Nclex Pharm questions

A nurse provides medication instructions to a client who had a kidney transplant about therapy with cyclosporine (Sandimmune). Which statement by the client indicates a need for further instruction?

"I need to obtain a yearly influenza vaccine."

A client with heart failure is being discharged to home and will be taking furosemide (Lasix). The nurse determines that teaching has been effective if the client states which of the following?

"I will weigh myself every day."

Coal tar has been prescribed for a client with a diagnosis of psoriasis, and the nurse provides instructions to the client about the medication. Which statement by the client indicates a need for further instructions

"The medication can cause systemic effects."

The home health care nurse is visiting a client who was recently diagnosed with type 2 diabetes mellitus. The client is prescribed repaglinide (Prandin) and metformin (Glucophage) and asks the nurse to explain these medications. The nurse should reinforce which instructions to the client?

Diarrhea can occur secondary to the metformin. The repaglinide is not taken if a meal is skipped. The repaglinide is taken 30 minutes before eating. Candy or another simple sugar is carried and used to treat mild hypoglycemia episodes.

A nurse is providing instructions to an adolescent who is taking phenytoin (Dilantin) for the control of seizures. Which statement by the adolescent indicates a need for further teaching regarding the medication?

If my gums become sore, I need to stop the medication."

Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which best food item?

Orange juice

A client with human immunodeficiency virus is taking nevirapine (Viramune). The nurse should monitor for which adverse effects of the medication? Select all that apply.

Rash Hepatotoxicity

Bethanechol (Urecholine) is prescribed for the client with urinary retention, and an injectable form of bethanechol is available for use as prescribed. The nurse informs the client of the health care provider's prescription, knowing that the medication will be administered:

Subcutaneously

A client taking carbamazepine (Tegretol) asks the nurse what to do if he misses one dose. The nurse responds that the carbamazepine should be:

Taken as long as it is not immediately before the next dose

A 1-year-old child has been prescribed digoxin (Lanoxin) to treat congestive heart failure (CHF). The nurse would plan on withholding the prescribed dose of the medication if:

The child's pulse is less than 80 beats per minute

A client has a prescription for niacin (Slo-Niacin). The nurse determines that the client understands the importance of this therapy if the client verbalizes the importance of periodic monitoring of:

The serum cholesterol level

A nurse is reviewing laboratory results of a digoxin level for the client taking digoxin (Lanoxin). Which laboratory result would warrant health care provider notification immediately?

2.5 ng/mL

A nurse is ambulating a client with a known seizure disorder. The client says, "I'm seeing those flashing lights again," then loses consciousness and develops a clonic-tonic seizure. The nurse's initial action should be:

Assist the client to the floor

A daily dose of prednisone is prescribed for a client. A nurse reinforces instructions to the client regarding administration of the medication and instructs the client that the best time to take this medication is:

At Bedtime

The nurse is caring for a postrenal transplant client taking cyclosporine (Sandimmune, Gengraf, Neoral). The nurse notes an increase in one of the client's vital signs, and the client is complaining of a headache. What is the vital sign that is most likely increased?

Blood Pressure

A nurse is administering a dose of a prescribed diuretic to an assigned client. The nurse would plan to monitor the client for hypokalemia as a side effect of therapy if the client were receiving which of the following medications

Bumetanide

A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client?

Calcitonin (Miacalcin)

A nurse is caring for a client in labor. The nurse reviews the health care provider's prescriptions and notes that the client has a prescription for butorphanol tartrate (Stadol). The nurse understands that the action of this medication is to:

Decrease pain.

A nurse is collecting data from a client receiving pioglitazone (Actos) 30 mg orally daily. Which finding indicates that the client is experiencing the expected result of the action of this medication?

Decreased fasting blood glucose and reduced hemoglobin A1C (HbA1c

A female client with carcinoma of the breast is admitted to the hospital for treatment with intravenous vincristine (Oncovin). The client tells the nurse that she has been told by her friends that she is going to lose all her hair. The nurse makes which appropriate response to the client?

Hair loss may occur, and it will grow back, but it may have a different color or texture."

A clinic nurse is taking a health history on a client seen in the health care clinic for the first time. When the nurse asks the client about current prescribed medications, the client tells the nurse that amprenavir (Agenerase) is taken twice daily. Based on this finding, the nurse elicits data from the client regarding the presence of which condition?

Human immunodeficiency virus (HIV)

A nurse notes that a client is receiving lamivudine (Epivir). The nurse determines that this medication has been prescribed to treat which of the following?

Human immunodeficiency virus (HIV) infection

A client who is prescribed metronidazole (Flagyl) calls the clinic nurse to report dark discoloration of the urine. The nurse interprets that the client's report warrants which nursing action at this time?

Instruct the client to increase oral fluid intake.

A nurse is admitting a client to the hospital for the treatment of dehydration. The client reports nausea, vomiting, diarrhea, and cramping for the past week. The nurse asks the client about medications he is taking. The client denies taking prescription medications but states he has been taking some herbs given to him by his cousin. The nurse alerts the health care provider when the client states he has been taking:

Kaolin

A client with multiple sclerosis is receiving dantrolene (Dantrium) for relief of muscle spasticity. The nurse checks the results of which laboratory value periodically prescribed while the client is taking this medication?

Liver function studies

A female client undergoing chemotherapy with intravenous vincristine sulfate (Oncovin) has been given information about the treatment. The nurse determines that the client has adequate understanding of the side effects of treatment if the client states that her hair:

May be lost temporarily but may grow back with a different color and texture

A client with human immunodeficiency virus (HIV) who is taking an oral solution of ritonavir (Norvir) complains about the taste of the solution. The nurse tells the client to:

Mix the oral solution with chocolate milk.

The client with ovarian cancer is being treated with vincristine (Oncovin). The nurse monitors the client, knowing that which of the following indicates a side effect specific to this medication?

Numbness and tingling in the fingers and toes

A client is admitted to the hospital with complaints of back spasms. The client states, "I have been taking two or three aspirin every 4 hours for the past week and it hasn't helped my back." Aspirin intoxication is suspected. Which of the following complaints would indicate aspirin intoxication?

Tinnitus

A hospitalized client is started on phenelzine sulfate (Nardil) for the treatment of depression. At lunchtime, a tray is delivered to the client. Which food item on the tray will the nurse remove?

Yogurt