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    Exam Review

    1. A nurse is reviewing the medication history of a client who reports urinary retention.The nurse should recognize that which of the following medications can cause this adverse reaction?
      A)Donepezil.
      B)Scopolamine.
      C)Metoprolol.
      D)Acetaminophen.
    2. A nurse is caring for a client who started taking amitriptyline 6 days ago.The client reports that the medication is not helping.Which of the following responses should the nurse make?
      A)"I will inform your provider so she can prescribe a different medication.”
      B)"You will need to take this medication on an empty stomach for it to be more effective.”
      C)"You will need to wait a couple of weeks to feel the therapeutic effect of the medication.”
      D)"I will ask your provider to increase the dose of the medication.”
    3. A nurse is talking with a client who has been taking levothyroxine to treat hypothyroidism.The nurse should instruct the client to avoid taking which of the following over-the-counter medications within 4 hr of taking levothyroxine?
      A)Fish oil supplements.
      B)Calcium supplements.
      C)Bulk-forming laxatives.
      D)Oral antihistamines.
    4. A nurse is caring for a client who has been taking epoetin alfa for 3 months.Which of the following laboratory tests should the nurse monitor to determine the effectiveness of the medication?
      A)AST.
      B)Troponin.
      C)T4.
      D)Hgb.
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    Exam Review

    1. A nurse is assisting in the care of a client who is receiving morphine via a continuous epidural infusion.Which of the following findings should the nurse report to the provider immediately?
      A)Respiratory rate 10/min.
      B)Facial flushing.
      C)Constipation.
      D)Blood pressure 88/56 mm Hg.
    2. A nurse is reviewing the medication list of a client who has a new prescription for tetracycline.The nurse should instruct the client to take which of the following medications 3 hr before or after taking the tetracycline?
      A)Hydrochlorothiazide.
      B)Antacid.
      C)Lovastatin.
      D)Acetaminophen.
    3. A nurse is reinforcing teaching about the iPLEDGE program with a female client who has a new prescription for isotretinoin.The nurse should tell the client that which of the following is a requirement of the program?
      A)Female clients must have a negative mammogram prior to beginning therapy.
      B)Clients must have a Papanicolaou test every 6 months during treatment.
      C)Clients must begin a daily supplement of vitamin A for 1 month prior to initiating therapy.
      D)Sexually active female clients must use two forms of birth control during treatment.
    4. A nurse is caring for a client who is receiving acetaminophen for mild pain.The nurse should monitor the client for which of the following adverse effects of this medication?
      A)Fever.
      B)Jaundice.
      C)Diarrhea.
      D)Tinnitus.
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    Exam Review

    1. A nurse is preparing to administer enoxaparin subcutaneously to a client using a prefilled syringe. The nurse should plan to use which of the following techniques when administering this medication?
      A)Aspirate prior to injecting the medication.
      B)Gently massage the site following the injection.
      C)Expel the air bubble before injecting the medication.
      D)Inject the medication into abdominal tissue.
    2. A nurse who is preparing to administer medications to a client is unfamiliar with a medication that the client takes at home.Which of the following resources should the nurse consult?
      A)Pharmaceutical sales representative.
      B)Nursing team member.
      C)The client's family.
      D)Nursing drug guide.
    3. A nurse is preparing to administer a levothyroxine 50 mcg tablet PO to a client who is receiving an enteral feeding through an NG tube. Which of the following actions should the nurse take?
      A)Dissolve the medication in 30 mL of water.
      B)Maintain the client in the supine position during medication administration.
      C)Add the medication to the enteral feeding formula.
      D)Flush the tube with 5 mL of water after administering the medication.
    4. A nurse is collecting data from a client who has been taking diazepam several times per day but recently ran out of the medication.Which of the following findings should the nurse recognize as a manifestation of withdrawal from diazepam?
      A)Hypotension.
      B)Drowsiness.
      C)Anorexia.
      D)Tremors.
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    Exam Review

    1. A nurse is preparing to administer digoxin to a client.For which of the following findings should the nurse withhold the medication?
      A)Apical pulse 54/min.
      B)Respiratory rate 14/min.
      C)BP 179/89 mm Hg.
      D)Temperature 37.8° C (100° F)
    2. A nurse is collecting data from a client who is taking aspirin.Which of the following findings should the nurse report to the provider?
      A)Headache.
      B)Rhinitis.
      C)Hct 43%.
      D)BP 120/70 mm Hg.
    3. A nurse is preparing to administer an enteric-coated oral medication to a client who is having difficulty swallowing.Which of the following actions should the nurse take?
      A)Instruct the client to chew the medication.
      B)Place the medication on the client's tongue.
      C)Dissolve the medication in juice.
      D)Place the medication between the client's cheek and gum.
    4. A nurse is collecting data from a client who has taken an overdose of oxycodone.Which of the following findings should the nurse expect?
      A)Dilated pupils.
      B)Tachypnea.
      C)Tachycardia.
      D)Sedation.
    Page 4 of 5

    Exam Review

    1. A nurse is planning to administer medications to a client who has trigeminal neuralgia.Which of the following medications should the nurse plan to administer to manage the client's pain?
      A)Fluoxetine.
      B)Methylphenidate.
      C)Lorazepam.
      D)Carbamazepine.
    2. A nurse is obtaining a medication history from a client who has systemic lupus erythematosus (SLE) and reports taking several herbal supplements daily. The nurse should identify that SLE is a contraindication for taking which of the following herbal supplements?
      A)Flaxseed.
      B)Glucosamine.
      C)Echinacea.
      D)Ginger.
    3. A nurse is collecting data from a client who received diphenhydramine 1 hr ago after developing an allergic reaction to trimethoprim-sulfamethoxazole.Which of the following statements by the client should indicate to the nurse that the medication is effective?
      A)"My voice is no longer hoarse.”
      B)"I am feeling more alert.”
      C)"I don't have a headache anymore.”
      D)"My appetite is increased.”
    4. A nurse is reinforcing teaching with a client who has a new prescription for fexofenadine tablets to treat seasonal allergies.Which of the following information should the nurse include?
      A)"You can take the medication with magnesium hydroxide if needed.”
      B)"Drink up to one liter of fluid per day while taking this medication.”
      C)"Make sure to take this medication with orange juice.”
      D)"Avoid driving until adverse effects of this medication are known.” .
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