Pharm Hesi Practice exam

1083) A client is taking warfarin. If an antidote is needed, which agent will be used? Vitamin K Fibrinogen Prothrombin

Vitamin K

The nurse is assessing a postpartum client who is taking labetalol. Which client report should the nurse identify as a potential adverse effect of the medication?

Dizziness

215) Which sign of hypokalemia will the nurse monitor for in a client receiving furosemide?

Muscle weakness

A nurse is providing dietary instructions to a client who is taking prescribed amiloride. Which information will the nurse include in the teaching?

"Avoid eating foods that are rich in potassium such as bananas.

A nurse is educating a client about digoxin toxicity. Which statement made by the client indicates that more teaching is needed?

"I must report a strong pulse of 62 beats per minute to the health care provider

1488) Which side effect would the nurse assess for in a child receiving prednisone? Alopecia Anorexia Weight loss Mood changes

Mood changes

After abdominal surgery, a client is prescribed low molecular weight heparin (LMWH). During administration of the medication, the client asks the nurse the reason for the medication. Which is the best response for the nurse to provide the client? A. This medication is given to prevent blood clot formation. B. This medication enhances antibiotics to prevent infection. C. This medication dissolves clots that develop in the legs. D. This medication enhances the healing of wounds.

A. This medication is given to prevent blood clot formation.

The nurse is discharging a client with a new prescription for tiotropium to help manage the symptoms of chronic obstructive pulmonary disease. What information should the nurse include in the discharge teaching? Question 18 Answer Choices A It may be a few days before you feel the full effects of tiotropium. . B This medication cannot be used to relieve sudden breathing problems. C Be sure to swallow the capsules with a full glass of water. D A common side effect is nausea and loose stools.

B This medication cannot be used to relieve sudden breathing problems.

A client being discharged is prescribed warfarin for the treatment following a pulmonary embolism. Which diagnostic test should the nurse instruct the client to receive once a month? A. Perfusion scan. B. Prothrombin Time (PT). C. Activated partial thromboplastin (aPTT). D. Serum Coumadin level (SCL).

B. Prothrombin Time (PT).

The nurse administers a dose of metoprolol for a client. Which assessment is most important for the nurse to obtain?

Blood pressure

A nurse is assessing a client who started taking prescribed olmesartan 2 weeks ago. Which finding indicates an expected response to the medication?

Blood pressure of 125/79 mmHg

The nurse is reinforcing medication interactions with a client who is taking warfarin. Which over-the-counter (OTC) medication should the nurse remind the client to avoid? Question 3 Answer Choices A Diphenhydramine B Acetaminophen C Naproxen D Pantoprazole

C Naproxen

The nurse is providing teaching to the client prescribed albuterol for the management of asthma. The nurse is including reportable side effects in the teaching plan. Which of the following side effects is the priority? Question 5 Answer Choices A Nervousness B Headache C Palpitations D Muscle aches

C Palpitations

A client prescribed albuterol tablets reports nausea every evening with the 9:00 p.m. dose. Which action should the nurse perform to alleviate this side effect? A. Change the time of the dose. B. Hold the 9 p.m. dose. C. Administer the dose with a snack. D. Offer an antiemetic with the dose.

C. Administer the dose with a snack.

A 42-year-old male client diagnosed with hypertension tells the nurse he no longer wants to take the prescribed propranolol. Which client statement best explains the reason why he does not want to take this medication?

I'm experiencing decreased sex drive."

During morning rounds, a healthcare provider informs a client with hypertension that a calcium channel blocker will be added to their treatment regimen. The nurse notes a new prescription for amiloride 10 mg PO daily. Which action does the nurse perform next?

Clarify the prescription with the healthcare provider

1052) A client with myasthenia gravis is receiving pyridostigmine bromide to control symptoms. Recently, the client has begun experiencing increased difficulty in swallowing. Which nursing action is effective in preventing aspiration of food? Place a tracheostomy set in the client's room. Assess respiratory status after meals. Request for the diet to be changed from soft to clear liquids. Coordinate mealtimes with the peak effect of the medication.

Coordinate mealtimes with the peak effect of the medication.

