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    Exam Review

    1. A nurse is providing an in-service on the complications of overdosing on morphine, such as the opioid toxicity triad. Which of the following signs and symptoms should the nurse include in her in-service about opioid toxicity triad?
      A)Coma, respiratory alkalosis, and regular pupils.
      B)Pinpoint pupils, respiratory depression, and coma.
      C)Pinpoint pupils, hypertension, and constipation.
      D)Constipation, pupillary dilation, and hypotension.
    2. A nurse is caring for a patient with kidney dysfunction. The nurse understands that kidney dysfunction can lead to an increase in the duration and intensity of a medication's response. Which lab tests should the nurse monitor? Select all that apply(SATA)
      A)Blood urea nitrogen (BUN)
      B)Creatinine
      C)Lipid panel
      D)Blood glucose
    3. The nurse is considering administering a medication for the client's concern of diarrhea. Which of the following medications is indicated to decrease diarrhea?
      A)Docusate sodium (Colace)
      B)Sucralfate (Carafate)
      C)Omeprazole (Prilosec)
      D)Loperamide (medium)
    4. A nurse is providing an in-service on the complications of naloxone (Narcan), such as abstinence syndrome. Which of the following signs and symptoms should the nurse include in her in-service about abstinence syndrome?
      A)Pinpoint pupils, coma, and respiratory depression.
      B)Sedation, fixed pupils, and nausea,
      C)Fever, hypertension, vomiting, anxiety, and abdominal cramping
      D)Hyperventilation, depression, and constipation.
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    Exam Review

    1. A nurse is teaching a client with a new prescription of dantrolene (Dantrium). Which of the following information should the nurse include in the teaching about this medication?
      A)“This medication is used to prevent migraines."
      B)"This medication is used to treat malignant hyperthermia."
      C)"This medication is used to treat alcohol use disorder."
      D)“This medication is used to treat mild pain."
    2. Which of the following phases of pharmacokinetics is described as the removal of the drug or its metabolites through the kidneys, gastrointestinal tract, skin, or lungs?
      A)Distribution
      B)Metabolism
      C)Absorption
      D)Excretion
    3. A nurse is teaching diabetic clients about the use of insulin. For which of the following types of insulin should the nurse tell the clients to expect an onset of 15 to 30 minutes?
      A)Insulin glargine (Lantus)
      B)Glucagon (Glucagen)
      C)Glipizide (Glucotrol)
      D)Insulin lispro (Humalog)
    4. A nurse is preparing to administer naloxone (Narcan). The nurse understands that this medication has a rapid first-pass inactivation. The nurse understands that naloxone (Narcan) be administered in all of the following routes EXCEPT for:
      A)Oral (PC)
      B)Intravenous (IV)
      C)Intramuscular (IM)
      D)Subcutaneous (SC)
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    Exam Review

    1. A client is prescribed ethinyl estradiol and drospirenone (Yasmin) to prevent pregnancy. The client missed two days of her medication. What is an appropriate client education for this client?
      A)Continue taking the medication as prescribed.
      B)Take two doses the next two days and use an additional form of contraception for 7 days.
      C)Take one dose as soon as possible, continue ora contraceptive regimen, use additional contraception for 7 days
      D)Use an alternative form of contraception only.
    2. The nurse teaches a patient with chronic obstructive pulmonary disease (COPD) about pursed-lip breathing (PLB). Which action by the patient would indicate to the nurse that no further teaching is needed?
      A)The patient inhales and exhales quickly through pursed lips.
      B)The patient inhales deeply through the nose and exhales quickly through pursed lips.
      C)The patient inhales deeply through the nose and exhales slowly through pursed lips.
      D)The patient inhales deeply through pursed lips and exhales quickly through the nose.
    3. A nurse is caring for a patient that is prescribed with a controlled substance. Which of the following statements accurately describes controlled substances?
      A)Controlled substances do not have the potential for abuse.
      B)Controlled substances do not have the potential for dependence.
      C)Controlled substances do not have the potential for misuse.
      D)Controlled substances have a Schedule classification.
    4. The nurse is caring for a client in the medical-surgical unit. Exhibits The nurse is considering administering a medication for the client's concern of constipation. Which of the following medication is indicated for constipation? Select the best option from the drop-down list to best answer the question.
      A)Digoxin
      B)Sildenafil
      C)Lactulose
      D)Spironolactone
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    Exam Review

