Questions from books

Question 1

The nurse is monitoring the client for adverse effects assoicated with morphone. Which adverse effect would be the expected? select all that apply.

1. Respiratory depression
2. Hypertension
3. Urinary retention
4. Constipation
5. Nausea

Answer 1

Respiratory depression
Urinary retention
Nausea
Constipation

Question 2

Several days postoperative bowl surgery, the client is eating soft food, ambulating regularly, and using hydrocodone (vicodin) for pain. What should the nursing care plan include?

1. monitoring vitals for respiratory depression
2. inserting a urinary catheter for urinary retention.
3. weaning pain medication to prevent addiction.
4. increasing dietary fiber and fluids and administering a stool softner if needed.

Answer 2

4. increasing dietary diber and fluids and administering a stool softner if needed.

Question 3

A client who has migraine headaches self-administered sumatriptan (Imitrex) for the first time yesterday. Today, the client informs the nurse that after taking the medication the client began to experience chest pain. The client further states that the drug was effective in relieving the headache. The nurse should :
1. Encourage the client to continue using the drug because it was effective

2. Advise the client to tell the health care provider about the chest pain at the next visit.
3. Caution the clien to contact the health care provider to report the chest pain today and to not use the sumatriptan until talking to the health care provider.
4. Encourage the client to lie down in a quiet room and use cold packs during the migraine.

Answer 3

3

Question 4

A client with diabetes reports increasing pain and numbness in his legs “ it feels like pins and needles all the time, especially at night.” Which drug would the name expect to prescibed for this client?

1. ibuprofen (motrin)
2. gabapentin (neurontin)
3. naloxone (narcan)
4. mathadone

Answer 4

2

Question 5

The ER nurse s caring for a client wth a migraine headache. which drug would the nurse anticipate administering to abort the clients migraine attack?

1. morphine
2. dihydroergotamine (migranal)
3. propranolol (inderal)
4. ibuprofen (motrin)

Answer 5

2

Question 6

The nurse is caring for several clients who are receiving opioids for pain releif. which client is at the highest risk of developing hypotension , respiratory depression, and mental confusion?

1. a 23 yr old female, postoperative ruptured appendix
2. a 16 yr old male, post-motorcycle injury with lacerations
3. a 54 yr old female, post-myocardial infarction
4. a 86 yr old male, post operative femur fracture

Answer 6

4

Question 7

The surgical nurse becomes alerted that the client who is receiving general anesthesia has become excitable and hyperactive with irregular heart rate and respiratory rates. The nurse knnows that the client had entered which stage of general anesthesia?

1. stage 1
2. stage 2
3. stage 3
4. stage 4

Answer 7

2

Question 8

The nurse should question the administration of propofol (Diprivan) for which client? An individual with:

1. allergy to eggs or soy products
2. lung cancer
3. kidney disease
4. addison’s disease

Answer 8

1. allergy to eggs or soy products

Question 9

During the administration of nitrous oxide, the client develops anxiety, excitement, and combativeness. The nurse would anticipate what change in the client’s anesthesia is needed?

1. the nitrous oxide does will be increase
2. propofol (diprivan) will be given along with the nitrous oxide
3. succinylcholine (anectine) will be given to the client.
4. the nitrous oxide dose will be decreased.

Answer 9

4

Question 10

The nurse is providing the client, who will be receiving ketamine (ketalar), with preoperative instrutions. which statement, if made by the client, indicating that teaching is successful?

1. ” The medication will decrease anxity during surgery”
2. ” I may experience a feeling of being seperated from the enviroment.”
3. ” i will experience increased energy due to this drug”.
4. “The drug will cause me to have dry mouth after the operation”

Answer 10

2

Question 11

The client who is having a scalp laceration sutured will be recieving local anesthesia with lidocaine (Xylocaine) that contains epinephrine. The nurse knows that the purpose of this drug combination is to:

1. increase the duration of the anesthetic action
2. increase vasodilation at the site of laceration
3. decrease BP in individuals who are hypertensive
4. ensure that infection at the wound site will not occur.

Answer 11

1

Question 12

Identify the general anesthetic agents that are parenteral opioid agents. select all that apply.

