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A nurse is teaching a school-age child and his parents about a new prescription for Lisdexamfetamine. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. An adverse effect of this medication is CNS stimulation. B. Administer the medication before bedtime. C. Monitor blood pressure while taking this medication. D. Therapeutic effects of this medication will take 1 to 3 weeks to fully develop. E. This medication raises the levels of dopamine in the brain - CORRECT ANSWER- - A. An adverse effect of this medication is CNS stimulation. C. Monitor blood pressure while taking this medication. E. This medication raises the levels of dopamine in the brain (A. An adverse effect of lisdexamfetamine is CNS stimulation such as insomnia and restlessness. C. The nurse should instruct the client to monitor his blood pressure due to potential cardiovascular effects of lisdexamfetamine. E. Lisdexamfetamine, a CNS stimulant, works by raising the levels of norepinephrine and dopamine in the CNS) A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for Propranolol. Which of the following information should the nurse to include in the teaching?
A. Increases the risk for seizure activity B. Provides a form of aversion therapy C. Decreases cravings D. Results in mild hypertension - CORRECT ANSWER- - C. Decreases cravings (Propranolol is an adjunct medication used during withdrawal to decrease the client's craving for alcohol) A nurse is caring for a school-age child who has a new prescription for Atomoxetine. The nurse should monitor the client for which of the following adverse effects of this medication? A. Kidney toxicity B. Liver damage C. Seizure activity D. Adrenal insufficiency - CORRECT ANSWER- - B. Liver damage (Liver damage is an adverse effect of atomoxetine. The nurse should monitor for manifestations such as jaundice, upper abdominal tenderness, darkening of urine, and elevated liver enzymes) A nurse is teaching the parents of a school-age child about transdermal Methylphenidate. Which of the following instructions should the nurse include? A. Apply one patch twice per day. B. Leave the patch on for 9 hr. C. Apply the patch to the child's waist. D. Use opened tray within 6 months. - CORRECT ANSWER- - B. Leave the patch on for 9 hr.
(Dry mouth is a common adverse effect associated with clonidine use) A nurse is teaching a female client who has tobacco use disorder about Nicotine replacement therapy. Which of the following statements by the client indicates understanding of the teaching? A. "I should avoid eating right before I chew a piece of nicotine gum." B. "I will need to stop using the nicotine gum after 1 year." C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant." D. "I must chew the nicotine gum quickly for about 15 minutes. - CORRECT ANSWER- - A (The client should avoid eating or drinking 15 min prior to and while chewing the nicotine gum) A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from Opioid use and has a new prescription for Clonidine. Which of the following actions should the nurse identify as the priority? A. Administer the clonidine on the prescribed schedule. B. Provide ice chips at the client's bedside. C. Educate the client on the effects of clonidine. D. Obtain baseline vital signs - CORRECT ANSWER- - D (Assessment is the initial step of the nursing process. Obtaining the client's baseline vital signs is the priority nursing action) A nurse in the post-anesthesia recovery unit is caring for a client who received a nondepolarizing neuromuscular blocking agent and has muscle weakness. The nurse should anticipate a prescription for which of the following medications? A. Neostigmine B. Naloxone
C. Dantrolene D. Vecuronium - CORRECT ANSWER- - A (Neostigmine is a cholinesterase inhibitor used to reverse the effects of nondepolarizing neuromuscular blockers) A nurse is providing information to a client who has early Parkinson's disease and a new prescription for pramipexole. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Hallucinations B. Increased salivation C. Diarrhea D. Discoloration of urine - CORRECT ANSWER- - A (Pramipexole can cause hallucinations within 9 months of the initial dose and might require discontinuation.) A nurse is teaching a client who has a new prescription for Levodopa/Carbidopa for Parkinson's disease. Which of the following instructions should the nurse include? A.Increase intake of protein-rich foods. B.Expect muscle twitching to occur. C.Take this medication with food. D.Anticipate relief of manifestations in 24 h - CORRECT ANSWER- - C (The client should take this medication with food to reduce GI effects.) A nurse is preparing to administer a medication to a client who has absence seizures. The nurse should anticipate administering which of the following medications to the client? (Select all that apply.) A. Phenytoin
D. The client should avoid driving if CNS effects of dizziness, drowsiness, and double vision develop. E. The client should notify the provider if a skin rash occurs because life-threatening skin disorders can develop.) A nurse is instructing a client who has a new prescription for Timolol how to insert eye drops. The nurse should instruct the client to press on which of the following areas to prevent systemic absorption of the medication? A. Bony orbit B. Nasolacrimal duct C. Conjunctival sac D. Outer canthus - CORRECT ANSWER- - B (Pressing on the nasolacrimal duct blocks the lacrimal punctum and prevents systemic absorption of the medication) A nurse is teaching a client who has a new prescription for Brimonidine ophthalmic drops and wears soft contact lenses. Which of the following instructions should the nurse include in the teaching? A. "This medication can stain your contacts." B. "This medication can cause your pupils to constrict." C. "This medication can absorb into your contacts." D. "This medication can slow your heart rate." - CORRECT ANSWER- - C (Brimonidine can absorb into soft contact lenses. The client should remove his contacts then instill the medication and wait at least 15 min before putting in his contacts back in.)
