Which of the following adverse effects is associated with levothyroxine (Synthroid) therapy? A. Hypotension B. Bradycardia C. Tachycardia D. Constipation Correct Answer: C. Tachycardia Levothyroxine, especially in higher doses, can induce hyperthyroid-like symptoms including tachycardia. Adverse effects (frequency undefined) include: angina pectoris, tachycardia, palpitations, arrhythmias, myocardial infarction,… Read More »
When performing an assessment about medication, the drug history should include: A. Complete vital signs. B. Client’s goal of therapy. C. Reason for medication. D. Administration of OTC medications. Correct Answer: D. Administration of OTC medications The nurse should determine if the client is taking any other… Read More »
A child was brought to the emergency room complaining of right upper quadrant abdominal pain, nausea, and vomiting. Upon the interview of the nurse to the mother, the client has been taking a long-term use of acetaminophen. Overdosage of the medication is suspected. Which of the following medications should be readily available? A. naltrexone… Read More »
The nurse is caring for an elderly client who has been diagnosed as having sundown syndrome. He is alert and oriented during the day but becomes disoriented and disruptive around dinnertime. He is hospitalized for evaluation. The nurse asks the client and his family to list all of the medications, prescription and nonprescription, he is… Read More »
A nurse has taught a client taking a xanthine bronchodilator about beverages to avoid. The nurse determines that the client understands the information if the client chooses which of the following beverages from the dietary menu? A. Chocolate milk B. Cranberry juice C. Coffee D. Cola Correct… Read More »
The chemotherapeutic DNA alkylating agents such as nitrogen mustards are effective because they: A. Cross-link DNA strands with covalent bonds between alkyl groups on the drug and guanine bases on DNA. B. Have few, if any, side effects. C. Are used to treat multiple types of cancer. D. Are cell cycle-specific… Read More »
Which of the following adverse effects is specific to the biguanide diabetic drug metformin (Glucophage) therapy? A. Hypoglycemia B. Lactic acidosis C. GI distress D. Somnolence Correct Answer: B . Lactic acidosis Lactic acidosis is the most dangerous adverse effect of metformin administration with death resulting in… Read More »
The volume of SC medication must be no more than: A. 0.5 mL. B. 1.0 mL. C. 1.5 mL. D. 3.0 mL. Correct Answer: B. 1.0 mL The maximum amount of fluid that can be injected into the SC space is 1.0 mL. A subcutaneous injection is… Read More »
A client with bell’s palsy tells the nurse that acetaminophen (Tylenol) is taken daily as prescribed by the physician. Which laboratory value would indicate a toxicity of the medication? A. Blood urea nitrogen of 60 mg/dl. B. Total bilirubin of 1.5 mg/dl. C. Alkaline phosphatase of 120 IU/L. D. Direct bilirubin… Read More »
A 25-year-old woman is in her fifth month of pregnancy. She has been taking 20 units of NPH insulin for diabetes mellitus daily for six years. Her diabetes has been well controlled with this dosage. She has been coming for routine prenatal visits, during which diabetic teaching has been implemented. Which of the following statements… Read More »