Name: Score:
791 Multiple choice questions
Term 1 of 791
236.) A client is being treated for depression with amitriptyline hydrochloride. During the initial
phases of treatment, the most important nursing intervention is:
Prescribing the client a tyramine-free diet
Checking the client for anticholinergic effects
Monitoring blood levels frequently because there is a narrow range between therapeutic
and toxic blood levels of this medication
Getting baseline postural blood pressures before administering the medication and each
time the medication is administered
Term 2 of 791
Which nursing intervention is most important when caring for a client receiving the antimetabolite
cytosine arabinoside (Arc-C) for chemotherapy?
Hydrate the client with IV fluids before and after infusion.
Assess the client for numbness and tingling of extremities.
Inspect the client's oral mucosa for ulcerations.
Monitor the client's urine pH for increased acidity.
,Term 3 of 791
66.) Trimethoprim-sulfamethoxazole (TMP-SMZ) is prescribed for a client. A nurse should instruct
the client to report which symptom if it developed during the course of this medication therapy?
Nausea
Diarrhea
Headache
Sore throat
,Definition 4 of 791
2. Tremors
3. Drowsiness
4. Hypotension
Rationale:
Meperidine hydrochloride is an opioid analgesic. Side effects include respiratory depression,
drowsiness, hypotension, constipation, urinary retention, nausea, vomiting, and tremors.
245.) A client taking carbamazepine (Tegretol) asks the nurse what to do if he misses one
dose. The nurse responds that the carbamazepine should be:
1. Withheld until the next scheduled dose
2. Withheld and the health care provider is notified immediately
3. Taken as long as it is not immediately before the next dose
4. Withheld until the next scheduled dose, which should then be doubled
240.) A client with Parkinson's disease has been prescribed benztropine (Cogentin). The
nurse monitors for which gastrointestinal (GI) side effect of this medication?
1. Diarrhea
2. Dry mouth
3. Increased appetite
4. Hyperactive bowel sounds
209.) A client with multiple sclerosis is receiving diazepam (Valium), a centrally acting
skeletal muscle relaxant. Which of the following would indicate that the client is
experiencing a side effect related to this medication?
1. Headache
2. Drowsiness
3. Urinary retention
4. Increased salivation
82.) A client is receiving meperidine hydrochloride (Demerol) for pain. Which of the
following are side effects of this medication. Select all that apply.
1. Diarrhea
2. Tremors
3. Drowsiness
4. Hypotension
5. Urinary frequency
6. Increased respiratory rate
, Definition 5 of 791
decreases muscle weakness
older client with a decreased percentage of lean body receives a Rx that is adjusted based
on which pharmacokinetic process?
Which assessment best determines the effectiveness of Sumatriptan (triptans are used for
treatment of Migraines so...
admitted to the hospital for Dx testing for possible myasthenia gravis
prepares for IV administration of edrophonium chloride (Tensilon)
36.) The client has a PRN prescription for ondansetron (Zofran). For which condition should
this medication be administered to the postoperative client?
1. Paralytic ileus
2. Incisional pain
3. Urinary retention
4. Nausea and vomiting
Definition 6 of 791
refrain from eating foods high in potassium
Pt is on Marplan (MAOIs - have the most food interactions) for depression
giardiasis is taking metronidazole (Flagyl) 2 grams PO
spironolactone (Aldactone) for heart failure is Rx
Lipitor (statins) , can be tame at what time?
791 Multiple choice questions
Term 1 of 791
236.) A client is being treated for depression with amitriptyline hydrochloride. During the initial
phases of treatment, the most important nursing intervention is:
Prescribing the client a tyramine-free diet
Checking the client for anticholinergic effects
Monitoring blood levels frequently because there is a narrow range between therapeutic
and toxic blood levels of this medication
Getting baseline postural blood pressures before administering the medication and each
time the medication is administered
Term 2 of 791
Which nursing intervention is most important when caring for a client receiving the antimetabolite
cytosine arabinoside (Arc-C) for chemotherapy?
Hydrate the client with IV fluids before and after infusion.
Assess the client for numbness and tingling of extremities.
Inspect the client's oral mucosa for ulcerations.
Monitor the client's urine pH for increased acidity.
,Term 3 of 791
66.) Trimethoprim-sulfamethoxazole (TMP-SMZ) is prescribed for a client. A nurse should instruct
the client to report which symptom if it developed during the course of this medication therapy?
Nausea
Diarrhea
Headache
Sore throat
,Definition 4 of 791
2. Tremors
3. Drowsiness
4. Hypotension
Rationale:
Meperidine hydrochloride is an opioid analgesic. Side effects include respiratory depression,
drowsiness, hypotension, constipation, urinary retention, nausea, vomiting, and tremors.
245.) A client taking carbamazepine (Tegretol) asks the nurse what to do if he misses one
dose. The nurse responds that the carbamazepine should be:
1. Withheld until the next scheduled dose
2. Withheld and the health care provider is notified immediately
3. Taken as long as it is not immediately before the next dose
4. Withheld until the next scheduled dose, which should then be doubled
240.) A client with Parkinson's disease has been prescribed benztropine (Cogentin). The
nurse monitors for which gastrointestinal (GI) side effect of this medication?
1. Diarrhea
2. Dry mouth
3. Increased appetite
4. Hyperactive bowel sounds
209.) A client with multiple sclerosis is receiving diazepam (Valium), a centrally acting
skeletal muscle relaxant. Which of the following would indicate that the client is
experiencing a side effect related to this medication?
1. Headache
2. Drowsiness
3. Urinary retention
4. Increased salivation
82.) A client is receiving meperidine hydrochloride (Demerol) for pain. Which of the
following are side effects of this medication. Select all that apply.
1. Diarrhea
2. Tremors
3. Drowsiness
4. Hypotension
5. Urinary frequency
6. Increased respiratory rate
, Definition 5 of 791
decreases muscle weakness
older client with a decreased percentage of lean body receives a Rx that is adjusted based
on which pharmacokinetic process?
Which assessment best determines the effectiveness of Sumatriptan (triptans are used for
treatment of Migraines so...
admitted to the hospital for Dx testing for possible myasthenia gravis
prepares for IV administration of edrophonium chloride (Tensilon)
36.) The client has a PRN prescription for ondansetron (Zofran). For which condition should
this medication be administered to the postoperative client?
1. Paralytic ileus
2. Incisional pain
3. Urinary retention
4. Nausea and vomiting
Definition 6 of 791
refrain from eating foods high in potassium
Pt is on Marplan (MAOIs - have the most food interactions) for depression
giardiasis is taking metronidazole (Flagyl) 2 grams PO
spironolactone (Aldactone) for heart failure is Rx
Lipitor (statins) , can be tame at what time?
