Pharmacology 2020 B

A nurse in a community health clinic is preparing to administer the varicella vaccine to a young adult female client who has not previously had chicken pox or its vaccine. The nurse should withhold the vaccine and collect additional data when the client makes which of the following statements?

"I am allergic to neomycin"

A nurse is reinforcing teaching with a client who has a new prescription for a fluticasone inhaler. Which of the following client statements indicates an understanding of the teaching?

"I will rinse my mouth after I use this inhaler"

A nurse is reinforcing teaching with a client who has a new prescription for vitamin b12 i tea ASAP to treat malabsorption syndrome. Which of the following instructions should the nurse include in the teaching?

"Massage your nose gently after medication administration "

A client who has terminal cancer reports pain as a 5 on a scale of 0 to 10. The client has a prescription for morphine 15mg orally every 4 hours. The clients adult children express concern that the client is receiving too much of the medication. Which of the following responses should the nurse make?

"The dose should remain constant to prevent breakthrough pain"

A nurse is reinforcing teaching with a client who has a prescription for scopolamine transdermal patches to prevent motion sickness. Which if the following statements by the client indicates an understanding of the teaching?

"I should place the patch behind my ear"

A nurse is reinforcing teaching with a client who has a new prescription for timolol eye drops to treat glaucoma. Which of the following client statements indicates an understanding of the teaching?

"I will look up when putting the medication into my eyes"

A nurse is reinforcing discharge teaching with a client who has a prescription for a metered dose inhaler (MDI). Which of the following information should the nurse include in the teaching?

"Take a slow, deep breath lasting 3-5 seconds after releasing the medication."

a nurse on a medical surgical unit is preparing to administer medications to a client. Which of the following questions should the nurse ask the client to verify the clients identification?

"What is your phone number?"

A nurse is reinforcing teaching with a client who is to start therapy with a nitroglycerin transdermal patch. Which of the following statements by the client indicates an understanding of the teaching?

"While using the patch, I will be careful when rising from a chair."

Phenobarbital 3mg/kg PO to a 44lb child

15 mL

A nurse is caring for a client who has genital herpes. Which of the following medications should the nurse expect to administer?

Acyclovir

A nurse is monitoring a client who is 2 he postoperative and has a prescription for opioid analgesics. Which of the following actions provides the nurse with the priority data to determine the clients need for analgesia?

Ask the client to rate their pain level.

A nurse is reviewing the medical record of a client who has a new prescription for dimenhydrinate to treat motion sickness. Which of the following conditions in the clients medical record should the nurse report to the provider?

Benign prostatic hyperplasia

A nurse is reinforcing teaching with a client who experiences migraine headaches and has a new prescription for sumatriptan. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect?

Chest tightness

A nurse is collecting data from a client who has a bacterial pneumonia and is taking ceftriaxone. Which of the following findings indicates a therapeutic effect of the medication?

Clear, bilateral breath sounds

A nurse is performing the third check before administering hydromorphone to a client. After opening the unit-dose packet, the client tells the nurse they do not want to take the medication now. Which of the following actions should the nurse take?

Dispose of the medication with a second nurse as a witness

A nurse erroneously administered zolpidem to the wrong client. Which of the following actions should the nurse take when documenting the medication error?

Document the notification of the client's provider. Rationale: In the medical record of the client who received the zolpidem, the nurse should document the objective facts of the error, including follow-up actions and notification of the provider

A nurse is collecting data from a client who has multiple sclerosis and a new prescription for BACLOFEN. Which of the following findings should the nurse identify as an adverse effect of this medication?

Drowsiness

A nurse is caring for a client who has a new prescription for risperidone to manage schizophrenia. Which if the following lab tests should the nurse plan to obtain prior to administering the first dose.

Fasting blood glucose

A nurse is reviewing the medication administration record for a client who has a new prescription for tobramycin to treat a pulmonary infection. Which of the following medications should the nurse identify as increasing the risk for ototoxicity while taking tobramycin?

Furosemide

A nurse is reviewing the medication administration record of a client who has a history of Steven-Johnson syndrome when taking sulfamethoxazole-trimethoprim. Which of the following medications should the nurse identify as contraindicated for this client?

