Question 1

The nurse is providing care for a client with end stage renal disease who is receiving Fosrenol (lanthanum carbonate).The nurse recognizes this medication is effective by which of the following laboratory values?
A)Serum potassium = 3.7 mEq/L
B)Hemoglobin = 10.2 g/dL
C)Uric acid = 3.7 mg/dL
D)Serum phosphate = 5.4 mg/dL

Accepted Answer

Fosrenol (lanthanum carbonate) is a phosphate binder indicated for the control of serum phosphorus levels in patients with end stage renal disease. Therefore, the appropriate laboratory value to monitor effectiveness of this medication is serum phosphate. Option D, serum phosphate of 5.4 mg/dL, would indicate that Fosrenol is effectively binding to and reducing the serum phosphate level.

Question 2

The nurse is caring for a 68-year-old male who is taking Cardura (doxazosin).He denies any history of hypertension.The nurse recognizes this medication can also be used to treat which of the following conditions?
A)Psoriasis
B)Gout
C)Lymphoma
D)Benign prostatic hypertrophy

Accepted Answer

Cardura (doxazosin) is primarily used to treat hypertension but can also be used to treat benign prostatic hypertrophy by relaxing the muscles in the prostate and bladder neck, improving urine flow.

Question 3

As part of a new treatment regimen for hypothyroidism,a 48-year-old woman is prescribed Levoxyl (levothyroxine).The nurse should include which of the following statements in the client teaching? Select all that apply.
A)"You should take this medication at roughly the same time each day."
B)"Once you've been taking this medication for a few weeks,you should be cured and the doctor will stop it."
C)"Let the doctor know if you lose more than 2 pounds per week while taking this medication."
D)"Do not take this medication at the same time as any other medications."
E)"Avoid eating beef or pork while taking this medication."
F)"Some clients experience headaches,nervousness,sweating,and palpitations while taking this medication."

Accepted Answer

The answer of As part of a new treatment regimen...

Question 4

A nurse from the medical unit is floated to the surgical unit.While preparing to provide morning medications,the nurse realizes many clients are taking Demerol (meperidine)and knows the drug must be given cautiously or in reduced doses to which of the following clients? Select all that apply.
A)A 42-year-old patient taking Nitro-Bid (nitroglycerine)
B)A 68-year-old patient taking Prozac (fluoxetine)
C)A 74-year-old patient taking Matulane (procarbazine)
D)A 66-year-old patient taking Dilantin (phenytoin)
E)A 51-year-old patient taking Zovirax (acyclovir)
F)A 76-year-old patient taking Synthroid (levothyroxine)

Accepted Answer

The answer of A nurse from the medical unit is...

Question 5

The nurse is talking to a neighbor who spent 3 days in the hospital on intravenous antibiotics including erythromycin the week before.The individual states,"I've had such bad diarrhea all night and it really isn't any better today." Which of the following statements by the nurse is best?
A)"Are you taking any oral antibiotics now?"
B)"Antibiotics commonly cause diarrhea;be sure to drink plenty of fluids."
C)"Have you noticed any blood or pus in the stool?"
D)"Is anyone else in the family experiencing the same symptoms?"

Accepted Answer

Antibiotic use, especially broad-spectrum antibiotics like erythromycin, can disrupt the normal gut flora and potentially lead to Clostridium difficile infection, which can cause severe diarrhea, often with blood or pus in the stool. This is a more serious condition that requires medical attention, making it the best question to ask first.

Question 6

The nurse is preparing to provide a chemotherapy treatment for a client with non-small cell lung cancer.It is day 8 of the 28-day chemotherapy cycle and the client is scheduled to receive Gemzar (gemcitabine)IV.Match the following nursing actions in the correct order for provision.
A)Infuse over 30 min.
B)Identify absolute granulocyte and platelet counts.
C)Monitor vital signs every 15 min.
D)Obtain medication from pharmacy.

Accepted Answer

The answer of The nurse is preparing to provide a...

