Pharm - spring term
Normal WBC count
5,000-10,000/mm3
A nurse is caring for a client who has just begun therapy with alprazolam to treat anxiety. the nurse should monitor the client for which of the following adverse effects of this medication? A.insomnia B. Bradycardia C. hearing loss D. Hypertension
A
A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine for post-traumatic stress disorder. Which of the following statements should the nurse include in the teaching? A. "You can have a decreased desire for intimacy while taking this medication." B. "You should take this medication at bedtime to help promote sleep." C. "You will have fewer urinary adverse effects if you urinate just before taking this medication." D. "You'll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication."
A
a nurse is caring for a client who has schizophrenia and is taking haloperidol. the nurse should monitor for which of the following adverse effects of haloperidol? a. extrapyramidal symptoms b. fever c. intractable hiccups d. excessive salivation
A
A nurse is following up with a client who takes chlorpromazine for the treatment of schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations? (Select all that apply.) A. Disorganized speech B. Bizarre behavior C. Impaired social interactions D. hallucinations E. Decreased motivation
A, B, D
A nurse is assessing a client who is receiving treatment with multiple antipsych medications and who suddenly became ill. Findings include BP changes, hyperpyrexia and diaphoresis. the nurse should recognize that which of the following adverse effects may be occuring? A. Tardive dyskinesia B. Neuroleptic malignant syndrome C. Acute Dystonia D. Pseudoparkinsonism
B
A nurse is assessing a client who takes lithium carbonate for the treatment of bipolar disorder. The nurse should identify which of the following findings is a possible indication of toxicity to this medication? A. Severe hypertension B. Coarse tremors C. Constipation D. muscle spasms
B
A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless and apneic. Which of the following actions is the nurse's priority? a. Defibrillation b. Airway management c. Epinephrine administration d. Amiodarone administration
a
Digoxin toxicity s/s
GI effects - anorexia, nausea, vomiting, abdominal pain; CNS effects - fatigue, weakness, diplopia, blurred vision, yellow-green or white halos around objects
a nurse is caring for a patient who received IV verapamil to treat SVT. patients pulse is now 98 and BP 74/44, the nurse should expect a rx for which medication? a. calcium gluconate b. sodium bicarb c. potassium chlo d. magnesium sulfate
a
A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is an experiencing an asthma attack. Which of the following actions should the nurse take? A. Infuse the medication with an IV pump. B. Cover the IV container with dark paper. C. Administer a test dose first. D. Infuse the medication at 35 mg/min.
a
a nurse is caring for an older adult client who has ckd and a new prescription for cimetidine. the nurse should instruct the client to report which of the following manifestations? a. lethargy b. cellulitis c. dry mouth d. myalgia
a
a nurse is teaching a client who has breast cancer about tamoxifen. Which of the following adverse effects of tamoxifen should the nurse discuss with the client? a. Irregular heart beat B. abnormal uterine bleeding C. yellow sclera or dark‐colored urine. D. Difficulty swallowing
b
a nurse is teaching a client who plans to take st. johns wort to treat her depression. which of the following information should the nurse include in the teaching? a. you should avoid driving while taking this medication because it can cause doziness b. you may experience vivid dreams while taking st. johns wort c. st johns wort may increase your risk of developing kidney stones d. st johns wort may cause GI irritation
b
a nurse is monitoring a client who takes ASA daily. the nurse should identify which of the following as adverse effects? a. htn b. coffee ground emesis c. tinnitus d. paresthesias of extremities e. nausea
b, c, e
A nurse is providing teaching to a client who has a new prescription for hydroxychloroquine to treat mild manifestations of rheumatoid arthritis. Which of the following information should the nurse include in the teaching? A. This medication should be taken between meals. B. This medication can turn skin an orange color. C. Wear sunglasses when out in bright sunshine. D. Avoid crushing the medication.
