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A nurse is monitoring a client who is receiving opioid analgesia for adv
effects of the med. Which of the following effects should the nurse
anticipate? Select all.
A. Urinary incontinence
B. Diarrhea
C. Bradypnea
D. Orthostatic hypotension
E. Nausea - CORRECT ANSWER C, D, E
,Urinary retention, not incontinence is an adv effect of these meds as
well as constipation, not diarrhea.
A nurse is assessing a client who takes haloperidol (Haldol) for the tx
of schizophrenia. Which of the following findings should the nurse
document as extrapyramidal symptoms (EPS)? Select all.
A. Orthostatic hypotension
B. Fine motor tremors
C. Acute dystonias
D. Decreased level of consciousness
E. Uncontrollable restlessness - CORRECT ANSWER B, C, E
A and D are adverse effects, but not EPS
A nurse is providing teaching about managing anticholinergic effects
for a client who has a new prescription for oxybutunin (Ditropan XL).
Which of the following are appropriate to include in the teaching?
Select all.
A. Take frequent sips of water
B. Wear sunglasses when exposed to sunlight
C. Use a soft toothbrush when brushing teeth
D. Take the medication w/an antacid
E. Urinate prior to taking the med - CORRECT ANSWER A, B, E
side effects of this med include: dry mouth, photophobia, and urinary
retention
A nurse is reviewing the reported meds of a client who was recently
admitted. The meds include cimetidine (Tagamet) & imipramine
hydrochloride (Tofranil). Knowing that cimetidine decreases the
metabolism of imipramine hydrochloride, the nurse should identify that
this combination is likely to result in which of the following effects?
A. Decreased therapeutic effects of cimetidine
B. Increased risk of imipramine hydrochloride toxicity
,C. Decreased risk of adv effects of cimetidine
D. Increased therapeutic effects of imipramine hydrochloride -
CORRECT ANSWER B.
A med that decreases the metabolism of a 2nd med increases the
serum level of the 2nd med, increasing risk for toxicity
A nurse in an outpatient clinic is caring for a client who states she is
trying to get pregnant. The client currently takes a Category D
pregnancy risk med for the control of seizures. Which of the following
statements by the nurse is appropriate?
A. "This med is prescribed if necessary but it is known to cause
adverse effects to the fetus."
B. "This med has evidence indicating that it is safe to take during
pregnancy & will not harm the fetus."
C. "This med cannot be taken during pregnancy because the risk
outweighs the potential benefits."
D. "This med hasn't been studied in pregnant women but is believed to
be safe for the fetus." - CORRECT ANSWER A.
Category D meds are known to cause harm to fetuses, however the
use during pregnancy may be warranted based on potential benefits.
A nurse in an outpatient surgical center is admitting a client for a
laproscopic procedure. The client has a prescription for preoperative
diazepam (Valium). Prior to administering the med, which of the
following actions is the highest priority?
A. Teaching the client about the purpose of the med
B. Administering the med to the client at the prescribed time
C. Identifying the client's med allergies
D. Documenting the client's anxiety level - CORRECT ANSWER
C.
The greatest risk to the client is an allergic reaction to the med
A nurse is preparing to administer methylprednisolone acetate (Depo-
Medrol) 10 mg by IV bolus. The amount available is 40 mg/mL. How
, many mL should the nurse administer? (round to nearest tenth) -
CORRECT ANSWER 0.3 mL
A nurse is preparing to administer lactated Ringer's (LR) IV 100 mL
over 15min. The nurse should set the infusion pump to deliver how
many mL/hr? (round to nearest whole number) - CORRECT
ANSWER 400 mL/hr
A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl)
250 mL IV to infuse over 30min. The drop factor of the manual IV
tubing is 10 gtt/mL. The nurse should set the manual IV infusion to
deliver how many gtt/min? (round to nearest whole number) -
CORRECT ANSWER 83 gtt/min
A nurse is caring for a client who is at high risk for aspiration. Which of
the following is an appropriate nursing intervention?
A. Give the client thin liquids.
B. Instruct the client to tuck her chin when swallowing.
C. Have the client use a straw.
D. Encourage the client to lie down & rest after meals. - CORRECT
ANSWER B.
Tucking when swallowing allows food to pass down esophagus more
easily.
A nurse is preparing a presentation about basic nutrients for a group of
high school athletes. She should explain that which of the following is
the body's priority energy reserve?
A. Fat
B. Protein
C. Glycogen
D. Carbohydrates - CORRECT ANSWER D.
carbs provide glucose