Pharm Final Exam Part 1
A 6-year-old child who has chickenpox also has a fever of 102.9° F (39.4° C). The child's mother asks the nurse if she should use aspirin to reduce the fever. What is the best response by the nurse? "It's best to wait to see if the fever gets worse." "You can use the aspirin, but watch for worsening symptoms." "Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin." "You can use aspirin, but be sure to follow the instructions on the bottle."
"Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin."
A woman comes into the emergency department. She says that she is pregnant and that she is having contractions every 3 minutes but she is "not due yet." She is very upset. While assessing her vital signs and fetal heart tones, what is the most important question the nurse must ask the client? "What were you doing when the contractions started?" "Are you preregistered at this hospital to give birth?" "How many weeks have you been pregnant?" "Have you felt the baby move yet?"
"How many weeks have you been pregnant?"
The nurse determines teaching regarding the levonorgestrel-releasing intrauterine delivery system has been effective when the client makes which statement? "These devices are 100% effective.' "I can keep this device in place for up to 5 years." "I will need to use a barrier method of birth control in addition to this device." "I will have the device removed every two years and replaced."
"I can keep this device in place for up to 5 years."
The nursing instructor asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a newborn. Which student statement indicates that FURTHER teaching is needed? "I will flush the eyes after instilling the ointment." "I will clean the newborn's eyes before instilling ointment." "I need to administer the eye ointment within 1 hour after delivery." "I will instill the eye ointment into each of the newborn's conjunctival sacs."
"I will flush the eyes after instilling the ointment."
Which patient statement indicates to the nurse full patient understanding of the discharge instructions regarding alendronate? "I need to decrease my intake of dairy products to prevent hypercalcemia." "I need to take this medication with food to prevent damage to my esophagus." "This medication will help relieve the bone pain I have from my osteoporosis." "I will take the medication on an empty stomach and not lie down for 30 minutes."
"I will take the medication on an empty stomach and not lie down for 30 minutes."
A student nurse is caring for a male patient diagnosed with gonorrhea. The patient is receiving ceftriaxone and doxycycline. The nursing instructor asks the student why the patient is receiving two antibiotics. What is the student nurse's best response? "This combination of medications will eradicate the infection faster than a single antibiotic." "Many people infected with gonorrhea are infected with chlamydia as well." "The combination of these two antibiotics reduces the risk of reinfection." "There are many resistant strains of gonorrhea, so more than one antibiotic may be required for successful treatment."
"Many people infected with gonorrhea are infected with chlamydia as well."
What teaching would the nurse provide to a patient receiving tetanus toxoid? "Increase fluid and fiber in your diet to prevent constipation." "Soreness at the injection site is a common reaction." "You will have lifetime immunity from this injection." "This medication must be repeated weekly for four weeks."
"Soreness at the injection site is a common reaction."
The client taking an estrogen-progesterone combination oral contraceptive calls the clinic reporting that she has forgotten her pills for the last two days. what medication directions should the nurse provide? "Take two pills today and two pills tomorrow, then one pill daily for the rest of the pack." "Take two pills today and then one pill every day until the pack is finished." "Notify your health care provider of the missed dosage." "Stop taking the pills and have your partner use condoms until the next menses, then restart a new pill pack."
"Take two pills today and two pills tomorrow, then one pill daily for the rest of the pack."
A patient with menopausal symptoms is seeking hormone replacement therapy. During the assessment, the nurse finds that the patient has a history of endometrial cancer and is a smoker. Which is the most important information for this patient? "The therapy may cause thromboembolic events." "You may need to stop smoking during the therapy." "The treatment should be started as soon as possible." "The treatment is likely to cause endometrial cancer."
"The therapy may cause thromboembolic events."
A nurse instructor is about to administer a vitamin K injection to a newborn. The student nurse asks the instructor regarding the purpose of the injection. The appropriate response would be: "The vitamin K provides active immunity " 'The vitamin K will prevent the occurrence of hyperbilirubinemia." "The vitamin K will protect the newborn from bleeding." "The vitamin K will serve as protection against jaundice and anemia "
"The vitamin K will protect the newborn from bleeding."
