lOMoARcPSD|50207110
1. What instruction should the RN give to a pt taking Salmeterol by inhaler?
A. Increase fluid intake
B. Monitor heart rate
C. Take this everyday
D. Remain upright for 30 minutes
Key Patient Teaching for Salmeterol:
Use daily for long-term asthma/COPD management.
Not a rescue inhaler – Do NOT use during an acute asthma attack (use a short-acting
beta agonist like albuterol instead).
Monitor for palpitations, tremors, or headaches (possible side effects).
If used with an inhaled corticosteroid (ICS) (like fluticasone in Advair), always rinse
the mouth after use to prevent oral thrush.
2. A pt has been given an alpha blocker for the treatment of BPH. What should the nurse
include in the teaching?
A. Avoid foods and drinks that contain caffeine
B. Watch for a weight loss of 2 lbs in one week
C. Change positions slowly to avoid drop in blood pressure
D. Take extra supplements of calcium
Key Patient Teaching Points:
Rise slowly from sitting or lying positions to prevent dizziness or fainting.
Take medication at bedtime (if prescribed) to reduce the risk of falls from dizziness.
Monitor blood pressure regularly.
Avoid alcohol and hot showers, which can worsen low blood pressure.
Be cautious when driving or operating machinery due to possible dizziness.
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, lOMoARcPSD|50207110
3. Your patient is admitted with an acute exacerbation of asthma. What med will you
anticipate administering?
A. Ipratropium
B. Theophylline
C. Levalbuterol
D. Salmeterol
Key Patient Teaching Points:
Use during acute asthma attacks for quick relief.
Take as prescribed (usually via nebulizer or inhaler).
May cause jitteriness, increased heart rate, or tremors—these are common but should
be reported if severe.
Wait at least 1 minute between puffs if using an inhaler.
Use before corticosteroid inhalers (if prescribed) to open airways for better medication
absorption.
4. A pt is taking valproic acid for treatment of generalized seizures . What adverse effects
should the RN monitor for ? SATA
A. Hepatoxicity
B. Appendicitis
C. Gastritis
D. Pancreatitis
Key Patient Monitoring & Teaching Points:
Monitor liver function tests (AST, ALT, bilirubin) regularly for signs of
hepatotoxicity (jaundice, fatigue, abdominal pain).
Watch for signs of pancreatitis (severe abdominal pain, nausea, vomiting) and report
immediately.
Take with food to reduce GI discomfort, but gastritis is not a common adverse effect.
Appendicitis is unrelated to valproic acid use.
Monitor for other serious effects, including thrombocytopenia (watch for
bruising/bleeding) and CNS effects (drowsiness, dizziness).
Downloaded by Samuel Gero ()
, lOMoARcPSD|50207110
5. A pt has tested positive for the flu after 2 days of symptoms. What medication does the
RN expect to be prescribed?
A. Oseltamivir
B. Allopurinol
C. Ganciclovir
D. Phentermine
Key Patient Teaching Points:
Oseltamivir (Tamiflu) is an antiviral that helps reduce flu symptoms and duration.
Must be started within 48 hours of symptom onset for best effectiveness.
Take the full course even if you feel better.
Common side effects: nausea, vomiting, headache—take with food to reduce GI upset.
Not a substitute for the flu vaccine—patients should still get vaccinated annually.
6. A RN is giving metoclopramide, the pt wants to know what its for. What will the RN tell
them?
A. Increase gastric motility
B. Decrease bipolar symptoms
C. Decrease gastric motility
D. Increase sodium levels
Key Patient Teaching Points:
Metoclopramide (Reglan) increases gastric motility by enhancing peristalsis and
accelerating stomach emptying.
Used for: gastroparesis, GERD, nausea/vomiting (e.g., from chemotherapy or post-op).
Take before meals for best effect.
Monitor for side effects: drowsiness, diarrhea, and extrapyramidal symptoms (EPS)
like tardive dyskinesia (involuntary movements).
Avoid alcohol & CNS depressants—can increase drowsiness.
