Medicine Questions
Explore questions in the Medicine category that you can ask Spark.E!
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 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 has breast cancer and asks why she is receiving a combination chemotherapy of cyclophosphamide, methotrexate and fluorouracil. Which of the following responses should the nurse make? (SATA)A. "Combination chemotherapy is used to decrease medication resistance"B. "Combination chemotherapy is used to attack cancer cells at different stages of cell growth"C. "Combination chemotherapy is used to eliminate adverse effectsD. "Combination chemotherapy is used to stimulate your immune system"E. "Combination chemotherapy is used to reduce the risk of injury to normal body cells"
Which of the following actions should a nurse take immediately after stopping a transfusion for a client with a transfusion reaction?A. Culture the catheter tip from the transfusion lineB. Remove the intravenous tubing and catheterC. Flush the intravenous catheter with normal saline and run at keep vein open (KVO) rateD. Flush the IV with 5% dextrose in water (D5W) and run at KVO
The nurse is administering cromolyn sodium (Intal) for a client with asthma. Which of the following are true about this drug? (SATA)A. It causes confusionB. It causes headacheC. It prevents an attackD. It treats an acute attackE. It causes photosensitivityF. It does not cause wheezing
A nurse is caring for a client who has a new prescription for Clopidogrel after placement of a coronary artery stent. The nurse should develop a teaching plan that includes which of the following points? (SATA)A. The client should report unexpected bleeding or bleeding that lasts a long timeB. The client should always take Clopidogrel with foodC. The client may bruise more easily and may experience bleeding gumsD. Clopidogrel works by preventing platelets from forming a clotE. The client should drink a glass of water after taking Clopidogrel
Which emergency medication is accurately paired with its nursing implication?A. Mannitol: This medication must be discontinued graduallyB. Pentobarbital: Assess electrolytes at least every 6 horusC. Mannitol: Assess hemoglobin every 12 hoursD. Phenytoin: The dosage is adjusted according to its therapeutic levels
A nurse is maintaining an intravenous site. Which of the following interventions must be implemented to maintain the IV system? (SATA)A. Change gauze dressing every 48 hoursB. Disconnect infusion tubing when changing client's gownC. Change midline injection cap at least once a weekD. Change the tubing for intermittent infusion through an access port every 24 hoursE. Fluid container should be changed every 24 hours
A nurse is caring for a 56 yr old client who is taking warfarin (Coumadin). Which of the following laboratory parameters should be monitored (SATA)?A. PTB. PTTC. INRD. PlateletsE. CRP
A nurse is providing teaching to an adolescent and her guardian about atomoxetine. The nurse should instruct the adolescent and her guardian that atomoxetine can cause which of the following adverse effects? (SATA)A. Loose stoolsB. NauseaC. Weight gainD. InsomniaE. Mood changes
A client with asthma is scheduled for treatment with methylxanthine for nocturnal wheezing. Which f the following drugs are methylxanthine drugs that are appropriate for the treatment of the client? (SATA)A. PirbuterolB. SalmeterolC. FluticasoneD. TheophyllineE. Aminophylline
A charge nurse is conducting a staff in-service about medications used during the care of a client who is experiencing acute alcohol withdrawal. Which of the following medications should the charge nurse include in the discussion? (SATA)A. LorazepamB. CarbamazepineC. DiazepamD. NaloxoneE. Acamprosate
A nurse is teaching a client who has a new prescription for valproic acid. The nurse should instruct the client he will need to have which of the following laboratory tests completed periodically while taking this medication? (SATA)A. Platelet countB. HematocritC. AmylaseD. Liver functionE. Potassium
A nurse is providing teaching for a client who has a new prescription for raloxifene HCl (Evista). The nurse should advise the client about which side effects of raloxifene (SATA)?A. Hot flashesB. HematuriaC. Leg crampsD. DiarrheaE. Weight loss
The client is experiencing a cardiac rhythm called SVT (supraventricular tachycardia). What would be an appropriate intervention for a stable client? (SATA)A. Have client rest quietly in bed until it passesB. Administer adenosineC. Ambulate client in hallwayD. Give client a snackE. Ask the client to cough or bear down as if having a bowel movement (Valsalva maneuver)
A nurse is caring for a school age child who has a major burn and is experiencing severe pain. Which of the following actions should the nurse implement to manage the client's pain?A. Administer morphine sulfate IV via continuous infusionB. Administer meperidine IV around the clock as neededC. Administer acetaminophen PO every 4 hrD. Administer hydrocodone PO every 6 hr
A client with diabetic gastroparesis has a new prescription for metoclopramide (Reglan.) Which symptom should the nurse instruct the client to report immediately as a potentially serious adverse effect?A. ConstipationB. DiarrheaC. Lip smackingD. Agitation
A nurse is preparing to initiate IV therapy on a client. Which of the following solutions should the nurse identify as the best choice for preparing the client's skin at the insertion site?A. isopropyl alcoholB. chlorhexidineC. soap and waterD. povidone-iodine
A child with attention deficit hyperactivity disorder receives a new prescription for methylphenidate. About which of the following side effects should the nurse advise the parent?A. Dry coughB. SedationC. Weight gainD. Restlessness
A nurse is teaching a client who has a new prescription for oral dimenhydrinate for motion sickness. Which of the following statements by the client indicates an understanding of the teaching?A. "I might experience some dizziness while taking this medication."B. "It is not unusual to have my blood pressure increase while taking this medication."C. "I will take this medication at least 24 hours before I plan to travel"D. "I can expect to have an increase in salivation while taking this medication."