PREFINALS - Review Quiz Flashcards

1
Q

You are caring for a patient with ASTHMA. The doctor ordered THEOPHYLLINE. The nurse administers the medication knowing the primary action of the drug is to:

A

Relax the smooth muscle of the bronchial passages.

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2
Q

A nurse teaches a client about the use of respirator inhalers. Which action by the client indicates the NEED FOR FURTHER teaching?

A

Inhales the mist and quickly exhales.

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3
Q

A nurse is assessing a client with CHRONIC AIRFLOW LIMITATION and notes that the client has BARREL CHEST. Which of the following respiratory meds are part of the adjunct treatment for COPD?

A

Antibiotics

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4
Q

You are instructing patient about the possible side effects of IPRATROPIUM. Which of the following is NOT an expected effect?

A

Increased salivation

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5
Q

Your 34 week parturient is receiving THEOPHYLLINE via IV for premature labor. Which of the following should be reported to the attending physician?

A

HR 115/min

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6
Q

The nurse assesses the respiratory status of a client who is experiencing an exacerbation of COPD secondary to an upper respiratory tract infection prior to administering meds. Which of the following finds would be expected?

A

Coarse crackles and bronchi

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7
Q

Liquefying bronchial secretions and mucus reduction is one of the goals of treatments for COPD. This is the action of which drug?

A

N-Acetylcysteine

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8
Q

Which of the following health teachings will best address the patients complaint of DRY MOUTH when taking IPRATROPIUM for COPD?

A

Suck on sugarless candy or gum

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9
Q

A 50-year-old widower had TRANSIENT ISCHEMIC ATTACK. What is the most common VASODILATOR used for his treatment?

A

Nitroprusside

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10
Q

Teaching about NITRATE administration, the nurse should instruct the client to:

A

Change positions slowly

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11
Q

Which of the following clients is most likely to experience adverse effect from treatment with DIURETICS?

A

A 75-year-old man

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12
Q

A CALCIUM CHANNEL BLOCKER was prescribed for your patient with HYPERTENSION. She asks you the specific action of the drug. Your best response would be:

A

It decreases cardiac output by reducing the force of contraction and decreasing frequency of beats.

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13
Q

ACE INHIBITORS causes which effect in relation to RENIN-ANGIOTENSIN-ALDOSTERONE-SYSTEM (RAAS) to have which of the following physiologic effect?

A

Inhibit conversion of Angiotensin I - Angiotensin II

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14
Q

BETA BLOCKERS should be avoided in which of the following conditions?

A

Bronchoconstriction

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15
Q

A patient with CONGESTIVE HEART FAILURE was admitted to your unit. DIGOXIN was ordered to help his ailing heart. As the nurse, you know that its action is to:

A

Increase the force of constriction and decrease the number of times the heart contracts.

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16
Q

For LIPID-LOWERING AGENTS to be successful, drug therapy should LOWER

A

LDL

17
Q

THALIDOMIDE is an example of which of the following agents?

A

Fetotoxic

18
Q

A woman was brought in to your department for admission. She is 34 weeks AOG and have been experiencing increased blood pressure and uterine contractions of increasing frequency and intensity. TOCOLYTICS are expected to be used to help manage the symptoms. Which of the following if ordered by the physician needs clarification?

A

Oxytocin

19
Q

A nurse is caring for a client who has PREECLAMPSIA and is receiving MAGNESIUM SULFATE IV INFUSION. Which of the following findings should the nurse report to the provider?

A

14 ml/hr urine output
(NORMAL: 30 - 40 ml/hr)

20
Q

A nurse is caring for a client who has a new prescription for OXYTOCIN to stimulate uterine contractions. Which of the following interventions should the nurse make? SATA.

A

35:47

21
Q

A nurse is reviewing a new prescription for TERBUTALINE with a client who has history of preterm of labor. Which of the following statements indicates understanding of the teaching?

A

“I will report increasing intensity of contractions to my doctor.”

22
Q

Which of the following would the nurse expect to administer to a patient with traveler’s diarrhea?

A

Loperamide

23
Q

A client complains of CONSTIPATION and requires a LAXATIVE. Which of the following will the nurse include in her teaching as causes of constipation?

A

Poor dietary habits

24
Q

A client who has CONSTIPATION is prescribed a BISACODYL SUPPOSITORY (a chemical stimulant). What is the action of this medication?

A

It absorbs water into the intestines to increase the bulk and peristalsis.

25
Q

A patient is taking BISACODYL to treat CONSTIPATION. The nurse suggests that the patient take the drug at which time?

A

Before going to bed

26
Q

When a client is given SUCRALFATE (carafate), the nurse knows that its mode of action is to:

A

Combine with a protein to form a viscous substance that forms a protective covering of ulcer.

27
Q

A nurse is providing teaching to a female client who is taking TESTOSTERONE to treat ADVANCED BREAST CANCER. The nurse should tell the client that which of the following are adverse effects of this medication? SATA.

A
  1. Facial hair
  2. Deeping voice
  3. Weight gain

45:40

28
Q

A nurse is providing teaching on a client who will start ALFUZOSIN for treatment of BENIGN PROSTATIC HYPERPLASIA. The nurse should instruct the client that which of the following is an adverse reaction:

A

Hypotension

29
Q

A nurse is caring for a client who has angina and asks about obtaining a prescription for SILDENAFIL to treat ERECTILE DYSFUNCTION. Which of the following medications is contraindicated with sildenafil?

A

Isosorbide

30
Q

A nurse is planning a DISCHARGE TEACHING for a female client who has a new prescription for TRIMETHOPRIMSULFAMETHOXOZOLE. Which of the following information should the nurse include?

A

Take it on an empty stomach.