Final test Pharmacology

The nurse is providing teaching to a client who will be taking an oral immunotherapy agent at home. What statement should the nurse include?

" let's discuss who can assist you with taking your medication."

The nurse is preparing to teach a client with hyperlipidemia about the prescribed cholestyramine. Which instructions should the nurse prioritize for the client?

"Eat foods high in dietary fiber."

A nurse is caring for a client who has been receiving an adrenergic medication. Which statement by the client alerts the nurse about an adverse effect of the medication and a reason to call the prescriber?

"I feel a "fluttering " feeling of my heart."

A nurse is teaching a client how to use an auto-injector as treatment for an allergic reaction. The nurse determines additional teaching is necessary when the client makes which statement?

"I should administer the dose and then call 9-1-1 if I am alone

The nurse is completing a teaching session with a client with heart failure. The nurse determines that additional teaching is needed about the cardiotonic drug therapy when the client makes which comment?

"I should call if my pulse rate is below 80 beats per minute."

A client is prescribed Basiliximab. Which statement is included in the teaching about the medication?

"It targets antigens on the surface of cells."

A nurse is reviewing discharge instructions for a client who has been prescribed tacrolimus and prednisone related to recent kidney transplantation. Which discharge instruction is expected?

"Report headache, chills, and fever immediately."

A nurse is teaching a client about Immunosuppressive medication. Which client statement validates that the teaching was successful?

"They decrease the strength of the body's immune response."

A nurse is teaching a client with gout the importance of getting adequate fluids. The nurse determines the session is successful when the client correctly plans to drink at least how fluid each day?

3000. ml

A nurse is assessing a pregnant client who admits to having a cocaine addiction. Which condition of the baby after birth should the nurse explain and prepare the client for?

Addiction to drugs

A client is prescribed dopamine. Which point would the nurse include in the clients plan of care?

Administering dopamine only via IV route

A nurse is preparing to administer gonadotropin to a client. The nurse would question is older if which disorder is documented in the clients medical history?

Adrenal dysfunction

The nurse notes on assessment after administration of a drug that the client has developed Itchin and a skin rash. The nurse interperts these findings as indicating which possible reaction?

Allergic reaction

When developing the plan of care for a client receiving sulfonamides for treatment of a urinary tract infection, the nurse determines actions for encouraging fluid intake and monitoring intake and output based on which nursing diagnosis?

Altered urinary elimination

The nurse is preparing to administer digoxin to a client. Which physical assessment should the nurse prioritize before administrating this drug? Select all that apply

Apical-radial Pulse rate, respiratory rate, weight measurement, blood pressure

A client prescribed niacin reports significant skin flushing and itching, stating, "I almost stopped taking the drug." The nurse anticipates the health care provider will prescribe which drug to address this issue?

Aspirin

The nursing instructor is teaching a group of students about drugs used for muscle spasms and cramping. The instructor determines the session is successful when the students correctly choose which instruction as relevant to skeletal muscle relaxants?

Avoid alcohol or other CNS depressants

A nursing instructor is teaching a session on the functions of adrenocortical hormone drugs. The instructor determines the class is successful when the students correctly choose which drugs as influencing glucose , fat, and protein metabolism ? Select all that apply

Betamethasone, Budesonide, Hydrocortisone, Dexamethasone

A nurse administered trimethobenzamide to a client reporting nausea and vomiting. Which adverse reaction should the nurse prioritize on ongoing assessment?

Blurred vision

The nurse is preparing to administer colchicine to a client who is in the initial phase of gout. Which disorder will the nurse be prepared to monitor the client for?

Bone marrow depression

A nurse is monitoring a client receiving IV dobutamine. Which assessment finding should the nurse prioritize?

Cardiac arrhythmias

A nursing instructor has just completed a session explaining the different types of shock. The instructor determines the session is successful after the students correctly choose which conditions which can result in distributive shock? Select all that apply.

Central line infection, spinal cord injury, allergic drug reaction

A client with a musculoskeletal disorder is unable to ambulate due to his significant pain and I'm mobility issues. Which care should the nurse prioritize for this client?

Changing the clients position every 2 hours

A nurse has administered drugs to a client as per the healthcare providers orders. Which activity should the nurse perform after administering the prescribed drug?

Check for adverse drug reactions

A nurse is preparing to administer ivabradine to a client with heart failure. Which pre-administration assessment should the nurse prioritize for this client?

