Pharm final

Verapamil (Calan, Covera-HS, Verelan) should be used with extra caution or is contraindicated in patients with which cardiovascular condition

heart failure

A client states to the nurse, "I stopped taking that beta blocker last week because it made me so tired." Which are the priority nursing assessments? (Select all that apply)

heart rhythm BP chest pain

Which finding is a common adverse effect of an anti-inflammatory prescription

heartburn

The patient in hypovolemic shock is prescribed an infusion of lactated Ringer's. What is the purpose for infusing this solution in shock? (Select all that apply

help maintain vascular volume replace fluid and promote urine output

A client prescribed doxazosin (Cardura) asks how the medication works. Which information should the nurse provide the client?

helpd dilate the blood vessels

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

inhibits an enzyme that is essential for cholestrol synthesis

The nurse notes the blood pressure and red blood cell (RBC) count of a client receiving heparin is low. Which should the nurse suspect has occurred

internal bleeding

What is the mechanism of action of cholestyramine in reducing cholesterol levels

it binds bile acid salts and cholestrol

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

it causes antinuclear antibodies

Which conditions should the nurse anticipate the healthcare provider to possibly prescribe a diuretic? (Select all that apply

kidney infection cerebrovascular accident

The healthcare provider has prescribed intravenous phenytoin (Dilantin) IV piggyback. The client is currently receiving 5% dextrose in water (D5W) intravenously (IV). Which action should the nurse take? (Select all that apply)

large vein IV line with saline IV line with filter

Z-drugs differ from benzodiazepines because Z-drugs

less likely to cause sleep related behaviors

A client taking amitriptyline (Elavil) for 2 weeks tells the nurse the prescription is not working. Which response should the nurse provide the client?

let healthcare provider know and most likely prescription will be changed

The nurse has administered intravenous (IV) diazepam (Valium) for the client in status epilepticus. Which initial assessment should the nurse perform

level of consciousness

The nurse should include which instruction when teaching a client prescribed ergotamine tartrate for treatment of migraine headaches

lie down in a darkened room after taking

The nurse is caring for a patient with chronic stable angina who is receiving isosorbide dinitrate (Isordil). Which of the following are common adverse effects of isosorbide

lightheaded and dizziness

A 45-year-old man was started on therapy for hypertension and developed a persistent, dry cough. Which is most likely responsible for this side effect

lisinopril

Which diuretic has a greater diuretic action than the thiazides and is often prescribed for patients who have become resistant to a thiazide diuretic

loop diuretic

Which describes the mechanism of action for Clopidogrel (Plavix)

prevents the platelets from sticking together

What are possible complications with long-term phenytoin therapy? (Select ALL that apply)

renal dysfunction hirsutism peripheral neuropathy osteoporosis

An older adult is prescribed phenobarbital (Luminal) for seizure control. Which assessment should the nurse recognize is the most important?

respiratory function

Which statement is accurate in regard to secondary hypertension

result from chronic renal impairment

The healthcare provider has prescribed furosemide for a client with chronic renal failure. Which assessment finding indicates the treatment is ineffective

wheezing

Which prescription should the nurse prepare to administer for a client experiencing a warfarin sodium overdose?

vitamin K

Which atypical antipsychotic should the nurse anticipate a client with schizophrenia demonstrating both positive and negative symptoms will be prescribed

chlorpromazine

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

chocolate, wine, and fava beans

Which medication, if given concomitantly, may reduce the bioavailability and effectiveness of statins and other drugs given orally

cholestyramine

Which is a priority outcome for a client with schizophrenia that has been prescribed haloperidol (Haldol

compliant with taking the medication as prescribed

A client that just experienced head trauma asks the nurse why they cannot have an opioid analgesic. Which response should the nurse provide?

changes in level of consciousness

A parasympathetic stimulating medication (agonist) would be good for which condition

constipation

Place the steps of synaptic transmission of an action potential in the sympathetic nervous system in their order of occurrence

1. action potential 2. encounter nicotinic 3. travels across neuron 4. adrenergic receptors 5. target tissue

For which client is acetaminophen (Tylenol) contraindicated

55 yr old drinks alcohol daily

Which client has the greatest risk for developing heart disease

68 yr old with stage 3 hypertension

Which client should the nurse be most concerned with taking benzodiazepines?

