Pharm 1.4

A nurse is caring for a client who has asthma and a prescription for zileuton. Which of the following lab value should the nurse monitor while the client is taking this medication?

ALT

A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask like a facial expression is experiencing involuntary movements and tremors. Which of the following medication should the nurse anticipate administering?

Amantadine

A nurse is caring for a client who has a suspended adrenal insufficiency. Which of the following medication should the nurse anticipate the provider using to determine the presence of adrenal Insufficiency?

Cosyntropin

A nurse is caring for a client who has atrial fibrillation and a schedule for cardioversion. The nurse should anticipate a prescription from the provider for which of the following medications for this procedure?

Diltiazem Blocks calcium channels in the heart and blood vessels lowering blood pressure

A nurse is caring for a client who has a cute glomerillo nephritis in a prescription for furosemide. Nurse should monitor the client for which of the following therapeutic effects of this medication?

Diuresis

A nurse is preparing to administer digoxin to a client. Which of the following findings should the nurse identify as a contraindication to the client receiving this medication?

HR 51/min

A nurse is preparing to administer oxytocin to a client who was 41 weeks gestation is experiencing In effective labor. Which of the following actions should the nurse plan to take?

Increase the dose of oxytocin to obtain uterine contractions that occur every 2 to 3 minutes

A nurse is planning care for a client with thrombophlebitis he has a prescription to receive heparin via continuous IV infusion. Which of the following action should the nurse include in the plan of care?

Infused heparin using an electronic IV pump

A nurse is caring for a client who is in preterm labor and has a new prescription for nifedipine. The client states she is concerned because her father Takes nifedipine for his angina pick Taurus. The nurse should explain that nifedipine works for clients who are pregnant through which of the following mechanisms?

It inhibits uterine contractions by blocking the entry of calcium intrauterine cells

A nurse is providing teaching to a client who has ulcerative colitis in a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?

Jaundice

A nurse is administering a medication to a client. The nurse should identify that which of the following medication distribution factors facilitates the effective passage of the medication across the client cell membranes?

Lipid solubility

A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effects?

Muscle weakness due to hypokalemia

A nurse is caring for a client who is at 28 weeks gestation is experiencing preterm labor. Which of the following medications should the nurse plan to administer?

Nifedipine

A nurse is teaching a client who has a prescription for doxycycline for the treatment of H. pylori infection. Which of the following instruction should the nurse include in the teaching?

Where are protective clothing while in the sun

An 18 month old toddler who has Kawasaki disease. The child is receiving intravenous immune globulin. The guardian asked the nurse to administer the child's scheduled MMR Vaccine before discharge. Which of the following responses should the nurse provide?

Your child will not be able to receive the MMR vaccine for at least three months after discharge The treatment of KD can interfere with the action of live virus vaccines

A nurse is reviewing the medical history of a client who has Spasticity due to MS and a new prescription for tizanidine. Which of the following comorbidities increases the clients risk of adverse effects while taking this medication?

hepatitis

A nurse is caring for a client who has a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medication?

hypotension

A nurse is teaching a female client about vitamin A supplementation. Which of the following client statements indicates an understanding of the teaching?

"A deficiency of vitamin A can cause night blindness."

A nurse is teaching a female client who has a new prescription for misoprostol to treat peptic ulcer disease. Which of the following client statements should indicate to the nurse that the teaching was effective?

"I should avoid becoming pregnant while taking this medication."

A nurse is teaching a client who has a new prescription for warfarin. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

"I'll avoid contact sports like football."

A nurse is administering a clients first dose of sucralfate. Which of the following explanations should the nurse provide about the action of sucralfate?

"Sucralfate forms a gel-like substance that protects ulcers"

A nurse is teaching a client who is experiencing age related vaginal atrophy and has a prescription for estradiol cream. Which of the following statements should the nurse include in the teaching?

"This medication has fewer systemic effects than oral estrogen"

A nurse is providing teaching to a client with a new diagnosis of heart failure who has a prescription for furosemide. Which of the following statements should the nurse include in the teaching?

"You should eat foods that are high in potassium while taking this medication."

