NCLEX Pharmacology

The health care provider is planning to administer a skeletal muscle relaxant to a client with a spinal cord injury. The medication will be administered intrathecally (within the spinal column). Which medication should the nurse expect to be prescribed and administered by this route? Baclofen (Lioresal) Chlorzoxazone (Parafon Forte) Dantrolene sodium (Dantrium) Cyclobenzaprine hydrochloride (Amrix)

Baclofen (Lioresal)

A client is scheduled to receive a first dose of pentamidine (Pentam 300) intravenously. What should the nurse plan to carefully monitor as the priority during administration of the first dose? Pulse rate Breath sounds Blood pressure Respiratory rate

Blood pressure pentamidine can cause severe and sudden hypotension

A client is scheduled for a dose of ramipril (Altace). The nurse should check which measurement before administering the medication? Weight Apical pulse Blood pressure Potassium level

Blood pressure Ramipril (Altace) is an angiotensin-converting enzyme (ACE) inhibitor, and a serious side effect of this drug is profound hypotension. The client's blood pressure should be checked before administration of this medication. The medication does not cause weight gain or loss, bradycardia, or depletion of potassium.

The nurse is preparing to administer pentamidine (Pentam 300) to an assigned client by the intravenous route. The nurse plans to monitor which item most closely after administering this medication? Capillary refill Peripheral pulses Blood pressure (BP) Level of consciousness

Blood pressure (BP)

A nurse is preparing to administer ticarcillin. An abnormal elevation in which laboratory value should prompt the nurse to withhold the medication and notify the health care provider before administering the medication? Hematocrit and hemoglobin Blood urea nitrogen and creatinine Prothrombin time and partial thromboplastin time Aspartate aminotransferase and alanine transaminase

Blood urea nitrogen and creatinine

Study Mode Question 40 of 75 ▲▼ The nurse has administered prochlorperazine to a client for relief of nausea and vomiting. The nurse should then assess the client for which frequent side effect of this medication? Diarrhea Drooling Blurred vision Excessive tearing

Blurred vision

The nurse is administering an intravenous dose of methocarbamol (Robaxin) to a client with multiple sclerosis. For which side/adverse effect should the nurse monitor? Tachycardia Rapid pulse Bradycardia Hypertension

Bradycardia (hypotension too) - methocarbamol (Robaxin) is a muscle relaxant via lowering action potential through agonism of Gaba a receptor

The nurse is performing an admission assessment on a client who has a history of glaucoma and uses latanoprost (Xalatan) eye drops. Which assessment finding would indicate a side effect of these eye drops? Irregular pulse Periorbital edema Elevated blood pressure Brown pigmentation of the iris

Brown pigmentation of the iris

A client has developed paroxysmal nocturnal dyspnea. Which medication should the nurse anticipate will be prescribed by the health care provider? Rationale: Bumetanide is a diuretic. The paroxysmal nocturnal dyspnea may be caused by increased venous return when the client is lying in bed, and the client needs diuresis. Lidocaine (Xylocaine) is an antidysrhythmic, Propranolol (Inderal LA) is an α-blocker, and streptokinase (Streptase) is a thrombolytic. Cognitive Ability: Analyzing Client Needs: Physiological Integrity Integrated Process: Nursing Process: Planning Content Area: Pharmacology: Cardiovascular Medications Strategy(s): Subject Priority Concepts: Gas Exchange, Fluid and Electrolyte Balance Bumetanide Lidocaine (Xylocaine) Propranolol (Inderal LA) Streptokinase (Streptase)

Bumetanide

The nurse prepares to teach a client with subarachnoid hemorrhage about the effects of nimodipine. The nurse plans to explain which information about the purpose of this medication? β-Adrenergic blocker that will decrease blood pressure Vasodilator that has an affinity for cerebral blood vessels Diuretic that will decrease blood pressure by decreasing fluid volume Calcium channel blocker that will decrease spasm in cerebral blood vessels

Calcium channel blocker that will decrease spasm in cerebral blood vessels

Tobramycin sulfate is prescribed for a client with a diagnosis of cellulitis. The nurse is administering the medication by intermittent intravenous infusion every 8 hours. The nurse monitors the client for signs of an adverse effect related to this medication and determines that which, if noted on assessment, would indicate the presence of an adverse effect? Client complaint of diarrhea Client complaint of ringing in the ears A blood urea nitrogen (BUN) of 10 mg/dL A white blood cell count of 6000 cells/mm3

Client complaint of ringing in the ears

Study Mode Question 65 of 75 ▲▼ Which finding suggests to the nurse that a client with bleeding esophageal varices is experiencing an adverse effect of vasopressin therapy?

