Custom: NUR-320A Exam2

Question 23

Custom: NUR-320A Exam2. Which of the following should the nurse prioritize when caring for a patient newly prescribed glipizide?

• Administering the medication at bedtime.
• Monitor the patient’s blood glucose level prior to administration.
• Educating the patient on the importance of increasing caffeine intake.
• Assessing the patient’s liver function tests.

Question 24

A nurse is teaching a client who has hyperthyroidism about the mechanism of action for propylthiouracil. Which of the following should the nurse include in the teaching?

• Destruction of thyroid tissue.
• Stimulation of thyroid hormone release.
• Inhibition of thyroid hormone synthesis.
• Blocking of thyroid hormone receptors.

Question 25

A nurse is preparing to administer dantrolene to a client who has neuroleptic malignant syndrome. Which of the following actions should the nurse take?

• Administer the medication via rapid IV bolus.
• Monitor liver function tests closely.
• Assess the client for hypertension.
• Encourage the client to increase their intake of vitamin K.

Question 26

A nurse is providing teaching to a client who has a new prescription for buspirone. Which of the following instructions should the nurse include?

• Take the medication only when feeling anxious.
• Expect the medication to cause sedation.
• Avoid grapefruit juice as it can increase buspirone concentration.
• Limit fluid intake while taking this medication.

Question 27

A nurse is teaching a client who has Parkinson’s disease about a new prescription for pramipexole. Which of the following instructions should the nurse include? Custom: NUR-320A Exam2

• Instruct the patient to rise slowly from sitting or lying positions.
• Take the medication on an empty stomach.
• Expect the medication to cause insomnia.
• Monitor for increased appetite.

Question 28

A nurse is evaluating a client’s understanding of teaching regarding buspirone. Which of the following statements by the client indicates a need for further teaching?

• “I should avoid drinking grapefruit juice.”
• “I can expect to feel less anxious after taking the first dose.”
• “I will take this medication every day as prescribed.”
• “I should notify my provider if I develop a persistent cough.” Custom: NUR-320A Exam2

Question 29

A nurse is preparing to administer amitriptyline to a client. Which of the following should the nurse monitor to identify a potential adverse effect of this medication?

• Heart rate
• Blood glucose
• Respiratory rate
• Temperature Custom: NUR-320A Exam2

Question 30

A nurse is providing teaching to a client about a new prescription for insulin to be taken right before a meal to manage postprandial blood sugar. Which of the following should the nurse identify as the correct insulin for this purpose?

• Insulin glargine
• Insulin NPH
• Insulin lispro
• Insulin detemir

Question 31

A nurse is assessing a client who has type 2 diabetes and is taking repaglinide. Which of the following findings should the nurse identify as a clinical manifestation of the primary side effect of this medication?

• Hypertension
• Hypoglycemia
• Weight loss
• Polyuria

Question 32

A nurse is explaining the therapeutic effect of desmopressin to a client who has diabetes insipidus. Which of the following should the nurse include?

• Increases blood glucose levels.
• Decreases urine output by stimulating vasopressin receptors.
• Stimulates the release of insulin.
• Promotes the excretion of sodium in the kidneys. Custom: NUR-320A Exam2

Question 33

What is one important client education point regarding the use of radioactive iodine-131 therapy? Custom: NUR-320A Exam2

• Clients can stop monitoring their thyroid function after the first month of treatment.
• Clients do not need to follow any specific safety measures after treatment.
• Clients must confirm they are not pregnant before starting treatment.
• Clients should consume iodine-rich foods for 7 days prior to treatment.

Question 34

Which of the following is the most critical aspect of patient education regarding insulin self-administration? Custom: NUR-320A Exam2

• Instructing clients on how to draw up and administer the correct dosage of insulin.
• Providing information about the history of insulin therapy.
• Teaching clients about the role of insulin in the body.
• Discussing the various types of insulin available.

Question 35

A nurse is explaining the mechanism of action of empagliflozin to a patient with type 2 diabetes. Which of the following best describes how empagliflozin functions in the body?

• Empagliflozin inhibits the reabsorption of glucose in the kidneys.
• Empagliflozin stimulates glucagon release to lower blood sugar levels.
• Empagliflozin enhances the action of insulin on muscle tissues.
• Empagliflozin increases insulin secretion from the pancreas.

Question 36

A patient with generalized anxiety disorder is prescribed diazepam. Which of the following should the nurse prioritize when educating the patient about this medication?

