Pharm study set

A client has been prescribed verapamil for HTN. The client asks the nurse what type of drug this is. Which response by the nurse is most appropriate?

"A calcium channel blocker"

A nurse is teaching a client about the prescribed potassium replacement therapy which the client will continue at home. After teaching the client about this therapy, the nurse determines that additional teaching is warranted when the client makes which statement?

"If I have trouble swallowing the drug, I can crush it."

Match the following drug class suffixes with the appropriate drug class.

-pril = ACE inhibitor -lol = Beta blocker -sin = Alpha 1 antagonist -sartan = Angiotensin II receptor blocker

The nurse is preparing to administer an anti-asthmatic drug to a client. The nurse determines the drug should be held and the health care provider notified after noting which respiratory rate on assessment?

10 breaths/min

A health care provider writes an order for a client to receive levothyroxine 0.2 mg, but 100 mcg tablets are supplied. The nurse would administer ________________ tablets to the client.

2

A client is prescribed 10-mg simvastatin orally daily for high cholesterol. The drug is available in 5 mg tablets. The nurse administers _____________.

2 tablets

Amoxicillin 250 mg is ordered for a child. The pharmacy supplies the drug in a suspension form. The label reads 500 mg/ 5 mL. The nurse would administer __________ mL.

2.5

Which of the following is a medication commonly used in nebulizer treatments to help reduce the viscosity of respiratory secretions, but is also used to reverse acetaminophen overdosage?

Acetylcysteine

A client receiving digoxin for heart failure comes to the clinic reporting weakness and drowsiness stating, "I just get so tired sometimes that I can't do what I want to do." Which nursing diagnosis should the nurse prioritize for this client?

Activity Intolerance

A nurse is preparing a teaching plan for a client with edema who has been prescribed a diuretic. Which teaching should the nurse make sure to include as the patient will be taking this medication at home?

Administer early in the day

Match the following medications on the left with their therapeutic classes on the right.

Albuterol- short acting beta2 agonist Fluticasone- inhaled corticostaroids Guaifenesin- expectorent Benzonatate- antitussive Ipratropium- anticholinergic

The nurse is developing a plan of care for a client ordered to take acetaminophen for pain relief. The nurse will monitor the client for liver failure if there is a history of which disorder?

Alcoholism

The nurse notes on assessment after administration of a drug, the client has developed itching and a skin rash. The nurse interprets these findings as indicating which possible reaction?

Allergic reaction

The nurse is teaching a client with hypertension about losartan which the health care provider has prescribed. The nurse can explain that losartan exerts which action on the body?

Blocks angiotensin II receptors

The nurse is preparing a teaching session for a client with rhinitis about the prescribed decongestant. Which potential adverse reaction should the nurse point out to the client?

Blurred vision

A client with hypertension is prescribed atenolol. Which assessment findings on the ongoing assessment should the nurse evaluate first? Select all that apply.

Bradycardia Dizziness

Nifedipine extended-release tablets are prescribed. A NG tube has recently been placed in the client. The nurse should:

Contact the HCP for a new order

Prior to administering an NSAID to a client, the nurse should find out what information from the client? Select all that apply.

Current and past medical history Vital signs History of allergies Pain assessment

The nursing instructor is teaching a group of students about the various medications used to treat hypertension. After the session, the instructor determines the session is successful when the students correctly choose which actions as being related to calcium channel blockers? Select all that apply.

Decreased blood pressure Increased oxygen supply to the heart Relaxation of blood vessels Reduced workload on the heart

Which of the following medications would be classified as a calcium-channel blocker?

Diltiazem

The patient has been given an ACE inhibitor, Lisinopril. What would the nurse tell the patient would be the major common side effect of this medication?

Dry cough

A client has been receiving a diuretic as prescribed for edema related to heart failure. Which findings on the ongoing assessment should the nurse prioritize? Select all that apply.

Dry mouth Tachycardia Diaphoresis Hypertension

Which of the following common adverse reactions should the nurse monitor for in a patient taking fluticasone?

Epistaxis

The nursing instructor is conducting a teaching session with a group of nursing students analyzing the differences between first and second generation antihistamines. Which of the following actions show the advantages of administering second generation antihistamines? Select all that apply.

Fewer anticholinergic effects Less nausea

The nursing instructor teaches a group of nursing students about the actions of various upper respiratory system drugs. The instructor determines the session is successful when the students correctly choose which of the following drugs that are responsible for increasing the production of secretions in order to help bring them up through the respiratory passages?

Guaifenesin

The nurse has administered an antitussive to an older client. Which findings on assessment should the nurse prioritize? Select all that apply.