Complaints of chest pain Vasopressin therapy causes vasoconstriction, and adverse effects include myocardial ischemia, which may be evident by the client's complaints of chest pain

A health care provider (HCP) prescribes quinidine gluconate for a client. The nurse decides to withhold the medication and contact the HCP if which assessment finding is documented in the client's medical record? Muscle weakness History of asthma Presence of infection Complete atrioventricular (AV) block

Complete atrioventricular (AV) block Quinidine gluconate is an antidysrhythmic medication used to maintain normal sinus rhythm after conversion of atrial fibrillation or atrial flutter. It is contraindicated in complete AV block

n older client recently has been taking cimetidine (Tagamet). The nurse monitors the client for which most frequent central nervous system side effect of this medication? Tremors Dizziness Confusion Hallucinations

Confusion

A client has been receiving foscarnet sodium as part of therapy for the treatment of cytomegalovirus retinitis and acquired immunodeficiency syndrome (AIDS). The home care nurse should periodically review results of which laboratory blood test to assess for adverse effects to this medication? CD4+ cell count Lymphocyte count Albumin concentration Creatinine concentration

Creatinine concentration

A nurse is collecting data from a client with a history of renal transplantation. The nurse understands that which medication is the medication of choice for preventing organ rejection? Probenecid Prednisone Indomethacin (Indocin) Cyclosporine (Sandimmune)

Cyclosporine (Sandimmune)

A nurse is assigned to care for a client with multiple sclerosis who is receiving an intravenous (IV) dose of methocarbamol (Robaxin). The nurse monitors the client knowing that which is an expected side effect? Insomnia Excitability Hypertension Dark green-colored urine

Dark green-colored urine

A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse assessing the client monitors for which finding as an indication of a primary therapeutic response to the medication? Decreased nausea Decreased muscle spasms Increased muscle tone and strength Increased range of motion of all extremities

Decreased muscle spasms

he nurse is monitoring a client who is taking digoxin (Lanoxin) for adverse effects. Which findings are characteristic of digoxin toxicity? Select all that apply. Tremors Diarrhea Irritability Blurred vision Nausea and vomiting

Diarrhea Blurred vision Nausea and vomiting

In preparation for cataract surgery, the nurse is to administer cyclopentolate (Cyclogyl) eyedrops. The nurse understands that which characterizes the medication action? Produces miosis of the operative eye Dilates the pupil of the operative eye Constricts the pupil of the operative eye Provides lubrication to the operative eye

Dilates the pupil of the operative eye

client with chronic glaucoma is being started on medication therapy with acetazolamide (Diamox). The nurse teaches the client that which can occur early with the use of this medication? Fatigue Diuresis Headache Loss of libido

Diuresis Diuresis is an early side effect of acetazolamide that usually subsides with continued treatment. This is because the medication is also a weak diuretic, although it is no longer prescribed for that purpose. Fatigue, headache, and loss of libido are common side effects of therapy, but these may not subside spontaneously.

Study Mode Question 107 of 111 ▲▼ The nurse has a prescription to give a client a scheduled dose of digoxin (Lanoxin). Prior to administering the medication, the nurse should assess for which manifestations that could indicate digoxin toxicity? Dyspnea, edema, and palpitations Chest pain, hypotension, and paresthesias Constipation, dry mouth, and sleep disorder Double vision, loss of appetite, and nausea

Double vision, loss of appetite, and nausea

Allopurinol (Zyloprim) is prescribed for a client and the nurse provides medication instructions to the client. Which instruction should the nurse provide? Drink 3000 mL of fluid a day. Take the medication on an empty stomach. The effect of the medication will occur immediately. Any swelling of the lips is a normal expected respo

Drink 3000 mL of fluid a day. - since allopurinol treats gout/kidney stones it is important to drink enough fluid to further decrease risk of kidney stone formation

A client with muscle spasms in the lumbar area of the spine has been started on cyclobenzaprine (Flexeril). The nurse should monitor for which most frequent side effect of the medication? Weakness Confusion Excitability Drowsiness

Drowsiness

A preoperative client receives a dose of scopolamine. The nurse determines that which sign or symptom later displayed by the client is a result of medication side effects? Dry mouth Diaphoresis Excessive urination Pupillary constriction

Dry mouth Side effects of scopolamine, an anticholinergic medication, are dry mouth, urinary retention, decreased sweating, and dilation of the pupils. Each of the incorrect options states the opposite of a side effect of this medication.