c
a nurse is teaching a client who has a new rx for phenytoin. which of the following is an adverse effect? A. metallic taste b. diarrhea c. skin rash d. anxiety
c
client has new rx for phenytoin. what statement indicates need for further teaching? a. i will notify dr before taking new meds b. i have an appt to see my dentist next week c. i know that i cannot switch brands of this med d. i will be glad when i can stop taking med
d
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, blurred vision, dysphagia
A nurse is caring for a client who has a new prescription for valproic acid. The nurse should instruct the client to have which of the following blood laboratory tests completed periodically? (Select all that apply.) A. Thrombocyte count B. Glucose C. Amylase D. Liver function tests E. Potassium
A, C, D
a nurse is planning care for a client who is receiving chemo and has a new rx for ondansetron, what actions should the nurse plan to take? (SATA) a. infuse drug 30 min prior to chemo b. administer the drug wen the client reports nausea c. infuse drug slowly over 15min d. administer the drug immediately following chemo e. repeat the dose 4hr after chemo
A,C,E
a nurse is caring for a male client who has been taking cimetidine for the treatment of a duodenal ulcer. which of the following manifestations r/t the med should the nurse report? A. emesis that resembles coffee grounds B. Erectile dysfunction C. Muscle pain D. gynecomastia
A. manifestation of GI bleed indicating that cimetidine has been ineffective.
A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. which of the following information should the nurse include? A. Take an antiemetic 1hr following administration B. Drink 2-3L of water daily C. Take medication with an NSAID D. Rinse mouth 2 times a day with alcohol based mouthwash
B
A nurse is preparing a teaching plan for a client who has bipolar disorder and a new prescription for carbamazepine. Which of the following instructions should the nurse include in the teaching? (SATA) A "This medication can safely be taken during pregnancy." B "Eliminate grapefruit juice from your diet." C "You will need to have a complete blood count and carbamazepine levels drawn periodically." D "Notify your provider if you develop a rash." E "Avoid driving for the first few days after starting this medication."
B, C, D, E
A nurse is caring for a client who has HIV-1 infection and is prescribed zidovudine as part of antiretroviral therapy. The nurse should monitor the client for which of the following adverse effects of this medication? A) Cardiac dysrhythmia B) Metabolic alkalosis C) Renal failure D) aplastic anemia
D
A nurse is caring for a client who has a new prescription for lithium carbonate. When teaching the client about ways to prevent lithium toxicity, the nurse should advise the client to do which of the following? A. Avoid the use of acetaminophen for headaches. B. Restrict intake of foods rich in sodium. C. Decrease fluid intake to less than 1,500 mL daily. D. Limit aerobic activity in hot weather.
D
A nurse is caring for a client who received prochlorperazine 4 hr ago. The client reports spasms of the face. The nurse should expect a prescription for which of the following medications? A. Fomepizole B. Naloxone C. Phytonadione D. Diphenhydramine
D
A nurse is caring for a client who has a new prescription for phenelzine for the treatment of depression.Which of the following indicates that the client has developed an adverse effect of this medication? A. Orthostatic hypotension B. hearing loss C. Gastrointestinal bleeding D. Weight loss
a
A nurse is caring for four clients who have peptic ulcer disease. The nurse should identify misoprostol is contraindicated for which of the following clients? A. A client who is pregnant B. A client who has osteoarthritis C. A client who has a kidney stone D. A client who has a urinary tract infection
a
A nurse is providing instructions about the use of laxatives to a client who has heart failure. The nurse should tell the client to avoid which of the following laxatives? A. Sodium phosphate B. Psyllium C.Bisacodyl D. Polyethylene glycol
a
A nurse is teaching a client who takes warfarin daily. Which of the following statements by the client indicates a need for further teaching? a. i started taking ginger root for joint stiffness b. i take this med at the same time daily c. i eat a green salad every night d. i had my INR checked 3 weeks ago
a
a client is taking calcium supplements. which of the following adverse effects should the nurse suspect? A. hepatitis B. PUD C. renal stones D. pancreatitis
c
A nurse is reviewing laboratory findings and notes that a client's lithium level is 2.1 mEq/L. Which of the following is an appropriate action by the nurse? A. Perform immediate gastric lavage. B. Prepare the client for hemodialysis. C. Administer an additional oral dose of lithium. D. Request a stat repeat of the laboratory test.
A
a client with a new diagnosis of rheumatoid arthritis is beginning DMARD therapy and states that they take echinacea when they have the common cold. the nurse should inform the client that: a. echinacea should be avoided in patients with autoimmune diseases b. they should take echinacea for the anti inflammatory properties c. echinacea must be used long term to see benefits d. echinacea has been shown to reduce the length of illness with the common cold.
