Pharmacology Exam 5 ATI:
a nurse is caring for a client who has chronic stable angina. the nurse should identify that which of the following drugs inhibits the action of adenosine diphosphate receptors (ADP) on platelets and can be prescribed to reduce the client's risk for myocardial infarction? a. clopidogrel b. heparin c. warfarin d. alteplase
a
a nurse is assessing a client who was administered ondansetron IV 1 hr ago. which of the following findings should the nurse recognize as an adverse effect of this drug? a. dizziness b. bradycardia c. tardive dyskinesia d. dyspepsia
a
a nurse is caring for a client who has renal failure and is receiving epoetin. the nurse should monitor the client for which of the following adverse effects? a. hypertension b. muscle pain c. edema d. dry mouth
a
a nurse is caring for a client who has a prescription for alosteron. the nurse should recognize that alosetron therapy is effective when the client reports which of the following? a. one formed stool per day b. urination without buring c. cessation of nausea or vomiting d. reduced GI reflux effects
a
a nurse is caring for a client who is about to begin taking aspirin to reduce the risk of cardiovascular event. the nurse should identify that the drug inhibits platelet aggregation by which of the following mechanisms? a. activating thromboxane A2 b. blocking adenosine diphosphate receptor agonists c. suppressing specific clotting factors d. inhibiting cyclooxygenase action in platelets
d
a nurse is teaching a client who recently had a myocardial infarction and a new prescription for docusate sodium. the nurse should inform the client that docusate sodium has which of the following therapeutic effects? a. reduces inflammation b. reduces gastric acid c. prevents diarrhea d. prevents straining
d
which of the following drugs has protocols that require clients to meet specific risk-management criteria and sign a treatment agreement before the nurse can administer the drug? a. lubiprostone b. azathioprine c. sulfasalazine d. alosteron
d
a nurse is caring for a client who is experiencing an acute ischemic cerebrovascular event due to a thrombus in a cerebral vessel. which of the following drugs should the nurse expect to administer? a. alteplase b. aspirin c. clopidogrel d. heparin
a
a nurse is caring for a client who is scheduled for an outpatient surgical procedure and reports taking aspirin 81mg daily, including this morning. the nurse should identify that this places the client at risk for which of the following complications? a. uncontrolled bleeding b. myocardial infarction c. respiratory depression d. decreased renal perfusion
a
a nurse is caring for a client who is taking allopurinol to treat gout and has a new prescription for azathioprine to treat ulcerative colitis. for which of the following reasons should the nurse clarify these prescriptions with the provider? a. allopurinol delays conversion of azathioprine and can lead to toxicity b. azathioprine increases the effectiveness of allopurinol c. allopurinol increases the metabolism of azathioprine and can require an increased dosage d. azathioprine decreases the effectiveness of allopurinol
a
a nurse is caring for a client who is taking lubiprostone. the nurse should tell the client that lubiprostone can cause which of the following adverse drug reactions? a. nausea b. constipation c. urinary retention d. sore throat
a
a nurse is caring for a male client who asks the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting 3 months. which of the following information should the nurse provide the client about alosetron? a. the drug is prescribed to female clients who have IBS-D lasting more than 6 months b. the drug is prescribed to clients who have chronic diarrhea lasting more than 12 months c. the drug is most beneficial to male clients who has inflammatory bowel disease d. the drug is most beneficial in treating clients who have constipation-predominant IBS (IBS-C)
a
a nurse is caring for an older adult client who has kidney disease and a new prescription for cimetidine. the nurse should instruct the client to report which of the following manifestations? a. lethargy b. cellulitis c. dry mouth d. myalgia
a
a nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. which of the following findings should the nurse identify as a possible indication of hemorrhage? a. rapid pulse b. yellowing of the sclera c. elevated blood pressure d. pale-colored stools
a
a nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. which of the following statements should the nurse plan to include? a. avoid driving or activities requiring alertness b. if you miss a dose, double the next dose c. rinsing the mouth with alcohol-based mouthwash can reduce dryness d. having one glass of wine each night can improve medication effectiveness
a
