Review

Question 1

What is the most important adverse
effect of hydrochlorothiazide?

Answer 1

Hypokalemia

Question 2

Which side effect is important to teach
for clients taking calcium channel
blockers?

Answer 2

Dizziness - Orthostatic Hypotension

Question 3

Name a modifiable risk factor

Answer 3

Smoking, Obesity, Sedentary lifestyle

Question 4

What is the most important
assessment after administering an ACE or
an ARB?

Answer 4

Blood Pressure

Question 5

Which symptom should the nurse
teach the client with unstable angina to
report to their HCP immediately?

Answer 5

A change in the pattern of the chest pain

Question 6

What is the timeframe that an
antiviral drug is to be administered to
maximize effectiveness?

Answer 6

48 hours

Question 7

What indicates a therapeutic response
to Epinephrine?

Answer 7

Respirations are unlabored

Question 8

A nurse is assessing a client who is
receiving IV vancomycin. The nurse notes
flushing of the neck and tachycardia. What
should the nurse do?

Answer 8

Decrease the infusion rate. I would also let the MD
aware. May want to pre-med the client.

Question 9

What is one thing to remember about
ciprofloxacin (antibiotic)?

Answer 9

Increase fluid intake
Report tendon pain (may
cause Achilles tendon rupture in rare instances)
dizziness or drowsiness
photosensitivity report any changes in CNS - antacids
iron and calcium supplement

Question 10

Decongestants - adrenergic
stimulants —-? what effect

Answer 10

HTN

Question 11

What is the drug that is used as a
reversal agent for opioids?

Answer 11

Narcan (nalaxone)

Question 12

A client has been prescribed ASA for
the prevention of strokes / heart attacks.
The nurse should include monitoring for
what adverse effects of the medication.

Answer 12

Bleeding

Question 13

A client is on a heparin drip in the
hospital for a DVT. What lab is monitored
for therapeutic levels?

Answer 13

aPTT -activated Partial Thromboplastin Time

Question 14

It is an X-linked recessive inherited disorder in
which blood clotting factor VIII is deficient.

Answer 14

hemophilia

Question 15

What is the name of the drug used to
increase GI motility?

Answer 15

metoclopramide

Question 16

An elderly client is taking aluminum
hydroxide with magnesium hydroxide
(antacid). What potential problems?

Answer 16

electrolyte imbalance
hypophosphatemia

Question 17

What assessment is always done prior
to administering digoxin?

Answer 17

Check HR - do not give if HR is below 60 bpm

Question 18

Digoxin toxicity signs and symptoms

Answer 18

Visual disturbances- seeing yellow spots
Abdominal pain - N/V
arrhythmias such as bradycardia, or atrial fib.

Question 19

What is important to teach a client
who is newly diagnosed with
hypothyroidism and on levothyroxine?

Answer 19

Life long treatment

Question 20

A client has developed
agranulocytosis as a result of taking
methimazole? What condition is the client
at risk for?

Answer 20

hyperglycemia

Question 21

Mannitol has been ordered for a
client with acute brain swelling. The nurse
will administer this drug using which
procedure?

Answer 21

IV infusion with filtered tubing. The filter is
needed to protect against possible infusion of crystals.

Question 22

What is the most serious potential
adverse effects of diazepam therapy?

Answer 22

Respiratory depression

Question 23

Cyclobenzaprine - teaching - what to
include

Answer 23

drowsiness, dizziness
avoid driving if these symptoms occur
Reduce muscle spasms (MUSCLE RELAXER)
take with food

Question 24

The MD has ordered a client to receive an extra dose of insulin intravenously for an elevated glucose level. The nurse prepares to administer which type of insulin.

Answer 24

Regular (only one give IV)

Question 25

The MD has ordered a client to receive an extra dose of insulin intravenously for an elevated glucose level. The nurse prepares to administer which type of insulin.

Answer 25

Regular (only one give IV)

Question 26

A nurse has administered glucagon to
an unconscious diabetic client. Which
intervention is the most important as the
client regains consciousness?

Answer 26

carbohydrates

Question 27

A client returned to the clinic on day
7 after being started on antidepressants.
The client states “Why am I not feeling
any better”?

Answer 27

It can take up to 4 weeks for therapeutic levels to
be in your blood to begin feeling better.

Question 28

A client with a tracheostomy is
prescribed guaifenesin? What does this
drug do?

Answer 28

Expectorant

Question 29

when benzodiazepines are being used the client must be cautioned not to use what?

Answer 29

alcohol