Question 1

In reviewing new orders,the nurse notes Starlix (nateglinide)120 mg three times daily before meals has been ordered.Before initiating therapy,the nurse should assess for which of the following?

Accepted Answer

A) Blood sugar 
B) Respiratory rate 
C) Level of consciousness 
D) Creatinine clearance

Question 2

The nurse is providing medications for a male patient who has been taking Tebrazid (pyrazinamide)30 mg/kg daily.The nurse notes the patient's AST = 45 units/L.Which of the following actions by the nurse is best?

Accepted Answer

A) Provide the pyrazinamide at this time. 
B) Check the client's total protein level. 
C) Hold the medication and call the physician regarding dosage. 
D) Contact the pharmacy and ask them to split the dose

Question 3

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 4

The nurse is caring for a 58-year-old male who has been prescribed Neulasta (pegfilgrastim).The nurse recognizes provision of this medication is based on which of the following lab results?

Accepted Answer

A) Hgb= 11.7 g/dL 
B) CPK = 25 mcg/L 
C) Platelets = 114,000 cells/mm³ 
D) WBC = 2.3 cells/mm³

Question 5

While caring for a client with hypertension who has recently started taking Bystolic (nebivolol),the client reports,"This medication seems to give me a headache." Which of the following statements by the nurse is best?

Accepted Answer

A) "Headaches are common with your new medications.You should continue to take the medication to help control your blood pressure." 
B) "That's too bad.You could try taking half a pill twice a day." 
C) "You should call your doctor and let them know about that-it could be a serious side effect of the new medication." 
D) "Have you noticed any muscle twitching or facial numbness?"

Question 6

While preparing to provide morning medications,a new nurse realizes many clients are taking Viagra (sildenafil)and knows the drug must be given cautiously or in reduced doses to which of the following clients?

Accepted Answer

A) A 52-year-old patient with a history of coronary artery disease 
B) A 68-year-old patient with a history of benign prostatic hypertrophy 
C) A 64-year-old patient admitted with cellulitis 
D) A 56-year-old patient admitted for knee replacement surgery

Question 7

The nurse is preparing to give an initial dose of Aloxi (palonosetron)as ordered prior to starting chemotherapy for breast cancer.Which of the following nursing actions is of the highest priority?

Accepted Answer

A) Infuse the medication undiluted 30 min prior to planned chemotherapy. 
B) Monitor symptoms of nausea or vomiting. 
C) Provide the client with written materials on the chemotherapy agents being used. 
D) Determine the client's typical food intake.

Question 8

The nurse is providing care for a 64-year-old client being prepped for a colonoscopy who is given midazolam.The nurse would expect to see which of the following responses?

Accepted Answer

A) Decrease in oral secretions 
B) Increased heart rate 
C) Decrease in abdominal cramping 
D) Increased drowsiness

Question 9

The nurse receives orders to use Cathflo Activase (alteplase)2 mg/2 mL for a patient with an occluded venous access devise.Prioritize the following nursing actions in correct order for alteplase usage.
A.Withdraw 2.2 mL sterile water and inject into Cathflo vial.
B.Instill 2 mL of solution into occluded catheter.
C.Gently swirl vial to dissolve powder.
D.Irrigate catheter with 0.9% NaCl
E.Allow 30 min of dwell time
F.Attempt to aspirate blood,withdrawing 4-5 mL for discard.

Accepted Answer

The answer of The nurse receives orders to use Cathflo...

Question 10

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 mouth
F)Hypertension

Exam 4: Drugs Approved in Canada

In reviewing new orders,the nurse notes Starlix (nateglinide) 120 mg three times daily before meals has been ordered.Before initiating therapy,the nurse should assess for which of the following?

The nurse is providing medications for a male patient who has been taking Tebrazid (pyrazinamide) 30 mg/kg daily.The nurse notes the patient's AST = 45 units/L.Which of the following actions by the nurse is best?

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?

The nurse is caring for a 58-year-old male who has been prescribed Neulasta (pegfilgrastim) .The nurse recognizes provision of this medication is based on which of the following lab results?

While caring for a client with hypertension who has recently started taking Bystolic (nebivolol) ,the client reports,"This medication seems to give me a headache." Which of the following statements by the nurse is best?

While preparing to provide morning medications,a new nurse realizes many clients are taking Viagra (sildenafil) and knows the drug must be given cautiously or in reduced doses to which of the following clients?

The nurse is preparing to give an initial dose of Aloxi (palonosetron) as ordered prior to starting chemotherapy for breast cancer.Which of the following nursing actions is of the highest priority?

The nurse is providing care for a 64-year-old client being prepped for a colonoscopy who is given midazolam.The nurse would expect to see which of the following responses?

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.