Nursing Care Management
Solved Exam Questions
Course Introduction
Nursing Care Management is a comprehensive course designed to equip nursing students with the foundational knowledge and practical skills necessary for effective coordination, planning, and delivery of patient-centered care in diverse healthcare settings. The course emphasizes leadership roles, critical thinking, delegation, evidence-based decision-making, and multidisciplinary collaboration to optimize patient outcomes. Students learn about managing care for individuals, families, and groups, applying quality improvement strategies, utilizing healthcare technology, and navigating ethical and legal considerations. Through theoretical lessons and case studies, the course prepares future nurses to address challenges in resource management, advocate for patients, and contribute positively to healthcare teams.
Recommended Textbook
Pharmacology A Patient Centered Nursing Process Approach 8th Edition by Kee
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59 Chapters
928 Verified Questions
928 Flashcards
Source URL: https://quizplus.com/study-set/679 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/13012
Sample Questions
Q1) A patient who is newly diagnosed with type 1 diabetes mellitus asks why insulin must be given by subcutaneous injection instead of by mouth.The nurse will explain that this is because
A)absorption is diminished by the first-pass effects in the liver.
B)absorption is faster when insulin is given subcutaneously.
C)digestive enzymes in the gastrointestinal tract prevent absorption.
D)the oral form is less predictable with more adverse effects.
Answer: C
Q2) Which drugs will go through a pharmaceutic phase after it is administered?
A)Intramuscular cephalosporins
B)Intravenous vasopressors
C)Oral analgesics
D)Subcutaneous antiglycemics
Answer: C
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3
Chapter 2: The Drug Approval Process
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13013
Sample Questions
Q1) Which law(s)govern all drug administration by nurses?
A)Drug Regulation and Reform Act
B)FDA Amendments Act
C)Nurse Practice Acts
D)The Controlled Substances Act
Answer: C
Q2) The nurse is preparing to administer a combination drug containing acetaminophen and codeine.The nurse knows that this drug is classified as which drug schedule?
A)C-II
B)C-III
C)C-IV
D)C-V
Answer: B
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Chapter 3: Cultural and Pharmacogenetic Considerations
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/13014
Sample Questions
Q1) The nurse is caring for an African-American patient who appears to understand instructions for self-care but does not carry out basic self-care tasks.The nurse understands that the patient may A)be poorly educated and lack basic comprehension skills.
B)need more time and personal space to assimilate what is taught.
C)require the use of culturally appropriate words and phrases when teaching. D)view illness as punishment and lack desire to change the outcome.
Answer: C
Q2) The nurse notes that a patient of African American descent who is taking an oral antihypertensive medication continues to have elevated blood pressure three months after beginning the medication regimen.The nurse suspects that the patient may be A)consuming ethnic foods that interfere with absorption of the drug.
B)discarding the medication.
C)experiencing allergic reactions to the medication.
D)metabolizing the drug differently than expected.
Answer: D
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Chapter 4: Drug Interactions and Over-the-Counter Drugs
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/13015
Sample Questions
Q1) A patient has been taking warfarin (Coumadin),which is highly protein-bound.The patient will begin taking gemfibrozil,which is also highly protein-bound.The nurse will observe the patient closely for
A)decreased effects of warfarin.
B)increased effects of warfarin.
C)decreased effects of gemfibrozil.
D)decreased effects of both drugs.
Q2) 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.
Q3) The nurse is teaching a patient about a drug that causes photosensitivity.Which statement by the patient indicates a need for further teaching?
A)"I should apply sunscreen with a sun protection factor greater than 15."
B)"I should avoid sunlight when possible while taking this drug."
C)"I will wear protective clothing when I am outdoors."
D)"I will wear sunglasses even while I am indoors."
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Page 6
Chapter 5: Drugs of Abuse
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/13016
Sample Questions
Q1) The nurse is discussing smoking cessation with a nurse colleague who smokes.Which statement indicates a readiness to quit smoking?
A)"I don't smoke around my children or inside the house."
B)"I want to stop smoking,but I will need help to do it."
C)"I will quit so my co-workers will stop harassing me about it."
D)"If I cut down gradually,I should be able to quit."
Q2) A patient who has a long history of alcohol abuse is admitted to the hospital for detoxification.In addition to medications needed to treat withdrawal symptoms,the nurse will anticipate giving intravenous
A)dopamine to restore blood pressure.
B)fluid boluses to treat dehydration.
C)glucose to prevent hypoglycemia.
D)thiamine to treat nutritional deficiency.
Q3) What does the nurse understand must occur in order to produce withdrawal syndrome?
A)Addiction
B)Craving
C)Drug tolerance
D)Physical dependence
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Page 7
Chapter 6: Herbal Therapies
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/13017
Sample Questions
Q1) 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
Q2) A man is diagnosed with benign prostatic hypertrophy and wants to avoid surgery.He asks the nurse about using saw palmetto.What information will the nurse include when teaching this patient about this herb?
A)"Gastric disturbances are common while using this herb."
B)"Saw palmetto may help treat erectile dysfunction (ED) as well."
C)"Use saw palmetto for up to 30 days and stop taking it when effects occur."
D)"You should stop taking the herb 1 to 2 weeks prior to prostate-specific antigen (PSA) testing."
