Pharmacology

What are the desired outcomes that the nurse would expect when administering a nonsteroidal anti-inflammatory drug? SATA

Pain Relief Antipyresis Reduced Inflammation

A nurse is providing teaching to an older adult client to promote compliance with medication administration. Which of the following instructions should be included? (SATA)

Place pills in daily pill holders Ask a relative to check in periodically

In the emergent phase immediately after a severe burn injury, care is centered on replacement therapy by IV fluids. The nurse question should the physician's order if it is designed to provide?

Potassium

The nurse on the med surg unit tells other staff members "The client can just wait for his Lorazepam; he shouldn't have been drinking?

Quality care will be compromised

A nurse is providing teaching to a client receiving tamoxifen for breast cancer prevention. Which of the following statements indicates the client has understood the teaching?

"I may experience hot flashes"

A nurse is caring for a group of client in a long term care facility. The nurse knows that she must obtain a written verses verbal order before administering which of the following medications in a non-emergent situation?

Butorphanol

A nurse is caring for a group of clients in a long-term care facility. The nurse knows that she must obtain a written versus verbal order before administering which of the following medications in a non-emergent situation?

Butorphanol

A nurse is caring for an adult client who is taking phenytoin. Which of the following findings should the nurse monitor for a report?

Cognitive Impairment

A nurse is providing teaching to a school aged child and his parents. The child has a new prescription for methylphenidate. For which of the following adverse effects should the nurse instruct the parents to monitor?

Weight Loss Palpitations

A nurse is providing teaching to an older adult client who has a gastric ulcer. The client has a new prescription for ranitidine (Zantac). Which of the following statement by the client indicates an understanding of the teaching?

"I should avoid dairy products"

A nurse is providing teaching to a client who has a new prescription for Beclomethasone inhaler. Which of the following client statements indicates a need for further teaching?

"I should rinse my mouth after each use to prevent fungal infections"

A nurse is caring for a client who has a new prescription for tetracycline. Which of the following client statements?

"I will avoid drinking milk when I take this medication

A nurse is providing teaching regarding the self-administration of two MOI's to a client with the chronic asthma. He is prescribed fluticasone propionate and albuterol. Which of the following statements by the client indicates an understanding of the teaching?

"I will rinse my mouth after using my fluticasone propionate inhaler"

Which of the following statements by a client receiving warfarin indicates a need for further teaching?

"1 always have aspirin with me to use for my headaches."

A nurse is teaching a client and family about administering nitroglycerine sublingual tablets for chest pain. Which of the following statements by the family indicates an understanding of the teaching?

"1 should feel tingling under my tongue when I take the medication."

A nurse is teaching a client about nitroglycerin transmucosal tablets, Which of the following statements by the client indicates and understanding of teaching?

"I can place the tablet between my upper lip and my gums"

A woman who is lactating is to begin taking an antimicrobial medication. She tells the nurse she doesn't want to take the medication because it may harm her baby who is breastfeeding. An appropriate response by the nurse should be.

"Taking the medication immediately after breastfeeding will minimize any effect on your baby"

Nurse is providing teaching to a client who was recently diagnosed as HIV positive. The client is beginning antiretroviral therapy with Zidovudine (Retrovir). Which of the following statements should the nurse include in the teaching? (SATA)

"This medication must be taken with other antiretroviral medicines." "This medication prevents you from transmitting the HIV infection" "This medication increases CD4 T-cell count"

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

"You should take this medication at bedtime"

A nurse is planning teaching for a client who has type 2 diabetes mellitus. The client has a new prescription for glyburide. Which of the following should the nurse include in the discharge plan?

"report episodes of hypoglycemia"

The client is receiving 5% dextrose in water at a slow rate. The nurse should be aware that the longest period of time that one bottle can be infused without producing untoward effect is?

24 Hours

A client weighs 180 Lb and has a prescription for 0.5 ml of medication per kilogram of body weight. How many milliliters of medication should the client receive?

