NUR 504 FINAL EXAM STUDY GUIDE
COMPLETE AND VERIFIED.
The clinic nurse is assessing a client who reports taking ginseng recently.
Which condition would the nurse take special care to check for in this
client?
Correct Answer -hypoglycemia
The nurse is caring for a client receiving an aminoglycoside (antibiotic) that
can be nephrotoxic. Which will alert the nurse that the client may be
experiencing nephrotoxicity?
Correct Answer -a decrease in urine output
The pharmacology instructor explains to the students that adverse effects
can be extensions of:
Correct Answer -primary actions of a drug
A nurse is caring for a client who is receiving magnesium. The nurse would
be alert for which finding?
Correct Answer -depressed reflexes
A client asks the nurse about herbal products that can help to lower serum
cholesterol and triglycerides. Which herbal product would the nurse include
in the response?
Correct Answer -garlic
,Which nonpharmacological measure has demonstrated some effect in
treating nausea and vomiting in pregnant women?
Correct Answer -ginger
A client with an extensive history of using herbal remedies asks the nurse if
there is an herbal supplement for the diagnosis of BPH. Which supplement
does the nurse provide information on for the treatment of BPH?
Correct Answer -saw palmetto
A nurse is caring for a client with acute renal failure. The health care
provider has prescribed a diuretic therapy for the client to promote dieresis.
What intervention should the nurse perform to prevent the inconvenience
caused by increased urination?
Correct Answer -administer the drug early in the day
A nurse is caring for a client who is diabetic and has been diagnosed with
hypertension. An angiotensin-converting enzyme inhibitor, captopril, has
been prescribed. Which should the nurse assess before beginning drug
therapy?
Correct Answer -serum potassium levels
When a combination of drugs needs to be incorporated into the drug
regimen for a hypertensive client, what type of diuretic is typically used to
treat hypertension initially?
Correct Answer -thiazide
How is the blood pressure affected by kidney function?
Correct Answer -kidney function alters sodium retention
,Upon her visit to the primary care provider's office, a female client presents
with 14 pounds of additional weight since her visit 3 weeks ago. Her lower
extremities are quite swollen, and her facial features are puffy. The provider
prescribes a diuretic and requests a follow-up visit in 3 days. Two days later,
the client contacts the office and is so dyspneic that she is hard to
understand over the phone. An ambulance is dispatched, and she is
admitted to the hospital for rapid diuresing. Which diuretic will most likely
be the initial drug of choice?
Correct Answer -loop diuretic
A client diagnosed with hyperlipidemia is prescribed a statin. The nurse is
reviewing the client's history and would notify the client's health care
provider if which condition was noted in the client's history?
Correct Answer -liver disease
When educating a group of nursing students on the mechanism of action of
angiotensin converting enzyme inhibitor (ACEI) drugs, the nurse identifies
what as the action brought about by aldosterone?
Correct Answer -causes sodium and water retention
A client's serum cholesterol is 286 mg/dL. Lovastatin (Mevacor) is
prescribed. The nurse plans care based on the fact that the action of
lovastatin:
Correct Answer -inhibits production of cholesterol
A patient who was diagnosed with hypertension and started on losartan
calls the clinic 2 weeks after beginning the therapy. She reports to the nurse
that she still feels "funny in the head" and that according to her daughter-in-
, law, who is a nurse and who is monitoring her blood pressure, her blood
pressure is still high. The nurse will question the patient concerning
Correct Answer -taking her meds with grapefruit juice
A 58-year-old man has recently been prescribed atorvastatin (Lipitor) in an
effort to reduce his cholesterol levels. The man has acknowledged the
potentially harmful effects of hyperlipidemia and is motivated to make
changes to resolve this health problem. What advice should the nurse give
to this client?
Correct Answer -its a good idea to keep your intake of saturated fats to a
minimum
A 26-year-old white male client has been prescribed captopril for
hypertension. A nurse has been assigned to the client to provide education
regarding the use of this drug. The nurse will advise the client that:
Correct Answer -a persistent, dry cough may occur, however it is not serious
A 62-year-old man is admitted to the hospital with a diagnosis of chest pain.
He has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain.
Which action should the nurse do first when he reports chest pain?
Correct Answer -administer the tablet under the tongue and repeat again in
5-10 minutes if the pain has not subsided
The nurse cautions a client receiving nitrate therapy about avoiding the use
of alcohol to prevent which reaction?
