Pharmacology Test 4 chapters 13, 26, 28, 29

A nurse is monitoring a client who is receiving magnesium sulfate and notes the client has depressed deep tendon reflexes. the nurse should expect to administer which of the following medications? A. potassium chloride B. folic acid C. calcium gluconate D. cyanocobalamin

C. calcium gluconate

A nurse is reinforcing teaching with a client who has anemia and a new prescription for liquid iron supplements. which of the following information should the nurse include in the teaching? Select all that apply A. add foods that are high in fiber to your diet B. rinse your mouth after taking the medication C. expect stools to be green or black in color D. take the medication with a glass of milk E. add red meats to your diet

A. add foods that are high in fiber to your diet B. rinse your mouth after taking the medication C. expect stools to be green or black in color E. add red meats to your diet

A nurse is reinforcing teaching with a client who is taking raloxifene to prevent postmenopausal osteoporosis. the nurse should advise the client that which of the following are adverse effects of this medication? Select all that apply A. hot flashes B. lump in breast C. swelling or redness in calf D. shortness of breath E. difficulty swallowing

A. hot flashes C. swelling or redness in calf D. shortness of breath

A nurse is monitoring the IV site of a client after the charge nurse has started an IV bolus of potassium, which of the following conditions should the nurse monitor at the IV site? Select all that apply A. local irritation B. phlebitis C. infiltration D. hematoma E. skin warmth

A. local irritation B. phlebitis C. infiltration

a nurse in a providers office is reinforcing instructions with a guardian of a toddler how to administer ear drops. which of the following instructions should the nurse include? Select all that apply. A. place the child on the unaffected side when you are ready to administer the medication B. warm the medication by rolling gently between your hands for a few minutes C. gently shake the medication that is in suspension form D. keep the child on their side for 5 minutes after instillation of the ear drops E. tightly pack the ear canal with cotton after instillation of the ear drops.

A. place the child on the unaffected side when you are ready to administer the medication B. warm the medication by rolling gently between your hands for a few minutes C. gently shake the medication that is in suspension form D. keep the child on their side for 5 minutes after instillation of the ear drops

A nurse is caring for a client who has a new prescription for calcitonin-salmon for osteoporosis. which of the following tests should the nurse tell the client to expect before beginning this medication. A. skin test for allergy to the medication B. ECG to rule out cardiac dysrhythmias C. Mantoux test to rule out exposure to tuberculosis D. liver function teste to monitor risk for medication toxicity

A. skin test for allergy to the medication

A nurse is reinforcing teaching for a client who has osteoporosis and a new prescription for alendronate. which of the following instructions should the nurse provide? Select all that apply. A. take mediation in the morning before eating B. chew tablets to increase bioavailability C. drink 8oz glass of water with each tablet D. take medication with an antacid if heartburn occurs E. avoid lying down after taking this medication

A. take mediation in the morning before eating C. drink 8oz glass of water with each tablet E. avoid lying down after taking this medication

A nurse is assisting with the evaluation of a group of clients at a health fair to identify the need for folic acid therapy. which of the following clients require folic acid therapy? Select all that apply A. 12 yr old child who has iron deficiency anemia B. 24 yr old female who has no health problems C. 44 yr old male who has hypertension D. 55 yr old female who has alcohol use disorder E. 35 yr old male who has type 2 diabetes

B. 24 yr old female who has no health problems D. 55 yr old female who has alcohol use disorder

A nurse is caring for a client whose blood calcium is 8.8 mg/dL. which of the following medications should the nurse anticipate administering to this client? A. Calcitonin-Salmon B. Calcium carbonate C. Zoledronic acid D. Ibandronate

B. Calcium carbonate

a nurse is reinforcing instructions with a client who has a new prescription for timolol how to insert eye drops. the nurse should reinforce with the client to press on which of the following areas to prevent systemic absorption of the medication? A. Bony orbit B. Nasolacrimal duct C. Conjunctival sac D. Outer canthus

