A nurse is doing an assessment data while completing an admission for a patient with a history of liver transplant who is receiving cyclosporine (Sandimmune), prednisone (Orasone), and azathioprine (Imuran). Which of the following information will give the nurse the most attention?         A. The client has a soft non-tender lump in the shoulder.   … Read More »

Nurse Susan administered intravenous gamma globulin to an 18 month-old child with AIDS. The parent asks why this medication is being given. What is the nurse’s best response?         A. “It will slow down the replication of the virus.”      B. “This medication will improve your child’s overall health status.”      C. “This medication is used to… Read More »

James Perez, a nurse on a geriatric floor, is administering a dose of digoxin to one of his patients. The woman asks why she takes a different pill than her niece, who also has heart trouble. James replies that as people get older, liver and kidney function decline, and if the dose is as high… Read More »

How can central venous access devices (CVADs) be of value in a patient receiving chemotherapy who has stomatitis and severe diarrhea?         A. The chemotherapy can be rapidly completed allowing the stomatitis and diarrhea to resolve.      B. Crystalloid can be administered to prevent dehydration.      C. Concentrated hyperalimentation fluid can be administered through the… Read More »

In infants and children, the side effects of first-generation over-the-counter (OTC) antihistamines, such as diphenhydramine (Benadryl) and hydroxyzine (Atarax) include:         A. Reye’s syndrome      B. Cholinergic effects      C. Paradoxical CNS stimulation      D. Nausea and diarrhea           Correct Answer: C. aspirin Virus-infected children who are given aspirin to manage pain,… Read More »

When two drugs given together have an effect equal to the sum of their respective effects, the interaction is known as:         A. Potentiated      B. Antagonized      C. Agonist      D. Additive           Correct Answer: D. Additive An addictive effect occurs when two drugs are given together and their effects are… Read More »

A client who is receiving edrophonium chloride suddenly is complaining of abdominal cramps and the nurse observes the client is experiencing increased perspiration and salivation. The nurse makes sure the availability of which of the following?         A. levodopa      B. methylphenidate hydrochloride (Ritalin)      C. atropine sulfate (Atropine)      D. carbamazepine (Tegretol)     … Read More »

Which of the following groups of antitubercular agents includes first-line agents?         A. INH, PZA, RIF      B. SM, PAS, INH      C. EMB, PAS, INH      D. INH, cycloserine, RIF           Correct Answer: A. INH, PZA, RIF INH, PZA, and RIF are used as combination first-line agents. Antitubercular medications: rifampin, isoniazid,… Read More »

A client received lidocaine viscous before a gastroscopy was performed. Following the procedure, the nurse places a priority on what assessment?         A. Return of the gag reflex      B. Ability to urinate      C. Abdominal pain      D. Ability to stand           Correct Answer: A. Return of the gag reflex Because… Read More »

Epinephrine is administered to a female patient. The nurse should expect this agent to rapidly affect:         A. Adrenergic receptors.      B. Muscarinic receptors.      C. Cholinergic receptors.      D. Nicotinic receptors.           Correct Answer: A. Adrenergic receptors. Epinephrine (adrenaline) rapidly affects both alpha and beta adrenergic receptors eliciting a sympathetic (fight… Read More »