87 yr old

The nurse is preparing to discuss the use of primary hypertensive agents with a client. Which prescriptions should the nurse include? (Select all that apply

ARB thiazide diuretics peripheral adrenergic antagonists

Which assessment findings in a patient who is receiving atenolol (Tenormin) for angina would be cause for the nurse to hold the drug and contact the provider? (Select all that apply)

BP 86/56 HR 50bpm

Which prescriptions reduce the heart's demand for oxygen by lowering heart rate

Beta adrenergic blockers and non dihydropyridine calcium

A client receiving diltiazem (Cardizem) asks the nurse why they get a headache after taking the prescription. Which response should the nurse provide the client

Blood vessels in the brain to widen

The nursing instructor teaches the student nurses about the nervous system. The instructor determines that learning has occurred when the students make which statement(s)? (Select all that apply)

CNS NS somatic nervous system voluntarily

Which should the nurse recognize are the traditionally prescribed drug classifications used to treat attention-deficit/hyperactivity disorder (ADHD)?

CNS stimulants

Which statement correctly describes the proposed mechanism of cardioprotection from low-dose aspirin?

COX1 lead to relative reduction in thromboxane A2

Select all of the ions that regulate heart activity. (Select all that apply

Cl, Mg, Na, Ca

Which type of lipoprotein is often referred to as "the good type?

HDL

Which laboratory test is used to measure the effectiveness of warfarin sodium therapy

INR

Which classification of prescription used to treat depression works by preventing enzymatic destruction of the neurotransmitter norepinephrine

MAOIs

Most clinically used opioid analgesics are selective for which type of opioid receptor?

Mu

The educator has discussed with a nurse the protocol for the immediate availability of naloxone for a client with a patient-controlled analgesia PCA pump. Which statement made by the nurse indicates an understanding of the information?

Narcan will reverse the effects of the narcotic in pump

The nursing instructor teaches the student nurses about the autonomic nervous system. The instructor determines that learning has occurred when the students make which statement(s)? (Select all that apply)

PNS bronchial constriction SNS activated with stress not always opposite in effects

Which classification of prescription is often used as a first-line treatment for depression due to their safety profile

SSRIs

Which of the following is correct regarding α-adrenergic blockers?

a adrenergic blockers are used in treatment of hypotension

A patient with deep vein thrombosis is receiving an infusion of heparin and will be started on warfarin (Coumadin) soon. While the patient is receiving heparin, what laboratory test will provide the nurse with information about its therapeutic effects

aPTT

A patient is receiving cholestyramine (Questran) for elevated low-density lipoprotein (LDL) levels. As the nurse completes the nursing care plan, which adverse effects will be included for continued monitoring

abdominal pain

The healthcare provider orders dicyclomine (Bentyl), an anticholinergic drug, for a client. What is the nurse's priority assessment prior to administering this drug?

able to urinate

Which is a priority assessment for the client receiving reteplase (Retavase) intravenously

abnormal bleeding

Which diuretic is most effective in reducing the mortality of a client with heart failure

acetazolamide

The enzyme responsible for the breakdown of acetylcholine at the synapse is

acetylcholinesterase

Which statement is accurate concerning drugs classified as adrenergic antagonists

actions are opposite those of sympathomimetics

The educator has discussed the types of opioid receptors with a nurse. Which statement made by the nurse indicates an understanding of the information?

activate Mu and kappa receptors

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

administer after meals

Which route of administration should the nurse anticipate to use for a client's prescribed enoxaparin (Lovenox)?

administer the prescription into the abdomen, SQ

A client with an oxycodone overdose has a respiratory rate of 8 and is difficult to arouse. Which prescribed treatment should the nurse anticipate administering?

