Pharm- 2
A nurse is reinforcing teaching with a client who has primary adrenal insufficiency (Addison's disease) and a prescription for hydrocortisone. Which of the following statements should the nurse include in the teaching about this medication? "You may need to take a lower dosage when you are ill or experiencing stress." "Take this medication before going to bed because it will make you tired." "Carry a supply of pills and a single-use injectable preparation with you at all times." "You will need to stop this medication before routine procedures such as a colonoscopy."
"Carry a supply of pills and a single-use injectable preparation with you at all times."
A nurse is reinforcing teaching with a client who has a new prescription for disulfiram to treat alcohol use disorder. Which of the following statements by the client indicates an understanding of the teaching? "If i have a strong urge to drink alcohol, I should skip my dose for that day." "Even when I'm not drinking alcohol, adverse effects can include seizures." "Medication therapy can begin as soon as I enter the detoxification program." "I should check the labels of my skin-care products, medications, and foods for alcohol."
"I should check the labels of my skin-care products, medications, and foods for alcohol."
A nurse is reinforcing teaching about the adverse effects of ergotamine with a client who has migraine headaches. Which of the following client statements should indicate an understanding of the teaching? "If I overuse this medication, I might become addicted to it." "This medication is okay to use during pregnancy." "Tingling in my fingers and toes is an adverse effect that goes away with continued use." "I will experience restlessness as an adverse effect when I begin taking this medication"
"If I overuse this medication, I might become addicted to it."
A nurse is reinforcing teaching with a client who has severe chronic gout and a new prescription for pegloticase. The client has been taking allopurinol for 1 month. Which of the following instructions should the nurse include about pegloticase? "You will take this medication along with allopurinol." "You will take this medication by mouth." "There are very few adverse effects of this medication." "If you experience a flare-up, you can take an SAID while receiving this medication."
"If you experience a flare-up, you can take an NSAID while receiving this medication."
A nurse is reinforcing teaching with a client who has chronic constipation and a new prescription for psyllium. Which of the following instructions should the nurse provide? "This medication is for short-term use only." "You should eat a low-residual diet while taking this medication." "Mix this medication with water and follow with an additional glass of liquid." "The medication's adverse effects of stomach cramps and nausea will go away in time."
"Mix this medication with water and follow with an additional glass of liquid."
A nurse is reinforcing teaching with a client who has persistent cancer pain about the adverse effects of opioids. Which of the following statements should the nurse include in the teaching? "Opioids do not relieve pain without causing severe adverse effects." "Physical dependence is not the same as addiction." "Tolerance typically means that the medication will no longer be effective." "The most common adverse effect is respiratory depression with prolonged use."
"Physical dependence is not the same as addiction."
A nurse is assisting with preparing discharge teaching for a client who has a bacterial infection about adverse effects of imipenem to report to the provider. Which of the following pieces of information should the nurse include? "Seizures can occur with this medication." "You should observe for manifestations of bleeding." "Check your hands and feet for sensory dysfunction." "This medication can increase the risk of ototoxicity."
"Seizures can occur with this medication."
A nurse is reinforcing teaching with a client who has been taking an NSAID to treat rheumatoid arthritis. During the client's first month checkup, the provider prescribed methotrexate to be added to the medication regimen. Which of the following statements should the nurse include in the teaching about the purpose of this change in the client's medication? "Your current medication was not strong enough to manage this condition." "Once your blood levels of methotrexate are within the therapeutic range, the NSAID will be discontinued." "This medication was added to delay the disease progression." "Treating this disease with 2 medications will help protect you from becoming treatment-resistant."
"This medication was added to delay the disease progression."
A nurse is caring for a client who is taking diphenhydramine for allergies. The client reports, "I feel sleepy during the day." Which of the following responses should the nurse make? "You will find that all antihistamines cause sedation." "You should avoid taking the antihistamine with food.! "The effects of sedation will occur with each dose." "You should try antihistamines with non-sedative effects."
"You should try antihistamines with non-sedative effects."
A nurse is assisting with preparing to administer a hydromorphone IV infusion to a client for pain. Which of the following actions should the nurse take? Administer the medication over 4 to 5 minutes Place the client in a high-Fowler's position Assess the client's pain level after administering the medication Review the client's last set of vital signs
Administer the medication over 4 to 5 minutes The nurse should administer the IV injection of this opioid medication over 4 to 5 minutes to prevent the adverse effects of the medication such as respiratory depression and cardiac arrest.
