Maternal-Child Nursing Exam Materials
Course Introduction
Maternal-Child Nursing is a comprehensive course that focuses on the care of women throughout pregnancy, childbirth, and the postnatal period, as well as the health and development of infants and children. Students will explore topics such as prenatal care, labor and delivery, newborn assessment, growth and development milestones, pediatric illnesses, and family-centered care. The course emphasizes evidence-based practices, cultural sensitivity, and collaboration within interdisciplinary healthcare teams to promote optimal outcomes for mothers, infants, and children. Through case studies and clinical experiences, students will develop competencies in assessment, intervention, and education for both maternal and pediatric populations.
Recommended Textbook
Pharmacology A Patient Centered Nursing Process Approach 8th Edition by Linda E. McCuistion
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59 Chapters
928 Verified Questions
928 Flashcards
Source URL: https://quizplus.com/study-set/1831 Page 2
Chapter 1: Drug Action: Pharmaceutic, pharmacokinetic, and Pharmacodynamic Phases
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/36408
Sample Questions
Q1) The nurse prepares to change a patient's medication from an intravenous to an oral form and notes that the oral form is ordered in a higher dose.The nurse understands that this is due to differences in A)bioavailability. B)pinocytosis.
C)protein binding. D)tachyphylaxis.
Answer: A
Q2) If a drug has a half-life of 12 hours and is given twice daily starting at 0800 on a Monday,when will a steady state be achieved?
A)0800 on Tuesday
B)0800 on Wednesday
C)0800 on Thursday
D)0800 on Friday
Answer: B
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Page 3
Chapter 2: The Drug Approval Process
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36409
Sample Questions
Q1) The nurse is preparing to administer a schedule II injectable drug and is drawing up half of the contents of a single-use vial.Which nursing action is correct?
A)Ask another nurse to observe and cosign wasting the remaining drug from the vial.
B)Keep the remaining amount in the patient's drawer to give at the next dose.
C)Record the amount unused in the patient's medication record.
D)Dispose of the vial with the remaining drug into a locked collection box.
Answer: A
Q2) Which are responsibilities of the U.S.Food and Drug Administration (FDA)? (Select all that apply. )
A)To ensure a drug has accurate labeling
B)To ensure a drug is affordable
C)To ensure a drug is effective
D)To ensure a drug is free from adverse reactions
E)To ensure a drug is tested for harmful effects
Answer: A,C,E
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4
Chapter 3: Cultural and Pharmacogenetic Considerations
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/36410
Sample Questions
Q1) The nurse is caring for a patient who is a member of the local Native American community.The patient is refusing medications and treatments in spite of repeated attempts to explain the importance of these interventions.Which is an appropriate nursing action?
A)Ask a family member about traditional healing practices that might be better accepted.
B)Enlist the help of a family member to explain the need for the medications and treatments.
C)Find a hospital staff member who is Native American to help provide teaching for this patient.
D)Suggest a Social Work consult to the patient's provider. Answer: A
Q2) The nurse is caring for an African-American patient who is taking warfarin (Coumadin)to prevent blood clots.The nurse will monitor this patient carefully for which effect?
A)Decreased therapeutic effects
B)Heightened risk for hemorrhage
C)Increased risk of hypersensitivity
D)Potential risk of paradoxical effects
Answer: A
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Page 5
Chapter 4: Drug Interactions and Over-The-Counter Drugs
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36411
Sample Questions
Q1) A patient asks the nurse about using over-the-counter (OTC)medications.The nurse will tell the patient that OTC medications
A)are not as effective as prescription medications.
B)are not as safe as prescription medications.
C)have fewer side effects and drug interactions than prescription medications.
D)should be included when listing any medications taken by the patient.
Q2) A patient who takes warfarin (Coumadin)asks the nurse about taking a medication for headaches.The nurse will recommend which medication?
A)Acetaminophen
B)Aspirin
C)Ibuprofen
D)No medication
Q3) The nurse is preparing to administer two intravenous medications that should not be given using the same IV tubing.The nurse understands that this is because of drug A)adverse reactions.
B)incompatibility.
C)interactions.
D)potentiation.
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Chapter 5: Drugs of Abuse
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36412
Sample Questions
Q1) The nurse is caring for a patient who is being treated for chronic alcohol intoxication.The nurse notes that the patient's serum alcohol level is 0.40 mg%.The patient is awake and talkative even though this is a potentially lethal dose.The nurse recognizes this as alcohol
A)addiction.
B)dependence.
C)misuse.
D)tolerance.
Q2) A patient arrives in the emergency department in an acute state of alcohol intoxication and reports chronic consumption of "several six packs" of beer every day for the past year.The nurse anticipates administering which medication or treatment?
A)Chlordiazepoxide (Librium)
B)Disulfiram (Antabuse)
C)Gastric lavage
D)Vasoconstrictors
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Chapter 6: Herbal Therapies
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36413
Sample Questions
Q1) The nurse provides counseling to a patient who reports taking kava to treat anxiety-related symptoms.Which statement by the patient indicates understanding of the teaching?
A)"I may take kava with lorazepam (Ativan)."
B)"I may develop a serious skin disorder while taking kava."
C)"I should avoid alcohol while taking kava."
D)"I should avoid St.John's wort and valerian while taking kava."
Q2) A patient reports taking St.John's wort to treat symptoms of depression and asks the nurse how to use this product safely and effectively.Which response by the nurse is correct?
A)"Apply sunscreen while taking St.John's wort."
B)"It is safe to take St.John's wort with prescription antidepressants."
C)"St.John's wort does not affect nutrition."
D)"You should take St.John's wort as needed when symptoms occur."
Q3) Which information can consumers expect to be included in labeling of herbal products?
A)Actions and uses
B)Interactions and precautions
C)Scientific name of the product
D)Safety and efficacy study results
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Chapter 7: Pediatric Pharmacology
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36414
Sample Questions
Q1) An infant will receive a topical medication.What instruction will the nurse include when teaching the parents how to administer the medication?
A)"Apply a thin layer to the affected area."
B)"Apply liberally to the skin on and around the area."
C)"Use the medication less frequently than what is recommended for adults."
D)"Use the medication more frequently than what is recommended for adults."
Q2) A 14-year-old female who has type 1 diabetes mellitus that has been well-controlled for several years is admitted to the hospital for treatment of severe hyperglycemia.The patient's lab values indicate poor glycemic control for the past 3 months.The nurse caring for this patient will suspect which cause for the change in diabetic control?
A)Adolescent rebellion and noncompliance
B)Changes in cognitive function
C)Hormonal fluctuations
D)Possible experimentation with drugs or alcohol
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9
Chapter 8: Geriatric Pharmacology
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/36415
Sample Questions
Q1) A 75-year-old patient is readmitted to the hospital to treat recurrent pneumonia.The patient had been discharged home with a prescription for antibiotics 5 days prior.The nurse admitting this patient will take which initial action?
A)Ask the patient about over-the-counter drug use.