    1. A client is newly diagnosed with benign prostatic hyperplasia (BPH) Which of the following medications used to treat BPH? (Select All That Apply](SATA)
      A)Tamsulosin (Flomax)
      B)Finasteride (Proscar)
      C)Ethinyl estradiol and drospirenone (Yasmin)
      D)Sildenafil (Viagra)
    2. The nurse is providing an in-service on mucosal protectants. What medication protects the ulcer from further injury from acid and pepsin and is a viscous substance that can stick to the ulcer for up to 6 hours?
      A)Loperamide (mad um)
      B)Cimet dine Tagamer HB)
      C)Docusate sad bin (Colace)
      D)Sucralfate (Carafate)
    3. The nurse is reviewing a pregnant client's prescribed medications that are currently due for administration at 0900. The nurse noticed that the physician ordered misoprostol to prevent stomach ulcers. What is the next action that the nurse should take?
      A)Notify the physician to change the route of administration.
      B)Do not give the medication and notify the provider for further clarification.
      C)Administer the medication and then monitor for adverse reactions.
      D)Verify the client's identity and administer the medication as prescribed.
    4. A nurse is educating the client about the baclofen. Which of the following responses is a therapeutic use of baclofen?
      A)Relief of spasticity related to cerebral palsy, spinal cord injury, and multiple sclerosis.
      B)Treatment of benign prostatic hyperplasia (BPH).
      C)Treatment of malignant hyperthermia.
      D)Treatment of alcohol use disorder.
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    Exam Review

    1. The nurse is managing care for a client on the medical unit. Exhibits The health care provider prescribes testosterone (Depo-testosterone) via the intramuscular (IM) route for this client to treat hypogonadism. Which of the following sites should the nurse administer this medication? Drag and drop the word from the choices below to best answer the question. Appropriate site to administer this medication:
      A)Lower left
      B)abdominal area
      C)Deltoid muscle
      D)Under the tong
    2. A client is newly diagnosed with erectile dysfunction and has been prescribed sildenafil (Viagra). Which of the following statements should the nurse NOT include in her client education about sildenafil (Viagra)? (Select All That Apply.).(SATA)
      A)“This medication is also used to treat male pattern baldness."
      B)"Complications of this medication are priapism, sudden hearing loss, and myocardial infarction."
      C)"You should use take this medication 30 minutes to 4 hours before sexual activity
      D)"A complication of this medication is incontinence"
    3. A nurse is providing client education for a client who has been prescribed with furosemide (Lasix). Which of the following statements should the nurse include?
      A)This medication an osmotic diuretic that reduces intracranial pressure
      B)This medication works on the distal tubule of the kidney"
      C)An adverse effect of this medication is hyperkalemia
      D)This medication is used for pulmonary edema caused by heart failure.
    4. A nurse is preparing to administer a medication to a client for motion sickness. Which of the following medications has therapeutic use in treating motion sickness?
      A)Furosemide (Lasix)
      B)Metformin (Gucophage)
      C)Naloxone (Narcan)
      D)Scopolamine (Scopace)
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    Exam Review

    1. The client has been prescribed acetylsalicylic acid (Aspirin) by the healthcare provider. However, the client is not sure about the uses of aspirin. What of the following are the appropriate indications for aspirin? (Select All That Apply.).(SATA)
      A)Hypoglycemia
      B)Inflammation suppression
      C)Dysmenorrhea
      D)Hypokalemia
    2. A nurse is providing teaching to a female client who is taking conjugated equine estrogens (Premarin). Which of the following clients are contraindicated for conjugated equine estrogens (Premarin)? (Select All That Apply).(SATA)
      A)A client with a history of thromboembolic disease,
      B)A client within story of hypertension
      C)A client with history of depression
      D)A client with atypical vaginal bleeding that is not diagnose
    3. A nurse is caring for a client who has a low thyroid stimulating hormone (TSH) level and elevated thyroxine (T4) and triiodothyronine (13) levels. Which of the following medications should the nurse anticipate to treat Graves' disease?
      A)Propylthiouracil (PTU)
      B)Morphine sulfate (Astramorph)
      C)Sucralfate (Caralete)
      D)Metformin (Glucophages)
    4. The nurse is educating a client about taking a tetracycline along with an antacid. The nurse explains to the client not to take these two medications because the antacid can reduce the absorption of the tetracycline. When one drug reduces the effect of another, it is:
      A)an allergic reaction.
      B)a synergistic effect.
      C)an antagonistic effect.
      D)None of the above
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