Pharmacology VI

A nurse is providing teaching for a client who has a new prescription of nitroglycerin administered through a transdermal patch. Which of the following client statements indicates an understanding of the teaching?

" I need to rotate the location of my patch every few days"

A nurse is caring for a client who is pregnant and inquiring about alternative, non-pharmacological therapies for nausea and vomiting for pregnancy (NVP). Which of the following options to the nurse recommend?

"Ginger is effective in the treatment of nausea and vomiting"

The nurse is caring for a client who takes warfarin to treat chronic atrial fibrillation and has early manifestations of Alzheimer's disease. The clients partner asks the nurse if the client would benefit from taking ginkgo biloba. Which of the following responses should the nurse make?

"Ginkgo biloba will likely interfere with the effectiveness of his other medications"

A nurse is providing teaching to a client who has a new prescription for a fentanyl transdermal patch. Which of the following statements by the client indicates an understanding of the teaching?

"I will have to stop drinking grapefruit juice while using the patch"

A nurse is caring for a client who has been taking isoniazid and rifampin for three weeks for the treatment of active pulmonary tuberculosis (TB). The client reports his urine is an orange color. Which of the following statements should the nurse make?

"Rifampin can turn body fluids orange"

A nurse is providing discharge teaching to a client who has a bacterial infection about adverse effects of imipenem to report to the provider. Which of the following pieces of information should the nurse include?

"Seizures can occur with the medication"

A nurse is administering a clients first dose of sucralfate. Which of the following explanations should the nurse provide about the action of sucralfate.

"Sucralfate forms a gel-like substance that protects ulcers"

A nurse has administered medication to a client. Which of the following circumstances should the nurse identify as a medication error that resulted from a performance deficit by the nurse?

An intramuscular injection was given instead of a subcutaneous injection

A nurse is evaluating a client who is pregnant is responding to a medication. Which of the following physiological effects of presentation the nurse take into consideration?

Accelerated excretion of fluids

A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medication should the nurse plan to administer?

Acetaminophen

A nurse is preparing a discharge teaching plan for a 6-year-old client with asthma who has several prescription medications using metered-dose inhaler's (MDIs). Which of the following intervention should the nurse include in the plan?

Add a spacer to each MDI

A nurse administered an anabiotic 10 min ago to a client who is now reporting wheezing and swelling of the eyelids. Which of the following actions should the nurse perform first?

Administer epinephrine subcutaneously

A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has went to the fine therapeutic effects?

Anti-estrogenic

A nurse is caring for a client who has a prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects?

Bleeding

A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following should the nurse plan to review prior to administering this medication? A Blood Pressure B Temperature C Blood glucose level D Total protein level

Blood pressure

A nurse is caring for a client who is receiving IV famotidine. Which of the following adverse effects should the nurse report to the provider immediately?

Bloody stools

A nurse is caring for a client who has a prescription for a QT interval medication. Which of the following conditions should the nurse identify as an adverse effect of this medication?

Bradycardia

A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for which of the following medications? A. Colchicine B. Allopurinol C. Probenecid D. Pegloticase

Colchicine

A nurse is providing discharge teaching to a client who has venous thrombosis and a prescription for warfarin. Which of the following instruction should the nurse include in the teaching?

Carry a medical alert ID card

A nurse is caring for a client who has a new diagnosis of rheumatoid arthritis. The nurse should anticipate a prescription from the provider for which of the following medications for daily management of this condition?

Celecoxib

A nurse is caring for a client who takes sulfasalazine Twice daily for rheumatoid arthritis. Which of the following values should the nurse review prior to the administration of the medication?

Complete blood count

A nurse is preparing to administer an epinephrine IV bolus to a client. Which of the following should the nurse verify before initiating the IV medication?

Concentration of the formulation

A nurse is caring for a client who has a suspected adrenal insufficiency. Which of the following medications should the nurse anticipate the provider using to determine the presence of adrenal insufficiency?

Cosyntropin

A nurse is caring for a client who has diabetes insipidus. Which of the following laboratory values should the nurse identify as reflecting a contraindication to receiving vasopressin to treat this disorder?

Creatinine clearance 50 mL/min

A nurse is caring for a client has been taking taken metformin for six months. Which of the following findings should the nurse identify as an expected therapeutic effect of the medication?

Decrease blood glucose level

A nurse is assessing a client who has AIDS and is taking zidovudine. Which of the following findings is the priority for the nurse to report to the provider?

Decreased hemoglobin

A nurse is caring for a client who has asthma and advanced rheumatoid arthritis and deformity of the hands. The nurse should anticipate that the client will receive which of the following medication delivery devices for treatment of asthma?

Dry-powder inhaler (DPI)

A nurse is administering adenosine via IV bolus for a client who has developed paroxysmal atrial tachycardia. For which of the following findings should the nurse assess the client during the administration of adenosine?

Dyspnea

A nurse is reviewing the laboratory results of a client who is taking a medication and notes that the client's blood tests show an elevated level of the enzymes aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The nurse should recognize that these findings are potential indications of which of the following conditions? A. Renal dysfunction B. Myelotoxicity C. Hepatic toxicity D. Cardiac dysrhythmia

Hepatic toxicity

A nurse is reviewing the medical history of a client who has spasticity due to multiple sclerosis and a new prescription for tizanidine. Which of the following comorbidities increases the clients risk of adverse effects while taking this medication?

Hepatitis

A nurse is caring for a client who has heart failure and is prescribed dobutamine hydrochloride by continuous IV infusion. The nurse should identify that which of the following is the therapeutic effect of this medication?

Improves cardiac output

A nurse is teaching a client who had kidney transplant surgery about immunosuppressive medication's. Which of the following adverse effects of these medications to the nurse include in the teaching?

Increased susceptibility to infection

A nurse is preparing a continuous IV infusion of erythromycin lactobionate for a client who has a Bordetella pertussis infection. Which of the following actions should the nurse take to minimize the risk of thrombophlebitis?

