Pharm ATI - Success Plan

A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg three times daily PO and gabapentin 1,800 mg three times daily PO to manage pain. The client tells the nurse, "I'm having pain that keeps me from doing what I'd like most of the time." Which of the following additions should the nurse anticipate to the client's medication regimen?

Oral Oxycodone

Nurse is planning to teach about use of spacer to child who has new prescription for fluticasone inhaler to Tx chronic asthma. Nurse should include that spacer decreases risk for which of following adverse effects of med?

Oral candidiasis

Nurse is providing teaching to pt who has new prescription for ferrous sulfate. Nurse should instruct pt to take med w/ which of following to promote absorption?

Orange juice The absorption of ferrous sulfate is enhanced by a vitamin C source, such as orange juice.

a nurse is teaching client about raloxifene therapy to prevent osteoporosis. the nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug?

calf pain

A health care professional is caring for a patient who is about to begin taking echothiophate (Phospholine Iodid) to treat glaucoma. The health care professional should monitor the patient for the development of which of the following adverse effects?

cataracts Reasoning: echothiophate , a cholinesterase inhibitor, can cause cataracts or opacity of the lens of the eye. Patients should report any changes in vision, such as cloudiness or halos around lights

a nurse is caring for a client who has a new prescription for celecoxib. The nurse should tell the client to report which of the following adverse drug reactions? tinnitus chest pain constipation diaphoresis

chest pain

A nurse is caring for a client who is at 28 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer?

Nifedipine

A nurse should identify that clopidogrel is contraindicated for clients who have which of the following conditions?

Peptic ulcer disease. Clients who have peptic ulcer disease should not take clopidogrel, because it can cause gastric bleeding. - Myocardial infarction Clients who have had a myocardial infarction can take clopidogrel; in fact, the drug prevents clot formation in clients who have recently had a myocardial infarction or a cerebrovascular accident. - Clients who have pancreatitis can take clopidogrel. However, the drug is contraindicated for clients who have hemophilia or other bleeding disorders. - Clients who have myasthenia gravis can take clopidogrel. The drug is contraindicated for clients who have thrombocytopenia or intracranial bleeding.

A nurse is caring for a client who has a prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects?

Bleeding

A nurse is caring for a client who is taking warfarin and has new prescription for trimethoprim/sulfamethoxazole to treat for a urinary tract infection. The nurse should clarify the prescription with the provider because taking these two drugs concurrently can increase the client's risk for which of the following?

Bleeding

Nurse is caring for pt who is recovering from DVT and is to start taking warfarin. For which of following findings should nurse monitor as an adverse effect of warfarin?

Bleeding gums The nurse should monitor the client for bleeding gums, which is an adverse effect of warfarin, an anticoagulant. The nurse should monitor for gastrointestinal irritation, which can include diarrhea, nausea, and vomiting. The nurse should monitor the INR daily until it increases to a therapeutic level. The nurse should monitor for hypotension, which can indicate bleeding.

Nurse is caring for pt who is receiving heparin therapy via continuous IV to Tx PE. Which of following findings should nurse identify as adverse effect of med and report to Dr?

Blood in the urine

A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following data should the nurse plan to review prior to administration of this medication?

Blood pressure

a nurse is preparing to administer alendronate to a client who has osteoporosis. the nurse should recognize which of the following as an adverse effect of alendronate?

joint pain

a nurse is caring for a client who is taking metformin to treat type 2 diabetes mellitus and reports muscle pain. which of the following adverse reactions should a nurse suspect?

lactic acidosis

a nurse is teaching a client about self-administering regular insulin. The nurse should instruct the client to rotate injections sites to prevent which of the following?

lipohypertrophy

which of the following is a therapeutic action of raloxifene?

mimics the effects of estrogen on bone tissue.

a nurse is planing care for a client who has started taking prednisone. Which of the following interventions should the nurse include? monitor the clients blood glucose administer an antacid 30 min prior to prednisone administer aspirin rather than NSAIDs if the client has pain monitor the client for hyperkalemia

monitor the clients blood glucose

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 medic alert ID card

A nurse is providing teaching to a client who has a urinary tract infection and new prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching?

"I should notify my provider immediately if my urine turns an orange color."

A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Which of the following statements should the nurse plan to include?

"Avoid driving or activities requiring alertness"

Nurse is providing teaching for pt who has MS and new prescription for methylprenisolone. Which of following instructions should nurse include? (select all that apply)

"Blood glucose levels will be monitored during therapy" : The nurse should instruct the client that their blood glucose levels will be monitored during therapy because corticosteroids, such as methylprednisolone, can raise blood glucose levels. "Avoid contact with persons who have known infections": The nurse should instruct the client to avoid contact with persons who have known infections because corticosteroids, such as methylprednisolone, suppress the immune response and mask manifestations of infection. "Grapefruit juice can increase the blood levels of the medication": The nurse should instruct the client that grapefruit juice increases the absorption of the medication, which can lead to toxicity and adrenal suppression.

Nurse is caring for pt who is refusing to take their scheduled morning furosemide. Which of following statements should nurse make?

"By not taking your furosemide, you might retain fluid and develop swelling." The nurse should respect the client's right to refuse the medication and inform the client of the risks of not taking the medication, notify the provider, and document the refusal. Furosemide is a loop diuretic given to reduce edema.

Nurse is planning discharge teaching for pt who has prescription for furosemide. Nurse should plan to include which of following statements in teaching?

"Drink a glass of milk with each dose of medication." The client should take furosemide with food or milk to reduce gastric irritation.

Nurse at urgent care clinic is collecting Hx from female pt who has UTI. Nurse anticipates prescription of ciprofloxacin. Nurse should identify that which of following pt statements indicates contraindication for administering this med?

"I have tendonitis, so I haven't been able to exercise."

Nurse is teaching pt who is taking ranitidine for PUD. Which of following pt statements should nurse identify as understanding of teaching?

"I know smoking makes ranitidine less effective." The nurse should instruct the client that smoking decreases the effectiveness of ranitidine by exacerbating the ulcer manifestations.

Nurse is teaching pt about use of risedronate for treatment of osteoporosis. Nurse should identify which of following statements as an indicaiont about pt understands teaching?

"I should sit up for 30 minutes after taking the risedronate."

Nurse is providing discharge instructions to pt who has HF and new prescription for captopril. Which of following pt statements indicates understanding of teaching?

"I should tell my provider if I develop a sore throat."

A nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks for the treatment of active pulmonary tuberculosis (TB). The client reports his urine is an orange color. Which of the following statements should the nurse make?

"Rifampin can turn body fluids orange."

Atrial Flutter - Rhythm Strip

"Sawtooth" pattern of P waves

A nurse is preparing to administer enfuvirtide to a client. Which of the following actions should the nurse plan to perform. (Select all that apply).

-Administer the drug subcutaneously. -Roll the vial gently to reconstitute the solution. -Inject the solution at room temperature.

A nurse is caring for a client who will begin using transdermal nitroglycerin to treat angina pectoris. When speaking to the client about the drug, which of the following instructions should the nurse include?

-Apply the patch to a hairless skin area and rotate sites -Apply a new patch when you start the day -Remove patches 10 to 12 hours each day

A nurse is teaching a client who has a new prescription for imatinib to treat chronic myeloid leukemia. Which of the following instructions should the nurse include? (Select all that apply).

-Clean fruits and vegetables thoroughly. -Weigh yourself daily. -Perform hand hygiene frequently. -Avoid grapefruit and grapefruit juice.

A nurse is preparing to administer paclitaxel IV to a client who has ovarian cancer. Which of the following actions should the nurse take. (Select all that apply).

-Give the patient an antihistamine. -Administer the drug through non-PVC tubing. -Use an in-line filter.

A nurse is caring for a client who has a new prescription for aliskiren to treat hypertension. The nurse should monitor the client for which of the following findings as an adverse effect of the drug?

-Hyperkalemia -Throat swelling -Cough

A nurse is preparing a client who has a new prescription for maraviroc therapy. The nurse should instruct the client to report which of the following adverse effects. (Select all that apply).

-Paresthesia -Cough -Jaundice -Fever

A nurse is caring for a client who has a new prescription for cisplatin to treat testicular cancer. The nurse should instruct the client to report which of the following adverse effects? (Select all that apply).

-Paresthesia -Sore throat -Flank Pain -Tinnitus

Nurse is caring for pt who is receiving haloperidol. Nurse should identify which of following findings as adverse effect of med?

Akathisia An adverse effect associated with haloperidol is the development of extrapyramidal manifestations such as dystonia, pseudoparkinsonism, and akathisia.

A nurse is caring for a client who is about to begin captopril therapy. Which of the following adverse effects should the nurse instruct the client to report because it can indicate a need to discontinue drug therapy?

-Rash-Distorted taste -Swelling of tongue -Dry cough

A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following instructions should the nurse include?

-Report any new tolerance to fried foods. -Report muscle tenderness. -Expect periodic liver function testing is correct.

A nurse is teaching a client who has a new prescription for mercaptopurine to treat leukemia. Which of the following instructions should the nurse include? (Select all that apply).

-Use contraception if pregnancy is a risk -Perform oral hygiene frequently. -Perform hand hygiene frequently. -Avoid activities that can cause injury.

A nurse is assessing a client following trastuzumab infusion to treat metastatic breast cancer. Which of the following should the nurse recognize as an indication that the client is experiencing an adverse reaction to the drug. (Select all that apply).

-Wheezing -Dysrhythmias -Hypotension -Fever

A nurse is preparing to administer prochlorperazine 2.5 mg IV. Available is prochlorperazine injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth)

0.5

A nurse is preparing to administer heparin 8,000 units subcutaneously every 8 hr. Available is heparin 10,000 units/1 mL. How many mL should the nurse administer per dose? (Round the answer to the nearing tenth)

0.8

A nurse is preparing to administer Digoxin 0.2 mg via IV bolus to a client. The amount available is Digoxin 0.25 mg/1ml. How many ml should the nurse administer?

0.8 ml

Nurse is caring for pt receiving NS 1L over 4 hr instead of over 8 hr as prescribed. Which of following information should nurse enter as complete documentation of incident?

0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified.

A nurse is administering insulin glulisine 10 units subcutaneously at 0720 to an adolescent client who has type 1 diabetes mellitus. The nurse should anticipate onset of action of the insulin at which of the following times?

0745

a nurse administers pramlintide at 0800 to a client who has type 1 diabetes mellitus. at which of the following times should the nurse expect the drug to exert its peak action?

0820

Nurse is providing teaching to pt who has MS and new prescription for methylprednisolone. Which of following instructions should nurse include? (select all that apply)

1. Blood glucose levels will be monitored during therapy: 2. Avoid contact with people who have known infections: 3. Grapefruit juice can increase the effects of the medication: T

Nurse is providing teaching to pt who is taking oxybutynin for urinary incontinence. Which of following adverse effects should nurse include in teaching? (select all that apply)

1. Dry mouth is correct. Oxybutynin is an anticholinergic agent that can cause dry mouth. 2. Blurred vision is correct. Oxybutynin is an anticholinergic agent that can cause blurred vision due to an increase in intraocular pressure. 3. Dry eyes is correct. Oxybutynin is an anticholinergic agent that can cause dry eyes and mydriasis, or pupil dilation.

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. Asparate aminotransferase (AST) 3. Alanine aminotransferase (ALT)

Nurse is developing teaching plan for pt who has new prescription for simvastatin. Which of following instructions should nurse include in teaching plan? (select all that apply)

1. Report muscle pain to the provider: Myopathy is an adverse effect of simvastatin that can lead to rhabdomyolysis. The nurse should instruct the client to report this to the provider. 2. Avoid taking the medication with grapefruit juice: When taken with grapefruit juice, simvastatin increases the risk of muscle injury from elevations in creatine kinase. 3. Expect therapy with this medication to be lifelong: If medication therapy is discontinued, cholesterol levels will return to their pretreatment range within several weeks to months.

A nurse is preparing to administer codeine 30 mg PO every 4 hr. PRN to a client for pain. The amount available is codeine oral solution 15 mg/5 ml. How many ml should the nurse plan to administer per does?

10 ml

You are instructing a patient about using cromolyn via inhalation to treat exercise-induced asthma. You should advise the patient to take the drug

15 minutes before exercise

A nurse is preparing to administer heparin 900 units/hr. via IV infusion. The amount available is heparin 25, 000 units in 500 mL 5% dextrose in water. The nurse should set the IV pump to deliver how many mL/hr.?

18 ml/hr

Nurse is preparing to administer NS 1500ml over 8hr to pt who is postop. Nurse should set IV pump to deliver how many ml/hr?

188 ml/hr

A nurse is preparing to administer Chlorothiazide 20 mg/kg/day PO divided equally and administered twice daily for a toddler who weighs 28.6 lb. The amount available is Chlorothiazide oral suspension 250 mg/5ml. how many ml should the nurse administer per dose?

2.6 ml

Nurse is preparing to administer NS 1L over 8 hr to pt. Drop factor of manual IV tubing is 15 gtt/mL. Nurse should set manual IV infusion to deliver how many gtt/min?

31 gtt/min

A nurse is preparing to administer ampicillin 500 mg in 50 ml of dextrose 5% in water [D5W] to infuse over 15 minutes. The drop factor of the manual IV tubing is 10 gtt./ml. The nurse should set the manual IV infusion to deliver how many gtt./min?

33 gtt/min

A nurse is preparing to administer dextrose 5& in 0.45% sodium chloride 400 ml IV to an older adult client over 8 hr. The nurse should set the IV pump to deliver how many ml/hr.?

50 ml/hr

A nurse is preparing to administer an IV fluid bolus of 1 L 0.9% sodium chloride over 2 hr. to a client who is dehydrated. The nurse should set the IV pump to deliver how many ml/hr.?

500 ml/hr

A nurse is preparing to administer ampicillin 50 mg/kg/day PO divided into 4 equal doses for a toddler who weighs 33 lbs. available is ampicillin 125 mg/5ml oral solution. How many ml should the nurse administer per dose?

7.5 ml

The nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions?

A positive pregnancy test

Nurse is teaching group of unit nurses about medication reconciliation. Which of following information should nurse include in teaching?

A transition in care requires the nurse to conduct medication reconciliation.

A nurse is providing teaching to a client who is taking bethanechol for urinary retention. Which of the following instructions should the nurse include (select all that apply) A. Avoid driving and activities that require alertness B. Increase fluid intake C. take the drug with food D. Stay close to a bathroom after taking the drug E. Increase weight-bearing activities

A. Avoid driving and activities that require alertness B. Increase fluid intake D. Stay close to a bathroom after taking the drug

A nurse is providing safety education to a client who is scheduled to begin treatment with tamsulosin for benign prostatic hypertrophy (BPH). Which of the following instructions should the nurse include in the teaching? A. Change positions slowly B. Crush the medication C. Take the medication on an empty stomach D. Report increased urinary output immediately

A. Change positions slowly

A nurse should question the use of thinyl estradiol and drospirenone by a client who has renal disease due to the increased risk of thich of the following? A. Hyperkalemia B. Hyponatremia C. Hypoglycemia D. Respiratory alkalosis

A. Hyperkalemia

A nurse is providing teaching to the parents of a school-age child who has asthma about medications for bronchospasm. Which of the following inhaled medications should the nurse instruct the parents to use to relieve and acute asthma attack?

