ATI-Pharmacology Made Easy

A nurse is teaching a client about the adverse effects of digoxin . Which of the following statements should the nurse include in the teaching ?

" Contact your provider if adverse effects occur . "

A nurse is teaching a client who has a new prescription for tramadol . Which of the following instructions should the nurse include ?

1. Increase fiber and fluid intake . 2. Take the drug with food . 3. Avoid driving after taking the drug . 4. Change positions gradually .

A nurse is caring for a group of postoperative clients . The nurse should identify that morphine is contraindicated for which of the following clients ?

A client who had a cholecystectomy [*Morphine can cause biliary colic . It should not be administered to a client who has just had biliary tract surgery*]

A nurse is reviewing the medical record of a client who reports taking acetaminophen at home . The nurse should identify that which of the following client conditions is a contraindication for acetaminophen ?

Alcohol use disorder

A client is about to start taking tramadol to treat moderate pain . Which of the following instructions should you include when talking with the client about taking this drug ?

Allow 1 hr for it to take effect .

Butorphanol

Anesthesia adjunct- to reduce side effects of general anesthetics

A nurse is caring for a client who is newly admitted to the facility for chest pain . At which of the following times should the nurse begin teaching about drugs and discharge planning ?

As soon as possible

A client is about to begin celecoxib therapy for osteoarthritis . You should instruct the client to watch for and report which of the following possible indications of a serious reaction to this drug ?

Black , tarry stools

A nurse is caring for a client who has a new prescription for prednisone for long - term treatment of rheumatoid arthritis . The nurse should monitor the client for which of the following adverse drug reactions ?

Bone loss

A nurse is caring for a client who has a new prescription for celecoxib . The nurse should tell the client to report which of the following adverse drug reactions ?

Chest pain

A nurse is preparing to administer a drug to a client . In which of the following sections of a drug handbook should the nurse look to determine if the client can receive the drug ?

Contraindications

When reviewing a list of drugs in a drug handbook , a nurse can identify the generic name for a drug in which of the following ways ?

It begins with a lower - case letter .

A nurse is planning care for a client who has started taking prednisone . Which of the following interventions should the nurse include ?

Monitor the client's blood glucose . [*bc can cause hypoglycemia *]

As the health care provider prepares to give the client morphine IV for pain , she makes sure she has which of the following drugs available ?

Naloxone - anecdote to reverse adverse effects- given every 2-3 mins until patient is stable

Ibuprofen

Nonsteroidal anti - inflammatory drug

Morphine

Opioid analgesic

Naloxone

Opioid antagonist

A nurse is reviewing a drug handbook prior to administering a drug to a client who has kidney disease . The handbook states that the drug can be administered but identifies certain risks . Which of the following terms describes these risks ?

Precautions

Prednisone

Prevention of organ rejection

In addition to celecoxib , the client takes low - dose aspirin daily for which of the following purposes ?

Reduces the risk of a cardiovascular event - thins blood

Morphine

Sedation

A nurse is reviewing drugs in a drug reference . The nurse should identify that drugs in the same class share which of the following similarities ?

They have similar mechanisms of actions .

A nurse is caring for a client who is taking diphenhydramine for insomnia and reports drowsiness . The nurse should identify that drowsiness indicates which of the following ?

To determine if dosage modification is indicated

A nurse is reviewing the drug list for a client who has a new prescription for allopurinol . The nurse should identify that which of the following drugs interacts with allopurinol ?

Warfarin [*Allopurinol can increase the effectiveness of warfarin . A lower dosage of warfarin might be required*]

A nurse is caring for a client who has a prescription for aspirin to treat an ankle sprain . The nurse should instruct the client to report which of the following adverse drug reactions ?

Weight gain

Because the client is taking celecoxib ( Celebrex ) for osteoarthritis , he knows to watch for and report which of the following possible indications of an adverse reaction to celecoxib ?

Weight gain

Butorphanol is an unsafe analgesic choice for clients who

use a fentanyl patch for chronic pain .

A nurse is caring for a client who asks about taking acetaminophen . The nurse should identify that acetaminophen is indicated for which of the following conditions

1. To reduce fever 3. To relieve mild pain

A nurse is teaching a client who has a new prescription for allopurinol . Which of the following instructions should the nurse include ?

Avoid driving or activities that require mental alertness .

A nurse is teaching a client who is taking allopurinol about minimizing adverse effects . Which of the following instructions should the nurse include ?

Eat a small meal before taking the drug .

A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters . The nurse should identify that which of the following terms describes why this drug was prescribed for the client ?