B)Ask the patient how many doses of the antibiotic have been taken.
C)Discuss increasing the antibiotic dose with the provider.
D)Obtain an order for a creatinine clearance test.
Q2) The nurse is performing an admission assessment on an 80-year-old patient who has frequent hospital admissions.The patient appears more disoriented and confused than usual.Which action by the nurse is correct?
A)Asking about medication doses
B)Asking for a neurologist consult
C)Requesting orders for liver function tests
D)Suspecting impaired renal function
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Chapter 9: Collaboration in Community Settings
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36416
Sample Questions
Q1) The home health nurse learns that an immigrant family relies on folk healers when treating illnesses among family members.The nurse will perform which action?
A)Acknowledge the family's beliefs while pointing out how these are not effective.
B)Ask the family elder to explain how a prescribed regimen will be more effective.
C)Give the family a list of dangerous practices to avoid using.
D)Incorporate any safe,non-conflicting practices into the plan of care.
Q2) The community health nurse is preparing to administer a medication to a patient in the patient's home.The order reads "amoxicillin as directed BID PO." The nurse will perform which action?
A)Administer the medication as ordered on the prescription label.
B)Ask the patient to take the medication as ordered.
C)Contact the provider to confirm the correct dose of the medication.
D)Review the drug information to verify the correct dose.
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Chapter 10: The Role of the Nurse in Drug Research
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36417
Sample Questions
Q1) During a clinical drug trial for a new medication,researchers note a previously unknown serious adverse effect occurring in more than 50% of subjects.The study is discontinued.Which ethical principle is being exercised?
A)Beneficence
B)Justice
C)Respect for persons
D)Veracity
Q2) The nurse is assisting with data collection in a study of drug effects in healthy subjects.The nurse assists with blood and urine collection to determine serum drug levels and the presence of metabolites in the urine.Which phase of a drug study does this represent?
A)Phase I
B)Phase II
C)Phase III
D)Phase IV
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Chapter
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/36418
Sample Questions
Q1) A patient who is hospitalized for chronic obstructive pulmonary disease wants to go home.The nurse and the patient discuss the patient's situation and decide that the patient may go home when able to perform self-care without dyspnea and hypoxia.This is an example of which phase of the nursing process?
A)Assessment
B)Evaluation
C)Implementation
D)Planning
Q2) An older patient must learn to administer a medication using a device that requires manual dexterity.The patient becomes frustrated and expresses lack of self-confidence in performing this task.Which action will the nurse perform next?
A)Ask the patient to keep trying until the skill is learned.
B)Provide written instructions with illustrations showing each step of the skill.
C)Schedule multiple sessions and practice each step separately.
D)Teach the procedure to family members who can administer the medication for the patient.
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13
Chapter 12: Safety and Quality in Pharmacotherapy
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/36419
Sample Questions
Q1) The nurse assumes care of a patient who had surgery that morning.The provider has ordered hydrocodone (Lortab)every 4 hours for mild to moderate pain and morphine sulfate for moderate to severe pain.The nurse reviews the patient's record and notes the patient has received two doses of hydrocodone 4 hours apart for a pain level of 7 to 8 on a scale of 1 to 10 and has reported a decrease in pain to a level of 6 to 7 after 30 minutes.It has been 4 hours since the last dose,and the patient reports a pain level of 7.What will the nurse do?
A)Administer the hydrocodone.
B)Administer morphine.
C)Ask the patient which drug to give.
D)Notify the provider of the patient's current pain level.
Q2) Which is a violation of a nurse's right when administering medications?
A)A hospital policy for off-label drug uses
B)A medication preparation area at the unit secretary's desk
C)A multiple-dose drug vial requiring the nurse to calculate and measure the dose
D)A new drug ordered that the nurse must look up in a drug manual
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14
Chapter 13: Medication Administration
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36420
Sample Questions
Q1) The nurse is teaching a nursing student about giving liquid medications.Which statement by the student indicates understanding of the teaching?
A)"A suspension is a mixture in which drug particles are dissolved in solution."
B)"I will line up the bottom of the medication curve with the line in the syringe."
C)"I will need to shake an elixir before measuring the dose."
D)"I will not need to refrigerate liquids once they are reconstituted."
Q2) The nurse is assisting the parent of a 6-month-old infant to administer an oral liquid medication.The parent asks why the medication can't be given in a bottle of formula to make it taste better.How will the nurse respond?
A)"Adding a medication to the formula will cause the formula to curdle."
B)"Formula and medications can form toxic compounds if mixed together."
C)"The infant may not always take the entire bottle of formula."
D)"This may cause the infant to refuse formula in the future."
Q3) When administering topical medications,which is an important nursing action?
A)Applying the medication liberally
B)Cleaning skin with alcohol before applying
C)Using sterile technique
D)Wearing gloves
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15
Chapter 14: Medications and Calculations
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/36421
Sample Questions
Q1) Order: levetiracetam (Keppra),PO,20 mg/kg/day,divided b.i.d.
Available: Keppra 100 mg/mL
Patient weight: 20 kg
How many mL will the patient receive per dose?
Q2) Order: trimethoprim-sulfamethoxazole (Bactrim)160/800 mg,PO, b.i.d.
Available: Bactrim 80/400-mg tablets
How many tablets will be given per dose?
Q3) Order: cefuroxime axetil (Ceftin)200 mg,PO, b.i.d.
Available: Ceftin 250 mg/5 mL
How many mL will the patient receive per dose?
Q4) Order: 1000 mL of lactated Ringer's (LR)solution to be administered in 6 hours
Available: 1 L LR Macrodrip set labeled 10 gtt/mL
a.How many mL of LR will be infused in 1 hour?
b.How many drops per minute (gtt/min)will the patient receive?
Q5) Order: midazolam (Versed)3 mg,IM,STAT
Available: Versed 10 mg/2 mL
How many mL will be given?
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Chapter 15: Vitamin and Mineral Replacement
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36422
Sample Questions
Q1) A patient is diagnosed with anemia and asks the nurse why the provider has ordered vitamin B<sub>12</sub> instead of iron.Which answer by the nurse is correct?
A)"Vitamin B<sub>12</sub> is given to improve your overall energy level."
B)"Vitamin B<sub>12</sub> is necessary for the development of red blood cells."
C)"Vitamin B<sub>12</sub> prevents excess iron loss to reduce demand."
D)"Vitamin B<sub>12</sub> will help you absorb iron more efficiently."
Q2) A patient reports taking megadoses of vitamin C to prevent upper respiratory infections.The nurse will perform which action?
A)Monitor the patient for hyperglycemia.
B)Notify the provider and discuss a gradual taper of vitamin C.
C)Request an order for a CBC to assess the patient's hemoglobin.
D)Tell the patient that studies have confirmed this use of vitamin C.
Q3) The nurse is teaching a patient who has a folic acid deficiency about treatment for this disorder.Which statement by the patient indicates understanding of the teaching?
A)"Food sources of folic acid are better than synthetic folic acid products."