Question 7

A student nurse is preparing to participate in a mission-trip to South Africa and is prescribed Plaquenil (hydroxychloroquine).Which of the following side effects may be experienced by the student? Select all that apply.
A)Rash
B)Headache
C)Ringing in the ears
D)Anorexia
E)Diarrhea
F)Hypertension

Accepted Answer

The answer of A student nurse is preparing to participate...

Question 8

The nurse is caring for a client newly admitted with pelvic inflammatory disease.An order for Primaxin (imipenem/cilastatin)500 mg IV every 6 hr is noted.The nurse would be most concerned by which of the following findings in the client's history?
A)Use of an intrauterine device for birth control
B)Family history of hypertension
C)Order for morphine sulfate 2 mg IV every 4 hr as needed for pain
D)History of seizures

Accepted Answer

Primaxin can decrease the seizure threshold, and use in clients with a history of seizures should be done with caution. The other options are not directly related to the use of Primaxin.

Question 9

The nurse is providing Tarceva (erlotinib)intravenously for a client who has small cell lung cancer.The client begins to appear slightly short of breath,respiratory rate has gone from 14 breaths per min to 20 breaths per min and he has been coughing mildly for the past 10 min.Which of the following actions should the nurse take first?
A)Listen to breath sounds to determine if the client is experiencing fluid volume overload.
B)Stop the infusion since there is a risk of interstitial lung disease with this medication.
C)Check the client's temperature to determine if he is developing pneumonia.
D)Reassure the client that a cough is normal as cancer cells are destroyed and continue to monitor closely.

Accepted Answer

Stopping the infusion is the first and most critical action to take because erlotinib (Tarceva) can cause interstitial lung disease, a potentially fatal condition. The symptoms described could indicate the onset of this serious side effect.

Question 10

The nurse is providing care for a client who has new orders to start Victoza (liraglutide)0.6 mg subcutaneously each day.Which of the following orders should the nurse anticipate? Select all that apply.
A)Check blood sugar before meals and at bedtime.
B)Teach client self-injection techniques.
C)Conduct liver function tests every morning for the next 3 days.
D)Discontinue low molecular weight heparin.
E)Notify physician of acute abdominal pain,nausea,or vomiting.
F)Hold all aspirin products.

Accepted Answer

The answer of The nurse is providing care for a...

Question 11

The nurse is reviewing the home medication list for a client with identified hypercholesterolemia.The client reports taking Zetia (ezetimibe)daily.The nurse understands this medication is designed to reduce the client's risk for which of the following?
A)Atherosclerosis
B)Angina
C)Deep vein thrombosis
D)Gastric ulceration

Accepted Answer

Zetia (ezetimibe) is a medication that is designed to reduce the level of cholesterol in the body, thus reducing the risk of atherosclerosis, which is the buildup of plaque in the arteries. It is not indicated for angina, deep vein thrombosis, or gastric ulceration.

Question 12

A nurse caring for a client with chronic obstructive pulmonary disease notes the recent addition of a new inhaler,formoterol.The nurse knows this medication is designed to prevent which of the following symptoms?
A)Mucous production
B)Salivation
C)Bleb formation
D)Bronchospasm

Accepted Answer

Formoterol is a long-acting beta-2 agonist medication that works by relaxing the muscles in the airways, thereby preventing bronchospasm in clients with COPD. It does not affect mucous production, salivation, or bleb formation.

Question 13

While observing in the oncology clinic,a student nurse is reviewing chemotherapy orders for a client with advanced colorectal cancer.The nurse providing care explains the client is to receive "high dose methotrexate with leucovorin rescue." The student understands the leucovorin calcium is given for which of the following reasons?
A)As a catalyst to increase the number of cancer cells destroyed by the methotrexate.
B)As an antidote to the methotrexate to reduce the destruction of blood cells.
C)As a second chemotherapeutic agent that will destroy cancer cells using a different mechanism.
D)As a carrying agent to ensure delivery of the methotrexate into the cells.

