Free pharm Qs unit 2

An older client recently has been taking cimetidine. The nurse monitors the client for which most frequent central nervous system side effect of this medication?

Confusion

A client has been prescribed codeine sulfate. The nurse has given the client instructions for its use. The nurse concludes that the client understands the instructions if the client verbalizes to self-assess for which side effect?

Constipation

A client is told by the primary health care provider to take aluminum hydroxide as needed for heartburn. The nurse advises the client to watch for which common side effect of this medication?

Constipation

The nurse instructs a client taking aluminum hydroxide that a common side or adverse effect associated with administration of this medication is which effect?

Constipation

A client with a severe allergic reaction is prescribed intravenous corticosteroids. The nurse should expect that which desired effect will be achieved?

Decreased inflammation

Lactulose is prescribed for a client with a diagnosis of hepatic encephalopathy. The nurse should determine that this medication is effective if serum diagnostics reveal which finding?

Decreased serum ammonia level

Oral rifaximin has been prescribed for a client with portosystemic encephalopathy. The nurse reviews the primary health care provider's prescription and determines that this medication has been prescribed for which purpose?

Destroy normal bacteria found in the bowel.

A client who has sustained an eye injury has been prescribed prednisolone. The nurse would most carefully monitor for side and adverse effects of this medication if the client has which health problem listed on the medical record?

Diabetes mellitus

The primary health care provider prescribes the instillation of mydriatic eye drops to both eyes of a client. The nurse administers the eye drops and monitors the client for an effective response from the medication, as indicated by which response? Click on the image to indicate your answer.

Dialated pupils

The nurse has just given a client a dose of an "as needed" (PRN) medication called loperamide. The nurse documents in the client's record that the client received this medication for complaints of what symptom?

Diarrhea

A client with trigeminal neuralgia tells the nurse that acetaminophen is taken daily for the relief of generalized discomfort. Which laboratory value would indicate toxicity associated with the medication?

Direct bilirubin level of 2 mg/dL (34 mcmol/L)

A client receives a dose of scopolamine. The nurse determines that which sign or symptom later displayed by the client is a result of medication side and adverse effects?

Dry mouth

The nurse is taking care of a client receiving oxybutynin. Which finding should the nurse expect to note if the client develops side or adverse effects of this medication?

Dry mouth

A daily dose of prednisone is prescribed for a client. The nurse provides instructions to the client regarding administration of the medication and should instruct the client that which time is best to take this medication?

Early morning

The nurse is caring for a client receiving morphine sulfate for pain. Because this medication has been prescribed for this client, which nursing action should be included in the plan of care?

Encourage the client to cough and deep breathe.

The client with peptic ulcer disease is prescribed medication therapy. The nurse explains the medications to the client and explains that sucralfate will help to heal the ulcer by doing what?

Enhance mucosal defenses.

Propylthiouracil is prescribed for a client with hyperthyroidism. The nurse provides instructions to the client regarding the medication and informs the client to notify the primary health care provider (PHCP) if which sign or symptom occurs?

Fever

The nurse reads that metoclopramide is prescribed for a client. Based on this prescription, the nurse expects to note that which diagnosis is documented?

Gastroparesis

A client has been taking omeprazole for 4 weeks. The ambulatory care nurse evaluates that the client is receiving the optimal intended effect of the medication if the client reports the absence of which symptom?

Heartburn

The nurse notes in the medication record that a client is taking calcium carbonate chewable tablets. Based on the data, the nurse should ask the client about a history of which symptom?

Heartburn

A client with a history of duodenal ulcer is taking calcium carbonate chewable tablets. Which finding indicates that the client is experiencing optimal effects of the medication?

Heartburn is relieved.

A client has been taking glucocorticoids to control rheumatoid arthritis. Which laboratory abnormality is the client at risk for as a result of taking this medication?

Increased serum glucose

The nurse is administering senna to an older client. What is the expected result of this medication?

It increases peristalsis.

The nurse is preparing to administer prescribed medications to a client with hepatic encephalopathy. The nurse anticipates that the primary health care provider's prescriptions will include which medication?

Lactulose

A client reports frequent use of acetaminophen for relief of headaches and other discomforts. The nurse should evaluate which diagnostic data to determine if the client is at risk for toxicity?

