Pharm Test 3 Studyguide
The nurse is providing education to a patient for the prescription glipizide (Glucotrol). The nurse explains this medication is more effective when administered at which time? At bedtime In the morning 15 minutes postprandial 30 minutes before a meal
30 minutes before a meal
Assuming the patient eats breakfast at 8:30 AM, lunch at noon, and dinner at 6:00 AM, he or she is at highest risk of hypoglycemia after an 8:00 AM dose of NPH insulin at what time? 10:00 AM 2:00 PM 5:00 PM 8:00 PM
5:00 PM
The health care provider prescribes somatropin (Genotropin) in a dosage of 0.35 mg/kg/wk intramuscularly for growth hormone deficiency. The patient's weight is 48 lb. What is the correct dose for the nurse to administer?
7.6 mg/wk
The nurse has a prescription to change the patient's levothyroxine (Synthroid) dosage from oral to intravenous (IV). The patient takes 150 mcg/day by mouth, and the prescription is to administer 50% of the oral dose by the IV route. How much will the nurse administer per day?
75 mcg
What information should the nurse provide to a client prescribed rifampin (Rifadin)? Oral contraception is the preferred method of birth control when using rifampin. The patient will only need to take this medication for the prescribed 14-day period. A nonharmful adverse effect of this medication is red-orange discoloration of urine, sweat, tears, skin, salvia, and feces. Peripheral neuropathy is an expected side effect, and the patient should report any numbness or tingling of the extremities.
A nonharmful adverse effect of this medication is red-orange discoloration of urine, sweat, tears, skin, salvia, and feces.
The nurse would question a prescription for somatropin (Genotropin) in a patient with which condition? Dwarfism Acromegaly Growth failure Hypopituitarism
Acromegaly
The nurse is obtaining a medication history from a client diagnosed with genital herpes. Which drug would the nurse expect this client to be prescribed? Ribavirin (Virazole) Acyclovir (Zovirax) Zidovudine (Retrovir) Amantadine (Symmetrel)
Acyclovir (Zovirax)
What is the priority assessment data for a client prescribed antibiotic therapy? Allergies Immunizations History of seizures Cardiac dysrhythmias
Allergies
The nurse will question the use of a fluoroquinolone antibiotic in a client already prescribed which medication? Furosemide (Lasix) Omeprazole (Prilosec) Metoprolol (Lopressor) Amiodarone (Cordarone)
Amiodarone (Cordarone)
The nurse needs to know that major adverse effects are MOST common by which drug? Fluconazole (Diflucan) Ketoconazole (Nizoral) Griseofulvin (Fulvicin P/G) Amphotericin B (Amphocin)
Amphotericin B (Amphocin)
A client is making an appointment for allergy testing. The nurse instructs the client not take what class of medications at least 4 days before allergy testing? Antitussives Antihistamines Decongestants Bronchodilators
Antihistamines
Medications used to treat HIV infections are more specifically classified as what type of drugs? Antiviral Antifungal Antiparasitic Antiretroviral
Antiretroviral
The nurse is discussing with the client the management of symptoms of an upper respiratory tract infection. Which classes of medications are often used in treating the symptoms of upper respiratory tract infections? (Select all that apply.) Antibiotics Antitussives Expectorants Antihistamines Nasal decongestants
Antitussives Expectorants Antihistamines Nasal decongestants
When performing discharge teaching for a client prescribed oral linezolid (Zyvox) to treat methicillin-resistant Staphylococcus aureus (MRSA), the nurse should emphasize which important information? Stop the drug as soon as you feel better. Avoid ingestion of foods containing tyramine. Report any occurrence of constipation or facial flushing. Take the drug with an antacid to avoid gastrointestinal (GI) upset.
Avoid ingestion of foods containing tyramine.
