Question 1

While providing care for a 35-year-old client who has been started on (Topiramate) Topamax 25 mg twice daily, the nurse would include which of the following in the plan of care? Select all that apply.

Accepted Answer

A)   Ensure patient drinks 2,000-3,000 mL of fluid to prevent kidney stone formation.
B)   Monitor for signs and symptoms of hyper- or hypokalemia.
C)   Initiate seizure precautions.
D)   Monitor for suicidal thoughts or depression.
E)   Place patient in contact isolation.F)  Place patient on telemetry monitoring. A, C, D

Question 2

A client admitted with neutropenia would most likely be started on which of the following medications to promote neutrophil differentiation?

Accepted Answer

A)   Epogen (epoetin) 
B)   Neulasta (pegfilgrastim) 
C)   Neurontin (gabapentin) 
D)   Procardia (nifedipine)  B

Question 3

A student nurse is preparing to provide Lyrica (pregabalin). Which of the following side effects should be monitored by the students? Select all that apply.

Accepted Answer

A)   Rash
B)   Suicidal thoughts
C)   Decreased serum potassium
D)   Weight gain
E)   Dry mouthF)  Hypertension B, D, E

Question 4

The nurse is reviewing the home medication list for a client with a history of head and neck cancer who has been receiving radiation therapy. The client reports taking PO Salagen (pilocarpine) three times daily. The nurse understands this medication is designed to help treat which of the following?

Accepted Answer

A)   Xerostomia
B)   Nausea
C)   Metastatic disease
D)   Taste changes

Question 5

A nurse caring for a client who is to initiate therapy with Amaryl (glimepiride) 1 mg once daily would include which of the following statements in the client teaching?

Accepted Answer

A)   "This medication is used to treat infections."
B)   "You should take this in the evening on an empty stomach for optimal effectiveness."
C)   "You can continue to eat or drink whatever you like, including alcohol, while taking this medication."
D)   "Please notify me if you have any feelings of low blood sugar such as sweating, dizziness, or tremors."

Question 6

The nurse is providing care for a client receiving Pentam 300 (pentamidine). The nurse should monitor for which of the following complications associated with this medication? Select all that apply.

Accepted Answer

A)   Steven-Johnson syndrome
B)   Severe hypotension
C)   Respiratory arrest
D)   Cardiac arrhythmia
E)   HypoglycemiaF)  Hemolytic anemia

Question 7

A nurse is receiving a shift-to-shift report for a client with multiple medical problems. The client is receiving nabumetone. The nurse recognizes this medication is ordered to address which of the following health-care problems for the client?

Accepted Answer

A)   Benign prostatic hypertrophy
B)   Rheumatoid arthritis
C)   Venous-thrombosis embolic prophylaxis
D)   Urinary tract infection

Question 8

The physician has ordered Glycolax (polyethylene glycol/electrolyte) for an 82-year-old patient. Which of the following actions will be included in the nurse's plan of care? Select all that apply.

Accepted Answer

A)   Add powdered fruit punch to the prep before serving.
B)   Instruct the patient to restrict their food intake to clear liquids during the prep.
C)   Encourage the client to drink the fluid over a 2-3 hr period of time.
D)   Shake vigorously after reconstituting with tap water.
E)   Assess client hydration status prior to and throughout the prep.F)  Initiate the prep 1 hr prior to the procedure.

Question 9

While reviewing a client's medication list, the nurse notes the client takes Oleptro (trazodone) 50 mg three times daily. The nurse recognizes this medication has multiple indications and is used both on and off label for various reasons including which of the following? Select all that apply.

Accepted Answer

A)   Insomnia
B)   Chronic pain syndromes
C)   Appetite stimulation
D)   Major depression
E)   Migraine headachesF)  Diabetic neuropathy

Question 10

While preparing to give morning medications, Remeron (mirtazapine) was newly ordered for the patient to begin this morning. The nurse would immediately call the physician to question this order if which of the following medications was included in the patient's list of home medications?

Accepted Answer

A)   Enteric coated aspirin
B)   Lasix (furosemide) 
C)   Digoxin (lanoxin) 
D)   Nardil (phenelzine)

Question 11

While caring for a client who is taking Dipentum (olsalazine) for ulcerative colitis, the nurse is aware that it is most important to determine if the patient has an allergy to which of the following?

