Extract:

Question 1 of 5

A nurse is assisting in the care of a client admitted for an acetaminophen overdose. Which of the following prescriptions should the nurse anticipate implementing?

A. Monitor amylase and lipase.B. Give acetylcysteine.C. Obtain a chest x-ray.D. Administer naloxone

Correct Answer: B

Rationale: Acetylcysteine is the antidote for acetaminophen overdose, preventing liver damage. Amylase/lipase, chest x-ray, and naloxone aren't relevant.

Question 2 of 5

A nurse working in an urgent care clinic is collecting data from a client who takes montelukast. Which of the following is an expected therapeutic effect of this medication?

A. Neutralized gastric acidB. Improved peripheral vasodilationC. Increased WBC countD. Reduced bronchial inflammation

Correct Answer: D

Rationale: Montelukast reduces bronchial inflammation by blocking leukotrienes, aiding asthma control. It doesn't affect gastric acid, vasodilation, or WBC count.

Question 3 of 5

A nurse is reinforcing teaching with a client who has a new prescription for sustained-release verapamil. Which of the following statements by the client indicates an understanding of the teaching?

A. I will sit upright for 30 minutes after taking the medication.B. I will crush the tablet to make it easier to swallow.C. I will follow up with monthly laboratory tests to check for anemia.D. I will increase my daily intake of fiber and fluid.

Correct Answer: D

Rationale: Verapamil causes constipation, mitigated by fiber and fluid. Sitting upright isn't required, crushing disrupts sustained release, and anemia monitoring isn't standard.

Question 4 of 5

A nurse is caring for a client who has a prescription for morphine 4 mg IM stat. The medication is dispensed in a 5 mg/mL prefilled syringe. Which of the following actions should the nurse take?

A. Discard the excess medication with a second nurse as a witness.B. Inject the prescribed dose and save the rest for a later use.C. Dispose of the excess medication in the sharps container.D. Give the full contents of the prefilled syringe.

Correct Answer: A

Rationale: Excess morphine must be witnessed and discarded due to controlled substance regulations. Saving, sharps disposal, or giving full dose are incorrect.

Question 5 of 5

A nurse is reinforcing teaching with a client who has a prescription for nystatin oral suspension. Which of the following instructions should the nurse include in the teaching?

A. Swish the medication in your mouth.B. Take the medication with meals.C. Use a straw when taking the medication.D. Drink at least 8 ounces of water after taking the medication.

Correct Answer: A

Rationale: Swishing nystatin ensures coverage of oral fungal infections. Meals, straws, and water volume aren't required.