Final Pharmacology Remediation

10 A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include? "Take this medication with food if nausea develops." "Monitor for muscle pain." "Expect to have increased bruising." "Increase your intake of grapefruit juice."

10 A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include? "Take this medication with food if nausea develops." ---"Monitor for muscle pain." "Expect to have increased bruising." "Increase your intake of grapefruit juice." //This medication can cause rhabdomyolysis. The client should monitor and report muscle pain.

13 A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on intravenous rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects? Constipation Black colored stools Staining of teeth Body secretions turning a red-orange color

13 A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on intravenous rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects? Constipation Black colored stools Staining of teeth --Body secretions turning a red-orange color

14 A nurse is preparing a client for surgery. Prior to administering the prescribed hydroxyzine, the nurse should explain to the client that the medication is for which of the following indications? (Select all that apply.) Controlling emesis Diminishing anxiety Reducing the amount of narcotics needed for pain relief Preventing thrombus formation Drying secretions

14 A nurse is preparing a client for surgery. Prior to administering the prescribed hydroxyzine, the nurse should explain to the client that the medication is for which of the following indications? (Select all that apply.) --Controlling emesis --Diminishing anxiety --Reducing the amount of narcotics needed for pain relief Preventing thrombus formation ---Drying secretions //Hydroxyzine is an effective antiemetic

19 A nurse is providing teaching for a client who has schizophrenia and a new prescription for fluphenazine. Which of the following information should the nurse provide? "This medication might turn urine your orange." "Sleepiness should subside within a week." "Stop the medication if hypotension occurs." "A low-grade fever is expected with first doses."

19 A nurse is providing teaching for a client who has schizophrenia and a new prescription for fluphenazine. Which of the following information should the nurse provide? "This medication might turn urine your orange." ----"Sleepiness should subside within a week." "Stop the medication if hypotension occurs." "A low-grade fever is expected with first doses." //The nurse should inform the client that fluphenazine, like other first-generation antipsychotics, may cause sedation with early treatment, but should subside within a week or so.

20A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects? Hyperglycemia Adrenocortical insufficiency Severe dehydration Rebound pulmonary congestion

20A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects? Hyperglycemia ----Adrenocortical insufficiency Severe dehydration Rebound pulmonary congestion

21 A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil? Isosorbide Phenytoin Metronidazole Prednisone

21 A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil? ---Isosorbide Phenytoin Metronidazole Prednisone //Clients who are on nitrates including isosorbide and nitroglycerin preparations cannot take sildenafil, because of the serious medication interaction. There is the possibility of sudden death due to hypotension.

23A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums? Explain to the client that this is an expected adverse effect. Check the value of the client's current platelet count. Instruct the client to use an electric toothbrush. Have the client make an appointment to see the dentist.

23A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums? Explain to the client that this is an expected adverse effect. --Check the value of the client's current platelet count. Instruct the client to use an electric toothbrush. Have the client make an appointment to see the dentist.

26. *A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication?* Limit the client's fluid intake. Instruct the client to report agitation. Monitor the serum medication levels. Administer the medicine with food.

26 *A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication?* Limit the client's fluid intake. Instruct the client to report agitation. ---Monitor the serum medication levels. Administer the medicine with food.

27 A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. For which of the following adverse effects should the nurse monitor? Headache Dependent edema Polyuria Photosensitivity

27 A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. For which of the following adverse effects should the nurse monitor? ---Headache Dependent edema Polyuria Photosensitivity

3 A nurse is providing teaching to a client who is taking clarithromycin. Which of the following sense alterations should the nurse instruct the client is an adverse effect of clarithromycin? Altered sense of smell Altered taste Altered sense of touch Altered sight

3 A nurse is providing teaching to a client who is taking clarithromycin. Which of the following sense alterations should the nurse instruct the client is an adverse effect of clarithromycin? Altered sense of smell --Altered taste Altered sense of touch Altered sight //Clients who are taking clarithromycin frequently report a persistent metallic taste in their mouth.

