1. A 19-year-old male client who has sustained a severe head injury is in-
tubated and placed on assisted mechanical ventilation. To facilitate optimal
ventilation and prevent the client from "fighting" the ventilator, the health
care provider administers pancuronium bromide IV, with adjunctive opioid
analgesia.What medication should be immediately accessible for a potential
complication with this drug?
A. Dantrolene sodium
B. Neostigmine bromide
C. Succinylcholine bromide
,Page 2 of 95
D. Epinephrine
…Answer>> B.Neostigmine bromide
Neostigmine bromide and atropine sulfate, both anticholinergic drugs, reverse the
respiratory muscle paralysis caused by pancuronium bromide.Options A, C, and D
are not antagonists to pancuronium bromide and would not be helpful in reversing
the effects of the drug compared with the use of anticholinergics.
2. A client with viral influenza is receiving vitamin C, 1000 mg PO daily, and
acetaminophenelixir,650mgPOevery4hoursPRN.Thenursecallsthehealth
care provider to report that the client has developed diarrhea. Which change
in prescriptions should the nurse anticipate?
A. Change the acetaminophen to ibuprofen.
B. Change the elixir to an injectable route.
C. Decrease the dose of vitamin C.
D. Begin treatment with an antibiotic.
…Answer>> C.Decrease the dose of vitamin C.
3. When providing nursing care for a client receiving pyridostigmine bromide
for myasthenia gravis, which nursing intervention has the highest priority?
A. Monitor the client frequently for urinary retention.
,Page 3 of 95
B. Assess respiratory status and breath sounds often.
C. Monitor blood pressure each shift to screen for hypertension.
D. Administer most medications after meals to decrease gastrointestinal
irritation.
…Answer>> B.Assess respiratory status and breath sounds often.
4. A client with a dislocated shoulder is being prepared for a closed manual
reduction using conscious sedation.Which medication should the nurse ex-
plain as a sedative used during the procedure?
A. Inhaled nitrousoxide
B.B.Midazolam IV
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C.Ketamine IM
D.Fentanyl and droperidol IM
…Answer>> B.Midazolam IV
5. A client is being discharged with a prescription for sulfasalazine to treat
ulcerative colitis. Which instruction should the nurse provide to this client
prior to discharge?
A. Maintain good oral hygiene.
B. Take the medication 30 minutes before a meal.
C. Discontinue use of the drug gradually.
D. Drink at least eight glasses of fluid a day.
…Answer>> D.Drink at least eight glasses offluid a day.
6. The health care provider prescribes carbamazepine for a child whose ton-
ic-clonic seizures have been poorly controlled.The nurse informs the mother
thatthechildmusthavebloodtestseveryweek.Themotheraskswhysomany
blood tests are necessary. Which complication is assessed through frequent
laboratory testing that the nurse should explain to this mother?
A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression
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