Nursing Care and Pharmacology Quiz

Questions and Answers

What does delayed carbohydrate digestion and absorption facilitate?

Transport of glucose into the cell

Which prescription should the nurse question for a client complaining of insomnia?

Temazepam orally at bedtime

Eszoplicone (Lunesta) 10 mg orally at bedtime (correct)

Zolpidem 10 mg orally at bedtime

Ramelteon orally at bedtime

What nursing action is most important for a client planning to stop corticosteroids due to GI distress?

Review the client's dosing schedule to ensure he is taking the prescribed amount

Encourage the client to take medication with food to decrease GI distress

Assess the client for other indications of adverse effects of corticosteroids

Advise the client that the medication should be stopped gradually rather than abruptly (correct)

Which intervention is most important for a client reporting a burning sensation after receiving sulfa athenozole?

Review the client's list of drug allergies Signup and view all the answers

What instruction should the nurse provide to minimize antibiotic resistance?

Avoid using antibiotics when suffering from colds or the flu Signup and view all the answers

What should the nurse advise a client with symptoms of influenza considering oseltamivir (Tamiflu)?

Refer the client to the healthcare provider at the clinic to obtain a medication prescription Signup and view all the answers

What action should the nurse take when a client reports feeling nauseated after starting a secondary IV infusion of cafepime?

Continue the infusion and administer a PRN antiemetic prescription Signup and view all the answers

Donepezil hydrochloride (Aricept) is administered to a client with Alzheimer's disease for which client problem?

Disturbed thought processes Signup and view all the answers

Which laboratory finding requires immediate action by the nurse for a client receiving enoxaparin (Lovenox)?

Platelet count of 100,000/mm3 or 100 x 10^9/L (SI) Signup and view all the answers

What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today?

Light housekeeping is permitted but avoid heavy lifting Signup and view all the answers

Which intervention should the nurse implement first for a male adult diagnosed with influenza and presenting shortness of breath?

Obtain a sputum sample for culture Signup and view all the answers

Which intervention should the nurse implement for an elder male client reporting sleep disturbance due to urinary issues?

Palpate the bladder above the symphysis pubis Signup and view all the answers

Which serum laboratory value warrants the most immediate intervention by the nurse for a client admitted with diabetic ketoacidosis (DKA) and UTI?

Potassium of 2.5 mEq/l Signup and view all the answers

When notifying the healthcare provider about a client with sickle cell anemia developing a fever during blood transfusion, what information should the nurse provide first?

Explain specific reason for urgent notification Signup and view all the answers

What important aspect should the nurse explain regarding medication therapy for a client with PCP secondary to AIDS?

It will be necessary to continue prophylactic doses of IV or aerosol pentamidine every month. Signup and view all the answers

What action should the nurse implement next for a client with subjective data of dysuria, urgency, and urinary frequency?

Collect a clean catch specimen Signup and view all the answers

How should the nurse respond to a client whose biopsy results indicate well-differentiated cancer cells?

Ask the client if the healthcare provider has given her any information about the classification of her cancer. Signup and view all the answers

What should the nurse do first for a client with chronic kidney disease undergoing hemodialysis whose blood pressure drops significantly?

Stop dialysis treatment. Signup and view all the answers

If a client experiencing deep vein thrombosis (DVT) is receiving a continuous infusion of heparin, how should the nurse program the infusion pump to deliver an increased dosage of 900 units/hr?

9 mL/hour Signup and view all the answers

What subjective data reported by a client supports a diagnosis of peptic ulcer disease (PUD)?

Upper mid-abdominal gnawing and burning pain. Signup and view all the answers

Which information should the nurse provide to a Jewish client scheduled to receive a xenograft graft for burn healing?

The xenograft is taken from nonhuman sources. Signup and view all the answers

Which finding is most important for the nurse to report for a client who recently returned from a tropical country with vague symptoms?

Jaundice sclera. Signup and view all the answers

Which information is most useful in determining the possible cause of eczema exacerbation during a home visit?

A grandson and his new dog recently visited. Signup and view all the answers

Which dietary instruction should the nurse include for a client with acute glomerulonephritis (AGN)?

Restrict sodium intake. Signup and view all the answers

Prior to advancing the diet of a male client 24 hours post-operative for exploratory laparotomy who complains of hunger, what should the nurse implement?

Auscultate bowel sounds in all four quadrants. Signup and view all the answers

What should the nurse instruct a client with stable angina to do if chest pain is not relieved after taking 3 sublingual nitroglycerin tablets?

Call 911 if pain is unrelieved and chew a tablet of aspirin 325 mg. Signup and view all the answers

What action should the nurse take if a client taking orlistat (Xenical) reports frequent oily stools?