Albuterol

A nurse is providing teaching to a clent about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include? A. Perform weight-bearing activities B. Wear sunscreen or protective clothing C. Take the drug with food to increase absorption D. Avoid drinking grapefruit

A. Perform weight-bearing activities

A nurse is caring for a client who is about to begin taking finasteride to treat benign prostatic hypertrophy. The nurse should explain to the client the need to monitor which of the following laboratory values? A. Prostate-specific antigen (PSA) B. BUN C. Creatine Phosphkinase (CPK) D. ALT

A. Prostate-specific antigen (PSA)

A nurse is caring for a client who has a new prescription for alosetron to treat irritable bowel syndrome. The nurse should instruct the client to report which of the following adverse affects of the drug?

Abdominal pain

A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer?

Acetaminophen

A nurse is preparing to administer amphotericin B IV to a client who has a systemic fungal infection. Which of the following drugs should the nurse prepare to administer prior to the infusion to prevent of minimize adverse reactions?

Acetaminophen and diphenhydramine

a nurse is caring for a client who is taking metformin and is scheduled to undergo angiography using iodine-containing contrast dye. the nurse should identify that an interaction between metformin and the IV contrast dye increase the client's risk for which of the following conditions?

Acute renal failure

What would you use for someone who is suffering from acute bronchospasm?

Albuterol

When talking to a patient who is prescribed albuterol via inhaler and fluticasone (Advair) via inhaler for asthma management, you should tell the patient to use the albuterol inhaler before the fluticasone inhaler for which of the following reasons?

Albuterol will increase the absorption of fluticasone.; Albuterol, an inhaled, short-acting beta2 agonist, causes bronchodilation, which will increase the absorption of fluticasone, an inhaled glucocorticoid, when the patient uses it before the glucocorticoid.

A nurse is caring for a client who is taking allopurinol to treat gout and has a new prescription for Azathioprine to treat ulcerative colitis. For which of the following reasons should the nurse clarify these prescriptions with the provider?

Allopurinol delays the conversion of azathioprine and can lead to toxicity

You are advising a patient about using intranasal glucocorticoids. What instructions should you include?

Allow at least 2 weeks for the full therapeutic effect; It can take 2 or 3 weeks to see the full effect from intranasal glucocorticoids.

Which of the following drugs has protocols that require clients to meet specific risk management criteria and sign a treatment agreement before the nurse can administer the drug?

Alosetron

A nurse is caring for a client who is experiencing an acute ischemic cerebrovascular event due to a thrombus in a cerebral vessel. Which of the following drugs should the nurse expect to administer?

Alteplase - Alteplase is a thrombolytic drug, meaning it can dissolve existing thrombi, whereas anticoagulant/antiplatelet drugs do not. An acute ischemic cerebrovascular event is often caused by the occlusion of a cerebral vessel by a thrombus. Administration of alteplase should be within 3 hr of the original onset of symptoms for the drug to be effective. - Aspirin While antiplatelet therapy with aspirin may be used prophylactically to reduce the risk of having an acute ischemic cerebrovascular event, it will not treat one that has already happened. Only thrombolytic drugs can dissolve existing thrombi and treat an acute ischemic cerebrovascular event. - Clopidogrel is an antiplatelet drug and may be used prophylactically to reduce the risk of having an acute ischemic cerebrovascular event, but it will not treat one that has already happened. Only thrombolytic drugs can dissolve existing thrombi and treat an acute ischemic cerebrovascular event. - Heparin is an anticoagulant drug that can prevent the formation of deep vein thrombosis or pulmonary embolism, but it is not prescribed to treat a thrombotic cardiovascular event.

Which of the following instructions should a health care professional include when advising a patient about instilling pilocarpine (Isopto Carpine) for managing open-angle glaucoma? A. apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops do not touch the tip of the dropper B. do not touch the tip of the dropper C. wash hands after instilling the drops D. Rub eyes gently after instilling the drops E. Remove contact lenses prior to instilling the drops

Answers: Reasonings: A. keeps the drug from entering the systemic circultion B. remain sterility C. wash before, washing after is not necessary unless spilling of the drug occured D. avoid rubbing/touching eyes-can cause eye damage E. leaving contacts in can cuase further irritation if left in place

A health care professional should monitor and older adult patient who is taking alprazolam (Xanax) for which of the following adverse effects? A. tolerance B. anxiety C. sedation D. respiratory depression E. constipation

Answers: A, B, C, D Reasonings: A. tolerance tolerance and dependence develop with benzos. Use only as needed for short periods of time B. anxiety paradoxical rxn can develop, especially in elderly patients-report findings C. sedation CNS depression D. respiratory depression benzos cause CNS depression. Monitor for respiratory depression and use lowest effective dose E. Constipation unlikely. However, can cause n/v/d

A health care professional is caring for a patient who is about to begin amitriptyline therapy to treat major depression. The health care professional should include which of the following instructions when talking with the patient about taking the drug? A. change position slowly B. do not quit taking abruptly C. Wear sunscreen and protective clothing D. take at bedtime to prevent daytime drowsiness E. Increase fiber and fluid intake

Answers: A, B, D, E A. change position slowly -orthostatic hypotension B. do not quit taking abruptly -relapse and withdrawal s/s can occur. Reduce dose over a 2 week period C. Wear sunscreen and protective clothing -sun exposure is unlikely to cause photo-sensitivity D. take at bedtime to prevent daytime drowsiness -can cause drowsiness: avoid activities requiring mental alertness E. Increase fiber and fluid intake -Amitriptyline, a tricyclic antidepressant, causes anticholinergic effects, such as dry mouth, constipation, and urinary retention. Patients should increase fiber and fluid intake during drug therapy and urinate before taking the drug.

A nurse is caring for a client who is taking digoxin and develops changes on their ECG tracing and other maneifestations that indicate the client has severe digoxin toxicity. Which of the following drugs should the nurse expect to administer to treat this complication?

Antigen-binding fragments

A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?

Arthralgia

A nurse is caring for a male client who has hyperthyroidism and is not responding to treatment. The nurse should identify that hyperthyroidism is a contraindication for which of the following drugs? A. Sildenafil B. Bethanechol C. Tamsulosin D. Finasteride

B. Bethanechol

A nurse is assessing a client who has a new prescription of oxybutynin to treat neurogenic bladder. Which of the following assessment findings should the nurse identify as an adverse effect of the drug? (Select all that apply) A. Diaphoresis B. Dilated pupils C. Dizziness D. Distended bladder E. Fever

B. Dilated pupils C. Dizziness D. Distended bladder E. Fever

A nurse is caring for a client who has benign prostatic hypertrophy and is taking tamsulosin. The nurse should question the use of the drug if the client also has which of the following? A. A seizure disorder for which he takes carbamazepine B. Erectile dysfuntion for which he take sildenafil C. Diabetes mellitus for which he takes glyburide D. Angle-closure glaucoma for which he take pilocarpine

B. Erectile dysfuntion for which he take sildenafil

A nurse is assessing a client who has a new prescription for the combination oral contraceptive ethinyl estradiol and drospirenone. Which of the following findings should the nurse identify as a contraindication to use of this medication? A. Drinks a glass of wine each night B. Smokes half a pack of cigarettes a day C. Runs marathons regularly D. Drives a school bus

B. Smokes half a pack of cigarettes a day

a nurse is caring for a client who is about to begin insulin glargine therapy. The nurse should identify the need for additional precautions because the client also takes which of the following types of drugs?

Beta blockers

Nurse is planning care for pt who is receiving mannitol via continuous IV infusion. Nurse should monitor pt for which of following adverse effects?

Bibasilar crackles

A nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include? A. Monitor for rectal bleeding B. Avoid drinking alcoholic beverages C. Have blood pressure checked regularly D. sit up for 30min after taking the drug

C. Have blood pressure checked regularly

A nurse is caring for a client who has a new prescription for conjugated equine estrogen. The nurse should instruct the client to report which of the following indication of a serious adverse reaction? A. Hot flashses B. urinary tract infection C. Vaginal bleeding D. Bone pain

C. Vaginal bleeding

A nurse is preparing to administer finasteride to a client who has benign prostatic hypertrophy (BPH). Which of the following precautions should the nurse plan to take when administering this drug? A. Refrain from crushing the tablet B. Withhold the medication if the client doesnt eat C. Wear gloves when handling the tablet D. Monitor heart rate prior to administration

C. Wear gloves when handling the tablet

When talking to a patient about buspirone, the health care professional should include which of the following instructions? A. Take the drug with grapefruit juice to increase absorption B. Use the drug only as needed for anxiety C. allow 2-4wks before expecting to feel better D. Take the drug on an empty stomach

C. allow 2 to 4 weeks to notice effects Reasoning: A. avoid- increases drug levels B. take on a regular basis to avoid recurrance or worsening of s/s C. 2-4wk before in full therapeutic effect D. can cause nausea so take with food

Nurse is caring for pt who has Mg 3.1 mEq/L. Nurse should expect to administer which of following meds?

Calcium gluconate The nurse should expect to administer IV calcium gluconate to the client and prepare to provide ventilatory support. This client is at risk for respiratory depression and cardiac dysrhythmias because a magnesium level of 3.1 mEq/L is above the expected reference range of 1.3 to 2.1 mEq/L.

Nurse is reviewing med list of pt who wants to begin taking oral contraceptives. Nurse should identify that which of following pt meds will interfere w/ effectiveness of oral contraceptives?

Carbamazepine

When administering erythromycin to a patient who has cystic acne, a nurse should monitor for which of the following adverse effects?

Cardiac dysrhythmias

A nurse is caring for a client who has a gynecologic infection and a history of alcohol use disorder. The nurse should identify that which of the following drugs can cause a reaction similar to disulfiram if the client drinks alcohol while taking it?

Cefotetan and Metronidazole

A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports nausea and refused to eat breakfast. Which of the following actions should the nurse take first

Check the client's apical pulse

Nurse administers metformin to pt instead of prescribed dose of metoclopramide. Which of following actions should nurse take 1st?

Check the client's blood glucose.

A nurse should recognize that maraviroc is used in the treatment of which of the following conditions?

Chemokine receptor 5 (CCR5)-tropic HIV-1

A nurse is teaching a client who is about to genii sumatriptan therapy to treat migraine headaches. The nurse should instruct the client to monitor for which of the following adverse effects?

Chest pain

You should recognize that using pseudoephedrine (Sudafed) to treat allergic rhinitis requires cautious use with patients who have which of the following?

Coronary artery disease; Because pseudoephedrine, an oral sympathomimetic, can cause systemic vasoconstriction, it requires cautious use with patients who have severe hypertension or coronary artery disease.

A nurse is caring for a client who is about to begin taking nitrofurantoin to treat a urinary tract infection. The nurse should tell the client to report which of the following adverse effects of the drug?

Cough

Nurse is reviewing lab results for pt who is to receive dose of ceftazidime via intermittent IV bolus. Which of following lab findings is priority for nurse to report to Dr before administering med?

Creatinine 2.6 mg/dL Ceftazidime is excreted primarily by the renal system. A serum creatinine level above 1.3 mg/dL can indicate a kidney disorder requiring a reduction in the dose administered. The nurse should notify the provider, who is likely to prescribe a lowered dose of medication. a total bilirubin value of 0.4 mg/dL is within the expected reference range. an alanine aminotransferase value of 26 units/L is within the expected reference range. platelet count of 360,000/mm3 is within the expected reference range.

A nurse is caring for a client who has a new prescription for pramipexole to treat Parkinson's disease. The nurse should recognize that which of the following laboratory tests requires monitoring?

Creatinine clearanceA

A nurse should questions the use of conjugated equine estrogen by a client who has a history of which of the following? A. Osteoporosis B. Peptic ulcer disease C. Rheumatoid arthritis D. Blood Clots

D. Blood Clots

After administration of Terbutaline to a client to inhibit preterm labor, the nurse should assess which of the following? A. Peripheral pulses B. Temperature C. Vision D. Heart Rate

D. Heart Rate

A nurse is caring for a client who is taking ferrous sulfate to treat iron-deficiency anemia and develops iron toxicity. Which of the following drugs should the nurse expect to use to treat this complication?

Deferoxamine. Indications of iron toxicity include nausea, vomiting, and diarrhea. Iron toxicity can lead to acidosis and shock. A chelating agent, such as deferoxamine, binds to the iron to reduce toxicity. - Flumazenil, a benzodiazepine antagonist, reverses the effects of benzodiazepines. - Acetylcysteine, a mucolytic, reduces the risk of hepatotoxicity after acetaminophen overdose. Acetylcysteine binds to the toxic byproducts of acetaminophen metabolism to prevent liver toxicity. - Naloxone, an opioid antagonist, reverses the effects of opioid narcotics.

A nurse is caring for a client who is about to begin receiving acyclovir IV to treat a viral infection. The nurse should recognize that cautious use of the drug is essential if the client also has which of the following conditions?

Dehydration

Nurse is planning care for pt who has HTN and is to start taking metoprolol. Which of following interventions should nurse include in plan of care?

Determine apical pulse prior to administering.

Nurse is providing teaching to pt who has prescription for trimethoprim/sulfamethoxazole. Which of following instructions should nurse include in teaching?

Drink 8 to 10 glasses of water daily. MY ANSWER The nurse should instruct the client to increase water intake to 1,920 to 2,400 mL (65 to 81 oz) a day to decrease the chance of kidney damage from crystallization. The nurse should instruct the client to take the medication on an empty stomach either 1 hr before or 2 hr after meals. The nurse should instruct the client to notify the provider if a rash develops, because this can be an indication of Stevens-Johnson syndrome. However, the client should not expect to have a fine, red rash as a transient effect. The nurse should inform the client to store trimethoprim/sulfamethoxazole in a light-resistant container at room temperature.

A nurse is teaching a client who has new prescription for valproic acid to treat a seizure disorder. The nurse should instruct the client to monitor for which of the following adverse effects?

Drowsiness Headache Rash

You should monitor a patient taking dextromethorphan due to the potential for:

Drug abuse

Legal restrictions apply to the purchase of pseudoephedrine (Sudafed) because of which of the following risks?

Drug abuse; Because it is possible to alter pseudoephedrine and epinephrine, the law restricts the drugs' purchase.

A nurse is administering oral hydroxyzine to a client. Which of the following adverse effects should the nurse instruct the client to expect?

Dry mouth

Nurse is assessing pt who is taking amitriptyline for depression. Which of following findings should nurse identify as adverse effect of med?

Dry mouth The nurse should expect the client to have a dry mouth due to the blocking of acetylcholine receptors that cause anticholinergic responses.

A nurse is administering Adenosine via IV bolus for a client who has developed paroxysmal atrial tachycardia. For which of the following findings should the nurse assess the client during administration of Adenosine?

Dyspnea

You should recognize that codeine is contraindicated for patients who have which of the following?

Emphysema

A nurse is caring for a client who is taking filgrastim to treat neutropenia. The nurse should assess the client for which of the following adverse effects?

Enlarged spleen - With long-term use, filgrastim, a leukopoietic growth factor, can cause an enlarged spleen. The nurse should tell the client to monitor and report abdominal pain or fullness. - Filgrastim, a leukopoietic growth factor, is unlikely to cause hypoxemia and dusky nail beds. However, it can cause fever, bone pain, and ECG changes. - Unlikely to cause petechiae and to cause a clot. It can cause leukocytosis.

Nurse is administering diazepam to pt who is having colonoscopy. Which of following actions should nurse take?

Ensure flumazenil is available to administer for toxicity management. The nurse should monitor the client for manifestations of diazepam toxicity, such as respiratory depression and hypotension. The nurse should be prepared to administer flumazenil to reverse the effects of diazepam. When diazepam is administered IV for induction of anesthesia, the nurse should expect the client to develop the full effect of the medication in 2 min. The nurse should measure the capnography level every 15 to 30 min until the client is awake and oriented and vital signs have returned to baseline.