Study Mode Question 22 of 61 ▲▼ Etanercept (Enbrel) is prescribed for a client with rheumatoid arthritis. The nurse should monitor the client for which adverse effect of the medication following administration? Dyspnea Headache Dizziness Abdominal discomfort

Dyspnea Note the subject, adverse effects. Use the ABCs-airway, breathing, and circulation-

Study Mode Question 54 of 112 ▲▼ The nurse is preparing to administer a prescribed dose of cyclosporine (Sandimmune) by intravenous (IV) administration. Which priority item would the nurse have available during administration of this medication? A code cart Oral airway A suction catheter Epinephrine (Adrenalin)

Epinephrine (Adrenalin)

Cyclobenzaprine hydrochloride (Flexeril) is prescribed for a client for muscle spasms and the nurse is reviewing the client's record. Which disorder, if noted in the record, would indicate a need to contact the health care provider about the administration of this medication? Glaucoma Emphysema Hypothyroidism Diabetes mellitus

Glaucoma cyclobenzaprine hydrochloride has anticholinergic effects, can increase eye pressure

torvastatin (Lipitor) has been prescribed for a client, and the client asks the nurse about the side effects of the medication. What should the nurse tell the client is a frequent side effect of this medication? Tremors Lethargy Headache Tiredness

Headache

Acetylsalicylic acid (ASA), or aspirin, has been prescribed for a client, and the client asks the nurse about the side effects of the medication. The nurse responds that which is an occasional side effect of ASA? Heartburn Muscle aches Constipation Burning on urination

Heartburn

The nurse notes that a client is receiving lamivudine (Epivir). The nurse determines that this medication has been prescribed to treat which condition? Pancreatitis Pharyngitis Tonic-clonic seizures Human immunodeficiency virus (HIV)

Human immunodeficiency virus (HIV)

The nurse is reviewing the record of a client who arrives at the health care clinic. The nurse notes that irbesartan (Avapro) has been prescribed for the client. The nurse should suspect that the client has which condition? Hypertension Hypothyroidism Diabetes mellitus Renal transplant rejection

Hypertension

A client admitted to the hospital is taking abacavir (Ziagen). The nurse should monitor the client for which adverse effect of the medication? Insomnia Diarrhea Hypotension Decreased appetite

Hypotension

What should the nurse anticipate when evaluating for the effects of raloxifene (Evista) in an older client? Increased bone density Relief of leg cramps and tenderness A decrease in severity of hot flashes A resumption of the menstrual cycle

Increased bone density Raloxifene is an estrogen receptor modulator. It was developed to limit the side effects of estrogen while producing beneficial effects

Acetylsalicylic acid (ASA), or aspirin, has been prescribed for a client with angina, and the client asks the nurse how the medication will help. The nurse responds that this medication has been prescribed for which purpose? Reduce pain. Reduce inflammation. Inhibit platelet aggregation. Maintain a normal body temperature.

Inhibit platelet aggregation.

Abacavir succinate (Ziagen) has been prescribed for a client, and the client asks the nurse about the action of the medication. How should the nurse respond? Promotes viral DNA growth Prevents the production of DNA Splits DNA to prevent its production Inhibits activity of HIV-1 reverse transcriptase

Inhibits activity of HIV-1 reverse transcriptase

The nurse notes that a client has been taking colchicine. The nurse assesses the client for which finding that is an indication for the use of this medication? Double vision Difficulty urinating Migraine headaches Joint inflammation and pain

Joint inflammation and pain

Colchicine (Colcrys) is prescribed for a client with a diagnosis of gout. The nurse reviews the client's record, knowing that this medication would be used with caution in which disorder? Myxedema Kidney disease Hypothyroidism Diabetes mellitus

Kidney disease

A nurse is reviewing laboratory results for a client taking dantrolene sodium (Dantrium). The nurse should notify the health care provider (HCP) if which finding is noted on the laboratory report sheet? Creatinine level 0.6 mg/dL Platelet count 290,000 cells/mm3 Blood urea nitrogen (BUN) level 9 mg/dL Lactic dehydrogenase (LDH) level 600 units/L

Lactic dehydrogenase (LDH) level 600 units/L treatment and throughout the treatment interval. It is administered in the lowest effective dosage for the shortest time necessary. The LDH level reported in option 4 is high. (The normal level is 140 to 280 units/L

Dantrolene (Dantrium) is prescribed for a client with spinal cord injury for discomfort caused by spasticity. Which laboratory measure should the nurse monitor while the client is taking this medication? Creatinine Sedimentation rate Liver function studies White blood cell count

