A client with emphysema who is receiving a bronchodilator reports to the practical nurse (PN) feelings of jitters and dry mouth. Which finding should the PN record as a measure of the medication’s effectiveness?

Pupils equal and reactive to light

Heart rate 106 beats/minute

Respiratory rate 22 breaths/minute

Urine output 40 mL/hour

Answer and Explanation

The Correct Answer is C

Choice A reason: Pupils equal and reactive to light assess neurological status, not bronchodilator effectiveness. Bronchodilators, like albuterol, relax airway smooth muscles, improving breathing in emphysema. Pupil response is unrelated to respiratory function, making this choice irrelevant for evaluating the drug’s impact.

Choice B reason: Heart rate of 106 beats/minute may reflect a bronchodilator side effect, as beta-agonists stimulate cardiac beta receptors, causing tachycardia. However, it does not measure effectiveness, which is assessed by improved airway function, like respiratory rate, making this choice incorrect.

Choice C reason: Respiratory rate of 22 breaths/minute indicates bronchodilator effectiveness, as these drugs dilate airways, reducing work of breathing in emphysema. A normalized rate suggests improved airflow and oxygenation, directly reflecting the drug’s therapeutic action on bronchial smooth muscle relaxation.

Choice D reason: Urine output of 40 mL/hour monitors renal function, not bronchodilator efficacy. Bronchodilators target airway dilation, not fluid balance. This finding is unrelated to emphysema treatment or the drug’s respiratory effects, making it irrelevant for assessing medication effectiveness.

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Correct Answer is C

Explanation

Choice A reason: Suggesting a snack after administering an incorrect insulin dose risks hypoglycemia, as 2 extra units can excessively lower blood glucose. Insulin dosing must match the glucose level per the sliding scale to prevent adverse effects, making this choice unsafe and reactive.

Choice B reason: Repeating the glucose level is unnecessary if the recorded level is reliable. The error lies in the drawn dose, not the glucose measurement. Correcting the dose to match the recorded glucose is more direct, as insulin dosing relies on accurate glucose data.

Choice C reason: Reducing the insulin dose by 2 units corrects the error, aligning with the sliding scale for the recorded glucose level. Excess insulin can cause hypoglycemia, affecting brain and organ function. This action ensures safe administration, preventing potentially severe metabolic consequences.

Choice D reason: Recording the discrepancy does not correct the dosing error and risks administering an unsafe dose. Documentation is secondary to ensuring the correct insulin amount is given, as 2 extra units could lead to hypoglycemia, requiring immediate correction, not just notation.

A. Scaly areas of the skin appear softer with less peeling B. No purulent drainage present from lesions on the legs C. Affected areas are free of localized redness and swelling D. Full range of motion without pain of lower extremity joints

Correct Answer is A

Explanation

Choice A reason: Keratolytic agents, like salicylic acid, break down keratin in psoriatic plaques, softening scaly skin and reducing peeling. This promotes shedding of thickened, dead skin cells, improving skin texture. Softer, less scaly skin directly indicates the medication’s effect on hyperkeratotic lesions, confirming therapeutic success.

Choice B reason: Absence of purulent drainage indicates no infection but is not the primary goal of keratolytics. These agents target scale reduction, not infection. Psoriasis lesions are typically not purulent, so this finding is unrelated to the medication’s intended effect on skin texture.

Choice C reason: Reduced redness and swelling suggest decreased inflammation, which is not the primary action of keratolytics. Anti-inflammatory agents, like corticosteroids, target these symptoms, while keratolytics focus on scale removal. This finding is irrelevant to the medication’s specific role in psoriasis management.

Choice D reason: Full range of motion without pain relates to joint function, possibly in psoriatic arthritis, but is unrelated to keratolytics, which treat skin lesions. Keratolytics do not affect joint inflammation or mobility, making this choice incorrect for assessing the medication’s skin-specific effects.

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A client with emphysema who is receiving a bronchodilator reports to the practical nurse (PN) feelings of jitters and dry mouth. Which finding should the PN record as a measure of the medication’s effectiveness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is checking the insulin dose drawn up by another PN and notes that the amount of insulin is 2 units more than the amount indicated for the glucose level written on the client’s medication record. Which action should the PN take?

Correct Answer is C

Explanation

The practical nurse (PN) applies a preparation with keratolytic properties to both legs of a client with psoriasis. Which finding indicates that the desired effect has been achieved?

Correct Answer is A

Explanation

A client with diabetic peripheral neuropathy receives a new prescription for pregabalin. To assess the effectiveness of the medication, which action should the practical nurse (PN) include when assessing the client’s feet?

The practical nurse (PN) administers filgrastim subcutaneous to a client with neutropenia. The client becomes troubled with bone pain. Which action should the PN take?

A client who is taking sildenafil 50 mg PO PRN reports experiencing visual changes to the practical nurse (PN). Which instruction should the PN give to the client?

Sublingual nitroglycerin is prescribed PRN for an older adult female client with a history of chest pain. The client shows the practical nurse (PN) a plastic pill box that she purchased so the medication can always be readily available in her purse. Which action should the PN take?

The practical nurse (PN) is assisting with the plan of care (POC) for a client with costochondritis who is now experiencing increased discomfort in breathing. The client receives a prescription for meloxicam. Which intervention should the PN include in the client’s POC?

A client reports confusion and blurred vision after receiving a dose of glipizide. Which action should the practical nurse (PN) implement?

The practical nurse (PN) is caring for a client receiving a prescription for paroxetine who suddenly exhibits restlessness, tachycardia, fever, and elevated blood pressure. Which action should the PN implement first?