B)"I should take megadoses of folic acid to compensate for the deficiency."
C)"Most folic acid is stored in the liver."
D)"Symptoms of folic acid deficiency often do not appear for months."
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Chapter 16: Fluid and Electrolyte Replacement
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/36423
Sample Questions
Q1) A patient is being treated for shock after a motor vehicle accident.The provider orders 6% dextran 75 to be given intravenously.The nurse should expect which outcome as the result of this infusion?
A)Decreased urine output
B)Improved blood oxygenation
C)Increased interstitial fluid
D)Stabilization of heart rate and blood pressure
Q2) The nurse is caring for a patient who is ordered to take nothing by mouth.The patient weighs 65 kg.What volume of intravenous fluid should this patient receive in 24 hours?
A)2225 mL
B)2400 mL
C)2520 mL
D)2640 mL
Q3) A patient's serum osmolality is 305 mOsm/kg.Which term describes this patient's body fluid osmolality?
A)Iso-osmolar
B)Hypo-osmolar
C)Hyperosmolar
D)Isotonic
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Page 18
Chapter 17: Nutritional Support
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36424
Sample Questions
Q1) The nurse is caring for a patient who is receiving total parenteral nutrition (TPN).The patient reports nausea,headache,and thirst.The nurse will contact the provider to discuss
A)giving acetaminophen for headache pain.
B)obtaining a serum glucose level.
C)ordering an antiemetic to prevent vomiting.
D)starting intravenous isotonic dextrose.
Q2) The nurse is preparing a patient who will receive intermittent enteral nutrition at home with a hyperosmolar solution.What information will the nurse include when teaching this patient?
A)How to perform the Valsalva maneuver
B)The need to consume extra fluids between feedings
C)The need to decrease dietary fiber
D)The need to remain supine during infusion of the enteral solution
Q3) Which patient is most likely to be a candidate for total parenteral nutrition (TPN)rather than enteral nutrition?
A)A patient who is comatose after having had a stroke
B)A patient who has a fractured mandible following a motor vehicle accident
C)A patient who has cerebral palsy and severe dysphagia
D)A patient who is pregnant and has intractable hyperemesis gravidarum
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Chapter 18: Adrenergic Agonists and Adrenergic Blockers
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36425
Sample Questions
Q1) A patient is taking doxazosin mesylate (Cardura)1 mg per day to treat hypertension.The nurse notes a blood pressure of 110/72 mm Hg and a heart rate of 92 beats per minute.The nurse will contact the provider to discuss which change to the drug regimen?
A)Changing to a beta-adrenergic blocker
B)Decreasing the drug dose
C)Increasing the drug dose
D)Adding a diuretic
Q2) The patient has been ordered to receive Sudafed to treat nasal congestion.The nurse performing an admission assessment learns that the patient has diabetes mellitus.What action is appropriate for the nurse to take?
A)Administer the medication as ordered.
B)Contact the provider to discuss a lower dose.
C)Give the medication and monitor serum glucose closely.
D)Hold the medication and contact the provider.
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Chapter 19: Cholinergic Agonists and Anticholinergics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36426
Sample Questions
Q1) The nurse is preparing to administer the anticholinergic medication benztropine (Cogentin)to a patient who has Parkinson's disease.The nurse understands that this drug is used primarily for which purpose?
A)To decrease drooling and excessive salivation
B)To improve mobility and muscle strength
C)To prevent urinary retention
D)To suppress tremors and muscle rigidity
Q2) A patient who has Parkinson's disease will begin treatment with benztropine (Cogentin).Which symptom of Parkinson's disease would be a contraindication for this drug?
A)Drooling
B)Muscle rigidity
C)Muscle weakness
D)Tardive dyskinesia
Q3) Which cholinesterase inhibitor would be prescribed for a patient who has Alzheimer's disease?
A)Ambenonium chloride (Myletase)
B)Benztropine (Cogentin)
C)Donepezil HCl (Aricept)
D)Neostigmine methylsulfate (Prostigmin)
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Chapter 20: Central Nervous System Stimulants
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36427
Sample Questions
Q1) The nurse is teaching a parent about methylphenidate (Ritalin)to treat attention deficit/hyperactivity disorder (ADHD).Which statement by the parent indicates understanding of the teaching?
A)"I should consult a pharmacist when giving my child OTC medications."
B)"I will only give my child diet soft drinks while administering this medication."
C)"Medication therapy means that behavioral therapy will not be necessary."
D)"Weight gain is a common side effect of this medication."
Q2) The parent of an obese 10-year-old child asks the nurse about medications to aid in weight loss.Which response by the nurse is correct?
A)"Anorexiants are often used to 'jump start' a weight loss regimen in children."
B)"Children are able to use over-the-counter anorexiants on a long-term basis."
C)"Children under 12 years of age should not use weight loss drugs."
D)"Side effects of anorexiants occur less often in children."
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22
Chapter 21: Central Nervous System Depressants
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/36428
Sample Questions
Q1) The nurse is caring for a patient in the post-anesthesia care unit who has received a spinal anesthetic.Which action will the nurse perform?
A)Ambulate the patient as soon as consciousness returns.
B)Elevate the head of the bed to a semi-Fowler's position.
C)Have the patient lay flat for 6 to 8 hours after the surgery.
D)Turn the patient from side to side every 15 minutes.
Q2) A patient who has been taking a benzodiazepine as a sleep aid for several months wishes to stop taking the medication.The nurse will suggest that the patient taper the dose gradually to avoid which effect?
A)Depression
B)Hangover
C)Hypnotic rebound
D)Withdrawal
Q3) A patient describes having vivid dreams to the nurse.The nurse understands that these occur during which stage of sleep?
A)Rapid eye movement (REM)sleep
B)Stage 2 nonrapid eye movement sleep
C)Stage 3 nonrapid eye movement sleep
D)Stage 4 nonrapid eye movement sleep
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Page 23
Chapter 22: Anticonvulsants
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36429
Sample Questions
Q1) A patient is diagnosed with epilepsy and asks the nurse what may have caused this condition.The nurse explains that epilepsy is most often
A)caused by head trauma.
B)idiopathic in origin.
C)linked to a stroke.
D)related to brain anoxia.
Q2) A patient has recently begun taking phenytoin (Dilantin)for a seizure disorder.The nurse notes a reddish-brown color to the patient's urine.Which action will the nurse take?
A)Ask the provider to order a serum drug level.
B)Reassure the patient that this is a harmless side effect.
C)Report possible thrombocytopenia to the provider.
D)Request an order for a urinalysis and creatinine clearance.
Q3) The nurse is caring for a patient who has been diagnosed with petit mal seizures.The nurse will anticipate teaching this patient about which antiepileptic medication?