Liver function studies

Abacavir (Ziagen) has been prescribed for a client. The nurse tells the client that which blood test will be done periodically while the client is taking this medication? Platelet count Liver function tests Serum creatinine assay Blood urea nitrogen determination

Liver function tests

The nurse is analyzing the laboratory studies on a client receiving dantrolene sodium (Dantrium). Which laboratory test would identify an adverse effect associated with the administration of this medication? Platelet count Creatinine level Liver function tests Blood urea nitrogen level

Liver function tests

The nurse asks a nursing student about the uses of the medication dantrolene (Dantrium). The nursing student correctly states that dantrolene is used to manage hypermetabolism of skeletal muscle that occurs in which condition? Low back pain General anesthesia Malignant hyperthermia Hyperplasia of the prostate

Malignant hyperthermia

Auranofin (Ridaura) has been prescribed for a client with rheumatoid arthritis. The nurse provides instructions to the client about the medication and tells the client to notify the health care provider (HCP) if which occurs? Nausea Diarrhea Loss of appetite Metallic taste in the mouth

Metallic taste in the mouth Auranofin is a gold preparation that is given orally rather than by injection. Early signs and symptoms of toxic reactions

Study Mode Question 73 of 75 ▲▼ A client with recurrent constipation has been prescribed psyllium (Metamucil). Teaching provided by the nurse should include which instruction? Mix the psyllium powder with any cold beverage. Mix the psyllium powder with 4 oz of a hot beverage. Mix the psyllium powder with gelatin, applesauce, or pudding. Mix the psyllium powder with 8 oz of water or juice followed by drinking an additional 8 oz of liqui

Mix the psyllium powder with 8 oz of water or juice followed by drinking an additional 8 oz of liqui Metamucil is a bulk-forming laxative. It should be mixed with 8 oz of water or juice, followed by drinking another 8 oz of liquid. This will help prevent impaction of the medication in the stomach or small intestine. The other options are incorrect methods of administration.

Betaxolol eye drops have been prescribed for a client with glaucoma. The home health nurse preparing to visit the client develops a plan of care that includes monitoring for the adverse effects of this medication by taking which assessment action? Monitoring body weight Assessing the glucose level Assessing peripheral pulses Monitoring body temperature

Monitoring body weight This medication is an antiglaucoma medication and a β-adrenergic blocker. The nurse assesses for evidence of heart failure manifested by dizziness, night cough, peripheral edema, and distended neck veins

A nurse should educate the client receiving pravastatin (Pravachol) to immediately report which finding? atigue Diarrhea Sore throat Muscle pain

Muscle pain Pravastatin is used to treat hyperlipidemia. Muscle pain could indicate rhabdomyolysis, a serious complication of this medication.

A client with gastrointestinal hypermotility has a prescription to receive atropine sulfate. The nurse should withhold the medication and question the prescription if the client has a history of which disease process? Biliary colic Sinus bradycardia Peptic ulcer disease Narrow-angle glaucoma

Narrow-angle glaucoma Atropine sulfate can cause a blockade of muscarinic receptors on the iris sphincter, producing mydriasis (dilation of the pupils). It also produces cycloplegia (relaxation of the ciliary muscles). It is contraindicated in clients with narrow-angle glaucoma. The other options are therapeutic reasons for using the medication. atropine sulfate is an anticholinergic medication. Next, think about the effects of an anticholinergic and about the therapeutic reasons for using atropine sulfate to direct you to the correct option.

A client in the postanesthesia care unit (PACU) has a prescription for droperidol (Inapsine). The nurse determines that this medication has been prescribed to treat which condition? Pain Nausea Headache Confusion

Nausea

Abacavir (Ziagen) has been prescribed for a client, who asks the nurse about the side effect of the medication. What should the nurse tell the client is a frequent side effect of this medication? Nausea Sleepiness Constipation Increased appetite

Nausea

A client has received a dose of dimenhydrinate (Dramamine). The nurse should observe relief of what symptom to evaluate that the medication has been effective? Chills Headache Nausea and vomiting Buzzing sound in the ears

Nausea and vomiting

A client admitted to the hospital is taking zidovudine (Retrovir). The nurse monitors the client for which adverse effect of the medication? Colitis Ototoxicity Neurotoxicity Visual disturbances

Neurotoxicity

A client with acquired immunodeficiency syndrome is taking zalcitabine. The nurse interprets that the client is experiencing an adverse effect of this medication if which is reported by the client? Diarrhea Ringing in the ears Burning with urination Numbness or burning sensations in the arms or legs

Numbness or burning sensations in the arms or legs

The nurse is performing an assessment on a client with a diagnosis of chronic angina pectoris. The client is receiving sotalol (Betapace) orally daily. Which assessment finding indicates to the nurse that the client is experiencing a side/adverse effect related to the medication? Dry mouth Diaphoresis Palpitations Difficulty swallowing

Palpitations

The preoperative medication sheet identifies that cyclopentolate (Cyclogyl) is prescribed for a client before cataract surgery. Which is the action of the medication? It lubricates the eye. Constriction of the pupil occurs. Paralysis of the ciliary muscle occurs. This medication will promote miosis.