Infuse the medication slowly

A nurse is caring for a client who is preterm labor and has a new prescription for nifedipine. The client states she is concerned because her father takes nifedipine for his angina pectoris. The nurse should explain that nifedipine works for clients who are pregnant through which of the following mechanisms?

It inhibits uterine contractions by blocking the entry of calcium into uterine cells

A nurse is caring for a client who has been receiving medication through transdermal patch. The client is experiencing therapeutic benefits from the medication even though the medication in the patch is no longer active. The nurse should recognize that this is an example of which of the following?

Placebo effect

A nurse is teaching a client who has type one diabetes mellitus About a new subcutaneous insulin infusion pump. Which of the following pieces of information should the nurse include in the teaching?

Plan to use a type of short-duration insulin in the infusion pump

A nurse is monitoring the laboratory values of a mail client who has leukemia and is receiving weekly chemotherapy with methotrexate via IV infusion. Which of the following laboratory values should the nurse report to the provider?

Platelets 78,000/mm^3

A nurse is providing teaching to a female client who has a new prescription for pravastatin to treat hyperlipidemia. Which of the following pieces of information should the nurse include in the teaching?

Pravastatin can be taken with grapefruit juice

A nurse is providing teaching to the parents of a child who has a new prescription for lamotrigine for a seizure disorder. The nurse should instruct the parents that would do the following adverse effects is the priority to report to the provider?

Rash

A nurse is reviewing the medical record of a client. The medication administration record shows the client is taking clopidogrel. Which of the following events to the nurse expect in the clients medical history?

Recent myocardial infarction

A nurse is caring for a client who has tuberculosis and is taking rifampin. The nurse should monitor the client for which of the following adverse effects of rifampin?

Red tinged urine

A home health nurse is visiting an older adult client who has Alzheimer's disease. His caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg 3 times daily per day, to the client for restlessness and anxiety over the past few days. For which of the following adverse effects should the nurse assess the client?

Sedation

A nurse is reviewing laboratory reports for a client who has Clostridium difficile infection and is receiving vancomycin. Which of the following results which the nurse report to the provider before administering the next dose?

Serum creatinine 2.5 mg/dL

A nurse is teaching a client with type 2 diabetes mellitus about self administration of a new prescription for acarbose. Which of the following pieces of information should the nurse include in the teaching?

Tell the client to take the medication with food

A nurse is assessing a client who is receiving clozapine to treat schizophrenia. The nurse should identify an increase in which of the following parameters as an early indication of an adverse effect of this medication? A Urine Specific gravity B Urine Output C Blood pressure D Temperature

Temperature - Antipsychotic medications such as clozapine can cause agranulocytosis, which is the depletion of WBCs.

A nurse is reviewing a new prescription for fexofenadine for a 7-year-old client who has seasonal allergies. Which of the following findings should the nurse clarify with the provider?

The prescription says to take standard tablets

A nurse is reviewing the medication history of a client who has asthma. Which of the following medication combinations to the nurse identify as incompatible?

Theophylline and zileuton

A nurse is preparing to administer levothyroxine to a client who has hypothyroidism. The nurse should identify which of the following laboratory results as supporting the administration of this medication?

Thyroid-stimulating hormone (TSH) 8 microunits/mL

A nurse is preparing to administer medication to a preschooler. The nurse should use which of the following measurements to calculate the medication dosage for this client?

Weight

A nurse is caring for a client who was recently diagnosed with rheumatoid arthritis. The nurse should expect the provider to prescribe methotrexate which of the following times?

Within three months of the initial diagnosis

A nurse is teaching a client who is post menopausal and has a prescription for alendronate. Which of the following statements should the nurse include in the teaching?

" take this medication on an empty stomach"

A nurse is caring for a client who is taking diphenhydramine for allergies. The client reports, "I feel sleepy during the day"'. Which of the following responses should the nurse make?

" you should try antihistamines with non-sedating affects"

A nurse is teaching a female client about vitamin a supplementation. Which of the following client statements indicates an understanding of the teaching?

"A deficiency of vitamin A can cause night blindness"

A nurse is teaching about levodopa with a family member of a client who has Parkinson's disease. Which of the following pieces of information should the nurse include?

"A full therapeutic response may take several months to happen"

A nurse is caring for a client who is due to receive general anesthesia. The client asks the nurse, "What is the difference between an analgesic and anesthesia?" Which of the following statements should the nurse make?

"Anesthesia can cause loss of consciousness"

A nurse is teaching a client who has primary adrenal insufficiency (Addison's disease) and a prescription for hydrocortisone. Which of the following statements should the nurse include in the teaching about this medication?

"Carry a supply of pills and a single-use injectable preparation with you at all times"

A nurse is administering ciprofloxacin and phenazopyridine To a client who has a severe urinary tract infection. The client asks why both medications are needed. Which of the following responses should the nurse make?

"Ciprofloxacin hydrochloride treats the infection, phenazopyridine treats pain"

A nurse is providing discharge teaching for a client who has a new prescription for metoprolol. Which of the following instruction should the nurse include? (Select all the apply)

"Do not stop taking this medication abruptly" "Count your radial pulse daily" "Change positions slowly"

A nurse is teaching a client who has a new prescription for enteric-coated aspirin as stroke prophylaxis. The client asked the nurse why the provider prescribes and enteric-coated medication. Which of the following responses should the nurse give?

"Enteric-coated medications cause less gastric irritation"

A nurse is caring for a client with multiple sclerosis and neurogenic bladder who is receiving bethanechol. The nurse should I do with the following client statements indicates therapeutic action of the medication?

"I am able to urinate more freely"

A nurse is providing discharge teaching to a client who had a kidney transplant and has a prescription for oral cyclosporine. Which of the following statements by the client indicates an understanding of the teaching?

"I am likely to develop higher blood pressure while taking this medication"

A nurse is providing teaching about sodium phosphate to a client who has a new prescription for sodium phosphate. The client is scheduled for a colonoscopy and is currently taking furosemide for hypertension. Which of the following client statements should indicate to the nurse that the teaching has been effective?

