Question 1

The client receives a topical medication for treatment of a skin disorder. The nurse completes medication education and evaluates that learning has occurred when the client makes which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

D,E

Question 2

A client with osteoporosis has been prescribed raloxifene (Evista). Which question should the nurse ask to determine the client's risks for complications with this drug?

Accepted Answer

Raloxifene has been associated with an increased risk of blood clots, so it is important to assess whether the client has a history of blood clots or has been treated for them. The other options are not as relevant to the use of raloxifene.

Question 3

A client has been prescribed allopurinol (Zyloprim) for gout. What is the purpose of this medication?

Accepted Answer

Allopurinol is used to reduce the formation of uric acid in the body, which can decrease the risk of gout attacks and joint damage.

Question 4

The nurse, teaching a client about safety when using topical scabicide medications, determines instruction has been effective when the client states:

Accepted Answer

Topical scabicide medications should be avoided around the eyes to prevent irritation and possible damage to the eyes. The other options are not related to safety when using topical scabicide medications.

Question 5

The nurse should instruct a client with the initial stages of osteoarthritis to engage in low-impact exercise and take:

Accepted Answer

The client with initial stages of osteoarthritis should engage in low-impact exercise, such as walking or swimming, to maintain joint mobility and strength. Acetaminophen can help with pain relief without the risk of gastrointestinal side effects associated with nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin. Opioid analgesics are not typically recommended for chronic pain management due to the risk of addiction and other adverse effects. Glucosamine and chondroitin agents have been marketed for their potential to improve joint health, but the evidence for their effectiveness is mixed and they may interact with other medications. High anti-inflammatory doses of aspirin may increase the risk of gastrointestinal bleeding and are not recommended for long-term use.

Question 6

Which symptom is it critical for the nurse to monitor when caring for a client with hypoparathyroidism?

Accepted Answer

Hypoparathyroidism is a condition where there is a decreased production of parathyroid hormone resulting in decreased calcium levels in the blood. Tetany is a critical symptom to monitor as it is a result of low calcium levels and can lead to muscle spasms, seizures, and even respiratory arrest if left untreated. Decreased peristalsis, weakness, and vomiting may also be present but are not as critical to monitor as tetany.

Question 7

A client with rheumatoid arthritis is prescribed hydroxychloroquine (Plaquenil). What information does the nurse provide the client about when the effects of this medication will be felt?

Accepted Answer

The effects of hydroxychloroquine are not immediate and may take 4-6 weeks to be felt.

Question 8

The nurse determines that teaching about gout has been effective when the client makes which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The client accurately states that they should increase fluid intake, avoid certain foods, notify their provider if pain gets worse, and monitor weight gain. However, option E is incorrect as flank pain is not typically associated with medications used to treat gout.

Question 9

The nurse is teaching a client about taking risedronate (Actonel) for osteoporosis. Which statement by the client indicates a need for further teaching?

Accepted Answer

The client should remain upright for at least 30 minutes after taking risedronate to prevent esophageal irritation or ulceration. It is not recommended to return to bed or lie down during this time. The other statements indicate understanding of the medication's administration and side effects.

Question 10

MCSA A nursing student is preparing to give Etidronate (Didronel) for a post menopausal client. Her instructor asks her to identify the drugs mechanism of action. What is the best response of the student?

Accepted Answer

Etidronate (Didronel) inhibits bone resorption by suppressing osteoclast activity, which leads to an increase in bone density and a decrease in the risk of fractures. It is a bisphosphonate drug commonly used to treat postmenopausal osteoporosis. It does not promote intestinal absorption of calcium or inhibit the synthesis of microtubules.

Question 11

A client received a minor sunburn while on vacation. What is the nurse's best advice to this client?

Accepted Answer

The answer of A client received a minor sunburn while...

Question 12

A calcium supplement has been added to a client's drug regimen. What teaching will the nurse provide?

Accepted Answer

Calcium supplements should not be taken with bran or whole-grain cereal, as these can interfere with the absorption of calcium. Decreasing intake of dairy products is not necessary, as long as the client does not exceed the recommended daily allowance for calcium. Increasing consumption of fruits and vegetables high in vitamin C will not have a direct effect on calcium supplementation. Increasing consumption of lean meats is not necessary, as protein intake does not directly affect calcium absorption.

