Medical Questions and Answers PDF

**160.) Meperidine hydrochloride (Demerol) is prescribed for the client with pain. Which of the following would the nurse monitor for as a side effect of this medication?** 1. Diarrhea 2. Bradycardia 3. Hypertension 4. Urinary retention **ANSWER: 4. Urinary retention** **161.) A nurse is c...

**160.) Meperidine hydrochloride (Demerol) is prescribed for the client with pain. Which of the following would the nurse monitor for as a side effect of this medication?** 1. Diarrhea 2. Bradycardia 3. Hypertension 4. Urinary retention **ANSWER: 4. Urinary retention** **161.) A nurse is caring for a client with severe back pain, and codeine sulfate has been prescribed for the client. Which of the following would the nurse include in the plan of care while the client is taking this medication?** 1. Restrict fluid intake. 2. Monitor bowel activity. 3. Monitor for hypertension. 4. Monitor peripheral pulses. **ANSWER: 2. Monitor bowel activity.** **162.) Carbamazepine (Tegretol) is prescribed for a client with a diagnosis of psychomotor seizures. The nurse reviews the client\'s health history, knowing that this medication is contraindicated if which of the following disorders is present?** 1. Headaches 2. Liver disease 3. Hypothyroidism 4. Diabetes mellitus **ANSWER: 2. Liver disease** **163.) A client with trigeminal neuralgia tells the nurse that acetaminophen (Tylenol) is taken on a frequent daily basis for relief of generalized discomfort. The nurse reviews the client\'s laboratory results and determines that which of the following indicates toxicity associated with the medication?** 1. Sodium of 140 mEq/L 2. Prothrombin time of 12 seconds 3. Platelet count of 400,000 cells/mm3 4. A direct bilirubin level of 2 mg/dL **ANSWER: 4. A direct bilirubin level of 2 mg/dL** **164.) A client receives a prescription for methocarbamol (Robaxin), and the nurse reinforces instructions to the client regarding the medication. Which client statement would indicate a need for further instructions?** 1. \"My urine may turn brown or green.\" 2. \"This medication is prescribed to help relieve my muscle spasms.\" 3. \"If my vision becomes blurred, I don\'t need to be concerned about it.\" 4. \"I need to call my doctor if I experience nasal congestion from this medication.\" **ANSWER: 3. \"If my vision becomes blurred, I don\'t need to be concerned about it.\"** **165.) The client has been on treatment for rheumatoid arthritis for 3 weeks. During the administration of etanercept (Enbrel), it is most important for the nurse to assess:** 1. The injection site for itching and edema 2. The white blood cell counts and platelet counts 3. Whether the client is experiencing fatigue and joint pain 4. A metallic taste in the mouth and a loss of appetite **ANSWER: 2. The white blood cell counts and platelet counts** **166.) Alendronate (Fosamax) is prescribed for a client with osteoporosis. The client taking this medication is instructed to:** 1. Take the medication at bedtime. 2. Take the medication in the morning with breakfast. 3. Lie down for 30 minutes after taking the medication. 4. Take the medication with a full glass of water after rising in the morning. **ANSWER: 4. Take the medication with a full glass of water after rising in the morning.** **167.) A nurse prepares to reinforce instructions to a client who is taking allopurinol (Zyloprim). The nurse plans to include which of the following in the instructions?** 1. Instruct the client to drink 3000 mL of fluid per day. 2. Instruct the client to take the medication on an empty stomach. 3. Inform the client that the effect of the medication will occur immediately. 4. Instruct the client that, if swelling of the lips occurs, this is a normal expected response. **ANSWER: 1. Instruct the client to drink 3000 mL of fluid per day.** **168.) Colcrys (colchicine) is prescribed for a client with a diagnosis of gout. The nurse reviews the client\'s medical history in the health record, knowing that the medication would be contraindicated in which disorder?** 1. Myxedema 2. Renal failure 3. Hypothyroidism 4. Diabetes mellitus **ANSWER: 2. Renal failure** **169.) Insulin glargine (Lantus) is prescribed for a client with diabetes mellitus. The nurse tells the client that it is best to take the insulin:** 1. 1 hour after each meal 2. Once daily, at the same time each day 3. 15 minutes before breakfast, lunch, and dinner 4. Before each meal, on the basis of the blood glucose level **ANSWER: 2. Once daily, at the same time each day** 1. **Listen to the client\'s lung sounds.** 2. **Check the client\'s blood pressure.** 3. **Check the recent electrolyte levels.** 4. **Assess the client for muscle weakness.\ ANSWER\--2. Check the client\'s blood pressure.** 1. **Potassium level** 2. **Creatinine level** 3. **Cholesterol level** 4. **Blood urea nitrogen\ ANSWER\--1. Potassium level** 1. **Grapes** 2. **Spinach** 3. **Watermelon** 4. **Cottage cheese\ ANSWER\--2. Spinach** 1. **\"Do you have any joint pain?\"** 2. **\"Are you having any diarrhea?\"** 3. **\"Do you have frequent headaches?\"** 4. **\"Are you experiencing heartburn?\"\ ANSWER\--1. \"Do you have any joint pain?\"** 1. **Lung sounds** 2. **Blood pressure** 3. **Blood ammonia level** 4. **Serum potassium level\ ANSWER\--3. Blood ammonia level** 1. **Pancreatitis** 2. **Pharyngitis** 3. **Tonic-clonic seizures** 4. **Human immunodeficiency virus (HIV) infection\ ANSWER\--4. Human immunodeficiency virus (HIV) infection** 1. **\"Has your appetite increased?\"** 2. **\"Are you experiencing any heartburn?\"** 3. **\"Do you have any problems with vision?\"** 4. **\"Do you experience any leg pain when walking?\"\ ANSWER\--2. \"Are you experiencing any heartburn?\"** 1. **The magnesium sulfate is effective.** 2. **The infusion rate needs to be increased.** 3. **The client is experiencing cerebral edema.** 4. **The client is experiencing magnesium toxicity.\ ANSWER\--4. The client is experiencing magnesium toxicity.** 1. **Temperature** 2. **Lochial flow** 3. **Urine output** 4. **Blood pressure\ ANSWER\--4. Blood pressure** 1. **\"I need to obtain a yearly influenza vaccine.\"** 2. **\"I need to have dental checkups every 3 months.\"** 3. **\"I need to self-monitor my blood pressure at home.\"** 4. **\"I need to call the health care provider (HCP) if my urine volume decreases or my urine becomes cloudy.\"\ ANSWER\--1. \"I need to obtain a yearly influenza vaccine.\"**