Pharm final unit 3

A nurse is preparing to administer loperamide to a client with pseudomembranous colitis. Which findings on assessment would the nurse document as an indication of effectiveness?

Diarrhea is resolved.

After teaching a group of nursing students about laxatives, the instructor determines that the teaching was successful when the students correctly choose which drug as producing the laxative effect by promoting water retention and softening the stool?

Docusate

An elderly client with diabetes insipidus has been prescribed vasopressin. Which nursing action should the nurse prioritize for this client?

Refilling the water container at frequent intervals

A nurse is preparing to teach a client about vasopressin. Which factors would the nurse integrate into the teaching? Select all that apply.

Regulates the reabsorption of water from the kidney. Secreted when body fluids must be conserved.

A client presents to the clinic for a routine visit. The nurse suspects the client is experiencing hypothyroidism based on which assessment findings? Select all that apply.

Weight gain Sleepiness Bradycardia

A nurse is conducting a teaching session for a client newly diagnosed with type 2 diabetes on the importance of monitoring the blood glucose. The nurse determines additional teaching is necessary after the client makes which statement?

"I should prick the tip of my finger to get the blood."

During a routine clinic visit, a client reports using an over-the-counter antidiarrheal agent for treatment of diarrhea. The nurse reviews the drug information with the client and determines the client grasps the importance of contacting the primary health care provider if the diarrhea is not resolved within which time frame?

48 hours

A client is administered insulin lispro at 8 AM. The nurse would be alert for signs and symptoms of hypoglycemia at about which time?

9 A.M.

A nurse has administered bismuth to a client with diarrhea. Which intervention should the nurse perform to promote an optimal response to the prescribed drug therapy?

Administer the drug after each loose bowel movement.

A client with intestinal stenosis is showing signs of colon obstruction after beginning psyllium. What intervention should the nurse prioritize?

Administer the drug with adequate fluid intake

The nurse is caring for a client who is prescribed mesalamine and warfarin. Which potential assessment finding should the nurse prioritize in this client?

Bleeding

A nurse has administered trimethobenzamide to a client reporting nausea and vomiting. Which adverse reaction should the nurse prioritize on ongoing assessment?

Blurred vision

A nurse has administered cascara sagrada to a client with constipation. Which effects should the nurse prioritize in the client after administration of the drug?

Brownish discoloration of urine

A nurse is preparing to administer liothyronine to a client with chronic thyroiditis. The nurse determines the drug needs to be administered cautiously after noting which disorder in the client's medical history?

Cardiac disease

A nurse is preparing to administer levothyroxine to a client. Which signs or symptoms would the nurse expect to document on the preadministration assessment? Select all that apply.

Cold intolerance Coarse hair Anorexia

A nurse has administered cimetidine to an older adult client. Which assessment findings should the nurse prioritize?

Confusion and dizziness

A nurse is preparing a teaching plan for a client for the newly prescribed laxative. Which potential adverse effects should the nurse point out to this client? Select all that apply.

Cramps Nausea Bloating Perianal irritation

After teaching a group of nursing students about corticosteroids, the instructor determines that the teaching was successful when the students correctly choose which drug as a mineralocorticoid?

Fludrocortisone

A client reports using ginger for motion sickness. The nurse would urge the client to use caution if the client has which medical condition?

Gallstones

A nurse has determined a client has developed a hypoglycemic reaction. Which interventions should the nurse perform if the client can adequately demonstrate swallowing and gag reflexes?

Give oral fluids or candy.

A health care provider has prescribed growth hormone for a client. Which periodic tests would the nurse anticipate monitoring at different intervals during the treatment?

Glucose tolerance

A health care provider has prescribed simethicone to a client with postoperative abdominal distention. Which assessment finding should the nurse prioritize in this client?

Heartburn

The nurse is assessing a client for risk factors associated with type 2 diabetes. Which findings would the nurse prioritize? Select all that apply.

History of gestational diabetes Impaired glucose tolerance Obesity

A nurse has administered levothyroxine to a client for hypothyroidism. The nurse determines the client is responding appropriately to the therapy based on which assessment finding?

Increased appetite

The nurse is preparing to administer ranitidine to a client who is currently receiving warfarin. Which assessment finding should the nurse prioritize for this client?

Increased bleeding

A nurse is preparing to administer insulin to the client. Which interventions should the nurse perform before administering each insulin dose?

Inspect the previous injection site for inflammation.

