Question

A nurse is caring for a client in the clinic.

Vital signs

1 week ago:

Temperature 370 C (98.60 F)

Heart rate 64/min

Respiratory rate 12/min

Blood pressure 118/72 mm Hg

Today.

Temperature 37.20 C (98.90 F)

Heart rate 82/min

Respiratory rate 16/min

Blood pressure 1 10/68 mm Hg

Nurses notes

1 week ago:

Client presents to the clinic for an infusion of methotrexate for Non-Hodgkin lymphoma. Client premeditated with ondansetron prior to administration. Client tolerated infusion well. Client educated on adverse effects of medication.

Today:

Client returns to the clinic with reports of mouth pain. Oral mucosa is dry with lesions noted in buccal mucosa. Client educated on interventions for stomatitis.

Which of the following client statements indicates to the nurse the teaching was effective?

Select all that apply.

Answer 1

Correct Answers:

"l will avoid consuming alcoholic beverages:
"l will consume foods that are soft or semisolid.'
l will rinse with saline every 2 hours while awake."

Rationale :

"I will avoid consuming alcoholic beverages." "I will consume foods that are soft or semisolid." "I will rinse with saline every 2 hours while awake."

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 2

Correct Answers:

"You may initially notice an increase in involuntary movements."
"The medication can cause nausea, so take with a meal."
"You can experience vivid nightmares."
"This medication can make you light-headed if you stand up too quickly from a seated or lying position:
consumption of a high protein meal can reduce the effectiveness of the medication."

Rationale :

This refers to levodopa/carbidopa — used for Parkinson’s disease. It causes GI upset, vivid dreams, dyskinesias, and is protein-sensitive.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 3

Correct Answers:

Heart rate

Rationale :

Propranolol is a beta-blocker that slows HR. Check HR before giving to avoid bradycardia.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 4

Correct Answers:

Inject air into the NPH vial.

Rationale :

The correct insulin mixing sequence is: Inject air into NPH Inject air into Regular Withdraw Regular Withdraw NPH

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 5

Correct Answers:

Heart rate 90/min

Rationale :

Atropine blocks excessive parasympathetic (muscarinic) activity → normalizes heart rate.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 6

Correct Answers:

Moist oral mucous membranes

Rationale :

This indicates improved hydration. Other symptoms (thirst, ↑ HR, ↓ BP) would indicate ongoing dehydration.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 7

Correct Answers:

Has a systemic fungal infection

Rationale :

Steroids suppress immunity, worsening fungal infections.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 8

Correct Answers:

"Why are you refusing your medications?"

Rationale :

Respect autonomy and communicate with the provider. Avoid threats or persuasion.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 9

Correct Answers:

"You should take a stool softener while taking this medication."

Rationale :

Opioids like oxycodone commonly cause constipation; stool softeners or laxatives are often recommended.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Answer 10

Correct Answers:

Confusion

Rationale :

Confusion may indicate serotonin syndrome or CNS toxicity and is the most serious option listed.

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

RN Pharmacology Exam 2

No.

3 : A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

4 : A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?

5 : A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nursethat the treatment has been effective?

6 : A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has

been effective?

7 : A nurse is reviewing the medical history of a client who is to start taking prednisone.

Which of the following findings should the nurse identify as a contraindication to prednisone therapy?

8 : A nurse is caring for a client who refuses to take their prescribed medications. Which of the following responses should the nurse make?

9 : A nurse in an outpatient clinic is teaching a client who has a new prescription for oxycodone. Which of the following instructions should the nurse Include in the teaching?

10 : A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?

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RN Pharmacology Exam 2

No.

3 : A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

4 : A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?

5 : A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nursethat the treatment has been effective?

6 : A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment hasbeen effective?

7 : A nurse is reviewing the medical history of a client who is to start taking prednisone.Which of the following findings should the nurse identify as a contraindication to prednisone therapy?

8 : A nurse is caring for a client who refuses to take their prescribed medications. Which of the following responses should the nurse make?

9 : A nurse in an outpatient clinic is teaching a client who has a new prescription for oxycodone. Which of the following instructions should the nurse Include in the teaching?

10 : A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?

6 : A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has

been effective?

7 : A nurse is reviewing the medical history of a client who is to start taking prednisone.

Which of the following findings should the nurse identify as a contraindication to prednisone therapy?