Nurse is assessing pt after giving 2nd dose of cefazolin IV. Nurse notes client has anxiety, hypotension, and dyspnea. Which of following meds should nurse administer 1st?

Epinephrine

A nurse is reviewing a client's prescriptions prior to administering gentamicin to the client to treat a systemic infection. The nurse should clarify the use of gentamicin with the provider if the client is taking which of the following drugs?

Ethacrynic acid

A nurse is teaching the guardian of a 4- month- old infant about recommended immunizations for the infant. Which of the following immunizations should the nurse include?

Haemophilus influenza type B vaccine (Hib)

A nurse is caring for a client who is about to begin factor VIII therapy to treat hemophilia A. When administering factor VIII, which of the following actions should the nurse take?

Have emergency equipment ready, as factor VIII can cause a hypersensitive reaction and anaphylaxis. Monitor for hives, fever, wheezzing, and difficulty breathing. - The powdered form of factor VIII is concentrated factor VIII. The nurse should dissolve it in a sterile solution and administer it via IV. - Aspirin and first-generation NSAIDs are contraindicated for clients who have hemophilia A because they increase the risk for bleeding. - The nurse should administer factor VIII slowly over 5 to 10 min.

When advising a patient about using zileuton (Zyflo), a healthcare professional should include which of the following instructions?

Have lab tests performed at regular intervals (liver fnx); Zileuton, a leukotriene modifier, can cause liver injury. The health care professional should monitor liver function once a month for 3 months, then every 2 to 3 months during the first year of treatment.

a provider has prescribed a dinoprostone vaginal insert to promote cervical ripening to a client who is at 40 weeks of gestation. When administering dinoprostone, which of the following actions should the nurse take? (select all that apply)

Have the patient urinate prior to insertion,Remove the pouch when active labor begins,Monitor for uterine hyperstimulation,Monitor the patient's temperature

Nurse contacts a pt's provider on telephone to obtain prescription for pain med. Which of following actions should nurse take?

Have the provider spell out the unfamiliar medication names. The nurse should ask the provider to spell out the name of the medication if the stated name is one the nurse is not familiar with.

A nurse is teaching a client who has a new prescription for nitroglycerin. The nurse should instruct the client that which of the following manifestations is a potential adverse effect of the drug?

Headache

Nurse is caring for pt who has sickle cell anemia and is taking hydroxyurea. Which of following findings should nurse report to provider? (select all that apply)

Hemoglobin 7.0 g/dL: A hemoglobin level of 7.0 g/dL indicates hydroxyurea toxicity. This hemoglobin level is below the expected reference range of 14 to 19 g/dL for a male client and 12 to 16 g/dL for a female client. Therefore, the nurse should report this finding to the provider. Platelets 75,000/mm3: A platelet level of 75,000/mm3 indicates hydroxyurea toxicity. This platelet level is below the expected reference range of 150,00 to 400,000/mm3. Therefore, the nurse should report this finding to the provider. Potassium 5.2 mEq/L: A potassium level of 5.2 mEq/L indicates tumor lysis syndrome. This potassium level is above the expected reference range of 3.5 to 5 mEq/L. Therefore, the nurse should report this finding to the provider.

A nurse is reviewing the medication record of a client who is receiving alteplase following an acute MI. Which of the following meds should the nurse expect the client to be taking in addition to the alteplase?

Heparin - Heparin therapy should be initiated before alteplase therapy and continued for at least 48 to 72 hr after the fibrinolytic therapy to reduce the risk of additional clot formation. - Protamine is responsible for reversing heparin's effects and would only be administered as an antidote to heparin in the case of an uncontrolled bleeding event. The nurse should not expect the client to take these simultaneously. - Desmopressin is a form of antidiuretic hormone, which is prescribed for clients who have mild hemophilia A to treat bleeding from an injury or in preparation for surgery. - Iron supplements, such as ferrous sulfate, are commonly prescribed for the treatment of iron-deficiency anemia. Iron plays a key role in hemoglobin's ability to bind and carry oxygen, but it is not directly involved in the formation of thrombi.

Nurse in provider's office is assessing pt who has been taking aspirin daily for past year. For which of following findings should nurse notify provider immediately?

Hyperventilation When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding is hyperventilation. This finding indicates the client might have acute salicylate poisoning, which causes respiratory alkalosis in the early stages.

A nurse is caring for a client who is taking carvedilol and has a prescription for an oral antidiabetic drug to manage their new diagnosis of type 2 diabetes mellitus. By taking both drugs concurrently, the nurse should identify that the client is at an increased risk for which of the following conditions?

Hypoglycemia

When advising a patient who is beginning fluticasone propionate/salmeterol (Advair) therapy, which of the following instructions should a healthcare professional include?

Increase weight-bearing activity; Weight-bearing activity can help minimize bone loss, which is a side effect of fluticasone propionate/salmeterol, an inhaled glucocorticoid.

Nurse is assessing pt who is receiving epoetin alfa to Tx anemia. Which of following findings should nurse monitor?

Increased blood pressure The therapeutic effect of epoetin alfa is an increase in hematocrit levels, which can result in an increase in a client's blood pressure. If the client's hematocrit level rises too rapidly, hypertension and seizures can result. The nurse should monitor the client's blood pressure and ensure hypertension is controlled prior to administering the medication.

Nurse is caring for pt who has HF and is receiving IV infusion of dopamine. Which of following findings indicates that med is effective?

Increased cardiac output Dopamine is an adrenergic that causes a receptor specificity effect, which increases cardiac output and improves perfusion. Tachycardia is an adverse effect of dopamine and does not indicate the medication's effectiveness. Dopamine is an adrenergic that causes a receptor specificity effect, which increases blood pressure. Dopamine does not affect serum potassium levels.

Nurse is caring for pt who is receiving oprelvekin. Which of following findings should nurse document to indicate effectiveness of therapy?

Increased platelet count

A nurse is teaching a client who has a new diagnosis of Parkinson's disease about how levodopa carbidopa can help control symptoms. The nurse should identify that the drug has which of the following pharmacologic effects?

Increases available dopamine in the brain

The nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions?

Inflammatory bowel disease

Nurse is providing teaching to pt who is taking bupropion as an aid to quit smoking. Which of following findings should nurse identify as adverse effect of med?

Insomnia

A nurse is providing teaching for a client who had a new prescription for valproic acid to treat a seizure disorder. The nurse should instruct the client to monitor for which of the following adverse effects?

Jaundice

A nurse is caring for a client who is about to begin taking isoniazid to treat tuberculosis. The nurse should instruct the client to report which of the following adverse effects of the drug?

Jaundice, Numbness of the hands, Dizziness

A nurse is reviewing the medical record of a client who has a new prescription for ranitidine. The nurse should recognize that which of the following drugs interact with ranitidine?

Ketoconazole

Nurse is assessing pt who is taking tamoxifen to treat breast cancer. Which of following findings is priority for nurse to report to provider?

Leg tenderness The greatest risk to this client is the development of a thromboembolism, which is an adverse effect of tamoxifen. The nurse should also monitor the client for other manifestations of a thromboembolism, including leg tenderness, redness, swelling, and shortness of breath.

A nurse is caring for an older adult client who has renal impairment and a new prescription for cimetidine. The nurse should instruct the client to report which of the following?

Lethargy

A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions?

Migraine headaches

Nurse receives verbal order from provider to administer morphine 5 mg q4h subq for severe pain prn. Nurse should identify which of following entries as correct format for MAR?

Morphine 5 mg subcut every 4 hr PRN severe pain

A health care professional is caring for a patient who is about to begin taking simvastatin (Zocor) to treat hypercholesterolemia. The health care professional should tell the patient to report which of the following indications of a serious adverse reaction that could warrant stopping drug therapy?

Muscle Pain

You are caring for a patient who is taking ipatropium (Atrovent). You should explain which of the following adverse effects to the patient?

Muscle tremors is incorrect. Muscle tremors can occur with beta2 agonists, not with inhaled anticholinergics such as ipratropium. Urinary retention is correct. Urinary retention can occur with ipratropium, an inhaled anticholinergic. Dry mouth is correct. Ipratropium can dry the oral secretions. Insomnia is incorrect. Methylxanthines, not inhaled anticholinergics such as ipratropium, can cause insomnia. Tachycardia is incorrect. Tachycardia can occur with beta2 agonists, not with inhaled anticholinergics such as ipratropium.

A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effects?

Muscle weakness

Nurse administer digoxin immune Fab to pt who received incorrect dose of digoxin over a period of 3 days. Nurse should identify that which of following findings indicates the antidote was effective?

Normal sinus rhythm Dysrhythmias are a life-threatening adverse effect of digoxin toxicity. The return of the heart to normal sinus rhythm indicates a therapeutic response to the antidote. Digoxin immune Fab is administered to a client who is experiencing severe digoxin toxicity. It binds with digoxin and works to reduce the client's blood digoxin level. A digoxin level of 2.5 ng/mL is above the expected reference range of 0.8 to 2 ng/mL. Therefore, this finding does not indicate a therapeutic response to the antidote. A decrease in blood pressure is not an indication of a therapeutic response to the antidote. A potassium level of 3.2 mEq/L is below the expected reference range of 3.5 to 5.0 mEq/L. A decreased potassium level can lead to toxicity in a client who is taking digoxin. However, digoxin immune Fab is administered only for severe toxicity.

Nurse is caring for pt who has DM and is taking glyburide. Pt reports feeling confused and anxious. Which of following actions should nurse take 1st?

Perform a capillary blood glucose test. The greatest risk to this client is injury from hypoglycemia. Therefore, the nurse should perform a capillary blood glucose test to determine the client's blood glucose status. Manifestations of hypoglycemia include weakness, anxiety, confusion, sweating, and seizures.

A health care professional is caring for a patient who is taking venlafaxine to treat major depression. The health care professional should recognize that which of the following drugs can cause serotonin syndrome when patient take it concurrently with venlafaxine

Phenelzine (Nardil) Reasoning: patients should not take venlafaxine, a serotonin norepinephrine reuptake inhibitor, within 14 days of taking phenelzine, other MAOIs, or serotonergic drugs. Serotonin syndrome is a life-threatening complication characterized by anxiety, confusion, hallucinations, and fever

A nurse is reviewing the medical record of a client who has a newly diagnosed seizure disorder and a new prescription for valproic acid and phenytoin. The nurse should identify what which of the following can occur as a result of an interaction between these drugs?

Phenytoin toxicity

A nurse is caring for a client who was brought to the emergency department by friends who report the client has overdosed on heroin. Which of the following findings should the nurse expect to assess?

Pinpoint pupils

A nurse is providing teaching to a client who has chronic kidney failure which an AV fistula for hemodialysis and a new 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 assessing a client who is receiving IV gentamicin three times daily. Which of the following findings indicates that the client is experiencing an adverse effect of this medication?

Proteinuria

A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. Which of the following findings should the nurse identify as a possible indication of hemorrhage?

Rapid pulse. In the event of a moderate to severe hemorrhage, the volume of blood in the circulatory system decreases significantly, resulting in hypotension. Tachycardia is a compensatory mechanism of the heart that serves to combat the hypotension that results from the decreased volume of blood. Tachycardia can be detected by checking the client's pulse. - Due to decreased blood volume, the nurse should expect to see pallor of the sclera, skin, and mucous membranes if hemorrhage occurs. The client might also have visible bruising or petechiae. - Due to decreased blood volume, a reduction in blood pressure (hypotension) is an expected finding if hemorrhage occurs. The client might experience dizziness upon standing because the body cannot adjust blood pressure rapidly to compensate for the position change. - The nurse should recognize that black, tarry stools, or stools with frank blood visible are indications of hemorrhage.

A nurse is caring for a client who has a new prescription for delavirdine therapy to treat HIV-1. The nurse should instruct the client to report which of the following adverse reactions to this drug?

Rash

Nurse is preparing to mix and administer dantrolene via IV bolus to pt who had developed MH during surgery. Which of following actions should nurse take?

Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent. The nurse should dilute the medication with 60 mL of sterile water without a bacteriostatic agent and inject rapidly.

A nurse is caring for a client who has a new prescription for aztreonam to treat a respiratory tract infection. Which of the following findings in the client's medical record should the nurse recognize as requiring cautious use for this prescription and report to the provider?

Renal impairment

A nurse is caring for a client who has a depressive disorder and requires a prescription drug to treat hypertension. The nurse should recognize that which of the following antihypertensive drugs is contraindicted for this client?

Reserpine

A nurse should recognize that raltegravir is used to treat clients who have which of the following conditions?

Resistant HIV

You are caring for a patient who is taking codeine. Which of the following is the most important assessment following the administration of the drug?

Respirations; The greatest risk to patients who are taking codeine, an opioid agonist, is severe respiratory depression. Therefore, the most important assessment is the respiratory rate.

A nurse is taking care of a client who is receiving methohexital sodium. The nurse should monitor the client for which of the following adverse effects?

Respiratory Depression

A home health nurse is visiting an older adult client who has Alzheimer's disease. His caregiver tells the nurse she has been administering prescribed Lorazepam, 1 mg three times per day, to the client for restlessness and anxiety during the past few days. For which of the following adverse effects should the nurse assess the client?

Sedation

Nurse is planning care for pt who is prescribed metoclopramide following bowel surgery. For which of following adverse effects should nurse monitor?

Sedation

You should explain to a patient who is prescribed diphenhydramine that the most common side effect associated with the drug is:

Sedation; The most common adverse effect of diphenhydramine, a first-generation antihistamine, is sedation.

A nurse is caring for a client who is about to begin taking metronidazole to treat. an anaerobic intra-abdominal bacterial infection. The nurse should recognize that cautious use of the drug is indicated if the client also has which of the following conditions?

Seizure disorder

You are monitoring plasma drug levels in a patient who is taking theophylline (a methylxanthine). Which of the following adverse effects should you expect to see if the patient's level indicates toxicity?

Seizures; Seizures are likely when plasma drug levels of theophylline, a methylxanthine, are higher than 30 mcg/mL, which indicates toxicity.

Nurse at clinic is providing follow-up care to pt who is taking fluoxetine for depression. Which of following findings should nurse identify as adverse effect of med?

Sexual dysfunction

A nurse in a provider's office receives a call from a client who is taking imipenem to treat a bacterial infection and reports an inability to eat due to mouth pain. The nurse should identify that the client might be experiencing which of the following as an adverse effect of this drug?

Superinfection

A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. The nurse should recognize that candidiasis is a manifestation of which of the following adverse effects?

Superinfection

A nurse is providing teaching to a client who has a new prescription for omeprazole to treat a duodenal ulcer. Which of the following instruction should the nurse include?

Swallow the capsules whole

A nurse is caring for a client who has glomerular filtration rate of 10 mL/min and a reduced urine output. The nurse should clarify a prescription for hydrochlorothizaide for this client because of which of the following characteristics of the drug?

The drug does not promote diuresis for patients who have renal insufficiency.

A nurse is caring for a client who has a new diagnosis of bacterial meningitis. The nurse should expect the provider to prescribe a drug from which of the following classifications of antibiotics?

Third generation cephalosporins

A nurse is caring for a client who is scheduled for an outpatient surgical procedure and reports taking aspirin 81 mg daily, including this morning. The nurse should identify that this places the client at risk for which of the following complications?

Uncontrolled bleeding. Aspirin is a salicylate (antiplatelet) that irreversibly binds to and inhibits platelet activation. Because the lifespan of a platelet is 7 to 10 days, this is the average span of time needed after discontinuing antiplatelet therapy with aspirin before its effects are no longer present and the chance of an uncontrolled bleeding event is decreased. - Although many clients are prescribed aspirin to reduce their chances of having a myocardial infarction (MI), the client's risk for an MI would not increase due to missing the single dose. - Taking aspirin does not increase the risk of respiratory depression. Taking opioid analgesics can increase the risk of respiratory depression. - Taking aspirin does not increase the risk of renal perfusion. Aspirin can cause gastrointestinal distress.

