NUR 2407 exam 1
1. A client who takes sodium-depleting drugs (diuretics) "I should re-
is started with lithium. Which statement by the client port any pal-
indicates an understanding of medication education? pitations, hand
tremors, and/or
confusion to my
provider."
2. Which of these medications might increase tremors in Traditional an-
a client with Parkinson's disease? tipsychotic
3. How would the nurse interpret the statement that med- Twelve hours is the
ication has a twelve-hour half-life? time it takes for
half of the medica-
tion to be metabo-
lized away
4. A nurse is preparing to administer medications to a Administer the
hospitalized client who has been taking lithium for dose and tell the
three days. The client is complaining of mild nausea, client the expect-
fatigue and dry. Mouth. The clients lithium level is. ed side effects are
0.8mEq/mL. What is the nurse's best response? temporary
5. A client experiencing alcohol withdrawal is given a Benzodiazepines
benzodiazepine. Why is this drug effective in this sit- suppress
uation symptoms
brought on by
alcohol abstinence
6. A teenager was brought into the emergency room Flumazenil
following a lorazepam overdose. What antidote would
the nurse expect to administer?
7. What discharge teaching should a client with epilepsy Sudden withdraw-
receive when starting clonazepam three times daily? al from benzo-
diazepines may
include seizures,
anxiety, insom-
nia, sweating, Tol-
erance can de-
, NUR 2407 exam 1
velop over time
and lead to the
need for higher
doses, Do not try
to taper yourself
off this medication
without physician
guidance
8. A client with dementia is being started on donepezil. Diarrhea
Which of these side effects should the nurse antici-
pate
9. A nurse is preparing to administer a drug. Upon read- Observe the client
ing the medication guide, the nurse notes that the for such symptoms
drug has been linked to symptoms of Parkinson's and report to the
disease in some clients. What will the nurse do? provider as need-
ed.
10. A client with Alzheimer's dementia is about to begin GI upset,Pinpoint
therapy with donepezil. What cholinergic side effects pupils,
would the nurse anticipate and report to the provider?
11. A caregiver of an actively psychotic, violent noncom- "Haloperidol
pliant client is wondering why an atypical antipsychot- works quickly in a
ic cannot be started right away, instead of a traditional crisis. A switch
neuroleptic. Which statement by the nurse is most could be an
appropriate? eventual goal."
12. A client tells their provider they have had difficulty Alprazolam
sleeping for six months. They are requesting a sleep
aid to take as needed. Which medication would the
nurse anticipate the provider to order?
13. A client has been taking fluoxetine for two years and Discuss the grad-
reports feeling cured of depression. The nurse learns ual withdrawal of
the client is sleeping well, participates in usual ac- the medication
tivities, feels upbeat and energetic most of the time, with the provider
and their weight has returned to normal. The client
1. A client who takes sodium-depleting drugs (diuretics) "I should re-
is started with lithium. Which statement by the client port any pal-
indicates an understanding of medication education? pitations, hand
tremors, and/or
confusion to my
provider."
2. Which of these medications might increase tremors in Traditional an-
a client with Parkinson's disease? tipsychotic
3. How would the nurse interpret the statement that med- Twelve hours is the
ication has a twelve-hour half-life? time it takes for
half of the medica-
tion to be metabo-
lized away
4. A nurse is preparing to administer medications to a Administer the
hospitalized client who has been taking lithium for dose and tell the
three days. The client is complaining of mild nausea, client the expect-
fatigue and dry. Mouth. The clients lithium level is. ed side effects are
0.8mEq/mL. What is the nurse's best response? temporary
5. A client experiencing alcohol withdrawal is given a Benzodiazepines
benzodiazepine. Why is this drug effective in this sit- suppress
uation symptoms
brought on by
alcohol abstinence
6. A teenager was brought into the emergency room Flumazenil
following a lorazepam overdose. What antidote would
the nurse expect to administer?
7. What discharge teaching should a client with epilepsy Sudden withdraw-
receive when starting clonazepam three times daily? al from benzo-
diazepines may
include seizures,
anxiety, insom-
nia, sweating, Tol-
erance can de-
, NUR 2407 exam 1
velop over time
and lead to the
need for higher
doses, Do not try
to taper yourself
off this medication
without physician
guidance
8. A client with dementia is being started on donepezil. Diarrhea
Which of these side effects should the nurse antici-
pate
9. A nurse is preparing to administer a drug. Upon read- Observe the client
ing the medication guide, the nurse notes that the for such symptoms
drug has been linked to symptoms of Parkinson's and report to the
disease in some clients. What will the nurse do? provider as need-
ed.
10. A client with Alzheimer's dementia is about to begin GI upset,Pinpoint
therapy with donepezil. What cholinergic side effects pupils,
would the nurse anticipate and report to the provider?
11. A caregiver of an actively psychotic, violent noncom- "Haloperidol
pliant client is wondering why an atypical antipsychot- works quickly in a
ic cannot be started right away, instead of a traditional crisis. A switch
neuroleptic. Which statement by the nurse is most could be an
appropriate? eventual goal."
12. A client tells their provider they have had difficulty Alprazolam
sleeping for six months. They are requesting a sleep
aid to take as needed. Which medication would the
nurse anticipate the provider to order?
13. A client has been taking fluoxetine for two years and Discuss the grad-
reports feeling cured of depression. The nurse learns ual withdrawal of
the client is sleeping well, participates in usual ac- the medication
tivities, feels upbeat and energetic most of the time, with the provider
and their weight has returned to normal. The client