A nurse is caring for a client who receives gastrostomy tube feedings and insulin. The client is scheduled to receive a tube feeding at 0700. At which of the following times should the nurse plan to administer insulin Lispro subcutaneously?

0645

A charge nurse is teaching a newly licensed nurse about the purpose of a client being prescribed a transdermal fentanyl patch. Which of the following clients should the charge nurse include in the teaching as a client who requires this medication?

A client who is opioid tolerant

A nurse administered an anabiotic 10 minutes ago to a client who is now reporting wheezing and swelling of the eyelids. Which of the following actions should the nurse perform first?

Administer Epinephrine subcutaneously

A nurse is teaching a group of nurses about the manifestations of progesterone deficiency for clients who take a combination oral contraceptive. Which of the following findings should the nurse include in the teaching as an indication of progestin deficiency?

Amenorrhea

A nurse is caring for a client who takes sulfasalazine Twice daily for rheumatoid arthritis. Which of the following value should the nurse review prior to the administration of the medication?

CBC Can cause agranulocytosis

A nurse is assessing a client who has A's and is taking side of voting. Which of the following findings is the priority for the nurse to report to the provider?

Decreased hemoglobin

A nurse is caring for a client who is taking fludrocortisone. Which of the following findings indicate to the nurse that the client is experiencing an adverse effect of this medication?

Hypokalemia Due to excessive sodium and water retention

A nurse is teaching a client who has a new prescription for disulfiram to treat alcohol use disorder. Which of the following statements by the client indicates an understanding of the teaching?

I should check the labels of my skin care products, medication, and food for alcohol

A nurse is teaching a client who has severe chronic gout in a new prescription for pegloticase. The client has been taking allopurinol for one month. Which of the following instruction should the nurse include?

If you experience a flareup, you can take an NSAID while receiving this medication's Increase in gout initially

A nurse is monitoring a client with pneumonia who has received penicillin G IM. Which of the following findings should the nurse plan to evaluate first?

Laryngeal edema or swelling

A nurse is caring for a client who has unstable angina. The nurse should anticipate a prescription from the provider for which of the following medication?

Nitroglycerin

A nurse is providing teaching to a client with asthma who has a new prescription for a short acting beta two agonist bronchodilator. Which of the following pieces of information should the nurse share?

Notify the provider if the SABA is needed more than twice per week

A nurse is caring for a client who was brought to the ED by friends after a reported heroin overdose. Which of the following findings should the nurse expect to assess?

Pinpoint pupils

A nurse is providing teaching to a group of new parents about medication's. The nurse should include that aspirin is contraindicated for children who have a viral infection due to which of the following adverse effects?

Reye's syndrome

A nurse is teaching self administration of NPH insulin to a client who has typed to diabetes malitis. Which of the following instructions should the nurse include?

Rotate injection sites within the same area

A nurse is teaching a client with chronic asthma who has a new prescription for cromolyn. Which of the following instructions should the nurse include in the teaching?

The medication therapeutic effects can take up to several weeks to develop

A nurse is caring for a client who is developing acute pulmonary edema and has a new prescription for furosemide 40 mg IV bolus. The nurse should plan to administer the medication using which of the following methods?

Undiluted administered over 2 min

A nurse is caring for a client who takes warfarin 2.5 mg PO daily and has an INR of 6.2. The nurse should anticipate a prescription from the provider of the following medication's?

Vitamin K

A nurse is teaching a client who has ADHD and is starting therapy with an amphetamine/Dextroamphetamine mixture. Which of the following manifestations should the nurse instruct the client to identify as an adverse effect and report to the provider?

palpitations

A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects?

tachycardia Due to cardiac stimulation

A nurse is caring for a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following findings should the nurse identify as an indication that the client requires intervention?

Heart rate 106/min Due to excessive hormone replacement

The nurse is caring for a client who is taking acarbose To treat type two diabetes Mihletus. For which of the following adverse effects of this medication should the nurse monitor the client?

Diarrhea

A nurse is teaching a newly licensed nurse about caring for a client who is receiving patient controlled analgesia. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching?

Having a second nurse check the PCA setting