A nurse is assessing a client who reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following therapeutic effects

Urinary health promotion

A nurse is caring for a client who is about to begin gentamicin therapy to treat an infection. The nurse should monitor the client for an alteration in which of the following?

Urine output

Nurse is reviewing lab results of pt who is taking carbamazepine for seizure disorder. Which of following findings should nurse report to provider?

WBC 3,500/mm3 A WBC count of 3,500/mm3 is below the expected reference range of 5,000 to 10,000/mm3. Leukopenia is an adverse effect of carbamazepine. The nurse should report this finding to the provider and monitor the client for manifestations of infection. A carbamazepine level of 7 mcg/mL is within the expected reference range of 5 to 12 mcg/mL and is an expected finding. A 24-hour urine glucose of 300 mg/day is within the expected reference range of 50 to 300 mg/day. The nurse should continue to monitor this value because carbamazepine can cause an elevation in urine glucose levels. A potassium level of 4.1 mEq/L is within the expected reference range of 3.5 to 5 mEq/L. The nurse does not need to monitor potassium levels for a client taking carbamazepine; however, the nurse should monitor sodium levels due to the potential adverse effect of hyponatremia.

When explaining how a patient should use ipratropium (Atrovent), you should include which of the following instructions?

Wait 5 mins between using this drug and another inhaled drug to allow for its bronchodilating effects; Ipratropium, an inhaled anticholinergic, requires a 5-min wait between its administration and that of another inhaled drug to allow for its bronchodilating effects.

You are instructing your patient on the use of a MDI, what should you tell them?

Wait at least 1 minute before inhaling the second puff.

A nurse is caring for a client who is receiving vincristine to treat lung cancer. The nurse should monitor the client and recognize which of the following manifestations as an indication that the client is experiencing an adverse reaction to the drug.

Weak hand grasps.

A nurse is caring for a client who has been taking amphetamine dextroamphetamine sulfate for the treatment of attention deficit hyperactivity disorder ADHD for 2 weeks. The nurse should report which of the following finding to the provider?

Weight loss of 2.3 kg

A nurse is providing discharge teaching to a client who had a bleeding duodenal ulcer and is prescribed Omeprazole. Which of the following statements should the nurse include in the teaching?

You should take this medication before breakfast every day

a nurse is caring for a group of postoperative clients. The nurse should identify that morphine is contraindicated for which of the following clients? a client who had a mastectomy a client who had a knee arthroplasty a client who had a colectomy a client who had a cholecystectomy

a client who had a cholecystectomy

a nurse should instruct a client who is taking alendronate to monitor for which of the following adverse effects?

jaw pain blurred vision muscle pain

A patient is admitted to the emergency department with spasms of his face and back. He has recently begun taking chlorpromazine to treat schizophrenia. Which of the following adverse reactions should the health care professional suspect?

acute dystonia Reasoning: manifestations include muscle spasms of the back, neck, face, and tongue. Tx includes IMMEDIATE administration of an anticholinergic drug, such as diphenhydramine.

a nurse is caring for a client who has a new prescription for etanercept. which of the following actions should the nurse take?

administer a Tuberculin skin test prior to starting the medication.

a nurse is teaching a client who has a prescription for pramlintide therapy to treat type 1 diabetes mellitus. which of the following instructions should the nurse includes?

administer pramintide before meals

a nurse is caring for a client who is about to begin taking pioglitazone to treat type 2 diabetes mellitus. the nurse should explain to the client about the need to monitor which of the following laboratory values?

alanine aminotransferase LDL

a nurse is reviewing the medical record of a client who reports taking acetaminophen at home. The nurse should identify that which of the following client conditions is contraindicated for acetaminophen? asthma diabetes mellitus heart failure alcohol use disorder

alcohol use disorder

A health care professional should question the use of timolol (Timoptic) for a patient who has which of the following disorders?

asthma Reasoning: Timolol, a beta-adrenergic antagonist, can cause bronchospasm and dyspnea. Pts who have compromised respiratory function should not use this drug.

a nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. which of the following information should the nurse include?

avoid being near people who are sick with a communicable illness. periodic laboratory tests are required. report bruising or petechiae avoid drinking alcohol

a nurse is teaching a client about methotrexate. the nurse should inform the client to monitor for which of the following as an adverse effect of this drug?

black, tarry stools

During and immediately following IV administration of chlorpromazine to a patient who has schizoaffective disorder, the health care professional should monitor which of the following?

blood pressure Reasoning: pts recieving are at risk for hypotension during and immediatley after IV administration. Remain supine for 30 minutes post IV adm. HCP should monitor BP It's ESSENTIAL to infuse slowly and not to mix it with other drugs

a nurse is caring for a client who has a new prescription for prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse drug reactions? pulmonary embolism hepatitis bone loss breast cancer

bone loss

a nurse is planning care for a client who has a new prescription of methotrexate. the nurse should plan to monitor the client for which of the following adverse effects?

bone marrow depression

A health care professional should expect which of the following adverse effects for a patient who is taking betaxolol (Betoptic) eye drops to treat glaucoma?

bradycardia Reasoning: blockade of cardiac beta1 receptors Nsg Interventions: check pulse regularly and report any sustained decreases

a nurse is caring for a client who is taking alendronate to treat postmenopausal osteoporosis. the nurse should explain to the client that alendronate increases bone mass by which of the following actions?

decreases activity of osteoclasts

a nurse is caring for a client who is taking acetaminophen at regular intervals for mild discomfort. The nurse should tell the client to report which of the following early indications of acetaminophen toxicity? (Select all that apply.) diaphoresis palpitations shortness of breath nausea diarrhea

diaphoresis, nausea, diarrhea

a nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include? (select all that apply) reduce the dose during periods of stress discontinue the drug gradually report illness or infection ] increase intake of calcium and vitamin D monitor for signs of gastric bleeding

discontinue the drug gradually, report illness or infection, increase intake of calcium and vitamin D, monitor for signs of gastric bleeding

A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. which of the following instructions should the nurse include?

do not take the drug with high-fat foods

a nurse is teaching about self-administering methotrexate to a client who has rheumatoid arthritis. which of the following statements should the nurse make?

drink 2-3 liters of water per day to promote the drug's excretion.

a nurse is caring for a client who is taking allopurinol to treat gout. The nurse should monitor the client for which of the following manifestations of hypersensitivity syndrome? muscle pain fever anxiety tremors

fever

a nurse is caring for a client who is about to begin taking aspirin. The nurse should instruct the client to report which of the following manifestations of salicylism? (select all that apply) fever tinnitus diaphoresis thrombophlebitis dizziness

fever, tinnitus, diaphoresis, dizziness

A nurse is caring for a client who received human menopausal gonadotropin (hMG) Which of the following findings should the nurse expect ?

follicular maturation

a nurse is caring for a client who has a new prescription for butorphanol. The nurse should monitor the client for which of the following adverse drug reactions? (select all that apply) infection nausea tachycardia dizziness headache

nausea, dizziness, headache

a nurse is providing teaching to a client about taking fludrocortisone to treat adrenocortical insufficiency. which of the following instructions should the nurse include?

obtain weight measurements daily report weakness or palpitations have blood pressure checked regularly

When caring for a patient who is taking risperidone (Risperdal) for schizophrenia, the health care professional should monitor for which of the following adverse effects of the drug?

polyuria Reasoning: atypical antipsychotic, can cause new-onset diabetes mellitus. It's essential to monitor pts taking the drug, for signs of hyperglycemia, and check their glucose levels regularly

A nurse is assessing a client who has a new prescription for levothyroxine. the nurse should identify which of the following findings as a contraindication for this drug?

recent myocardial infarction

a nurse is caring for a client who has a new prescription for transdermal conjugated estrogen and medroxyprogesterone to treat postmenopausal symptoms. the nurse should explain to the client that this drug combination includes which of the following therapeutic effects?

reduces the risk of ovarian cancer, relieves hot flashes, prevents osteoporosis

a nurse should recognize that a provider will prescribe a lower dose of sitagliptin for a client who has type 2 diabetes mellitus and who also has which of the following?

renal impairment

a nurse is teaching a client about calcitonin-salmon intranasal spray to treat osteoporosis. which of the following information should the nurse include?

report rash or itching prime the pump before the first dose report nasal irritation

a nurse is reviewing the medical record of a client who has a new prescription for tramadol. The nurse should identify that which of the following conditions is a contraindication for tramadol? hyperthyroidism seizure disorder rheumatoid arthritis urinary incontinence

seizure disorder

a nurse is caring for a client who is about to begin taking (PTU) to treat hyperthyroidism. the nurse should instruct the client to report which of the following adverse effect?

sore throat joint pain bradycardia rash

a nurse is teaching s client who has a new prescription for allopurinol. The nurse should instruct the client to report which of the following adverse drug reactions? (select all that apply) palpitations sore throat vertigo bruising vision changes

sore throat, vertigo, bruising, vision changes

a nurse is reviewing the medical record of a client who has a new prescription for celecoxib. The nurse should identify that which of the following conditions is a contraindication to celecoxib? rheumatoid arthritis ankylosing spondylitis sulfonamide allergy adrenocortical insufficiency

sulfonamide allergy

a nurse is caring for a client who is currently taking methotrexate for rheumatoid arthritis. the nurse should identify that which of the following is an adverse effect of this medication?

thrombocytopenia

a nurse is caring for a client who asks about taking acetaminophen. The nurse should identify that acetaminophen is indicated for which of the following conditions? (select all that apply) to reduce fever to decrease inflammation to relieve pain to promote sedation to alleviate anxiety

to reduce fever, to relieve mild pain

A nurse is assessing a client who has hypothyroidism and takes Levothyroxine. Which of the following findings should alert the nurse that the client is experiencing acute Levothyroxine overdose?

tremors

a nurse is caring for a client who is reeivng morphine to relieve severe pain. The nurse should monitor the client for which of the following adverse drug reactions? (select all the apply) diarrhea urinary retention respiratory depression sedation orthostatic hypotension

urinary retention, respiratory depression, sedation, orthostatic hypotension

a nurse is caring for a client who is about to begin taking somatropi. the nurse should explain the need to monitor which of the following laboratory values?

urine calcium and blood glucose

a nurse is teaching a client who has a prescription for calcitonin-salmon about manifestations of hypercalcemia. which of the following manifestations should the nurse include in the teaching?

vomiting

a nurse is caring for a client who is opioid dependent and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestations of abstinence syndrome? (select all that apply) bronchospasm vomiting peripheral edema abdominal cramps hypertension

vomiting, abdominal cramps, hypertension

a nurse is reviewing the drug list for a client who has a new prescription for allopurinol. The nurse should identify that which of the following drug reacts with allopurinol? Warfarin Ibuprofen Insulin Furosemide

warfarin

a nurse is educating a parent of a child who has a new diagnosis of prader-will syndrome (PWS) and has been prescribed somatropin. which of the following statements by a parent indicate understanding of the teaching?

we will use a different spot for injection each time we give the medication

While taking with a patient about taking chlorpromazine, which of the following instructions should the health care professional include?

wear sunscreen when exposed to light Reasoning: can cause photosensitivity or increased susceptibility to sunburn when exposed to sunlight. Limit exposure and wear protective clothing when outdoors

a nurse is caring for a client who has a prescription for aspirin to treat an ankle pain. The nurse should instruct the client to report which of the following adverse drug reactions? polyuria bone pain weight gain infection

weight gain

a nurse is caring for a client who is taking pioglitazone to treat type 2 diabetes mellitus the nurse should monitor for which of the following findings?

weight gain

A health care professional is caring for a patient who has been taking alprazolam (Xanax) for an extended period of time to treat anxiety. The health care professional should recognize that stopping alprazolam therapy suddenly can resulting which of the following?

withdrawal symptoms Reasoning: alprazolam (benzo) users can develop dependence with long-term use

Nurse is providing teaching to pt who has depression and new prescription for fluoxetine. Which of following statements by pt indicates understanding of teaching?

"I should take acetaminophen instead of ibuprofen for my headaches while taking this medication." Fluoxetine suppresses platelet aggregation, which increases the risk of bleeding when used concurrently with NSAIDs and anticoagulants. Therefore, clients who are taking fluoxetine should take acetaminophen for headaches or pain, since acetaminophen does not suppress platelet aggregation. Concurrent use of St. John's Wort and fluoxetine can increase the client's risk for serotonin syndrome, a potentially life-threatening complication. Manifestations of serotonin syndrome include confusion, hallucinations, hyperreflexia, excessive sweating, and fever. Clients taking fluoxetine, a selective serotonin reuptake inhibitor, are not required to restrict their dietary intake of tyramine. A client who is taking an MAOI, such as selegiline, should avoid products containing tyramine. The nurse should inform the client that the therapeutic levels of fluoxetine can take between 1 and 4 weeks to achieve desired effects. The client should take the medication as prescribed and use other strategies to manage depression in the interim.

Nurse is teaching pt who is starting to take diltiazem. Which of following statements should nurse identify as indication that pt understands teaching?

"I will check my heart rate before I take the medication." Diltiazem, a calcium channel blocker, has cardio-suppressant effects at the SA and AV nodes, which can lead to bradycardia. The client should check their heart rate before taking the medication and notify the provider if it falls below the expected reference range.

Nurse is providing teaching to pt about to use ethinyl estradiol/norelgestromin. Nurse should identify that which of following statements by pt indicates understanding of teaching?

"I will fold the sticky sides of the old patch together before disposing it." The client should fold the sticky sides of the old patch together and then place it in a childproof container to ensure safe disposal of the patch. The client should apply the patch within 7 days of menses to prevent ovulation and the need for another contraceptive method. The client should remove and dispose the old patch before applying a new patch to prevent toxicity by combining the remaining medication on the old patch with the medication on the new patch. The client should apply the patch once a week for 3 weeks and then go without the patch for 1 week to promote menstruation.

A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered dose inhaler. Which of the following statements by the parent indicates the need for further teaching?

"I will give my child a dose as soon as wheezing starts."

Nurse is teaching about self-administration of transdermal medication w/ male pt who has new prescription for nitroglycerin. Nurse should identify that which of following statements by pt indicates understanding of teaching?

"I will remove the patch after 14 hours." The client should remove the patch after 12 to 14 hr to prevent tolerance of the medication.

Nurse is teaching about new prescription to pt who has new UTI. Nurse should identify which of following statements as an indication that pt understands teaching?

"I will report any signs of tendon pain or swelling." Ciprofloxacin, a fluoroquinolone, is associated with a risk of tendon rupture. This risk is increased in older adult clients, so the client should notify the provider at the onset of tendon pain or swelling.

Nurse is providing discharge instructions to pt who is to self-administer insulin at home. Which of following client statements should indicated to nurse that teaching is effective?

"I will store my unopened bottles of insulin in the refrigerator." The client should store unopened vials of insulin in the refrigerator to maintain medication viability. Once opened, the insulin can remain at room temperature for up to 1 month.

Nurse is teaching pt about cyclobenzaprine. Which of following pt statements should indicate to nurse that teaching is effective?

"I will taper off the medication before discontinuing it."

Nurse is teaching about zolpidem to pt who has insomnia. Nurse should identify that which of following pt statements indicates an understanding of teaching?

"I will use this medication for a short period of time." Zolpidem is used for short-term treatment of insomnia. Therefore, the provider should reassess the client before refilling the prescription.