Before administration of any antiviral medication, what nursing responsibilities would be performed? (Select all that apply.) Baseline vital signs History of medication use Head-to-toe physical assessment Documentation of known allergies Monitor for medication adverse effects
Baseline vital signs History of medication use Head-to-toe physical assessment Documentation of known allergies
For a client receiving an intravenous (IV) infusion of gentamicin (Garamycin), the nurse would monitor which laboratory values? Hematocrit and hemoglobin Blood urea nitrogen (BUN) and creatinine Prothrombin time and partial thromboplastin time Serum glutamic-oxaloacetic transaminase and alanine transaminase
Blood urea nitrogen (BUN) and creatinine
A client who is allergic to penicillin is at increased risk for an allergy to which drug? Erythromycin (E-mycin) Gentamicin (Garamycin) Cefazolin sodium (Ancef) Demeclocycline (Declomycin)
Cefazolin sodium (Ancef)
What body system will the nurse assess for known common adverse effects of traditional antihistamines? Respiratory Cardiovascular Central nervous Gastrointestinal
Central nervous
The nurse is discussing use of antihistamines for allergic rhinitis. Which medications would be included in the list of H1 antagonists used in the treatment of allergic rhinitis? (Select all that apply.) Nizatidine (Axid) Cetirizine (Zyrtec) Ranitidine (Zantac) Loratadine (Claritin) Fexofenadine (Allegra)
Cetirizine (Zyrtec) Loratadine (Claritin) Fexofenadine (Allegra)
What is the MOST important action for the nurse to complete before administration of intravenous (IV) amphotericin B? Assess for nausea and vomiting. Monitor for cardiac dysrhythmias. Check for premedication prescriptions. Monitor IV site for signs of phlebitis.
Check for premedication prescriptions.
Bacterial resistance to antibiotics can occur with which situations? (Select all that apply.) Clients stop taking an antibiotic when they feel better. Antibiotics that are prescribed to treat a viral infection Taking an antibiotic and an antiviral medication at the same time Microorganisms arriving from foreign countries and overseas ports Antibiotics that are prescribed according to culture and sensitivity reports
Clients stop taking an antibiotic when they feel better. Antibiotics that are prescribed to treat a viral infection
To assess for the dose-limiting toxicity of ganciclovir (Cytovene), the nurse will monitor which laboratory test result? Blood urea nitrogen Liver function tests Complete blood count (CBC) Creatine phosphokinase
Complete blood count (CBC)
When assessing for potential serious adverse effects to propylthiouracil (PTU), the nurse will monitor which laboratory test? Kidney function Serum electrolytes Complete blood count (CBC) Brain natriuretic peptide
Complete blood count (CBC)
When providing instructions to clients on use of antibiotics, which instructions would the nurse include in the teaching? (Select all that apply.) Complete the entire course of therapy. Increase fluid intake up to 3000 mL/day. Wash your hands before and after preparing food. Notify the provider of any possible reactions that occur. Save unused medication in a cool dry place for later use.
Complete the entire course of therapy. Increase fluid intake up to 3000 mL/day. Wash your hands before and after preparing food. Notify the provider of any possible reactions that occur.
The nurse is providing care to a client prescribed a nonselective adrenergic agonist bronchodilator. Which condition documented in the client's medical history would alert the nurse to question this prescription? Thrombocytopenia Coronary artery disease Mycobacterium tuberculosis Chronic obstructive pulmonary disease
Coronary artery disease
What are important for the nurse to monitor in a client receiving an antifungal medication? (Select all that apply.) Creatinine Daily weights Mental status Intake and output Blood urea nitrogen
Creatinine Daily weights Intake and output Blood urea nitrogen
In an effort to prevent superinfections of the GI tract such as Clostridium difficile, the nurse will instruct clients to eat which foods? Multigrain wheat bread Raw fruits and vegetables Cultured dairy products such as yogurt Low-fat meats such as chicken and pork
Cultured dairy products such as yogurt
The nurse is caring for a patient with diabetes insipidus (DI) who is receiving vasopressin (Pitressin). What therapeutic effect does the nurse expect from this drug? Increase in thirst Improved skin turgor Decrease in urine output Normal serum albumin level
Decrease in urine output Correct
Which is a priority nursing diagnosis for a patient receiving desmopressin (DDAVP)? Risk for injury Acute pain Excess fluid volume Deficient knowledge regarding medication
Deficient knowledge regarding medication
A patient has developed DI after a head injury. Which medication should the nurse anticipate to be prescribed for the management of DI? Corticotrophin (Acthar) Octreotide (Sandostatin) Somatropin (Genotropin) Desmopressin (DDAVP)
Desmopressin (DDAVP)
When providing general education on use of over-the-counter (OTC) medications for allergies, which instruction should the nurse to include? Discontinue use 4 days before allergy testing. It may cause dry mouth and difficulty urinating. The medication treats the signs and symptoms but is not a cure. Do not use in children younger than 2 years of age unless prescribed.
Do not use in children younger than 2 years of age unless prescribed.
