Quiz With 100% Complete Solution
A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older
adult client who has Paget's disease of the bone. Which of the following actions should
be the nurse's priority? - CORRECT ANSWER-Ambulate the client to a chair prior to
administering the medication
The nurse should ambulate the client to a chair and ensure that the client is sitting
upright before administering the alendronate to prevent esophagitis from occurring. The
client must also be able to sit or stand upright for 30 min after taking the medication.
The nurse should apply the safety and risk reduction priority-setting framework. This
framework assigns priority to the factor or situation posing the greatest safety risk to the
client. When there are several risks to safety, the one posing the greatest threat is the
highest priority. The nurse should use Maslow's Hierarchy of Needs, the ABC priority-
setting framework, or nursing knowledge to identify which risk poses the greatest threat
to the client.
A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime
to promote sleep. The nurse should plan to monitor the client for which of the following
adverse effects? - CORRECT ANSWER-Dizziness
Zolpidem can cause dizziness and daytime drowsiness. It can cause confusion in the
older adult client.
A nurse is assessing a client who has a new prescription for chlorpromazine to treat
schizophrenia. The client has a mask-like facial expression and is experiencing
involuntary movements and tremors. Which of the following medications should the
nurse anticipate administering? - CORRECT ANSWER-Amantadine
The client is experiencing parkinsonism, which is an adverse effect of the antipsychotic
medication chlorpromazine. Amantadine is an antiparkinsonian medication used to treat
the extrapyramidal manifestations that can occur with chlorpromazine therapy.
, A nurse is caring for a client who has a new prescription for ergotamine. The nurse
should recognize that ergotamine is administered to treat which of the following
conditions? - CORRECT ANSWER-Migraine headaches
Ergotamine prevents or stops a migraine headache by blocking alpha-adrenergic
receptors in the cranial peripheral vascular smooth muscle, which causes
vasoconstriction of dilated cerebral blood vessels.
A nurse is caring for a client who has peptic ulcer disease and reports a headache.
Which of the following medications should the nurse plan to administer? - CORRECT
ANSWER-Acetaminophen
Acetaminophen is an analgesic used for mild to moderate pain. It can be administered
to a client who has peptic ulcer disease because it does not affect blood coagulation
and does not increase the risk of gastrointestinal bleeding.
A nurse is providing teaching to a parent of a child who has asthma and a new
prescription for a cromolyn sodium metered dose inhaler. Which of the following
statements by the parent indicates the need for further teaching? - CORRECT
ANSWER-"I will give my child a dose as soon as wheezing starts."
Cromolyn is a mast cell inhibitor that has a slow onset and is given for prophylactic
treatment of asthma. It is not a rescue medication.
A nurse is reviewing laboratory values for a client who reports fatigue and cold
intolerance. The client has an increased thyroid stimulating hormone (TSH) level and a
decreased total T3 and T4 level. The nurse should anticipate a prescription for which of
the following medications? - CORRECT ANSWER-Levothyroxine
Levothyroxine replaces thyroid hormone for a client who has hypothyroidism.
Laboratory values for hypothyroidism include an increased TSH level and decreased
total T3 and T4 levels. Clinical manifestations for hypothyroidism include fatigue, cold
intolerance, and a decreased body temperature and pulse.