200-300 and 400-450

A client with vascular headaches is taking ergotamine (Ergomar). The nurse would monitor the client for:

Cool, numb fingers and toes

A transcutaneous electrical nerve stimulation (TENS) is prescribed for a client with pain, and the nurse provides information to the client about TENS unit. Which statement by the client indicates the need for further information?

"Needles are inserted in the subcutaneous tissue to stimulate the nerve."

A film-coated form of diflunisal has been prescribed for a client for the treatment of chronic rheumatoid arthritis. The client calls the clinic nurse because of difficulty swallowing the tablets. Which initial instruction should the nurse provide to the client?

"Swallow the tablets with large amounts of water or milk."

A client is receiving a maintenance dose of oral dantrolene sodium (Dantrium) for the treatment of spasticity. The nurse reviews the medication record, expecting that which of the following doses would be prescribed?

100 mg twice daily

A adult client with muscle spasms is taking an oral maintenance dose of baclofen (Lioresal). The nurse reviews the medication record, expecting that which dose should be prescribed?

15 mg four times a day

Isotretinoin (Accutane) is prescribed for a client to treat severe cystic acne. The nurse tells the client that the length of the usual prescribed course of treatment is:

15 to 20 weeks

A client with Parkinson's disease has begun therapy with carbidopa/levodopa (Sinemet). The nurse determines that the client understands the action of the medication if the client verbalizes that results may not be apparent for:

2 to 3 weeks

A nurse is caring for a client with myasthenia gravis who has received edrophonium (Enlon) intravenously to test for myasthenic crisis. The client asks the nurse how long the improvement in muscle strength will last. The nurse's response is based on the understanding that the effects have a duration of approximately:

30 minutes

A client with rheumatoid arthritis is taking acetylsalicylic acid (aspirin) on a daily basis. Which medication dose should the nurse expect the client to be taking?

4 g daily

A health care provider instructs a client with rheumatoid arthritis to take ibuprofen (Motrin). The nurse reinforces the instructions, knowing that the normal adult dose for this client is which of the following?

400 mg orally three times a day

A nurse is caring for a child receiving carbamazepine (Tegretol) who has a carbamazepine level drawn. Which of the following results indicates a therapeutic level?

6 mcg/mL

A client receiving therapy with carbidopa/levodopa (Sinemet) is upset and tells the nurse that his urine has turned a darker color since he began to take the medication. The client wants to discontinue its use. In formulating a response to the client's concerns, the nurse interprets that this change is:

A harmless side effect of the medication

A client with myasthenia gravis verbalizes complaints of feeling much weaker than normal. The health care provider plans to implement a diagnostic test to determine if the client is experiencing a myasthenic crisis and administers edrophonium (Enlon). Which of the following would indicate that the client is experiencing a myasthenic crisis?

A temporary improvement in the condition

Diphenhydramine hydrochloride (Benadryl) is used in the treatment of allergic rhinitis for a hospitalized client with a chronic psychotic disorder. The client asks the nurse why the medication is being discontinued before hospital discharge. The nurse responds, knowing that:

Addictive properties are enhanced in the presence of psychotropic medications.

A nurse prepares to administer digoxin (Lanoxin) to a 3-year-old with a diagnosis of congestive heart failure and notes that the apical heart rate is 120 beats per minute. Which nursing action is appropriate?

Administer the digoxin.

A hospitalized client with severe seborrheic dermatitis is receiving treatments of topical glucocorticoid applications followed by the application of an occlusive dressing. The nurse monitors the client for which systemic effect that can occur as a result of this treatment?

Adrenal suppression

A nurse is caring for a client with renal failure. The serum phosphate level is reported as 7 mg/dL. Which of the following medications should the nurse plan to administer as prescribed to the client?

Aluminum hydroxide gel (AlternaGEL)

A client is suspected of having myasthenia gravis, and the health care provider administers edrophonium (Enlon) to determine the diagnosis. After administration of this medication, which of the following would indicate the presence of myasthenia gravis?

An increase in muscle strength

A client is placed on chloral hydrate (Somnote) for short-term treatment. Which nursing action indicates an understanding of the major side effect of this medication?