The nurse is discussing use of antitussive medications with a client. What common adverse effect does the nurse include in the client teaching? Tremors and palpitations Drowsiness and dizziness Diarrhea and abdominal cramping Flushing and decreased heart rate
Drowsiness and dizziness
What instruction should the nurse include for a client prescribed rifampin (Rifadin) and isoniazid (Nydrazid) prophylactically secondary to TB exposure? Advise that these drugs will only need to be taken for 7 to 10 days. Remind that sunscreen is not needed during outdoor activities. Explain that isoniazid may decrease blood serum glucose in susceptible people. Emphasize that oral contraceptives become ineffective when given with rifampin.
Emphasize that oral contraceptives become ineffective when given with rifampin.
When planning care for a client receiving a sulfonamide antibiotic, it is important for the nurse to perform which intervention? Encourage fluid intake of 2000 to 3000 mL/day. Avoid direct sun exposure and tanning beds. Take the medication with dairy products such as milk or yogurt. Advise the client to report any tinnitus to the health care provider.
Encourage fluid intake of 2000 to 3000 mL/day.
Which antifungal drug can be given intravenously to treat severe yeast infections as well as a one-time oral dose to treat vaginal yeast infections? Voriconazole (Vfend) Nystatin (Mycostatin) Fluconazole (Diflucan) Caspofungin (Cancidas)
Fluconazole (Diflucan)
Which types of antiviral drugs are used to treat HIV infection? (Select all that apply.) Fusion inhibitors Protease inhibitors Neuraminidase inhibitors Reverse transcriptase inhibitors Nonnucleoside reverse transcriptase inhibitors
Fusion inhibitors Protease inhibitors Reverse transcriptase inhibitors Nonnucleoside reverse transcriptase inhibitors
The nurse should assess a client for nephrotoxicity and ototoxicity when administering which antimicrobial? Cefazolin (Ancef) Clindamycin (Cleocin) Gentamicin (Garamycin) Erythromycin
Gentamicin (Garamycin)
When caring for a pregnant patient with gestational diabetes, the nurse should question a prescription for which drug? Insulin glargine (Lantus) Glipizide (Glucotrol) Insulin glulisine (Apidra) NPH insulin
Glipizide (Glucotrol)
The nurse will instruct the patient to treat hypoglycemia with which drug? Acarbose (Precose) Propranolol (Inderal) Glucagon (GlucaGen) Bumetanide (Bumex)
Glucagon (GlucaGen)
After administering somatropin (Genotropin) to a patient, the nurse would assess for potential adverse effects of this medication by monitoring which laboratory test result? Glucose Platelets Potassium Magnesium
Glucose Correct
When teaching a patient the adverse effects of desmopressin (DDAVP), the nurse will instruct the patient to monitor for which potential adverse effects? (Select all that apply.) Headache Weight gain Hypotension Nasal irritation Hyperglycemia
Headache Weight gain Nasal irritation
A new vaccination, Zostavax (Zoster Vaccine Live), has been approved to prevent the development of what condition in adults older than the age of 60 years? Influenza A Herpes zoster Avian influenza Herpes simplex
Herpes zoster
The nurse would question a prescription for pseudoephedrine (Sudafed) in a client with a history of which condition? Pneumonia Osteoporosis Hypertension Peptic ulcer disease
Hypertension
The nurse has provided education to a client about fungal skin infections. Further client teaching is necessary when the client includes which condition in the discussion of fungal skin infections? Thrush Impetigo Athlete's foot Vaginal yeast infection
Impetigo
Which instruction should the nurse include when teaching a client who is prescribed an expectorant? Take the medication once a day at bedtime. Restrict fluids to decrease mucus production. Increase fluid intake to decrease viscosity of secretions. Take a drug with oral codeine when cough worsens.
Increase fluid intake to decrease viscosity of secretions.
