Caution should be used in administered potassium

Caution should be used in administered potassium sparing diuretics to clients with which of the following disorders? A. Alzheimer’s disease B. congestive heart disease C. gastric ulcers D. renal failure 2. Side effects with disease-modifying antirheumatic drugs (DMARD), include: A. diabetes B. congestive heart failure C. injection site reaction D. insomnia 3. Side effects of Carbonic Anhydrase Inhibitors (CAl) include: A. increased ocular pressure (lOP) B. fluid and electrolyte imbalance C. cerebral edema D. skin rash 4. Order states: Solu-Medrol 100 mg IV. STAT. The amount available: Solu-Medrol 20 mg/ 2ml, How many milliliters will you administer for the dose. ENTER THE NUMBER ONLY. DO NOT ENTER THE UNIT OF MEASURE. 10 5. A 21-year-old male athlete admits to using androgenic steroids. The nurse tells him that a possible adverse effect of these drugs is: A. cirrhosis of the liver B. paralysis C. anemia D. renal failure 6. Osmotic diuretics are most often used to treat which of the following disorders? A. Alzheimer’s disease B. cerebral edema C. hypertension D. cataracts 7. Males taking Phosphodiesterase-5 Inhibitors (PDE-5) drugs should avoid: A. grapefruit B. corticosteroids C. diuretics D. high carbohydrate diets 8. Which of the following medications is recommended to treat symptoms of benign prostatic hypertrophy? A. Flomax (tamsulosin hydrochloride) B. Flurocarbons C. Diflucan (fluconazole) D. Flonase (fluticasone) 9. Benefits to use of oral contraception products includes: A. Ahigh degree of effectiveness B. decreased risk of thrombophebitis C. limited drug interaction D. decreased drug interaction 10. À client is taking Viagra for erectile dysfunction. The nurse instructs the client to take the medication: A. once a day, with breakfast B. 30 minutes prior to sexual activity C. twice a day, at 12 hour intervals D. at least 8 hours prior to sex 11. Patients must be closely monitored for electrolyte imbalance when giving hydrochlorothiazide (HCTZ) with which of the following medications? A. acetaminophen B. penicillin C. steroids D. digoxin 12. Estrogen replacement therapy is closely linked to which of the following disorders? (Select all that apply) A. Inflammation B. Altered immunity C. Bone cancer D. Uterine cancer E. Breast cancer F. Development of blood clots 13. Immunomodulators drugs used to treat rheumatoid arthritis work by: A. Enhance the production of WBCs. B. Enhancing biotransformation of NSAIDs. C. Enhancing synergistic effect of opioid medications. D. Disrupting the inflammatory response. 14. A client is taking Cilias (tadalifil) for erectile dysfunction. Which of the following history should be a concern for this client? A. benign prostatic hypertrophy B. renal insufficiency C. decreased sperm count D. angina 15. Side effects of diuretic therapy may include all of the following EXCEPT: A. hypotension B. oliguria C. blurred vision D. dry mouth 16. Doctor’s order: Terbutaline 25 mg IV in 500 ml of NSS Available: terbutaline 125 mg/ 3 ml How much medication should you add to the IV bag ? A. 6.25 mI B. 30 ml C. 3.25 mL D. 0.6 mL 17. The nurse is assessing a patient who has gout who will begin taking allopurinol (Zyloprim). The nurse reviews the patient’s medical record and will be A. Decreased serum uric acid B. Slightly increased serum glucose C. Slight increase in the white blood count D. Elevated BUN and creatinine 18. Which of the following electrolytes commonly need to be replaced in clients using a loop diuretic? A. chloride B. sodium C. potassium D. magnesium 19. A client is taking tolerodine tartrate (Detrol). Which of the following is a complication of this drug? A. Kidney stones. B. Urinary retention C. Bladder spasms D. Reddish orange urine 20. Clients taking methenamine (Hiprex) for UTI should be instructed to: A. Hold medication if your develop bladder pain. B. (.) Dissolve the medication in juice prior to administration C. Do not take the medication for more than 5 days. D. Drink fluids to avoid crystalluria. 21. The pharmacological action of loop diuretics consist of: A. controlling water accumulation in the nephron B. producing a ion release of electrolytes in the collecting ducts of the kidney C. blocking sodium and water reabsorption in the loop of Henle D. causing increases secretion of water in the glomerulus 22. One of the most commonly given types of loop diuretics given is _______ A. hydrochlorothiazide (Hydro Diuril) B. spironolactone(Aldactone) C. furosemide (lasix) D. mannitol 23. Which of the following groups is most likely to abuse anabolic steroids. A. Elderly men B. Males in precocious puberty. C. Teen boys D. Menopausal women 24. A patient is taking tadalfil (Cialis) for erectile dysfunction. Which statement supports his understanding when taking the drug? A. “I must not use my nitroglycerin pills when I take this drug B. “I should take this medication the same time everyday. C. “I should not stop taking this medication abruptly. D. ” My wife can also take this medication to gain a heightened sexual experience” 25. A patient is taking tadalfil (Cialis) for erectile dysfunction. Which statement supports his understanding when taking the drug? A. ‘I must not use my nitroglycerin pills when I take this drug. B. “I should take this medication the same time everyday. C. “I should not stop taking this medication abruptly.” D. ” My wife can also take this meditation to gain a heightened sexual experience” 26. Doctor’s order: Heparin 1000 units/hr Available: Heparin 25,000 units in 