30 A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication? Hyperthermia Hypotension Ototoxicity Muscle pain

30 A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication? Hyperthermia ----Hypotension Ototoxicity Muscle pain

31 A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity. Which of the following statements by the client indicates an understanding of the teaching? "I will report any loss of appetite." "Increased flatulence is an indication of toxicity." "Vomiting is an indication of toxicity." "I will call my provider if I experience any headaches."

31 A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity. Which of the following statements by the client indicates an understanding of the teaching? "I will report any loss of appetite." "Increased flatulence is an indication of toxicity." ---"Vomiting is an indication of toxicity." "I will call my provider if I experience any headaches."

33 A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide? "Glipizide absorbs the excess carbohydrates in your system." "Glipizide stimulates your pancreas to release insulin." "Glipizide replaces insulin that is not being produced by your pancreas." "Glipizide prevents your liver from destroying your insulin."

33 A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide? "Glipizide absorbs the excess carbohydrates in your system." --"Glipizide stimulates your pancreas to release insulin." "Glipizide replaces insulin that is not being produced by your pancreas." "Glipizide prevents your liver from destroying your insulin."

34. A nurse is caring for four clients for whom she has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast? Alendronate Digoxin Mycostatin mouthwash Divalproex

34. A nurse is caring for four clients for whom she has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast? --Alendronate Digoxin Mycostatin mouthwash Divalproex //The client must take alendronate first thing in the morning on an empty stomach and wait at least 30 minutes before eating, drinking, or taking other medications.

35 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 a need for further teaching? "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 use both medications immediately after exercising." "I will administer the medications 10 minutes apart."

35 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 a need for further teaching? "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 use both medications immediately after exercising." "I will administer the medications 10 minutes apart."

39 *A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client?* "If the medicine causes an upset stomach, take an antacid at the same time." "Limit your daily fluid intake while taking this medication." "This medication can cause photophobia, so be sure to wear sunglasses outdoors." "You should report any tendon discomfort you experience while taking this medication."

39 *A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client?* "If the medicine causes an upset stomach, take an antacid at the same time." "Limit your daily fluid intake while taking this medication." "This medication can cause photophobia, so be sure to wear sunglasses outdoors." ----"You should report any tendon discomfort you experience while taking this medication." //report any tendon discomfort as well as swelling or inflammation of the tendons due to the risk of tendon rupture.

40 A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication? "I can walk a mile a day." "I've had a backache for several days." "I am urinating more frequently." "I feel nauseated and have no appetite."

40 A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication? "I can walk a mile a day." "I've had a backache for several days." "I am urinating more frequently." ---"I feel nauseated and have no appetite." //Anorexia, nausea, vomiting, and abdominal discomfort are early signs of digoxin toxicity.

41 A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed? Thyroid hormone assay Liver function tests Erythrocyte sedimentation rate Brain natriuretic peptide

41 A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed? ---Thyroid hormone assay Liver function tests Erythrocyte sedimentation rate Brain natriuretic peptide. //Thyroid testing is important because long-term use of lithium may lead to thyroid dysfunction.

A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has a staphylococci infection. Available is clindamycin premixed in 50 mL 0.90% sodium chloride (NaCl). The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

50/30. x2 each = 100mlhr

45 A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching? "I will store the medication at room temperature." "I will take the medicine every morning on an empty stomach." "I will spit the medication out after swishing it around my mouth." "I will only need to take this medication for a few days."

45 A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching? ----"I will store the medication at room temperature." "I will take the medicine every morning on an empty stomach." "I will spit the medication out after swishing it around my mouth." "I will only need to take this medication for a few days."

5 *A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?* "Crushing the medication might cause you to have a stomachache or indigestion." "Crushing the medication is a good idea, and I can mix it in some ice cream for you." "Crushing the medication would release all the medication at once, rather than over time." "Crushing is unsafe, as it destroys the ingredients in the medication."