1. nitrous oxide
2. alfentanil (alfenta)
3. sufentanl (sufenta)
4. regimental (ultiva)
5. succinylcholine (anectine)

Answer 12

2,3,4

Question 13

a 30 year old client with depresson has attempted suicide by overdosing an acetaminophen (tylenol). The nurse n the ER will anticipate that the client’s treatment will consist of:

1. an intravenous infusion wth normal salne to infuse at 1,000 ml per hour
2. the administration of acetylcysteine (acetadote) by intravenous infusion
3. preparation for cardioversion due to the impending arrhythmia
4. the assessment of lver enzymes to determine hepatotoxicity

Answer 13

2

Question 14

A client has a fever and is allergic to aspirin. which medication will the nurse anticipate administering to reduce the client’s fever?

1. ibuprofen (motrin, advil)
2. ketorolac (Toradol)
3. acetaminophen (Tylenol)
4. celecoxib (celebrex)

Answer 14

3

Question 15

an anti-inflammatory agent is ordered to be given intravenously to the client for pain. which anti-inflammatory agent iis administerered parenterally?

1. ketorolac (toradol,acular)
2. ketoprofen (oruvail)
3. ibuprofen (motrin, advil)
4. celecoxib ( celebrex)

Answer 15

1

Question 16

an 80 yr old women, who is scheduled for a total knee replacement next month , currently takes ibuprofen (motrin, advil) 600 mg three times per day. which client teaching intervention is most important?

1. continue ibuprofen (advil, motrin) until surgery
2. stop ibuprofen ( advil, motrin) today
3. decrease ibuprofen (advil, motrin) to two times per day.
4. decrrease ibuprofen (motrin, advil) 7 to 14 days before surgery

Answer 16

4

Question 17

the nurse should question the order of acetaminophen (tylenol) for which client?

1. a cient with cirrhosis of the liver
2. a cient with chronic obstructive pulmonary disease
3. a client with breast cancer
4. a client who s taking warfarin (coumadin)

Answer 17

1

Question 18

a client takes aspirin (acetylsalicylic acid) daily for pain in the right knee. Which toxic effect may be present with aspirin overdosage ? select all that apply.

1. tinnitus
2. hyperventilation
3. gastrointestinal bleeding
4. decreased urinary output
5. peripheral neuropathy

Answer 18

1,2,3,4

Question 19

a nurse is caring for a client who is diagnosed with salicylism. which o the following findings should the nurse expect to asses in this client. select all that apply.

a. dizziness
b. diarrhea
3. jaundice
4. tinnitus
5. headache

Answer 19

1 and 5

Question 20

a nurse is admitting a toddler to the hospital after an acetaminiophen overdose. which of the following medications should the nurse anticipate administering to this client?

a. acetylcysteine (mucmyst)
b. pegfilgrastim (neulasta)
c. misoprostol (cytotec)
d. naltrexone (revia)

Answer 20

a

Question 21

a nurse in an ER is performing an admission assessment for a client who has severe aspirin toxicity. which of the following findings should the nurse expect to find?

a. body tempature 35 C (95F)
b. lung crackles
c. cool, dry skin
d. respiratory depression

Answer 21

d

Question 22

a nurse is taking a history for a client who reports he is taking aspirin about four times daily for a sprained wrist. which of the prescribed medications taken by the client is contraindicated with aspirin?

a. digoxin (lanoxin)
b. metformin ( glucophage)
c. warfarin (coumadin)
d. nitroglycerin (nitro-dur)

Answer 22

c.

Question 23

a nurse is planning to administer meperidiine (demerol) IV to a client who is postoperative. Which of the following is an appropriate nursing action wwhen administering meperdine?

1. monitor seizures and confusion with repeated doses
2. protect client’s skin from the severe diarrhea which occurs with meperidine.
3. stop administering this medication if clent’s respiratory rate s less than 15/min.
4. give meperidine via IV push over 30 secs or less

Answer 23

a

Question 24

a nurse is teaching the daughter of a client who has end-stage lung cancer and is receiving large doses of morphine for pain. The client has a new prescription for methylnaltrexone (relistor), and the daughter ask why the nurse is administering this medication. Which of the following replies by the nurse is approaite?

1. the medication will increase your mothers respirations
2. the medication will prevent dependence on the morhine
3. the medication will relieve your mothers constipation
4. the medication works with the morphne to increase pain relief.