Instructing the client to call for ambulation assistance

A 6-month-old infant receives a diphtheria, tetanus, and pertussis (DTaP) immunization at the well-baby clinic. The mother returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. The appropriate suggestion to the mother should be to:

Apply an ice pack to the injection site.

A client who was started on anticonvulsant therapy with clonazepam (Klonopin) tells the nurse of increasing clumsiness and unsteadiness since starting the medication. The client is visibly upset by these manifestations and asks the nurse what to do. The nurse's response is based on the understanding that these symptoms:

Are worse during initial therapy and decrease or disappear with long-term use

Efavirenz (Sustiva), an antiviral medication, is prescribed for a client with human immunodeficiency virus (HIV) infection. The nurse tells the client that it is best to take the medication:

At bedtime

A client with narcolepsy has been prescribed dextroamphetamine (Dexedrine). The client complains to the nurse that he cannot sleep well anymore at night and does not want to take the medication any longer. Before making any specific comment, the nurse plans to investigate whether the client takes the medication at which of the following proper time schedules?

At least 6 hours before bedtime

A health care provider is planning to administer a skeletal muscle relaxant to a client with a spinal cord injury. The medication is going to be administered intrathecally. Which of the following medications should the nurse expect to be prescribed and administered by this route?

Baclofen (Lioresal)

A 15-year-old child is scheduled to receive a series of the hepatitis B vaccine. The child arrives at the clinic for the first dose. The nurse collects data on the child before administering the vaccine and asks the child about a history of an allergy to:

Baker's yeast

A potassium-sparing diuretic is prescribed for a client with heart failure. Which of the following foods would the nurse instruct the client to avoid?

Bananas

A client who is on lithium carbonate (Lithobid) will be discharged at the end of the week. In formulating a discharge teaching plan, the nurse will instruct the client that it is most important to:

Check with the psychiatrist before using any over-the-counter (OTC) medications or prescription medications.

A health care provider prescribes auranofin (Ridaura) for a client with rheumatoid arthritis. Which of the following would indicate to the nurse that the client is experiencing toxicity related to the medication?

Complaints of a metallic taste in the mouth

A client is receiving anticonvulsant therapy with phenytoin (Dilantin). The nurse plans to monitor the results of which laboratory test closely?

Complete blood cell count

A nurse is assigned to care for a client with a leg ulcer. Sutilains (Travase) treatments are prescribed. The nurse avoids which of the following when performing the treatment?

Covering the sutilains application with a dry sterile dressing

A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse monitoring this client should look for which of the following to indicate a primary therapeutic response from the medication?

Decreased muscle spasms

Capecitabine (Xeloda) is prescribed for a client with metastatic breast cancer. The nurse provides information to the client about the medication and tells the client that the frequent side effect of the medication is:

Diarrhea

A nurse is preparing to give the postcraniotomy client medication for incisional pain. The family asks the nurse why the client is receiving codeine sulfate and not "something stronger." In formulating a response, the nurse incorporates the understanding that codeine:

Does not alter respirations or mask neurological signs as do other opioids

A child is hospitalized with Rocky Mountain spotted fever (RMSF). The health record reveals documentation that the child was bitten by a tick 2 weeks ago. The child presents with complaints of headache, fever, and anorexia, and the nurse notes a rash on the palms of the hands and soles of the feet. The nurse reviews the health care provider's prescriptions and anticipates that which of the following will be prescribed?

Doxycycline (Vibramycin)

A client has a prescription for valproic acid (Depakene) orally once daily. The nurse plans to:

Ensure that the medication is administered at the same time each day.

A licensed practical nurse employed in the ambulatory clinic is assisting a registered nurse with preparing to administer a dose of intravenous immune globulin (IVIG). The licensed practical nurse ensures that which medication is readily available before the medication is administered?

Epinephrine (adrenalin)

A client with a psychotic disorder is being treated with haloperidol (Haldol). Which of the following would indicate the presence of a toxic effect of this medication?

Excessive salivation

A client admitted to the hospital gives the nurse a bottle of clomipramine (Anafranil). The nurse notes that the medication has not been taken by the client in 2 months. What behaviors observed in the client would validate noncompliance with this medication?

