Custom: INTEG Pharm 6/15/20

A nurse is reinforcing with a client who has osteoporosis and is prescribed alendronate 70 mg PO weekly. Which of the following statements by the client indicates a need for further instruction?

-"I take my alendronate at the same day every week with an 8 ounce glass of milk." The client should take alendronate with a full glass of water. Taking the medication with dairy products, such as milk, reduces absorption of alendronate.

A nurse is reinforcing teaching with the parents of a preschool-age child who has asthma and a prescription for montelukast chewable tablets. Which of the following statements by a parent indicates understanding of the teaching?

-"I will have my child chew the tablet every evening." Montelukast provides better outcomes for clients who have asthma when taken once daily in the evening.

A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?

-"I will hold my breath at least 10 seconds after inhaling the medication." The client should hold his breath for a minimum of 10 seconds to allow for delivery of a maximum amount of the medication deep into the airways.

A nurse is reinforcing teaching with a client who is to start taking montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?

-"I'll take this medication once a day in the evening." The client should take montelukast, a leukotriene modifier, on a regular schedule to manage chronic asthma and prevent exacerbations. The client should take it on a daily basis once a day in the evening for best results.

A nurse is caring for a client who has a prescription for diphenhydramine to relieve pruritus. The client asks the nurse how he an minimize the daytime sedation he is experiencing. Which of the following responses should the nurse make?

-"Take the daily dose at bedtime." Taking the dose at bedtime will allow the client to obtain the benefit of maximum relief of symptoms and rest without itching.

A nurse is reinforcing discharge teaching with a client who has asthma and a new prescription for salmeterol. Which of the following instructions should the nurse include?

-"This medication will provide long-term control of your asthma symptoms." Salmeterol is an inhaled, long-acting beta-2 adrenergic agonist used to treat severe persistent asthma. When used every day as prescribed, salmeterol decreases the number and severity of asthma attacks. Salmeterol is prescribed along with a glucocorticoid medication, which adds an anti-inflammatory effect to the client's asthma treatment.

A nurse is preparing to administer liquid medication to a 10 month-old who is crying. Which of the following actions should the nurse take to minimize the possibility of aspiration?

-Administer the medication with a needleless syringe placed in the buccal pouch. When administering medications to infants, the nurse should use a syringe without a needle to administer the medication into the buccal pouch (side of the mouth, alongside the tongue).

A nurse is reinforcing teaching to a school-age child who has asthma. Which of the following medications should the nurse instruct the child to use to abort an ongoing attack?

-Albuterol Albuterol is a short acting beta-2 agonist that relieves bronchospasm rapidly for clients to use during an acute attack.

A nurse is preparing to administer ear drops to a 2-year-old toddler who has an ear infection and a small amount of purulent drainage visible around the ear. Which of the following techniques should the nurse use when instilling the medication?

-Apply clean gloves and clean the outer ear prior to instilling drops. When drainage from the ear canal is visible, apply clean gloves and wash the ear with a wet washcloth before the procedure in order to prevent washing drainage back into the ear canal.

A nurse is preparing to use the Z-track technique to administer a medication to a client. Which of the following actions should the nurse plan to take?

-Aspirate for 5 to 10 seconds. Aspirating for 5 to 10 seconds allows blood in a small blood vessel to appear, an indication that the nurse should withdraw the needle and prepare a fresh injection.

A nurse is reinforcing discharge teaching with a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?

-Eat foods that contain plenty of potassium. Furosemide, a high-ceiling (loop) diuretic, can cause potassium loss. To prevent this, the client should add potassium-rich foods to his diet such as bananas and avocados.

A nurse is preparing to administer IV vancomycin to a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse plan to take?

-Infuse the medication over at least 60 min. Rapid infusion of vancomycin can cause a phenomenon known as Red Man syndrome. The nurse can minimize the risk of this from occurring by slowly infusing the medication over a period of 60 min or longer.

A nurse is preparing to administer an intradermal injection for a client who requires a tuberculin skin test. Which of the following action should the nurse plan to take?

-Pinch the skin up at the chosen site with the nondominant hand before inserting the needle. When performing an intradermal injection, the nurse should hold the skin taut with the nondominant hand in order to prevent client discomfort and facilitate insertion of the needle. The nurse might be taught to pinch the client's skin up at the site of a subcutaneous injection.

A nurse is preparing a presentation for coworkers about the various herbal remedies clients might report using. Which of the following should she include as an herbal supplement clients might use to treat irritable bowel syndrome and ulcerative colitis?

-Probiotics Although evidence is inconclusive, clients who have irritable bowel syndrome or ulcerative colitis can use probiotics for a variety of effects, including promoting nutrient absorption, decreasing pathogenic bacteria in the gastrointestinal tract, and promoting nonspecific immunity.

A nurse is collecting data from a client who has an intravenous (IV) catheter in her left forearm. The nurse should identify that which of the following findings indicates the client has phlebitis?

-The vein is hard and the skin around the insertion site is red. An insertion site that is red, swollen, and tender with a vein that is hard and palpable indicates phlebitis.