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The healthcare provider (HCP) prescribes a medication for an older adult client
who is reporting insomnia, and the HCP instructs the client to return in two
weeks. The nurse should question which prescription?
A Zolpidem (Ambien) 10 milligrams orally at bedtime
B. Eszopiclone (Lunesta) 10 milligrams orally at bedtime
C. Temazepam (Restoril) 7.5 milligrams orally at bedtime
D. Ramelteon (Rozerem) 8 milligrams orally at bedtime ------------Correct Answer---
-----------------B
A client is diagnosed with peptic ulcer disease and receives a prescription for
esomeprazole (Nexium) 20 mg capsule daily. When providing this client with
discharge teaching, the nurse should include which instruction?
A. Drink fluids between meals to relieve gastric distress
B. Monitor for an increase in blood pressure during therapy
C. Dissolve capsule contents in fruit juice for easier ingestion
D. Take at same time each day one hour before eating a meal ------------Correct
Answer--------------------D
,A client receives a new prescription for ciprofloxacin (Cipro), a synthetic
quinolone. When teaching about this drug, which information in the client history
requires special emphasis by the nurse?
A. Snacks on dairy products such as yogurt or ice cream
B. Previously had a mild allergic reaction to a cephalosporin
C. Consumes alcoholic drinks occasionally on the weekends
D. works twenty hours a week as a lifeguard at the local pool ------------Correct
Answer--------------------D
The nurse administers the initial dose of a fentanyl (Duragesic) transdermal patch
to a client. Which assessment finding should the nurse use to evaluate the
effectiveness of the medication?
A. The absence of seizures
B. The increase in lactation
C. The presence of bowel sounds
D. The number on the numeric pain scale ------------Correct Answer--------------------
D
Based on the blood culture and sensitivity results, the healthcare provider
prescribes an IV aminoglycoside antibiotic and discontinues the current
prescription for another broad spectrum antibiotic. The medication
, administration record indicates that the client received the broad spectrum
antibiotic two hours ago. Which action should the nurse implement?
A. Obtain peak and trough serum levels so the aminoglycoside antibiotic can be
initiated
B. Administer the initial dose of the aminoglycoside antibiotic as soon as possible
C. Withhold antibiotic administration until the healthcare provider clarifies the
prescriptions
D. Schedule the initial dose of the aminoglycoside antibiotic for the following day
------------Correct Answer--------------------B
The nurse is providing medication teaching for a client who recently received a
prescription for clozapine (Clozaril). Which instruction should be included in this
client's teaching plan?
A. Avoid prolonged sun exposure
B. Rise slowly from a lying position
C. Do not eat any aged cheese
D. Take as needed for anxiety ------------Correct Answer--------------------B
A client receives a new prescription for nitroglycerin (Nitrostat) tablets. Which
instruction should the nurse include in this client's teaching?
A. Take the medication at least an hour before every meal