Nurse is providing discharge teaching to pt who has new prescription for furosemide BID. Nurse should include which of following instructions in teaching? (select all that apply)

"Increase intake of potassium-rich foods": Loop diuretics, such as furosemide, act at the loop of Henle by blocking the resorption of sodium, water, and potassium. An adverse effect of the medication is the development of electrolyte imbalances such as hyponatremia, hypochloremia, and hypokalemia. To prevent hypokalemia, the client should increase intake of potassium-rich foods, such as potatoes, spinach, dried fruit, and nuts. "Monitor for muscle weakness": Furosemide, a loop diuretic, causes a loss of potassium, which can result in manifestations of hypokalemia such as difficulty concentrating, shallow respirations, hyporeflexia, and muscle weakness. The nurse should instruct the client to monitor for these manifestations and report them to the provider. "Dangle your legs from the side of the bed before standing": Loop diuretics, such as furosemide, reduce vascular tone and increase fluid excretion. These effects decrease blood return to the heart and can manifest as dizziness and lightheadedness when going from a lying to a standing position. The client should change positions slowly to minimize orthostatic hypotension.

A nurse is teaching a client about maraviroc. Which of the following instructions should the nurse include?

"It is important to report any noticeable rash immediately as it might indicate an issue with your liver."

Nurse is providing teaching to pt who has gastric ulcer and new prescription for ranitidine. Which of following instructions should nurse include?

"Report yellowing of the skin."

Nurse is providing teaching to pt who is to start Tx for asthma w/ beclomethasone and albuterol inhalers. Which of following instructions should nurse include in teaching?

"Rinse your mouth after inhaling the beclomethasone."

A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching?

"Take hydrochlorothiazide in the morning."

Nurse is providing teaching to pt who has prescription for ergotamine sublingual to Tx migraine headaches. Which of following information should nurse include in instructions?

"Take one tablet at onset of migraine."

A nurse is teaching a client about immunizations. Which of the following information should the nurse include about the teaching?

"You should receive a tetanus booster every 10 years."

a nurse is caring for a client who takes low-dose aspirin to prevent cardiovascular events. The client asks the nurse about taking ibuprofen to treat rheumatoid arthritis. Which of the following responses should the nurse make? "ibuprofen will increase your risk for developing salicylism" "ibuprofen will reduce the cardioprotective effects of low-dose aspirin" "low-dose aspirin will reduce the anti-inflammatory effects of ibuprofen" "low-dose aspirin will reduce the analgesic efforts of ibuprofen"

"ibuprofen will reduce the cardio protective effects of low-dose aspirin"

Ventricular Tachycardia (V-Tach) - Rhythm Strip

- Lack of P waves - Rapid sequences of QRS complexes at rate >100/min

Hyperkalemia - Rhythm Strip

- Peaked T waves - Prolonged PR interval - Widened QRS - Shortened QT and/or absent P waves

A nurse is assessing a client who has administered ondansetron IV one hour ago. Which of the following findings should the nurse recognize as an adverse effect of this drug?

Dizziness.

Nurse is caring for pt who has acute acetaminophen toxicity. Nurse should anticipate administering which of following meds?

Acetylcysteine

A healthcare professional is caring for a patient who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the healthcare professional expect to administer?

Acetylcysteine (a mucolytic); Acetylcysteine is a mucolytic that loosens thick respiratory secretions.

A nurse should recognize that milrinone is contridicated for a client who has which of the following conditions?

Acute myocardial infarction

A nurse is preparing a discharge teaching plan for a 6-year-old client who has asthma and several prescription medications using metered dose inhalers [MDIs]. Which of the following interventions should the nurse include in the plan?

Add a spacer to the MDI

A nurse is preparing to administer iron dextran IV to a client. Which of the following actions should the nurse plan to take?

Administer a small test dose before giving the full dose

A nurse is teaching a client who received a prescription for interferon beta 1a for the treatment of multiple sclerosis. Which of the following information should the nurse include?

Administer the drug in your thigh or upper arm

A nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. Which of the following actions should the nurse take?

Administer the medication into the client's abdomen.

Nurse is preparing to administer heparin subq to pt. Which of following actions should nurse plan to take?

Administer the medication outside the 5-cm (2-in) radius of the umbilicus.

A nurse is administering epoetin IV to a client who has renal failure. Which of the following actions should the nurse take?

Administer via IV bolus over 1-3 min. - Shaking the vial can damage the glycoprotein that comprises the drug, making it ineffective. - Instructions for administering the drug include mixing it with 0.9% NaCl. The nurse should also examine the solution and discard it if it is cloudy or discolored. - Instructions for administering the drug include using the vial only once and then discarding it.

Nurse is completing incident report for med error. Which of following information should nurse include in report?

Administered propranolol 80 mg PO at 1800 to the client who did not have a prescription for the medication. The incident report should clearly and thoroughly report the facts of the error.

Nurse is preparing newly licensed nurse who is caring for 4 pts. Nurse should complete incident report for which of following actions by newly licensed nurse?

Administers isosorbide mononitrate to a client who has BP 82/60 mm Hg Isosorbide mononitrate is a nitrate used for clients with angina. Taking isosorbide mononitrate leads to vasodilation, which can result in hypotension. The nurse should withhold the medication and notify the provider if the client's systolic blood pressure is below the expected reference range of 120/80.

A nurse should recognize that enfuvirtide can be prescribed to clients who have which of the following conditions?

Advanced HIV

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the clients phosphorus levels when administering which of the following drugs?

Aluminum hydroxide

A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering?

Amantadine

A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has Paget's disease of the bone. Which of the following actions should be the nurse's priority?

Ambulate the client to a chair prior to administering the medication

A nurse is caring for a client who is about to begin alteplase therapy to treat pulmonary embolism. Which of the following drugs should the nurse have available in the event of a severe adverse reaction?

Aminocaproic acid. Aminocaproic acid, a coagulator, inhibits fibrinolysis and stops excessive fibrinolytic bleeding, a severe adverse effect of alteplase. - Vitamin K reverses the effects of warfarin. It is unlikely to reverse the thrombolytic effects of alteplase. - Protamine reverses the effects of heparin. It is unlikely to reverse the thrombolytic effects of alteplase. - Deferoxamine is a chelating agent that binds with iron to reverse iron toxicity. It is unlikely to reverse the thrombolytic effects of alteplase.

A health care professional is caring for a patient who is about to begin taking lithium carbonate (Lithobid) to treat bipolar disorder. The health care professional should caution the patient to watch for which of the following indications of litium toxicity? A. tremors B. confusion C. Bronchospasm D. nausea E. muscle weakness

Answers: A, B, D, E Reasoning: A. advances toxicity resulting in seizures B. confusion, slurred speach, and ataxia are indications of lithium toxicity due to the drug's narrow therapeutic range C. lithium does not normally affect the respiratory system D. n/v/d are early indications of toxicity. pts should report any of these adverse effects E. muscle weakness is an early indication of toxicity due to the drug's narrow therapeutic range *HCP should monitor lithium levels periodically

When reviewing the indications for various antidepressants, a health care professional should understand that bupropion hydrochloride (Wellbutrin) is an appropriate choice for patients who have which of the following? A. motion sickness B. seasonal affective d/o C. depression D. seasonal effective disorder E. nicotine addiction

Answers: B, D, E Reasoning a. can cause n/v and constipation-does not tx motion sickness b. atypical antidepressant, helps prevent and treat seasonal affective disorder, a type of depresssion associated with the reduction of natural light during winter months c. can cause insomnia and agitation d. appropriate for patients trying to quit smoking e. antidepressants help tx depression

A nurse is caring for a client who has a new prescription for ranitidine to treat Gerd. The nurse should instruct the client to wait at least one hour between taking ranitidine and which of the following over the counter drugs?

Antacids

A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects?

Antiestrogenic

A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a child. The nurse should recognize that the MMR vaccine provides which of the following types of immunity?

Artificial active immunity

A nurse is caring for a client who has a positive tuberculin skin test and is beginning a prescription for Isoniazid. The nurse should teach the client that which of the following laboratory values should be monitored while taking Isoniazid?

Aspartate Aminotrasnferase [AST]

A nurse is planning to administer Diphenhydramine 50 mg via IV bolus to a client who is having an allergic reaction. The client has an IV infusion containing a medication that is incompatible with diphenhydramine in solution. Which of the following actions should the nurse take?

Aspirate to check for IV patency before administering the Diphenhydramine

The nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions?

Aspirin sensitivity

A nurse is caring for a client and realizes after administering the 0900 medications that she administered digoxin 0.25 mg PO to the client instead of the prescribed digoxin 0.125 mg PO. Which of the following actions should the nurse take first?

Assess the client's apical pulse

Nurse is reviewing medical record of pt who has HTN. Nurse should identify which of following findings as contraindication for receiving propranolol?

Asthma Asthma is a contraindication for receiving propranolol. Propranolol is an adrenergic antagonist which blocks the beta2 receptors in the lungs, causing bronchoconstriction and leading to serious airway resistance and possibly respiratory arrest.

Nurse in ER is caring for pt who has myasthenia gravis and is in cholinergic crisis. Which of following meds should nurse plan to give?

Atropine

A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instruction should the nurse include?

Avoid activities that require alertness

a nurse is teaching a client who has a prescription for glipizide therapy to treat type 2 diabetes mellitus. which of the following instructions should the nurse include?

Avoid drinking alcohol

A health care professional is talking to a patient who is taking lithium carbonate (Lithobid). Which of the following instructions should be included to reduce the risk of lithium toxicity?

Avoid taking NSAIDS Reasoning: NSAIDS increase renal absorption of lithium and Na.

When advising a patient about taking prednisone for chronic asthma, a healthcare professional should include which of the following information?

Avoid taking NSAIDs; Gastric protective measures are essential for patients who are taking oral glucocorticoids. Anti-inflammatory drugs can cause GI bleeding, so patients should not take them concurrently with prednisone.

A nurse is teaching a client who has Alzheimers disease and their caregiver about memantine. Which of the following instructions should the nurse include?

Avoid taking over the counter antacids

A nurse is teaching the family of a client who has a new diagnosis of Alzheimer's disease about donepezil. Which of the following information should the nurse include?

Avoid the use of NSAIDs for pain

A nurse is providing teaching to a client who has hypertension and a new prescription for oral Clonidine. Which of the following instructions should the nurse include in the teaching?

Avoiding driving until the client's reaction to the medication is known

A nursing is caring for a client who has streptococcal pharyngitis and an allergy to penicillin. The nurse should recognize that which of the following drugs can be safely administered to the client?

Azithromycin

A nurse is caring for a client who has new prescription for acyclovir to treat a herpes simplex infection. Which of the following laboratory values should the nurse monitor for this client?

BUN

A nurse is teaching a client who has a prescription for carbamazepine. Which of the following instructions should the nurse include to help the client to avoid adverse effects of this drug?

Begin taking the drug at a low dosage

Nurse is assessing pt who has received atropine eye drops during eye examination. Which of following findings should nurse expect as adverse effect of med?

Blurred vision Blurred vision is an expected finding following the administration of atropine eye drops. This is due to the cycloplegic effects of the medication, which cause distant objects to appear blurry to the client. Dilation of pupils, or mydriasis, is an expected finding following the administration of atropine eye drops. A client who has received atropine eye drops can experience photosensitivity, which causes difficulty seeing in brightly lit areas due to the muscarinic receptors causing mydriasis. Excessive tearing is not an expected finding following the administration of atropine eye drops.

A nurse is planning discharge teaching for 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

Nurse is providing teaching to pt who is to start taking sumatriptan. Which of following adverse effects should nurse instruct pt to monitor for and report to Dr?

Chest pressure Sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in angina. The client should report chest pressure or heavy arms to the provider.

A nurse is caring for a client who has alcohol use disorder and is admitted with lower extremity fractures following a motor-vehicle crash. A few hours after admission, the client develops restlessness and tremors. Which of the following medications should the nurse anticipate administering to the client first?

Chlordiazepoxide

A nurse is administering Ciprofloxacin and Phenazopyridine to a client who has a severe urinary tract infection [UTI]. The client asks why both medications are needed. Which of the following responses should the nurse make?

Ciprofloxacin hydrochloride treats the infection, and the phenazopyridine treats pain.

A nurse is preparing to administer memantine to a client who has Alzheimer's disease. Which of the following findings in the client's medical history indicates a need to withhold the drug and notify the provider?

Cirrhosis

A nurse is teaching a client who has a new prescription for methotrexate. The nurse should instruct the client to monitor for manifestations of which of the following conditions?

Gout

A nurse is caring for a client who is taking amiodarone to treat atrial fibrillation. Which of the following should the nurse instruct the client to avoid while taking this drug?

Grapefruit Juice

A nurse is preparing to administer a prescribed dose of desmopressin to a client who has hemophilia A. The client has a sodium level of 130 mEg/L. Which of the following actions should the nurse take?

Clarify the prescription with the provider. Hyponatremia and fluid retention can occur with the administration of desmopressin, an antidiuretic hormone used in the treatment of hemophilia A. The client's sodium level is below the expected range of 136 to 145 mEq/L. The nurse should notify the provider of the client's current sodium level and clarify the prescription prior to administration. - Filgrastim, a leukopoietic growth factor, stimulates neutrophil production in the bone marrow. It is possible that it could cause bone pain, requiring the concomitant administration of a mild analgesic. Desmopressin does not require the administration of an analgesic. - Desmopressin is available for use in treating hemophilia A intravenously or via nasal spray. It is not administered orally for treatment of hemophilia. - Desmopressin is used in the treatment of hemophilia A and stimulates the release of factor VIII. It does not have therapeutic effects on hemophilia B, which is a factor IX deficiency.

Nurse is caring for a pt who has hypocalcemia and is receiving calcium citrate. Nurse should identify that which of following findings indicates therapeutic response to med?

Client report of decreased paresthesia Paresthesia is a manifestation of hypocalcemia. A client report of a decrease in paresthesia is an indication of a therapeutic response to calcium citrate. The nurse should also monitor for a decrease in other manifestations of hypocalcemia, including muscle twitching and cardiac dysrhythmias. A calcium level of 8.8 mg/dL is below the reference range of 9.0 to 10.5 mg/dL and does not indicate a therapeutic response to calcium citrate.

A nurse is caring for a client who has chronic stable angina. The nurse should identify that which of the following drugs inhibits the action of adenosine diphosphate receptors (ADP) on platelets and can be prescribed to reduce the client's risk for MI?

Clopidogrel - Clopidogrel is an antiplatelet medication that blocks the ADP receptors on platelets, preventing platelet aggregation. This effect is irreversible and lasts the lifespan of the platelets (7 to 10 days). - Heparin binds with antithrombin, increasing its ability to inactivate factor Xa and thrombin. This prevents the formation of fibrin. - Warfarin inhibits vitamin K by preventing its activation. As a result, there is a decreased production of vitamin K dependent clotting factors VII, IX, X, and prothrombin. - Alteplase is a thrombolytic drug. Thrombolytic drugs selectively convert plasminogen into the enzyme plasmin, which can actively breakdown the fibrin meshwork of a clot.

A nurse in a provider's office receives a call from a client who is taking tetracycline orally to treat a chlamydia infection and reports severe blood-tinged diarrhea. The nurse should suspect the client is experiencing which of the following?

Clostridium difficile-associated diarrhea

Nurse is caring for pt who has cancer and is taking oral morphine and docusate sodium. Nurse instruct pt that taking docusate sodium QD can minimize which of following adverse effects of morphine?

Constipation

A nurse is monitoring a client following ferrous sulfate administration. The nurse should monitor the client for which of the following adverse effects?

