pharmacology

A nurse is preparing to administer alendronate to a client who has osteoporosis. The nurse should recognize which of the following as an adverse effect of alendronate?

Joint pain

After administering terbutaline to a client to inhibit preterm labor, the nurse should assess which of the following?

heart rate

A nurse should question the use of ethinyl estradiol and drospirenone by a client who has renal disease due to the increased risk of which of the following?

hyperkalemia

A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the drug has more than one use?

indications

A nurse should identify that a client who has diabetes mellitus and is taking etanercept is at an increased risk for which of the following adverse effects?

infection

A nurse is caring for a client who is taking donepezil to treat Alzheimer's disease. For which of the following adverse effects should the nurse monitor?

nausea

A nurse is preparing to administer sumatriptan to a client for the first time. The nurse should instruct the client that sumatriptan is indicated for which of the following conditions?

presence of a migraine headache

Which following drugs should the nurse have available to reverse the adverse effect of terbutaline?

propranolol (Inderal)

A nurse should instruct a client who is taking alendronate to monitor for which of the following adverse effects? (Select all that apply.)

Jaw pain Blurred vision muscle pain

A nurse is teaching a client about the adverse effects of digoxin. Which of the following statements should the nurse include in the teaching?

"Contact your provider if adverse effects occur."

A nurse is teaching a client about naproxen enteric-coated tablets. Which of the following statements should the nurse include in the teaching?

"Do not crush or chew the tablet."

A nurse is teaching about self-administering methotrexate to a client who has rheumatoid arthritis. Which of the following statements should the nurse make?

"Drink a minimum of 2 liters of water per day to promote the drug's excretion."

A nurse is teaching a client about adverse effects of etanercept. Which of the following statements by the client indicates understanding of the teaching?

"I will need to get my blood drawn periodically while on this medication."

A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following statements by the client indicates understanding of the teaching?

"I will take a birth control pill every day."

A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include?

"If you have persistent headaches, let the provider know."

A nurse is obtaining a client's health history. The client reports no allergies but has experienced mild itching while taking amoxicillin in the past. Which of the following responses should the nurse make?

"Itching can indicate a hypersensitivity to amoxicillin."

A nurse is teaching a client who has a new prescription for etanercept. Which of the following statements should the nurse make?

"You should report signs of infection to your provider immediately."

A nurse is teaching a client who has a new prescription for transdermal testosterone gel to treat delayed puberty. Which of the following instructions should the nurse include?

"cover the area of application with clothing" "wash your hands after applying the gel" "do not shower for several hours after applying the gel"

A nurse is providing teaching to a client who is taking bethanechol for urinary retention. Which of the following instructions should the nurse include (select all that apply)

A. Avoid driving and activities that require alertness B. Increase fluid intake D. Stay close to a bathroom after taking the drug

A nurse is caring for a client who recently began taking chlorpromazine to treat schizophrenia and who was admitted to the emergency room with spasms of their face and back. Which of the following adverse reactions should the nurse suspect?

Acute dystonia

A nurse is caring for a client who has a new prescription for etanercept. Which of the following actions should the nurse take?

Administer a tuberculin skin test prior to starting the medication.

A nurse is teaching a client who received a prescription for interferon beta-1a for the treatment of multiple sclerosis. Which of the following information should the nurse include?

Administer the drug in your thigh or upper arm

A nurse is caring for a client who has a new prescription for a drug. After receiving the first dose of the drug, the client experiences anaphylaxis. The nurse should identify that anaphylaxis represents which of the following results of the drug?

Adverse effect

A nurse is assessing a client who has been taking alprazolam for several days. Which of the following findings should the nurse identify as an adverse drug reaction caused by alprazolam?

Anxiety

A nurse is providing teaching to a client about instilling pilocarpine for managing open-angle glaucoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops Do not touch the tip of the dropper Remove contact lenses prior to instilling the drops

A nurse is caring for a client who is newly admitted to the facility for chest pain. At which of the following times should the nurse begin teaching about drugs and discharge planning?

