A month after receiving a blood transfusion an immunocompromised male patient develops a fever, liver abnormalities, a rash, and diarrhea. The nurse would suspect this patient has: A. An allergic response to a recent medication. B. Graft-versus-host disease (GVHD). C. Myelosuppression. D. Nothing related to the blood transfusion. … Read More »
Mannitol (Osmitrol), an osmotic diuretic, is contraindicated to which conditions? Select all that apply. A. Pulmonary edema B. Narrow-angle glaucoma C. Heart failure D. Chemotherapy E. Hyponatremia Correct Answer: A, C, and E Too rapid infusion of large amounts of mannitol injection will cause a shift of intracellular water… Read More »
Which of the following will determine nursing interventions for a client on medication? A. Assessment B. Diagnoses C. Implementation D. Evaluation Correct Answer: B. Diagnoses The nursing diagnosis is the conclusion derived from the assessment, and it is the component of the nursing process that drives the… Read More »
Ms.Clark has hyperthyroidism and is scheduled for a thyroidectomy. The physician has ordered Lugol’s solution for the client. The nurse understands that the primary reason for giving Lugol’s solution preoperatively is to: A. Decrease the risk of agranulocytosis postoperatively. B. Prevent tetany while the client is under general anesthesia. C. Reduce the… Read More »
A nurse is providing instructions to a client regarding quinapril hydrochloride (Accupril). The nurse tells the client: A. To take the medication with food only. B. To rise slowly from a lying to a sitting position. C. To discontinue the medication if nausea occurs. D. That a therapeutic effect will be… Read More »
Serotonin release stimulates vomiting following chemotherapy. Therefore, serotonin antagonists are effective in preventing and treating nausea and vomiting related to chemotherapy. An example of an effective serotonin antagonist antiemetic is: A. ondansetron (Zofran). B. fluoxetine (Prozac). C. paroxetine (Paxil). D. sertraline (Zoloft). Correct Answer: A. ondansetron (Zofran).… Read More »
Jonas comes into the local blood donation center. He says he is here to donate platelets only today. The nurse knows this process is called: A. Directed donation B. Autologous donation C. Apheresis D. Allogeneic donation Correct Answer: C. Apheresis The process of apheresis involves the removal… Read More »
When performing an assessment to determine which medications can be used, which of the following elements is most important? A. Physical examination B. Allergies C. Presence of illness D. Weight Correct Answer: B. Allergies Allergies must be determined so that the nurse does not administer a drug that would… Read More »
A client with tonic-clonic seizure is receiving phenobarbital (Luminal) and valproic acid (Depakene). The nurse tells the client that: A. Valproic acid decreases phenobarbital metabolism. B. Valproic acid increases phenobarbital metabolism. C. There is no interaction between the two. D. Increase the dosage of the two medications. … Read More »
A two-year-old child with congestive heart failure has been receiving digoxin for one week. The nurse needs to recognize that an early sign of digitalis toxicity is: A. Bradypnea B. Failure to thrive C. Tachycardia D. Vomiting Correct Answer: D. Vomiting The earliest sign of digitalis toxicity… Read More »