1. Which response best supports the observations that the nurse identifies in a client who is

experiencing a placebo effect?

✓ Psychological response to inert medication

2. Methylphenidate HCl (Concerta) is prescribed for daily administration to a 10-year-old

child with attention deficit-hyperactivity disorder (ADHD). In preparing a teaching plan

for the parents of this child newly diagnosed with ADHD, which instruction is most

important for the nurse to provide to the parents?

✓ Administer the medication in the morning before the child goes to school.

3. Which physiologic mechanism explains a drug's increased metabolism that is triggered

by a disease process?

✓ Pharmacokinetics

4. The health care provider prescribes ipratropium (Atrovent) for a client. An allergic

reaction to which other medication would cause the nurse to question the prescription for

Atrovent?

✓ Atropine sulfate (Atropine)

5. A 42-year-old client is admitted to the emergency department after taking an overdose of

amitriptyline (Elavil) in a suicide attempt. Which drug should the nurse plan to

administer to reverse the cardiac and central nervous system effects of amitriptyline

(Elavil)?

✓ Sodium bicarbonate

6. A client who is hypertensive receives a prescription for hydrochlorothiazide (HCTZ) –

thiazide diuretic cause potassium wasting in the urine. When teaching about the side

effects of this drug, which symptoms are most important for the nurse to instruct the

client to report?

✓ Fatigue and muscle weakness

7. The nurse is preparing to apply a surface anesthetic agent for a client. Which action

should the nurse implement to reduce the risk of systemic absorption?

✓ Avoid abraded skin areas when applying the anesthetic. – apply to the smallest

surface of intact skin

8. The health care provider prescribes cisplatin (Platinol) to be administered in 5?xtrose

and 0.45% normal saline with mannitol (Osmitrol) added. Which assessment parameters

would be most helpful to the nurse in evaluating the effectiveness of the Osmitrol

therapy?