Pharm Q's 11

A client is receiving morphine sulfate for severe metastatic bone pain. What will the nurse do to assess for complications from a common serious side effect of morphine? Monitor for diarrhea Observe for an opioid addiction Assess for altered breathing patterns Check for a decreased urinary output

Assess for altered breathing patterns

The nurse is monitoring a client who is having a third transfusion of packed red blood cells. Which of these may be evident if the client is experiencing a febrile transfusion reaction? Chills Urticaria Hypotension Tachycardia Bronchospasm Sense of impending doom

Chills Urticaria Hypotension Tachycardia

A client with diabetes who is receiving long-term corticosteroid therapy is admitted to the hospital with leg ulcers. What increased risk does the nurse consider when assessing this client? Weight loss Hypoglycemia Decreased blood pressure Inadequate wound healing

Inadequate wound healing

A nurse is instructing a group of volunteer nurses on the technique of administering the smallpox vaccine. What injection method should the nurse teach? Z-track Intravenous Subcutaneous Intradermal scratch

Intradermal scratch

A client with heart failure is receiving digoxin and hydrochlorothiazide. The nurse will assess for which signs and symptoms that indicate digoxin toxicity? Nausea Yellow vision Irregular pulse Increased urine output Heart rate of 64 beats per minute

Nausea Yellow vision Irregular pulse

A client with a partial occlusion of the left common carotid artery is to be discharged while still receiving warfarin. Which clinical adverse effect should the nurse identify as a reason for the client to seek medical consultation regarding an adverse effect of the drug? Presence of blood in urine Increased swelling of the ankles Diminished ability to concentrate Occurrence of transient ischemic attacks

Presence of blood in urine

The nurse prepares to give a prescribed capsule of hydroxyzine to a client. The client begins to vomit, so the nurse holds the oral medication. The nurse has not opened the medication package. What does proper and safe disposal of the capsule of hydroxyzine require the nurse to do? Return the capsule to the pharmacy. Drop the capsule into the sharps container. Place the capsule into a red biohazard bag and tie it shut. Have another nurse witness the disposal of the medication.

Return the capsule to the pharmacy.

A client is scheduled for a craniotomy to remove a brain tumor. To prevent the development of cerebral edema after surgery, the nurse anticipates the use of drugs from which class? Steroids Diuretics Anticonvulsants Antihypertensives

Steroids

Naltrexone is used to treat clients with substance abuse problems. In which situation does the nurse anticipate that naltrexone will be administered? To treat opioid overdose To block the systemic effects of cocaine To decrease the recovering alcoholic's desire to drink alcohol To prevent severe withdrawal symptoms from antianxiety agents

To decrease the recovering alcoholic's desire to drink alcohol

When taking the blood pressure of a client who had a thyroidectomy, the nurse identifies that the client is pale and has spasms of the hand. The nurse notifies the health care provider. Which should the nurse expect the health care provider to prescribe? Calcium Magnesium Bicarbonate Potassium chloride

Calcium

A client has surgery for the insertion of an implanted infusion port for chemotherapy. The client asks, "The doctor said after my chemotherapy is finished, the port will stay in, but it needs to be flushed routinely. How often does this have to be done?" What should the nurse tell the client about how often the port will most likely need to be flushed when not in use? Every day Once a week Every month Twice a year

Every month

A client with a history of hypertension comes to the emergency department with double vision and a blood pressure of 260/120 mm Hg. The healthcare provider prescribes a sodium nitroprusside infusion. The nurse recalls that sodium nitroprusside decreases blood pressure by what mechanism? Decreasing the heart rate Increasing cardiac output Increasing peripheral resistance Relaxing arterial smooth muscles

Relaxing arterial smooth muscles

Ampicillin 250 mg by mouth every 6 hours is prescribed for a client who is to be discharged. Which statement indicates to the nurse that the client understands the teaching about ampicillin? "I should drink a glass of milk with each pill." "I should drink at least six glasses of water every day." "The medicine should be taken with meals and at bedtime." "The medicine should be taken one hour before or two hours after meals."

"The medicine should be taken one hour before or two hours after meals."

The nurse administers 2 units of salt-poor albumin to a client with portal hypertension and ascites. What does the nurse explain to the client regarding the purpose of the albumin? It provides nutrients. It increases protein stores. Albumin elevates the circulating blood volume. Albumin temporarily diverts blood flow away from the liver.

Albumin elevates the circulating blood volume.

A client who has an adenocarcinoma of the descending colon with a partial obstruction is receiving doxorubicin intravenously (IV) to reduce the tumor mass. The nurse monitors the client for signs and symptoms of doxorubicin toxicity. What clinical finding indicates that toxicity has occurred? Minor skin rash Blue tinge to the urine Alteration in cardiac rhythm Increased feeling of nervousness

Alteration in cardiac rhythm

A client receiving combination chemotherapy for treatment of metastatic carcinoma asks the nurse in the clinic why more than one type of drug is necessary. Which concept is most important to teach the client in relation to why drug cocktails are more effective than a single drug in cancer therapy? Drug resistance Tumor doubling time Cellular growth cycle Retained radioactive particles

Cellular growth cycle

A client with stage III Hodgkin disease is started on ABVD therapy, a multiple-drug regimen. The client asks why so many drugs need to be given all at once. Which is the best response by the nurse? Using groups of drugs reduces the likelihood of serious side effects. Each drug destroys the cancer cell at a different time in the cell cycle. Several drugs are used to destroy cells that are not susceptible to radiation therapy. Because there are stages of Hodgkin disease, if one drug is ineffective, another will work.

Each drug destroys the cancer cell at a different time in the cell cycle.

The healthcare provider prescribes cisplatin for a client with metastatic cancer. What will the nurse do to prevent toxic effects? Ask the client's healthcare provider about prescribing leucovorin. Encourage regular vigorous oral care. Increase hydration to promote diuresis. Assist the client in selecting foods appropriate for a high-protein, low-residue diet.

Increase hydration to promote diuresis.

A health care provider prescribes psyllium 3.5 g twice a day for constipation. What is most important for the nurse to teach this client?

drink with water