pharmacology

A client being discharged is prescribed warfarin for the treatment following a pulmonary embolism. Which diagnostic test should the nurse instruct the client to receive once a month?

PT

The nurse administers albuterol to a child with asthma. Which common side effect would the nurse monitor for in the child?

tachycardia

Which adverse effect of imipramine requires further assessment and possible immediate medical intervention?

Urinary hesitancy

The nurse is teaching a client diagnosed with asthma about the medication albuterol. Which statement by the nurse demonstrates appropriate teaching?

"Call your doctor's office if you need to use the drug more often.

A nurse is teaching a client with asthma about the correct use of the fluticasone inhaler. Which statement, if made by the client, would indicate that the teaching was effective?

"I should rinse my mouth after using the inhaler.

The nurse is educating a client with end stage chronic obstructive pulmonary disease (COPD) about medication management. Which statement by the client indicates an understanding of the teaching?

"I will use the albuterol in the nebulizer before my other inhalers each morning."

A 65-year-old client is receiving amitriptyline. Which recommendation will the nurse make to the client concerning this medication?

'Have an eye examination to check for glaucoma.'

A client suspected of having myasthenia gravis is scheduled for an edrophonium chloride test. To treat a common complication associated with the test, the nurse will have which medication available?

Atropine

The nurse has administered fentanyl, atropine, cefazolin and benzocaine to a client for an endoscopic procedure. The nurse is monitoring the client and notes that the heart rate has increased from the pre-procedure baseline. The nurse knows that which of the following medications is most likely responsible for the client's increased heart rate?

BAtropine

A client with myasthenia gravis has been receiving neostigmine and asks about its action. Which information would the nurse consider when formulating a response?

Blocks the action of cholinesterase

A client with a history of asthma is admitted for a minor surgical procedure. Preoperatively, the peak flow is measured at 480 liters/minute. Postoperatively, the client reports chest tightness and the peak flow is now 200 liters/minute. What should the nurse do first?

CAdminister the PRN dose of albuterol

The nurse is caring for a client who has been prescribed atropine preoperatively. The nurse understands the intended purpose for administering this preoperatively is to induce which effect?

DDecrease secretions

A beclomethasone inhaler would be prescribed for which purpose?

Decreases inflammation

The nurse admits a client with tumor-induced spinal cord compression. Which medication should the nurse anticipate to be prescribed to offer the best palliative treatment for this client?

Dexamethasone.

A nurse notes an abrupt onset of confusion in an 85-year-old client. Which newly prescribed medication most likely caused this change in the client's mental status?

Diphenhydramine

376) Which test would the nurse identify as specific for the diagnosis of myasthenia gravis?

Edrophonium chloride test

Which action would the nurse perform when beginning pyridostigmine bromide therapy for a client with myasthenia gravis?

Evaluate the client's muscle strength every hour after the medication is given.

Which nursing action is appropriate when administering imipramine?

Having the client checked for increased intraocular pressure

The nurse is teaching a client about newly prescribed inhaled budesonide. The nurse should teach the client to report which finding to the healthcare provider?

Increased thirst

A health care provider prescribes metaproterenol for a client. For which therapeutic effect would the nurse monitor the client?

Relaxed bronchial spasm

Which medication class includes amitriptyline?

Tricyclics

Pyridostigmine is prescribed for a client with myasthenia gravis. Why would the nurse instruct the client to take pyridostigmine about 1 hour before meals?

Taking it before meals improves the ability to chew.

A client prescribed albuterol tablets reports nausea every evening with the 9:00 p.m. dose. Which action should the nurse perform to alleviate this side effect?

offer with a snack

A client is prescribed albuterol to relieve severe asthma. Which adverse effects will the nurse instruct the client to anticipate? Select all that apply. One, some, or all responses may be correct.

palpatations

The nurse is providing teaching to the client prescribed albuterol for the management of asthma. The nurse is including reportable side effects in the teaching plan. Which of the following side effects is the priority?

palpitations

he nurse is caring for a client prescribed warfarin therapy for treatment of persistent atrial fibrillation. Which of the following may potentiate the effect of this medication?

green tea

he nurse is teaching a pediatric client and family about prescribed albuterol sulfate extended-release tablets. Which statement should be included?

"This medication can cause restlessness."