A client with hyperthyroidism, who is prescribed methimazole, reports a skin rash to the nurse. Which instruction should the nurse prioritize when assessing the client?

Instruct the client to use soap sparingly.

A nurse is providing care for a client diagnosed with thyroid cancer. Which drug would the nurse anticipate being prescribed for the client?

Iodine-131

A health care provider has prescribed a medication for a client is diagnosed with euthyroid goiter. The nurse would expect to administer which drug?

Levothyroxine

A client with a nasogastric tube is prescribed misoprostol. The nurse anticipates administering this drug in which manner?

Liquid formulation

The nurse is teaching a client about the ACTH which has been prescribed. The nurse determines the session is successful when the client correctly points out they will need to avoid which medication?

Live vaccines

The nurse is assessing a client who reports symptoms of upset stomach and chronic diarrhea. The nurse concludes the client should be administered which antacids cautiously? Select all that apply.

Magnesium hydroxide Sodium bicarbonate Magnesium oxide

The nurse is caring for a client diagnosed with cancer. The nurse should perform which assessment(s) for safe administration of the ondansetron? Select all that apply.

Obtain baseline vital signs, renal profile with electrolytes at baseline to compare with later labs. Assess if the client has any nausea or vomiting, and if so the number of episodes, and amount of vomitus. Determine if the client takes any antidepressants or antipsychotic drugs for possible interactions.

A nurse is preparing to administer polycarbophil to a client with irritable bowel syndrome. The nurse determines caution is warranted after discovering the history of which disorder in the client's history?

Rectal bleeding

A client is prescribed a bowel evacuant in preparation for a colonoscopy. The client reports "going to the bathroom about every 30 to 45 minutes" and their stools are "like water." The client also reports being thirsty and mouth feels dry. Which nursing diagnosis would the nurse most likely prioritize?

Risk for Imbalanced Fluid Volume

A nurse in a health care facility is caring for a client who is receiving an antiemetic to control vomiting related to chemotherapy. Which nursing diagnoses should the nurse prioritize for this client's care plan?

Risk for Imbalanced Fluid Volume

A health care provider has prescribed methimazole for an elderly client with hyperthyroidism who lives alone. Which potential nursing diagnosis should the nurse prioritize for this client?

Risk for Ineffective Health Management

A nurse is caring for a client who is prescribed omeprazole and a benzodiazepine. Which assessment finding should the nurse prioritize?

Risk for toxic level of benzodiazepines

A client diagnosed with ulcerative colitis has been prescribed sulfasalazine. The nurse should prioritize which finding on the ongoing assessment?

Severe blood- and mucus-filled diarrhea

A client diagnosed with hyperthyroidism has been prescribed propylthiouracil. After administering the drug, which assessment finding should the nurse prioritize?

Skin rash

The nurse notes a new prescription for a client for psyllium. The nurse concludes the client is having an adverse reaction to which drug the client is also currently prescribed? Select all that apply.

Spironolactone Clonidine Amitriptyline Fexofenadine

A nurse is preparing discharge teaching for a client who is prescribed glucocorticoid therapy. Which instructions should the nurse point out in the teaching plan for the client and caregivers?

Take the oral drug with meals or snacks.

A nurse is preparing a teaching session for a client who is prescribed miglitol. The nurse would instruct the client to administer this drug at which time?

Three times a day with the first bite of a meal

A nurse is assessing a client who received desmopressin (DDAVP). Which findings should the nurse prioritize on assessment? Select all that apply.

Tremor Diaphoresis Nausea

A 30-year-old female client is prescribed misoprostol. Which instruction should the nurse prioritize in the teaching session for this client?

Use a reliable contraceptive method.

The nurse has administered gonadotropin to a client. Which assessment finding should the nurse prioritize?

Visual disturbances

A student nurse is preparing a presentation which will illustrate the action of thyroid hormones. The student will explain that thyroid hormones are principally responsible with initiating which reactions in the body? Select all that apply.

Increased body temperature Increased cardiac output Increased heart rate

The nurse has administered glipizide and warfarin to a client. Which finding on assessment should the nurse prioritize?

Increased hypoglycemic effect

A client is receiving corticosteroids and digoxin. The nurse will carefully monitor the client for which potential adverse reaction?

Increased risk for toxicity

A health care provider has prescribed difenoxin with atropine to a client with acute diarrhea. The nurse will carefully monitor the client for which adverse reaction after noting the client is also prescribed a MAOI?