a nurse is preparing to administer a prescribed dose of desmopressin to a client who has hemophilia A. the client's laboratory results indicate that the client has a sodium level of 130mEq/L. which of the following actions should the nurse take? a. clarify the prescription with the provider b. administer the drug with an analgesic c. administer the required dose orally d. assess factor IX levels
a
a nurse is teaching a client who has a new prescription for methotrexate. the nurse should instruct the client to monitor for manifestations of which of the following conditions? a. gout b. constipation c. insomnia d. hirsutism
a
a nurse is teaching a client who has a new prescription for sulfasalazine. which of the following statements should the nurse make? a. use sunscreen and protective clothing while taking sulfasalazine to prevent sunburn b. the medication can stain your contact lenses green c. the medication can color your urine dark brown d. take an iron supplement to prevent anemia
a
a nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions? a. inflammatory bowel disease b. thrombophlebitis c. agranulocytosis d. immunization with a live virus vaccine within the last 6 weeks
a
a nurse is teaching a client about taking ferrous sulfate to treat iron-deficiency anemia. which of the following instructions should the nurse include? (select all that apply) a. eat iron-rich foods b. spread the dosage across each day c. take the drug on an empty stomach d. report dark green or black stools e. increase dietary fiber intake
a, b, c, e
a nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron. which of the following actions should the nurse plan to take? (select all that apply) a. infuse drug 30 minutes prior to chemotherapy b. administer the drug when the client reports nausea c. infuse the drug slowly over 15 minutes d. administer the drug immediately following chemotherapy e. repeat the dose 4 hr after chemotherapy
a, c, e
a nurse is administering epoetin intravenously to a client who has renal failure. which of the following actions should the nurse take? a. shake the vial before using b. administer via IV bolus over 1-3 minutes c. dilute the drug first with D5W d. save the used vial for the next dose
b
a nurse is caring for a client who has hemophilia A and is about to begin taking desmopressin to prevent bleeding. the nurse should monitor the client for which of the following adverse reactions? a. weight loss b. edema c. polyuria d. bradycardia
b
a nurse is caring for a client who has peptic ulcer disease. the nurse should monitor the client's phosphorus levels when administering which of the following drugs? a. omeprazole b. aluminum hydroxide c. sucralfate d. famotidine
b
a nurse is caring for a client who is about to begin alteplase therapy to treat pulmonary embolism. which of the following drugs should the nurse have available in the event of a severe adverse reaction? a. vitamin K b. aminocaproic acid c. protamine d. deferoxamine
b
a nurse is caring for a client who is about to begin taking folic acid to treat megaloblastic anemia. the nurse should monitor which of the following laboratory values to determine therapeutic effectiveness? a. amylase level b. reticulocyte count c. c-reactive protein d. creatinine clearance
b
a nurse is caring for a client who recently started alteplase therapy. the nurse should monitor the client for which of the following adverse effects? a. bronchodilation b. headache c. edema d. hypertension
b
a nurse is providing teaching to a client who has a new prescription for omeprazole to treat a duodenal ulcer. which of the following instructions should the nurse include? a. take the medication with food b. swallow the capsules whole c. dissolve the tablets in water d. take the medication at bedtime
b
a nurse is reviewing the medical record of a client who has a new prescription for famotidine. the nurse should recognize that which of the following drugs interacts with famotidine? a. phenobarbital sodium b. ketoconazole c. lisionopril d. hydrochlorothiazide
b
a nurse should identify that clopidogrel is contraindicated for clients who have which of the following conditions? a. myocardial infarction b. peptic ulcer disease c. pancreatitis d. myasthenia gravis
b
a nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions? a. pancreatitis b. aspirin sensitivity c. bronchitis d. GERD
b
a nurse is administering sulfasalazine to a client. which of the following data should the nurse collect to help identify an adverse drug reaction? (select all that apply) a. level of consciousness b. skin integrity c. temperature d. urine output e. CBC
b, c, e
a nurse is caring for a client who has a new prescription for alosetron to treat irritable bowel syndrome. the nurse should instruct the client to report which of the following adverse effects of the drug? a. headache b. drowsiness c. abdominal pain d. sore throat
c