Pharmacologic action

A nurse is preparing to teach a client how to take care of a newly created colostomy . The nurse should identify that which of the following factors can decrease the client's ability to learn ? ( Select all that apply . ) 1. Impaired cognitive level 2. Language barrier 3. Discomfort 4. Repetition of teaching 5. Unreadiness to learn

1. Impaired cognitive level 2. Language barrier 3. Discomfort 5. Unreadiness to learn

A nurse is teaching a client about naproxen enteric - coated tablets . Which of the following statements should the nurse include in the teaching ?

" Do not crush or chew the tablet . "

A nurse is caring for a client who takes low - dose aspirin to prevent cardiovascular events . The client asks the nurse about taking ibuprofen to treat rheumatoid arthritis . Which of the following responses should the nurse make ?

" Ibuprofen will reduce the cardioprotective effects of low - dose aspirin . "

A nurse is obtaining a client's health history . The client reports no allergies but has experienced mild itching while taking amoxicillin in the past . Which of the following responses should the nurse make ?

" Itching can indicate a hypersensitivity to amoxicillin . "

nurse is caring for a client who is about to begin taking aspirin . The nurse should instruct the client to report which of the following manifestations of salicylism ? ( Select all that apply . )

1. Fever 2. Tinnitus 3. Diaphoresis 5. Dizziness

A nurse is providing teaching for a client who has a new prescription for a drug with a high potential for toxicity . Which of the following information should the nurse include ? ( Select all that apply . )

1. Periodic laboratory tests are essential to measure serum drug levels . 2. Monitoring for indications of toxicity is important . 3. Taking the smallest effective dose is crucial .

A nurse is caring for a client who has a history of renal insufficiency and is taking lithium . The nurse should monitor the client for which of the following ?

Drug toxicity

A nurse is caring for a client who is taking diphenhydramine for insomnia and reports drowsiness . The nurse should identify that drowsiness indicates which of the following ?

Therapeutic effect

A provider prescribes prednisone for a client who has type 1 diabetes mellitus . Recognizing the risk for an adverse drug reaction to the prednisone , which of the following precautions should the primary care provider take for this client ?

Increase serum glucose monitoring .- bc can cause hyperglycemia

A client who is receiving chemotherapy takes allopurinol prior to the chemotherapy to reduce the risk for which condition ?

Hyperuricemia & reduce uric acid levels

Which of the following instructions should the health care provider give the client regarding the use of aspirin prior to the surgery ?

Stop taking it 1 week before surgery .

A nurse is speaking to a client who is taking sertraline and reports drinking grapefruit juice . The nurse explains that grapefruit juice inhibits an enzyme in the liver that is used metabolize sertraline . The nurse should recognize the client's risk for which of the following ?

Drug toxicity

A nurse is caring for a client who currently takes furosemide and has a new prescription for prednisone . The nurse should monitor the client for which of the following manifestations during concurrent use of the two drugs ?

Hypokalemia

A nurse is reviewing the medical record of a client who has a new prescription for tramadol . The nurse should identify that which of the following conditions is a contraindication for tramadol ?

Seizure disorder

A nurse is caring for a client who arrived at an emergency department following a bee sting . Which of the following findings indicates an anaphylactic reaction ? ( Select all that apply . )

1. Low blood pressure 2. Wheezing 5. Difficulty swallowing

A nurse is teaching a client who has a new prescription for prednisone . Which of the following instructions should the nurse include ? ( Select all that apply . )

2. Discontinue the drug gradually . 3. Report illness or infection . 4. Increase intake of calcium and vitamin D. 5. Monitor for signs of gastric bleeding .

A nurse is caring for a client who has a new prescription for butorphanol . The nurse should monitor the client for which of the following adverse drug reactions ? ( Select all that apply . )

2. Nausea 4. Dizziness 5. Headache

A nurse is teaching a client who has a new prescription for allopurinol . The nurse should instruct the client to report which of the following adverse drug reactions ? ( Select all that apply . )

2. Sore throat 3. Vertigo 4. Bruising 5. Vision changes

A nurse is caring for a client who is receiving morphine to relieve severe pain . The nurse should monitor the client for which of the following adverse drug reactions ? ( Select all that apply . )

2. Urinary retention 3. Respiratory depression 4. Sedation 5. Orthostatic hypotension

A nurse is caring for a client who is opioid dependent and has a new prescription for butorphanol . The nurse should monitor the client for which of the following manifestations of abstinence syndrome ?

