Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is planning care for a group of clients.
Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?
A. Losartan and atorvastatin.
Choice A is wrong because there is no known interaction between losartan and atorvastatin that can cause hearing loss.
B. Propranolol and raloxifene.
Choice B is wrong because there is no known interaction between propranolol and raloxifene that can cause hearing loss.
C. Digoxin and levothyroxine.
Choice C is wrong because there is no known interaction between digoxin and levothyroxine that can cause hearing loss.
D. Furosemide and amikacin.
Combining furosemide with certain aminoglycoside antibiotics like amikacin may increase the risk of hearing loss. The nurse should monitor this client for hearing loss related to a medication interaction.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Pharmacology 2019 Proctored Exam. Take the full exam now
Full Explanation
Combining furosemide with certain aminoglycoside antibiotics like amikacin may increase the risk of hearing loss.
The nurse should monitor this client for hearing loss related to a medication interaction.
Choice A is wrong because there is no known interaction between losartan and atorvastatin that can cause hearing loss.
Choice B is wrong because there is no known interaction between propranolol and raloxifene that can cause hearing loss.
Choice C is wrong because there is no known interaction between digoxin and levothyroxine that can cause hearing loss.
Similar Questions
A nurse is preparing to administer medications to a group of clients.
Which of the following prescriptions should the nurse clarify with the provider before administering?
A. Tetracycline 1 g orally every 6 hr.
Choice A is wrong because tetracycline can be prescribed in doses of 1 g orally every 6 hours.
B. Warfarin 100 units subcutaneously daily.
Warfarin is an oral anticoagulant medication and is not administered subcutaneously. The nurse should clarify this prescription with the provider before administering it.
C. Penicillin G 5,000,000 units intramuscularly every 4 hr.
Choice C is wrong because Penicillin G can be prescribed in doses of 5,000,000 units intramuscularly every 4 hours.
D. Zoledronate 5 mg intravenously x 1 dose.
Choice D is wrong because Zoledronate can be prescribed as a single intravenous dose of 5 mg.
Full Explanation
Warfarin is an oral anticoagulant medication and is not administered subcutaneously.
The nurse should clarify this prescription with the provider before administering it.
Choice A is wrong because tetracycline can be prescribed in doses of 1 g orally every 6 hours.
Choice C is wrong because Penicillin G can be prescribed in doses of 5,000,000 units intramuscularly every 4 hours.
Choice D is wrong because Zoledronate can be prescribed as a single intravenous dose of 5 mg.
A nurse is assessing a client who has asthma and a prescription for albuterol. The nurse should monitor the client for which of the following adverse effects?
A. Tachycardia.
Albuterol can cause a rapid heart rate (tachycardia). It is one of the more serious side effects of albuterol.
B. Fever.
Choice B is wrong because Fever, is not an answer because it is not mentioned as an adverse effect of albuterol in the search results.
C. Constipation.
Choice C is wrong because Constipation, is not an answer because it is not mentioned as an adverse effect of albuterol in the search results.
D. Drowsiness.
Choice D is wrong because Drowsiness, is not an answer because it is not mentioned as an adverse effect of albuterol in the search results.
Full Explanation
Albuterol can cause a rapid heart rate (tachycardia).
It is one of the more serious side effects of albuterol.
Choice B is wrong because Fever, is not an answer because it is not mentioned as an adverse effect of albuterol in the search results.
Choice C is wrong because Constipation, is not an answer because it is not mentioned as an adverse effect of albuterol in the search results.
Choice D is wrong because Drowsiness, is not an answer because it is not mentioned as an adverse effect of albuterol in the search results.
A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse.
Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply.)
A. Decreased percentage of body fat.
Choice A is wrong because Decreased percentage of body fat, is not an answer because it is not mentioned as a risk factor for adverse drug reactions in older adults in the search results.
B. Decreased renal function.
Decreased renal function is a disease-related factor that can increase the risk of adverse drug reactions.
C. Multiple health problems.
Multiple health problems or complex comorbidity can also increase the risk of adverse drug reactions.
D. Polypharmacy.
Polypharmacy is a medication-related factor that can increase the risk of adverse drug reactions.
E. Increased rate of absorption.
Choice E, Increased rate of absorption, is not an answer because it is not mentioned as a risk factor for adverse drug reactions in older adults in the search results.
Full Explanation
These are all risk factors for an adverse drug reaction in older adults.
Decreased renal function is a disease-related factor that can increase the risk of adverse drug reactions.
Multiple health problems or complex comorbidity can also increase the risk of adverse drug reactions.
Polypharmacy is a medication-related factor that can increase the risk of adverse drug reactions.
Choice A is wrong because Decreased percentage of body fat, is not an answer because it is not mentioned as a risk factor for adverse drug reactions in older adults in the search results.
Choice E, Increased rate of absorption, is not an answer because it is not mentioned as a risk factor for adverse drug reactions in older adults in the search results.