For a patient taking levothyroxine (Synthroid) and warfarin (Coumadin) concurrently, the nurse would closely monitor for which possible serious adverse effect? Acute confusion Increased bruising Cardiac dysrhythmias Orthostatic hypotension
Increased bruising
When administering a nonsteroidal antiinflammatory drug and a penicillin drug together, the displacement of the penicillin antibiotic from the protein-binding sites will result in which effect? Increased free drug in blood Decreased free drug in blood No change in free drug in blood Absence of free drug in the blood
Increased free drug in blood
Which is a rapid-acting insulin with an onset of action of less than 15 minutes? Insulin glargine (Lantus) Insulin aspart (NovoLog) Insulin detemir (Levemir) Regular insulin (Humulin R)
Insulin aspart (NovoLog)
Which long-acting insulin mimics natural, basal insulin with no peak action and a duration of 24 hours? Insulin glargine (Lantus) Insulin glulisine (Apidra) Regular insulin (Humulin R) NPH insulin
Insulin glargine (Lantus)
The nurse is providing education to a client with a history of chronic nasal congestion secondary to allergic rhinitis. Which class of medications should the nurse anticipate the provider would recommend for the client to use on a long-term basis? Antitussives Expectorants Antihistamines Intranasal steroids
Intranasal steroids
The most significant drug interactions with use of antivirals occur when antivirals are administered via which route? Rectally Topically Optically Intravenously
Intravenously
The nurse would suspect a patient is taking too much levothyroxine (Synthroid) when the patient exhibits which adverse effect? Lethargy Irritability Feeling cold Weight gain
Irritability
The nurse is reviewing the adverse effects of antithyroid medications for a patient prescribed propylthiouracil (PTU). What potential serious adverse effects should the nurse discuss with the patient during discharge teaching? (Select all that apply.) Joint pain Liver toxicity Kidney damage Increased urination Bone marrow toxicity
Joint pain Liver toxicity Bone marrow toxicity
Before administering an LTRA medication, the nurse would assess the client for allergies to which substance? (Select all that apply.) Latex Lactose Cellulose Povidone Chlorhexidine
Lactose Cellulose Povidone
What advantage does loratadine (Claritin) have compared with traditional antihistamines such as diphenhydramine (Benadryl)? Less sedative effect Increase in bronchodilation Minimal gastrointestinal upset Decreased risk of cardiac dysrhythmias
Less sedative effect
A client who is prescribed metronidazole (Flagyl) for a gynecologic infection provides the nurse with a list of medications that are routinely taken. Which medication would lead the nurse to question the prescription for Flagyl? Ibuprofen (Advil) Lithium (Eskalith) Levothyroxine (Synthroid) Multivitamin (Thera-Tabs)
Lithium (Eskalith)
Which laboratory value would the nurse assess before administering zafirlukast (Accolate) to a client? Liver enzymes Cardiac enzymes Renal function tests Complete blood count
Liver enzymes
What conditions are considered contradictions for use of antifungal medications? (Select all that apply.) Heart failure Liver failure Kidney failure Pancreatic failure Respiratory failure
Liver failure Pancreatic failure
When assessing for adverse effects to Rifamate (combination isoniazid and rifampin), the nurse would monitor which laboratory values? (Select all that apply.) Cholesterol Uric acid levels Sputum cultures Liver function tests Complete blood cell count
Liver function tests Complete blood cell count
A nurse is providing education to a client taking two different bronchodilator medications. The nurse identifies which characteristic as the advantage of salmeterol (Serevent) over other beta2 agonists such as albuterol (Proventil)? Quicker peak action Shorter onset of action Extended time of action Longer duration of action
Longer duration of action
The nurse is preparing a patient for a computed tomography scan using iodine contrast media. Which medication should the nurse question if prescribed one day before the scheduled procedure? Acarbose (Precose) Pioglitazone (Actos) Repaglinide (Prandin) Metformin (Glucophage)
Metformin (Glucophage)
What is the MOST common drug used to treat oral candidiasis? Oseltamivir (Tamiflu) Nystatin (Mycostatin) Amantadine (Symmetrel) Griseofulvin (Fulvicin P/G)
Nystatin (Mycostatin)
The nurse admitting a patient with acromegaly anticipates administering which medication? Corticotropin (Acthar) Desmopressin (DDAVP) Octreotide (Sandostatin) Somatropin (Genotropin)
Octreotide (Sandostatin)
When providing health promotion teaching at a senior citizen center, the nurse would include information about which medication used to decrease the duration of influenza A and B? Indinavir (Crixivan) Enfuvirtide (Fuzeon) Oseltamivir (Tamiflu) Ganciclovir (Cytovene)
Oseltamivir (Tamiflu)
The client's culture has grown gram-positive cocci, and the health care provider prescribes two different antibiotics, one of which is gentamicin (Garamycin). To treat this type of infection, which type of antibiotic is typically prescribed together with gentamicin (Garamycin)? Penicillin Cephalosporin Fluoroquinolone Aminoglycoside
Penicillin
Which adverse effect can result if tetracycline is administered to children younger than 8 years of age? Drug-induced neurotoxicity Delayed growth development Gastrointestinal (GI) and rectal bleeding Permanent discoloration of the teeth
Permanent discoloration of the teeth
Pramlintide (Symlin) is prescribed as supplemental drug therapy to the treatment plan for a patient with type 1 diabetes mellitus. What information should the nurse include when teaching the patient about the action of this medication? Pramlintide slows gastric emptying. Pramlintide increases glucagon excretion. Pramlintide stimulates glucose production. Pramlintide corrects insulin receptor sensitivity.