493) Which drink would a nurse teach a client on warfarin to avoid? Apple juice Grape juice Orange juice Cranberry juice

Cranberry juice

The nurse is preparing to administer digoxin to a client admitted for acute decompensated heart failure. Which action is the priority before giving this drug? Question 4 Answer Choices A Monitor oxygen saturation on room air B Assess the client's weight and compare to the baseline C Auscultate the lungs for crackles in the bases D Assess the apical pulse for a full minute

D Assess the apical pulse for a full minute

765) A beclomethasone inhaler would be prescribed for which purpose? Prevents atelectasis Decreases inflammation Relaxes smooth muscle in the airways Reduces bacteria in the respiratory tract

Decreases inflammation

704) A health care provider prescribes dexamethasone for a client with head trauma. The nurse recognizes that it reduces swelling in the brain by which process? Acts as a hyperosmotic diuretic Increases resistance to infection respiratory pharmacology Reduces the inflammatory response of tissues Decreases the formation of cerebrospinal fluid

Decreases the formation of cerebrospinal fluid

A nurse is preparing to administer morning medications to a client with heart failure. The morning lab values are: sodium 142 mEq/L (142 mmol/L), potassium 2.9 mEq/L (2.9 mmol/L), digoxin level 1.4 ng/mL. Which of the following medications should the nurse not administer until after speaking with the health care provider?

Digoxin (Lanoxin)

1150) A client is undergoing diagnostic testing for myasthenia gravis. Which test would the nurse identify as the most specific for this diagnosis? Electromyography Pyridostigmine test Edrophonium chloride test History of physical deterioration

Edrophonium chloride test

376) Which test would the nurse identify as specific for the diagnosis of myasthenia gravis? Electromyography Pyridostigmine test Edrophonium chloride test History of physical deterioration

Edrophonium chloride test

256) Which information would the nurse provide when administering the first dose of prednisone prescribed to a client with an exacerbation of colitis? "Prednisone protects you from getting an infection." "The medication may cause weight loss by decreasing your appetite." "Prednisone is not curative but does cause a suppression of the inflammatory process." "The medication is relatively slow in precipitating a response but is effective in reducing symptoms."

"Prednisone is not curative but does cause a suppression of the inflammatory process."

The nurse is reviewing the prothrombin time results for a client who is taking warfarin. The nurse notes the value is 20 seconds. What is an appropriate nursing action? Question 3 Answer Choices A Recognize that this is a therapeutic level. B Assess for bleeding gums or IV sites. C Notify the primary health care provider immediately. D Observe the client for hematoma development.

A Recognize that this is a therapeutic level.

The nurse is teaching a client about newly prescribed inhaled budesonide. The nurse should teach the client to report which finding to the healthcare provider? Question 5 Answer Choices A Rounded face B Bradycardia C thirst Increased D Cough

A Rounded face

The nurse is discharging a client who is at risk for venous thromboembolism (VTE). The client is prescribed enoxaparin. Which instruction should the nurse provide to this client? Question 10 Answer Choices A"Notify your health care provider if your stools appear tarry or black." B"You must have your partial thromboplastin time (PTT) checked weekly." C"You should massage the injection site for better absorption." D"An intravenous (IV) catheter will be placed to administer the medication."

A"Notify your health care provider if your stools appear tarry or black."

1068) The nurse is preparing to discharge a client who presented to the emergency room for an acute asthma attack. The nurse notes that upon discharge the health care provider has prescribed theophylline 300 mg orally to be taken daily at 9:00 AM. The nurse will teach the client to take the medication on which schedule? One hour before or 2 hours after eating At bedtime At the specific time prescribed Daily until symptoms are gone

At the specific time prescribed

799) A client suspected of having myasthenia gravis is scheduled for an edrophonium chloride test. To treat a common complication associated with the test, the nurse will have which medication available? Atropine Phenytoin Neostigmine Diphenhydramine

Atropine

The nurse is reviewing prescribed medications with a client. Which information should the nurse reinforce about captopril?

Avoid using salt substitutes.