A nurse in an emergency unit is reviewing the medical record of a client who is being evaluated for angle-closure Glaucoma. Which of the following findings are indicative of this condition? A. Insidious onset of painless loss of vision B. Gradual reduction in peripheral vision C. Severe pain around eyes D. Intraocular pressure 12mm Hg - CORRECT ANSWER- - C (Severe pain around eyes that radiates over the face is a manifestation of acute angle-closure glaucoma) A nurse is teaching a client about preventing Otitis Externa. Which of the following instructions should the nurse include? A. Clean the ear with a cotton-tipped swab daily B. Place earplugs in the ears when sleeping at night. C. Use a cool water irrigation solution to remove earwax. D. Tip the head to the side to remove water from the ears after showering - CORRECT ANSWER- - D (The client should remove water from the ear after showering or swimming to reduce the risk for otitis externa) A nurse in a provider's office is instructing a parent of a toddler how to administer ear drops. Which of the following instructions should the nurse include? (Select all that apply.) A."Place the child on his unaffected side when you are ready to administer the medication." B."Warm the medication by gently rolling it between your hands for a few minutes." C."Gently shake medication that is in suspension form." D."keep the child on his side for 5 minutes after instillation of the ear drops." E."Tightly pack the ear with cotton after instillation of the ear drops. - CORRECT ANSWER- -
A. Place a cooling blanket on the client. B. Administer oxygen at 100%. C. Administer iced 0.9% sodium chloride. D. Administer potassium chloride IV. E. Monitor core body temperature - CORRECT ANSWER- - a, b, c, e (A. The nurse should apply a cooling blanket and apply ice to the axilla and groin. B. The nurse should administer oxygen at 100% to treat decreased oxygen saturation. C. The nurse should take action to decrease the client's body temperature by administering iced IV fluids. E. The nurse should monitor core body temperature to prevent hypothermia and to determine progress with treatment measures) A nurse is teaching a client who has a new prescription for Baclofen to treat muscle spasms. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.) A. "I will stop taking this medication right away if I develop dizziness." B. "I know the doctor will gradually increase my dose of this medication for a while." C. "I should increase fiber to prevent constipation from this medication." D. "I won't be able to drink alcohol while I'm taking this medication." E. "I should take this medication on an empty stomach each morning." - CORRECT ANSWER- - b, c, d
(B. The provider starts the client on a low dose, and the dose is increased gradually to prevent CNS depression. C. The client should increase fluids and fiber to reduce the risk for constipation. D. The intake of alcohol and other CNS depressants can exacerbate the CNS depressant effects of baclofen. Therefore, the client is instructed to avoid CNS depressants while taking baclofen) A nurse is reviewing the health care record of a client who reports urinary incontinence and asks about a prescription for Oxybutynin. The nurse should recognize that Oxybutynin is contraindicated in the presence of which of the following conditions? A. Bursitis B. Sinusitis C. Depression D. Glaucoma - CORRECT ANSWER- - D (Oxybutynin is an anticholinergic and can increase intraocular pressure. It is contraindicated for clients who have glaucoma) A nurse is caring for a client who has a prescription for Bethanechol to treat urinary retention. The nurse should recognize that which of the following findings is a manifestation of muscarinic stimulation? A. Dry mouth B. Hypertension C. Excessive perspiration D. Fecal impaction - CORRECT ANSWER- - C (Bethanechol is a muscarinic agonist. muscarinic stimulation can result in sweating)
