NURS 3110 Exam 2 Questions With Complete Solutions
A 24-years-old patient has been taking sulfasalazine
(Azulfidine) for irritable bowel syndrome and complains to the
nurse that he wants to stop taking the drug because of the
nausea, headaches, and abdominal pain it causes. What would
the nurse's best recommendation be for this patient?
The drug is absolutely necessary, even with the adverse effects.
Talk to the healthcare provider about dividing the doses
throughout the day.
Stop taking the drug and see if the symptoms of the irritable
bowel syndrome have resolved.
Take an antidiarrheal drug such as loperamide (Imodium) along
with sulfasalazine. Correct Answers Talk to the healthcare
provider about dividing the doses throughout the day.
A 35-year-old man has been prescribed omeprazole (Prilosec)
for treatment of gastroesophageal reflux disease. Which
assessment findings would assist the nurse to determine whether
drug therapy has been effective? (Select all that apply.)
Decreased "gnawing" upper abdominal pain on an empty
stomach
Decreased belching
Decreased appetite
Decreased nausea
Decreased dysphagia Correct Answers Decreased belching
Decreased nausea
Decreased dysphagia
A 65-year-old patient is prescribed ipratropium (Atrovent) for
the treatment of asthma. Which condition should be reported to
,the healthcare provider before giving this patient the
ipratropium?
A reported allergy to peanuts
A history of intolerance to albuterol (Proventil)
A history of bronchospasms
A reported allergy to chocolate Correct Answers A reported
allergy to peanuts (Ipratropium is contraindicated in patients
with hypersensitivity to soya lecithin or related food products
such as soybean and peanut)
A man, age 67, reports taking diphenhydramine (Benadryl) for
hay fever. Considering this patient's age, the nurse assesses for
which findings?
A history of prostatic or urinary conditions
Any recent weight gain
A history of allergic reactions
A history of peptic ulcer disease Correct Answers A history of
prostatic or urinary conditions (anticholinergic effects of
antihistamines can worsen BPH or lower urinary tract
obstruction)
A nurse is caring for a client who is taking phenytoin for a
seizure disorder and has a new prescription for sucralfate to treat
a duodenal ulcer. The nurse should instruct the client to take the
medications at least 2 hrs apart for which of the following
reasons?
Phenytoin increases the metabolism of sucralfate.
Phenytoin reduces the effectiveness of sucralfate.
Sucralfate increases the risk for phenytoin toxicity.
, Sucralfate interferes with the absorption of phenytoin. Correct
Answers Sucralfate interferes with the absorption of phenytoin
(sucralfate coats the stomach)
A nurse is teaching a client about the adverse effects of
pseudoephedrine. Which of the following should the nurse
include? Select all that apply
Restlessness
Bradycardia
Insomnia
Muscle pain
Anxiety Correct Answers Restlessness, insomnia, anxiety
(effects related to stimulation of the sympathetic nervous
system)
A nurse is teaching a client who is beginning
fluticasone/salmeterol therapy. Which of the following
instructions should the nurse include?
"Take the medication as needed for acute asthma."
"Follow a low-sodium diet."
"Use an alternate-day dosing schedule."
"Increase weight-bearing activities." Correct Answers Increase
weight-bearing activities (Weight-bearing activity can help
minimize bone loss, which is an adverse effect of
fluticasone/salmeterol, an inhaled glucocorticoid and inhaled
long-acting beta2 agonist (LABA) combination medication.)
A nurse should identify that dextromethorphan can have which
of the following effects when combined with morphine?
Reduced antitussive effect of dextromethorphan
Potentiation of depression of CNS actions
A 24-years-old patient has been taking sulfasalazine
(Azulfidine) for irritable bowel syndrome and complains to the
nurse that he wants to stop taking the drug because of the
nausea, headaches, and abdominal pain it causes. What would
the nurse's best recommendation be for this patient?
The drug is absolutely necessary, even with the adverse effects.
Talk to the healthcare provider about dividing the doses
throughout the day.
Stop taking the drug and see if the symptoms of the irritable
bowel syndrome have resolved.
Take an antidiarrheal drug such as loperamide (Imodium) along
with sulfasalazine. Correct Answers Talk to the healthcare
provider about dividing the doses throughout the day.
A 35-year-old man has been prescribed omeprazole (Prilosec)
for treatment of gastroesophageal reflux disease. Which
assessment findings would assist the nurse to determine whether
drug therapy has been effective? (Select all that apply.)
Decreased "gnawing" upper abdominal pain on an empty
stomach
Decreased belching
Decreased appetite
Decreased nausea
Decreased dysphagia Correct Answers Decreased belching
Decreased nausea
Decreased dysphagia
A 65-year-old patient is prescribed ipratropium (Atrovent) for
the treatment of asthma. Which condition should be reported to
,the healthcare provider before giving this patient the
ipratropium?
A reported allergy to peanuts
A history of intolerance to albuterol (Proventil)
A history of bronchospasms
A reported allergy to chocolate Correct Answers A reported
allergy to peanuts (Ipratropium is contraindicated in patients
with hypersensitivity to soya lecithin or related food products
such as soybean and peanut)
A man, age 67, reports taking diphenhydramine (Benadryl) for
hay fever. Considering this patient's age, the nurse assesses for
which findings?
A history of prostatic or urinary conditions
Any recent weight gain
A history of allergic reactions
A history of peptic ulcer disease Correct Answers A history of
prostatic or urinary conditions (anticholinergic effects of
antihistamines can worsen BPH or lower urinary tract
obstruction)
A nurse is caring for a client who is taking phenytoin for a
seizure disorder and has a new prescription for sucralfate to treat
a duodenal ulcer. The nurse should instruct the client to take the
medications at least 2 hrs apart for which of the following
reasons?
Phenytoin increases the metabolism of sucralfate.
Phenytoin reduces the effectiveness of sucralfate.
Sucralfate increases the risk for phenytoin toxicity.
, Sucralfate interferes with the absorption of phenytoin. Correct
Answers Sucralfate interferes with the absorption of phenytoin
(sucralfate coats the stomach)
A nurse is teaching a client about the adverse effects of
pseudoephedrine. Which of the following should the nurse
include? Select all that apply
Restlessness
Bradycardia
Insomnia
Muscle pain
Anxiety Correct Answers Restlessness, insomnia, anxiety
(effects related to stimulation of the sympathetic nervous
system)
A nurse is teaching a client who is beginning
fluticasone/salmeterol therapy. Which of the following
instructions should the nurse include?
"Take the medication as needed for acute asthma."
"Follow a low-sodium diet."
"Use an alternate-day dosing schedule."
"Increase weight-bearing activities." Correct Answers Increase
weight-bearing activities (Weight-bearing activity can help
minimize bone loss, which is an adverse effect of
fluticasone/salmeterol, an inhaled glucocorticoid and inhaled
long-acting beta2 agonist (LABA) combination medication.)
A nurse should identify that dextromethorphan can have which
of the following effects when combined with morphine?
Reduced antitussive effect of dextromethorphan
Potentiation of depression of CNS actions