Check for jugular vein distention

A nurse is preparing to administer infliximab to a client who has been admitted to the hospital for a rheumatoid arthritis(RA) exacerbation. Which nursing intervention is required?

Check for patency of the intravenous site

A client has arrived for schedule surgery. Before administering the prescribed pre-anesthetic agent which action will the nurse prioritize?

Check the chart for any abnormal laboratory test results

A client with a kidney transplant taking cyclosporine has a laboratory requisition. Which laboratory test would the nurse expect on the requisition?. Select all that apply

Complete blood count (CBC), BUN/creatinine

A client has been prescribed benzphetamine. The nurse would question administering this drug if which is noted in the client medical record?

Currently takes an antidepressant

The nurse is conducting an ongoing assessment on a client who has received methylphenidate. Which finding would the nurse anticipate if the medication is therapeutic?

Decreased appetite

The nurse notes a 25 year old female client who is to begin antiretroviral therapy is currently taking oral contraceptives. The nurse Should point outShould point out that the combination can result in which interaction?

Decreased effectiveness of birth control pillsDecreased effectiveness of birth control pills

A nurse is caring for a client who is receiving corticosteroid therapy . Which nursing diagnosis with the nurse be least likely to prioritize for this client?

Deficient fluid volume

A client reports chills, headache, and body ache during administration of basiliximab. What medication does the nurse anticipate being administrated at this time? Select all that apply.

Diphenhydramine, Loratadine

A nurse is preparing to administer cidofovir to a client for the first time. The nurse will question the health care provider before administrating this drug if which factor is found in the clients record? Select all that apply.

Documented renal impairment. Currently receiving gentamicin. Treatment for herpes zoster.

The nurse is prepping a client for surgery. Which action should the nurse prioritize before administrating the pre-anesthetic agent?

Explain post operative client activities

A nurse suspects the client had an adverse reaction to a prescribe medication due to an interaction with an unreported over-the-counter supplement. Which action by the nurse will be best assist in preventing future similar incidents?

File A report with MedWatch

The healthcare provider has prescribed ezetimibe for a client diagnosed with hyperlipidemia. The nurse is preparing to prioritize which assessment to evaluate the drugs effectiveness?

Frequently monitoring blood cholesterol

A healthcare provider has prescribed growth hormone for a client. Which periodic tests would the nurse anticipate monitoring at different intervals during the treatment?

Glucose tolerance

A client discloses the recent use of a cold remedy containing Ma Huang to the nurse on a follow up visit. The nurse should point out the client should avoid Ma Huang if they are currently taking which medication? Select all that apply.

Guanethidine, oxytocin, Halothane

A nurse is reviewing the electronic health record of a client who has been prescribed monoclonal antibody. The nurse would contact the prescriber if a history of which disease is documented?

Hepatitis B

A client is considering using herbal supplements and ask the nurse about them. Which response by the nurse would be most appropriate?

Herbal supplements can affect the way other medication's will act

During intravenous administration of a monoclonal antibody, the client suddenly reports chills and headache. What does the nurse suspect?

Hypersensitivity reaction

A nurse is preparing to administer dobutamine to a client who is also receiving a beta-adrenergic blocking agent. Which assessment finding will the nurse prioritize after administering both drugs?

Hypertension

After teaching the client about taking a prescribed sulfonamide therapy, the nurse determines that the client needs additional teaching after they make which comment?

I can take the drug at different times of the day each day

The nurse monitoring a client receiving saquinavir assesses a client for responses. Which reaction requires priority response?

Increase in clients weightIncrease in clients weight

The health care professional has recommended sulfonamide therapy for a client who is currently taking oral anticoagulant gents. What are possible effects of combining cell from another therapy with oral anticoagulants?

Increased action of the anticoagulant

After teaching a group of nursing students about adrenergic drugs and their effects, the instructor determines that the teaching was successful when the students correctly choose which as an effect of these drugs?

Increased cardiac output

A Client is receiving alendronate for osteoporosis. The client has informed the nurse that they have also been taking aspirin. Which interaction should the nurse monitor for in this client?

Increased risk of G.I. bleed

The nurse is administering pravastatin and amiodarone to A client with cardiac issues. Which potential interaction with the nurse carefully monitor the client for?

Increased risk of myopathy

A nurse is obtaining a medication history of a client who is to start acyclovir . The nurse discovers this client is currently taking Theophylline. The nurse should question the use of acyclovir Due to which contraindication?

