Pharm 2 Test

A client is experiencing dysphagia following a stroke. Which measure may be taken by the nurse to ensure that the client's diet allows for easy swallowing?

• Instruct the client to lie on the bed when eating.

• Offer liquids frequently and in large quantities.

• Help the client sit upright when eating and feed slowly.

• Allow optimum physical activity before meals to expedite digestion.

The nurse is assisting the client to manage the cardiovascular risk factors of hyperlipidemia and hypertension. The client asks the nurse what type of a diet would be best to follow. What is the best response by the nurse?

• 
  A diet low in sodium, fat, cholesterol

• A diet high in trans fats and potassium

• A diet with restricted fruits and fluids

• A diet with high sodium, fruits, vegetables

A client who has an altered level of consciousness is receiving a tube feeding. Clients receiving tube feeding should be placed in which position?

• Side-lying

• Supine

• Trendelenburg

• Semi-Fowler's or higher

A client with end-stage liver disease is scheduled to undergo a liver transplant. The client tells the nurse, “I am worried that my body will reject the liver.” Which statement is the nurse’s best response to the client?

• “You will need to take daily medication to prevent rejection of the transplanted liver. The new liver has a good chance of survival with the use of these drugs.”

• “You would not be scheduled for a transplant if there was a concern about rejection.”

• “The problem of rejection is not as common in liver transplants as in other organ transplants.”

• “It is easier to get a good tissue match with liver transplants than with other types of transplants.”

The client asks the nurse why food is withheld before surgery. What is the best response by the nurse?

• "Aspiration is a concern and can be a complication if food or fluid is taken close to the surgery."

• “Distention is a severe complication if food or fluid is taken close to the surgery time.”

• “Infection may occur if food or fluid is taken prior to surgery.”

• “Obstruction will occur if food or fluid is taken prior to surgery.”

Which outcome indicates effective client teaching to prevent constipation?

• The client verbalizes consumption of low-fiber foods.

• The client reports engaging in a regular exercise regimen.

• The client limits water intake to three glasses per day.

• The client maintains a sedentary lifestyle.

Lactulose (Cephulac) is administered to a client diagnosed with hepatic encephalopathy to reduce which of the following?

• Ammonia

• Calcium

• Bicarbonate

• Alcohol

Which of the following medications may be used in the treatment of motion sickness?

• Furosemide (Lasix)

• Intravenous Diazepam (Valium)

• Dimenhydrinate (Dramamine)

• Peroxide in glycerol (Debrox)

A nurse administers hydromorphone to a client. What serious side effect should the nurse carefully monitor for?

• renal toxicity

• respiratory depression

• seizure activity

• hypertension

A nurse is caring for client receiving fentanyl through an epidural catheter. What medication should be readily available for the client who is experiencing respiratory depression?

• ibuprofen

• aspirin

• diphenhydramine

• naloxone