lOMoARcPSD|44532475
50) A client who takes sodium-depleting drugs (diuretics) is started with lithium. Which statement by
the client indicates an understanding of medication education?
a) “I may take need to increase my dose of lithium while taking these medications.”
b) “I may develop a rash and itching, but these symptoms are not serious.”
c) “I should report any palpitations, hand tremors, and/or confusion to my provider.”
d) “I should use salt substitutes instead of real salt while taking these drugs.”
49) Which of these medications might increase tremors in a client with Parkinson’s disease?
a) NSAID
b) Beta-blocker
c) Barbiturate
d) Traditional antipsychotic
48) How would the nurse interpret the statement that medication has a twelve-hour half-life?
a) Twelve hours is the time it takes for half the medication to reach its receptors
b) Twelve hours is the time it takes for half of the medication to be metabolized away
c) Twelve hours is the time it takes for half the medication effects to occur
d) Twelve hours is the time it takes for half of the medication to enter the blood stream
47) A nurse is preparing to administer medications to a hospitalized client who has been taking
lithium for three days. The client is complaining of mild nausea, fatigue and dry. Mouth. The clients
lithium level is. 0.8mEq/mL. What is the nurse’s best response?
a) Administer the dose and tell the client the expected side effects are temporary
b) Contact the provider to request and order for serum electrolytes
c) Hold the dose and notify the provider of the clients lithium levels
d) Request an order for amiloride
46) A client experiencing alcohol withdrawal is given a benzodiazepine. Why is this drug effective in
this situation?
a) Alcohol does not interact with the benzodiazepine.
b) Benzodiazepines exacerbate alcohol withdrawal symptoms.
c) Benzodiazepines relieve muscle spasms and spasticity.
d) Benzodiazepines suppress symptoms brought on by alcohol abstinence
45) A teenager was brought into the emergency room following a lorazepam overdose. What antidote
would the nurse expect to administer?
a) Flumazenil
b) Acetylcysteine
c) Naloxone
d) Physostigmine
44) What discharge teaching should a client with epilepsy receive when starting clonazepam three
times daily? (Select all that apply.)
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, lOMoARcPSD|44532475
a) Skip a dose if you need to drive.
b) Skip a dose if you plan to go out drinking with friends.
c) Sudden withdrawal from benzodiazepines may include seizures, anxiety, insomnia, sweating,
✓
tremors, and dizziness.
d) Tolerance can develop over time and lead to the need for higher doses.
e) Do not try to taper yourself off this medication without physician guidance.
43) A client with dementia is being started on donepezil. Which of these side effects should the nurse
anticipate?
a) Diarrhea
b) Tachycardia
c) Tardive dyskinesias
d) Elimination of nausea
42) A nurse is preparing to administer a drug. Upon reading the medication guide, the nurse notes
that the drug has been linked to symptoms of Parkinson's disease in some clients. What will the nurse
do?
a) Ask the client to report these symptoms, which are known to be teratogenic effects.
b) Observe the client for such symptoms and report to the provider as needed.
c) Request an order to evaluate the client's genetic predisposition to this effect.
d) Warn the client about these effects and provide reassurance.
41) The nurse has given 800mg of a drug that has an 8-hour half-life. How much of the drug will
remain in the client's body 24 hours after administration if no additional drug is given?
a) None
b) 50 mg
c) 100 mg
d) 200 mg
40) A client with Alzheimer's dementia is about to begin therapy with donepezil. What cholinergic side
effects would the nurse anticipate and report to the provider?
a) Pinpoint pupils
b) Dry eyes
c) Dry mouth
d) Double vision
e) Confusion
f) GI upset
39) Following head trauma, a five-year-old child who weighs 44 pounds is receiving 50mg of phenytoin
every eight hours. How many kilograms does this child weigh? (Record answer as a whole number.)
20 kg
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50) A client who takes sodium-depleting drugs (diuretics) is started with lithium. Which statement by
the client indicates an understanding of medication education?
a) “I may take need to increase my dose of lithium while taking these medications.”
b) “I may develop a rash and itching, but these symptoms are not serious.”
c) “I should report any palpitations, hand tremors, and/or confusion to my provider.”
d) “I should use salt substitutes instead of real salt while taking these drugs.”
49) Which of these medications might increase tremors in a client with Parkinson’s disease?
a) NSAID
b) Beta-blocker
c) Barbiturate
d) Traditional antipsychotic
48) How would the nurse interpret the statement that medication has a twelve-hour half-life?
a) Twelve hours is the time it takes for half the medication to reach its receptors
b) Twelve hours is the time it takes for half of the medication to be metabolized away
c) Twelve hours is the time it takes for half the medication effects to occur
d) Twelve hours is the time it takes for half of the medication to enter the blood stream
47) A nurse is preparing to administer medications to a hospitalized client who has been taking
lithium for three days. The client is complaining of mild nausea, fatigue and dry. Mouth. The clients
lithium level is. 0.8mEq/mL. What is the nurse’s best response?
a) Administer the dose and tell the client the expected side effects are temporary
b) Contact the provider to request and order for serum electrolytes
c) Hold the dose and notify the provider of the clients lithium levels
d) Request an order for amiloride
46) A client experiencing alcohol withdrawal is given a benzodiazepine. Why is this drug effective in
this situation?
a) Alcohol does not interact with the benzodiazepine.
b) Benzodiazepines exacerbate alcohol withdrawal symptoms.
c) Benzodiazepines relieve muscle spasms and spasticity.
d) Benzodiazepines suppress symptoms brought on by alcohol abstinence
45) A teenager was brought into the emergency room following a lorazepam overdose. What antidote
would the nurse expect to administer?
a) Flumazenil
b) Acetylcysteine
c) Naloxone
d) Physostigmine
44) What discharge teaching should a client with epilepsy receive when starting clonazepam three
times daily? (Select all that apply.)
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
a) Skip a dose if you need to drive.
b) Skip a dose if you plan to go out drinking with friends.
c) Sudden withdrawal from benzodiazepines may include seizures, anxiety, insomnia, sweating,
✓
tremors, and dizziness.
d) Tolerance can develop over time and lead to the need for higher doses.
e) Do not try to taper yourself off this medication without physician guidance.
43) A client with dementia is being started on donepezil. Which of these side effects should the nurse
anticipate?
a) Diarrhea
b) Tachycardia
c) Tardive dyskinesias
d) Elimination of nausea
42) A nurse is preparing to administer a drug. Upon reading the medication guide, the nurse notes
that the drug has been linked to symptoms of Parkinson's disease in some clients. What will the nurse
do?
a) Ask the client to report these symptoms, which are known to be teratogenic effects.
b) Observe the client for such symptoms and report to the provider as needed.
c) Request an order to evaluate the client's genetic predisposition to this effect.
d) Warn the client about these effects and provide reassurance.
41) The nurse has given 800mg of a drug that has an 8-hour half-life. How much of the drug will
remain in the client's body 24 hours after administration if no additional drug is given?
a) None
b) 50 mg
c) 100 mg
d) 200 mg
40) A client with Alzheimer's dementia is about to begin therapy with donepezil. What cholinergic side
effects would the nurse anticipate and report to the provider?
a) Pinpoint pupils
b) Dry eyes
c) Dry mouth
d) Double vision
e) Confusion
f) GI upset
39) Following head trauma, a five-year-old child who weighs 44 pounds is receiving 50mg of phenytoin
every eight hours. How many kilograms does this child weigh? (Record answer as a whole number.)
20 kg
Downloaded by madiba South Africa stuvia ()