• Increase fluid intake to prevent dehydration.
• Diazepam can cause increased anxiety initially.
• Avoid consuming alcohol while taking diazepam.
• Diazepam should be taken on an empty stomach.

Question 37

Which of the following statements by a client indicates a correct understanding of the important safety information regarding fluoxetine?

• I can stop taking fluoxetine if I feel better.
• I should take fluoxetine in the evening to avoid insomnia.
• It is safe to take St. John’s Wort with fluoxetine.
• I should report any suicidal thoughts or behaviors immediately.

Question 38

Which of the following symptoms should a client prescribed chlorpromazine be instructed to report immediately due to the potential for extrapyramidal symptoms?

• Mild headache and fatigue
• Increased appetite and weight gain
• Restlessness and spasms of the face and neck
• Dry mouth and constipation

Question 39

A nurse is educating a client who has been newly prescribed levothyroxine for hypothyroidism. Which side effect should the client be most concerned about as an indication of possible overdose?

• Cold intolerance
• Constipation
• Tachycardia
• Drowsiness

Question 40

What is a critical piece of patient education that a nurse should provide to a client taking risperidone?

• You can stop taking risperidone abruptly if you feel better.
• Risperidone is safe to use during pregnancy without any concerns.
• Risperidone may cause weight loss, so you should increase your caloric intake.
• Notify your healthcare provider if you experience excessive thirst or frequent urination.

Question 41

A patient with severe hypoglycemia is administered glucagon IM. Which of the following actions should the nurse prioritize immediately after administration?

• Place the patient in a side-lying position.
• Document the administration of glucagon.
• Prepare to administer a second dose of glucagon. Custom: NUR-320A Exam2
• Establish IV access.

Question 42

A nurse is educating a client with Parkinson’s disease who has been prescribed selegiline. Which of the following statements should the nurse include to minimize the risk of hypertensive crisis?

• Consume caffeine with each dose of selegiline to enhance absorption.
• Avoid foods high in tyramine like aged cheese and cured meats.
• Take selegiline at bedtime to avoid daytime drowsiness.
• Increase intake of salt-rich foods to manage blood pressure.

Question 43

A nurse is teaching a client about the use of fludrocortisone. What is the most important factor the nurse should assess before beginning the education process?

• The client’s dietary habits
• The client’s current medication list
• The client’s preferred learning style
• The client’s exercise routine Custom: NUR-320A Exam2

Question 44

A patient with epilepsy is being prescribed oxcarbazepine. During a follow-up, the nurse should prioritize monitoring which laboratory value due to potential side effects of the medication?

• Sodium levels
• Magnesium levels
• Calcium levels
• Potassium levels

Question 45

A patient with type 2 diabetes is prescribed metformin. Which of the following mechanisms of action helps in reducing blood glucose levels?

• Decreases hepatic glucose production
• Inhibits glucose absorption in the kidneys
• Stimulates beta-cell regeneration
• Increases insulin secretion from the pancreas

Question 46

Which of the following instructions should the nurse prioritize when teaching a client about carbamazepine?

• Eliminate caffeine from your diet.
• Notify your provider if you develop a rash.
• This medication can safely be taken during pregnancy.
• You do not need to monitor your blood levels while on this medication.

Question 47

A patient taking phenelzine for depression has been prescribed a new diet. Which of the following foods should the nurse instruct the patient to avoid to prevent a hypertensive crisis?

• Bananas
• Carrots
• Lettuce
• Aged cheese

Question 48

Which of the following statements about lithium therapy is true regarding patient safety?

• Regular thyroid function tests are unnecessary during lithium therapy.
• Clients taking lithium should maintain adequate sodium intake to prevent toxicity.
• Lithium is safe for use in pregnant women during any trimester. Custom: NUR-320A Exam2
• Lithium can be taken with diuretics without any risks.

Question 49

A patient has been prescribed fluoxetine to manage their depression. Which of the following best describes its mechanism of action?

• Fluoxetine increases dopamine release in the brain.
• Fluoxetine acts as a monoamine oxidase inhibitor.
• Fluoxetine inhibits the reuptake of serotonin by blocking presynaptic receptors.
• Fluoxetine blocks norepinephrine reuptake.

Question 50

A client with newly diagnosed hypothyroidism is prescribed levothyroxine. Which instruction should the nurse provide regarding the administration of this medication to maximize absorption?

• Take levothyroxine with meals to prevent gastrointestinal upset.
• Take levothyroxine with calcium or iron supplements for better absorption.
• Take levothyroxine at bedtime with a light snack.
• Take levothyroxine with a full glass of water first thing in the morning on an empty stomach.