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66 Cards in this Set

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1. The following statement by a client using a beclomethasone (Vanceril) inhaler indicates adequate understanding of its use:
a. “Because it is habit-forming, I will only use it once a day”
b. “If I need to use the drug more often than prescribed, I will call my doctor.”
c. “Nausea and vomiting are common with this drug”
d. “I will keep the inhaler in a dry, warm place when it is not in use”
b. “If I need to use the drug more often than prescribed, I will call my doctor.”
2. A dosage of theophylline may need to be increased if a client:
a. smokes cigarettes
3. Mr. B. started on theophylline. You know that your teaching has been successful if he states,
a. “I will: avoid caffeine.”
4. A client started on albuterol (Proventil) should be instructed that she may experience:
a. tachycardia
5. The following statement indicates that your client has a good understanding of the teaching that you have done regarding inhalers:
a. “The aerosol canister should be shaken well before using.”
6. A client with chronic bronchitis is experiencing symptoms of respiratory distress. Which of the following symptoms indicate hypoxia:
a. expiratory wheezes and cyanosis
7. To avoid bronchospasm, the person who experiences acute asthma attacks should be advised to:
a. use a bronchodilator inhaler prior to exercise
8. A client stared on beclomethasone (Vanceril) may need additional teaching if he states the following:
a. “I will….: not administer a second aerosol medication until an hour after taking this.”
9. An expected outcome after the administration of aerosol bronchodilator is decreased dyspnea within:
a. 1-2 minutes
10. When administering sympathomimetic bronchodilators, you can expect the clien to experience:
a. tachycardia
11. Corticosteroids are administered to clients in respiratory distress to:
a. reduce airway inflammation
12. The following indicates that the client is obtaining maximum benefit from the inhaler:
a. He holds his breath for several seconds after releasing the medication
13. The following statement by your client indicates successful teaching concerning diphenhydramine hydrochloride (Benadryl):
a. “I should not operate heavy machinery when taking this medicine.”
14. When diphenhydramine hydrochloride (Benadryl) is administered parenterally, the nurse needs to observe the client for changes in:
a. blood pressure
15. An antihistamine that produces significant sedationis:
a. Hydroxyzine (Vistaril)
b. Cyproheptadine (Periactin)
c. promethazine hydrochloride (Phenergan)
d. dimenhydramine (Dramamine)
c. promethazine hydrochloride (Phenergan)
16. An overdose of antihistamines can result in:
a. hallucinations and convulsions
17. The following are adverse effects of diphenhydramine hydrochloride (Benadryl) except:
a. Constipation
b. Urinary retention
c. Tachycardia
d. Drowsiness
c. Tachycardia
18. A 14-year-old client receives acetylcysteine (Mucocyst) for which of the following conditions:
a. Severe cough
b. Pulmonary edema associated with heart failure
c. cystic fibrosis
d. respiratory congestion related to chronic asthma
c. cystic fibrosis
19. A female client has bronchitis, so the physician orders guaifenesin (Robitussin). The following instructions should be given:
a. avoid taking alcohol concurrently with this medication
20. Acetylcysteine (Mucomyst):
a. decreases the viscosity of mucous secretions
21. The following statements by a client who is to take an antitussive with codeine indicates that your teaching has been effective:
a. “This medication can cause drowsiness, so I will avoid driving while I use it.”
22. The following is a common complaint from a client receiving acetylcysteine (Mucomyst) by nebulizer treatment:
a. “The mist I breathe in smells and tastes awful.”
23. An adverse reaction commonly experienced by persons taking nasal decongestants is:
a. dry mouth
24. Persons taking a narcotic antitussive need to be observed for:
a. tachycardia
25. You should withhold digoxin (Lanoxin) and notify the physician if the client’s:
a. pulse is 54 beats per minute
medication that increases the force of the contractions of the heart has a:
a. positive inotropic effect
27. A loading dose of digoxin (Lanoxin) is ordered. You would recognize that the physician ordered the correct dose if it was:
a. .75 mg PO q8h X 3 doses
28. A client, admitted with atrial fibrillation last evening, was given two doses of digoxin (Lanoxin) totaling 1 mg. His digoxin level this morning is 0.4mg/mL. You know that this is:
a. lower than a therapeutic level
29. The following statement by your client leads you to believe that she understands the teaching that you have done about digoxin:
a. “I will: take my pulse every day.”