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8
Chapter 7: Pediatric Pharmacology
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/13018
Sample Questions
Q1) The nurse is caring for a 5-year-old child.The child is taking a drug that has a known therapeutic range in adults,and the nurse checks that the ordered dose is correct and notes that the child's serum drug level is within normal limits.The child complains of a headache,which is a common sign of toxicity for this drug.Which action will the nurse take?
A)Administer the drug since the drug levels are normal.
B)Attribute the headache to non-drug causes.
C)Hold the next dose and contact the provider.
D)Request an order for an analgesic medication.
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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Page 9
Chapter 8: Geriatric Pharmacology
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/13019
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) A 75-year-old patient will be discharged home with a prescription for an opioid analgesic.To help the patient minimize adverse effects,what will the nurse recommend for this patient?
A)Sucking on lozenges to moisten oral mucosa
B)Taking an antacid with each dose
C)Taking the medication on an empty stomach
D)Using a stool softener
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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/13020
Sample Questions
Q1) The nurse is teaching a patient about a new medication that will be administered using a metered-dose inhaler.To evaluate the patient's understanding about how to use the device,what will the nurse do?
A)Ask the patient to give a return demonstration using the inhaler.
B)Give the patient written instructions to review as needed.
C)Offer the patient an Internet web address with information about the product.
D)Provide information about drug effects and adverse reactions.
Q2) The nurse is preparing to teach a patient who will begin taking a monoamine oxidase (MAO)inhibitor.What is most important when teaching patients about MAO inhibitors?
A)Emphasizing the importance of potassium intake
B)Giving detailed drug information
C)Reviewing dietary guidelines
D)Providing a schedule for medication administration
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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/13021
Sample Questions
Q1) 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
Q2) The nurse is participating in a clinical drug trial comparing two drugs for migraine headaches.Each group is randomly assigned to either drug A or drug B and then switched to the other drug group before being asked to compare the effects.This is an example of which type of study?
A)Crossover design
B)Double-blind experimental design
C)Matched pair design
D)Quasi-experimental design
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12
Chapter
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/13022
Sample Questions
Q1) A 5-year-old child with type 1 diabetes mellitus has repeated hospitalizations for episodes of hyperglycemia related to poor control.The parents tell the nurse that they can't keep track of everything that has to be done to care for their child.The nurse reviews medications,diet,and symptom management with the parents and draws up a daily checklist for the family to use.This is an example of the principles outlined in
A)Guiding Principles of Patient Engagement.
B)National Alliance for Quality Care.
C)Nursing Process.
D)Quality and Safety Education for Nurses.
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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Page 13
Chapter 12: Safety and Quality in Pharmacotherapy
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/13023
Sample Questions
Q1) The nurse is caring for a 20-kg child who is ordered to receive amoxicillin 400 mg PO TID for 10 days.The nurse reviews the drug information and notes that the correct dose of amoxicillin is 40 to 50 mg/kg/day in two to three divided doses.Which action by the nurse is correct?
A)Adjust the drug dose based on drug manufacturer dosing information.
B)Administer the medication as ordered.
C)Ask the pharmacist to double-check that the dose is correct.
D)Contact the provider and ask whether the drug should be given BID instead of TID.
Q2) The nurse is caring for a patient who has asthma.The provider has ordered an albuterol metered-dose inhaler (MDI),2 puffs q4 to 6h PRN wheezing.The patient's last dose was 4 hours ago.What is the nurse's next action?
A)Administer 2 puffs of albuterol with the MDI.
B)Auscultate the patient's lung sounds.
C)Give the albuterol if the patient reports wheezing.
D)Give the medication and evaluate its effectiveness.
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Chapter 13: Medication Administration
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/13024
Sample Questions
Q1) A patient is ordered to take an extended-release medication twice daily but has difficulty swallowing the tablet because of its size.The nurse will perform which action?
A)Contact the provider to discuss an alternate form of the medication.
B)Crush the tablet and put it in applesauce to help the patient swallow it.
C)Cut the tablet in half so the patient can take it more easily.
D)Dissolve the tablet in liquid.
Q2) The nurse is preparing to administer a rectal suppository antipyretic medication.Which action by the nurse is correct?
A)Allowing the suppository to soften at room temperature before inserting
B)Asking the patient to lie on the right side during insertion of the medication
C)Having the patient remain in a side-lying position for 20 minutes after insertion
D)Using a lubricant such as petrolatum gel (Vaseline) to lubricate the medication
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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Chapter 14: Medications and Calculations
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/13025
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: erythromycin 350 mg,PO,q8h.
Available: erythromycin estolate 250 mg/5 mL
How many mL will be given per dose?
Q3) 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?
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?
Q6) Order: digoxin (Lanoxin),PO,62.5 mcg,daily
Available: Lanoxin 0.125-mg tablets
How many mg will the patient receive per day?
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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/13026
Sample Questions
Q1) A young woman tells the nurse that she has a strong family history of osteoporosis and that she has been taking calcium supplements.Which vitamin will the nurse recommend as an adjunct to calcium supplementation?
A)Vitamin A
B)Vitamin D
C)Vitamin E
D)Vitamin K
Q2) A patient who spends most of the time indoors has been taking megadoses of vitamin D and is worried about vitamin D toxicity.The nurse will tell this patient to report which sign that may indicate vitamin D toxicity?
A)Blurred vision
B)Darkening of the skin
C)Nausea and vomiting
D)Palpitations
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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/13027
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 will receive 10% calcium gluconate to treat a serum potassium level of 5.9 mEq/L.The nurse performs a drug history prior to beginning the infusion.Which drug taken by the patient would cause concern?
