Pharm 3

A physician prescribes 100 mg of molindone HCI (Moban) and two doses to a patient with schizophrenia. Moban is available as syrup and 120 mL bottles with a concentration of 20 mg/mL. How many milliliters should the nurse administer to the patient in a single dose?

2.5 mL

A physician prescribes 25 mg of chlordiazepoxide (Librium) orally four times a day for a patient. The drug is available in tablets of 10 mg. How many tablets will the nurse administered to the patient daily?

10

A patient is prescribed 500 mg of valproic acid (Depakote) To be taken in equal doses two times a day orally. On hand are 125 mg tablets. How many tablets should the nurse administer to the patient each time?

2

The nurse is caring for a client after a recent Trumatic brain injury and development of tonic clonic seizures. The client is receiving treatment of seizures with anti-epileptic drugs (AEDs). The nurse should perform which assessment for safe administration of AED's? Select all that apply A. Obtain a family history of relatives with headaches, if applicable B. Hepatic and metabolic profiles at baseline and subsequent levels C. Assessment of disturbing dreams about the accident that interrupt sleep D. Description of seizure activity from family member who witnessed it E. Assessment of clients description of the aura that occurs before a seizure

B. Hepatic and metabolic profiles at baseline and subsequent levels D. Description of seizure activity from family member who witnessed it

The nurse is teaching a client with asthma how to administer the necessary medication's in a time of crisis. The nurse determines the session is successful when the client correctly chooses which medications are to be used as a rescue inhaler? Select all that apply. A. Salmeterol B. Levalbuterol C. Tiotropium D. Albuterol

B. Levalbuterol D. Albuterol

After teaching a group of nursing students issues and problems commonly associated with antiparkinson drug therapy, the instructor determines that the teaching was successful when the students correctly choose which nursing diagnoses as common? Select all that apply. A. Imbalanced Nutrition: More than Body Requirements B. Risk for Injury C. Risk for Infection D. Impaired Physical Mobility

B. Risk for Injury D. Impaired Physical Mobility

The caregiver of a client with AD who is receiving cholinesterase inhibitor therapy reports several falls with more apparent clumsiness; up at night multiple times; a fair appetite and compliance with medication regimen. When developing the care plan, which nursing diagnosis should the nurse prioritize? A. Imbalanced Nutrition: Less than the body requires B. Risk for injury C. Ineffective Health Management D. Deficient Knowledge: drug therapy

B. Risk for injury

The nurse is preparing a teaching session for a client who is prescribed alendronate. Which instructions will the nurse include in the session? Select all that apply A. Take the medicine in the evening B. Take the medication was 6 to 8 ounces of water C. Remain upright for at least 30 minutes after administration D. Take a calcium supplement at the same time with the medication

B. Take the medication was 6 to 8 ounces of water C. Remain upright for at least 30 minutes after administration

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? A. Take the drug was 6 to 8 ounces of water B. Stay upright for 30 minutes after taking the drug C. Avoid alcohol or other CNS depressants D. Take the drug with food

C. Avoid alcohol or other CNS depressants

After teaching a group of nursing students about cholinesterase inhibitors, the instructor determines that additional teaching is needed when the students correctly choose which drug as an example? A. Rivastigmine B. Donepezil C. Benztropine D. Galantamine

C. Benztropine

The nurse is caring for a client in the emergency department who is experiencing status epilepticus. The clients electronica medical record reveals a recent diagnosis of tonic clonic seizures and prescription for phenytoin. Which is the priority action? A. Obtain phenytoin level B. Assess the length of seizure C. Provide lorazepam IVP D. Provide phenytoin IV

C. Provide lorazepam IVP

The nurse has completed a teaching with a client prescribed phenytoin daily for seizure activity. The nurse determines the session is successful after the client correctly chooses which potential adverse reaction that can occur if the client misses a dose of medication? A. Hypotension B. Nystagmus C. Recurrence of seizures D. CND depression