A
a nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. before administration the nurse should check to see which of the following tests have been completed? a. thyroid hormone assay b. LFT c. Erythrocyte sed rate d. BNP
a
A nurse is providing teaching to a client who has a prescription for famotidine to treat a gastric ulcer. which of the following statements should the nurse include in the teaching? A. this med is more effective taken w empty stomach B. you should take this med w antacid for pain control C. this med is less effective for people who smoke D. you should expect to experience dizziness when taking this med
C
a nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions? a. seizure disorder b. RA c. positive pregnancy test d. HF
C
A nurse is providing teaching to a client who has a new prescription for amitriptyline for treatment of depression. Which of the following should the nurse include in the teaching? (Select all that apply.) A. Expect therapeutic effects in 24 to 48 hr. B. Discontinue the medication after a week of improved mood. C. Change positions slowly to minimize dizziness. D. Decrease dietary fiber intake to control diarrhea. E. Chew sugarless gum to prevent dry mouth.
C, E
A nurse is providing discharge teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? A. "You should have a high‐carbohydrate snack between meals and at bedtime." B. "You are likely to develop hand tremors if you take this medication for a long period of time." C. "You may experience temporary numbness of your mouth after each dose." D. "You should have your white blood cell count monitored every week."
D
a nurse is caring for a client who has a new prescription for famotidine to treat GERD. the nurse should instruct the client to wait at least 1hr between taking famotidine and which of the following OTC drugs? a. ginkgo biloba b. antidiarrheals c. st. johns wart d. antacids
D
a nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new prescription for sucralfate to treat an ulcer. the nurse should instruct the client to take the drugs at least 2hrs apart for which of the following reasons? a. phenytoin increases metabolism of sucralfate b. phenytoin reduces effectiveness of sucralfate c. sucralfate increases risk for phenytoin toxicity d. sucralfate interferes with the absorption of phenytoin
D
a nurse is caring for a client who has GAD and is taking buspirone. which of the following adverse effects should the client report to the provider? a. sweating b. decreased appetite c. discolored urine d. hallucinations
a
a nurse is caring for a client who has HIV. which of the following lab tests should the nurse monitor to asses the effectiveness of therapy? a. quantative RNA assay b. platelet count c. enzyme immunoassay test d. western blot
a
allopurinol reduces blood levels of which of the following? a. uric acid b. chloride c. interleukin 1 d. potassium
a
A nurse is assessing a client who recently began taking haloperidol. Which of the following findings is the priority to report to the provider? A. Shuffling gait B. Neck spasms C. Drowsiness D. Sexual dysfunction
b
A nurse is caring for a client who has been taking sertraline for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing serotonin syndrome? A. Bruising B. Fever C. Tinnitus D. Rash
b
A nurse is caring for a client who has diabetes and is experiencing nausea due to gastroparesis. The nurse should expect a prescription for which of the following medications? A. Lubiprostone B. metoclopramide C. Bisacodyl D. Loperamide
b
a nurse is assessing a child who has acute lymphocytic leukemia and is receiving vincristine. which of the findings is the nurses priority? a. parasthesia b. alopecia c. stomatitis d. constipation
a
a nurse is assessing a client who was administered ondansetron IV 1hr ago. which of the following is an adverse effect of this drug? a. dizziness b. bradycardia c. tardive dyskinesia d. dyspepsia
a
a nurse is caring for a client who was recently diagnosed with rheumatoid arthritis. the nurse should expect the provider to prescribe methotrexate at which of the following times? a. within 3 months of initial diagnosis b. when NSAIDS have not provided pain relief c. during an exacerbation of symptoms d. once bone degeneration progresses
a
dabigatran is given with what other medication to treat adverse effects of the drug? a. vitamin K b. protamine c. omeprazole d. probenecid
c
a nurse is providing teaching for a client who has schizophrenia and a new prescription for chlorpromazine. which of the following information should the nurse provide? a. sleepiness should subside in 1 week b. this medication might turn your urine orange c. a low grade fever is expected with first doses d. stop the medication if hypotension occurs
a
a nurse is providing teaching to a client who has a new rx for omeprazole for duodenal ulcer. what instructions should the nurse include? a. take with food b. swallow capsules whole c. dissolve tabs in water d. take at bedtime
b
a nurse is providing teaching to a client who has a new rx for dimenhydrinate to prevent motion sickness, what instructions should the nurse include? (SATA) a. sit upright for 30 min after taking b. avoid antacids c. take 30-60 min before activity that triggers nausea d. avoid activities that require alertness e. increase fluid and fiber intake
c, d, e
a nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. what should the nurse include? (SATA) a. expect results in 6-12hrs b. urinate every 4 hr c. take the drug with at least 8oz of water d. avoid activities that require alertness e. increase fluid and fiber intake
c, e
a client has a new rx for montekulast. what adverse effect should the client report? a. blurred vision b. palpitations c. constipation d. depression
d
a nurse is assessing a client who has schizophrenia and has been treated with fluphenazine for several years. which of the following findings should the nurse document as manifestations of tardive dyskinesia? a. shuffling gait b. constant tapping of feet when sitting c. sudden onset of high fever d. twisting tongue movements
d
a nurse is preparing to administer cisplatin IV to a client. the nurse should identify which of the following to be an adverse effect of the medication? a. hallucination b. pruritis c. hand and foot syndrome d. tinnitus
d
a nurse is preparing to give dabigatran for a client w afib. the nurse should explain that this medication does what? a. converts a fib to NSR b. dissolves clots in bloodstream c. slows the response of ventricles to to the fast atrial impulses d. reduces the risk of stroke in clients w afib
d
A nurse is providing discharge teaching to a client who has a new prescription for verapamil for angina. What should the nurse include in instructions? a. limit fluids to meal time b. do not take on empty stomach c. increase daily fiber intake d. expect swelling of ankles
c
A nurse in a providers office is collecting a health history form a client who is at risk for primary osteoporosis. Which of the following findings is a risk factor for the development of osteoporosis? a. obesity b. sedentary lifestyle c. long term use of diuretics d. prolonged stress
b
A nurse is preparing to administer phenytoin IV to a client who has a seizure disorder. Which of the following actions should the nurse plan to take? a. Administer the medication at 100mg/min b. Administer a saline solution after injection c. Hold the injection if seizure activity is resent d. Dilute the medication with dextrose 5% in water
b
A nurse is providing discharge teaching to a client who has asthma and new prescriptions for cromolyn and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching? A. "If my breathing begins to feel tight, I will use the cromolyn immediately." B. "I will be sure to take the albuterol before taking the cromolyn." C. "I will use both medications immediately after exercising." D. "I will administer the medications 10 minutes apart."
b
A nurse is providing teaching for a client whois to begin taking risperidone. Which of the following instructions should the nurse include? A. "Add extra snacks to your diet to prevent weight loss." B. "Notify the provider if you have trouble sleeping." C. "You may begin to have mild seizures while taking this medication." D. "This medication is likely to increase your libido."
b
A nurse is reviewing the medical records of a client who has a new rx for famotadine. the nurse should recognize that which of the following drugs interacts with famotadine? a. penobarbital sodium b. ketoconazole c. lisinopril d. hydrochlorothiazide
b
A nurse is teaching a client who has a new prescription for omeprazole. Which of the following information should the nurse include in the teaching? a. Take this medication at bedtime. b. This medication decreases the production of gastric acid. c. Take this medication 2 hr after eating. d. This medication can cause hyperkalemia.
b
A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following should the nurse include in the response? ( Select all that Apply) a. this med will stimulate flow of mucous b.this med will prevent wheezing c. this med will open airways d. this med will reduce inflammation e. this med will decrease coughing episodes
b, c, e,
a nurse is caring for a client who is being treated with interferon alfa‐2b for malignant melanoma. For which of the following adverse effects should the nurse monitor? (select all that apply.) A. tinnitus B. muscle aches C. peripheral neuropathy D. Bone loss E. Depression
b,c,e
a nurse is assessing a client who has taken procainamide to treat dysrhythmias for the last 12 mos. the nurse should assess the client for which of the following manifestations as an adverse effect of this med? (SATA) a. htn b. widened QRS c. narrowed QT d. easy bruising e. swollen joints
b,d,e
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? A) He takes a two hour nap every day after school B) He says he feels sick to his stomach after taking the med C) He has so many new bruises on his body D) He says his mouth is always dry
c
A nurse is evaluating teaching for a client who has newly diagnosed depression and a new prescription for bupropion. Which of the following statements by the client indicates understanding of the teaching? a. I may develop a slow heartbeat while taking bupropion" b. I can drink one glass of wine with dinner each day while taking bupropion" c. I may not notice a lifting of my mood for at least 2 weeks" d. I should watch for increased salivation and drooling while taking bupropion"
c
A nurse is teaching a client who takes phenytoin and has a new prescription for sucralfate tablets. Which of the following instructions should the nurse include? A. Take an antacid with the sucralfate. B. Take sucralfate with a glass of milk. C. Allow a 2‐hr interval between these medications. D. Chew the sucralfate thoroughly before swallowing.
