140.docx

140.) The client has a new prescription for metoclopramide (Reglan). On review of the chart, the nurse identifies that this medication can be safely administered with which condition? 1\. Intestinal obstruction 2\. Peptic ulcer with melena 3\. Diverticulitis with perforation 4\. Vomiting follow...

140.) The client has a new prescription for metoclopramide (Reglan). On review of the chart, the nurse identifies that this medication can be safely administered with which condition? 1\. Intestinal obstruction 2\. Peptic ulcer with melena 3\. Diverticulitis with perforation 4\. Vomiting following cancer chemotherapy - ANSWER\--4. Vomiting following cancer chemotherapy 141.) The nurse has reinforced instructions to a client who has been prescribed cholestyramine (Questran). Which statement by the client indicates a need for further instructions? 1\. \"I will continue taking vitamin supplements.\" 2\. \"This medication will help lower my cholesterol.\" 3\. \"This medication should only be taken with water.\" Downloaded at Knoowy - Upload your own study documents and earn money 4\. \"A high-fiber diet is important while taking this medication.\" - ANSWER\--3. \"This medication should only be taken with water.\" 142.) A health care provider has written a prescription for ranitidine (Zantac), once daily. The nurse should schedule the medication for which of the following times? 1\. At bedtime 2\. After lunch 3\. With supper 4\. Before breakfast - ANSWER\--1. At bedtime 143.) A client has just taken a dose of trimethobenzamide (Tigan). The nurse plans to monitor this client for relief of: 1\. Heartburn 2\. Constipation 3\. Abdominal pain 4\. Nausea and vomiting - ANSWER\--4. Nausea and vomiting 144.) A client is taking docusate sodium (Colace). The nurse monitors which of the following to determine whether the client is having a therapeutic effect from this medication? 1\. Abdominal pain 2\. Reduction in steatorrhea 3\. Hematest-negative stools 4\. Regular bowel movements - ANSWER\--4. Regular bowel movements **145.) A nurse has a prescription to give a client albuterol (Proventil HFA) (two puffs) and beclomethasone dipropionate (Qvar) (nasal inhalation, two puffs), by metered-dose inhaler. The nurse administers the medication by giving the:** 1. Albuterol first and then the beclomethasone dipropionate 2. Beclomethasone dipropionate first and then the albuterol 3. Alternating a single puff of each, beginning with the albuterol 4. Alternating a single puff of each, beginning with the beclomethasone dipropionate **ANSWER: 1. Albuterol first and then the beclomethasone dipropionate** **146.) A client has begun therapy with theophylline (Theo-24). The nurse tells the client to limit the intake of which of the following while taking this medication?** 1. Oranges and pineapple 2. Coffee, cola, and chocolate 3. Oysters, lobster, and shrimp 4. Cottage cheese, cream cheese, and dairy creamers **ANSWER: 2. Coffee, cola, and chocolate** **147.) A client with a prescription to take theophylline (Theo-24) daily has been given medication instructions by the nurse. The nurse determines that the client needs further information about the medication if the client states that he or she will:** 1. Drink at least 2 L of fluid per day. 2. Take the daily dose at bedtime. 3. Avoid changing brands of the medication without health care provider (HCP) approval. 4. Avoid over-the-counter (OTC) cough and cold medications unless approved by the HCP. **ANSWER: 2. Take the daily dose at bedtime.** **148.) A client is taking cetirizine hydrochloride (Zyrtec). The nurse checks for which of the following side effects of this medication?** 1. Diarrhea 2. Excitability 3. Drowsiness 4. Excess salivation **ANSWER: 3. Drowsiness** **149.) A client taking fexofenadine (Allegra) is scheduled for allergy skin testing and tells the nurse in the health care provider\'s office that a dose was taken this morning. The nurse determines that:** 1. The client should reschedule the appointment. 2. A lower dose of allergen will need to be injected. 3. A higher dose of allergen will need to be injected. 4. The client should have the skin test read a day later than usual. **ANSWER: 1. The client should reschedule the appointment.