Pramlintide slows gastric emptying.
A client with a known heart condition is prescribed an antibiotic before a dental procedure. What type of antibiotic therapy is this considered? Empiric Definitive Supportive Prophylactic
Prophylactic
The nurse would question a prescription for voriconazole (Vfend) if the client was taking which medication? Quinidine Prednisone (Deltasone) Captopril (Capoten) Clindamycin (Cleocin)
Quinidine
Which is a complication of vancomycin IV infusions? Angioedema Neurotoxicity Cardiomyopathy Red man syndrome
Red man syndrome
Which insulin can be administered by continuous intravenous (IV) infusion? Insulin glargine (Lantus) Insulin aspart (Novolog) Insulin detemir (Levemir) Regular insulin (Humulin R)
Regular insulin (Humulin R)
Which oral hypoglycemic drug has a quick onset and short duration of action, enabling the patient to take the medication 30 minutes before eating and skip the dose if he or she does not eat? Acarbose (Precose) Metformin (Glucophage) Repaglinide (Prandin) Pioglitazone (Actos)
Repaglinide (Prandin)
The nurse is teaching a patient taking an antithyroid medication to avoid food items high in iodine. Which food item should the nurse instruct the patient to avoid? Milk Eggs Chicken Seafood
Seafood
Which herbal product, when taken with theophylline, can decrease theophylline's serum drug levels? Garlic Echinacea Peppermint oil St. John's wort
St. John's wort
Which actions describe the beneficial effects produced by sulfonylurea oral hypoglycemics? (Select all that apply.) Stimulate insulin secretion from beta cells Increase hepatic glucose production Enhance action of insulin in various tissues Inhibit breakdown of insulin by liver
Stimulate insulin secretion from beta cells Enhance action of insulin in various tissues Inhibit breakdown of insulin by liver
During antibiotic therapy, the nurse will assess the client for a condition that may occur because of the disruption of normal flora. The nurse knows this as what condition? Organ toxicity Superinfection Hypersensitivity Allergic reaction
Superinfection
Discharge teaching to a patient receiving a beta-agonist bronchodilator should emphasize reporting which side effect? Tachycardia Nonproductive cough Hypoglycemia Sedation
Tachycardia
Quinolones are a class of antibiotics known for several significant complications. Which are possible adverse effects with these drugs? (Select all that apply.) Ototoxicity Nephrotoxicity Tendon rupture Prolongation of the QT interval Abnormal cartilage development in children
Tendon rupture Prolongation of the QT interval Abnormal cartilage development in children
A client visits the health care provider for treatment of tinea pedis (athlete's foot). Which medication would the nurse MOST likely instruct the client to take to treat this condition? Terbinafine (Lamisil) Voriconazole (Vfend) Caspofungin (Cancidas) Amphotericin B (Amphocin)
Terbinafine (Lamisil)
Which statement best describes health care-associated infections? They develop in more than 15% of hospitalized clients. The infection develops in response to various antibiotics. The infection was not incubating at the time of admission. Clients are admitted to the hospital with an infectious disease.
The infection was not incubating at the time of admission.
The nurse receives laboratory values for a client with a theophylline level of 14 mcg/mL. How does the nurse interpret this theophylline level? Toxic Therapeutic Subtherapeutic Life threatening
Therapeutic
What is the role of corticosteroids in the treatment of acute respiratory disorders? They decrease inflammation. They directly dilate the bronchi. They stimulate the immune system. They increase gas exchange in the alveoli.
They decrease inflammation.
