Nclex pharm

A client is prescribed a loop diuretic . Which medication teaching should the nurse provide ? ( Select all that apply . )

A. " Avoid alcoholic beverages . " D. " Drink fluids when you feel thirsty . " E. " Take measures to avoid excessive sweating . "

The nurse evaluates teaching provided to a client about the dosing of an antidysrhythmic medication . Which client statement should indicate teaching was successful ? ( Select all that apply . )

A. " I will call the healthcare provider if I am unable to take the medication for more than a day . B. " I will follow the directions on the prescription label . " C. " I will take the medication evenly spaced throughout the day . "

The nurse is teaching a colleague about the drug milrinone , a phosphodiesterase inhibitor . Which statement by the colleague indicates teaching has been effective ?

A. " It has an onset of 2 to 10 minutes . " B. " It has a positive inotropic action . " C. " It is only administered intravenously . " D. " It will only be administered for 2 to 3 days .

A client with a history of substance use is having seizures . Which substance should the nurse suspect is causing this activity ? ( Select all that apply . ) .

A. Alcohol D. Sedative - hypnotic drugs E. Cocaine

The nurse is preparing to administer a medication to a client with a dysrhythmia . Which should the nurse recall as the function of cardiac medications in the treatment of dysrhythmias ? ( Select all that apply . )

A. Alter conduction E. Alter autonomic activity

A client has a tachydysrhythmia . Which dysrhythmia should the nurse recognize as belonging to this category ? ( Select all that apply . )

A. Atrial fibrillation B. Ventricular dysrhythmias C. Atrial flutter

A client is prescribed risperidone ( Risperdal ) . Which health problem should the nurse expect this medication to treat ? ( Select all that apply . )

A. Bipolar disorder B. Schizophrenia

The nurse prepares teaching on hypertension ( HTN ) for a community health fair . Which organ should the nurse identify that is most affected by this health problem ? ( Select all that apply . )

A. Brain B. Retina C. Heart E. Kidneys

A client is taking cholestyramine ( Questran ) . Which laboratory value should the nurse expect to be decreased in this client ? ( Select all that apply . )

A. Calcium B. Potassium D. Sodium

A client with hypertension asks about types of medications that are known to reduce hypertension - related morbidity and mortality . Which drug class should the nurse include in response ? ( Select all that apply . )

A. Calcium channel blockers ( CCBS ) B. Angiotensin - converting enzyme ( ACE ) inhibitors C. Angiotensin receptor blockers ( ARBs ) E. Thiazide diuretics

The nurse is assessing a client with hypertension . Which data should the nurse obtain to ensure the best medications are prescribed for this client ? ( Select all that apply . )

A. Client readiness for learning B. Complete drug history D. Full health history E. Full set of vital signs

A client prescribed an antiepileptic drug ( AED ) asks how the best medication to treat the disorder is selected . Which determining factor should the nurse provide ? ( Select all that apply )

A. Comorbid conditions B. Type of seizure C. Electrocardiogram ( ECG ) interpretation D. Medical history

A client is prescribed an angiotensin - converting enzyme ( ACE ) inhibitor . Which adverse effect should the nurse include when teaching the client about this medication ? ( Select all that apply . )

A. Cough C. Hyperkalemia E. Headache

A client has been taking atorvastatin ( Lipitor ) for 4 weeks . Which effect should the nurse expect ? ( Select all that apply . )

A. Decreased low - density lipoprotein ( LDL ) levels B. Increased high - density lipoprotein ( HDL ) levels C. Decreased very - low - density lipoprotein ( VLDL ) levels D. Lowered triglycerides

The nurse is discussing the clinical manifestations of schizophrenia . Which symptom should the nurse emphasize as a positive symptom ? ( Select all that apply . )

A. Delusions B. Hallucinations C. Disorganized speech pattern

The nurse is discussing health problems that encourage the development of dysrhythmias . Which health problem should the nurse include ? ( Select all that apply . )

A. Diabetes insipidus B. Cardiac valve disease C. Stroke E. Coronary artery disease

A client is prescribed a diuretic for treatment of hypertension . Which information should the nurse include when teaching about this medication ? ( Select all that apply . )

A. Diuretic use will decrease fluid volume . B. Diuretics are one of the first drugs used to treat hypertension . D. Urinary output will be increased .

A client is prescribed chlorpromazine ( Thorazine ) to replace an antipsychotic medication . For which anticholinergic K side effect should the nurse monitor the client ? ( Select all that apply . )

A. Dry mouth B. Blurred vision E. Constipation

For which clinical manifestation should the nurse assess in a client with heart failure ? ( Select all that apply . )

A. Dyspnea on exertion B. Fatigue C. Pulmonary congestion E. Peripheral edema

The nurse is completing a health history with a client diagnosed with depression . Which factor should the nurse suspect to have contributed to the client's depression ? ( Select all that apply . )

A. Early Alzheimer's disease D. Vitamin B deficiencies E. Thyroid gland dysfunction

A client is taking an antipsychotic medication . Which laboratory test should the nurse anticipate being prescribed for K this client ? ( Select all that apply . )

A. Electrolytes B. Complete blood count . D. Glucose E. Lipid levels

The nurse is teaching a client about nonpharmacologic treatments for hypertension . Which outcome goal should the nurse suggest ? ( Select all that apply . )

A. Exhibit a measurable decrease in blood pressure B. Minimize dose of antihypertensive drugs needed D. Eliminate the need for pharmacotherapy

A client with status epilepticus is prescribed intravenous ( IV ) phenytoin ( Dilantin ) . Which should the nurse consider when administering this medication ? ( Select all that apply . )

A. Flush the intravenous line with normal saline before and after administering C. Provide the medication at a rate of 50 mg / min D. Use a filter when infusing the medication E. Monitor cardiovascular status during and after administering

A client is newly diagnosed with mixed seizure disorder . Which information should the nurse assess prior to medication administration ? ( Select all that apply . )

A. History of closed - angle glaucoma B. History of seizures D. Current medications and drug allergies

A client is taking a beta - adrenergic antagonist . Which health problem should the nurse identify as being treated with this class of medication ? ( Select all that apply . )

A. Hypertension B. Myocardial infarction C. Heart failure E. Dysrhythmias

The nurse is caring for a client with chronic kidney disease ( CKD ) . For which potential complication should the nurse assess this client ? ( Select all that apply . )

