NCLEX-PN
Pharmacological and Parenteral Therapies NCLEX Questions Questions
Extract:
Question 1 of 5
The newly hospitalized client admits using heroin 8 hours ago. Which assessment findings, if observed in the client, should the nurse associate with heroin withdrawal?
Correct Answer: B
Rationale: Dysphoric mood, pupillary dilation, and sweating are signs of heroin withdrawal. Heroin is an opioid.
Question 2 of 5
Since taking the antidepressant doxepin, the female client has been reporting a decrease in sexual desire. She tells the nurse she “just isn't that interested†because she “just doesn't enjoy sex anymore.†She and her partner agree that they miss the excitement they used to share. Which is the most helpful response by the nurse?
Correct Answer: C
Rationale: The most therapeutic response is to ask the client how she feels about contacting the HCP; switching to another antidepressant may be necessary if sexual dysfunction side effects become intolerable.
Question 3 of 5
The nurse is providing instructions to the client taking alprazolam. Which substances should the client be instructed to avoid? Select all that apply.
Correct Answer: A,C,E,F
Rationale: Alcohol, narcotics, antihistamines, and antidepressants can increase CNS side effects when taken with alprazolam (Xanax).
Question 4 of 5
The hospitalized adult is having difficulty falling and staying asleep. The nurse consults standing orders, which have medications included in the table illustrated. Which hypnotic medication should the nurse administer to effectively help the client sleep soundly throughout the night?
Correct Answer: B
Rationale: Triazolam (Halcion) has a later peak and longer duration, helping the client fall and stay asleep longer.
Question 5 of 5
At discharge, the nurse documents that the client taking lithium has an accurate understanding of self-care. On which client statement should the nurse base this judgment?
Correct Answer: D
Rationale: The client must consume adequate dietary sodium and 2500 to 3000 mL of fluid per day to prevent dehydration leading to lithium toxicity.