A)Digitalis
B)Hydrochlorothiazide
C)Hydrocortisone
D)Vitamin D
Q3) A patient with cirrhosis is noted to have low serum albumin levels.The patient is to receive 200 mL of albumin in 30 minutes.The drop factor for the IV set is 15 gtt/mL.The nurse correctly adjusts the IV rate to what rate?
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18
Chapter 17: Nutritional Support
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/13028
Sample Questions
Q1) The nurse is caring for an adult with severe burns who weighs 60 kg.Prior to initiating total parenteral nutrition (TPN)therapy,the nurse reviews the orders.Which TPN order is correct for this patient?
A)3000 kcal,120 g amino acids per day
B)2400 kcal,50 g amino acids per day
C)1500 kcal,100 g amino acids per day
D)3600 kcal,150 g amino acids per day
Q2) A patient who has been receiving total parenteral nutrition (TPN)for several days accidently removes the intravenous (IV)line.While waiting for the IV therapy nurse,the nurse caring for this patient will monitor for which complication?
A)Air embolism
B)Dehydration
C)Hypoglycemia
D)Infection
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19
Chapter 18: Adrenergic Agonists and Adrenergic Blockers
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13029
Sample Questions
Q1) The nurse is performing an admission assessment on a patient who has recently begun taking reserpine.The patient reports using St.John's wort.The nurse anticipates that the patient will have A)hypotension.
B)hypertension.
C)bradycardia.
D)tachycardia.
Q2) 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
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20
Chapter 19: Cholinergic Agonists and Anticholinergics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13030
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) The nurse is preparing to administer bethanechol (Urecholine)to a patient who is experiencing urinary retention.The nurse notes that the patient has a blood pressure of 90/60 mm Hg and a heart rate of 98 beats per minute.The nurse will perform which action?
A)Administer the drug and monitor urine output.
B)Administer the medication and monitor vital signs frequently.
C)Give the medication and notify the provider of the increased heart rate.
D)Hold the medication and notify the provider of the decreased blood pressure.
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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/13031
Sample Questions
Q1) A patient reports difficulty staying awake during the daytime in spite of getting adequate sleep every night.Which medication will the nurse expect the provider to order for this patient?
A)Caffeine (NoDoz)
B)Methylphenidate (Ritalin)
C)Modafinil (Provigil)
D)Theophylline
Q2) The nurse is teaching a child and a parent about taking methylphenidate (Ritalin)to treat attention deficit/hyperactivity disorder (ADHD).Which statement by the parent indicates understanding of the teaching?
A)"I should give this drug to my child at bedtime."
B)"My child should avoid products containing caffeine."
C)"The drug should be stopped immediately if my child develops aggression."
D)"We should monitor my child's weight since weight gain is common."
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Chapter 21: Central Nervous System Depressants
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/13032
Sample Questions
Q1) A patient asks the nurse about taking over-the-counter sleeping aids.The nurse will tell the patient that the active ingredient in these products is often a(n)
A)antiemetic.
B)antihistamine.
C)barbiturate.
D)benzodiazepine.
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) Children who experience nightmares have these during which stage of sleep?
A)Early morning sleep
B)Nonrapid eye movement sleep
C)Rapid eye movement sleep
D)Sleep induction
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Chapter 22: Anticonvulsants
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/13033
Sample Questions
Q1) A patient will begin taking the antiepileptic drug ethosuximide (Zarontin)and asks the nurse whether to take the drug with or without food.The nurse will counsel the patient to take this medication
A)at bedtime.
B)1 hour before meals.
C)2 hours after meals.
D)with meals.
Q2) The nurse is preparing to administer phenytoin to an 80-year-old patient and notes the following order: IVP phenytoin 50 mg.The nurse will perform which action?
A)Administer the undiluted drug through a Y-tube over two minutes.
B)Contact the provider to question the route and the dose.
C)Dilute the drug in dextrose solution and infuse over 15 to 20 minutes.
D)Request an order to administer the drug intramuscularly.
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Chapter 23: Drugs for Neurological Disorders: Parkinsonism and Alzheimer
s Disease
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/13034
Sample Questions
Q1) The nurse is providing teaching for the family of a patient who has been newly diagnosed with Alzheimer's disease (AD).Which statement by the family member indicates understanding of the teaching?
A)"Alzheimer's disease is a chronic,progressive condition."
B)"Alzheimer's disease affects memory but not personality."
C)"The onset of Alzheimer's disease is usually between 65 and 75 years."
D)"With proper treatment,symptoms of this disease can be arrested."
Q2) A nursing student asks the nurse why patients who have parkinsonism receive a combination of carbidopa and levodopa.The nurse will explain that the combination product
A)allows larger doses of levodopa to be given without causing increased adverse reactions.
B)causes more levodopa to be converted to dopamine before crossing the blood-brain barrier.
C)eliminates almost all drug side effects of both levodopa and carbidopa.
D)reduces peripheral side effects by inhibiting decarboxylase in the peripheral nervous system.
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Page 25
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/13035
Sample Questions
Q1) The nurse is caring for a patient who has myasthenia gravis (MG)and is receiving pyridostigmine bromide (Mestinon).The nurse notes ptosis of both eyelids and observes that the patient has difficulty swallowing.What action will the nurse perform next?
A)Contact the provider to request an order for atropine sulfate.
B)Contact the provider to request an order for edrophonium chloride (Tensilon).