Downloaded by Samuel Gero ()
1. What instruction should the RN give to a pt taking Salmeterol by inhaler?
A. Increase fluid intake
B. Monitor heart rate
C. Take this everyday
D. Remain upright for 30 minutes
Key Patient Teaching for Salmeterol:
Use daily for long-term asthma/COPD management.
Not a rescue inhaler – Do NOT use during an acute asthma attack (use a short-acting
beta agonist like albuterol instead).
Monitor for palpitations, tremors, or headaches (possible side effects).
If used with an inhaled corticosteroid (ICS) (like fluticasone in Advair), always rinse
the mouth after use to prevent oral thrush.
2. A pt has been given an alpha blocker for the treatment of BPH. What should the nurse
include in the teaching?
A. Avoid foods and drinks that contain caffeine
B. Watch for a weight loss of 2 lbs in one week
C. Change positions slowly to avoid drop in blood pressure
D. Take extra supplements of calcium
Key Patient Teaching Points:
Rise slowly from sitting or lying positions to prevent dizziness or fainting.
Take medication at bedtime (if prescribed) to reduce the risk of falls from dizziness.
Monitor blood pressure regularly.
Avoid alcohol and hot showers, which can worsen low blood pressure.
Be cautious when driving or operating machinery due to possible dizziness.
Downloaded by Samuel Gero ()
, lOMoARcPSD|50207110
3. Your patient is admitted with an acute exacerbation of asthma. What med will you
anticipate administering?
A. Ipratropium
B. Theophylline
C. Levalbuterol
D. Salmeterol
Key Patient Teaching Points:
Use during acute asthma attacks for quick relief.
Take as prescribed (usually via nebulizer or inhaler).
May cause jitteriness, increased heart rate, or tremors—these are common but should
be reported if severe.
Wait at least 1 minute between puffs if using an inhaler.
Use before corticosteroid inhalers (if prescribed) to open airways for better medication
absorption.
4. A pt is taking valproic acid for treatment of generalized seizures . What adverse effects
should the RN monitor for ? SATA
A. Hepatoxicity
B. Appendicitis
C. Gastritis
D. Pancreatitis
Key Patient Monitoring & Teaching Points:
Monitor liver function tests (AST, ALT, bilirubin) regularly for signs of
hepatotoxicity (jaundice, fatigue, abdominal pain).
Watch for signs of pancreatitis (severe abdominal pain, nausea, vomiting) and report
immediately.
Take with food to reduce GI discomfort, but gastritis is not a common adverse effect.
Appendicitis is unrelated to valproic acid use.
Monitor for other serious effects, including thrombocytopenia (watch for
bruising/bleeding) and CNS effects (drowsiness, dizziness).
Downloaded by Samuel Gero ()
, lOMoARcPSD|50207110
5. A pt has tested positive for the flu after 2 days of symptoms. What medication does the
RN expect to be prescribed?
A. Oseltamivir
B. Allopurinol
C. Ganciclovir
D. Phentermine
Key Patient Teaching Points:
Oseltamivir (Tamiflu) is an antiviral that helps reduce flu symptoms and duration.
Must be started within 48 hours of symptom onset for best effectiveness.
Take the full course even if you feel better.
Common side effects: nausea, vomiting, headache—take with food to reduce GI upset.
Not a substitute for the flu vaccine—patients should still get vaccinated annually.
6. A RN is giving metoclopramide, the pt wants to know what its for. What will the RN tell
them?
A. Increase gastric motility
B. Decrease bipolar symptoms
C. Decrease gastric motility
D. Increase sodium levels
Key Patient Teaching Points:
Metoclopramide (Reglan) increases gastric motility by enhancing peristalsis and
accelerating stomach emptying.
Used for: gastroparesis, GERD, nausea/vomiting (e.g., from chemotherapy or post-op).
Take before meals for best effect.
Monitor for side effects: drowsiness, diarrhea, and extrapyramidal symptoms (EPS)
like tardive dyskinesia (involuntary movements).
Avoid alcohol & CNS depressants—can increase drowsiness.
Downloaded by Samuel Gero ()
