RN Medical Surgical Drugs EAQ 2022 A client will be taking nitrofurantoin 50 mg orally every evening at home to manage recurrent
urinary tract infections. What instructions should the nurse give to the client?
Increase the intake of fluids.
Strain the urine for crystals and stones.
Stop the dru...
rn medical surgical drugs eaq 2022 a client will be taking nitrofurantoin 50 mg orally every evening at home to manage recurrent urinary tract infections what inst
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A client will be taking nitrofurantoin 50 mg orally every evening at home to manage recurrent
urinary tract infections. What instructions should the nurse give to the client?
Increase the intake of fluids.
Strain the urine for crystals and stones.
Stop the drug if urinary output increases.
Maintain the exact time schedule for taking the drug.
A client who had a myocardial infarction receives a prescription for a nitroglycerin patch. What
does the nurse identify as the purpose of the nitroglycerin patch?
Decreased heart rate lowers cardiac output.
Increased cardiac output increases oxygen demand.
Decreased cardiac preload reduces cardiac workload.
Peripheral venous and arterial constriction increases peripheral resistance.
A healthcare provider prescribes enalapril for a client. Which is the most important nursing
action?
Assess the client for hypokalemia.
Ensure that the medication is ingested with food.
Monitor the client's blood pressure during therapy.
Teach that a missed dose can be doubled at the next scheduled time.
An older adult client who has type 1 diabetes and chronic bronchitis is prescribed atenolol for the
management of angina pectoris. Which clinical manifestation should alert the nurse to the fact
that the client may be developing a life-threatening response to the drug?
Difficulty breathing
Increased pulse rate
Orthostatic hypotension
Increased blood glucose
A nurse administers two units of packed red blood cells
([RBCs] 250 mL each), followed by 500 mL of 0.9%
sodium chloride. How much total solution (blood and
sodium chloride) has infused? Record your answer as a
whole number. 1000mL
A nurse identifies signs of electrolyte depletion in a client with heart failure who is receiving
bumetanide and digoxin. What does the nurse determine is the cause of the depletion?
Diuretic therapy
, Sodium restriction
Continuous dyspnea
Inadequate oral intake
A healthcare provider orders heparin 6000 units subcutaneously daily. The pharmacy dispenses a
vial containing 10,000 units per milliliter. How many milliliters of heparin should the nurse
administer? Include a leading zero if applicable. Record your answer using one
decimal place. 0.6mL
A client diagnosed with gastroesophageal reflux disease (GERD) is being treated with antacid
therapy. When teaching the client about the therapy, what does the nurse reinforce?
Antacids should be taken 1 hour before meals.
These should be scheduled at 4-hour intervals.
Antacid tablets are just as fast and effective as the liquid form.
Antacids commonly interfere with the absorption of other drugs.
A client asks a nurse why captopril was prescribed. What specific drug classification should the
nurse include in the explanation to the client?
Diuretic
Sedative
Hypnotic
Antihypertensive
During the administration of total parenteral nutrition (TPN), an assessment of the client reveals
a bounding pulse, distended jugular veins, dyspnea, and cough. What is the priority nursing
intervention?
Restart the client's infusion at another site.
Slow the rate of the client's infusion of the TPN.
Interrupt the client's infusion and notify the healthcare provider.
Obtain the vital signs and continue monitoring the client's status.
The healthcare provider’s prescription for intravenous fluid
states that the client is to receive 1 L of fluid every 8 hours.
If the equipment delivers 15 drops/mL, at what rate should
the nurse regulate the flow? Record your answer using
a whole number. 31 drops/minute
A client is admitted to the hospital with a diagnosis of acute pancreatitis. The health care
provider's prescriptions include nothing by mouth and total parenteral nutrition (TPN). The nurse
explains that the TPN therapy provides what benefit?
Is the easiest method for administering needed nutrition
, Is the safest method for meeting the client's nutritional requirements
Will satisfy the client's hunger without the discomfort associated with eating
Will meet the client's nutritional needs without causing the discomfort precipitated by
eating
A client with midsternal pain presents to the emergency department. Vital signs are stable. Which
form of nitroglycerin does the nurse anticipate giving initially?
Oral
Spray
Intravenous
Transdermal
Which information should be included in the teaching plan for the elderly client with peptic ulcer
disease who is taking an antacid and sucralfate?
Antacids should be taken 30 minutes before a meal.
Sucralfate should be taken on an empty stomach one hour before meals.
Sucralfate is prescribed for the long-term maintenance of peptic ulcer disease.
Sodium bicarbonate is an inexpensive over-the-counter antacid with few adverse
effects.
A client with irritable bowel syndrome has instructions to take psyllium 2 rounded teaspoons full
twice a day for constipation. What is most important for the nurse to include in the teaching
plan?
Urine may be discolored.
Stop taking the laxative once a bowel movement occurs.
Each dose should be taken with a full glass of water or juice.
Daily use may inhibit the absorption of some fat-soluble vitamins.
A nurse is preparing a client for discharge from the emergency department. Which client
statement provides evidence that the client understands the instructions for the prescribed high-
dose ampicillin?
"I should take this medication with meals."
"I can stop taking this medication when I feel better."
"I will miss eating my yogurt while taking this medication."
"I must increase my intake of fluids while taking this medication."
A healthcare provider prescribes famotidine and magnesium hydroxide/aluminum hydroxide
antacid for a client with a peptic ulcer. The nurse should teach the client to take the antacid at
what time?
Only at bedtime, when famotidine is not taken
Only if famotidine is ineffective
At the same time as famotidine, with a full glass of water
, One hour before or 2 hours after famotidine
A client with cirrhosis of the liver and ascites has been taking chlorothiazide, a thiazide diuretic.
Why did the provider add spironolactone to the client’s medication regimen?
To stimulate sodium excretion
To help prevent potassium loss
To increase urine specific gravity
To reduce arterial blood pressure
A client will be discharged with a peripherally inserted central venous catheter (PICC) for
administration of peripheral parenteral nutrition (PPN). What would be appropriate for the nurse
to include in the client's discharge teaching?
Learning how to change the percutaneous catheter
Determining which days to self-administer the PPN solution
Arranging for professional help to monitor the alternative nutrition
Scheduling administration of the PPN solution around mealtimes
The healthcare provider prescribes 7500 units
erythropoietin to be administered subcutaneously weekly.
The vial reads 10,000 units per milliliter. How much
erythropoietin will the nurse give for each weekly
dose? Include a leading zero if applicable. Record your
answer using two decimal places.
0.75mL
The nurse is preparing to discharge a client who presented to the emergency room for an acute
asthma attack. The nurse notes that upon discharge the healthcare provider has prescribed
theophylline 300 mg orally to be taken daily at 9:00 AM. The nurse will teach the client to take
the medication on which schedule?
With a meal
Only at bedtime
At a specific time prescribed
Until symptoms are gone
A client is scheduled to receive intravenous (IV) fluids to be delivered at 80 mL/hr. To adjust the
drip rate when administering the IV via gravity, what must the nurse determine?
Total volume of fluid in the IV bag
Size of the needle or catheter in the vein
Drops per milliliter delivered by the infusion set
Diameter of the tubing being used to instill the fluid
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