Nursing Quiz PDF

120.) A client is taking lansoprazole (Prevacid) for the chronic management of Zollinger-Ellison syndrome. The nurse advises the client to take which of the following products if needed for a headache? 1\. Naprosyn (Aleve) 2\. Ibuprofen (Advil) 3\. Acetaminophen (Tylenol) 4\. Acetylsalicylic a...

120.) A client is taking lansoprazole (Prevacid) for the chronic management of Zollinger-Ellison syndrome. The nurse advises the client to take which of the following products if needed for a headache? 1\. Naprosyn (Aleve) 2\. Ibuprofen (Advil) 3\. Acetaminophen (Tylenol) 4\. Acetylsalicylic acid (aspirin) - ANSWER\--3. Acetaminophen (Tylenol) 121.) A client who is taking hydrochlorothiazide (HydroDIURIL, HCTZ) has been started on triamterene (Dyrenium) as well. The client asks the nurse why both medications are required. The nurse formulates a response, based on the understanding that: 1\. Both are weak potassium-losing diuretics. 2\. The combination of these medications prevents renal toxicity. 3\. Hydrochlorothiazide is an expensive medication, so using a combination of diuretics is cost-effective. 4\. Triamterene is a potassium-sparing diuretic, whereas hydrochlorothiazide is a potassium-losing diuretic. - ANSWER\--4. Triamterene is a potassium-sparing diuretic, whereas hydrochlorothiazide is a potassium-losing diuretic. 122.) A client who has begun taking fosinopril (Monopril) is very distressed, telling the nurse that he cannot taste food normally since beginning the medication 2 weeks ago. The nurse provides the best support to the client by: 1\. Telling the client not to take the medication with food 2\. Suggesting that the client taper the dose until taste returns to normal 3\. Informing the client that impaired taste is expected and generally disappears in 2 to 3 months 4\. Requesting that the health care provider (HCP) change the prescription to another brand of angiotensin-converting enzyme (ACE) inhibitor - ANSWER\--3. Informing the client that impaired taste is 123.) A nurse is planning to administer amlodipine (Norvasc) to a client. The nurse plans to check which of the following before giving the medication? 1\. Respiratory rate 2\. Blood pressure and heart rate 3\. Heart rate and respiratory rate 4\. Level of consciousness and blood pressure - ANSWER\--2. Blood pressure and heart rate 124.) A client with chronic renal failure is receiving ferrous sulfate (Feosol). The nurse monitors the client for which common side effect associated with this medication? 1\. Diarrhea 2\. Weakness 3\. Headache 4\. Constipation - ANSWER\--4. Constipation 125.) A nurse is preparing to administer digoxin (Lanoxin), 0.125 mg orally, to a client with heart failure. Which vital sign is most important for the nurse to check before administering the medication? 1\. Heart rate 2\. Temperature 3\. Respirations 4\. Blood pressure - ANSWER\--1. Heart rate 126.) A nurse is caring for a client who has been prescribed furosemide (Lasix) and is monitoring for adverse effects associated with this medication. Which of the following should the nurse recognize as a potential adverse effect Select all that apply. 1\. Nausea 2\. Tinnitus 3\. Hypotension 4\. Hypokalemia 5\. Photosensitivity 6\. Increased urinary frequency - ANSWER\--2. Tinnitus 3\. Hypotension 4\. Hypokalemia 127.) The nurse provides medication instructions to an older hypertensive client who is taking 20 mg of lisinopril (Prinivil, Zestril) orally daily. The nurse evaluates the need for further teaching when the client states which of the following? 1\. \"I can skip a dose once a week.\" 2\. \"I need to change my position slowly.\" 3\. \"I take the pill after breakfast each day.\" 4\. \"If I get a bad headache, I should call my doctor immediately.\" - ANSWER\--1. \"I can skip a dose once a week.\" 128.) A nurse is providing instructions to an adolescent who has a history of seizures and is taking an anticonvulsant medication. Which of the following statements indicates that the client understands the instructions? 1\. \"I will never be able to drive a car.\" 2\. \"My anticonvulsant medication will clear up my skin.