A) Insulin

B) Ibuprofen (Advil)

C) Phenytoin (Dilantin)

D) Furosemide (Lasix)

Question 25 A woman is receiving prolonged drug therapy during her complicated pregnancy, and it may pose a risk to both the mother and the fetus. The primary care physician has made dosage adjustments to minimize adverse effects and prevent toxicity. The nurse should make sure

A) that serum levels of the drug are being monitored

B) that the FDA is informed that the woman is receiving drug therapy

C) to check the drug’s FDA pregnancy category to determine safety

D) that only nonpharmacologic alternatives are being used

Question 26 A 56-year-old woman will soon begin treatment of her overactive bladder with tolterodine (Detrol). What patient teaching should the nurse provide to this woman?

A) “It’s good to measure your heart rate before you take your Detrol each day, and withhold it if your heart rate is below 60 beats/minute.”

B) “You’ll probably need to stop taking your hormone replacement therapy when you’re taking Detrol.”

C) “You’ll likely find that you have scant amounts of blood in your urine for the first few days, but this is not unusual or problematic.”

D) “You might find that you get a dry mouth or a headache from this drug, but this does not mean it has to be discontinued.”

Question 27 The nurse has established peripheral IV access and begun an infusion of magnesium sulfate on a 29-year-old antepartum patient who is 35 weeks pregnant. Which of the following assessment findings most likely prompted the patient’s physician to order magnesium sulfate for this patient?

A) Decreased level of consciousness with a sudden onset

B) The presence of rales and rhonchi and oxygen saturation less than or equal to 80% on room air

C) Maternal bradycardia accompanied by a prolonged QT interval

D) Systolic blood pressure readings in excess of 190 mmHg

Question 28 The nurse recognizes that the potential for teratogenic drug effects is not static throughout the prenatal and postnatal periods. The potential for teratogenic effects is highest during

A) breast-feeding of the neonate

B) the first 2 months of pregnancy.

C) the two to 3 weeks prior to delivery

D) the second trimester

Question 29 Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to

A) stand or sit upright for at least 30 minutes after taking alendronate..

B) avoid drinking water with the drug

C) lift weights in the gym at least five times a week

D) take calcium and vitamin D supplements

Question 30 A female patient is taking oral cyclophosphamide therapy for breast cancer. Because of possible adverse effects of the drug, the nurse will instruct the patient to do which of the following?

A) Drink a lot of water

B) Limit fluid intake

C) Take the medication at bedtime

D) Increase the protein in her diet

Question 31 A patient is taking flavoxate hydrochloride (Urispas) to help control an overactive bladder. On a follow-up visit to the clinic, the nurse will question the patient about which of the following?

A) Chronic diarrhea

B) Dental hygiene practices

C) Headaches

D) Diet