As soon as possible

A nurse should identify that timolol is contraindicated for a client who has which of the following disorders?

Asthma

A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following information should the nurse include? (Select all that apply.)

Avoid being near people who are sick with a communicable illness Periodic laboratory tests are required Report bruising or petechiae Avoid drinking alcohol

A nurse is teaching a client who has a prescription for baclofen. Which of the following instructions should the nurse include?

Avoid driving until the drug's effects are evident

A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. Which of the following instructions should the nurse include?

Avoid taking NSAIDs.

A nurse is teaching a client who has Alzheimer's disease and their caregiver about memantine. Which of the following instructions should the nurse include?

Avoid taking over-the-counter antacids.

A nurse is teaching the family of a client who has a new diagnosis of Alzheimer's disease about donepezil. Which of the following information should the nurse include?

Avoid the use of NSAIDs for pain

The provider talks with the client about clomiphene therapy. Which of the following instructions should the provider include?

Begin 5 days after menstruation begins and take it every day for next 5 days.

A nurse is caring for a male client who has hyperthyroidism and is not responding to treatment. The nurse should identify that hyperthyroidism is a contraindication for which of the following drugs?

Bethanechol

A nurse is teaching a client about methotrexate. The nurse should inform the client to monitor for which of the following as an adverse effect of this drug

Black, tarry stools

A nurse should question the use of conjugated equine estrogen by a client who has a history of which of the following?

Blood clots

One month later, the client tells the provider that she has developed some adverse effects. Which of the following effects does clomiphene cause? (Select all that apply)

Blurred vision, hot flashes, breast engorgement, nausea

A nurse is planning care for a client who has a new prescription for methotrexate. The nurse should plan to monitor the client for which of the following adverse effects?

Bone marrow depression

A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. Which of the following adverse effects should the nurse include in the teaching?

Bradycardia

A nurse is teaching a client about raloxifene therapy to prevent osteoporosis. The nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug?

Calf pain

A nurse is teaching a client who is taking levodopa/carbidopa to treat Parkinson's disease. Which of the following instructions should the nurse include?

Change position slowly to prevent orthostatic hypotension.

A nurse is providing safety education to a client who is scheduled to begin treatment with tamsulosin for benign prostatic hypertrophy (BPH). Which of the following instructions should the nurse include in the teaching?

Change positions slowly

A nurse is caring for a client who is taking acetaminophen and codeine for pain relief. These analgesic drugs interact with one another to cause an additive effect. The nurse should identify that which of the following are characteristics of additive drug interactions? (Select all that apply.)

Clients can achieve desired effects with the use of lower dosages Both drugs have similar actions

A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the client can receive the drug?

Contraindications

A nurse is caring for a client who is taking alendronate to treat postmenopausal osteoporosis. The nurse should explain to the client that alendronate increases bone mass by which of the following actions?

Decreases activity of osteoclasts

Combination oral contraceptives, such as ethinyl estradiol and drospirenone, should be used with caution in clients with which of the following disorders?

Diabetes

A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. which of the following instructions should the nurse include?

Do not take the drug with high-fat foods

A nurse is teaching a client who has a prescription for prednisone and takes 1,500 mg/day of calcium carbonate to reduce the risk of osteoporosis. Which of the following information should the nurse include? (Select all that apply.)

Drink 240 mL (8 oz) of water with the calcium tablets Chew calcium tablets before swallowing them Take the drugs 1 hr apart Divide the daily dosage of calcium into three 500-mg doses

A nurse is teaching a client who has a new prescription for valproic acid to treat a seizure disorder. The nurse should instruct the client to monitor for which of the following adverse effects. (Select all that apply.)

Drowsiness, headache, rash

A nurse is caring for a client who has a history of renal insufficiency and is taking lithium. The nurse should monitor the client for which of the following?

