Medical surgical Exam 1 2025

A nurse working in an emergency dept. Is caring for a client who has benzodiazepine toxicity due to an overdose. Which actions is the nurse’s priority? A- Administer flumazenil B- Identify the clients level of orientation C- Infuse iv fluids D- Prepare the client for gastric lavage - -B- identify the clients level of orientation A nurse is teaching a client who has a new prescription for escitalopram for treatment of generalized anxiety disorder. Which of the following statements by the client indicates understanding of the teaching? A- I should take the medication on an empty stomach B- I will follow a low-sodium diet while taking this med C- I need to discontinue this med slowly? D- I should not crush this med before swallowing - -C- i need to discontinue this med slowly? A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which info should the nurse include? A- take this med on an empty stomach B- expect optimal therapeutic effects within 24hr C- take this med when needed for anxiety D- this med has a low risk for dependency - -D- this med has a low risk for dependency A nurse is teaching a client who obsessive compulsive disorder and has a new prescription for paroxetine which of the following instructions should the nurse include? A. It can take several weeks before you feel like the medication is helping B. Take the medication just before bedtime to promote sleep C. you should take the medication when needed for obsessive urges D. Monitor for weight gain while taking this medication - -A. It can take several weeks before you feel like the medication is helping A nurse is caring for a client who takes peroxidation to treat post dramatic stress disorder he reports that he grinds his teeth during the night the nurse should identify which of the following interventions to manage bruxism (select all that apply) A. Concurrent administration of buspirone B. administration of a different SSRI C. use of a mouth guard D. changing to a different class of anti-depressant medication E. increasing the dose of paroxetine - -A,C,D Medical Medical A nurse is providing instructions to a client has been experiencing insomnia and has a new prescription for to Maza Pam the nurse should inform the client that which of the following manifestations are adverse affects (select all apply ) A. Incoordination B. Hypertension C. Pruritis D. Sleep driving E. Amnesia - -A,D,E A nurse is caring for a client who is receiving moderate sedation with diazepam IV the client is oversedated which of the following medications should the nurse anticipate administering to this client A. Ketamine B. Naltrexone C. Flumazenil D. Fluvoxamine - -C. Flumazenil A nurse is teaching a client who has a new prescription for remelton. The nurse should instruct the client to avoid which of the following foods while taking this medication A. Baked potato B. Fried chicken C. Whole grain bread D. Citrus fruits - -B A nurse is caring for a client who is admitted to undergo a surgical procedure which of the following pre-existing conditions can be a contraindication for the use of ketamine as an intravenous anesthetic A. Peptic ulcer disease B. Breast cancer C. Diabetes mellitus D. Schizophrenia - -D A nurse is providing instructions to a female client who has a new prescription for zolpidem, what instructions should the nurse include A. Notify the provider if you plan to become pregnant B. Take the medication one hour before you plan to go to sleep C. Allow at least six hours for sleep when taking zolpidem D. To increase the effectiveness of zolpidem take it with a bedtime snack - -A A nurse is assessing a client who has salicylism which of the following findings should the nurse expect (select all apply ) A. Dizziness B. diarrhea C. jaundice D. Tinnitus E. headache - -A,D,E Medical Medical A nurse is admitting a toddler to the hospital after and acetaminophen overdose which of the following medications should the nurse anticipate administering to this client A. Acetylcysteine B. Pegfilgrastim C. Misoprostol D. Naltrexone - -A A nurse is teaching a client about a new prescription for celecoxib which of the following information should she include in the teaching A. Increases the risk for a myocardial in farction B. Decreases the risk of stroke C. Inhibits COX-1 D. Increases platelet aggregation - -A A nurses taking history for a client who reports that he is taking aspirin about four times daily for a sprained wrist which of the following prescribe medications taken for the client is contra indicated with aspirin A. Digoxin B. metformim C. warfarin D. nitroglycerin - -C nurses in an emergency department performing admission assessment for a client who has severe aspirin toxicity which of the following findings should she expect A. Body temperature 35°C 95 Fahrenheit B. lung crackles C. cool dry skin D. respiratory depression - -D nurse is preparing to administer an opioid agonist to a client who has acute pain which of the following complications should the nurse monitor A. Urinary retention B. Tachy apnea C. hypertension D. irritating cough - -A A nurse is caring for a client who has and stage cancer and is receiving morphine the clients daughter asks why the provider prescribed myethylnaltrexone which of the following responses to the nurse make A. The medication will increase your mothers respirations B. Medication will prevent dependent on the morphine C. The medication to relieve your mothers constipation D. Medication works with the morphine to increased pain relief - -C Medical Medical A nurse is preparing to administer Butorfanol to a client who has a history of substance use disorder the nurse should I didn't file which of the following information is true regarding Butorphanol A. It has a greater risk for abuse than morphine B. It causes a higher incidence of respiratory depression than morphine C. It cannot be reversed with an opiate antagonist D. It can cause abstinence syndrome in opiod dependent clien