Accepted Answer

Leucovorin calcium is given as an antidote to methotrexate to reduce the destruction of blood cells. Methotrexate is a folic acid antagonist that can cause myelosuppression, leading to decreased production of blood cells. Leucovorin calcium helps to reduce this side effect by increasing the availability of folic acid in the body, which can protect against the toxic effects of methotrexate.

Question 14

The nurse is providing Epogen (epoetin)subcutaneously to a client with chronic kidney disease.Which of the following would indicate that the therapy is effective? Select all that apply.
A)The client's hematocrit rises from 27.4 to 32.9%.
B)The client's serum creatinine falls from 5.6 mg/dL to 4.9 mg/dL.
C)The client reports decreased fatigue and dyspnea.
D)The client reports 500 mL of urine output in a 24-hr period.
E)The client's WBC = 7.4 u/L.
F)The client has remained afebrile for 2 wk.

Accepted Answer

A rise in hematocrit indicates an increase in red blood cell production, which is the desired effect of Epogen therapy for clients with chronic kidney disease who have anemia. Therefore, option A is correct.

Decreased fatigue and dyspnea indicate an improvement in oxygen delivery to tissues, which is another desired effect of Epogen therapy. Therefore, option C is also correct.

Options B, D, E, and F are not relevant indicators of the effectiveness of Epogen therapy. Option B measures the level of creatinine, which is an indicator of kidney function, but not directly related to Epogen therapy. Option D measures urine output, which is also not directly related to Epogen therapy. Option E measures white blood cell count, which is not affected by Epogen therapy. Finally, option F measures fever, which is also not directly related to Epogen therapy.

Question 15

The nurse responds to a call light for a client with chronic obstructive pulmonary disease and finds the client slightly dyspneic with a respiratory rate of 20 and wheezing noted in the anterior and posterior upper lung fields.The nurse knows the client has orders for Arcapta (indacaterol)inhaler once daily,which is due in 1 hr.Which of the following actions by the nurse is best?
A)Provide the Arcapta (indacaterol)inhaler at this time.
B)Check the client's temperature.
C)Determine if the client has an order for other respiratory inhalers/treatment.
D)Identify the most recent chest x-ray results.

Accepted Answer

Before providing the Arcapta inhaler, the nurse should determine if the client has any other respiratory inhalers or treatments ordered to ensure that the client is receiving the appropriate treatment for their current respiratory distress. Checking the client's temperature or identifying the most recent chest x-ray results would not be the most immediate or pertinent actions in this situation.

Question 16

While working in the psychiatric hospital,the nurse provides Fanapt (iloperidone)2 mg twice daily.Which of the following assessments indicates the medication is effective?
A)The client's mood is stabilized.
B)The client is able to sleep for 8 hr at night.
C)The client denies hearing voices.
D)The client's weight is stabilized

Accepted Answer

Fanapt (iloperidone) is an antipsychotic medication used to treat schizophrenia. One of the most common symptoms of schizophrenia is hallucinations, including hearing voices. If the client is denying hearing voices, it indicates that the medication is effectively reducing psychotic symptoms. Stabilization of mood, sleep, and weight are also important, but they are not specific indicators of the medication's effectiveness in treating schizophrenia.

Question 17

A client with Alzheimer is started on Razadyne (galantamine)4 mg twice daily.The family has been told to return to the physician's office in 4 wk.Which of the following statements by the nurse is best?
A)"Sometimes a higher dose of this medication is needed to see improvement."
B)"You should notice improvement within a day or two."
C)"If you forget a dose one day,just have her take two the next day."
D)"This medication can cause dizziness so be extra careful to avoid falls."

Accepted Answer

The answer of A client with Alzheimer is started on...

Question 18

While investigating the medications taken by a client in the hospital,the student nurse understands that Plendil (felodipine)works to lower blood pressure by causing which of the following physiologic changes?
A)Dilatation of the vascular wall
B)Blocking the transport of calcium
C)Inhibiting the beta receptors on cell membranes
D)Reducing the formation of ectopic beats

Accepted Answer

The answer of While investigating the medications taken by a...

