Milestone exam 1 Questions And Answers

Milestone exam 1 Questions And
Answers

Ar21-year-
oldrfemalerclientrisrreceivingrtetracyclinerforracne.rWhichrclientrteachingrshouldrthernurserin
clude?
A.Oralrcontraceptivesrmayrnotrbereffective.
rB.Drinkingrcranberryrjuicerwillrpromoterhealing.

rC.Breastrtendernessrmayroccurrasrarsidereffect.

rD.Therurinerwillrturnrarred-orangercolor.

Ar-rCORRECTrrANSWER-
Rationale:Certainrantibiotics,rsuchrasrtetracycline,rdecreaserthereffectivenessrofroralrcontra
ceptives.rOptionsrB,rC,randrDrdornotrconveyraccuraterinformationrrelatedrtorclientrteachingra
boutrthisrmedication.

Arclientrhasrarpositiverskinrtestrforrtuberculosis.rWhichrprophylacticrdrugrshouldrthernurserex
pectrtoradministerrtorthisrclient?
A.Isoniazid
rB.Carvedilol

rC.Acyclovir

rD.Griseofulvin

Ar-rCORRECTrrANSWER-
Rationale:Isoniazidrisrtherdrugrofrchoicerforrtreatmentrofrclientsrwithrpositiverskinrtestsrforrtu
berculosis.rOptionsrB,rC,randrDrarernotrtherdrugsrusedrforrtreatmentrofrTB.

Arclientrreceivesranrantihypertensiveragentrdaily.rWhichractionrisrmostrimportantrforrthernurs
ertorimplementrpriorrtoradministeringrthermedication?
A.Verifyrtherexpirationrdate.
rB.Obtainrtherclient'srbloodrpressure.

rC.Determinertherclient'srhistoryrofradverserreactions.

rD.Reviewrtherclient'srmedicalrrecordrforrarchangerinrdrugrroute.

Br-rCORRECTrrANSWER-
Rationale:Tordeterminerthermostraccuraterresponsertorantihypertensivertherapy,rbaseliner
bloodrpressuresrshouldrberobtainedrbeforeranrantihypertensiverdrugrisradministeredrandrsh
ouldrbercomparedrwithrorthostaticrvitalrsignsrtordeterminerwhetherranyrsidereffectsrareroccu
rring.rAlthoughroptionsrA,rC,randrDrarerrequiredrnursingractionsrpriorrtorgivingranyrdrug,rthert
herapeuticrresponsershouldrberdeterminedrbeforeranotherrdoserisradministered.

, ArclientrwithranginarpectorisrisrinstructedrtortakersublingualrnitroglycerinrtabletsrPRNrforrche
strpain.rWhichrinstructionrshouldrthernurserincluderinrtherclient'srteachingrplan?
A.Takeronertabletreveryr3rminutes,ruprtorfivertablets.
rB.Takeronertabletratrtheronsetrofranginarandrstoprtheractivity.

rC.Replacernitroglycerinrtabletsryearlyrtormaintainrfreshness.

rD.Allowr30rminutesrforrartabletrtorproviderreliefrfromrangina.

Br-rCORRECTrrANSWER-
Rationale:Nitroglycerinrtabletsrshouldrbertakenratrtheronsetrofrangina,randrtherclientrshouldr
stopractivityrandrrest.rOnertabletrcanrbertakenreveryr5rminutes,ruprtorthreerdoses.rNitroglyce
rinrshouldrberreplacedreveryr3rtor6rmonths,rnotreveryr12rmonths.rNitroglycerinrshouldrprovid
erreliefrinr5rminutes,rnotr30rminutes.

ArclientrwithrHIVrwhorwasrrecentlyrdiagnosedrwithrtuberculosisr(TB)rasksrthernurse,r"Whyrd
orIrneedrtortakerallrofrthesermedicationsrforrTB?"rWhatrinformationrshouldrthernurserprovide?
A.AntiretroviralrmedicationsrdecreasertherefficacyrofrtherTBrdrugs.
rB.Multiplerdrugsrpreventrtherdevelopmentrofrresistantrorganisms.

rC.Durationrofrthermedicationrregimenrisrshortened.

rD.Potentialradverserdrugrreactionsrarerminimized.

Br-rCORRECTrrANSWER-
ArmultidrugrregimenrisrprescribedrforrarclientrwithrHIVrandrTBrtorpreventrtherdevelopmentrofr
resistancerofrthertuberclerbacilli.rAlthoughrantitubercularrmedicationsrcanrinhibitrsomerantir
etrovirals,rarmultidrugrregimenrisrneededrtorinhibitrtherproliferationrofrthervirulentrtuberclerba
cilli.rTherdurationrofrantitubercularrtherapyrisrtypicallyr6rtor9rmonthsrandrisrnotrshortenedrbyrt
heruserofrmultiplermedications.rArclientrwhorisrreceivingrHIVrandrTBrtherapyrisratranrincrease
drriskrofradverserreactionsrbecauserofrthercomplexrmedicationrregimensrandrcomplicationsr
secondaryrtorimmunosuppression.

Arclientrwithrtrichomoniasisr(Trichomonasrvaginalis)rreceivesrarprescriptionrforrmetronidaz
ole.rWhichrinstructionrisrmostrimportantrforrthernursertorincluderinrthisrclient'srteachingrplan?
A.Avoidralcoholrconsumption.
rB.Completerthermedicationrregimen.

rC.Userarbarrierrcontraceptivermethod.

rD.Treatrpartner(s)rconcurrently.

Ar-rCORRECTrrANSWER-
Rationale:Clientsrshouldrberinstructedrtoravoidralcoholrandrproductsrcontainingralcoholrwhil
ertakingrmetronidazolerbecauserofrtherpossibilityrofrardisulfiram-
likerreaction.rOptionrBrhelpsrpreventrtherdevelopmentrofrmetronidazole-
resistantrT.rvaginalis.rTorpreventrreinfection,rclientsrshouldrabstainrfromrsexualrcontactrorru
serarbarrierrcontraceptiverwhilertakingrmetronidazole,randrtheirrpartner(s)rshouldrbertreatedr
concurrently.rThermostrimportantrinstructionrforrclientrwell-beingrisroptionrA.

ArclientrwithrviralrinfluenzarisrreceivingrvitaminrC,r3000rmgrPOrdaily,randracetaminophenrelix
ir,r650rmgrPOreveryr4rhoursrPRN.rThernursercallsrtherhealthrcarerproviderrtorreportrthatrthercl
ientrhasrdevelopedrdiarrhea.rWhichrchangerinrprescriptionsrshouldrthernurseranticipate?
A.Changertheracetaminophenrtoribuprofen.
rB.Changertherelixirrtoranrinjectablerroute.