Drug toxicity

A nurse is speaking to a client who is taking sertraline and reports drinking grapefruit juice. The nurse explains that grapefruit juice inhibits an enzyme in the liver that is used to metabolize sertraline. The nurse should recognize the client's risk for which of the following?

Drug toxicity

A nurse is caring for a client who has benign prostatic hypertrophy and is taking tamsulosin. The nurse should question the use of the drug if the client also has which of the following?

Erectile dysfunction for which he take sildenafil

A nurse is teaching a client about raloxifene. Which of the following information should the nurse include? (Select all that apply.)

Increase physical activity by taking walks Use a contraceptive if there is any possibility of pregnancy Increase intake of calcium and vitamin D

When reviewing a list of drugs in a drug handbook, a nurse can identify the generic name for a drug in which of the following ways?

It begins with a lower-case letter.

A nurse is caring for a client who is having difficulty remembering to take their prescribed drug three times each day. The nurse should identify that which of the following alternate forms of the drug can help to promote adherence to the prescribed dosage?

Extended-release tablet

A nurse is providing teaching to a pregnant client who is taking captopril, an ACE inhibitor, to treat hypertension. The nurse informs the client that captopril is a teratogenic drug. The nurse should explain that teratogenic drugs can cause which of the following?

Fetal malformation

A nurse is reviewing the drug history of a client who is taking lithium carbonate for bipolar disorder. Which of the following findings should indicate to the nurse to monitor for lithium toxicity?

Furosemide for hypertension

A nurse is caring for a client who has a prescription for fluoxetine and who reports self-administering St. John's wort daily for the past 2 weeks. Which of the following findings should the nurse report to the provider as an indication of serotonin syndrome?

Hallucinations

A nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include?

Have blood pressure checked regularly

A nurse is teaching a client who has a new prescription for a testosterone transdermal patch. Which of the following statements made by the client indicates an understanding of the teaching?

I should apply the medication to a different site each time

A nurse is caring for a client who has a prescription for methotrexate. Which of the following drugs would likely be prescribed in conjunction during the initial treatment for rheumatoid arthritis?

Ibuprofen

A nurse is preparing to teach a client how to take care of a newly created colostomy. The nurse should identify that which of the following factors can decrease the client's ability to learn? (Select all that apply.)

Impaired cognitive level Language barrier Discomfort Unreadiness to learn

Alendronate is contraindicated for administration to clients who have which of the following conditions?

Inability to sit upright

A nurse is caring for a client who has a prescription for etanercept. The nurse should identify that etanercept treats rheumatoid arthritis by which of the following actions?

Inactivation of tumor necrosis factor

A nurse is providing teaching for a client who has a new prescription for valproic acid to treat a seizure disorder. The nurse should instruct the client to monitor for which of the following adverse effects?

Jaundice

A nurse is caring for a client who arrived at an emergency department following a bee sting. Which of the following findings indicates an anaphylactic reaction? (Select all that apply.)

Low blood pressure Wheezing Difficulty swallowing

Which of the following is a therapeutic action of raloxifene?

Mimics the effects of estrogen on bone tissue

A nurse is administering fentanyl to a client to reduce pain. Which of the following drugs should the nurse have available to reverse the effects of fentanyl?

Naloxone

for which of the following clients should a health care provider question the use of sildenafil to treat erectile dysfunction. A client who is taking:

Nitroglycerin as needed for chest pain

A nurse is caring for a client who is about to begin clomiphene therapy to treat infertility. The nurse should monitor the client for which of the following adverse effects?

Ovarian hyperstimulation syndrome

A client is prescribed clomiphene for infertility. The heatlh care provider instructs the client on clomiphene to monitor for which of the following

Pelvic pain

A nurse is providing teaching to a client about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include?

Perform weight-bearing activities

A nurse is providing teaching for a client who has a new prescription for a drug with a high potential for toxicity. Which of the following information should the nurse include? (Select all that apply.)