Answer 24

c

Question 25

a nurse is preparing to administer butorphanol (stadol) to a newly admitted client who has a history or substance use disorder. Which f the following is true regarding butorphanol?

a. butorphanol has a greater risk for abuse than morphine
b. butorphanol causes a higher incidence of respiratory depression than morphine
c. butorphanol cannot be revised with an opoid antagonist
d. butorphanol may cause abstinence symptoms in opioid-dependent clients.

Answer 25

d.

Question 26

a nurse is caring for a hospitalized client who is receiving intradermal fentanyl (duragesic) for severe pain. which of the following medications should the nurse expect to cause an adverse effect when administered concurrently with fentanyl?

a. ampicillin (principen)
b. diazepam (valium)
c. furosemide ( lasix)
d. prednisone

Answer 26

b

Question 27

a nurse is caring for a client who takes oral morphine and carbamazepine (tagretol) for cancer pain. which of the following effects may occur when both medications are administered to this client? ( select all that apply)

a. dosage of the opioid is reduced
b. adverse effects of the opioid are reduced
c. analgesic effects are increased
d. cns stimulation is enhanced
e. opioid tolerance is increased.

Answer 27

a, b ,c

Question 28

a nurse is planning care for a client who has brain cancer and experiences headahe caused by cerebral edema. which of the following adjuvent medication may be indicated for this client?

a. dexamethasone (decadron)
b. mthylphenidate (ritalin)
c. hydroxyzine (vistaril)
d. amitriptyline (elavil)

Answer 28

a

Question 29

a nurse is caring for a client who has cancer and is taking a glucocoricid as an adjuvant for pain control. The nurse should plan to perform which of the following interventions? (select all that apply)

a. monitor for urinary retention
b. monitor serum glucose
c. monitor serum potassium level
d. monitor or gastric bleeding
e. monitor or respiratory depression

Answer 29

b,c,d

Question 30

a nurse is preparing to administer pamidronate (aredia) to a client who has bone pain caused by cancer. which of the following precautions should the nurse take when administerng pamidronate?

a. inspect skin for redness and irritation when changing the client’s intradermal patch
b. assess IV site for thrombphlebitis frequently during administration
c. instruct the clent to sit upright or stand for 30 mins following oral administration
d. watch for manifestation of anaphulaxis for 20 mins after im admin.

Answer 30

b

Question 31

a nurse is administering amitriptyline (elavil) to a client who had pain caused by a malignant tumor. which of the following is an adverse effect of amitriptyline that should be monitored by the nurse?

a. decreased appetite
b. explosive diarrhea
c. decreased pulse rate
d. orthostatic hypotension

Answer 31

d

Question 32

a nurse should advise a client who is receiving lorazepam (ativan) about the adverse effect of this medication,

a. tachypnea
b. astigmatism
c. ataxia
d. euphoria

Answer 32

c.

Question 33

the client with insomnia is being treated with temazepam (restoril). the nurse monitors for therapeutic effectiveness by noting which o the following?

a. sleeping in 3-hr intervals , awaking or a short time, and then returning to sleep
b. feeling less anxiety during activities of daily living
c. having fewer episodes of panic attacks when stressed
d. sleeping 7 hrs without awakening

Answer 33

d.

Question 34

which of these statements, if made by a client, would indicate the further instructions is needed about alprazolam ( xanax)?

a. “ I will stop smoking by undergoing hypnosis”
b. i will not drive immediately after i take this medication.”
c. “ i will stop the medicine when i feel less anxious.”
d. “i will take my medication with food if my stomach feels upset.”

Answer 34

c

Question 35

the nurse should question a health care provider’s order of pehnobarbital for the client with which condition?

a. seizure disorder
b. panic disorder
c. prior to a bronchoscopy
d. pror to receviving a general anesthesia

Answer 35

b.