Frequent handwashing with hot, soapy water

A client is being treated for depression with amitriptyline hydrochloride. During the initial phases of treatment, the most important nursing intervention is:

Getting baseline postural blood pressures before administering the medication and each time the medication is administered

A clinic nurse is taking a health history on a client seen in the health care clinic for the first time. When the nurse asks the client about current prescribed medications, the client tells the nurse that amprenavir (Agenerase) is taken twice daily. Based on this finding, the nurse elicits data from the client regarding the presence of which condition?

Human immunodeficiency virus (HIV)

A client is receiving diazepam (Valium) for its skeletal muscle relaxant effects. The nurse should monitor this client for which side effect of this medication?

Incoordination

Mannitol (Osmitrol) is being administered to a client with increased intracranial pressure following a head injury. The nurse assisting in caring for the client knows that which of the following indicates the therapeutic action of this medication?

Induces diuresis by raising the osmotic pressure of glomerular filtrate, thereby inhibiting tubular reabsorption of water and solutes

A nurse is reviewing medications with the client receiving colchicine for the treatment of gout. The nurse determines that the medication is effective if the client reports a decrease in:

Joint inflammation

Docetaxel (Taxotere) is prescribed for a client with metastatic breast cancer. In addition, dexamethasone (Decadron) is prescribed to be administered before initiation of the docetaxel. The nurse tells the client that the dexamethasone is prescribed to:

Reduce the severity of fluid retention.

A client began taking amantadine (Symmetrel) approximately 2 weeks ago. The nurse would evaluate that the medication was having a therapeutic effect if the client exhibited decreased:

Rigidity and akinesia

A nurse is caring for a client with gout who is taking Colcrys (colchicine). The client has been instructed to restrict the diet to low-purine foods. Which of the following foods should the nurse instruct the client to avoid while taking this medication?

Scallops

Letrozole (Femara) is prescribed for a postmenopausal client with advanced breast cancer. The nurse provides instructions to the client regarding the medication and tells the client that a frequent side effect is:

Skeletal pain

A client is receiving baclofen (Lioresal) for muscle spasms caused by a spinal cord injury. The nurse monitors the client, knowing that which of the following is a side effect of this medication?

Slurred speech

A client with epilepsy is taking the prescribed dose of phenytoin (Dilantin) to control seizures. A phenytoin blood level is drawn, and the results reveal a level of 35 mcg/ml. Which of the following symptoms would be expected as a result of this laboratory result?

Slurred speech

A client in the mental health unit is administered haloperidol (Haldol). The nurse would check which of the following to determine medication effectiveness?

The client's orientation and delusional status

A client who is taking lithium carbonate (Lithobid) is scheduled for surgery. The nurse informs the client that:

The medication will be discontinued 1 to 2 days before the surgery and resumed as soon as full oral intake is allowed.

A nurse is reviewing the health care provider's prescriptions for an adult client who has been admitted to the hospital following a back injury. Carisoprodol (Soma) is prescribed for the client to relieve the muscle spasms; the health care provider has prescribed 350 mg to be administered four times a day. When preparing to give this medication, the nurse determines that this dosage is:

The normal adult dosage

A client has been prescribed cyclobenzaprine (Flexeril) in the treatment of painful muscle spasms accompanying a herniated intervertebral disk. The nurse would withhold the medication and question the prescription if the client had concurrent prescriptions to take:

Tranylcypromine (Parnate)

A client is taking trihexyphenidyl for the treatment of Parkinson's disease. The nurse would monitor for which adverse effect of this medication?

Urinary retention

A nurse has given medication instructions to a client beginning anticonvulsant therapy with carbamazepine (Tegretol). The nurse determines that the client understands the use of the medication if the client knows to:

Use sunscreen when outsides.

Ribavirin (Virazole) is prescribed for the hospitalized child with respiratory syncytial virus (RSV). The nurse prepares to administer this medication via which of the following routes?