administering opioid antagonist

A client prescribed haloperidol (Haldol) is observed making wormlike movements with their tongue. Which should the nurse associate this finding with

adverse effect

Considerations for drug treatment of epilepsy in women may include:

all of the above

Currently accepted clinical application/applications for barbiturates based on the variety of sedative/hypnotic/anxiolytic drugs available include(s):

all of the above

Disadvantages to the use of barbiturate hypnotics include

all statements are true

Flumazenil will counteract the action of each of the following drugs except:

alprazolam

Abnormal liver function tests (LFTs), pulmonary fibrosis, skin discoloration, and thyroid disturbances are potential adverse effects of:

amiodarone

Which of the following antidepressant medications is likely most sedating

amitriptyline

Which prescription should the nurse recognize would most benefit a client experiencing periods of mania and depression?

amitriptyline

Which of the following is a dihydropyridine calcium channel blocker

amlodine

Which of the following class of drugs is considered the cornerstone in the treatment of chronic heart failure

angiotensin converting enzyme inhibitors

A nurse is reading about the development of drugs that inhibit the parasympathetic nervous system. The nurse would look for articles about which drug classes? (Select all that apply)

anticholinergics parasympatholytics muscarinic blockers

The nurse has provided a client education on the pharmacologic management of epilepsy. Which statement made by the client indicates an understanding of the treatmen

antiseizure prescription indefinely

Which instructions should the nurse include in the teaching for a client prescribed aspirin (ASA)

apirin with food

Which substance may decrease the side effects of flushing and pruritus when taken with niacin?

aspirin

Which prescriptions does the nurse anticipate being included in the goal to reduce the post-MI mortality of a client? (Select all three that apply

aspirin beta ACE

The nurse notes that the intravenous (IV) norepinephrine (Levophed) has been accidentally abruptly discontinued. Which is the nurse's priority action

assess BP

efore a client receives carvedilol as treatment for heart failure, the nurse should ask the client about a history of which health problem

asthma

Which client conditions should the nurse anticipate being treated with a beta-2 agonist? (Select all that apply)

asthma COPD

A client who was administered prazosin (Minipress) became unconscious 30 minutes after the first dose. Which prescriptions should the nurse prepare for resuscitation? (Select all that apply)

atenolol carvedilol dobutamine

Which of the following drugs could theoretically improve chronic obstructive pulmonary disease (COPD) breathing symptoms?

atropine

Which is the most appropriate food for the nurse to recommend to a client to eat that is prescribed a loop diuretic

bananas

Which is an adrenergic receptor associated with the sympathetic nervous system

beta

A client prescribed bumetanide (Bumex) asks the nurse how the drug works. Which response should the nurse provide the client

block reabsorption of sodium

What is the mechanism by which irbesartan lowers blood pressure

blocking angiotension AT1 receptors

How does atropine (Atropair) increase heart rate

blocking the effects of acetylcholine

A client with a history of mild congestive heart failure (CHF) is receiving diltiazem for hypertension. The nurse should give priority to which of the following assessments

bradycardia and peripheral edema

Nursing assessment of a patient receiving normal serum albumin for treatment of shock should include which of the following

breath sounds

Which should a client be monitored for when prescribed a glucocorticoid long-term

bruising

A patient is receiving a thrombolytic drug, alteplase (Activase), following an acute myocardial infarction. Which effect is most likely attributed to this drug

bruising and epistaxis

Which one of the following antidepressant drugs is most likely associated with the risk of seizure

bupropion

The nurse has provided teaching about the use of an auto injection of epinephrine. Which statement made by the client indicates further teaching is required?

call 911 then inject

A nurse is preparing to administer butorphanol to a client who has a history of substance use disorder. The nurse should identify which of the following information as true regarding butorphanol

can cause withdrawal

A client asks the nurse about bipolar disorder. Which response should the nurse provide?

