Which instruction should the practical nurse (PN) reinforce with a client who is taking
disulfiram (Antabuse)?
A) Cigarette smoking cessation program should be started.
B) Avoid using any over-the-counter substances containing alcohol.
C) This drug is similar to alcohol but without euphoric effects.
D) Small amounts of mouthwash or cough medicine can be used.
Give this one a try later!
B) Avoid using any over-the-counter substances containing alcohol.
Feedback:
The use of disulfiram (Antabuse) with over-the-counter (OTC) products that
contain alcohol causes severe adverse reactions, such as severe nausea,
vomiting, chest pain, hyperventilation, tachycardia, seizures, and
cardiovascular collapse, and should be avoided (B). Although a smoking
cessation program is always a good health recommendation (A), it is not a
priority with Antabuse. (C) is inaccurate. Small amounts, as little as 7 ml, of
, mouthwash or cough syrup that contains alcohol can precipitate a disulfiram
reaction and should not be used (D).
What laboratory results should the practical nurse monitor to evaluate the therapeutic
effects of heparin?
A) Platelet count.
B) Hematocrit.
C) Prothrombin time (PT).
D) Activated partial thromboplastin time (APTT).
Give this one a try later!
D) Activated partial thromboplastin time (APTT).
Feedback:
Ongoing APTT (D) values measure the prolongation times of thromboplastin in
the clotting cascade, which is monitored during heparin therapy. (A, B, and C)
do not indicate the therapeutic action of heparin.
Which International Normalized Ratio (INR) value indicates that warfarin (Coumadin)
therapy is at a therapeutic range?
A) 1.0 to 2.0
B) 2.1 to 3.0
C) 3.1 to 4.0
D) 4.1 to 5.0
Give this one a try later!
B) 2.1 to 3.0
Feedback:
Warfarin dosage for therapeutic anticoagulation is adjusted to target a client's
, INR range between 2 to 3 (B). (A, C, and D) are outside the narrow therapeutic
range.
Which prescription should the practical nurse (PN) administer for a client who is
experiencing an anaphylactic reaction to an antibiotic?
A) Ephedra (ma-huang).
B) Epinephrine (Adrenalin).
C) Phenylephrin (Neo-Synephrine).
D) Fexofenadine with pseudoephedrine (Allegra D).
Give this one a try later!
B) Epinephrine (Adrenalin).
Feedback:
Epinephrine (Adrenalin), a potent sympathomimetic, is the drug of choice for
the treatment of anaphylaxis (B). (A, C, and D) are not used for an acute
immunololgical dysfunction that causes cardiovascular effects.
The practical nurse (PN) should emphasize the importance of monitoring for which side
effect(s) in a client who takes a daily antilipemic agent?
A) Photosensitivity.
B) Liver dysfunction.
C) Upper respiratory infections (URI).
D) Water soluble vitamin deficiencies.
Give this one a try later!
, B) Liver dysfunction.
Feedback:
Antilipemic agents (lipid-regulating agents) are metabolized by the liver and
require regular monitoring of liver function studies for hepatic dysfunction (B).
Photosensitivity (A), URI (C), and vitamin deficiencies (D) are not side-effects
of antilipemics.
The practical nurse (PN) is assessing a client who takes olanzapine (Zyprexa), an
antipsychotic. Which side effect should the PN most likely note in this client?
A) Insomnia and irritability.
B) Hand tremors and tearing.
C) Nausea and frontal headache.
D) Weight gain and constipation.
Give this one a try later!
D) Weight gain and constipation.
Feedback:
Olanzapine (Zyprexa), an atypical antipsychotic, causes orthostatic
hypotension, weight gain, and anticholinergic effects, such as constipation (D).
Common anticholinergic side effects include dry mouth, blurred vision, nasal
stuffiness, weight gain, difficulty urinating, decreased sweating, increased
sensitivity to sunlight, and constipation (D). (A, B, and C) are not expected side
effects of this medication.
A male client who is hypertensive is starting a new prescription for clonidine (Catapress)
0.4 mg PO daily. In reviewing common side effects, what information should the practical
nurse (PN) provide the client?
A) Report problems with sexual function.
