The nurse verifies a dose of 8 units of regular insulin from the sliding scale. Which sites are acceptable for the nurse to administer the insulin? Select all that apply.

Answer 102

abdomen
upper outer arms
upper outer thighs

Question 103

A client who is receiving multiple medications for a myocardial infarction reports severe nausea. Assessments reveal that the heartbeat is irregular and slow. The nurse should recognize these symptoms as toxic effects of which medication?

Answer 103

digoxin

Question 104

Which type of solution, when administered I.V., would cause fluid to shift from body tissues to the bloodstream?

Answer 104

hypertonic

Question 105

Before advising a 24-year-old client desiring oral contraceptives for family planning, the nurse would assess the client for which signs and symptoms?

Answer 105

hypertension

Question 106

If a manual end-of-shift count of controlled substances isn’t correct, the nurse’s best action is to

Answer 106

immediately report the discrepancy to the nurse-manager, nursing supervisor, and pharmacy.

Question 107

A client is prescribed buspirone 5 mg two times a day. Which statement(s) indicate that the client has understood the nurse’s teaching about this drug? Select all that apply.

Answer 107

Buspirone will help me not to worry so much

I’ll be able to focus better

Question 108

A nurse has an order to administer an I.M. injection of iron dextran to a client. Which action is correct for an I.M. injection?

Answer 108

Withdraw the needle and release the skin.

Question 109

A client has been taking intravenous furosemide for congestive heart failure. The client is ordered to start intravenous gentamicin. What intervention is the priority for the nurse?

Answer 109

monitor serum BUN and creatinine levels

Question 110

A client is admitted to the neurologic intensive care unit for an intracranial hemorrhage. Which medication prescription should the nurse question for this client?

Answer 110

enoxaparin

Question 111

A nurse is caring for a 3-year-old child admitted to the pediatric unit with acetaminophen poisoning. The nurse administers acetylcysteine every 4 hours for 72 hours. Which laboratory findings confirm the effectiveness of the drug therapy?

Answer 111

alanine aminotransferase and aspartate aminotransferase

Question 112

A nurse is preparing to give an average-size 9-year-old child a preoperative I.M. injection. Which size needle should the nurse use?

Answer 112

22G, 1

Question 113

When injecting an intravenous push medication into intravenous tubing with a solution infusing, the nurse should select which injection port?

Answer 113

the port closest to the client

Question 114

After receiving an I.M. injection, a client complains of burning pain at the injection site. Which nursing action would be most appropriate at this time?

Answer 114

applying a warm compress to dilate the blood vessels

Question 115

Which class of medication protects the ischemic myocardium by blocking catecholamines and sympathetic nerve stimulation?

Answer 115

beta-adrenergic blockers

Question 116

The nurse should establish baseline data on a client who is starting on long-term gentamicin sulfate therapy. Which is least important for assessment screening in this client?

Answer 116

Visual acuity

Visual acuity is not affected by long-term gentamicin sulfate therapy. The nurse should establish baseline data for vestibular, renal, and auditory function because gentamicin sulfate is ototoxic and causes renal toxicity.

Question 117

A primigravid client who was successfully treated for preterm labor at 30 weeks’ gestation had a history of mild hyperthyroidism before becoming pregnant. What instructions should the nurse include in the plan of care?

Answer 117

Continue taking low-dose oral propylthiouracil as prescribed.

Question 118

The nurse is observing a new graduate nurse instill eyedrops into a client’s eyes. The nurse evaluates that the new graduate is using appropriate technique when which step is incorporated into the procedure?v

Answer 118

The nurse’s hand is stabilized on the client’s forehead while instilling the drops.

Question 119

A client who is using a patient-controlled analgesia (PCA) pump after bowel surgery states, “I’m afraid that I’ll become addicted if I use too much morphine.” Which would be the best response by the nurse?

Answer 119

“When morphine is used to alleviate severe pain for 2 to 3 days, there is little likelihood of becoming addicted.”

Question 120

A client is being switched from levodopa (L-dopa) to carbidopa-levodopa. The nurse should monitor for which possible complication during medication changes and dosage adjustments?

Answer 120

vital sign fluctuation

Question 121

The nurse establishes the goal of preventing the development of a stress ulcer in a burn client. Which would most likely contribute to the achievement of this goal?