Liver function studies

A client is experiencing diarrhea. The nurse reviews the client's "as needed" (PRN) medication prescription sheet and should plan to administer which medication for this problem?

Loperamide

When teaching a client with glaucoma about the effects of a miotic medication, the nurse should tell the client that the medication will produce which effect?

Lower intraocular pressure and improve blood flow to the retina.

A client reports frequent use of sodium bicarbonate to relieve heartburn after meals. The nurse should monitor the client for which condition that the client is at risk for with long-term frequent use of this medication?

Metabolic alkalosis

A client who has had a myocardial infarction has a prescription to take a powdered form of psyllium after discharge. The nurse should plan to include which information when teaching the client about this medication?

Mix the medication with a full glass of water or juice.

A client with recurrent constipation has been prescribed psyllium. Teaching provided by the nurse should include which instruction?

Mix the powder with a full glass of water or juice followed by drinking an additional glass of liquid.

The nurse is caring for a client with chronic back pain. Codeine has been prescribed for the client. Specific to this medication, which intervention should the nurse include in the plan of care while the client is taking this medication?

Monitor bowel activity.

A client has an as-needed prescription for ondansetron. For which condition(s) should the nurse administer this medication?

N/V

A client with gastrointestinal hypermotility has a prescription to receive atropine sulfate. The nurse should withhold the medication and question the prescription if the client has a history of which disease process?

Narrow-angle glaucoma

A client in the postanesthesia care unit (PACU) has a prescription for droperidol. The nurse determines that this medication has been prescribed to treat which condition?

Nausea

A client has received a dose of dimenhydrinate. The nurse should observe relief of what sign or symptom to evaluate that the medication has been effective?

Nausea and vomiting

The nurse is caring for a client receiving codeine sulfate for pain. The nurse determines that the client is experiencing a side or adverse effect of the medication based on which finding?

No bowel movement in 3 days

A client taking an oral laxative wants to obtain a rapid effect from the medication. How should the nurse instruct the client to take the medication?

On an empty stomach

The nurse is providing instructions to the client who is taking antacid tablets. How should the nurse instruct the client to take this medication?

Chew the tablet thoroughly.

The nurse is preparing to give a client directions for proper use of aluminum hydroxide tablets. Which instruction should the nurse provide to the client?

"Chew the tablet thoroughly and then drink 8 ounces of water."

The nurse administers ondansetron to a client. Which statement by the client indicates that this medication has been effective?

"I no longer feel nauseous."

The nurse determines that the client needs further instruction about prescribed thyroid replacement medication if which statement is made?

"I should expect full therapeutic effect from the medication within 3 to 5 days."

The nurse has given instructions for taking codeine sulfate to a client with a severe headache. Which statement by the client indicates the teaching has been effective?

"I should increase fluid intake."

Dicyclomine hydrochloride has been prescribed for a client with irritable bowel syndrome, and the nurse provides instructions to the client about how to take this medication. Which statement, if made by the client, indicates an understanding of how to take this medication?

"I should take the pill 30 minutes before each meal."

Mineral oil has been prescribed for constipation, and the nurse teaches about administration of the mineral oil. Which statement by the mother indicates that teaching was effective?

"I will mix the mineral oil with a chilled drink before administration."

Cortisone acetate is prescribed for a client with adrenal insufficiency. The nurse provides instructions to the client regarding the medication. Which statement, if made by the client, indicates a need for further instruction?

"I will stop the medication when I feel better."

A client with constipation has been directed to take oral bisacodyl. The nurse instructs the client on how to receive the most rapid effect from the medication. The client demonstrates understanding of use of this medication by stating that which method will produce the most rapid effect?

"I will take it on an empty stomach."

The nurse determines the client needs further instruction on cimetidine if which statements were made? Select all that apply.

"I will take the cimetidine with my meals." 2."I'll know the medication is working if my diarrhea stops." "Taking the cimetidine with an antacid will increase its effectiveness."

The nurse is caring for a client with myasthenia gravis who has received edrophonium by the intravenous route to test for myasthenic crisis. The client asks the nurse how long the improvement in muscle strength will last. Which response should the nurse make to the client?

"It will last for 4 to 5 minutes."