C)Report signs of cholinergic crisis to the provider.
D)Report signs of myasthenic crisis to the provider.
Q2) The nurse is performing an admission assessment on a patient who has been taking carisoprodol (Soma)for 3 weeks to treat muscle spasms.The patient reports that the muscle spasms have resolved.The nurse will contact the provider to discuss
A)changing to cyclobenzaprine (Flexeril).
B)continuing the carisoprodol for 1 more week.
C)discontinuing the carisoprodol now.
D)ordering a taper of the carisoprodol.
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Chapter 25: Antiinflammatory Drugs
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/13036
Sample Questions
Q1) The nurse is assessing a patient who has gout who will begin taking allopurinol (Zyloprim).The nurse reviews the patient's medical record and will be concerned about which laboratory result?
A)Elevated BUN and creatinine
B)Increased serum uric acid
C)Slight increase in the white blood count
D)Increased serum glucose
Q2) The nurse provides teaching for a patient who will begin taking indomethacin (Inderal)to treat rheumatoid arthritis.Which statement by the patient indicates a need for further teaching?
A)"I should limit sodium intake while taking this drug."
B)"I should take indomethacin on an empty stomach."
C)"I will need to check my blood pressure frequently."
D)"I will take the medication twice daily."
Q3) Which antigout medication is used to treat chronic tophaceous gout?
A)Allopurinol (Zyloprim)
B)Colchicine
C)Probenecid (Benemid)
D)Sulfinpyrazone (Anturane)
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Page 27
Chapter 26: Nonopioid and Opioid Analgesics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13037
Sample Questions
Q1) The nurse assesses an older patient 60 minutes after administering 4 mg of intravenous morphine sulfate (MS)for postoperative pain.The patient's analgesia order is for 2 to 5 mg of MS IV every 2 hours.The nurse notes that the patient is lying very still.The patient's heart rate is 96 beats per minute,respiratory rate is 14 breaths per minute,and blood pressure is 140/90 mm Hg.When asked to rate the level of pain,the patient replies "just a 5." The nurse will perform which action?
A)Give 3 mg of MS at the next dose.
B)Give 5 mg of MS at the next dose.
C)Request an order for an oral opioid to give now.
D)Request an order for acetaminophen to give now.
Q2) The nurse is providing teaching to a patient who will begin taking aspirin to treat arthritis pain.Which statement by the patient indicates a need for further teaching?
A)"I should increase fiber and fluids while taking aspirin."
B)"I will call my provider if I have abdominal pain."
C)"I will drink a full glass of water with each dose."
D)"I will notify my provider of ringing in my ears."
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28
Chapter 27: Antipsychotics and Anxiolytics
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13038
Sample Questions
Q1) A patient who is taking chlorpromazine calls the clinic to report having reddish-brown urine.What action will the nurse take?
A)Notify the provider and request orders for creatinine clearance and BUN levels.
B)Reassure the patient that this is a harmless side effect of this medication.
C)Tell the patient to come to the clinic for a urinalysis.
D)Tell the patient to discard any drug on hand and request a new prescription.
Q2) A patient arrives in the emergency department with dehydration.The patient reports taking fluphenazine (Prolixin)to treat schizophrenia.The nurse notes rigid muscles and an altered mental status.The patient has a temperature of 103.6° F,a heart rate of 98 beats per minute,and a blood pressure of 90/58 mm Hg.The nurse will anticipate administering which medication?
A)Dantrolene (Dantrium)
B)Haloperidol (Haldol)
C)Propranolol (Inderal)
D)Tetrabenazine (Xenazine)
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Chapter 28: Antidepressants and Mood Stabilizers
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/13039
Sample Questions
Q1) A patient who is taking amitriptyline (Elavil)reports constipation and dry mouth.The nurse will give the patient which instruction?
A)Increase fluid intake.
B)Notify the provider.
C)Request another antidepressant.
D)Stop taking the medication immediately.
Q2) 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
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Chapter 29: Penicillins and Cephalosporins
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/13040
Sample Questions
Q1) 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.
Q2) Which actions can contribute to bacterial resistance to antibiotics? (Select all that apply.)
A)Frequent use of antibiotics
B)Giving large doses of antibiotics
C)Skipping doses
D)Taking a full course of antibiotics
E) Treating viral infections with antibiotics
Q3) 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
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Page 31
Chapter 30: Macrolides, Tetracyclines, Aminoglycosides, and
Fluoroquinolones
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/13041
Sample Questions
Q1) The nurse is caring for a 7-year-old patient who will receive oral antibiotics.Which antibiotic order will the nurse question for this patient?
A)Azithromycin (Zithromax)
B)Clarithromycin (Biaxin)
C)Clindamycin (Cleocin)
D)Tetracycline (Sumycin)
Q2) The nurse is reviewing a patient's chart prior to administering gentamycin (Garamycin)and notes that the last serum peak drug level was 9 mcg/mL and the last trough level was 2 mcg/mL.What action will the nurse take?
A)Administer the next dose as ordered.
B)Obtain repeat peak and trough levels before giving the next dose.
C)Report possible drug toxicity to the patient's provider.
D)Report a decreased drug therapeutic level to the patient's provider.
Q3) The nurse is caring for several patients who are receiving antibiotics.Which order will the nurse question?