A. Hypocalcemia D. Anemia E. Hyperkalemia

A client with hypertension receives an initial dose of a direct vasodilator . For which potential adverse effect should the nurse monitor this client ? ( Select all that apply . )

A. Hypotension C. Bradycardia D. Dizziness

A client with hyperlipidemia is being instructed on lifestyle changes to supplement medications . Which change should the nurse suggest to help reduce cholesterol ? ( Select all that apply . )

A. Implement a medically supervised exercise plan B. Reduce dietary saturated fats and cholesterol C. Eliminate tobacco use E. Maintain weight at an optimal level

Parents of a school - age child suspect their child has attention - deficit / hyperactivity disorder ( ADHD ) . Which clinical manifestation should the nurse expect the parents to report ? ( Select all that apply . )

A. Inattentiveness B. Poor school performance C. Hyperactivity E. Tendency to interrupt

A client's medication is changed from eplerenone ( Inspra ) to torsemide ( Demadex ) . Which effect should the nurse expect ? ( Select all that apply . )

A. Increased diuresis B. Decreased edema C. Renal potassium excretion

The nurse is preparing teaching material about migraine headaches . Which should the nurse use to describe an aura ? ( Select all that apply . )

A. Jagged lines B. Flashing lights C. Odd smell E. Odd taste

The nurse is researching causes of attention - deficit / hyperactivity disorder ( ADHD ) for a presentation to a group of parents . Which information about causes should the nurse include in the presentation ? ( Select all that apply . )

A. Lead exposure B. Alcohol exposure in utero C. Genetics

A client is prescribed diazepam ( Valium ) for a seizure disorder . For which additional medication should the nurse question providing this medication ? ( Select all that apply )

A. Levodopa B. Phenytoin C. Metoprolol D. Cimetidine

A client will be starting pharmacotherapy for hyperlipidemia . Which laboratory finding should the nurse evaluate ? ( Select all that apply . )

A. Lipid profiles C. Creatine kinase E. Liver function studies

The healthcare provider is considering a benzodiazepine for a client because of muscle relaxant properties . Which medication should the nurse expect to be prescribed ? ( Select all that apply . )

A. Lorazepam ( Ativan ) B. Clonazepam ( Klonopin ) C. Diazepam ( Valium )

An older client taking multiple medications for other health problems is prescribed an antiepileptic drug ( AED ) . Which potential issue should the nurse anticipate for this client ? ( Select All that apply . )

A. Memory impairment B. Balance deficits E. Toxic serum levels

A client is receiving lisinopril ( Prinivil ) . For which adverse effect should the nurse monitor this client ? ( Select all that apply . )

A. Orthostatic hypotension C. Cough D. Dizziness

The nurse is teaching a client about adverse effects of nitrates . Which effect should the nurse include ? ( Select all that apply . )

A. Palpitations B. Faintness C. Dizziness D. Unrelieved headache

A client has been diagnosed with secondary hypertension . For which possible cause should the nurse question the client ? ( Select all that apply . )

A. Past use of oral contraceptives B. Work exposure to asbestos D. Cushing's syndrome

The nurse is assessing an older client . Which cognitive change should the nurse report to the healthcare professional ? ( Select all that apply . )

A. Progressive memory loss B. Confusion C. Difficulty communicating D. Inability to think effectively

The nurse is teaching a client with coronary artery disease about therapeutic lifestyle changes . Which intervention should the nurse include ? ( Select all that apply . )

A. Reduce stress to keep blood pressure within normal limits B. Limit alcohol use to small or moderate amounts E. Maintain blood glucose levels within normal limits

A client received a new prescription for a diuretic . Which baseline measurement should the nurse assess before administering the medication ? ( Select all that apply . )

A. Renal function studies B. Vital signs C. Weight D. Serum electrolytes

A client with hypertension appears confused about the treatment regimen . Which factor should the nurse discuss to individualize medication management ? ( Select all that apply . )

A. Risk factors C. Presence of comorbid medical conditions E. Degree of blood pressure elevation

Which intervention should the nurse include ? ( Select all that apply . ) The nurse is teaching a client taking an antipsychotic medication how to manage the side effect of hypotension .

A. Sit or lie down until the feeling passes . f dizziness occurs when standing . C. Rise slowly from lying or sitting to a standing position . D. Call for assistance when getting out of bed or attempting to walk alone . E. Avoid driving or other activities requiring mental alertness until effects of medication are known .

The nurse is asked to explain the reasons for the development of muscle spasms . Which health problem should the nurses include as being associated with muscle spasms ? ( Select all that apply . )

A. Skeletal muscle overuse C. Intermittent claudication

The nurse is explaining the action of an antianginal medication to a client . Which information should the nurse include ? ( Select all that apply . )

A. Slows heart rate B. Causes the heart to contract with less force D. Lowers blood pressure E. Dilates veins so the heart receives more blood

The nurse is reviewing causes of muscle spasms and spasticity . Which cause should the nurse recognize as being associated with muscle spasticity ? ( Select all that apply . )

A. Spinal cord injury B. Stroke D. Cerebral palsy ( CP )

A client has a history of seizure activity . For which trigger should the nurse assess this client ? ( Select all that apply . )

A. Strobe or flickering lights B. Minor electrolyte imbalances Anxiety D. Slight fluid imbalances E. Sleep deprivation

The nurse is teaching a client who is prescribed a muscle relaxant . Which information should the nurse emphasize ? ( Select all that apply . )

A. Suck on candy if dry mouth occurs . B. Report confusion to the healthcare provider . C. Do not mix opioids with muscle relaxants . E. Rise slowly when getting out of bed .

A client is given intravenous diazepam for status epilepticus . For which adverse effect should the nurse monitor this client ? ( Select all that apply . )

A. Tachycardia D. Hypotension E. Respiratory depression

A client is prescribed niacin as treatment for dyslipidemia . Which should the nurse include when teaching the client about this medication ? ( Select all that apply . )

A. Take with cold water B. Take one aspirin 30 minutes before the prescribed dose

The nurse is discussing medications with a client experiencing depression . Which advantage of selective serotonin reuptake inhibitors ( SSRIs ) should the nurse discuss ? ( Select all that apply . )

A. Therapy with an SSRI offers clients a quicker response time . B. Fewer side effects occur with SSRIs than tricyclic antidepressants ( TCAs ) . D. Most SSRIs have a good safety record . E. SSRIs are considered the drug of choice for the management of depression .

