The nurse is caring for a client in the medical-surgical unit.

Exhibits

The nurse is considering administering a medication for the client's concern of constipation. Which of the following medication is indicated for constipation? Select the best option from the drop-down list to best answer the question.

Digoxin

Sildenafil

Lactulose

Spironolactone

Answer and Explanation

The Correct Answer is C

A.   Digoxin: This medication is used for heart failure and atrial fibrillation, not for constipation.
B.   Sildenafil: This medication is used to treat erectile dysfunction, not constipation.
C.   Lactulose: Lactulose is an osmotic laxative commonly used to treat constipation. It works by drawing water into the stool to make bowel movements easier.
D.   Spironolactone: Spironolactone is a potassium-sparing diuretic used to treat heart failure and fluid retention, not constipation.

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Correct Answer is C

Explanation

The total volume to be infused is 500 mL. The total time for the infusion is 2 hours.

The formula to calculate the IV pump rate is: Rate (mL/hr) = Total Volume (mL) / Time (hr)

Rate (mL/hr) = 500 mL / 2 hr Rate (mL/hr) = 250 mL/hr

Therefore, the nurse should set the IV pump to deliver 250 mL/hr.

A. Excretion B. Absorption C. Distribution D. Metabolism

Correct Answer is D

Explanation

A. Excretion is the removal of the drug from the body, typically through the kidneys, and is not related to changes in the drug's potency or solubility.
B. Absorption is the process of the drug entering the bloodstream, not a process that alters the drug's chemical form.
C. Distribution is the process by which the drug is spread throughout the body’s tissues and organs, not
the phase where the drug is altered.
D. Metabolism, primarily occurring in the liver, involves the conversion of drugs into more water-soluble forms, which can either increase or decrease their potency.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being admitted for hypernatremia. A nurse is preparing to administer 0.45% sodium chloride 500 mL IV to the client over 2 hours. The nurse should set the IV pump to deliver how many mL/hr?

Correct Answer is C

Explanation

A nurse is reviewing the phases of pharmacokinetics. Which of the following phases is the change of a drug into a less or more potent or more soluble form after it passes through the liver?

Correct Answer is D

Explanation

A nurse is caring for a client who is prescribed with cimetidine (Tagamet HB). The nurse understands that complications of cimetidine (Tagamel HB) include: (Select All That Apply.).

The nurse is reviewing a pregnant client's prescribed medications that are currently due for administration at 0900. The nurse noticed that the physician ordered misoprostol to prevent stomach ulcers. What is the next action that the nurse should take?

A nurse is teaching a client who has osteoporosis and a new prescription for alendronate (Fosamax). Which of the following instructions should the nurse provide?

A nurse is monitoring a client who is receiving spironolactone (Aldactone). Which of the following findings should the nurse report to the provider?

A nurse is caring for a client that is newly prescribed with calcium carbonate supplements. Which of the following options is an indication for this medication?

A client presents to the clinic with a new diagnosis of type 2 diabetes and wants to know more information on metformin. Which of the following statements are TRUE regarding metformin (Glucophage)? (Select All That Apply.).

A client is prescribed cimetidine 200 milligrams (mg) PO twice daily. It is available as an oral liquid of 100 mg per teaspoon. How many teaspoons should the nurse instruct the client to take per dose?

A nurse is caring for a client who has a low thyroid stimulating hormone (TSH) level and elevated thyroxine (T4) and triiodothyronine (13) levels. Which of the following medications should the nurse anticipate to treat Graves' disease?