A)Carbamazepine (Tegretol)
B)Ethosuximide (Zarontin)
C)Phenobarbital (Luminal)
D)Phenytoin (Dilantin)
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24
Chapter 23: Drugs for Neurological Disorders: Parkinsonism and Alzheimers
Disease
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/36430
Sample Questions
Q1) A patient who has parkinsonism will begin taking selegiline HCl (Eldepryl)to treat symptoms.What information will the nurse include when teaching this patient about this drug?
A)"Avoid consuming foods that are high in tyramine."
B)"This drug will prevent the need to take levodopa."
C)"You may have red wine with dinner on occasion."
D)"You will not have serious drug interactions with this drug."
Q2) An older patient exhibits a shuffling gait,lack of facial expression,and tremors at rest.The nurse will expect the provider to order which medication for this patient?
A)Carbidopa-levodopa (Sinemet)
B)Donepezil (Aricept)
C)Rivastigmine (Exelon)
D)Tacrine (Cognex)
Q3) Which antiviral medication improves symptoms of Parkinson's disease in some patients?
A)Acyclovir (Zovirax)
B)Amantadine HCl (Symmetrel)
C)Interferon (INF)
D)Zanamivir (Relenza)
Page 25
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Chapter 24: Drugs for Neuromuscular Disorders:
Myasthenia Gravis, multiple Sclerosis, and Muscle Spasms
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36431
Sample Questions
Q1) A client with myasthenia gravis is experiencing a cholinergic crisis.Which symptoms are associated with this condition? (Select all that apply. )
A)Bradycardia
B)Rash
C)Vomiting
D)Fever
E)Drooling
F)Weakness
Q2) The nurse is preparing to administer methocarbamol (Robaxin)to a patient who is experiencing acute muscle spasms.The nurse notes that the patient's urine has turned black.What will the nurse do?
A)Administer the next dose of methocarbamol since this is a harmless side effect.
B)Contact the provider to discuss changing to cyclobenzaprine (Flexeril).
C)Obtain an order for a complete blood count to evaluate blood loss.
D)Request an order for liver function tests since this indicates hepatotoxicity.
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Chapter 25: Antiinflammatory Drugs
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36432
Sample Questions
Q1) The nurse is teaching a patient about taking colchicine to treat gout.What information will the nurse include when teaching this patient about this drug?
A)Avoid all alcohol except beer.
B)Include salmon in the diet.
C)Increase fluid intake.
D)Take on an empty stomach.
Q2) A patient who takes high-dose aspirin to treat rheumatoid arthritis has a serum salicylate level of 35 mg/dL.The nurse will perform which action?
A)Assess the patient for tinnitus.
B)Monitor the patient for signs of Reye's syndrome.
C)Notify the provider of severe aspirin toxicity.
D)Request an order for an increased aspirin dose.
Q3) A patient who is 7 months pregnant and who has arthritis asks the nurse if she can take aspirin for pain.The nurse will tell her not to take aspirin for which reason?
A)It can result in adverse effects on her fetus.
B)It causes an increased risk of Reye's syndrome.
C)It increases hemorrhage risk.
D)It will cause increased gastrointestinal distress.
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Chapter 26: Nonopioid and Opioid Analgesics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36433
Sample Questions
Q1) An adolescent female has dysmenorrhea associated with heavy menstrual periods.The patient's provider has recommended ibuprofen (Motrin).When teaching this patient about this drug,the nurse will tell her that ibuprofen
A)may decrease the effectiveness of oral contraceptive pills.
B)may increase bleeding during her period.
C)should be taken on an empty stomach to increase absorption. D)will decrease the duration of her periods.
Q2) The nurse is teaching a female patient who will begin taking 2 tablets of 325 mg acetaminophen every 4 to 6 hours as needed for pain.Which statement by the patient indicates understanding of the teaching?
A)"I may take acetaminophen up to 6 times daily if needed."
B)"I should increase the dose of acetaminophen if I drink caffeinated coffee."
C)"If I take oral contraceptive pills,I should use back-up contraception."
D)"It is safe to take acetaminophen with any over-the-counter medications."
Q3) Which patient may require a higher than expected dose of an opioid analgesic?
A)A patient with cancer
B)A patient with a concussion
C)A patient with hypotension
D)A patient 3 days after surgery
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Page 28
Chapter 27: Antipsychotics and Anxiolytics
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36434
Sample Questions
Q1) The nurse is assessing a young adult patient with schizophrenia who recently began taking fluphenazine (Prolixin).The patient is exhibiting spasms of facial muscles along with grimacing,and the nurse notes upward eye movements.The nurse suspects which side effect?
A)Acute dystonia
B)Akathisia
C)Pseudoparkinsonism
D)Tardive dyskinesia
Q2) A patient who takes loxapine (Loxitane)to treat schizophrenia is noted to be restless and fidgety and is pacing around the room.The nurse caring for this patient will perform which action?
A)Contact the provider to discuss changing to benztropine (Cogentin).
B)Notify the provider of these symptoms and request an order for lorazepam (Ativan).
C)Question the patient about adherence to the drug regimen.
D)Recognize these signs of a serious adverse drug reaction and notify the provider.
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Chapter 28: Antidepressants and Mood Stabilizers
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36435
Sample Questions
Q1) A nurse performs a medication history on a newly admitted patient.The patient reports taking amitriptyline (Elavil)75 mg at bedtime for 6 weeks to treat depression.The patient reports having continued fatigue,lack of energy,and depressed mood.The nurse will contact the provider to discuss which intervention?
A)Beginning to taper the amitriptyline
B)Changing to a morning dose schedule
C)Giving the amitriptyline twice daily
D)Increasing the dose of amitriptyline
Q2) A patient who has a major depressive disorder has been taking fluoxetine (Prozac)20 mg daily for 3 months and reports improved mood,less fatigue,and an increased ability to concentrate.The patient's side effects have diminished.What will the nurse counsel this patient to discuss with the provider?
A)Changing to once-weekly dosing
B)Decreasing the dose to 10 mg daily
C)Discontinuing the medication
D)Increasing the dose to 30 mg daily
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Chapter 29: Penicillins and Cephalosporins
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/36436
Sample Questions
Q1) A patient will begin taking amoxicillin.The nurse should instruct the patient to avoid which foods?
A)Green leafy vegetables
B)Beef and other red meat
C)Coffee,tea,and colas
D)Acidic fruits and juices
Q2) A patient is admitted to the hospital for treatment of pneumonia after complaining of high fever and shortness of breath.The patient was not able to produce sputum for a culture.The nurse will expect the patient's provider to order
A)a broad-spectrum antibiotic.
B)a narrow-spectrum antibiotic.
C)multiple antibiotics.
D)the pneumococcal vaccine.
Q3) The patient will begin taking penicillin G procaine (Wycillin).The nurse notes that the solution is milky in color.What action will the nurse take?
A)Call the pharmacist and report the milky color.
B)Add normal saline to dilute the medication.
C)Call the physician and report the milky appearance.
D)Administer the medication as ordered by the physician.
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Page 31
Fluoroquinolones
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36437
Sample Questions
Q1) The nurse is preparing to begin a medication regimen for a patient who will receive intravenous ampicillin and gentamicin.Which is an important nursing action?