41

A nurse is caring for four clients who are receiving IV morphine for pain. Which of the following clients is at greatest risk for developing respiratory depression?

A client experiencing a myocardial infarction

A charge nurse is reviewing a new licensed nurse charting. Which of the following action taken by the newly licensed nurse requires and incident report.

A client who has a lithium level of 1.8 receives her morning dose of lithium.

For which of the following clients would radioactive iodine be contraindicated?

A client who is pregnant

A client's plasma lithium level is 0.2 mEq/L. The nurse can expect to implement which of following nursing interventions?

Administer an additional oral dose of lithium.

A client has been taking rifampin for 3 months and is returning for a follow up visit. Which of the following labtest should the nurse know will be performed?

Alanine Aminotranferase (ATL)

A client who has myasthenia gravis is being treated with neostigmine. Which of the following assessment findings should indicate to the nurse that the medication has been effective?

An increase in the ability to chew and swallow

A nurse is caring for a client who has Alzheimers. The client is receiving digoxin 0.25 mg PO daily. The nurse should report which of the following assessment?

Anorexia

A nurse is administering SC heparin to a client. Which of the following should the nurse plan to do to minimize bleeding following injection?

Apply firm pressure for 1 to 2 minutes to the site after injection.

When administering an oral medication to a client, a nurse should

Assess the clients ability to swallow

Which of the following nursing interventions is most effective in promoting excretion of a general anesthetic agent from a postsurgical client?

Assist to turn, cough, and deep breathe.

While a pacemaker catheter is being inserted, the client's heart rate drops to 38. The drug the nurse should expect the physician to is?

Atropine Sulfate

A client is prescribed theophylline (Theo-Dur) orally for long-term management of asthma. The nurse should plan to include which of the following dietary instructions as a part of discharge teaching?

Avoid caffeinated beverages

A client with rheumatoid arthritis is prescribed gold salts to manage the disease. The nurse instructs the client to notify the primary care provider if he experiences which of the following medication side effects?

Bleeding gums

A client is taking propylthiouracil for Grave's disease. Which of the following should the nurse document as an adverse effect of this medication?

Bradycardia

A nurse is caring for an older adult client who is prescribed clopidegrel. Which of following adverse reactions should the nurse instruct the client to report to the provider?

Bruising

Which of the following foods should be avoided by a client who is taking an MAOI?

Cheese

A nurse is caring for a client who has a history of alcohol abuse. Which of the following medications should the nurse plan to administer to the client experiencing acute alcohol withdrawal?

Chlordiazepoxide (librium)

A client is taking cromolyn (intal) to manage asthma. During exercise the client develops an acute asthmatic attack. The clients mother contacts the nurse to inquire if an increase dose of cromolyn will be effective for this sudden episode. Which of the following responses by the nurse is appropriate?

Cromolyn is a long term management medication

A young adult female client who has been experiencing migraine headaches has received a new prescription for ergotamine. The nurse instructs the client to notify the primary care provider immediately if she?

Experiences numbness and tingling in fingers

A nurse is caring for a client who received succinylcholine IV bolus during abdominal surgery. The client develops malignant hyperthermia. The nurse should administer which of the following medications?

Dantrolene (dantrium)

A child with cerebral palsy is prescribed baclofen. Which of the following therapeutic effects should the nurse monitor?

Decrease in spasticity

A nurse is caring for an older adult client who is receiving gentamicin following abdominal surgery. Which of the following physiological changes is most important for the nurse to consider when administering the medication.

Decrease renal blood flow

A nurse is administering ondansetron to a client prior to chemotherapy which of the following outcomes should the nurse anticipate

Decrease vomiting

A nurse is caring for a client who has primary open angle glaucoma. The client is prescribed timolol. Which of the following indicates the treatment is effective?

Decreased introccular pressure

A nurse is preparing to administer a morning dose of medication to a client. The following client data is available: Blood pressure 130/70mm Hg, apical oulse 72/min, blood glucose 120mg/dL, and serum K+ 2.8mEq.L. Which of the following medications should the nurse question administering at this time?