"I can experience an imbalance in my electrolytes from this medication"

A nurse is monitoring a client who received diphenoxylate-atropine. Which of the following statements by the client should indicate to the nurse that the medication has been effective?

"I have not had a bowel movement today"

A nurse is caring for a client who has tuberculosis and is taking rifampin. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of the medication?

"I have noticed my urine is orange in color"

A nurse is teaching a client who has a prescription for scopolamine patches for the treatment of motion sickness. Which of the following client statements should indicate to the nurse that the teaching has been effective?

"I should apply this patch behind my ear"

A nurse is teaching a female client who has a new prescription for misoprostol to treat peptic ulcer disease. Which of the following client statements should indicate to the nurse that the teaching was effective?

"I should avoid becoming pregnant while taking this medication"

A nurse is teaching a client who has a new prescription for disulfiram to treat alcohol use disorder. Which of the following statements by the client indicates an understanding of the teaching?

"I should check the labels of my skin-care products, medications, and food for alcohol"

A nurse is teaching a client who has a new prescription for amitriptyline to treat depression. Which of the following client statements indicates an understanding of the teaching?

"I should take this medication before bedtime"

A nurse is teaching a client who has a new prescription for sucralfate for a duodenal ulcer. Which of the following client statements indicates an understanding of the teaching?

"I should wait at least 30 minutes before taking this medication after I take an antacid"

A nurse is providing discharge teaching to a client who has heart failure and a prescription for digoxin 0.125 mg PO daily and furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching?

"I will eat fruits and vegetables that have a high potassium content every day"

A nurse is providing teaching to a client who has postmenopausal osteoporosis and a new prescription for intranasal calcitonin-salmon. Which of the following statements by the client indicates an understanding of the teaching?

"I will need to depress the side arms to activate the pump."

A nurse is teaching a client who has osteoporosis about a new prescription for risedronate. Which of the following client statements indicates an understanding of the teaching?

"I will take this medication with a full cup of water"

A nurse is teaching a client with a new diagnosis of peptic ulcer disease (PUD) who has a prescription for bismuth subsalicylate. The client asks the nurse, "how will this medication help my ulcer?" Which of the following statements should the nurse make?

"This medication can decrease bacteria in the gastrointestinal tract"

A nurse is teaching a client who has type 2 diabetes mellitus about a prescription for insulin lispro. Which of the following statements should the nurse include in the teaching?

"Insulin lispro has an onset of about 15 minutes"

A nurse is assessing an infant during a routine check up. The parent asks the nurse about the intense immunization schedule. Which of the following responses should the nurse make?

"It is recommended that your infant receives 6 immunizations at 2 months of age"

A nurse is providing teaching to a client who has chronic constipation and a new prescription for psyllium. Which of the following instruction should the nurse provide?

"Mix this medication with water and follow with an additional glass of liquid"

A nurse is teaching a client who has persistent cancer about the adverse effects of opioids. Which of the following statements should the nurse include in the teaching?

"Physical dependence is not the same as addiction"

A nurse is educating a client with urethritis who has a new prescription for oral erythromycin. Which of the following statements should the nurse include in the teaching?

"Report persistent diarrhea to the provider"

A nurse is providing teaching for a client who has received a liver transplant and has a prescription to transition from cyclosporine to tacrolimus. Which of the following instruction should the nurse include in the teaching?

"Stop taking the cyclosporine for 24 hr and then begin taking the tacrolimus"

A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following instruction should the nurse include in the teaching?

"Take hydrochlorothiazide in the morning"

A nurse is teaching the guardian of an infant about the diphtheria, tetanus, and pertussis (DTaP) vaccine. Which of the following pieces of information should the nurse include in the teaching?

"The first immunization for DTaP in the series is given at 2 months"

A nurse is teaching the guardian of a school-aged child about growth hormone therapy. Which of the following statements should the nurse include in the teaching?

"The hormone injections are administered subcutaneously"

A nurse is preparing to administer the first injection of the diphtheria, tetanus, and pertussis (DTaP) vaccine to an infant. Which of the following pieces of information should the nurse tell the guardian prior to administering the immunization?

"The vaccine will be injected into the infant's thigh"

A nurse is providing teaching to a client who is scheduled to start taking hydrochlorothiazide for hypertension. The nurse instruct the client to eat foods that are rich in potassium. Which of the following statements by the client indicates an understanding of the teaching?

"This medication can cause a loss of potassium"

A nurse is administering an enteric-coated tablet to a client and explaining the pharmaceutical preparation. Which of the following statements should the nurse make? A. "This coated tablet dissolves better in your stomach and intestines" B. "You are less likely to have an upset stomach with this pill because of the coating on the tablet." C. "The coating on the tablet improves the absorption of the medication" D. "The coating on the tablet allows a gradual release of the medication"

"You are less likely to have an upset stomach with this pill because of the coating on the tablet."

A nurse is teaching about the adverse effects of morphine with a client who has acute pain. Which of the following statements should the nurse include in the teaching?

"You should increase your fluid intake"

A nurse is providing teaching about antiretroviral medication therapy to a client who has a new diagnoses of AIDS. Which of the following statements should the nurse include in the teaching?

"You should take antiretroviral medications on a routine schedule"

A nurse is teaching about taking donepezil with a client who was recently diagnosed with early Alzheimer's disease. Which of the following instruction should the nurse include in the teaching?

"You should take this medication late in the evening"

The nurse is teaching about adverse effects of ergotamine with A client who has migraine headaches. Which of the following client statements should indicate an understanding of the teaching?

"if I overuse this medication, I might become addicted to it"

A nurse is caring for a client who is receiving chlorpromazine to treat schizophrenia. Which of the following statements by the client should prompt the nurse to notify the provide immediately?

"my tongue keeps moving like a worm"

A nurse is teaching a client who has asthma and a prescription for a fluticasone dry powder inhaler (DPI). Which of the following instructions should the nurse include in the teaching?