Paralysis of the ciliary muscle occurs.

A client with osteoarthritis is receiving diclofenac sodium (Voltaren). The nurse would be concerned about the administration of this medication if the client's history and physical included a diagnosis of which condition? Graves' disease Peptic ulcer disease Coronary artery disease Benign prostatic hypertrophy

Peptic ulcer disease Diclofenac sodium (Voltaren) is a nonsteroidal anti-inflammatory drug (NSAID). It is a prostaglandin inhibitor and decreases mucous production in the stomach. Use of NSAIDs in the client with ulcer disease could place the client at risk for perforation and hemorrhage

Cyclosporine (Sandimmune) is prescribed for a client who received a kidney transplant. The nurse would be most concerned if a review of the medical record revealed that the client currently is taking which prescribed medications? Prednisone Digoxin (Lanoxin) Propranolol (Inderal) Phenytoin (Dilantin)

Phenytoin (Dilantin)

A client who is seropositive for human immunodeficiency virus (HIV) has been taking stavudine (d4T, Zerit XR). The nurse assesses which most closely while the client is taking this medication? Appetite Presence of paresthesia Gastrointestinal function Level of consciousness (LOC)

Presence of paresthesia The medication can cause peripheral neuropathy

A client has just taken a dose of trimethobenzamide hydrochloride (Tigan). Which finding indicates that this client has had a therapeutic response to the medication? Relief of constipation Decrease in heartburn Absence of abdominal pain Relief of nausea and vomiting

Relief of nausea and vomiting

A nurse is collecting data from a client and notes that the client is taking acetylsalicylic acid (ASA), or aspirin, 5 g daily in divided doses. The nurse determines that this medication has been prescribed to treat which condition? Backache Muscle aches Frequent headaches Rheumatoid arthritis

Rheumatoid arthritis

Prior to administering a client's daily dose of digoxin, the nurse reviews the client's laboratory data and notes the following results: serum calcium, 9.8 mg/dL; serum magnesium, 1.2 mg/dL; serum potassium, 4.1 mEq/L; serum creatinine, 0.9 mg/dL. Which result should alert the nurse that the client is at risk for digoxin toxicity? Serum calcium level Serum potassium level Serum creatinine level Serum magnesium level

Serum magnesium level An increased risk of toxicity exists in clients with hypercalcemia, hypokalemia, hypomagnesemia, hypothyroidism, and impaired renal function. The calcium, creatinine, and potassium levels are all within normal limits. The normal range for magnesium is 1.6 to 2.6 mg/dL and the results in the correct option are reflective of hypomagnesemia.

A client rings the call bell and asks for medication to relieve postoperative gas pains. The nurse selects which medication to be given as prescribed on the medication sheet? Droperidol Simethicone (Mylicon) Acetaminophen (Tylenol) Magnesium hydroxide (MOM)

Simethicone (Mylicon)

Study Mode Question 26 of 112 ▲▼ A client is receiving acyclovir (Zovirax) by the intravenous (IV) route for treatment of cytomegalovirus infection. After reconstituting the powder dispensed by the pharmacy, the nurse should administer this medication via which method? Slow IV infusion over 1 hour Rapid IV bolus over 5 minutes Continuous IV infusion over 24 hours Continuous IV infusion over 12 hours

Slow IV infusion over 1 hour

Atenolol (Tenormin) has been prescribed for a client, and the client asks the nurse about the action of the medication. How should the nurse respond regarding the action of this medication? Slows the heart rate Increases cardiac output Increases myocardial oxygen demand Maintains the blood pressure at a level within the 140/90 mm Hg range

Slows the heart rate

A client with human immunodeficiency virus infection is taking indinavir (Crixivan). The nurse plans to provide the client with which direction when providing instructions about the use of this medication? Store the medication in the refrigerator. Take the medication with a high-fat snack. Take the medication with the large meal of the day. Take the medication with water on an empty stomach.

Take the medication with water on an empty stomach. Options 2 and 3 can be eliminated first because they are comparable or alike. Regarding the remaining choices, recall that medication absorption is maximized if the medication is taken on an empty stomach.