5 *A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?* --"Crushing the medication might cause you to have a stomachache or indigestion." "Crushing the medication is a good idea, and I can mix it in some ice cream for you." "Crushing the medication would release all the medication at once, rather than over time." "Crushing is unsafe, as it destroys the ingredients in the medication."

50 *A nurse is instructing the caregiver of a toddler who has bacterial conjunctivitis and a new prescription for an ophthalmic ointment. Which of the following instructions should the nurse provide?* "Apply the ointment in a thin line into the conjunctival sac." "Ask the child to look down before applying the ointment." "Always wipe from the outer to the inner canthus when wiping away secretions." "Use a sterile glove and applicator to apply the antibiotic ointment."

50 *A nurse is instructing the caregiver of a toddler who has bacterial conjunctivitis and a new prescription for an ophthalmic ointment. Which of the following instructions should the nurse provide?* ----"Apply the ointment in a thin line into the conjunctival sac." "Ask the child to look down before applying the ointment." "Always wipe from the outer to the inner canthus when wiping away secretions." "Use a sterile glove and applicator to apply the antibiotic ointment."

53 A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications, including an H2 receptor antagonist (H2RA). Which of the following outcomes indicates the H2RA is therapeutic? Relief of heartburn Cessation of diarrhea Passage of flatus Absence of constipation

53 A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications, including an H2 receptor antagonist (H2RA). Which of the following outcomes indicates the H2RA is therapeutic? --Relief of heartburn Cessation of diarrhea Passage of flatus Absence of constipation

56. A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration? Institutional policies regarding routine medication administration times Specific characteristics of the medications Schedule of administration that the client follows at home Time at which the medication can be available from the pharmacy

56 A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration? Institutional policies regarding routine medication administration times --Specific characteristics of the medications Schedule of administration that the client follows at home Time at which the medication can be available from the pharmacy

57. A nurse in a critical care unit is caring for a client who is postoperative following a right pneumonectomy. After extubation from the ventilator, in which of the following positions should the client be placed? Prone On the nonoperative side Sims' Semi-Fowler's

57 A nurse in a critical care unit is caring for a client who is postoperative following a right pneumonectomy. After extubation from the ventilator, in which of the following positions should the client be placed? Prone On the nonoperative side Sims' ---Semi-Fowler's

58 A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take? Document that the client experienced an anaphylactic reaction to the medication. Change the IV infusion site. Decrease the infusion rate on the IV. Apply cold compresses to the neck area.

58 A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take? Document that the client experienced an anaphylactic reaction to the medication. Change the IV infusion site. ----Decrease the infusion rate on the IV. Apply cold compresses to the neck area.

61 A nurse in a mental health clinic is caring for a client who has bipolar disorder and a prescription for an antipsychotic medication. The provider and nursing staff suspect the client is not adhering to his medication therapy. Which of the following interventions should the staff use to encourage the client's adherence? (Select all that apply.) Perform mouth checks following the administration of the medication. Provide for once-daily dosing. Use sustained-release forms. Engage the client in conversation following medication administration. Rotate staff that administer the medications.

61 A nurse in a mental health clinic is caring for a client who has bipolar disorder and a prescription for an antipsychotic medication. The provider and nursing staff suspect the client is not adhering to his medication therapy. Which of the following interventions should the staff use to encourage the client's adherence? (Select all that apply.) Perform mouth checks following the administration of the medication. ---Provide for once-daily dosing. ---Use sustained-release forms. --Engage the client in conversation following medication administration. Rotate staff that administer the medications.

63 A nurse is completing a medication history for a client who reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication? Decrease bulk in the diet to counteract the adverse effect of diarrhea. Take the medication with dairy products to increase absorption. Reduce sodium intake. Drink a glass of water after taking the medication.

63 A nurse is completing a medication history for a client who reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication? Decrease bulk in the diet to counteract the adverse effect of diarrhea. Take the medication with dairy products to increase absorption. Reduce sodium intake. ---Drink a glass of water after taking the medication.

