exam 2 pharm 1215
A client is receiving morphine to relieve chest pain. The order is for 4 mg IV now. The pharmacy supplies morphine sulfate at 5 mg per mL. How many mL will the nurse give the client?
0.8mL
A client is receiving intravenous heparin to prevent blood clots. The order is for heparin 1,200 units per hour. The pharmacy sends 25,000 units of heparin in 500 mL of D5W. At how many milliliters per hour will the nurse infuse this solution? Record your answer using a whole number.
24 mL/hr
Which medication is an antidote to heparin? A. Protamine sulfate B. Alteplase C. Clopidogrel D. Aspirin
A
In which statements regarding medications taken by a client diagnosed with COPD do the drug name and the drug category correctly match? Select all that apply. A. Albuterol is a bronchodilator. B. Dexamethasone is an antibiotic. C. Cotrimoxazole is a bronchodilator. D. Ciprofloxacin is an antibiotic. E. Prednisone is a corticosteroid.
A, D, E
The nurse is reviewing the results of a total cholesterol level for a client who has been taking simvastatin. What results display the effectiveness of the medication? A. 160-190 mg/dL B. 210-240 mg/dL C. 250-275 mg/dL D. 280-300 mg/dL
A. (REMEMBER: NORMAL RANGE IS <200).
A client is receiving nitroglycerin ointment to treat angina pectoris. The nurse evaluates the therapeutic effectiveness of this drug by assessing the client's response and checking for adverse effects. Which vital sign is most likely to reflect an adverse effect of nitroglycerin? A. Pulse rate of 84 beats/minute B. Respiration 26 breaths/minute C. Blood pressure 84/52 mm Hg D. Temperature of 100.2° F (37.9° C)
C
A client diagnosed with hypertension begins drug therapy using an antihypertensive agent. The nurse instructs the client's spouse to remove any objects in the home that can lead to falls. Which client statement confirms that the teaching has been successful? A. "Antihypertensive drugs can lead to falls." B. "Constant thirst is a common side effect of antihypertensive therapy." C. "Insomnia is a common side effect of antihypertensive medications." D. "Antihypertensive can lead to memory loss."
A
A client diagnosed with hypertension informs the nurse that they are not taking prescribed antihypertensive medications due to an absence of symptoms. What is the most appropriate response by the nurse? A. Inform the client that this is why hypertension is known as "the silent killer." B. Inform the client that remaining unmedicated is all right in conjunction with routine follow-up. C. Suggest that the client try an herbal supplement instead. D. Inform the client there should be no problems as long as she a low sodium diet is maintained.
A
A client is receiving theophylline for long-term control and prevention of asthma symptoms. Client education related to this medication will include A. the importance of blood tests to monitor serum concentrations. B. taking the medication at least 1 hour prior to meals. C. monitoring liver function studies as prescribed. D. development of hyperkalemia.
A
A client with peptic ulcer disease has been prescribed sucralfate. What health education should the nurse provide to this client? A. Take the medication 2 hours before or after other medications B. Blood levels will be evaluated after 1 week C. Take the medication at bedtime to accommodate sedative effects D. Ensure adequate potassium intake during therapy
A
A nurse administers albuterol (Proventil), as ordered, to a client with emphysema. Which finding indicates that the drug is producing a therapeutic effect? A. Respiratory rate of 22 breaths/minute B. Dilated and reactive pupils C. Urine output of 40 ml/hour D. Heart rate of 100 beats/minute
A
A nurse is caring for a client who experienced an MI. The client is ordered to received metoprolol. The nurse understands that this medication has which therapeutic effect? A. Decreases resting heart rate B. Decreases cholesterol level C. Increases cardiac output D. Decreases platelet aggregation
A
A nurse is reevaluating a client receiving IV fibrinolytic therapy. Which finding requires immediate intervention by the nurse? A. Altered level of consciousness B. Minimal oozing of blood from the IV site C. Presence of reperfusion dysrhythmias D. Chest pain 2 of 10 (on a 1-to-10 pain scale)
A
A nurse is teaching a client with newly diagnosed hypertension who asks if there is any harm in stopping antihypertensive medication. What is the nurse's best response? A. "Rebound hypertension can occur." B. "Postural hypotension can occur." C. "Rebound hypotension can occur." D. "Postural hypertension can occur."
A
A client has intermittent asthma attacks. Which of the following therapies does the nurse teach the client to use at home when experiencing an asthma attack? A. Oxygen therapy B. Inhaled albuterol (Ventolin) C. Oral theophylline (Theo-Dur) D. Inhaled cromolyn sodium (Intal)
B
A client's elevated cholesterol levels are being managed with atorvastatin daily. What is a common side effect the nurse will teach the client that will require monitoring? A. hyperuricemia B. increased liver enzymes C. hyperglycemia D. severe muscle pain
B
A client's medication regimen for the treatment of hypertension includes hydrochlorothiazide. Following administration of this medication, the nurse should anticipate what effect? A. Drowsiness or lethargy B. Increased urine output C. Decreased heart rate D. Mild agitation
B
A physician orders a beta2 adrenergic-agonist agent (bronchodilator) that is short-acting and administered only by inhaler. What drug would the nurse know to administer to the client? A. Ipratropium bromide B. Albuterol C. Formoterol D. Isoproterenol
B
An older adult client visits the clinic for a blood pressure (BP) check. The client's hypertension is not well controlled, and a new blood pressure medicine is prescribed. What is important for the nurse to teach this client about the blood pressure medicine? A. Take the medicine on an empty stomach. B. A possible adverse effect of blood pressure medicine is dizziness when you stand. C. There are no adverse effects from blood pressure medicine. D. A severe drop in blood pressure is possible.