Ask the client to describe her dietary intake history for the last several days. Signup and view all the answers

What should the nurse implement first for a client returning to the clinic with fever and rash after an abscess drainage?

Assess airway patency and oxygen saturation. Signup and view all the answers

Which finding should the nurse report immediately after observing a client experiencing an ABO incompatibility reaction post-transfusion?

Low back pain and hypotension. Signup and view all the answers

What action should the nurse take for a young adult male admitted with hyperglycemic nonketotic syndrome who exhibits labored respirations?

Decrease infusion rate to address fluid overload. Signup and view all the answers

What should the nurse do when applying a fentanyl transdermal patch while noting a previous patch is still intact?

Apply a new patch in a different location after removing the original patch. Signup and view all the answers

What action should the nurse implement for a client post-myocardial infarction with low blood pressure on nitroglycerin?

Reduce the rate of the nitroglycerin infusion. Signup and view all the answers

What blood values should the nurse monitor for a client admitted after an overdose of acetaminophen?

LDH or LD, SGOT or ALT, SGPT or AST. Signup and view all the answers

Which assessment finding during PCA pump administration of morphine sulfate should prompt the nurse to administer naloxone?

Her respiratory rate is 7 breaths/minute. Signup and view all the answers

Which assessment finding indicates that the muscarinic agent bethanechol (Urecholine) is effective for a client diagnosed with urinary retention?

Urinary output equal to intake. Signup and view all the answers

Which PRN prescription should be administered to a client exhibiting signs of delirium tremens (DTs)?

Lorazepam (Ativan) 2 mg IM. Signup and view all the answers

What instructions should the nurse include for a client taking the diuretic spironolactone (Aldactone)?

Take the medication in the morning. Signup and view all the answers

When should the nurse instruct a client with type 1 diabetes mellitus to take glucagon?

When recognized signs of severe hypoglycemia occur. Signup and view all the answers

Which explanation should be included when preparing a client with hyperthyroidism for radioactive iodine treatment?

Describe radioactive iodine as a tasteless, colorless medication administered by the healthcare provider. Signup and view all the answers

Which statement indicates that further teaching is needed for a client being treated for tuberculosis with rifampin?

I will take my usual contraceptive for birth control. Signup and view all the answers

What discharge instructions should the nurse emphasize for a client prescribed warfarin (Coumadin)?

Avoid going barefoot, especially outside. Signup and view all the answers

Which serum lab test is most important to monitor in a client with diabetes insipidus receiving antidiuretic hormone intranasally?

Osmolality. Signup and view all the answers

How long can relief be expected after administering dihydroergotamine (Migranal) subcutaneously to a client with a severe migraine headache?

15 minutes. Signup and view all the answers

Which follow-up assessment is most important for a client on labetalol reporting a 2.2 kg weight gain after two weeks?

Breath sounds. Signup and view all the answers

Why might a male client receiving pilocarpine hydrochloride for glaucoma have difficulty seeing at night?

The eye drops slow pupil response to accommodate for darkness. Signup and view all the answers

What snack should the nurse instruct a client taking an oral dose of tetracycline to have?

Toasted wheat bread and jelly. Signup and view all the answers

What is the therapeutic effect of insulin in treating type 1 diabetes mellitus?

Facilitates transport of glucose into the cell. Signup and view all the answers

Study Notes

Discharge Instructions for Cataract Surgery

Light housekeeping permitted; heavy lifting avoided post-surgery.

Influenza Complications

Obtain sputum sample for culture first for a patient with shortness of breath and green sputum.

Urinary Symptoms in Elderly

Palpate bladder above symphysis pubis in clients with nocturia and incomplete emptying.

Diabetic Ketoacidosis (DKA)

Serum potassium of 2.5 meq/l is critical and requires immediate intervention.

Transfusion Reaction Communication

Explain the urgent need to notify the healthcare provider about fever in the context of recent transfusion.

Prophylactic Care for AIDS

Monthly prophylactic doses of pentamidine are necessary for clients with PCP.

Urinary Tract Infection (UTI) Protocol

First step is to collect a clean catch specimen from patients with dysuria and urgency.

Well-Differentiated Cancer Cells

Inquire if the healthcare provider has discussed cancer classification with the client.

Hemodialysis Complications

Immediate action: stop dialysis if blood pressure drops to 80/30.

Heparin Infusion Calculation

Increase heparin dosage to 900 units/hr; adjust infusion accordingly to 9 mL/hour.

Peptic Ulcer Disease Symptoms

Upper mid-abdominal gnawing and burning pain supports diagnosis.

Xenograft Information

Inform clients that xenografts are derived from nonhuman sources.

Ongoing Symptoms Post-Camping

Report jaundice sclera as a significant finding in clients with vague symptoms post-travel.

