Patho/Pharm Exam 4

A charge nurse is teaching a newly licensed nurse about the purpose of a client being prescribed a transdermal fentanyl patch. Which of the following clients should the charge nurse include in the teaching as a client who requires this medication? A. A client who is opioid-tolerant B. A client who has difficulty swallowing C. A client who has severe intermittent pain D. A client who is postoperative following abdominal surgery

A

A nurse is caring for a client who has a new diagnosis for rheumatoid arthritis. The nurse should anticipate a prescription from the provider for which of the following medications of this condition? A. Celecoxib B. Prednisone C. Adalimumab D. Abatacept

A

A nurse is caring for a client with diabetic ketoacidosis who has a prescription for an intravenous infusion of insulin. The nurse should document that which of the following types of insulin was administered intravenously to treat ketoacidosis? A. Regular insulin B. Insulin lispro C. Insulin aspart D. Insulin glargine

A

A nurse is teaching a client who has type 1 diabetes mellitus about a new subcutaneous insulin infusion pump. Which of the following pieces of information should the nurse include in the teaching? A. Plan to use a type of short-duration insulin in the infusion pump B. Replace the infusion pump set every 4 days C. Turn off the infusion pump for at least 3 hours each day D. Move the infusion pump catheter 1.27 cm (0.5 in) away from the old site

A The client should plan to use short-duration insulin such as regular, lispro, aspart, or gluslisine insulin in the infusion pump to deliver a baseline infusion of insulin. The client should also administer bolus doses of insulin before each meal.

A nurse is preparing to administer a hydromorphone IV infusion to a client for pain. Which of the following actions should the nurse take? A. Administer the medication over 4 to 5 minutes B. Place the client in a high-Fowler's position C. Assess the client's pain level after administering the medication D. Review the client's last set of vitals

A To prevent adverse effects of the medication such as respiratory depression and cardiac failure

A nurse is administering a client's first dose of sucralfate. Which of the following explanations should the nurse provide about the action of sucralfate? A. "Sucralfate decreases gastric acid secretions." B. "Sucralfate forms a gel-like substance that protects ulcers." C. "Sucralfate inactivates Helicobacter pylori." D. "Sucralfate inhibits the production of gastric acid."

B

A nurse is caring for a client who has been in the PACU for more than 1 hr, has a respiratory rate of 9/min, and is difficult to arouse. The nurse should expect a prescription for which of the following medications? A. Pentazocine B. Naloxone C. Naltrexone D. Butorphanol

B

A nurse is caring for a client who is receiving IV famotidine. Which of the following adverse effects should the nurse report to the provider immediately? A. Nausea B. Bloody Stools C. Drowsiness D. Headache

B

A nurse is providing teaching to a client who has a new prescription for a fentanyl transdermal patch. Which of the following statements by the client indicates an understanding of the teaching? A. "The patch will not cause constipation like other pain medications do." B. "I will have to stop drinking grapefruit juice while using the patch." C. "I will place a heating pad over the patch to boost its effectiveness." D. "The patch will give me relief from my pain faster than the pills can."

B Grapefruit juice can increase the absorption of fentanyl and raise levels in the blood, puts client at risk for respiratory depression

A nurse is caring for a client who receives gastronomy tube feedings and insulin. The client is scheduled to receive a tube feeding at 0700. At which of the following times should the nurse plan to administer insulin lispro subcutaneously? A. 0600 B. 0630 C. 0645 D. 0730

C

A nurse is providing teaching to a client who has a prescription for famotidine to treat a gastric ulcer. Which of the following statements should the nurse include in the teaching? A. "This medication is more effective when taken on an empty stomach." B. "You should take this medication with an antacid for pain control." C. "This medication is less effective for people who smoke." D. "You should expect to experience dizziness when taking this medication."

C

A nurse is teaching a client who has type 2 diabetes mellitus about a prescription for insulin lispro. Which of the following statements should the nurse include in the teaching? A. "The effects of the insulin lispro can last for 8 to 12 hours." B. "Administer insulin lispro 30 to 60 minutes before eating." C. "Insulin lispro has an onset of about 15 minutes." D. "This insulin can be given as a continuous intravenous bolus."

C

A nurse is teaching a female client who has a new prescription for misoprostol to treat peptic ulcer disease. Which of the following statements should indicate to the nurse that the teaching was effective? A. "I should avoid taking NSAIDs while using this medication." B. "Misoprostol is used to treat stress-induced gastric ulcers." C. "I should avoid becoming pregnant while taking this medication." D. "Taking this medication is also used to treat dysmenorrhea."

C

A nurse is teaching self-administration of NPH insulin to a client who has type 2 diabetes mellitus. Which of the following instructions should the nurse include? A. Alternate injecting doses between the abdomen and thigh B. Shake the vial before withdrawing the dose C. Rotate injection sites within the same area D. Discard the vial if the insulin is cloudy

C

A nurse is preparing to administer 100 units of insulin glargine and 4 units of NPH insulin subcutaneously to a client. Which of the following actions should the nurse plan to take? A. Verify with the provider about giving insulin glargine at 1700 B. Ensure the insulin glargine is a cloudy suspension C. Request a prescription for giving insulin glargine twice daily D. Use separate syringes for administering insulin glargine and NPH insulin

D

A nurse is caring for a client who takes schedules morphine for cancer pain. The client reports experiencing breakthrough pain. The nurse should anticipate a prescription from the provider for which of the following medications to treat breakthrough pain? A. Meperidine B. Buprenorphine C. Methadone D. Fentanyl

D Fentanyl is an opioid agonist with a rapid onset of 2-4 hours. It should not interfere with client's long-term opioid medication but should relieve breakthrough pain