Answer 121

administering famotidine as ordered

Question 122

Which statement by a student nurse demonstrates that further instruction about cytotoxic drugs is needed?

Answer 122

“Nurses who are pregnant must wear gloves during administration of cytotoxic drugs.”

Pregnant nurses should not administer cytotoxic drugs because long-term exposure to cytotoxic drugs may be associated with teratogenic effects. Nonpregnant nurses should wear double gloves and long sleeve disposable gowns while administering cytotoxic drugs.

Question 123

The health care provider orders ibuprofen for a client reporting pain. What should the nurse include in the client’s teaching concerning ibuprofen? Select all that apply.

Answer 123

Notify the health care provider immediately of dark tarry stools.
Do not take aspirin concurrently with ibuprofen.
Notify the health care provider of skin rash or jaundice immediately.

Question 124

The nurse is monitoring a client who was given midazolam during a moderate sedation procedure. In the immediate postprocedure phase, the client becomes unresponsive to painful stimuli and apneic. The nurse should give which medication?

Answer 124

flumazenil

Question 125

The client presents at the clinic for a cough and is ordered codeine. What should the nurse include in the client’s teaching concerning the administration of codeine? Select all that apply.

Answer 125

Use of codeine can cause nausea
Use of codeine can cause constipation
Use of codeine can cause dizziness

Question 126

Which moral principle is a nurse applying when the nurse decides what is best for a client and acting without consulting the individual?

Answer 126

paternalism

Question 127

A nurse has just received a report on four clients. Which client should the nurse see first?

Answer 127

A client who underwent a thyroidectomy and has new onset hoarseness

Question 128

A client who is receiving multiple medications for a myocardial infarction reports severe nausea. Assessments reveal that the heartbeat is irregular and slow. The nurse should recognize these symptoms as toxic effects of which medication?

Answer 128

digoxin

Question 129

The healthcare provider has ordered chlorpromazine for a client diagnosed with schizophrenia. What should the nurse include in the client’s teaching concerning the administration of chlorpromazine?

Answer 129

“Chlorpromazine can cause involuntary movements of the face and jaw.”

Question 130

The nurse is teaching the client with a hiatal hernia about taking metoclopramide hydrochloride. Which medication should the client avoid while taking this drug?

Answer 130

central nervous system depressants

Question 131

A nurse is teaching a client about taking antihistamines. Which information should the nurse include in the teaching plan? Select all that apply.

Answer 131

Operating machinery and driving may be dangerous while taking antihistamines.
Do not use alcohol with antihistamines
Increase fluid intake to 2000 mL per day.

Question 132

A client is admitted to the emergency department after intentionally taking an overdose of amitriptyline hydrochloride. A nurse knows that giving the client activated charcoal will

Answer 132

bind with the ingested drug

Question 133

A client complains of difficulty swallowing when the nurse tries to administer a medication in capsule form. What action should the nurse take next?

Answer 133

Check for availability of a liquid preparation.

Question 134

What is the most important information for the nurse to include when teaching a 17-year-old female client about the adverse effects of isotretinoin?

Answer 134

teratogenicity
The use of even small amounts of isotretinoin has been associated with severe birth defects

Question 135

A physician orders a loop diuretic for a client. When administering this drug, the nurse anticipates that the client may develop which electrolyte imbalance?

Answer 135

hypokalemia

Question 136

The nurse just admitted a client to a skilled nursing facility and assumed care of this client. The client has a G-tube. When reviewing medication prescriptions, which formulation(s) of medications can the nurse give through the tube? Select all that apply.

Answer 136

Oral suspension
Simple compressed tablet

Question 137

A client is receiving fluid replacement with lactated Ringer’s solution after 40% of the body was burned 10 hours ago. The assessment reveals a temperature of 97.1°F (36.2°C), heart rate of 122 bpm, blood pressure of 84/42 mm Hg, central venous pressure (CVP) of 2 mm Hg, and urine output of 25 mL for the last 2 hours. The intravenous (IV) rate is currently at 375 mL per hour. Using the SBAR (Situation-Background-Assessment-Recommendation) technique for communication, the nurse should request which prescription from the health care provider?

Answer 137

IV rate increase

Question 138

The nurse is assisting a client who just received an epidural during the first stage of labor. Which medication does the nurse know may be needed at this time?