64 A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching? "I will notify my doctor before taking any other medications." "I have made an appointment to see my dentist next week." "I know that I cannot switch brands of this medication." "I'll be glad when I can stop taking this medicine."

64 A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching? "I will notify my doctor before taking any other medications." "I have made an appointment to see my dentist next week." "I know that I cannot switch brands of this medication." ---"I'll be glad when I can stop taking this medicine." //drug for life

69 A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective? A decrease in blood sugar A decrease in blood pressure A decrease in urine output A decrease in specific gravity

69 A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective? A decrease in blood sugar A decrease in blood pressure --A decrease in urine output A decrease in specific gravity

69A nurse is planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool-age child. Which of the following actions should the nurse plan to take? (Select all that apply.) Spread the cream over the lateral surface of both forearms. Apply to intact skin. Apply the medication an hour before the procedure begins. Cleanse the skin prior to procedure. Use a visual pain rating scale to evaluate effectiveness of the treatment.

69 A nurse is planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool-age child. Which of the following actions should the nurse plan to take? (Select all that apply.) Spread the cream over the lateral surface of both forearms. --Apply to intact skin. --Apply the medication an hour before the procedure begins. --Cleanse the skin prior to procedure. ---Use a visual pain rating scale to evaluate effectiveness of the treatment.

71 A nurse is caring for a client who has acute respiratory distress syndrome (ARDS), and requires mechanical ventilation. The client receives a prescription for pancuronium. The nurse recognizes that this medication is for which of the following purposes? Decrease chest wall compliance Suppress respiratory effort Induce sedation Decrease respiratory secretions

71 A nurse is caring for a client who has acute respiratory distress syndrome (ARDS), and requires mechanical ventilation. The client receives a prescription for pancuronium. The nurse recognizes that this medication is for which of the following purposes? Decrease chest wall compliance ---Suppress respiratory effort Induce sedation Decrease respiratory secretions. //Neuromuscular blocking agents, such as pancuronium, induce paralysis and suppress the client's respiratory efforts to the point of apnea, allowing the mechanical ventilator to take over the work of breathing for the client. This therapy is especially helpful for a client who has ARDS and poor lung compliance.

72. *A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?* "The medication relieves nausea by promoting gastric emptying." "The medication works by decreasing gastric acid secretions." "The medication relieves nausea by slowing peristalsis." "The medication works by relaxing gastric muscles."

72 *A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?* ----"The medication relieves nausea by promoting gastric emptying." "The medication works by decreasing gastric acid secretions." "The medication relieves nausea by slowing peristalsis." "The medication works by relaxing gastric muscles." //metro emtpy out ppl

75. A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide? Consume a high-protein diet. Administer the medication with food. Avoid caffeine while taking this medication. Increase fluids to 1L/per day.

75. A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide? Consume a high-protein diet. Administer the medication with food. ---Avoid caffeine while taking this medication. Increase fluids to 1L/per day.

8. A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client reports having discontinued the medication after experiencing severe nausea and vomiting. Which of the following reasons should the nurse suspect to be a likely cause of the client's distress? The client demonstrated an allergic response to the medication. The client experienced a common side effect to the medication. The client consumed alcohol while taking the medication. The client took an overdose of the medication.

8. A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client reports having discontinued the medication after experiencing severe nausea and vomiting. Which of the following reasons should the nurse suspect to be a likely cause of the client's distress? The client demonstrated an allergic response to the medication. The client experienced a common side effect to the medication. ---The client consumed alcohol while taking the medication. The client took an overdose of the medication.

9A nurse is caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the client's parent on administering the medication? Give the medication in the morning daily. Administer the medication 2 hr before exercise. Give the medication at the onset of wheezing. Administer the granules mixed with 20 oz of water

9A nurse is caring for a child who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the client's parent on administering the medication? Give the medication in the morning daily. ---Administer the medication 2 hr before exercise. Give the medication at the onset of wheezing. Administer the granules mixed with 20 oz of water. //Montelukast should be given daily during the evening, except when being used for exercise-induced bronchospasm. It should then be given 2 hr before exercise, and not given again for 24 hr.

