PN Pharmacology Online Practice 2020 B

A nurse in a community health clinic is preparing to administer the varicella vaccine to a young adult female client who has not previously had chickenpox or its vaccine. The nurse should withhold the vaccine and collect additional data when the client makes which of the following statements? "I am allergic to neomycin." "I am taking antibiotics for my acne." "My irritable bowel syndrome has been acting up the last few days." "I have been taking an oral contraceptive for the last 6 months."

"I am allergic to neomycin."

A nurse is reinforcing teaching with a client who has a prescription for scopolamine transdermal patches to prevent motion sickness. Which of the following statements by the client indicates an understanding of the teaching? "I might have a runny nose during therapy." "I should replace the patch every day." "I might experience diarrhea while taking this medication." "I should place the patch behind my ear."

"I should place the patch behind my ear."

A nurse is reinforcing teaching with a client who has a new prescription for timolol eye drops to treat glaucoma. Which of the following client statements indicates an understanding of the teaching? "I will rub my eyes for 10 seconds after putting in the medication." "I will look up when putting the medication into my eyes." "I will clean my eyes from the outer edge toward the nose before putting in the medication." "I will close my eyes tightly after putting in the medication."

"I will look up when putting the medication into my eyes."

A nurse is reinforcing teaching with a client who has a new prescription for a fluticasone inhaler. Which of the following client statements indicates an understanding of the teaching? "I will administer two puffs of the medication consecutively." "I will use this inhaler if I feel an asthma attack coming on." "I will avoid intake of dairy products in my diet." "I will rinse my mouth after I use this inhaler."

"I will rinse my mouth after I use this inhaler."

A nurse on a medical-surgical unit is preparing to administer medications to a client. Which of the following questions should the nurse ask the client to verify the client's identity? "What is your phone number?" "What is your room number?" "What is your provider's name?" "What is your diagnosis

"What is your phone number?"

A nurse is reinforcing teaching with a client who is to start therapy with a nitroglycerin transdermal patch. Which of the following statements by the client indicates an understanding of the teaching? "While using the patch, I will be careful when rising from a chair." "I should leave the patch in place for 24 hours." "I should apply the patch to the same location with each application." "I will apply a new patch if I have chest pain."

"While using the patch, I will be careful when rising from a chair."

A nurse is preparing to administer cefazolin 1 g in 100 mL 0.9% sodium chloride to infuse over 30 min. 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? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

50

A nurse is collecting data from a client who is taking exenatide to treat diabetes mellitus. For which of the following findings should the nurse withhold the exenatide dose and notify the provider immediately? Loss of appetite Abdominal pain Muscle weakness Heartburn

Abdominal pain

A nurse is caring for a client who is having an acute asthma attack. Which of the following medications should the nurse administer first? Beclomethasone Albuterol Cromolyn Prednisone

Albuterol

A nurse is collecting data prior to administering digoxin to a client. For which of the following findings should the nurse withhold this medication and notify the provider? Digoxin level 0.9 ng/mL Blood pressure 142/80 mm Hg Potassium 4.4 mEq/L Apical pulse 52/min

Apical pulse 52/min

A nurse is monitoring a client who is 2 hr postoperative and has a prescription for opioid analgesics. Which of the following actions provides the nurse with the priority data to determine the client's need for analgesia? Observe the client for signs of restlessness. Monitor the client for facial grimacing. Watch the client for indications of decreased mobility. Ask the client to rate their pain level.

Ask the client to rate their pain level.

A nurse is reviewing a client's medical history before administering hydromorphone for postoperative pain. The nurse should notify the provider of which of the following findings before administering this medication? Benign prostatic hyperplasia History of hypertension Rheumatoid arthritis Allergy to aspirin

Benign prostatic hyperplasia

A nurse is reviewing the medical record of a client who has a new prescription for dimenhydrinate to treat motion sickness. Which of the following conditions in the client's medical record should the nurse report to the provider? Major depressive disorder Diabetes mellitus Benign prostatic hyperplasia Ménière's disease

Benign prostatic hyperplasia

A nurse is reinforcing teaching with a client who experiences migraine headaches and has a new prescription for sumatriptan. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication? Insomnia Photophobia Chest tightness Respiratory depression

Chest tightness

A nurse is collecting data from a client who has bacterial pneumonia and is taking ceftriaxone. Which of the following findings indicates a therapeutic effect of the medication? WBC count 10,500/mm3 Clear, bilateral breath sounds Heart rate 110/min Tolerates small meal servings

Clear, bilateral breath sounds

A nurse is collecting data from a client who is taking oral amoxicillin to treat a respiratory infection. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication? Hearing loss Diarrhea Bruising Tendonitis

Diarrhea

A nurse is performing the third check before administering hydromorphone to a client. After opening the unit-dose packet, the client tells the nurse they do not want to take the medication now. Which of the following actions should the nurse take? Complete an occurrence report of the incident. Encourage the client to take the medication. Leave the medication at the client's bedside in case they change their mind. Dispose of the medication with a second nurse as a witness.

