Biperiden hydrochloride (Akineton) is added to a list of antiparkinsonian medications that an elderly client is taking. Which of the following instructions made by the nurse that needs further learning?         A. Avoiding alcohol and caffeine.      B. Using ice chips, candy or gum for dry mouth.      C. Walking in the morning to have… Read More »

While providing home care to a client with congestive heart failure, the nurse is asked how long diuretics must be taken. The best response to this client should be:         A. “As you urinate more, you will need less medication to control fluid.”      B. “You will have to take this medication for about a year.”   … Read More »

Mrs. Jane Gately has been dealing with uterine cancer for several months. Pain management is the primary focus of her current admission to your oncology unit. Her vital signs on admission are BP 110/64, pulse 78, respirations 18, and temperature 99.2 F. Morphine sulfate 6mg IV, q 4 hours, prn has been ordered. During your… Read More »

A male patient is to receive a percutaneously inserted central catheter (PICC). He asks the nurse whether the insertion will hurt. How will the nurse reply?         A. “You will have general anesthesia so you won’t feel anything.”      B. “It will be inserted rapidly, and any discomfort is fleeting.”      C. “The insertion site… Read More »

The cell and Coombs classification system categorizes allergic reactions and is useful in describing and classifying patient reactions to drugs. Type I reactions are immediate hypersensitivity reactions and are mediated by:         A. immunoglobulin E (IgE).      B. immunoglobulin G (IgG).      C. immunoglobulin A (IgA).      D. immunoglobulin M (IgM).          … Read More »

When a drug binds to a receptor to produce a pharmacologic effect, the drug may be called a(n):         A. Antagonist      B. Agonist      C. Blocker      D. Accelerator           Correct Answer: B. Agonist An agonist is the action described in the stem. Agonist and blocker are synonymous. An agonist is… Read More »

The nurse is giving instructions to a client receiving phenytoin (Dilantin). The nurse concludes that the client has a sufficient knowledge if the client states that:         A. “Wearing a medical alert tag is not required”.      B. “Alcohol is permitted while taking this medication”.      C. “I can take the medicine with milk”.   … Read More »

George, age 8, is admitted with rheumatic fever. Which clinical finding indicates to the nurse that George needs to continue taking the salicylates he had received at home?         A. Chorea      B. Polyarthritis      C. Subcutaneous nodules      D. Erythema marginatum           Correct Answer: B. Polyarthritis Polyarthritis is characterized by swollen,… Read More »

When counseling a patient who is starting to take MAO (monoamine oxidase) inhibitors such as Nardil for depression, it is essential that they be warned not to eat foods containing tyramine, such as:         A. Roquefort, cheddar, or Camembert cheese.      B. Grape juice, orange juice, or raisins.      C. Onions, garlic, or scallions.   … Read More »

What volume of air can safely be infused into a patient with a central venous access device (CVAD)?         A. It is dependent on the patient’s weight and height.      B. Air entering the patient through a CVAD will follow circulation to the lungs where it will be absorbed and cause no problems.      C.… Read More »