A nurse is teaching a client who has a new prescription for Ramelteon. The nurse should instruct the client to avoid which of the following foods while taking this medication? A. Baked potato B. Fried chicken C. Whole-grain bread D. Citrus fruits - CORRECT ANSWER- - B (high-fat foods, such as fried chicken prolong the absorption of ramelteon and should be avoided) A nurse is caring for a client who is admitted to undergo a surgical procedure. Which of the following preexisting conditions can be a contraindication for the use of Ketamine as an intravenous anesthetic? A. Peptic ulcer disease B. Breast cancer C. Diabetes mellitus D. Schizophrenia - CORRECT ANSWER- - D (Ketamine can produce psychological effects, such as hallucinations. Therefore, schizophrenia can be a contraindication for the use of Ketamine) A nurse is providing instructions to a female client who has a new prescription for Zolpidem. Which of the following instructions should the nurse include? A. "Notify the provider if you plan to become pregnant." B. "Take the medication 1 hr before you plan to go to sleep." C. "Allow at least 6 hr for sleep when taking zolpidem." D. "To increase the effectiveness of zolpidem, take it with a bedtime snack. - CORRECT ANSWER- - A (Zolpidem is Pregnancy Risk Category C. The client should notify the provider if she plans to become pregnant)
A nurse is teaching a client who has a new prescription for Beclomethasone. Which of the following instructions should the nurse include? A. "Rinse your mouth after each use of this medication." B. "Limit fluid intake while taking this medication." C. "Increase your intake of vitamin B12 while taking this medication." D. "You can take the medication as needed. - CORRECT ANSWER- - A (The client should rinse her mouth after each use to reduce the risk of oral fungal infection) A nurse is providing instructions to a client who has a new prescription for Albuterol and Beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in the teaching? A. Take the albuterol at the same time each day. B. Administer the albuterol inhaler prior to using the beclomethasone inhaler. C. Use beclomethasone if experiencing an acute episode. D. Avoid shaking the beclomethasone before us - CORRECT ANSWER- - B (When a client is prescribed an inhaled beta2-agonist (such as albuterol) and an inhaled glucocorticoid (such as beclomethasone), the client should take the beta2-agonist first. The beta2-agonist promotes bronchodilation and enhances absorption of the glucocorticoid.) A nurse is providing instructions to the parent of an adolescent client who has a new prescription for Albuterol, PO. Which of the following instructions should the nurse include? A. "You can take this medication to abort an acute asthma attack." B. "Tremors are an adverse effect of this medication." C. "Prolonged use of this medication can cause hyperglycemia." D. "This medication can slow skeletal growth rate." - CORRECT ANSWER- - B (Tremors can occur due to excessive stimulation of beta2 receptors of skeletal muscles)
D. Palpitations - CORRECT ANSWER- - C (Dextromethorphan can cause sedation. Advise the client to avoid activities that require alertness) A nurse is teaching the family of a child who has Cystic Fibrosis and a new prescription for Acetylcysteine. Which of the following information should the nurse include in the instructions? A. "Expect this medication to suppress your cough." B. "Expect this medication to smell like rotten eggs." C. "Expect this medication to cause euphoria." D. "Expect this medication to turn your urine orange." - CORRECT ANSWER- - B (Acetylcysteine has a sulfur content that causes a rotten-egg odor) A nurse is teaching a client who has a new prescription for Diphenhydramine for allergic Rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions of this medication? (Select all that apply.) A. Dry mouth B. Nonproductive cough C. Skin rash D. Drowsiness E. Urinary hesitation - CORRECT ANSWER- - a, d, e (A. Dry mouth is an anticholinergic manifestation that can occur when a client takes diphenhydramine D. Drowsiness is an adverse reaction of this medication. Diphenhydramine is administered to treat insomnia.
