Meperidine hydrochloride (Demerol) is given to a client who is experiencing post-operative pain. Which of the following are the side effects of the medication, except?         A. Tremors      B. Diarrhea      C. Sweating      D. Dizziness           Correct Answer: B. Diarrhea Meperidine hydrochloride is an opioid analgesic. Side effects of this medication… Read More »

An adult client’s insulin dosage is 10 units of regular insulin and 15 units of NPH insulin in the morning. The client should be taught to expect the first insulin peak:         A. As soon as food is ingested.      B. In two to four hours.      C. In six hours.      D. In ten… Read More »

A client with advanced cirrhosis of the liver is not tolerating protein well, as evidenced by abnormal laboratory values. The nurse anticipates that which of the following medications will be prescribed for the client?         A. lactulose (Chronulac)      B. ethacrynic acid (Edecrin)      C. folic acid (Folvite)      D. thiamine (Vitamin B1)     … Read More »

Currently, there is no way to prevent myelosuppression. However, there are medications available to elicit a more rapid bone marrow recovery. An example is:         A. epoetin alfa (Epogen, Procrit).      B. glucagon (Glucagen).      C. fenofibrate (Tricor).      D. lamotrigine (Lamictal).           Correct Answer: A. epoetin alfa (Epogen, Procrit). Epoetin alfa… Read More »

Chris asks the nurse whether all donor blood products are cross-matched with the recipient to prevent a transfusion reaction. Which of the following always require cross-matching?         A. Granulocytes      B. Platelets      C. Plasma      D. Packed red blood cells           Correct Answer: D. Packed red blood cells. Red blood cells… Read More »

The client’s ability to take oral medications will be hindered by:         A. Age      B. Dental caries      C. Dysphagia      D. Lifestyle           Correct Answer: C. Dysphagia Dysphagia is difficulty in swallowing. This would make the administration of oral medications impossible. Other choices do not impair ingestion. Most pills, tablets,… Read More »

Codeine sulfate is prescribed to a client with a severe back pain. Which of the following side effect is associated with this medication?         A. Hypertension      B. Urinary frequency      C. Constipation      D. Hyperactivity           Correct Answer: C. Constipation Codeine Sulfate is an opioid analgesic indicated for the relief of… Read More »

An adult is hospitalized for treatment of deep electrical burns. Burn wound sepsis develops and mafenide acetate 10% (Sulfamylon) is ordered BID. While applying the Sulfamylon to the wound, it is important for the nurse to prepare the client for expected responses to the topical application, which include:         A. Severe burning pain for a… Read More »

A female client tells the clinic nurse that her skin is very dry and irritated. Which product would the nurse suggest that the client apply to the dry skin?         A. Glycerin emollient      B. Aspercreme      C. Myoflex      D. Acetic acid solution           Correct Answer: A. Glycerin emollient Glycerin is… Read More »

Estrogen antagonists are used to treat estrogen hormone-dependent cancer, such as breast carcinoma. Androgen antagonists block testosterone stimulation of androgen-dependent cancers. An example of an androgen-dependent cancer would be:         A. Prostate cancer.      B. Thyroid cancer.      C. Renal carcinoma.      D. Neuroblastoma.           Correct Answer: A. Prostate cancer Prostate tissue… Read More »