15A nurse is providing instructions about bowel cleansing with polyethylene glycol-electrolyte solution (PEG) for a client who is going to have a colonoscopy. Which of the following information should the nurse include? "To prevent dehydration, drink an additional liter of fluid during preparation time." "Expect bowel movements to begin 3 hr following completion of solution." "Abdominal bloating might occur." "Drink 400 mL every hour until bowel movements are clear."

15A nurse is providing instructions about bowel cleansing with polyethylene glycol-electrolyte solution (PEG) for a client who is going to have a colonoscopy. Which of the following information should the nurse include? "To prevent dehydration, drink an additional liter of fluid during preparation time." "Expect bowel movements to begin 3 hr following completion of solution." ---"Abdominal bloating might occur." "Drink 400 mL every hour until bowel movements are clear." //While PEG is well-tolerated, adverse effects include nausea, bloating, and abdominal discomfort.

18A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse? "I signed up for a swimming class." "I've been taking an antacid to help with indigestion." "I've lost 2 pounds since my appointment 2 weeks ago." "The naproxen is easier to take when I crush it and put it in applesauce.

18A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse? "I signed up for a swimming class." --"I've been taking an antacid to help with indigestion." "I've lost 2 pounds since my appointment 2 weeks ago." "The naproxen is easier to take when I crush it and put it in applesauce. //*NSAIDs, like naproxen,* Naproxen can be crushed or swallowed whole.

22. A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level? Draw a trough level at 0900 and a peak level at 2100. Draw a peak level 90 min prior to administering the medication and a trough level 90 min after the dose. Draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose. Draw a peak level at 0900 and a trough level at 2100.

22. A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level? Draw a trough level at 0900 and a peak level at 2100. Draw a peak level 90 min prior to administering the medication and a trough level 90 min after the dose. --Draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose. Draw a peak level at 0900 and a trough level at 2100.

37 A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication? Decreased blood pressure Increase of HDL cholesterol Prevention of bipolar manic episodes Improved sexual function

37 A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication? --Decreased blood pressure Increase of HDL cholesterol Prevention of bipolar manic episodes Improved sexual function

44. A nurse on an oncology unit is preparing to administer doxorubicin to a client who has breast cancer. Prior to beginning the infusion, the nurse verifies the client's current cumulative lifetime dose of the medication. For which of the following reasons is this verification necessary? An excess amount of doxorubicin can lead to myelosuppression. Exceeding the lifetime cumulative dose limit of doxorubicin might cause extravasation. An excess amount of doxorubicin can lead to cardiomyopathy. Exceeding the lifetime cumulative dose limit of doxorubicin might produce red tinged urine and sweat.

44. A nurse on an oncology unit is preparing to administer doxorubicin to a client who has breast cancer. Prior to beginning the infusion, the nurse verifies the client's current cumulative lifetime dose of the medication. For which of the following reasons is this verification necessary? An excess amount of doxorubicin can lead to myelosuppression. Exceeding the lifetime cumulative dose limit of doxorubicin might cause extravasation. ---An excess amount of doxorubicin can lead to cardiomyopathy. Exceeding the lifetime cumulative dose limit of doxorubicin might produce red tinged urine and sweat.

67. *A nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions?* Prevents dysrhythmias Slows intestinal motility Dissolves blood clots Relieves pain

67. *A nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving lidocaine IV at 2 mg/min. When the client asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions?* ---Prevents dysrhythmias Slows intestinal motility Dissolves blood clots Relieves pain. //Lidocaine is an antidysrhythmic medication that delays the conduction in the heart and reduces the automaticity of heart tissue.Topical lidocaine is a local anesthetic that produces numbness or loss of feeling before surgery