A)Azithromycin (Zithromax) 500 mg IV in 500 mL fluid
B)Azithromycin (Zithromax) 500 mg PO once daily
C)Erythromycin 300 mg IM QID
D)Erythromycin 300 mg PO QID
Page 32
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Chapter 31: Sulfonamides
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/13042
Sample Questions
Q1) A patient taking trimethoprim-sulfamethoxazole (TMP-SMX)to treat a urinary tract infection complains of a sore throat. The nurse will contact the provider to request an order for which laboratory test(s)?
A)Complete blood count with differential
B)Throat culture
C)Urinalysis
D)Coagulation studies
Q2) A child who weighs 10 kg will begin taking oral trimethoprim-sulfamethoxazole (TMP-SMX).The liquid preparation contains 40 mg of TMP and 200 mg of SMX per 5 mL.The nurse determines that the child's dose should be 8 mg of TMP and 40 mg of SMX/kg/day divided into two doses. Which order for this child is correct?
A)5 mL PO BID
B)5 mL PO daily
C)10 mL PO BID
D)10 mL PO daily
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Chapter 32: Antituberculars, Antifungals, Peptides, and
Metronidazole
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/13043
Sample Questions
Q1) A patient is diagnosed with tinea capitis.The provider will order which systemic antifungal medication for this patient?
A)Anidulafungin (Eraxis)
B)Fluconazole (Diflucan)
C)Griseofulvin (Fulvicin)
D)Ketoconazole (Nizoral)
Q2) 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
Q3) Which person should be treated with prophylactic antitubercular medication?
A)A child who attends the same school with a child who has tuberculosis
B)A nurse who is working in a hospital
C)An individual who is HIV-positive with a negative TB skin test
D)A patient who has close contact with someone who has tuberculosis
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/13044
Sample Questions
Q1) A patient calls the clinic in November to report a temperature of 103° F,headache,a nonproductive cough,and muscle aches.The patient reports feeling well earlier that day.The nurse will schedule the patient to see the provider and will expect the provider to order which medication?
A)Amantadine HCl (Symmetrel)
B)Influenza vaccine
C)Rimantadine HCl (Flumadine)
D)An over-the-counter drug for symptomatic treatment
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.
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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/13045
Sample Questions
Q1) The nurse is preparing to administer a phenazopyridine HCl (Pyridium)dose to a patient who has diabetes.The nurse notes that the patient has a positive Clinitest.What will the nurse do next?
A)Encourage the patient to increase oral fluid intake.
B)Hold the dose until the patient's Clinitest is negative.
C)Notify the provider of the patient's hyperglycemia.
D)Request an order for serum blood glucose.
Q2) A 25-year-old female patient reports urinary frequency with pain on urination,flank pain,fever,and chills.The nurse recognizes these symptoms as characteristic of which condition?
A)Cystitis
B)Dysuria
C)Pyelonephritis
D)Urethritis
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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Page 36
Chapter 35: HIV- and AIDS-Related Drugs
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13046
Sample Questions
Q1) A patient who is HIV-positive begins therapy with the fixed-dose combination nucleoside reverse transcriptase inhibitor (NRTI)Combivir (lamivudine/zidovudine)twice daily.The patient is in the clinic for follow-up 1 week after initiation of therapy and reports having nausea.The patient's creatinine clearance is 40 mL/minute.Based on these findings,the nurse will perform which action?
A)Instruct the patient to take the medication 60 minutes prior to meals.
B)Notify the provider to discuss single-dose NRTI products.
C)Request an order for once-daily dosing of this medication.
D)Suggest that the patient increase fluid intake.
Q2) The nurse is caring for a 55-year-old patient who has been HIV-infected for 15 years.The nurse understands that this patient
A)has an increased risk of transmitting the HIV infection.
B)is less likely to develop AIDS than younger persons with HIV infection.
C)is less likely to respond to antiretroviral agents.
D)may have comorbid illnesses that can complicate HIV.
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Chapter 36: Vaccines
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13047
Sample Questions
Q1) The nurse is discussing vaccines with the mother of a 4-year-old child who attends a day care center that requires the DTaP vaccine.The mother,who is pregnant,tells the nurse that she does not want her child to receive the pertussis vaccine because she has heard that the disease is "not that serious" in older children.What information will the nurse include when discussing this with the mother?
A)If she gets the vaccine,both she and her 4 year-old child will be protected.
B)If the 4-year-old child contracts pertussis,it can be passed on to her newborn.
C)The vaccine will not be given to her child while she is pregnant.
D)Vaccinating the 4-year-old will provide passive immunity for her unborn child.
Q2) The parent of a 12-month-old child who has received the MMR,Varivax,and hepatitis
A vaccines calls the clinic to report redness and swelling at the vaccine injection sites and a temperature of 100.3° F.The nurse will perform which action?
A)Recommend aspirin or an NSAID for pain and fever.
B)Recommend acetaminophen and cold compresses.
C)Report these adverse effects to the Vaccine Adverse Event Reporting System (VAERS).
D)Schedule an appointment in clinic so the provider can evaluate the child.
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Chapter 37: Anticancer Drugs
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/13048
Sample Questions
Q1) A patient who is about to begin chemotherapy asks the nurse when the risk of infection is highest.The nurse will tell the patient that infection risk is greatest at which point?
A)A week to 10 days after each chemotherapy dose
B)During the week immediately after chemotherapy
C)Immediately prior to each dose of chemotherapy
D)When the patient's temperature is elevated by 1° F
Q2) A woman who has advanced breast cancer will begin receiving androgen therapy.The nurse will explain to the patient that androgen therapy is used to
A)enhance her own estrogen production.
