
You note your patient's sweat and urine are orange. You reassure the patient and educate them that this is an expected finding when using which drug?
Ethambutol
Streptomycin
Isoniazid
Rifampin
A patient with active tuberculosis is taking Ethambutol. As the nurse, you make it a priority to assess the patients.
Hearing
Mental Status
Vitamin B6 Level
Vision
A patient taking Isoniazid (INH) should be monitored for what deficiency?
Vitamin C
Calcium
Vitamin B6
Potassium
A patient with asthma is prescribed to take inhaled Salmeterol and Fluticasone for long-term management of asthma. You observe the patient taking these medications. Which option below best describes the correct order in how to take these medications?
The patient inhales the Salmeterol first and then waits 5 minutes before inhaling the Fluticasone.
The patient inhales the Fluticasone first and then waits 5 minutes before inhaling the Salmeterol.
The patient inhales the Salmeterol first and then waits 1 minute before inhaling the Fluticasone.
The patient inhales the Fluticasone and immediately inhales the Salmeterol.
A patient with asthma is receiving a nebulizer of Cromolyn. The patient reports a burning sensation in the nose along with a horrible taste in their mouth. As the nurse you will?
Immediately stop the nebulizer
Re-adjust the nebulizer
Call a rapid response because the patient is having a potential anaphylactic reaction to the medication.
Reassure the patient this is a temporary side effect of this medication.
You’re educating a patient how to use a peak flow meter to help monitor the status of their asthma. Which statement by the patient demonstrates they understand how to use the device?
“This device will help keep my lungs strong so I don’t have another asthma attack.”
“I will inhale as hard as I can while using the device.”
“I will use this device at the same time, either in the morning or before bedtime, and compare the readings with my personal best reading.”
“I will notify the doctor if my peak flow rating is 90% or more than my personal best peak flow.”
A patient has exercise-induced asthma. Which of the following actions can the patient perform to help prevent an attack during exercise. Select all that apply:
Avoid warming up before exercise.
Administer a short-acting beta agonist before exercise.
Administer a short-acting beta agonist after exercise.
Avoid exercising when experiencing a respiratory illness.
Your patient with asthma is taking Theophylline. Which product below should the patient avoid consuming?
Caffeine
Dairy
Wheat
Shellfish
Which medication below blocks the function of Leukotriene for the treatment of asthma?
Salmeterol
Theophylline
Tiotropim
Montelukast
A patient received a nebulizer of Albuterol. What is a side effect of this medication?
Bradycardia
Tachycardia
Drowsiness
Feeling cold
A patient with severe COPD is having an episode of extreme shortness of breath and requests their inhaler. Which type of inhaler ordered by the physician would provide the FASTEST relief for the patient based on this particular situation?
Spiriva
Salmeterol
Symbicort
Albuterol
A client has begun therapy with theophylline. The nurse would teach the client to limit the intake of which items while taking this medication?
Coffee, cola, and chocolate
Oysters, lobster, and shrimp
Melons, oranges, and pineapple
Cottage cheese, cream cheese, and dairy creamers
Zafirlukast is prescribed for a client with bronchial asthma. Which laboratory test does the nurse expect to be prescribed before the administration of this medication?
Platelet count
Neutrophil count
Liver function tests
Complete blood count
A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing which problem?
Hypercalcemia
Peripheral neuritis
Small blood vessel spasm
Impaired peripheral circulation
A client has been started on zolpidem. After instructing the client in how to obtain the maximal effect of zolpidem, the nurse determines that the client demonstrates understanding of correct administration of the medication by which statement?
"I take the medication just after my evening meal."
"I wait until bedtime and take the medication with a snack."
"I need to swallow the medication whole with a full glass of water."
"I take the medication with milk or an antacid to avoid stomach upset."
A client with schizophrenia has been started on medication therapy with clozapine. The nurse would assess the results of which laboratory study in order to monitor for adverse effects from this medication?
