1
OPT 546 Task1|Passed First Attempt| 100%
Correct (Latest Update )
1. Which client history contraindicates the use of an angiotensin-converting
enzyme (ACE) inhibitor ANS renal artery stenosis
2. Which side effects should the nurse monitor for a client who is receiving
dexamethasone following neurosurgery ANS Mood swings, increased weight
gain
3. A client is taking Sul isoxazole for a urinary tract infection (UTI) and
complains of nausea and gastric upset since starting the medication. Which
additional adverse reaction should the nurse instruct the client to report ANS
rash
4. What pathophysiological action supports the expected outcome for a client
with chronic cancer pain who is treated with imipramine, a tricyclic
, 2
antidepressant ANS decreases transmission of pain impulses by altering
serotonin and norepinephrine activity at nerve synapses
5. Which statement by a client warrants further instruction by the nurse about
the changing insulin needs of a diabetic client during pregnancy ANS I will
increase my insulin dosage by 5 units each month during the first trimester
6. A client who uses ipratropium reports having nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should the
nurse implement first ANS withhold medication and report symptoms and
vital signs to the healthcare provider
7. A client is admitted for atrial fibrillation, and the healthcare provider
prescribes disopyramide. After explaining the action of this antidysrhythmic
agent, which complaint should the nurse instruct the client to report ANS
daily weight gain of 2 pounds
8. A client is taking cyclosporine for renal allograft rejection prevention. After
9 months of drug therapy, the nurse reviews laboratory data and notes that the
blood urea nitrogen level is 36 mg/dL. What additional finding should the
nurse identify ANS creatinine 2.8 mg/dL
, 3
9. The healthcare provider prescribes pyridostigmine bromide tablets for a
client with myasthenia gravis (MG). Which instruction should the nurse
provide this client ANS that the medication is not a cure but it does relieve
symptoms
10. When prescribed for a client with hepatic encephalopathy, which is the
therapeutic action of lactulose ANS lowers the pH of the colon
11. A client with Paget's disease is started on calcitonin 500 mcg
subcutaneously daily. During the initial treatment, which is the priority
nursing action ANS observe the client for signs of hypersensitivity
12. A client is beginning therapy with montelukast PO 10 mg once a day in
the evening. The client asks the nurse, "When should I begin to feel better?"
How should the nurse respond ANS peak is 3–4 hours with duration of 24
hours
13. A client is receiving fentanyl via an epidural infusion. Which side effect
should the nurse anticipate in the first 24 hours of epidural analgesia ANS
urinary retention
, 4
14. The nurse is administering haloperidol 0.5 mg IM PRN to a client for the
first time. What side effects should the nurse assess the client for during the
initial dose ANS dystonia
15. Which findings should the nurse identify in an adult client with possible
chronic salicylate intoxication ANS tinnitus and hearing loss
16. While reviewing the client's electronic medical record (EMR), the nurse
assesses a client who is at risk for a possible interaction with an over-the-
counter (OTC) decongestant. Which client health history should the nurse
report to the healthcare provider concerning the OTC medication ANS chronic
hypertension
17. A client with depression receives a prescription for amitriptyline. Which
instruction should the nurse include in the client's teaching ANS avoid the
consumption of alcohol
18. The healthcare provider discontinues prednisone, a glucocorticoid, for a
client with chronic obstructive pulmonary disease. Which instructions should
the nurse give the client about the regimen to follow ANS the dose must be
tapered over the course of 7 to 10 days
OPT 546 Task1|Passed First Attempt| 100%
Correct (Latest Update )
1. Which client history contraindicates the use of an angiotensin-converting
enzyme (ACE) inhibitor ANS renal artery stenosis
2. Which side effects should the nurse monitor for a client who is receiving
dexamethasone following neurosurgery ANS Mood swings, increased weight
gain
3. A client is taking Sul isoxazole for a urinary tract infection (UTI) and
complains of nausea and gastric upset since starting the medication. Which
additional adverse reaction should the nurse instruct the client to report ANS
rash
4. What pathophysiological action supports the expected outcome for a client
with chronic cancer pain who is treated with imipramine, a tricyclic
, 2
antidepressant ANS decreases transmission of pain impulses by altering
serotonin and norepinephrine activity at nerve synapses
5. Which statement by a client warrants further instruction by the nurse about
the changing insulin needs of a diabetic client during pregnancy ANS I will
increase my insulin dosage by 5 units each month during the first trimester
6. A client who uses ipratropium reports having nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should the
nurse implement first ANS withhold medication and report symptoms and
vital signs to the healthcare provider
7. A client is admitted for atrial fibrillation, and the healthcare provider
prescribes disopyramide. After explaining the action of this antidysrhythmic
agent, which complaint should the nurse instruct the client to report ANS
daily weight gain of 2 pounds
8. A client is taking cyclosporine for renal allograft rejection prevention. After
9 months of drug therapy, the nurse reviews laboratory data and notes that the
blood urea nitrogen level is 36 mg/dL. What additional finding should the
nurse identify ANS creatinine 2.8 mg/dL
, 3
9. The healthcare provider prescribes pyridostigmine bromide tablets for a
client with myasthenia gravis (MG). Which instruction should the nurse
provide this client ANS that the medication is not a cure but it does relieve
symptoms
10. When prescribed for a client with hepatic encephalopathy, which is the
therapeutic action of lactulose ANS lowers the pH of the colon
11. A client with Paget's disease is started on calcitonin 500 mcg
subcutaneously daily. During the initial treatment, which is the priority
nursing action ANS observe the client for signs of hypersensitivity
12. A client is beginning therapy with montelukast PO 10 mg once a day in
the evening. The client asks the nurse, "When should I begin to feel better?"
How should the nurse respond ANS peak is 3–4 hours with duration of 24
hours
13. A client is receiving fentanyl via an epidural infusion. Which side effect
should the nurse anticipate in the first 24 hours of epidural analgesia ANS
urinary retention
, 4
14. The nurse is administering haloperidol 0.5 mg IM PRN to a client for the
first time. What side effects should the nurse assess the client for during the
initial dose ANS dystonia
15. Which findings should the nurse identify in an adult client with possible
chronic salicylate intoxication ANS tinnitus and hearing loss
16. While reviewing the client's electronic medical record (EMR), the nurse
assesses a client who is at risk for a possible interaction with an over-the-
counter (OTC) decongestant. Which client health history should the nurse
report to the healthcare provider concerning the OTC medication ANS chronic
hypertension
17. A client with depression receives a prescription for amitriptyline. Which
instruction should the nurse include in the client's teaching ANS avoid the
consumption of alcohol
18. The healthcare provider discontinues prednisone, a glucocorticoid, for a
client with chronic obstructive pulmonary disease. Which instructions should
the nurse give the client about the regimen to follow ANS the dose must be
tapered over the course of 7 to 10 days