"rinse your mouth after administering this medication"

A nurse is teaching a client who is experiencing age related vaginal atrophy and has a prescription for estradiol cream. Which of the following statements should the nurse include in the teaching?

"this medication has fewer systemic effects than oral estrogen"

A nurse is caring for a client with premenstrual (PMD) disorder who has a prescription for fluoxetine. The client asks the nurse, "when should I notice the benefits of this medication?" Which of the following responses should the nurse make?

"you should expect decreased manifestations within a few days"

An 18-month-old toddler who has Kawasaki disease (KD). The child is receiving intravenous immune globulin (IVIG). The guardian asked the nurse to administer the child scheduled measles, mumps, and rubella (MMR) vaccine before discharge. Which of the following responses should the nurse provide?

"your child will not be able to receive the MMR vaccine for at least three months after discharge"

A nurse is preparing to administer cefaclor 750 mg PO in 3 divided doses. Cefaclor 500 mg/tablet is available. How many tablets should the nurse administer with each dose?

0.5

A nurse is preparing to administer levothyroxine 12.5 mcg PO daily to a client who has hypothyroidism. Levothyroxine 25 mcg/1 tablet is available. How many tablets should the nurse administer per dose?

0.5

A nurse is preparing to administer prochlorperazine 2.5 mg IV. Prochlorperazine injection 5 mg/mL is available. How many mL should the nurse administer?

0.5

A nurse is preparing to administer digoxin 0.2 mg via IV bolus to a client. The amount available is digoxin 0.25 mg/1 mL. How many mL should the nurse administer?

0.8

A nurse is caring for a client who receives gastrostomy tube feedings and insulin. Client is scheduled to receive a tube feeding at 0700. At which of the following times for the nurse panel administer insulin lispro subcutaneously?

0645

A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent client has type 1 diabetes mellitus. The nurse should anticipate the onset of action of the insulin at which of the following times?

0745

A nurse is planning care for a client who is receiving gentamicin IM and has a new prescription to obtain gentamicin peak and trough levels. At which of the following times should the nurse plan to obtain a blood sample to evaluate the gentamicin peak?

1 hour after administering the IM injection

A nurse is preparing to administer atropine 0.6 mg IM preoperatively to a client. The amount available is atropine 0.4 mg/1mL. How many mL should the nurse plan to administer?

1.5

A nurse is preparing to administer codeine 30 mg PO every 4 hr PRN to a client for pain. The amount available is codeine oral solution 15 mg/5 mL. How many mL should the nurse plan to administer per dose?

10

A nurse is preparing to administer heparin 500 units/hr to a client who has a deep-vein thrombosis. Heparin is available at 25,000 units in 500 mL of 5% dextrose in water. The nurse should set the IV pump to deliver how many mL/hr?

10

A nurse is preparing to administer fosphenytoin 550mg via IV bolus to a client who is having a seizure. Fosphenytoin 50 mg/1mL is available. How many mL should the nurse administer?

11

A nurse is preparing to administer heparin 900 units/hr via IV infusion. The amount available is heparin 25,000 units in 500 mL 5% dextrose in water. The nurse should set the IV pump to deliver how many mL/hr?

18

A nurse is preparing to administer metoclopramide 10 mg IM to a client who is postoperative and nauseated. The amount available is metoclopramide 5 mg/1 mL. How many mL should the nurse administer?

2

A nurse is preparing to administer verapamil 5.5 mg via IV bolus to a client who has hypertension. The amount available is verapamil 2.5 mg/1 mL. How many mL should the nurse administer?

2.2

A nurse is preparing to administer chlorothiazide 20 mg/kg/day PO divided equally and administered twice daily for a toddler who weighs 28.6 lb. The amount available is chlorothiazide oral suspension 250 mg/5 mL. How many mL should the nurse administer per dose?

2.6

A nurse is preparing to administer desmopressin 0.3 mcg/kg in 0.9% sodium chloride 50 mL IV over 30 min to a client who weighs 154 lb. how many mcg of medication should the client receive?

21

A nurse is preparing to administer lactated ringer's (LR) 1,000 mL IV infused over 8 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

21

A nurse is preparing to administer cefepime 1g in 5% dextrose in water (D5W) 50 mL over 30 min to a client who has pneumonia. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

25

A nurse is preparing to administer ampicillin 500 mg in 50 mL of dextrose 5% in water (D5W) infused over 15 min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

33

A nurse is preparing to administer magnesium hydroxide 1.5 ounce PO to a client who has constipation. How many mL should the nurse administer?

45 Since 1 oz equals 30 mL and the amount prescribed is 1.5 oz, the nurse should administer magnesium hydroxide 45 mL PO

A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 400 mL IV to an older adult client over 8 hr. The nurse should set the IV pump to deliver how many mL/hr?

50

A nurse is preparing to administer cefixime 4 mg/kg PO twice daily to a preschooler who weighs 31 lb. How many milligrams should the nurse administer with each dose?

56

A nurse is preparing to administer an enteral feeding through an NG tube at 250 mL over 4 hr. The nurse should set the pump to deliver how many mL/hr?

63

A nurse is preparing to administer ampicillin 50 mg/kg/day PO divided into 4 equal doses for a toddler who weighs 33 lb. Ampicillin 125 mg/5 mL oral solution is available. How many mL should the nurse administer per dose?

7.5

A nurse is reviewing the laboratory data for a client who is receiving clozapine for schizophrenia. The nurse should identify which of the following findings as a potential adverse effect of the medication?

Absolute neutrophil count 1,200 mm^3

A nurse is caring for a child who has epilepsy and is scheduled to receive a dose of phenytoin. The nurse notes the child's serum phenytoin level is 14 mcg/mL. Which of the following actions should the nurse take?

Administer the dose

A nurse is preparing to administer a hydromorphone IV infusion to a client for pain. Which of the following actions should the nurse take?

Administer the medication over 4 to 5 minutes

A nurse is administering a medication parenterally to a client. Which of the following techniques should the nurse use to reduce fluctuations in plasma medication levels?