Increases serum level of theophylline clients taking theophylline

A client develops a cough and a fever and laboratory test results reveal leukopenia after receiving sulfonamide therapy.. When developing the clients plan of care, the nurse would determine which nursing diagnosis is most appropriate?

Infection (Secondary) Risk

The nurse is assessing a client's response to sleeping pills and notes continued restlessness and inability to sleep. After an increased dose leads to sleep which factor should the nurse investigate first?

Is the client now tolerant to the drug?

A nursing instructor is teaching a group of nursing students about the various types of anesthesia. The instructor determines the teaching a successful when the students correctly choose which factor as influencing the type of anesthesia used?

Length of surgical procedure

A client arrives at the healthcare clinic and reports taking several pills for a headache and severe cough without relief. Which adverse effects should the nurse be aware may develop from this combination?

Liver damage

A nurse is preparing to administer colesevelam to a client with hyperlipidemia. The nurse determines cautious administration is warranted after noting which condition in the clients history?

Liver disease

After teaching a group of nursing students about upper gastrointestinal system drugs, the instructor determines that the teaching was successful when the students correctly choose which drug is a gastrointestinal stimulant?

Metoclopramide

The nurse is preparing to administer colestipol to the client. Which method should the nurse prioritize to administer this medication?

Mix the drug in 90 ml of liquid

The nurse is teaching a client about the prescribed fludrocortisone. The nurse determines the session is successful when the client correctly chooses which potential adverse reactions to notify the healthcare provider about if they happen? Select all that apply.

Muscle weakness, weight gain, edema

The nurse is conducting a pre-administration assessment of a 67-year-old client. The nurse will question the prescribed glycopyrrolate if which disorder is noted in the client history?

Myocardial ischemia

A client with nocturnal in enuresis is prescribed desmopressin acetate. Which assessment finding sure the nurse prioritize for this client?

Nasal congestion

The nurse is finishing a teaching session with a client who is prescribed gemfibrozil. The nurse determines the session is successful when the client correctly Chooses which instruction?

Observe caution while driving

A client has been admitted to a healthcare center with reports of dyspnea. The Nurse suspect left sided heart failure based on which assessment finding?

Orthopnea

The nurse has administered anakinra to a client. Which assessment finding should the nurse prioritize?

Pancytopenia

The nurse is teaching a client with arrhythmia about the prescribed verapamil. Which potential adverse reaction should the nurse point out to the client?

Peripheral edema

An HIV positive client is being treated with didanosine as a part of the antiretroviral therapy. When assessing the client, the nurse would immediately report which finding to the primary healthcare provider?

Peripheral neuropathy

The healthcare provider has prescribed fenofibrate For a client discovered to have very high serum triglyceride levels. . The nurse should question this order if the client has a history of which additional disorder?

Primary biliary cirrhosis

The nurse is preparing to administer sulfadiazine to a client who is also taking warfarin. The nurse would be alert for which potential adverse effect?

Prolong clotting times

A nursing instructor is explaining the different categories of antiretroviral agents used in treatment for HIV infection. The instructor determines that the teaching was successful when the students choose which category as affecting an enzyme so that the new viral particles cannot mature?

Protease inhibitors

A client admitted to a health care facility with cardiac arrhythmia is prescribed propranolol. Which signs should the nurse prioritize on the ongoing assessment ?

Pulse rate

A client on antiarrhythmic drug therapy reports nausea vomiting abdominal pain diarrhea and a ringing sensation in the ears. Which drug should nurse investigate first to determine possible cause?

Quinidine

A nurse is caring for a client who is receiving cyclobenzaprine. The nurse would expect to assess which finding as indicating the therapeutic effect of the drug?

Reduction of muscle spasm

The nurse is teaching a client about the medication that they are receiving as a treatment for gout. The nurse determines the session is successful when the client correctly chooses which instruction as most important?

Reporting any skin rash

The nurse is assessing a client in the PACU following surgery. The nurse notes the client received an anesthetic agent via a special vaporizer to prevent which reaction

Respiratory tract irritation

A client presents to the emergency department with reports of itching and throat tightness. On assessment, the nurse notes urticaria and flushing. Which nursing diagnosis will the nurse determine is most appropriate for this client?

Risk for Allergy Response

The client presents for a routine clink visit to evaluate long-term use of cholestyfamine. The health care provider determines viitamins A and D should be prescribed at this time. The nurse determines which nursing degree is most appropriate at this time?