cardiac function

Which factors are responsible for blood pressure

cardiac output, blood volume, peripheral vascular resistance

A client has been prescribed scopolamine (Transderm-Scop) for the prevention of motion sickness. The nurse should teach the client to immediately report which adverse effects? (Select all that apply)

cardiac palpitations decreased urinary output

A patient is starting to receive dobutamine by intravenous infusion for treatment of shock. This drug is particularly useful for which type of shock

cardiogenic

Which information should the nurse include when discussing cardiogenic shock with a client

cardiogenic shock occurs due to pump failure

The nurse should include which precaution when teaching a client with liver disease about the use of over-the-counter (OTC) acetaminophen, aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs)

consult healthcare provider before taking

A patient had several seizures when she was a young child. She is now 13 years old and has been seizure-free for at least 5 years while taking carbamazepine. Choose the correct statement

continue medication until 21 years old

A client is prescribed an intravenous infusion of milrinone (Primacor) for acute heart failure. Which is a priority nursing assessment during the infusion

continuous ECG monitoring

A parent asks the nurse why his or her 8-year-old child cannot have cough syrup with codeine to help the child rest. Prior to responding to the parent, which should the nurse understand?

contraindicted in children

Erectile dysfunction drugs such as sildenafil (Viagra) are contraindicated in patients taking nitrates for angina. What is the primary concern with concurrent administration of these drugs

decrease BP

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

decrease aldosterone secretion

A preoperative client will be receiving glycopyrrolate (Robinul), which is an anticholinergic drug. The client asks the nurse, "Why do I need to take that medication?" What is the best response by the nurse?

decrease respiratory secretions during surgery

Which mechanism of action does beta-adrenergic antagonists have on the cardiovascular system

decreased contractility of the heart

Which are the goals of antianginal therapy? (Select two that apply

decreased myocardial oxygen demnad increased blood flow to myocardium

Blood pressure is most effectively lowered by

decreasing sympathetic activity

Benzodiazepines would be an acceptable first-line treatment for Panic Disorder in a patient who _____________

desires immediate response for panic attacks

Which one of the following anxiolytic drugs is noted for its lack of sedation?

diazepam

AJ is a 23-year-old otherwise healthy female with generalized anxiety disorder (GAD). She has no past history of drug or alcohol abuse and no family history of substance abuse. She is started on lorazepam 0.5 mg three times daily. Which of the following side effects will you warn AJ about?

difficulty falling asleep

A client has returned to the clinic for follow-up after being prescribed an adrenergic-blocking medication for benign prostatic hypertrophy (BPH.) Which assessment questions should the nurse ask? (Select all that apply)

difficulty urinating last BM color of urine bladder is full

A client post-acute myocardial infarction asks the nurse why they are prescribed reteplase (Retavase) intravenously (IV). Which response should the nurse provide the client

dissolving the clot that caused problems

Common adverse effects of antidysrhythmic medications include which of the following? (Select all three that apply

dizziness hypotension weakness

The patient is receiving hydralazine with isosorbide (BiDil) for heart failure. The nurse should monitor this patient for:

dizziness and rapid HR

A client has been prescribed prazosin (Minipress). Which information should the nurse provide? (Select all that apply)

dizzy take before bed

A patient is given a prescription for propranolol (Inderal) 40 mg bid. What is the most important instruction the nurse should give to this patient

do not stop abruptly

Which adverse effect is most common for clients prescribed topical nitroglycerin paste

headache

An older adult has received adrenergic eye drops prior to a retinal exam. Which information should the nurse include in the client's discharge teaching? (Select all that apply)

dont drive till worn off wear sunglasses comfortable in a dark room

The nurse is preparing to administer clevidipine (Cleviprex) to a client experiencing a hypertensive crisis. Which interventions should the nurse implement? (Select all that apply

drug IV monitor BP

The nurse notes that a client prescribed propranolol (Inderall), routinely takes albuterol (Ventolin). Which should the nurse be concerned with?

drugs are compatible

A 40-year-old male presents to his healthcare provider with drooping eyelids, difficulty chewing and swallowing, and muscle fatigue even on mild exertion. Which agent could be used to diagnose myasthenia gravis in this patient?

edrophonium

Which of the following statement/s concerning phenytoin is/are correct? (Select ALL that apply

enzyme inhibitor therapeutic range of 10-20

A 12-year-old boy with a peanut allergy is brought to the emergency room after accidental consumption of peanuts. He is in anaphylactic shock. Which of the following drugs is most appropriate to treat this patient?

