EXAMS PRACTICE SOLUTION
◉ A nurse is assessing a client who is receiving IV gentamicin 3 x
daily. Which of the following findings indicates that the client is
experiencing an adverse effect of this medication?
a. Hypoglycemia
b. Proteinuria
c. Nasal congestion
d. Visual disturbances. Answer: b. Proteinuria
◉ A nurse is providing teaching to a newly nurse about caring for a
client who has prescription for gemfibrozil. The nurse should instruct
the newly licensed nurse to monitor which of the following lab tests?
a. Platelet count
b. Electrolyte levels
c. Thyroid functions
d. Liver function. Answer: d. Liver function
◉ A nurse is caring for a client who has a new prescription for
ergotamine. The nurse should recognize that ergotamine is
administered to treat which of the following conditions?
a. Raynaud's phenomenon
b. Migraine headaches
c. Ulcerative colitis
,d. Anemia. Answer: b. Migraine headaches
◉ A nurse is reviewing the lab values for a client who is receiving a
continuous IV heparin infusion and has an aPTT (TR-60-80 sec) of 90
seconds. Which of the following actions should the nurse prepare to
take?
a. Administer Vit K
b. Reduce the infusion rate
c. Give the client a low dose aspirin
d. Request an INR. Answer: b. Reduce the infusion rate
◉ A nurse is providing teaching to a client who had rheumatoid
arthritis and a prescription for long term prednisone therapy. The
nurse should instruct the client to monitor for which of the following
adverse effects?
a. Stress fractures
b. Orthostatic hypotension
c. Gingival ulcerations
d. Weight loss. Answer: a. Stress fractures
◉ A nurse is caring for a client who has a new prescription for
tamoxifen. The nurse should recognize that tamoxifen has which of
the following therapeutic effects?
a. Antiestrogenic
,b. Antimicrobial
c. Androgenic
d. Anti-inflammatory. Answer: a. Antiestrogenic
◉ A nurse is caring for a client who has a new prescription for
amphotericin B. The nurse should plan to monitor the client for which
of the following adverse effects?
a. Hyperkalemia
b. Hypertension
c. Constipation
d. Nephrotoxicity. Answer: d. Nephrotoxicity
◉ A nurse is administering subQ heparin to a client who is at risk for
DVT. Which of the following should the nurse take?
a. Administer the medication into the client's abdomen
b. Inject the medication into a muscle
c. Massage the site after administering the medication
d. Use a 22 gauge needle to administer the medication. Answer: a.
Administer the medication into the client's abdomen
, ◉ A nurse is reviewing the lab results for a client who has
prescription for filgastrim. The nurse should recognize that an
increase in which of the following values indicates a
therapeutic effect of this medication?
a. Erythrocyte count
b. Neutrophil count
c. Lymphocyte count
d. Thrombocyte count. Answer: b. Neutrophil count
◉ A nurse is providing teaching to a client who has ulcerative colitis
and a new prescription for sulfasalazine. The nurse should instruct the
client to monitor for which of the following adverse effects of this
medication?
a. Jaundice
b. Constipation
c. Oral candidiasis
d. Sedation. Answer: a. Jaundice
◉ A nurse is planning care for a client who has a seizure disorder and
a new prescription for valproic acid. Which of the following lab
values should the nurse plan to monitor? Select
all that apply.
a. BUN