Pharmacology quiz test 2

During a routine clinic visit, a client reports using an over-the-counter antidiarrheal agent for treatment of diarrhea. The nurse reviews the drug information with the client and determines the client grasps the importance of contacting the primary health care provider if the diarrhea is not resolved within which time frame?

48 hours

A client is prescribed an antidiarrheal drug. The nurse should question administering this drug if which disorder is noted in the client's medical record? Select all that apply.

Abdominal pain of unknown origin, Obstructive jaundice, Pseudomembranous colitis

Which factors should be included in the nurse's preadministration assessment prior to administering a penicillin to a client? Select all that apply.

Allergy history Medical history Medication history Current symptoms

A nurse is examining the laboratory test results of a client receiving penicillin therapy. Which results would the nurse predict as indicating an adverse hematologic reaction? Select all that apply

Anemia Thrombocytopenia Leukopenia

A group of nursing students are producing a simple client educational pamphlet covering the topic of viral infections. The students should point out which drug categories are used to treat various viral infections? Select all that apply.

Antiviral

The nurse determines a teaching session about chloroquine, antiprotozoal drugis successful when the client correctly articulates which factor?

Avoid foods that acidify the urine.

A client is to receive tetracycline therapy at home. After teaching the client about foods to avoid when taking the drug, the nurse determines that the teaching was successful when the client explains he will avoid which foods? Select all that apply.

Calcium-fortified cereals, Yogurt, Cheese

A nurse in an ambulatory care setting routinely conducts a nursing assessment as part of the care. Which assessments are most important for the nurse to complete in clients presenting with an active infection? Select all that apply.

Client's general appearance Review of lab results Client's symptoms Vital signs Client's use of self-remedies

After analyzing medication records and progress of clients with tuberculosis, the nurse would suspect tuberculosis is caused by a drug-resistant organisms in which clients? Select all that apply.

Clients who have no response to therapy Clients who have been treated in the past

A client, diagnosed with a urinary tract infection, indicates the use of an herbal product to help prevent and relieve the symptoms. Which herb has the client most likely been using?

Cranberry

The nurse is preparing a plan of care for a client being treated with an antiviral drug. Which client outcome would the nurse most likely choose? Select all that apply.

Demonstrates an optimal response to therapy Demonstrates ability to manage adverse reactions. Verbalizes understanding of the therapeutic regimen.

A nurse is preparing to administer loperamide to a client with pseudomembranous colitis. Which findings on assessment would the nurse document as an indication of effectiveness?

Diarrhea is resolved.

Concerned that a client is not taking the prescribed medication correctly, the nurse arranges for the client to visit the health care provider's office and take the medications in front of the nurse. Which form of treatment is the client participating in?

Directly observed therapy

After teaching a group of nursing students about laxatives, the instructor determines that the teaching was successful when the students correctly choose which drug as producing the laxative effect by promoting water retention and softening the stool?

Docusate

The nurse notes a client has a new prescription for a laxative. The nurse would question this order if which disorder is noted in the client's medical record? Select all that apply.

Fecal impaction, Intestinal obstruction, Acute appendicitis

When teaching a client about antiviral therapy, the nurse would include information about the possibility of which adverse reactions? Select all that apply.

Headache, Rash, Diarrhea

A client receiving penicillin therapy tells the nurse that they feels like their mouth is irritated and have a sore throat. Inspection reveals a red, swollen tongue with ulcerations. The nurse suspects a fungal superinfection and prioritizes which nursing diagnosis as most appropriate for this client?

Impaired Oral Mucous Membranes

The health care professional has recommended sulfonamide therapy for a client who is currently taking oral anticoagulants. What is the possible effects of combining sulfonamide therapy with oral anticoagulants?

Increased action of the anticoagulant

After teaching a group of nursing students about upper gastrointestinal system drugs, the instructor determines that the teaching was successful when the students correctly choose which drug as a gastrointestinal stimulant?

Metoclopramide

The nurse determines the nursing diagnosis for a client receiving systemic fluconazole is Risk for Ineffective Tissue Perfusion: Renal. Which activity will the nurse include in the plan of care?

Monitoring urine output every 4 hours

A client diagnosed with malaria is prescribed chloroquine, antiprotozoal drug. While preparing the teaching plan, the nurse will instruct the client to avoid which foods to prevent interactions with the drug? Select all that apply.

Oranges Cranberries Plums

A nurse is preparing to administer medications and notes several are to receive aminoglycosides. Which clients should the nurse clarify that they should receive this drug due to their history? Select all that apply.

Parkinsonism Hyperlipidemia Pregnancy

A client is prescribed demeclocycline. The nurse would teach the client to be alert for which signs or symptoms?

Photosensitivity

An HIV-positive client in a continuing phase of TB has shown no positive sputum results for 6 months. The nurse is aware that the second phase can last 4 months or more under which circumstances?

Positive sputum culture after the completion of initial treatment

A client undergoing penicillin therapy shows improvement and states that he is feeling better. Which intervention is the nurse most likely to perform in such a situation?

Record assessments on client's chart.

A nurse is preparing to administer bisacodyl, laxative to a client with irritable bowel syndrome. The nurse determines caution is warranted after discovering the history of which disorder in the client's history?

Rectal bleeding

A nurse in a health care facility is caring for a client who is receiving an antiemetic to control vomiting related to chemotherapy. Which nursing diagnoses should the nurse prioritize for this client's care plan?

Risk for Imbalanced Fluid Volume

A nurse is caring for a client who is prescribed omeprazole and a benzodiazepine. Which assessment finding should the nurse prioritize?

Risk for toxic level of benzodiazepines

A nurse is caring for a client who is being administered sulfasalazine. Which instruction should the nurse include to ensure that the client gets the full benefits of the treatment?

Take dosage while eating or immediately after eating.

A 30-year-old female client is prescribed misoprostol. Which instruction should the nurse prioritize in the teaching session for this client?

Use a reliable contraceptive method.