A client requires nitroglycerin therapy . Which route should the nurse consider for this medication ? ( Select all that apply . )

A. Topical ointment B. Sublingual ( SL ) tablets D. Oral tablets

The nurse is caring for a client with a ventricular dysrhythmia . Which drug should the nurse anticipate being prescribed ? ( Select all that apply . )

A. Verapamil ( Calan ) C. Diltiazem ( Cardizem ) D. Procainamide

The nurse is discussing antidysrhythmic medications with a colleague . Which drug should the nurse identify as a calcium channel blocker ? ( Select all that apply . )

A. Verapamil ( Calan ) E. Diltiazem ( Cardizem )

A client taking an antiepileptic drug ( AED ) is considering becoming pregnant . Which information should the nurse provide this client ? ( Select all that apply . )

B. AEDs deplete folic acid E. AEDs have teratogenic effects .

The nurse . concerned that a client taking an antiepileptic drug ( AED ) may be overmedicated . Which sign should the nurse recognize as the result of overmedication ? ( Select all that apply . )

B. Agitation D. Disorientation E. Lethargy

The nurse is teaching a client about lorazepam . Which medication should the nurse include that alters the effectiveness of this medication ? ( Select all that apply . ) .

B. Alcohol . C. Levodopa D. Phenytoin E. Opiates

A client is taking furosemide ( Lasix ) . Which finding should the nurse identify as an adverse effect of this medication ? ( Select all that apply )

B. Blood dyscrasias C. Cardiac dysrhythmia E. Hyperuricemia

The nurse discusses factors that affect myocardial oxygen supply . Which factor should the nurse include ? ( Select all that apply . )

B. Blood volume C. Blood pressure D. Oxygen content of the blood

The nurse is preparing to administer chlorpromazine to a client . For which reason should the nurse question giving the client this medication ? ( Select all that apply . )

B. Bone marrow depression C. Comatose state D. Alcohol withdrawal E. Subcortical brain damage

A client is taking an antidepressant . For which adverse effect should the nurse monitor this client ? ( Select all that apply . )

B. Change in bowel habits C. Reports of sexual dysfunction D. Signs of seizure activity E. Hypotension

The nurse is reviewing the progression of kidney disease . Which risk factor should the nurse identify for the development of chronic kidney disease ( CKD ) ? ( Select all that apply . )

B. Chronic nephrotoxic medication use C. Diabetes mellitus D. Uncontrolled hypertension

A client is demonstrating signs of heart failure . Which disorders should the nurse suspect as a possible etiology ? ( Select all that apply . )

B. Diabetes mellitus D. Mitral stenosis E. Coronary artery disease

A client taking an antidysrhythmic medication asks about its benefits . Which outcome should the nurse address as a therapeutic effect ? ( Select all that apply . )

B. Diminished dysrhythmias D. Eliminated dysrhythmias E. Blood pressure returned to normal limits

A client is treated with onabotulinumtoxinA ( Botox ) . Which adverse effect should the nurse instruct the client to report immediately ? ( Select all that apply . )

B. Diplopia D. Dysphagia E. Muscle weakness

A client has been taking chlorpromazine ( Thorazine ) for psychosis . For which adverse effect should the nurse monitor this client ? ( Select all that apply . )

B. Dizziness . C. Constipation D. Extrapyramidal symptoms E. Sedation

The nurse is reviewing the perception of pain in the central nervous system . Which neurotransmitter should the nurse identify that affects substance P ? ( Select all that apply . )

B. Dynorphins C. Endorphins . E. Enkephalins

The nurse is assessing a client with panic disorder . Which clinical manifestation should the nurse expect ? ( Select all that apply . )

B. Feeling of immediate apprehension C. Fast heart rate E. Feeling of terror

A client is prescribed phenobarbital ( Luminal ) for a seizure disorder . For which reason should the nurse question providing this medication to the client ? ( Select all that apply . )

B. Glaucoma D. Prostatic hypertrophy

The nurse is teaching a client about losartan ( Cozaar ) . Which should the nurse identify as a therapeutic use for this medication ? ( Select all that apply . )

B. Guards against stroke in left ventricular hypertrophy D. Treats hypertension ☐E . Prevents type 2 diabetic neuropathy

A client is prescribed galantamine ( Razadyne ) for Alzheimer's disease . For which adverse effect should the nurse carefully monitor this client ? ( Select all that apply . )

B. Heart failure C. Renal failure

A client is taking antidysrhythmic medication . For which potential health problem should the nurse monitor this client ? ( Select all that apply . )

B. Hypokalemia C. Hypomagnesemia

A client with Parkinson's disease asks the purpose of medication therapy . Which should the nurse explain as a goal of treatment for the disease ? ( Select all that apply .

B. Improve quality of life C. Increase in self - care ability E. Decrease in symptoms

The nurse is preparing a teaching session on first - generation antipsychotic drugs . Which adverse effects of K nonphenothiazines should the nurse include ? ( Select all that apply . )

B. Less sedation . C. Fewer anticholinergic adverse effects E. Equal or greater incidence of extrapyramidal symptoms

The nurse is teaching a community - based group about factors that contribute to the development of hyperlipidemia . Which information should the nurse include ? ( Select all that apply . )

B. Lifestyle factors C. Stress

A client is prescribed a furosemide , a loop diuretic , for treatment of heart failure ( HF ) . Which teaching should the nurse provide to ensure that the client is monitoring response to therapy correctly ? ( Select all that apply . )

B. Meet with a dietitian to discuss fat intake . C. Weigh self daily and report any significant changes to the healthcare provider ( HCP ) . E. Record weight daily .

The nurse is reviewing triggers for migraine headaches with a client . Which should the nurse include in the teaching ? ( Select all that apply . )

B. Perfumes C. Alcohol E. Aspartame

te to a client For which fo The nurse is preparing to administer a sublingual nitrate to a client . For which finding should the nurse contact the healthcare provider ? ( Select all that apply . )

B. Pulse over 100 beats per minute ( bpm ) E. Blood pressure less than 90/60 mm Hg

The nurse is teaching a client about the use of a transdermal nitroglycerin patch . Which information should the nurse include ? ( Select all that apply . )

B. Remove the old patch first . D. Rotate the site when applying a new patch . E. Cleanse the skin underneath the patch gently .