Dispose of the medication with a second nurse as a witness.

A nurse is collecting data from a client who has multiple sclerosis and a new prescription for baclofen. Which of the following findings should the nurse identify as an adverse effect of this medication? Diarrhea Weight loss Drowsiness Hypertension

Drowsiness

A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO daily. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? Hypokalemia Blurred vision Tremors Dry cough

Dry cough

A nurse is reviewing the medication administration record for a client who has a new prescription for tobramycin to treat a pulmonary infection. Which of the following medications should the nurse identify as increasing the risk for ototoxicity while taking tobramycin? Furosemide Propranolol Gabapentin Guaifenesin

Furosemide

A nurse is reviewing the medication administration record of a client who has a history of Stevens-Johnson syndrome when taking sulfamethoxazole-trimethoprim. Which of the following medications should the nurse identify as contraindicated for this client? Prednisone Furosemide Lansoprazole Digoxin

Furosemide

A nurse is collecting data from a client who has angina and a new prescription for sublingual nitroglycerin. Which of the following manifestations should the nurse expect as an adverse effect of this medication? Shortness of breath Bradycardia Headache Double vision

Headache

heart failure. Which of the following findings should the nurse identify as an adverse effect of this medication? Hypokalemia Hypomagnesemia Hypernatremia Hyponatremia

Hypokalemia

A nurse is evaluating a client who is receiving amphotericin B via intermittent IV bolus. Which of the following findings indicates an adverse reaction to this medication? Serum potassium 5.6 mEq/L Hematocrit 55% Polyuria Hypotension

Hypotension

A nurse is caring for a client who has a 10-year history of alcohol use disorder and is experiencing acute alcohol withdrawal. The nurse should identify which of the following interventions as the priority? Suggest the client attend a support group. Administer naltrexone. Implement seizure precautions. Assist the client to identify triggers of alcohol use.

Implement seizure precautions.

A nurse is caring for a client who has schizophrenia and is to start therapy with risperidone. For which of the following manifestations should the nurse monitor to determine whether the treatment is effective? Improved social interactions Decreased obsessive-compulsive thoughts Decreased hand tremors Improved urinary control

Improved social interactions

A nurse is caring for a client who has kidney failure and has been taking epoetin. Which of the following is a therapeutic effect of this medication? Decreased BUN Increased Hgb Decreased leukocyte production Increased platelet production

Increased Hgb

A nurse in a provider's office is reviewing the immunization records of a 12-month-old infant who is immunocompromised. Which of the following vaccines should the nurse identify as contraindicated for this client? Hepatitis A (Hep A) Measles, mumps, and rubella (MMR) Pneumococcal conjugate (PCV13) Haemophilus B conjugate (Hib)

Measles, mumps, and rubella (MMR)

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about adverse effects of metformin. The nurse should instruct the client to monitor for which of the following findings as manifestations of lactic acidosis? (Select all that apply.) Muscle pain Hyperventilation Weight gain Constipation Dizziness

Muscle pain Hyperventilation Dizziness

A nurse is collecting data from a client who is taking lithium to treat bipolar disorder. Which of the following findings should the nurse report to the provider? Bloating WBC count 8,500/mm3 Slurred speech Sodium 140 mEq/L

Slurred speech

A nurse is collecting data from a client who has hyperthyroidism and a new prescription for propylthiouracil. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? Sore throat Metallic taste Mania Urinary retention

Sore throat

A nurse is collecting data from a client who has been taking levodopa/carbidopa. Which of the following findings should indicate to the nurse that the medication is effective? The client is able to wash their face. The client experiences fewer seizures. The client reports decreased heartburn. The client is able to sleep through the night.

The client is able to wash their face.