Periodic laboratory tests are essential to measure serum drug levels. Monitoring for indications of toxicity is important Taking the smallest effective dose is crucial

A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters. The nurse should identify that which of the following terms describes why this drug was prescribed for the client?

Pharmacologic action

A nurse is reviewing the medical record of a client who has a newly diagnosed seizure disorder and a new prescription for valproic acid and phenytoin. The nurse should identify that which of the following can occur as a result of an interaction between these drugs?

Phenytoin toxicity

A nurse is reviewing a drug handbook prior to administering a drug to a client who has kidney disease. The handbook states that the drug can be administered but identifies certain risks. Which of the following terms describes these risks?

Precautions

A nurse is teaching a client about interferon beta-1a. Which of the following instructions should the nurse give to help the client avoid the adverse effects of this drug?

Premedicate with acetaminophen

A nurse is caring for a client who is about to begin taking cabergoline to treat infertility. The nurse should explain to the client the need to monitor which of the following laboratory values?

Prolactin level

A nurse is caring for a client who is about to begin taking finasteride to treat benign prostatic hypertrophy. The nurse should explain to the client the need to monitor which of the following laboratory values?

Prostate-specific antigen (PSA)

a nurse is caring for a client who has a new prescription for transdermal conjugated estrogen and medroxyprogesterone to treat postmenopausal symptoms. the nurse should explain to the client that this drug combination includes which of the following therapeutic effects?

Reduces the risk of ovarian cancer, relieves hot flashes, prevents osteoporosis

A nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for the prescription modification?

Renal function impairment

A nurse is teaching a client about calcitonin-salmon intranasal spray to treat osteoporosis. Which of the following information should the nurse include? (Select all that apply.)

Report rash or itching Prime the pump before the first dose Report nasal irritation

A nurse is caring for a client who is taking etanercept for rheumatoid arthritis. The nurse should monitor the client for which of the following indications of a serious adverse reaction to the drug?

Shortness of breath

A nurse is teaching a client who is taking etanercept for rheumatoid arthritis. The nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug?

Skin rash

A nurse is assessing a client who has a new prescription for the combination oral contraceptive ethinyl estradiol and drospirenone. Which of the following findings should the nurse identify as a contraindication to use of this medication?

Smokes half a pack of cigarettes a day

A client is given conjugated estrogen and medroxyprogesterone acetate to treat postmenopausal vasomotor symptoms. The health care provider instructs the client to monitor for which of the following, which may indicate a serious adverse effect of the conjugated estrogen and medroxyprogesterone acetate?

Swelling or pain in calf

adverse effects of terbutaline, nurse should monitor the client for?

Tachycardia

A nurse is teaching a client who has a prescription for modafinil to treat narcolepsy. Which of the following instructions should the nurse include?

Take the drug in the morning.

A nurse is caring for a client who is postpartum and breastfeeding. The client asks the nurse about the effects that taking over-the-counter drugs will have on her newborn. Which of the following should the nurse consider when recommending a drug for the client? (Select all that apply.)

The newborn's weight How much breast milk the newborn consumes each day Whether or not the benefits to the client outweigh the risks to the newborn The properties of the drug

A nurse is caring for a client who is receiving nitroglycerin IV and is switching to the oral form of the drug. The nurse should identify that the oral dose will be higher than the IV dose for which of the following reasons?

The oral form has decreased bioavailability because of the first-pass effect.

A nurse is caring for a client who is taking diphenhydramine for insomnia and reports drowsiness. The nurse should identify that drowsiness indicates which of the following?

Therapeutic effect

A nurse is reviewing drugs in a drug reference. The nurse should identify that drugs in the same class share which of the following similarities?

They have similar mechanisms of actions.

A nurse is teaching a client who has a prescription for a drug that has a receptor agonist effect. Which of the following information should the nurse include in the teaching?

This will increase the effects of normal cellular functions.

A nurse is caring for a client who is currently taking methotrexate for rheumatoid arthritis. The nurse should identify that which of the following is an adverse effect of this medication?

