A nurse is caring for a client who is receiving
an intravenous infusion of theophylline.
The nurse checks which of the following to determine
medication effectiveness
1 Pupillary response
2 Pulse rate
3 Temperature
4 Lung sounds
A nurse is caring for a client who is receiving
an intravenous infusion of theophylline.
The nurse checks which of the following to
determine medication effectiveness ?
1 Pupillary response
2 Pulse rate
3 Temperature
4 Lung sound
A nurse is caring for a client with acute mania
who is receiving lithium carbonate ( Eskalith )
and had a serum lithium level drawn.
The results of the lithium level are 2.0 mEq/l,
and the nurse analyzes these results as:
1 Within normal limits
2 Higher than normal limits indicating toxicity
3 Lower than normal limits
4 Insignificant
A nurse is caring for a client with Parkinson's
disease who is taking benztropine mesylate ( Congentin )
orally daily.
The nurse does which of the following to assess for a
side effect of the medication ?
1 Checks pupillary response
2 Checks the partial thromboplastin time ( PTT )
3 Monitors intake and output
4 Monitors the prothrombin time ( PT )
Mannnitol ( Osmitrol ) is administered intravenously
to a client admitted to the hospital with loss of
consciousness and a closed head injury.
The nurse determines that the medication was most
effective if which of the following outcomes was noted ?
1 Diuresis of 500 ml in 2 hours and a blood urea nitrogen
( BUN ) of 15 mg/dl
2 Improved level of consciousness and normal
intracranial pressure
3 Weight loss of 1 kilogram and a serum creatinine of
0.8 mg/dl
4 Serum creatitine of 1.2 mg/dl and normal intracranial
pressure
A nurse is caring for a client with a history of
renal insufficiency who is having captopril
( Capoten ) added to the medication regimen.
Before administering the first dose, the nurse
reviews the medical record for the results of
the urinalysis, especially nothing for the
presence of:
1 Casts
2 Red Blood Cells ( RBCs )
3 Protein
4 White blood cells ( WBCs )
A nurse is caring for a client with active
tuberculosis who has started medication therapy
that includes rifampin ( Rifadin ).
The nurse instructs the client to expect which
side effect of this medication.
1 Orange secretions
2 Bilious urine
3 Yellow scleera
4 Clay-colored stools
A nurse is providing instructions to the spouse
of a client who is taking tacrine (Cognex) for
the management of moderate dementia
associated with Alzheimer's disease.
The nurse tells the spouse :
1 If flu-like symptoms occur, it is necessary
to notify the physician immediately
2 If a dose is missed, double up on the next
dose
3 If a change in the color of the stools
occurs, notify the physician
4 Do not administer the medication with food
A client has been prescribed metoprolol
( Lopressor ) for hypertension.
The nurse monitors client compliance carefully
because of which common side effect of the
medication ?
1 Increased appetite
2 Impotence
3 Difficulty swallowing
4 Mood swings
An acutely psychotoc client displays
increased psychomotor activity.
The nurse anticipates that the physician
will prescribe which of the following for
the client ?
1 Sertraline hydrochloride ( Zoloft )
2 Haloperidol ( Haldol )
3 Chloral Hydrate ( Noctec )
4 Isocarboxazid ( Marplan )
A nurse is providing medication instructions to
a client who is taking imipramine ( Tofranil ).
Which statement by the client indicates a need
for further instructions ?
1 "If i miss a dose, I need to take it as soon as
possible unless it is almost time for next dose."
2 "I need to take the medication in the moring
before breakfast."
3 "The effects of the medication may not be
noticed for at least 2 weeks."
4 " I need to avoid alcohol while taking the
medication."
A nurse is caring for a client with severe toxemia
of pregnancy who is receiving an intravenous(IV)
infusion of magnesium sulfate.
To provide a safe enviroment, the nurse ensures
that which priority item is at the bedside ?
1 Percussion hammer
2 Tongue blade
3 Potassium chloride injection
4 Calcium gluconate injection
A client has been taking glucocorticoids to
control rheumatoid arthritis.
The nurse monitors the client for which adverse
effect of this pharmacological therapy ?
1 Elevated serum potassium
2 Decreased serum sodium
3 Increased serum glucose
4 Increased white blood cells
Before advising a 24-year-old client desiring oral
contraceptives for family planning, the nurse would assess
the client for signs and symptoms of which of the following?
１．Anemia.
２．Hypertension.
３．Dysmenorrhea.
４．Acne vulgaris.
引用
Lippincott's Review for NCLEX-RN (Book with CD-Rom for Windows）
by Diane M. Billings
Paperback - Jan 15, 2002
A client with HIV is taking zidovudine (AZT). AZT is a drug that acts to
1. destroy the virus.
2. enhance the body's antibody production.
3. slow replication of the virus.
4. neutralize toxins produced by the virus.
The nurse teaches the client with angina about the common expected side effects of
nitroglycerin, including
1. headache.
2. high blood pressure.
3. shortness of breath.
4. stomach cramps.
INH treatment is associated with the development of peripheral neuropathies. Which of the following interventions would the nurse teach the client to help prevent this complication?
1. Adhere to a low-cholesterol diet.
2. Supplement the diet with pyridoxine (vitamin B6).
3. Get extra rest.
4. Avoid excessive sun exposure.
The nurse should caution sexually active female clients taking INH that the drug has which of the following effects?
1. Increases the risk of vaginal infection.
2. Has mutagenic effects on ova.
3. Decreases the effectiveness of oral contraceptives.
4. Inhibits ovulation.
The nurse should be especially alert for signs and symptoms of digitalis toxicity if serum levels indicate that the client has a
1. low sodium level.
2. high glucose level.
3. high calcium level.
4. low potassium level.
The nurse should teach the client that signs of digitalis toxicity include which of the following?
1. Skin rash over the chest and back.
2. Increased appetite.
3. Visual disturbances such as seeing yellow spots.
4. Elevated blood pressure.