Furosemide

A nurse is collecting data from a client who has angina and a new prescription for sublingual nitroglycerin. Which of the following manifestations should the nurse expect as an adverse effect of this medication?

Headache

A nurse is monitoring a client who has been receiving long term hydrochlorothiazide therapy for recurring episodes of heart failure. Which of the following findings should the nurse identify as an adverse effect of this medication?

Hypokalemia

A nurse is assisting with collecting data for a client who is in preterm labor and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse identify as an indication of magnesium toxicity?

Hyporeflexia

A nurse is evaluating a client who is receiving amphotericin B via intermittent IV bonus. Which of the following findings indicates an adverse reaction to this medication?

Hypotension

A nurse is caring for a client who had a 10 year history of alcohol use disorder and is experiencing acute alcohol withdrawal. The nurse should identify which of the following interventions as the priority?

Impliment seizure precaution

A nurse is caring fit a client who has schizophrenia and is to start therapy with RISPERIDONE. For which of the following manifestations should the nurse monitor to determine whether the treatment is effective?

Improved social interaction

A nurse is reinforcing teaching with a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse include in the teaching?

Increase fluid intake

A nurse is caring for a client who has kidney failure and has been taking epoetin. Which of the following is a therapeutic effect of this medication?

Increased Hgb

A nurse in a providers office is reviewing the immunization records of a 12-month-old infant who is immunocompromised. Which of the following wax ones should the nurse identify as contraindicated for this client?

MMR

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about adverse effects of metformin. The nurse should instruct the client to monitor for which of the following findings as manifestations of lactic acidosis?

Muscle pain Hyperventilation Dizziness

A nurse is reinforcing teaching with a client who is newly diagnosed with hypertension and is taking metoprolol. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication?

Peripheral edema

A nurse is caring fit a client who is taking disulfiram and consumed alcohol 12 he ago. Which if the following adverse reactions is the priority finding to report to the provider?

Respiratory depression

A nurse is collecting data from a client who received morphine IV for pain relief. Which if the following findings is the nurses priority to report to the provider?

Respiratory rate 11/min

A nurse is collecting data from a client who is taking lithium to treat bipolar disorder. Which of the following findings should the nurse report to the provider?

Slurred speech

A nurse is collecting data from a client who has hyperthyroidism and a new prescription for PROPYLTHIOURACIL. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication?

Sore throat

A nurse is collecting data from a client who has been taking levodopa/carbidopa. Which of the following findings should indicate to the nurse that the medication is effective.

The client is able to wash their face

A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus and is learning to self administer NPH insulin. Which if the following client actions indicates an understanding of the teaching?

The client wipes the cap with alcohol prior to filling the syringe

A nurse is collecting data from a client who has been taking digoxin for 1 month. The nurse should identify which if the following findings as a manifestation of digoxin toxicity?

Vomiting

A nurse is reinforcing dietary teaching with a client who has a new prescription for phenelzine. Which of the following foods should the nurse include in the teaching as an appropriate food choice?

Yogurt

A nurse is collecting data from a client who is taking exenatide to treat diabetes mellitus. For which of the following findings should the nurse withhold the exenatide dose and notify the provider immediately?

abdominal pain

A nurse is collecting data prior to administering digoxin to a client. For which of the following findings should the nurse withhold this medication and notify the provider?

apical pulse 52/min

A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO daily. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?

dry cough

Cefazolin 1g in 100 mL 0.9% sodium chloride to infuse over 30 min

50 gtt/min

A nurse is reviewing a clients medical history before administering hydromorphone for postoperative pain. The nurse should notify the provider of which of the following findings before administering this medication?

Benign prostatic hyperplasia

A nurse is caring for a client who is having an acute asthma attack. Which of the following medications should the nurse administer first?

Albuterol

A nurse is reinforcing teaching with a client who recently began taking furosemide. Which of the following instructions should the nurse include in the teaching?

Increase dietary potassium while taking this medication

A nurse is collecting data from a client who is taking tobramycin. Which if the following findings should the nurse report to the provider immediately?

Oliguria

A nurse is caring for a client who is taking methylprednisolone. Which if the following lab values should the nurse plan to monitor? (Select all that apply)

White blood cell count Serum potassium Blood glucose

A nurse is collecting data from a client who is taking oral amoxicillin to treat a respiratory infection. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?

Diarrhea