Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is reinforcing teaching with a client who takes diazepam.
Which of the following information should the nurse include?.
A. "Avoid foods that contain tyramine.”
A rationale: Foods containing tyramine need to be avoided when taking monoamine oxidase inhibitors, not diazepam.
B. "Diazepam can cause drowsiness.”.
B rationale: Diazepam, a benzodiazepine, can indeed cause drowsiness as a side effect.
C. "Grapefruit juice inactivates this medication.”.
C rationale: Grapefruit juice can affect the metabolism of certain medications, but diazepam is not one of them.
D. "A single dose of diazepam is unlikely to cause side effects.”.
D rationale: Even a single dose of diazepam can cause side effects, including drowsiness.
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:
Foods containing tyramine need to be avoided when taking monoamine oxidase inhibitors, not diazepam.
Choice B rationale:
Diazepam, a benzodiazepine, can indeed cause drowsiness as a side effect.
Choice C rationale:
Grapefruit juice can affect the metabolism of certain medications, but diazepam is not one of them.
Choice D rationale:
Even a single dose of diazepam can cause side effects, including drowsiness.
Similar Questions
A nurse caring for a client who has a new prescription for atenolol.
For which of the following adverse effects should the nurse monitor the client?.
A. Hypokalemia
A rationale: Atenolol does not typically cause hypokalemia.
B. Neutropenia.
B rationale: Neutropenia is not a common side effect of atenolol.
C. Anemia.
C rationale: Anemia is not typically associated with atenolol use.
D. Bradycardia.
D rationale: Atenolol, a beta blocker, can cause bradycardia, or a slow heart rate, as a side effect.
Full Explanation
Choice A rationale:
Atenolol does not typically cause hypokalemia.
Choice B rationale:
Neutropenia is not a common side effect of atenolol.
Choice C rationale:
Anemia is not typically associated with atenolol use.
Choice D rationale:
Atenolol, a beta blocker, can cause bradycardia, or a slow heart rate, as a side effect.
A nurse is caring for an older adult client who has a prescription for captopril.
For which of the following possible adverse effects should the nurse instruct the client to notify the provider immediately?.
A. Sore throat
A rationale: Sore throat can be a sign of neutropenia, a condition characterized by low levels of neutrophils, which are white blood cells that help fight off infections. This is a serious side effect of captopril and requires immediate medical attention.
B. Headache.
B rationale: Headache is a common side effect of many medications, including captopril, but it is not usually a cause for concern.
C. Stuffy nasal passages.
C rationale: Stuffy nasal passages are not typically associated with captopril use.
D. Metallic taste.
D rationale: Metallic taste is a common side effect of captopril, but it is not usually a cause for concern.
Full Explanation
Choice A rationale:
Sore throat can be a sign of neutropenia, a condition characterized by low levels of neutrophils, which are white blood cells that help fight off infections. This is a serious side effect of captopril and requires immediate medical attention.
Choice B rationale:
Headache is a common side effect of many medications, including captopril, but it is not usually a cause for concern.
Choice C rationale:
Stuffy nasal passages are not typically associated with captopril use.
Choice D rationale:
Metallic taste is a common side effect of captopril, but it is not usually a cause for concern.
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.