A patient is prescribed sildenafil for erectile dysfunction. Which is the best time to take the dose? 1 hour before sexual intercourse 2 hours before sexual intercourse 30 minutes before sexual intercourse 10 minutes before sexual intercourse
1 hour before sexual intercourse
The current immunization for tetanus, diphtheria toxoids and pertussis, Tdap, is administered to people in which age range? Under 6 years of age 11-12 years of age and older Any age range In the first two years of life
11-12 years of age and older
A nurse assesses the urine output of a patient receiving oxytocin [Pitocin]. Which finding would require immediate follow-up by the nurse? 250 mL in the past 8 hours 150 mL in the past hour 400 mL in the past 12 hours 80 mL in the past 4 hours
80 mL in the past 4 hours
A patient arrives at the clinic with a wound inflicted by a rusty nail. After checking the patient's history, the nurse finds that the patient last received the tetanus booster about 10 years earlier. What is the most appropriate nursing action in this situation? Administer Tdap. Administer DTaP. Administer immunoglobulin Administer polyvalent vaccine
Administer Tdap
What is the priority nursing assessment to monitor when administering vaccinations? Pain at the injection site Signs and symptoms of infection Anaphylaxis Myalgias
Anaphylaxis
The nurse at the fertility clinic is instructing a patient about the adverse effects of clomiphene. Which effects should the nurse instruct the patient to report to the health care provider? Select all that apply. Anxiety Hirsutism Dizziness Bradycardia Blurred vision Increased diuresis
Anxiety Dizziness Blurred vision
A 12-month-old infant has received an MMR II (measles, mumps, and rubella virus vaccine), and her mother calls the clinic that afternoon to ask about helping her fussy infant to "feel better." What will the nurse suggest? Apply an ice pack to the injection site. Apply warm compresses to the injection site. Observe the site for further swelling and redness. Bring the infant in to the emergency department for an immediate examination.
Apply a warm compress to the injection site
A 46-year-old female patient who complains of hot flashes, fatigue, and sleep disorders is unwilling to start hormonal therapy. Which is the best nursing intervention for this patient? Persuade the patient to start the therapy. Ask the patient to include soy in her diet. Advise the patient to engage in quiet activities. Inform the patient about the benefits and risks of the therapy.
Ask the patient to include soy in her diet.
Which category of drugs is contraindicated in pregnancy according to the five-category system that will be phased out? Category A Category C Category D Category X
Category X
A pregnant client is being prepared for labor induction with oxytocin. The nurse concludes that the client has adequate understanding when the client verbalizes the medication will have which action? Select all that apply. Cause an increase in blood pressure to provide adequate oxygen for the baby Cause the uterus to contract harder and more often Start contractions that will be almost continuous until the baby is born Be given through the intravenous line in small continuous amounts that can be adjusted as needed Cause the client to be in real labor
Cause the uterus to contract harder and more often Be given through the intravenous line in small continuous amounts that can be adjusted as needed Cause the client to be in real labor
A client is being treated for gonorrhea. Which agent would the nurse expect the physician to prescribe? Tetracycline Ceftriaxone Penicillin Levofloxacin
Ceftriaxone
The perinatal nurse is assigned to several clients. The nurse anticipates that which client is most likely to be a candidate for drug therapy with terbutaline? Client at 27 weeks' gestation who has regular uterine contractions Client at 41 weeks' gestation with irregular uterine contractions Client with postpartum hemorrhage following delivery Client at 38 weeks" gestation with hypertension and seizures
Client at 27 weeks' gestation who has regular uterine contractions
A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent? Podophyllum resin Ceftriaxone Doxycycline Acyclovir
Doxycycline
An allergy to which substance is listed as a contraindication to the administration of an immunizing drug? Soy Corn Wheat Egg
Egg
A client is diagnosed as being in the primary stage of syphilis? Which of the following would the nurse expect as a finding? Genital chancres Palmar rash Development of gummas Development of central nervous system lesions
Genital chancres
After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment? Syphillis Gonorrhea Genital herpes Chlamydia
Genital herpes
What primary roles does testosterone play in the male body? Select all that apply. Helps in production of red blood cells Helps development of facial hair in men Triggers better metabolic bodily functions Helps develop the male sex characteristics Triggers erectile dysfunction (ED), leading to delayed ejaculation
Helps in production of red blood cells Helps development of facial hair in men Helps develop the male sex characteristics
Which vaccination is recommended in the prevention of a virus that is known to cause cervical cancer? Herpes zoster vaccine Human papillomavirus vaccine Pneumococcal vaccine Hepatitis B virus vaccine
Human papillomavirus vaccine
A patient is receiving intravenous methylergonovine after a vaginal delivery. Which postpartum assessment is the nurse's priority to prevent complications of therapy? Hypertension Hypoglycemia Decreased lochia Uterine contractions
Hypertension
Before advising a 24-year-old client desiring oral contraceptives for family planning, the nurse would assess the client for signs and symptoms of which of the following? Anemia. Hypertension. Dysmenorrhea. Acne vulgaris
Hypertension
Adverse effects of terbutaline are: (Select all that apply) Maternal tachycardia Diarrhea Hypokalemia Fetal Braycardia Palpitations Tremors Anxiety Hypotension
Maternal tachycardia Diarrhea Hypokalemia Palpitations Tremors Anxiety
Which medication helps reduce postpartum uterine hemorrhage? Megestrol Raloxifene Clomiphene Methylergonovine
Methylergonovine
The nurse's assessment of the client receiving an intravenous (IV) infusion of ozytocin notes that uterine contractions are 4 minutes apart and 60 seconds in duration. Which of the following nursing interventions is most important based on this assessment? Administer oxygen via face mask. Monitor the client for water intoxication. Position the client on her left side. Discontinue the infusion immediately.