Answer 138

oxytocin

An epidural can slow contractions, so many clients will need to have oxytocin to maintain contraction strength. Magnesium sulfate and terbutaline are tocolytic medications to decrease contractions, and methergine is used for postpartum hemorrhage.

Question 139

A healthcare provider prescribes an antibiotic for a 6-year-old client with an upper respiratory tract infection. For what prescribed antibiotic will the nurse seek clarification from the healthcare provider?

Answer 139

Tetracycline should be avoided in children younger than age 8 because it may cause enamel hypoplasia and permanent yellowish gray to brownish tooth discoloration.

Question 140

A client diagnosed with idiopathic thrombocytopenia purpura needs a peripherally inserted central catheter (PICC) placed. When explaining the catheter to the client, the nurse explains that one advantage of a catheter is that it can be used

Answer 140

to provide long-term access to central veins.

Question 141

A client is requesting the medication bupropion to treat depression. The nurse alerts the healthcare provider if the client has a history of which conditions? Select all that apply.

Answer 141

seizures
eating disorders

Question 142

The nurse is evaluating the effectiveness of colchicine, prescribed for a client recently been diagnosed with gout. What outcomes would indicate that this medication has been effective? Select all that apply.

Answer 142

decreased inflammation
fewer gout attacks
effective pain management
the client is able to perform daily living activities

Question 143

A client in the intensive care unit has a critically low potassium level of 1.9 mEq/l (mmol/l). What would be the best way to replace this client’s potassium?

Answer 143

Administer two potassium chloride 10 mEq (10 mmol) in 100 ml 0.9% sodium chloride IVPB, over 1 hour each

Question 144

A client with cystic fibrosis develops pneumonia. To decrease the viscosity of respiratory secretions, the physician orders acetylcysteine. Before administering the first dose, the nurse checks the client’s history for asthma. Acetylcysteine must be used cautiously in a client with asthma because it

Answer 144

may induce bronchospasm.

Question 145

The client who is 28 weeks gestation is at the obstetric (OB) clinic reviewing lab work. The human immunodeficiency virus (HIV) test is positive, and treatment is indicated. Which medication should the nurse expect to administer that will help to prevent transmission of the virus to the fetus?

Answer 145

zidovudine

Question 146

Select the actions the nurse will take to provide for safe IV medication administration Heparin

Answer 146

Verify the order with another nurse.Check infusion pump settings with two nurses.

Use two client identifiers prior to administering the medication.
Scan the bar code on the client’s identification (ID) band and IV medication bag.

Monitor the activated partial thromboplastin time (aPTT).
Monitor the platelet count.

Question 147

The client comes to the clinic and is prescribed a diuretic. The client asks the nurse, “What does a diuretic do?” What is the best response by the nurse? Select all that apply.

Answer 147

“A diuretic will inhibit the reabsorption of sodium.
“A diuretic will increase the loss of water.”

Question 148

A client who is receiving acetaminophen for osteoarthritis reports continuing pain. The healthcare provider prescribes celecoxib. What important information regarding this medication, should the nurse share with this client?

Answer 148

report black and tarry stools to the health care provider

Question 149

The nurse assesses a client who is receiving a tube feeding. Which situation would require prompt intervention from the nurse?

Answer 149

The feeding that is infusing has been hanging for 8 hours

Feeding solutions that have not been infused after hanging for 8 hours should be discarded because of the increased risk for bacterial growth. Sitting the client upright during the feeding helps prevent aspiration of the feeding. A gastric residual of 25 mL is considered acceptable. A gastric residual of 100 to 150 mL, or a residual greater than 100% of the previous hour’s intake, indicates delayed emptying. The feeding solution should be at room or body temperatur

Question 150

A client at 6-weeks’ gestation comes to the emergency department, and a transvaginal ultrasound confirms ectopic pregnancy with the tube intact. The client will be treated medically. What medication will the nurse prepare to administer to this client?

Answer 150

methotrexate

Question 151

A client is prescribed a tricyclic antidepressant after other medications were ineffective. The nurse assesses for what outcome as evidence the new medication has been effective?

Answer 151

improved cognitive functioning

Question 152

Which medication would the nurse expect the provider to prescribe as prophylaxis against Pneumocystis carinii pneumonia for a client with leukemia?

Answer 152

As prophylaxis against P. carinii pneumonia, continuous low dosages of co-trimoxazole are typically prescribed.