a nurse is caring for a client who is about to begin taking epoetin. an increase in which of the following laboratory values should indicate to the nurse that the therapy is effective? a. PT b. WBC c. Hgb d. platelets
c
a nurse is caring for a client who is about to begin therapy with recombinant factor IX to treat hemophilia B. the client asks the nurse about the risk of disease transmission with recombinant factor IX as compared with plasma-derived factor IX. the nurse should explain that recombinant factor IX practically eliminates the risk for which of the following? a. HIV b. cytomegalovirus c. Creutzfeldt-Jakob disease d. anaphylaxis
c
a nurse is caring for a client who is taking filgrastim to treat neutropenia. the nurse should assess the client for which of the following adverse effects? a. dusky nail beds b. petechiae c. enlarged spleen d. swollen calf
c
a nurse is monitoring a client following ferrous sulfate administration. the nurse should monitor the client for which of the following adverse effects? a. phlebitis b. dark, orange-colored stools c. constipation d. injection site pain
c
a nurse is providing teaching to a client who has a new prescription for loperamide. which of the following instructions should the nurse include? a. dissolve the powder thoroughly in 8oz of water b. take with diphenhydramine to prevent extrapyramidal effects c. avoid activities that require alertness d. take 30 minutes before activities that trigger nausea
c
a nurse should assess a client who has megaloblastic anemia for indications of which of the following vitamin deficiencies? a. vitamin C b. vitamin K c. Vitamin B12 d. vitamin D
c
a nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions? a. a seizure disorder b. rheumatoid arthritis c. a positive pregnancy test d. heart failure
c
a nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. which of the following instructions should the nurse include? (select all that apply) a. sit upright for 30 minutes after taking the drug b. avoid antacids c. take the drug 30-60min before activities that trigger nausea d. avoid activities that require alertness e. increase fluid and fiber intake
c, d, e
a nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. which of the following instructions should the nurse include? (select all that apply) a. expect results in 6-12 hours b. urinate every 4 hr c. take the drug with at least 8oz of fluid d. avoid activities that require alertness e. increase fluid and fiber intake
c, e
a nurse in an emergency department is assessing a client who has been taking warfarin and is experiencing rectal bleeding. which of the following drugs should the nurse expect to administer to the client? a. filgrastim b. deferoxamine c. protamine d. vitamin K
d
a nurse is caring for a client who has a new prescription for famotidine to treat GERD. the nurse should instruct the client to wait at least 1 hr between taking famotidine and which of the following over-the-counter drugs? a. ginkgo biloba b. antidiarrheals c. St. John's wort d. antacids
d
a nurse is caring for a client who is about to begin factor VIII therapy to treat hemophilia A. which administering factor VIII, which of the following actions should the nurse take? a. administer the powdered form orally b. premedicate with aspirin c. administer it via rapid IV bolus d. have emergency equipment ready
d
a nurse is caring for a client who is taking clopidogrel to prevent stent restenosis. the nurse should monitor the client for which of the following adverse reactions? a. hyperuricemia b. hyponatremia c. lymphocytopenia d. thrombocytopenia
d
a nurse is caring for a client who is taking ferrous sulfate to treat iron-deficiency anemia and develops iron toxicity. which of the following drugs should the nurse expect to use to treat this complication? a. flumazenil b. acetylcysteine c. naloxone d. deferoxamine
d
a nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new prescription for sucralfate to treat a duodenal ulcer. the nurse should instruct the client to take the drugs at least 2 hr apart for which of the following reasons? a. phenytoin increases the metabolism of sucralfate b. phenytoin reduces the effectiveness of sucralfate c. sucralfate increases the risk for phenytoin toxicity d. sucralfate interferes with the absorption of phenytoin
d
a nurse is reviewing the medication record of a client who is receiving alteplase following an acute MI. which of the following medications should the nurse expect the client to be taking in addition to the alteplase? a. protamine b. desmopressin c. ferrous sulfate d. heparin
d
a nurse is teaching a client who is starting treatment with warfarin. the nurse should plan to include information on which of the following topics to promote the effectiveness of the drug? a. sleep modifications b. fluid modifications c. driving modifications d. dietary modifications
d