B. Nasolacrimal duct

A nurse is caring for a client who has a new prescription for adalimumab for rheumatoid arthritis. based on the route of administration of adalimumab, which of the following should the nurse plan to monitor? A. the vein for thrombophlebitis during IV administration B. the subcutaneous site for redness following injection C. the oral mucosa for ulceration after oral administration D. the skin for irritation following removal of transdermal path

B. the subcutaneous site for redness following injection

A nurse us reinforcing teaching with a client who has rheumatoid arthritis and a new prescription foe methotrexate. which of the following statements by the client indicated understanding of the teaching? A. I will be sure to return to the clinic at least once a year to have my blood drawn while taking methotrexate B. I will take this medication on an empty stomach C. Ill let the doctor know if I develop sores in my mouth while taking this medication D. I should stop taking oral contraceptives while Im taking methotrexate

C. Ill let the doctor know if I develop sores in my mouth while taking this medication

A nurse is caring for a client who has increased liver enzymes and us taking herbal supplements. Which of the following herbal supplements should the nurse report to the provider? A. Glucosamine B. Saw palmetto C. Kava D. St. Johns wort

C. Kava

A nurse is reinforcing teaching with a client who has a new prescription for an iron supplement. which of the following should the nurse include in the teaching? A. take with food to increase absorption of the iron B. diarrhea is an adverse effect of iron supplements C. liquid iron supplements can stain teeth D. iron supplements can cause bowel movements to appear orange.

C. liquid iron supplements can stain teeth

A nurse is reinforcing teaching with a client who has gout and a new prescription for allopurinol. for which of the following adverse effects should the client be taught to monitor? Select all that apply A. stomatitis B. insomnia C. nausea D. rash E. increased gout pain

C. nausea D. rash E. increased gout pain

a nurse who is assisting in the emergency department is reviewing the medical record of a client who is being evaluated for angle- closure glaucoma. which of the following findings are indicative for his condition? A. insidious onset of painless loss of vision B. gradual reduction in peripheral vision C. sever pain around eyes D. intraocular pressure 12 mm Hg

C. sever pain around eyes

a nurse is reinforcing teaching with a client who has a new prescription for brimonidine ophthalmic drops and wears contact lenses. which of the following instructions should the nurse include in the teaching? A. this medication can stain your contacts. B. this medication can cause your pupils to constrict C. this medication can absorb into your contacts D. this medication can slow your heart rate

C. this medication can absorb into your contacts

A nurse is caring for a client who has a new diagnosis of fibromyalgia. which of the following medications should the nurse expect to administer tot his client? A. Colchicine B. Hydroxychloroquine C. Auranofin D. Duloxetine

D. Duloxetine

A nurse is reinforcing the instructions given to a client who has a new prescription for calcitonin-salmon for postmenopausal osteoporosis. which of the following instructions should the nurse reinforce? A. swallow tablets on an empty stomach with plenty of water B. watch for skin rash and redness when applying calcitonin-salmon tropically C. mix the liquid medication with juice and take it after meals D. alternate nostrils each time calcitonin-salmon is inhaled

D. alternate nostrils each time calcitonin-salmon is inhaled

A nurse is assisting in the plan to administer belimumab for a client who has systemic lupus erythematosus. which of the following interventions should the nurse recommend to include in the plan? A. warm the medication to room temperature over 1 hour before administering B. administer the medication by IV bolus over 5 minutes C. dilute the medication in 5% dextrose D. monitor the client for hypersensitivity reactions

D. monitor the client for hypersensitivity reactions

a nurse is reinforcing teaching with a client about preventing otitis externa. which of the following instructions should the nurse include? A. clean the ear with cotton tipped swab daily B. place earplugs in the ears when sleeping at night C. use a cool water irrigation solution to remove earwax D. tip the head tot he side to remove water from the ears after showering

D. tip the head tot he side to remove water from the ears after showering