Constipation. Oral iron supplementation is associated with constipation. The nurse should encourage the client to consume adequate amounts of fiber and fluids in their diet to minimize this effect. - Ferrous sulfate is administered orally. Phlebitis could occur in clients receiving iron supplementation IV, not by mouth. Iron dextran, iron sucrose, and sodium ferric gluconate are iron formulations that can be administered IV. - Oral iron supplementation is associated with dark green or black-colored stools. - Ferrous sulfate is administered orally, not via intramuscular injection. Iron dextran is available for IM injection.

Nurse is caring for pt who is taking atorvastatin for hyperlipidemia. Which of following client lab values should nurse monitor?

Creatinine kinase The client who is taking atorvastatin can develop an adverse effect called rhabdomyolysis, which causes muscle weakness or pain and can progress to myositis. Creatinine kinase levels rise in response to enzymes released with muscle injury.

A nurse is caring for a client who is about to begin therapy with recombinant factor IX to treat hemophilia B. The client asks the nurse about the risk of disease transmission with recombinant factor IX as compared with plasma-derived factor IX. The nurse should explain that recombinant factor IX practically eliminates the risk for which of the following?

Creutzfeldt-Jakob disease - Recombinant factor IX is safer than the plasma-derived formulation because it practically eliminates the risk for Creutzfeldt-Jakob disease, a prion-transmitted infection, from human sources. - None of the factor IX products currently in use, plasma-derived or recombinant, carry a risk of acquiring HIV. However, plasma-derived products carry a minimal risk of acquiring hepatitis A and parvovirus B19. - None of the factor IX products currently in use, plasma-derived or recombinant, carry a risk of acquiring cytomegalovirus. However, plasma-derived products carry a minimal risk of acquiring hepatitis A and parvovirus B19. -Both recombinant and plasma-derived factor IX carry a risk for anaphylaxis. The nurse should have epinephrine and diphenhydramine available and monitor clients who are receiving these products for an allergic reaction that could lead to anaphylaxis. Plasma-derived products carry a minimal risk of acquiring hepatitis A and parvovirus B19.

Nurse is planning to teach about inhalant meds to pt who has new Dx of exercise-indused asthma. Which of following weds should nurse plan to instruct pt to use prior to physical activity?

Cromolyn Cromolyn sodium stabilizes mast cells, which inhibit the release of histamine and other inflammatory mediators. The client should use cromolyn 10 to 15 min before planning to exercise to prevent bronchospasms.

A nurse is caring for a client who is about to begin taking cabergoline to treat infertility. The nurse should explain to the client the need to monitor which of the following laboratory values? A. Potassium B. Glucose C. BUN and creatinine D. Prolactin Level

D. Prolactin Level

A health care professional is collecting data from a patient who is taking bupropion hydroooride (Wellbutrin) to treat depression. The health care professional notes that the patient has a recent history of a head injury. She should recognize that the drug is inappropriate for the patient because of the increase risk for which of the following? A. ischemic stroke B. Drowsiness C. Respiratory depression D. Seizure activity

D. Seizure activity Reasoning: Bupropion, an atypical anti-depressant, can cause seizure activity when patients take high doses or have a seizure d/o, a CNS tumor, or a hx of head trauma

Nurse is administering baclofen for pt who has spinal cord injury. Which of following findings should nurse document as therapeutic outcome?

Decrease in flexor and extensor spasticity A client who has a spinal cord injury and takes baclofen can experience a decrease in the frequency and severity of muscle spasms and in flexor and extensor spasticity.

Nurse is teaching pt who is to start taking hydrocodone w/ acetaminophen tablets for pain. Which of following information should nurse include in teaching?

Decreased respirations might occur.

You are advising the patient about the use of beclomethasone (Beconase AQ), an intranasal glucocorticoid, to treat asthma. You should explain that the drug treats asthma because it performs which of the following actions?

Decreases inflammation; Beclomethasone, an intranasal glucocorticoid, treats asthma by reducing inflammation.

A nurse is teaching a client who has a new diagnosis of breast cancer about the drug tamoxifen. The nurse should tell the client that which of the following conditions is a contraindication for taking tamoxifen?

Deep-vein thrombosis

A nurse is caring for a client who has a new prescription for intrathecal cytarabine therapy to treat meningeal leukemia. The nurse should inform the client that they will also receive which of the following drugs to reduce the risk of neurotoxicity?

Dexamethasone

A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should instruct the client to report which of the following adverse effects?

Diarrhea

A nurse is teaching a client who is starting treatment with warfarin. The nurse should plan to include information on which of the following topics to promote the effectiveness of the drug?

Dietary modifications. Warfarin is an anticoagulant drug that functions by inhibiting the action of vitamin K. Many foods, such as green, leafy vegetables, are rich in vitamin K. The client should maintain a consistent intake of vitamin K to avoid excesses or deficits and ensure the therapeutic effects of warfarin are consistent. - There are no specific recommendations about sleep modifications that would affect a client taking warfarin. - There are no specific recommendations about fluid intake that would affect a client taking warfarin. Clients taking drugs for heart failure might need to monitor fluid intake. - There are no specific recommendations about operating a motor vehicle that would affect a client taking warfarin. Warfarin does not cause sedation or altered judgment or coordination.

Nurse is reviewing MAR of pt who has hypocalcemia and new prescription for IV Ca gluconate. Nurse should identify that which of following meds can interact w/ calcium gluconate?

Digoxin

Nurse is administering cefotetan via intermitten IV bolus to pt who suddenly develop dyspnea and widespread hives. Which of following actions should nurse take 1st?

Discontinue the medication IV infusion. The greatest risk to the client is respiratory arrest from anaphylaxis. Therefore, the first action the nurse should take is to discontinue the medication IV infusion to prevent the client from receiving more medication. However, the nurse should not remove the IV catheter. Instead, the nurse should change the tubing and administer 0.9% sodium chloride by continuous IV infusion.

Nurse is caring for pt who has developed hypomagnesmia due to long-term therapy w/ lansoprazole. Nurse should monitor pt for which of following manifestations?

Disorientation The nurse should monitor the client for disorientation and confusion as manifestations of hypomagnesemia. The nurse should also assess the client for a positive Chvostek's and Trousseau's signs.

A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effects?

Dizziness

Nurse is teaching pt who has new prescription for docusate sodium about med's MOA. Which of folliwng information should nurse include in teaching?

Docusate sodium reduces the surface tension of the stools to change their consistency. Docusate sodium is a surfactant that softens stool by reducing surface tension, allowing water to penetrate more easily into the stool. Osmotic laxatives, such as glycerin suppositories, act by lubricating the lower colon and initiating reflex contractions of the rectum. Bulk-forming laxatives, such as methylcellulose, mimic the action of dietary fiber, forming a viscous compound that softens the fecal mass and increases its bulk, which stimulates peristalsis. Stimulant laxatives, such as bisacodyl, stimulate the intestinal wall to cause peristalsis by pulling water into the intestines.

Nurse is caring for pt who has pneumonia. Pt tells nurse she is pregnant and that she hasn't told provider yet. Nurse should identify that pregnancy is contraindicated for receiving which of following meds?

Doxycycline Doxycycline is a tetracycline antibiotic. The nurse should identify that doxycycline can cause teratogenic effects such as staining of the infant's teeth when exposed to this medication. Therefore, this medication is contraindicated for the client.

Nurse is teaching pt who is taking allopurinol for Tx of gout. Which of following information should nurse include teaching?

Drink 2 L of water daily. The nurse should instruct the client to drink at least 2 L of water each day to prevent renal stone formation and kidney injury, because allopurinol is eliminated through the kidneys.

Nurse is administering donepezil to a pt who has Alzheimer's disease. Which of following findings should nurse report to provider immediately?

Dyspnea

A nurse is teaching a client about taking ferrous sulfate to treat iron-deficiency anemia. Which of the following instructions should the nurse take?

Eat iron-enriched foods (egg yolks, wheat germ, meat, fish). Spread the dosage across each day (throughout waking hours to allow bone marrow to maximize production of RBCs). Take the drug on an empty stomach (food reduces absorption of ferrous sulfate unless GI effects are troublesome). - Increase dietary fiber intake as ferrous sulfate can cause constipation. - Dark green/black stools are expected and not necessary to report.

A nurse is caring for a client who has hemophilia A and is about to begin taking desmopressin to prevent bleeding. The nurse should monitor the client for which of the following adverse reactions?

Edema - Desmopressin, an antidiuretic hormone, can cause fluid retention and edema. The nurse should monitor fluid intake and output for clients receiving this drug. - Desmopressin, an antidiuretic hormone, can cause hyponatremia and weight gain. The nurse should monitor serum sodium levels and daily weight for clients receiving the drug therapy. - Desmopressin, an antidiuretic hormone, can reduce urine output. It is unlikely to cause polyuria. - Bradycardia Desmopressin, an antidiuretic hormone, can cause a slight increase in blood pressure and tachycardia when administered in large IV doses, but it does not cause bradycardia.

A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to perform prior to starting the client on this medication?

Electrocardiogram

You are advising a patient about the use of cromolyn sodium. Which of the following instructions should you include?

Expect a bitter aftertaste; Cromolyn sodium, a mast cell stabilizer, leaves a bitter aftertaste. Taking sips of water or sucking on hard candy after use of the drug can minimize this effect.

A nurse is providing teaching to a client who has a new prescription for losartan to treat hypertension. The nurse should instruct the client that which of the following findings could indicate an adverse reaction to the drug and needs to be reported?

Facial Edema

A nurse is caring for a client who is taking interferon beta 1b. The nurse should identify that which of the following findings indicates a potential serious adverse effect of this drug?

Fatigue

A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects?

Fever

Nurse in ER is caring for pt who has family reports pt has taken large amounts of diazepam. Which of following meds should nurse anticipate giving?

Flumazenil

Nurse is providing teaching to pt who has PUD and is to start new prescription for sucralfate. Which of following actions of sucralfate should nurse include in teaching?

Forms a protective barrier over ulcers

A health care professional is obtaining a patient drug history when he finds that the patient is taking lithium carbonate (Lithobid) for bipolar disorder. Which of the following findings in the patients drug history should alert the health care professional to monitor him for lithium toxicity?

Furosemide (Lasix) for hypertension Reasoning: Lasix is a high-ceiling diuretic, increases Na loss and can cause lithium re-absorption. HCP should eval for lithium toxicity

A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the client for which of the following adverse effects?

Headache - the thrombolytic drug can cause intracranial bleeding. The nurse should monitor the client for changes in level of consciousness, headache, one-sided weakness, and other indications of intracranial bleeding. - Alteplase, a thrombolytic drug, can cause bronchospasm, not bronchodilation. - Alteplase, a thrombolytic drug, is unlikely to cause edema. Desmopressin is a drug that can cause this adverse effect because it causes fluid retention. - Alteplase, a thrombolytic drug, can cause bleeding and hemorrhage, usually at sites of previous tissue damage. Severe and excessive bleeding can cause hypotension, not hypertension.

Nurse is assessing pt's VS prior to giving PO digoxin. Pt's BP 144/86, HR 55/min, RR 20/min. Nurse should w/hold med and contact Dr for which of following findings?

Heart rate

A nurse is teaching a client about recommended immunizations. Which of the following immunizations should the nurse recommend the client receive starting at 50 years of age?

Herpes zoster vaccine

A nurse is caring for a client who is about to begin taking epoetin. An increase in which of the following lab values should indicate to the nurse that the therapy is effective?

Hgb. Epoetin, an erythropoietic growth factor, increases the production of RBCs for clients who have anemia due to chronic renal failure or chemotherapy. Hgb and Hct should increase with effective therapy. - Warfarin, not epoetin, increases PT and causes anticoagulation. - Epoetin stimulates the production of RBCs, not WBCs. Therefore, the nurse should monitor Hgb and Hct levels to determine efficacy. - Epoetin can cause thrombocytosis, which is an excessive increase in platelet counts. This is an adverse effect of the drug and is not an indication of effective therapy.

Nurse is teaching pt who is taking tamoxifen for Tx of breast cancer. Which of following adverse effects should nurse include in teaching?

Hot flashes

Nurse is caring for pt who has HF and prescription for enalapril. Nurse should monitor pt for which of following as adverse effect of med?

Hyperkalemia Enalapril improves cardiac functioning in clients who have heart failure and can cause hyperkalemia due to potassium retention by the kidneys. Enalapril is an ACE inhibitor that has several cardiovascular adverse effects including hypotension, tachycardia, and dysrhythmias. Enalapril can cause several sensory adverse effects such as a loss of taste. However, it does not cause a loss of smell.

A nurse is caring for a client who has renal failure and is receiving epoetin. The nurse should monitor the client for which of the following adverse effects?

Hypertension - Epoetin, an erythropoietic growth factor, can cause hypertension. The nurse should monitor the client's BP before and during therapy and inform the provider if it increases. - Epoetin, an erythropoietic growth factor, tends to result in adverse effects involving the cardiovascular and central nervous system and does not cause muscle pain. - Epoetin alfa, an erythropoietic growth factor, is unlikely to cause edema. Oprelvekin, a thrombopoietic growth factor, is a drug that can cause edema and fluid retention. - Epoetin, an erythropoietic growth factor, tends to result in adverse effects involving the cardiovascular and central nervous system and does not cause dry mouth.

A nurse is administering hydrochlorothiazide to a client who has arthritis. The nurse should monitor the client for which of the following findings that indicates an adverse effect of this drug?

Hyperuricemia

A nurse is assessing a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should identify that these manifestations indicate which of the following adverse effects?

Hypokalemia

A nurse is caring for a client who has a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medication?

Hypotension

A nurse is caring for a client who has a new prescription for verapamil to treat atrial fibrillation. The nurse should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause the client to experience which of the following conditions?

Hypotension

A nurse is planning to administer Diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of Diltiazem.

Hypotension

A nurse is providing discharge teaching to a client who had a kidney transplant and has a prescription for oral cyclosporine. Which of the following statements by the client indicates an understanding of the teaching?

I am likely to develop higher blood pressure while taking this medication

A nurse is providing discharge teaching about lithium toxicity to a client who has a new prescription for lithium. Which of the following statements by the client indicates an understanding of the teaching?

I can develop lithium toxicity if i experience vomiting or diarrhea

A nurse is providing teaching to a client who has hypertension and type 1 diabetes mellitus and a new prescription for metoprolol. Which of the following statements by the client indicates an understanding of the teaching?

I might have difficulty recognizing when my blood sugar is low

A nurse is providing discharge teaching to a client who has been hospitalized for major depressive disorder and has a prescription or Amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?

I will move slowly when I stand up because amitriptyline can cause my blood pressure to decrease

A nurse is providing teaching to a client who has postmenopausal osteoporosis and a new prescription for intranasal calcitonin-salmon. Which of the following statements by the client indicates an understanding of the teaching?

I will need to depress the side arms to activate the pump

a nurse is teaching a client about adverse effects of etanercept. which of the following statements by the client indicates understanding of the teaching?

I will need to get my blood drawn periodically while on this medication.

A nurse is providing teaching to a client who has heart failure and is taking Spironolactone. Which of the following statements by the client indicates an understanding of the teaching?

I will watch for increased breast tissue growth while taking this medication

Nurse is collecting med Hx from pt who has new prescription for lithium. Nurse should identify that pt should discontinue which of following OTC meds?

Ibuprofen

When reviewing the adverse effects of drug therapy with a patient, a health care professional should explain orthostatic hypotension is a common adverse reaction of which of the following drugs?

Imipramine (Tofranil) Reasoning: imipramine (tricyclic antidepressant, can result in orthostatic (postural) hypotension. Patients taking this drug should change positions slowly from sitting or lying to standing

Nurse is assessing pt who is taking propylthiouracil for Tx of Grave's disease. Which of following findings should nurse identify as indication that med has been effective?