Question 36

the nurse is caring for a client receiving a sedativehypnotic. which adverse effect associated with this drug therapy is the highest priority for the nurse?

a. urinary incontinence
b. activity intolerance
c. risk for falls
d. poor nutritional intake

Answer 36

c

Question 37

the client, who is receiving bensodiaszepines, is a two-pack per day cigarette smoker, the nurse expects to administer a/an _____ dose of this medication.

a. larger
b. smaller
c. extra
d. half

Answer 37

a

Question 38

a health care provider has ordered imipramine (tofranil) for each of these clients. a nurse would question the order for the client with :

a. seizure disorder
b. depression
c. enuresis
d. neuropathic pain

Answer 38

a

Question 39

the nurse determines that the client understands and important principle in self-administration of fluoxetine (prozac) when the client makes which statement?

a. “ i should not decrease my sodium or water intake.”
b. “ this drug can be taken concurrently with a monoamine oxidase inhibitor.”
c. “ it may take up to 1 month to reach full therapeutic effects.”
d. “ there are no problems assocaited with concurrent use of other central nervous system depressants.”

Answer 39

c

Question 40

the nurse is monitoring the client for early lithium carbonate (eskalith) toxicity. which symptoms, if manifested by the client, would indicate that toxicity may be developing? select all that apply.

a. persistent GI upset
b. confusion
c. polyuria
d. convulsions
e. ataxia

Answer 40

a and b

Question 41

which statements made by the client who is taking lithium carbonate (eskalith) indicates that further teaching is necessary?

a. “ i will be sure to remain on a low-sodium diet.”
b. “ I will have blood levels drawn every 2 to 3 months, even when i have no other symptoms.”
c. “lithium has a narrow margin of safety, so toxicity is a very real concern.”
d. “ i will not be able to breast-feed my baby.”

Answer 41

a

Question 42

the client who has been taking cenlafaxine (effector) for 2 weeks calls the nurse to report that there is no improvement in the depression. the nurse’s best response is:

a. “ call your healthcare provider and see if he or she will change the order to a different medication.
b. “ are you sure that you are taking it as it is ordered? perhaps you should consider increasing the dosage gradually.”
c. “ the medication may take up to 3 weeks or longer to be effective. continue taking the mediciation as ordered.”
d. “add an over-the-counter antianxiety agent to your daily medications.”

Answer 42

c

Question 43

a 17 yr old is started on fluoxetine (prozac) for treatment for depression. when teaching the client and his family, what would the nurse include? select all that apply.

a. report any seducton to the provider and exercise caution with activities requiring mental status.
b. fluctuations in weight may be managed with a healthy diet and adequate amounts of exercise.
c. report any hought of suicide to the provider immediately, especially durng early initiation of the drug.
d. the drug may be safely stopped if unpleasant side effect ccur and reported to the provider at the scheduled visit.
e. the drug may cause excessive thirst but dramatic increase in fluid intake should be avoided.

Answer 43

b and c p.324

Question 44

The client states that he has not taken his antipsychotic drug for the past 2 weeks because it was causing sexual dysfunction. The nurse is aware that the name antipsychotic indicates that continuing the medication as prescribed is important because:

a. hypertensive crisis may occur with abrupt withdrawal..
b. muscle twitching may occur with abrupt withdrawal.
c. Parkinson-like symptoms will occur with withdrawal.
d. Symptoms of psychosis are likely to return if the medication is withdrawn.

Answer 44

d. Symptoms of psychosis are likely to return if the medication is withdrawn.

Question 45

Prior to discharge, the nurse provides teaching related to adverse effects of phenothiazines to the client & caregivers. Which of the following should be included?

a. The client may experience social withdrawal & slowed activity.
b. Severe muscle spasms may occur early in therapy.
c. Tardive dyskinesia is likely early in therapy.
d. Medications should be taken as prescribed to prevent adverse effects.

Answer 45

b. severe muscles spasms may occur early in therapy.

Question 46

The nurse expects that the client experiencing extrapyramidal symptoms during therapy with phenothiazines will be prescribed:

a. Benztropine (Congentin)
b. Diazepam (Valium)
c. Haloperidol (Haldol)
d. Lorazepam (Ativan)

Answer 46

a. Benztropine (Cogentin)

Question 47

Nursing implications of the administration of haloperidol (Haldol) to a client exhibiting psychotic behavior include which of the following? select all that apply.

a. take 1 hour before or 2 hours after antacids.
b. the incidence of extrapyramidal symptoms is high.
c. it is therapeutic if ordered on an as-needed basis.
d. haldol is contraindicated in Parkinson’s disease, seizure disorders, alcoholism, & severe mental depression.
d. crush the sustained release form for easier swallowing.

