pharm final

The nurse is completing a teaching session with a client with heart failure. The nurse determines that additional teaching is needed about the cardiotonic drug therapy when the client states which comment?

"I need to notify my health care provider if I have blurred vision."

A home health care nurse is assessing a client's medication during a home visit. The client is prescribed atorvastatin 10 mg daily, a change from the previous order of 20 mg daily. The client shows the nurse the medication container from the pharmacy. The label reads atorvastatin 20 mg. The nurse determines that the client is taking the correct dosage when the client states he is taking how much of the drug?

1/2 tablet every day

A nurse is analyzing the medical records of several clients who have come to the clinic for a visit. The nurse determines that a client with which blood pressure readings would be identified as Stage 1 hypertension?

144/92 mm Hg

A nurse is assessing the serum digoxin level of a client who is receiving treatment for atrial fibrillation. Which result should the nurse prioritize and report to the primary health care provider?

2.2 ng/ml

A client is prescribed clonidine as a transdermal patch. After instructing the client about this drug, the nurse determines that the teaching was successful when the client states that the patch should remain in place for how long?

7 days

After teaching a group of students about tetracyclines, the instructor determines that the teaching was successful when the students choose which factor as a true statement? Select all that apply.

Are broad-spectrum antibiotics. Are contraindicated in children younger than 6 years. Can be used when penicillins are contraindicated. Are used to treat Rocky Mountain spotted fever. May cause permanent discoloration of the teeth in children.

A nurse is preparing to administer the first dose of warfarin to a client. Which assessment should the nurse prioritize for this client?

Assess PT and INR.

Which of the following pressures is considered prehypertension? A. 110/78B. 120/70C. 126/79D. 145/92

C

A client develops pseudomembranous colitis secondary to fluoroquinolone therapy. The nurse anticipates the bowel culture will grow which organism?

C. difficile

The nitrates for anginal pain are used to dilate which of the following vessels?

Coronary arteries

When a diuretic is being administered for HF, which of the following would be most indicative of an effective response to diuretic therapy?

Daily weight loss of 2 lb

A client who routinely takes antacids has been prescribed tetracycline. The nurse explains to the client there is an increased risk of which effect related to this combination?

Decreased absorption of tetracycline

When administering the nitrates for angina, the nurse monitors the client for which common adverse reaction?

Headache

A nurse is assessing a client and notes the client has developed swelling of the eyelids and lips after administration of a prescribed medication. What does the nurse interpret this finding to specifically indicate?

angioedema

Optimal INR during therapy is _________.

between 2 and 3

The nurse suspects a client is experiencing digoxin toxicity. Which of the following symptoms would the client have reported to make the nurse suspicious of a toxic reaction?

halo in vision field

A client with diabetes who takes oral medications is receiving a sulfonamide for a UTI. The client is taught that compared to what the usual reading has been, the blood glucose level will be:

lower

Hemostasis is best defined as _________.

stopping all evidence of bleeding

A client asks the nurse why he/she needs to increase fluid intake while taking sulfonamides. Which response by the nurse would be most appropriate?

"The fluids will help to decrease your risk for kidney stones."

A client is prescribed penicillin therapy to treat an infection. Which factor would the nurse include in the teaching plan for the client to reduce the risk of fungal superinfections? Select all that apply.

"You could take Acidophilus capsules." "Use a soft-bristle toothbrush when brushing." "Yogurt can sometimes help." "Try drinking some buttermilk."

A nurse is preparing a teaching plan for a client with edema who is prescribed a diuretic. Which teaching should the nurse prioritize?

Administer early in the day.

A client prescribed niacin reports significant skin flushing and itching, stating, "I almost stopped taking the drug." The nurse anticipates the health care provider will prescribed which drug to address this issue?

Aspirin

The nurse is caring for a male client in the emergency department who is experiencing a sudden onset of angina, rated as 8/10 on pain scale with blood pressure 88/50 mm Hg. Which is the priority action?

Assess if the client has taken sildenafil.

The nurse is conducting the ongoing assessment of a client with heart failure who was administered digoxin. Which additional medication does the nurse anticipate the health care provider to prescribed after reporting a heart rate of 48 bpm, muscle weakness, anorexia, and reports of generalized headache?

