During a routine checkup, a client states that she is unable to take the prescribed antihistamine because of one of its most common adverse effects. The nurse suspects that which adverse effect has been bothering the client? drowsiness
A client has been advised to add a nasal spray (an adrenergic ...
NUR 230 FINAL EXAM QUESTIONS SND
CORRECT ANSWERS
During a routine checkup, a client states that she is unable to take the prescribed
antihistamine because of one of its most common adverse effects. The nurse suspects
that which adverse effect has been bothering the client? ✅drowsiness
A client has been advised to add a nasal spray (an adrenergic decongestant) to treat a
cold. Which instruction does the nurse plan to include when teaching the client about
the drug? ✅To limit the use of this spray to 3 to 5 days.
A client, newly diagnosed with hypothyroidism, has received a prescription for thyroid
replacement therapy. What time of day should the nurse instruct the client to take this
medication? ✅In the morning
When giving the nonopioid antitussive dextromethorphan, the nurse understands that
this drug suppresses the cough reflex by which action? ✅Having direct action on the
cough center
When teaching about hypoglycemia, the nurse should make sure that the patient is
aware of the early signs of hypoglycemia, which includes which of the following?
✅irritability and confusion
Identify all the ways in which oral anti-diabetic agents work to lower blood sugar. ✅a.
Stimulates insulin secretion from the beta cells of the pancreas.
b. Increases sensitivity of insulin receptor sites in muscles.
c. Decreases glucose production by the liver.
d. Decreases intestinal absorption of glucose.
A client is taking theophylline (Theo-Dur), a xanthine derivative, and asks the nurse
which food on his lunch tray should not be consumed. What is the nurse's best
response? ✅"Coffee contains caffeine which can have an additive effect with your
medicine."
When educating the client recently placed on inhaled corticosteroids regarding common
adverse effects, the nurse should discuss which topics? ✅Oral candidiasis and dry
mouth.
A client is taking guaifenesin (Mucinex)) to aid in the removal of excessive mucus in the
respiratory tract. Which behavior should the client incorporate into their daily activities
while taking this drug? ✅Force fluids to help loosen and liquify secretions.
, A client is experiencing symptoms of an acute asthma attack. Which medication does
the nurse anticipate will be used for initial treatment? ✅A beta2 agonist, such as
albuterol (Proventil)
A client on the clinical unit was showing signs of hypoglycemia before he became
unconscious. His blood glucose level was 34 mg/dL. Which nursing action is most
appropriate now? ✅administer IV glucose
The nurse administers the morning dose of NPH to a client at 0800. At what time is the
client at greatest risk for a hypoglycemic reaction? ✅1200-1600 (4-8 hrs after
administration)
A client has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other
is a corticosteroid. Which instruction regarding these inhalers is correct? ✅The
bronchodilator should be taken first.
A patient is about to undergo a diagnostic bowel procedure. The nurse expects which
drug to be used to induce total cleansing of the bowel? ✅polyethylene glycol
(GoLYTELY)
When administering a bulk-forming laxative, the nurse instructs the patient to drink the
medication mixed in a full 8-ounce glass of water. Which statement best explains the
rationale for this instruction? ✅These laxatives may cause esophageal obstruction if
taken with insufficient water.
A patient who has AIDS has lost weight and is easily fatigued because of his
malnourished state. The nurse anticipates an order for which antinausea drug to
stimulate his appetite? ✅dronabinal (Marinol), a tetrahydrocannabinoid
A patient is complaining of excessive and painful gas. The nurse checks the patient's
medication orders and prepares to administer which drug for this problem?
✅simethicone (Mylicon)
A patient is severely constipated and needs immediate relief. The nurse knows that
which class of laxative will provide the most rapid results? ✅Magnesium hydroxide
(MOM)
The nurse is teaching a patient who will be taking a proton pump inhibitor as long-term
therapy about potential adverse effects. Which statement is correct? ✅Long-term use
of these drugs may contribute to osteoporosis.
When reviewing the health history of a patient who will be receiving antacids, the nurse
recalls that antacids containing magnesium need to be used cautiously in patients with
which condition? ✅Renal failure
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