A preoperative patient receives atropine before induction of anesthesia. The nurse caring for this patient understands that this agent is used to prevent:         A. Anxiety.      B. Bradycardia.      C. Dry mouth.      D. Hypertension.           Correct Answer: B. Bradycardia. Atropine, an anticholinergic drug, is used as an adjunct to anesthesia… Read More »

Some drugs are excreted into bile and delivered to the intestines. Prior to elimination from the body, the drug may be absorbed. This process is known as:         A. Hepatic clearance.      B. Total clearance.      C. Enterohepatic cycling.      D. First-pass effect.           Correct Answer: C. Enterohepatic cycling. Drugs and drug… Read More »

Dr. Smith orders a gram of human salt poor albumin product for a patient. The product is available in a 50-milliliter vial with a concentration of 25 percent. What dosage will the nurse administer?         A. The nurse should use the entire 50-milliliter vial.      B. The nurse should determine the volume to administer from… Read More »

Which of the following groups of clients are most at risk for GI bleeding from the use of NSAIDs?         A. Clients with dysmenorrhea.      B. Clients with headaches.      C. Clients with arthritis.      D. Clients with renal failure.           Correct Answer: C. Clients with arthritis. Clients with arthritis are taking the drugs… Read More »

The nurse is monitoring a post-renal transplantation client taking cyclosporine (Neoral). The nurse observes an elevation in one of the client’s vital signs and the client is complaining of sweating and headache. Which of the following vital signs is most likely increased?         A. Respiratory rate      B. Pulse rate      C. Temperature      D. Blood pressure… Read More »

Changes in visual acuity and color perception are associated with treatment by which of the following agents?         A. INH (isoniazid)      B. PZA (pyrazinamide)      C. ETH (ethambutol)      D. SM (streptomycin)           Correct Answer: C. ETH (ethambutol) Ethambutol will cause changes in visual acuity and color perception. Remember “E” for… Read More »

The nurse teaching a client who will receive thiopental (Pentothal) as an anesthetic explains what common adverse effects might occur?         A. Headache      B. Emergence delirium      C. Nausea and vomiting      D. Paralysis           Correct Answer: B. Emergence delirium Emergence delirium could occur postoperatively, and is characterized by hallucinations, confusion,… Read More »

An adult patient has been taking a drug (Drug A) that is highly metabolized by the cytochrome p-450 system. He has been on this medication for 6 months. At this time, he is started on a second medication (Drug B) that is an inducer of the cytochrome p-450 system. You should monitor this patient for:… Read More »

Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is a distinct advantage of using the CVAD for chemotherapeutic agent administration?         A. CVADs are less expensive than peripheral IV.      B. Once-a-week administration is possible.      C. Caustic agents in small veins can be avoided.      D. The patient or his… Read More »

To minimize the risk of dyspnea and GI bleeding, OTC ibuprofen is given:         A. IV.      B. With orange juice.      C. On an empty stomach.      D. With meals.           Correct Answer: D. With meals. Taking ibuprofen with meals will decrease GI irritation. Ideally, take NSAIDs after eating and avoid… Read More »