C. Recurrence of seizures

A nurse is developing a plan of care for a client receiving anti-convulsant therapy and determines a nursing diagnosis of risk for injury is most appropriate. Which assessment findings would support this nursing diagnosis? Select all that apply A. Epistaxis B. Scaling red rash C. Reports dizziness D. Photosensitivity E. Reports of blurred vision

C. Reports dizziness D. Photosensitivity E. Reports of blurred vision

An older adult client experiencing seizures is prescribed diazepam. Which assessment should the nurse prioritize? A. Speech quality B. Swallowing ability C. Respiratory rate and depth D. Blood glucose levels

C. Respiratory rate and depth

A caregiver of a client diagnosed with AD asks the nurse about galantamine. Which response by the nurse would be most appropriate? A. "Once the symptoms improve, the drug will most likely be stopped" B. This drug is primarily given to control the delirium the client is experiencing" C. These drugs help to slow the progression of the disease" D. "The drug will help to cure the memory problems the client is experiencing"

C. These drugs help to slow the progression of the disease"

A nurse is conducting an ongoing assessment and notes the client is experiencing difficulty bringing up mucus. Which nursing diagnosis should the nurse prioritize for this client? A. Impaired oral mucous membranes B. Risk for injury C. Acute pain D. Ineffective airway clearance

D. Ineffective airway clearance

A client has developed a hepatic injury related to the administration of tolcapone. Which activity does the nurse anticipate will be added to the plan of care for this client? A. Perform serum transaminase level testing every day B. Monitor the client for signs of tactile hallucinations C. Monitor the client for signs of dystonic movement D. Perform regular blood test on this client

D. Perform regular blood test on this client

The nurse is preparing a teaching session for a client prescribed dextromethorphan orally. Which instruction should the nurse prioritize? A. Take the drug on an empty stomach B. Take the drug with a glass of milk C. Dissolve the tablet in water and take the drug D. Swallow the whole tablet and do not chew it

D. Swallow the whole tablet and do not chew it

A nurse is reviewing the medication record of several clients with Parkinson's disease. The nurse identifies which drug is included in the clients record as being classified as a catechol-O-methyltransferase (COMT) inhibitor drug? Select all that apply. A. Diphenhydramine B. Amantadine C. Bromocriptine D. Talcapone E. Entacapone

D. Talcapone E. Entacapone

The nurse determines the appropriate nursing diagnosis for a client is ineffective airway clearance. Which instructions will the nurse prioritize for this client? Select all that apply. A. Encouraging the client to change positions B. Instructing the client to avoid coughing C. Discouraging client movement D. Assisting the client and taking deep, diaphragmatic breath's E. Encouraging increase fluid intake

A. Encouraging the client to change positions D. Assisting the client and taking deep, diaphragmatic breath's E. Encouraging increase fluid intake

The nurse educate a client diagnosed with Parkinson's disease and family about managing the chronic condition and important aspects about the prescribed medication. Which client statement indicates the need for further clarification? A. I will have my family journal about any facial grimacing, protruding tongue, exaggerated chewing, head movements and Report it at the next visit to my healthcare provider B. I will take my meds with meals to decrease gastrointestinal symptoms C. I will work on my balance by enrolling into tai chi and practice then there's men's each day, and I will wear shoes with rubber soles when walking to decrease slipping D. I will suck on sugar-free candies, ice chips to keep my mouth moist

A. I will have my family journal about any facial grimacing, protruding tongue, exaggerated chewing, head movements and Report it at the next visit to my healthcare provider

The nurse is preparing to teach a client and caregiver about the prescribed cholinesterase inhibitor's. Which action should the nurse prioritize in the teaching to encourage the clients safety? Select all that apply A. Keep the bed in low position B. Observe frequent drug holidays C. Use night lights D. Decrease drug dose if mobility worsens E. Encourage the use of assistive devices

