Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who has a new diagnosis of primary open-angle glaucoma and a prescription for timolol ophthalmic drops.
For which of the following adverse effects should the nurse monitor the client?.
A. Bradycardia
A rationale: Timolol is a non-selective beta blocker that can slow heart rate, leading to bradycardia.
B. Seizures.
B rationale: Seizures are not a common side effect of timolol.
C. Hypertension.
C rationale: Timolol is used to decrease intraocular pressure, not blood pressure.
D. Anemia.
D rationale: Anemia is not a known side effect of timolol.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Custom Cohert 6 Pharmacology Quiz 2 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Timolol is a non-selective beta blocker that can slow heart rate, leading to bradycardia.
Choice B rationale:
Seizures are not a common side effect of timolol.
Choice C rationale:
Timolol is used to decrease intraocular pressure, not blood pressure.
Choice D rationale:
Anemia is not a known side effect of timolol.
Similar Questions
A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus.
The client has a prescription for two inhalations from an albuterol metered-dose inhaler.
Which of the following statements by the client indicates an understanding of the teaching?.
A. "I will hold the inhaler with my non-dominant hand.”.
A rationale: The hand used to hold the inhaler does not affect its effectiveness.
B. "I will hold my breath at least 10 seconds after inhaling the medication.”.
B rationale: Holding breath allows more medication to reach the lungs.
C. "I will wait 10 min between each inhalation.”.
C rationale: Waiting 1 minute, not 10, between inhalations allows for better absorption.
D. "I will tilt my head forward while inhaling the medication.”.
D rationale: Head position does not affect inhalation.
Full Explanation
Choice A rationale:
The hand used to hold the inhaler does not affect its effectiveness.
Choice B rationale:
Holding breath allows more medication to reach the lungs.
Choice C rationale:
Waiting 1 minute, not 10, between inhalations allows for better absorption.
Choice D rationale:
Head position does not affect inhalation.
A nurse is caring for a client who has hypertension and is to start taking atenolol.
The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?.
A. Constipation
A rationale: Atenolol does not commonly cause constipation.
B. Bradycardia.
B rationale: Atenolol, a beta blocker, can slow heart rate, leading to bradycardia.
C. Cough.
C rationale: Atenolol does not typically cause cough.
D. Headache.
D rationale: While some may experience headache, it’s not a common side effect of atenolol.
Full Explanation
Choice A rationale:
Atenolol does not commonly cause constipation.
Choice B rationale:
Atenolol, a beta blocker, can slow heart rate, leading to bradycardia.
Choice C rationale:
Atenolol does not typically cause cough.
Choice D rationale:
While some may experience headache, it’s not a common side effect of atenolol.
A nurse is caring for a postoperative client who is receiving fentanyl.
Which of the following medications should the nurse plan to administer to the client if manifestations of fentanyl toxicity occur?.
A. Flumazenil
A rationale: Flumazenil is used to reverse the effects of benzodiazepines, not opioids like fentanyl.
B. Naloxone.
B rationale: Naloxone is an opioid antagonist that can quickly reverse an opioid overdose, including fentanyl.
C. Protamine.
C rationale: Protamine is used to reverse the effects of heparin, a blood thinner, not opioids.
D. Atropine.
D rationale: Atropine is used to treat bradycardia and symptoms of nerve gas exposure, not opioid toxicity.
Full Explanation
Choice A rationale:
Flumazenil is used to reverse the effects of benzodiazepines, not opioids like fentanyl.
Choice B rationale:
Naloxone is an opioid antagonist that can quickly reverse an opioid overdose, including fentanyl.
Choice C rationale:
Protamine is used to reverse the effects of heparin, a blood thinner, not opioids.
Choice D rationale:
Atropine is used to treat bradycardia and symptoms of nerve gas exposure, not opioid toxicity.