Which nursing action is the priority when administering chelation therapy for a toddler-age client?
1 Assessing vital signs
2 Monitoring urine output
3 Conducting a behavioral assessment
4 Providing education to reduce lead exposure - ANS 2
A 67-year-old client has tested positive fo...
Which nursing action is the priority when administering chelation therapy for a toddler-age
client?
1 Assessing vital signs
2 Monitoring urine output
3 Conducting a behavioral assessment
4 Providing education to reduce lead exposure - ANS 2
A 67-year-old client has tested positive for influenza A. The client also has asthma. Which drug
would the nurse recommend be avoided in this client?
1 Ribavirin
2 Zanamivir
3 Oseltamivir
4 Amantadine - ANS 2
Which first line medication would the nurse state is used to treat anaphylactic reactions?
1 Epinephrine
2 Norepinephrine
3 Dexamethasone
4 Diphenhydramine - ANS 1
A mother complains that her child's teeth have become yellow in color. With prolonged use,
which medication may be responsible for the child's condition?
1 Tetracycline
2 Promethazine
3 Chloramphenicol
4 Fluoroquinolones - ANS 1
What are the desired outcomes that the nurse expects when administering a nonsteroidal
antiinflammatory drug (NSAID)? Select all that apply
1 Diuresis
2 Pain relief
3 Antipyresis
4 Bronchodilation
5 Anticoagulation
6 Reduced inflammation - ANS 2,3,6
,A client with tuberculosis is started on a chemotherapy protocol that includes rifampin. The
nurse evaluates that the teaching about rifampin is effective when the client makes which
statement?
1 "I need to drink a lot of fluid while I take this medication."
2 "I can expect my urine to turn orange from this medication."
3 "I should have my hearing tested while I take this medication."
4 "I might get a skin rash because it is an expected side effect of this medication. - ANS 2
Which statement regarding treatment with interferon indicates that the client understands the
nurse's teaching?
1 "I will drink 2 to 3 quarts (2 to 3 liters) of fluid a day."
2 "Any reconstituted solution must be discarded in 1 week."
3 "I can continue driving my car as long as I have the stamina."
4 "While taking this medicine I should be able to continue my usual activity." - ANS 1
A nurse administers the drug desmopressin acetate (DDAVP) to a client with diabetes insipidus.
What should the nurse monitor to evaluate the effectiveness of the drug?
1 Arterial blood pH
2 Intake and output
3 Fasting serum glucose
4 Pulse and respiratory rates - ANS 2
A client will be taking nitrofurantoin 50 mg orally every evening at home to manage recurrent
urinary tract infections. What instructions should the nurse give to the client?
1 Increase the intake of fluids.
2 Strain the urine for crystals and stones.
3 Stop the drug if urinary output increases.
4 Maintain the exact time schedule for taking the drug - ANS 1
A client admitted to the hospital with a diagnosis of chronic obstructive pulmonary disease has
received a prescription for a medication that is delivered via a nebulizer. When teaching about
use of the nebulizer, the nurse should teach the client to do what?
1 Hold the breath while spraying the medication into the mouth.
2 Position the lips loosely around the mouthpiece and take rapid, shallow breaths.
3 Seal the lips around the mouthpiece and breathe in and out, taking slow, deep breaths.
4 Inhale the medication from the nebulizer, remove the mouthpiece from the mouth, and then
exhale. - ANS 3
A client is diagnosed with pulmonary tuberculosis, and the healthcare provider prescribes a
combination of rifampin and isoniazid. The nurse evaluates that the teaching regarding the drug
is effective when the client reports which action as most important?
1 "Report any changes in vision."
2 "Take the medicine with my meals."
, 3 "Call my doctor if my urine or tears turn red-orange."
4 "Continue taking the medicine even after I feel better. - ANS 4
A nurse administers beclomethasone by inhalation to a client with asthma, and the client asks
why this medication is necessary. What should the nurse explain is the purpose of this
pharmacologic therapy?
1 Promotes comfort
2 Decreases inflammation
3 Stimulates smooth muscle relaxation
4 Reduces bacteria in the respiratory tract - ANS 2
A nurse is caring for a female client who is receiving rifampin for tuberculosis. Which statements
indicate that the client understands the teaching about rifampin? Select all that apply
1 "This drug may be hard on my liver so I must avoid alcoholic drinks while taking it."
2 "This drug may reduce the effectiveness of the oral contraceptive I am taking."
3 "I cannot take an antacid within 2 hours before taking my medicine."
4 "My healthcare provider must be called immediately if my eyes and skin become yellow. - ANS
1,2,4
The nurse provides discharge teaching to a client with tuberculosis. Which treatment measure
does the nurse reinforce as the highest priority?
1 Getting sufficient rest
2 Getting plenty of fresh air
3 Changing the current lifestyle
4 Consistently taking prescribed medication - ANS 4
A client is diagnosed with tuberculosis associated with human immunodeficiency virus infection.
What crucial laboratory test results should the nurse review before antitubercular
pharmacotherapy is started?
1 Liver function studies
2 Pulmonary function studies
3 Electrocardiogram and echocardiogram
4 White blood cell (WBC) count and sedimentation rate - ANS 1
Pyridoxine (vitamin B6) and isoniazid (INH) are prescribed as part of the chemotherapy protocol
for a client with tuberculosis. Which response indicates to the nurse that vitamin B6 is effective?
1 Weight gain
2 Absence of stomatitis
3 Absence of numbness and tingling in extremities
4 Acceleration of dormant tubercular bacilli destruction - ANS 3
A healthcare provider prescribes a medication to be administered via a metered-dose inhaler
(MDI) for a young adult with asthma. List in order the steps the nurse teaches the client to follow
when using the inhaler.
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