RNSG 1301 EXAM FIVE
What is the reason for the rapid effectiveness of nasal decongestants? - ANS They come into
direct contact with nasal mucosa.
Where does bumetanide act? - ANS Loop of Henle
What is the time of onset for guaifenesin? - ANS 30 minutes
What does the nurse expect will be prescribed for the client with bronchitis who needs help
thinning sputum so their cough can be productive? - ANS Guaifenesin
The nurse recognizes that additional instructions are needed when the asthmatic client makes
which of the following statements? - ANS "When I am short of breath, I will increase the use of
my fluticasone."
Which medication elicits its antihistamine effects by nonselectively binding to central and
peripheral H1receptors? - ANS Diphenhydramine
Which of the following is a mast cell stabilizer? - ANS Cromolyn
Anticoagulant drugs are prescribed to prevent formation of new clots as well as to achieve
which other effect? - ANS Prevent extension of clots already present
How does intravenous heparin infusion achieve therapeutic effect? - ANS By inactivating clotting
factors and thus stopping the coagulation cascade
Which nasal decongestant ingredient can cause anxiety, restlessness, nausea, and vomiting? -
ANS Pseudoephedrine
What symptom does the nurse assesses a client receiving furosemide for? - ANS Hypotension
Which of the following drugs is likely to resolve a patient's pulmonary edema? - ANS
Furosemide
What is the difference between spironolactone and hydrochlorothiazide? - ANS Potassium
losses are greater with hydrochlorothiazide than with spironolactone.
By which route is abciximab administered? - ANS Intravenous
What differentiates heparin from warfarin? - ANS Heparin is administered parenterally, while
warfarin is administered orally.
, What adverse effect should the nurse warn the client taking albuterol (Proventil) about? - ANS
Tachycardia
Which of the following symptoms would the nurse assess for in the client who reports using their
sympathomimetic inhaler frequently? - ANS Nervousness
A client who takes theophylline reports that they recently stopped smoking. What does the
nurse anticipate will happen with the theophylline dose? - ANS Dose should be decreased.
Patients taking diuretics should follow what type of diet? - ANS Eat potassium-rich or
low-potassium diet as appropriate
Which result would indicate the heparin infusion is at a therapeutic rate in a client who's
baseline partial thromboplastin time was 32 seconds? - ANS 64 seconds
The nurse knows using bismuth subsalicylate will be a safe and effective treatment for diarrhea
unless the patient has: - ANS Allergy to aspirin
Which intervention should the nurse perform in the elderly client receiving cimetidine? - ANS
Monitor the patient for confusion and dizziness.
The nurse should be cautious in administering cimetidine in the client with which condition? -
ANS Hepatic disease
Phenothiazines are usually ineffective when nausea/vomiting are caused by: - ANS Motion
sickness.
What is the antiemetic the nurse would anticipate being ordered for a 9-year-old client? - ANS
Promethazine
The nurse is aware that promethazine is contraindicated for children under 2 years of age due
to - ANS fatal respiratory depression
In which of the following would the nurse question an order for ondansetron (Zofran)? - ANS
Treatment of gastroesophageal reflux
Maalox is contraindicated in clients with: - ANS renal dysfunction
The nurse instructs the client with diarrhea to return to the clinic if they continue to experience
abdominal pain and fever for how many days? - ANS 2
What would the nurse identify as the least common adverse effect of omeprazole? - ANS
Alopecia
What is the reason for the rapid effectiveness of nasal decongestants? - ANS They come into
direct contact with nasal mucosa.
Where does bumetanide act? - ANS Loop of Henle
What is the time of onset for guaifenesin? - ANS 30 minutes
What does the nurse expect will be prescribed for the client with bronchitis who needs help
thinning sputum so their cough can be productive? - ANS Guaifenesin
The nurse recognizes that additional instructions are needed when the asthmatic client makes
which of the following statements? - ANS "When I am short of breath, I will increase the use of
my fluticasone."
Which medication elicits its antihistamine effects by nonselectively binding to central and
peripheral H1receptors? - ANS Diphenhydramine
Which of the following is a mast cell stabilizer? - ANS Cromolyn
Anticoagulant drugs are prescribed to prevent formation of new clots as well as to achieve
which other effect? - ANS Prevent extension of clots already present
How does intravenous heparin infusion achieve therapeutic effect? - ANS By inactivating clotting
factors and thus stopping the coagulation cascade
Which nasal decongestant ingredient can cause anxiety, restlessness, nausea, and vomiting? -
ANS Pseudoephedrine
What symptom does the nurse assesses a client receiving furosemide for? - ANS Hypotension
Which of the following drugs is likely to resolve a patient's pulmonary edema? - ANS
Furosemide
What is the difference between spironolactone and hydrochlorothiazide? - ANS Potassium
losses are greater with hydrochlorothiazide than with spironolactone.
By which route is abciximab administered? - ANS Intravenous
What differentiates heparin from warfarin? - ANS Heparin is administered parenterally, while
warfarin is administered orally.
, What adverse effect should the nurse warn the client taking albuterol (Proventil) about? - ANS
Tachycardia
Which of the following symptoms would the nurse assess for in the client who reports using their
sympathomimetic inhaler frequently? - ANS Nervousness
A client who takes theophylline reports that they recently stopped smoking. What does the
nurse anticipate will happen with the theophylline dose? - ANS Dose should be decreased.
Patients taking diuretics should follow what type of diet? - ANS Eat potassium-rich or
low-potassium diet as appropriate
Which result would indicate the heparin infusion is at a therapeutic rate in a client who's
baseline partial thromboplastin time was 32 seconds? - ANS 64 seconds
The nurse knows using bismuth subsalicylate will be a safe and effective treatment for diarrhea
unless the patient has: - ANS Allergy to aspirin
Which intervention should the nurse perform in the elderly client receiving cimetidine? - ANS
Monitor the patient for confusion and dizziness.
The nurse should be cautious in administering cimetidine in the client with which condition? -
ANS Hepatic disease
Phenothiazines are usually ineffective when nausea/vomiting are caused by: - ANS Motion
sickness.
What is the antiemetic the nurse would anticipate being ordered for a 9-year-old client? - ANS
Promethazine
The nurse is aware that promethazine is contraindicated for children under 2 years of age due
to - ANS fatal respiratory depression
In which of the following would the nurse question an order for ondansetron (Zofran)? - ANS
Treatment of gastroesophageal reflux
Maalox is contraindicated in clients with: - ANS renal dysfunction
The nurse instructs the client with diarrhea to return to the clinic if they continue to experience
abdominal pain and fever for how many days? - ANS 2
What would the nurse identify as the least common adverse effect of omeprazole? - ANS
Alopecia
