Pharm Quiz 3 Spring
A nurse is teaching a client who has multiple sclerosis about a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching? -"Do not take antihistamines with this medication." -"Take the Medication on an empty stomach." -"Stop taking the medication immediately for a headache." -"Expect to develop diarrhea initially."
"Do not take antihistamines with this medication." (The nurse should instruct the client not to take antihistamines while taking baclofen. Antihistamines will intensity the depressant effects of baclofen.)
A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the client's parent is the nurse's priority? -"He takes a 2-hr nap every day after school." -" He says he feels sick to his stomach after taking this medication." -"He has so many new bruises on his body." -"He says his mouth is always dry."
"He has so many new bruises on his body." (When using the urgent vs non-urgent approach to client care, the nurse determines that the priority concern is frequent bruising because this is a manifestation of carbamazepine toxicity. Carbamazepine toxicity can cause bone marrow depression, including leukopenia, anemia, and thrombocytopenia. The parent should monitor the client for bruising, bleeding, and sore throat and have periodic blood work drawn to monitor for myelosuppression.)
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching? -"If I get a rash from this medication, I will take my usual antihistamine." -"I need to increase my fluid intake while taking this medication." -"I should take this medication on an empty stomach." -"If I get a fever while taking this medication, I will take some aspirin."
"I need to increase my fluid intake while taking this medication." (Clients who have gout should increase their fluid intake to 2 to 3L per day to prevent toxicity of allopurinol and decrease uric acid levels.)
A nurse is providing discharge teaching to a female client who has neuropathy and a new prescription for gabapentin. Which of the following statements should the nurse include in the teaching? -"Take this medication with an antacid to reduce gastric irritation." -"You may experience drowsiness while taking this medication." -"You should take this medication with meals." -"You may continue to breastfeed while taking this medication."
"You may experience drowsiness while taking this medication." (The nurse should instruct the client that drowsiness can occur while taking this medication and to exercise caution while performing activities that require alertness.)
A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include? -"take this medication with food if nausea develops." -"monitor for muscle pain." -"expect to have increased bruising." -"increase our intake of grapefruit juice."
"monitor for muscle pain." (This medication can cause rhabdomyolysis. The client should monitor and report muscle pain.)
A nurse is preparing to administer phenytoin IV to a client who has seizure disorder. Which of the following actions should the nurse plan to take? -Administer the medication at 100mg/min. -Administer a saline solution after the injection. -Hold the injection if seizure activity is present -Dilute the medication with dextrose 5% in water.
Administer a saline solution after the injection. (The nurse should flush the injection site with a saline solution after the injection of phenytoin to reduce and prevent venous irritation.)
A nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include in the teaching? -"insert a padded tongue blade into the client's mouth." -"Restrain the client." -"Place the client on his back." -"Move objects away from the client."
Move objects away from the client." (The nurse should instruct the family to move objects away from the client to reduce the risk of injury to the client.)
A nurse is teaching a client about medications that prevent osteoporosis. The nurse should instruct the client what which of the following medications is prescribed to prevent osteoporosis? -levothyroxine -Calcitonin -Raloxifene -Allopurinol
Raloxifene (Raloxifene is prescribed for the prevention and treatment of osteoporosis in postmenopausal women.)
A nurse is caring for a client who has Parkinson's disease and is taking diphenhydramine 25mg PO TID. Which of the following outcomes should the nurse expect to see? -delay in the disease progression -improved bladder function -relief of depression -decreased tremors
decreased tremors (Clients who have Parkinson's disease often experience trembling, muscle rigidity, difficulty walking, and problems with balance and coordination. Antihistamines, like diphenhydramine, have a mild anticholinergic effect and may be helpful in controlling tremors in the early stage of the disease.)
A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching? -"I will notify my doctor before taking any other medications.: -"I have made an appointment to see my dentist nest week." -"I know that I cannot switch brands of this medication." -"I'll be glad when I can stop taking this medicine."
"I'll be glad when I can stop taking this medicine." (Phenytoin is an anticonvulsant used to treat various types of seizures. Clients on anticonvulsant medications commonly require them for lifetime administration, and phenytoin should not be stopped without the advice of the client's provider.)
A nurse is teaching a client who is starting to take alendronate effervescent tablets to treat osteoporosis. Which of the following information should the nurse include? -"Sit upright or stand for at least 30min after taking this medication." -" Take this medication with food." -"Take this medication with orange juice." -"Chew or suck on the tablet."
"Sit upright or stand for at least 30min after taking this medication." (The nurse should instruct the client to sit or stand for 30 minutes after administration of this medication to reduce prolonged contact of the medication with the esophageal mucosa that can cause esophagitis.)
A nurse is teaching the family of a client who has Alzheimer's disease about donepezil. Which of the following information should the nurse include in the teaching? -"Syncope episodes may occur when taking this medication." -"This medication may cause tachycardia." -"You should administer the medication each morning." -"You will need to monitor for constipation."
"Syncope episodes may occur when taking this medication." (The nurse should inform the family to monitor for syncope, which places the client at risk for falling.)
A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide? -Phenytoin turns urine blue -Alcohol increases the chance of phenytoin toxicity -Avoid flossing the teeth to prevent gum irritation -Take an antacid with the medication if indigestion occurs
Alcohol increases the chance of phenytoin toxicity (The nurse should include in the home instructions that alcohol alters the blood level of phenytoin.)