The nurse is monitoring an ethnically diverse client after starting an antidysrhythmic medication . Which information should the nurse consider when evaluating therapeutic effect ? ( Select all that apply . )

B. Reports of palpitations D. Monitor electrocardiogram ( ECG ) E. More frequent monitoring required

The nurse is teaching a client with hyperlipidemia about dietary changes . Which food rich in omega - 3 and coenzyme Q10 ( CoQ10 ) should the nurse encourage the client to include in the diet ? ( Select all that apply . )

B. Sardines C. Extra - virgin olive oil D. Beef E. Nuts

The nurse is teaching a client with schizophrenia how to be successful with treatment . Which information should the nurse reinforce ? ( Select all that apply . )

B. Social support groups can be instrumental sources of help . C. See the healthcare provider at regular intervals . D. Pharmacotherapy will be needed for a long period of time . E. Take medication as prescribed to prevent reappearance of symptoms .

A client is recovering from myocardial infarction ( MI ) . Which laboratory value should the nurse monitor for changes ? ( Select all that apply . )

B. Total creatinine kinase ( CK ) C. Creatinine kinase - MB ( CK - MB ) ☐E . Troponin

A client has been taking levodopa for Parkinson's disease . Which symptom should the nurse expect to improve in this client ? ( Select all that apply . )

B. Tremors D. Bradykinesia E. Muscle rigidity

A client has been taking antipsychotic medication for a month . Which improvement should the nurse expect to assess ? ( Select all that apply . )

C. Fewer hallucinations D. Fewer delusions

An adolescent client takes a stimulant for attention - deficit / hyperactivity disorder ( ADHD ) . Which client report symptom should the nurse recognize as a possible cardiac adverse effect ? ( Select all that apply . )

C. Palpitations D. Light - headedness . E. Dizziness

The nurse is developing a plan of care for a client newly diagnosed with bipolar disorder . Which high - risk factor should the nurse address for the client ? ( Select all that apply . )

C. Poor adherence to medical therapy D. Increased risk for suicide

A client with a history of nonadherence to medication therapy is prescribed haloperidol ( Haldol ) for severe agitation and delirium . Which route should the nurse expect to provide this medication ?

COD . Intramuscular

A client is prescribed lorazepam . For which health problem should the nurse question this medication ? ( Select all that apply . )

D. Thoughts of suicide E. Closed - angle glaucoma

A client is prescribed a statin . At which time should the nurse instruct the client to take the medication to have the optimal effects ?

In the evening

A client taking levodopa / carbidopa for Parkinson's disease is prescribed benztropine . Which information about the new medication should the nurse include during teaching ?

O A. " Your symptoms may improve , but there will be no change in the tardive dyskinesia . "

The nurse is monitoring a client with myocardial ischemia . Which should the nurse recognize as contributing to this condition ?

O A. Actions that increase the workload of the heart increase the oxygen demand of the myocardium

Morgun A client with a history of gastrointestinal ( GI ) bleeding caused by aspirin requires an antiplatelet medication . Which medication should the nurse anticipate as an alternative to aspirin ?

O A. Clopidogrel ( Plavix ) , an adenosine diphosphate receptor blocker

The spouse of a client prescribed an extended release opioid medication asks if the dose can be crushed since the client has difficulty swallowing pills . Which response should the nurse provide ?

O A. D " The medication must be swallowed whole . I'll speak with the provider about changing the prescription . "

A client is prescribed a potassium channel blocker . Which medication should the nurse monitor for the adverse effect of angioedema ?

O A. Dofetilide ( Tlkosyn )

A client with terminal cancer reports shortness of breath . Which medication should the nurse anticipate being prescribed ?

O A. Morphine

The nurse is preparing to administer adenosine ( Adenocard ) to a client . Which precaution should the nurse follow ?

O A. Position the client supine

A client with muscle spasms is taking a centrally acting skeletal muscle relaxant . Which nursing observation indicates that the medication is effective ?

O A. The client walks independently to the bathroom .

A school - age client has been taking long - acting methylphenidate ( Concerta ) for 6 months for attention - deficit / hyperactivity disorder ( ADHD ) . Which assessment finding should indicate that the medication has been effective to manage the symptoms ?

O A. Weight gain .

A client continues to have chest pain after the first dose of sublingual ( SL ) nitroglycerin . Which standard protocol should the nurse follow ?

O B. Administer another sublingual tablet in 5 minutes

A client is experiencing a hypertensive emergency . Which type of medication should the nurse anticipate administering concurrently with a direct vasodilator to help prevent reflex tachycardia ?

O B. Beta - adrenergic blocker

The nurse is administering digoxin to a client for heart failure . Which action should the nurse implement prior to administration ?

O B. Check cardiac rhythm via ECG

A client is taking hydrochlorothiazide ( Microzide ) . Which effect should the nurse expect from concurrent use with a corticosteroid ?

O B. Decreased serum potassium

The nurse reviews the mechanism of action for a thiazide diuretic . Which location should the nurse identify as the target for this medication ?

O B. Early distal tubule

A client with chronic kidney disease ( CKD ) has received epoetin alfa ( Epogen ) . For which therapeutic effect should the nurse monitor ?

O B. Increased RBC production

A client has unintentionally ingested a toxin . From which drug class should the nurse expect medication to be prescribed ?

O B. Loop diuretic

exld = 1 & Question A client with attention - deficit / hyperactivity disorder ( ADHD ) is prescribed methylphenidate . For which client health problem should the nurse question this medication ?

O B. Motor tics

A client with Parkinson's disease is experiencing muscle rigidity and a resting tremor . Which medication should the nurse anticipate being prescribed for this client ?

O B. Pramipexole

The nurse is completing a health history for a client with Alzheimer's disease . For which reason should the nurse obtain an accurate drug history ?

O B. Prevents a drug interaction

A client with unstable angina is prescribed oral atenolol ( Tenormin ) . Which should the nurse recognize as the onset of action for this medication ?

O C. 1 hour

A client is prescribed spironolactone ( Aldactone ) . For which electrolyte imbalance should the nurse monitor this client ?

O C. Hyperkalemia

The nurse notes behavior changes in an older client . Which should the nurse identify as an early symptom of Alzheimer's disease ?

O C. Short - term memory loss

A client is prescribed cyclobenzaprine ( Amrix ) . For which reason should the nurse question providing this medication ?