A nurse is caring for a client who is taking an agonist medication. The nurse should expect which of the following actions from this type of medication? Acts with a partial agonist molecule to block receptors fully Temporarily occupies receptors instead of other competitive molecules Blocks receptors and prevents them from activating with a regulatory molecule Binds to receptors and mimics regulatory molecules
Binds to receptors and mimics regulatory molecules
A nurse is reinforcing discharge teaching with a client who has major depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse include in the plan as safe for the client to consume while taking phenelzine? Broiled beef steak Macaroni and cheese Pepperoni pizza Smoked salmon
Broiled beef steak
A nurse is reinforcing discharge teaching with a client who has venous thrombosis and a prescription for warfarin. Which of the following instructions should the nurse include in the teaching? Take ibuprofen as needed for headaches or other minor pains Carry a medical alert ID card Report to the laboratory weekly to have blood drawn for aPTT Increase intake of dark green vegetables
Carry a medical alert ID card
A nurse is checking a client who is receiving an IV infusion of telavancin for Streptococcus pyogenes. Which of the following actions should the nurse perform? Check to see if the client's urine is blue in color Check the client for pruritus Check for hypertension Check for numbness in the limbs
Check the client for pruritus
A nurse is assisting with a client's laceration repair in which the provider will use both lidocaine and epinephrine. The nurse should inform the client that the epinephrine will perform which of the following actions? Act as a catalyst for the anesthetic properties of lidocaine Delay systemic absorption of the anesthetic properties of lidocaine Open the blood vessels for rapid anesthesia from the lidocaine Prevent medication toxicity during the procedure
Delay systemic absorption of the anesthetic properties of lidocaine
A nurse is caring for a client who has asthma and advanced rheumatoid arthritis and deformity of the hands. The nurse should anticipate that the client will receive which of the following medication-delivery devices for the treatment of asthma? Dry-powder inhaler (DPI) Metered-dose inhaler (MDI) with spacer Respimat Nebulizer
Dry-powder inhaler (DPI)
A nurse is caring for a client who has chronic renal failure and has developed anemia. Which of the following medications should the nurse expect the provider to prescribe? Calcium acetate Vitamin D Erythropoietin Diphenhydramine
Erythropoietin
A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). Which of the following prescriptions should the nurse expect? Fluoxymesterone Methyltestosterone Finasteride Sildenafil
Finasteride
A nurse is collecting data preoperatively from a client who is about to undergo an aneurysm clipping. The nurse should identify a risk for increased bleeding when the client reports taking which of the following dietary supplements? SOy Garlic Black cohosh Green tea
Garlic
A nurse is reviewing the laboratory results of a client who is taking a medication and notes that the client's blood tests show an elevated level of the enzymes aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The nurse should recognize that these findings are potential indications of which of the following conditions? Renal dysfunction Myelotoxicity Hepatic toxicity Cardiac dysrhythmia
Hepatic toxicity
A nurse is preparing to administer dantrolene to a client who has muscle spasticity. Which of the following findings from the client's medical history should the nurse identify as a contraindication to the administration of this medication? History of cirrhosis History of multiple sclerosis History of cerebral palsy History of malignant hyperthermia
History of cirrhosis
A nurse is caring for a client who has heart failure and is prescribed dobutamine hydrochloride by continuous IV infusion. The nurse should identify that which of the following is the therapeutic effect of this medication? Improves oxygen saturation rate Decreases elevated blood pressure Reduces heart rate Improves cardiac output
Improves cardiac output
A nurse is assisting with the care of a client who is postoperative. The client reports a pain level of 8 on a scale of 0 to 10 and has a prescription for meperidine. Which of the following routes of administration will deliver the medication with the shortest time of onset? Oral Intravenous Intramuscular Subcutaneous
Intravenous
A nurse is administering a medication to a client. The nurse should identify that which of the following medication distribution factors facilitates the effective passage of the medication across the client's cell membranes? Protein-binding ability Lipid solubility Hepatic metabolism Slow dissolution
Lipid solubility