A nurse is reviewing the medication history of a client who has a new prescription for colchicine. Which of the following medications increases the client's risk when used in combination with colchicine for developing rhabdomyolysis? -Atorvastatin -Omeprazole -Carvedilol -Hydrochlorothiazide
Atorvastatin (Atorvastatin can cause rhabdomyolysis. When the client takes both of these medications, the risk of developing this adverse effect is increased.)
A nurse is teaching a client who has a new prescription for cyclobenzaprine. Which of the following information should the nurse include in the teaching? -Discontinue medication if nausea occurs. -Expect urine to turn orange. -Monitor for increased muscle spasms. -Avoid driving until the effects are known.
Avoid driving until the effects are known. (Cyclobenzaprine can cause drowsiness and dizziness. Instruct the client to avoid driving if these effects occur.)
A nurse is reinforcing teaching with a client who has a new prescription for colchicine orally to treat gout. The nurse should inform the client that which of the following findings is an adverse effect of colchicine? -Increased appetite -Urinary retention -Diarrhea -Sore Throat
Diarrhea (The nurse should inform the client that gastrointestinal effects, including diarrhea, are an adverse effect of colchicine and are an indication of toxicity due to the medication. The nurse should instruct the client to discontinue the medication if these gastrointestinal effects occur.)
A nurse is providing teaching to a client who has osteoporosis and a new prescription for alendronate. Which of the following adverse effects should the nurse instruct the client to report to the provider? (SATA) ~Tinnitus ~Jaw Pain ~Blurred Vision ~Drowsiness ~Dysphagia
Jaw pain (Alendronate can cause osteonecrosis of the jaw, so the client should report this adverse effect to the provider.) Blurred Vision (Alendronate can cause ocular inflammation, so the client should report vision problems to the provider.) Dysphagia (Alendronate can cause esophagitis, so the client should report any difficulty or pain with swallowing.)
A nurse is providing teaching to a client who has a new diagnosis of Parkinson's disease. On which of the following medications should the nurse prepare to instruct the client? -Piperacillin/tazobactam -Levothyroxine -Levodopa/carbidopa -Carbamazepine
Levodopa/carbidopa (Levodopa/carbidopa is the cornerstone of Parkinson's treatment. The nurse should prepare to instruct the client on the use of this medication.)
A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client tells the nurse she is experiencing flank pain. Which of the following adverse effects should the nurse expect? -Hepatitis -Peptic Ulcer Fracture -Renal Stones -Pancreatitis
Renal Stones (Hypercalcemia due to calcium supplements can cause renal stones. Clients should increase their water intake while taking calcium supplements to hydrate the kidneys and should report any blood in the urine or flank pain.)
A nurse in a provider's office is collecting a health history from a client who is at risk for primary osteoporosis. Which of the following findings is a risk factor for the development of osteoporosis? -Obesity -Sedentary lifestyle -Long-term use of diuretics -Prolonged stress
Sedentary lifestyle (A sedentary lifestyle places the client at risk for osteoporosis. Regular, weight-bearing exercises help to build bone tissue.)
A nurse is teaching a client who has a new prescription for phenytoin. The nurse should instruct the client to monitor for and report which of the following adverse effects of this medication? -Metallic taste -Diarrhea -Skin Rash -Anxiety
Skin Rash (Phenytoin is an antiepileptic medication used to treat partial seizures and generalized tonic-clonic seizures. Phenytoin can cause a rash that can progress to Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN). If a rash develops, the client should notify the provider immediately and stop the use of phenytoin.)
A nurse is caring for a client who has a fractured ulna and a new prescription for cyclobenzaprine. Before administering, what of the following explanations should the nurse provide to explain the purpose of this medication? -The medication will kill microorganisms that can cause infection at the fracture site. -cyclobenzaprine will reduce itching that might occur as the fracture begins to heal. -The medication will relieve muscle spasms that might occur with a fracture. -Cyclobenzaprine will relieve any nausea associated with the fracture.
The medication will relieve muscle spasms that might occur with a fracture. (The nurse should explain that the provider prescribed cyclobenzaprine to relieve muscle spasms that can accompany the acute pain of fractures.)
A nurse is teaching a client who has chronic tophaceous gout about his new prescription for allopurinol. The nurse should explain that the purpose of this medication is to reduce blood levels of what substances? -Uric Acid -Chloride -Interleukin 1 -Potassium
Uric Acid (Hyperuricemia is the underlying cause of gout. Clients who have chronic gout develop tophi. The purpose of allopurinol is to reduce the synthesis of uric acid.)
A nurse is caring for a client who has developed gout. Which of the following medications should the nurse prepare to administer? -zolpidem -alprazolam -spironolactone -allopurinol
allopurinol (Allopurinol is a xanthene oxidase inhibitor that reduces uric acid synthesis. The medication is prescribed to treat gout.)
A nurse is modifying the diet of a client who has Parkinson's disease and is prescribed selegiline, an MAOI. Which of the following foods should the nurse eliminate? -fresh fish -cheddar cheese -cherries -chicken
cheddar cheese (The nurse should eliminate aged cheeses from the diet of a client who is prescribed selegiline. Cheddar cheese contains tyramine, which can cause a hypertensive crisis.)