Answer 47

b. the incidence of extrapyramidal symptoms is high.

d. Haldol is contraindicated in Parkinson’s disease, seizure disorders, alcoholism, & severe mental depression.

Question 48

Which statement made by the client who is taking risperidone (Risperdal) indicates that further teaching is neccessary?

a. “I’ll monitor my weight every month.”
b. “I can increase may intake of fluids and fiber if I have any gastrointestinal problems.”
c. “I’ll have my blood pressure monitored regularly.”
d. “There is no problem if I want to drink alcohol on the weekends.”

Answer 48

d. “There is no problem if I want to drink alcohol on the weekends.”

Question 49

The development of which symptom(s) in a client taking an antipsychotic must be reported immediately?

a. Fever, tachycardia, stupor, and incontinence.
b. Suddenly occurring muscle spasms, especially in the neck & back
c. sexual dysfunction
d. Leg pains, pacing, an inability to sit still

Answer 49

a. Fever, tachycardia, stupor, & incontinence

Question 50

A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity due to an overdose. Which of the following is the priority nursing action?

a. Administer flumazenil (Romazicon)
b. Identify the client’s level of orientation.
c. Infuse IV fluids.
d. Prepare the client for gastric lavage.

Answer 50

b. Identify the client’s level of orientation.

Question 51

A nurse is caring for a client who is to begin taking escitalopram (Lexapro) for treatment of generalized anxiety disorder. Which of the following statements by the client indicates understanding of the use of this medication.

a. “I will take the medication at bedtime.”
b. “I will need follow a low-sodium diet while taking this medication.”
c. “I need to discontinue this medication slowly.”
d. “I probably won’t desire intimacy during the first days of treatment.”

Answer 51

c. “I need to discontinue this medication slowly.”

Question 52

A nurse is providing teaching to a client who was a new prescription to start buspirone (BuSpar) in place of diazepam (Valium). The client has a history of panic disorder & cirrhosis of the liver. The client asks why his provider is making the medication change. Which of the following statements is an appropriate response by the nurse?

a. “Diazepam can cause seizures as an adverse effect.”
b. “Diazepam is not indicated for the treatment of panic disorders.”
c. “Buspirone is a safe medication for clients who have liver dysfunction.”
d. “Buspirone has less risk for dependency than other treatment options.”

Answer 52

d. “Buspirone has less risk for dependency than other treatment options.”

Question 53

A nurse working in mental health clinic is caring for a client who has obsessive-compulsive disorder & recently started a new prescription for buspirone (BuSpar). The client tells the nurse that the medication has not helped him sleep and that he is still having obsessive compulsions. Which of the following statements is an appropriate response by the nurse?

a. “It may take several weeks before you feel like the medication is helping.”
b. “Take the medication just before bedtime to promote sleep.”
c. “You should take the medication on an as-needed basis when you experience obsessive urges.”
d. “Your provider may need to increase your prescription due to developing tolerance.”

Answer 53

a. “It may take several weeks before you feel like the medication is helping.”

Question 54

A nurse is caring for a client who takes paroxetine (Paxil) to treat posttraumatic stress disorder. The client states that he grinds his teeth during the night, which causes jaw pain. The nurse should identify which of the following as possible measures to manage the client’s bruxism? (select all that apply)

a. concurrent administration of buspirone
b. administration of a different SSRI
c. use of a mouth guard
d. changing to a different class of antianxiety medication
e. increasing the dose of paroxetine

Answer 54

a. concurrent administration of buspirone
c. use of a mouth guard.
d. changing to a different class of antianxiety medication.

Question 55

A nurse is caring for a client who has a new prescription for phenelzine (Nardil) for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication?

a. Orthostatic hypotension
b. hearing loss
c. Gastrointestinal bleeding
d. weight loss

Answer 55

a. orthostatic hypotension

Question 56

A nurse is providing teaching to a client who has a new prescription for amitriptyline (Elavil) for treatment of depression. Which of the following should the nurse include in the teaching? (Select all that apply)

a. Expect therapeutic effects in 24 to 48 hr.
b. Discontinue the medication after a week of improved mood.
c. Change positions slowly to minimize dizzines.
d. Decrease dietary fiber intake to control diarrhea.
e. Chew sugarless gum to prevent dry mouth.