Question 19

The student nurse reviews a list of medications a client takes at home.Xopenex (levalbuterol)is on the list.The student expects this medication is provided in which of the following ways?
A)Orally
B)Topically
C)Rectally
D)Metered dose inhaler

Accepted Answer

Xopenex (levalbuterol) is a bronchodilator medication typically provided through a metered dose inhaler to help open up airways for clients with asthma or other respiratory conditions. It is not given orally, topically or rectally.

Question 20

While observing in the operating room,the student nurse notes a client was given Robinul (glycopyrrolate)pre-operatively as part of the anesthesia regimen.The student recognizes this medication will cause which of the following?
A)Decreased pain perception during the procedure
B)Reduced oral and respiratory secretions
C)Neuromuscular blockage and paralysis
D)Reduced consciousness and sedation

Accepted Answer

Robinul (glycopyrrolate) is an anticholinergic medication that is used to reduce oral and respiratory secretions before surgery. It does not affect pain perception, cause neuromuscular blockage and paralysis, or reduce consciousness and sedation.

Quiz 3: Drug Monographs in Alphabetical Order by Generic Name

The nurse is providing care for a client with end stage renal disease who is receiving Fosrenol (lanthanum carbonate) .The nurse recognizes this medication is effective by which of the following laboratory values?

The nurse is caring for a 68-year-old male who is taking Cardura (doxazosin) .He denies any history of hypertension.The nurse recognizes this medication can also be used to treat which of the following conditions?

As part of a new treatment regimen for hypothyroidism,a 48-year-old woman is prescribed Levoxyl (levothyroxine) .The nurse should include which of the following statements in the client teaching? Select all that apply.

A nurse from the medical unit is floated to the surgical unit.While preparing to provide morning medications,the nurse realizes many clients are taking Demerol (meperidine) and knows the drug must be given cautiously or in reduced doses to which of the following clients? Select all that apply.

The nurse is talking to a neighbor who spent 3 days in the hospital on intravenous antibiotics including erythromycin the week before.The individual states,"I've had such bad diarrhea all night and it really isn't any better today." Which of the following statements by the nurse is best?

A student nurse is preparing to participate in a mission-trip to South Africa and is prescribed Plaquenil (hydroxychloroquine) .Which of the following side effects may be experienced by the student? Select all that apply.

The nurse is caring for a client newly admitted with pelvic inflammatory disease.An order for Primaxin (imipenem/cilastatin) 500 mg IV every 6 hr is noted.The nurse would be most concerned by which of the following findings in the client's history?

The nurse is providing care for a client who has new orders to start Victoza (liraglutide) 0.6 mg subcutaneously each day.Which of the following orders should the nurse anticipate? Select all that apply.

The nurse is reviewing the home medication list for a client with identified hypercholesterolemia.The client reports taking Zetia (ezetimibe) daily.The nurse understands this medication is designed to reduce the client's risk for which of the following?

A nurse caring for a client with chronic obstructive pulmonary disease notes the recent addition of a new inhaler,formoterol.The nurse knows this medication is designed to prevent which of the following symptoms?

The nurse is providing Epogen (epoetin) subcutaneously to a client with chronic kidney disease.Which of the following would indicate that the therapy is effective? Select all that apply.

While working in the psychiatric hospital,the nurse provides Fanapt (iloperidone) 2 mg twice daily.Which of the following assessments indicates the medication is effective?

A client with Alzheimer is started on Razadyne (galantamine) 4 mg twice daily.The family has been told to return to the physician's office in 4 wk.Which of the following statements by the nurse is best?

While investigating the medications taken by a client in the hospital,the student nurse understands that Plendil (felodipine) works to lower blood pressure by causing which of the following physiologic changes?

The student nurse reviews a list of medications a client takes at home.Xopenex (levalbuterol) is on the list.The student expects this medication is provided in which of the following ways?

While observing in the operating room,the student nurse notes a client was given Robinul (glycopyrrolate) pre-operatively as part of the anesthesia regimen.The student recognizes this medication will cause which of the following?