1. A nurse is reinforcing teaching with a client who has a new prescription for a flulicasone inhaler.
which of the following client statements indicates an understanding of the teaching?
i will rinse my mouth after i use this inhaler
2. A nurse is collecting data from a client who has been taking digoxin for I
month The nurse should identify which of the following findings as a manifestation of digoxin toxicity?
vomiting
3. A nurse is reinforcing teaching with a client who is newly diagnosed with hypertension and is taking
metoprolol. The nurse should instruct the client to report which of the following manifestations to the
provider as an adverse effect of this medication?
peripheral edema
4. Mr. Smith is a 62-year-old male who has been recently diagnosed with hypertension. He has a past
medical history of type 2 diabetes mellitus and hyperlipidemia. His current medications include
metformin, atorvastatin, and aspirin. His blood pressure at the initial visit was 160/98 mmHg.
a. What is the first-line medication for the treatment of hypertension in this patient?
The first-line medication for the treatment of hypertension in this patient would be a thiazide diuretic,
such as hydrochlorothiazide.
b. What is the mechanism of action of thiazide diuretics?
Thiazide diuretics work by inhibiting the sodium-chloride symporter in the distal convoluted tubule of
the nephron, leading to increased excretion of sodium and water.
c. What is the target blood pressure for this patient according to current guidelines?
According to current guidelines, the target blood pressure for this patient should be less than 130/80
mmHg.
d. What are some potential drug interactions between hydrochlorothiazide and Mr. Smith's current
medications?
Hydrochlorothiazide can interact with atorvastatin, leading to an increased risk of rhabdomyolysis. It
can also interact with metformin, leading to an increased risk of lactic acidosis.
5. Ms. Rodriguez is a 35-year-old female who was recently diagnosed with major depressive disorder.
She has no significant past medical history and is not currently taking any medications. The psychiatrist
has prescribed fluoxetine, starting at a dose of 20 mg/day.
a. What is the mechanism of action of fluoxetine?
Fluoxetine is a selective serotonin reuptake inhibitor (SSRI), which works by blocking the reuptake of
serotonin, leading to increased levels of serotonin in the synaptic cleft.
b. What are some common side effects of fluoxetine?
, Common side effects of fluoxetine include nausea, headache, insomnia, and sexual dysfunction.
c. When should the patient expect to see improvement in her symptoms?
The patient should expect to see improvement in her symptoms within 4-6 weeks of starting
fluoxetine.
d. What are some potential drug interactions with fluoxetine?
Fluoxetine can interact with other medications that affect serotonin levels, such as monoamine oxidase
inhibitors (MAOIs), leading to serotonin syndrome. It can also interact with drugs that affect the
cytochrome P450 system, such as warfarin and benzodiazepines, leading to increased levels of these
drugs in the body.
6. A nurse is collecting data from a client who has bacterial pneumonia and is taking ceftriaxone' which
of the following findings indicates a therapeutic effect of the medication?
clear bilateral breath sounds
7. a client who has terminal cancer reports pain as 5 on a scale of 0 to 10. The client has e prescription
for morphine I5 mg orally every 4 hr. The clients adult children express concern that the client is
receiving too much of the
'The dose should remain constant to prevent breakthrough pain."
8. A nurse on a medical-surgical unit is preparing to administer medications to a client which of the
following questions should the nurse ask the client to verify the client's identity?
what is your phone number
9. A nurse is collecting data prior to administering digoxin to a client. For which of the following findings
should the nurse withhold this medication and notify the provider?
apical pulse of 52
10. A nurse is reinforcing teaching with a client who has a prescription for scopolarnine transderrnal
patches to prevent motion sickness. which of the following statements by the client indicates an
understanding of the teaching?
i should place the patch behind my ear
11. A nurse is collecting data from a client who is taking exenatide to treat diabetes mellitus. For which
of the following findings should the nurse withhold the exenatide dose and notify the provider
immediately?
abdominal pain
12. A nurse is monitoring a client when has been receiving long-term
hydrochlurothialide therapy for recurring episodes of heart failure. which of
the following findings should me nurse identify as an adverse effect of this medication?
