version 2 with NGN
1. A nurse is assessing a client who reports using several
herbal and vitamin supplements daily, including saw
palmetto. The nurse should recognize that saw palmetto is a
supplement used by clients to elicit which of the following
therapeutic effects
A. urinary health promotion
B. immune system stimulation
C. decreased leg pain from arterial disease
D. prevention of nausea caused by motion sickness: A. urinary
health promotion
Saw palmetto is used primarily for manifestations related to
prostatic conditions, such as benign prostatic hypertrophy (BPH).
Its effectiveness has not been scientif- ically proven, however. The
nurse should teach the client to check with the provider about
interactions between saw palmetto and other medications.
2. A nurse is providing teaching to a group of new parents
about medications. The nurse
,should include that aspirin is contraindicated for children
who have a viral infection due
to the risk of developing which of the following adverse
effects?
a. Reye's syndrome
b. Visual disturbances c. Diabetes mellitus
d. Wilm's tumor: a. Reye's syndrome
3. A nurse is providing teaching to a client who has chronic
kidney failure with an AV fistula for hemodialysis and new
prescription for epoetin alfa. Which of the following
therapeutic effects of epoetin alfa should the nurse include in
the teaching?
a. Reduces blood pressure b. Inhibits clotting of fistula c.
Promotes RBC production
d. Stimulates growth of neutrophils: c. Promotes RBC
production
4. A nurse is caring for a client who has peptic ulcer disease
and reports a headache. Which of the following medications
should the nurse plan to administer?
a. Ibuprofen (NSAIDS)
,b. Naproxen (NSAIDS)
c. Aspirin (NSAIDS)
d. Acetaminophen (anlagesics): d. Acetaminophen (anlagesics)
5. A nurse is caring for a client who has prescription for
clopidogrel.The nurse should monitor the client for which of
the following adverse effects?
a. Insomnia
b. Hypotension c. Bleeding
d. Constipation: c. Bleeding
6. A nurse is teaching a newly licensed nurse about
contraindications to cef- triaxone. The nurse should include a
severe allergy to which of the following medications as
contraindication to ceftriaxone?
a. Gentamicin b. Clindamycin c. Piperacillin
d. Sulfamethoxazole-trimethroprim: c. Piperacillin
7. A nurse is providing teaching to a newly licensed nurse
about metoclo- pramide. The nurse should include in the
teaching that which of the following conditions is a
contraindication to this medication?
a. Hyperthyroidism
b. Intestinal obstruction c. Glaucoma
d. Low blood pressure: b. Intestinal obstruction
, 8. A nurse is assessing a client who has a new prescription for
chlorpromazine to treat schizophrenia. The client has a mask
like facial expression and is experiencing involuntary
movements and tremors. Which of the following medications
should the nurse anticipate administering?
a. Amantadine
b. Bupropion (aytpical antidepressant)
c. Phenelzine (MAOI)
d. Hydroxyzine (Antihistamine): a. Amantadine
9. A nurse is administering subQ epinephrine for a client who
is experiencing anaphylaxis.
The nurse should monitor the client for which of the following
adverse effects?
a. Hypotension b. Hyperthermia c. Hypoglycemia
d. Tachycardia: d. Tachycardia