EXAM 2 PHARM REVIEW
which insulin can you still administer for DKA
regular
Antidote for warfarin?
vitamin k
A nurse is teaching an adult client about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug? Diarrhea Constipation Nausea Drowsiness
Drowsiness
A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take? SABA or LABA
SABA
Antidote to administer for heparin OD?
protamine sulfate
A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide? A. Check the pulse after medication administration. B. Take the medication with meals. C. Rinse the mouth after administration. D. Limit caffeine intake.
rinse the mouth after administration
A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide?
avoid caffeine while taking this med
A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis? A. Oral mucosa B. Conjunctivae C.Ear lobes D. Soles of the feet
oral mucosa
The nurse should identify tinnitus, or ringing in the ears, as an adverse effect of __________ that indicates salicylism Aspirin or Acetaminophen
Aspirin
Heparin should be injected into the ______________ above the level of the iliac crest
abdomen
Which anticoagulant works faster
heparin
A nurse is caring for a client who has asthma and a prescription for montelukast granules. Which of the following instructions should the nurse provide the client's parent on administering the medication? Administer medication _____ hours before exercise
2
______________ can cause hepatotoxicity. the client should monitor & report jaundice, abdominal pain, clay colored stool, & fever Aspirin or Acetaminophen
Acetaminophen
A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?
The client holds his breath for 10 seconds after inhaling the medication
A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching? A. The client holds his breath for 10 seconds after inhaling the medication. B. The client takes a quick inhalation while releasing the medication from the inhaler. C. The client exhales as the medication is released from the inhaler. D. The client waits 10 min between inhalations.
The client holds his breath for 10 seconds after inhaling the medication
A nurse is teaching a client who has asthma how to use a metered-dose inhaler (MDI). The nurse identifies the sequence of steps the client should follow. · a. Inhale deeply and then exhale completely · b. Place lips firmly around mouthpiece · c. Breathe in deeply over 2-3 seconds while pushing down on the canister · d. Hold breath for 10 seconds · e. Exhale slowly through pursed lips · f. Wait 60 seconds between each puff
good
A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following responses should the nurse make?
prevents wheezing, open airways, decreases coughing episodes
A nurse is providing teaching for a client who has a new prescription for warfarin. Which of the following instructions should the nurse include in the teaching? A. DO NOT shave at all B. only wax C. use an electric razor
use an electric razor
what is the most commonly prescribed anticoagulant?
warfarin
A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious breath sounds? A. Crackles B. Rhonchi C. Stridor D. Wheezes
wheezes
A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take? A. tell the client to blow her nose gently before instillation B. tell the client to pinch her nose for 20sec after admin C. tell the client to tilt head back and inhale before instillation
A
A nurse is caring for a client who has asthma and is taking fluticasone. The nurse should monitor the client for which of the following adverse effects? A. oral candidiasis B. loss of smell or taste C. bumps on the tongue D. rash on lips
A
A nurse is providing teaching to a client who has a new prescription for transdermal nitroglycerin paste. Which of the following statements by the client indicates the need for further teaching? A. "I should leave the patch in place until its time for the next dose" B. "I should make sure the site is clean and dry" C. "I should remove the patch for 10-12 hours"
A
A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication? A. Decrease in level of TSH B. Increase in level of TSH
A
A nurse is teaching a client who has a new prescription for topical betamethasone to treat contact dermatitis. Which of the following instructions should the nurse A. use the cream for a few days after the area has healed B. use the cream only when it itches C. use the cream for 1 week and then stop
A
A nurse is teaching a client who has angina about nitroglycerin sublingual tablets. Which of the following statements should the nurse include in the teaching? A. Nitroglycerin dilates cardiac blood vessels to deliver more oxygen to the heart B. Nitroglycerin constricts blood vessels to deliver adequate oxygen through the body
A
A nurse is assessing a client for hypoxemia during an asthma attack. Which of the following manifestations should the nurse expect? A. Nausea B. Dysphagia C. Agitation D. Hypotension
Agitation
A charge is teaching a group of nurses about clients who report using garlic,ginger, and ginkgo biloba. The charge nurse should identify which of the following as an adverse effect of these supplements? A. Increased weight and decreased appetite B. Increased effects of oral anticoagulants C. Decreased effects of oral anticoagulants
B
