Exam (elaborations) NUR 6521 FINAL EXAM

Exam (elaborations) NUR 6521 FINAL EXAM 1.) A client is receiving a second dose of IV cefazolin postoperatively. The nurse notes urticarial, dyspnea, anxiety, and hypotension. Which of the following should the nurse anticipate administering? Oral diphenhydramine Parenteral diazepam Parenteral epinephrine Oral hydroxyzine 2.) A nurse is providing teaching to a client who is diagnosed with migraine headaches. The client is prescribed ergotamine sublingual. Which of the following should the nurse include in her instructions? Take one tablet three times a day before meals Take one tablet at onset of migraine Take up to eight tablets as needed within a 24-hr period Take one tablet every 15 min until migraine subsides 3.) A nurse is caring for a client who has just been transferred from the PACU to the medical-surgical unit following a colon resection. The client reports pain of an 8 on a scale from 0 to 10 and has a prescription for morphine sulfate 4 mg IV bolus PRN pain every 2 hr. Which of the following actions should the nurse take first? Administer the morphine sulfate Check the client’s PACU medication record Notify the provider Change the client’s position 4.) A client newly diagnosed with hypothyroidism is prescribed levothyroxine 0.25 mg PO daily. After 6 weeks of treatment, the nurse determines that the medication was effective if the thyroid-stimulating hormone (TSH) level is 2 microunits/mL total T4 level is 3 mcg/dL total T3 level is 65 ng/dL thyroxine-binding globulin (TBG) is 1.0 mg/dL 5.) A client is taking trimethoprim/sulfamethoxazole. Which of the following findings should the nurse report to the provider? Dry cough Involuntary wrist contraction NUR 6521 FINAL EXAM Photosensitivity Vesicular, crusty rash 6.) A nurse is caring for a client who has candidiasis. Which of the following medications should the nurse expect to administer? Fluconazole Metronidazole Linezolid Nitrofurantoin 7.) A nurse is assessing a client who is taking indomethacin. For which of the following should the nurse monitor to evaluate the medication’s effectiveness? Reduced pain Improved balance Relaxed muscles Weight loss 8.) A nurse is administering donepezil to a client who has Alzheimer’s disease. Which of the following documented findings should the nurse report to the provider immediately? Dyspepsia Diarrhea Dizziness Dyspnea 9.) A client who has a history of hypertension tells the nurse that he uses over-the-counter oral decongestants for nasal congestion. The nurse should advise the client that decongestants can decrease heart rate should be limited to no more than 3 days can constrict blood vessels are less effective than antihistamines 10.) A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following is the client prescribed chlordiazepoxide? Minimize diaphoresis Maintain abstinence Lessen craving Prevent delirium tremors 11.) A nurse is caring for a client who taking acetazolamide for chronic open angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report? Blurring of vision Tinnitus Tingling of fingers Hypoglycemia 12.) A nurse is caring for a client who has heart failure and is discharged with a prescription of furosemide. The nurse should plan to instruct the client that which of the following are potential adverse effects of this medication? (Select all that apply) dizziness hypokalemia seizures urinary frequency hypoglycemia 13.) A nurse is monitoring a client receiving an IV infusion of magnesium sulfate for preterm labor. Which of the following findings indicates to the nurse that the client is experiencing magnesium toxicity? Clonus Raised blood pressure Decreased level of consciousness Agitation 14.) A nurse is planning to teach a client about taking methotrexate. For which of the following should the nurse instruct the client to monitor and report to the provider? Tinnitus Palpitations Fever Insomnia 15.) A nurse if providing teaching to a client who is taking tetracycline PO and reports gastrointestinal distress. Which of the following should the nurse include in the teaching? Take the medication with an antacid Take the medication at bedtime Take the medication with applesauce Take the medication on an empty stomach. 