Medicine Questions
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A nurse is caring for a client who will be beginning a relatively long course of therapy with gentamicin for pulmonary exacerbations of cystic fibrosis. What baseline assessment data should be collected prior to the initiation of this therapy?A. Snellen chart testingB. Audiometric testingC. Liver enzyme testingD. None - gentamicin is not indicated for cystic fibrosis
When preparing to administer medications on the medical surgical floor, which of the following actions should a nurse take to comply with client safety practices to prevent medication administration errors?A. Ask the pharmacist to identify any unlabeled medicationsB. Wear gloves when preparing an unopened unit dose packageC. Verify the client's primary healthcare providerD. Medications must be given within a 1 hr time frame on the medication logE. Open all unit doses and place in a dispensing cup before taking to the bedside
You are assessing a patient with major depressive disorder who recently began treatment with phenelzine. Which of the following is a common adverse effect of this treatment?A. AgitationB. Urinary frequencyC. DiarrheaD. Weight gain
A nurse is administering a heparin flush to a client with a subclavian central line, but is unable to use the syringe to administer the flush and cannot draw back any blood from the line. The nurse initially suspects a mechanical occlusion of the line. Which of the following actions is most appropriate?A. Ask the client to sit up, take a deep breath, and coughB. Pump the syringe several times by pressing down with short, quick thrustsC. Administer a thrombolytic medication such as urokinaseD. Remove the catheter
A nurse is caring for a client who has severe preeclampsia and is receiving a magnesium sulfate IV infusion. The nurse should monitor the client for which of the following manifestations as a sign of magnesium sulfate toxicity? (SATA)A. Respiratory rate less than 12/minB. Excessive urinary outputC. Hyperreflexic deep tendon reflexesD. Decreased level of consciousnessE. Flushing and sweating
A client experiences initial indications of excitation after having an IV infusion of lidocaine started. The nurse should report which of the following symptoms?A. PalpitationsB. TinnitusC. Urinary frequencyD. Hypertension
A nurse is providing teaching for a client who has a new prescription for bupropion to treat major depressive disorder. Which of the following statements should the nurse make about bupropion?A. "You might develop a slow heartbeat while taking bupropion."B. "You might experience a decrease in sexual desire and performance while taking bupropion."C. "You might not see an improvement in your mood for up to 3 weeks while taking bupropion"D. "You might experience increased salivation and drooling while taking bupropion"
A nurse is providing teaching about an ipratropium MDI that was recently prescribed to a client with COPD. Which of the following statements indicates the client needs further teaching about this medication?A. This medication will relax my airwayB. "This medication will dry up secretions in my airway"C. "I should take this medication 4 times daily to control my COPD symptoms"D. "This is the first medication I should take if I have shortness of breath"
A charge nurse is reviewing information with a group of nurses about the addition of a lipid emulsion to total parenteral nutrition. Which of the following statements should the charge nurse include? (SATA)A. "The concentrations of lipid emulsions can be up to 30%"B. "Adding lipid emulsion gives the solution to a milky appearance."C. "Check the client for an egg allergyD. "Lipid emulsion prevents essential fatty acid deficiencyE. "IV lipids given via piggyback should typically hang for 16 hours"
A nurse is caring for a client who is receiving a transfusion of whole blood and notes that the client has developed circulatory overload as a result of the infusion. Which of the following symptoms would the nurse consider to be a sign of circulatory overload? (SATA)A. Decrease in venous pressureB. CoughC. Distended neck veinsD. High feverE. Headache
A nurse is preparing to administer pacrelipase (Lipancreatin) to a client with cystic fibrosis. Which of the following should the nurse include when administering this drug? (SATA)A. Assess for lactose intoleranceB. Monitor renal functionC. Monitor blood coagulation studiesD. Provide antidiuretic hormoneE. Assess for shortness of breath and leg swellingF. Monitor for joint pain
A nurse works in a long-term care facility, where the residents wear street clothes and are not required to wear a hospital identification bracelet. What is an acceptable way for the nurses to identify the residents in order to administer medications?A. Ask the resident to state their full name and ageB. Ask family members to identify their loved onesC. Ask residents to identify other residentsD. Identify residents from their labelled photo on their medication administration recordE. None of these methods are acceptable
A nurse is caring for a client who has a central line in place. Which of the following actions is indicated for client safety when flushing a central line? (SATA)A. Use a syringe that is 5 ml or larger to flushB. Flush with 20 ml of 0.9% sodium chloride at least every 3 hoursC. Do not apply force if resistance occurs with flushingD. Flush the catheter before and after administering medicationE. Flush with heparin if occlusion occurs
A nurse is caring for a client who has undergone hip replacement and has a prescription for heparin for DVT prophylaxis. If the client begins to hemorrhage, what is the antidote for heparinA. Vitamin KB. Warfarin (Coumadin)C. ThrombinD. Protamine sulfate
A nurse is caring for a client who has an NG tube in place and a new prescription for a sublingual (SL) medication. Which of the following actions should the nurse take?A. Request a prescription for a different formulation of the medicationB. Hold the medication until the NG tube is removedC. Dissolve the medication in water and give it through the NG tubeD. Administer the medication under the client's tongue
A nurse is caring for a client who has a new prescription for heparin therapy. The nurse should identify that which of the following statements by the client is the priority to report?A. "I am allergic to morphine"B. "I take antacids several times a day"C. "I had a blood clot in my leg several years ago"D. "I have been taking antibiotics for a urinary tract infection"
A nurse is providing teaching to a client who has a new prescription for corticosteroid cream to treat mild psoriasis. Which of the following instructions should the nurse include? (SATA)A. Apply thin layer of medication to damp skinB. Apply five times dailyC. Apply gloves before putting the medication onD. Avoid applying in skin foldsE. It is unnecessary to notify the provider if redness or pain increases after medication use
A nurse is caring for a client with type 2 DM who takes metformin (Glucophage). The client has a cardiac catheterization scheduled. Which of the following should the nurse advise?A. Limit protein in the diet on the day before the procedureB. Take metformin with water only on the day of the procedureC. Discontinue the medication prior to the procedureD. Continue to take the medication as usual
Which of the following instructions should a nurse give to a client who is beginning over-the-counter calcium supplements at a dose of 1000 mg/day, as recommended by the healthcare provider?A. Divide the daily dose and take it with foodB. Return in 1 weeks to have a serum calcium level drawnC. Vitamin D supplements should be stopped when taking calcium supplements.D. Take calcium at night before bedtime
Which of the following interventions must the nurse consider when setting up or administering TPM? (SATA)A. To prevent infection, the nurse must change the TPN tubing at least every 72 hoursB. The TPN can only be mixed with blood products and no other medicationsC. The client is at high risk of infection because of the glucose in TPND. The nurse must monitor CBC, electrolyte, and liver function levelsE. The client may be at a higher risk for a mechanical complication such as pneumothorax