epinephrine

A 22-year-old runner has an anaphylactic reaction after having been stung by a wasp. Which of the following is the preferred initial treatment

epinephrine

Which is contraindicated in a patient with hyperkalemia

eplerenone

The nurse is preparing to review the records for a client with absence seizures. Which prescription should the nurse anticipate the client has been prescribed?

ethosuximide

A client presents to the clinic with symptoms of hyperthermia and diaphoresis. The client's prescription history includes escitalopram (Lexapro), St. John's wort, levothyroxine, and acetaminophen. Which should the nurse suspect has occurred?

experiencing serotonin syndrome

Which comment by the client receiving morphine should the nurse recognize as an adverse effect?

feel like i am going to throw up

Which information should the nurse include in the teaching for a client with a prescription with the nasal form of sumatriptan for migraines? (Select all that apply)

first sign of migrane one nostrill only rebound headaches

A client presents to the emergency department suspected of overdosing on lorazepam (Ativan). Which prescription should the nurse prepare to administer?

flumazenil

This antidepressant agent exhibits a mechanism that may involve enhanced noradrenergic function; furthermore, the drug exhibits no anticholinergic, sedating or orthostatic side effects and is associated with a low incidence of sexual side effects

fluoxetine

Which antihypertensive medication can cause the rare side effect of angioedem

fosinopril

A patient has been ordered gemfibrozil (Lopid) for hyperlipidemia. The nurse will first validate the order with the healthcare provider if the patient reports a history of which disorde

gallbladder

A client tells the nurse that he or she worries about everything all day, feels confused, restless. Which should the nurse suspect the client is experiencing?

generalized anxiety

The nurse is preparing to administer medications to a group of clients. One of the medications contains atropine, an anticholinergic drug. This drug is contraindicated in which client

glaucoma

The nurse is preparing to administer olanzapine depot injection (Zyprexa Relprevv) intramuscularly. Which anatomical location should the nurse administer the medication

gluteal

The nurse is reviewing the medical history of a client prescribed hydrochlorothiazide (Microzide). Which condition should the nurse be concerned about

gout

The patient receiving heparin therapy asks how the "blood thinner" works. What is the best response by the nurse

heparin does not thin the blood but prevents clots forming in blood vessels

A patient with heart failure has an order for lisinopril (Prinivil, Zestril). Which condition in the patient's history would lead the nurse to confirm the order with the provider?

history of angioedema

Which is the priority action of the nurse when caring for a client receiving a statin with elevated creatine kinase (CK) levels?

hold the prescription and notify healthcare provider

Which is the client most likely at risk for that is receiving spironolactone (Aldactone)

hyperkalemia

Lisinopril (Prinivil) is part of the treatment regimen for a patient with heart failure. The nurse monitors the patient for the development of which adverse effects of this drug? (Select all that apply)

hyperkalemia cough dizziness

A depressed patient treated with tranylcypromine presents to the emergency department with a pounding headache. The patient had just eaten dinner, enjoying a red wine with the meal. Suggest possible cause for these symptoms

hypertensive reactions

Which is the nurse's priority assessment for a client treated with intravenous hydralazine (Apresoline)?

hypotension and tachycardia

Which prescription should the nurse anticipate being included in the treatment of a client experiencing mild migraine headaches?

ibuprofen

The nurse is preparing to assess a client suspected of experiencing tardive dyskinesia. Which findings should the nurse anticipate that support the diagnosis

inability to relax or rest

Which of the following is the primary mechanism by which benzodiazepines exert their sedative and anxiolytic effects?

increase GABAcycles of depression

A client is prescribed an anticholinergic drug. What discharge instructions should the nurse provide? (Select all that apply)

increase fiber intake avoid hot showers wear sunglasses in bright light

Which describes the mechanism of action for Ibuprofen (Advil)

increase prostaglandin synthesis

A nurse evaluates the effectiveness of dopamine therapy for a patient in shock. Which of the following may indicate treatment is successful? (Select all that apply

increased BP improved urine output

A client who has been taking lorazepam (Ativan) for 2 years presents to the clinic and tells the nurse that he or she stopped taking his or her medication 3 days prior. Which assessment findings should the nurse anticipate?

