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70.       The nurse is caring for a young female client who…

70.       The nurse is caring for a young female client who is 5 weeks pregnant. What statement made by the nurse about the use of antidepressants during pregnancy is most accurate?

 

A.         “Antidepressants are used very cautiously during pregnancy and only when benefit outweighs risk.”

B.         “Antidepressants are contraindicated and must be discontinued if pregnancy occurs.”

C.        “Antidepressants are contraindicated but often alternative treatments are just as effective at treating depression.”

D.        “Most antidepressants are safe during pregnancy so you likely have nothing to be concerned about.”

 

71.       The nurse is caring for a client who would like to start taking oral contraceptives. What aspect of this client’s health history should the nurse prioritize for follow-up?

 

A.         The client’s body mass index indicated she is underweight

B.         The client is a social drinker

C.        The client takes NSAIDs for the treatment of headaches and joint pain

D.        The client smokes ½ pack of cigarettes daily

 

72.       A 32-year-old female client has been diagnosed with an infection and has been prescribed an antibiotic. This client is also on oral contraceptives. What is a priority nursing action?

 

A.         Instruct the client to stop taking her oral contraceptive while on the antibiotic as they are contraindicated.

B.         Inform the client that the antibiotics may make her oral contraceptives less effective and she should supplement with an alternative form of birth control.

C.        Instruct the client to take double the dose of the oral contraceptive as the antibiotic will make it less effective.

D.        Inform the client that the oral contraceptives will make the antibiotic less effective and she should take double the dose of the antibiotic to achieve appropriate drug blood levels.

 

73.       When the nurse cares for a client receiving an antibiotic, what instructions should the nurse provide no matter what medication is prescribed?

 

1.         Drink plenty of fluids to avoid kidney damage.

2.         Take all medications as prescribed until all of the medication is gone.

3.         Take all antibiotic with food to avoid gastrointestinal (GI) upset.

4.         Report difficulty breathing, severe headache, or changes in urine output.

 

A.         1, 2 and 3

B.         2, 3 and 4

C.        1, 2 and 4

D.        1, 3, and 4

 

74.       A client with breast cancer will have radiation therapy and then begin chemotherapy. Drug therapy will consist of a combination of several different medications. What should the nurse include in the client’s teaching plan concerning the drug therapy?

 

1.         Avoid large crowds and public places whenever possible

2.         Stay in bed 2 days after each administration

3.         Take an antiemetics when feeling nauseous

4.         Avoid bathing or submerging in water immediately after treatment

 

A.         1 and 4

B.         2 and 3

C.        1 and 3

D.        2 and 4

 

75.       The nurse has taught a client to self-administer a topical nasal decongestant. What statement should the nurse follow up with further education?

 

A.         “I’ll put the tip of the bottle about half an inch into my nostril.”

B.         “I’ll squeeze the bottle firmly to get all the medication up into my sinuses.”

C.        “I’ll sit upright when I give myself the drug.”

D.        “I won’t take the drug if I’ve got a sore inside my nose.”

 

End of multiple-choice questions

 

True or False

 

Questions 76 – 100. Indicate if the following statements are true or false

 

76.       Benzodiazepines can be used to treat anxiety. 

 

A.         True

B.         False

 

77.       CNS depressants should not be taken with alcohol as this as this may cause further depression of the central nervous system.

 

A.         True

B.         False

 

78.       Antibiotics are designed to help treat some of the distressing signs and symptoms of an infection, like fever, lethargy and swelling.

 

A.         True

B.         False

 

79.       Drugs ending in -pril, such as captopril, ramipril, and quinapril, are designed to help control inflammation.

 

A.         True

B.         False

 

80.       Most drug therapies for hypertension are designed to lower high blood pressure rather than address the underlying cause of the condition. 

 

A.         True

B.         False

 

81.       It is dangerous for a patient to take digoxin if their heart rate is above 90 beats per minute.

 

A.         True

B.         False

 

82.       Aspirin is a common medication that can affect a patient’s ability to clot.

 

A.         True

B.         False

 

83.       Antiplatelet agents decrease the formation of the platelet plug by decreasing the responsiveness of the platelets to stick and aggregate on a vessel wall.

 

A.         True

B.         False

 

84.       Most types of anemia should be treated with iron supplements.

 

A.         True

B.         False

 

85.       Loop diuretics are sometimes used when a patient has severe peripheral edema or respiratory edema.

 

A.         True

B.         False

 

86.       Direct-acting skeletal muscle relaxants act directly on the muscle to prevent muscle contraction.

 

A.         True

B.         False

 

87.       Opioids and narcotics describe two different drug classes.

 

A.         True

B.         False

 

88.       Oral antidiabetic agents include glyburide, metformin, and insulin.

 

A.         True

B.         False

 

89.       Nitrates, beta-blockers, and calcium-channel blockers are all used to control angina.

 

A.         True

B.         False

 

90.       When taking multiple inhaled medications, it is important to take the inhaled steroid before the inhaled bronchodilator.

 

A.         True

B.         False

 

91.       A patient who has difficulty compressing an inhaler and inhaling at the same time would benefit from a spacer.

 

A.         True

B.         False

 

92.       Because most antacids, like Tums, are over the counter medications there are minimal to no side effects and people can take them however they like.

 

A.         True

B.         False

 

93.       Laxatives are indicated for long-term use in patients who have frequent bouts of constipation.

 

A.         True

B.         False

 

94.       A patient on an antiarrhythmic drug needs to be monitored throughout the course of their treatment to detect any potentially serious side effects.

 

A.         True

B.         False

 

95.       Estrogen, which is used to treat the symptoms of menopause, is considered to be a safe drug with no side effects because it is simply a replacement to a naturally occurring hormone. 

 

A.         True

B.         False

 

96.       Anabolic steroids have a risk for abuse as this drug will enhance muscle development and athletic performance.

 

A.         True

B.         False

 

97.       The thyroid gland requires iodine to produce thyroid hormone.

 

A.         True

B.         False

 

98.       Corticosteroids can be used topically for anti-inflammatory effects.

 

A.         True

B.         False

 

99.       General anesthetics result in analgesia, amnesia, and unconsciousness.

 

A.         True

B.         False

 

100.     Antibiotics may be bacteriostatic, bactericidal, or both.

 

A.         True

B.         False