Atropine

The nurse is preparing to teach a client with renal insufficiency about the recently prescribed bumetanide for hypertension. Which instruction should the nurse prioritize for this client?

Avoid over-the-counter drugs for cold symptoms.

The student nurse is preparing to administer heparin subcutaneously to a client. The instructor determines the student is well prepared by articulating which steps? Select all that apply.

Change sites for each dose Hold the needle at a 90-degree angle Pinch a fold of skin

A nurse is preparing to administer ivabradine to a client with heart failure. Which preadministration assessment should the nurse prioritize on this client?

Check for jugular vein distention.

A nurse is preparing to administer ciprofloxacin as ordered. Which test would the nurse ensure is completed before administering the first dose to the client?

Culture tests

A client is prescribed warfarin. The client also takes a diuretic for the treatment of cardiac problems. The nurse will monitor the client for which potential interaction?

Decreased effectiveness of the anticoagulant

A client treated for a respiratory infection is being treated with levofloxacin. The client is complaining of diarrhea, abdominal cramping, and a fever. What is the action of the nurse?

Discontinue the levofloxacin.

A client has a nursing diagnosis of Activity Intolerance related to fatigue and weakness. Which actions would be appropriate for the nurse to include in the client's plan of care? Select all that apply.

Encouraging ambulation as tolerated Promoting rest periods throughout the day as necessary Encouraging activities early in the morning when fatigue is less

A nursing instructor is teaching a class on the actions of the different classes of diuretics. Which drugs will the instructor point out as exerting action on the loop of Henle and distal and proximal tubules? Select all that apply.

Furosemide Bumetanide

Before administering the first dose of a penicillin to the client, which assessment should the nurse perform first as part of the preadministration assessment?

General history of client's health

The educated nurse identifies half-life as the time it takes for how much of the drug to be excreted by the body?

Half of the drug

A nurse is preparing to administer spironolactone to a client. The nurse would question this order if which disorder is noted in the client's history?

Hyperkalemia

When developing the plan of care for a client receiving sulfonamides for treatment of a urinary tract infection, the nurse determines actions for encouraging fluid intake and monitoring intake and output based on which nursing diagnosis?

Impaired Urinary Elimination

Which of the following complaints by a client taking tetracycline would be most indicative that they are experiencing ototoxicity?

Inability to hear the television

The health care professional has recommended sulfonamide therapy for a client who is currently taking oral anticoagulants. What is the possible effects of combining sulfonamide therapy with oral anticoagulants?

Increased action of the anticoagulant

The nurse is administering fluoroquinolone and ibuprofen to a client. The nurse should be alert for which potential adverse reaction?

Increased risk for seizures

The nurse is educating a client about the conditions for which antiplatelets are prescribed. Which condition should the nurse include in the teaching?

Ischemic stroke

The nurse administers ethambutol to a client in the initial phase of tuberculosis. The nurse will monitor the client for which potential adverse reaction?

Joint pain

After teaching a group of nursing students about pharmacokinetics, the instructor determines that the teaching was successful when the students identify which actions as a phase? Select all that apply.

Metabolism Distribution Absorption Excretion

A 75-year-old client with a history of renal impairment is admitted with a UTI and has been prescribed a cephalosporin. Which intervention is most important for the nurse to perform when caring for this client?

Monitoring blood creatinine levels

The nurse is caring for a 72-year-old client with tuberculosis on the unit. Which action should the nurse prioritize?

Monitoring for appearance of adverse reactions

The nurse is monitoring a client who is receiving heparin by continuous IV infusion. Which action should the nurse prioritize?

Perform blood coagulation tests every 4 hours.

The nurse notes a client has a new prescription for an expectorate. The nurse will monitor this client cautiously if which disorder is noted in the client's history?

Persistent cough

A nurse is conducting a community presentation on heart disease, cholesterol, and risk factors. The nurse determines that the class has been successful when the class correctly chooses which point as true?

Physical activity raises HDL cholesterol levels.

A client with roundworms is prescribed pyrantel. The nurse determines the client teaching is successful after the client correctly chooses which adverse reactions to immediately report to the health care provider?