Administering a continuous infusion of the dose

A nurse is reviewing the medication history of a client who has mild intermittent asthma. The nurse should anticipate a prescription for which of the following inhalers for the client?

Albuterol sulfate

A nurse in a providers office is assessing a client who has been taking amoxicillin for 10 days and reports diarrhea and cramping. The nurse should recognize that these manifestations occur secondary to which of the following adverse effects?

Alterations in gastrointestinal flora

A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? A. Amantadine B. Bupropion C. Phenelzine D. Hydroxyzine

Amantadine

A nurse is teaching a group of nurses about manifestations of progestin deficiency for clients who take a combination oral contraceptive (OC). Which of the following findings should the nurse include in the teaching as an indication of progesterone deficiency?

Amenorrhea

A nurse is caring for a client who has a dry nonproductive cough. Which of the following types of medication should the nurse recommend?

Antitussive

A nurse is caring for a client who is receiving lidocaine for localized pain. The nurse should recognize that which of the following actions will help prevent systemic toxicity of this medication?

Applying the medication to intact skin

A nurse working in the emergency department is admitting a client who has a gastric ulcer and gastrointestinal (GI) bleeding. Which of the following factors in the clients medical history should the nurse report to the provider?

Arthritis treated with ibuprofen every 8 hours as needed

A nurse is planning to administer diphenhydramine 50 mg via IV bolus to a client who is having an allergic reaction. The client has an IV infusion containing a medication that is incompatible with diphenhydramine in solution. Which of the following actions should the nurse take?

Aspirate to check for IV patency before administering the diphenhydramine.

A nurse is assisting a client who is experiencing chest pain. Which of the following medication for the nurse expect to administer to suppress the aggregation of platelets?

Aspirin

A nurse is preparing to administer timolol eye drops to a client who has primary open-angle glaucoma (POAG). Prior to administering the medication, the nurse should recognize that which of the following conditions in the clients medical history is a contra indication to receiving this medication?

Asthma

A nurse is providing teaching to a client who has hypertension and a new prescription for oral clonidine. Which of the following instructions should the nurse include in the teaching?

Avoid driving until the client's reaction to the medication is known

A nurse in a providers office is assessing a client who reports taking a dietary supplement to reduce hot flashes related to menopause. Which of the following supplements should the nurse expect the client to report taking?

Black cohosh

A nurse is checking a client who is receiving an IV infusion of telavancin for Streptococcus pyogenes. Which of the following actions should the nurse include?

Check the client for pruritus

A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports nausea and refuses to eat breakfast. Which of the following actions should the nurse take first?

Check the client's apical pulse

A nurse is providing teaching to a client who has hypothyroidism and is taking levothyroxine. The nurse should instruct the client that which of the following findings as an indication of thyrotoxicosos?

Chest pain

A nurse is preparing to administer the influenza vaccine to a client. Which of the following allergies should the nurse identify as a contraindication to the client receiving this vaccine?

Chicken eggs

A nurse is teaching an assistive personnel about dietary restrictions for a client who is taking phenelzine to treat depression. The AP's selection of which of the following foods for the client's lunch indicates an understanding of the teaching?

Chicken salad

A nurse is completing the admission history for a client who reports drinking 1 pint of whiskey every day for 6 years. The clients last drink was 10 hr ago. Which of the following medication should the nurse plan to administer upon admission?

Chlordiazepoxide

A nurse is reviewing the medical record of a client who might have hearing loss. Which of the following data from the clients medical record to the nurse identify as a risk factor for hearing loss?

Chronic use of salicylates

A nurse is reviewing the laboratory results of a client who is taking tobramycin and notes that the medication's peak level is 7 mcg/mL. Which of the following actions should the nurse take?

Continue to administer the medication as prescribed

A nurse is caring for a client who has Alzheimer's disease and a prescription for memantine. Which of the following laboratory findings should the nurse identify as a contraindication to receiving this medication?

Creatinine clearance 35 mL/min

A nurse is caring for a client with Alzheimer's disease who has a new prescription for memantine. Which of the following laboratory results should the nurse identify as increasing the clients risk for decreased clearance of the medication?

Creatinine clearance 35 mL/min

A nurse is reviewing the laboratory data for a client who has Alzheimer's disease and a new prescription for memantine. The nurse should identify that which of the following findings increases the clients risk for reduced clearance of the medication?

Creatinine clearance 35 mL/min

A nurse is reviewing the medical record of a client who is requesting a prescription for sildenafil citrate. Which of the following data in the client's record should the nurse identify as a contraindication to the use of this medication?

Current use of isosorbide to treat heart failure

A nurse is caring for a client who is taking budesonide to treat Crohn's disease. Which of the following findings should indicate to the nurse that the treatment is effective?

Decreased inflammation

A nurse is administering brimonidine eye drops to a client who has glaucoma. Which of the following ocular effects should the nurse expect?

Decreased intraocular pressure

A nurse is monitoring a client who is receiving lactulose for cirrhosis. Which of the following laboratory values related to this medication should indicate to the nurse that the treatment is effective?

Decreased serum ammonia

A nurse is preparing to administer raloxifene to a client. Which of the following conditions is a contra indication for the administration of this medication?

Deep vein thrombosis

A nurse is teaching a client who is pre-menopausal and has a prescription for a combination oral contraceptive. Which of the following findings should the nurse include as an adverse effect of oral contraceptives?

Deep vein thrombosis

A nurse is assisting with a client's laceration repair in which the provider will use both lidocaine and epinephrine. The nurse should inform the client that the epinephrine will perform which of the following actions? A. Act as a catalyst for the anesthetic properties of lidocaine B. Delay systemic absorption of the anesthetic properties of lidocaine C. Open the blood vessels for rapid anesthesia from the lidocaine D. Prevent medication toxicity during the procedure

Delay systemic absorption of the anesthetic properties of lidocaine

A nurse is monitoring a client who has asthma, takes albuterol, and recently started taking propranolol to treat a cardiovascular disorder. The client reports that the albuterol has been less effective. Which of the following factors to the nurse identify as a possible explanation for this change?

