Prior to administering an antihistamine to a patient, it is most important for the nurse to assess the patient for a history of which condition?
a. Chronic urticaria
b. Motion sickness
c. Urinary retention
d. Insomnia

Answer C

Which medication will the nurse teach a patient with asthma to use when experiencing an acute asthma attack?
a. albuterol (Ventolin)
b. salmeterol (Serevent)
c. theophylline (Theo-Dur)
d. montelukast (Singulair)

Answer A

A client who is receiving bumetanide is instructed to watch for symptoms associate with electrolyte imbalances. Which condition would the client most likely experience?
a. Hypernatremia
b. Hypercalcemia
c. Hypokalemia
d. Hypophosphatemia

answer C

A client with chest pain is receiving sublingual nitroglycerin. The nurse would include in the care plan to monitor the client for which adverse effect?
a. Photosensitivity
b. Elevated blood pressure
c. Vomiting and diarrhea
d. Decreased blood pressure

answer D

Clopidogrel is indicated for which of the following?
a. Reduction of myocardial infarction, stroke, and vascular death in patients with artherosclerosis
b. Adjunctive therapy to warfarin for deep vein thrombosis
c. Heparin-induced thrombocytopenia
d. Patients in whom bleeding is a consideration

answer A

The community health nurse teaches a client at home. Lisinopril has been prescribed for the client. Which statement if made by the client indicated that further teaching is necessary?
a. "I should notify my health care provider of symptoms of hypotension such as dizziness or fainting"
b. "I should avoid the use of salt substitute containing potassium"
c. "If a dose is missed I will take it as soon as possible but not too close to the next dose"
d. "Too much calcium in my diet will elevate my blood pressure"

answer D

An opioid analgesic has been administered to a client postoperatively. The nurse would make which priority follow-up assessment? (SELECT ALL THAT APPLY)
a. Respiratory rate and level of consciousness
b. Blood pressure
c. Interactions with foods and other medications
d. History of drug abuse and pain management history
e. Pain level

answer: A, B, E

The client asks how atenolol helps angina. The response provided by the nurse is based on which concept? This medication
a. Slows the heart rate and reduces contractability
b. Increases the heart rate and diminishes contractability
c. Blocks sodium channels and elevates depolarization
d. Decreases blood pressure and blocks the alpha2 receptors

Answer: A

Because phenytoin was ordered stat for a client who has just admitted to the nursing unit from the emergency department, which assessments are of highest priority for the nurse to perform?
a. Hydration status and emotional response to seizures
b. Blood urea nitrogen, createnin, and urine output
c. Seizure activity, mental status, and respiratory rate
d. Electrolytes, serum osmolality, and leg edema

Answer: C

A client with the diagnosis of decompensated heart failure would be expected to be in which of the following medications by the nurse?
a. Cardizem
b. Metoprolol
c. Dobutamine
d. Celexicob

Answer: C

A home care nurse is visiting an 88 year old man, who is taking acetaminophen for arthritic pain in his knee. Which of the following patient teaching statements is most appropriate to implement?
a. Acetaminophen will only relieve pain but not the inflammation from arthritis
b. Acetaminophen is appropriate for the treatment of inflammation from arthritis
c. Your primary heath care provider should consider a prescription for acetaminophen/hydrocodone
d. The acetaminophen should be administered on an empty stomach

Answer: A

Which of the following would be indicated for a client on heparin who presents with complains of blood in the urine and from the gums
a. Naloxone IV
b. Vitamin K PO
c. Fluomazeril IV
d. Protamine sulfate IV

Answer: D

A patient who was walking his dog developed chest pain and sat down. He continues to experience chest pain when sitting down. When should he call 911?

a. Immediately
b. If the pain becomes more severe
c. If one sublingual tablet does not relieve the pain after 5 minutes
d. If the pain is not relieved after three sublingual tablets, taken 5 minutes apart

Answer: C

(or A, depending on Juan's mood =P )