\" 3\. \"I can\'t drink alcohol while I am taking my medication.\" 4\. \"If I forget my morning medication, I can take two pills at bedtime.\" - ANSWER\--3. \"I can\'t drink alcohol while I am taking my medication.\" 129.) Megestrol acetate (Megace), an antineoplastic medication, is prescribed for the client with metastatic endometrial carcinoma. The nurse reviews the client\'s history and contacts the registered nurse if which diagnosis is documented in the client\'s history? 1\. Gout 2\. Asthma 3\. Thrombophlebitis 4\. Myocardial infarction - ANSWER\--3. Thrombophlebitis 130.) The nurse is analyzing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory value would the nurse specifically note as a result of the massive cell destruction that occurred from the chemotherapy? 1\. Anemia 2\. Decreased platelets 3\. Increased uric acid level 4\. Decreased leukocyte count - ANSWER\--3. Increased uric acid level 131.) The nurse is reinforcing medication instructions to a client with breast cancer who is receiving cyclophosphamide (Neosar). The nurse tells the client to: 1\. Take the medication with food. 2\. Increase fluid intake to 2000 to 3000 mL daily. 3\. Decrease sodium intake while taking the medication. 4\. Increase potassium intake while taking the medication. - ANSWER\--2. Increase fluid intake to 2000 to 3000 mL daily. 132.) The client with non-Hodgkin\'s lymphoma is receiving daunorubicin (DaunoXome). Which of the following would indicate to the nurse that the client is experiencing a toxic effect related to the medication? Downloaded at Knoowy - Upload your own study documents and earn money 1\. Fever 2\. Diarrhea 3\. Complaints of nausea and vomiting 4\. Crackles on auscultation of the lungs - ANSWER\--4. Crackles on auscultation of the lungs 133.) A nurse is monitoring a client receiving desmopressin acetate (DDAVP) for adverse effects to the medication. Which of the following indicates the presence of an adverse effect? 1\. Insomnia 2\. Drowsiness 3\. Weight loss 4\. Increased urination - ANSWER\--2. Drowsiness 134.) A nurse reinforces instructions to a client who is taking levothyroxine (Synthroid). The nurse tells the client to take the medication: 1\. With food 2\. At lunchtime 3\. On an empty stomach 4\. At bedtime with a snack - ANSWER--- On an empty stomach 135.) A nurse reinforces medication instructions to a client who is taking levothyroxine (Synthroid). The nurse instructs the client to notify the health care provider (HCP) if which of the following occurs? 1\. Fatigue 2\. Tremors 3\. Cold intolerance 4\. Excessively dry skin - ANSWER\--2. Tremors 136.) A nurse performs an admission assessment on a client who visits a health care clinic for the first time. The client tells the nurse that propylthiouracil (PTU) is taken daily. The nurse continues to collect data from the client, suspecting that the client has a history of: 1\. Myxedema 2\. Graves\' disease 3\. Addison\'s disease 4\. Cushing\'s syndrome - ANSWER\--2. Graves\' disease 137.) A nurse is reinforcing instructions for a client regarding intranasal desmopressin acetate (DDAVP). The nurse tells the client that which of the following is a side effect of the medication? 1\. Headache 2\. Vulval pain 3\. Runny nose 4\. Flushed skin - ANSWER\--3. Runny nose 138.) A daily dose of prednisone is prescribed for a client. A nurse reinforces instructions to the client regarding administration of the medication and instructs the client that the best time to take this medication is: 1\. At noon 2\. At bedtime 3\. Early morning 4\. Anytime, at the same time, each day - ANSWER\--3. Early morning 139.) Prednisone is prescribed for a client with diabetes mellitus who is taking Humulin neutral protamine Hagedorn (NPH) insulin daily. Which of the following prescription changes does the nurse anticipate during therapy with the prednisone? 1\. An additional dose of prednisone daily 2\. A decreased amount of daily Humulin NPH insulin 3\. An increased amount of daily Humulin NPH insulin 4\. The addition of an oral hypoglycemic medication daily - ANSWER\--3. An increased amount of daily Humulin NPH insulin