Question 153

The nurse is developing a teaching plan for the client receiving clozapine. What aspects of follow-up care should the nurse include in the plan? Select all that apply.

Answer 153

weekly complete blood count (CBC) with differential
avoid driving

Question 154

The nurse will assist with the sedation procedure for a client who is undergoing an ankle reduction. Which medication should the nurse prepare?

Answer 154

Ketamine

Question 155

The nurse is working on a labor and delivery unit, and is precepting a new graduate nurse. The graduate asks the preceptor, “Is oxytocin used for pain in labor and delivery?” What is the best response by the preceptor? Select all that apply.

Answer 155

“Oxytocin is used to control postpartum bleeding.”
“Oxytocin is used to stimulate breast milk ejection.”
“Oxytocin is used for labor induction.”

Question 156

The nurse is teaching the parents of a child with growth hormone deficiency how to administer growth hormone to their child. At what time should the nurse suggest administration of this medication?

Answer 156

at bedtime
Optimal therapeutic effect is typically achieved when the prescribed growth hormone is administered at bedtime. Pituitary release of growth hormone occurs during the first 45 to 90 minutes after the onset of sleep, so normal physiological release is mimicked with bedtime dosing

Question 157

The nurse is teaching a client about glaucoma treatments. What statement by a client demonstrates an understanding of the need for medication adherence?

Answer 157

If I don’t take my medication as ordered, I will experience permanent vision loss.”

Question 158

The client was admitted to the hospital with the diagnosis of iron overload. Over time, an excess of iron can damage the liver and cause heart problems. Which medication does the nurse anticipate the healthcare provider to order?

Answer 158

deferoxamine

Question 159

A client is taking paroxetine 20 mg PO every morning. The nurse should monitor the client for which adverse effect?

Answer 159

sexual problems

Question 160

The client has been admitted to the hospital with generalized seizures and the healthcare provider ordered pentobarbital sodium. What discharge teaching will the nurse include about pentobarbital sodium?

Answer 160

Alcohol can cause drug toxicity with pentobarbital sodium.”

Question 161

A 25-year-old woman who is in the first stage of labor receives a continuous lumbar epidural block when the cervix is 6-cm dilated. After administration of this anesthesia, which assessment would be most important?

Answer 161

fetal heart rate

Question 162

A nurse should assess the maturity of enzyme systems (kidney and liver) in which pediatric population before administering medications?

Answer 162

premature infants

Question 163

During a home visit, the nurse assesses a client who is taking hydrochlorothiazide and lisinopril for the treatment of hypertension. Which finding would indicate the nurse should inform the health care provider of a possible need to change medication therapy?

Answer 163

A persistent cough is a side effect of the ACE inhibitor that may warrant a change to another antihypertensive medication.

Question 164

A client with diabetes insipidus is receiving vasopressin. Which sign indicates that the drug is having the intended effect?

Answer 164

concentration of urine

Question 165

One hour before a client is to undergo abdominal surgery, the physician orders atropine, 0.6 mg I.M. The client asks the nurse why this drug must be administered. How should the nurse respond?

Answer 165

“Atropine decreases salivation and gastric secretions.”

Question 166

A client with lung cancer is being cared for by their spouse at home. The client’s pain is increasing in severity. The nurse recognizes that teaching has been effective when the spouse uses which pain relief strategy? Select all that apply.

Answer 166

gives the client a long-acting or sustained-release oral pain medication regularly around the clock
uses an immediate-release medication (oxycodone) for breakthrough pain
uses music for distraction as well as heat or cold in combination with medications
has the client use a pain rating scale to measure the effectiveness of reaching their individual pain goal

Question 167

An RN preceptor is assisting a new graduate to access a port-a-cath with a Huber needle. Which action by the new graduate would require intervention by the RN preceptor?

Answer 167

rotating the needle immediately after access
Accessing a port-a-cath is a sterile procedure which requires a mask and sterile gloves. The needle should be placed at a 90 degree angle and should NOT be rotated as this may damage the port.

Question 168

The client was admitted to the hospital with the diagnosis of iron overload. Over time, an excess of iron can damage the liver and cause heart problems. Which medication does the nurse anticipate the healthcare provider to order?

Answer 168

deferoxamine

Question 169

A client is prescribed phenelzine. Which food should the nurse tell the client to avoid while taking the medication?