Correct Answer -severe hypotension
COMPLETE AND VERIFIED.
The clinic nurse is assessing a client who reports taking ginseng recently.
Which condition would the nurse take special care to check for in this
client?
Correct Answer -hypoglycemia
The nurse is caring for a client receiving an aminoglycoside (antibiotic) that
can be nephrotoxic. Which will alert the nurse that the client may be
experiencing nephrotoxicity?
Correct Answer -a decrease in urine output
The pharmacology instructor explains to the students that adverse effects
can be extensions of:
Correct Answer -primary actions of a drug
A nurse is caring for a client who is receiving magnesium. The nurse would
be alert for which finding?
Correct Answer -depressed reflexes
A client asks the nurse about herbal products that can help to lower serum
cholesterol and triglycerides. Which herbal product would the nurse include
in the response?
Correct Answer -garlic
,Which nonpharmacological measure has demonstrated some effect in
treating nausea and vomiting in pregnant women?
Correct Answer -ginger
A client with an extensive history of using herbal remedies asks the nurse if
there is an herbal supplement for the diagnosis of BPH. Which supplement
does the nurse provide information on for the treatment of BPH?
Correct Answer -saw palmetto
A nurse is caring for a client with acute renal failure. The health care
provider has prescribed a diuretic therapy for the client to promote dieresis.
What intervention should the nurse perform to prevent the inconvenience
caused by increased urination?
Correct Answer -administer the drug early in the day
A nurse is caring for a client who is diabetic and has been diagnosed with
hypertension. An angiotensin-converting enzyme inhibitor, captopril, has
been prescribed. Which should the nurse assess before beginning drug
therapy?
Correct Answer -serum potassium levels
When a combination of drugs needs to be incorporated into the drug
regimen for a hypertensive client, what type of diuretic is typically used to
treat hypertension initially?
Correct Answer -thiazide
How is the blood pressure affected by kidney function?
Correct Answer -kidney function alters sodium retention
,Upon her visit to the primary care provider's office, a female client presents
with 14 pounds of additional weight since her visit 3 weeks ago. Her lower
extremities are quite swollen, and her facial features are puffy. The provider
prescribes a diuretic and requests a follow-up visit in 3 days. Two days later,
the client contacts the office and is so dyspneic that she is hard to
understand over the phone. An ambulance is dispatched, and she is
admitted to the hospital for rapid diuresing. Which diuretic will most likely
be the initial drug of choice?
Correct Answer -loop diuretic
A client diagnosed with hyperlipidemia is prescribed a statin. The nurse is
reviewing the client's history and would notify the client's health care
provider if which condition was noted in the client's history?
Correct Answer -liver disease
When educating a group of nursing students on the mechanism of action of
angiotensin converting enzyme inhibitor (ACEI) drugs, the nurse identifies
what as the action brought about by aldosterone?
Correct Answer -causes sodium and water retention
A client's serum cholesterol is 286 mg/dL. Lovastatin (Mevacor) is
prescribed. The nurse plans care based on the fact that the action of
lovastatin:
Correct Answer -inhibits production of cholesterol
A patient who was diagnosed with hypertension and started on losartan
calls the clinic 2 weeks after beginning the therapy. She reports to the nurse
that she still feels "funny in the head" and that according to her daughter-in-
, law, who is a nurse and who is monitoring her blood pressure, her blood
pressure is still high. The nurse will question the patient concerning
Correct Answer -taking her meds with grapefruit juice
A 58-year-old man has recently been prescribed atorvastatin (Lipitor) in an
effort to reduce his cholesterol levels. The man has acknowledged the
potentially harmful effects of hyperlipidemia and is motivated to make
changes to resolve this health problem. What advice should the nurse give
to this client?
Correct Answer -its a good idea to keep your intake of saturated fats to a
minimum
A 26-year-old white male client has been prescribed captopril for
hypertension. A nurse has been assigned to the client to provide education
regarding the use of this drug. The nurse will advise the client that:
Correct Answer -a persistent, dry cough may occur, however it is not serious
A 62-year-old man is admitted to the hospital with a diagnosis of chest pain.
He has an order for 0.3 mg of sublingual nitroglycerin prn for chest pain.
Which action should the nurse do first when he reports chest pain?
Correct Answer -administer the tablet under the tongue and repeat again in
5-10 minutes if the pain has not subsided
The nurse cautions a client receiving nitrate therapy about avoiding the use
of alcohol to prevent which reaction?
Correct Answer -severe hypotension