A)Administer each antibiotic to infuse over 15 to 20 minutes.
B)Order serum peak and trough levels of ampicillin.
C)Prepare the schedule so that the drugs are given at the same time.
D)Set up separate tubing sets for each drug labeled with the drug name and date.
Q2) The nurse is preparing to administer intravenous gentamicin to an infant through an intermittent needle.The nurse notes that the infant has not had a wet diaper for several hours.The nurse will perform which action?
A)Administer the medication and give the infant extra oral fluids.
B)Contact the provider to request adding intravenous fluids when giving the medication.
C)Give the medication and obtain a serum peak drug level 45 minutes after the dose.
D)Hold the dose and contact the provider to request a serum trough drug level.
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Chapter 31: Sulfonamides
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/36438
Sample Questions
Q1) The nurse is caring for a patient who is taking trimethoprim-sulfamethoxazole (TMP-SMX).The nurse learns that the patient takes an angiotension-converting enzyme (ACE)inhibitor.To monitor for drug interactions,the nurse will request an order for which laboratory test(s)?
A)A complete blood count
B)BUN and creatinine
C)Electrolytes
D)Glucose
Q2) A patient who is taking trimethoprim-sulfamethoxazole (TMP-SMX)calls to report developing an all-over rash.The nurse will instruct the patient to perform which action?
A)Increase fluid intake.
B)Take diphenhydramine.
C)Stop taking TMP-SMX immediately.
D)Continue taking the medication.
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Chapter
Metronidazole
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36439
Sample Questions
Q1) The nurse is caring for a patient who is diagnosed with tuberculosis.The patient tells the nurse that the provider plans to order a prophylactic antitubercular drug for family members and asks which drug will be ordered.The nurse will expect the provider to order which drug?
A)Isoniazid (INH)
B)Pyrazinamide
C)Rifampin (Rifadin)
D)Streptomycin
Q2) A patient who has chronic liver disease reports contact with a person who has tuberculosis (TB).The nurse will counsel this patient to contact the provider to discuss
A)a chest x-ray.
B)a TB skin test.
C)liver function tests (LFTs).
D)prophylactic antitubercular drugs.
Q3) Which topical antifungal medication is used to treat vaginal candidiasis?
A)Haloprogin (Halotex)
B)Miconazole (Monistat)
C)Oxiconazole (Oxistat)
D)Terbenafine HCl (Lamisil)
Page 34
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Chapter 33: Antivirals, antimalarials, and Anthelmintics
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/36440
Sample Questions
Q1) The patient has been ordered treatment with rimantadine (Flumadine).The patient has renal impairment.The nurse anticipates what change to the dose of medication?
A)Increased
B)Decreased
C)Unchanged
D)Held
Q2) The nurse is teaching a patient who will receive acyclovir for a herpes virus infection.What information will the nurse include when teaching this patient?
A)Blood cell counts should be monitored closely.
B)Dizziness and confusion are harmless side effects.
C)Increase fluid intake while taking this medication.
D)Side effects are rare with this medication.
Q3) A patient will take an anthelmintic medication and asks the nurse about side effects.The nurse will tell the patient that anthelmintic drugs
A)can cause hepatic toxicity.
B)cause orthostatic hypotension.
C)commonly have gastrointestinal (GI)side effects.
D)have many serious adverse reactions.
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Chapter 34: Drugs for Urinary Tract Disorders
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36441
Sample Questions
Q1) A male patient reports urinary urgency and pain with burning on urination.The nurse understands that this patient will be treated for which condition?
A)Cystitis
B)Prostatitis
C)Pyelonephritis
D)Urethritis
Q2) The nurse is preparing to administer methenamine (Hiprex)to a patient who is diagnosed with a urinary tract infection.The nurse reviews the patient's chart and notes a urinary pH of 6.0.Which action will the nurse take?
A)Administer the drug as ordered.
B)Obtain an order for 8 ounces of cranberry juice 3 times daily.
C)Request an order for an increased dose.
D)Restrict fluids to concentrate the patient's urine.
Q3) Which side effects are common to most urinary antiseptics?
A)Dyspnea and chest pain
B)Nausea and vomiting
C)Peripheral neuritis
D)Visual disturbances
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Chapter 35: Hiv- and Aids-Related Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36442
Sample Questions
Q1) A patient who has HIV infection will begin treatment with efavirenz.The nurse expects this agent to be given in the combination product Atripla in order to
A)avoid development of psychiatric comorbidities.
B)prevent dizziness,sedation,and nightmares.
C)reduce viral resistance.
D)prevent severe rash and hepatotoxicity.
Q2) A patient with HIV infection has been receiving antiretroviral therapy for 2 months.At the initiation of treatment,the patient had a viral load (VL)of 60 copies/mL and a CD4 count of 450 cells/mm³.Today's lab results reveal a VL of 20 copies/mL and a CD4 cell count of 800 cells/mm³.How will the nurse interpret the patient's results?
A)A drug-resistant strain is likely.
B)The patient is progressing as expected.
C)The patient's treatment goals have been met.
D)Treatment failure has occurred.
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Chapter 36: Vaccines
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36443
Sample Questions
Q1) The provider orders Zostavax for a 60-year-old patient.The patient reports having had chicken pox as a child.Which action will the nurse take?
A)Administer the vaccine as ordered.
B)Counsel the patient that the vaccine may cause a severe reaction because of previous exposure.
C)Hold the vaccine and notify the provider of the patient's history.
D)Request an order for a Varivax booster instead of the Zostavax.
Q2) A provider has ordered Gardasil to be given to a prepubertal 9-year-old female.The parent asks the nurse if this vaccine can be postponed until the child is in high school.The nurse will tell the parent that Gardasil
A)is less effective in older adolescents.
B)is more effective if given before sexual activity begins.
C)is more effective if given prior to the hormonal changes of puberty.
D)is not effective if given after the onset of menses.
Q3) Which is an example of acquired passive immunity?
A)Administration of IgG to an unimmunized person exposed to a disease
B)Administration of an antigen via an immunization
C)Inherent resistance to a disease antigen
D)Immune response to an attenuated virus
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Page 38
Chapter 37: Anticancer Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36444
Sample Questions
Q1) The nurse is teaching a patient who will take oral cyclophosphamide (Cytoxan).Which statement by the patient indicates understanding of the teaching?
A)"I should follow a diet high in organ meats and beans while taking this drug."
B)"I should brush my teeth and gums vigorously twice daily."
C)"I should report any low-grade temperature elevation immediately."
D)"I should take the drug at bedtime to minimize side effects."
Q2) The nurse is caring for a patient who is receiving intravenous mechlorethamine (Mustargen).The patient reports pain at the IV site,and the nurse assesses swelling and pallor at the site.What action will the nurse take?
A)Administer an analgesic medication.
B)Apply a warm compress to the site.
C)Slow the infusion and notify the provider.
D)Stop the infusion immediately.