Question 10 A client is prescribed heparin therapy for a deep vein thrombosis (DVT). Which laboratory value should the nurse monitor closely? Question 10 Answer Choices A D-dimer B Platelet count C Activated partial thromboplastin time D Bleeding time

B Platelet count

A nurse is assessing a client receiving intravenous potassium chloride. The client verbalizes pain to the IV site. The site appears swollen and is warm to touch. Which action does the nurse perform? Question 17 Answer Choices A Decrease the rate of the infusion B Apply ice to the IV access site C Inform the client that this is an expected finding D Discontinue the IV catheter

D Discontinue the IV catheter

1151) A client begins treatment with pyridostigmine bromide therapy for myasthenia gravis. Which action would the nurse perform in administration of the medication? Administer the medication after meals. Administer the medication on an empty stomach. Evaluate the client's psychological responses between medication doses. Evaluate the client's muscle strength every hour after the medication is given.

Evaluate the client's muscle strength every hour after the medication is given.

374) Which action would the nurse perform when beginning pyridostigmine bromide therapy for a client with myasthenia gravis? Administer the medication after meals. Administer the medication on an empty stomach. Evaluate the client's psychological responses between medication doses. Evaluate the client's muscle strength every hour after the medication is given.

Evaluate the client's muscle strength every hour after the medication is given.

A 48-year-old male client who is being admitted to the emergency department with an acute myocardial infarction (MI) gives the following list of medications to the nurse. Which medication would the nurse recognize as having the most immediate implications for the client's care?

Furosemide

346) Which nursing action is appropriate when administering imipramine? Telling the client steroids will not be prescribed Warning the client not to eat cheese Monitoring the client for increased tolerance Having the client checked for increased intraocular pressure

Having the client checked for increased intraocular pressure

710) The anticholinesterase medication pyridostigmine is prescribed for the client with myasthenia gravis. When providing medication teaching, the nurse explains that the client should expect a decrease in which function? Bowel function Heart rate Skeletal muscle contraction Urinary frequency

Heart rate

A hospitalized 8-month-old infant is receiving digoxin to treat Tetralogy of Fallot. Prior to administering the next dose of the medication, the parent reports that the baby vomited one time, just after breakfast. The infant's heart rate is 92 bpm. What action should the nurse take?

Hold the medication and notify the primary health care provider.

961) The nurse is caring for a client who is scheduled for a bilateral adrenalectomy. Which medication would the nurse expect to be prescribed for this client? Methimazole Regular insulin Pituitary extract Hydrocortisone

Hydrocortisone

688) A client is given a prescription for bumetanide. The nurse will teach the client to watch for symptoms of which condition?

Hypokalemia

1030) Which client statement indicates understanding of the side effects of nitroglycerin ointment?

I may experience a headache.

306) Which response would a nurse give to a client who takes furosemide and digoxin and reports that everything looks yellow? "This is related to your heart problems, not to the medication .""I will hold the medication until I consult with your health care provider .""It is a medication that is necessary, and that side effect is only temporary. ""Take this dose, and when I see your health care provider, I will ask about it."

I will hold the medication until I consult with your health care provider."

300) Which instruction would the nurse include when teaching about hydrochlorothiazide given to a client diagnosed with a transient ischemic attack (TIA) related to hypertension?

Increase the intake of potassium-rich foods."

912) When a client is receiving dexamethasone for adrenocortical insufficiency, which action would the nurse take to monitor for an adverse effect of the medication? Auscultate for bowel sounds. Assess deep tendon reflexes. Culture respiratory secretions. Measure blood glucose levels.

Measure blood glucose levels.

The nurse is preparing to administer metoprolol to a client with a history of hypertension. Which of the following data is the priority for the nurse to review prior to administration?

Most recent heart rate

92) An 80-year-old client with depression requires the prescription of antidepressant medication. Which tricyclic antidepressant medication causes fewer complications in older clients? Doxepin Amoxapine Nortriptyline Trimipramine

Nortriptyline

020) Intravenous (IV) potassium is prescribed for a client with a diagnosis of hypokalemia. Which statement about administration of IV potassium is accurate?

Oliguria is an indication for withholding IV potassium.

