Pharm B

A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking the warfarin. Which of the following responses should the nurse make?

"Aspirin will increase the risk of bleeding."

A nurse is caring for a client who is refusing to take their scheduled morning furosemide. Which of the following statements should the nurse make?

"By not taking your furosemide, you might retain fluid and develop swelling."

A nurse is planning discharge teaching for a client who has a prescription for furosemide. Which of the following statements should the nurse plan to include in the teaching?

"Drink a glass of milk with each dose of medication."

A nurse is teaching a client who is to start taking famotidine for peptic ulcer disease. Which of the following client statements should the nurse identify as understanding of the teaching?

"I know smoking makes famotidine less effective."

A nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching?

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

A nurse is providing teaching to a client about the use of ethinyl estradiol/norelgestromin. Which of the following statements by the client indicates an understanding of the teaching?

"I will fold the sticky sides of the old patch together before disposing it."

A nurse is teaching a client who is scheduled for a colonoscopy and has a prescription for polyethylene glycol-electrolyte solution and bisacodyl. Which of the following statements should the nurse make?

"Plan to drink 2 liters of the bowel cleanser solution."

A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in the instructions?

"Take one tablet at onset of migraine."

A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident?

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

A nurse is preparing to administer 0.9% sodium chloride 1,500 mL to infuse over 8 hr to a client who is postoperative. How many mL/hr should the nurse set the IV pump to deliver? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

188

A nurse is caring for the parent of a newborn. The parent asks the nurse when their newborn should receive the first diphtheria, tetanus, and pertussis vaccine (DTaP). Which of the following ages should the nurse advise the parent to immunize their newborn?

2 months

A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child who weighs 20 kg. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

300

A nurse is preparing to administer 0.9% sodium chloride 1,000 mL IV over 8 hr to a client. The drop factor of the manual IV tubing is 15 gtt/mL. How many gtt/min should the nurse set the manual IV infusion to deliver? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

31

A nurse is reviewing the assessment findings of a client who is taking carbamazepine for a seizure disorder. Which of the following findings should the nurse report to the provider as an adverse effect of carbamazepine?

A decreased WBC count

A nurse is caring for a client who has acute acetaminophen toxicity. Which of the following medications should the nurse anticipate administering?

Acetylcysteine

A nurse is reviewing assessment findings for a client who has a new prescription for ceftazidime via intermittent IV bolus. Which of the following findings should the nurse identify as a contraindication to this medication?

Allergy to cephalosporins

A nurse is reviewing the medical record of a client who has hypertension. The nurse should identify which of the following findings as a contraindication for receiving propranolol?

Asthma

A nurse is providing teaching to a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? (Select all that apply.)

Blood glucose levels will be monitored during therapy is correct, Avoid contact with people who have known infections is correct, Grapefruit juice can increase the effects of the medication is correct

A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider?

Blood in the urine

A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider?

Chest pressure

A nurse is caring for a client who has hypocalcemia and is receiving calcium citrate. The nurse should identify that which of the following findings indicates a therapeutic response to the medication?

Client report of decreased paresthesia

A nurse is caring for a client who has cancer and is prescribed oral morphine and docusate sodium. Which of the following adverse effects of morphine should the nurse instruct the client can be minimized by taking daily docusate sodium?

Constipation

A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client laboratory values should the nurse monitor?

Creatinine kinase

A nurse is administering baclofen to a client who has a spinal cord injury. Which of the following findings should the nurse document as a therapeutic outcome?

Decrease in flexor and extensor spasticity

A nurse is planning care for a client who has hypertension and is to start taking metoprolol. Which of the following interventions should the nurse include in the plan of care?

Determine apical pulse prior to administering.

A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. Which of the following actions should the nurse take first?

Discontinue the medication IV infusion.

A nurse is caring for a client who has developed hypomagnesemia due to long-term therapy with lansoprazole. The nurse should monitor the client for which of the following manifestations?

Disorientation

A nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching?

Drink 8 to 10 glasses of water daily.

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

Dyspnea

A nurse is planning to administer IV midazolam for a client who is receiving moderate sedation. Which of the following actions should the nurse plan to take?

Expect the client to respond to simple commands.

A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medications should the nurse anticipate administering?

Flumazenil

A nurse is reviewing the electronic medical record for a client who is receiving heparin via continuous IV infusion for deep vein thrombosis. Which of the following findings should the nurse identify as an adverse effect of heparin that requires notification of the provider?

Generalized petechiae

A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's BP is 144/86 mm Hg, heart rate is 55/min, and respiratory rate is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings?

Heart rate

A nurse is caring for a client who has heart failure and a prescription for enalapril. Which of the following findings as an adverse effect of the medication should the nurse monitor the client for?

Hyperkalemia

A nurse is collecting a medication history from a client who has a new prescription for lithium. Which of the following over-the-counter medications should the nurse identify as needing to be discontinued by the client?