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Chapter 38: Targeted Therapies to Treat Cancer
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/36445
Sample Questions
Q1) A patient who has breast cancer tells the nurse that a cousin who had breast cancer received trastuzamab (Herceptin)and wonders why this drug is not given to her.The nurse will explain that her cancer cells do not have
A)significant HER2 receptors.
B)epidermal growth factor receptor-tyrosine kinase.
C)the BRCA1 suppressor gene.
D)VGEF proteins.
Q2) The patient asks the nurse what apoptosis means.The nurse will explain that apoptosis refers to
A)alteration of cellular functions.
B)inhibition of cell division.
C)prevention of cell phase progression.
D)slow,planned cellular death.
Q3) The nurse is preparing to administer intravenous monoclonal antibodies to a patient who has cancer.What is an important nursing action for this patient?
A)Having resuscitation equipment readily available
B)Monitoring the patient's renal function during the infusion
C)Observing the patient closely for development of a rash
D)Performing careful intake and output
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Page 40
Chapter 39: Biologic Response Modifiers
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36446
Sample Questions
Q1) Prior to administration of interferon alpha,the nurse will administer which medications?
A)Acetaminophen and diphenhydramine
B)Heparin and meperidine
C)Lorazepam and furosemide
D)Narcotic analgesics and loratadine
Q2) A patient is receiving bone marrow transplantation for cancer and receives filgrastim (Neupogen).The patient reports abdominal pain in the left upper quadrant.The nurse will perform which action?
A)Administer acetaminophen 650 mg.
B)Administer an antiemetic medication.
C)Report a potentially life-threatening event.
D)Request an order for cardiac enzyme levels.
Q3) The nurse is teaching a young adult patient who will begin receiving interferon.Which statement by the patient indicates understanding of the teaching?
A)"I may have a low-grade fever while taking this medication."
B)"I may have serious cardiovascular side effects because of this drug."
C)"I should take antiemetics prior to each dose of this medication.
D)"I may need to avoid people who are sick while I'm taking this drug."
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Page 41
Chapter 40: Drugs for Upper Respiratory Disorders
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36447
Sample Questions
Q1) A patient who has a nonproductive cough will begin taking guaifenesin to help with secretions.When teaching this patient about the medication,the nurse will provide which instruction?
A)"Avoid driving or using heavy machinery."
B)"Drink extra water while taking the medication."
C)"Monitor urine output closely."
D)"Take with an oral antihistamine for better effects."
Q2) The nurse is providing teaching for a patient who will use intranasal dexamethasone (Decadron)after discharge home from the hospital.What information is important to include when teaching this patient about this drug?
A)"Dexamethasone may be used for year-round symptoms."
B)"Dexamethasone should be discontinued after 30 days."
C)"Dexamethasone should not be taken with antihistamines."
D)"Dexamethasone should not cause systemic steroid side effects."
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Chapter 41: Drugs for Lower Respiratory Disorders
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36448
Sample Questions
Q1) A patient who has been taking theophylline at home reports having palpitations and jitteriness.What action will the nurse take?
A)Ask the patient if herbal medications are used.
B)Notify the provider to report theophylline toxicity.
C)Recommend that the patient increase fluid intake.
D)Request an order for renal function studies.
Q2) The nurse is caring for a patient recently diagnosed with mild emphysema and provides teaching about the disease and medications for treatment.Which statement by the patient indicates understanding of the medication regimen?
A)"I should use albuterol when my symptoms worsen."
B)"I will need to take oral prednisone on a daily basis."
C)"My provider will prescribe prophylactic antibiotics."
D)"My symptoms are reversible with proper medications."
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Chapter 42: Cardiac Glycosides, Antianginals, and Antidysrhythmics
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36449
Sample Questions
Q1) A patient who has heart failure receives digoxin (Lanoxin)and an angiotension-converting enzyme (ACE)inhibitor.The patient will begin taking spironolactone (Aldactone).The patient asks why the new drug is necessary.The nurse will tell the patient that spironolactone will be given for which reason?
A)To enhance potassium excretion
B)To increase cardiac contractility
C)To minimize fluid losses
D)To provide cardioprotective effects
Q2) The nurse is preparing to administer digoxin to a patient who has heart failure.The patient reports nausea,vomiting,and a headache.The nurse notes a respiratory rate of 18 breaths per minute,a heart rate of 58 beats per minute,and a blood pressure of 120/78 mm Hg.What will the nurse do next?
A)Administer the next dose as ordered since these are mild side effects.
B)Hold the dose and notify the provider of possible digoxin toxicity.
C)Reassure the patient that these are common,self-limiting side effects.
D)Request an order for an antiemetic and an analgesic medication.
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Chapter 43: Diuretics
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36450
Sample Questions
Q1) The nurse is caring for a patient who develops marked edema and a low urine output as a result of heart failure.Which medication will the nurse expect the provider to order for this patient?
A)Digoxin (Lanoxin)
B)Furosemide (Lasix)
C)Hydrochlorothiazide (HydroDIURIL)
D)Spironolactone (Aldactone)
Q2) The nurse is caring for a patient who is receiving furosemide (Lasix)and an aminoglycoside antibiotic.The nurse will be most concerned if the patient reports which symptom?
A)Dizziness
B)Dysuria
C)Nausea
D)Tinnitus
Q3) A patient has been taking spironolactone (Aldactone)to treat heart failure.The nurse will monitor for
A)hyperkalemia.
B)hypermagnesemia.
C)hypocalcemia.
D)hypoglycemia.
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Chapter 44: Antihypertensives
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36451
Sample Questions
Q1) The nurse is admitting a patient who has been taking minoxidil (Loniten)to treat hypertension.Prior to beginning therapy with this medication,the patient had a blood pressure of 170/95 mm Hg and a heart rate of 72 beats per minute.The nurse assesses the patient and notes a blood pressure of 130/72 mm Hg and a heart rate of 78 beats per minute,and also notes a 2.2-kg weight gain since the previous hospitalization and edema of the hands and feet.The nurse will contact the provider to discuss which intervention?
A)Adding hydrochlorothiazide to help increase urine output
B)Adding metoprolol (Lopressor)to help decrease the heart rate
C)Increasing the dose of minoxidil to lower the blood pressure
D)Restricting fluids to help with weight reduction
Q2) The nurse is performing an assessment on a patient who will begin taking propranolol (Inderal)to treat hypertension.The nurse learns that the patient has a history of asthma and diabetes.The nurse will take which action?
A)Administer the medication and monitor the patient's serum glucose.
B)Contact the provider to discuss another type antihypertensive medication.
C)Request an order for renal function tests prior to administering this drug.
D)Teach the patient about the risks of combining herbal medications with this drug.
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Chapter 45: Anticoagulants, Antiplatelets, and Thrombolytics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/36452
Sample Questions
Q1) A nursing student asks why the anticoagulant heparin is given to patients who have disseminated intravascular coagulation (DIC)and are at risk for excessive bleeding.The nurse will explain that heparin is used in this case for which reason?