537) A child recovering from a severe asthma attack is given oral prednisone 15 mg twice daily. Which intervention would be a priority for the nurse? Having the child rest as much as possible Checking the child's eosinophil count daily respiratory pharmacology Preventing exposure of the child to infection Offering sips of water when administering the medication

Preventing exposure of the child to infection

972) Which effect explains the purpose for gradual dosage reduction of glucocorticoids such as dexamethasone? Builds glycogen stores in the muscles Produces antibodies by the immune system Allows the increased intracranial pressure to return to normal Promotes return of cortisone production by the adrenal glands

Promotes return of cortisone production by the adrenal glands

911) Hydrocortisone is prescribed for a client with Addison's disease. Which response is a therapeutic effect of this medication? Supports a better response to stress Promotes a decrease in blood pressure respiratory pharmacology Decreases episodes of shortness of breath Controls an excessive loss of potassium

Supports a better response to stress

1063) Dexamethasone has been prescribed for a client after a craniotomy for a brain tumor. Which physiological response is responsible for this medication's therapeutic effect? Reduced cell growth Reduced cerebral edema Increased renal reabsorption Increased response to sedation

Reduced cerebral edema

808) A client with rheumatoid arthritis asks the nurse why it is necessary to inject hydrocortisone into the knee joint. Which reason would the nurse include in a response to this question? Lubricates the joint Reduces inflammation Provides physiotherapy Prevents ankylosis of the joint

Reduces inflammation

A health care provider prescribes metaproterenol for a client. For which therapeutic effect would the nurse monitor the client? Induced sedation Relaxed bronchial spasm Decreased blood pressure Productive cough

Relaxed bronchial spasm

A nurse is reviewing a client's medical history. The client has been newly diagnosed with hypertension and has been prescribed oral losartan as treatment. The nurse will clarify the use of losartan if which comorbidity is noted in the client's medical record?

Renal stenosis

1156) A client with myasthenia gravis has been receiving neostigmine and asks about its action. Which information would the nurse consider when formulating a response? Stimulates the cerebral cortex Blocks the action of cholinesterase Replaces deficient neurotransmitters Accelerates transmission along neural sheaths

Replaces deficient neurotransmitters

Which nursing diagnosis is important to include in the plan of care for a client receiving the angiotensin-2 receptor antagonist irbesartan (Avapro)?

Risk for injury.

The nurse is preparing to administer digoxin to a client with recurring atrial fibrillation. Which laboratory value should be of highest concern for the nurse?

Serum potassium 3.1 mEq/L

The nurse is providing discharge education to a client who will be starting daily atenolol for the treatment of hypertension. Which side effect is most important for the client to notify their health care provider about?

Slow, irregular heart rate

649) The client with hypokalemia reports nausea, vomiting, and seeing a yellow light around objects. Which of the client's medications is the likely cause of the client's symptoms?

Spironolactone

58) Warfarin is prescribed for a client who has been receiving intravenous (IV) heparin for a partial occlusion of the left common carotid artery. The client expresses concern about why both medications are needed at the same time. Which rationale would the nurse include to address the client's concern? This permits the administration of smaller doses of each medication. Giving both medications allows clot dissolution while preventing new clot formation. Heparin provides anticoagulant effects until warfarin reaches therapeutic levels. Administration of heparin with warfarin provides immediate and maximum protection against clot formation.

This permits the administration of smaller doses of each medication.

13) Which medication class includes amitriptyline? Tricyclics Monoamine oxidase inhibitors (MAOIs) Autonomic Nervous System pharmacology Selective serotonin reuptake inhibitors (SSRIs) Serotonin-norepinephrine reuptake inhibitors (SNRIs)

Tricyclics

720) Which clinical indicator would the nurse monitor to determine if the client's simvastatin is effective?

Triglycerides

The nurse is providing care for a client prescribed propranolol. Which symptoms should the nurse report to the healthcare provider immediately?

Wheezing, hypotension, and AV block.

1067) A health care provider prescribes simvastatin 20 mg daily for elevated cholesterol and triglyceride levels for a female client. Which advice is important for the nurse to teach when the client initially takes the medication?

inform the health care provider if you wish to become pregnant

926) A health care provider prescribes enalapril for a client. Which nursing action is important?

monitor the client's blood pressure during therapy.

The nurse is teaching a pediatric client and family about prescribed albuterol sulfate extended-release tablets. Which statement should be included? Question 12 Answer Choices A If you cannot swallow the tablet, it is ok to chew it B This medication can cause restlessness C Rinse your mouth after taking this medication D Oral albuterol can cause an increase in urination

B This medication can cause restlessness

Question 14 The nurse has administered fentanyl, atropine, cefazolin and benzocaine to a client for an endoscopic procedure. The nurse is monitoring the client and notes that the heart rate has increased from the pre-procedure baseline. The nurse knows that which of the following medications is most likely responsible for the client's increased heart rate? A) Fentanyl B) Atropine C) Cefazolin D) Benzocaine

B) Atropine

Question 13 The nurse is teaching a client with asthma about albuterol. How should the nurse best describe the action of this medication? Question 13 Answer Choices A"The medication is given to reduce secretions that block airways." B"The medication will help to relax smooth muscles in the airways." C"The medication will stimulate the respiratory center in the brain." D"The medication will help to prevent pneumonia."