30. Cardiac glycosides are used to:
a. increase the force of the contraction of the heart
31. The following would be an adverse effect of quinidine therapy:
a. diarrhea (headache)
32. The following behavior by persons receiving propanolol (Inderal) indicates that your teaching has been successful. They:
a. report a weight gain of over 2 pounds in 1 week
33. Side effects of lidocaine (Xylocaine) therapy that the nurse should be observing for include:
a. disorientation
34. Persons taking a beta-adrenergic blocker such as propanolol (Inderal) for its antiarrhythmic effect should be observed for:
a. heart failure
35. The physician plans on treating your client’s atrial fibrillation with digoxin (Lanoxin). Prior to initiating treatment, your client should be taught to:
a. check her pulse daily
36. The following statement by your client leads you to believe that she has a good understanding of the teaching that you have done regarding quinidine.
a. “I will: take the medication with meals.”
37. A client is admitted with uncontrolled chest pain. He is currently taking nitroglycerin (Nitro-Bid). His physician orders nifedipine (Procardai) added to his regimen. You should observe the client for:
a. hypotension
38. The following condition may preclude the use of beta-adrenergic blockers:
a. heart failure
39. Beta-adrenergic blockers help to control angina but can cause:
a. decreased contraction of the heart
40. Your client can expect relief of chest pain when she takes nitroglycerin in:
a. 1-3 minutes
41. Vasopressor drugs are useful in treating:
a. hypotension resulting from decreased cardiac output
42. A client in your unit has a gunshot wound. His family is very concerned about him and questions why the dobutamine (Dobutrex) is being used. Your best reply is:
a. “We want to slow down Mr. G.’s heart rate and increase his blood pressure, and this drug will do that.”
43. Mr. J. is started on an IV drip of dopamine (Intropin) for hypotension after open heart surgery. Identify which of these adverse effects you will be assessing for:
a. tachycardia (bradycardia).
44. Mr. P. is being treted for hypotension with dopamine (Intropin) and begins to complain of chest pain. Which of the following antianginal drugs would you question if they were ordered:
a. propanolol (Inderal)
45. The following statement by a client leads you to believe he has understood the teaching you had done regarding dobutamine (Dobutrex):
a. “They will be monitoring my pulse, blood pressure, and urinary output frequently.”
46. The major advantage of dobutamine (Dobutrex) over dopamine (Intropin) for clients in cardiogenic shock is:
a. it does not product systemic vasoconstriction.
47. When assessing a client, the following disorder from a client’s history would be a contraindication for the use of calcium channel blockers:
a. heart failure
48. A client is receiving captopril (Capoten). Identify which of the following problems it might be used to treat:
a. chronic hypertension
b. venous thrombosis
c. hypertensive crisis
d. unstable angina pectoris
a. chronic hypertension
49. The physician prescribes captopril (Capoten) for your client. You know that your teaching has been effective if your client says, “I will:
a. make sure that I rise slowly from a supine position.”
50. The following represents the most important outcome for Mr. J., who has recently been diagnosed with hypertension:
a. evidence of a diastolic BP below 90.
51. Persons experiencing both hypertension and angina are best treated with:
a. beta-adrenergic blockers
b. direct-acting casodilators
c. thiazide diuretics
d. ACE inhibitors
a. beta-adrenergic blockers
52. Angiotensin-converting enzyme (ACE) inhibitors work by:
a. blocking the enzyme that converts angiotensin I to angiotensin II
53. Diuretics and albumin are used together to treat edema that occurs because of:
a. decreased plasma osmotic pressure
54. The following statement by your client makes you believe that she understands your teaching about diuretics:
a. “I will weight myself once a week and report significant changes.”
55. Mrs. B. is started on furosemide (Lasix) 40 mg daily. You will check her lab values on a regular basis because you know a side effect of this medication is:
a. hyponatremia
56. When administering intravenous furosemide (Lasix), you will administer it slowly, because if it is administered rapidly, it can cause:
a. hearing loss.
57. Spironlactone (Aldactone) should not be administered to persons with:
a. elevated serum levels.
58. Which of the following is an osmotic diuretic:
a. mannitol (Osmitrol).
59. The following may be an indication that the nurse is giving IV push furosemide (Lasix) too rapidly:
a. the client states that his ears are “plugged up.”
60. A common side effect that a client receiving furosemide (Lasix) for hypertension could experience is:
a. abdominal and leg cramps
61. A client receives IV heparin 5000 U 1h. A partial thromboplastin time (PTT) is drawn a half an hour before the 8:00 am dose; the PTT is at 92 seconds. The most appropriate action would be to:
a. hold the dose and call the result to the physician
62. The effects of warfarin sodium (Coumadin) are monitored by the following lab test:
a. PT
63. Bleeding resulting from the administration of heparin is treated with:
a. protamine sulfate
65. You know that your teaching about Coumadin is successful if your client states:
a. “I will not dring alcoholic beverages.”
66. A client receiving Coumadin has blood in his urinary drainage bag this morning. After reporting your observations to the physician, you will administer:
a. Vitamin K
67. Your client, admitted with thrombophlebitis, is being sent home on Lovenox. He has a good understanding of why Lovenox is being used if he states that it will:
a. prevent the blood from clotting