Digoxin (Lanoxin) 0.25 mg by mouth

A client is experiencing an anaphylactic reaction. Which of the following medications should the nurse administer in order to reduce the inflammatory response?

Diphenhydramine

A nurse is providing discharge teaching to a client who is in acute care. The client has a new prescription for a medication released for use by the FDA during the past 2 months. Which of the following resources should the nurse use before providing teaching?

Drug Guide for Nurses

A client starting on cyclobenzaprine should be informed that he may experience which of the following anticholinergic side effects?

Dry mouth

A nurse is caring for a client who has a new prescription for atorvastatin for hypercholesterolemia. The nurse should instruct the client to notify the provider of which of following? (SATA)

Elevated liver enzymes Myopathy Chest pain

A client exhibits a ventricular dysrhythmia. Which of the following medications should the nurse prepare to administer?

Epinephrine

A nurse is providing discharge teaching for a patient who is taking phenytoin. During teaching the client reports taking other medicines. Further teaching is required if the client takes which of the medications?

Ethinyl Estradiol & Norethindrone

A 65-year-old client's laboratory work indicates hypoalbuminemia. Related to medication therapy, this may result in.

Excess free medication and possible toxicity.

Which of the following agents is used to treat cytomegalovirus and is administered only intravenously?

Foscarnet

A nurse is planning care for four clients. The client who is taking which of the following medications should be observed by the nurse for hearing loss related to medication interactions.

Furosemide (Lasix) and Amikacin (amikin)

A nurse is receiving the laboratory tests for a client who had an acute myocardial infarction. The client is to receive warfarin (Coumadin) 10 mg PO. The nurse notes an INR of 2.6. Which of the following actions should the nurse plan to take?

Give the dose prescribed

A nurse is providing teaching to a client regarding a new prescription for felodipine

Grapefruit juice

An older adult client is returning to the unit following major abdominal surgery. Which of the following characteristics of older adults is important for a nurse to consider when planning pain management?

Greater risk for drug-drug interactions

A nurse caring for a client who recently started on bumetanide for heart failure. The client reports that he is experiencing increase frequency of duration during the night. The nurse should inform the client that

He should take the medication early in the day

A nurse is caring for a client receiving gentamicin sulfate. The nurse should monitor the client for which of the following adverse effects?

Hearing Loss

A nurse is caring for a client who is receiving anticoagulant therapy with warfarin. The client is prescribed cefotetan by intermittent IV bolus for pneumonia. The nurse should monitor the client for which of the following?

Hemmorhage

In which of the following situations is the administration of a dose of DTap contraindicated? (SATA)

History of prior anaphylactic reaction to DTap vaccination's • Occurrence of encephalopathy 7 days after administration of DTaP immunization ., Occurrence of seizures within 3 days of previous vaccination

A client who is taking propranolol is being admitted to the medical unit. During the admission assessment, which of the following should the nurse document as an adverse effect of this medication?

Hyperglycemia

A client who is taking digoxin (Lanoxin) is prescribed hydrochlorothiazide (HCTZ) to treat an acute episode of heart failure. It is essential that the nurse monitor for which of the following side effects to reduce the risk of digoxin induced dysrhythmias?

Hypokalemia

A nurse is caring for a client who is receiving a dopamine infusion for shock. Which of the following assessment findings indicate to the nurse that he should increase the infusion?

Hypotension

A nurse is providing teaching to a client who has just started taking eskalith. Which of the following statements indicated that the client understands the teaching?

I should call my doctor if I develop a hand tremor

A nurse is teaching a client with PUD how to properly self-administer ranitidine. Which of the following client statements indicates effective teaching by the nurse?

I will call my doctor if my stools look black and sticky

A nurse is providing teaching to a client who is having a total gastrectomy. The client has a new prescription for Cyanocobalamin (Vitamin B12). Which of the following client statements indicates an understanding of the teaching?