Thrombocytopenia

A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnostic tests should the nurse recommend that the client undergo periodically?

Thyroid function tests

A nurse is preparing to teach a client about a newly prescribed drug. Prior to providing teaching, the nurse should review the precautions section of a drug handbook for which of the following reasons?

To determine if dosage modification is indicated

A nurse is caring for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse monitor? (Select all that apply.)

Tolerance Anxiety Sedation Respiratory depression

A nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following findings as indications of lithium toxicity? (Select all that apply.)

Tremors Confusion Nausea Muscle weakness

A nurse is caring for a client who was diagnosed with postmenopausal osteoporosis. Which of the following actions should the nurse take prior to administering calcitonin-salmon to the client for the first time?

Use skin testing to check the client for allergies.

A nurse is teaching a client who has a prescription for calcium citrate about manifestations of hypercalcemia. Which of the following manifestations should the nurse include in the teaching?

Vomiting

A nurse is preparing to administer finasteride to a client who has benign prostatic hypertrophy (BPH). Which of the following precautions should the nurse plan to take when administering this drug?

Wear gloves when handling the tablet

A nurse is providing teaching to a client who has a prescription for chlorpromazine. Which of the following instructions should the nurse include?

Wear sunscreen when exposed to sunlight.

A nurse is caring for a client who has been taking amphetamine/dextroamphetamine sulfate for the treatment of attention deficit hyperactivity disorder (ADHD) for 2 weeks. The nurse should report which of the following findings to the provider?

Weight loss of 2.3 kg( 5lb)

A nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. The nurse should identify that abruptly stopping alprazolam therapy can result in which of the following adverse effects?

Withdrawal symptoms

A client is prescribed finasteride to treat bengin prostatic hypertrophy. When providing instructions about the finasteride, the nurse should include which of the following information?

allow 6 to 12 months to see improvement.

A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine IV. Which of the following client findings should the nurse monitor after administering the medication?

blood pressure

A nurse is teaching a client who is about to begin sumatriptan therapy to treat migraine headaches. The nurse should instruct the client to monitor for which of the following adverse effects?

chest pain

A nurse is preparing to administer memantine to a client who has Alzheimer's disease. Which of the following findings in the client's medical history indicates a need to withhold the drug and notify the provider?

cirrhosis

A nurse is caring for a client who has a new prescription for pramipexole to treat Parkinson's disease. The nurse should recognize that which of the following laboratory tests requires monitoring?

creatinine clearance

A nurse is caring for a client who is taking interferon beta-1b. The nurse should identify that which of the following findings indicates a potential serious adverse effect of this drug?

fatigue

A nurse is caring for a client who received human menopausal gonadotropin (hMG). Which of the following findings should the nurse expect?

follicular maturation

A nurse is caring for a client who has a new prescription for amphetamine sulfate. The nurse should monitor the client for which of the following adverse effects?

tachycardia

A nurse is caring for a client who is taking combination oral contraceptive ethinyl estradiol and drospirenone and is about to begin taking rifampin to treat tuberculosis Which of the following instructions should the nurse give the client due to a possible drug interaction?

use additional birth control methods

A nurse is caring for a client who has a new prescription for conjugated equine estrogen. The nurse should instruct the client to report which for the following indications of a serious adverse reaction?

vaginal bleeding

A nurse is teaching a client about receiving leuprolide to treat endometriosis. The nurse should instruct the client to expect which of the following side effects?

vaginal dryness

A client is prescribed testosterone to treat testicular failure. The nurse instructs the client to monitor and report which of the following?

weight gain

A nurse is teaching a client who has a new diagnosis of Parkinson's disease about how levodopa/carbidopa can help control symptoms. The nurse should identify that the drug has which of the following pharmacologic effects?

​Increases available dopamine in the brain

A nurse is caring for a client who is taking venlafaxine to treat major depressive disorder. The nurse should identify that which of the following drugs can cause serotonin syndrome when taken concurrently with venlafaxine?

​Phenelzine