Platelet count
Blood glucose level
Liver function studies
White blood cell count
The nurse would provide instructions concerning which side effect to a client prescribed chlorpromazine?
Dry mouth
Lip smacking
Hand tremors
Increased urinary output
To determine whether the client is experiencing akathisia as an adverse effect of the medication haloperidol, what would the nurse observe the client for?
Lip smacking
Puffing of the cheeks
Rapid tongue movements
Restlessness or constant generalized movement
A client has a lithium level of 2.4 mEq/L. The nurse would immediately assess the client for which sign or symptom?
Diarrhea
Weakness
Blurred vision
Cardiac dysrhythmias
A client diagnosed with anxiety is starting therapy with lorazepam. Which factor in the client's history would prompt the nurse to consult with the primary health care provider before administering the medication?
Hypothyroidism
Diabetes mellitus
Narrow-angle glaucoma
Coronary artery disease
A 56-year-old adult client with heart failure is receiving digoxin. The nurse is auscultating the apical heart rate before giving digoxin and notes that the heart rate is 48 beats/minute. Which action would the nurse take?
Withhold the digoxin, and reevaluate the heart rate in 4 hours.
Administer half of the prescribed dose to avoid a further decrease in heart rate.
Withhold the digoxin, and assess for signs of decreased cardiac output and digoxin toxicity.
Administer the digoxin; the heart rate would be considered normal because of the client's age.
The nurse has provided medication instructions to a client with an iron deficiency anemia who will be taking iron supplements. Which statement made by the client indicates an understanding of this medication?
"I need to increase my fluid intake."
"I need to eliminate fiber foods from my diet."
"I need to take the medication with water before a meal."
"I need to be sure to chew the tablet thoroughly before swallowing it."
The nurse provides instructions to a client with hypertension about newly prescribed furosemide. Which information would the nurse use to provide instructions in this teaching session?
The medication acts on the distal tubule of the nephron.
The medication acts on the loop of Henle in the nephron.
The collecting duct of the nephron will be affected by this medication.
The site of action for furosemide is the proximal tubule of the nephron.
A client with atrial fibrillation is receiving a continuous heparin infusion at 1000 units/hour. The nurse determines that the client is receiving the therapeutic effect based on which results?
Prothrombin time of 12.5 seconds
Activated partial thromboplastin time of 60 seconds
Activated partial thromboplastin time of 28 seconds
Activated partial thromboplastin time longer than 120 seconds
The nurse would assess for which toxic effect when managing the care of a client prescribed haloperidol?
Nausea
Hypotension
Blurred vision
Excessive salivation
A client diagnosed with bipolar mood disorder has been given a prescription for carbamazepine. The nurse teaching the client about medication side and adverse effects instructs the client to notify the primary health care provider (PHCP) if which symptom develops?
Nausea
Dizziness
Sore throat
Drowsiness
A client diagnosed with schizophrenia is taking haloperidol. The nurse understands that this medication will exert its therapeutic effect through which mechanism?
Blocking serotonin reuptake
Inhibiting the breakdown of released acetylcholine
Blocking the uptake of norepinephrine and serotonin
Blocking dopamine from binding to postsynaptic receptors in the brain
Which assessment finding would the nurse anticipate when monitoring a client who is at risk for developing neuroleptic malignant syndrome?
Dysphagia
Bradycardia
Hypotension
Hyperpyrexia
A client prescribed chlorpromazine hydrochloride calls the mental health clinic to report urine that is much darker than usual. The client currently has no other urinary symptoms. What instructions would the nurse provide the client based on this information?
That this is an expected side effect of the medication
To seek treatment for a possible urinary tract infection
To increase the daily intake of acid-ash foods and liquids
That this symptom indicates mild chlorpromazine hydrochloride toxicity
A client who has been taking buspirone for 1 month returns to the clinic for a follow-up assessment. The nurse determines that the medication is effective if the absence of which manifestation has occurred?
Paranoid thought process
Rapid heartbeat or anxiety
Alcohol withdrawal symptoms
Thought broadcasting or delusions