Answer 169

Phenelzine is a monoamine oxidase inhibitor (MAOI). MAOIs block the enzyme monoamine oxidase, which is involved in the decomposition and inactivation of norepinephrine, serotonin, dopamine, and tyramine (a precursor to the previously stated neurotransmitters). Foods high in tyramine—those that are fermented, pickled, aged, or smoked—must be avoided because when they are ingested in combination with MAOIs, a hypertensive crisis occurs. Some examples include salami, bologna, dried fish, sour cream, yogurt, aged cheese, bananas, pickled herring, caffeinated beverages, chocolate, licorice, beer, red wine, and alcohol-free beer

Question 170

A client develops hepatic encephalopathy 1 week after portal caval shunt surgery. The client’s physician orders neomycin, 4 g by mouth daily in four divided doses. The client’s partner asks how neomycin decreases the serum ammonia concentration. How should the nurse respond?

Answer 170

Neomycin decreases the amount of ammonia-producing bacteria in the GI tract.

Question 171

After evaluating a client for hypertension, a physician orders atenolol, 50 mg P.O. daily. Which therapeutic effect should atenolol have?

Answer 171

decreased cardiac output and decreased systolic and diastolic blood pressure

Question 172

The nurse observes a new parent give an oral medication to a 4-month-old infant. The parent instills the medication directly in the back of the infant’s throat. Which choice is the nurse’s best action?

Answer 172

Instruct the parent to instill a small amount of the medication inside the baby’s cheek.

Question 173

The nurse is starting a peripheral intravenous line. Place the steps in the order that the nurse should perform them. All options must be used.

Answer 173

Fill the extension tubing with normal saline and apply slide clamp.
Apply a tourniquet 3 to 4 in (7.5 to 10 cm) above the venipuncture site.
Cleanse site with antiseptic solution.
Perform venipuncture.
When blood returns through lumen of the needle, advance catheter into vein.
Place sterile transparent dressing over venipuncture site.

Question 174

The clinic nurse is teaching caregivers of a 6-year-old client how to administer eye drops for bacterial conjunctivitis. Which will the nurse include in the plan of care? Select all that apply.

Answer 174

Remove any drainage from the eye prior to administration of the eye drops
After administration of the eye drops, keep the eye lid closed for several seconds.

Question 175

A client recently gave birth. Two minutes before breast-feeding the baby, she administers one nasal spray (40 units/ml) of oxytocin into each nostril. Why is the client using this drug?

Answer 175

to stimulate lactation

Question 176

Which foods should the nurse teach the client not to consume when taking phenelzine? Select all that apply.

Answer 176

When taking phenelzine, the client should not consume foods and beverages containing tyramine or tryptophan, or drugs containing pressor agents. Tyramine-containing foods/fluids include aged cheeses, tofu, beer, and smoked meats. Tryptophan-containing foods include chocolate, cottage cheese, milk, and yogurt. Strawberries and pasta are safe for this client to consume.

Question 177

A client admitted to the telemetry unit with newly diagnosed atrial fibrillation has been started on warfarin. What should the nurse instruct the client to do when taking this medication? Select all that apply.

Answer 177

Avoid injury to prevent bruising
Be careful using a razor or fingernail clippers.
Report any change in color of urine or stool.

Question 178

The nurse is reviewing the nurses’ notes and lab reports for a client who is receiving total parenteral nutrition (TPN). Which finding is the best indication that the goals for TPN are being achieved for the client?

Answer 178

weight gain of 0.5 lb/day (0.2 kg/day)

Steady and progressive weight gain is the best indication that the client’s nutritional goals are being met by TPN.

Question 179

The nurse is instructing a client with acute asthma who is taking short-term corticosteroid therapy. The nurse should tell the client that steroids will have which expected outcome?

Answer 179

have an anti-inflammatory effect

Question 180

The nurse treats pain in a child with leukemia. Which medication prescription should the nurse question?

Answer 180

Ibuprofen prolongs bleeding time and is contraindicated in clients with leukemia. Nonnarcotic drugs other than ibuprofen or aspirin, such as acetaminophen, may be prescribed to control pain and may be used in combination with codeine or hydrocodone if the pain is more severe. Hydromorphone may also be used for severe pain.

Question 181

A child with nephrosis is taking prednisone. The nurse should teach the caregivers to report which adverse effect(s)? Select all that apply.

