Pharmacology & Med Management NCLEX Review

The client is also taking a diuretic that decreases her potassium level. The nurse expects that a low potassium level (hypokalemia) could have what effect on the digoxin? a. Increase the serum digoxin sensitivity level b. Decrease the serum digoxin sensitivity level c. Not have any effect on the serum digoxin sensitivity level d. Cause a low average serum digoxin sensitivity level

a. Increase the serum digoxin sensitivity level

A nurse is teaching a client about tricyclic antidepressants. The nurse determines that teaching has been effective when the client states "I should avoid all milk and dairy products." "I need to call the prescriber if I get a sore throat." "This drug causes weight loss so I need to eat properly." "Improvement in my mood will take up to 28 days."

"Improvement in my mood will take up to 28 days."

The nurse is planning discharge teaching for a client who will continue taking the prescribed warfarin at home. What early symptoms of occult blood loss should the nurse teach the client? Decreased urine output and lightheadedness. Increasing fatigue and shortness of breath. Decreased hemoglobin level. Decrease in blood pressure.

Increasing fatigue and shortness of breath.

The nurse and occupational therapist are planning an outdoor volleyball game and picnic for eight mental health clients. What action should the nurse take for the two clients taking nortriptyline for depression? a. Omit the morning dose on the day of the picnic. Provide protective clothing and apply sunscreen before going out. Be aware that this drug can cause hypotension. Recognize that these clients may experience excessive thirst.

Provide protective clothing and apply sunscreen before going out.

The laboratory has just notified the nurse that a client on the unit has a phenytoin level of 32 mg/dl. Which symptoms should the nurse anticipate from this client? sodium depletion ataxia and confusion tonic-clonic seizure urinary incontinence

ataxia and confusion

A newly admitted client takes digoxin 0.25 mg/day. The nurse knows that which is the serum therapeutic range for digoxin? a. 0.1 to 1.5 ng/mL b. 0.5 to 2.0 ng/mL c. 1.0 to 2.5 ng/mL d. 2.0 to 4.0 ng/mL

b. 0.5 to 2.0 ng/mL

Which laboratory value will the nurse report to the health care provider as a potential adverse response to hydrochlorothiazide (HydroDIURIL)? a. Sodium level of 140 mEq/L b. Fasting blood glucose level of 140 mg/dL c. Calcium level of 9 mg/dL d. Chloride level of 100 mEq/L

b. Fasting blood glucose level of 140 mg/dL

A client is receiving warfarin (Coumadin) for a chronic condition. Which client statement requires immediate action by the nurse? a. "I will avoid contact sports." b. "I will take my medication in the early evening each day." c. "I will increase dark-green, leafy vegetables in my diet." d. "I will contact my health care provider if I develop excessive bruising."

c. "I will increase dark-green, leafy vegetables in my diet."

The nurse acknowledges that beta blockers are as effective as antianginals because they do what? a. Increase oxygen to the systemic circulation. b. Maintain heart rate and blood pressure. c. Decrease heart rate and decrease myocardial contractility. d. Decrease heart rate and increase myocardial contractility.

c. Decrease heart rate and decrease myocardial contractility.

The nurse is planning care for a client receiving I.V. magnesium sulfate for hypertension. Which medication should the nurse have available for an emergency? naloxone hydralazine calcium gluconate Rho(D) immune globulin

calcium gluconate

The nurse is assessing the client for possible evidence of digitalis toxicity. The nurse acknowledges that which is included in the signs and symptoms for digitalis toxicity? a. Pulse (heart) rate of 100 beats/min b. Pulse of 72 with an irregular rate c. Pulse greater than 60 beats/min and irregular rated. d. Pulse below 60 beats/min and irregular rate

d. Pulse below 60 beats/min and irregular rate

A client with a subarachnoid hemorrhage is prescribed a 1,000 mg loading dose of I.V. phenytoin. What information is most important when administering this dose? a. Phenytoin should be mixed in dextrose in water before administration. b. Phenytoin should be administered through an I.V. catheter in the client's hand. c. Therapeutic drug levels should be maintained between 20 and 30 mg/ml. d. Rapid phenytoin administration can cause cardiac arrhythmias.

d. Rapid phenytoin administration can cause cardiac arrhythmias

A client is receiving chlordiazepoxide as needed for signs and symptoms of alcohol withdrawal. The nurse assesses the client and determines the need for medication when the client displays: a. bradycardia, hyperthermia, and sedation. b. hypothermia, mild tremors, and slurred speech. c. hypotension, decreased reflexes, and drowsiness. d. mild tremors, hypertension, and tachycardia.

d. mild tremors, hypertension, and tachycardia.

What is the nurse's priority action when administering phenytoin to a client intravenously? mix phenytoin with saline solution only administer rapidly withhold other anticonvulsants use only dextrose solution when flushing the I.V. catheter

mix phenytoin with saline solution only

Which nifedipine-related side effect should the nurse be most concerned with when caring for a new stroke admission? hypocarbia hypotension dehydration weakness

hypotension

A client with a large cerebral intracranial hemorrhage was given mannitol to decrease intracranial pressure (ICP). What therapeutic effect should the nurse anticipate from mannitol? increased urine output normal blood urea nitrogen (BUN) and creatinine levels pupils that are bilaterally 7mm and nonreactive evidence of rebound cerebral hypertension

increased urine output

The nurse makes initial rounds for the clients. Five medications are scheduled for administration at the same time to five different clients. Which medication should the nurse administer first after initial rounds? naproxen to the client with rheumatoid arthritis morphine sulfate to a client with a myocardial infarction reporting chest pain a maintenance dose of digoxin to the client with congestive heart failure ondansetron to a diabetic client reporting nausea

morphine sulfate to a client with a myocardial infarction reporting chest pain

A primipara who is Rho(D) negative has just given birth to a Rh-positive baby. The nurse is developing a plan of care. How should Rho(D) immune globulin be administered? to the neonate at the first well-baby visit to the client within 3 days to the client at her first postpartum visit in 6 weeks to the neonate within 3 days

to the client within 3 days