Detrimental inhibitory interaction

A nurse is caring for a client who is taking acarbose to treat type 2 diabetes mellitus. For which of the following adverse effects of this medication to the nurse monitor the client?

Diarrhea

A nurse is providing discharge teaching to a client who is postoperative and has a new prescription for an oral opioid analgesic. Which of the following pieces of information should the nurse include as a rationale for increasing the clients daily intake of fiber?

Dietary fiber helps prevent constipation

A nurse is caring for a client who has atrial fibrillation and is scheduled for a cardioversion. The nurse should anticipate a prescription from the provider for which of the following medications for this procedure?

Diltiazem

A nurse is caring for a client who has acute glomerulonephritis and A prescription for furosemide. The nurse should monitor the client for which of the following therapeutic effects of this medication?

Diuresis

A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effects?

Dizziness

A nurse is caring for a client who is taking selegiline. The nurse should monitor the client for which of the following adverse effects of selegiline and notify the provider if it occurs?

Drowsiness

A nurse is administering oral hydroxyzine to a client. Which of the following adverse effects should the nurse instruct the client to expect?

Dry mouth

A nurse is caring for a client who is 12 hours post operative following a total hip arthroplasty. Which of the following medication should the nurse anticipate administering to this client to prevent deep vein thrombosis (DVT)?

Enoxaparin

A nurse is caring for a client who has a vitamin K deficiency. Which of the following manifestations should the nurse expect?

Excessive bruising

A nurse is caring for a client who takes scheduled morphine for cancer pain. The client reports experiencing breakthrough pain. The nurse should anticipate a prescription from the provider for which of the following medications to treat breakthrough pain?

Fentanyl

A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects?

Fever

A nurse is caring for a female client who has been taking clomiphene to treat infertility. Which of the following findings should indicate to the nurse of the medication has been effective?

Follicular enlargement and conversion to corpus luteum after ovulation

A nurse is caring for a client who is taking streptomycin. Which of the following medications increases the clients risk for developing ototoxicity when taken with streptomycin?

Furosemide

A nurse is performing a preoperative assessment of a client who is about to undergo an aneurysm clipping. The nurse should identify a risk for increased bleeding when the client reports taking which of the following dietary supplements?

Garlic

A nurse is teaching a client who has severe generalized rheumatoid arthritis and is scheduled to start taking prednisone for long-term therapy. The nurse should instruct the client to report which of the following as an adverse effect of prednisone?

Gastric ulceration

A nurse is preparing to administer the varicella vaccine to a 12-month-old infant. The nurse asked the infants guardian if the infant has any allergies. Which of the following allergies it's a contraindication to the infant receiving the vaccine?

Gelatin

A nurse is caring for a client who has hyperlipidemia and is receiving simvastatin 40 mg PO daily. Which of the following items should the nurse remove from the clients breakfast tray before it is delivered to the room?

Grapefruit juice

The nurse is teaching a newly licensed nurse about caring for a client who is receiving patient-controlled analgesia (PCA). Which of the following actions by the newly licensed nurse indicates an understanding of the teaching?

Having a second nurse check the PCA setting

A nurse is monitoring a client who has diabetes insipidus and was administering desmopressin. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect of this medication?

Headache

A nurse is caring for a client who has a new prescription of levothyroxine to treat hypothyroidism. Which of the following findings should the nurse identify as an indication that the client requires intervention?

Heart rate 106/min

A nurse is preparing to administer digoxin to a client. Which of the following findings should the nurse identify as a contraindication to the client receiving this medication?

Heart rate 51/min

A nurse is reviewing the medical record of a client with rheumatoid arthritis who has a prescription for infliximab. Which of the following findings should the nurse identify as a contra indication to the client receiving this medication?

Hepatitis B virus

A nurse in a providers office is reviewing a clients medication history. The client asked the nurse if she should begin taking high-dose vitamin C as she ages. Which of the following pieces of information to the nurse provide about high doses of vitamin supplements?

High doses of water-soluble vitamins can have adverse effects

A nurse is preparing to administer dantrolene to a client who has muscle spasticity. Which of the following findings from the clients medical history should the nurse identify as a contraindication to the administration of this medication?

History of cirrhosis

A nurse is reviewing the medical record of a client who has postmenopausal osteoporosis and a prescription for raloxifene. Which of the following findings in the clients medical record to the nurse identify as a contraindication to receiving this medication?

History of deep-vein thrombosis (DVT)

A nurse is reviewing the medical record of a client who has been taking a vitamin D supplement. Which of the following findings from the clients record should the nurse identify as a risk factor for developing vitamin D deficiency?

Obesity

A nurse is teaching a client who has chemotherapy induced anemia and a prescription for epoetin alfa. The nurse should instruct the client to report which of the following findings as an adverse effect of epoetin alfa?

Hypertension

A nurse is teaching a group of nurses about the effects of a client receiving spinal anesthesia. Which of the following pieces of information to the nurse include in the teaching?

Hypertension is an adverse effect of spinal anesthesia

A nurse is caring for a client who has a new prescription of enalapril. The nurse should monitor the client for which of the following adverse effects of this medication?

Hypotension

A nurse is caring for a client with benign prostatic hyperplasia and who has a new prescription for doxazosin. Which of the following manifestations should the nurse monitor for as an adverse effect of doxazosin?

Hypotension

A nurse is reviewing the laboratory reports of a client who has been taking warfarin for atrial fibrillation. Which of the following results for the nurse report to the provider immediately?

INR 5.5

A charge nurse is teaching a newly licensed nurse about a client who has a severe allergy-related asthma and a new prescription for omalizumab. Which of the following pieces of information should the charge nurse include to describe the medications mechanism of action?

It reduces the number of immunoglobulin E (IgE) molecules on mast cells

A nurse is administering medication to a client. The nurse should identify that which of the following medication distribution factors facilitates the effective passage of the medication across the clients cell membranes?

Lipid solubility

A nurse is reviewing the medical record of a client who has a prescription for a combination oral contraceptive. The nurse should identify that which of the following findings is a contraindication to receiving this medication?