A)To decrease the risk of venous thrombosis
B)To dissolve blood clots as they form
C)To enhance the formation of fibrous clots
D)To preserve platelet function
Q2) The nurse has just begun administering intravenous streptokinase (Streptase).The nurse assesses vital signs and notes a temperature of 37° C,a heart rate of 70 beats per minute,and a blood pressure of 88/58 mm Hg.The nurse will contact the provider to
A)request an adjustment of the streptokinase dose.
B)request an order for aminocaproic acid (Amicar).
C)request epinephrine to prevent anaphylaxis.
D)report potential hemorrhage in this patient.
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Chapter 46: Antihyperlipidemics and Peripheral
Vasodilators
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36453
Sample Questions
Q1) A patient is admitted to the hospital,and the provider orders gemfibrozil (Lopid)600 mg twice daily,30 minutes prior to meals.The nurse learns that the patient takes warfarin (Coumadin)once daily.The nurse will contact the provider to discuss
A)decreasing the dose of gemfibrozil.
B)giving the warfarin at noon.
C)increasing the dose of warfarin.
D)ordering frequent INR levels.
Q2) A patient has been taking cholestyramine (Questran)to treat hyperlipidemia type II.The patient reports abdominal cramping and constipation.The patient's serum lowdensity lipoprotein (LDL)has decreased from 170 mg/dL to 110 mg/dL,and triglycerides have not changed from 150 mg/dL since beginning the medication.The provider changes the medication to colesevelam HCl (Welchol).The patient asks the nurse why the medication was changed,and the nurse will explain that colesevelam HCl is ordered for which reason?
A)It has fewer side effects.
B)It has more convenient dosing.
C)It provides greater LDL reduction.
D)It provides greater triglyceride reduction.
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Chapter 47: Drugs for Gastrointestinal Tract Disorders
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/36454
Sample Questions
Q1) An appropriate goal when teaching a patient who has diarrhea is that the patient
A)will have less frequent,more formed stools.
B)will not have a stool for 1 to 2 days.
C)will receive adequate intravenous fluids.
D)will receive appropriate antibiotic therapy.
Q2) The nurse is teaching a group of parents about the use of syrup of ipecac.Which instruction will the nurse provide?
A)"Do not administer ipecac without consulting a poison control center."
B)"Expect the onset of emesis to be immediate."
C)"Give ipecac with a glass of milk to increase its emetic effect."
D)"Use ipecac fluid extract and not ipecac syrup."
Q3) The parent of a child who is receiving chemotherapy asks the nurse why metoclopramide (Reglan)is not being used to suppress vomiting.The nurse will explain that,in children,this drug is more likely to cause which effect?
A)Excess sedation
B)Extrapyramidal symptoms
C)Paralytic ileus
D)Vertigo
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Chapter 48: Antiulcer Drugs
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36455
Sample Questions
Q1) A patient who takes propantheline bromine (Pro-Banthine)and omeprazole (Prilosec)for an ulcer will begin taking an antacid.The nurse will give which instruction to the patient regarding how to take the antacid?
A)Take the antacid 2 hours after taking the propantheline.
B)Take the antacid along with a meal.
C)Take the antacid with milk.
D)Take the antacid with the propantheline bromine.
Q2) A patient has been taking famotidine (Pepcid)20 mg bid to treat an ulcer but continues to have pain.The provider has ordered lansoprazole (Prevacid)15 mg per day.The patient asks why the new drug is necessary,since it is more expensive.The nurse will explain that lansoprazole
A)can be used for long-term therapy.
B)does not interact with other drugs.
C)has fewer medication side effects.
D)is more potent than famotidine.
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Chapter 49: Drugs for Eye and Ear Disorders
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36456
Sample Questions
Q1) The nurse is caring for an African-American patient who has been diagnosed with glaucoma.The nurse anticipates that which medication will be most effective for this client?
A)Bimatoprost (Lumigan)
B)Latanoprost (Xalatan)
C)Travoprost (Travatan Z)
D)Unoprostone (Rescula)
Q2) The nurse is preparing to administer olopatadine (Patanol)eyedrops to a patient who has allergic conjunctivitis.The patient tells the nurse that the drops have caused burning and stinging.What action will the nurse take?
A)Administer the drops and reassure the patient that this is a normal side effect.
B)Offer an over-the-counter eye lubricant to minimize this adverse effect.
C)Request an order for antibiotic eyedrops.
D)Withhold the medication and notify the provider.
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Chapter 50: Drugs for Dermatologic Disorders
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13 Flashcards
Source URL: https://quizplus.com/quiz/36457
Sample Questions
Q1) An adolescent patient is preparing to take a summer job as a landscaper and asks the nurse about insect repellants and sunscreens.Which statement by the nurse is correct?
A)Apply sunscreen prior to applying insect repellants containing DEET.
B)Apply sunscreen containing PABA 30 minutes prior to sun exposure.
C)Most sunscreens block both UVB and UVA radiation.
D)Reapply sunscreen every 2 hours if sweating occurs.
Q2) A female patient has begun using 2% minoxidil (Rogaine)to treat thinning of her hair.After several weeks of treatment,she reports minimal effectiveness but has noticed some improvement.The nurse will counsel her to perform which action?
A)Continue to use the 2% minoxidil.
B)Change to finasteride (Propecia).
C)Discontinue the minoxidil.
D)Increase to 5% minoxidil.
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Chapter 51: Endocrine Drugs: Pituitary, Thyroid, Parathyroid, and
Adrenal Disorders
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/36458
Sample Questions
Q1) A patient is admitted to the hospital to treat hypothyroidism.For rapid improvement in symptoms,the nurse will expect to administer which medication?
A)Levothyroxine sodium (Synthroid)
B)Liothyronine (Cytomel)
C)Liotrix (Thyrolar)
D)Thyroid desiccated (Armour Thyroid)
Q2) The nurse is caring for a patient who is receiving desmopressin acetate (DDAVP).Which assessments are important while caring for this patient?
A)Blood pressure and serum potassium
B)Heart rate and serum calcium
C)Lung sounds and serum magnesium
D)Urine output and serum sodium
Q3) Which would be a contraindication for hormone therapy with somatropin (Genotropin)in a school-age child?
A)Asthma
B)Dwarfism
C)Enuresis
D)Prader-Willi syndrome
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Chapter
Fluoroquinolones
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/36459
Sample Questions
Q1) A patient who is overweight is being evaluated for diabetes.The patient has a blood glucose level of 160 mg/dL and a hemoglobin A1c of 5.8%.The nurse understands that this patient has which condition?
A)Diabetes mellitus
B)Hypoglycemia
C)Normal blood levels
D)Prediabetes
Q2) A patient develops type 2 diabetes mellitus.The nurse will explain that this type of diabetes
A)is generally triggered by medications.
B)is not as common as type 1 diabetes.
C)is often related to heredity and obesity.