O C. Takes a monoamine oxidase inhibitor ( MAOI )

The nurse records the progress of a school - age child who takes phenobarbital for seizure activity . Which statement by the mother should indicate the need for further teaching ?

O D. " I will not give my child the medication with milk . "

A client comments that several friends are all taking statins . Which response should the nurse make ?

O D. " Statins are the first - line drug of choice for lipid disorders , which is why they are so commonly used . "

A client is hospitalized multiple times for nonadherence to antipsychotic medication and reappearance of symptoms . Which intervention should the nurse consider as alternative therapy ?

O D. Administer a long - acting intramuscular depot preparation .

The nurse explains that angiotensin - converting enzyme ( ACE ) inhibitors cause bradykinins to accumulate in the blood . Which adverse effect of ACE inhibitors should the nurse recognize is due to this buildup ?

O D. Angioedema

A client develops muscle spasticity after sustaining a spinal cord injury . Which should the nurse identify as the pathophysiology for the client's muscle spasticity ?

O D. Damage to the motor areas of the cerebral cortex that control muscle movement .

A client with muscle spasticity reports a fear of developing contractures . Which intervention should the nurse recommend to prevent this health problem ?

O D. Muscle stretching

The nurse is reviewing the history of a 3 - year - old client . Which data should the nurse understand indicates the need for targeted screening of lipid levels ?

O D. Positive family history of dyslipidemia - related cardiovascular disease

A client has a new prescription for imipramine . Which information should the nurse include about a serious adverse effect ?

O D. Report any suicide ideation .

A client is receiving a statin and gemfibrozil ( Lopid ) . For which increased risk should the nurse monitor the client ?

O D. Rhabdomyolysis

A client is diagnosed with atrial fibrillation . For which health problem should the nurse recognize the client is at risk ?

O D. Stroke

The nurse is providing discharge teaching to a client who was recently started on medication for heart failure ( HF ) . The patient asks what should be done if a dose is missed . Which statement should the nurse include in the response ?

O D. Take prescribed dose at next scheduled time .

A client taking a statin has an elevated creatine kinase level . Which medication change should the nurse expect ?

O D. The drug should immediately be discontinued .

A client is experiencing muscle spasticity . Which centrally acting medication should the nurse expect to be prescribed ?

O D. Tizanidine ( Zanaflex )

A client has been prescribed capsaicin cream . Which information should the nurse include when teaching the client about applying this medication to painful muscles ?

O D. Wear gloves while applying it .

The healthcare provider discontinues sertraline ( Zoloft ) in a client with obsessive - compulsive disorder . Which information should the nurse provide about discontinuing the treatment ?

OA . " Abrupt discontinuation can cause withdrawal symptoms . "

A client reports that the prescribed levodopa / carbidopa ( Sinemet ) is not helping after 2 weeks of therapy . Which response should the nurse make ?

OA . " Clients often need as much as months of therapy before optimal effects are seen . "

The nurse reviews muscle spasms and muscle spasticity with a new colleague . For which statement should additional teaching be provided ?

OA . " Clients with muscle spasms may have an electrolyte imbalance . "

A client with Alzheimer's disease is prescribed donepezil . Which teaching should the nurse provide to the family about this medication ?

OA . " It should improve the ability to perform self - care . "

The nurse is asked about the roles of the hippocampus and amygdala in post - traumatic stress disorder . Which explanation should the nurse provide ?

OA . " The hippocampus regulates which sensory signals reach the brain , and the amygdala regulates consciousness . "

The nurse is discussing with a client the role of cholesterol in the body . Which statement should the nurse make that describes why dietary cholesterol contributes to development of atherosclerosis ?

OA . " While cholesterol is vital for several body processes , the body synthesizes most of what it needs , requiring little from the diet . "

A client taking temazepam ( Restoril ) for many years to treat insomnia says , " I'm tired of taking this medication . " Which response should the nurse make ?

OA . " You shouldn't stop the medication abruptly . "

The nurse is reviewing information about clients recovering from surgery . Which client should the nurse anticipate being the best candidate for using a patient - controlled analgesic ( PCA ) pump ?

OA . A client recovering from surgery who is alert and conscious

A child forgets to go to the school nurse to take the mid - day dose of methylphenidate and has difficulty focusing the rest of the day at school . Which information should the nurse provide the parent ?

OA . A transdermal patch can be used for medication adherence .

A client is prescribed a succinimide for seizure activity . For which type of seizure should the nurse assess this client ?

OA . Absence

A client has been prescribed a benzodiazepine for anxiety . Which should the nurse recall about this treatment ?

OA . Benzodiazepines should be used for short - term therapy .

The healthcare provider indicates that a client with heart failure will be prescribed a drug to block the action of the sympathetic nervous system . Which class of drug should the nurse expect to be prescribed ?

OA . Beta - adrenergic antagonist

A client's medication is changed from oral hydrochlorothiazide ( Microzide ) to intravenous mannitol ( Os - mitrol ) . Which monitoring should the nurse eliminate from the plan of care ?

OA . Glucose level

A client with chronic hypertension ( HTN ) refuses to take prescribed medications . For which potential cardiac disorder should the nurse monitor this client ?

OA . Heart failure

A client's dose of dantrolene ( Dantrium ) is increased from 25 mg by mouth once daily to 100 mg by mouth twice daily . For which risk should the nurse closely monitor ?

OA . Hepatotoxicity

A client is prescribed spironolactone ( Aldactone ) . For which electrolyte imbalance should the nurse monitor this client ?

OA . Hyperkalemia

A client is prescribed cyclobenzaprine ( Amrix ) . For which health problem should the nurse question administering this medication ?

OA . Hypothyroidism

A client receives an opioid analgesic after a head injury . For which complication should the nurse monitor this client ?

OA . Increased intracranial pressure ( ICP )

The nurse is reviewing laboratory findings for a client . Which results should the nurse identify as characteristic of familial hypercholesterolemia ?

OA . Increased low - density lipoprotein ( LDL ) and cholesterol

The nurse is teaching a client with frequent migraine headaches actions to prevent their onset . Which information should the nurse include in the teaching ?

OA . Keep a food diary to correlate with symptoms .

A client taking hydralazine for hypertension experiences a rash , itching , fever , and myalgia . Which health problem should the nurse suspect is causing these adverse effects ?

OA . Lupus - like syndrome

A client experiences throbbing head pain and an aura . Which type of headache should the nurse suspect this client is experiencing ?