Liver disease

A nurse is reviewing the medication administration record of a client who is receiving an opioid medication for pain. Which of the following prescriptions to the nurse clarify with the provider?

Lorazepam

A nurse is assessing a client who has multidrug-resistant tuberculosis and takes ethambutol. The nurse should identify which of the following findings as an adverse effect of this medication?

Loss of red/green color discrimination

A charge nurse is monitoring a newly licensed nurse who is caring for a postoperative client who is receiving morphine through a PCA pump. which of the following actions by the newly licensed nurse requires intervention?

Maintaining the client on bedrest while the PCA pump is in use

A nurse is monitoring a client who is receiving terbutaline to suppress preterm labor. Which of the following findings should indicate to the nurse that the client is experiencing adverse effect of the medication?

Maternal heart rate > 120/min

A nurse working in a mental health facility is admitting a client with opioid use disorder who is experiencing withdrawal. The nurse should anticipate a prescription for which of the following medications from the provider?

Methadone

A nurse is caring for a client who takes a combination oral contraceptive (OC). Which of the following findings should indicate to the nurse that the client is experiencing a deficiency in estrogen in the OC?

Mid-cycle breakthrough bleeding or spotting

A nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions?

Migraine headaches

A nurse is caring for a client who was recently diagnosed with Addison's disease and has been placed on long-term mineralocorticoid therapy with fludrocortisone. Which of the following pieces of information should the nurse provide when explaining the purpose of this therapy? A. Mineralocorticoids help the body metabolize carbohydrates, fats, and proteins B. Mineralocorticoids support secondary sexual development C. Mineralocorticoids maintain electrolyte and fluid balance D. Mineralocorticoids reduce the risk of cardiac dysrhythmias

Mineralocorticoids maintain electrolyte and fluid balance

A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effects?

Muscle weakness

A nurse is assessing a client who has been taking simvastatin to treat hyperlipidemia. Which of the following statements by the client indicates an adverse effect of the medication that should be reported to the provider immediately? A. "I have had occasional constipation" B. "I have had some gas" C. "My head has been hurting for some days" D. "My legs feel weak and achy"

My legs feel weak and achy

A nurse is caring for a client who has been in the PACU for more than 1 hr, has a respiratory rate of 9/min, and is difficult to arouse. The nurse should expect a prescription for which of the following medications?

Naloxone

A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for which of the following medications?

Naproxen

A nurse is reviewing the laboratory results for a client who has a prescription for the filgrastim. An increase in which of the following values indicate a therapeutic effect of this medication?

Neutrophil count

A nurse is admitting a client who has unstable angina. Which of the following medications should the nurse anticipate administering to the client?

Nitroglycerin

A nurse is caring for a client who has unstable angina. The nurse should anticipate a prescription from the provider for which of the following medications?

Nitroglycerin

A nurse is providing teaching to a client with asthma who has a new prescription for a short-acting beta-2 agonist (SABA) bronchodilator. Which of the following pieces of information should the nurse share?

Notify the provider if the SABA is needed more than twice per week

A nurse is administering a prescription for nifedipine to a client who is pregnant. Which of the following pieces of information related to nifedipine should the nurse monitor and document?

Number of uterine contractions

A nurse is teaching the parents of a child who has severe reactive airway disease about glucocorticoid therapy. The parent asks why her child has to inhale the medication instead of taking orally. Which of the following pieces of information should the nurse provide to the parent?

Oral glucocorticoids are more likely to slow linear growth in children

A nurse is caring for a client who developed hypoglycemia following an insulin injection. The client is conscious and responds appropriately to verbal stimuli. Which of the following medications should the nurse plan to administer first? A. Oral glucose tablet B. 50% dextrose intravenously C. Glucagon intramuscularly D. Epinephrine intravenously

Oral glucose tablet

A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg 3 times daily PO and gabapentin 1,800 mg 3 Times daily PO to manage pain. The client tells the nurse, " i'm having pain that keeps me from doing what i'd like most of the time." Which of the following additions should the nurse anticipate to the clients medication regimen?

Oral oxycodone

A nurse is caring for a client who has schizophrenia and a prescription for chlorpromazine. For which of the following adverse effects for the nurse monitor?

Orthostatic hypotension

A nurse is caring for a client who is taking a prescription for glucocorticoid adrenal replacement medication for the long-term treatment of Addison's disease. Which of the following findings indicates that the client is experiencing adverse effect of the medication?

Osteoporosis

A nurse is assessing a client who was recently admitted and has a history of alcohol use disorder. The client displays ataxia, and altered level of consciousness, and nystagmus. Which of the following medications should the nurse anticipate administering to the client?

Parenteral thiamine

A nurse is assessing a child who has acute lymphocytic leukemia and is receiving vincristine sulfate. Which of the following findings is the nurse's priority?

Paresthesia

The nurse is assessing a client who has been taking linezolid to treat a Staphylococcus aureus infection. Which of the following findings should the nurse report to the provider?

Paresthesias

A nurse is caring for a client who is taking glucocorticoids. The nurse should monitor the client for which of the following adverse effects of the medication?

Peptic ulcer

A nurse is caring for a client who is brought to the emergency department by friends after reported heroin overdose. Which of the following findings should the nurse expect to assess?

Pinpoint pupils

A nurse is assigned to care for several clients who are postoperative. The client taking which of the following medications is at risk of delayed would healing? A. Nifedipine to treat hypertension B. Prednisone to treat persistent arthritis exacerbations C. Albuterol to treat asthma D. Chlorpromazine to treat schizophrenia

Prednisone to treat persistent arthritis exacerbations

A nurse is caring for a client at 39 weeks of gestation who has gestational hypertension. The client has a new prescription for misoprostol For cervical ripening an induction of labor. Which of the following findings in the clients medical history should the nurse identify as increasing the clients risk of complications due to the use of this medication?

Previous cesarean delivery

A nurse is caring for a client who is experiencing an acute asthma exacerbation. Which of the following medication should the nurse identify as being contraindicated for this client?

