Nclex Dec File 3

NCLEX DEC FILE 3 1. Which assessment best determines the effectiveness of Sumatriptan (triptans are used for treatment of Migraines so… Termination of the migraine 2. Pt with schizophrenia is prescribed chlorpromazine (Thorazine – first generation antipsychotic) oral concentrate The medication may cause excessive salivation and no direct skin contact (both correct – not a good question) 3. Which best assessment best determines the pt is developing tardive dyskinesia Twisting, writhing, worm-like movements of tongue 4. Pt with depression is prIscribed Fluoxitine (Prozac) “It may take 3-4 weeks before my mood is elevated” 5. Pt is on Marplan (MAOIs – have the most food interactions) for depression Bananas, smoked fish, and cheese 6. Pt on Lithium Polydypsia (increased thirst), slurred speech, and fine hand tremors 7.Pt is prescribed Lunesta for insomnia Anterograde amnesia (memory loss of events right before taking drug) 8. A 24 yr female gets Triazolam (Halcion) for insomnia at home (remember to use the process of elimination) “The medication will not alter my breathing” 9. A pt is prescribed Venlafaxine and the pt asks what the purpose of medication is, you should state Depression and anxiety 10. . A client who was prescribed atorvastatin Lipitor one month ago calls the triage nurse at the clinic complaining of muscle pain and weakness in his legs. Which statement reflects the correct drug-specific teaching the nurse should provide to this client? Make an appointment to see the healthcare provider, because muscle pain may be an indication of a serious side effect 11. A client who has been taking levodopa PO TID to control the symptoms of Parkinson's disease has a new prescription for sustained release levodopa/carbidopa Sinemet 25/100 PO BID. The client took his levodopa at 0800. Which instruction should the nurse include in the teaching plan for this client? You can begin taking the Sinemet this evening, but do not take any more levodopa 12. A client is receiving methylprednisolone Solu-Medrol 40 mg IV daily. The nurse anticipates an increase in which laboratory value as the result of this medication? Serum glucose 13. A client with hyperlipidemia receives a prescription for niacin Niaspan. Which client teaching is most important for the nurse to provide? Expected duration of flushing 14. When assessing an adolescent who recently overdosed on acetaminophen Tylenol, it is most important for the nurse to assess for pain in which area of the body? Abdomen 15. The nurse is preparing the 0900 dose of losartan Cozaar, an angiotensin II receptor blocker ARB, for a client with hypertension and heart failure. The nurse reviews the client's laboratory results and notes that the client's serum potassium level is 5.9 mEq/L. What action should the nurse take first? Withhold the scheduled dose 16. An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and ketorolac Toradol 30 mg IV q6h. Which action should the nurse implement? Administer both medications according to the prescription 17. A nurse is caring for a client who has a depressive disorder and declines electroconvulsive therapy (ECT) despite the provider’srecommendation. Which of the following ethical principles is the nurse demonstrating by supporting the client’s decision? Answer: Autonomy 18. A nurse isreinforcing teaching with an adolescent client who has a history of aggressive behavior. Which of the following statements should the nurse make? Answer: Have you considered participating in a sport to help control your aggression 19. A nurse on an inpatient mental health unit is supervising a group of clients in the unit’s dayroom. The nurse failsto respond to the escalating, aggressive behavior of a client eventually becomes violent and injures another client. For which of the following isthe nurse liable? Answer: Negligence 20. A nurse is reviewing the medical record of a client who has schizophrenia. For which of the following findingsshould the nurse withhold the client’s medications and notify the provider? Answer: WBC count 21. A nurse on a mental health unit is caring for four clients who have schizophrenia. Which of the following clients should the nurse see first? Answer: The client who is experiencing command hallucinations 22. A nurse isreinforcing teaching about stress management techniques with a client who has mild anxiety. Which of the following statements should the nurse make? Answer: You should listen to music when you feel stress 23. A nurse is caring for a client who is undergoing outpatient electroconvulsive therapy (ECT) to treat rapid-cycling bipolar disorder. Following the procedure, which of the following action should the nurse take? Answer: Administer oxygen to the client 24. A nurse is caring for a client who has psychiatric symptom disorder. Which of the following actions should the nurse take? Answer: Encourage the client to examine how hisillness behavior affects hisfamily 25. A nurse is caring for a client who recently lost his child in a motor-vehicle crash. The client is expressing feelings of hopelessness. Which of the following questions is the most important for the nurse to ask? Answer: Have you had any thoughts of harming yourself 26. A nurse is caring for a client who has dementia. Which of the following actions should the nurse take? Answer: Stand in front of the client when speaking 27. A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the following medications should the nurse anticipate the provider to prescribe? Answer: Naloxone 28. A nurse is assisting with the admission of a client who has an eating disorder. During data collection, which of the following findingsshould the nurse identify as manifestations of bulimia nervosa? Answer: -Tooth erosion -Hand calluses -Hypok