I will have to take this medication for the rest of my life

A nurse is providing teaching to the parent of a toddler who is to begin taking ferrous fumarate. Which of the following statements indicates an understanding of the teaching?

I will mix my child's medication into a small amount of apple sauce

A nurse is providing teaching to a client who has a new prescription for alendronate. Which of the following statements by the client indicates understanding of the teaching?

I wont lie down after taking this medication

A nurse is reviewing the laboratory results of a client who has atrial fibrillation and is taking warfarin. The client is also taking trimethoprimsulfamethoxazole.... for a urinary infection. Which of the following lab results should the nurse report to the provideR?

INR 4.6

Spironolactone is prescribed for a client with chronic heart failure. When teaching the client about his medication, the nurse emphasizes that every day the client should

Include milk, cheese, and meat in the diet

A nurse is planning to teach a client about levothyroxine (Synthroid) for which of the following conditions should the nurse instruct the client to monitor and report to the provider?

Insomnia

A client with upper gastrointestinal bleeding develops a mild anemia. The nurse should expect the client to be treated with

Iron salts

Which of the following statements made by a client receiving atorvastatin indicates a need for further teaching?

It I will limit my alcohol intake to 1 or 2 drinks per day It

A client tells the nurse he is having difficulty sleeping due to his daughter's upcoming wedding. The primary care provider prescribes zolpidem 10 mg by mouth. Which of the following client statements indicates understanding regarding this medication?

It I will take my sleeping pill a half hour before bed

A nurse is aware that contraindications to topical antifungals are limited to patients with which of the following?

Known allergy to any of the antifungal drugs.

When assessing a client with cancer of the tongue the specific adaptation the nurse should expect to find is

Leukoplakia

A nurse receives a phone call from a client who has heart failure and reports a dry cough for the last week. After reviewing the clients medical record, the nurse asks the client to come to the providers office. The nurse should then instruct the client to stop taking which of the following medications until he sees his provider?

Lisinopril (zestril)

A client taking Valproic acid for seizure control tells the nurse that he drinks a 6 pack of beer a day. What priority assessment should take place?

Liver Function Studies

A nurse is caring for a client who is taking Gemfibrozil. Which of the following lab tests should the nurse anticipate monitoring?

Liver Function Tests

A nurse is caring for a client who has pneumonia and is receiving Amikacin (Amikin) by bolus. Which of the following assessments is the highest priority?

Lung Sounds

Which of the following is correct regarding toxicity associated with amiodarone?

Lung damage can persist for months after the medication is discontinued

A nurse is providing discharge teaching to a client who is taking amoxicillin clavulanate. During teaching, the client reports taking other medications. Which of the following medications taken by the client alerts the nurse to the need for further teaching?

Metformin

A client who has been experiencing migraine headaches has just received a new prescription for Ergotamine (Ergostat). For which of the following adverse affects should the nurse instruct the client to notify the primary care provider?

Muscle Pain

A nurse is caring for a client who is receiving Haloperidol (Haldol), the nurse should document which of following findings as dystonia?

Neck Spasms

A client is admitted to the ER reporting a severe headache and fluctuating levels of consciousness. The clients blood pressure is 280/160mm hg. The nurse should administer which of the following medications?

Nitroprusside (Nitropress)

A nurse is evaluating a client's response to heparin therapy for deep vein thrombosis. Which of the following findings should the nurse document as indicating effective heparin therapy?

No new thrombus development

A nurse is providing care to a client who has heart failure. While verifying the orders with the medication administration record, the nurse notes that the prescription for digoxin was transcribed incorrectly. As a result the client received an extra dose of the medication yesterday. Which of the actions should the nurse do first?

Obtain vital signs

A nurse is caring for a client who has just received ampicillin via an intermittent IV bolus. The nurse should identify which of the following findings as an allergic reaction?

Onset of pruritis

When taking a client's medication history, a nurse knows that

Over-the-counter medications need to be included.

A nurse is administrating 2mg of morphine sulfate via IV route to a client for postoperative pain. Which of the following actions should the nurse take next?

Record the administration of the medication.

