
The nurse is monitoring for adverse effects in a client who is taking digoxin. Which findings are characteristic of digoxin toxicity? Select all that apply.
Tremors
Diarrhea
Irritability
Blurred vision
Nausea and vomiting
The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with osteoarthritis of the hands. The client tells the nurse that the drug does not seem to be effective after three weeks. Which is the best response for the nurse to provide?
frequency
Therapeutic blood levels of this drug are reached in 4-6 weeks
Another type of nonsteroidal anti-inflammatory drug may be indicated
Systemic corticosteroids are the next drug of choice for pain relief
Which instructions should the nurse give the female client who just received a prescription for oral metronidazole for the treatment of trichomonas vaginalis? Select all that apply
Increase fluid intake, especially cranberry juice
Do not abruptly discontinue the medication
Check BP to detect hypertension
Avoid drinking alcohol while taking this medication
Use condoms until treatment is completed
Ensure that all sexual partners are treated at the same time
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows that the action of this drug is to
Decrease the amount of thyroid-stimulating hormone circulating in the blood
Increase the amount of thyroid-stimulating hormone in the blood
Increase the amount of T4 and decrease the amount of T3 produced by the thyroid
Inhibit synthesis of T3 and T4 by the thyroid gland
A client is being treated for osteoporosis with alendronate (Fosamax), and the nurse has completed discharge teaching regarding medication administration. Which morning schedule would indicate to the nurse that the client teaching has been effective?
Take medication, go for a 30 minute walk, then eat breakfast
Take medication, rest in bed for 30 minutes, eat breakfast, go for a morning walk
Take the medication with breakfast, then take a 30 minute walk
Go for a 30 minute morning walk, eat breakfast, then take the medication
A client asks the nurse if glipizide (Glucotrol) is an oral insulin. Which response should the nurse provide?
"Yes, it is an oral insulin and has the same actions and properties as intermediate insulin."
"Yes, it is an oral insulin and is distributed, metabolized, and excreted in the same manner as insulin."
"No, it is not an oral insulin and can be used only when some beta cell function is present."
"No, it is not an oral insulin, but it is effective for those who are resistant to injectable insulins."
A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis. The nurse prepares for intravenous administration of edrophonium chloride (Tensilon). What is the expected outcome for this client following administration of this pharmacologic agent?
Progressive difficulty with swallowing
Decreased Respiratory effect
Improvement of generalized fatigue
Decreased muscle weakness
The nurse is transcribing a new prescription for spironolactone (Adactone) for a client who receives an angiotensin-converting enzyme (ACE) inhibitor. Which action should the nurse implement?
Verify both prescriptions with the healthcare provider.
Report the medication interactions to the nurse manager.
Hold the ACE inhibitor and give the new prescription
Transcribe and send the prescription to the pharmacy.
Which client should the nurse identify as being at highest risk for complications during the use of an opioid analgesic?
An older client with Type 2 diabetes mellitus.
A client with chronic rheumatoid arthritis.
A client with a open compound fracture.
A young adult with inflammatory bowel disease.
A 43-year-old female client is receiving thyroid replacement hormone following a thyroidectomy. What adverse effects associated with thyroid hormone toxicity should the nurse instruct the client to report promptly to the healthcare provider?
Tinnitus & Dizziness
Tachycardia & Chest Pain
Weight Gain & Increased Appetite
Dry Skin & Intolerance to Cold
The nurse is caring for a client who takes levothyroxine for hypothyroidism. Which of the following indicates a need for an increased dosage? Select all that apply
Impaired short term memory
BP 178/80
Cold Intolerance
HR of 46
Diaphoresis
A nurse is planning to teach a client who has asthma about taking montelukast. Which of the following information should the nurse include about the purpose of this medication?
Control inflammation in the airways
Relieve acute bronchospasms
Inhibits replication of neutrophils
Activates beta-2 receptors in smooth muscles
A nurse is caring for a client who is receiving a continuous IV infusion of magnesium sulfate for preterm labor. The nurse should discontinue the infusion and prepare to administer calcium gluconate if the client demonstrates which of the following findings? (Select all that apply)
Decreased LOC
Systolic BP of 130 mm Hg
Urine output of 80 mL in 4 hours
Absence of DTR
Report of Chills
A nurse is providing teaching about smoking cessation treatment with varenicline to a client and his family. The nurse should include in the teaching to report which of the following adverse effects of the medication as a priority?
Changes in Behavior
Nausea
Weight Gain
Abnormal Dreams
A patient is taking Warfarin (Coumadin). What is a desired INR level for this patient?
Less than 1
1.5-2.5 times the normal range
2-3
30-40 seconds
What is a NORMAL aPTT for a patient who is NOT taking an anticoagulant?
60-80 seconds
2-3
10-12 seconds
30-40 seconds
A patient who has epilepsy is scheduled to take a dose of Dilantin. What is the desired therapeutic range for this medication?
4-10 mcg/mL
10-20 mcg/mL
15-40 mcg/mL
50-100 mcg/mL
What is an approximate normal range for a PT (prothrombin) level?
10-12 seconds
2-3 seconds
30-40 seconds
60-80 seconds
The nurse is evaluating a client's understanding of the prescribed antilipemic drug lovastatin (Mevacor). Which client statement indicates that further teaching is needed?
"I will take the medication everyday before breakfast"
"I will take the medication every day after dinner."
"I will drink the medication with a full glass of water"
"I will take the medication in the evening before bed"
Which class of antineoplastic chemotherapy agents resembles the essential elements required for DNA and RNA synthesis, and inhibits the enzymes necessary for cellular function and replication?
Antitumor Antibiotics
Vinca Agents
Alkylating Agents
Antimetabolites
During therapy with isoniazid (INH), it is most important for the nurse to monitor which laboratory value closely?
Renal Function Tests
Liver Enzyme Levels
WBC levels
Platelet Levels
A patient demonstrates that teaching has been effective regarding the administration of the chemotherapeutic agent daunorubicin HCL (Cerubidine) be stating "I expect my urine to be red for the next few days"
The nurse knows that certain antipsychotic drugs cause extrapyramidal symptoms. Which extrapyramidal symptom is a permanent and irreversible adverse effect of long-term phenothiazine administration?
Akinesia
Dystonia
Tardive Dyskinesia
Parkinsonism
The nurse is preparing a child for transport to the operating room for an emergency appendectomy. The anesthesiologist prescribes atropine sulfate (Atropine), IM STAT. What is the primary purpose for administering this drug to the child at this time?
To increase the clients HR
To decrease oral secretions
To correct dysrhythmias
To decrease the clients HR
A patient taken acyclovir sodium (Zovirax) IV for a severe herpes simplex infection. The nurse should implement that the patient increases daily fluids to 2,000-4,000 mL/day