A client with a diagnosis of rheumatoid arthritis is taking sulindac (Clinoril). The health care provider prescribes misoprostol (Cytotec) for the client. The nurse explains that this medication has been prescribed for which purpose? To enhance the effects of the sulindac To prepare the client for weaning off the sulindac To prevent further development of arthritic nodules To prevent gastric complications such as ulcer disease

To prevent gastric complications such as ulcer disease

Pyrimethamine (Daraprim) has been added to the medication regimen for a client with acquired immunodeficiency syndrome. On review of the client's record, the nurse notes this new prescription and plans care knowing that it has been prescribed to treat which condition? Toxoplasmosis Kaposi's sarcoma Cardiac irregularities Nausea and vomiting

Toxoplasmosis

A nurse is monitoring a client receiving cyclosporine (Sandimmune). Which sign or symptom should indicate to the nurse that the client is experiencing an adverse effect from this medication? Nausea Tremors Alopecia Hypotension

Tremors

The client who is seropositive for human immunodeficiency virus (HIV) has been taking ritonavir (Norvir). The nurse tells the client that which follow-up laboratory study will be necessary while taking this medication? Platelet count Triglyceride level Prothrombin time (PT) International normalized ratio (INR)

Triglyceride level Eliminate options 1, 3, and 4 because they are comparable or alike in that they relate to bleeding and clotting factors.

A 2-year-old with Pneumocystis jiroveci pneumonia is to begin treatment with highly active antiretroviral therapy (HAART). The nurse anticipates that the health care provider will prescribe which combination? One immunoglobulin and one nucleoside analogue Two nucleoside analogues and one protease inhibitor Two protease inhibitors and one broad-spectrum antibiotic One nucleoside reverse transcriptase inhibitor and one non-nucleoside reverse transcriptase inhibitor

Two nucleoside analogues and one protease inhibitor Recall that antiviral therapy includes both reverse transcriptase inhibitors and protease inhibitors

Study Mode Question 34 of 112 ▲▼ The nurse is developing a plan of care for a client who is receiving amphotericin B intravenously to treat a severe fungal infection. A main component of the plan of care is monitoring for adverse effects related to the administration of this medication. Which should the nurse include in a list of manifestations to watch for? Fatigue Confusion Visual difficulties Increased urinary output

Visual difficulties Amphotericin B is an antifungal. Vision and hearing alterations, seizures, hepatic failure, paresthesias (tingling, numbness, or pain in the hands and feet), and coagulation defects also occur. Other adverse reactions include nephrotoxicity, which occurs commonly and is evidenced by decreased urine output. Cardiovascular toxicity (as evidenced by hypotension and ventricular fibrillation) and anaphylactic reaction occur rarely.

A client has a new prescription for metoclopramide (Reglan). On review of the chart, the nurse identifies that this medication can be safely administered with which condition? Intestinal obstruction Peptic ulcer with melena Diverticulitis with perforation Vomiting following cancer chemotherapy

Vomiting following cancer chemotherapy

Ketoconazole is prescribed for an assigned client. The nurse prepares to administer the medication by which method? With food With an antacid With 8 oz of water On an empty stomach

With food

A health care provider writes a prescription for digoxin (Lanoxin), 0.25 mg daily. The nurse teaches the client about the medication and tells the client that it is most important to be sure to implement which measure? Count the radial and carotid pulses every morning. Check the blood pressure every morning and evening. Stop taking the medication if the pulse is faster than 100 beats/min. Withhold the medication, and call the health care provider if the pulse is slower than 60 beats/min.

Withhold the medication, and call the health care provider if the pulse is slower than 60 bpm

Lipitor can cause what side-effect/

photosensitivty

A client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The nurse caring for the client anticipates that which diagnostic study will be prescribed?

pulmonary function studies Bleomycin is an antineoplastic medication that can cause interstitial pneumonitis, which can progress to pulmonary fibrosis. Pulmonary function studies along with hematological, hepatic, and renal function tests need to be monitored. The nurse needs to monitor lung sounds for dyspnea and crackles, which indicate pulmonary toxicity. The medication needs to be discontinued immediately if pulmonary toxicity occurs.

Isotretinoin (Amnesteem or Claravis) is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed?

triglyceride test

nurse reviews the medication history of a client and notes that the client is taking leflunomide (Arava). During assessment of the client, the nurse should ask which question to determine the effectiveness of this medication? "Do you have any joint pain?" "Are you having any diarrhea?" "Are you experiencing heartburn?" "Do you have frequent headaches?"