Increase in ability to focus

A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron which of the following actions should the nurse plan to take select all that apply

Infuse the drug 30 minutes prior to chemotherapy. Infuse the drugs slowly over 15 minutes. Repeat the dose four hours after chemotherapy.

A nurse is caring for a client who is about to begin taking aspirin to reduce the risk of a CV event. The nurse should ID that the drug inhibits platelet aggregation by which of the following mechanisms?

Inhibiting cyclooxygenase action in platelets. Salicylates, such as aspirin, work by inhibiting platelet aggregation. They do this by blocking the action of cyclooxygenase on platelets. As a result, activation of thromboxane A2 does not occur. - Part of the process by which salicylates, such as aspirin, inhibit platelet aggregation involves preventing the activation of thromboxane A2, which would otherwise stimulate platelet aggregation and vasoconstriction. - Part of the process by which drugs such as clopidogrel, not aspirin, inhibit platelet aggregation involves the irreversible blockade of adenosine diphosphate receptor agonists on the surface of platelets, preventing clotting. - Warfarin, not aspirin, inhibits clotting by limiting the production of clotting factors VII, IX, X, and prothrombin.

A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should include in the teaching that which of the following conditions is a contraindication to this medication?

Intestinal obstruction

A nurse is caring for a client who has a prescription for rifampin to treat tuberculosis. The nurse should expect the provider to prescribe which of the following drugs to the client to prevent possible resistance to rifampin?

Isoniazid

A nurse is caring for a client who is in preterm labor and has a new prescription for Nifedipine. The client states she is concerned because her father takes Nifedipine for his angina pectoris. The nurse should explain to the client that Nifedipine works for clients who are pregnant by which of the following mechanisms?

It inhibits uterine contractions by blocking entry of calcium into uterine cells

A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid stimulating hormone (TSH) level and a decreased total T3 and T4 level. The nurse should anticipate a prescription for which of the following medications?

Levothyroxine

You should instruct a patient using phenylephrine spray for nasal congestion to do which of the following to avoid rebound congestion?

Limit the drug's use to 3-5 days Add an intransal glucocorticoid Taper the dose prior to discontinuation Restrict the drug's use to one nostril at a time

A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should identify that which of the following laboratory tests requires monitoring?

Liver function

A nurse is providing teaching to a newly licensed nurse about caring for a client who has a prescription for gemfibrozil. The nurse should instruct the newly licensed nurse to monitor which of the following laboratory tests?

Liver function

A nurse is caring for a client who has a new prescription for dobutamine. The nurse should clarify the prescription with the provider if the client is receiving which of the following types of drugs?

MAOI, General Anesthetic, Tricyclic antidepressant, Beta Blocker

Nurse is caring for pt who is receiving Tx for opioid use disorder. Which of following medications should nurse expect to administer?

Methadone The nurse should expect to administer methadone for treatment of opioid use disorder. Methadone can be administered for withdrawal and to assist with maintenance and suppressive therapy. The nurse should administer bupropion to assist the client with smoking cessation. The nurse should administer disulfiram as an aversion therapy to assist with maintaining abstinence from alcohol. The nurse should administer modafinil to assist with the fatigue and prolonged sleep from methamphetamine withdrawal.

Nurse is assessing pt who has myasthenia gravis and is taking neostigmine. Which of following findings indicate to nurse that pt is experiencing adverse effect?

Miosis

Nurse is preparing to administer PO sodium polystyrene sulfonate to pt who has hyperkalemia. Which of following actions should nurse plan to take?

Monitor the client for constipation.

A nurse is teaching a client who has a new prescription for quindine. Which of the following statements should the nurse include?

Monitor your pulse rate and report changes

A nurse is caring for a client who has been taking selegiline to treat Parkinson disease. The provider is considering the use of analgesics for the client but should be aware that a drug interaction between selegiline and meperidine cane result in which of the following?

Muscular rigidity

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

A nurse is caring for a client who is taking atorvastatin and has a new prescription for gemfibrozil. The nurse should recognize that this drug combination places the client at an increased risk for which of the following adverse effects?

Myopathy

The nurse is caring for a client who has a new prescription for propranolol to treat a tachydysrhythmia. The nurse should instruct the client to avoid which of the following types of over the counter drugs while taking propranolol?

NSAIDS

A nurse is administering fentanyl to a client to reduce pain. Which of the following drugs should the nurse have available to reverse the effects of fentanyl?

Naloxone

Nurse in ER is caring for pt who has heroin toxicity. Pt is unresponsive w/ pinpoint pupils and RR 6/min. Which of following meds should nurse plan to administer?

Naloxone

A nurse is caring for a client who is taking donepezil to treat Alzheimer's disease. For which of the following adverse effects should the nurse monitor?

Nausea

A nurse is caring for a client who is taking lubiprostone. The nurse should tell the client that lubiprostone can cause which of the following adverse drug reactions?

Nausea

A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan to monitor the client for which of the following adverse effects?

Neprhotoxicity

A nurse is reviewing the laboratory results for a client who has a prescription for filgrastim. The nurse should recognize that an increase in which of the following values indicates a therapeutic effect of this medication?

Neutrophil count

Nurse is caring for pt who reports lethargy and myalgia after taking clozapine for months. Which of following actions should nurse plan to take?

Obtain WBC with absolute neutrophil count. The client who takes clozapine can develop lethargy and myalgia caused by the adverse effect of agranulocytosis. Therefore, monitoring the WBC with absolute neutrophil count weekly for the first 6 months of treatment is recommended. After 6 months, monitoring can occur every 2 weeks up to 1 year.

Nurse is preparing to administer med to pt who has gout. Nurse discovers that an error was made during previous shift and pt received atenolol instead of allupurinol. Which of following actions should nurse take 1st?

Obtain the client's blood pressure.

Nurse is preparing to administer hydrochlorothiazide to pt. Which of following actions should nurse take prior to administering the med?

Obtain the client's blood pressure. HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure and edema. The nurse should obtain the client's blood pressure prior to administration of the medication.

A health care professional is caring for a patient who is about to begin using betaxolol (Betoptic) eye drops to treat open-angle glaucoma. The health care professional should advise the patient to expect which of the following reactions?

Ocular Stinging Betaxolol, a beta-adrenergic blocker, can cause short-term, mild stinging and burning of the eye. Patients should expect transient eye discomfort, but should not rub their eyes. Continuous irritation should be reported

A nurse is caring for a client who has a prescription for alosetron. The nurse should recognize that alosetron therapy is effective when the client reports which of the following?

One formed stool per day

Nurse is monitoring for adverse effects of hydrochlorothiazide after administering med to older adult pt who has HF. Which of following findings should nurse identify as adverse effect of med?

Orthostatic hypotension The nurse should identify that hydrochlorothiazide is an antihypertensive thiazide diuretic medication, which can cause orthostatic hypotension and light headedness. Therefore, the nurse should instruct the client to rise slowly when moving from a recumbent to a standing position. Hydrochlorothiazide is an antihypertensive thiazide diuretic medication, which can cause hyperglycemia. The nurse should identify palpitations as an adverse effect of hydrochlorothiazide, which is an antihypertensive thiazide diuretic medication. The nurse should identify that hydrochlorothiazide is an antihypertensive thiazide diuretic medication and has an adverse effect of blurred vision. Xanthopsia causes objects to appear yellow and is not an adverse effect of this medication.

A nurse is caring for a client who is about to begin clomiphene therapy to treat infertility. The nurse should monitor the client for which of the following adverse effects?

Ovarian hyperstimulation syndrome

A healthcare professional should tell a patient who is taking albuterol (Proventil) to report which of the following possible indications of a serious adverse effect?

Palpitations; Beta2 agonists can cause cardiac stimulation, resulting in chest pain, tachycardia, and hypertension. This is rare with short-acting beta2 agonists, but it is possible.

Which of the following information indicates to you that a patient who is taking theophylline needs further instruction?

Patient drinks two cups of coffee

A patient is starting ipretropium inhaler. What is a contraindication?

Peanut allergy Glaucoma

A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse should include a severe allergy to which of the following medications is a contraindication to ceftriaxone?

Piperacillin

Circulating nurse is planning care for pt who is schedule for surgery and has latex allergy. Which of following actions should nurse include in plan of care?

Place monitoring cords and tubes in a stockinet. The nurse should place monitoring devices in a stockinet to prevent direct contact with the client's skin.

A nurse is monitoring laboratory values for a male client who has leukemia and is receiving weekly chemotherapy with methotrexate via IV infusion. Which of the following laboratory values should the nurse report to the provider?

Platelets 78,000/mm

Before prescribing dextromethorphan (Robitussin) to a patient, the primary care provider should know that when given with an opioid, the drug can result in which of the following?

Potentiation of the analgesic effect of the opiod; Combining dextromethorphan with an opioid, such as morphine, increases the analgesic effect of the opioid.

Nurse is caring for 20 y/o female pt who has prescription for isotretinoin for severe nodulocystic acne vulgaris. Before pt can obtain refill, nurse should advise pt that which of following tests required?

Pregnancy test

A nurse is teaching a client about interferon beta 1a. Which of the following instructions should the nurse give to help the client avoid the adverse effects of this drug?

Premeditate with acetaminophen

Nurse is receiving ECG of pt who is receiving IV furosemide for HF. Nurse should identify which of following findings as indication of hypokalemia?

Presence of U-waves

A nurse is preparing to administer sumatriptan to a client for the first time. The nurse should instruct the client that sumatriptan is indicated for which of the following conditions?

Presence of a migraine headache

Nurse is caring for pt who is experiencing acute EtOH w/drawl. For which of following pt outcomes should nurse administer chlordiazepoxide?

Prevent delirium tremens

A healthcare professional who is advising a patient about the use of antihistamines to treat allergic rhinitis should explain that these drugs are effective because they perform which of the following actions?

Prevents histamine from binding to receptors; Antihistamines treat allergic rhinitis and reduce swelling by blocking histamine from binding to the receptor sites.

A nurse is teaching a client who recently had a myocardial infarction and has a new prescription for docusate sodium. The nurse should inform the client that docusate sodium has which of the following therapeutic effects?

Prevents straining

A nurse should identify that which of the following drugs is used only for the short term treatment of a cardiac dysrhythmia because of the serious adverse effects associated with long term use?

Procainamide

A nurse is reviewing the laboratory values for a client who is receiving a continuous IV heparin infusion and has an aPTT of 90 seconds. Which of the following actions should the nurse prepare to take?

Reduce the infusion rate

A nurse is providing teaching to a client who has cirrhosis and a new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects?

Reduces ammonia levels

You are advising the patient on the use of cromolyn sodium to prevent bronchospasm. You should explain that the drug prevents bronchospasm because it performs which of the following actions?

Reduces inflammation (inhibits the inflammatory response); Cromolyn sodium, a mast cell stabilizer, reduces inflammation by inhibiting the inflammatory response.

A healthcare professional who is advising a patient about the use of an expectorant to treat a cough should explain that this type of drug is effective because it performs which of the following actions?

Reduces surface tension; Expectorants act by reducing the surface tension of respiratory secretions. This results in thinning thick mucus, making it easier to cough out of the lungs and drain out of the nose and sinuses.

A nurse is providing teaching to a newly licensed nurse about administering morphine via IV bolus to a client. Which of the following information should the nurse include in the teaching?

Respiratory depression can occur 7 min after the morphine is administered.

You are advising a patient about the adverse effects of pseudoephedrine (Sudafed). Which of the following should you include?

Restlessness is correct. Restlessness is an adverse effect of pseudoephedrine, an oral sympathomimetic. Bradycardia is incorrect. Pseudoephedrine is more likely to cause tachycardia rather than bradycardia. Insomnia is correct. Insomnia is an adverse effect of pseudoephedrine. Muscle pain is incorrect. Muscle pain is not an adverse effect of pseudoephedrine. The drug is more likely to cause numbness of the extremities. Anxiety is correct. Anxiety is an adverse effect of pseudoephedrine.

A nurse is monitoring for a client who is about to begin taking folic acid to treat megaloblastic anemia. The nurse should monitor which of the following lab values to determine therapeutic effectiveness?

Reticulocyte count - a reticulocyte count measures the amount of immature RBCs. Folic acid, also called folate, is essential for erythropoiesis. Clients who have a folic acid deficiency require a baseline reticulocyte count, as well as a serum folate, Hgb, Hct, and RBC count and periodic monitoring during folic acid therapy to determine effectiveness. - Folic acid, also called folate, is unlikely to alter amylase levels. Amylase is an enzyme that helps digest carbohydrates. Levels rise with pancreatic inflammation or injury or when taking drugs used to treat viral invasion. - Folic acid, also called folate, is unlikely to alter C-reactive protein. Levels of this substance rise with inflammation and cardiovascular disease. - Folic acid, also called folate, is unlikely to alter creatinine clearance, which is a test that helps determine kidney function. Creatinine clearance is altered in drugs that affect the renal output, such as diuretics and antidiuretic hormone.

A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contraindicated for children who have a viral infection due to the risk of developing which of the following adverse effects?

Reye's syndrome

A nurse is preparing a discharge teaching plan for a client who is to being long-term oral prednisone for asthma. Which of the following instructions should the nurse include in the plan?

Schedule the medication on alternate days to decrease adverse effects

A nurse is caring for a client who has a new prescription for verapamil. The nurse should clarify the prescription with the provider if the client has a history of which of the following conditions?

Second-degree AV block

Soon after beginning fluxetine (Prozac), a patient is admitted to the emergency department with agitation and confusion. The health care professional should suspect which of the following?

Serotonin Syndrome Reasoning: can begin 2-72 hr after begining fluoxetine, and SSRI. Manifestations: confusion, difficulty concentration, and agitation

A nurse is reviewing new prescriptions with a client who has heart disease. The nurse should instruct the client that which of the following drugs is prescribed to treat hypercholesterolemia?

Simvastatin

A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction? (Select all that apply)

Skin integrity. Temperature. CBC.

A nurse is teaching a client who has chronic stable angina pectoris and a prescription for sublingual nitroglycerin tablets. Identify the sequence of instructions that the nurse should tell the client to use if he experiences chest pain?

Stop activity, place a tablet under the tongue, wait 5 minutes, call 911 if the pain is not relieved

A nurse is administering cefotetan IV to a client to treat bacterial meningitis. The nurse notes that the IV insertion site is warm, edematous, and painful to the touch. Which of the following actions should the nurse take?

Stop the cefotetan infusion.

Nurse is providing discharge teaching about handling med to pt who is to continue taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick. Which of following information should nurse include in teaching?

Store unused medication sticks in a storage container.

A nurse is providing teaching to a client who has rheumatoid arthritis and a prescription for long-term prednisone therapy. The nurse should instruct the client to monitor for which of the following adverse effects?

Stress fractures

A nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new prescription for sucralfate to treat a duodenal ulcer. The nurse should instruct the client to take the drugs at least two hours apart for which of the following reasons?

Sucralfate interferes with the absorption of phenytoin.

A health care professional is caring for a young adult patient who is taking fluuxetine (Prozac) to treat depression. The health care professional should tell the patient and the patients family to report which of the following?

Suicidal Thoughts Reasoning: fluuxetine (SSRI) have increased risk for suicide, eps in early tx. pts who are severly depressed can have, with drug therapy, the energy for self harm. Monitor for worsening depression

A nurse is caring for a client who is about to begin taking itraconazole to treat a fungal infection. The nurse should instruct the client to report which of the following adverse effects of the drug?

Swelling of hands or feet

A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects?

Tachycardia

A nurse is caring for a client who has a new prescription for amphetamine sulfate. The nurse should monitor the client for which of the following adverse effects?

