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    Exam Review

    1. A nurse is teaching a 49-year-old male client who has been newly prescribed cimetidine (Tagamet HB) for the management of peptic ulcer disease. Which of the following statements should the nurse include in the teaching?
      A)"This medication may cause increased libido."
      B)"You may take this medication with antacids to prevent stomach upset."
      C)"This medication will neutralize your stomach acid."
      D)"This medication may cause decreased libido."
    2. A nurse is caring for a client who is taking metformin (Glucophage) and is scheduled to undergo angiography using iodine-containing contrast dye. The nurse should identify that an interaction between metformin and the IV contrast dye increases the client's risk for which of the following conditions?
      A)Hyperglycemia
      B)Acute renal failure
      C)Acute pancreatitis
      D)Acute liver failure
    3. A nurse is caring for a 62-year-old client with diabetes who has a new prescription for metoclopramide (Reglan). Which of the following statements is true regarding metoclopramide (Reglan)? (Select All That Apply.)(SATA)
      A)"Complications of this medication include tardive dyskinesia and prolonged QT interval."
      B)"The IV form of this medication is used for control of postoperative and chemotherapy-induced nausea and vomiting, as well as facilitation of small bowel intubation and examination of the GI tract."
      C)"Complications of this medication include tardive dyskinesia and sedation."
      D)"The oral form is used for diabetic gastroparesis (delayed stomach emptying with gas and bloating) and management of GERD through its ability to increase gastric motility."
    4. You are caring for a client with hypothyroidism that is taking levothyroxine (Synthroid). The client reports diarrhea, weight loss, palpitations, and heat intolerance. You suspect which of the following adverse effects of this drug?
      A)Hypothyroidism
      B)Thyrotoxicosis
      C)Addison's Disease
      D)Cushing's Disease
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    Exam Review

    1. A nurse is caring for a client who is newly prescribed with glipizide (Glucotrol) for Type 2 Diabetes. The client is not sure about the possible complications of this medication. Complete the sentence with the appropriate responses. The nurse understands that complications of glipizide (Glucotrol) include ▾ weight gain      
      Dropdown 1:
      Option 1: weight gain
      Option 2: weight loss
      Option 3: GI side effects
      Option 4: hypoglycemia
      Option 5: hyperglycemia
      Option 6: hypertriglyceridemia
      Dropdown 2:
      Option 1: weight gain
      Option 2: weight loss
      Option 3: GI side effects
      Option 4: hypoglycemia
      Option 5: hyperglycemia
      Option 6: hypertriglyceridemia
    2. A nurse is educating a client who is newly prescribed scopolamine (Scopace) patches for treating motion sickness. Which of the following client statements indicate to the nurse that the teaching has been effective? (Select All That Apply.).(SATA)
      A)(Select All that Apply.)
      B)"I should apply this patch behind my ear."
      C)"This patch should be replaced every 7 days."
      D)"I should not use a second patch if the initial patch is ineffective."
      E)"Before putting on my patch, I should wipe the area with an alcohol swab."
    3. A nurse is caring for a client who received prochlorperazine (Compazine) via intravenous push (IVP) 2 hours ago for nausea/vomiting PRN. The nurse noted that the client had a sudden onset of involuntary spasms of the face and neck along with anxiety. The nurse should anticipate a prescription for which of the following medications? (Select All That Apply.).(SATA)
      A)(Select All that Apply.)
      B)Glucagon (Glucagen)
      C)Metformin (Glucophage)
      D)Benztropine (Cogentin)
      E)Diphenhydramine (Benadryl)
    4. A client is prescribed cimetidine 400 mg PO twice daily. It is available as an oral liquid of 100 mg per teaspoon. How many teaspoons should the client take per dose?
      A)4 teaspoons
      B)2 teaspoons
      C)1 teaspoon
      D)3 teaspoons
    Page 2 of 5