"Do you have any joint pain?" Leflunomide is an immunomodulatory agent and has an anti-inflammatory action. The medication provides symptomatic relief of rheumatoid arthritis

Mineral oil has been prescribed for a child with constipation, and the nurse teaches the mother about administration of the mineral oil. Which statement by the mother indicates effective teaching? "I will administer the mineral oil before each meal." "I will administer the mineral oil followed by a glass of warm water." "I will mix the mineral oil with a chilled drink before administration." "I will mix the mineral oil with 8 ounces of warm juice before administration."

"I will mix the mineral oil with a chilled drink before administration."

Daily administration of dipyridamole (Persantine) been prescribed for the client, and the nurse teaches the client about the medication. Which client statement indicates an understanding of the instructions? "This medication will prevent a stroke." "This medication will prevent a heart attack." "This medication will help keep my blood pressure down." "If I take this medicine with my Coumadin, it will protect my artificial heart valve."

"If I take this medicine with my Coumadin, it will protect my artificial heart valve." medication is an antiplatelet

A client with acquired immunodeficiency syndrome experiences nausea, vomiting, and abdominal pain radiating to the back after taking didanosine (Videx). The ambulatory care nurse should provide which response as telephone advice to this client? Take crackers and milk with each dose of the medication." "Decrease the dose of the medication until the next clinic visit." "This is an uncomfortable but expected side effect of the medication." "Report to the health care clinic to be seen by the health care provider (HCP)."

"Report to the health care clinic to be seen by the health care provider (HCP).". Pancreatitis, which can be fatal, is the major dose-limiting toxicity associated with the administration of didanosine. Clients should be monitored for indications of developing pancreatitis, which include increased serum amylase in association with increased serum triglycerides; decreased serum calcium; and nausea, vomiting, or abdominal pain radiating to the back. If evolving pancreatitis is diagnosed, the medication should be discontinued. The client should be seen by the HCP.

A miotic medication has been prescribed for the client with glaucoma and the client asks the nurse about the purpose of the medication. Which response should the nurse provide to the client? "The medication will help dilate the eye to prevent pressure from occurring." "The medication will relax the muscles of the eyes and prevent blurred vision." "The medication causes the pupil to constrict and will lower the pressure in the eye." "The medication will help block the responses that are sent to the muscles in the eye."

"The medication causes the pupil to constrict and will lower the pressure in the eye."

Study Mode Question 15 of 31 ▲▼ The nursing student is assigned to care for a client with glaucoma for whom pilocarpine hydrochloride (Isopto Carpine) eye drops have been prescribed. The nursing instructor asks the student to describe the action of the eye medication. Which statement by the student indicates an understanding of the purpose of this medication? "The medication prevents blurred vision by relaxing the muscles of the eyes." "The medication dilates the eye to prevent increased pressure from occurring." "The medication increases the blood flow to the retina and also will lower the pressure in the eye." "The medication blocks responses that are sent to the brain that direct the actions of the muscles in the eye."

"The medication increases the blood flow to the retina and also will lower the pressure in the eye."

Calcium carbonate (Os-Cal) is prescribed for a client with hypocalcemia. How should the nurse instruct the client to take the medication? With meals Every 4 hours Just before meals 1 hour after meals

1 hour after meals

A client has been diagnosed with chlamydial infection, and azithromycin (Zithromax) has been prescribed. The nurse should instruct the client to take the medication in which way? With meals 1 hour before meals With an aluminum-containing antacid With a magnesium-containing antacid

1 hour before meals Eliminate options 1, 3, and 4 because they are comparable or alike in that they all indicate administration of the medication with another substance.

Study Mode Question 22 of 111 ▲▼ A client with hypertension has a new prescription for a medication called moexipril (Univasc). The nurse plans to provide written directions that tell the client to take the medication at which time? At bedtime With meals 1 hour before meals With a snack in late afternoon

1 hour before meals he other ACE inhibitor that should be taken 1 hour before meals is captopril (Capoten)

Oral dantrolene sodium (Dantrium) has been prescribed to a client for the treatment of spasticity. The nurse understands that the usual maintenance adult dosage of this medication is which dosage? 50 mg daily 100 mg daily 100 mg twice daily 200 mg four times daily

100 mg twice daily

A pregnant client who has human immunodeficiency virus (HIV) infection is being seen in the antenatal clinic. The nurse recalls that zidovudine (AZT) therapy will be initiated when the fetus has reached how many weeks of gestation? 4 14 24 34

14

A client with muscle spasms is taking an oral maintenance dose of baclofen (Lioresal). Which represents a safe maintenance dose for this medication? 15 mg four times daily 25 mg four times daily 30 mg four times daily 40 mg four times daily

