Pharm unit 6 from ati

A nurse is providing instructions to a client who has a prescription for amoxicillin and clarithromycin to treat a peptic ulcer. Which of the following information should the nurse include in the teaching?

"Take these medications with food"

A nurse is providing information about probiotic supplements to a male client. Which of the following information should the nurse include?

-"Probiotics are micro-organisms that are normally found in the GI tract." -"Probiotics are used to treat C. Diff." -"You can experience bloating while taking probiotic supplements."

A nurse is providing a client who has peptic ulcer disease with instructions about managing his condition. Which of the following instructions should the nurse include?

-"Seek measures to reduce stress" -"Avoid smoking."

A nurse is planning to administer ondansetron IV for an older adult client who has a history of diabetes mellitus and cardiac myopathy and is receiving chemotherapy for cancer. For which of the following adverse effects of odansetron should the nurse monitor?

-Headache -Diarrhea -Prolonged QT interval

A nurse is caring for four clients who have peptic ulcer disease. The nurse should recognize misoprostol is contraindicated in which of the following clients?

A client who is pregnant

D. respiratory depression

A nurse in an emergency department is performing an admission assessment for a client who has aspirin toxicity. Which of the following findings should the nurse expect? A. Body temperature 35 degrees C (95 degrees F) B. Lung crackles C. Cool, dry skin D. Respiratory Depression

A. acetylcysteine

A nurse is admitting a toddler to the hospital after an acetaminophen overdose. Which of the following medications should the nurse anticipate administering to this client? A. acetylcysteine B Misoprostol C. Naltrexone D. Pefilgrastin

A. Dizziness D. Tinnitus E. Headache

A nurse is assessing a client who has salicylism. Which of the following findings should the nurse expect? Select all that apply: A. Dizziness B. Diarrhea C. Jaundice D. Tinnitus E. Headache

A. urinary retention

A nurse is preparing to administer an opioid agonist to a client who has acute pain. Which of the following complications should the nurse monitor? A. urinary retention B. tachypnea C. hypertension D. Irritating cough

B. Diazepam due to its CNS effects

A nurse is reviewing the medication administration record for a client who is receiving a transdermal fentanyl for severe pain. Which of the following medication should the nurse expect to cause an adverse effect when administered concurrently with fentanyl? A. Ampicillin B. Diazepam C. Furosemide D. Prednisone

C. Warfarin

A nurse is taking a history for a client who reports that he is taking aspirin about 4 times a day for a sprained wrist. Which of the following prescribed medications taken by the client is contraindicated with aspirin? A. Digoxin B. Metformin C. Warfarin D. Nitroglycerin

A. Increases risk for MI

A nurse is teaching a client about a new prescription for celecoxib (celebrex). Which of the following information should the nurse include in the teaching? A. increases risk for MI B. Decreases risk for stroke C. Increases platelet aggregation

B. administer acetylcysteine

A patient is brought to the emergency room after having attempted suicide by swallowing half a bottle of acetaminophen. The nurse would expect to: A. draw blood work for platelet count B. administer acetylcysteine C. administer acetylsalicylic acid D. send the patient for an abdominal CT scan

A nurse is teaching a client who is taking sucralfate PO for peptic ulcer disease has a new prescription for phenytoin to control seizures. Which of the following instructions should the nurse include?

Allow for a 2hr interval between these medications

A nurse is caring for a client who received prochlorperazine 4 hr ago. The client reports spasms of his face. The nurse should anticipate a prescription for which of the following medications?

Diphenhydramine

C. cough suppressant

In addition to pain relief, codeine is also frequently used as? A. decongestant B. laxative C. cough suppressant D. sedative

A nurse is caring for a client who has diabetes and is experiencing nausea due to gastroparesis. The nurse should anticipate a prescription for which of the following medications?

Metoclopramide

C. inhibiting the release of substance P

Morphine has many actions, including? A. decreasing A-delta fibers B. increasing C fibers C. inhibiting release of substance P D. inhibiting release of acetylcysteine

A. unusual bruising

Patients receiving ibuprofen on a regular basis should be told to contact the physician or the nurse practitioner immediately if they note: A. unusual bruising B. slow heartbeat C. upset stomach D. slight dizziness

A nurse is providing instructions about the use of laxatives to a client who has heart failure. The nurse should tell the client he should avoid which of the following laxatives?

Sodium phosphate

C. respiratory system

The most hazardous adverse effects to the use of Morphine occur to the? A. integumentary system B. cardiovascular system C. respiratory system D. gastrointestinal system

C. Withhold this medication if respiratory rate is less than 12/min

The nurse is planning to administer morphine IV to a client who is postoperative. Which of the following actions should the nurse take? A. Monitor for seizures and confusion with repeated doses B. Protect the client's skin from the sever diarrhea that occurs with morphine C. Withhold this medication if respiratory rate is less than 12/min D. Give morphine intermittent via bolus over 30 seconds or less

C. to read combination OTC drug labels carefully to determine if acetaminophen is also part of that product

The nurse should teach a patient taking acetaminophen A. to take the drug when there is inflammation of the tissues B. that one formulation of the drug can be used for all ages in the family C.. to read combination OTC drug labels carefully to determine if acetaminophen is also part of that product D. that acetaminophen is too dangerous to use OTC

A nurse is teaching a client who has a new prescription for omeprazole for management of heartburn. Which of the following information should the nurse include in the teaching?

This medication decreases the production of gastric acid