B)give her a sense of well-being.
C)minimize hot flashes.
D)promote regression of her tumor.
Q3) 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."
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Page 39
Chapter 38: Targeted Therapies to Treat Cancer
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/13049
Sample Questions
Q1) The nurse performs a medication history on a patient who will begin targeted therapy for cancer with gefitinib (Iressa).The nurse learns that the patient is taking carbamazepine,a histamine<sub>2 </sub>blocker,and warfarin.The nurse will anticipate that the provider will make which change to the medication regimen?
A)decrease the gefitinib dose.
B)decrease the warfarin dose.
C)increase the histamine<sub>2</sub> blocker dose.
D)increase the carbamazepine dose.
Q2) The nurse is performing a history on a patient who will begin taking bevacizumab (Avastin).Which aspect of the patient's history should be reported to the oncologist treating this patient?
A)History of hepatitis
B)Hypertension
C)Recent surgical history
D)Weight loss
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Chapter 39: Biologic Response Modifiers
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/13050
Sample Questions
Q1) 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."
Q2) A patient who has cancer will begin treatment with a colony-stimulating factor.The patient verbalizes understanding of this drug's action with which statement?
A)"This drug allows higher doses of chemotherapy."
B)"This drug has antitumor activity."
C)"This drug has cytotoxic effects."
D)"This drug has antiviral effects."
Q3) 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
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Chapter 40: Drugs for Upper Respiratory Disorders
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/13051
Sample Questions
Q1) A patient who has seasonal allergies with a runny nose during the daytime reports increasing nighttime symptoms of coughing and sneezing that are interfering with sleep.The provider recommends diphenhydramine (Benadryl)at bedtime.What information will the nurse include when teaching the patient about this medication?
A)"Avoid fluids at bedtime to prevent urinary retention."
B)"This will help clear your daytime symptoms,too."
C)"You should be able to sleep better when you take this medication."
D)"You should take this medication on an empty stomach."
Q2) The parents of a 3-year-old child tell the nurse that they are planning to give their child diphenhydramine (Benadryl)on a flight to visit the child's grandparents to help the child sleep during the flight.What will the nurse tell the parents about giving this drug?
A)Administer 25 mg of diphenhydramine when using to induce sleep.
B)Diphenhydramine may have the opposite effect and could cause agitation.
C)Give the diphenhydramine about 5 minutes prior to takeoff.
D)Loratadine should be used instead of diphenhydramine to minimize 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/13052
Sample Questions
Q1) 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."
Q2) A patient who is using inhaled cromolyn sodium (Intal)daily calls the clinic to report experiencing cough and a bad taste.The nurse will instruct the patient to perform which action?
A)Drink water before and after using the inhaler.
B)Schedule an appointment to discuss these effects with the provider.
C)Stop taking the medication immediately.
D)Use the inhaler only as needed for acute bronchospasms.
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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/13053
Sample Questions
Q1) A patient who takes digoxin to treat heart failure will begin taking a vasodilator.The patient asks the nurse why this new drug has been ordered.The nurse will explain that the vasodilator is used to
A)decrease ventricular stretching.
B)improve renal perfusion.
C)increase cardiac output.
D)promote peripheral fluid loss.
Q2) A patient with chronic obstructive pulmonary disease (COPD)has increasing dyspnea and is being evaluated for heart failure (HF).Which test will be ordered to help differentiate between dyspnea due to lung dysfunction and dyspnea due to HF?
A)Atrial natriuretic hormone (ANH) level
B)Brain natriuretic peptide (BNP) level
C)Cardiac enzymes
D)Electrocardiogram (ECG)
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Chapter 43: Diuretics
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/13054
Sample Questions
Q1) A patient has been taking spironolactone (Aldactone)to treat heart failure.The nurse will monitor for A)hyperkalemia.
B)hypermagnesemia.
C)hypocalcemia.
D)hypoglycemia.
Q2) The nurse is preparing to administer doses of hydrochlorothiazide (HydroDIURIL)and digoxin (Lanoxin)to a patient who has heart failure.The patient reports having blurred vision.The nurse notes a heart rate of 60 beats per minute and a blood pressure of 140/78 mm Hg.Which action will the nurse take?
A)Administer the medications and request an order for serum electrolytes.
B)Give both medications and evaluate serum blood glucose frequently.
C)Hold the digoxin and notify the provider.
D)Hold the hydrochlorothiazide and notify the provider.
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Chapter 44: Antihypertensives
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/13055
Sample Questions
Q1) The nurse is teaching a patient who has hypertension about long-term management of the disease and a beta blocker.The patient reports typically consuming 1 to 2 glasses of wine each evening with meals.How will the nurse respond?
A)"Beta blockers and wine cause a reflex hypertension."
B)"Four to 6 ounces of wine is considered safe with these medications."
C)"Wine in moderation helps you relax and get better blood pressure control."
D)"Wine increases the hypotensive effects of the beta blocker."
Q2) A patient has a blood pressure of 155/95 mm Hg.The nurse understands that this patient's risk of cardiovascular disease is _____ greater than normal.
A)two times
B)three times
C)four times
D)six times
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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/13056
Sample Questions
Q1) The nurse is caring for a patient who is receiving clopidogrel (Plavix).The patient calls the nurse to report flulike symptoms.The nurse notes a heart rate of 76 beats per minute,a blood pressure of 110/76 mm Hg,and a respiratory rate of 20 breaths per minute.The nurse suspects that the patient is experiencing which condition?