B"The medication will help to relax smooth muscles in the airways."

A nurse is assessing a client with heart failure who is taking prescribed torsemide. Which clinical finding indicates effectiveness of the medication?

Absence of peripheral edema

721) Which medication is often contraindicated when taking warfarin? Atenolol Ferrous sulfate Chlorpromazine Acetylsalicylic acid

Acetylsalicylic acid

1504) Pilocarpine is used as part of the diagnostic process of a toddler suspected of cystic fibrosis. The nurse knows that the pilocarpine would stimulate which process? Secretion of mucus Activity of sweat glands Excretion of pancreatic enzymes Release of bile from the gallbladder

Activity of sweat glands

A client who is 34 weeks gestation is diagnosed with a pulmonary embolism. Which of these medications should the nurse plan to administer? Question 7 Answer Choices A Oral low-dose aspirin B Oral warfarin C Intravenous heparin DSubcutaneous enoxaparin

C Intravenous heparin

A client is prescribed digoxin 0.25 mg by mouth daily. The health care provider has written a new order to give metoprolol tartrate 25 mg twice a day by mouth. In assessing the client prior to administering the medications, which finding should the nurse report to the health care provider?

Blood pressure of 94/60

Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor antagonist valsartan has been achieved?

Blood pressure reduced from 160/90 mmHg to 130/80 mmHg

1186) A client with systemic lupus erythematosus is taking prednisone. Which foods would the nurse encourage the client to eat while receiving treatment to prevent hypokalemia? Broccoli Oatmeal Fried rice Cooked carrots

Broccoli

A nurse is teaching a client with asthma about the correct use of the fluticasone inhaler. Which statement, if made by the client, would indicate that the teaching was effective? Question 3 Answer Choices A"The inhaler can be used when I feel short of breath." B"If I forget a dose, I will double the next dose." C"I should rinse my mouth after using the inhaler." D"I should not use a spacer with my inhaler."

C"I should rinse my mouth after using the inhaler."

Question 7 The nurse is caring for a client who has been prescribed atropine preoperatively. The nurse understands the intended purpose for administering this preoperatively is to induce which effect? A) Reduce heart rate B) Elevate blood pressure C) Enhance sedation D) Decrease secretions

C) Enhance sedation

A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis. The nurse prepares for intravenous administration of edrophonium chloride (Tensilon). What is the expected outcome for this client following administration of this pharmacologic agent? A. Progressive difficulty with swallowing. B. Decreased respiratory effort. C. Improvement in generalized fatigue. D. Decreased muscle weakness.

D. Decreased muscle weakness.

The nurse admits a client with tumor-induced spinal cord compression. Which medication should the nurse anticipate to be prescribed to offer the best palliative treatment for this client? A. Morphine sulfate. B. Ibuprofen. C. Amitriptyline. D. Dexamethasone

D. Dexamethasone

68) Nortriptyline is prescribed for a depressed client. Which time period identifies when the nurse would expect a therapeutic response? 1 to 3 days Autonomic Nervous System pharmacology 12 to 24 hours 30 minutes to 2 hours 2 to 3 weeks

2 to 3 weeks

The nurse is educating a client with end stage chronic obstructive pulmonary disease (COPD) about medication management. Which statement by the client indicates an understanding of the teaching? Question 11 Answer Choices A I will use the albuterol in the nebulizer before my other inhalers each morning B I can use my tiotropium inhaler if I get short of breath C I will only use the fluticasone inhaler on the days I am really out of breath respiratory pharmacology D The side effects of these medications will be less severe because I’m not taking them by mouth "The side effects of these medications will be less severe because I'm not taking them by mouth."