A nurse is reviewing the medication administration record of a client who is receiving an opioid medication for pain. Which of the following prescriptions should the nurse identify as a contraindication to administering an opioid medication? Metoprolol Ondansetron Lorazepam Naloxone
Lorazepam
A nurse is reinforcing medication teaching to a client who has a new diagnosis of rheumatoid arthritis. Which of the following medications in the therapy regimen will take weeks to months to be effective Ibuprofen Methotrexate Prednisone Celecoxib
Methotrexate
A nurse is reviewing the medical record of a client who has been taking a vitamin D supplement. Which of the following findings from the client's record should the nurse identify as a risk factor for developing vitamin D deficiency? Middle-age Obesity Dark-colored eyes Light-pigmented skin
Obesity
A nurse is reinforcing teaching a client who has ADHD and is starting therapy with amphetamine/dextroamphetamine mixture. Which of the following manifestations should the nurse instruct the client to identify as an adverse effect and report to the provider? Restlessness Insomnia Palpitations Weight loss
Palpitations
A nurse is caring for a client who has cancer involving the lumbar vertebrae and has been prescribed gabapentin. Which of the following therapeutic effects should the nurse identify for the client when taking this medication? Reduced cancer-related bone pain Decreased anxiety and insomnia Decreased inflammatory response to cancer tumors Reduced cramping, aching, and burning neuropathic pain
Reduced cramping, aching, and burning neuropathic pain
A nurse is caring for a client who has rheumatoid arthritis and a new prescription for etanercept. Which of the following values should the nurse review prior to the administration of the medication? Ability to swallow Results of last purified protein derivative (PPD) test Serum creatinine level Blood glucose level
Results of last purified protein derivative (PPD) test
A nurse is caring for a female adult client who is experiencing menopause and has a prescription for estrogen along with progestin. The nurse should identify that the provider has prescribed these medications for which of the following reasons? Long-term use to reduce the risk of breast cancer Short-term use to stimulate the endometrium Long-term use to prevent osteoporosis Short-term use to control urogenital atrophy
Short-term use to control urogenital atrophy
A nurse is caring for an adolescent who has cystic fibrosis (CF) and has a prescription for high-dose ibuprofen daily. The nurse should identify that which of the following is an expected outcome for the client receiving this medication? Thinned pulmonary secretions that are retained in the airways Slowed progression of pulmonary damage Potentiated action of bronchodilator therapy Decreased risk of fevers associated with CF
Slowed progression of pulmonary damage
A nurse is preparing to administer levothyroxine to a client who has hypothyroidism. The nurse should identify which of the following laboratory results as supporting the administration of this medication? Thyroid-stimulating hormone (TSH) 8 microunits/mL Free triiodothyronine (T3) 300 pg/dL Free thyroxine (T4) 7 mcg/dL Thyroxine-binding globulin 2.3 mg/dL
Thyroid-stimulating hormone (TSH) 8 microunits/mL The expected reference range for TSH is 0.3 to 5 microunits/mL.
A nurse in an outpatient facility is collecting data from a client who has a prescription for furosemide 40 mg daily. The client reports that she has been taking extra doses to promote weight loss. Which of the following findings indicates that the client is dehydrated? Urine specific gravity 1.035 Distended neck veins BUN 18 mg/dL Bounding radial pulses
Urine specific gravity 1.035
A nurse is caring for a client who has developed MRS in a surgical incision. Which of the following medications should the nurse expect the provider to prescribe? Ceftriaxone Vancomycin Ketoconazole Ciprofloxacin
Vancomycin
A nurse is collecting data from a client who has heart failure and is receiving digoxin. Which of the following findings should indicate to the nurse the client is experiencing digoxin toxicity? Suppression of dysrhythmias Increase in atrioventricular (AV) conduction Visual disturbances Weight gain
Visual disturbances The nurse should recognize that nausea, vomiting, abdominal discomfort, fatigue, and visual disturbances are common manifestations that can indicate that the client is experiencing digoxin toxicity.
A nurse is caring for a client who has rheumatoid arthritis and a new prescription for prednisone PO daily. During which of the following times should the nurse expect to administer the medication? With the morning meal Immediately before bedtime With the evening meal In the middle of the day
With the morning meal The nurse should expect to administer prednisone in the morning to coincide with the body's normal secretion of cortisol.