A nurse is caring for a client who is wearing the clonidine transdermal patch. The client reports lightheadedness and drowsiness. Which of the following actions should the nurse take?

Remove the patch.

A nurse is caring for a client who is receiving a fentanyl transdermal system. Which of the following is most important to document in the client's record?

Respiratory Rate

A client is taking a cough medication containing codeine every 8 hr. Which of the following assessment findings should alert a nurse to an adverse effect of this medication?

Respiratory Rate of 10/min

A nurse is obtaining a medication history from a client who has gout and is prescribed probenecid. The nurse should notify the provider if the client is taking which of the following over the counter medications?

Salicylic Acid (aspirin)

A nurse is caring for a school aged child who has been prescribed eipengydiane. Which of the following adverse effects is the highest priority?

Sedation

A nurse is caring for a female client who is one day post op something transplant. Which of the following conditions should then nurse recognize as a contraindication to therapy with cyclosporine?

Seizure disorder

A nurse is providing discharge teaching to a client who is prescribed penicillin G ( Bicillin LA). Which of the following symptoms should the nurse instruct the client to observe for as an early manifestation of anaphylaxis?

Skin Rash

A nurse is caring for a client who has rheumatoid arthritis. The client is prescribed methotrexate. For which of the following should the nurse instruct the client to monitor and report to the provider?

Sore throat

A client taking colchicine to prevent acute gout attacks calls his primary care provider reporting diarrhea, nausea, and vomiting. Which of the following instructions should the client be given.

Stop taking the medication, and come in to see his primary care provider now.

Terbutaline ( Brethine ) is indicated in preterm labor to

Stop uterine contraction.

After administrating verapamil to a client via IV push, the nurse should monitor for a

Sudden increase in heart rate

A nurse is caring for a client who took propanolol for several years. The client tells the nurse she recently stopped taking her medication for financial reasons. For which of the following findings should the nurse assess the client?

Tachycardia

Client teaching to prevent first-dose hypotension should include which of the following?

Taking the medication at bedtime

A nurse is caring for a client for a client following a hysterectomy. The client is receiving hysterectomy. The client is receiving ketoralac 15 mg IV bolus Q6H for pain. Which of the following should the nurse monitor are report to the provider?

Tarry Stool

A client who is taking rifampin for active Tuberculosis report that his urine, sweat, saliva, and tears have developed a red-orange tinge. How should the nurse interpret these discolorations?

The client has developed renal failure and will need dialysis.

A nurse is caring for a client who is to receive potassium replacement. The providers prescription reads potassium chloride 30mEq in 100 mL 0.9% sodium chloride IV over 1 hour. For which of the following reasons should the nurse question this prescription?

The potassium infusion rate is too rapid

A client with gastric ulcer disease asks the nurse the reason for antibiotic therapy that includes metronidazole. The nurse should explain that antibiotics are prescribed to:

Treat Helicobacter pylori infection

A client is diagnosed with a urinary tract infection. Her past history reveals an allergy to a thiazide diuretic. Which of the following medications is contraindicated?

Trimethoprim (Bactrim)

A nurse 22-year-old female is being treated for mycobacterium tuberculosis with rifampin 600mg Po daily. Which of the following should the nurse question the patient about?

Use of contact lenses.

A provider has prescribed procaine penicillin G 600,000 units IM for a client diagnosed with a streptococcal throat infection. Which of the following actions should the nurse take?

Use the deltoid site for the injection

A nurse is caring for a client who is taking Azathioprine (Imuran) for rheumatoid arthritis. Which of the following lab values indicate that the client is experiencing an adverse affect?

WBC 3,000mm

A client presents to the emergency department and is diagnosed with gastrointestinal bleeding. Which of the following prescribed medications reported by the client should the nurse anticipate the primary care provider will discontinue?

Warfarin

A nurse is reviewing a client 0800 laboratory values at 1200. The nurse notes that the client ___ heparin at 1000. Which of the following laboratory value warrants an incident report?

aPTT 90sec