A client who is taking calcium supplements receives a prescription for ciprofloxacin for a respiratory infection. What must the nurse include in client teaching?
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Question 2 of 83
The nurse is teaching a child and a parent about taking methylphenidate (Ritalin) to treat attention deficit/hyperactivity disorder (ADHD). Which statement by the parent indicates understanding of the teaching?
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Question 3 of 83
One of these statements is true about the relationship between dose and the speed of the metabolizer:
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Question 4 of 83
The patient with allergic conjunctivitis would most likely be treated with:
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Question 5 of 83
Which of these drugs is known to cause heparin-induced thrombocytopenia?
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Question 6 of 83
A 55-year-old obese patient was diagnosed with candidiasis in the skin folds under her breasts. At a follow-up visit 2 months after diagnosis, she reports that the candidiasis has returned. She tells the nurse that she applied the medicine for a week and then stopped because the itching went away and the cream was messy. What is the best information she can give this patient in regard to the patient's fungal infection?
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Question 7 of 83
Which of the following drugs is a dopamine receptor antagonist which enhances gastric motility, increases the rate of gastric emptying, and increases the lower gastro-oesophageal sphincter tone?
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Question 8 of 83
The nurse is teaching a patient about using sublingual nitroglycerin at home. Which statement by the patient indicates understanding of the teaching?
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Question 9 of 83
The nurse is caring for a patient who develops marked edema and a low urine output as a result of heart failure. Which medication will the nurse expect the provider to order for this patient?
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Question 10 of 83
IV forms of bisphosphonates are used for all the following except:
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Question 11 of 83
A patient has a long history of heavy alcohol use and has been admitted to the hospital for traumatic injuries after a motor vehicle accident. How should the nurse best assess the patient for physical dependence on alcohol?
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Question 12 of 83
A client with cancer has been taking an opioid analgesic four times daily for chronic pain and reports needing increased doses for pain. What will the nurse tell the client?
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Question 13 of 83
The nurse is giving an intradermal (ID) injection and will choose which syringe for this injection?
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Question 14 of 83
A client has had emergency surgery for a ruptured appendix. Before surgery, the client was taking dexamethasone for three years. With the client's steroid use history, for which complication will the nurse monitor in the recovery phase?
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Question 15 of 83
Hypertensive African Americans are typically listed as not being as responsive to which drug groups?
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Question 16 of 83
A patient on warfarin therapy asks the nurse about what medications she can take for headaches. The nurse will advise her to avoid which type of medications?
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Question 17 of 83
A patient is exposed to a viral infection. What role will interferon most likely play during this exposure?
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Question 18 of 83
The nurse is caring for a child who receives all nutrition parenterally. The nurse will be alert for signs of a deficiency of which mineral in this child?
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Question 19 of 83
Which of these comments by a client taking a calcium channel blocker would indicate the need for additional teaching?
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Question 20 of 83
Which describes the use of carbamide peroxide?
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Question 21 of 83
A patient taking raloxifene understands the instructions if they state:
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Question 22 of 83
Prophylaxis against Pneumocystis jiroveci pneumonia should begin when:
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Question 23 of 83
A patient who is taking warfarin has an international normalized ratio (INR) of 5.5. The nurse will anticipate giving which of the following?
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Question 24 of 83
A client has been taking benzonatate (Tessalon) as ordered. The nurse tells the client that this medication should do which of the following?
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Question 25 of 83
A patient has developed urticaria following the administration of an oral antibiotic. What substance most commonly mediates the formation of the wheals that characterize urticaria?
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Question 26 of 83
Type 1 diabetes results from autoimmune destruction of the beta cells. Eighty-five to 90% of type 1 diabetics have:
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Question 27 of 83
A client who is pregnant has a history of recurrent genital herpes virus. The client asks the nurse what will be done to suppress an outbreak when she is near term. What is the nurse's response?
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Question 28 of 83
Which statement is appropriate for the nurse to include when teaching a patient about type 2 diabetes?
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Question 29 of 83
What is a common side effect of NSAIDs like ibuprofen?
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Question 30 of 83
A patient who has been receiving continuous enteral nutrition has had several large, watery stools. The nurse will contact the provider to discuss which intervention?
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Question 31 of 83
A female patient is being treated with biological response-modifying drugs. After the completion of her treatment, she should be cautioned to avoid pregnancy for what time period?
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Question 32 of 83
A patient with a complex medical history is considering the use of oral contraceptives. The nurse should be aware that many antibiotics and antiseizure medications cause what effect when combined with oral contraceptives?
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Question 33 of 83
Establishing glycemic targets is the first step in treatment of both types of diabetes. For type 1 diabetes:
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Question 34 of 83
A nurse is caring for the client with a history of mild heart failure who is receiving diltiazem hydrochloride (Cardizem) for hypertension. The nurse would assess the client for:
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Question 35 of 83
Pregnant women who are HIV positive:
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Question 36 of 83
Infiltration anaesthesia (local anesthesia) is preferred for minor surgical procedures. The nurse understands that the anaesthesia acts on:
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Question 37 of 83
A patient prescribed benzonatate as needed likely has:
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Question 38 of 83
A client is advised to take senna (Senokot) for the treatment of constipation asks the nurse how this medication works. The nurse responds knowing that it:
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Question 39 of 83
Hormones and hormone modulators are indicated for the following medical conditions:
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Question 40 of 83
When treating patients using the 'Step-Down' approach the patient with gastroesophageal reflux disease is started on ___ first.