The nurse provides medication instructions to a client who has a prescription for sucralfate to be taken 4 times daily. Which statement by the client indicates teaching was effective?

"Side effects are minimal and I need to take it an hour before meals and at bedtime."

A miotic medication has been prescribed for the client with glaucoma, and the client asks the nurse about the purpose of the medication. Which response should the nurse provide to the client?

"The medication causes the pupil to constrict and will lower the pressure in the eye."

Thyroid replacement therapy is prescribed for the client diagnosed with hypothyroidism. The client asks the nurse when the medication will no longer be needed. Which is the appropriate nursing response?

"The medication will need to be continued for life."

A client has just been given a prescription for diphenoxylate with atropine. The nurse determines that the client understands important information about this medication if the client makes what statement?

"This medication contains a habit-forming ingredient."

The nurse is giving the client directions for proper use of aluminum hydroxide tablets. What should the nurse tell the client?

Chew the tablets thoroughly and follow with 4 oz of water.

A client with myasthenia gravis has difficulty chewing and has received a prescription for pyridostigmine. The nurse should check to see that the client takes the medication at what time?

30 minutes before meals

The home care nurse is reviewing the record of a client newly diagnosed with glaucoma who is scheduled for a home visit. The nurse notes that the primary health care provider (PHCP) has prescribed atropine sulfate and pilocarpine hydrochloride eye drops. The nurse should contact the PHCP before the home visit for which reason?

Clarify the prescription for the atropine sulfate.

A client has begun medication therapy with pancrelipase. Which finding indicates that the medication has been effective?

A decrease in the amount of fat in the stools

A client has been told by a primary health care provider to take psyllium daily. The nurse should tell the client to take the medication with which item?

A total of 2 glasses of liquid

A client has begun taking a stimulant laxative. In monitoring the client for medication side and adverse effects, the nurse is likely to note which finding?

Abdominal cramps

A client has been given lansoprazole for the chronic management of Zollinger-Ellison syndrome. The nurse instructs the client to take which product for pain while taking this medication?

Acetaminophen

The nurse is caring for a client in the emergency department who has been diagnosed with Bell's palsy. The client has been taking acetaminophen, and acetaminophen overdose is suspected. Which antidote should the nurse prepare for administration if prescribed?

Acetylcysteine

A client arrives at the clinic complaining of fatigue, lack of energy, constipation, and depression. Hypothyroidism is diagnosed, and levothyroxine is prescribed. What is an expected outcome of the medication?

Achieve normal thyroid hormone levels

A client has a prescription for magnesium citrate to prevent constipation after undergoing barium studies of the gastrointestinal tract. How should the nurse administer the magnesium citrate?

After it is chilled in the refrigerator

The nurse is assisting in the care of a client who is being evaluated for possible myasthenia gravis. The primary health care provider gives a test dose of edrophonium. Evaluation of the results indicates that the test is positive. Which would be the expected response noted by the nurse?

An increase in muscle strength within 1 to 3 minutes

The nurse is preparing a subcutaneous dose of bethanechol prescribed for a client with urinary retention. Before giving the dose, the nurse checks to see that which medication is available on the emergency cart for use if needed?

Atropine sulfate

The nurse who is caring for a client with myasthenia gravis has a prescription to perform an edrophonium test. After obtaining edrophonium the nurse should be certain that which also is available at the bedside?

Atropine sulfate

The nurse working in a long-term care facility notes that several clients are taking pilocarpine hydrochloride eye drops. The nurse ensures that which medication is available on the nursing unit for use if a client should develop systemic toxicity from pilocarpine hydrochloride?

Atropine sulfate

The nurse would question the primary health care provider if which medication were prescribed for a client with glaucoma?

Atropine sulfate

Which medication, if prescribed for the client with glaucoma, should the nurse question?

Atropine sulfate

The nurse has administered a dose of docusate. The nurse evaluates that the medication has been effective if the client experiences which finding?

Bowel movement with soft, formed stool

A client being admitted to the nursing unit has been taking bethanechol chloride at home. During the admission assessment, the nurse gives special attention to assessing the client for which side and adverse effect of this medication?

Bradycardia

Pilocarpine hydrochloride is prescribed for a client with glaucoma. The nurse checks the medication supply room to ensure that atropine sulfate is available for administration in the event that systemic toxicity occurs from the use of pilocarpine hydrochloride. The nurse also monitors for which sign of systemic toxicity?