    Exam Review

    1. A nurse is preparing to provide an in-service to the community about misoprostol (Cytotec). Which of the following statements should the nurse include in her teaching to the community?
      A)"An indication for this medication is used in clients taking short-term NSAIDs to prevent duodenal ulcers."
      B)"This medication is indicated for female clients expecting a child or are currently pregnant."
      C)"This medication is contraindicated for female clients expecting a child or are currently pregnant."
      D)"An indication for this medication is used in clients to prevent stress-induced ulcers."
    2. A nurse is educating a client about self-administering regular insulin. The nurse should instruct the client to rotate injection sites to prevent which of the following?
      A)Lipohypertrophy
      B)Injection pain
      C)Rapid absorption
      D)Intradermal injection
    3. A nurse is caring for a patient who has been newly prescribed ondansetron (Zofran) for post-operative nausea. What is the mechanism of action for ondansetron?
      A)Ondansetron agonizes serotonin receptors on afferent vagal neurons.
      B)Ondansetron agonizes serotonin receptors in the medulla oblongata.
      C)Ondansetron agonizes dopaminergic receptors in the vestibular apparatus.
      D)Ondansetron blocks serotonin receptors in the chemoreceptor trigger zone.
    4. A client with type 2 diabetes mellitus is feeling diaphoretic, anxious, and hungry, unable to swallow or follow commands. The nurse noticed these symptoms occurred 45 minutes after an insulin injection. The nurse suspects the client is experiencing insulin toxicity. Which of the following medication should the nurse have available for this client?
      A)Regular insulin
      B)Diphenhydramine (Benadryl)
      C)Metformin (Glucophage)
      D)Glucagon (GlucaGen)
    Page 3 of 5

    Exam Review

    1. A nurse is caring for a client who is prescribed aluminum hydroxide (Amphojel) and cimetidine (Tagamet HB). Which of the following statements from the client requires additional teaching?
      A)"I will take both aluminum hydroxide (Amphojel) and cimetidine (Tagamet HB) at the same time."
      B)"I will take aluminum hydroxide (Amphojel) 1 hour before taking cimetidine (Tagamet HB)."
      C)"I can take aluminum hydroxide (Amphojel) 2 hours before taking cimetidine (Tagamet HB)."
      D)None of the above
    2. You are caring for a client with hyperthyroidism that is taking propylthiouracil (PTU). The client reports that she misunderstood the instructions and took more doses than her prescribed dosage. The client also reported drowsiness, weight gain, edema, and cold intolerance. You suspect which of the following adverse effects of this drug?
      A)Hypothyroidism
      B)Thyrotoxicosis
      C)Cushing's Syndrome
      D)Addison's Disease
    3. A nurse is caring for a client who has been prescribed ondansetron (Zofran) for postoperative nausea and vomiting. Which of the following is a complication associated with this medication?
      A)Prolonged QT interval
      B)Extrapyramidal symptoms
      C)Nausea
      D)Vomiting
    4. A nurse is caring for a client who has been prescribed prochlorperazine (Compazine) for postoperative nausea. Which of the following reported signs can indicate a potential complication of this medication?
      A)Nausea
      B)Prolonged QT interval
      C)Restlessness
      D)Vomiting
    Page 4 of 5

    Exam Review

    1. A nurse is caring for a 54-year-old male client who has been admitted to the hospital for peptic ulcer disease. The client will begin a long-term regimen of omeprazole (Prilosec). The nurse understands that the patient will be at high risk for developing which of the following complications? (Select All That Apply.)(SATA)
      A)Osteoporosis and fractures
      B)Torsades de Pointes
      C)Nausea
      D)Rebound acid hypersecretion
    2. Which of the following medications are not used to treat motion sickness? (Select All That Apply.)(SATA)
      A)Dimenhydrinate (Dramamine)
      B)Metoclopramide (Reglan)
      C)Scopolamine (Scopace)
      D)Ondansetron (Zofran)
    3. A nurse is caring for a 45-year-old male client who is prescribed with insulin and glucagon (GlucaGen) for diabetes. The client is unsure why he is prescribed with glucagon (GlucaGen). Which of the following is a therapeutic use for glucagon (GlucaGen)?
      A)Thyroid cancer
      B)Hypoglycemia
      C)Diabetes insipidus
      D)Type 2 diabetes mellitus
      E)"Before putting on my patch, I should wipe the area with an alcohol swab."
    4. A nurse is preparing to educate a patient who has newly been prescribed sucralfate (Carafate) for the management of peptic ulcer disease (PUD). What is the mechanism of action for this medication?
      A)Neutralizes the acidity of the gastric acid.
      B)Acts as an endogenous prostaglandin in the GI tract.
      C)Antagonizes H2 receptors on parietal cells.
      D)Creates a protective barrier that adheres to an ulcer, which can stick to the ulcer for up to 6 hours.
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