A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include? A. the client will workout 7 days a week with atleast 60min cardio B. The client will walk for 30min 5 days a week C. the client will do pilates and yoga every day
B
A nurse is providing teaching to a client who has angina pectoris and a new prescription for nitroglycerin sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching? A. I'll dial 911 if 1 tab does not relieve my pain, then take 2 more tablets 20min apart B. Ill dial 911 if 1 tab does not relieve my pain, then take 2 more tablets 5 min apart C. Ill dial 911 if 1 tab does not relieve my pain, then take 3 more tablets 5 min apart
B
A nurse is providing teaching to a client who has stable angina and a new prescription for nitroglycerin oral, sustained-release capsules. Which of the following instructions should the nurse include? A. chew tablets B. swallow capsules whole C. Mix capsule with water
B
A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects A. Hyperglycemia B. Adrenocortical insufficiency C. Severe dehydration D. Rebound pulmonary congestion
B. Adrenocortical insufficiency
A nurse is preparing to administer an intramuscular (IM) injection of meperidine to a client. Which of the following is the priority assessment the nurse should complete? A. pulse B. blood pressure C. respiratory rate D. oxygen saturation
C
A nurse is providing discharge teaching to a client who has asthma and new prescriptions for cromolyn and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching? A. "I will use both medications immediately after exercising." B. "If my breathing begins to feel tight, I will use the cromolyn immediately." C. "I will be sure to take the albuterol before taking the cromolyn." D. "I will administer the medications 10 minutes apart."
C
A nurse in a clinic sees a client who has an acute asthma exacerbation. Which of the following medications should reduce the symptoms? A. Cromolyn via metered-dose inhaler B. Montelukast orally C. Budesonide via dry-powder inhaler D. Albuterol via jet nebulizer
D. Albuterol via jet nebulizer
What must you monitor when someone is on heparin IV
PPT
A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin? A. LFTs B. PT C. Glucose
PT
A nurse is performing a pain assessment for a client who is alert. The nurse should recognize that which of the following measures is the most reliable indicator of pain? FACES Self-reported pain Observed pain
Self-reported pain
A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide? A. take the medication as needed B. take the medication for a week C. take the med for the rest of your life
C
A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. What is the nurses highest priority A. administer naloxone B. administer oxygen C. administer a nebulizer beta-adrenergic D. administer a nebulizer short acting adrenergc
C
A nurse in an emergency department is planning care for a client who is having an acute myocardial infarction (MI). The nurse should plan to administer which of the following medications after the initial acute phase to manage the client's pain and anxiety? Naloxone Albuterol Morphine Lisinopril
Morphine
Warfarin is administer _________ ONLY
PO
A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use to abort an acute asthma attack? A. Beclomethasone B. Salmeterol C. Formoterol D. Albuterol
albuterol
A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make? A. taking the med before meals will help you absorb the med more efficiently B. taking the med after the meal will help you absorb more of the med C. taking the med on an empty stomach will result in the best relief
B
A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the med. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects? A. renal impairment B. adrenal insufficiency C. kidney impairment
B
A patient with a new prescription for propranolol tells the nurse she has a history of asthma. What is the nurse's priority action? A. administer anways B. notify health care provider C. discuss how to use the med
B
A client is taking Ibuprofen ( Advil, Motrin ) to treat hip pain. The nurse should teach the client that , to minimize gastric mucosal irritation, she should take this medication at which of the following times? A. immediately before a meal B. 30 min before bed C. Immediately after a meal
C
A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take? A. measure the clients BP B. measure the clients dorsalis pedis pulse C. measure the clients apical pulse D. measure the clients radial pulse
C
A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation? A. the client developed a drug addiction B. the client skips meds C. the client is allergic to the med D. the client has developed a tolerance
D
A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority? A. Initiating oxygen therapy B. Providing immediate rest for the client C. Positioning the client in high-Fowler's D. Administering a nebulized beta-adrenergic
D
Heparin dissolves clots, and stops new clots from forming True or false
false
A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications? A. Propranolol B. Theophylline C. Montelukast D. Prednisone
propranolol
A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following in an adverse effect of this medication? fever sedation sweating chills
sedation