A nurse is caring for a client who is receiving methylprednisolone. Which of the following laboratory values should the nurse plan to monitor? (Select all that apply.) White blood cell count Serum potassium Creatine phosphokinase Blood glucose Amylase

White blood cell count Serum potassium Blood glucose

A nurse is reinforcing dietary teaching with a client who has a new prescription for phenelzine. Which of the following foods should the nurse include in the teaching as an appropriate food choice? Yogurt Avocado Smoked salmon Pepperoni

Yogurt

A nurse is caring for a client who has genital herpes. Which of the following medications should the nurse expect to administer? Levofloxacin Acyclovir Ceftriaxone Metronidazole

Acyclovir

A nurse erroneously administered zolpidem to the wrong client. Which of the following actions should the nurse take? Document the completion of an incident report in the medical record of the client who received the zolpidem. Administer a dose of naloxone to reverse the effects of the medication. Keep a copy of the incident report on the unit. Document the notification of the client's provider

Document the notification of the client's provider

A nurse is reinforcing teaching with a client who has a new prescription for vitamin B12 intranasal to treat malabsorption syndrome. Which of the following instructions should the nurse include in the teaching? "Take this medication once per day." "Drink a hot liquid after administering the medication." "Massage your nose gently after medication administration." "Store this medication in the refrigerator."

"Massage your nose gently after medication administration."

A nurse is reinforcing discharge teaching with a client who has a prescription for a metered-dose inhaler (MDI). Which of the following information should the nurse include in the teaching? "Wait for 15 seconds between each puff of the same medication." "Hold your breath for 5 seconds after inhaling the medication." "Take a slow, deep breath lasting 3 to 5 seconds after releasing the medication." "Roll the canister between your hands for 10 to 15 seconds to mix the medication."

"Take a slow, deep breath lasting 3 to 5 seconds after releasing the medication."

A client who has terminal cancer reports pain as 5 on a scale of 0 to 10. The client has a prescription for morphine 15 mg orally every 4 hr. The client's adult children express concern that the client is receiving too much of the medication. Which of the following responses should the nurse make? "Clients who receive this medication orally have a lower risk for addiction." "Additional doses will not be needed because this medication is given on a fixed schedule." "The dose should remain constant to prevent breakthrough pain." "We can switch from oral administration to rectal administration."

"The dose should remain constant to prevent breakthrough pain."

A nurse is preparing to administer phenobarbital 3 mg/kg PO twice a day to a school-age child who weighs 44 lb. Available is phenobarbital elixir 20 mg/5 mL. How many mL should the nurse plan to administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

15

A nurse is caring for a client who has a new prescription for risperidone to manage schizophrenia. Which of the following laboratory tests should the nurse plan to obtain prior to administering the first dose? Fasting blood glucose level Albumin level CD4 T-cell count Blood creatinine level

Fasting blood glucose level

A nurse is assisting with collecting data for a client who is in preterm labor and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse identify as an indication of magnesium toxicity? Urinary output 60 mL/hr Hyporeflexia Respirations 16/min Tachycardia

Hyporeflexia

A nurse is reinforcing teaching with a client who recently began taking furosemide. Which of the following instructions should the nurse include in the teaching? Increase dietary potassium while taking the medication. Lie down for 30 min after taking the medication. Take the medication 30 min before going to bed. Avoid taking the medication with dairy products.

Increase dietary potassium while taking the medication.

A nurse is reinforcing teaching with a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse include in the teaching? Avoid grapefruit juice. Increase salt intake. Avoid aged cheese. Increase fluid intake.

Increase fluid intake.

A nurse is collecting data from a client who is taking tobramycin. Which of the following findings should the nurse report to the provider immediately? Report of nausea Fever Oliguria Report of headache

Oliguria

A nurse is reinforcing teaching with a client who is newly diagnosed with hypertension and is taking metoprolol. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication? Tachycardia Tinnitus Peripheral edema Urinary retention

Peripheral edema

A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hr ago. Which of the following adverse reactions is the priority finding to report to the provider? Hyperemesis Severe headache Palpitations Respiratory depression

Respiratory depression

A nurse is collecting data from a client who received morphine IV for pain relief. Which of the following findings is the nurse's priority to report to the provider? Emesis Sedation Respiratory rate 11/min Blood pressure 90/54 mm Hg

Respiratory rate 11/min

A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus and is learning to self-administer NPH insulin. Which of the following client actions indicates an understanding of the teaching? The client shakes the insulin vial prior to drawing up the dose. The client uses the tip of the plunger to measure the correct dose. The client injects air into the vial after inverting it. The client wipes the cap with alcohol prior to filling the syringe.

The client wipes the cap with alcohol prior to filling the syringe.

A nurse is collecting data from a client who has been taking digoxin for 1 month. The nurse should identify which of the following findings as a manifestation of digoxin toxicity? Pulse rate 100/min Blood pressure 140/90 mm Hg Wheezing Vomiting

Vomiting