Final Pharm Quiz
A 43-year-old female client is receiving thyroid replacement hormone following a thyroidectomy. What adverse effects associated with thyroid hormone toxicity should the nurse instruct the client to report promptly to the healthcare provider? Tinnitus and dizziness. Tachycardia and chest pain. Dry skin and intolerance to cold. Weight gain and increased appetitie.
B
A client with congestive heart failure (CHF) is being discharged with a new prescription for the angiotensin-converting enzyme (ACE) inhibitor captopril. The nurse's discharge instruction should include reporting which problem to the healthcare provider? Weight loss. Dizziness. Muscle cramps. Dry mucous membranes.
B
A client with heart failure is prescribed spironolactone. Which information is most important for the nurse to provide to the client about diet modifications? Do not add salt to foods during preparation. Refrain from eating foods high in potassium. Restrict fluid intake ot 1000 ml per day. Increase intake of milk and milk products.
B
A home health nurse is assessing an older adult client who reports falling a couple of times over the past week. Which of the following findings should the nurse suspect is contributing to the client's falls? The client wears fitted slippers. The client takes alprazolam. The client uses a raised toilet seat. The client has a nonslip bath mat in his shower.
B
Which method of medication administration provides the client with the greatest first-pass effect? Oral. Sublingual. Intravenous. Subcutaneous.
A
Which group of drugs work by inhibiting the H+/.K+ ATPase enzyme system at the secretory surface of the gastric parietal cell? proton pump inhibitors H2 receptor antagonists antacids antimimetics
A
A category X drug is prescribed for a young adult female client. Which instruction is most important for the nurse to teach this client? Use a reliable form of birth control. Avoid exposure to ultra violet light. Refuse this medication if planning pregnancy. Abstain from intercourse while on this drug.
A
A client is receiving ampicillin sodium for a sinus infection. The nurse should instruct the client to notify the healthcare provider immediately if which symptom occurs? Rash. Nsusea. Headache. Dizziness.
A
A client is receiving digoxin for the onset of supraventricular tachycardia (SVT). Which laboratory findings should the nurse identify that places this client at risk? Hypokalemia Hyponatremia Hypercalcemia Low uric acid levels.
A
A client is receiving methylprednisolone 40 mg IV daily. The nurse anticipates an increase in which laboratory value as the result of this medication? Serum glucose. Serum potassium. Serum calcium. Red blood cells.
A
A client with hyperlipidemia receives a prescription for niacin. Which client teaching is most important for the nurse to provide? Expected duration of flushing. Symptoms of hyperglycemia. Diets that minimize GI irritation. Comfort measures for pruritis.
A
A female client with rheumatoid arthritis take ibuprofen 600 mg PO 4 times a day. To prevent gastrointestinal bleeding, misoprostol 100 mcg PO is prescribed. Which information is most important for the nurse to include in client teaching? Use contraception during intercourse. Ensure the misoprostol is taken on an empty stomach. Encourage oral fluid intake to prevent constipation. Take misoprostol 30 minutes prior to Motrin.
A
After abdominal surgery, a male client is prescribed low molecular weight heparin. During administration of the medication, the client asks the nurse why he is receiving this medication. Which is the best response for the nurse to provide? This medication is a blood thinner given to prevent blood clot formation. This medication enhances antibiotics to prevent infection This medication dissolves any clots that develop in the legs. This abdominal injection assists in the healing of the abdominal wound.
A
An adult client is given a prescription for a scopolamine patch to prevent motion sickness while on a cruise. Which information should the nurse provide to the client? Apply the patch at least 4 hours prior to departure. Change the patch every other day while on the cruise. Place the patch on a hairless area at the base of the skull. Drink no more than 2 alcoholic drinks during the cruise.
A
Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack, which assessment finding indicates to the nurse that the desired effect has been achieved? Client states chest pain is relieved. Client's pulse decreases from 120 to 90. Client's systolic blood pressure decreases from 180 to 90. Client's SaO2 level increases from 92% to 96%.