500 mL DEW The IV flow rate is A. 14 mL/hr B. 10 mL/hr C. 20 mL/hr D. 40 mL/hr 27. One of the most commonly given types of loop diuretics given is A. furosemide (lasix) B. hydrochlorothiazide (Hydro Diuril) C. spironolactone(Aldactone) D. mannitol 28. Which of the following medications is used to treat an acute gout attack? A. DMARDs B. prednisone C. ASA D. Colchicine 29. A client is taking disease-modifying antirheumatic drugs (DMARD) for rheumatoid arthritis. An adverse effect of these medications includes: A. congestive heart failure B. exacerbated gouty arthritis C. severe secondary infection ??? D. hypotension 30. The nurse is caring for a patient who has rheumatoid arthritis and who is receiving a biological modifying drug /V every 8 weeks. Which laboratory test will the nurse need? A. White blood cell count B. Potassium C. Serum electrolytes D. Calcium level 31. Clients taking spironolactone need to be monitor for which of the following electrolyte imbalances? A. hypernatremia B. hypokalemia C. hyperkalemia D. hyponatremia 32. NSAIDs have many uses and indications. The nurse knows that NSAIDs have the following tasks: SELECT ALL THAT APPLY…. A. relieve pain B. decreased body temperature C. inhibits platelet aggregation D. inhibits cellular growth 33. You would suspect anabolic steroid (AS) use in a teen athlete with the following symptoms (SELECT ALL THAT APPLY) A. sudden increase in body size. B. aggression C. delayed sexual maturity D. increase lethargy and fatique E. increased acne 34. A common side effect of tadalafil (Cialis) is : A. enlarged prostate B. development of blood clots C. vomiting D. headache 35. The doctor order TPN 750 ml to be infused over 12 hours. The drop factor is 20 gtt/ml. How many gtt/ min will the patient receive? 21 36. Immunologic medications given to clients with rheumatoid arthritis to: (Select all that apply) A. Reverse contractures in the hands. B. slow down the deterioration of the joint. C. Reduce joint swelling. D. Cure the disease 37. A patient is taking a muscle relaxant for painful neck spasms related to an automobile accident. It is most important for the patient to: A. report the development of muscle wasting. B. report new onset of erectile dysfunction. C. avoid using cephalosporins when taking this medication D. avoid operating machinery/ driving when taking this medication. 38. A client taking medications for erectile dysfunction should be cautioned regarding which of the following side effects? A. palpitations and EKG changes B. renal insufficiency and liver toxicity C. strong body odor D. sudden drop in blood pressure, severe hypotension 39. The nurse is teaching a patient about taking colchicine to treat gout. What information will the nurse include when teaching this patient about this drugi A. Increase fluid intake. B. Include salmon in the diet. C. Take on an empty stomach. D. Avoid all alcohol except beer. 40. Evaluation criteria used to assess the effectiveness of urinary anti-infectives (SELECT ALL THAT APPLY) A. Client is able to urinate without pain or discomfort B. Client is free of medication side effects C. Client is able to eat without indigestion D. Client urine is negative for abnormal bacterial growth 41. A client taking lasix is encouraged to eat foods high in potassium to prevent an electrolyte imbalance. Which of the following foods should be recommended? A. milk B. potatoes C. applesauce D. peanuts 42. A client with arthritis of the knees will most likely be prescribed: A. Vitamin D. B. an NSAID C. An opioid D. Colchicine 43. Doctor’s order: Reglan 30 mg tab po BID. Available: Reglan 5 mg tals raglan medication How many tablets will be given in 24 hours A. 5 tablets B. 6 tablets C. 12 tablets 44. Which of the following medications would most likely be prescribed for a patient with a spinal cord injury that has difficulty initiating urination? A. tolterodine (Detrol) B. bethanechol C. oxybutynin(Ditropan) D. phenazopyridine(Pyridium) 45. A patient is taking aspirin for arthritis. Which adverse reaction should the nurse teach the patient to report to the health care provider? A. Palpitations B. Sinusitis C. Tinnitus D. Seizures 46. The order reads: 20 meq Potassium Chloride in 1000 cc D5W over 8 hours. Your drop factor is 20 gtts. Calculate how many drops/min should this IV infuse. A. 3 gtts/min B. 20 gtts/ min C. 45 gtts/ min D. 42 gtts/min 47. A patient is taking a diuretic for congestive heart failure reports to the nurse they have side effects and desire to stop taking the medication. Your appropriate response would be ? A. Do not stop taking the medication without consulting with their physician/ provider. B. Cut the dosage in half while decreasing the amount of fluids intake. C. Stop taking the medication for a week, then begin taking the medication again. D. Alternate taking the drug every other day. 48. A client is taking nitrofurantoin (Macrodantin) for UTI. Which of the following information will the nurse teach the client? A. Avoid wine and cheese B. This medication may make you drowsy. C. Keep the urine acid by drinking orange juice. D. Store medication in a cool dry place. 49. Side effects of immunologic therapy used to treat rheumatold arthritis includes: A. Decreased immune response. B. Joint bleeding C. Constipation D. Cataract 50. Carbonic anhydrase inhibitors (CAl) diuretics can also be used to treat which of the following disorders? A. cataract B. thrombocytopenia C. infection D. glaucom SCIENCE HEALTH SCIENCE NURSING NURS 310

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