Pharm exam 1.2

A nurse is teaching to a client who has systemic lupus erythematosus about a new prescription for oral glucocorticoid therapy. Which of the following client Statements indicates an understanding of the teaching?

"I should take a calcium supplement while on this medication." Why: Side effect is osteoporosis

A nurse is teaching a client who has a prescription for transdermal Estradiol patch. In which of the following locations should the nurse apply the patch?

Abdomen Why: allows estrogen to be absorbed through the skin directly into the clients body

A nurse is reviewing the lab data for a client who is receiving clozapine for schizophrenia. The nurse should identify which of the following as a potential adverse effects of this medication?

Absolute neutrophil count 1,200 Why: can cause a granulocytosis

A nurse is administering a medication parenterally to a client. Which of the following techniques should the nurse used to reduce fluctuations in plasma medication levels?

Administering a continuous infusion of the dose Why: plasma levels stay nearly constant

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

Assess the clients apical pulse

A nurse is planning to administer Epoetin Alpha To a client who has chronic kidney failure. Which of the following should the nurse plan to review prior to administering this medication?

Blood pressure Why: medication often causes hypertension

A nurse is caring for a client who is receiving IV Famotidine. Which of the following adverse effects should the nurse report immediately?

Bloody stools Why: might include blood dyscrasias, which can lead to bleeding

A nurse is providing teaching to a client who has hypothyroidism and is taking levothyroxine. The nurse should Instruct the client that which of the following findings as an indication of thyrotoxicosis?

Chest pain

A nurse is reviewing the medical record of a client who might have hearing loss. Which of the following data from the clients medical records the nurse identify as a risk factor for hearing loss?

Chronic use of salicylates Why: those such as aspirin can lead to auto toxicity

A nurse is caring for a client who has Alzheimer's disease in a prescription for memantine. Which of the following lab findings should the nurse identify as a contraindication to receiving this medication?

Creatinine clearance 35 mL/min

A nurse is caring for a client who has been taking met Forman for six months. Which of the following findings should the nurse identify as an expected therapeutic effect of the medication?

Decreased blood glucose levels Why: medication for a non-insulin and those with type two diabetes

A nurse is providing teaching to a client with tuberculosis who has prescriptions for rifampin and Ethambutol. Which of the following findings as an adverse effect of these medication's that the client should report to the provider?

Decreased visual acuity Why: can lead to irreversible blindness

A nurse is teaching a client who is pre-menopausal and has a prescription for a combination oral contraceptive. Which of the following findings should the nurse include as an adverse effect of oral contraceptive?

Deep vein thrombosis Why: containing estrogen and as a side effect

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 Why: can cause dizziness and daytime drowsiness

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

A nurse is caring for a male client who has been taking cimetidine for the treatment of a duodenal ulcer. Which of the following manifestations related to the medication should the nurse report to the provider?

Emesis that looks like coffee grounds Why: indicates G.I. bleed and ineffective treatment

A nurse is performing a pre-operative assessment of a client who's about to undergo and aneurysm clipping. The nurse should identify a risk for increase bleeding when the client reports taking which of the following dietary supplements?

Garlic Why: can affect clotting or interact with other medication that affect clotting

A nurse is caring for a client with benign prosthetic hyperplasia who has a new prescription for doxazosin. Which of the following manifestations should the nurse monitor for as an adverse effect of doxazosin?

Hypotension Why: these medications block sympathetic receptors and the blood vessels as well as receptors in the bladder and promote vasodilation

A nurse is teaching a group of nurses about the effects of a client receiving spinal anesthesia. Which of the following pieces of information should the nurse include in the teaching?

Hypotension is an adverse effect of spinal anesthesia Why: do you to venous dilation

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 teaching a client who will be taking dexamethasone daily for pain due to spinal Adema. The nurse should identify which of the following client statements as an indication that teaching has been affective?

I should stay away from people who are ill Why: affects the clients immune system

A nurse is caring for a client who has heart failure and it's prescribed dobutamine hydrochloride by continuous IV infusion. The nurse should identify that which of the following is a therapeutic effect of this medication?

Improves cardiac output Why: is a vasopressor

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

Intestinal obstruction Why: it reduces N/V by increasing gastric mobility and gastric emptying

A charge nurse is teaching a newlyly licensed nurse about a client who has a surveill allergy related asthma in a new prescription for omalizumab. Which of the following pieces of information should the charge nurse include to describe the medications mechanism of action?

It reduces the number of immunoglobulin E molecules on mast cells Why: limits the ability of allergens to trigger response

A nurse is reinforcing teaching with a newly licensed nurse about contraindications to vaccines. Which of the following examples of the nurse provide as a true contraindication for all vaccines?

Moderate illness without a fever Why: postpone until recovered from the illness

A nurse is caring for a client who is receiving chlorpromazine to treat schizophrenia. Which of the following statements by the client should promote the nurse to notify the provider immediately?

My tongue keeps moving like a worm Why: is at greatest risk for tardive dyskinesia

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

Plant to taper the dose slowly over several months

A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and a new prescription for Epoitin Alpha. Which of the following therapeutic effects of Epoetin alpha Should the nurse include in the teaching?

Promotes RBC Production

A nurse is reviewing the medical record of a client. The medication administration record shows the client is taking clopidogrel. Which of the following should the nurse expect in the clients medical history?

Recent myocardial infarction Why: Antiplatelet medication

A nurse is caring for a client who has cancer involving the lumbar vertebrae and has been prescribed gabapentin. Which of the following effect should the nurse identify for the client when taking this medication?

Reduced cramping, aching, and burning Neuropathic pain

A nurse is preparing to administer IV nitroprusside for a client who had a Myocardial infarction. Which of the following actions should the nurse take?

Regulate the infusion pump rate using the client's weight in the calculation

A nurse manager is instructing a newly licensed nurse About routes of medication administration. Which of the following involves medication absorption to the mucous membranes under the tongue?

Sublingual

A nurse in a providers office is providing teaching to a client with osteoporosis who has a new prescription for alendronate sodium. Which of the following pieces of information should the nurse include?

Take alendronate sodium with a full glass of water on an empty stomach.

A nurse is teaching a client who has dyspepsia about prescribed antacids. Which of the following statements should the nurse include in the teaching?

Take antacids 1 hour apart from other medications Why: can increase gastric pH

A nurse is teaching a client who is taking levothyroxine for hypothyroidism about a new prescription for a calcium supplement. Which of the following pieces of information should the nurse include in the teaching?

Take the calcium supplement 4 hr after taking the levothyroxine Why: should be taken in the morning on an empty stomach initially

A nurse is teaching a client who is post menopausal and has a prescription for alendronate. Which of the following statements should the nurse include in the teaching?

Take this medication on an empty stomach Why: can decrease absorption. Take this medication with water 30 minutes before breakfast

A nurse is caring for a client who has a prescription for subdermal etonogestrel. The nurse should alert the provider about which of the following findings in the clients medical history?

Takes St. John's wort

A nurse is evaluating a 20 month old child who received a hepatitis A immunization three days ago. The parent reports that the child has exhibited a loss of appetite following the immunization. Which of the following action should the nurse take?

Tell the parent that this reaction should only last for a couple of days

A nurse is assessing a client who has cystic fibrosis. Which of the following pieces of information indicates a therapeutic response to pancreatic enzyme replacement?

The client is having 1-2 bowel movements per day. Why: Indicates adequate absorption of food and a therapeutic response

A nurse is teaching a client who is starting patient controlled analgesia following a procedure. Which of the following client statements indicates an understanding of the teaching?

This method works by keeping my opioid level study

A nurse is preparing to administer an IV injection to a client. For which of the following reasons should the nurse inject the medication slowly?

To reduce toxicity risk

A nurse is teaching a client who has a prescription for a combination oral contraceptive that uses a 28 day cycle. Which of the following instruction should the nurse include in the teaching?

You can miss up to seven pills with little risk and getting pregnant as long as you have taken the pills regularly for the previous three weeks

A nurse is preparing to administer the influenza vaccine to a client. Which of the following allergies should the nurse identify as a contraindication to the client receiving this vaccine?

chicken eggs

A nurse is caring for a client who is receiving bleomycin IV to treat lymphoma. Which of the following assessments is the nurses priority?

pulmonary function