Pharm Exam 4

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 the nurse take

'Ambulate a client to a chair prior to adminstering the medication

A nurse is teaching a client who has a prescription for a transdermal estradiol patch. Which of the following locations should the nurse instruct the client to apply the patch

Abdomen

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 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

A nurse is teaching a group of nurses about the manifestations of progestin deficency for clients who take a combination oral contraceptive. Which of the following findings should the nurse include in the teaching as an.indication of progestin deficency?

Ammenhorhea

A nurse in a postpartum unit is caring for a client who plans to breastfeed her newborn exclusively. The client has a prescription for depo provera. At which of the following times should the client schedule to receive the first dose of the medication?

At 6 weeks postpartum

A nurse is caring for a client who has a myocardial infraction 2 hours ago and is recieving alteplase. Which of the following findings should the nurse identify as an adverse effect of receiving this medication?

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 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 medical alert ID card

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

Chronic use of salicylates

A nurse is reviewing the medical record of a client who is requesting a prescription for sildenafil citrate. Which of the following data in the client's record should the nurse identify as a contraindication to the use of the medication?

Current use of isosorbide to treat heart failure

A nurse is preparing to administer raloxifene to a client. Which of the following conditions is a contraindication of this medication>

DVT

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

DVT

A nurse is assessing a client who has AIDS and is taking zidovudine. Which of the following findings is the priority for the nurse to report to the provider?

Decreased hemoglobin

A nurse is caring for a client who is 12 hours postoperative following total hip arthroplasty. Which of the following medications should the nurse anticipate administering to this client to prevent DVT?

Enoxaparin

A nurse is caring for a client who is 12 hours postoperative following total hip arthroplasty. Which of the following medications should the nurse anticipate adminstering to this client to prevent DVT

Enoxaparin

A nurse is teaching a client who has a new prescription for enteric coated aspirin as stroke prophylaxisis. The client asks the nurse why the provider prescribed enteric coated medication. Which of the following responses should the nurse give?

Enteric coated medications cause less gastric irritation

A nurse is caring for a client who has been taking clomiphene to treat infertility. Which of the following findings indicate to the nurse that the medication has been effective?

Follicular enlargement and conversion to corpus luteum after ovulation

A nurse is teaching a client who has severe generalized rhematoid arthritis and is schedules to start taking prednisone for long-term therapy. The nurse should instruct the client to report which of the following as an adverse effect of prednisone?

Gastric ulceration

A nurse is reviewing the medical record of a client who is scheduled for induction of labor and has a prescription for mispostol. Which of the following conditions should the nurse identify as a contraindication to the adminstration of this medication?

Genital herpes

A nurse is monitoring a client who has DI and was administered desmopressin. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect of this medication

Headache

A nurse is reviewing the medical record of a client with rheumatoid arthritis who has a prescription for infliximab. Which of the following findings should the nurse identify as a contrainidcation to the client receiving this medication?

Hepatitis B virus

A nurse is teaching a client who has chemotherapy-induced anemia and a prescription for epoetin alfa. The nurse should instruct the client to report which of the following findings as an adverse effect of epoetin alpha?

Hypertension

A nurse is caring for a client with multiple sclerosis and neurogenic bladder who is receiving bethanechol. The nurse should identify that which of the following client statements indicates a therapeutic action of the medication?

I am able to urinate more freely

A nurse is providing teaching to a client who is scheduled to start taking finasteride. Which of the following statements by the client indicates an understanding of the teaching

I should see a decrease in my PSA levels

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 understanding

I will depress the side arms to activate the pump

A nurse is preparing to administer oxytocin to a client who is 41 weeks 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 to 3 min

A nurse is planning care for a client with thrombophlebitis who has a prescription to receive heparin via continuous IV infusion. Which of the following actions should the nurse include in the plan of care?

Infuse the heparin using an electronic IV pump

A nurse is caring for a client who has a prescription for an oral contraceptive to prevent pregnancy. The nurse should identify that which of the following actions is the purpose of this medication?

Inhibiting ovulation

A nurse is reviewing the medical record of a client who has a prescription for a oral contraceptive. The nurse should identify which of the following findings as a contraindication to receiving this medication?