Via face mask

A nurse is reviewing the postoperative prescriptions for a client who has just returned from surgery and notes that the surgeon has prescribed lepirudin (Refludan). The nurse understands that this medication has been prescribed to prevent:

Thromboembolic complications

Anastrozole (Arimidex) is prescribed for a postmenopausal client with breast cancer. The nurse assists in developing a plan of care for the client and suggests monitoring the client closely for which adverse reaction to this medication?

Thromboembolism

A client is admitted to the hospital with complaints of back spasms. The client states, "I have been taking two or three aspirin every 4 hours for the past week and it hasn't helped my back." Aspirin intoxication is suspected. Which of the following complaints would indicate aspirin intoxication?

Tinnitus

Zidovudine (AZT) is prescribed for an adult client with human immunodeficiency virus (HIV). The nurse provides instructions to the client about the medication and tells the client:

To space the medication doses evenly around the clock

A nurse is reviewing the health care provider's (HCP) prescriptions for a client scheduled for a cardiac catheterization and notes that the HCP has prescribed tirofiban (Aggrastat). The nurse understands that this medication has been prescribed to:

Inhibit thrombus formation.

Amantadine hydrochloride (Symmetrel) 100 mg orally twice daily has been prescribed for a client with Parkinson's disease, and the nurse teaches the client about the medication. Which statement by the client indicates that further teaching is necessary?

"I'll take this medication early in the morning and just before I go to bed."

Itraconazole (Sporanox) is prescribed for a client with a fungal infection of the hands. Which statement by the client indicates an understanding of the medication?

"If my urine becomes very dark I should contact my health care provider."

An adult client with hypothyroidism is admitted to the hospital. When reviewing the client's health record, the nurse notes that the client is taking a maintenance dose of levothyroxine (Synthroid). The nurse checks the dosage that the client is taking, knowing that the normal adult maintenance dose of this medication is:

0.1 to 0.2 mg daily

A client receiving lithium carbonate (Lithobid) complains of loose, watery stools and difficulty walking. The nurse would expect the serum lithium level to be which of the following?

1.7 mEq/L

A client received a dose of regular insulin (Humulin R) this morning at 7:00 AM. At what time would the nurse likely anticipate the potential for a hypoglycemic reaction to occur?

10:00 AM

A client has self-administered his first injection of regular insulin at 7:30 AM, before breakfast. This client should be instructed to most closely monitor for signs of hypoglycemia at which time?

11:00 AM

Potassium iodide (Lugol's solution) is prescribed for a client. The client calls the nurse at the clinic and complains of a brassy taste and burning sensations in the mouth. The nurse tells the client to:

Contact the health care provider.

A client is diagnosed with hypothyroidism, and levothyroxine (Synthroid) is prescribed. The nurse notes that the client is presently taking warfarin sodium (Coumadin) and anticipates that the health care provider will prescribe which of the following?

A decreased dosage of warfarin sodium

Vasopressin (Pitressin) is prescribed for the client with diabetes insipidus. During data collection, the nurse is particularly cautious in checking the client for which of the following preexisting conditions?

Coronary artery disease

A client with benign prostatic hyperplasia is being administered finasteride (Proscar). Which of the following should be included in the plan of care?

A pregnant caregiver should not be exposed to the crushed tablets of finasteride.

A licensed practical nurse (LPN) employed in the emergency department prepares to assist in treating a child with acetaminophen (Tylenol) overdose. The LPN checks the medication supply room, anticipating that which of the following medications will be prescribed?

Acetylcysteine (Mucomyst)

A calcium supplement is prescribed for a client with hypoparathyroidism in the management of hypocalcemia. The client arrives at the clinic for a follow-up visit and complains of chronic constipation, and the nurse provides instructions to the client about measures to alleviate the constipation. The nurse determines that the client needs further instructions if the client states to:

Add 0.5 ounce of mineral oil to the daily diet.

A client with diabetes mellitus calls the clinic and tells the nurse that she has been nauseated during the night. The client asks the nurse if the morning insulin should be administered. Which of the following is the appropriate nursing response?

Administer the full dose as prescribed.

A nurse is providing instructions to the parents of a child with iron deficiency anemia regarding the administration of a liquid oral iron supplement. The nurse tells the mother to:

Administer the iron through a straw.