Monitor the client for water intoxication.
A patient has been taking sildenafil for erectile dysfunction. The patient reports episodes of dizziness and fainting spells after using this drug. For which other drug should the nurse assess while taking the drug history of the patient? Nitrates Anticoagulants Antibiotics Alpha agonists
Nitrates
Which nursing action is the priority for a patient in preterm labor who is receiving magnesium sulfate? Documenting body temperature Obtaining deep tendon reflexes Measuring intake and output Monitoring the intensity of contractions
Obtaining deep tendon reflexes
During a postpartum assessment, the nurse notes a boggy uterus and increased uterine bleeding. Which drug should the nurse anticipate will be prescribed? Oxytocin Terbutaline Clomiphene Prostaglandin E
Oxytocin
The nurse finds that concentrated solutions of magnesium sulfate administered to prevent premature labor have caused toxicity in a patient. What is the best nursing intervention in this case? Obtain a prescription for terbutaline. Decrease the drug dose immediately. Obtain a prescription for indomethacin. Request a prescription to give calcium gluconate.
Request a prescription to give calcium gluconate.
Which has the greatest potential to increase the risk of thromboembolism in a patient taking norethindrone and ethinyl estradiol? Sedentary lifestyle Smoking heavily every day Consumption of saturated fats Increased body mass index (BMI)
Smoking heavily every day
A patient who is near term gestation is receiving oxytocin [Pitocin]. Which response should the nurse expect if the medication is having the desired therapeutic effect? Decreased force of uterine contraction Promotion of cervical ripening Stimulation of uterine smooth muscle Inhibition of milk ejection reflex
Stimulation of uterine smooth muscle
The nurse is assessing a patient who is a professional weightlifter who has been banned from practicing weightlifting because of drug doping. The patient's reports reveal excessive concentration of nandrolone in the blood. What should the nurse interpret from these findings? Select all that apply. The patient is at a risk of developing anemia. The patient is at a risk of developing infertility. The patient is at a risk of having muscle atrophy. The patient is at a risk of cardiovascular disorder. The patient is at a risk of malabsorption syndrome. pt is at risk for increased cholesterol
The patient is at a risk of developing infertility. The patient is at a risk of cardiovascular disorder. pt is at risk for increased cholesterol
The nurse is assessing a patient at a follow-up visit after starting treatment with sildenafil for erectile dysfunction. Which assessment finding would indicate that the treatment needs to be revised? The patient's cardiac output is 5.6 L/min. The patient's blood pressure is 90/60 mm Hg The patient verbalizes the ability to maintain an erection. The patient does not have dry mouth, nausea, or vomiting
The patient's blood pressure is 90/60 mm Hg
A 26-year-old woman is considering Depo-Provera as the form of contraception that is best for her since she does not like to worry about taking a pill every day. To assist this woman with decision making concerning this method of contraception, the nurse would tell her that Depo-Provera: Is a combination of progesterone and estrogen. Is a small adhesive hormonal birth control patch that is applied weekly. Thickens and decreases cervical mucus, thereby inhibiting sperm penetration and ovulation. Has an effectiveness rate in preventing pregnancy of 100% when used correctly
Thickens and decreases cervical mucus, thereby inhibiting sperm penetration and ovulation
A 22-year-old patient has presented to her primary care provider for her scheduled Pap smear. Abnormal results of this diagnostic test may imply infection with Chlamydia trachomatis. Candida albicans. human papillomavirus (HPV). Trichomonas vaginalis.
human papillomavirus