increased HR

A client asks the nurse how hypertension can lead to heart failure. Which response should the nurse provide the client?

increases resistance in blood vessels

The patient is to begin taking atorvastatin (Lipitor) and the nurse is providing education about the drug. Which symptom related to this drug should be reported to the healthcare provider

increasing muscle or joint pain

The nurse is preparing to administer the adrenergic drug phenylephrine intravenously. Which should the nurse include in the plan of care? (Select all that apply)

infusion pump monitor blanching do not drive till worn off

In Alzheimer disease, there is a deficiency of cholinergic neuronal function in the brain. Theoretically, which strategy is useful in treating symptoms of Alzheimer disease?

inhibit acetylcholinesterase

A client is prescribed a drug that activates alpha-2 receptors. Which physiological response should the nurse anticipate when planning care for the client?

inhibit norepinephrine

A 46-year-old man is brought into the emergency department after having convulsions for approximately 10 minutes. What is the best choice for an initial medication for this patient?

lorazepam

Which statement is correct regarding the difference between acetaminophen and naproxen

lss risk for CV events

Which of the following pairing of drug with adverse effect is a significant unwanted effect to be monitored for?

lupus like syndrom with hydrochlorothiazide

A client asks the nurse if there are any over-the-counter nonprescription medications that can be used to improve insomnia that they could talk to their provider about. Which response should the nurse provide the client? (Select all that apply)

melatonin benadryl

Which is the primary functional unit of the kidney

nephron

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

A nursing instructor is reviewing receptor types with a nursing student. The instructor identifies that learning has occurred when the student responds that which type of receptor is found at the ganglionic synapse of both the sympathetic and parasympathetic nervous systems?

nicotine

A client asks the nurse how methadone (Dolophine) can help with a heroin dependence. Which response should the nurse provide?

no extreme euphoria

A client is scheduled to take 4 mg of hydromorphone intravenously (IV). Prior to administering the drug, what should the nurse do?

obtain baseline respiratory assessment

The nurse has administered naloxone (Narcan) intravenously to a client receiving morphine experiencing respiratory depression. Which should the nurse anticipate?

onset action 1-2 minutes

A nurse is preparing to provide education on the use of heroin. Which information should the nurse include? (Select all that apply)

opioid drug narcotic drug

The nurse is preparing to review the records of a client with cancer prescribed buccal fentanyl. Which findings should the nurse anticipate? (Select all that apply)

opioid naive breakthrough pain receiving fentanyl

The nurse is preparing to administer phenytoin (Dilantin). Which route(s) of administration are used to administer the medication? (Select all that apply)

orally IV

Which general adverse effect is associated with the use of diuretics

orthostatic hypotension

Which information in the health history should the nurse be concerned about for a client prescribed ibuprofen for a mild ankle sprain? (Select all that apply)

peptic ulcer allergy to aspirin alcohol abuse hypertension

A client is to receive intravenous (IV) dopamine (Intropin). Which should the nurse have immediately available prior to initiating the dopamine

phentolamine

Which classification of drug is used to treat ventricular tachycardia

potassium channel blocker

All nonsteroidal anti-inflammatory drugs (NSAIDS) have an FDA Black Box Warning regarding

potential for causing GI bleeds

A client with a generalized anxiety disorder asks the nurse if he or she will need medication for treatment. Which response should the nurse provide the client?