Prednisone is prescribed for a client with diabetes mellitus who is taking NPH insulin daily. Which of the following prescriptions would the nurse anticipate during therapy with the prednisone?

An increased amount of daily NPH insulin

A client is seen in the clinic for complaints of thirst, frequent urination, and headaches. Following diagnostic studies, diabetes insipidus is diagnosed. Desmopressin acetate (DDAVP) is prescribed for the client. The nurse provides instructions to the client and tells the client that the medication is prescribed to:

Increase water reabsorption.

A client with an exacerbation of chronic obstructive pulmonary disease (COPD) has been on oral glucocorticoids and is being weaned to triamcinolone (Azmacort) by inhalation. The nurse determines that the client understands the potential adverse effects to watch for during this medication change if the client states to report:

Anorexia, nausea, weakness, and fatigue

A nurse is preparing to administer digoxin (Lanoxin) to an adult client. The nurse checks which important item before administering the medication?

Apical pulse rate

A nurse has given medication instructions to a client beginning therapy with carisoprodol (Soma). The nurse determines that the client understands the effects of the medication if the client states to:

Avoid alcohol while taking this medication.

A client with diabetes mellitus has a foot infection and is to be started on antibiotic therapy with an aminoglycoside. The nurse collects data from the client and notes that the client has a hearing loss. The nurse should take which of the following actions next?

Inform the registered nurse (RN) about the hearing loss.

A client has been given a prescription for gemfibrozil (Lopid). The nurse plans to instruct the client to limit intake of which of the following foods while taking this medication?

Beef

A nurse is collecting data from a client about medications being taken, and the client tells the nurse that he is taking herbal supplements for the treatment of varicose veins. The nurse understands that the client is most likely taking which of the following?

Bilberry

A client with advanced ovarian cancer is being treated with paclitaxel (Taxol). The nurse monitors the client closely for which side effect of the medication?

Bradycardia

A client on the nursing unit has a prescription for dextroamphetamine (Dexedrine) orally daily. The nurse collaborates with the dietitian to limit the amount of which of the following items on the client's dietary trays?

Caffeine

A client is receiving supplemental therapy with folic acid (Folate). The nurse evaluates the effectiveness of this therapy by monitoring the results of which of the following laboratory studies?

Complete blood count

A client has been taking benzonatate (Tessalon Perles) as prescribed. The nurse determines that the medication is having the intended effect if the client experiences:

Decreased frequency and intensity of cough

A client has taken his first dose of lisinopril (Zestril) about 2 hours ago and begins to develop fullness in his face and hoarseness. What should be the nurse's first action?

Determine the client's ability to breathe effectively.

Which report indicates to the nurse that the client is experiencing a toxicity-related reaction to kanamycin sulfate (Kantrex)?

Difficulty hearing

A client with a history of spinal cord injury is receiving baclofen (Lioresal) for muscle spasms. The nurse determines that the client is experiencing a side effect of this medication if the client experiences:

Drowsiness

A client with multiple sclerosis is receiving diazepam (Valium), a centrally acting skeletal muscle relaxant. Which of the following would indicate that the client is experiencing a side effect related to this medication?

Drowsiness

A client with Parkinson's disease has been prescribed benztropine (Cogentin). The nurse monitors for which gastrointestinal (GI) side effect of this medication?

Dry mouth

A client with cancer is receiving morphine sulfate. When writing the plan of care for this client, the nurse should assign priority to which intervention?

Encourage the client to cough and deep breathe.

Fludrocortisone (Florinef) is prescribed for a client with Addison's disease. The nurse prepares to administer the medication, knowing that the primary action of this medication is to:

Enhance the reabsorption of sodium and chloride ions in the distal tubules of the kidney.

A client diagnosed with hypothyroidism is taking levothyroxine (Synthroid). The client returns to the clinic 1 week after beginning the medication and tells the nurse that the medication has not helped. The appropriate nursing response to the client is based on which of the following?

Full therapeutic effect may take 1 to 3 weeks.

