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