Pharm Made Easy

A nurse is caring for a client who is taking acetaminophen and codeine for pain relief. These analgesic drugs interfere with one another to cause an additive effect. The nurse should identify that which of the following are characteristics of additive drug interactions? (SATA)

- Clients can achieve desired effects with the use of lower dosages - Both drugs have similar actions

A nurse is caring for a client who is postpartum and breastfeeding. The client asks the nurse about the effects that taking over the counter drugs will have on her newborn. which of the following should the nurse consider when recommending a drug for the client? (SATA)

- The newborn's weight - How much breast milk the newborn consumes each day - Whether or not the benefits to the client outweigh the risks to the newborn - The properties of the drug

A nurse is caring for a client who has a new prescription for a drug. After receiving the first dose of the drug, the client experiences anaphylaxis. The nurse should identify that anaphylaxis represents which of the following results of the drug?

Adverse effect

A nurse is caring for a client who is newly admitted to the facility for chest pain. At which of the following times should the nurse begin teaching about drugs and discharge planning?

As soon as possible

A nurse is teaching a client about the adverse effects of digoxin. Which of the following statements should the nurse include in the teaching?

Contact your provider if adverse effects occur

A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the client can receive the drug?

Contraindications

A nurse is teaching a client about naproxen enteric coated tablets. Which of the following statements should the nurse include in the teaching?

Do not crush or chew the tablet

A nurse is speaking t a client who is taking sertraline and reports drinking grapefruit juice. The nurse explains that grapefruit juice inhibits an enzyme in the liver that is used t metabolize sertraline. The nurse should recognize the client's risk for which of the following?

Drug toxicity

a nurse is caring for a client who has a history of renal insufficiency and is taking lithium. The nurse should monitor the client for which of the following?

Drug toxicity

A nurse is caring for a client who is having difficulty remembering to take their prescribed drug three times each day. The nurse should identify that which of the following alternate forms of the drug can help to promote adherence to the prescribed dosage?

Extended- release tablet

A nurse is providing teaching to a pregnant client who is taking captopril, an ACE inhibitor, to treat hypertension. The nurse informs the client that captopril is a teratogenic drug. The nurse should explain that teratogenic drugs can cause which of the following?

Fetal malformation

A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the drug has more than one use?

Indications

When reviewing a list of drugs in a handbook, a nurse can identify the generic name for a drug in which of the following ways?

It begins with a lower case letter

A nurse is obtaining a client's health history. The client reports no allergies but has experienced mild itching while taking amoxicillin in the past. Which of the following responses should the nurse take?

Itching can indicate a hypersensitivity to amoxicillin

A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters. The nurse should identify that which of the following terms describes why this drug was prescribed for the client?

Pharmacologic action

A nurse is reviewing a drug handbook prior to administering a drug to a client who has kidney disease. The handbook states that the drug can be administered but identifies certain risks. Which of the following terms describes these risks?

Precautions

A nurse is caring for a client who is receiving nitroglycerin IV and is switching to the oral form of the drug. The nurse should identify that the oral dose of the drug will be higher than the IV dose for which of the following reasons?

The oral form has decreased bioavailability because of the first pass effect

A nurse is caring for a client who is taking diphenhydramine for insomnia and reports drowsiness. The nurse should identify that drowsiness indicated which of the following?

Therapeutic effect

A nurse is reviewing drugs in a drug reference. The nurse should identify that the drugs in the same class share which of the following similarities?

They have similar mechanisms of actions

A nurse is teaching a client who had a prescription for a drug that has a receptor agonist effect. Which of the following information should the nurse include in the teaching?

This will increase the effects of normal cellular function

A nurse is preparing to teach a client about a newly prescribed drug. Prior to providing teaching, the nurse should review the precautions section of a drug handbook for which of the following reasons?

To determine if dosage modification is indicated

A nurse is preparing to tech a client how to take care of a newly created colostomy. The nurse should identify which of the following factors can decrease the client's ability to learn? (SATA)

- Impaired cognitive level - Language barrier - Discomfort - Unreadiness to learn

A nurse is caring for a client who arrived at an emergency department following a bee sting. Which of the following findings indicates an anaphylactic reaction? (SATA)

- Low blood pressure - Wheezing - Difficulty swallowing

A nurse is providing teaching for a client who has a new prescription for a drug with a high potential for toxicity. Which of the information should the nurse incude? (SATA)

- Periodic Laboratory tests are essential to measure serum drug levels - Monitoring for indications of toxicity is important - Taking the smallest effective dose is crucial

A nurse is obtaining a client's health history and discovers that the client takes loratadine, an over the counter drug. The nurse should identify that which of the following is correct regarding over the counter drugs? (SATA)

- They do not require the supervision of a nurse - They can interact with other drugs - They should be included in the clients drug history assessment