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A nurse is teaching a client about taking tetracycline to treat a Gl infection due to Helicobacter
pylori. Whichof the following statements should the nurse identify as an indication that the
client understands the instructions?
A. "I will take this medication with 8 ounces
of milk." B. "I will let my doctor know if I start
having diarrhea."
C. "I can stop taking this medication when I feel completely well."
D. "I can take this medication just before bedtime."
A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has
a long half-life of 4 days. How many times per day should the nurse expect to administer this
medication?
A. One
B. Two
C. Three
D. Four
A nurse educator is reviewing medication metabolism at an in-service presentation. Which of
the followingfactors should the educator include as a reason to administer lower medication
dosages? (Select all that apply.)
A. Increased renal excretion
B. Increased medication-metabolizing
enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes
A nurse is preparing to administer eye drops to a client. Which of the following actions
,should the nursetake? (Select all that apply.)
A. Have the client lie on one side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter the eye.
D. Drop the medication into the client's conjunctival sac.
E. Instruct the client to close the eye gently after instillation.
A nurse is teaching a client about transdermal patches. Which of the following statements
should the nurseidentify as an indication that the client understands?
A. "I will clean the site with an alcohol swab before I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch."
A nurse is caring for a client who has subacute bacterial endocarditis and is receiving several
antibiotics, including streptomycin IM. For which of the following manifestations should the
nurse monitor as an adverseeffect of this medication?
A. Ataxia
B. Urinary retention
C. Constipation
D. Complex partial seizures
A nurse is caring for a client who is undergoing preparation for extensive colorectal surgery.
Which of the following oral antibiotics should the nurse expect to administer specifically to
suppress normal flora in the Gltract?
A. Kanamycin
B. Gentamic
inC.
Neomycin
D. Tobramycin
, A nurse reviewing a client's medical record notes a new prescription for verifying the
trough level of theclient's medication. Which of the following actions should the nurse
take?
A. Obtain a blood specimen immediately prior to administering the next dose of medication.
B.Verify that the client has been taking the medication for 24hr before obtaining a blood
specimen.
C. Ask the client to provide a urine specimen after the next dose of medication.
D. Administer the medication, and obtain a blood specimen 30 min later.
A nurse is preparing a client's medications. Which the of following actions should the nurse
take in followinglegal practice guidelines? (Select all that apply.)
, A. Teach the client about the medication.
B. Determine the dosage.
C. Monitor for adverse effects.
D. Lock compartments for controlled substances.
E. Determine the client's insurance status.
A nurse is preparing to administer digoxin to a client who states, "I don't want to take that
medication. I do not want one more pill." Which of the following responses should the nurse
make?
A. "Your physician prescribed it for so you really should take it."
B. "Well, let's just get it over quickly then." you,
C. "Okay, I'll just give you your other medications."
D. "Tell me your concerns about taking this medication."
A nurse is reviewing a client's prescribed medications. Which of the following
situations represents acontraindication to medication administration?
A. The client drank grapefruit juice, which could reduce a medication's effectiveness.
B. The medication has orthostatic hypotension as an adverse effect.
C. A medication is approved for ages 12 and older, and the client is 8 years old.
D. An antianxiety medication that has an adverse effect of drowsiness is prescribed as a
preoperative sedative.
A nurse is assessing a client before administering medications. Which of the following data
should the nurseobtain? (Select all that apply.)
A. Use of herbal products
B. Daily fluid
intakeC. Ability
to swallow
D. Previous surgical
historyE. Allergies
A nurse is teaching a client about taking tetracycline to treat a Gl infection due to Helicobacter
pylori. Whichof the following statements should the nurse identify as an indication that the
client understands the instructions?
A. "I will take this medication with 8 ounces
of milk." B. "I will let my doctor know if I start
having diarrhea."
C. "I can stop taking this medication when I feel completely well."
D. "I can take this medication just before bedtime."
A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has
a long half-life of 4 days. How many times per day should the nurse expect to administer this
medication?
A. One
B. Two
C. Three
D. Four
A nurse educator is reviewing medication metabolism at an in-service presentation. Which of
the followingfactors should the educator include as a reason to administer lower medication
dosages? (Select all that apply.)
A. Increased renal excretion
B. Increased medication-metabolizing
enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes
A nurse is preparing to administer eye drops to a client. Which of the following actions
,should the nursetake? (Select all that apply.)
A. Have the client lie on one side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter the eye.
D. Drop the medication into the client's conjunctival sac.
E. Instruct the client to close the eye gently after instillation.
A nurse is teaching a client about transdermal patches. Which of the following statements
should the nurseidentify as an indication that the client understands?
A. "I will clean the site with an alcohol swab before I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch."
A nurse is caring for a client who has subacute bacterial endocarditis and is receiving several
antibiotics, including streptomycin IM. For which of the following manifestations should the
nurse monitor as an adverseeffect of this medication?
A. Ataxia
B. Urinary retention
C. Constipation
D. Complex partial seizures
A nurse is caring for a client who is undergoing preparation for extensive colorectal surgery.
Which of the following oral antibiotics should the nurse expect to administer specifically to
suppress normal flora in the Gltract?
A. Kanamycin
B. Gentamic
inC.
Neomycin
D. Tobramycin
, A nurse reviewing a client's medical record notes a new prescription for verifying the
trough level of theclient's medication. Which of the following actions should the nurse
take?
A. Obtain a blood specimen immediately prior to administering the next dose of medication.
B.Verify that the client has been taking the medication for 24hr before obtaining a blood
specimen.
C. Ask the client to provide a urine specimen after the next dose of medication.
D. Administer the medication, and obtain a blood specimen 30 min later.
A nurse is preparing a client's medications. Which the of following actions should the nurse
take in followinglegal practice guidelines? (Select all that apply.)
, A. Teach the client about the medication.
B. Determine the dosage.
C. Monitor for adverse effects.
D. Lock compartments for controlled substances.
E. Determine the client's insurance status.
A nurse is preparing to administer digoxin to a client who states, "I don't want to take that
medication. I do not want one more pill." Which of the following responses should the nurse
make?
A. "Your physician prescribed it for so you really should take it."
B. "Well, let's just get it over quickly then." you,
C. "Okay, I'll just give you your other medications."
D. "Tell me your concerns about taking this medication."
A nurse is reviewing a client's prescribed medications. Which of the following
situations represents acontraindication to medication administration?
A. The client drank grapefruit juice, which could reduce a medication's effectiveness.
B. The medication has orthostatic hypotension as an adverse effect.
C. A medication is approved for ages 12 and older, and the client is 8 years old.
D. An antianxiety medication that has an adverse effect of drowsiness is prescribed as a
preoperative sedative.
A nurse is assessing a client before administering medications. Which of the following data
should the nurseobtain? (Select all that apply.)
A. Use of herbal products
B. Daily fluid
intakeC. Ability
to swallow
D. Previous surgical
historyE. Allergies