A. Keep the bed in low position C. Use night lights E. Encourage the use of assistive devices

The nurse examines reviews the medical administration record and notes the medication lamotrigine needs to be administered. The client has developed a red scaly rash with fluid filled blisters and purpuric areas all over The clients body. Which action should the nurse take? Select all that apply. A. Notify the primary care provider immediately B. Assess vital signs C. Document the skin assessment D. Administer the dose of lamotrigine

A. Notify the primary care provider immediately B. Assess vital signs C. Document the skin assessment

The nurse is preparing to administer an anti-tussive to a client. Which assessment will the nurse prioritize in the pre-administration assessment? Select all that apply A. Sputum presents B. Bowel sounds C. Temperature D. Heart sounds E. Type of cough

A. Sputum presents C. Temperature E. Type of cough

A nurse is conducting an assessment on a client who is admitted with Parkinson Disease. Which potential findings will the nurse anticipate noting on the physical assessment? Select all that apply A. Temors B. Step-Like Gait C. Erect Posture D. Slurred Speech E. Rapid, jerky movements

A. Temors D. Slurred Speech

A client with recently diagnosed exercise induced bronchospasm's is to be prescribed an inhalant. The nurse anticipates the client will be prescribed which medication? Select all that apply. A. Terbutaline B. Levalbuterol C. Mometasone D. Theophylline E. Beclomethasone

A. Terbutaline B. Levalbuterol

A doctor orders Exelon 20 mg two times a day by mouth. If Exelon is available in a 4 mg/mL solution, how many milliliters should the nurse prepare for one day of treatment?

10

The doctor orders Cognex 40 mg daily in for divided doses. If Cognex is available in a 20 mg tablet, how many tablets should the nurse administer to the patient at each dose?

0.5, 1/2

The doctor orders rivastigmine (Exelon) Oral solution 3 mg two times a day. Exelon is available in a 2 mg/mL oral solution. How many milliliters will the nurse administer at each dose?

1.5

The doctor orders tacrine (Cognex) for a patient with dementia. The maximum daily dose of Cognex is 160 mg Cognex is available and 40 mg tablets. How many tablets can a patient receive daily?

4

25 mg of phenytoin (Dilantin) four times a day is prescribed for a patient. The drug is available in 25 mg tablets. To give the drug equally, how much time should pass between consecutive administrations?

6 hours

The MD orders 3 mg of albuterol by mouth four times a day. How many milliliters should the nurse administer at each dose if albuterol is available in a 2 mg/5 mL syrup?

7.5 or 7

The nurse teaches a client receiving an inhaled corticosteroid about the possibility of developing oral thrush. Which actions would the nurse include in the teaching plan as a way to reduce this risk? Select all that apply A. Performing strict oral hygiene B. Cleaning the inhaler per package instructions C. Administering a dose only every other day D. Need to avoid eating after administration E. Using proper technique when administering dose

A. Performing strict oral hygiene B. Cleaning the inhaler per package instructions E. Using proper technique when administering dose

The nurse is preparing to administer a drug to a client reporting nasal congestion. Which drug does the nurse anticipate administering? A. Phenylephrine B. Dextromethorphan C. Loratadine D. Guaifensin

A. Phenylephrine

The nurse is preparing a teaching session for a client with rhinitis about the prescribed decongestant. Which potential adverse reaction should the nurse point out? A. Blurred vision B. Dryness of throat C. Decreased pulse rate D. Drowsiness

A. Blurred vision

A group of students are differentiating the various classifications of drugs used to treat Parkinson's disease. The instructor determines the session is successful when the students correctly choose which drugs as belonging to the dopaminergic classification? Select all that apply. A. Carbidopa B. Benztropine C. Bromocriptine D. Amantadine E. Trihexyphenidyl

A. Carbidopa C. Bromocriptine D. Amantadine

A client suffers from motion sickness. Which drug would the nurse anticipate the primary healthcare provider to prescribe? Select all that apply A. Diphenhydramine B. Azelastine C. Pseudoephedrine D. Promethazine E. Levocetirizine

