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40 Cards in this Set
- Front
- Back
1. You should avoid rapid IV infusion of cimetidine (Tagamet) because it can cause:
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a. confusion
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2. Side effects related to cimetidine therapy include:
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a. abdominal pain and diarrhea
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3. Mr. S, who receives aluminum hydroxide (Amphojel) via nasogastric tube every 4 hours, should be observed for:
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a. constipation
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4. The following is a contraindication for the use of metoclopramide (Reglan):
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a. Parkinsons Disease
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5. Your client, with peptic ulcer disease, is started on scralfate (Carafate). A potential nursing diagnosis related to this medication is:
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a. alteration I bowel elimination: constipation
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6. For the best effectiveness, you should administer scralfate (Carafate) at the following time:
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a. 1 hour before meals
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7. Your client will receive ranitidine (Zantac) 150 mg PO at bedtime. Prior to administration, you should inform the client that common side effects related to this medication are:
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a. headache
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8. Ranitidine (Zantac) should be cautiously administered to individuals with evidence of:
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a. renal disease
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10. A client who is taking a senna preparation (Senokot) calls you because she has noticed that her urine is a deep red and she thinks she is bleeding. Your best response would be:
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a. The medication you are taking can color the urine different shades of red
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12. An adverse effect of administration of stimulant cathartic is:
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a. diarrhea
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13. Long-term administration of mineral oil can decrease the absorption of:
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a. vitamin D and fat soluble vitamins
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14. Administering castor oil the following way would make it more palatable:
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a. chill it
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15. The safest and most effective way to treat constipation in children is with:
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a. glycerin suppositories
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16. An alcoholic with chronic liver failure could use the following laxative to lower his serum ammonia levels:
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a. lactulose (Chronulac)
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17. After surgery for a peptic ulcer, your client is receiving morphine sulfate 2 mg q4h, tetracycline 250 mg q6h, cimetidine (Tagamet) 300 mg q6h, and acetaminophen (Tylenol) 600 mg q4h. Which of the medications above is most likely to cause constipation?
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a. morphine sulfate
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18. Psyllium hydrophilic mucilloid (Metamucil) should be avoided if Mrs. V has:
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a. diabetes mellitus
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19. An expected outcome of the administration of psyllium hydrophilic mucilloid (Metamucil) is a regular bowel movement:
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a. within 1 to 3 days
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20. Evidence of the following indicates that a client taking pancrelipase (Cotazym) needs to have his medication altered:
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a. steatorrhea
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21. A client receiving diphenoxylate (Lomotil) should be altered to the following side effect related to this medication:
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a. drowsiness
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22. The following medication is used to treat the diarrhead associated with bacillary dysentery caused by Shigella organisms:
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a. ampicillin (Omnipen)
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23. An over the counter medication used to treat nausea is:
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a. Emetrol
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24. The following symptom may be related to the use of dronabinol (Marinol):
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a. anxiety
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25. Persons taking phenothiazines need to be assessed for extrapyramidal symptoms, which include:
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a. dyskinesia, dystonia, and akathisia
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26. Your client is to receive Reglan for nausea. The following statement by your client lead you to believe that she has understood the teaching that you have done:
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a. I may by drowsy as a result of taking this medication
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27. Before administering an antiemetic to a patient experiencing nausea and vomiting, the nurse should assess:
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a. bowel sounds or blood pressure
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28. Prochlorperazine (Compazine) is contraindicated in:
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a. pregnant women
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29. Which of the following anitememtics is the drug of choice for use with children?
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a. promethazine (Phenergan)
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30. Mr. P is going on an ocean cruse and asks his physician for an antiemetic. Which of the following medications would be most effective for motion sickness?
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a. Anitvert
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31. A scopolamine (Transderm Scop) patch is ordered for a terminal care patient experiencing nausea and vomiting. The following statement made by your patient leads you to believe that he or she understands how to use the patch:
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a. I will place the patch behind my ear and replace it every 3 days
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32. When administering hydroxyzine (Vistaril), you need to assess the client for anticholinergic effects, which include:
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a. dry mouth and urinary retention
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33. The ideal time to take antacid is:
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a. 1 hour before or after other drugs
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34. Mrs. H a 79 year old woman with peptic ulcer disease, is taking cimetidine (Tagamet). When you enter her room, you find that she is confused. You should:
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a. hold the medication and contact her physician
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35. Mr. J is to receive polyethylene glycol-electrolyte solution (GoLYTLEY) for bowel cleansing before an endoscopic procedure. Which instructions should you give M.J?
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a. Take 8 ounces every 10 minutes until the 4 liters are gone
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36. An adverse effect of administration of bulk forming laxatives is:
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a. impaction
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37. Administration of mineral oil can decrease the absorption of fat soluble vitamins if continued for longer than:
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a. 2 weeks
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38. Before taking laxatives for constipation, Mrs. C should:
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a. drink 2000 to 3000 ml of fluid for several days
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39. Your neighbor calls you because she has been having diarrhea for 2 days. What advice should you give her?
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a. Drink plenty of fluids that contain calories and electrolytes
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40. Antiemetics are usually contraindicated in clients with:
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a. pregnancy
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41. Which of the following statements by your client leads you to believe that she needs additional instruction regarding antiemetics?
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a. If I become drowsy, I will stop taking the medication.
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42. Mrs. P becomes nauseated the night before her chemotherapy treatment. Her physician believes that she is experiencing anticipatory nausea. Which of the following medications would be most effective for Mrs. Ps nausea?
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a. Ativan
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