A I will use the albuterol in the nebulizer before my other inhalers each morning

943) The international normalized ratio (INR) results of a client receiving warfarin have been variable. Which factor can help the nurse identify the cause of the INR fluctuations? Intake of foods high in potassium Serum glucose level Platelet count Adherence to the prescribed medication regimen

Adherence to the prescribed medication regimen

839) A health care provider prescribes enoxaparin 30 mg subcutaneously daily. Which measure would the nurse take when administering this medication? Push over 2 minutes. Administer in the abdomen. Massage site after administration. Remove air pocket from prepackaged syringe before administration.

Administer in the abdomen.

The nurse is preparing to administer an albuterol nebulizer treatment to a patient with asthma. Which assessment finding should be brought to the health care provider's attention prior to administering the medication? Question 14 Answer Choices A Temperature of 101°F B Heart rate of 116 bpm C Respiratory rate of 28 D Lower extremity edema

B Heart rate of 116 bpm

Question 5 A client with chronic obstructive pulmonary disease (COPD) is receiving aminophylline 25 mg/hour intravenously (IV). Which finding would be associated with side effects of this medication? Question 5 Answer Choices A Flushing and headache B Restlessness and palpitations C Decreased urine volume D Pruritus

B Restlessness and palpitations

The nurse is providing discharge education to a client newly diagnosed with chronic obstructive pulmonary disease. The client is prescribed the diskus inhaler fluticasone propionate and salmeterol. The client asks, "How will I know when the inhaler is empty?" How should the nurse respond? Question 5 Answer Choices A Shake the canister to detect any fluid movement BThe number of doses that remain will be on the inhaler C Drop the canister in water to observe floating D Estimate how many doses are usually in the canister

B The number of doses that remain will be on the inhaler

A nurse is providing education on activities of daily living to a client taking warfarin. Which statement made by the client indicates further teaching is required? Question 9 Answer Choices A "I will brush my teeth using a soft-bristled toothbrush." B "I will wear a medical alert bracelet on my wrist." C "I will be sure to consume plenty of green leafy vegetables." D "I need to shave using an electric razor."

C "I will be sure to consume plenty of green leafy vegetables."

A client with a history of asthma is admitted for a minor surgical procedure. Preoperatively, the peak flow is measured at 480 liters/minute. Postoperatively, the client reports chest tightness and the peak flow is now 200 liters/minute. What should the nurse do first? Question 3 Answer Choices A Notify both the surgeon and primary care provider B Repeat the peak flow reading in 30 minutes C Administer the PRN dose of albuterol DApply oxygen at two liters per nasal cannula

C Administer the PRN dose of albuterol

The nurse is caring for a client prescribed warfarin therapy for treatment of persistent atrial fibrillation. Which of the following may potentiate the effect of this medication? Question 20 Answer Choices A St. John wort B Estrogen C Vitamin K D Green tea

D Green tea

A client is being discharged with a prescription for warfarin. Which information is most important to be included in the nurse's discharge teaching? Question 7 Answer Choices A Take acetaminophen for minor pain B Use a soft toothbrush C Avoid eating leafy green vegetables D Report nose or gum bleeding

D Report nose or gum bleeding

A nurse is assessing a client receiving alteplase for a pulmonary embolism. The client suddenly becomes confused and is unable to follow commands. What action does the nurse take first? Question 16 Answer Choices A Notify the healthcare provider B Reorient the client C Check the client pupils D Stop the infusion

D Stop the infusion

Question 7 The nurse is teaching a client about precautions while taking warfarin. The nurse should instruct the client to avoid foods with excessive amounts of which nutrient? Question 7 Answer Choices A Calcium B Vitamin E C Iron D Vitamin K

D Vitamin K

597) The nurse administers albuterol to a child with asthma. Which common side effect would the nurse monitor for in the child? Flushing Dyspnea Tachycardia Hypotension

Tachycardia

he nurse is talking with a client who was admitted with an acute myocardial infarction due to coronary artery disease. The clients asks what the purpose for the prescribed carvedilol is. How should the nurse respond?

"This drug will decrease the workload on your heart."

116) A 65-year-old client is receiving amitriptyline. Which recommendation will the nurse make to the client concerning this medication? 'Obtain a complete cholesterol and lipid profile. ''Have an eye examination to check for glaucoma.' 'Check your temperature daily for nighttime increases.'' Watch for excessive sweating and possible weight loss.'

'Have an eye examination to check for glaucoma.'