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Question 41 of 83
Which of these oral hypoglycemic drugs can cause weight loss?
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Question 42 of 83
Appropriate initial treatment for psoriasis would be:
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Question 43 of 83
A nurse is administering a mumps vaccine to an adolescent. Which of the following medications should be available when administering an immunization?
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Question 44 of 83
Obese women may have increased risk of failure with which contraceptive method?
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Question 45 of 83
In hyperthyroid states, what organ system other than CV must be evaluated to establish potential adverse issues?
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Question 46 of 83
In children age 5 to 11 years mild-persistent asthma is diagnosed when asthma symptoms occur:
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Question 47 of 83
Which of the following drugs works by inhibiting the enzyme acetylcholinesterase?
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Question 48 of 83
Screening for type 2 diabetes should occur in an asymptomatic individual if he or she:
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Question 49 of 83
Side effects that may limit the use of antidepressants include:
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Question 50 of 83
Which is true regarding parenteral drugs?
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Question 51 of 83
The nurse is about to give a rectal suppository to a patient. Which technique would facilitate the administration and absorption of the rectal suppository?
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Question 52 of 83
A man has asked the care team to consider the use of benzodiazepines to treat his wife's severe alcoholism. The use of benzodiazepines for this purpose may be contraindicated in what circumstances?
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Question 53 of 83
A patient presents in the ER with chest pain. The physician orders nitroglycerin to be given immediately. What type of order is this?
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Question 54 of 83
Protein restriction helps slow the progression of albuminuria, glomerular filtration rate, decline, and end stage renal disease in some patients with diabetes. It is useful for patients who:
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Question 55 of 83
Which of the following disease processes could be made worse by taking a nonselective beta blocker?
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Question 56 of 83
The patient with irritable bowel syndrome with diarrhea would most likely be treated with:
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Question 57 of 83
Long-acting beta agonists:
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Question 58 of 83
Asthma exacerbations at home are managed by the patient by:
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Question 59 of 83
Directly observed therapy is recommended for patients with active tuberculosis:
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Question 60 of 83
Reasons for hyperglycemia in a patient with diabetes include:
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Question 61 of 83
A nurse reinforces dietary instruction for the client receiving spironolactone (Aldactone). Which food would the nurse instruct the client to avoid while taking this medication?
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Question 62 of 83
A prescriber has ordered medication for a newborn that is eliminated primarily by hepatic metabolism. What would the nurse expect the prescriber to order?
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Question 63 of 83
A teenager is using a tanning bed two times per week. Which cells within the skin change color in response to the tanning bed's lights?
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Question 64 of 83
Education of patients with COPD who use inhaled corticosteroids includes:
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Question 65 of 83
The most common cause of microcytic anemia is:
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Question 66 of 83
Jose is a 12-year-old overweight child with a total cholesterol of 180 mg/dL and LDL of 125 mg/dL. Along with diet education and recommending increased physical activity, a treatment plan for Jose would include ___ with a reevaluation in 6 months.
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Question 67 of 83
The nurse is performing an assessment on a patient who will begin taking propranolol (Inderal) to treat hypertension. The nurse learns that the patient has a history of asthma and diabetes. The nurse will take which action?
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Question 68 of 83
Which fat-soluble vitamin can increase the risk of bleeding and would warrant close monitoring of prothrombin time in a patient also taking warfarin (Coumadin)?
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Question 69 of 83
Situations that suggest referral to a specialist is appropriate include:
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Question 70 of 83
The nurse is caring for a patient who is receiving oral potassium chloride supplements. The nurse notes that the patient has a heart rate of 120 beats per minute and has had a urine output of 200 mL in the past 12 hours. The patient reports abdominal cramping. Which action will the nurse take?
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Question 71 of 83
A patient with diabetes has a new prescription for a thiazide diuretic. What statement should the nurse include when teaching the patient about the thiazide drug?
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Question 72 of 83
What potential failure is identified when a patient with a documented penicillin allergy receives 1.2 g of benzylpenicillin IV?
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Question 73 of 83
A patient with a diagnosis of chronic renal failure will soon begin a regimen of epoetin that will be administered by the patient at home. Which of the following statements indicates that the nurse's initial health education has been successful?
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Question 74 of 83
A pediatric nurse practitioner has diagnosed a 4-year-old girl with otitis media. The nurse should understand that infectious microorganisms likely entered the girl's middle ear by what means?
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Question 75 of 83
The patient with otitis media would most likely be treated initially with:
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Question 76 of 83
The reason why I.V administration reach the highest concentration at time zero :
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Question 77 of 83
Which of these self-care measures should be emphasized in client education regarding phenytoin?
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Question 78 of 83
A patient is scheduled for an ophthalmic examination. Which of the following medications will be administered?
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Question 79 of 83
The advantage of vaginal estrogen preparations in the treatment of vulvovaginal atrophy and dryness is:
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Question 80 of 83
The New York Heart Association and the Canadian Cardiovascular Society have described grading criteria for levels of angina. Angina that occurs with unusually strenuous activity or on walking or climbing stair after meals is class:
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Question 81 of 83
Which of the following medications is classified as a loop diuretic?
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Question 82 of 83
After experiencing several months of worsening nocturia, a patient has been assessed for benign prostatic hypertrophy (BPH) and has begun drug treatment. In addition to nocturia, what other sign or symptom is most likely to accompany BPH?
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Question 83 of 83
If interventions to resolve the cause of pain (e.g., rest, ice, compression, and elevation) are insufficient, pain medications are given based on the severity of pain. Drugs are given in which order of use?
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