Hearing loss Visual impairment

After diet and exercise, which medication would most likely be prescribed as your first defense against hypertension?

Hydrochlorothiazide

The drug class commonly referred to as "statins" treats which of the following issues that can contribute to many different cardiovascular disorders?

Hyperlipidemia

The client is taking furosemide 80mg BID. What condition should the nurse monitor this client for?

Hypokalemia

Which of the following classes of respiratory medications are used for long-term maintenance of asthma and other COPD related diseases?

Inhaled corticosteroids

A nurse is explaining the actions of NSAIDs to a client. Which factor would the nurse integrate into the description as a mechanism by which NSAIDs elicit their effects? Select all that apply.

Inhibition of cyclooxygenase-2 Inhibition of prostaglandins Inhibition of cyclooxygenase-1

After teaching a group of nursing students about fluoroquinolones, the instructor determines that the teaching was successful when they choose which drug as an example?

Levofloxacin

The nursing instructor has completed a teaching session explaining the various antihypertensive drugs. The instructor determines additional teaching is needed when the students choose which of the following drugs to be an ACE inhibitor?

Metoprolo

A nurse is assessing a client who is prescribed warfarin and notes a positive occult blood screen, petechiae on both legs, and a blood-tinged toothbrush. The nurse anticipates the health care provider will prescribe which antidote to counteract these findings?

Phytonadione

A nurse is reviewing the laboratory test results of a client who is receiving torsemide. The nurse determines that the client is at risk for electrolyte imbalance based on which results? Select all that apply.

Potassium 2.9 mEq/L Sodium 124 mEq/L

A nurse is conducting an assessment on a client who has recently undergone exploratory laparotomy surgery. The nurse notes the order for enoxaparin 40 mg q24 post-operatively. The nurse predicts this is to accomplish which goal?

Prevent formation of a blood clot

Which of the following would be considered a super infection resulting from azithromycin administration for pneumonia?

Pseudomembranous Colitis

A nurse is assessing a client with atrial fibrillation who has received diltiazem IV for treatment. Which finding should the nurse prioritize and notify the health care provider for further instructions?

Pulse rate is 48 bpm

A client presents to the urgent care clinic reporting severe dizziness. On assessment, the nurse learns the client was recently prescribed losartan and quit taking it thinking it was responsible for the dizziness. Which assessment should the nurse prioritize?

Rebound hypertension

A nurse is preparing an in-service on the subject of preventing medication errors. Which actions will the nurse describe in the discussion? Select all that apply.

Rechecking calculations Using the 6 rights of drug administration Confirming any questionable orders Avoiding distractions and concentrating on only one task at a time

An older client with hypertension is prescribed furosemide and atenolol. The client reports perspiring a lot lately and having diarrhea. Which nursing diagnosis would the nurse most likely prioritize?

Risk for Deficient Fluid Volume

The client presents for a routine clinic visit to evaluate the long term use of cholestyramine for cholesterol issues. The health care provider determines vitamin A and D should be prescribed at this time. The nurse determines which nursing diagnosis is most appropriate for this situation?

Risk for Imbalance Nutrition: Less than Body Requirements

A nurse is assessing a client and notes the client has developed swelling of the eyelids and lips after administration of a prescribed medication. What does the nurse interpret this finding specifically to indicate?

Severe allergic reaction

The nurse has completed teaching to a client about the prescribed upper respiratory drug. The nurse determines additional teaching is needed when the client chooses which finding as having high importance?

Sputum appears clear

A nurse is preparing to teach a client about captopril which has been prescribed to treat hypertension. Which instructions should the nurse point out during this teaching session? Select all that apply.

Taking measures to reduce injury from hypotension Informing the client about the possibility of a dry cough

A client is being discharged after being treated with nitroglycerin for an acute anginal attack. The nurse should include which instruction when providing the client with discharge instructions concerning how to properly administer nitroglycerin ointment at home?

Use an applicator to apply the ointment

The nursing instructor is illustrating the proper technique for applying nitroglycerin ointment. Which instructions should the instructor point out as essential to the correct application? Select all that apply.

Use the chest or upper back for application Cleanse the area of skin before application Wear disposable gloves

__________________ is a hypersensitivity reaction causing swelling or localized wheals that particularly affects the mouth and throat.

angeoedema

A fever reducing agent is classified as an ______________________.

antiinflamitory

A common side effect of many anti-hypertensives is ______________________, which is a drop in blood pressure when standing.

orthostatic hypotension

This image is an example of ___________________, a life-threatening hypersensitivity reaction to cephalosporin use.

steven johnsons syndrome