Pharm B Assessment

A nurse is caring for a client who has a prescription for 5mg of warfarin. Which of the following findings should the nurse report to the provider prior to administration

INR 4.5

A nurse is caring for a client who has cancer and has been receiving pegfilgrastim. Which of the following indicates the medication has been effective

Increased WBC count

A nurse is caring for a client who is postoperative following a cholecystectomy and is prescribed cefazolin 1g by intermittent IV bolus q6h. The amount available is 1g in 100ml 0.9% NaCl to be delivered in 30 minutes. The drop factor on the package of IV tubing is 15 gtt/ml. The nurse should set the IV to deliver how many gtt/min

50 gtt/ml

A client receiving end of life care has been prescribed fentanyl patches topically every 72 hours. Which of the following instructions regarding adverse effects of fentanyl should the nurse plan to give to the client and family.

A stool softener should be taken on a daily basis

A nurse is caring for a client who has had a MI and is taking metoprolol. For which of the following should the nurse monitor

Bilateral crackles in the lungs

A client tells the nurse that he allergic to penicillins. The nurse should recognize that the client can have a hypersensitivity to which of the following medications

Cephalexin

A client is experiencing acute angle closure glaucoma and IV mannitol 25% is prescribed. Which of the following client findings should the nurse recognize as being the best indication that the medication is achieving therapeutic effect

Decrease in intraocular pressure

A nurse is caring for a client who is taking atenolol. Which of the following clients reports indicates the medication is effective

Decreased blood pressure

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

Flumazenil

An older adult client who has an infection is prescribed gentamicin. Which of the following client statements indicates a side effect of this medication and should be reported to the provider immediately

I have to turn the volume up on the TV to hear it

A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. Which of the following client statements indicates an understanding of the teaching

I should sit up for 30minutes after taking risedronate

A nurse is providing teaching about self administration of transdermal medication for a client who has a new prescription for nitro. Which of the following statements made by the client indicates a need for additional teaching

I will check my blood pressure before applying the patch

A nurse is precepting a newly licensed nurse who is caring for four clients. Which of the following actions should be noted in an incident report? The nurse administers

Isosobide mononitrate to a client who has a blood pressure of 82/60

A nurse is providing teaching for a client who has a new prescription for spironolactone. The nurse should instruct the client that which of the following is an adverse effect of this medication

Lethargy

A nurse is caring for a school-aged child prescribed methylphenidate for ADHA. The nurse has initiated interventions to minimize adverse effects. Which of the following findings indicates a successful intervention

Maintains age-appropriate weight

A nurse is providing teaching to a client who has a new prescription for profiled epinephrine injector. Which of the following should the nurse include in the teaching

Massage the site for 10 seconds after injection

A nurse is caring for a client who is receiving treatment for opioid addiction. Which of the following medications should the nurse expect to administer

Methadone

A client has been prescribed furosemide. Which of the following findings should indicate to the nurse to withhold the medication

Potassium of 3.1

A nurse is caring for a client that has undergone a liver transplant and is taking cyclosporine. Which of th following lab findings indicates an adverse effect of the medications

Serum creatinine 2.5

A nurse is collecting a history from a client who is scheduled for an IV pyelography. Which of the following food allergies places the client at risk for an allergic reaction to the contrast medium

Shrimp

A client is receiving chemotherapy and tells the nurse that she is trying to get pregnant. Which of the following statements by the nurse is the highest priority

There is a high risk of fetal malformations while on chemotherapy

A client is prescribed amitriptyline. Which of the following adverse effects should the nurse instruct the client to report

Urinary retention

A nurse is preparing to administer 0.9% NaCl 1500 ml over 8 hours to a client who is postoperative. The nurse should set the IV pump to deliver how many ml per hour

188 ml/h

A nurse is caring for a child who has cystitis. The following order has been prescribed. Ciprofloxacin Elixir 15mg/kg PO q12h X 10 days. The client weighs 44 lb. How many mg should the nurse administer per dose

300 mg

A nurse is caring for a client who is prescribed diphenoxylate/atropine. For which of the following adverse effects should the nurse monitor

Abdominal distention

A nurse is assessing a client who is receiving morphine for pain via secondary IV infusion. The nurse notes that the clients respirations are 8/min and shallow. After stopping the morphine infusion, what should the nurse plan to do next

Administer naloxone

A nurse in the ED is caring for a client who has myasthenia graves and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer

Atropine

A nurse is planning teaching for a client who is to start a new prescription for captopril. Which of the following instructions should the nurse include

Change positions slowly

A nurse is providing teaching to a client who is to start taking sumatriptan. For which of the following should the nurse instruct the client to monitor and report to the provider

Chest pain

A nurse is caring for a client who is receiving oxytocin IV for post term pregnancy. Which of the following findings indicates the oxytocin should be discontinued

Contractions lasting for 2 minutes each

A nurse is providing teaching to a client who is prescribed trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in her teaching

Drink 8-10 glasses of water daily

A nurse is providing teaching to a client who has hypertension and is to start a new prescription for lisinopril. For which of the following should the nurse instruct the client to monitor and report to the provider