The nurse administers albuterol to a 4-year-old child. Which intervention would assist the nurse in evaluating the effectiveness of this medication?

*Auscultate breath sounds.

Pilocarpine is used as part of the diagnostic process of a toddler suspected of cystic fibrosis. The nurse knows that the pilocarpine would stimulate which process?

Activity of sweat glands

A client with myasthenia gravis is receiving pyridostigmine bromide to control symptoms. Recently, the client has begun experiencing increased difficulty in swallowing. Which nursing action is effective in preventing aspiration of food?

Coordinate mealtimes with the peak effect of the medication.

A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis. The nurse prepares for intravenous administration of edrophonium chloride (Tensilon). What is the expected outcome for this client following administration of this pharmacologic agent?

D. Decreased muscle weakness.

The nurse is preparing to administer an albuterol nebulizer treatment to a patient with asthma. Which assessment finding should be brought to the health care provider's attention prior to administering the medication?

Heart rate of 116 bpm Correct Answer

An 11-year-old client reports having bedwetting issues (enuresis). Which medication would the nurse anticipate when developing a teaching plan ?

Imipramine

A client with myasthenia gravis begins taking pyridostigmine. Two days later, the client develops loose stools and increased salivation. Which conclusion would the nurse make about these new developments?

The medication is causing cholinergic side effects.

Which conclusion would the nurse make about the development of loose stools and increased salivation two days after a client with myasthenia gravis begins taking pyridostigmine?

The medication is causing cholinergic side effects.

The nurse is discharging a client with a new prescription for tiotropium to help manage the symptoms of chronic obstructive pulmonary disease. What information should the nurse include in the discharge teaching?

This medication cannot be used to relieve sudden breathing problems

The nurse is teaching a client with asthma about albuterol. How should the nurse best describe the action of this medication?

"The medication will help to relax smooth muscles in the airways."

Pyridostigmine bromide is prescribed for a client with myasthenia gravis. The nurse evaluates that the medication regimen is understood when the client makes which statement?

'I need to set an alarm so I take the medication on time.'

The health care provider prescribes neostigmine for a client with myasthenia gravis. Which client statement indicates understanding regarding medication management plans?

'I should take the medication at the exact time that is listed on the prescription.'

Warfarin is prescribed for a client who has been receiving intravenous (IV) heparin for a partial occlusion of the left common carotid artery. The client expresses concern about why both medications are needed at the same time. Which rationale would the nurse include to address the client's concern?

*Heparin provides anticoagulant effects until warfarin reaches therapeutic levels.

The nurse is teaching a client diagnosed with depression about a new prescription of nortriptyline. What information would be essential for the nurse to emphasize about this medication?

CThe use of alcohol should be avoided

The nurse is evaluating the effectiveness of therapy for a client who received albuterol via nebulizer during an acute episode of shortness of breath due to asthma. Which finding is the best indicator that the therapy was effective?

Oxygen saturation is greater than 90%.

A client with chronic obstructive pulmonary disease (COPD) is receiving aminophylline 25 mg/hour intravenously (IV). Which finding would be associated with side effects of this medication?

Restlessness and palpitation

A nurse is assessing a client receiving alteplase for a pulmonary embolism. The client suddenly becomes confused and is unable to follow commands. What action does the nurse take first?

Stop the infusion

The international normalized ratio (INR) results of a client receiving warfarin have been variable. Which factor can help the nurse identify the cause of the INR fluctuations?

*Adherence to the prescribed medication regimen

178) Which instruction will the nurse include when performing discharge teaching to a client now receiving hydrocortisone by mouth after stabilization of an acute adrenal insufficiency?

take with food

The nurse is preparing to discharge a client who presented to the emergency room for an acute asthma attack. The nurse notes that upon discharge the health care provider has prescribed theophylline 300 mg orally to be taken daily at 9:00 AM. The nurse will teach the client to take the medication on which schedule?

*At the specific time prescribed

Which effect explains the purpose for gradual dosage reduction of glucocorticoids such as dexamethasone?

*Promotes return of cortisone production by the adrenal glands

The nurse is caring for a client who is scheduled for a bilateral adrenalectomy. Which medication would the nurse expect to be prescribed for this client?

*Hydrocortisone

Hydrocortisone is prescribed for a client with Addison's disease. Which response is a therapeutic effect of this medication?

*Supports a better response to stress