OA . Migraine

A client taking chlorpromazine learns of being pregnant . Which action should the nurse Take ?

OA . Obtain a new prescription from the healthcare provider .

The nurse is preparing teaching about an angiotensin - converting enzyme ( ACE ) inhibitor for a client . Which statement about this medication should the nurse include ?

OA . Prevents vasoconstriction and decreases peripheral resistance

A client is on advanced cardiac life support for a dysrhythmia . Which should the nurse consider as the last drug of choice for this client ?

OA . Procainamide

A client expresses concern that antianginal medication is not working . Which medication should the nurse recognize as a secondary treatment for chronic angina ?

OA . Ranolazine ( Ranexa )

A client is prescribed ergotamine ( Ergostat ) for a migraine headache . For which reason should the nurse question administering the medication to the client ?

OA . The client may be pregnant

Which statement should the nurse use to explain how the kidneys compensate for diminished blood flow in heart failure ?

OA . The kidneys activate the RAAS resulting in increased preload .

A client experienced disorientation after having a seizure that lasted 2 minutes with a period of intense muscle contraction followed by convulsions . For which type of seizure should the nurse plan care for this client ?

OA . Tonic - clonic

A client's medication is changed from bumetanide ( Bumex ) to triamterene ( Dyrenium ) . Which should the nurse expect this medication to decrease ?

OA . Urine output

The nurse reviews the mechanism of action for angiotensin - converting enzyme ( ACE ) inhibitors with colleagues . Which statement by a colleague indicates that teaching was effective ?

OB . " ACE inhibitors lower peripheral resistance and inhibit aldosterone secretion to increase cardiac output . "

A client with absence seizures asks why convulsions never occur . Which response should the nurse make ?

OB . " Convulsions are not seen in absence seizures . "

A client who is taking sublingual nitroglycerin asks how the medication works so quickly . Which response should the nurse provide ?

OB . " Coronary arteries dilate , which relaxes spasms , allowing more blood to flow to the myocardium . "

The nurse is teaching a client about safety when taking a sedative for insomnia . Which instruction should the nurse provide ?

OB . " Do not keep medications at your bedside . "

A client is prescribed escitalopram ( Lexapro ) . Which client statement indicates teaching about this medication has been effective ?

OB . " I will not ingest any alcohol while taking this medication . "

The nurse is teaching a client about zolpidem ( Ambien ) . Which client statement should indicate to the nurse that teaching was effective ?

OB . " I'll take this medication on an empty stomach . "

The nurse is teaching a client about nonpharmacologic approaches to reduce blood pressure . For which client statement should the nurse intervene ?

OB . " It is okay to eat saturated fats , but I need to decrease my intake of unsaturated fats . "

A client with left - sided heart failure also has type 2 diabetes mellitus . Which statement should the nurse include when teaching this client ?

OB . " Managing the diabetes may help improve your heart function . "

The family of a client with Parkinson's disease asks why a list of current medications is necessary to provide . Which response should the nurse make ?

OB . " Ongoing assessment helps determine whether the medication is working . "

A client asks , " How did I get schizophrenia ? " Which response should the nurse provide ?

OB . " The cause has not yet been identified but it might be genetic or because of chemicals in the brain . "

The family of a client with Parkinson's disease report an increase in symptoms before the next dose of medications is due . Which response should the nurse make ?

OB . " This may be due to the wearing - off effect and should be reported . "

A client with heart failure and hypokalemia is prescribed milrinone , a phosphodiesterase inhibitor . Which action should the nurse take before providing the medication ?

OB . Address the electrolyte imbalance .

A client has been prescribed valerian . Which desired outcome should the nurse expect to observe ?

OB . An increase amount of relaxation

A child is prescribed amphetamines for the treatment of attention - deficit / hyperactivity disorder ( ADHD ) . For which adverse effect should the nurse assess this client ?

OB . Anorexia

A client reports impotence since beginning an antidepressant . Which action should the nurse take first ?

OB . Ask the client if considering not taking the drug because of this issue

A client experiences hypotension and bradycardia after an overdose of atenolol ( Tenormin ) . Which drug should the nurse expect to be prescribed to stabilize the client ?

OB . Atropine

A client is experiencing severe coughing from bronchitis . Which medication should the nurse anticipate being prescribed ?

OB . Codeine

A client is diagnosed with schizoaffective disorder . Which clinical manifestation should the nurse recognize that differentiates this disorder from schizophrenia ?

OB . Depression

A 2 - year - old child has intense muscle contractions and a fever of 104.3 ° F. Which health problem should the nurse suspect in this client ?

OB . Febrile seizure

A client's dose of tizanidine ( Zanaflex ) is changed from 4 mg by mouth every 8 hours to 8 mg by mouth every 6 hours . For which complication should the nurse closely monitor the client ?

OB . Hypotension

A client reports reliving a friend's gruesome murder . Which region of the brain should the nurse anticipate being affected by prescribed medication ?

OB . Locus coeruleus

The nurse is providing care to assigned clients . Which client should the nurse identify as being at risk for major depression ?

OB . Middle - aged client who reports extreme fatigue and despair daily , missing work , and not cleaning the house due to the inability to get out of bed for the past 3 weeks

A client is prescribed an antipsychotic medication . Which intervention should the nurse implement at this time ?

OB . Monitor ambulation until the effects of the medication are known .

A client is prescribed around - the - clock oxycodone with aspirin ( Percodan ) for postsurgical pain . Which action should the nurse take ?

OB . Monitor liver enzyme levels .

A client asks why angiotensin - converting enzyme ( ACE ) inhibitors cause coughing . Which action of an ACE inhibitor should the nurse include when responding to the client ?

OB . Prevention of bradykinin breakdown , leading to its accumulation

A client is prescribed cyclobenzaprine ( Amrix ) and a monoamine oxidase inhibitor . Which action should the nurse take ?

OB . Question giving the medication

An older client with a dysrhythmia asks why the first dose of an antidysrhythmic medication is being given at bedtime . < Which reason should the nurse provide ?

OB . Risk of hypotension as a first - dose effect

The nurse is teaching a client starting medication for hyperlipidemia . Which follow - up action should the nurse instruct the client to do ?

OB . Schedule liver function studies and creatine kinase levels .

The nurse is assessing a client experiencing bradykinesia . For which reason should the nurse anticipate a diagnosis of secondary Parkinson's disease ?