Answer 181

hematemesis
respiratory infection
vision problems

Question 182

A client newly diagnosed with ulcerative colitis who has been placed on steroids asks the nurse why steroids are prescribed. What should the nurse tell the client?

Answer 182

Steroids are used in severe flare-ups because they can decrease the incidence of bleeding.”

Question 183

The nurse is caring for a client with a double lumen tunneled central catheter with ordered bloodwork and intermittent I.V. medications. What is the correct action by the nurse?

Answer 183

Dedicate the largest lumen for blood draws.

Question 184

A client with chronic obstructive pulmonary disease (COPD) is receiving theophylline. What should the nurse include in the client’s teaching concerning the side effects of theophylline? Select all that apply.

Answer 184

Theophylline can cause insomnia.”
“Theophylline can cause palpitations.”
“Theophylline can cause nausea.”

Question 185

The health care provider (HCP) has prescribed pseudoephedrine. The nurse should instruct the client about which possible adverse effect of this drug?

Answer 185

restlessness

Question 186

A client admitted for alcohol detoxification is taking disulfiram. The nurse should instruct the client to avoid ingestion of which food(s) or liquid(s)? Select all that apply.

Answer 186

communal wine at church
beer
cough syrup

The client who is taking disulfiram is advised to avoid all forms of alcohol, including beer, communal wine at church, and cough syrup; these can trigger a serious physical reaction.

Question 187

A nurse is monitoring a client for adverse reactions to atropine eyedrops. Systemic absorption of atropine sulfate through the conjunctiva can cause which adverse reaction?

Answer 187

tachycardia

Question 188

A nurse discovers that an I.V. site in a client’s hand has infiltrated, causing localized pain and swelling. Which intervention would relieve the client’s discomfort most effectively?

Answer 188

elevating the hand and wrapping it in a warm towel

Question 189

Which intramuscular (IM) sites are appropriate for the nurse to use in an adult client? Select all that apply.

Answer 189

dorsogluteal muscle
deltoid muscle
vastus lateralis muscle
rectus femoris muscle

Question 190

A client who is using a patient-controlled analgesia (PCA) pump after bowel surgery states, “I’m afraid that I’ll become addicted if I use too much morphine.” Which would be the best response by the nurse?

Answer 190

“When morphine is used to alleviate severe pain for 2 to 3 days, there is little likelihood of becoming addicted.”

Question 191

The nurse teaches the parents of a 2-year-old child how to instill antibiotic eardrops. Which statement about the direction to pull on the earlobe indicates that the child’s parent has understood the teaching?

Answer 191

“I should pull the earlobe down and backward.”
For children age 3 years and younger, the external auditory canal is straightened by gently pulling the earlobe down and backward. For an older child or an adult, the earlobe is gently pulled up and backward.

Question 192

A multiparous client tells the nurse that she is using medroxyprogesterone injections for contraception. The nurse should instruct the client to increase her intake of which nutrient?

Answer 192

calcium

Question 193

The nurse is to instill drops of phenylephrine hydrochloride into the client’s eye before cataract surgery. What is the expected outcome?

Answer 193

dilation of the pupil and constriction of blood vessels

Question 194

The client with preeclampsia asks the nurse why she is receiving magnesium sulfate. The nurse’s most appropriate response to is to tell the client that the priority reason for giving her magnesium sulfate is to

Answer 194

prevent seizures.

Question 195

A client with asthma controlled through the consistent use of medication is now pregnant for the first time. Which client statement concerning asthma during pregnancy indicates the need for further instruction?

Answer 195

“Bronchodilators should be used only when necessary because of the risk they present to the fetus.”

Question 196

A client was discharged from an alcohol rehabilitation program on clonazepam 0.5 mg three times a day. Several months later, the client reports having insomnia, shakiness, sweating, and one seizure. The nurse should first assess the client for which possible cause of these symptoms?

Answer 196

stopping the clonazepam suddenly

Question 197

A nurse is administering atropine sulfate to a client about to undergo electroconvulsive therapy (ECT). Which assessment indicates that the medication is effective?

Answer 197

The client reports having a dry mouth.

Question 198

A nurse is caring for a client with a history of cardiac disease and type 2 diabetes. The nurse is closely monitoring the client’s blood glucose level. Which medication is the client most likely taking?

Answer 198

carvedilol