N316B Week 3 Questions With 100% Verified
Answers!!
A client who has returned from surgery reports feeling nauseated and later has an emesis.
The nurse administers promethazine per standing orders. In addition to relief from nausea,
what other effects of this medication does the nurse expect? Select all that apply.
A. Dry mouth
B. Sedation
C. Pinpoint pupils
D. Heart palpitations
E. Rhinorrhea
A. Dry mouth
B. Sedation
D. Heart palpitations
A client is to receive metoclopramide intravenously 30 minutes before initiating
chemotherapy for cancer of the colon. The nurse explains that metoclopramide is given for
which purpose?
A. To stimulate production of gastrointestinal (GI) secretions
B. To stimulate peristalsis of the upper gastrointestinal (GI) tract
C. To prolong excretion of the chemotherapeutic medication
D. To increase absorption of the chemotherapeutic medication
B. To stimulate peristalsis of the upper gastrointestinal (GI) tract
The nurse is providing teaching to the client taking metoclopramide. Serious side effects
that should be reported to the provider are included in the teaching plan. Which of the
following side effects is the priority?
A. Involuntary muscle movements
B. Report of increased fatigue
C. Onset of headaches
D. Difficulty with sleep
,A. Involuntary muscle movements
How can the nurse prevent vomiting in a client who reports feeling nauseated after cataract
surgery?
A. Administer the prescribed antiemetic medication.
B. Provide some dry crackers for the client to eat.
C. Explain that this is expected after surgery.
D. Teach how to breathe deeply until the nausea subsides.
A. Administer the prescribed antiemetic medication.
Why would lactulose be prescribed for a client with a history of cirrhosis of the liver?
A. The desire to drink alcohol is decreased.
B. Diarrhea is controlled and prevented.
C. Elevated ammonia levels are lowered.
D.Abdominal distension secondary to ascites is decreased.
C. Elevated ammonia levels are lowered.
The nurse administers lactulose to a client with cirrhosis of the liver. Which laboratory test
change leads the nurse to determine that the lactulose is effective?
A. Decreased amylase
B. Decreased ammonia
C. Increased potassium
D.Increased hemoglobin
B. Decreased ammonia
The nurse is preparing to administer a prescribed dose of lactulose to a client who has
cirrhosis. Which lab value will the nurse monitor to evaluate the therapeutic effect of the
medication?
A. Glucose
B. Ammonia
C. Potassium
D.Bicarbonate
, B. Ammonia
A client with cirrhosis of the liver asks the nurse about the purpose of taking lactulose.
How should the nurse respond?
A. "It is used to control portal hypertension."
B. "It adds dietary fiber to your diet."
C. "It helps to regenerate your liver."
D. "It helps to reduce ammonia levels in your blood."
D. "It helps to reduce ammonia levels in your blood."
In evaluating the effects of lactulose (Cephulac), which outcome would indicate that the
drug is performing as intended?
A. An increase in urine output.
B. Two or three soft stools per day.
C. Watery, diarrhea stools.
D. Increased serum bilirubin.
B. Two or three soft stools per day.
Which statement is important for the nurse to include in the teaching plan of a client with
irritable bowel syndrome who has instructions to take psyllium for constipation?
A. "Urine may be discolored."
B. "Stop taking the laxative once a bowel movement occurs."
C. "Each dose should be taken with a full glass of water or juice."
D. "Daily use may inhibit the absorption of some fat-soluble vitamins."
C. "Each dose should be taken with a full glass of water or juice."
Which statement is important for the nurse to teach a client prescribed psyllium 3.5 g twice
a day for constipation?
A. "Urine may be discolored."
B. "Each dose should be taken with a full glass of water."
C. "Use only when necessary because it can cause dependence."
D."Daily use may inhibit the absorption of some fat-soluble vitamins."
Answers!!
A client who has returned from surgery reports feeling nauseated and later has an emesis.
The nurse administers promethazine per standing orders. In addition to relief from nausea,
what other effects of this medication does the nurse expect? Select all that apply.
A. Dry mouth
B. Sedation
C. Pinpoint pupils
D. Heart palpitations
E. Rhinorrhea
A. Dry mouth
B. Sedation
D. Heart palpitations
A client is to receive metoclopramide intravenously 30 minutes before initiating
chemotherapy for cancer of the colon. The nurse explains that metoclopramide is given for
which purpose?
A. To stimulate production of gastrointestinal (GI) secretions
B. To stimulate peristalsis of the upper gastrointestinal (GI) tract
C. To prolong excretion of the chemotherapeutic medication
D. To increase absorption of the chemotherapeutic medication
B. To stimulate peristalsis of the upper gastrointestinal (GI) tract
The nurse is providing teaching to the client taking metoclopramide. Serious side effects
that should be reported to the provider are included in the teaching plan. Which of the
following side effects is the priority?
A. Involuntary muscle movements
B. Report of increased fatigue
C. Onset of headaches
D. Difficulty with sleep
,A. Involuntary muscle movements
How can the nurse prevent vomiting in a client who reports feeling nauseated after cataract
surgery?
A. Administer the prescribed antiemetic medication.
B. Provide some dry crackers for the client to eat.
C. Explain that this is expected after surgery.
D. Teach how to breathe deeply until the nausea subsides.
A. Administer the prescribed antiemetic medication.
Why would lactulose be prescribed for a client with a history of cirrhosis of the liver?
A. The desire to drink alcohol is decreased.
B. Diarrhea is controlled and prevented.
C. Elevated ammonia levels are lowered.
D.Abdominal distension secondary to ascites is decreased.
C. Elevated ammonia levels are lowered.
The nurse administers lactulose to a client with cirrhosis of the liver. Which laboratory test
change leads the nurse to determine that the lactulose is effective?
A. Decreased amylase
B. Decreased ammonia
C. Increased potassium
D.Increased hemoglobin
B. Decreased ammonia
The nurse is preparing to administer a prescribed dose of lactulose to a client who has
cirrhosis. Which lab value will the nurse monitor to evaluate the therapeutic effect of the
medication?
A. Glucose
B. Ammonia
C. Potassium
D.Bicarbonate
, B. Ammonia
A client with cirrhosis of the liver asks the nurse about the purpose of taking lactulose.
How should the nurse respond?
A. "It is used to control portal hypertension."
B. "It adds dietary fiber to your diet."
C. "It helps to regenerate your liver."
D. "It helps to reduce ammonia levels in your blood."
D. "It helps to reduce ammonia levels in your blood."
In evaluating the effects of lactulose (Cephulac), which outcome would indicate that the
drug is performing as intended?
A. An increase in urine output.
B. Two or three soft stools per day.
C. Watery, diarrhea stools.
D. Increased serum bilirubin.
B. Two or three soft stools per day.
Which statement is important for the nurse to include in the teaching plan of a client with
irritable bowel syndrome who has instructions to take psyllium for constipation?
A. "Urine may be discolored."
B. "Stop taking the laxative once a bowel movement occurs."
C. "Each dose should be taken with a full glass of water or juice."
D. "Daily use may inhibit the absorption of some fat-soluble vitamins."
C. "Each dose should be taken with a full glass of water or juice."
Which statement is important for the nurse to teach a client prescribed psyllium 3.5 g twice
a day for constipation?
A. "Urine may be discolored."
B. "Each dose should be taken with a full glass of water."
C. "Use only when necessary because it can cause dependence."
D."Daily use may inhibit the absorption of some fat-soluble vitamins."
