Medicine Questions
Explore questions in the Medicine category that you can ask Spark.E!
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
A nurse is caring for a client with sickle cell pain crisis who has prescriptions for morphine and a normal saline infusion. Which of the following does the nurse understand about parenteral administration of fluids and medication?A. Aseptic technique should be used to avoid contamination of sterile equipmentB. Multi-dose vials of parenteral medications are preferable to reduce the cost of careC. When a client will receive successive doses of a medication from a multi-dose vial, the vial should be kept in the immediate client treatment areaD. Large-volume bottles or bags of intravenous solution can be used to supply multiple clients who require only small quantities for flush or dilution of medication
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
When administering IV morphine every 3-4 hours as needed for postoperative pain the nurse knows to implement which of the following interventions? (SATA)A. Reassess the client in 1 hr after administration of medicationB. Administer stimulant laxatives daily to prevent constipationC. Tell the client to ask for assistance when getting out of bedD. Administer the medication over 5 minutesE. Do not co-administer with nonopioid analgesics
A client is admitted with a suspected subarachnoid bleed and will need to undergo a spinal fluid diagnostic procedure. Choose the task for which the nurse is responsible while assisting with the procedure. (SATA)A. Inject the local numbing medicationB. Assist the client in maintaining the correct positionC. Open and set up the lumbar puncture trayD. Monitor the client's blood pressure and pulseE. Measure the pressure of the cerebrospinal fluid
A nurse is caring for a client who has received a prescription for oxycodone on discharge after surgery. Which of the following adverse effects should the nurse discuss with the client? (SATA)A. AgitationB. DiarrheaC. Urinary IncontinenceD. NauseaE. Constipation
A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription for olanzapine. Which of the following client statements indicates understanding of the teaching?A. I can skip doses as I begin to feel better on the medication"B. If I feel drowsy during the day, I will stop taking this medication and call my provider"C. "I will watch my diet, so I do not gain too much weight while on the medication"D. "This medication is addictive and must be withdrawn slowly"
Which of the following prescriptions should a nurse question? (SATA)A. Omeprazole 40 mg IV every 24 hours for a client with a GI bleedB. Regular insulin 2 units subcutaneous for a client with diabetes who has a blood glucose of 210 before the evening mealC. Oral vancomycin 125 mg 4 times a day for a client with C. diff infection and diarrheaD. Amoxicillin/clavulanate875 mg po every 12 hours for community-acquired pneumonia in a penicillin-allergic clientE. Benztropine (Cogentin) 1 mg daily po for a client with glaucoma
A nurse is caring for a client who has absence seizures. The nurse should recognize that which of the following medications are indicated for the treatment of absence seizures? (SATA)A. PhenytoinB. EthosuximideC. GabapentinD. PrimidoneE. Valproic AcidF. Lamotrigine
A nurse is completing a medication reconciliation for a client who is being transferred to the unit from the ICU and is starting to take propranolol. Which of the following findings in the medical history should the nurse report to the provider as a potential contraindication for taking the medication?A. The client has a history of hypothyroidismB. The client has a history of bronchial asthmaC. The client has a history of tachycardiaD. The client has a history of migraine headaches
A nurse is caring for a client with Parkinson's disease who has a prescription for selegiline (Eldepryl). Which of the following is true about this medication (SATA)?A. It causes dizzinessB. It affects sleep patternsC. It is taken intravenously onlyD. It can be administered with MAOIE. It is ototoxicF. It's best to administer when symptoms occur
A nurse is assessing a male client who recently began taking haloperidol to treat schizophrenia. Which of the following adverse effects is the highest priority for the nurse to report to the provider?A. Shuffling gaitB. Neck spasmsC. DrowsinessD. Orthostatic hypotension
The nurse is administering fibric acid derivative to a client with coronary heart disease. Which of the following fall under this classification of drugs? (SATA)A. LovastatinB. SimvastatinC. GemfibrozilD. AtorvastatinE. FluoroquinoloneF. ColestipolG. Clofibrate
A client calls the clinic and tells the nurse she forgot to take her oral contraceptive this morning. Which of the following should the nurse instruct the client to do?A. Take the medication immediatelyB. Restart the medication in the morningC. Use another form of contraception for 2 weeksD. Take two pills tonight before bedtime
A nurse is planning to advise a client with heart failure who has a new prescription for digoxin. Which of the following signs of toxicity should the nurse include when advising the client?A. Increased pedal edemaB. Redness on upper chest and neckC. Vison changes, including appearance of yellow haloes around some objectsD. Dry cough
A nurse is caring for a client who received preoperative atropine to dry up secretions. Which of the following is a side effect of anticholinergic medications like atropine? (SATA)A. Urinary retentionB. DeliriumC. DiaphoresisD. HypothermiaE. Diarrhea
A nurse is caring for a 4-year old child with sickle cell anemia who has new prescriptions cycrimine (Pagitane), folic acid, hydroxyurea and penicillin. When reviewing the medications with the parents, which of the following is the appropriate nursing intervention?A. Notify the doctor and ask to cancel cycrimine (Pagitane)B. Provide instruction for home care and follow-up treatmentC. Notify the doctor and ask to cancel hydroxyureaD. Provide instructions to report adverse reactions and prevent sickle cell crisis
A bag of TPN solution has arrived from the pharmacy and the nurse notes in the prescription that in addition to electrolytes, the solution also contains medication. Which of the following medications can be mixed with TPN solution for administration? (SATA)A. CodeineB. InsulinC. AcetaminophenD. Famotidine (Pepcid)E. Vitamin C
A client diagnosed with PE is receiving a heparin infusion. The nurse knows to administer which of the following drugs immediately in case of a serious bleeding reaction?A. Protamine sulfateB. Fresh frozen plasmaC. Vitamin KD. Idarucizumab
A nurse is providing teaching for a client recently diagnosed with major depression who has a new prescription for fluoxetine. Priority should be given to teaching about interactions with which of the following supplements used by this client?A. EchinaceaB. GinsengC. St. John's wortD. Gingko biloba