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Nurs 3100 final exam (2)
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Nurs 3100 final exam (2)
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Nurs 3100 final examA nurse is caring for a client who has a new prescription for celecoxib. the nurse should
tell the client to report which of the following adverse drug reactions?
-Tinnitus
-Chest pain
-Constipation
-Diaphoresis - ANS-chest pain
A nurse is reviewing the MR of a client who has a new prescription for celecoxib. the
nurse should identify that which of the following conditions is a contraindication to
celecoxib?
-rheumatoid arthirtis
-ankylosing spondylitis
-sulfonamide allergy
-adrenocortical insufficiency - ANS-sulfonamide allergy
A nurse is caring for a client who takes low dose aspirin to prevent Cardiovascular
events. The client asks the nurse about taking ibuprofen to treat rheumatoid arthritis.
Which of the following responses should the nurse make?
-"Ibuprofen will increase your risk for developing salicylism"
-"Ibuprofen will reduce the cardioprotective effects of low does aspirin"
-"Low does aspirin will reduce the anti-inflammatory effects of ibuprofen"
-"Low dose aspirin will reduce the analgesic effects of ibuprofen" - ANS-"Ibuprofen will
reduce the cardioprotective effects of low does aspirin"
A nurse is caring for a client who has a new prescription for butorphanol. The nurse
should monitor client for the following adverse drug reactions?
-infection
-nausea
-tachycardia
-dizziness
-headache - ANS-nausea
dizziness
headache
A nurse is planning care for a client who has started taking prednisone. Which of the
following interventions should the nurse include?
-monitor the client's blood glucose
,-administer an antacid 30 min prior to prednisone
-administer aspirin rather than NSAIDs if client has pain
-monitor the client for hyperkalemia - ANS--monitor the client's blood glucose
A nurse is reviewing the drug list for a client who has a new order for allopurinol. Which
drugs interact with allopurinol?
-warfarin
-ibuprofen
-insulin
-furosemide - ANS-warfarin
A nurse is teaching a client who has a new prescription for allopurinol. The nurse should
instruct the client to report which of the following adverse drug reactions? (SATA)
-palpitations
-sore throat
-vertigo
-bruising
-vision changes - ANS--Sore throat
-Vertigo
-Bruising
-Vision Changes
A nurse is caring for a client who is receiving morphine to relieve severe pain. The
nurse should monitor the client for which of the following adverse reactions?
-Diarrhea
-Urinary retention
-Respiratory Depression
-Sedation
-Orthostatic hypotension - ANS--Urinary retention
-Respiratory Depression
-Sedation
-Orthostatic hypotension
A nurse is teaching a client who is taking allopurinol about minimizing adverse effects.
Which of the following instructions should the nurse include?
-Eat a small meal before taking the drug
-Suck on hard candy or chew gum
-take a stool softener daily
-avoid the use of NSAIDs - ANS-eat a small meal before taking the drug
,A nurse is caring for a client who is taking acetaminophen at regular intervals for mild
discomfort. The nurse should tell the client to report which of the following early
indications of acetaminophen toxicity? (SATA)
-Diaphoresis
-Palpitations
-Shortness of breath
-Nausea
-Diarrhea - ANS--Diaphoresis
-nausea
-diarrhea
A nurse is reviewing the medical record of a client who has a new prescription for
tramadol. the nurse should identify which conditions is a contraindication of tramadol?
Hyperthyroidism
Seizure Disorder
Rheumatoid arthritis
Urinary incontinence - ANS-Seizure disorder
A nurse is reviewing the MR of a client who reports taking acetaminophen at home. The
nurse should identify that which of the following client conditions is a contraindication for
acetaminophen?
Asthma
Diabetes mellitus
Heart failure
Alcohol use disorder - ANS-Alcohol use disorder
A nurse is caring for a client who is an opioid dep. and has a new prescription for
butorphanol. The nurse should monitor the client for which of the following
manifestations of abstinence syndrome (SATA)?
-Bronchospasm
-Vomiting
-peripheral edema
-Abdominal Cramps
-Hypertension - ANS-vomiting
abdominal cramps
hypertension
A nurse is caring for a client who has a prescription for aspirin to treat an ankle sprain,
The nurse should instruct patient to report the following adverse drug reactions?
Polyuria
, Bone pain
Weight gain
Infection - ANS-weight gain
A nurse is caring for a group of postoperative clients. the nurse should identify that
morphine is contraindicated for which of the following?
-a client who had a mastectomy
-a client who had a knee arthroplasty
-a client who had a colectomy
-a client who had a cholecystectomy - ANS-a client who had a cholecystectomy
A nurse is teaching a client who has a new prescription for tramadol. Which should the
nurse include (SATA)?
- Increase fiber and fluid intake
- take drug with food
- Avoid driving after taking drug
-Change positions gradually
- Reduce exercise level temporarily - ANS-- Increase fiber and fluid intake
- take drug with food
- Avoid driving after taking drug
-Change positions gradually
A nurse is caring for a client who is about to begin taking aspirin. The nurse should
instruct the client to report which manifestations of Salicylism?
-Fever
-Tinnitus
-Diaphoresis
-Thrombophlebitis
-Dizziness - ANS--Fever
-Tinnitus
-Diaphoresis
-Dizziness
A nurse is teaching a client who has a new prescription for allopurinol. Which of the
following instructions should be included?
Avoid driving or activities the require mental alertness.
Avoid crushing the tablets
Limit fluid intake during therapy
Limit potassium while taking allopurinol - ANS-Avoid driving or activities the require
mental alertness.
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