NURS 180 EXAM ELABORATION 2025/2026
UPDATE WITH COMPLETE QUESTION AND
ANSWERS 100% VERIFIED <RECENT
VERSION>
Why is morphine contraindicated in patients with a head injury? -
ANSWER can mask the patient's level of consciousness
Morphine (MS Contin) teaching - ANSWER extended release, do not crush or
chew tablets
Cerebrovascular accident (CVA) on thrombolytic therapy rationale for medication
- ANSWER -Can be given in pts with ischemic stroke (within 3 hrs of first
symptoms)
-Contraindicated in pts with a history of active bleeding or intracranial bleed
-History of stroke
Metoclopramide (Reglan) - ANSWER -Antiemetic
-Enhances gastric motility and accelerates gastric emptying time
, S/E of Metoclopramide - ANSWER drowsiness, fatigue, headache and
anticholinergic symptoms such as dry mouth, increased heart rate, urine retention,
constipation, and blurred vision.
Teaching Metoclopramide - ANSWER -Store in airtight, light resistant
containers
-Avoid OTC preparations
-Do not consume alcohol (can intensify the sedative effect)
The nurse is administering medications to a client on a urology floor. Which
medication should the nurse question? - ANSWER Cephalexin (Keflex), a
cephalosporin to a client who is allergic to penicillin
Prednisone drug facts - ANSWER -Schedule medication on opposite days to
decrease adverse effects
-Long-term therapy can cause adverse effects (can be avoided by using alternate-
day therapy)
-Do not suddenly taper off
Asthma medications assessment data or effectiveness - ANSWER breath
sounds are clear
H. pylori antibiotics treatment - ANSWER -Treatment with Amoxicillin
(Wymox), Pantoprazole (Prevacid), and Clarithromycin (Biaxin)
-Pantoprazole as a proton inhibitor, amoxicillin, and clarithromycin as antibiotics is
a treatment for the eradication of H. pylori infection
,A client diagnosed with arterial hypertension is receiving Furosemide (Lasix).
Which data indicates the medication was effective? - ANSWER The client's
uptake is 1800 mL and the output is 2300 mL
The physician writes orders for the client with diabetes mellitus. Which order
would the nurse validate with the physician? - ANSWER Lantus insulin 20U
BID
Assessment finding thrombolytic therapy is effective - ANSWER -Blood clot is
dissolved
-No excessive bleeding is indicated
-Patient is pain-free
Rifampin (Rifampin) drug facts - ANSWER -Antitubercular drug
-Turns body fluids orange
-Treatment up to 9 months
Do not take which drug with Lisinopril - ANSWER -Do not take with
Spironolactone
-Can cause hyperkalemia
The client diagnosed with CHF is prescribed the ACE inhibitor enalapril
(Vasotec). Which statement explains the rationale for administering this
medication? - ANSWER ACE inhibitors dilate arteries, which reduces the
workload of the heart
, Instruct the patient to do what while taking Rifampin (Rifadin)? - ANSWER -
use an alternative form of contraceptive
-Oral contraceptives are less effective while the pt is taking this medication
Tetracycline PO drug facts and client teaching - ANSWER -Inhibit bacterial
growth
-Should not be administered with dairy products
-Tooth discoloration will occur: the drug binds to the calcium in the teeth
-Take on an empty stomach
Most dangerous adverse effect of Digoxin - ANSWER dysrhythmias
Concurrent use of Digoxin and __________ should be carefully monitored -
ANSWER diuretics (hypokalemia)
S/E of Digoxin - ANSWER -Anorexia, nausea, vomiting, diarrhea, abdominal
pain, headache, blurred or yellow vision, dizziness, weakness. confusion
-Neutropenia, digitalis toxicity (antidote = digoxin immune fab)
-Digitalis toxicity = bradycardia (pulse rate <60)
Normal serum digoxin level - ANSWER 0.8 to 2 ng/mL
Digoxin intervention - ANSWER Assess pulse rate (hold if pulse is <60)
-eat a diet high in K+
UPDATE WITH COMPLETE QUESTION AND
ANSWERS 100% VERIFIED <RECENT
VERSION>
Why is morphine contraindicated in patients with a head injury? -
ANSWER can mask the patient's level of consciousness
Morphine (MS Contin) teaching - ANSWER extended release, do not crush or
chew tablets
Cerebrovascular accident (CVA) on thrombolytic therapy rationale for medication
- ANSWER -Can be given in pts with ischemic stroke (within 3 hrs of first
symptoms)
-Contraindicated in pts with a history of active bleeding or intracranial bleed
-History of stroke
Metoclopramide (Reglan) - ANSWER -Antiemetic
-Enhances gastric motility and accelerates gastric emptying time
, S/E of Metoclopramide - ANSWER drowsiness, fatigue, headache and
anticholinergic symptoms such as dry mouth, increased heart rate, urine retention,
constipation, and blurred vision.
