Term 1 of 71
A client who is receiving chemotherapy is prescribed ondansetron (Zofran). Which side effect
should the nurse include in the teaching plan?
Headache.
Dry mouth.
Impaired taste.
Blurred vision.
Term 2 of 71
A client's prescription of prednisone for the management of asthma is to be discontinued. Which
information is important for the nurse to give the client?
The remaining capsules in the medication bottle should be taken until empty.
The medication should be stopped immediately.
The dose of the medication should be tapered over the course of 7 to 10 days.
The medication should be taken if wheezing and stridor occurs.
Term 3 of 71
A pediatric client diagnosed with partial seizures receives a prescription for topiramate. Which
information should the nurse provide to the child's parents?
Do not crush the tablet prior to administration.
Give the medication with 8 oz of orange juice.
Avoid prolonged exposure to direct sunlight.
Administer the tablet an hour before meals.
,Term 4 of 71
A client prescribed a statin and gemfibrozil (Lopid) for hyperlipidemia reports an onset of muscle
pain and weakness. Which assessment is most important for the nurse to evaluate?
Serum liver enzymes.
T3 and T4 blood levels.
Bowel function.
Peripheral sensation.
, Definition 5 of 71
c. Take within 30 to 60 minutes of sexual stimulation.
d. Report rebound priapism that occurs for 4 hours or more.
e. Can cause facial flushing and headache.
Sildenafil (Viagra) enhances the natural response to sexual stimuli, so a client should be instructed
to take Viagra within 30 to 60 minutes before sexual intercourse to provide adequate time to
enhance penile erection. Sildenafil does not cause erection directly, but priapism can occur and
should be reported to the healthcare provider if it persists. Common side effects include
headaches, facial flushing, and diarrhea. Viagra can potentiate vasodilators, such as alpha-
adrenergic blockers, nitroglycerin, and other nitrates used for angina pectoris, and may cause
hypotension, which decreases perfusion to vital organs.
The nurse is planning discharge instructions for a client prescribed pyridostigmine bromide
tablets for myasthenia gravis (MG). Which instruction should the nurse include in the
instructions?
a. Increase activity in the afternoon when the medication is most effective.
b. Take the medication 30 to 45 minutes before eating.
c. Use a PRN dose for increasing muscular weakness or fasciculations.
d. Maintain a diet that consists of low-protein foods.
The nurse is preparing to administer esomeprazole to a client for the management of
gastroesophageal reflux disease (GERD). Which finding in the client's history should the
nurse hold the medication and notify the healthcare provider?
a. Eats spicy food three times a week.
b. Treatment for deep vein thrombosis.
c. Drinks 2 alcoholic beverages on weekends.
d. Family history of diabetes mellitus.
A client's prescription of prednisone for the management of asthma is to be discontinued.
Which information is important for the nurse to give the client?
a. The remaining capsules in the medication bottle should be taken until empty.
b. The medication should be stopped immediately.
c. The dose of the medication should be tapered over the course of 7 to 10 days.
d. The medication should be taken if wheezing and stridor occurs.
What teaching should the nurse provide a client who has received a new prescription for
sildenafil (Viagra)? (Select all that apply.)
a. Frequent use can lead to the development of hypertension.
b. Most effective if taken after at least 6 hours of REM sleep.
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