985) Sublingual nitroglycerin has been prescribed for a client with unstable angina. Which client response indicates that nitroglycerin is effective?

*Pain subsides as a result of arteriole and venous dilation.

573) The nurse is teaching the parents of a child prescribed a high dose of oral prednisone for asthma. Which information is critical for the nurse to include when teaching about this medication? It protects against infection. It should be stopped gradually. An early growth spurt may occur. A moon-shaped face will develop.

It should be stopped gradually.

1053) Pyridostigmine is prescribed for a client with myasthenia gravis. Why would the nurse instruct the client to take pyridostigmine about 1 hour before meals? This timing limits first pass metabolism. Taking it on an empty stomach increases absorption. Taking it before meals decreases gastric irritation. Taking it before meals improves the ability to chew

Taking it before meals improves the ability to chew

802) Pyridostigmine bromide is prescribed for a client with myasthenia gravis. The nurse evaluates that the medication regimen is understood when the client makes which statement? 'I will take the medication on an empty stomach.' 'I need to set an alarm so I take the medication on time.' 'It will be important to check my heart rate before taking the medication.' 'I should monitor for an increase in blood pressure after taking the medication.'

'I need to set an alarm so I take the medication on time.'

Question 11 The client who was admitted with exacerbation of ulcerative colitis has developed hyperglycemia. Which medication that the client was prescribed most likely caused this adverse drug effect? Question 11 Answer Choices A Dicyclomine B Acetaminophen C Prednisone D Diphenoxylate/atropine

C Prednisone

A client recently diagnosed with heart failure has been prescribed digoxin and furosemide. Which of the following foods should the nurse teach the client to eat at least one serving a day? Question 13 Answer Choices A Blueberries B Wheat cereal C Tomato juice D Pear nectar

C Tomato juice

The nurse is observing a new graduate nurse preparing to administer bumetanide 4 mg orally to a client with heart failure. Which client finding requires the nurse to intervene immediately?

The client's most recent serum potassium level is 2.9 mEq or mmol/L.

60) Which conclusion would the nurse make about the development of loose stools and increased salivation two days after a client with myasthenia gravis begins taking pyridostigmine? The client is experiencing a myasthenic crisis. The medication is causing cholinergic side effects. The medication is triggering a paradoxical reaction. The client is exhibiting toxic effects of the medication.

The medication is causing cholinergic side effects.

638) A client with myasthenia gravis begins taking pyridostigmine. Two days later, the client develops loose stools and increased salivation. Which conclusion would the nurse make about these new developments? The client is experiencing a myasthenic crisis. The medication is causing cholinergic side effects. The medication is triggering a paradoxical reaction. The client is exhibiting toxic effects of the medication.

The medication is causing cholinergic side effects.

178) Which instruction will the nurse include when performing discharge teaching to a client now receiving hydrocortisone by mouth after stabilization of an acute adrenal insufficiency? "Eat a diet high in sodium." "Take the medication with food." "Maintain the same dose indefinitely." "Eliminate a dose if side effects occur."

"Take the medication with food."

524) A child is prescribed fluticasone after an acute asthma attack. Which instruction would the nurse give the family about the administration of this medication? 'Fluticasone needs to be taken with food or milk.' 'Fluticasone is primarily used to treat acute asthma attacks.' 'The child should suck on hard candy to help relieve dry mouth.' 'Watch for white patches in the mouth and report to the health care provider.'

'Watch for white patches in the mouth and report to the health care provider.'

The nurse is preparing to administer prescribed warfarin to a client with a mechanical heart valve. Which finding should the nurse report to the healthcare provider? Question 12 Answer Choices A The INR is 3.0. B The peripheral IV site has been oozing blood. C The aPTT is 30. D The client has cola-colored urine.

D The client has cola-colored urine.

661) Which medication requires the nurse to monitor the client for signs of hyperkalemia?

Spironolactone

5) An 11-year-old client reports having bedwetting issues (enuresis). Which medication would the nurse anticipate when developing a teaching plan ? Alprazolam Imipramine Lithium salts Clomipramine

Imipramine

773) The health care provider prescribes neostigmine for a client with myasthenia gravis. Which client statement indicates understanding regarding medication management plans? 'I must keep the medication in a container in the refrigerator.' 'I should take the medication at the exact time that is listed on the prescription.' 'I will plan to take the medication between meals.' 'I expect that the onset of the medication's action will occur several hours after I take it.'