Eczema Exacerbation Causes

Recent visit from a grandson and new dog is relevant information for assessing eczema flare-ups.

Dietary Guidelines for Acute Glomerulonephritis

Emphasize sodium intake restriction in dietary education.

Postoperative Diet Assessment

Auscultate bowel sounds in all quadrants before advancing diet after surgery.

Chest Pain Management

If three NTG tablets do not relieve pain, call 911 and chew 325 mg aspirin.

Orlistat Side Effects

Investigate dietary history in clients experiencing oily stools and flatus after starting orlistat.

Post-Abscess Care

Assess airway patency and oxygen saturation first in clients with fever and rash after abscess drainage.

Blood Transfusion Reaction Signs

Report low back pain and hypotension as signs of an ABO incompatibility reaction immediately.

Hyperglycemic Nonketotic Syndrome (HHNS)

Decrease the infusion rate if respiratory symptoms indicate fluid overload.

Fentanyl Patch Instructions

Apply a new patch after removing the existing one if the previously used patch is intact.

Managing Nitroglycerin Drip

Reduce the rate of nitroglycerin infusion if blood pressure falls to 78/36.

Acetaminophen Overdose Monitoring

Monitor liver function tests (LDH, SGOT, SGPT) after a client’s acetaminophen overdose.

PCA Pump Monitoring

Administer naloxone if the respiratory rate drops to 7 breaths/minute following morphine therapy.

Effectiveness of Bethanechol

Urinary output equal to intake indicates effectiveness in managing urinary retention.

Delirium Tremens Treatment

Administer lorazepam for signs of delirium tremens in clients with high blood alcohol levels.

Spironolactone Instructions

Instruct clients to take spironolactone in the morning to manage diuretic effects.

Glucagon Use in Hypoglycemia

Glucagon should be administered when severe hypoglycemia signals are recognized.

Radioactive Iodine Treatment

Radioactive iodine is tasteless and colorless; it is administered under medical supervision.

Tuberculosis Treatment Awareness

Rifampin can affect the efficacy of hormonal contraceptives; further education required.

Warfarin Safety Instructions

Advise clients to avoid barefoot activities to reduce bleeding risks while on warfarin.

Diabetes Insipidus Monitoring

Serum osmolality is the most important lab test for clients receiving antidiuretic hormone therapy.

Dihydroergotamine Relief Timing

Relief from subcutaneous dihydroergotamine can be expected within 15 minutes.

Corticosteroid Weight Gain Follow-Up

Assess breath sounds in clients who report weight gain while on labetalol for hypertension.

Pilocarpine Ocular Effects

Explain that pilocarpine ophthalmic drops slow pupil response, affecting night vision.

Tetracycline Dietary Recommendations

Suggest taking tetracycline with toasted wheat bread and jelly to minimize gastrointestinal upset.

Insulin Action in Diabetes

Insulin facilitates glucose transport into cells, crucial for managing type 1 diabetes.

Sleep Aid Prescriptions

Question the use of eszopiclone for insomnia in older adults, considering safety concerns.

Gradual Corticosteroid Withdrawal

Emphasize the importance of tapering off corticosteroids rather than abrupt cessation.

Sulfa Drug Allergy Review

Prioritize reviewing drug allergies when a patient reports discomfort after sulfa administration.

Antibiotic Resistance Prevention

Educate clients to avoid using antibiotics unnecessarily to combat resistance development.### Antibiotic Use and Prescriptions
Healthcare provider should prescribe the newest antibiotics when clinically indicated.
Vancomycin is an appropriate choice for treating severe infections, such as a sore throat that may indicate bacterial causes.

Influenza Treatment

Oseltamivir (Tamiflu) is effective in treating influenza, but initial symptoms should prompt a consultation for a prescription.
Antibiotics are ineffective against viral infections like influenza, highlighting the need for antiviral medications instead.

IV Infusion Management

If a patient reports nausea after starting a secondary IV infusion of cefepime, the best action is to continue the infusion and provide an antiemetic to manage symptoms.

Alzheimer's Disease Management

Donepezil hydrochloride (Aricept) is administered to address disturbed thought processes in patients with Alzheimer’s disease, supporting cognitive function.

DVT Prevention and Monitoring

Following knee replacement surgery, enoxaparin (Lovenox) is given subcutaneously to prevent deep vein thrombosis (DVT).
A platelet count of 100,000/mm³ warrants immediate action as it can indicate an increased risk of bleeding, requiring close monitoring.

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Description

This quiz covers essential nursing knowledge related to carbohydrate digestion, insomnia management, corticosteroid cessation, and antibiotic resistance. You will also explore patient instructions for medication like oseltamivir (Tamiflu). Test your understanding of nursing interventions and pharmacological principles.