Answer 56

c. change positions slowly to minimize dizziness.

e. chew sugarless gum to prevent dry mouth.

Question 57

A nurse is providing follow-up dietary teaching for a client who recently was prescribed phenelzine (Nardil). When reviewing the client’s dietary log, which of the following foods requires a need for further teaching?

a. cottage cheese
b. banana bread
c. apple pie
d. grilled steak

Answer 57

b. banana bread

Question 58

A nurse is providing discharge teaching to a client who is to begin taking fluoxetine (Prozac) for the nurse to include in the teaching?

a. “you may have a decreased desire for intimacy while taking this medication.”
b. “you should take this medication at bedtime to help promote sleep.”
c. “you will have fewer urinary adverse effects if you urinate just before taking this medication.”
d. “you’ll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication.”

Answer 58

a. “you may have a decreased desire for intimacy while taking this medication.

Question 59

A nurse is caring for a client who has been taking sertraline (Zoloft) for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is develping serotonin syndrome?

a. bruising
b. fever
c. abdominal pain
d. rash

Answer 59

b. fever

Question 60

A nurse is reviewing laboratory findings & notes that a client’s plasma lithium level is 2.1 mEq/L.

a. Perform immediate gastric lavage.
b. prepare the client for hemodialysis.
c. administer an additional oral dose of lithium.
d. request a stat repeat of the laboratory test.

Answer 60

a. perform immediate gastric lavage.

Question 61

A nurse is caring for a client who has a new prescription for lithium carbonate (Lithobid). When teaching the client about ways to prevent lithium toxicity, the nurse should advise the client to do which of the following?

a. avoid the use of acetaminophen for headaches.
b. restrict intake of foods rich in sodium.
c. decrease fluid intake to less than 1,500 mL daily
d. Limit aerobic activity in hot weather.

Answer 61

d. limit aerobic activity in hot weather

Question 62

A nurse in a primary care clinic is assessing a client who takes lithium carbonate (Lithotabs) for the treatment of bipolar disorder. The nurse should recognize which of the following findings as a possible indication of toxicity to this medication?

a. severe hypertension
b. coarse tremors
c. constipation
d. urinary tetention

Answer 62

b. coarse tremors

Question 63

A nurse is caring for a client who has a new presription for the valproic acid (Depakote). The nurse should instruct the client that while taking this medication he will need to have which of the following laboratory tests completed periodically? ( select all that apply)

a. Thrombocyte count
b. Hematocrit
c. Amylase
d. Liver function tests
e. potassium

Answer 63

a. thrombocyte count
c. amylase
d. liver function test

Question 64

A nurse is teaching a femal client who has bipolar disorder about her new prescription for lithium carbonate (Lithobid). Which of the following is appropriate for the nurse to include in the teaching?

a. an adverse effect of this medication is amenorrhea.
b. an antidepressant is combined with lithium therapy during phases of mania.
c. take this medication with food or a glass of milk.
d. avoid pregnancy while taking this medication.
e. thyroid function is assessed prior to lithium therapy

Answer 64

c. take this medication with food or a glass of milk.
d. avoid pregnancy while taking this medication.
e. thyroid function is assessed prior to lithium therapy.

Question 65

A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects?

a. take the medication in the morning to prevent insomnia.
b. chew sugarless gum to moisten the mouth.
c. use cooling measure to decrease fever.
d. take an antacid to relieve nausea.

Answer 65

b. chew sugarless gum to moisten the mouth.

Question 66

A nurse is assessing a male client who recently began taking haloperidol (Haldol). which of the following findings is the highest priority to report to the provider?

a. shuffling gait
b. neck spasms
c. drowsiness
d. impotence

Answer 66

b. neck spasms

Question 67

A nurse is providing discharge teaching for a client who has a new prescription for clozapine (Clozaril). Which of the following statements is appropriat for the nurse to include in the teaching?

a. “you should have a high-carbohydrate snack between meals & at bedtime.”
b. “you are likely to develop hand tremors if you take this medication for a long period of time.”
c. “you may experience temporary numbness of your mouth after each dose.”
d. “you should have your white blood cell count monitored every week.”

