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With 125 multiple choices questions and answers
1. A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine
(Synthroid) 0.25 mg PO daily. After 6 weeks of treatment the nurse dtermines that
the medication was effective if the:
1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
2) Total t4 level is 2 mcg/dL: 2) Total T4 level is 2 mcg/dL
2. A nurse providing teaching to a client who has just been prescribed pra-
zosin (Minipress) which of the following client statement indicates under-
standing of teaching:
1) I will not use a salt substitute while taking meds
2) I will move slowly from sitting to standing to prevent falls: 2) I will move slowlyfrom
sitting to standing to prevent falls
3. A nurse is providing teaching to a patient who is prescribed phenytoin
,(Dilantin). Which statement by the patient indicates further teaching:
1) I should expect a rash to develop
2) I may develop hair or face or chest: 1) I should expect a rash to develop
4. A nurse is providing teaching to an adolescent and her family regardinga
new prescription of phenytoin (Dilantin) for a newly diagnosed seizure
disorder.Which of the following client statements indicates the understandingof
the teaching:
1) I will keep a seizure frequency chart
2) I will skip a dose if I am experiencing nausea: 1) I will keep a seizure frequency
chart
5. A nurse is caring for a client who has heart failure and is receiving furosemide
(Lasix) and digoxin (Lanoxin). Routine laboratory results reveal apotassium level
of 2.6 mEq/L. Which of the following actions should the nursetake first:
1) Apply a cardiac monitor
2) Provides foods high in potassium: 1) Apply a cardiac monitor
6. A nurse administers ceftazidime (Fortaz) to a client who has a severe
penicillin allergy. Which of the following client findings requires an incident
report:
1) The client is also taking linsinophrel (Prinivil)
2) The client reports shortness of breath: 2) The client reports shortness of breath
,7. A nurse is providing teaching to a female client who has been newly diag-
nosed with a seizure disorder and has begun phenytoin (Dilantin). The nurse
should tell the client that phenytoin can decrease the effectiveness of which of
the following:
1) Ethunyl estradiol/desogestrel (Cyclessa)
2) Fluroxetine (Prozac): 1) Ethunyl estradiol/desogestrel (Cyclessa)
8. Which of the following should the nurse include in her instructions:
1) Take 1SL tablet three times a day before meals
2) Take 1SL tablet at onset of migrane: 2) Take 1SL tablet at onset of migrane
9. A nurse is reviewing a client's daily laboratory findings before administering
0.125 mg of digoxin (Lanoxin). The client's serum digoxin level is 0.7 ng/mL.Which
of the following actions should the nurse take:
1) Give the medication
2) Request a dose increase: 1) Give the medication
10. A nurse is planning to provide medication education for a client who will
begin a course of therapy with metronidazole (Flagyl). Which of the following
should the nurse instruct the client to avoid during the course of therapy:
3) Coffee
4) Beer: 4) Beer
11. A nurse is teaching a client who has heart failure about a new prescriptionfor
, captopril (Capoten). Which of the following statements by the client indi- cates a
need for further teaching:
3) I will take the medication 1 hr before my meals
4) I will use a salt substitute with my meals: 4) I will use a salt substitute with my
meals
12. A client is experiencing acute angle closure glaucoma and IV mannitol
(Osmitrol) 25% is prescribed. Which of the following client findings should the
nurse recognize as being the best indication that the medication is achievingit's
therapeutic effect:
3) Decrease in intraocular pressure
4)Lung fluids clear to ausculatation: 3) Decrease in intraocular pressure
13. A nurse is educating a client who has a new prescription for simvastatin
(Zacor). Which of the following instructions should the nurse include in the