exam 3 practice Multiple Choice Identify the choice that best completes the statement or answers the question.____1.A patient who has chronic liver disease reports contact with a person who has tuberculosis (TB). The nurse will counsel this patient to contact the provider to discuss a.a chest x-ray.b.a TB skin test.c.liver function tests (LFTs).d.prophylactic antitubercular drugs.____2.A patient who has tuberculosis asks the nurse why three drugs are used to treat this disease. The nurse will explain that multidrug therapy is used to reduce the likelihood of a.disease relapse.b.drug hypersensitivity reactions.c.drug resistance.d.drug adverse effects.____3.A patient who is taking isoniazid (INH) as part of a two-drug tuberculosis treatment regimen reports tingling of the fingers and toes. The nurse will recommend discussing which treatment with the provider?a.Adding pyrazinamide b.Changing to ethambutol c.Increasing oral fluid intake d.Taking pyridoxine (B6) ____4.The nurse is teaching a patient about rifampin. Which statement by the patient indicates understanding of the teaching?a.“I should not wear soft contact lenses while taking rifampin.” b.“I will need regular eye examinations while taking this drug.” c.“I will report orange urine to my provider immediately.” d.“I understand that renal toxicity is a common adverse effect.” ____5.The nurse is caring for a patient who is receiving diphenhydramine. The nurse notes that the patient has not voided for 12 hours. What action will the nurse take?a.Encourage the patient to drink more fluids.b.Evaluate the bladder to check for distension.c.Request an order for an intravenous fluid bolus.d.Request an order for urinary catheterization.____6.A patient who has seasonal allergies with a runny nose during the daytime reports increasing nighttime symptoms of coughing and sneezing that are interfering with sleep. The provider recommends diphenhydramine (Benadryl) at bedtime. What information will the nurse include when teaching the patient about this medication?a.“Avoid fluids at bedtime to prevent urinary retention.” NUR 210 Unit 6,7 & 8 1 / 3
b.“This will help clear your daytime symptoms, too.” c.“You should be able to sleep better when you take this medication.” d.“You should take this medication on an empty stomach.” ____7.A patient is admitted to the hospital after developing pneumonia. During the admission assessment, the patient reports having used a nasal decongestant spray for the past few weeks but thinks the nasal congestion is getting worse. The nurse will a.request an order for a systemic decongestant medication.b.request an order so the patient can continue to use the decongestant spray.c.tell the patient the congestion will clear up after stopping the spray.d.tell the patient to increase oral fluid intake.____8.The patient who has nasal congestion asks the nurse to recommend a decongestant medication. The nurse performs a medication history and learns that the patient takes a beta blocker to treat hypertension. Which over-the-counter product will the nurse recommend?a.Diphenhydramine (Benadryl) b.Ephedrine HCl (Pretz-D) c.Phenylephrine nasal (Neo-Synephrine Nasal) d.Loratadine (Claritin) ____9.A patient asks the nurse about using dextromethorphan for cough. What information will the nurse include when teaching this patient about this drug?a.“It does not cause sedation except at high doses.” b.“It may be used to treat cough for up to 2 weeks.” c.“It is non-narcotic, and it is OK to consume alcohol while taking this drug.” d.“It should not be taken by patients who have chronic obstructive pulmonary disease (COPD).” ____10.A patient with COPD who has a persistent nonproductive cough asks about a medication that will not cause sedation. The nurse will encourage the patient to discuss which medication with the provider?a.Benzonatate HCl (Tessalon Perles) b.Dextromethorphan hydrobromide (Benylin DM) c.Guaifenesin and codeine d.Promethazine with dextromethorphan ____11.A patient who has a nonproductive cough will begin taking guaifenesin to help with secretions.When teaching this patient about the medication, the nurse will provide which instruction?a.“Avoid driving or using heavy machinery.” b.“Drink extra water while taking the medication.” c.“Monitor urine output closely.” d.“Take with an oral antihistamine for better effects.” ____12.The nurse is preparing to administer epinephrine to a patient who is experiencing an acute bronchospasm. The nurse understands that because epinephrine is a nonselective alpha- and beta- adrenergic agonist, the patient will experience which effects?a.Decreased blood pressure 2 / 3
b.Anticholinergic effects c.A shorter duration of therapeutic effects d.Cardiac and pulmonary effects ____13.A patient will be discharged home with albuterol (Proventil) to use for asthma symptoms. What information will the nurse include when teaching this patient about this medication?a.Failure to respond to the medication indicates a need for a higher dose.b.Monitor for hypoglycemia symptoms when using this medication.c.Palpitations are common with this drug even at normal, therapeutic doses.d.Overuse of this medication can result in airway narrowing and bronchospasm.____14.A patient will begin using ipratropium bromide (Atrovent), albuterol (Proventil), and an inhaled glucocorticoid medication (steroid) to treat chronic bronchitis. When teaching this patient about disease and medication management, the nurse will instruct the patient to administer these medications in which order?a.Albuterol, ipratropium bromide, steroid b.Albuterol, steroid, ipratropium bromide c.Ipratropium bromide, albuterol, steroid d.Steroid, ipratropium bromide, albuterol ____15.The nurse provides teaching for patient who will begin taking montelukast sodium (Singulair). The patient reports sensitivity to aspirin. Which statement by the patient indicates a need for further teaching?a.“I will need to have periodic laboratory tests while taking this medication.” b.“I will not take ibuprofen for pain or fever while taking this drug.” c.“I will take one tablet daily at bedtime.” d.“I will use this as needed for acute symptoms.” ____16.A patient who uses an inhaled glucocorticoid medication reports having a sore tongue. The nurse notes white spots on the patient’s tongue and oral mucous membranes. After notifying the provider, the nurse will remind the patient to perform which action?a.Avoid using a spacer with the inhaled glucocorticoid medication.b.Clean the inhaler with hot, soapy water after each use.c.Consume yogurt daily while using this medication.d.Rinse the mouth thoroughly with water after each use.____17.The nurse is performing a medication history on a patient who reports long-term use of montelukast (Singulair) and an albuterol metered-dose inhaler (Proventil). The nurse will contact the provider to discuss an order for which laboratory tests?a.Cardiac enzymes and serum calcium b.Electrolytes and a complete blood count c.Liver function tests and serum glucose d.Urinalysis and serum magnesium ____18.The nurse is caring for a patient diagnosed with COPD who has been prescribed tiotropium. Which statement will the nurse include in the education?a.Remove the capsules from the packaging and place in your 7-day med box.
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