an antacid (Maalox) is prescribed for a client with peptic ulcer disease. the nurse knows that the
purpose of this medication is:
A. decrease production of gastric secretions
B. produce an adherent barrier over the ulcer
C. maintain a gastric pH of 3.5 or higher
D. decrease gastric motor activity - ANS C. maintain a gastric pH of 3.5 or higher
rationale: objective of antacids is to neutralize gastric acids and keep a pH of 3.5 or above,
which is necessary for pepsinogen activity
In evaluation the effects of lactulose (Cephulac), which outcome would indicate that the drug is
performing as intended?
A. increase in urine output
B. 2 or 3 soft stools per day.
C. watery, diarrhea stools
D. increased serum bilirubin - ANS B. 2 or 3 soft stools per day.
The healthcare provider prescribes digitalis (Digoxin) for a client diagnosed with CHF. which
intervention should the nurse implement prior to administering Digoxin?
A. observe respiratory rate and depth
B. assess serum potassium level
C. obtain the client's BP
D. Monitor the serum glucose level - ANS B. assess serum potassium level
Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal
attack, which assessment finding indicates to the nurse that the desired effect has been
achieved?
A. client states chest pain is relieved
B. client's pulse decreases from 120 to 90
C. client's systolic BP decreases from 180 to 90.
D. clients Oxygen level increases form 92% to 96% - ANS A. client states chest pain is relieved
A client with CHF is being discharges with a new prescription for ACE inhibitor Captopril
(Capoten). The nurse's discharge instruction should include reporting which problem to the
health care provider?
A. weight loss
B. Dizziness
C. Muscle cramps
D. Dry mucous membreanes - ANS B. Dizziness
, A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows that
the action of this drug is to:
A. decrease the amount of thyroid-stimulating hormone circulating in the blood.
B. increase the amount of thyroid-stimulating hormone circulating in the blood.
C. increase the amount of T4 and decrease the amount of T3 produced by the thyroid.
D. inhibit synthesis of T3 and T4 by the thyroid glanf - ANS D. inhibits synthesis of T3 and T4 by
the thyroid gland.
A client with Parkinson's disease is taking carbidopa-levadopa (Sinemet). which observation by
the nurse would indicate that the desired outcome of the medication is being achieved?
A. decreased BP
B. lessening of tremors
C. increased salivation
D. increased attention span - ANS B. lessening of tremors
rationale: sinemet carbidopa increases the amount of levodopa to the CNS (dopamine to the
brain). increased amounts of dopamine improve the symptoms of Parkinsons, such as
involuntary movements, resting tremors, shuffling air, etc. dec drooling would be a desired effect
of levodopa/carbidopa
Following heparin treatment for a pulmonary embolism, a client is being discharged with a
prescription for warfarin (coumadin). In conducting discharge teaching, the nurse advises the
client to have which diagnostic test monitored regularly after discharge?
A. perfusion scan
B. Prothrombin Time (PT/INR)
C. activated partial thromboplastin (APPT)
D. serum coumadin level (SCL). - ANS B. prothrombin time (PT/INR)
rationale: when used for a client with a pulmonary embolus, the theraputic goal for warfarin
therapy is 1-2x greater than the control, Orr an INR of 2-3
A postoperative client has been receiving a continuous IV infusion of meperidine (demerol)
35mg/hr for four days. the client has a PRN prescription for Demerol 100 mg PO q3h. The nurse
notes that the client has become increasingly restless, irritable and confused, stating that there
are bugs all over the walls. what action should the nurse take first?
A. administer a PRN dose of PO meperidine (Demerol).
B. administer naloxone (Narcan) IV per PRN protocol/
C. Decrease the IV infusion rate of the meperidine (Demerol) per protocol.
D. notify the healthcare provider of the client's confusion and hallucinations - ANS C. Decrease
the IV infusion rate of the meperidine (Demerol) per protocol.
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?
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