Increased risk of hypertensive crisis

A client is brought to the emergency department for a drug overdose. The nurse concludes the emetic is safe to give to the client if which client assessment finding is noted?

Mental status is intact.

A nursing instructor has completed a teaching session covering the various thyroid drugs available. The instructor determines the teaching was successful when the students correctly choose which drugs as an antithyroid drug? Select all that apply.

Methimazole Propylthiouracil

A nursing instructor is teaching a group of nursing students about type 2 diabetes. The instructor determines the session is successful when the students correctly choose which as a risk factor for individuals developing type 2 diabetes?

Obesity

A nurse is preparing to administer sulfasalazine to a client with inflammatory bowel disease. The nurse should question this order if the client's record indicates a hypersensitivity to which drug?

Sulfamethoxazole/trimethoprim

A client with hyperinsulinism has been prescribed diazoxide. After administration, which adverse reaction should the nurse prioritize?

Tachycardia

A client with thyrotoxicosis is prescribed liotrix. The nurse would prioritize which finding on assessment?

Tachycardia

A client has been prescribed glucocorticoids for the treatment of congenital adrenal hyperplasia. Which should the nurse prioritize on the ongoing assessment for the client?

Take and record vital signs every 4 to 8 hours

A nurse is preparing a teaching plan for a client with an acute peptic ulcer who is prescribed aluminum carbonate gel. Which instructions should the nurse prioritize for this client?

Take the drug hourly for the first 2 weeks.

The nurse is scheduled to administer sucralfate 1 gram po four times daily to a pregnant client admitted with gastroesophageal reflux disease (GERD). What is the priority teaching that would be provided regarding this medication?

Take the medicine one hour before meals and at bedtime.

The client with systemic lupus erythematosus, who is prescribed prednisone, presents to the clinic for a routine health care visit. Which instruction should the nurse prioritize after noting the client now has acne on the assessment?

Use water-based cosmetics or creams.

A nurse has administered glyburide to a client. The nurse predicts the client may experience a hypoglycemic event if which additional drug is also prescribed for this client? Select all that apply.

Warfarin Ranitidine Amitriptyline

A nurse is teaching a client about acarbose. The nurse determines the teaching is successful when the client correctly states which instruction to follow when administering the drug at home?

Administer the drug with the first bite of the meal.

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

Adrenal dysfunction

A client presents to the emergency department with an apparent reaction to recently started thyroid therapy. Which assessment finding would lead the nurse to question that this client is experiencing a thyroid storm?

Altered mental status

A nurse is preparing to administer exenatide to a client with type 2 diabetes. The nurse will question this order if which condition is noted in the client's medical record?

Diabetic ketoacidosis

A health care provider has prescribed bisacodyl to a client with constipation. The client reports epigastric pain and a burning sensation after taking the drug. Which instructions should the nurse provide to the client?

Avoid milk before taking the drug

A nurse is preparing to administer insulin glargine to a client. What precaution should the nurse take when administering this drug?

Avoid mixing glargine with other insulin.

A nurse is teaching a client about the thyroid hormone replacement therapy which has been prescribed. The nurse determines the teaching session is successful when the client indicates which time to take the drug?

Before breakfast

A nurse is preparing to administer desiccated thyroid USP to a client who is also prescribed citalopram. The nurse predicts which assessment finding may occur in this client?

Decreased effectiveness of the thyroid drug

A nurse is caring for a client who is receiving corticosteroid therapy. Which nursing diagnosis would the nurse be least likely to prioritize for this client?

Deficient Fluid Volume

The nurse is assessing a client who was administered metformin and notes hyperventilation, nausea, and somnolence. The nurse determines which nursing diagnosis should be prioritized for this client?

Ineffective Breathing Pattern

After teaching a group of nursing students about upper gastrointestinal system drugs, the instructor determines that the teaching was successful when the students correctly choose which drug as a gastrointestinal stimulant?

Metoclopramide

A client with nocturnal enuresis is prescribed desmopressin acetate. Which assessment finding should the nurse prioritize for this client?

Nasal congestion

A health care provider has prescribed vasopressin to the client. Which assessment should the nurse perform on the ongoing assessment?

Observe the client for blanching of the skin, abdominal cramps, and nausea.

A nurse is caring for a client with diabetes mellitus who is receiving an oral antidiabetic drug. Which ongoing assessments should the nurse prioritize when caring for this client

Observe the client for hypoglycemic episodes