Risk for imbalanced nutrition; less than body requirements

An HIV positive client on antiretroviral therapy ask a nurse about taking sildenafil. The nurse informs the client that which reaction may be experienced when combining sildenafil and antiretroviral therapy?

Risk of hypotension

The nurse is administering a bisphosphonate to a client with Paget disease. Which finding on assessment should the nurse prioritize?

Serum calcium levels

A nurse working in an outpatient surgical center in may see which general anesthetic agent administered via inhalation?

Sevoflurane

The nurse is monitoring a client who is receiving caffeine. The nurse determines the client is experiencing a therapeutic response with which assessment finding?

Skeletal muscle stimulation

A nurse is caring for a client with burns carefully applies the topical silver sulfadiazine. The nurse would be alert for which potential adverse reaction?

Skin necrosis

After administering sulfonamides to a client, the nurse observes the client has developed a fever,cough, and muscular aches, as well as lesions in the form of red wheals on the neck and the mouth. The nurse interprets these findings as indicating which possible adverse reaction?

Stevens-Johnson syndrome (SJS)

A client with arrhythmias is prescribed and antiarrhythmic. About which finding on the ongoing assessment should the nurse instruct the client to immediately notify the primary healthcare provider?

Sudden change in the mental state

A nurse is caring for a client who is being administered sulfasalazine. Which instruction should the nurse include to ensure that the client gets a full benefits of the treatment?

Take dosage while eating or immediately after eating

A nurse is preparing a discharge teaching for a client who is prescribed glue a glucocorticoid therapy. Which instructions should the nurse point out in the teaching plan for the client and caregivers?

Take the oral drug with meals or snacks

A 60 year old client with altered urinary elimination is prescribed sulfonamide and instructed to increase daily fluid intake. Which nursing intervention would be the most appropriate to address the fear of the incontinence?

Teach the client the times to take fluids to maintain continence.

The nurse is teaching a client about a newly prescribed medication which is an enteric-coated tablet. Which statement by the nurse explains this form of medication?

The drug dissolves into fragments after it reaches the small intestines.

A client with skin lesions due to a viral infection has been prescribed a topical antiviral agent. When teaching a client about this therapy, which factor with the nurse emphasize?

The drug will not prevent the spread of the disease to others

The nurse is preparing to administer niacin to a client with hyper lipids is. Which Adverse reaction should the nurse prioritize on ongoing assessment?

Tingling

The client with systemic lupus erythematosus, who is prescribed prednisone, presents to the clinic for a routine health care visit. Which instruction should the nurse prioritize after noting the client now has acne on this assessment?

Use water based cosmetics or creams

A client is receiving hydroxychloroquine for a musculoskeletal disorder. Which adverse reactions are irreversible and needs to be reported immediately?

Visual changes

The nurse has administered gonadotropin to a client. Which assessment finding should the nurse prioritize?

Visual disturbances

A nurse is preparing to administer an adrenergic agent for shock. Which nursing assessment should be completed quickly and accurately?

Vital signs

A client who is on sulfonamide therapy is about to be discharged. Which precaution should the nurse instruct the client to follow to reduce the effects of photosensitivity?

Wear protective clothing and sunscreen when outside

A client who is obese is to start receiving amphetamine as part of the treatment. Which factor should the nurse prioritize in the preadministration assessment?

Weight

The nurse is prepping a client who is receiving antiretroviral therapy for discharge. Which precaution should the nurse Point out to reduce the effects of photosensitivity?

Where protective clothing when outside

The nurse is caring for a client who is receiving therapy with a monoclonal antibody. When providing teaching regarding potential adverse affects related to the integumentary system, which statements should the nurse include?

"Be sure to avoid sunlight"

The nurse is monitoring a client with heart failure for effectiveness of the digoxin therapy. Which factor should the nurse closely monitor for potential signs of toxicity?

Drug blood level

After teaching a group of nursing students about pharmacokinetics, the instructor determines that the teaching was successful when the students identify which phase as first?

Drug is made available for use in the body

An elderly client with diabetes insipidus has been prescribed vasopressin. Which nursing action should the nurse prioritize for this client?

Refilling the water container at frequent intervals

A client diagnosed with HIV infection is receiving HAART. On assessment, the nurse notes the client is alert and oriented with reports of anorexia nausea and vomiting; 10 pound weight loss in past six weeks; pale pink skin with irritation or breakdown; and without report of pain. Which nursing diagnosis is a priority for this client?

Risk Malnutrition; Less than body requirements