Concordia University Texas NUR 3250 CoachTree847

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1. A 54-year-old client is going on an ocean cruise. What medication would be most effective for motion sickness? a. Ondansetron 2. A 70-year-old client is being treated for chronic obstructive pul... monary disease (COPD) with theophylline. What will be a priority assessment by the nurse? a. Nicotine Use 3. A client arrives in the emergency department complaining of numbness in the extremities. The nurse notes that the patient has vomiting, diarrhea, chest pain and confusion. When conducting a health history, the nurse learns the patient has a history of migraine headaches. The nurse recognizes this patients’ symptoms as: a. Ergotism 4. A client asks the nurse how the anti-infective works in their body. What key point will the nurse use to explain this to the client? a. The goal of anti-infectives is to interfere with normal functioning of the organism. 5. A client has localized muscle spasms after an injury. The prescriber has ordered dantrolene to alleviate the spasms. When obtaining the patient’s health history, the nurse should be concerned about which of the following as a possible reason for considering another drug? a. A history of liver damage 6. A client is about to receive penicillin G for an infection that is highly sensitive to this drug. While obtaining the clients medication history the nurse learns the client experienced a rash when given amoxicillin as a child. What will the nurse do? a. Request an order for a skin test to assess the current risk. 7. A client is being given theophylline to treat acute asthma symptoms. Which of the following foods should the client avoid that may interfere with this medication? a. Chocolate 8. A client is brought to the clinic by his daughter for a routine appointment. The daughter tells the nurse that her father has only taken half of his amoxicillin prescription because he has limited finances and is saving them for when he gets another infection. What does the nurse teach the client that is a potential consequence of this behavior? a. Increased risk for developing a superinfection. 9. A client brought to the emergency department by ambulance. The patient is in distress. The nurse suspects an anaphylactic reaction resulting from taking oral penicillin. Which assessment finding would support that diagnosis? a. Facial swelling, difficulty breathing. 10. A client is given a prescription for gentamycin and asks the nurse why the dose on the first day is twice the amount of the dose on the next 4 days. Which reply by the nurse is correct? a. A large initial dose helps to get the drug to optimal levels in the body faster. 11. A client is receiving morphine 2-4mg IV every 2 hours PRN pain. The client is asleep, and the nurse notes a heart rate of 86 bpm and respiratory rate of 8 breaths per minute. Which PRN medication will the nurse give this client? a. Naloxone (Narcan) to block the effects of the morphine. 12. A client presents to the emergency department having an acute asthma attack. The physician has ordered a sympathomimetic (epinephrine). The nurse expects what as the therapeutic effect of this drug? a. Dilation of the bronchi with increased rate and depth of respirations. 13. A client receiving a cephalosporin develops severe diarrhea and fever. The nurse suspects a superinfection and possible infection with which of the following? a. Clostridium difficile 14. A client taking metoclopramide has come to the clinic for a follow-up visit. The nurse will be most concerned about a drug-drug interaction when learning the client is taking what other medication? [Show More]

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