E. Urinary retention is an anticholinergic manifestation that can occur when a client takes diphenhydramine.) A nurse is teaching a client about the use of Fluticasone to treat Perennial Rhinitis. Which of the following statements by the client indicates an understanding of the teaching? A. "I should use the spray every 4 hours while I am awake." B. "It can take as long as 3 weeks before the medication takes a maximum effect." C. "This medication can also be used to treat motion sickness." D. "I can use this medication when my nasal passages are blocked. - CORRECT ANSWER- B (The client can see some benefits of the medication within a few hours, but the maximum benefits can take up to 3 weeks.) A nursing is planning care for a client who is receiving Furosemide IV for peripheral edema. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Assess for tinnitus. B. Report urine output 50 mL/hr. C. Monitor serum potassium levels. D. Elevate the head of bed slowly before ambulation. E. Recommend eating a banana daily - CORRECT ANSWER- - a, c, d, e (A. An adverse effect of furosemide is ototoxicity. manifestations of tinnitus should be reported to the provider C. A decrease in serum potassium levels is an adverse effect of furosemide, and the nurse should notify the provider.
Tamoxifen - CORRECT ANSWER- - Used for breast cancer: competes with estrogen for binding sites within the breast stopping growth of dependent cancers Side effects: hot flashes, GI upset, hypercalcemia, increased risk of endometrial cancer, increased risk of pulmonary cancer Interferon alfa 2b - CORRECT ANSWER- - Biologic response modifier. Used for cancers and viral infections like hepatitis. Interferons are like proteins that increase immune response to tumors or viruses and decrease tumor cell production Side effects: flu like symptoms, bone marrow suppression, cardiotoxicity, neurotoxicity, alopecia, GI upset, psychiatric disorders Interferon interferes with tumor cell production, but it also interferes with you life Penicillins - CORRECT ANSWER- - Amoxicillin, Penicillin G, Pipercillin tazobactum Work by weakening bacterial cell wall which leads to cell death Side effects: possible **allergic reaction, GI upset, renal toxicity Check for history of reaction to penicillins or cephalosporin Cephalosporins - CORRECT ANSWER- - Cephalexin, cefazolin, and ceftriaxone Work by weakening the bacterial cell wall which leads to cell death Side effect: allergies, GI upset, superinfection Don't give in allergic reaction Should not consume any alcohol Take with food Carbapenems - CORRECT ANSWER- - Imipenem-cilastatin, meropenem Treats serious bacterial infections. Destroys bacterial cell wall causing cell death Side effects: GI upset, rash, superinfection
If allergic to penicillin or cephalosporin may also have a response to carbapenems Vancomycin - CORRECT ANSWER- - Serious infections and C-Diff Destroys bacterial cell wall causing cell death Side effects: ototoxicity and renal toxicity, infusion reactions, and phlebitis If long term, central line is given *Monitor Vanc. though and peak levels. Dose may need to be adjusted due to creatnine levels. "Some is in a Van and the music is way too loud that it hurts their ears, and they have no air and aren't drinking water, so they hurt their kidneys" Tetracycline - CORRECT ANSWER- - Doxycycline Treats bacterial infection, acne, lyme disease, rocky mountain spotted fever. Prevent proteein synthesis which inhibits bacterial growth. "Static" Side effects: GI upset, tooth discoloration in children and fetuses, hepatotoxicity, photosensitivity, and superinfections Never give to pregnant women or children under 8. Tell patient to wear sunscreen Take on empty stomach with full glass of water Can decrease effectiveness of oral contraceptives Do not take with milk or antacids because it decreases aborption Macrolides - CORRECT ANSWER- - Erythro'mycin' Used for bacterial infections Inhibits protein synthesis which slows bacterial growth Side effects: GI upset, dysrythmias, ototoxicity Administer on empty stomach with full glass of water.