Propranolol

A nurse is assessing a client who is receiving IV gentamicin 3 times daily. Which of the following findings indicates that the client is experiencing an adverse effect of this medication?

Proteinuria

A nurse in an acute care facility is preparing our reconciled list of medications for a client who is being discharged home. Which of the following actions should the nurse take?

Provide the client and the next care provider with a list of medication to the client will take after discharge

A nurse is preparing to administer an otic medication to an adult client. Which of the following actions should the nurse take?

Pull the pinna of the client's ear upward and outward

A nurse is preparing to administer medication to a client. The nurse should understand that which of the following abbreviations indicates the greatest frequency of medication administration?

QID - 4 times per day

A nurse is reviewing the laboratory values of a client who is receiving a continuous IV heparin infusion and has an aPTT of 90 sec. which of the following actions should the nurse prepare to take?

Reduce the infusion rate

A nurse is caring for a client with diabetic ketoacidosis who has a prescription for an intravenous infusion of insulin. The nurse should document that which of the following types of insulin was administered intravenously to treat ketoacidosis?

Regular insulin

A nurse is caring for a client who received naloxone for a suspected opioid overdose. Which of the following findings should the nurse identify as an adverse effect of this medication?

Report of pain

A nurse is caring for a client with asthma who has been taking an inhaled glucocorticoid and long-acting beta2-agonist combination dry-powder inhaler (DPI) for maintenance therapy. The nurse should identify that which of the following is a disadvantage to this medication?

Restricted dosage flexibility

A nurse is caring for a client who has rheumatoid arthritis and a new prescription for etanercept. Which of the following values should the nurse review prior to the administration of the medication?

Results of last purified protein derivative (PPD) test

A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contra indicated for children who have a viral infection due to the risk of developing which of the following adverse effects?

Reye's syndrome

A nurse is teaching self-administration of NPH insulin to a client who has type 2 diabetes mellitus. Which of the following instructions should the nurse include?

Rotate injection sites within the same area

A nurse is caring for a client who has asthma and requires long-term treatment. The nurse should identify that which of the following medications used for long-term treatment places the client at an increased risk for asthma-related death?

Salmeterol

A nurse is preparing a discharge teaching plan for a client who is scheduled to begin long-term oral prednisone for asthma. Which of the following instruction should the nurse include in the plan?

Schedule the medication on alternate days to decrease adverse effects

A nurse is caring for a client who has cystic fibrosis and has a prescription for a high dose ibuprofen daily. The nurse should identify that which of the following is an expected outcome for the client receiving this medication?

Slow the progression of pulmonary damage

A nurse is caring for a school age child who has cystic fibrosis (CF) and has been using a corticosteroid inhaler for a long-term treatment. Which of the following findings should the nurse identify as an adverse effect of long-term use of this medication?

Small stature for age

A nurse is caring for a client who has had a levonorgestrel-releasing intrauterine device (IUD) in place for 1 year. Which of the following findings should indicate that the client is experiencing an adverse effect?

Spotting between menses cycle

A nurse is providing teaching to a client who has a new prescription for sertraline. The client asked the nurse if he should continue to take Saint johns wort for depression. Which of the following instructions to the nurse give the client?

Stop taking the herbal supplement while taking the medication

A nurse is teaching a client who has type 2 diabetes mellitus about storing an open files of insulin. Which of the following pieces of information should the nurse include in the teaching?

Store vials in the refrigerator

A nurse is caring for a female client who has osteoporosis and is taking raloxifene. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of this medication?

Sudden onset of dyspnea

A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. The nurse should recognize that candidiasis is a manifestation of which of the following adverse effects?

Superinfection

A nurse is assessing a client who began taking clozapine 3 weeks ago. Which of the following findings should the nurse report to the provider immediately?

Tachypnea and tachycardia

The nurse suspects that the client is having an allergic reaction to a medication. Which of the following factors for the nurse identify as increasing the likelihood of an allergic reaction to the medication?

The client has had previous exposure to the medication

The nurse is assessing a client who has cystic fibrosis. Which of the following pieces of information indicates a therapeutic response to pancreatic enzyme replacement?

The client is having 1 to 2 bowel movements per day

A nurse is planning care for a female client who has severe irritable bowel syndrome with diarrhea (IBS-D) and a new prescription for alosetron. Which of the following intervention should the nurse include in the plan of care?

The client must sign in agreement with the provider before beginning alosetron

A nurse is caring for a client who is experiencing acute pain and is receiving morphine. Which of the following findings should indicate to the nurse the need to withhold the clients next dose of morphine?

The client's respiratory rate is 10/min

A nurse is assessing an infant who is scheduled to receive the rotavirus vaccine. Which of the following criteria should the nurse identify as a potential contraindication for administering this vaccine? A. The infant is teething B. The infant has a history of intussusception C. The infant has been constipated for 3 days D. The infant is 9 weeks old

The infant has a history of intussusception

A nurse is preparing to administer an IV injection to a client. For which of the following reasons should the nurse inject the medication slowly? A To reduce toxicity risk B To improve absorption pattern C To prevent medication dilution D To protect against embolism

To reduce toxicity risk

A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following should the nurse include in the teaching as an adverse effect of lisinopril?

Tongue swelling

A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of the following findings indicates of the client is experiencing acute levothyroxine overdose?

Tremor

A nurse is caring for a client who is developing a cute pulmonary edema and has a new prescription for furosemide 40 mg IV bolus. The nurse should plan to administer the medication use of which of the following methods?

Undiluted administered over two minutes

A nurse is assessing a client who reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following therapeutic effects?

Urinary health promotion

A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily. The client reports taking extra doses to promote weight loss. Which of the following findings should indicate to the nurse that the client is hydrated?

Urine specific gravity 1.035

A nurse is preparing to administer 100 units of insulin glargine and 4 units of NPH insulin Subcutaneously to a client. Which of the following actions should the nurse plan to take?

Use separate syringes for administering insulin glargine and NPH insulin