c
a nurse is caring for a client who is exhibiting signs of alcohol withdraw. which of the following medications should the nurse administer? a. methadone b. disulfiram c. diazepam d. buprenorphine
c
a nurse is caring for a client who receives rituximab to treat non‐hodgkin's leukemia and who asks the nurse how rituximab works. Which of the following should the nurse include? a. Blocks hormone receptors B. Increases immune response C. Binds with specific antigens on tumor cells D. stops Dna replication during cell division
c
a nurse is providing dietary teaching for a client who has a new rx for MAOI. when the client develops a sample menu which item requires intervention by the nurse? a. glass of whole milk b. celery sticks c. bologna sandwhich d. sliced apples
c
a nurse is reinforcing teaching with a client who has an rx for colchicine. which of the following is an adverse effect of the medication? A. increased appetitie b. urinary retention c. diarrhea d. sore throat
c
a nurse is teaching a client who has a new diagnosis of Hep C, which of the following statements indicates a need for further teaching? A. if i continue risky behavior after treatment i can become re infected with the virus B. i am at higher risk of developing insulin resistance and diabetes mellitus C. i will need to take medication to treat Hep C for the rest of my life. D. if left untreated hep C can lead to liver cancer
c
A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects? a. drowsiness b. constipation c. oliguira d. tachycardia
d
a nurse is teaching a client who has a new prescription for fluoxetine to treat depression. which of the following statements indicates an understanding of the teaching? a. i should expect to feel better after 24hrs of starting this medication b. i should not take this medication with grapefruit juice c. i'll take this medication with food d. i'll take this medicine first thing in the morning
d
a nurse is teaching a client who recently had a MI and has a prescription for docusate sodium should inform the client that docusate sodium has which of the following therapeutic effects? a. reduces inflammation b. reduces gastric acid c. prevents diarrhea d. prevents straining
d
a nurse is teaching family of client who is to begin taking donzepil. what should they include in the teaching? a. syncope may occur b. medication may cause tachycardia c. should take each morning d. monitor for constipation
a
a nurse in a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving a lidocaine IV at 2 mg/min when the client asks the nurse why he is receiving that medication the nurse should explain that this has which of the following actions? a. prevents dysrhytmias b. slows intestinal motility c. dissolves blood clots d. relieves pain
a
a nurse is preparing to administer cyclophosphamide IV to a client who has hodgkin's disease. Which of the following medications should the nurse expect to administer concurrently with the chemotherapy to prevent an adverse effect of cyclophosphamide? a. protectant agent, such as mesna B. opioid, such as morphine C. Loop diuretic, such as furosemide D. h1 receptor antagonist, such as diphenhydramine
a
a nurse is providing teaching to a client who has schizophrenia and is recieving chlopromazine. which of the following statements indicates an understanding of the teaching? a. i will contact my provider if i have difficulty urinating b. i am less likely to get an infection while taking this medication c. weight loss is a sign that my medication dose is too high d. i may need to take this medication with an antiacid due to stomach upset
a
a nurse is providing teaching to a client who has schizophrenia and is to begin taking haloperidol. which of the following information should the nurse include in the teaching? a. you may experience dizziness upon standing while taking this medication b. this medication will decrease your symptoms of OCD c. this medication may cause excessive salivation d. you can stop taking the medication if the adverse effects are bothersome
a
a nurse is reviewing the medical record of a client who has schizophrenia and is receiving olanzapine. which of the following adverse effects should the nurse identify as an adverse effect of olanzapine? a. weight gain of 3lb in 2 weeks b. delusions of grandeur c. heart rate 60/min d. oral candidasis
a
a nurse is teaching a client who has MS about a new rx for baclofen. what should she include in the teaching? a. do not take antihistamines w med b. take meds on empty stomach c. stop taking immediately for a headache d. expect to develop diarrhea initially
a
a nurse is teaching a client who has chemo induced anemia and a rx for epoetin alfa. the nurse should instruct the client to report which of the following findings as an adverse effect of epoetin alfa? a. htn b. leukocytosis c. bone pain d. neutropenia
a
A nurse in an emergency department is preparing to administer alteplase accelerated therapy to a client who is having a myocardial infarction. Which of the following actions should the nurse plan to take? (Select all that apply) a. Administer the medication within 30min of the client's arrival to the department b. Reconstitute the medication with sterile Water. c. Administer a 15 mg IV bolus d. Tell the client that the purpose of the medication is to keep a new clot from forming. e. Assess the client for back pain.