hypokalemia
which of the following client statements indicates an understanding of the teaching?
i will rinse my mouth after i use this inhaler
2. A nurse is collecting data from a client who has been taking digoxin for I
month The nurse should identify which of the following findings as a manifestation of digoxin toxicity?
vomiting
3. A nurse is reinforcing teaching with a client who is newly diagnosed with hypertension and is taking
metoprolol. The nurse should instruct the client to report which of the following manifestations to the
provider as an adverse effect of this medication?
peripheral edema
4. Mr. Smith is a 62-year-old male who has been recently diagnosed with hypertension. He has a past
medical history of type 2 diabetes mellitus and hyperlipidemia. His current medications include
metformin, atorvastatin, and aspirin. His blood pressure at the initial visit was 160/98 mmHg.
a. What is the first-line medication for the treatment of hypertension in this patient?
The first-line medication for the treatment of hypertension in this patient would be a thiazide diuretic,
such as hydrochlorothiazide.
b. What is the mechanism of action of thiazide diuretics?
Thiazide diuretics work by inhibiting the sodium-chloride symporter in the distal convoluted tubule of
the nephron, leading to increased excretion of sodium and water.
c. What is the target blood pressure for this patient according to current guidelines?
According to current guidelines, the target blood pressure for this patient should be less than 130/80
mmHg.
d. What are some potential drug interactions between hydrochlorothiazide and Mr. Smith's current
medications?
Hydrochlorothiazide can interact with atorvastatin, leading to an increased risk of rhabdomyolysis. It
can also interact with metformin, leading to an increased risk of lactic acidosis.
5. Ms. Rodriguez is a 35-year-old female who was recently diagnosed with major depressive disorder.
She has no significant past medical history and is not currently taking any medications. The psychiatrist
has prescribed fluoxetine, starting at a dose of 20 mg/day.
a. What is the mechanism of action of fluoxetine?
Fluoxetine is a selective serotonin reuptake inhibitor (SSRI), which works by blocking the reuptake of
serotonin, leading to increased levels of serotonin in the synaptic cleft.
b. What are some common side effects of fluoxetine?
, Common side effects of fluoxetine include nausea, headache, insomnia, and sexual dysfunction.
c. When should the patient expect to see improvement in her symptoms?
The patient should expect to see improvement in her symptoms within 4-6 weeks of starting
fluoxetine.
d. What are some potential drug interactions with fluoxetine?
Fluoxetine can interact with other medications that affect serotonin levels, such as monoamine oxidase
inhibitors (MAOIs), leading to serotonin syndrome. It can also interact with drugs that affect the
cytochrome P450 system, such as warfarin and benzodiazepines, leading to increased levels of these
drugs in the body.
6. A nurse is collecting data from a client who has bacterial pneumonia and is taking ceftriaxone' which
of the following findings indicates a therapeutic effect of the medication?
clear bilateral breath sounds
7. a client who has terminal cancer reports pain as 5 on a scale of 0 to 10. The client has e prescription
for morphine I5 mg orally every 4 hr. The clients adult children express concern that the client is
receiving too much of the
'The dose should remain constant to prevent breakthrough pain."
8. A nurse on a medical-surgical unit is preparing to administer medications to a client which of the
following questions should the nurse ask the client to verify the client's identity?
what is your phone number
9. A nurse is collecting data prior to administering digoxin to a client. For which of the following findings
should the nurse withhold this medication and notify the provider?
apical pulse of 52
10. A nurse is reinforcing teaching with a client who has a prescription for scopolarnine transderrnal
patches to prevent motion sickness. which of the following statements by the client indicates an
understanding of the teaching?
i should place the patch behind my ear
11. A nurse is collecting data from a client who is taking exenatide to treat diabetes mellitus. For which
of the following findings should the nurse withhold the exenatide dose and notify the provider
immediately?
abdominal pain
12. A nurse is monitoring a client when has been receiving long-term
hydrochlurothialide therapy for recurring episodes of heart failure. which of
the following findings should me nurse identify as an adverse effect of this medication?
hypokalemia