Metformin (Glucophage) is prescribed for a client with type 2 diabetes mellitus. The nurse tells the client that the common side effect of the medication is:

Gastrointestinal (GI) disturbances

A client has a fasting blood glucose of 268 mg/dL at 7:30 AM. The sliding scale prescriptions are: blood glucose 151 to 200 mg/dL, administer 3 units Humalog insulin; 201 to 250, administer 6 units Humalog insulin; 251 to 300 mg/dL, administer 9 units Humalog insulin; over 300 mg/dL contact the health care provider. Therefore, at 7:30 AM, the nurse should administer:

Humalog 9 units

A client with a history of simple partial seizures is taking clorazepate (Tranxene), and asks the nurse if there is a risk of addiction. The nurse's response is based on the understanding that clorazepate:

Leads to physical and psychological dependence with prolonged high-dose therapy

An oral hypoglycemic medication, a sulfonylurea, is prescribed for a client with type 2 diabetes mellitus. The nurse plans to administer the medication, knowing that the primary action of this medication is which of the following?

Promote insulin secretion by the pancreas.

A nurse is caring for a hospitalized child with a history of seizures who is receiving oral phenytoin sodium (Dilantin). Which of the following should be included in the plan of care for this child?

Providing oral hygiene especially care of the gums

A nurse is preparing to administer eardrops to an infant. The nurse plans to:

Pull down and back on the ear and direct the solution toward the wall of the canal.

A nurse is assisting in caring for a client admitted to the emergency department with diabetic ketoacidosis. The nurse anticipates that the health care provider will prescribe which type of insulin for intravenous administration to treat this disorder?

Regular

A nurse is asked to prefill syringes containing NPH and regular insulin for a diabetic client who lives at home alone and has difficulty with seeing and accurately preparing dosages. Considering the stability of insulin, how many prefilled syringes will the nurse prepare for the client?

Seven-day supply

Bethanechol (Urecholine) is prescribed for the client with urinary retention, and an injectable form of bethanechol is available for use as prescribed. The nurse informs the client of the health care provider's prescription, knowing that the medication will be administered:

Subcutaneously

A nurse prepares to administer a measles, mumps, and rubella (MMR) vaccine to a 5-year-old child. The nurse plans to administer this vaccine:

Subcutaneously in the outer aspect of the upper arm

A client taking carbamazepine (Tegretol) asks the nurse what to do if he misses one dose. The nurse responds that the carbamazepine should be:

Taken as long as it is not immediately before the next dose

A health care provider initiates carbidopa/levodopa (Sinemet) therapy for the client with Parkinson's disease. A few days after the client starts the medication, the client complains of nausea and vomiting. The nurse tells the client that:

Taking the medication with food will help to prevent the nausea.

A client who is receiving carbamazepine (Tegretol) daily has a white blood cell (WBC) count of 2800 cells/mm3, blood urea nitrogen (BUN) of 17 mg/dL, sodium of 141 mEq/L, and uric acid of 5 mg/dL. The nurse makes which interpretation, based on these laboratory values?

The WBC count is low, indicating a blood dyscrasia.

A client with acquired immunodeficiency syndrome (AIDS) has a low T4 count. The nurse initiates prophylactic treatment as prescribed with aerosolized pentamidine isethionate (NebuPent) and monitors for which expected outcome?

The client has a respiratory rate and depth within normal limits for activity level.

Etidronate (Didronel), an antihypercalcemic medication, is prescribed for a client. The nurse instructs the client to take the medication:

Two hours before meals

A client with a history of prostatic hypertrophy has purchased the over-the-counter medication, diphenhydramine (Benadryl), to treat symptoms of a runny nose. The nurse explains to the client that this medication combined with prostatic hypertrophy could cause increased symptoms of:

Urinary retention

A nurse has administered a dose of meperidine hydrochloride (Demerol) to a client. The nurse carefully monitors this client for which side effect?

Urinary retention

Which of the following precautions will the nurse specifically take during the administration of ribavirin (Virazole) to a child with respiratory syncytial virus (RSV)?

Wearing goggles

A nurse notes that a client in a long-term care facility is receiving a daily dose of furosemide (Lasix). The nurse writes in the care plan to monitor which of the following parameters on a daily basis?