'I should take the medication at the exact time that is listed on the prescription.'

The nurse is monitoring an older adult client prescribed diphenhydramine for contact dermatitis related to poison ivy exposure. Which finding should be reported to the provider as a potential drug-related side effect? Question 5 Answer Choices A Confusion B Hypertension C Incontinence D Bradypnea

A Confusion

The nurse is caring for a client who is receiving a continuous intravenous heparin infusion. The client's most recent activated partial thromboplastin time (aPTT) is 120 seconds. Which medication should the nurse plan to administer? Question 8 Answer Choices A Protamine B Naloxone C Vitamin K D Enoxaparin

A Protamine

The nurse is teaching a client diagnosed with asthma about the medication albuterol. Which statement by the nurse demonstrates appropriate teaching? Question 1 Answer Choices A"Call your doctor's office if you need to use the drug more often." B"Use this medication at bedtime to promote rest." C"Use this medication after other asthma inhalers." D"Discontinue the inhaler if you feel dizzy."

A"Call your doctor's office if you need to use the drug more often."

146) Which explanation would the nurse provide for administering prednisone to a client with an exacerbation of colitis? The client will be protected from getting an infection. Symptoms associated with the colitis will decrease slowly over time. Although the medication causes anorexia, weight loss may not occur. respiratory pharmacology Although the medication decreases intestinal inflammation, it will not cure the colitis.

Although the medication decreases intestinal inflammation, it will not cure the colitis.

536) The nurse administers albuterol to a 4-year-old child. Which intervention would assist the nurse in evaluating the effectiveness of this medication? Auscultate breath sounds. Collect a sputum sample. Conduct a neurological examination. Palpate chest excursion.

Auscultate breath sounds.

724) To prevent excessive bruising when administering subcutaneous heparin, which technique will the nurse employ? Administer the injection via the Z-track technique. Avoid massaging the injection site after the injection. Use 2 mL of sterile normal saline to dilute the heparin. Inject the medication into the vastus lateralis muscle in the thigh.

Avoid massaging the injection site after the injection.

The nurse has provided instructions to a client on the use of warfarin. Which statement by the client requires further teaching? Question 6 Answer Choices A"If I become constipated, I can take laxatives containing magnesium salts." B"If I develop a headache, I should take ibuprofen to help my pain." C"If I develop an itchy rash, I will use a cream with diphenhydramine." D"If I catch a cold, I will use guaifenesin to make my cough better"

B"If I develop a headache, I should take ibuprofen to help my pain."

1221) A client develops a deep vein thrombophlebitis in her leg 3 weeks after giving birth and is admitted for anticoagulant therapy. The nurse would anticipate developing a teaching plan for which anticoagulant? Heparin Warfarin Clopidogrel Enoxaparin

Heparin

The nurse is caring for a client diagnosed with heart failure who will begin treatment with digoxin. Which therapeutic effect would the nurse expect to find after administering this medication?

Improved respiratory status with increased urinary output

749) A client is receiving dexamethasone to treat acute exacerbation of asthma. For which side effect would the nurse monitor the client? Hyperkalemia Liver dysfunction Orthostatic hypotension Increased blood glucose

Increased blood glucose

958) Warfarin is prescribed for a client who has been receiving intravenous (IV) heparin for a partial occlusion of the left common carotid artery. The client expresses concern about why both medications are needed at the same time. Which rationale would the nurse include to address the client's concern? This permits the administration of smaller doses of each medication. Giving both medications allows clot dissolution while preventing new clot formation. Heparin provides anticoagulant effects until warfarin reaches therapeutic levels. Administration of heparin with warfarin provides immediate and maximum protection against clot formation.

This permits the administration of smaller doses of each medication.

980) Enoxaparin 40 mg subcutaneously daily is prescribed for a client who had abdominal surgery. The nurse explains that the medication is given for which purpose? To control postoperative fever To provide a constant source of mild analgesia To limit the postsurgical inflammatory response To provide prophylaxis against postoperative thrombus formation

To provide prophylaxis against postoperative thrombus formation

Which adverse effect of imipramine requires further assessment and possible immediate medical intervention? Dry mouth Weight gain Blurred vision Urinary hesitancy

Urinary hesitancy