1. A nurse is caring for a client who has acute angle closure glaucoma and has been receiving a

continuous IV infusion of mannitol 25% for one hour which of the following adverse affects should the

nurse report to the provider immediately

a. Peripheral edema

i. The greatest risk to the client receiving mannitol IV is development of heart failure therefore

the nurse should report peripheral edema to the provider immediately

2. A nurse is providing teaching to a client with peptic ulcer disease and is to start a new prescription for

sucralfate. The nurse explain to the client with medication

a. Forms a protective barrier over ulcers

i. Sucralfate a mucosal protectant forms a gel like substance coating the ulcer creating a barrier to

hydrochloric acid

3. Nurse is caring for a client who is 24 hour post operative following abdominal surgery and has been

taking morphine sulfate PRN for incisional pain the nurse should assess the client for which of the

following adverse affects

a. Urinary retention

i. morphine increases bladder sphincter and detrussor muscle tone as well as dulling the clients

ability to perceive bladder fullness resulting in urinary retention

4. A nurse is providing teaching about insulin glargine to a client who has type I diabetes mellitus. Which

of the following should the nurse include in the instructions

a. Do not mix this medication in a syringe with other insulins

i. insulin glargine does not cause peaks instead it maintains a study blood level over a 24 hour

period which reduces the risk of hypoglycemia

5. A nurse is caring for a client who is taking acetazolamide for chronic open angle glaucoma for which of

the following adverse affects should the nurse instruct the client to monitor and report

a. Tingling of fingers

i. Hyperglycemia rather than hypoglycemia is an adverse effect of Acetazolaminde

6. A client is just diagnosed with tuberculosis and is prescribed a for medication regimen of isoniazid ,

pyrainamide, rifampin, and ethambutol. The client asks why he has to take so many pills. Which of the

following is an appropriate response by the nurse

a. This regimen will eliminate various combinations of resistant strains of TB

i. The risk of undesired effects increases with multi medication therapy

7. The nurse is caring for a client who is receiving long term treatment for systemic lupus erythematosus

with prednisone the nurse should inform the client to expect to undergo which of the following

diagnostic test to monitor for long-term complications

a. Bone density scans

i. Adverse effects of glucocorticoids include osteoporosis which is monitored with regular

schedule bone density scans

8. At 0900 a nurse is preparing the clients medications based on the chart findings which of the following

medications should the nurse administer first

a. Sodium polystyrene sulfate

i. You do not need to give pain medication first if the patient's pain is only moderate

9. A nurse is caring for a client who has pneumonia the client tells nurse she is pregnant but has not told

her provider which of the following medication orders should the nurse question

a. Doxycycline

i. pregnancy is a contraindication for doxycycline, a tetracycline antibiotic, due to the

medications adverse affects on developing bones and teeth

10. A nurse is caring for a client to his heart failure and is prescribe enalapril the nurse should monitor the

client for which of the following

a. Hyperkalemia