B) Monitor respirations on a daily basis.
disulfiram (Antabuse)?
A) Cigarette smoking cessation program should be started.
B) Avoid using any over-the-counter substances containing alcohol.
C) This drug is similar to alcohol but without euphoric effects.
D) Small amounts of mouthwash or cough medicine can be used.
Give this one a try later!
B) Avoid using any over-the-counter substances containing alcohol.
Feedback:
The use of disulfiram (Antabuse) with over-the-counter (OTC) products that
contain alcohol causes severe adverse reactions, such as severe nausea,
vomiting, chest pain, hyperventilation, tachycardia, seizures, and
cardiovascular collapse, and should be avoided (B). Although a smoking
cessation program is always a good health recommendation (A), it is not a
priority with Antabuse. (C) is inaccurate. Small amounts, as little as 7 ml, of
, mouthwash or cough syrup that contains alcohol can precipitate a disulfiram
reaction and should not be used (D).
What laboratory results should the practical nurse monitor to evaluate the therapeutic
effects of heparin?
A) Platelet count.
B) Hematocrit.
C) Prothrombin time (PT).
D) Activated partial thromboplastin time (APTT).
Give this one a try later!
D) Activated partial thromboplastin time (APTT).
Feedback:
Ongoing APTT (D) values measure the prolongation times of thromboplastin in
the clotting cascade, which is monitored during heparin therapy. (A, B, and C)
do not indicate the therapeutic action of heparin.
Which International Normalized Ratio (INR) value indicates that warfarin (Coumadin)
therapy is at a therapeutic range?
A) 1.0 to 2.0
B) 2.1 to 3.0
C) 3.1 to 4.0
D) 4.1 to 5.0
Give this one a try later!
B) 2.1 to 3.0
Feedback:
Warfarin dosage for therapeutic anticoagulation is adjusted to target a client's
, INR range between 2 to 3 (B). (A, C, and D) are outside the narrow therapeutic
range.
Which prescription should the practical nurse (PN) administer for a client who is
experiencing an anaphylactic reaction to an antibiotic?
A) Ephedra (ma-huang).
B) Epinephrine (Adrenalin).
C) Phenylephrin (Neo-Synephrine).
D) Fexofenadine with pseudoephedrine (Allegra D).
Give this one a try later!
B) Epinephrine (Adrenalin).
Feedback:
Epinephrine (Adrenalin), a potent sympathomimetic, is the drug of choice for
the treatment of anaphylaxis (B). (A, C, and D) are not used for an acute
immunololgical dysfunction that causes cardiovascular effects.
The practical nurse (PN) should emphasize the importance of monitoring for which side
effect(s) in a client who takes a daily antilipemic agent?
A) Photosensitivity.
B) Liver dysfunction.
C) Upper respiratory infections (URI).
D) Water soluble vitamin deficiencies.
Give this one a try later!
, B) Liver dysfunction.
Feedback:
Antilipemic agents (lipid-regulating agents) are metabolized by the liver and
require regular monitoring of liver function studies for hepatic dysfunction (B).
Photosensitivity (A), URI (C), and vitamin deficiencies (D) are not side-effects
of antilipemics.
The practical nurse (PN) is assessing a client who takes olanzapine (Zyprexa), an
antipsychotic. Which side effect should the PN most likely note in this client?
A) Insomnia and irritability.
B) Hand tremors and tearing.
C) Nausea and frontal headache.
D) Weight gain and constipation.
Give this one a try later!
D) Weight gain and constipation.
Feedback:
Olanzapine (Zyprexa), an atypical antipsychotic, causes orthostatic
hypotension, weight gain, and anticholinergic effects, such as constipation (D).
Common anticholinergic side effects include dry mouth, blurred vision, nasal
stuffiness, weight gain, difficulty urinating, decreased sweating, increased
sensitivity to sunlight, and constipation (D). (A, B, and C) are not expected side
effects of this medication.
A male client who is hypertensive is starting a new prescription for clonidine (Catapress)
0.4 mg PO daily. In reviewing common side effects, what information should the practical
nurse (PN) provide the client?
A) Report problems with sexual function.
B) Monitor respirations on a daily basis.