Rashes

A nurse is to administer sulfasalazine to a client with ulcerative colitis. Which interventions would be most important while caring for this client?

Regularly inspect client's stool samples.

An older client with hypertension is prescribed furosemide and atenolol. The client reports perspiring a lot lately and having diarrhea. Which nursing diagnosis would the nurse most likely prioritize?

Risk for Deficient Fluid Volume

A client diagnosed with HIV infection is receiving HAART. On assessment, the nurse notes the client is alert and oriented, with reports of anorexia, nausea, and vomiting; 10-pound weight loss in past 6 weeks, pale, pin skin with irritation or breakdown, and without report of pain Which nursing diagnosis is a priority for this client?

Risk for Imbalanced Nutrition: Less Than Body Requirements

The nurse is examining the assessment and prepares to determine the most appropriate nursing diagnosis for a client receiving fluoroquinolone. Which diagnosis would potentially be most appropriate for this client? Select all that apply.

Risk for Impaired Skin Integrity Diarrhea Anxiety Acute Pain

A client has returned to the clinic for follow-up of an infection which is being treated with an aminoglycoside and reports ringing in the ears and dizziness. When developing this client's plan of care, which nursing diagnosis would be the priority?

Risk for Injury

A middle-aged client is to receive tetracycline for treatment of H. pylori infection, as well as continue with digoxin for a history of heart disease. The nurse will be prepared to monitor the client for which potential condition?

Risk of digoxin toxicity

The nurse is assessing a client with renal disease and discovers the client's blood pressure has increased since the last visit. The nurse suspects the client has developed which concern?

Secondary hypertension

The nurse is teaching a client and caregiver about the warfarin which has been prescribed to continue at home. The nurse determines the teaching session is successful when the client and caregiver correctly choose which instructions to follow? Select all that apply.

Take the drug at the same time every evening. Do not change brands of warfarin without consulting the health care provider. Do not take or stop taking other medications except on the advice of the health care provider. Be consistent with your intake of foods containing vitamin K.

A client with heart failure requires long-term digoxin therapy. Which instruction should the nurse point out in the discharge teaching?

Take the drug regularly without skipping a dose.

A 60-year-old client with impaired urinary elimination is prescribed sulfonamide and instructed to increase daily fluid intake. Which nursing intervention would be most appropriate to address the fear of incontinence?

Teach the client the times to take fluids to maintain continence.

What is an important precaution of fluoroquinolones that should be included in the client teaching?

Tendon rupture

A client is asking how fluoroquinolones work. What is the nurse's best response?

They interfere with the DNA of the bacteria.

A group of nursing students are preparing for an examination about fungal infections. They demonstrate they are prepared by correctly choosing what as a superficial fungal infection?

Thrush

The nurse is preparing to administer niacin to a client with hyperlipidemia. Which adverse reaction should the nurse prioritize on ongoing assessment?

Tingling

A nurse is conducting an in-service about antibacterial drugs such as penicillins and cephalosporins. During the question-and-answer period, the audience asks for examples of conditions that can be treated by cephalosporins. Which examples would the nurse include in the response?

Urinary tract infections

A nurse is performing the ongoing assessment on a client who has received milrinone for a diagnosis of heart failure. The nurse should prioritize which finding on the assessment?

edema

When reviewing a client's culture and sensitivity test results, the nurse learns that the bacteria causing the infection are sensitive to penicillin. The nurse interprets this result to mean that:

penicillin will be effective in treating the infection

The nurse is preparing to administer sulfadiazine to a client who is also taking warfarin. The nurse would be alert for which potential adverse effect?

prolonged clotting times

The nurse is teaching a mother of twin toddlers to give self-injections. She says, "I will see if we have anything at home to put needles in when I get there." The best action for the nurse to do is:

request that she demonstrate the technique before going home.

The client is to begin oral anticoagulant drug therapy. Before administering the drug, the nurse _________.

sees that blood has been drawn for a baseline PT evaluation

The nurse administers rifampin to a 45-year-old client with tuberculosis. The nurse would monitor the client for which potential adverse reaction?

vertigo