Pharmacology Exam 3 - Textbook Questions
A nurse is teaching a client who has a new prescription for baclofen to treat muscle spasms. Which of the following statements by the client indicates an understanding of the teaching?
"I know the doctor will gradually increase my dose of this medication for a while." "I should increase fiber to prevent constipation front his medication." "I won't be able to drink alcohol wile I'm taking this medication."
A nurse is teaching a client who has tobacco use disorder about nicotine replacement therapy. What statement by the client indicates understanding of the teaching?
"I should avoid eating right before I chew a piece of nicotine gum."
A nurse is providing teaching to a client who is to begin taking risperidone. What instructions should the nurse include?
"Notify the provider if you have trouble sleeping."
A nurse is providing instructions to a client who has a new prescription for zolpidem. Which of the following instructions should the nurse include?
"Notify the provider if you plan to become pregnant."
A nurse is reviewing a new prescription for oxcarbazepine with a client who has partial seizures. Which of the following instructions should the nurse include?
"Use caution if given a prescription for a diuretic medication." "Consider using an alternative form of contraception if you are using oral contraceptives." "Avoid driving until you see how the medication affects you." "Notify your provider if you develop a skin rash."
A nurse is providing discharge teaching to a client who has a new prescription for clozapine. What statement should the nurse include in the teaching?
"You should have your WBC count monitored every week."
A nurse is teaching the guardians and their school-age child about a new prescription for lisdexamfetamine. What information should the nurse include in the teaching?
An adverse effect of this medication is CNS stimulation. Monitor BP while taking this medication. This medication raises the levels of dopamine in the brain.
A nurse is teaching a client, who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. What should the nurse suggest to the client to minimize anticholinergic effects?
Chew sugarless gum to moisten the mouth.
A nurse in the operating room is caring for a client who received a dose of succinylcholine. During the operation, the client suddenly develops rigidity and a rise in body temperature. The nurse should expect a prescription for which of the following medications?
Dantrolene.
A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol. Which of the following information should the nurse include in the teaching?
Decreases cravings.
A nurse is following up with a client who takes chlorpromazine for the treatment of schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations?
Disorganized speech. Bizarre behavior. Hallucinations.
A nurse is teaching a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for what adverse effect?
Dry mouth.
A nurse is preparing to administer a medication to a client who has absence seizures. The nurse should expect to administer which of the following medications to the client?
Ethosuximide. Valproic acid. Lamotrigine.
A nurse is assessing a client who has a prescription for bethanechol to treat urinary retention. The nurse should identify that which of the following findings is a manifestation of muscarinic stimulation.
Excessive perspiration.
A nurse is caring for a client who is receiving moderate sedation with diazepam IV. The client is overstated. What medications should the nurse expect to administer to the client?
Flumazenil.
A nurse is teaching a client who has a new prescription for ramelteon. The nurse should instruct the client to avoid which of the following foods at the time of medication administration?
Fried chicken. (high fat foods)
A nurse is reviewing the medical record of a client who report urinary incontinence and asks about a prescription for oxybutynin. The nurse should recognize the oxybutynin is contraindicated in the presence of what conditions?
Glaucoma.
A nurse is providing information to a client who has early Parkinson's disease and a new prescription for pramipexole. The nurse should instruct the client to monitor for what adverse effect of this medication?
Hallucinations.
A nurse is providing instructions to a client who has been experiencing insomnia and has a new prescription for temazepam. The nurse should inform the client that which of the following manifestations are adverse effects of temazepam?
Incoordination. Sleep driving. Amnesia.
A nurse is teaching the caregiver of a school-age child about transdermal methylphenidate. What instructions should the nurse include?
Leave the patch on for 9 hours.
A nurse is caring for a school-age child who has a new prescription for atomoxetine. The nurse should monitor the client for what manifestation as an adverse effect of this medication?
Liver damage.
A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. What medication should the charge nurse include in the discussion?
Lorazepam. Diazepam. (both benzodiazepines, decreases anxiety and reduce the risk for seizures)
A nurse is assessing a client who recently began taking haloperidol. What finding is the priority to report to the provider?
Neck spasms.
A nurse in the post-anesthesia recovery unit is caring for a client who received a non depolarizing neuromuscular blocking agent and has muscle weakness. The nurse should expect a prescription for which of the following medications?
Neostigmine.
A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from opioid use and has a new prescription for clonidine. Which of the following actions should the nurse identify as the priority?
Obtain baseline vital signs.
A nurse in the post-anesthesia care unit is caring for a client who is experiencing malignant hyperthermia. Which of the following actions should the nurse take?
Place a cooling blanket on the client. Administer oxygen at 100%. Administer iced 0.9% sodium chloride. Monitor core body temperature.
A nurse is caring for a client who is to undergo a surgical procedure. Which of the following preexisting conditions can be contraindication for the use of ketamine as a intravenous anesthetic?
Schizophrenia.
A nurse is teaching the guardians of a child who has a new prescription for despiramine. The nurse should include that what adverse effect is the priority to report to the provider?
Suicidal thoughts.
A nurse is teaching a client who has a new prescription for levodopa/carbidopa for Parkinson's disease. What instructions should the nurse include?
Take this medication with food.
A nurse is teaching an adolescent client who has a new prescription for clomipramine for OCD. Which instructions should the nurse include to minimize adverse effects of his medication?
Wear sunglasses when outdoors.