Accepted Answer

A)   Penicillins or cephalosporins
B)   NSAIDs or opioids
C)   Beta blockers or nitrosoureas
D)   Sulfonamides or salicylates

Question 12

Which of the following would allow the nurse to determine that a client taking Flomax (tamsulosin) was achieving clinical benefit from the medication?

Accepted Answer

A)   Client's white blood cell count = 10,500/mm3. 
B)   Client blood pressure = 142/88 mmHg.
C)   Client reports decreased nocturia.
D)   Family reports noting improved cooperation and cohesive thought patterns.

Question 13

While caring for a client who is receiving Serax (oxazepam), the nurse notes the client is drowsy and slightly confused upon waking. Which of the following conclusions should the nurse draw?

Accepted Answer

A)   The client may be experiencing symptoms of a stroke and the physician should be contacted immediately.
B)   The client may be experiencing hypersensitivity and the drug should be held.
C)   This is an expected and normal finding with the medication and the patient should be monitored for safety concerns.
D)   The client may have underlying psychiatric disorders and should be assessed for the presence of hallucinations.

Question 14

While counseling a client taking Kepivance (palifermin), the nurse recognizes that further teaching is necessary based on which of the following client statements?

Accepted Answer

A)   "I'll be sure to let my doctor know if I develop a rash or any tongue discolorations."
B)   "As long as I'm taking this, I won't get any side effects from my chemotherapy."
C)   "This medication helps prevent the mouth sores that were so bad with my last chemotherapy treatment."
D)   "I have to get this medication in an IV 3 days before and 3 days after my chemotherapy."

Question 15

The nurse works in a pediatric psychiatry unit. Ritalin (methylphenidate) 5 mg three times daily is commonly prescribed for many of the clients. The nurse recognizes this drug needs to be used cautiously in which of the following children?

Accepted Answer

A)   An 8-year-old patient with a history of cardiovascular disease
B)   A 12-year-old patient with a history of scoliosis
C)   A 6-year-old patient who takes Singulair (montelukast)  daily
D)   A 7-year-old patient with a history of sickle cell anemia

Question 16

The nurse caring for clients in the psychiatric unit provides Invega (paliperidone) to one of the clients. The nurse recognizes this medication is effective by which of the following observations?

Accepted Answer

A)   The client's weight is stable for 3 days.
B)   The client reports the voices in his head have stopped talking to him.
C)   The client stops pacing the halls and ringing his hands.
D)   The client is able to focus on completing a puzzle in the day room.

Question 17

As part of a new treatment regimen for Alzheimer, a 78-year-old woman is prescribed Exelon (rivastigmine). The nurse should include which of the following statements in the client teaching? Select all that apply.

Accepted Answer

A)   "This medication can be given in transdermal patch form that is changed every 24 hours."
B)   "Revastigmine can cause dizziness so it is important to use caution until your body adjusts to it."
C)   "Let the doctor know if you have nausea, vomiting, anorexia, or weight loss."
D)   "You should notice an improvement in your memory and thinking within a few days."
E)   "The oral form of this medication should be taken on an empty stomach."F)  "Some clients experience headaches, weakness, and diarrhea with this medication."

Question 18

A client with Parkinson disease is started on Mirapex (pramipexole) 0.125 mg three times 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?

Accepted Answer

A)   "This medication may cause insomnia, so you may want to take melatonin to help you sleep."
B)   "You can break the extended release tablet up to make it easier to swallow."
C)   "If you forget to take the extended release tablet in the morning, just take it at bedtime."
D)   "Be sure to let the physician know if you notice any confusion or hallucinations."

Question 19

The nurse is providing instructions to a client who has started therapy withnicardipine. The nurse instructs the client to avoid which of the following foods?

Accepted Answer

A)   Kiwi
B)   Grapefruit juice
C)   Garlic
D)   Ginger

Question 20

A diabetic patient treated with a sulfonylurea has been ordered a beta blocker for hypertension. The nurse is aware that beta blockers taken with sulfonylureas may mask the signs and symptoms of hypoglycemia. The nurse recognizes which of the following medications is included in the class of sulfonylureas? Select all that apply.

Accepted Answer

A)   Januvia (sitagliptin) 
B)   Amaryl (glimepiride) 
C)   Diabeta (glyburide) 
D)   Glucophage (metformin) 
E)   Glucotrol (glipizide)

Davis's Drug Guide for Nurses Test 4