prescription is necessary with anxiety

Which describes the primary action of anticoagulant therapy

prevent the formation of blood clots

Which adverse effect is shared among all antidysrhythmic drugs

prodysrhythmic effects

The nurse has reinforced the treatment plan for the administration of normal human serum albumin (Albutein) for a client recovering from hypovolemic shock. Which statement made by the client indicates an understanding of the information

pulls water into blood vessels

When monitoring for therapeutic effect of any antidysrhythmic drug, the nurse would be sure to assess which essential paramete

pulse

A client who is in heart failure is administered the beta-1 agonist dobutamine. Which assessment finding indicates the medication is effective? (Select all that apply

pulse becomes stronger HR increases

The patient is being discharged with nitroglycerin (Nitrostat) for sublingual use. While planning patient education, what instruction will the nurse include

put one tablet under tongue and if pain does not stop call 911

A client asks the nurse which prescription medications are commonly used to treat insomnia. Which pharmacological agents should the nurse discuss with the client? (Select all that apply)

ramelteon zolpidem

A 35-year-old woman is being started on lamotrigine for newly diagnosed epilepsy. She is otherwise healthy and is not taking any medications except for acetaminophen for an occasional headache. Which of the following will be most important to monitor as she starts lamotrigine

rash

Which question should the nurse ask a postsurgical client prior to the administration of an opioid analgesic?

rate pain on scale of 1 to 10

Antonia is a 3-year-old child who has a history of status epilepticus. Along with her routine antiseizure medication, she should also have a home prescription for_________ to be used for an episode of status epilepticus.

rectal diazepam

Which physiological change is expected when the sympathetic system is inhibited using a pharmacological agent?

reduction in HR

Nifedipine (Procardia XL) has been ordered for a patient with hypertension. In the care plan, the nurse includes the need to monitor for which adverse effect

reflex tachycardia

The teaching plan for a patient receiving hydralazine (Apresoline) should include which point

rising slowly to standing from a lying or sitting position

Because phenytoin was prescribed STAT for a client who was just admitted to the nursing unit from the emergency department, which set of assessments is of highest priority for the nurse to perform

seizure activity, mental status, and respiratory status

Which explanation best explains why barbiturates are rarely used to treat anxiety and insomnia?

seldom effective

KM is a 64-year-old man who has been hospitalized following a car accident in which he sustained a broken leg and broken arm. He has been converted to oral morphine in anticipation of discharge from the hospital. Upon discharge, which medication should he receive along with the morphine

senna

Which of the following neurotransmitters appears to be depleted in some patients with epilepsy

serotonin

The nurse suspects a client receiving chlorothiazide (Diuril) is experiencing side effects from the prescription. Which assessment finding supports the nurse's suspicion

serum potassium level of 3.0 and low BP

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

several weeks to have an effect

In a case of an opioid overdose, naloxone can be given in repeated doses because of which property of naloxone?

shorter half life than the opioid agonist

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

snacks between meals

The primary way the kidney reabsorbs water is through the reabsorption of

sodium

Which part of the nervous system primarily regulates the ability of a person to use their arm muscles to lift a weight

somatic nervous system

Which of the following classes is the most effective in their ability to lower low-density lipoproteins (LDLs)

statins

Which of the following is correct regarding responses mediated by adrenergic receptors?

stimulation of a1 receptors

A client has been prescribed phenylephrine (Neo-Synephrine) spray for nasal congestion. Which information about adverse effects should the nurse provide in discharge teaching? (Select all that apply)

stinging rebound congestion

Which statement made by a client prescribed acetylsalicylic acid (aspirin) indicates the client is experiencing an adverse reaction?

stool dark in color

The use of antipsychotic medications in older adults with dementia-related psychosis is associated with an increased risk for

stroke

For which conditions is a client with hypertension at risk? (Select all that apply)

stroke heart failure blindness kidney damage

The nurse is preparing to administer benztropine (Cogentin), which is an anticholinergic drug. The nurse understands this drug is contraindicated in which client?

tachycardia

A patient with significant hypertension unresponsive to other medications is given a prescription for hydralazine. An additional prescription of metoprolol (Lopressor) is also given to the patient. The patient inquires why two drugs are needed. What is the nurse's best response

tachycardia and put heart rate in normal limits

hich is a priority nursing intervention for a client who is newly prescribed enalapril (Vasotec)

take BP

Which information should the nurse include when providing education for an older client prescribed hydrochlorothiazide (Microzide)

take early in the morning

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

take pulse everyday

The nurse has completed the education for a client prescribed buspirone (BuSpar). Which statement made by the client indicates further teaching is required?