Liver disease

A nurse is monitoring a client who is recieiving terbutaline to suppress preterm labor. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of the medication?

Maternal heart rate >120/min

A nurse is caring for a client who takes a combination oral contraceptive. Which of the following findings indicates the client is experiencing a deficency of estrogen in the OC?

Mid-cycle breakthrough bleeding or spotting

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

Moderate illness without fever

A nurse is reviewing the laboratory results for a client who has a prescription for filgrastim. An increase of which of the following values indicates a therapeutic effect of this medication?

Neutrophil count

A nurse is assessing a child who has acute lympocytic leukemia and is receiving vincristine sulfate. Which of the following findings is the nurse's priority?

Parathesia

A nurse is monitoring the lab values of a male client who has leukemia and is recieving weekly chemotherapy with methotrexate via IV infusion. Which of the following values should be reported to the provider?

Platelets 78,000

A nurse is caring for a client at 39 weeks of gestation who has gestational hypertension. The client has a new prescription for misoprostol for cervical ripening and induction of labor. Which of the following findings in the client's medical history should the nurse identify as increasing the client's risk of complications due to the use of this medication?

Previous cesarean birth

A nurse is providing teaching to a client who has chronic kidney failure 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 reviewing the medical record of a client. The medication administration record shows the client is taking clopidogrel. Which of the following events should the nurse expect in the client's medical history?

Recent myocardial infraction

A nurse is reviewing lab values of a client who is recieving a continuous IV heparin infusion and has an aPTT of 90 sec. Which of the following actions should the nurse prepare to take

Reduce the infusion rate

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

Reduce the infusion rate

A nurse is caring for a client who has rheumatoid arthritis and a new precription for etanercept. Which of the following values should the nurse review prior to the adminstration of the medicaton?

Results of the last purified protein derivative

A nurse is reviewing laboratory reports for a client who has C. Diff infection and is receiving vancomycin. Which of the following results should the nurse report to the provider before administering the next dose?

Serum creatinine 2.5 mg/dL

The nurse is caring for a client who has had levonorgestrel-relasing IUD in place for 1 year. Which of the following findings should indicate that the client is experiencing an adverse effect?

Spotting in between menses cycles

A nurse is caring for a female client who has osteoporosis and is taking raloxifene. Which of the following indicates an adverse reaction?

Sudden onset of dyspnea

A nurse is teaching a client who is postmenopausal and has a prescription for alendronate. Which of the following statements should be included in the teaching

Take this medication on an empty stomach

A nurse is caring for a client who has a prescription for sub-dermal etonogestrel. The nurse should alert the provider about which of the following findings in the client's medical history?

Takes St John's Wort

A nurse is preparing to administer the first injection of tDAP vaccine to an infant. Which of the following pieces of information should the nurse tell the guardian prior to administering the immunization?

The vaccine will be injected into the infant's thigh

A nurse is teaching a client who is experiencing age-related vaginal atrophy and has a prescription for estradiol cream. Which of the following statements should th nurse include in the teaching

This medication has fewer systemic effects than oral estrogen

A nurse is teaching a client who has been taking an NSAID to treat rheumatoid arthritis. During the client's first month checkup, the provider prescribed methotrexate to be added to the medication regimen. Which of the following statments should the nurse include in the teaching about the purpose of this change in the client's medication?

This medication was added to delay the disease progression

A nurse is caring for a client who takes warfarin 2.5 mg PO daily and has an INR of 6.2. The nurse should anticipate a prescription for which of the following medications?

Vitamin K

A nurse is caring for a client who was recently diagnosed with rheumatoid arthritis. The nurse should expect the provider to prescribe methotrexate at which of the following times?

Within 3 months of initial diagnosis

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 instructions should the nurse include in the teaching

You can miss up to 7 pills with little risk of getting pregnant as long as you have taken the pills regularly for the previous 3 weeks

An 18-month old toddler who has Kawasaki disease (KD). The child is recieving intravenous immunoglobulin. The guardian asks the nurse to administer the child's scheduled MMR vaccine before discharge. Which of the following responses should the nurse provide?

Your child will not be able to receive the MMR vaccine for atleast 3 months after discharge