D)will not require insulin therapy.
Q3) The nurse will administer parenteral insulin to a patient who will receive a mixture of NPH (Humulin NPH)and regular (Humulin R).The nurse will give this medication via which route?
A)Intradermal
B)Intramuscular
C)Intravenous
D)Subcutaneous
Page 54
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Chapter 53: Female Reproductive Cycle I: Pregnancy and Preterm Labor Drugs
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36460
Sample Questions
Q1) A woman who is experiencing premature labor is being given betamethasone (Celestone).She asks the nurse why this drug is being given.The nurse will explain that betamethasone is given for which reason?
A)It lowers her blood pressure and prevents seizures.
B)It prevents closure of the ductus arteriosus.
C)It prevents respiratory distress in her infant.
D)It stops her contractions.
Q2) Which statement by the nurse is accurate regarding iron supplementation during pregnancy?
A)"All women should take iron supplements throughout their pregnancy."
B)"Iron supplements are given to supply the fetus."
C)"Iron supplements usually are not necessary until the second trimester."
D)"The greatest iron demand is in the first trimester of pregnancy."
Q3) A woman who is 4 weeks pregnant is worried that a medication she took until 3 weeks ago may cause birth defects.The nurse will tell her that A)drugs taken in the first week of pregnancy can cause CNS defects.
B)medications have increased teratogenicity during the first week of pregnancy.
C)she should have an ultrasound immediately.
D)teratogenic effects are rare in the first 2 weeks of pregnancy.
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Chapter 54: Female Reproductive Cycle II: Labor, delivery, and Preterm Neonatal Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36461
Sample Questions
Q1) The nurse is caring for a multipara woman during labor who has requested an epidural block.The nurse will tell the patient that the epidural block will be given when her cervix is dilated
A)1 to 2 cm.
B)3 to 4 cm.
C)5 to 6 cm.
D)7 to 8 cm.
Q2) The nurse administers meperidine (Demerol)to a woman who is in early labor.Immediately after the drug is given,the woman's labor progresses quickly,and she delivers her infant.The nurse will monitor the infant closely for which condition?
A)Opioid withdrawal syndrome
B)Orthostatic hypotension
C)Respiratory depression
D)Tachycardia and poor perfusion
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Chapter 55: Postpartum and Newborn Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36462
Sample Questions
Q1) The nurse is instructing a nursing student who will administer erythromycin ophthalmic ointment and phytonadione (vitamin K)injection to a newborn infant.The nurse will instruct the student to perform which action?
A)Administer the ointment after giving the injection.
B)Apply a 1-cm ribbon of ointment to the infant's eyes.
C)Apply the ointment along the lower border of the upper eyelids.
D)Warm the ointment in a warmer before applying.
Q2) When teaching a postpartal patient about the use of mineral oil as a laxative,the nurse will explain that mineral oil
A)does not have serious side effects.
B)is safe to take with other laxatives.
C)may be taken with food.
D)should be mixed with juice or soda.
Q3) The nurse is caring for a newborn infant whose mother is HBsAg-negative.The nurse expects to give the infant
A)hepatitis B immune globulin.
B)hepatitis B immune globulin and hepatitis B vaccine 12 hours later.
C)no vaccine.
D)recombinant hepatitis B vaccine.
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Page 57
Chapter 56: Drugs for Womens Reproductive Health and Menopause
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36463
Sample Questions
Q1) A young woman who is taking Ortho-Tri-Cyclen for contraception tells the nurse that her provider has told her it will help to treat her acne.The nurse explains that this is because this product is
A)high in progestin.
B)low in androgenic activity.
C)low in estrogen.
D)triphasic.
Q2) A 45-year-old woman who has not had a period for 15 months reports severe hot flashes and poor sleep.The nurse reviews information about hormone replacement therapy and tells this woman that hormone therapy
A)is very safe and may be used freely to treat menopausal symptoms.
B)may be used indefinitely to treat menopausal symptoms.
C)should be used at the lowest dose possible for less than 5 years.
D)will be necessary to prevent osteoporosis caused by estrogen depletion.
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Chapter 57: Drugs for Mens Health and Reproductive Disorders
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36464
Sample Questions
Q1) A 14-year-old male is being evaluated for delayed puberty.Which finding indicates delayed puberty in this child?
A)Androgen deficiency
B)Growth hormone deficiency
C)Height of 2.5 standard deviations below the mean
D)Lack of epiphyseal closure
Q2) The nurse provides teaching to a man who will begin using an Androderm testosterone patch.Which statement by the patient indicates understanding of the teaching?
A)"I may stop using Androderm when my serum testosterone is normal."
B)"I should apply this to any skin other than the scrotum or bony areas."
C)"I will apply two skin patches every morning after a shower."
D)"My serum testosterone will continue to rise with each day of use."
Q3) A man who has been using androgen therapy tells the nurse that he and his wife wish to conceive a pregnancy.The nurse will tell this patient that A)androgen therapy will not harm the fetus.
B)he will need to increase his dose of testosterone to increase his sperm count.
C)it may take 3 months after cessation of androgen therapy to conceive.
D)there should be no problems conceiving while using androgen therapy.
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Chapter 58: Drugs for Disorders in Womens Health,
and Sexually Transmitted Infections
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/36465
Sample Questions
Q1) A woman is diagnosed with bacterial vaginosis and will begin taking metronidazole (Flagyl).What will the nurse teach the patient about this medication?
A)"Abstain from sexual intercourse while taking this medication."
B)"Do not consume alcohol while taking this drug and for 48 hours after stopping."
C)"Take this medication on an empty stomach to increase absorption."
D)"Topical preparations are ineffective for treating bacterial vaginosis."
Q2) A woman who is infertile has taken 50 mg of clomiphene citrate (Clomid)from days 5 through 9 of a cycle and has not ovulated.The nurse will anticipate that the provider will perform which action?
A)Begin recombinant follicle-stimulating hormone therapy.
B)Increase the dose to 100 mg on days 5 through 9 of her next cycle.
C)Order clomiphene citrate to be given throughout her next cycle.
D)Repeat the 50 mg of clomiphene citrate for 2 more cycles.
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Chapter 59: Adult and Pediatric Emergency Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/36466
Sample Questions
Q1) The nurse is caring for a patient who is receiving magnesium sulfate for ventricular tachycardia.The nurse assesses a heart rate of 68 beats per minute,a respiratory rate of 10 breaths per minute,a blood pressure of 90/60 mm Hg,and decreased deep tendon reflexes.The nurse understands that these are signs of which condition?
A)Hyperkalemia
B)Hypermagnesemia
C)Impending cardiac arrest
D)Renal compromise
Q2) A patient who is experiencing chest pain and shortness of breath is brought to the emergency department.The nurse assesses a heart rate of 98 beats per minute,bilateral lung crackles,and an oxygen saturation of 93%.What drug will the nurse expect to administer initially to this patient?
A)Albuterol
B)Aspirin
C)Nitroglycerin
D)Oxygen
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