Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing teaching for an adult client with arthritis who has been instructed to take ibuprofen for discomfort. Which statement by the client indicates a need for further education?
A. "I will take this medication with meals to help prevent stomach upset."
Taking ibuprofen with meals is a good practice to reduce the risk of stomach upset.
B. "I may experience tinnitus with higher doses of this medication."
Tinnitus is not a typical side effect of ibuprofen, and this statement may indicate a misunderstanding or confusion with another medication.
C. "I should stop drinking alcohol."
Stopping alcohol consumption is advisable as it can increase the risk of gastrointestinal bleeding when combined with ibuprofen.
D. "I may take up to 1000 mg four times daily for pain."
The dosing information provided is within the typical recommended range for ibuprofen, and the statement is accurate.
This question is an excerpt from Nurse Dive's nursing test bank - Ramsussen Section 4 Module 11. Pharmocology For Professional Nursing Proctored Exam. Take the full exam now
Full Explanation
A) Taking ibuprofen with meals is a good practice to reduce the risk of stomach upset.
B) Tinnitus is not a typical side effect of ibuprofen, and this statement may indicate a misunderstanding or confusion with another medication.
C) Stopping alcohol consumption is advisable as it can increase the risk of gastrointestinal bleeding when combined with ibuprofen.
D) The dosing information provided is within the typical recommended range for ibuprofen, and the statement is accurate.
Similar Questions
A client is taking a drug that has potential toxic side effects. What will the nurse do?
A. Teach the client how to treat the symptoms if they develop.
Teaching the client to treat symptoms is not sufficient; proactive monitoring is essential.
B. Continue the drug even if the client has signs of toxicity.
Continuing the drug despite signs of toxicity is not safe and may worsen the client's condition.
C. Monitor the function of all organs potentially affected by the drug.
Regular monitoring of organ function is crucial to detect early signs of toxicity and prevent serious complications.
D. Discontinue the drug even if the client does not have signs of toxicity.
Discontinuing the drug without signs of toxicity may not be necessary, and the decision should be based on ongoing assessment and consultation with the healthcare provider.
Full Explanation
A) Teaching the client to treat symptoms is not sufficient; proactive monitoring is essential.
B) Continuing the drug despite signs of toxicity is not safe and may worsen the client's condition.
C) Regular monitoring of organ function is crucial to detect early signs of toxicity and prevent serious complications.
D) Discontinuing the drug without signs of toxicity may not be necessary, and the decision should be based on ongoing assessment and consultation with the healthcare provider.
The nurse receives an order to give atropine 300mcg SQ now. The medication is available in 1mg/mL vial. How many mL should the nurse administer?
(Record the answer to the tenth, or one decimal place. Use a leading zero if it applies. Do not use a trailing zero.)
Full Explanation
-
Convert the ordered dose from micrograms (mcg) to milligrams (mg):
- 300 mcg = 0.3 mg (since 1 mg = 1000 mcg)
-
Use the formula:
Dose to administer = (Desired Dose ÷ On-Hand Dose) × Quantity Available- Desired Dose (D) = 0.3 mg
- On-Hand Dose (H) = 1 mg
- Quantity Available (Q) = 1 mL
-
Calculate:
0.3 mg ÷ 1 mg × 1 mL = 0.3 mL
The nurse should administer 0.3 mL of the medication.
A client with type 1 diabetes who takes insulin reports taking propranolol for hypertension. Why is the nurse concerned?
A. The beta-blocker can mask the symptoms of hypoglycemia.
While beta-blockers can mask some symptoms of hypoglycemia, the major concern in this scenario is ketoacidosis.
B. Using the two agents together increases the risk of ketoacidosis.
Beta-blockers, like propranolol, can mask the typical symptoms of hypoglycemia (tachycardia, palpitations), leading to a delayed recognition of low blood sugar levels.
C. Propranolol increases insulin requirements because of receptor blocking.
Propranolol may enhance the hypoglycemic effect of insulin, but the primary concern in this case is ketoacidosis.
D. The beta-blocker can cause insulin resistance.
Beta-blockers can indeed cause insulin resistance, but the primary concern in this context is the risk of ketoacidosis.
Full Explanation
A) While beta-blockers can mask some symptoms of hypoglycemia, the major concern in this scenario is ketoacidosis.
B) Beta-blockers, like propranolol, can mask the typical symptoms of hypoglycemia (tachycardia, palpitations), leading to a delayed recognition of low blood sugar levels.
C) Propranolol may enhance the hypoglycemic effect of insulin, but the primary concern in this case is ketoacidosis.
D) Beta-blockers can indeed cause insulin resistance, but the primary concern in this context is the risk of ketoacidosis.