Weight

A nurse has completed client teaching about heart failure and prescribed medications that include digoxin (Lanoxin) and furosemide (Lasix). The nurse documents that the teaching goals have been met if the client states to report a:

Weight gain of 2 to 3 pounds in a few days

A client is receiving sulfisoxazole. The nurse determines the effectiveness of the therapy by monitoring the client's:

White blood cell count

A nurse is teaching a client, newly diagnosed with diabetes mellitus, to mix 24 units NPH and 12 units regular insulin in the same syringe. Arrange in order of priority the technique that the nurse would use to teach the client.

Wipe off both vials with an alcohol pad. Inject 24 units of air into the NPH insulin vial. Inject 12 units of air into the regular insulin vial. Draw up 12 units regular insulin into the syringe. Draw up 24 units of NPH insulin into the syringe.

A nurse is reinforcing medication instructions to a client with human immunodeficiency virus (HIV) who will be taking saquinavir (Invirase). The nurse instructs the client to take the medication:

Within 2 hours after a full meal

A hospitalized client is started on phenelzine sulfate (Nardil) for the treatment of depression. At lunchtime, a tray is delivered to the client. Which food item on the tray will the nurse remove?

Yogurt

Prednisone 10 mg orally daily has been prescribed for a client. The nurse provides instructions to the client regarding the medication. Which statement by the client indicates that further teaching is necessary?

"I can take acetylsalicylic acid (aspirin) or my antihistamine if I need it."

Cortisone (Cortone Acetate) is prescribed for a client with adrenal insufficiency, and the nurse reinforces instructions to the client regarding the medication. Which statement by the client would indicate a need for further instruction?

"I will stop the medication when I feel better."

A nurse is assisting in preparing a diet plan for a client who is taking the anticoagulant, warfarin (Coumadin). The nurse instructs the client to exclude which of the following foods from the diet?

Broccoli

Neuroleptic malignant syndrome is suspected in a client who is taking chlorpromazine. Which medication would the nurse prepare in anticipation of being prescribed to treat this adverse effect related to the use of chlorpromazine?

Bromocriptine (Parlodel)

A nurse has observed a client self-administer a dose of metaproterenol sulfate via metered-dose inhaler. Within a short time, the client begins to wheeze loudly. The nurse interprets that this is caused by:

Bronchospasm, which must be reported to the health care provider

A nurse is caring for a client who has been taking diuretics on a long-term basis. The nurse reviews the medication record, knowing that which of the following medications, if prescribed for this client, would place the client at risk for hypokalemia?

Bumetanide

A client newly diagnosed with diabetes mellitus is instructed by the health care provider to obtain glucagon hydrochloride (Glucagon) for emergency home use. The client asks the nurse about the purpose of the medication. The nurse instructs the client that the purpose of the medication is to treat:

Hypoglycemia from insulin overdose

A nurse notes that the result of the serum theophylline level of a client taking theophylline is 15 mcg/mL. The nurse interprets this result as:

In the middle of the therapeutic range

A client with multiple sclerosis is receiving diazepam (Valium), and the home care nurse provides instructions to the client regarding the side effects of the medication. The nurse tells the client that which of the following is a side effect of this medication?

Incoordination

A client is monitoring a client receiving theophylline (Theo-24) to treat symptoms of chronic obstructive pulmonary disease (COPD). Which adverse effects require immediate consultation with the health care provider? Select all that apply.

Irregular heartbeat Seizures

A nursing student is assigned to care for a client with a diagnosis of schizophrenia. Haloperidol (Haldol) is prescribed for the client, and the nursing instructor asks the student to describe the action of the medication. Which statement by the nursing student indicates an understanding of the action of this medication?

It blocks the binding of dopamine to the postsynaptic dopamine receptors in the brain.

A client is seen in the clinic for complaints of skin itchiness that has been persistent over the past several weeks. Following data collection, it has been determined that the client has scabies. Lindane is prescribed, and the nurse is asked to provide instructions to the client regarding the use of the medication. The nurse tells the client to:

Leave the cream on for 8 to 12 hours and then remove by washing.

