Medicine Questions
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A nurse is providing medication information to a client who has bipolar disorder and a new prescription for lithium. The nurse should instruct the client to report which of the following manifestations of lithium toxicity to the provider? (SATA)A. DiarrheaB. PolyuriaC. RashD. Muscle weaknessE. Weight loss
A nurse is working with a client who has a central line, but she is unable to flush the catheter or give any medications or fluids. Which of the following initial interventions should the the nurse use to try to resolve the situation? (SATA)A. Tell the patient to exhale sharply through his mouthB. Have the patient turn his head and coughC. Administer 10 mL of heparin solutionD. Ask the patient to raise his armsE. Use an enzyme clot-buster
A healthcare provider orders a sodium polystyrene sulfonate retention enema for a client. What is the most likely reason for this enema?A. To reduce the number of of bacteria in the colon before surgeryB. To relieve constipation by drawing fluid into the colon and stimulating evacuationC. To provide contrast for x-rays of the colonD. To remove excess potassium in hyperkalemia
A nurse is caring for a client who is receiving total parenteral nutrition. Which clinical situations would most likely warrant use of parenteral nutrition? (SATA)A. Small bowel resectionB. Post-op appendicitis surgeryC. Gastrointestinal fistulaD. Gastric ulcerE. Mastectomy
A healthcare provider prescribes gold salts for a client with rheumatoid arthritis. For which of the following serious side effects will the client require monitoring?A. Persistent diarrheaB. Persistent nauseaC. Pulmonary emboliD. Cardiac decompensation
An older adult client is scheduled for treatment with flecainide (Tambocor). Which of the following statements are correct about this drug? (SATA)A. Used to treat hypertensionB. It belongs to class IB antiarrhythmicsC. It slows impulse conduction velocityD. Treats supraventricular tachycardiaE. Treats heart blockF. Blocks sodium channelG. Can cause kidney damage
A nurse triages a 3 year old child in the ED whose father just found him hold an empty bottle of ibuprofen that belongs to his grandfather. The father does not know how many pills were in the bottle. What does the nurse anticipate as the initial action?A. Gastric lavageB. Syrup of ipecacC. Activated charcoalD. Sodium bicarbonate
A nurse is caring for a client who has acute respiratory distress syndrome (ARDS) and is being mechanically ventilated. The client is prescribed vecuronium. Which of the following medications should the nurse anticipate administering with this med? (SATA)A. FentanylB. TriamtereneC. MidazolamD. Albuterol
What is the nurse's first priority action when a client has an extravasation?A. Stop the infusion and remove the catheterB. Lower the arm below the level of the heartC. Apply a tourniquetD. Stop the infusion
A nurse is reviewing the medication records of several clients who have bipolar disorder. The nurse should identify that which of the following medications are mood stabilizers used to treat bipolar disorder? (SATA)A. LamotrigineB. LithiumC. DonepezilD. ValproateE. Carbamazepine
A client is undergoing a massive blood transfusion and complains of muscle cramps. The nurse knows to assess Chvostek's sign because of which of the following possible effects of a large-volume blood transfusion?A. HypercalcemiaB. HypocalcemiaC. Hepatitis CD. Hypokalemia
A client with HIV (human immunodeficiency virus) is taking didanosine, pentamide, and trimethoprim-sulfamethoxazole. Elevated serum amylase was noted in the laboratory report. Which of the following is the best curse of action for the nurse?A. A. Determine if client is compliantB. Provide instruction s about the effect of drugs on serum amylaseC. Call the doctor immediatelyD. Assess if the client has a complaint about a symptom
The nurse is administering silver sulfadiazine to an older adult client. Which of the following is true about this drug? (SATA)A. It causes black stains of the skinB. It causes leukopeniaC. It causes flushing and a tingling sensationD. It forms sulfa crystals in the urineE. Sulfamylon is the brand nameF. It interferes with liver function
A nurse is teaching a client who has a new prescription for amitriptyline methods to minimize anticholinergic effects. Which of the following instructions should the nurse include in the teaching? (SATA)A. "Void just before taking the medication"B. "Increase your dietary intake of sodium"C. "Wear sunglasses when you are outside"D. "Change positions slowly when you get upE. "Increase your fiber intake"
A nurse is caring for a client with bipolar disorder who has a prescription for lithium. Which of the following will the nurse monitor for an early sign of lithium toxicity?A. HeadacheB. Nausea and vomitingC. Chest painD. Weight loss
A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum. Which of the following statements by the client indicates an understanding of the teaching?A. "I will chew the gum for no more than 10 minutes"B. "I will keep the gum in the refrigerator when I am at home"C. "I will avoid eating for 15 minutes prior to chewing the gum"D. "I must stop using the gum after 90 days"
A nurse is instructing a client about a new prescription for Digoxin. In addition to instructing that the prescribed dose of Digoxin should be withheld in the presence of a decreased pulse rate the nurse will also the client to withhold the medication if the client experiences which of the following?A. A decreased urinary outputB. Chest painC. Blurred visionD. Singultus
A nurse is teaching the guardian of a school-age child who has a new prescription for dextroamphetamine/amphetamine to treat ADHD. Which of the following information should the nurse include in the teaching? (SATA)A. "An adverse effect of this medication is central nervous system stimulation"B. "You should administer the medication before bedtime"C. "You should monitor the child's blood pressure while taking this medication"D. "You should limit your child's intake of caffeine-containing products"E. "You should give the morning dose after breakfast"
A nurse is monitoring a client receiving packed red blood cells. What is an example of a change that develops in the urinary system as a symptom of a transfusion reaction?A. Increased urinary outputB. Red urineC. Decreased urinary outputD. Kidney stones
A nurse is collecting data from a client who is taking gemfibrozil to treat hyperlipidemia. Which of the following findings should the nurse identify as an adverse effect of this medication?A. ConfusionB. TachycardiaC. Muscle weaknessD. Peripheral edema