15 mg four times daily

Acetylsalicylic acid (ASA), or aspirin, has been prescribed for a client with rheumatoid arthritis. The nurse tells the client that a blood test to assess the serum aspirin level will be done periodically. Which is the therapeutic serum level for an antiarthritic effect? 5 to 10 mg/dL 10 to 20 mg/dL 20 to 30 mg/dL 30 to 40 mg/dL

20 to 30 mg/dL

Study Mode Question 43 of 111 ▲▼ The home care nurse visits a client with a diagnosis of unstable angina. The client is taking acetylsalicylic acid (aspirin) on a daily basis to reduce the risk of myocardial infarction (MI). Which medication dose would the nurse expect the client to be taking? 300 to 325 mg daily 650 to 700 mg daily 1.3 g daily 3 g daily

300 to 325 mg daily

A client has begun taking cascara sagrada. In monitoring the client for medication side effects, the nurse is likely to note which finding? Abdominal cramps Peptic ulcer disease Gastrointestinal bleeding Partial bowel obstruction

Abdominal cramps Cascara sagrada is a laxative that causes nausea and abdominal cramps as the most frequent side effects.

Dantrolene sodium (Dantrium) is prescribed for the client experiencing flexor spasms. The nurse monitors the client, knowing that which is the therapeutic action of this medication? Depresses spinal reflexes Acts on the central nervous system to suppress spasms Acts directly on the skeletal muscle to relieve spasticity Acts within the spinal cord to suppress hyperactive reflexes

Acts directly on the skeletal muscle to relieve spasticity

A client has a prescription for magnesium citrate to prevent constipation after undergoing barium studies of the gastrointestinal tract. How should the nurse administer the magnesium citrate? With fruit juice only At room temperature With a full glass of water After it is chilled in the refrigerator

After it is chilled in the refrigerator

Hydrochlorothiazide (HydroDIURIL) has been prescribed for a client. The nurse contacts the health care provider to verify the prescription if which condition is noted in the assessment data? Hypertension Allergy to eggs Nephrotic syndrome Allergy to sulfonamides

Allergy to sulfonamides

A client tentatively diagnosed with gout has received a prescription for colchicine. The nurse understands that colchicine is which type of medication? Analgesic that relieves pain Anti-inflammatory agent specific for gout Nonsteroidal anti-inflammatory drug (NSAID) Osmotic diuretic that facilitates the removal of uric acid

Anti-inflammatory agent specific for gout

A client is receiving tacrolimus (Prograf) to prevent organ rejection. Which is a nursing consideration associated with this medication? Assess for hypoglycemia. Give with grapefruit juice. Give with cyclosporine (Sandimmune). Assess platelet count for thrombocytopenia.

Assess platelet count for thrombocytopenia.

The nurse working in a long-term care facility notes that several clients are taking pilocarpine hydrochloride (Isopto Carpine) eye drops. The nurse ensures that which medication is available on the nursing unit for use if a client should develop systemic toxicity from pilocarpine hydrochloride? Atropine sulfate Disulfiram (Antabuse) Naloxone hydrochloride Cyclopentolate (Cyclogyl)

Atropine sulfate Pilocarpine hydrochloride is a cholinergic agent. Atropine sulfate must be available in the event of systemic toxicity from pilocarpine hydrochloride.

Which medication, if prescribed for the client with glaucoma, should the nurse question? Betaxolol (Betoptic) Atropine sulfate (Isopto Atropine) Pilocarpine hydrochloride (Isopto Carpine) Pilocarpine (Ocusert Pilo-20, Ocusert Pilo-40)

Atropine sulfate (Isopto Atropine) mydriatic and cycloplegic (also anticholinergic) medication, and its use is contraindicated in clients with glaucoma. Mydriatic medications dilate the pupil and can cause an increase in intraocular pressure in the eye.

A nurse is caring for a client with hyperlipidemia who is taking cholestyramine (Questran). Which nursing assessment is most significant for this client relative to the medication therapy?

Auscultate bowel sounds. Study Mode Question 91 of 111 ▲▼ A nurse is caring for a client with hyperlipidemia who is taking cholestyramine (Questran). Which nursing assessment is most significant for this client relative to the medication therapy? Test-Taking Strategy: Note the strategic word most and focus on the subject, assessment of the client receiving cholestyramine (Questran). Knowledge of the medication is needed to answer this question. Remember that the medication's site of action is the bowel and can result in constipation. This will direct you to option 2. The other options do not relate to this medication