Bradycardia

The nurse has administered a dose of meperidine hydrochloride to a client with renal colic as treatment for pain. The nurse carefully monitors this client for which side and adverse effect of this medication?

Bradycardia

The nurse, who is administering bethanechol chloride, is monitoring for cholinergic overdose associated with the medication. The nurse should check the client for which sign of overdose?

Bradycardia

Sucralfate is prescribed for a client. The nurse determines that the client understands the instructions for medication administration if the client states to take the medication at what time?

One hour before meals and again at bedtime

A client with a gastric ulcer has a prescription for sucralfate 1 gram by mouth 4 times daily. The nurse should schedule the medication for which times?

One hour before meals and at bedtime

A client is receiving oxybutynin. The nurse should suspect that this medication is prescribed to relieve which condition?

Overactive bladder

A client who has had a prostatectomy is complaining of pain from bladder spasms. The nurse checks the primary health care provider's prescription sheet and expects to see which medication prescribed to treat the problem?

Oxybutynin

A nurse is administering a prescribed dose of dexamethasone to a client following cranial surgery. Which would the nurse implement to assess for a common side effect of this medication?

Perform blood glucose monitoring.

The nurse is caring for a client who has been taking hydrocodone for the last 3 months. For which side and adverse effects of this medication should the nurse assess the client?

Psychological and physical dependence

A client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?

Reduction of steatorrhea

A client is taking docusate sodium. Which finding by the nurse indicates that treatment has been effective?

Regular bowel movements

A client with pulmonary edema has a prescription to receive morphine sulfate intravenously. The nurse should determine that the client is experiencing an intended effect of the medication as indicated by which assessment finding?

Relief of apprehension

A client scheduled to undergo subtotal thyroidectomy is taking a potassium iodide solution. The client complains to the nurse that she is experiencing a brassy taste in her mouth when taking the medication. Which instruction should the nurse provide to the client?

Report the symptom to the primary health care provider (PHCP).

A client with cancer is receiving a continuous intravenous infusion of morphine sulfate. The nurse monitoring the client for adverse effects would become most concerned about which vital sign?

Respirations of 10 breaths/minute

A hospitalized client asks the nurse for sodium bicarbonate to relieve heartburn after a meal. The nurse reviews the client's medical record, knowing that the medication is contraindicated in which condition?

Serum pH 7.52 (7.52), bicarbonate 30 mEq/L (30 mmol/L)

A client rings the call bell and asks for medication to relieve postoperative gas pains. The nurse selects which medication to be given as prescribed on the medication sheet?

Simethicone

A client who has been taking iodine solution is admitted to the emergency department, and an iodine overdose is suspected. Gastric lavage is initiated to remove the iodine from the stomach. In addition to treatment with gastric lavage, the nurse anticipates that which medication will be administered?

Sodium thiosulfate

Parenteral bethanechol chloride is prescribed for a client with urinary retention. The nurse should plan to administer this medication by which route?

Subcutaneously

A nurse provides instructions to a client taking fludrocortisone acetate. The nurse instructs the client to notify the primary health care provider (PHCP) if which manifestation occurs?

Swelling of the feet

The nurse is providing instructions to a client with a diagnosis of Addison's disease regarding the administration of prescribed glucocorticoids. The nurse should provide which instruction to the client?

That an increased dose of medication may be needed during times of stress

A client who is taking a stimulant laxative develops abdominal cramps. The nurse interprets that this clinical manifestation most likely indicates the presence of which problem?

This is a common side effect of this medication.

The nurse should tell the client who is taking levothyroxine to notify the primary health care provider (PHCP) if which problem occurs?

Tremors

Bethanechol chloride is prescribed for a client with urinary retention. Which disorder would be a contraindication to the administration of this medication?

Urinary strictures

A client has a new prescription for metoclopramide. On review of the chart, the nurse identifies that this medication can be safely administered with which condition?

Vomiting following cancer chemotherapy

A client has an as needed prescription for loperamide hydrochloride. For which condition should the nurse administer this medication?

With diarrhea

The nurse provides instructions to a client who is taking levothyroxine. The nurse should tell the client to take the medication in which way?

on an empty stomach