16.) A nurse is caring for a client in the emergency department following a diazepam overdose. The nurse should administer which of the following medications? Naloxone Atropine Sulfate Neostigmine Flumazenil 17.) A nurse is providing teaching for a client who is to begin pharmacological therapy for a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use during an acute asthma attack? Montelukast Albuterol Beclomethasone Nedocromil 18.) A nurse is providing teaching to a client who has a new prescription for phenytoin. Which of the following statements by the client indicates an understanding of the teaching? “I should take my medication with milk to minimize gastric upset” “I should not have adverse effects if my medication level is 30 mcg/mL” “I should let my dentist know I’m taking this medication” “I should expect to experience some unusual eye movement when taking” 19.) A nurse is administering baclofen for a client who has a spinal cord injury. Which of the following should the nurse document as a therapeutic outcome? Increase in seizure threshold Decreased in flexor and extensor spasticity Increase in cognitive function Decrease in paralysis of the extremities 20.) A nurse is caring for a client who has heart failure and is prescribed enalapril. The nurse should monitor the client for which of the following? Bradycardia Hyperkalemia Blurred Vision Hypoglycemia 21.) A nurse is providing teaching about insulin glargine to a client who has type 1 diabetes mellitus. Which of the following should the nurse include in the instructions? Observe for hypoglycemia when the insulin peaks Administer the insulin immediately before meals Do not mix this medication in a syringe with other insulins Rotate the bottle gently prior to drawing up the insulin 22.) A nurse is assessing a client who is taking salmeterol. Which of the following reports from the client indicates effectiveness of the medication? Decreased edema Improved mood Improved breathing Decreased pain 23.) A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. Which of the following symptoms should the nurse tell the client to expect? (Select all that apply) Dry mouth Diarrhea Blurred vision Bradycardia Photophobia 24.) A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves’ disease. Which of the following findings indicates effectiveness of the medication? Decrease in WBC count Decrease in amount of time sleeping Increase in appetite Increase in ability to focus 25.) A nurse is assessing laboratory results for a client who is prescribed oprelvekin for management of adverse effects of chemotherapy. Which of the following findings by the nurse indicated a therapeutic effect of the medication? Erthrocyte count is 4.7 million/mm3 Leukocyte count is 9000 mm3 Platelet count is 350,000/mm3 Hematocrit is 45% 26.) A nurse is assessing a client who is taking oral contraceptives. Which of the following medications will interfere with the effectiveness of the oral contraceptives? Warfarin Carbamazepine Atenolol Lorazepam 27.) A nurse in a provider’s office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately? Hyperventilation Heartburn Anorexia Swollen ankles 28.) A nurse is caring for a client who is starting a new prescription for warfarin. Which of the following medications should the nurse plan to administer if the client experiences bleeding? Vitamin K Protamine Sulfate Calcium gluconate Acetylcysteine 29.) A nurse is providing teaching to a client who is to start therapy with digoxin. For which of the following should the nurse instruct the client to monitor and report? Dry cough Pedal edema Bruising Yellow-tinged vision 30.) A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should alert the nurse the client is experiencing an adverse reaction? Tachycardia Confusion Nausea Dry Mouth 31.) A nurse is providing teaching to a client who takes valproic acid. For which of the following should the nurse instruct the client to monitor and report to the provider? Jaundice Muscle pain Dry mouth Blurred vision 32.) A nurse is caring for a client who recently began taking oral amoxicillin and clavulanate potassium and reports urticarial. Which of the following interventions should the nurse take? Request a change in the type of the antibiotic Ask for a change in the route of the administration Ausculate the clients heart sounds Check the clients WBC count 33.) A nurse is caring for a client who is taking tamoxifen for the treatment of breast cancer. The nurse should inform the client that which of the following side effects can develop? (Select all that apply) Bradycardia Menstrual irregularities Jaundice Hot flashes Bruising 34.) A nurse is planning teaching for a child who has been prescribed fluticasone propionate for treatment of chronic asthma. The nurse plans to teach the child to use a spacer to minimize the risk for which of the following? Adrenal suppression Dental caries Tachycardia Candidasis of the mouth. 35.) A nurse is providing teaching about clindamycin to a client. Which of the following is an adverse effect of this medication that the nurse should instruct the client to report to the provider? Orange urine Watery diarrhea Weight gain Headache 36.) A nurse is teaching a client who is to start a new prescription for verapamil. Which of the following instructions should the nurse plan to include? Take on an empty stomach Avoid crowds Discontinue if palpitations occur Change positions slowly 37.) A nurse is planning to provide medication education for a client who will begin a course of therapy with metronidazole. Which of the following should the nurse instruct the client to avoid during the course of therapy? Grilled meats Cooked greens