OB . Schizophrenia treated with antipsychotics

A client taking a diuretic develops gynecomastia . Which medication should the nurse suspect as causing this finding ?

OB . Spironolactone ( Aldactone )

The nurse is teaching the parent of a child with attention - deficit / hyperactivity disorder about the medication atomoxetine ( Strattera ) . Which adverse effect should the nurse emphasize ?

OB . Suicidal thoughts

A client with mitral stenosis begins to experience coughing , which is worsened when lying down . After assessing a rapid heart rate , which event should the nurse identify that has occurred ?

OB . The sympathetic nervous system has been activated as a compensatory mechanism .

The nurse is asked how calcium channel blockers improve heart function . Which information about these drugs should the nurse include in the response ?

OB . They reduce ischemia by delivering more blood to the myocardium .

A client is recovering from an emergency appendectomy . Which action should the nurse take to ensure that medication is provided before the client's pain becomes severe ?

OB . Use pain rating scale consistently .

A client with cancer is experiencing bone pain . Which adjuvant medication should the nurse expect to be prescribed for this client ?

OB . Zoledronate .

A client with coronary artery disease ( CAD ) asks what causes the health problem . Which explanation should the nurse provide ?

OC . " A build - up of plaque in your coronary arteries is preventing an adequate blood supply to your heart . "

A client taking an angiotensin - converting enzyme ( ACE ) inhibitor to treat sustained hypertension reports a persistent cough . Which response should the nurse provide to address the client's symptom ?

OC . " A persistent cough is common with ACE inhibitors , particularly early in therapy . "

A client receiving lithium for treatment of bipolar disorder reports feeling weak and urinating more frequently . Which question should the nurse ask to obtain further information ?

OC . " Are you more thirsty than usual ? "

A young client taking pramipexole for Parkinson's disease reports dizziness when changing positions . Which should the nurse instruct this client ?

OC . " Dangle your feet off the side before getting out of bed . "

A client asks when the long - acting transdermal nitroglycerin can be discontinued . Which statement should the nurse say in response ?

OC . " Discontinue the medication gradually according to the healthcare provider's schedule .

The nurse is asked about the process for selecting a statin . Which statement should the nurse make to describe this process ?

OC . " Generally , the experience of the healthcare provider and the individual client response guide selection . "

A client is taking benztropine for Parkinson's disease . Which client statement should the nurse report to the healthcare provider ?

OC . " I am taking medication for narrow - angle glaucoma . "

The nurse instructs a client about a thiazide diuretic . Which client statement should indicate to the nurse the need for additional teaching ?

OC . " I can eat as many salty foods as I want , as long as I take the diuretic as prescribed . "

The nurse teaches a client being treated for major depression . Which client statement should indicate that teaching was effective ?

OC . " I should weigh myself weekly and contact the provider if I have gained or lost 5 pounds or more . "

The nurse is teaching a client about a prescribed selective serotonin reuptake inhibitor ( SSRI ) medication . Which client statement should indicate to the nurse that further teaching is needed ?

OC . " I started taking the medication 2 days ago , but it doesn't seem to be working . "

The nurse teaches a client about prescribed extended - release cyclobenzaprine capsules . Which client statement should indicate that teaching has been effective ?

OC . " I will not open the capsules . "

A client with Alzheimer's disease is prescribed rivastigmine ( Exelon ) . Which should the nurse instruct the client and family about this medication ?

OC . " Take with food . "

The nurse is teaching a patient who has been prescribed a beta - adrenergic blocker . Which statement should the nurse include about the drug ?

OC . " The dose of the drug will be doubled every 2 to 4 weeks until the optimal dose is increased . "

A client asks which medication blocks the absorption of cholesterol from the small intestine . Which response should the nurse provide ?

OC . " The drug is called ezetimibe , or Zetia . "

A client with heart failure asks what caused the health problem . Which response should the nurse make to the client ?

OC . " The left side of the heart has weakened , causing fluid to build up in the capillaries in the lung , which ultimately decreases oxygen in the heart . "

The nurse prepares teaching for the family and client with Parkinson's disease . Which information about home safety should the nurse include ?

OC . " There is a risk for falling . "

The nurse is teaching a client's family and caregiver how to monitor for nonadherence to antipsychotic medications . Which information should the nurse include ?

OC . " Watch for original symptoms or adverse effects suddenly appearing or increasing in frequency or severity . "

A client with muscle spasms reports leg pain and leg muscle contractions . Which question should the nurse ask first to help determine the most likely cause of the client's symptoms ?

OC . " Will you tell me about your daily activities ? "

The nurse is discussing glomerular filtration rate ( GFR ) changes that occur with chronic kidney disease ( CKD ) . Which statement should the nurse recognize is accurate ?

OC . A low GFR indicates a low number of functioning nephrons .

A client does not want to take prescribed morphine because it causes nausea . Which action should the nurse take ?

OC . Administer prescribed antiemetic 30 minutes before the next scheduled dose .

A client experiences steady , intense , crushing chest pain . Which health problem should the nurse suspect ?

OC . Angina pectoris

A client being treated for psychosis is concerned their significant other will have negative feelings about the prescribed medication that may affect sexual function . Which suggestion should the nurse make to the healthcare provider regarding this concern ?

OC . Change to a drug that does not cause sexual dysfunction .

A client is in status epilepticus . Which medication should the nurse anticipate being prescribed for this client ?

OC . Diazepam

Gemfibrozil ( Lopid ) is being considered for a client . For which preexisting condition should the nurse recognize the medication is contraindicated ?

OC . Gallbladder disease

A client is diagnosed with stage C heart failure ( HF ) . Which medications should the nurse recognize as most effective in treating this stage of the disease ?

OC . IV diuretic

A client is prescribed the muscle relaxant metaxalone ( Skelaxin ) . For which adverse effect should the nurse monitor this client ?

OC . Laryngospasm

A client with severe opioid addiction asks how withdrawal can be treated . Which medication should the nurse discuss with the client ?

OC . Methadone

A client is prescribed a carbonic anhydrase inhibitor . Which response should the nurse expect after administering this medication ?

OC . Minimal diuresis

A client recovering from surgery reports a pain level of 3. Which medication should the nurse anticipate being prescribed ?