The nurse is aware that viruses can enter the body through various routes. Through which routes can viruses enter the body? (Select all that apply.) Through an animal bite Transplacentally from mother to infant Inhalation through the respiratory tract Localized allergic reaction to medication Ingestion via the gastrointestinal (GI) tract
Through an animal bite Transplacentally from mother to infant Inhalation through the respiratory tract Ingestion via the gastrointestinal (GI) tract
How is the effectiveness of antiviral drugs administered to treat HIV infection assessed and evaluated? Viral load Megakaryocytes Lymphocyte counts Red blood cell counts
Viral load
The nurse anticipates a prescription for vitamin supplementation for a client who is receiving isoniazid (Nydrazid) therapy. What vitamin supplement is usually prescribed with isoniazid? Folate Calcium Vitamin E Vitamin B6
Vitamin B6
The nurse would teach a client prescribed metronidazole (Flagyl) to avoid ingestion of which drink? Milk Wine Coffee Orange juice
Wine
A patient complains of worsening nasal congestion despite the use of oxymetazoline (Afrin) nasal spray every 2 to 4 hours for the past 5 days. The nurse's response is based on knowledge that: oxymetazoline is not an effective nasal decongestant. sustained use of nasal decongestants over several days may result in rebound congestion. oxymetazoline should be administered in an hourly regimen for severe congestion. the patient is probably displaying an idiosyncratic reaction to oxymetazoline.
sustained use of nasal decongestants over several days may result in rebound congestion.
Which information should the nurse include in discharge teaching for a client prescribed doxycycline (Vibramycin)? "Keep the remainder of the medication in case of recurrence." "Take the medication until you have no fever and feel better." "Apply sunscreen or wear protective clothing when outdoors." "Take the medication with milk to minimize gastrointestinal upset."
"Apply sunscreen or wear protective clothing when outdoors."
The patient is prescribed 30 units of regular insulin and 70 units of insulin isophane suspension (NPH insulin) subcutaneously every morning. The nurse should provide which instruction to the patient for insulin administration? "Inject the needle at a 30-degree angle." "Rotate sites at least once or twice a week." "Use a 23- to 25-gauge syringe with a 1-inch needle to increase insulin absorption." "Draw up the regular insulin into the syringe first, followed by the cloudy NPH insulin."
"Draw up the regular insulin into the syringe first, followed by the cloudy NPH insulin."
Which client statement regarding his or her diagnosis of HIV infection indicates a need that further teaching is necessary? "I must take these medications exactly as prescribed for the rest of my life." "I don't need to use condoms as long as I take my medication as prescribed." "I will notify my health care provider immediately if I bruise or bleed more easily than normal." "I should remain upright for 30 minutes after taking my zidovudine to prevent esophageal ulceration."
"I don't need to use condoms as long as I take my medication as prescribed."
Which client statement indicates to the nurse that the client understands the discharge teaching for ethambutol (Myambutol)? "Constipation will be a problem, so I will increase the fiber in my diet." "Dizziness and drowsiness are common adverse effects with this drug." "I will need to have my vision checked periodically while I am taking this drug." "This medication may cause my bodily secretions to turn red-orange-brown."
"I will need to have my vision checked periodically while I am taking this drug."
Which statement by a client best indicates an understanding of the teaching on flunisolide (AeroBid)? "I will rinse my mouth with water after each use." "I will wash the plastic inhaler casing once a month." "I will take two puffs to treat an acute asthma attack." "I will not use my albuterol inhaler while I am taking AeroBid."
"I will rinse my mouth with water after each use."
Which statement by the patient indicates an understanding of discharge instructions given by the nurse about the newly prescribed medication levothyroxine (Synthroid)? "I will take a double dose to make up for the missed one." "I can expect improvement of my symptoms within 1 week." "I will stop the medication immediately if I feel pain or weakness in my muscles." "I will take this medication in the morning so it does not affect my sleep at night."
"I will take this medication in the morning so it does not affect my sleep at night."
A patient receiving propylthiouracil (PTU) asks the nurse, "How does this medication relieve symptoms?" What is the nurse's best response? "PTU helps your thyroid gland synthesize and use iodine, which produces hormones better." "PTU inhibits the formation of new thyroid hormone, thus returning your metabolism to normal." "PTU causes the pituitary gland to secrete thyroid-stimulating hormone, which blocks the production of hormones by the thyroid gland." "PTU removes thyroid hormones that are already circulating in your bloodstream, thus decreasing the adverse effects of this medication."
"PTU inhibits the formation of new thyroid hormone, thus returning your metabolism to normal."