A
Which instruction(s) should the nurse give to a female client who just received a prescription for oral metronidazole for treatment of trichomonas vaginalis? (Select all that apply.) Avoid drinking alcohol while taking this medication. Do not abruptly discontinue the medication; taper use. Ensure that all sexual partners are treated at the same time. It is not uncommon to experience a metallic taste in your mouth while taking this mediication. Check blood pressure daily to detect hypertension.
ACD
Diphenoxylate (Lomotil) works by: decreasing the absorption of fats and carbohydrates slowing intestinal motility and prolonging intestinal transit time decreasing water absorption from the bowel increasing water absorption from the bowel
B
Following heparin treatment for a pulmonary embolism, a client is being discharged with a prescription for warfarin. In conducting discharge teaching, the nurse advises the client to have which diagnostic test monitored regularly after discharge? Perfusion scan. Prothrombin Time (PT/INR). Activated partial thromboplastin (APTT). Serum Coumadin level (SCL).
B
In evaluating the effects of lactulose given for constipation, which outcome should indicate that the drug is performing as intended? An increase in urine output. Two or three soft stools per day. Watery, diarrhea stools. Increased serum bilirubin.
B
The healthcare provider prescribes digitalis for a client diagnosed with congestive heart failure. Which intervention should the nurse implement prior to administering the digitalis? Observe respiratory rate and depth. Assess the serum potassium level. Obtain the client's blood pressure. Monitor the serum glucose level.
B
The healthcare provider prescribes naloxone for a client in the emergency room. Which assessment data would indicate that the naloxone has been effective? The client's Statement that the chest pain is better. respiratory rate is 16 breaths/minute. seizure activity has stopped temporarily. pupils are constricted bilaterally.
B
The nitrate isosorbide dinitrate is prescribed for a client with angina. Which instruction should the nurse include in this client's discharge teaching plan? Quit taking the medication if dizziness occurs. Do not get up quickly. Always rise slowly. Take the medication with food only. Increase your intake of potassium-rich foods.
B
The nurse is reviewing the use of the patient-controlled analgesia (PCA) pump with a client in the immediate postoperative period. The client will receive morphine 1 mg IV per hour basal rate with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally per hour. What assessment has the highest priority before initiating the PCA pump? The expiration date on the morphine syringe in the pump. The rate and depth of the client's respirations. The type of anesthesia used during the surgical procedure. The client's subjective and objective signs of pain.
B
The nurse is teaching a client with cancer about opioid management for intractable pain and tolerance related side effects. The nurse should prepare the client for which side effect that is most likely to persist during long-term use of opioids? Sedation. Constipation. Urinary retention. Respiratory depression.
B
When assessing an adolescent who recently overdosed on acetaminophen, it is most important for the nurse to assess for pain in which area of the body? Flank. Abdomen. Chest. Head.
B
Which medications should the nurse caution the client about taking while receiving an opioid analgesic? Antacids. Benzodiazepines. Antihypertensives. Oral antidiabetics.
B
While taking a nursing history, the client states, "I am allergic to penicillin." What related allergy to another type of antiinfective agent should the nurse ask the client about when taking the nursing history? Aminoglycosides. Cephalosporins. Sulfonamides. Tetracyclines.
B
A client asks the nurse if glipizide is an oral insulin. Which response should the nurse provide? "Yes, it is an oral insulin and has the same actions and properties as intermediate insulin." "Yes, it is an oral insulin and is distributed, metabolized, and excreted in the same manner as insulin." "No, it is not an oral insulin and can be used only when some beta cell function is present." "No, it is not an oral insulin, but it is effective for those who are resistant to injectable insulins."
C
A client is receiving metoprolol. What assessment is most important for the nurse to obtain? Temperature. Lung sounds. Blood pressure Urinary output.
C
A client who was prescribed atorvastatin one month ago calls the triage nurse at the clinic complaining of muscle pain and weakness in his legs. Which statement reflects the correct drug-specific teaching the nurse should provide to this client? Increase consumption of potassium-rich foods since low potassium levels can cause muscle spasms. Have serum electrolytes checked at the next scheduled appointment to assess hyponatremia, a cause of cramping. Make an appointment to see the healthcare provider, because muscle pain may be an indication of a serious side effect. Be sure to consume a low-cholesterol diet while taking the drug to enhance the effectiveness of the drug.