Dry cough

A nurse working in a providers office is taking a health history from a client who has been taking prednisone on a long term basis for rheumatoid arthritis. The nurse should assess the client for which of the following adverse effects of this medication

Edema

A nurse in an oncology clinic is reviewing the lab values of a client who is receiving chemotherapy for lung cancer and is taking epoetin alfa. Which of the following lab tests is used to determine the effectiveness of the medication

Hemoglobin

A nurse is caring for a client receiving zidovudine. For which of the following lab results should the nurse plan to monitor

Hemoglobin

A nurse is caring for a client diagnosed with sickle cell anemia who is taking hydroxyurea. Which of the following findings should the nurse provider

Hemoglobin 4.2, platelets 75,000, neutrophils 1400

A nurse is caring for a client who has heart failure and is prescribed enalapril and spironolactone. For which of the following potential side effects should the nurse plan to monitor

Hyperkalemia

A client who is postoperative has received 2mg of hydromorphone IV bolus q2h. The client continues to rate his pain at a 7. Which of the following findings should the nurse attend to first

Hypotension

A nurse is caring for several clients that report allergies. Which of the following client statements indicates a medication allergy

I cannot take celecoxib because of the rash I develop taking trimethoprim/sulfamethoxazole

A nurse at an urgent care cliic is collecting a history from a female client who has urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. Which of the following client statements indicates a contraindication for this medication

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

A nurse is providing teaching to a client who has rheumatoid arthritis and is prescribed methotrexate. Which of the following statements by the client indicates an understanding of the teaching

I should call my doctor if I develop sores in my mouth

A nurse is teaching a client who has a prescription for pilocarpine eye drops. Which of the following client statements should indicate to the nurse a need for additional teaching

I will stop using the drops as soon as my vision improves

A nurse is taking a medication history from a client who has a new prescription for lithium. Which of the following OTC medications should the client discontinue

Ibuprofen

A nurse is assessing a client who is experiencing cariogenic shock and is receiving a continuous IV infusion of dopamine. Which of the following findings indicates the medication is effective

Increased blood pressure

A nurse is providing teaching to a client who has DM and is learning how to administer NPH insulin and regular insulin in a single syringe. The nurse should instruct the client to take the following steps in which order

Insert air into NPH, insert air into regular, draw up regular, draw up NPH

A nurse is planning teaching for a client who has depression and is to start a new prescription for tranylcypromine. Which of the following should the nurse include in the teaching

Move slowly when changing to standing position

A nurse is caring for a client with chronic back pain who is receiving 650 mg acetaminophen q4h for pain. The primary provider has prescribed oxycodone/acetaminophen q4-6 PRN for breakthrough pain. Which of the following actions should the nurse take

Notify the primary care provider

A nurse is assessing an older adult client who has Alzheimers disease who is nonverbal and has experienced frequent falls. To determine whether the client is in pain, the nurse should

Observe the client for behavioral effects of pain

A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first

Obtain the clients blood pressure

A nurse is caring for a 20 year old female client who has been prescribed isotretinoin for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advise the client which of the following tests will be required

Pregnancy test

A nurse is caring for a child who has been treated for diarrhea and has a prescription for lactobacillus acidophilus. The nurse should understand that the purpose of this medication is which of the following

Recolonizes the intestinal flora

A nurse is providing discharge teaching for a client who has developed a DVT and has a new prescription for Warfarin. Which of the following should the nurse include in the teaching

Report stools that appear black to the provider

A nurse is reviewing the prescriptions of a client who has TB. The nurse should recognize that which of the following medications is used to treat TB

Rifampicin, isoniazid

A client who has Dm is receiving insulin lispro and is prescribed metoprolol for hypertension. Which of the following should the nurse observe for in this client as an early indicator of hypoglycemia

Sweating

A client informs the nurse at the primary care providers office that he received a prescription for timolol o treat glaucoma. Which of the following in the clients history should concern the nurse

The client has a history of bradycardia

A nurse is providing teaching for a client who has hypercholesterolemia and has a new prescription for rosuvastatin. Which of the following instructions should the nurse include in the teaching

This medication can cause muscle pain or tenderness

A nurse is caring for a client who has a new diagnosis of diabetes insidious and is to start taking desmopressin. Which of the following should the nurse monitor

Urine specific gravity, creatine clearance, serum osmolality

A client diagnosed with acute bronchitis is beginning a short course of prednisone therapy. The client asks the nurse to give him the required vaccinations because he is joining the Peace Coprs. The nurse appropriately responds by stating "you should

Wait until you have completed your medication therapy before receiving the vaccinations

A nurse is obtaining the medication history of a client who is starting a new prescription for allopurinol. Which of the following medications should the nurse contact the provider regarding a potential interaction

Warfarin

A nurse is to administer a new prescription for amoxicillin/clavulanic acid to a client. The client tells the nurse she is allergic to penicillin. Which of the following actions should the nurse take first

Withhold the medication