B
The nurse is reviewing the medication administration record of a client who takes a variety of medications for the treatment of hypertension. What potential therapeutic benefits of antihypertensives should the nurse identify? Select all that apply. A. Increased venous return B. Decreased peripheral resistance C. Decreased blood volume D. Decreased strength and rate of myocardial contractions E. Decreased blood viscosity
B, C, D
A client is ordered a nitroglycerine transdermal patch for treatment of CAD and asks the nurse why the patch is removed at bedtime. Which is the best response by the nurse? A. "Nitroglycerine causes headaches, but removing the patch decreases the incidence." B. "You do not need the effects of nitroglycerine while you sleep." C. "Removing the patch at night prevents drug tolerance while keeping the benefits." D. "Contact dermatitis and skin irritations are common when the patch remains on all day."
C
A client realizes that regular use of laxatives has greatly improved his bowel pattern. However, the nurse cautions this client against the prolonged use of laxatives for which reason? A. The client may develop inflammatory bowel disease. B. The client may develop arthritis or arthralgia. C. The client's natural bowel function may become sluggish. D. The client may lose his appetite.
C
A client with a peptic ulcer is diagnosed with Helicobacter pylori infection. The nurse is teaching the client about the medications prescribed, including metronidazole, omeprazole, and clarithromycin. Which statement by the client indicates the best understanding of the medication regimen? A. "My ulcer will heal because these medications will kill the bacteria." B. "I should take these medications only when I have pain from my ulcer." C. "The medications will kill the bacteria and stop the acid production." D. "These medications will coat the ulcer and decrease the acid production in my stomach."
C
A client's severe asthma has necessitated the use of a long-acting beta2-agonist (LABA). Which of the client's statements suggests a need for further education? A. "I know that these drugs can sometimes make my heart beat faster." B. "I've heard that this drug is particularly good at preventing asthma attacks during exercise." C. "I'll make sure to use this each time I feel an asthma attack coming on." D. "I've heard that this drug sometimes gets less effective over time."
C
A nurse teaches a client with angina pectoris that he or she needs to take up to three sublingual nitroglycerin tablets at 5-minute intervals and immediately notify the health care provider if chest pain doesn't subside within 15 minutes. What symptoms may the client experience after taking the nitroglycerin? A. Nausea, vomiting, depression, fatigue, and impotence. B. Sedation, nausea, vomiting, constipation, and respiratory depression. C. Headache, hypotension, dizziness, and flushing. D. Flushing, dizziness, headache, and pedal edema.
C
The nurse is educating the patient about administering nitroglycerin prior to discharge from the hospital. What information should the nurse include in the instructions? A. Take a nitroglycerin and if the pain is not relieved, drive to the nearest emergency department. B. Take 2 nitroglycerines and if the pain is not relieved, go to the emergency department. C. Take a nitroglycerin and repeat every 5 minutes if the pain is not relieved until a total of 3 are taken. If pain is not relieved, activate the emergency medical system. D. Take 2 nitroglycerines every 10 minutes until a total of 6 pills are taken. If pain is not relieved, activate the emergency medical system.
C
The nurse is obtaining a health history from a client with a blood pressure of 146/88 mm Hg. The client states that lifestyle changes have not been effective in lowering blood pressure. Which medication classification does the nurse anticipate first? A. ACE inhibitors B. Beta-blocker C. Thiazide diuretic D. Calcium channel blocker
C
The nurse understands that client education related to antihypertensive medication should include which of the following? A. inform client that recommended lifestyle changes are not necessary B. inform client if a dosage of medication is missed , to double the next scheduled dose C. inform client to avoid over-the-counter cold and sinus medications D. inform client to discontinue antihypertensive once blood pressure is normal
C
A client with a peptic ulcer disease has had metronidazole added to his current medication regimen. What health education related to this medication should the nurse provide? A. Take the medication on an empty stomach. B. Take up to one extra dose per day if stomach pain persists. C. Take at bedtime to mitigate the effects of drowsiness. D. Avoid drinking alcohol while taking the drug.
D
A client's recently elevated BP has prompted the primary care provider to prescribe furosemide. The nurse should closely monitor which of the following? A. The client's oxygen saturation level B. The client's red blood cells, hematocrit, and hemoglobin C. The client's level of consciousness D. The client's potassium level
D
A nurse is preparing to discharge a client newly diagnosed with peptic ulcer disease. The client's diagnostic test results were positive for H. pylori bacteria. The health care provider has ordered the "triple therapy" regimen. Which medications will the nurse educate the client on? A. H2-receptor antagonist and two antibiotics B. H2-receptor antagonist, proton-pump inhibitor, and an antibiotic C. Proton-pump inhibitor, an antibiotic, and bismuth salts D. Proton-pump inhibitor and two antibiotics
D
An older adult client has newly diagnosed stage 2 hypertension. The health care provider has prescribed Chlorothiazide and Benazepril. What will the nurse monitor this client for? A. Postural hypertension and resulting injury B. Rebound hypertension C. Sexual dysfunction D. Postural hypotension and resulting injury
D
At 11 p.m., a client is admitted to the emergency department. He has a respiratory rate of 44 breaths/minute. He's anxious, and wheezes are audible. The client is immediately given oxygen by face mask and methylprednisolone (Depo-Medrol) I.V. At 11:30 p.m., the client's arterial blood oxygen saturation is 86%, and he's still wheezing. The nurse should plan to administer: A. alprazolam (Xanax). B. propranolol (Inderal). C. morphine. D. albuterol (Proventil).
D