Answer 67

d. “you should have your white blood cell count monitored every week.”

Question 68

A nurse performs an abnormal involutary movement scale (AIMS) assessment on a client who began taking loxapin 2 years ago for the treatment of schizophrenia. Findings include lip smacking, tongue protrusion, & facial grimacing. the nurse should suspect which of the following?

a. parkinsonism
b. tardive dyskinesia
c. anticholinergic effects
d. akathisia

Answer 68

b. tardive dyskinesia

Question 69

A nurse is preparing to perform a follow-up assessment on a client who takes chlorpromazine (Thorazine) for the treatment of schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations? (select all that apply)

a. disorganized speech
b. bizarre behavior
c. Impaired social interactions
d. hallucinations
e. decreased motivation

Answer 69

a. disorganiezed speech
b. bizarre behavior
d. hallucinations

Question 70

A nurse is teaching the parents of a child who has a new prescription for desipramine (Norpramin) about possible adverse effects. The nurse should instruct the parents that which of the following adverse effects is the highest priority to report to the provider?

a. diaphoresis
b. confusion
c. blurred vision
d. dizziness

Answer 70

b. confusion

Question 71

A nurse is teaching an adolescent client who has a new prescription for clomipramine (anafanil) for OCD. which of the following should the nurse teach the client in order to minimize an adverse effect of his medication?

a. wear sunglasses when outdoors
b. check temperature daily while taking this medication.
c. take medication first thing in the morning before eating.
d. add extra calories to the diet as between-meal snacks

Answer 71

a. wear sunglasses when outdoors

Question 72

A nurse is caring for a school-age child who recently began a prescription for atomoxetine (Strattera). for which of the following possible complications should the nurse monitor the child?

a. renal toxicity
b. liver damage
c. seizure activity
d. adrenal insufficiency

Answer 72

b. liver damage

Question 73

A nurse is teaching a school-age child & his parents about a new prescription for lisdexamfetamine dimesylate (Vyvanse). which of the following is appropriate for the nurse to include in the teaching? (select all that apply)

a. an adverse effect of this medication is CNS stimulation
b. administer the medication 1 hr before breakfast.
c. monitor BP while taking this medication
d. therapeutic effects of this medication will take 1-3 weeks to fully develop
e. this medication raises the levels of dopamine into the brain.

Answer 73

a. an adverse effect of this medication is CNS stimulation
c. monitor BP while taking this medication
e. this medication raises the levels of dopamine into the brain.

Question 74

A nurse in a provider’s office is providing instructions to a client who has a new prescription for lorazepam (Ativan). The nurse should inform the client that which of the following are adverse effects of lorazepam? (select all that apply)

a. incoordination
b. euphoria
c. pruritus
d. flatus
e. amnesia

Answer 74

a. incoordination
b. euphoria
e. amnesia

Question 75

A nurse is caring for a client who is receiving moderate sedation with diazepam (Valium) IV. The client is over sedated. which of the following medications should the nurse anticipate administering to this client?

a. ketamine (Ketalar)
b. Naltrexone (ReVia)
c. Flumazenil (Romazicon)
d. Fluvoxamine (Luvox)

Answer 75

c. Flumazenil (Romazicon)

Question 76

A nurse is teaching a client who has a new prescription for ramelteon (Rozerem) about the medication. the nurse should instruct the client to avoid which of the following foods while taking this medication?

a. eggs
b. grapefruit juice
c. whole-grain bread
d. chicken

Answer 76

b. grapefruit juice

Question 77

A client is admitted to undergo a surgical procedure. the nurse should be aware that which of the following preexisting conditions may be a contraindication for the use of ketamine (Ketalar) as an intravenous anesthetic for this client?

a. peptic ulcer disease
b. breast cancer
c. diabetes mellitus
d. schizophrenia

Answer 77

d. schizophrenia

Question 78

A nurse is providing instructions to a female client who has a new prescription for zolpidem (ambien). which of the following instructions should the nurse include?

a. Notify the provider if you plan to become pregnant.
b. take the medication 1 hr before you plan to go to sleep
c. allow at least 6 hrs for sleep when taking zolpidem.
d. to increase the effectiveness of zolpidem, take it with a bedtime snack.

Answer 78

a. Notify the provider if you plan to become pregnant.