NCLEX-PN
Pharmacological and Parenteral Therapies NCLEX Questions Questions
Extract:
Question 1 of 5
The client with MS is prescribed baclofen. Which information is most important for the nurse to evaluate when caring for this client?
Correct Answer: B
Rationale: A: There is no serum baclofen level. B: Baclofen (Lioresal) is used primarily to treat spasticity in MS and spinal cord injuries. The nurse should assess for muscle rigidity, movement, and pain to evaluate medication effectiveness. C: Although baclofen can cause urinary urgency, this is not the most important information. D: Baclofen use is not associated with weight.
Question 2 of 5
The nurse receives shift report for five clients, and all are taking lithium. Place the clients in the order of priority.
Order the Items
Source Container
Correct Answer: E,C,B,D,A
Rationale: Clients with severe lithium toxicity (E), signs of toxicity (
C), allergic reactions (
B), side effects needing evaluation (
D), and manageable side effects (
A) are prioritized in that order.
Question 3 of 5
A client is taking phenelzine (Nardil), and their spouse would like to bring lunch from home. Which of the following is most appropriate for the client to eat?
Correct Answer: B
Rationale: A client taking an MAO Inhibitor, such as phenelzine (Nardil), should avoid tyramine-rich foods, which includes avocados, bananas, and salami.
Question 4 of 5
The nurse is assessing the newborn's respirations. Which of these findings would indicate a need for follow-up and further intervention?
Correct Answer: D
Rationale: The respirations in a newborn are usually irregular, abdominal, and shallow. However, the ideal respiratory rate in a newborn is 30-60 breaths per minute. A respiratory rate of 70 breaths per minute indicates tachypnea and may require intervention. The other answer choices do not necessarily indicate the need for follow-up.
Question 5 of 5
The nurse is assessing the client who has begun therapy with duloxetine. Which assessment parameter should be the nurse's priority?
Correct Answer: D
Rationale: Duloxetine (Cymbalta) is a serotonin norepinephrine reuptake inhibitor (SSNRI) used in the treatment of major depression. Suicidal ideation is the most acute threat to life and should be assessed, especially when initiating duloxetine.