2. Vomiting 4. Abdominal cramps 5. Hypertension

A nurse is caring for a child who has a viral infection . The nurse should identify that which of the following drugs can increase the risk of Reye syndrome in children who have viral infections ?

Aspirin [*can increase the risk for Reye syndrome in children who have a viral infection , particularly chickenpox or influenza . Manifestations of Reye syndrome include lethargy and persistent vomiting*]

A nurse is caring for a client who is having difficulty remembering to take their prescribed drug three times each day . The nurse should identify that which of the following alternate forms of the drug can help to promote adherence to the prescribed dosage ?

Extended - release tablet

A nurse is providing teaching to a pregnant client who is taking captopril , an ACE inhibitor , to treat hypertension . The nurse informs the client that captopril is a teratogenic drug . The nurse should explain that teratogenic drugs can cause which of the following ?

Fetal malformation

Acetaminophen

Fever reduction

Prednisone

Glucocorticoid

The health care provider prepares to give the client morphine IV for pain . Knowing the adverse drug reactions of morphine , she should monitor the client for which of the following ?

Respiratory depression

A nurse is teaching a client who has a prescription for a drug that has a receptor agonist effect . Which of the following information should the nurse include in the teaching ?

" This will increase the effects of normal cellular functions . "

A nurse is caring for a client who is taking acetaminophen and codeine for pain relief . These analgesic drugs interact with one another to cause an additive effect . The nurse should identify that which of the following are characteristics of additive drug interactions ? ( Select all that apply . )

1. Clients can achieve desired effects with the use of lower dosages . 5. Both drugs have similar actions .

A nurse is caring for a client who is taking acetaminophen at regular intervals for mild discomfort . The nurse should tell the client to report which the following early indications of acetaminophen toxicity ? ( Select all that apply . )

1. Diaphoresis 4. Nausea 5. Diarrhea

A nurse is caring for a client who is taking naloxone to treat acute morphine toxicity . The nurse should monitor the client for which of the following adverse drug reactions ? ( Select all that apply . )

1. Increased respiratory rate 2. Increased pain 4. Ventricular arrhythmias 5. Hypertension

A client is about to start taking oral morphine to treat acute pain from an injury . Which of the following instructions should you include when talking with the client about taking morphine ? ( Select all that apply . )

1. Take it with food . 2. Rise slowly from sitting or reclining . 4. Increase fluid and fiber intake . 5. Do not take it before driving .

A nurse is caring for a client who is postpartum and breastfeeding . The client asks the nurse about the effects that taking over - the - counter drugs will have on her newborn . Which of the following should the nurse consider when recommending a drug for the client ? ( Select all that apply . )

1. The newborn's weight 2. How much breast milk the newborn consumes each day 3. Whether or not the benefits to the client outweigh the risks to the newborn 4. The properties of the drug

A nurse is obtaining a client's health history and discovers that the client takes loratadine , an over - the - counter drug . The nurse should identify that which of the following is correct regarding over - the - counter drugs ? ( Select all that apply . )

1. They do not require the supervision of a nurse . 2. They can interact with other drugs . 3. They should be included in the client's drug history assessment .

A client arrives at the emergency room immediately following an acetaminophen overdose . Which drug should you prepare to administer ?

Acetylcysteine- reduces risk of hepatoxcity

A nurse is caring for a client who has a new prescription for a drug . After receiving the first dose of the drug , the client experiences anaphylaxis The nurse should identify that anaphylaxis represents which of the following results of the drug ?

Adverse effect

A nurse is caring for a client who is taking allopurinol to treat gout . The nurse should monitor the client for which of the following manifestations of hypersensitivity syndrome ?

Fever

A nurse is preparing to administer a drug to a client . In which of the following sections of a drug handbook should the nurse look to determine if the drug has more than one use ?

Indications

A client is about to start taking aspirin to prevent cardiovascular events . You should instruct the client to watch for and report which adverse drug reaction of aspirin ?

Petechiae- tiny red/purple/brown spots indicating underlying bleeding. bruising and/or coffee ground emesis

A nurse is reviewing the medical record of a client who has a new prescription for celecoxib . The nurse should identify that which of the following conditions is a contraindication to celecoxib ?

Sulfonamide allergy [*Clients who are allergic to sulfonamides can have severe allergic reactions to celecoxib , a COX - 2 inhibitor . Clients who are allergic to salicylates can also react adversely to celecoxib*]

A nurse is caring for a client who is receiving nitroglycerin IV and is switching to the oral form of the drug . The nurse should identify that the oral dose will be higher than the IV dose for which of the following reasons ?

The oral form has decreased bioavailability because of the first - pass effect .