Question 1

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.

Accepted Answer

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.

Question 2

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?

Accepted Answer

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."

Question 3

The nurse is providing care for a 64-year-old client on the telemetry unit whose heart rate suddenly jumps to 144 bpm. Telemetry shows supraventricular tachycardia and the client reports feeling a bit lightheaded and dizzy. The nurse attempts vagal stimulation without success and prepares to administer Adenocard (adenosine) 6 mg IV push. The nurse would expect which of the following to occur?

Accepted Answer

A)  A gradual slowing of the heart rate over the next 30 min with an end result of normal sinus rhythm and improved symptoms. 
B)  Slowing of the tachycardia with an end rate between 100-120 bpm and improved dizziness within 5 min. 
C)  Loss of consciousness for the client in preparation for electric shock/cardioversion. 
D)  A short period of heart block or asystole immediately after injection followed by conversion to normal sinus rhythm.

Question 4

The nurse is providing Ethyol (amifostine) to a 51-year-old woman with ovarian cancer who is also receiving Cisplatin. Which of the following nursing assessments during the infusion is of the highest priority?

Accepted Answer

A)  Monitor client blood sugar every hr. 
B)  Monitor client's respiratory rate every 30 min. 
C)  Monitor client's blood pressure every 5 min. 
D)  Monitor client's urine output every 4 hr.

Question 5

In reviewing new orders, the nurse notes Azactam (aztreonam) 1 gram IV every 8 hr has been ordered. Before initiating therapy, the nurse should assess for an allergy history to which of the following? Select all that apply.

Accepted Answer

A)  Penicillins 
B)  MAO inhibitors 
C)  Antifungals 
D)  Cephalosporins 
E)  Non-steroidal anti-inflammatory agents

Question 6

While reviewing a client's medication list, the nurse notes the client takes Remeron (mirtazapine) 15 mg 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)  Major depressive disorder 
B)  Schizophrenia 
C)  Anorexia nervosa 
D)  Panic disorder 
E)  Generalized anxiety disorder
F) Post-traumatic stress disorder

Question 7

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?

Accepted Answer

A)  Decreased pain perception during the procedure 
B)  Reduced oral and respiratory secretions 
C)  Neuromuscular blockage and paralysis 
D)  Reduced consciousness and sedation

Question 8

A new order for Foscavir (foscarnet) 60 mg/kg IV every 8 hr has been noted. The patient weighs 50 kg. With a dilution required concentration of 12 mg/mL, what size IV bag will the nurse need to infuse this medication ___________________?

Accepted Answer

The answer of A new order for Foscavir (foscarnet) 60...

Question 9

The nurse is preparing to start therapy with IV Dobutrex (dobutamine). The pre-mixed solution has 250 mg in 250 mL. The orders read 5 mcg/kg/min and the client weighs 165 pounds. At what rate, expressed in mL/hr, should the infusion be started? (Round to the nearest tenths place.) ___________ mL/hr

Accepted Answer

The answer of The nurse is preparing to start therapy...

Question 10

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?

Accepted Answer

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

Question 11

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.

Accepted Answer

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)

Question 12

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?

Accepted Answer

A)  Orally 
B)  Topically 
C)  Rectally 
D)  Metered dose inhaler

Question 13

The nurse receives orders to begin Robaxin (methocarbamol) 4.5 grams per day in 3 equally divided doses. The medication is available in 500 mg tablets. How many pills will the nurse provide with each dose? __________ pills

Accepted Answer

The answer of The nurse receives orders to begin Robaxin...

Question 14

While preparing to give Fungizone (amphotericin B) to a client who is also receiving Dexasone (dexamethasone), the nurse recognizes the client is at increased risk for which of the following?

Accepted Answer

A)  Hypoglycemia 
B)  Hyponatremia 
C)  Hypocalcemia 
D)  Hypokalemia

Question 15

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?

Accepted Answer

A)  Atherosclerosis 
B)  Angina 
C)  Deep vein thrombosis 
D)  Gastric ulceration

Question 16

A client admitted with atrial fibrillation would most likely be started on which of the following medications to reduce the risk of embolization?

Accepted Answer

A)  Pradaxa (dabigatran) 
B)  DDAVP (desmopressin) 
C)  Effexor (venlafaxine) 
D)  Flomax (tamsulosin)

Question 17

The nurse is caring for a client taking Skelaxin (metaxalone). The nurse knows teaching has been effective by which of the following statements? Select all that apply.

Accepted Answer

A)  "I might be constipated while I'm on this medication." 
B)  "Most people who take this medication have fewer muscle spasms and less pain." 
C)  "This can cause dizziness, blurred vision, and sleepiness so I shouldn't drive while I'm on it." 
D)  "I need to move slowly so I don't faint." 
E)  "I can drink up to 2 beers per day safely while I'm on this medication."
F) "If I forget this medication, I can take it within one hour or skip that dose and remain on the schedule."

Question 18

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?

Accepted Answer

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.

Question 19

While caring for a client receiving methyldopa for hypertension, the nurse recognizes elevations in which of the following labs may be caused by the medication? Select all that apply.

Accepted Answer

A)  Serum creatinine 
B)  White blood cells 
C)  Amylase 
D)  Albumin 
E)  Potassium
F) Sodium

Question 20

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?

Accepted Answer

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.

Davis's Drug Guide for Nurses Test 3