This study source was downloaded by 100000776853044 from CourseHero com on 02 04 2022 01 56 29 GMT 06 00 https www coursehero com file 96412942 Exam reviewdocx 1 A 54 year old client is going on an ocean cruise What medication would be most effective for motion sickness a Ondansetron2 A 70 year old client is being treated for chronic obstructive pulmonary disease COPD with theophylline What will be a priority assessment by the nurse a Nicotine Use3 A client arrives in the emergency department complaining of numbness in the extremities The nurse notes that the patient has vomiting diarrhea chest pain and confusion When conducting a health history the nurse learns the patient has a history of migraine headaches The nurse recognizes this patients symptoms as a Ergotism4 A client asks the nurse how the anti infective works in their body What key point will the nurse use to explain this to the client a The goal of anti infectives is to interfere with normal functioning of the organism 5 A client has localized muscle spasms after an injury The prescriber has ordered dantrolene to alleviate the spasms When obtaining the patient s health history the nurse should be concerned about which of the following as a possible reason for considering another drug a A history of liver damage6 A client is about to receive penicillin G for an infection that is highly sensitive to this drug While obtaining the clients medication history the nurse learns the client experienced a rash when given amoxicillin as a child What will the nurse do a Request an order for a skin test to assess the current risk 7 A client is being given theophylline to treat acute asthma symptoms Which of the following foods should the client avoid that may interfere with this medication a Chocolate8 A client is brought to the clinic by his daughter for a routine appointment The daughter tells the nurse that her father has only taken half of his amoxicillin prescription because he has limited finances and is saving them for when he gets another infection What does the nurse teach the client that is a potential consequence of this behavior a Increased risk for developing a superinfection 9 A client brought to the emergency department by ambulance The patient is in distress The nurse suspects an anaphylactic reaction resulting from taking oral penicillin Which assessment finding would support that diagnosis a Facial swelling difficulty breathing 10 A client is given a prescription for gentamycin and asks the nurse why the dose on the first day is twice the amount of the dose on the next 4 days Which reply by the nurse is correct a A large initial dose helps to get the drug to optimal levels in the body faster 11 A client is receiving morphine 2 4mg IV every 2 hours PRN pain The client is asleep and the nurse notes a heart rate of 86 bpm and respiratory rate of 8 breaths per minute Which PRN medication will the nurse give this client a Naloxone Narcan to block the effects of the morphine 12 A client presents to the emergency department having an acute asthma attack The physician has ordered a sympathomimetic epinephrine The nurse expects what as the therapeutic effect of this drug a Dilation of the bronchi with increased rate and depth of respirations 13 A client receiving a cephalosporin develops severe diarrhea and fever The nurse suspects a superinfection and possible infection with which of the following a Clostridium difficile14 A client taking metoclopramide has come to the clinic for a follow up visit The nurse will be most concerned about a drug drug interaction when learning the client is taking what other medication This study source was downloaded by 100000776853044 from CourseHero com on 02 04 2022 01 56 29 GMT 06 00 https www coursehero com file 96412942 Exam reviewdocx a Digoxin15 A client who is taking morphine for pain asks the nurse how a pain medication can also cause constipation What does the nurse know about morphine a It is selective to receptors that regulate more than one body process 16 A client with bronchitis is taking cotrimoxazole Before administering the dose the nurse notes that the client has a widespread rash a temperature of 103F and a heart rate of 100bpm The patient looks ill and reports not feeling well What will the nurse do a Withhold the dose and notify the provider of the symptoms 17 A client with chronic bronchial asthma is prescribed montelukast What will the nurse instruct the client toavoid taking a Aspirin or other NSAIDS18 A geriatric client received an opioid analgesic before leaving the post anesthesia care unit to return to the regular unit Identify the priority nursing action by the nurse when the patient returns to their room a b Put side rails up and place bed in low position 19 A nurse collects a culture sample of infected tissue What does the result of testing the culture contribute to the client s care a Identifies the specific organism causing the infection 20 A nurse admitting a client to the hospital The patient reports taking oral baclofen but stopped taking the drug the day before admission The nurse would be correct to anticipate which adverse effects a Seizures and hallucinations21 A nurse is assessing a client who has been taking NSAIDs What statement made by the client indicates to the nurse that the patient has a good understanding of the use of this therapy a I asked my doctor to check for blood in my stool regularly 22 A nurse is caring for a client receiving intrathecal baclofen The client is unresponsive After asking a coworker to contact the provider the nurse anticipates performing which intervention a Preparing to support respirations 23 A nurse is caring for a client with severe rheumatoid arthritis who takes anti inflammatory agents on a regular basis Which one of the following medications would have a negative interaction with an anti inflammatory agent a Aspirin24 A nurse is presenting an educational event for a group of new parents One topic that the nurse addresses is the overuse of acetaminophen which can cause liver toxicity What would the nurse tell the parents it s important to do a Check the label of OTC medications carefully to watch for inclusions of acetaminophen in the ingredients 25 A nurse is providing discharge teaching for a client who will be going home on baclofen prescribed for his acute musculoskeletal pain The nurse will stress the client should avoid what a Drinking alcohol26 A nurse is teaching a client who has a new diagnosis of