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    Exam Review

    1. A nurse is reinforcing teaching for a female client who has multiple sclerosis and a new prescription for dantrolene. Which of the following client statements indicates an understanding of the teaching?.
      A)"I should take this medication when my spasms are bad.”.
      B)"I need to notify my provider if I don't get some relief from my muscle spasms within 3 months.”.
      C)"I am glad this medication is safe to take if I get pregnant.”.
      D)"I should return to the clinic to have my calcium level checked every 6 weeks.”.
    2. A nurse is preparing to administer lurasidone 120 mg PO for a client who has schizophrenia. Available is lurasidone 40 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    3. A nurse is reinforcing teaching with a client who has Parkinson's disease. The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa. Which of the following foods should the nurse recommend the client take with the medication?.
      A)1 cup (8oz) plain low-fat yogurt.
      B)1 cup (8oz) of applesauce.
      C)1 cup (8 oz) cooked spinach.
      D)1 oz of cheddar cheese.
    4. A nurse is caring for a client who states, "I am not going to take my medication anymore.”. Which of the following responses should the nurse make?.
      A)"Why don't you want to take the medication?".
      B)"I always do what the doctor tells me to do.”.
      C)"Tell me more about this decision.”.
      D)"You won't get better unless you take the medication.”.
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    Exam Review

    1. A nurse is preparing to administer phenytoin 75 mg PO. Available is phenytoin suspension 25 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A nurse is preparing to administer 0.9% sodium chloride 1 L IV to infuse over 8 hr. The drop factor of the manual IV tubing set is 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    3. A nurse is reinforcing teaching with a client who has a new prescription for phenytoin.The nurse should recognize that which of the following statements by the client indicates a need for further teaching?.
      A)"I will notify my provider before taking any other medications.”.
      B)"I have made an appointment to see my dentist next week.”.
      C)"I'll be glad when my seizures stop so I can quit taking this medicine.”.
      D)"I will take this medication with meals.”.
    4. A nurse is administering risperidone to a client who has schizophrenia.For which of the following adverse effects should the nurse monitor?.
      A)Increased triglyceride level.
      B)Weight loss.
      C)Elevated blood pressure.
      D)Decreased blood glucose level.
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    Exam Review

    1. A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder.Which of the following instructions should the nurse include?.
      A)Limit fluid intake to 800 ounces per day while taking this medication.
      B)Take the medication on an empty stomach.
      C)Wait up to 3 weeks to see the full effects of the medication.
      D)Follow a low-sodium diet.
    2. A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder.Which of the following instructions should the nurse include when reinforcing the teaching?.
      A)Withhold dose if having a fine hand tremor.
      B)Avoid foods with a high tyramine content.
      C)Limit daily fluid intake.
      D)Follow a low-sodium diet.
    3. A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to start taking neostigmine.Which of the following instructions should the nurse include in the teaching?.
      A)Treat nasal rhinitis with an over-the-counter antihistamine.
      B)If a medication dose is missed, wait until the next scheduled dose to take the medication.
      C)Expect diaphoresis as a side effect of the neostigmine.
      D)Take the medication 45 minutes before eating.
    4. A nurse in the emergency department is assisting with the care of a client who has myasthenia gravis and is in crisis. The nurse should identify that which of the following factors can cause a myasthenic crisis?.
      A)Developing a respiratory infection.
      B)Taking too much prescribed medication.
      C)Insufficient sleep.
      D)Insufficient exercise.
    Page 3 of 5

    Exam Review

    1. A nurse is modifying the diet of a client who has Parkinson's disease and a prescription for selegiline, a monamine oxidase inhibitor (MAOI). Which of the following foods should the nurse eliminate from the client's diet?.
      A)Fresh fish.
      B)Cheddar cheese.
      C)Cherries.
      D)Chicken.
    2. A nurse is caring for a client who has Alzheimer's disease and is confused.Which of the following actions should the nurse take?.
      A)Keep the television on at all times.
      B)Hang abstract pictures on the walls.
      C)Keep familiar personal items in client's room.
      D)Encourage bright lighting in the room.
    3. A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy.The client begins to experience a tonic-clonic seizure.Identify the sequence of steps the nurse should follow.(Move the steps into the box on the right, placing them in the selected order of performance.Use all the steps.).
      A)Reorient and reassure the client.
      B)Remain with the client and call for help.
      C)Check the client for injuries.
      D)Place the client in the lateral position.
    4. A nurse is reinforcing teaching with a client who takes lithium carbonate for bipolar disorder.For which of the following findings should the nurse monitor as an adverse effect of lithium carbonate?.
      A)Constipation.
      B)Thyroid enlargement.
      C)Hyporeflexia.
      D)Elevated blood pressure.
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    Exam Review

    1. A nurse is preparing to administer amitriptyline 150 mg PO. The amount available is amitriptyline 75 mg/ tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero
    2. A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen.Which of the following instructions should the nurse include?.
      A)"Avoid driving until the medication's effects are evident.”.
      B)"Stop taking the medication immediately for headache.”.
      C)"Diarrhea is an adverse effect of this medication.”.
      D)"Take the medication on an empty stomach.”.
    3. A nurse is preparing to administer lorazepam 2 mg PO. Available is lorazepam 1 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    4. A nurse is preparing to administer amantadine 150 mg PO for a client who is experiencing parkinsonism due to an antipsychotic medication. Available is amantadine 50 mg/5 mL oral solution. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
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