- A client who received succinylcholine (Anectine), a neuromuscular blocking agent, during a surgical procedure returns to the postoperative unit and is complaining of thirst and wants to drink something. What assessment is most important for the practical nurse (PN) to check before giving oral liquids?A) Gag and swallow reflexes.B) Appetite and interest in food.C) Sensation and movement of all limbs.D) Ability to breathe deeply on command.
- A 35-week gestation primigravida who takes lithium (Eskalith) tells the practical nurse (PN) that she would like to breastfeed her infant. What information should the PN provide to the client?A) The medication does not cross the placental barrier.B) Mood swings will occur if lithium is discontinued.C) Breast milk should be discarded after each oral dose of lithium.D) The drug is excreted in breast milk so use formula to feed the infant.
- What are adverse effects of thiazolidenediones (rosiglitazone, pioglitazone)
- A client with chest pain is diagnosed with angina pectoris. On discharge the client receives a prescription for sublingual nitroglycerin tablets PRN. Which instruction should the practical nurse (PN) reinforce with this client?A) Take up to five doses at 15 minute intervals for an anginal attack.B) Chew the tablet for maximal effect because does not dissolve quickly.C) Seek immediate hospitalization after the first dose is taken for chest pain.D) Change positions slowly after taking a dose to reduce the chance of falling.
- A client with tuberculosis (TB) asks the practical nurse (PN) the value of prescribed multidrug therapy. What explanation should the PN provide?A) Required to eradicate TB.B) Enhances the effect of each drug.C) Provides a faster effect than single drug therapy.D) Reduces development of TB resistant drugs.
- The healthcare provider prescribes celecoxib (Celebrex), a nonsteroidal antiinflammatory drug (NSAID), for a client with osteoarthritis. Which finding in the client's history should the practical nurse (PN) report?A) Gout.B) Hypertension.C) Diabetes mellitus.D) Peptic-ulcer disease.
- The healthcare provider prescribes cycloplegic and mydriatic ophthalmic drops for a client who is having a cataract removal. What explanation about the drug actions should the practical nurse (PN) provide the client?A) Reduces intraocular pressure.B) Relieves eye pain.C) Treats conjunctivitis.D) Dilates the pupil.
- A client receives a new prescription for beclomethasone (Beclovent Oral Inhaler). What information should the practical nurse (PN) reinforce with the client about the use of this medication?A) Use for rapid results in acute asthmatic attacks.B) Most effective in preventing upper respiratory infections.C) Daily use provides prophylaxis in asthma management.D) Inhale when exposed to allergens in the environment.
- The practical nurse (PN) is reinforcing teaching for a client who is receiving diltiazem (Cardizem), a calcium channel blocker. Which drug action should the practical nurse explain?A) Increased force of contraction.B) Decreased rate of contraction.C) Decreased peripheral resistance.D) Increased speed of conduction.
- Which information should the practical nurse (PN) provide a client who receives a new prescription for a benzodiazepine medication?A) A list of foods to avoid while taking this prescription.B) Symptoms that indicate increasing the dose of medication.C) The interactions of alcohol consumption and CNS depressant drugs.D) Explanations that support taking a work absence during drug therapy.
- The practical nurse (PN) should recommend that oral contraceptives be avoided in which group of women?A) Women who smoke.B) Multigravidous women.C) Monogamous women.D) Women with an intrauterine device.
- There are many risk factors for the development of _____.
- Information about programs to promote ____ from tobacco should be provided. Because of ______, the client should be taught to avoid exposure to cold. Work-related exposure to cold should be considered.
- A client receives a prescription for clotrimazole 1% (Gyne-Lotrimin) vaginal cream for Candidiasis. Which information should the practical nurse provide the client?A) Discontinue medication if menstruation begins.B) Instill cream using the intravaginal applicator each night for 7 days.C) Use daily douching as part of the treatment for vaginal yeast infections.D) Abstain from sexual intercourse until treatment is completed.
- A client who is transferred to the cardiac rehabilitation unit after a myocardial infarction is ready for discharge with a new prescription for metoprolol (Lopressor). The client asks, I don't have high blood pressure, so why did my healthcare provider give me this medicine? What information should the practical nurse (PN) provide?A) Anticoagulation is the most important action of metoprolol.B) Beta-blockers are routinely prescribed after heart damage.C) Heart failure is prevented as a complication while healing.D) A slower heart rate reduces the heart's oxygen demand.
- A male client who is hypertensive is starting a new prescription for clonidine (Catapress) 0.4 mg PO daily. In reviewing common side effects, what information should the practical nurse (PN) provide the client?A) Report problems with sexual function.B) Monitor respirations on a daily basis.C) Increased libido may be experienced.D) Weight gain may indicate fluid retention.
- The practical nurse asks a male client who came to the clinic with an upper respiratory infection if he has any drug allergies. The client cannot remember if he does or if he ever received penicillin. After administering the injection of penicillin, the PN tells the client to stay for 30 minutes of observation. Which finding should the PN identify that is indicative of a reaction to the medication?A) Rash, itching, and hives.B) Fever and abdominal pain.C) Drop in temperature and blood pressure.D) A vasovagal response with bradycardia.
- Is Digoxin or verapamil more effective in slowing ventricular response in A. fib?
- _____ is usually caused by immobilization or lack of use of the calf muscle pump.
- ______ is an inflammatory disease of the small and medium sized arteries and veins of the extremities.