** **150.) A client complaining of not feeling well is seen in a clinic. The client is taking several medications for the control of heart disease and hypertension. These medications include a β-blocker, digoxin (Lanoxin), and a diuretic. A tentative diagnosis of digoxin toxicity is made. Which of the following assessment data would support this diagnosis?** 1. Dyspnea, edema, and palpitations 2. Chest pain, hypotension, and paresthesia 3. Double vision, loss of appetite, and nausea 4. Constipation, dry mouth, and sleep disorder **ANSWER: 3. Double vision, loss of appetite, and nausea** **151.) A client is being treated for acute congestive heart failure with intravenously administered bumetanide. The vital signs are as follows: blood pressure, 100/60 mm Hg; pulse, 96 beats/min; and respirations, 24 breaths/min. After the initial dose, which of the following is the priority assessment?** 1. Monitoring weight loss 2. Monitoring temperature 3. Monitoring blood pressure 4. Monitoring potassium level **ANSWER: 3. Monitoring blood pressure** **152.) Intravenous heparin therapy is prescribed for a client. While implementing this prescription, a nurse ensures that which of the following medications is available on the nursing unit?** 1. Protamine sulfate 2. Potassium chloride 3. Phytonadione (vitamin K) 4. Aminocaproic acid (Amicar) **ANSWER: 1. Protamine sulfate** **153.) A client diagnosed with pulmonary embolism and is to be treated with streptokinase (Streptase). A nurse would report which priority data collection finding to the registered nurse before initiating this therapy?** 1. Adventitious breath sounds 2. Temperature of 99.4° F orally 3. Blood pressure of 198/110 mm Hg 4. Respiratory rate of 28 breaths/min **ANSWER: 3. Blood pressure of 198/110 mm Hg** **154.) A nurse is reinforcing dietary instructions to a client who has been prescribed cyclosporine (Sandimmune). Which food item would the nurse instruct the client to avoid?** 1. Red meats 2. Orange juice 3. Grapefruit juice 4. Green, leafy vegetables **ANSWER: 3. Grapefruit juice** **155.) Mycophenolate mofetil (CellCept) is prescribed for a client as prophylaxis for organ rejection following an allogeneic renal transplant. Which of the following instructions does the nurse reinforce regarding administration of this medication?** 1. Administer following meals. 2. Take the medication with a magnesium-type antacid. 3. Open the capsule and mix with food for administration. 4. Contact the health care provider (HCP) if a sore throat occurs. **ANSWER: 4. Contact the health care provider (HCP) if a sore throat occurs.** **156.) A nurse is reviewing the laboratory results for a client receiving tacrolimus (Prograf). Which laboratory result would indicate to the nurse that the client is experiencing an adverse effect of the medication?** 1. Blood glucose of 200 mg/dL 2. Potassium level of 3.8 mEq/L 3. Platelet count of 300,000 cells/mm3 4. White blood cell count of 6000 cells/mm3 **ANSWER: 1. Blood glucose of 200 mg/dL** **157.) A client receiving nitrofurantoin (Macrodantin) calls the health care provider\'s office complaining of side effects related to the medication. Which side effect indicates the need to stop treatment with this medication?** 1. Nausea 2. Diarrhea 3. Anorexia 4. Cough and chest pain **ANSWER: 4. Cough and chest pain** **158.) A client with chronic renal failure is receiving epoetin alfa (Epogen, Procrit). Which laboratory result would indicate a therapeutic effect of the medication?** 1. Hematocrit of 32% 2. Platelet count of 400,000 cells/mm3 3. White blood cell count of 6000 cells/mm3 4. Blood urea nitrogen (BUN) level of 15 mg/dL **ANSWER: 1. Hematocrit of 32%** **159.) A nurse is caring for a client receiving morphine sulfate subcutaneously for pain. Because morphine sulfate has been prescribed for this client, which nursing action would be included in the plan of care?** 1. Encourage fluid intake. 2. Monitor the client\'s temperature. 3. Maintain the client in a supine position. 4. Encourage the client to cough and deep breathe. **ANSWER: 4. Encourage the client to cough and deep breathe.**