NUR 3145 Cardiac, Respiratory, Oncology, Integumentary and Hematological endocrine Questions | NUR3145 100 Questions - Graded A

NUR 3145 Cardiac, Respiratory, Hematological, Oncology, Integumentary, Endocrine and Gastrointestinal Questions {100} The nurse is preparing to administer prescribed medications to a client with hepatic encephalopathy. The nurse anticipates that the health care provider's prescriptions will include which medication? Bisacodyl *Lactulose Magnesium hydroxide Psyllium hydrophilic mucilloid A client has developed paroxysmal nocturnal dyspnea. Which medication should the nurse anticipate will be prescribed by the health care provider? *Bumetanide Amiodarone Propranolol Streptokinase A client is to be discharged from the hospital on quinidine gluconate to control ventricular ectopy. The nurse provides instructions to the client about the medication. Which statement by the client indicates a need for further instruction? "The best time to schedule this medication is with meals." "I need to avoid alcohol, caffeine, and cigarettes while I am on this medication." *"I need to stop the medication immediately if diarrhea, nausea, or vomiting occurs." "I need to take this medication regularly, even if the heartbeat feels strong and regular." The home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse should tell the client to take which action? Freeze the insulin. *Refrigerate the insulin. Store the insulin in a dark, dry place. Keep the insulin at room temperature. A client has been prescribed pindolol for hypertension. The nurse provides anticipatory guidance, knowing that which common side effect of this medication may decrease client compliance? *Impotence Mood swings Increased appetite Difficulty swallowing A female client with a diagnosis of breast cancer is taking cyclophosphamide. The client calls the health care clinic and tells the nurse that the medication is upsetting her stomach. Which instruction should the nurse provide to the client? *Take the medication with food. Avoid drinking fluids while taking the medication. Try to take the medication with a small amount of orange juice. Continue to take the medication on an empty stomach, and lie down after taking the medication. Terbutaline is prescribed for a client with bronchitis. The nurse checks the client's medical history for which disorder in which the medication should be used with caution? Osteoarthritis Hypothyroidism *Diabetes mellitus Polycystic disease A client with a gastric ulcer has a prescription for sucralfate 1 gram by mouth 4 times daily. The nurse should schedule the medication for which times? With meals and at bedtime Every 6 hours around the clock One hour after meals and at bedtime *One hour before meals and at bedtime A client with a prescription to take theophylline daily has been given medication instructions by the nurse. What statement by the client indicates the need for further education regarding the prescription? *"I will take the daily dose at bedtime." "I need to drink at least 2 liters of fluid per day." "I know to avoid changing brands of the medication without my health care provider's approval." "I'll avoid over-the-counter cough and cold medications unless approved by my health care provider." Epoetin alfa by the subcutaneous route is prescribed for a client. What is the most appropriate nursing action? Shake the vial before use. Freeze the medication before use. *Refrigerate the medication until used. Obtain syringes with 1½-inch (3.8 cm) needles for administration. The nurse is providing discharge instructions to a client taking warfarin sodium. Which statement, based on health care provider (HCP) permission, is appropriate to include in client teaching for this medication? "Alcohol can be consumed as long as it is in small amounts." *"You need to check with your doctor about what can be taken for headache." "It doesn't matter what time the daily dose is taken as long as it is taken each day." "It is all right to take over-the-counter medications as long as they do not contain vitamin K." A client with hypertension has a new prescription for a medication called moexipril. The nurse plans to provide written directions that tell the client to take the medication at which time? At bedtime With meals *1 hour before meals With a snack in late afternoon A daily dose of prednisone is prescribed for a client. The nurse provides instructions to the client regarding administration of the medication and should instruct the client that which time is best to take this medication? At noon At bedtime *Early morning Any time, at the same time, each day A client is admitted to the hospital emergency department with an acute anterior wall myocardial infarction. The nurse discusses thrombolytic therapy with the client and spouse. The spouse is concerned about the dangers of this treatment. Which statement by the nurse is appropriate? "There is no reason to worry. We use this medication all the time." "I'm certain you made the correct decision to use this medication." *"You have concerns about whether this treatment is the best option." "Your loved one is very ill. The health care provider has made the best decision for you." Tretinoin is prescribed for a client with acne, and the nurse provides instructions to the client regarding the medication. Which statement by the client indicates a need for further instruction? "I need to avoid exposure to the sun." "I should start to see results in 2 to 3 weeks." "I will cleanse the skin thoroughly before applying the medication." *"If my skin begins to peel, I will notify the health care provider (HCP)." Thyroid replacement therapy is prescribed for the client diagnosed with hypothyroidism. The client asks the nurse when the medication will no longer be needed. Which is the appropriate nursing response? "It depends on the results of the laboratory tests." "Most clients require medication for about 1 year." *"The medication will need to be continued for life." "You will need to ask your health care provider." - - - - -