OC . Nonsteroidal anti - inflammatory drugs ( NSAIDs )

consider when responding to the client ? A client prescribed cyclobenzaprine ( Amrix reports not understanding the importance of moving slowly when getting out of bed each morning . Which adverse effect should the nurse

OC . Orthostatic hypotension

A client is being treated for an anxiety disorder . For which reason should the nurse question providing escitalopram ( Lexapro ) to this client ?

OC . Prescribed a monoamine oxidase inhibitor

A client is beginning therapy with phenelzine ( Nardil ) . Which food should the nurse instruct the client to avoid due to possible hypertensive crisis ?

OC . Red wine

A client is prescribed an angiotensin - converting enzyme ( ACE ) inhibitor immediately following an acute myocardial infarction ( MI ) . For which reason should the nurse realize that this dose was prescribed ?

OC . Reduce risk of mortality .

A client is experiencing severe nausea and vomiting from a migraine headache . Which should the nurse include when teaching this client ?

OC . Self - injection of prefilled triptan syringes

A client has been prescribed lorazepam ( Ativan ) for anxiety . Which health problem should the nurse recognize increases the risk of drug overdose ?

OC . Sleep apnea

A client using melatonin for insomnia reports headaches , nausea , and dizziness the next day . Which should the nurse consider as the reason for the client's symptoms ?

OC . Taking it too many days

A client is receiving an opioid medication via intravenous push . For which action should the nurse intervene ?

OC . The medication is diluted with 2 mL of sterile normal saline .

The nurse is reviewing a client's laboratory results . Which value should the nurse note as undesirable ?

OC . Total cholesterol 220 mg / dL

Which statement should the nurse use to explain the mechanism of action for digoxin ?

OC Sodium , potassium , and the enzyme ATPase are inhibited , allowing for the release of stored calcium ions to produce forceful contraction of myocardial fibers .

A client expresses concern that the daily aspirin regimen will cause stomach upset . Which response should the nurse make ?

OD . " Aspirin , when used in small doses , rarely causes gastrointestinal upset and can reduce the risk of death by myocardial infarction . "

A client has been prescribed a barbiturate for epilepsy . Which information should the nurse include in medication teaching ?

OD . " Barbiturates have a high potential for drug dependence , so you will be monitored closely by your healthcare provider . "

The nurse is providing instruction to a client who is taking a calcium channel blocker . Which client statement should indicate to the nurse that additional teaching is required ?

OD . " I don't have a scale , so I can't weight myself every day . "

A client taking a sulfonylurea medication is prescribed a thiazide diuretic . Which client statement should indicate to the nurse that teaching has been effective ?

OD . " I'll be sure to check my blood glucose more often . "

The nurse teaches a client about a prescribed thiazide diuretic . Which client statement should indicate to the nurse that teaching has been effective ?

OD . " I'll report a blood pressure of 90/60 mm Hg or lower . "

A client asks about the benefit of changing from a tricyclic antidepressant ( TCA ) to a selective serotonin reuptake inhibitor ( SSRI ) . Which response should the nurse make ?

OD . " SSRIs have no sexual adverse effects . "

A client asks how sleep disorders can be objectively diagnosed . Which response should the nurse provide ?

OD . " Sleep disorders are diagnosed on the basis of electroencephalogram results . "

A client has no reduction in lipid levels after taking cholestyramine ( Questran ) for 4 weeks . Which response should the nurse make ?

OD . " The medication can sometimes take 30 days or more to be effective . "

The nurse is teaching a client about possible causes of insomnia . Which client statement should indicate to the nurse that further teaching is needed ?

OD . " The use of antihypertensive medications may cause insomnia .

The family asks why a client with Parkinson's disease has dark urine . Which response should the nurse make ?

OD . " This may be a side effect of the medication . "

A client is exhibiting paroxysmal supraventricular tachycardia . Which class of antidysrhythmic medication should the nurse expect the healthcare provider to prescribe ?

OD . Calcium channel blocker

A client is taking an antihistamine for insomnia . Which common side effect should the nurse anticipate ?

OD . Daytime drowsiness

The nurse is reviewing the electrocardiogram of a client with a myocardial infarction . Which waveform should the nurse use as a guide to the pharmacotherapy needed ?

OD . Elevated ST segments

A client is newly diagnosed with absence seizures . Which medication should the nurse anticipate will be prescribed as a first - line treatment ?

OD . Ethosuximide ( Zarontin )

An infant has been involved in a motor vehicle crash . Which assessment scale should the nurse use to assess the infant's pain level ?

OD . FLACC

prescrib A client nt a a prescribed a sustained - release nitrate . For which health problem should the nurse question administering K this medication to the client ?

OD . Glaucoma

A client repeatedly takes very hot baths because " they told me to do it . " Which manifestation of psychosis should the nurse recognize this to be ?

OD . Hallucinations

The healthcare provider has started a client with heart failure ( HF ) on oral metoprolol , a selective beta , -adrenergic blocker . Which action should the nurse take ?

OD . Hold if pulse is less than 60 beats / min .

A client reports routinely taking kava . For which health problem should the nurse assess this client ?

OD . Insomnia

The nurse teaching a client taking phenytoin ( Dilantin ) about drug interactions . Which information should the nurse include ?

OD . It can be safely taken with steroids .

The nurse discusses the relationship between the glomerulus and medications with a colleague . Which information should the nurse include ?

OD . Medications that are bound to plasma proteins are too large to be filtered .

A client is taking a sodium channel blocker . For which adverse effect should the nurse closely monitor this client ?

OD . New dysrhythmia

The nurse discovers a client " cheeking " antipsychotic medication . Which intervention should the nurse take ?

OD . Obtain a prescription for an intramuscular medication .

The nurse reviews client information obtained during hand - off communication . In which disease should the nurse expect the greatest benefit of medication therapy in clients with neurodegenerative diseases ?

OD . Parkinson's disease

The nurse notes increasing congestion in the lungs of a client taking an antidysrhythmic medication . Which class of antidysrhythmic drugs should the nurse recognize as having the adverse effect of pulmonary toxicity ?

OD . Potassium channel blockers

The nurse is asked how potassium channel blockers work in the body . Which information should the nurse provide in response ?

OD . Prolong the refractory period of the heart

A client scheduled for surgery is prescribed the benzodiazepine midazolam ( Versed ) . Which should the nurse explain about the purpose of this medication ?

OD . Reduces anxiety and stress

The nurse is teaching about Parkinson's disease . Which area of the brain should the nurse identify as the primary production site for dopamine ?

Substantia nigra