A)Anaphylaxis
B)An expected drug side effect
C)Hemorrhage
D)Possible myocardial infarction
Q2) The nurse is preparing to administer a first dose of clopidogrel (Plavix)to a patient.As part of the history,the nurse learns that the patient has a previous history of peptic ulcers,diabetes,and hypertension.The nurse understands it will be necessary to notify the provider and obtain an order for
A)a proton pump inhibitor (PPI) medication.
B)frequent serum glucose monitoring.
C)increased antihypertensive medications.
D)nonsteroidal antiinflammatory medications.
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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/13057
Sample Questions
Q1) A patient has a serum cholesterol level of 270 mg/dL.The patient asks the nurse what this level means.Which response by the nurse is correct?
A)"You have a high risk for coronary artery disease."
B)"You have a moderate risk for coronary artery disease."
C)"You have a low risk for coronary artery disease."
D)"You have no risk for coronary artery disease."
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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Page 48
Chapter 47: Drugs for Gastrointestinal Tract Disorders
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/13058
Sample Questions
Q1) The nurse is caring for a patient who has postoperative nausea and vomiting.The surgeon has ordered promethazine HCl (Phenergan).Which aspect of this patient's health history would be of concern?
A)Asthma
B)Diabetes
C)GERD
D)Glaucoma
Q2) A patient who experiences motion sickness when flying asks the nurse the best time to take the medication prescribed to prevent motion sickness for a 0900 flight.The nurse will instruct the patient to take the medication at which time?
A)As needed,at the first sign of nausea
B)At 0700,before leaving for the airport
C)At 0830,just prior to boarding the plane
D)When seated,just prior to takeoff
Q3) 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.
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Page 49
Chapter 48: Antiulcer Drugs
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15 Flashcards
Source URL: https://quizplus.com/quiz/13059
Sample Questions
Q1) An elderly patient reports using Maalox frequently to treat acid reflux.The nurse should notify the patient's provider to request an order for which laboratory tests?
A)Liver enzymes and serum calcium
B)Liver enzymes and serum magnesium
C)Renal function tests and serum calcium
D)Renal function tests and serum magnesium
Q2) A patient who recently began having mild symptoms of GERD is reluctant to take medication.What measures will the nurse recommend to minimize this patient's symptoms? (Select all that apply.)
A)Avoiding hot,spicy foods
B)Avoiding tobacco products
C)Drinking a glass of red wine with dinner
D)Eating a snack before bedtime
E) Taking ibuprofen with food
Q3) Which antacid is likely to cause acid rebound?
A)Aluminum hydroxide
B)Calcium carbonate
C)Magnesium hydroxide
D)Magnesium trisilicate
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Page 50
Chapter 49: Drugs for Eye and Ear Disorders
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13060
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 dipivefrin (Propine)drops as a mydriatic agent.Which assessment would cause the nurse to withhold the drug and notify the provider?
A)Blood pressure of 140/90 mm Hg
B)Heart rate of 60 beats per minute
C)Respiratory rate of 12 breaths per minute
D)Temperature of 37.9° C
Q3) The parent of a toddler asks the nurse what can be done to prevent otitis media.What will the nurse recommend?
A)Administer diphenhydramine when the child has a runny nose.
B)Give phenylephrine (Neo-Synephrine Ophthalmic) to prevent congestion.
C)Keep the child's immunizations up to date.
D)Remove cerumen with carbamide peroxide (Auro Ear Drops).
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Chapter 50: Drugs for Dermatologic Disorders
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) A patient who has psoriasis will begin taking etanercept (Enbrel).The nurse will ensure that which laboratory test is performed prior to initiating treatment with this drug?
A)Complete blood count (CBC) with differential
B)CD4 and T-cell count
C)Serum pregnancy test
D)Tuberculin test
Q2) The nurse is providing teaching for an adolescent who has acne vulgaris.In addition to teaching about correct administration of the prescribed medications,the nurse will instruct this patient to
A)apply topical vitamin D3.
B)cleanse the skin gently several times a day.
C)scrub the affected skin vigorously twice daily.
D)take supplemental vitamin A.
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52
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/13062
Sample Questions
Q1) A patient is taking prednisolone and fludrocortisone (Florinef).When teaching this patient about dietary intake,the nurse will instruct the patient to consume a diet
A)high in carbohydrates.
B)high in fat.
C)high in protein.
D)low in potassium.
Q2) A patient who has hyperthyroidism will begin treatment with an antithyroid medication.The patient asks the nurse about dietary requirements.The nurse will counsel the patient to avoid which food(s)?
A)Fava beans
B)Foods high in purine
C)Grapefruit
D)Shellfish
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
Page 53
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Chapter 52: Antidiabetics
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/13063
Sample Questions
Q1) The nurse is teaching a patient who is newly diagnosed with type 1 diabetes mellitus about insulin administration.Which statement by the patient indicates a need for further teaching?
A)"I may use a chosen site daily for up to a week."
B)"I should give each injection a knuckle length away from a previous injection."
C)"I will not be concerned about a raised knot under my skin from injecting insulin."
D)"Insulin is absorbed better from subcutaneous sites on my abdomen.
Q2) A patient who has type 1 diabetes mellitus asks the nurse about using a combination insulin product such as Humalog 75/25.The nurse will tell the patient that use of this product
A)depends on individual insulin needs.