C
A medication that is classified as a beta-1 agonist is most commonly prescribed for a client with which condition? Glaucoma. Hypertension. Heart failure. Asthma.
C
A nurse is providing discharge teaching to a client who has asthma and new prescriptions for cromolyn and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching? "I will use both medications immediately after exercising." "If my breathing begins to feel tight, I will use the cromolyn immediately." "I will be sure to take the albuterol before taking the cromolyn." "I will administer the medications 10 minutes apart."
C
A nurse is teaching a client who has a new prescription for diazepam. Which of the following information should the nurse include in the teaching? This medication must be swallowed whole. Grapefruit juice inactivates this medication. Diazepam can cause drowsiness. It is important to avoid foods that contain tyramine.
C
Omeprazole (Prilosec) is used in the management of: diarrhea constipation gerd nausea
C
Ranitidine (Zantac) works by: neutralizing gastric acid blocking the H+/K+ ATPase enzyme system blocking histamine at the receptor sites of parietal cells adhering to the ulcer lesions and protecting them from stomach acids
C
The nurse is assessing a client who is experiencing anaphylaxis from an insect sting. Which prescription should the nurse prepare to administer this client? Dopamine. Ephedrine. Epinephrine. Diphenhydramine.
C
The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with arthritis. The client reports that she can't hear the nurse's questions because her ears are ringing. What action should the nurse implement? Refer the client to an audiologist for evaluation of her hearing. Advise the client that this is a common side effect of aspirin therapy. Notify the healthcare provider of this finding immediately. Ask the client to turn off her hearing aid during the exam
C
Which antidiarrheal agent should be used with caution in clients taking high dosages of aspirin for arthritis? Loperamide. Probanthine. Bismuth subsalicylate. Diphenoxylae hydrochloride with atropine.
C
Which nursing diagnosis is important to include in the plan of care for a client receiving the angiotensin-2 receptor antagonist irbesartan? Fluid volume deficit. Risk for infection. Risk for injury. Impaired sleep patterns.
C
Which of the following would the nurse expect to administer to a patient with traveler's diarrhea? metoclopramide loperamide bismuth salicylate opium derivative
C
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows that the action of this drug is to decrease the amount of thyroid-stimulating hormone circulating in the blood. increase the amount of thyroid-stimulating hormone circulating in the blood. Increase the amount of T4 and decrease the amount of T3 produced by the thyroid. inhibit synthesis of T3 and T4 by the thyroid gland.
D
A client is receiving clonidine 0.1 mg/24hr via transdermal patch. Which assessment finding indicates that the desired effect of the medication has been achieved? Client denies recent episodes of angina. Change in peripheral edema from +3 to +1 Client denies recent nausea or vomiting Blood pressure has changed from 180/120 to 140/70.
D
A peak and trough level must be drawn for a client receiving antibiotic therapy. What is the optimum time for the nurse to obtain the trough level? Sixty minutes after the antibiotic dose is administered. Six hours before the next antibiotic dose is given. When the next blood glucose level is to be checked. Thirty minutes before the next antibiotic dose is given.
D
An older client with a decreased percentage of lean body mass is likely to receive a prescription that is adjusted based on which pharmacokinetic process? Absorption. Metabolism. Elimination. Distribution.
D
Dobutamine is an emergency drug most commonly prescribed for a client with which condition? Shock. Asthma. Hypotension. Heart failure.
D
Sucralfate (carafate) works by: neutralizing gastric acid suppressing the H+/K+ ATPase enzyme system blocking histamine at the H2 receptor site of parietal cells adhering to the ulcer lesions and protecting them from stomach acids
D
Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor antagonist valsartan has been achieved? Dependent edema reduced from +3 to +1. Serum HDL increased from 35 to 55 mg/dL. Pules rate reduced from 150 to 90 beats/minute. Blood pressure reduced from 160/90 to 130/80.
D
Which of the following best reflects the rationale for using histamine 2 receptor antagonists for stress ulcer prophylaxis? reduces acid the overall level, promoting healing and comfort blocks the overproduction of hydrochloric acid decreases the acid being regurgitated into the esophagus protects the stomach lining via acid blockage
D