Questions With Complete Solutions
A newborn is in respiratory distress and requires ventilation.
Tests reveal that he does not produce surfactant due to the
absence of: Correct Answer Type II alveolar cells
A nurse is administering fentanyl to a client to reduce pain.
Which of the following drugs should the nurse have available to
reverse the effects of fentanyl? Correct Answer Naloxone
Naloxone is an opioid antagonist that reverses the effects of
opioids. Fentanyl, an opioid agonist, can cause severe
respiratory depression.
A nurse is assessing a client who has a new prescription for the
combination oral contraceptive ethinyl estradiol and
drospirenone. Which of the following findings should the nurse
identify as a contraindication to use of this medication? Correct
Answer Smokes half a pack of cigarettes a day
(sounds like Kayla Kasmire)
Smoking increases the risks of thromboembolic events,
hypertension, and cardiovascular disease for clients who are
taking combination oral contraceptives, especially for those
clients who are older than 35 years. Clients should quit smoking
before starting this drug therapy.
A nurse is assessing a client who has a new prescription of
oxybutynin to treat neurogenic bladder. Which of the following
assessment findings should the nurse identify as an adverse
effect of the drug. Correct Answer Dilated pupils
Dizziness
,Distended bladder
Fever
A nurse is assessing a client who has been taking alprazolam for
several days. Which of the following findings should the nurse
identify as an adverse drug reaction caused by alprazolam?
Correct Answer Anxiety
The client can experience a paradoxical effect when taking
benzodiazepines or buspirone, indicated by increased anxiety
rather than relief of anxiety. The nurse should report this to the
provider, who might consider a different medication.
A nurse is caring for a client who has a new prescription
amphetamine sulfate. The nurse should monitor the client for
which of the following adverse effects? Correct Answer
tachycardia
A nurse is caring for a client who has a new prescription for
conjugated equine estrogen. The nurse should instruct the client
to report which of the following indications of a serious adverse
reaction? Correct Answer Vaginal bleeding
Estrogen hormone replacement therapy increases the risk of
endometrial cancer. The nurse should instruct clients using the
drugs to report recurrent or persistent vaginal bleeding and
pelvic pain.
A nurse is caring for a client who has a new prescription for
dantrolene to treat skeletal muscle spasms. The nurse should
identify which of the following lab tests requires monitoring?
Correct Answer Liver function
Liver toxicity is a serious side effect
,A nurse is caring for a client who has a new prescription for
dantrolene to treat skeletal muscle spasms. The nurse should
instruct the client to report which of the following adverse
effects? Correct Answer Diarrhea
Prolonged diarrhea can cause dehydration and other serious
effects. Diarrhea, nausea, and vomiting are adverse effects of
dantrolene.
A nurse is caring for a client who has a new prescription for
pramipexole to treat Parkinson's disease. The nurse should
recognize which of the following laboratory tests requires
monitoring? Correct Answer Creatinine clearance
Pramipexole, a direct-acting dopamine receptor agonist, should
be used with caution for clients who have renal disease
A nurse is caring for a client who has a new prescription for
transdermal conjugated estrogen and medroxyprogesterone to
treat postmenopasual symptoms. The nurse should explain to the
client that this drug combination includes which of the following
therapeutic effects? Correct Answer Reduces the risk of
ovarian cancer
Relieves hot flashes
Prevents osteoporosis
A nurse is caring for a client who has a prescription for
alprazolam. For which of the following adverse effects should
the nurse monitor? Correct Answer Tolerance
Anxiety
Sedation
Respiratory depression
, A nurse is caring for a client who has a prescription for
fluoxetine and who reports self-administering St. John's wort
daily from the past 2 weeks. Which of the following findings
should the nurse report to the provider as an indication of
serotonin syndrome? Correct Answer Hallucinations
A nurse is caring for a client who has been taking alprazolam for
an extended period of time to treat anxiety. The nurse should
identify that abruptly stopping alprazolam therapy can result in
which of the following adverse effects? Correct Answer
Withdrawal symptoms
Physical dependence can develop with extended use of
alprazolam, a benzodiazepine
A nurse is caring for a client who has been taking
amphetamine/dextroamphetamine sulfate for the treatment of
attention deficit hyperactivity disorder (ADHD) for two weeks.
The nurse should report which of the following findings to the
provider? Correct Answer Weight loss of 2.3 kg (5 lb)
Amphetamine/dextroamphetamine sulfate can cause a decreased
appetite and weight loss. The nurse should instruct the client to
weigh themself twice weekly and report unintended weight loss
A nurse is caring for a client who has been taking selegiline to
treat PArkinson's disease. The provider is considering the use of
analgesics for the client but should be aware that a drug
interaction between selegiline and meperidine can result in
which of the following? Correct Answer Muscle rigidity