Pharm 4 Exam #2

A nurse is caring for a client who is taking warfarin. Which of the following laboratory values should the nurse recognize as an effective response to the medication?

INR 3.0

A nurse is caring for a client who has chronic phantom limb pain following an above-knee amputation. Which of the following medication prescriptions should the nurse verify with the provider?

Meperidine

A nurse is conduction a risk assessment for clients who are prescribed medications that can cause orthostatic hypotension. Which of the following medications requires a follow-up by the nurse?

Phenelzine

A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and a prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching?

Promotes RBC production

A nurse is providing teaching to a client who has a new prescription for amitriptyline. The nurse should teach the client which of the following over-the-counter medications can cause cardiac dysrhythmias when taken concurrently with amitriptyline.

Pseudoephedrine

A nurse is teaching a client with type 2 diabetes mellitus about self-administration of a new prescription for acarbose. Which of the following pieces of information should the nurse include in the teaching?

Tell the client to take the medication with food.

A nurse is preparing to administer an IM injection for a client. Which of the following factors should the nurse identify as a potential contraindication to administering the medication via the IM route?

The client is taking an anticoagulant

A nurse is assessing a client who is taking buspirone to treat generalized anxiety disorder. Which of the following findings should the nurse identify as an adverse effect of this medication?

Xerostomia (dry mouth)

A nurse is teaching an assistive personnel (AP) about dietary restrictions for a client who is taking phenelzine to treat depression. The AP's selection of which of the following foods for the client's lunch indicates an understanding of the teaching?

chicken salad

A nurse is preparing to administer heparin 500 units/hr to a client who has a deep-vein thrombosis. Heparin is available at 25,000 units in 500 mL of 5% dextrose in water/ The nurse should set the IV pump to deliver how many mL/hr?

10

A nurse is planning care for a client who is having a percutaneous transluminal coronary angioplasty (PTCA) with stent placement. Which of the following actions should the nurse anticipate in the post-procedure plan of care?

Monitor for bleeding

A nurse is caring for a client who has bipolar disorder and a new prescription for valproic acid. Which of the following actions should the nurse take?

Monitor the client's liver function

A nurse is providing teaching to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following adverse effects of metformin should the nurse instruct the client to watch for and report to the provider?

Myalgia (muscle aches and pains)

A nurse is providing education about continuous heparin therapy for a client who is 18 hours postpartum and has developed a deep vein thrombosis (DVT). Which of the following statements should the nurse include in the teaching?

" Use a soft toothbrush to brush your teeth gently."

A nurse updating the plan of care who has major depression and a new prescription for amitriptyline. The nurse should plan to monitor the client for which of the following adverse effects?

Drowsiness

A nurse is planning care for a client with thrombophlebitis who has a prescription to receive heparin via continuous IV infusion. Which of the following actions should the nurse include in the plan of care.

Infuse the heparin using an electronic IV pump

A nurse is caring for a client who has recently been prescribed lithium carbonate. Which of the following assessment findings is the priority for this client?

Poor motor coordination

A nurse is caring for a group of clients. which of the following tasks should the nurse assign to assistive personnel (AP)?

Provide oral care to a client who cannot take oral fluids

A nurse is caring for a client who has a new diagnosis of pernicious anemia. The nurse should expect the client's provider to prescribe which of the following medications for this client?

Vitamin B12

A nurse is providing teaching to a client who has social anxiety disorder and a new prescription for paroxetine. Which of the following statements should the nurse include in the teaching?

" The medication takes a few weeks to build up in your system."

A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which of the following statements should the nurse include in the teaching?

"Buspirone causes nausea in some people."

A nurse is teaching a client who has a new prescription for amitriptyline to treat depression. Which of the following client statements indicates an understanding of the teaching?

"I should take this medication before bedtime."

A nurse is teaching a client who has a new prescription for warfarin. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

"I'll avoid contact sports like football."

A nurse is preparing to administer warfarin to a client who has a new onset of atrial fibrillation. The client asks the nurse, "What should this medication do?" Which of the following responses should the nurse make?

"It can reduce your risk of having a stroke."

A nurse is providing teaching about benzodiazepines to a client who is discontinuing long-term alprazolam use. Which of the following pieces of information should the nurse include in the teaching?

"Plan to taper off the dose slowly over several months."

An emergency department nurse takes a telephone call from a client who states, " I have just taken 100 amitriptyline tablets to kill myself." The client is crying and says, " I want to die. I have no reason to live." Which of the following responses should the nurse make?

"Please stay on the phone with me so we can talk about your feelings. "

A nurse is providing teaching to a client who has a new prescription for alprazolam. Which of the following items is a priority for teaching?

"This medication can affect your ability to drive or handle mechanical equipment."

A nurse is preparing to administer heparin 12,000 units subcutaneously to a client every 8 hr. Heparin 20,000 units/1 mL is available. How many ml should the nurse administer per dose?

0.6

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?

0645

A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor? ( select all that apply)

1) PTT 2) Aspartate aminotransferase (AST) 3) Alanine aminotransferase (ALT)

A nurse is reviewing the laboratory report of a client who has been taking lithium carbonate for several months. Which of the following should the nurse recognize as a therapeutic lithium level?

1.2 mEq/L

A home health nurse is prioritizing visits for four clients. Which of the following clients should the nurse plan to visit first?

A client who has type 2 diabetes mellitus and reports a new fissure between her toes.

A charge nurse is observing a newly licensed nurse administer an IV medication to a client who has an implanted venous access port. Which of the following observations requires intervention by the charge nurse?

A solution of 5 mL heparin 1,000 units/mL has been prepared.

A nurse is planning to administer a dose of lithium carbonate to a client who has bipolar disorder. The laboratory report indicates the client's current lithium level is 1.0 mEq/L. Which of the following actions should the nurse take?

Administer the medication

A nurse is providing discharge teaching to a client who has venous thrombosis and a prescription for warfarin. Which of the following instructions should the nurse include in the teaching?

Carry a medical alert ID card

A nurse is caring for a client who reports calf pain. What is the first action the nurse should take?

Check the affected extremity for warmth and redness.

A nurse has been caring for a client that's been taking metformin for 6 months. Which of the following findings should the nurse identify as an expected therapeutic effect of the medication?

Decreased blood glucose level.

A nurse is caring for a client who is 12 hours postoperative following a total hip arthroplasty. which of the following medications should the nurse anticipate administering to this client to prevent deep vein thrombosis (DVT)?

Enoxaparin