A patient is receiving digoxin 0.25 mg daily as part of treatment for heart failure. The nurse assesses the patient before medication administration. Which assessment finding would be of most concern?
a. Apical heart rate of 58 beats/min
b. Ankle edema +1 bilaterally
c. Serum potassium level of 2.9 mEq/L
d. Serum digoxin level of 0.8 ng/mL

Answer: C

A patient who has chronic renal failure wants to self-treat with an antacid for occasional heartburn. Which medication is the best choice for this patient?
a. A magnesium-containing antacid
b. A calcium-containing antacid
c. An aluminum-containing antacid
d. Because of renal problems, the patient should not take antacids for this problem.

Answer: C

When working with an elderly patient who has been admitted for a possible gastrointestinal bleed, the nurse identifies which drug as having the potential to cause confusion and disorientation?
a. An antacid
b. A proton pump inhibitor
c. An H2 antagonist
d. A mucosal protectant

Answer: C
may cause anticholinergic effects of an H1 receptor if all H2 receptors are saturated.

When providing education regarding the use of proton pump inhibitors, which statement will the nurse include?
a. "Take the medication along with the first meal of the day."
b. "Take the medication on an empty stomach, 30 to 60 minutes before eating."
c. "Take the medication when you have symptoms of heartburn."
d. "Take the medication at bedtime with a snack."

Answer: B

The antidiarrheal drug Lomotil contains both diphenoxylate, a synthetic opiate agonist, and atropine, an anticholinergic. The purpose of the atropine in this combination is to
a. enhance the effects of the diphenoxylate.
b. discourage recreational use of the opiate diphenoxylate.
c. counteract the adverse effects of the diphenoxylate.
d. act as an adsorbent for bacteria in the bowel.

Answer: B

Before administering belladonna alkaloids (anticholinergic), it is most important for the nurse to assess the patient for a history of which condition?
a. Anemia
b. Diabetes mellitus
c. Myasthenia gravis
d. Hypertension

Answer: C
(ACh problem)

Which antidiarrheal does the nurse associate with the development of adverse effects of urinary retention, headache, confusion, dry skin, rash, and blurred vision?
a. Anticholinergics
b. Adsorbents
c. Probiotics
d. Opiates

Answer: A

A 48-year-old patient has been admitted with abdominal pain, and states that she has not had a bowel movement for 4 days. Her abdomen is distended and slightly tender. Which laxative would be appropriate for this patient?
a. Milk of magnesia
b. A bulk-forming laxative
c. Mineral oil
d. No laxative should be given at this time

Answer: D
due to abdominal pain and distention no laxative should be given since it could be due to a different pathology

A patient is in pulseless cardiac arrest. Which medication does the nurse anticipate administering?
a. vasopressin
b. desmopressin
c. cosyntropin
d. somatropin

Answer: A

A patient has been taking levothyroxine for 6 months. After this month's laboratory work, the nurse practitioner tells the nurse that the patient is "euthyroid." What does that term mean?
a. The patient is experiencing hyperthyroidism.
b. The patient is experiencing hypothyroidism.
c. The patient's thyroid hormone levels are within normal limits.
d. The patient's thyroid hormone levels are still fluctuating.

Answer: C

A patient who is taking a thyroid replacement medication tells the nurse that she is starting to experience cold intolerance, depression, constipation, and dry skin. The nurse anticipates that these manifestations are caused by
a. inadequate doses of the medication.
b. possible overdose of the medication.
c. worsening of the underlying disease.
d. drug interactions with another medication.

Answer: A

Which information will the nurse include when teaching a patient about thyroid replacement therapy?
a. "Take the medication before bed."
b. "You will experience beneficial effects of the drug after one week of treatment."
c. "Stop taking the drug if you experience insomnia."
d. "Take the medication on an empty stomach."

Answer: D

Which would be the best menu choice for a patient who is taking an antithyroid medication?
a. A seafood platter
b. Sushi
c. Tofu burger
d. Pasta with marinara sauce

Answer: D