Tachycardia

A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include? (select all that apply)

Take a drug 30 to 60 minutes before activities not trigger nausea. Avoid activities that require alertness. Increase fluid and fiber intake.

Nurse is caring for pt who is receiving end-of-life care and has prescription for fentanyl patches. Which of following information regarding adverse effects of fentanyl should nurse plan to give to pt and family?

Take a stool softener on a daily basis. Constipation is an adverse effect of opioid use. Stool softeners can decrease the severity of this adverse effect.

A nurse in a provider's office receives a call from a client who is taking ciprofloxacin to treat a respiratory tract infection and reports dyspepsia. Which of the following instructions should the nurse give the client?

Take an antacid at least 2 hr before taking the drug

A nurse is teaching a client who has a prescription for modafinil to treat narcolepsy. Which of the following instructions should the nurse include?

Take the drug in the morning

Which of the following should you include when advising a patient about the use of montelukast (Singulair)?

Take the drug once a day in the evening; Montelukast, a leukotriene modifier, is most effective when taken once per day in the evening.

A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. Which of the following instructions should the nurse include? (Select all that apply)

Take the drug with at least 8 ounces of fluid. Increase fluid and fiber intake.

Nurse is assessing pt who has schizophrenia and is taking haloperidol. Nurse should report which of following findings to Dr as manifestions of neuroleptic malignant syndrome (NMS)?

Temperature of 39.7° C (103.5° F)

A nurse is caring for a client who is taking ciprofloxacin to treat a urinary tract infection. The client also takes prednisolone to treat rheumatoid arthritis. Recognizing the adverse effects of ciprofloxacin, the nurse should instruct the client to report which of the following adverse effects?

Tendon pain

A nurse is planning care for a female client who has severe irritable bowel syndrome with diarrhea [IBS-D] and a new prescription for Alosetron. Which of the following interventions should the nurse include in the plan of care?

The client must sign an agreement with the provider before beginning alosetron

Hypokalemia - Rhythm Strip

U wave that follows T wave

Nurse administers ceftazidime to pt who has severe penicillin allergy. Nurse should identify which of following pt findings as indication that she should complete incident report?

The client reports shortness of breath. A severe penicillin allergy is a contraindication for taking ceftazidime, a cephalosporin antibiotic, due to the potential for cross-sensitivity. Shortness of breath can indicate the client is developing anaphylaxis.

Nurse is assessing pt who is postoperative following outpatient endoscopy procedure using midazolam. Nurse should monitor for which of following findings indicate that pt is ready for discharge?

The client's capnography has returned to baseline.

A nurse is caring for a male client asked the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting three months. Which of the following information should the nurse provide the clients about alosetron?

The drug is prescribed to female clients who have IBS-D lasting more than six months

A healhcare professional who is advising a patient about the use of a mucolytic to treat a cough should explain that this type of drug is effective because it performs which of the following actions?

Thins and loosens mucus; Mucolytics make mucus less viscous to increase a cough's productivity.

A nurse is providing teaching to a client who is to start taking Hydrochlorothiazide for hypertension. The nurse instructs the client to eat foods rich in potassium. Which of the following statements by the client indicates an understanding of the teaching?

This medication can cause a loss of potassium

A nurse is caring for a client who is taking clopidogrel to prevent stent restenosis. The nurse should monitor the client for which of the following adverse reactions?

Thrombocytopenia. Clopidogrel, an antiplatelet drug, can cause thrombotic thrombocytopenic purpura. The nurse should monitor the client's platelet count and also monitor for bruising, bleeding gums, and petechiae. - Clopidogrel, an antiplatelet drug, is unlikely to cause hyperuricemia, which is elevated uric acid levels. Filgrastim, a leukopoietic growth factor, is a drug that can cause hyperuricemia. - Clopidogrel, an antiplatelet drug, is unlikely to cause hyponatremia. Desmopressin is a drug that can cause this adverse effect. Clopidogrel, however, can cause hypercholesterolemia. - Clopidogrel, an antiplatelet drug, is unlikely to cause lymphocytopenia, neutropenia, or granulocytopenia.

A healthcare professional is caring for a patient who is taking lithium carbonate (Lithobid) to treat bipolar disorder. Which of the following diagnostic test should the health care professional recommend periodically for the patient?

Thyroid function test Reasoning: hypothyroidism is an adverse effect of lithium carbonate. pts should report neck enlargement, weight gain, lethargy, and constipation. They should also have their thyroid function checked before they begin and annually thereafter

Nurse is caring for pt who is taking acetazolamide for chronic open-angle glaucoma. For which of following adverse effects should nurse instruct pt to monitor and report?

Tingling of fingers

A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. For which of the following adverse effects should the client be taught to monitor and notify the provider if it occurs?

Tinnitus

Nurse on acute care unit is caring for pt who is receiving gentamicin IV. Nurse report which of following findings to Dr as adverse effect of med?

Tinnitus

Nurse in clinic is caring for a pt who is taking aspirin for Tx of arthritis. Nurse should identify which of following findings as indication that pt is beginning to exhibit salicylism?

Tinnitus Tinnitus is a manifestation of aspirin toxicity, also called salicylism. Other manifestations include sweating, headache, and dizziness.

A nurse is caring for a client who has a new prescription for ritonavir and zidovudine therapy to treat HIV-1. The nurse should inform the client that zidovudine is prescribed with ritonavir for which of the following reasons?

To prevent drug resistance.

Nurse is reviewing medical record of pt who has schizophrenia and prescription for chlozapine. Which of following lab tests should nurse review before administering med?

Total cholesterol The nurse should review the client's total cholesterol before administering clozapine, because this medication can cause hyperlipidemia.

A nurse is considering drug therapy options for a client who has metastatic breast cancer that is positive for human epidermal growth factor receptor 2 (HER2). Which of the following drugs should the nurse expect the provider to prescribe?

Trastuzumab

A nurse is assessing a client who has oral Theophylline for relief of chronic bronchitis. The nurse should recognize that which of the following findings indicates toxicity to Theophylline?

Tremors

Nurse is caring for pt who is in labor. Pt is receiving oxytocin by continuous IV infusion w/ maintenance IV solution. External FHR monitor indicates late decelerations. Which of following actions should nurse take 1st?

Turn the client to a side-lying position.

Nurse is teaching pt who is starting to take amitriptyline. Which of following findings should nurse include in teaching as adverse effect of med?

Urinary retention The nurse should instruct the client that amitriptyline causes the anticholinergic effect of urinary retention. A decrease in libido is an adverse effect of amitriptyline. Constipation is an adverse effect of amitriptyline.

A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily, but the client reports that she has been taking extra doses to promote weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated?

Urine specific gravity 1.035

A nurse is providing teaching for a client who takes an oral contraceptive and is about to begin rifampin therapy to treat tuberculosis. Which of the following instructions should the nurse include?

Use a non-hormonal form of contraception

Which of the following information should you include when teaching a patient about using an albuterol (Proventil) inhaler for asthma?

Use for exercise-induced asthma

A nurse is teaching a client who has a new prescription for sulfasalazine which of the following statements should the nurse make

Use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn

A nurse is caring for a client who sputum culture results indicate methicillin-resistant staphylococcus aureus (MRSA). The nurse should recognize that which of the following medications will likely be administered to this client?

Vancomycin

A nurse should assess a client who has megaloblastic anemia for indications of which of the following vitamin deficiencies?

Vitamin B12: Clients who have megaloblastic anemia have a deficiency of vitamin B12, folic acid, or both. Cyanocobalamin (vitamin B12) treats moderate vitamin B12 deficiencies. Clients who have a severe vitamin B12 deficiency should take cyanocobalamin and folic acid. - Vitamin C treats scurvy and is unlikely to cause megaloblastic anemia. - Vitamin K helps reverse warfarin OD, causes spontaneous bleeding and is unlikely to cause megaloblastic anemia. - Vitamin D treats and prevents rickets. Unlikely to cause megaloblastic anemia.

A nurse in the ED is assessing a client who has been taking warfarin and is experiencing rectal bleeding. Which of the following drugs should the nurse expect to administer to the client?

Vitamin K - reverses the effects of warfarin by promoting the synthesis of coagulation factors VI, IX, X, and prothrombin. - Filgrastim, a leukopoietic growth factor, stimulates neutrophil production in the bone marrow. It is ineffective for bleeding caused by an anticoagulant, such as warfarin. - A chelating agent, such as deferoxamine, treats iron toxicity. It is ineffective for bleeding caused by an anticoagulant, such as warfarin. - Protamine reverses the effects of heparin by binding with heparin to form a heparin-protamine complex that has no anticoagulant properties. It is ineffective for bleeding caused by an anticoagulant, such as warfarin.

Nurse is preparing to administer new prescription of amoxicillin/clavulanic to pt. Pt tells nurse that they're allergic to penicillin. Which of following actions should nurse take 1st?

Withhold the medication. When using the urgent vs nonurgent approach to client care, the nurse should determine that the priority action is to withhold the medication to prevent injury to the client.

Nurse is providing teaching to pt who is to start therapy w/ digoxin. For which of following adverse effects should nurse instruct pt to monitor and report to provider?

Yellow-tinged vision The nurse should instruct the client to monitor for and report yellow-tinged vision, which is a sign of digoxin toxicity. Other manifestations of digoxin toxicity include nausea, vomiting, loss of appetite, and fatigue. As the digoxin levels increase, the client can experience cardiac dysrhythmias.

a nurse is teaching a client who has a new prescription for allopurinol. Which of the following instructions should the nurse include? avoid driving or activities that require mental alertness avoid crushing the tablets limit fluid intake during therapy limit potassium while taking allipurinol

avoid driving or activities that require mental alertness

a nurse is teaching a client who is taking allopurinol about minimizing adverse effects. Which of the following instructions should the nurse include? eat a small meal before taking the drug suck on hard candy or chew gum take a stool softener daily avoid the use of NSAIDs

eat a small meal before taking the drug

A nurse is teaching a client about acarbose therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include?

eat more iron rich foods

A nurse is teaching a client who has a new prescription for transdermal testosterone gel to treat delayed pubertyWhich of the following instructions should the nurse include ? (Select all that apply .)

cover the area of application with clothing, wash your hands after applying the gel, don't shower for several hours after applying the gel

a nurse is teaching a client who has a prescription for prednisone and takes 1,500 mg/day of calcium carbonate to reduce the risk of osteoporosis. which of the following information should the nurse inculde?

drink 240ml of water with the calcium tablets chew calcium tablets before swallowing them take the drugs 1 hour apart divide the daily dosage of calcium into three 500-mg doses is correct

A HCP should question the use of alprazolam (Xanax) for a patient who

drinks two 8-oz glasses of wine each evening Reasoning: prevent severe dehydration and respiratory depression. avoid alcohol and CNS depressants when taking benzos

A nurse is providing teaching to a client who is about to begin levothyroxine therapy to treat hypothyroidism. which of the following instructions should the nurse include?

expect long life therapy with the drug

which of the following drugs should a nurse have available for a client who is experiencing insulin toxicity?

glucagon

when considering replacement therapy options for a client who has chronic adrenocortical insufficiency, a nurse should recognize that the provider will choose which of the following drugs?

hydrocortisone

A health care professional should advise a patient who is taking phenelzine (Nardil) to avoid tyamine-enriched foods because of an increased risk for which of the following adverse reactions?

hypertensive crisis Reasoning: Tyramine-enriched foods, such aged cheese and processed meat, can trigger severe hypertension in patients who are taking phenelzine. Manifestations include hypertension, headache, and nausea.

a nurse is caring for a client who currently takes furosemide and has a new prescription for prednisone. The nurse should monitor the client for which of the following manifestations during concurrent use of the drugs? hypercalcemia hypoglycemia hypothermia hypokalemia

hypokalemia

a nurse at a providers office is assessing a client who has been taking hydrocortisone for adrenal insufficiency. the client reports fatigue and feeling overwhelmed by personal responsibilities. which of the following findings should the nurse identify as an indication the provider might need to increase the clients dosage?

hypotension

a nurse is caring for a client who is taking propylthiouracil and reports weight gain, drowsiness, and depression. the nurse should identify that the client is experiencing which of the following adverse reaction to the drug?

hypothyroidism

A nurse is providing discharge teaching to a client who has heart failure and a prescription for Digoxin 0.125 mg PO daily and Furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching?

i will eat fruits and vegetables that high potassium content every day

a nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. which of the following statements by the client indicates understanding of the teaching?

i will take a birth control pill everyday

A nurse is caring for a client who has a new prescription for topotecan therapy to treat resistant, small-cell lung cancer. The nurse should advise the client against taking which of the following types of over-the-counter drugs while receiving the therapy?

ibuprofen

a nurse is caring for a client who has a prescription for methotrexate. which of the following drugs would likely be prescribed in conjunction during the initial treatment for rheumatoid arthritis?

ibuprofen

alendronate is contraindicated for administration to clients who have which of the following conditions?

inability to sit upright

a nurse is caring for a client who has a prescription for etanecept. the nurse should identify that etanercept treats rheumatoid arthritis by which of the following actions?

inactivation of tumor necrosis factor.

a nurse is teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include? (select all that apply) increase fiber and fluid intake take the drug with food avoid driving after taking the drug change positions gradually reduce exercise level temporarily

increase fiber and fluid intake, take the drug with food, avoid driving after taking the drug, change positions gradually

a nurse is teaching a client about raloxifene. which of the following information should the nurse include?

increase physical activity by taking walks use a contraceptive if there is any possibility of pregnancy increase intake of calcium and vitamin D

A nurse is preparing to administer oxytocin to a client who is at 41 weeks of gestation and is experiencing ineffective labor. Which of the following actions should the nurse plan to take?

increase the dose of Oxytocin to obtain uterine contractions that occur every 2-3 minutes

a nurse is caring for a client who is taking naloxone to treat acute morphine toxicity. The nurse should monitor the client for which of the following drug reactions? (select all the apply) increased respiratory rate increased pain thromboplebitis ventricular arrhythmias hypertension

increased respiratory rate, increased pain, ventricular arrhythmias , hypertension

a nurse should identify that. a client who has diabetes mellitus and is taking etanercept is at an increased risk for which of the following adverse effects?

infection

a nurse is providing teaching to a client who is about to begin exenatide therapy to treat to treat type 2 diabetes mellitus. which of the following instructions should the nurse include?

inject the drug subcutaneously expect the peak effect in 2 hours use the drug as a supplement to an oral hypoglycemic

a nurse is caring for a client who is taking etanercept for rheumatoid arthritis. the nurse should monitor the client for which of the following indications of a serious adverse reaction to the drug?

shortness of breath

a nurse is teaching a client who is taking etanercept for rheumatoid arthritis. the nurse should instruct the client to monitor which of the following indications of an adverse reaction to this drug?

skin rash

a nurse is caring for a client who is taking desmopressin. the nurse should make which of the following assessment to evaluate the drugs effectiveness?

urine output

A nurse is caring for a client who is taking combination oral contraceptive ethinyl estradiol and drospirenone and is about to begin taking rifampin to treat tuberculosis Which of the following instructions should the nurse give the client due to a possible drug interaction?

use additional birth control methods

A nurse is teaching a client about receiving leuprolide to treat endometriosis. The nurse should instruct the client to expect which of the following side effects?

vaginal dryness

a nurse is teaching a client who has a new prescription for etancercept. which of the following statements should the nurse make?

you should report signs of infection to your provider immediately.

Nurse is preparing to teach pt who is to start new prescription for extended release verapamil. Which of following instructions should nurse plan to include?

​Change positions slowly. The nurse should instruct the client to change positions gradually to prevent orthostatic hypotension and syncope.