a, b, c, e,
A nurse is teaching a client about probiotic supplements. Which of the following information should the nurse include? (Select all that apply.) a. "Probiotics are micro‐organisms that are normally found in the GI tract." b. "Probiotics are used to treat Clostridium difficile." c. "Probiotics are used to treat benign prostatic hyperplasia." d. "You can experience bloating while taking probiotic supplements." e. "If you are prescribed an antibiotic, you should take it at the same time you take your probiotic supplement."
a, b, d
A nurse is planning to administer ondansetron to a client. For which of the following adverse effects of ondansetron should the nurse monitor? (Select all that apply.) A. headache B. Diarrhea C. Shortened PR interval D. hyperglycemia E. Prolonged QT interval
a, b, e
a nurse is caring for a client who has breast cancer and asks why the treatment plan contains a combination therapy of cyclophosphamide, methotrexate, and fluorouracil. the response by the nurse should include that combination chemotherapy is used to do which of the following? (select all that apply.) a. Decrease medication resistance b. attack cancer cells at different stages of cell growth c. Block chemotherapy agent from entering healthy cells d. stimulate immune system e. Decrease injury to normal body cells
a, b, e
A nurse is teaching a client, who has schizophrenia, strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects? A. Take the medication in the morning to prevent insomnia. B. Chew sugarless gum to moisten the mouth. C. Use cooling measures to decrease fever. D. Take an antacid to relieve nausea.
b
a client has a new rx for colchicine for gout. what instructions should you give? a. take w food if nausea develops b. monitor for muscle pain c. expect to have increased bruising d. increase intake of grapefruit juice
b
a nurse is preparing to give verapamil IV bolus to a client w a cardiac dysrhythmia. what adverse effect should the nurse monitor for? a. hyperthermia b. hypotension c. ototoxicity d. muscle pain
b
a nurse is providing teaching to a client who has gout and a new prescription for allopurinol. which statement indicates an understanding of the teaching? a. if i get a rash from this med i'll take an antihistamine b. i need to increase my fluid intake c. i should take on empty stomach d. if i get a fever i'll take ASA
b
a nurse is providing teaching to a newly licensed nurse about metoclopramide. the nurse should highlight that which condition is contraindicated to this medication? a. hyperthyroidism b. intestinal obstruction c. glaucoma d. low blood pressure
b
a nurse is reviewing the lab results for a client who has a prescription for filgrastim. an increase in which of the following values indicates a therapeutic effect of this medication? a. erythrocyte count b. neutrophil count c. lymphocyte count d. thrombocyte count
b
a nurse is teaching a client who will begin taking aluminum hydroxide. which of the following information should the nurse include in the teaching? a. "If constipation develops, switch to a calcium‐based antacid." b. "Take this medication two hours before or after other medications." c. "This medication increases the risk for pneumonia." d. "have your magnesium level monitored while taking this medication."
b
client has new rx for gabapentin. what statement should the nurse include in the teaching? a. take w antacid to prevent gastric irritation b. you may experience drowsiness while taking medication c. take this medication w/ meals d. you may continue to breast feed
b
a nurse is teaching a client who takes asa daily about herbal supplements. which supplement may interact adversely w asa? a. cranberry juice b. aloe vera c. feverfew d. flaxseed
c
a nurse teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of lithium toxicity. which of the following statements by the client indicates and understanding of the teaching? a. "i will report any loss of appetite" b. "increased flatulence is an indication of toxicity" c. " vomiting is an indication of toxicity" d. "i will call my provider if i experience any headaches"
c
what medication is used to prevent osteoporosis? a. levothyroxine b. calcitonin c. raloxifene d. allopurinol
c
A nurse is teaching a client about cimetidine. Which of the following are adverse effects of cimetidine? (Select all that apply.) A. Increased libido B. Insomnia C. Enlargement of breast tissue D. Confusion E. Decreased sperm count
c, d, e
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? A. Phenytoin turns urine blue B. Avoid flossing the teeth to prevent gum irritation C. Take and antacid with medication if indigestion occurs D. Alcohol increases the chance of phenytoin toxicity
d
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? A. Discontinue medication if nausea occurs B. Expect urine to turn orange C. Monitor for increased muscle spasms D. Avoid driving until effects are known
d
A nurse who is caring for a client who has Parkinson's and is taking diphenhydramine. Which of the following therapeutic outcomes should the nurse expect to see? a. delay in disease progression b. improved bladder function c. relief of depression d. decreased tremors
d