Question 13

A client with osteoarthritis does not want to use medication for pain control. What can the nurse suggest to improve the symptoms of this disorder? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Non-pharmacologic treatments for osteoarthritis include low-impact exercises such as walking and quadriceps strengthening, which can improve joint stability and reduce pain. The use of a brace may also provide support and reduce stress on the affected joint. Weight loss can also reduce stress on weight-bearing joints. Joint replacement surgery is typically considered a last resort after non-pharmacologic and pharmacologic treatments have been exhausted. Therefore, scheduling joint replacement surgery as soon as possible is not a recommended option for improving osteoarthritis symptoms without trying other treatments first.

Question 14

What would the nurse identify as a priority diagnosis for a client with osteoporosis?

Accepted Answer

Osteoporosis is a medical condition characterized by weakened bones that are prone to fractures. Therefore, the priority diagnosis for a client with osteoporosis would be Injury, Risk for related to loss of bone calcium. The other options are not as relevant to osteoporosis as the risk of fractures.

Question 15

A nurse is planning care for a client diagnosed with a vitamin D deficiency. What does the nurse include in her teaching? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Spending time in the sun helps the body produce vitamin D. Milk is often fortified with vitamin D, and vitamin-enriched foods can help increase vitamin D levels. Red meat and leafy greens are not significant sources of vitamin D.

Question 16

When planning care for a client, the nurse will include interventions to address factors that predispose the client to developing gout, including: Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of When planning care for a client, the...

Question 17

The nurse is planning care for a group of clients. Which client is at risk for the development of hypocalcemia?

Accepted Answer

Renal disease can lead to hypocalcemia because the kidneys play a role in activating vitamin D, which is necessary for calcium absorption in the body. Additionally, in kidney disease, there may be an excess of phosphorus, which can bind to calcium and cause it to be excreted from the body.

Question 18

While conducting a physical assessment, the nurse is concerned that the client, who is taking a bisphosphonate, is showing signs of osteonecrosis of the jaw. What did the nurse assess in this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of While conducting a physical assessment, the nurse...

Question 19

A client is prescribed colchicine (Colcrys) for gout. What are the adverse effects of this therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Nausea and vomiting, abdominal pain, and diarrhea are all common adverse effects of colchicine therapy. Constipation and muscle pain are not typically associated with this medication.

Question 20

The nurse is instructing a mother to encourage her school-age children to play out of doors because it will help reduce the risk of osteomalacia by:

Accepted Answer

Exposure to sunlight helps the skin synthesize vitamin D, which is then converted to its active form in the body, aiding in calcium absorption and reducing the risk of osteomalacia.

Quiz 13: Additional Drug Classes

A client with osteoporosis has been prescribed raloxifene (Evista) . Which question should the nurse ask to determine the client's risks for complications with this drug?

A client has been prescribed allopurinol (Zyloprim) for gout. What is the purpose of this medication?

The nurse, teaching a client about safety when using topical scabicide medications, determines instruction has been effective when the client states:

The nurse should instruct a client with the initial stages of osteoarthritis to engage in low-impact exercise and take:

Which symptom is it critical for the nurse to monitor when caring for a client with hypoparathyroidism?

A client with rheumatoid arthritis is prescribed hydroxychloroquine (Plaquenil) . What information does the nurse provide the client about when the effects of this medication will be felt?

The nurse determines that teaching about gout has been effective when the client makes which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

The nurse is teaching a client about taking risedronate (Actonel) for osteoporosis. Which statement by the client indicates a need for further teaching?

MCSA A nursing student is preparing to give Etidronate (Didronel) for a post menopausal client. Her instructor asks her to identify the drugs mechanism of action. What is the best response of the student?

A client received a minor sunburn while on vacation. What is the nurse's best advice to this client?

A calcium supplement has been added to a client's drug regimen. What teaching will the nurse provide?

A client with osteoarthritis does not want to use medication for pain control. What can the nurse suggest to improve the symptoms of this disorder? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

What would the nurse identify as a priority diagnosis for a client with osteoporosis?

A nurse is planning care for a client diagnosed with a vitamin D deficiency. What does the nurse include in her teaching? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

When planning care for a client, the nurse will include interventions to address factors that predispose the client to developing gout, including: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

The nurse is planning care for a group of clients. Which client is at risk for the development of hypocalcemia?

A client is prescribed colchicine (Colcrys) for gout. What are the adverse effects of this therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

The nurse is instructing a mother to encourage her school-age children to play out of doors because it will help reduce the risk of osteomalacia by: