Pharm Exam 3 Questions

Which food should the nurse instruct the client prescribed warfarin (Coumadin) to avoid?

Salt substitute

Which information should the nurse include in the education about the mechanism of action for metformin (Glucophage)?

Reduces insulin resistance

Which electrolyte disturbance should the nurse assess a client for that is receiving hydrocortisone therapy?

hypernatremia and hyperglycemia.

The nurse finds a client with diabetes mellitus type 1 unresponsive with suspected hypoglycemia. Which is the priority nursing action?

Administer glucagon

During an assessment, the nurse notes that the client prescribed risperidone (Risperdal) has a temperature of 102°F. Which should the nurse suspect has occurred?

Neuroleptic malignant syndrome.

Which information should the nurse include in the teaching for a client prescribed ferrous sulfate (Feosol) tablets?

Take this prescription with orange juice.

Which priority question should the nurse ask a client suspected of experiencing a stroke that is prescribed alteplase (Activase)

"Do you know what time the stroke occurred?"

The nurse has completed the education for a client prescribed diphenhydramine (Benadryl) for allergies. Which statement made by the client indicates an understanding of the teaching?

"Drowsiness is common but should lessen over time."

Which is the priority nursing assessment for a client prescribed epoetin alfa (Epogen)?

Blood pressure

A client is to be prescribed an antidepressant. Which question is most important when performing the initial assessment?

"Have you had any thoughts about killing yourself?"

A client with nasal congestion tells the nurse that his symptoms have worsened since he has been using oxymetazoline (Afrin). Which question should the nurse ask the client?

"How long have you been using the prescription?"

A client receiving hydrochlorothiazide (Microzide) asks the nurse why they are urinating so frequently. Which statement should the nurse provide the client?

"Hydrochlorothiazide (Microzide) decreases the fluid in your bloodstream and this lowers your blood pressure."

Which statements by a client treated with epinephrine should the nurse be concerned about?

"My heart is skipping beats."

The nurse has provided education for a client prescribed desmopressin (DDVAVP). Which statement made by the client indicates an understanding of the information?

"This medication increases water reabsorption in my kidneys."

Which of the following statements indicate that the patient education has been effective for a client who is prescribed amiodarone to control persistent atrial fibrillation? Select all that apply.

"With long term use I may have blue-grey skin discoloration". "I may have a change to my thyroid function that will require monitoring".

A parent of an 8-year-old child prescribed methylphenidate (Ritalin) tells the nurse the child will not eat. Which response should the nurse provide the parent?

"Administer the prescription after meals and encourage snacks between meals."

The nurse has completed the education for a client prescribed hydrochlorothiazide (Microzide). Which statement made by the client indicates an understanding of the teaching?

"I take my medication early in the morning."

A client prescribed sertraline (Zoloft) reports to the nurse that he is experiencing delayed ejaculation. Which response should the nurse provide the client?

"I will let your healthcare provider know and most likely your prescription will be changed."

The nurse has completed the education for a client prescribed propranolol (Inderal). Which statement by the client indicates an understanding of the information?

"I will take my pulse every day and call my healthcare provider if it is less than 60."

The nurse has provided dietary education for a client prescribed furosemide (Lasix). Which statement made by the client indicates an understanding of the information?

"I will try and eat an orange daily which is high in potassium."

The nurse has completed the education for a client with angina prescribed nitroglycerine (Nitrostat). Which statement made by the client indicates further teaching is required?

"If my pain is not reduced 5 minutes after taking one tablet I should call EMS." "I can take up to 5 tablets to resolve the chest pain."

A client prescribed beclomethasone (Beconase) intranasally asks the nurse whether the prescription is safe. Which response should the nurse provide the client?

"Intranasal glucocorticoids produce almost no serious adverse effects."

Which information should the nurse include in the education of a client when explaining type 1 diabetes mellitus?

"Your pancreas cannot secrete insulin."

The nurse has completed the education for a client prescribed lithium (Eskalith). Which should the nurse anticipate is a priority outcome of the treatment?

- The client will report stabilization of mood, including absence of mania or depression. - The client will identify signs of lithium (Eskalith) toxicity and verbalize measure to avoid it.

Which route of administration should the nurse anticipate to use for a client's prescribed heparin?

Administer the prescription into the abdomen, subcutaneously.

Which action of Lisinopril (Prinivil) results in a decrease in the blood volume?

Antagonistic effect on angiotensin-converting enzyme.

Which adverse effect is shared among all antidysrhythmic drugs?

Can enhance dysrhythmic effects.

A client is brought to the emergency department suspected of overdosing on imipramine (Tofranil). Which is the nurse's priority assessment?

Cardiac function

Which food items should the nurse advise a client taking a monoamine oxidase inhibitor (MAOI) to avoid?

Chocolate, wine, and bologna.

For which condition does vasopressin (Vasostrict) treat?

Diabetes insipidus

What is the client at risk for while receiving spironolactone (Aldactone)?

Hyperkalemia

Which information should the nurse include when discussing inhalation therapy as part of a treatment plan for the client's asthma?

Inhalation therapy is effective because it goes to the direct site of action in the respiratory tract.

Which describes the mechanism of atorvastatin's (Lipitor) ability to lower blood cholesterol levels?

Inhibits an enzyme (HMG-CoA reductase) that is essential for cholesterol synthesis.

Which describes the mechanism of action for Clopidogrel (Plavix)?

Irreversibly inhibits platelet aggregation

The use of procainamide (Pronestyl) is limited to the treatment of life-threatening dysrhythmias because of what potential adverse effect?

It causes antinuclear antibodies (ANA) when given long-term, with possible symptoms of a lupus erythematosus-like syndrome.

Which condition should the nurse be concerned about for a client prescribed fluticasone (Flonase)?

Known infection

Which information should the nurse include in the education for a client who has been prescribed levothyroxine (Levothroid)? SELECT ALL THAT APPLY.

It may take a few weeks for you to see the full benefits from this drug. Be sure to keep all of your follow-up lab and provider appointments. Do not start a fiber laxative without first discussing it with your healthcare team.

Which of the following should not be included in patient education for a patient using ipratropium (Atrovent)? SELECT ALL THAT APPLY.

Make sure to leave the inhaler and spacer in an airtight bag to avoid drying.

Which information should the nurse include in the education for the client prescribed Montelukast (Singulair)?

Montelukast prevents airway edema and inflammation

Which general adverse effect is associated with the use of diuretics?

Orthostatic hypotension.

Which describes the mechanism of action of regular insulin?

Promote entry of glucose into the cells.

Which describes the purpose for the use of an opioid antitussive, such as codeine

Relieve severe cough

The teaching plan for a patient receiving hydralazine (Apresoline) should include which of the following points?

Rising slowly to standing from lying or sitting position

Which anatomical location is Ezetimibe (Zetia) effective in blocking the absorption of cholesterol?

Small intestine

Which assessment findings indicate a client receiving verapamil (Calan) is experiencing adverse effects?

The client has 3+ edema in the ankles and feet.

The nurse identifies that a patient prescribed Nifedipine requires additional education based on the below statement.

There are no diet limitations with this medication.

The patient is prescribed digoxin (lanoxin) for the treatment of heart failure. Which statement by the patient indicates the need for further teaching? Answer: This drug should cure my heart failure.

This drug should cure my heart failure

A patient is prescribed enalapril for hypertension and starts to experience a dry hacky cough. Which of the following statements by the nurse are correct?

This is a known side effect of this medication is an early sign of angioedema, this medication will be discontinued.

The nurse is preparing the education for a client prescribed a selective serotonin reuptake inhibitors (SSRI). Which adverse effects should the nurse include in the teaching?

Weight gain and sexual dysfunction

To best monitor for therapeutic effects from filgrastim (Granix, Neupogen), the nurse will assess which laboratory finding?

White blood cells or absolute neutrophil counts