B)is useful for patient with insulin resistance.
C)means less rotation of injection sites.
D)requires refrigeration at all times.
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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/13064
Sample Questions
Q1) A patient who has just delivered her baby asks the nurse if she needs to continue taking her iron supplement.What instruction will the nurse provide to the patient?
A)"Continue taking iron for 6 more weeks."
B)"Stop taking the iron supplement now."
C)"Take the iron supplement while nursing."
D)"Take the iron only if your hemoglobin is low."
Q2) A pregnant woman asks the nurse if she must give up caffeinated coffee while pregnant.How will the nurse advise the patient?
A)"Two cups of coffee can increase your risk of spontaneous abortion."
B)"Drinking fewer than 6 cups of coffee per day is not harmful."
C)"You may consume coffee freely during your third trimester."
D)"There is evidence that caffeine is teratogenic."
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
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13065
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 is caring for a woman who is in labor.The woman is anxious and reports increasing nausea after receiving an opioid analgesic medication.The nurse will contact the provider and request an order for which intravenous medication?
A)Hydroxyzine HCl (Vistaril)
B)Pentobarbital sodium (Nembutal)
C)Promethazine (Phenergan)
D)Secobarbital sodium (Seconal)
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Chapter 55: Postpartum and Newborn Drugs
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13066
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) The nurse provides teaching for a postpartal woman who will take bisacodyl tablets to help with constipation.What information will the nurse include when teaching this patient about this medication?
A)"Crush the tablet if it is difficult to swallow."
B)"Store this medication in a cool,dry place."
C)"Take the tablet with a carbonated beverage."
D)"Take with milk if gastrointestinal upset occurs."
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Chapter 56: Drugs for Womens Reproductive Health and Menopause
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13067
Sample Questions
Q1) 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.
Q2) The nurse is caring for a woman who will begin taking ibuprofen to treat arthritis.The woman tells the nurse that she takes Yasmin for contraception.The nurse will perform which action?
A)Counsel the patient to use a backup method of contraception while taking ibuprofen.
B)Notify the provider to discuss an alternate combination oral contraceptive.
C)Suggest a COX-2 inhibitor instead of ibuprofen for arthritis pain.
D)Tell the patient to use a lower dose of ibuprofen to prevent adverse effects.
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Chapter 57: Drugs for Mens Health and Reproductive Disorders
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13068
Sample Questions
Q1) A patient will begin using sildenafil citrate (Viagra)to treat erectile dysfunction.The nurse will instruct the patient to take the medication
A)daily in the morning.
B)just prior to sexual activity.
C)30 minutes to 4 hours before sexual activity.
D)twice daily.
Q2) A patient will begin taking finasteride (Propecia)to treat benign prostatic hypertrophy (BPH)and asks the nurse how long the medication will be necessary.The nurse will tell the patient that he will need to take this medication for how long?
A)6 months
B)12 months
C)Indefinitely
D)Until symptoms resolve
Q3) The oral antiandrogen drug flutamide (Eulexin)is used to treat which condition?
A)Benign prostatic hypertrophy (BPH)
B)Breast cancer
C)Male-pattern baldness
D)Metastatic prostate cancer
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Chapter 58: Drugs for Disorders in Womens Health,
Infertility, and Sexually Transmitted Infections
Available Study Resources on Quizplus for this Chatper
Source URL: https://quizplus.com/quiz/13069
Sample Questions
Q1) A young woman reports not having a period for 7 months.Which test will the provider likely order first to evaluate the cause of amenorrhea in this patient?
A)Pelvic ultrasound
B)Pregnancy test
C)Progestational challenge test
D)Serum insulin levels
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.
Q3) The nurse is teaching the parent of an 11-year-old girl about the Gardasil vaccine.What will the nurse include in teaching?
A)"Gardasil is given to females and not to males."
B)"Gardasil protects against cervical dysplasia."
C)"Gardasil reduces the need for routine Pap smears."
D)"Gardasil will be given as a single injection."
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Chapter 59: Adult and Pediatric Emergency Drugs
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/13070
Sample Questions
Q1) A patient with congestive heart failure and pulmonary edema is experiencing chest pain.The patient has an order for morphine sulfate IV 4 mg every 5 to 30 minutes PRN until chest pain is relieved.The last dose of 4 mg was 15 minutes prior,and the patient is complaining of chest pain and exhibiting increased work of breathing.The nurse notes a heart rate of 82 beats per minute,a respiratory rate of 18 breaths per minute,and a blood pressure of 135/88 mm Hg.What will the nurse do next?
A)Administer morphine sulfate IV 4 mg over 1 to 5 minutes.
B)Administer naloxone (Narcan) to reverse respiratory depression.
C)Request an order for morphine sulfate IV 2 mg over 1 to 5 minutes.
D)Hold the next dose and notify the provider of the patient's symptoms.
Q2) The nurse is administering amiodarone to a patient who is being treated for a ventricular arrhythmia.The patient has received a bolus of 150 mg of amiodarone IV and is now receiving a continuous infusion of 1 mg/minute.The nurse notes a heart rate of 60 beats per minute and a blood pressure of 88/54 mm Hg.The nurse will notify the provider and perform which other action?
A)Continue the amiodarone infusion at 1 mg/minute.
B)Decrease the rate of the amiodarone infusion to 0.5 mg/minute.
C)Increase the rate of the amiodarone infusion to 1.5 mg/minute.
D)Stop the infusion of amiodarone.
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