Teaching Metoclopramide - ANSWER -Store in airtight, light resistant
containers
-Avoid OTC preparations
-Do not consume alcohol (can intensify the sedative effect)
The nurse is administering medications to a client on a urology floor. Which
medication should the nurse question? - ANSWER Cephalexin (Keflex), a
cephalosporin to a client who is allergic to penicillin
Prednisone drug facts - ANSWER -Schedule medication on opposite days to
decrease adverse effects
-Long-term therapy can cause adverse effects (can be avoided by using alternate-
day therapy)
-Do not suddenly taper off
Asthma medications assessment data or effectiveness - ANSWER breath
sounds are clear
H. pylori antibiotics treatment - ANSWER -Treatment with Amoxicillin
(Wymox), Pantoprazole (Prevacid), and Clarithromycin (Biaxin)
-Pantoprazole as a proton inhibitor, amoxicillin, and clarithromycin as antibiotics is
a treatment for the eradication of H. pylori infection
,A client diagnosed with arterial hypertension is receiving Furosemide (Lasix).
Which data indicates the medication was effective? - ANSWER The client's
uptake is 1800 mL and the output is 2300 mL
The physician writes orders for the client with diabetes mellitus. Which order
would the nurse validate with the physician? - ANSWER Lantus insulin 20U
BID
Assessment finding thrombolytic therapy is effective - ANSWER -Blood clot is
dissolved
-No excessive bleeding is indicated
-Patient is pain-free
Rifampin (Rifampin) drug facts - ANSWER -Antitubercular drug
-Turns body fluids orange
-Treatment up to 9 months
Do not take which drug with Lisinopril - ANSWER -Do not take with
Spironolactone
-Can cause hyperkalemia
The client diagnosed with CHF is prescribed the ACE inhibitor enalapril
(Vasotec). Which statement explains the rationale for administering this
medication? - ANSWER ACE inhibitors dilate arteries, which reduces the
workload of the heart
, Instruct the patient to do what while taking Rifampin (Rifadin)? - ANSWER -
use an alternative form of contraceptive
-Oral contraceptives are less effective while the pt is taking this medication
Tetracycline PO drug facts and client teaching - ANSWER -Inhibit bacterial
growth
-Should not be administered with dairy products
-Tooth discoloration will occur: the drug binds to the calcium in the teeth
-Take on an empty stomach
Most dangerous adverse effect of Digoxin - ANSWER dysrhythmias
Concurrent use of Digoxin and __________ should be carefully monitored -
ANSWER diuretics (hypokalemia)
S/E of Digoxin - ANSWER -Anorexia, nausea, vomiting, diarrhea, abdominal
pain, headache, blurred or yellow vision, dizziness, weakness. confusion
-Neutropenia, digitalis toxicity (antidote = digoxin immune fab)
-Digitalis toxicity = bradycardia (pulse rate <60)
Normal serum digoxin level - ANSWER 0.8 to 2 ng/mL
Digoxin intervention - ANSWER Assess pulse rate (hold if pulse is <60)
-eat a diet high in K+