take when feel anxious

Which statement should the nurse include in the education for a client prescribed a nonsteroidal anti-inflammatory drug (NSAID)

take with food

The nurse is preparing to educate a client on prescribed antiepileptic drug (AED). Which information should the nurse include in the teaching?

taken at the same time everyday

A client with epilepsy prescribed Phenobarbital (Luminal) tells the nurse she is planning a pregnancy. Which statement should the nurse provide the client?

talk to your doctor

A client with cirrhosis of the liver asks the nurse why they are at risk for bleeding. Which response should the nurse provide the client

the liver is injured and cannot make clotting factors

The patient is prescribed digoxin (Lanoxin) for treatment of heart failure. Which statement by the patient indicates the need for further teaching

this drug should cure my heart failure

Which of the following drugs is commonly used topically in the treatment of glaucoma?

timolol

A patient has started clopidogrel (Plavix) after experiencing a transient ischemic attack. What is the desired therapeutic effect of this drug

to reduce the risk of a stroke from blood

Which describes a characteristic of colloids

too large to cross membranes

JS, who has controlled partial seizures, has been experiencing at least 4 headaches per month for the past 4 months. Which of the following anticonvulsants is also indicated for migraine prophylaxis?

topiramate

What antidepressant would you expect to be prescribed for a patient who has symptoms of depression and also reports chronic pain.

trazodone

A 62-year-old man with heart failure has been taking a loop diuretic to reduce peripheral edema. His labs today reveal low potassium. Which of the following diuretics could be of use if added in this patient

triamterene

In management of depression, pharmacological treatment, if successful, probably should be continued for about 6 to 9 months minimally; furthermore, premature stoppage of medication is likely a frequent source of relapse

true

A client has been in the intensive care unit for a week receiving various procedures throughout the day and night. Currently the client, though physiologically stable, is irritable and paranoid and complains of vivid dreams when dozing off to sleep. Which are the best actions for the nurse to take at this time? (Select all that apply)

turn down lights sleep hypnotic schedule all tests

For which finding should the nurse notify the healthcare provider for a client prescribed prednisone

unexplained fever

Which effect should the nurse anticipate for a client receiving a low-dose dopamine (Intropin)

urinary output of at least 50

A nurse is preparing to administer an opioid agonist to a client who has acute pain. For which of the following manifestations should the nurse monitor as an adverse effect of this medication

urinary retention

The nurse is assessing a client with schizophrenia prescribed a phenothiazine. Which finding would be representative of an anticholinergic side effect

urinary retention

A postoperative client has a prescription for morphine 2 mg IV push every 2 hours and hydrocodone 5 mg every 6 hours. The client received the morphine 2 hours ago and is requesting hydrocodone. Which initial action should the nurse take

use a pain scale

Which describes the mechanism of action of norepinephrine

vasoconstriction

Clozapine is seldom is used as first-line (initial) therapy of schizophrenia. Compared with the older antipsychotics, it is associated with a much higher risk of a serious adverse response. What is that greater risk

ventilatory depression or arrest

Of the following agents, which is considered to have the strongest negative inotropic effect

verapamil

A client with epilepsy who has been seizure free and prescribed phenytoin (Dilantin) asks the nurse why he or she needs to still have blood testing. Which response should the nurse provide the client

very low narrow range between therapeutic effect

A 28-year-old woman is started on oxcarbazepine for partial seizures. Which of the following should she take in addition to the oxcarbazepine

vitamin A

A patient was admitted from the emergency department after receiving treatment for dysrhythmias. He will be started on amiodarone (Pacerone) due to the lack of therapeutic effects from his other antidysrhythmic therapy. When the nurse checks with him in the afternoon, he complains of feeling lightheaded and dizzy. What will the nurse assess first

whether the patient's pulse and BP are within normal limits

A nurse is planning to administer morphine IV to a client who is postoperative. Which of the following actions should the nurse take?

withhold this medication if RR is less than 12

Which of the following drugs increases the activity of hepatic drug-metabolizing enzyme systems (enzyme inducer)

zolpidem