Before discharge, the nurse is reviewing a client's prescribed medication regimen for tuberculosis (TB). The client asks the nurse why pyridoxine (vitamin B6) has been prescribed while continuing to take isoniazid (Nydrazid) to treat TB. What is the nurse's best response? "Multidrug therapy is necessary to prevent the occurrence of resistant bacteria." "You really should not be on that drug. I will check with the health care provider." "Pyridoxine is another antitubercular drug that will work synergistically with the isoniazid." "Pyridoxine will help prevent numbness, and tingling that can occur secondary to the isoniazid."
"Pyridoxine will help prevent numbness, and tingling that can occur secondary to the isoniazid."
A client prescribed azithromycin (Zithromax) expresses concern regarding GI upset that was experienced when previously prescribed an erythromycin antibiotic. What is the nurse's best response? "Take an over-the-counter antiemetic to lessen the nausea." "Stop taking the drug if you experience heartburn and diarrhea." "I will call the health care provider and request a different antibiotic." "This drug is like erythromycin with less gastrointestinal adverse effects."
"This drug is like erythromycin with less gastrointestinal adverse effects."
Which patient statement demonstrates understanding of radioactive iodine (I-131) therapy? "I will need to take this drug on a daily basis for at least 1 year." "This drug will help decrease my cold intolerance and weight gain." "This drug will be taken up by the thyroid gland and destroy thyroid tissue." "I will isolate myself from my family for 1 week so there is no risk of radiation exposure."
"This drug will be taken up by the thyroid gland and destroy thyroid tissue."
The nurse performs discharge teaching with a client who is prescribed the anticholinergic inhaler ipratropium bromide (Atrovent). Which statement by the client indicates to the nurse that teaching has been successful? "I will not drink grapefruit juice while taking this drug." "I may gain weight as a result of taking this medication." "This inhaler is not to be used alone to treat an acute asthma attack." "Nausea and vomiting are common adverse effects of this medication."
"This inhaler is not to be used alone to treat an acute asthma attack."
Which statement by the client demonstrates an understanding about beclomethasone diproprionate (Beconase) mechanism of action? "I only need to take this medication when my symptoms get bad." "I will need to taper off the medication to prevent acute adrenal crisis." "This medication will help prevent the inflammatory response of my allergies." "I will monitor my blood sugar because I may develop drug-induced diabetes."
"This medication will help prevent the inflammatory response of my allergies."
Client teaching regarding the use of leukotriene receptor antagonists (LTRAs) drugs such as zafirlukast (Accolate) would include which statement by the nurse? "It will take about 3 or 4 weeks before you notice a therapeutic effect." "Take the medication when you are short of breath and begin wheezing." "This medication works by preventing the inflammation that causes your asthma attack." "Increase fiber and fluid in your diet to prevent the common adverse effect of constipation."
"This medication works by preventing the inflammation that causes your asthma attack."
Which statement by the nurse should be included when teaching a client about the proper use of metered-dose inhalers? "After you inhale the medication once, repeat until you obtain relief." "Wait 1 to 2 minutes before you take a second puff of the same drug." "Make sure that you puff out air several times after you inhale the medication." "Hold the inhaler in your mouth, take a deep breath, and then compress the inhaler."
"Wait 1 to 2 minutes before you take a second puff of the same drug."
When teaching a patient about insulin glargine (Lantus), which statement by the nurse about this drug is correct? "You can mix this insulin with NPH insulin to enhance its effects on glucose metabolism." "You cannot mix this insulin with regular insulin and thus will have to take two injections." "It is often combined with regular insulin to decrease the number of insulin injections per day." "The duration of action for this insulin is 8 to10 hours, so you will need to take it twice a day."
"You cannot mix this insulin with regular insulin and thus will have to take two injections."
The nurse has a prescription to administer vasopressin (Pitressin) to a pediatric patient for gastrointestinal hemorrhage. The dose prescribed is 0.003 units/kg/min. The patient's weight is 55 lb. What is the correct infusion rate for vasopressin?
0.075 units/min
The nurse is planning care for a client prescribed once-daily IV gentamicin (Garamycin) therapy. When should the nurse schedule a trough drug level to be drawn? 12 hours after completing the antibiotic infusion 18 hours after completing the antibiotic infusion 30 minutes after beginning the antibiotic infusion 60 minutes after beginning the antibiotic infusion
12 hours after completing the antibiotic infusion