A. Diphenhydramine D. Promethazine

A client with allergic rhinitis is prescribed an anti-histamine. The nurse instruct the client to suck on sugarless candy to address which potential adverse reaction? A. Dryness of the oral mucosa and the throat B. Thickening of the bronchial secretions C. Altered sensation of taste D. Drowsiness and sedation

A. Dryness of the oral mucosa and the throat

The nurse is examining a clients mouth to assess for potential adverse effects related to the long-term use of which medication? A. Phenytoin B. Felbamate C. Valproic acid D. Carbamazepine

A. Phenytoin

A nurse is teaching a caregiver of a client diagnosed with AD about the medications. What are necessary to include in the teaching about rivastigmine? Select all that apply. A. Place the medication on an area where the client will not pick at or remove. B. Document the placement of the medication C. Rotate sites to a dry area daily D. Use alcohol to clean the site E. Take the medication with a full 8 oz of fluid

A. Place the medication on an area where the client will not pick at or remove. B. Document the placement of the medication C. Rotate sites to a dry area daily

Assessment of a client receiving anti-convulsant therapy reveals: sore throat, chills, fever, gingival bleeding, and bruising. Which nursing diagnosis was the nurse most likely prioritize? A. Risk for infection B. Risk for injury C. Impaired oral mucous membranes D. Risk for impaired skin integrity

A. Risk for infection

A client with a musculoskeletal disorder is unable to ambulate due to significant pain and immobility issues. Which care should the nurse prioritize for this client? A. Encouraging The client to exercise with assistance B. Changing the clients position every two hours C. Changing the bed linens every two hours D. Encouraging the client to walk with assistance

B. Changing the clients position every two hours

The nursing instructor is teaching a session explaining mast cell stabilizer's. The instructor determines the session is successful when the students correctly choose which drug as an example? A. Beclomethasone B. Cromolyn C. Montelukast D. Albuterol

B. Cromolyn

The nursing instructor is leading a class discussion about drug therapy for rheumatoid arthritis. The instructor determines the session is successful when the students correctly choose which drug as example of a DMARDS? Select all that apply A. Zoledronic acid B. Etanercept C. Ibandronate D. Adalimumab E. Carisoprodol

B. Etanercept D. Adalimumab

After teaching the caregiver of a client prescribed transdermal rivastigmine, the nurse determines that the teaching was successful when the caregiver articulates which comment? A. "I can use the same spot once or twice a week" B. "Ill make sure to put the patch where he can see it" C. "The patch should be placed on a hairless area" D. "Ill apply a new patch every other day"

C. "The patch should be placed on a hairless area"

The client is reporting GI disturbances after receiving the first dose of carbidopa/levodopa for Parkinson disease. Which action should the nurse prioritize for this client? A. Administer the next drug dose with milk B. Withhold the next drug dose C. Administer the next drug dose with meals D. Observe for alterations in blood pressure

C. Administer the next drug dose with meals

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? A. Stevens Johnson syndrome B. Exfoliative dermatitis C. Stomatitis D. Bone marrow depression

D. Bone marrow depression

The nurse is assessing a client for the effectiveness of the antiparkinson drug. If the nurse determines the client has improvement in these movements, which factor will the nurse point out has improved? A. Achalasia B. Choreiform movements C. Akathisia D. Bradykinesia

D. Bradykinesia

The nurse provides client teaching for a client diagnosed with rheumatoid arthritis about the prescribed methotrexate. Which client statement determines the need for further teaching? A. I will wash my hands thoroughly with soap and water to decrease risk for infection B. I will take methotrexate the same time every Monday and set a reminder in my calendar C. It may take several weeks to see improvement of my rheumatoid arthritis symptoms D. I will have labs to monitor for possible bad effects of methotrexate drawn every six months

D. I will have labs to monitor for possible bad effects of methotrexate drawn every six months

A nurse is administering lorazepam to a client with status epilepticus. The nurse will be prepared to administer which additional drug to treat the status epilepticus? A. Zonisamide B. Ethotoin C. Ethosuximide D. Phenytoin

D. Phenytoin