A nurse instructs a client with diabetes mellitus about blood glucose monitoring and monitoring for signs of hypoglycemia. The nurse informs the client that hypoglycemia is a blood glucose level of:

Less than 50 mg/dL

A nurse has provided instructions to a client regarding the method for instilling eye drops into the left eye. The nurse determines that the client needs further instruction if the client does which of the following during a return demonstration?

Lies supine, pulls up on the upper lid, and puts the drop in the upper lid

A client takes digoxin (Lanoxin) 0.25 mg by prescription every day. When the nurse enters the client's room, with the medication, the client's meal tray is untouched and the client says he has no appetite. Which action is the most appropriate?

Listen to the client's apical pulse. If it is less than 60/min, withhold the medication.

A client with multiple sclerosis is receiving dantrolene (Dantrium) for relief of muscle spasticity. The nurse checks the results of which laboratory value periodically prescribed while the client is taking this medication?

Liver function studies

Dantrolene (Dantrium) is prescribed for a client with a spinal cord injury for discomfort resulting from spasticity. The nurse tells the client about the importance of follow-up and the need for which blood study?

Liver function studies

A nurse is reviewing a health care provider's prescriptions for a client with newly diagnosed, untreated hypothyroidism. Which of the following medications, if prescribed for the client, would the nurse question and verify?

Morphine sulfate

A client diagnosed with pleurisy is being started on medication therapy with ibuprofen (Motrin, Advil). The nurse tells the client that this medication is a:

Nonsteroidal anti-inflammatory medication to enhance coughing and deep breathing

A nurse has administered a dose of salmeterol (Serevent Diskus) to a client. Following administration, the client develops a generalized rash and urticaria and the eyelids begin to swell. The nurse should:

Notify the registered nurse immediately.

A male client is admitted to the hospital because of complaints of vomiting and abdominal pain. During data collection, the client tells the nurse that he is taking entacapone (Comtan). Based on this finding, the nurse elicits information from the client regarding the presence of which condition?

Parkinson's disease

A client with acute nonlymphocytic anemia receives treatment with cytarabine (ARA-C). The nurse provides medication instructions to the client and tells the client that it is important to report which of the following to the health care provider?

Sore throat

A client receives a dose of edrophonium (Enlon). The client shows improvement in muscle strength for a period of time following the injection. The nurse interprets that this finding is compatible with:

Myasthenia gravis

A nurse has administered a dose of diazepam (Valium) to a client. The nurse would take which important action before leaving the client's room?

Per agency policy, putting up the side rails on the bed

A client receiving an anxiolytic medication complains that he feels very "faint" when he tries to get out of bed in the morning. The nurse recognizes this complaint as a symptom of:

Postural hypotension

A hospitalized client is having the dosage of clonazepam (Klonopin) adjusted. The nurse should plan to:

Institute seizure precautions.

A nurse is caring for a client with glaucoma who is receiving acetazolamide (Diamox Sequels) daily. Which of the following indicates to the nurse that the client is experiencing an adverse effect related to the medication?

Low back pain and dysuria

An oral powder form of nelfinavir (Viracept) is prescribed for a client with human immunodeficiency virus (HIV). The nurse provides instructions regarding the preparation of the medication and tells the client to mix the powder with:

Milk

A client with human immunodeficiency virus (HIV) who is taking an oral solution of ritonavir (Norvir) complains about the taste of the solution. The nurse tells the client to:

Mix the oral solution with chocolate milk.

A nurse is assisting in preparing to administer acetylcysteine (Mucomyst) to a client with an overdose of acetaminophen (Tylenol). The nurse prepares to administer the medication by:

Mixing the medication in a flavored ice drink and allowing the client to drink the medication through a straw

When teaching a client who is being started on imipramine hydrochloride (Tofranil), the nurse would inform the client that the desired effects of the medication may:

Not occur for 2 to 3 weeks of administration

Stavudine (d4T) is prescribed for a client with advanced human immunodeficiency virus (HIV). The nurse provides medication instructions to the client and tells the client that it is important to report which of the following to the health care provider?

Numbness or tingling in the hands and feet

A tricyclic antidepressant is administered to a client daily. The nurse plans to monitor for the common side effects of the medication and includes which of the following in the plan of care?

Offer hard candy or gum periodically.