Ibuprofen

A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following findings should the nurse identify as an indication that the medication has been effective?

Increase in ability to focus

A nurse is providing teaching to a client who is taking bupropion for smoking cessation. Which of the following findings should the nurse identify as an adverse effect of the medication?

Insomnia

A nurse is assessing a client who is taking tamoxifen to treat breast cancer. Which of the following findings is the priority for the nurse to report to the provider?

Leg tenderness

A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect?

Miosis

A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has hyperkalemia. Which of the following actions should the nurse plan to take?

Monitor the client for constipation.

A nurse receives a verbal order from the provider to administer morphine five milligrams every 4 hours subcutaneously for severe pain as needed. The nurse should identify which of the following entries as the correct format for the medication administration record (MAR)?

Morphine 5 mg subcut every 4 hr PRN severe pain

A nurse in the emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer?

Naloxone

A nurse is caring for a client who reports lethargy and myalgia after taking clozapine for 6 months. Which of the following actions should the nurse plan to take?

Obtain WBC with absolute neutrophil count.

A nurse is providing teaching to a client who has a new prescription for ferrous sulfate. The nurse should instruct the client to take the medication with which of the following to promote absorption?

Orange juice

A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious. Which of the following actions should the nurse take first?

Perform a capillary blood glucose test.

A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include in the teaching plan? (Select all that apply.)

Report muscle pain to the provider, avoid taking the medication with grapefruit juice, expect therapy with this medication to be lifelong

A nurse at a clinic is providing follow-up care for a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication?

Sexual dysfunction

A nurse is administering digoxin immune Fab to a client following a medication error. Which of the following findings should the nurse identify as an indication that the medication was effective?

Sinus rhythm

A nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse should identify which of the following client findings as an indication that they should complete an incident report?

The client reports shortness of breath.

A nurse is assessing a client who is postoperative following an outpatient endoscopy procedure using midazolam. The nurse should monitor for which of the following findings as an indication that the client is ready for discharge?

The client's capnography has returned to baseline.

A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the primary care provider?

Tingling of fingers

A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. Which of the following findings should the nurse report to the provider as an adverse effect of the medication?

Tinnitus

Drag 1 condition and 1 client finding to fill in each blank in the following sentence.

Upon analyzing cues, the nurse should identify that the client is at risk for developing hypomagnesemia due to long-term use of omeprazole and should monitor magnesium laboratory values and observe for manifestations including tremors, seizures, and muscle cramps.

A nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should the nurse include in the teaching as an adverse effect of the medication?

Urinary retention

Click to highlight the findings from the client's medical record that indicates a potential adverse reaction to their prescribed medication and requires the nurse to report to provider. To deselect a finding, click on the finding again.

When analyzing cues, the nurse should identify that the client's report of headache, nausea, and small pinpoint petechiae is present on bilateral extremities are indications of a potential adverse reaction to enoxaparin. Low molecular weight heparins such as enoxaparin are anticoagulants that are used to prevent thrombus formation. Other findings of an adverse reaction include, peripheral edema, insomnia, hematuria, pruritis, and alopecia

Which client statements indicate an understanding of the teaching? Click to specify if the client statement indicates an understanding or need for further education.

When evaluating outcomes, the nurse should identify that the client's statements: "I will notify my provider if I feel sick" and "I should take acetaminophen instead of ibuprofen for a headache" indicate an understanding of teaching. Captopril can cause neutropenia. If a client develops manifestations of infection such as a fever or sore throat, the provider should be notified. NSAIDS such as ibuprofen may reduce the effectiveness of captopril and should be avoided. The nurse should identify that the client's statements: "I will eat foods high in potassium," "Coughing is expected while taking this medication," and "I should take this medication with meals indicate a need for further education. Hyperkalemia is an adverse effect of captopril. The client should avoid potassium supplements and potassium-sparing supplements. Coughing is an adverse effect of captopril and the nurse should notify the provider. Captopril should be given one hour before meals or two hours after meals.

For each body system below, click to specify the client's assessment findings that indicate an adverse effect of the client's prescribed medication. Choose the most likely option for the dropdowns in the table below by choosing from the lists of options.

When recognizing cues for a client who is taking atorvastatin, the nurse should identify that the findings of the client's urine characteristics, muscle weakness, and dizziness indicate an adverse reaction to the medication. Atorvastatin can cause dark urine, muscle pain, muscle spasms, and weakness, which could be an indication of injury to the muscle tissue. Atorvastatin can also cause neurological symptoms such as dizziness, headache, confusion, and fatigue.

For each body system below, click to specify the adverse effect that the nurse should include when providing client education about the newly prescribed medication. Choose the most likely option for the dropdowns in the table below by choosing from the lists of options.

When taking action, the nurse should educate the client about potential adverse effects of bupropion. Common adverse effects of this medication include changes in libido, constipation, and weight loss