Pharm 3 practice test

A nurse is teaching a client who has a new prescription for alprazolam to treat insomnia. Which of the following instructions should the nurse included? A. "Take this medication every night before sleep." B. "Take this mediation with a high fat meal." C. "Avoid activities that require alertness such as driving." D. "Monitor for urinary retention."

"Avoid activities that require alertness such as driving."

A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the client's parent is the nurse's priority? A. "He takes a 2-hour nap every day after school." B. "He says he feels sick to his stomach after taking this medication." C. "He has so many new bruises on his body. D. "He says his mouth is always dry."

"He has so many new bruises on his body."

A nurse is providing teaching to a client who has schizophrenia and is receiving chlorpromazine. Which of the following client statements indicates an understanding of the teaching? A. "I will contact my provider if I have difficulty urinating." B. "I am less likely to get an infection while taking this medication." C. "Weight loss is a sign that my medication dose is too high." D. "I may need to take this medication with an antacid due to stomach upset."

"I will contact my provider if I have difficulty urinating."

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching? A. "I will notify my doctor before taking any other medications." B. "I have made an appointment to see my dentist next week." C. "I know that I cannot switch brands of this medication." D. "I'll be glad when I can stop taking this medicine."

"I'll be glad when I can stop taking this medicine."

A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity. Which of the following statements by the client indicates an understanding of the teaching? A. "I will report any loss of appetite." B. "Increased flatulence is an indication of toxicity." C. "Vomiting is an indication of toxicity." D. "I will call my provider if I experience any headaches."

"Vomiting is an indication of toxicity."

A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide? A. Administer the medications by touching the tip of the dropper to the sclera of the eye. B. Hold pressure on the conjunctiva sac for 2 min following application of drops. C. Administer the medications 5 min apart. D. It is not necessary to remove contact lenses before administering medications

Administer the medications 5 min apart.

.A nurse is teaching a client who has a new prescription for diazepam. Which of the following information should the nurse include in the teaching? A. Diazepam can cause drowsiness. B. This medication must be swallowed whole. C. It is important to avoid foods that contain tyramine. D. Grapefruit juice inactivates this medication.

Diazepam can cause drowsiness.

A nurse is caring for a client who has just begun therapy with alprazolam to treat anxiety. The nurse should monitor the client for which of the following adverse effects of this medication? A. Insomnia B. Bradycardia C. Hearing loss D. Hypertension

Insomnia

A nurse is providing teaching to a client who has a new diagnosis of Parkinson's disease. On which of the following medications should the nurse prepare to instruct the client? A. Piperacillin/tazobactam . Levothyroxine C. Levodopa/carbidopa D. Carbamazepine

Levodopa/carbidopa

A nurse is teaching a client who has a new prescription for phenytoin. The nurse should instruct the client to monitor for and report which of the following adverse effects of this medication? A. Metallic taste B. Diarrhea C. Skin rash D. Anxiety

Skin rash

A nurse is assessing a client who has been taking sertraline for 2 weeks. The nurse should identify which of the following findings as an indication that the medication is effective? A. The client's blood pressure is within the expected reference range B. The client reports a recent weight loss. C. The client reports increase in mood. D. The client's legs are not swollen.

The client reports increase in mood

A nurse is teaching a client who has a new prescription for fluoxetine to treat depression. Which of the followingstatements by the client indicates an understanding of the teaching? A. "I should expect to feel better after 24 hours of starting this medication." B. "I should not take this medicine with grapefruit juice." C. "I'll take this medicine with food." D. "I'll take this medicine first thing in the morning."

"I'll take this medicine first thing in the morning."

A nurse is providing teaching for a client who has schizophrenia and a new prescription for fluphenazine. Which ofthe following information should the nurse provide? A. "This medication might turn urine your orange." B. "Sleepiness should subside within a week." C. "Stop the medication if hypotension occurs." D. "A low-grade fever is expected with first doses."

"Sleepiness should subside within a week."

A nurse is providing dietary teaching for a client who has a new prescription for a monoamine oxidase inhibitor(MAOI). When the client develops a sample lunch menu, which of the following items requires intervention by the nurse? A. Glass of whole milk B. Celery sticks C. Bologna sandwich D. Sliced apples

Bologna sandwich

A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect? A. Seizures B. Bradycardia C. Constipation D. Hypothermia

Constipation

A charge nurse is teaching a group of nurses about the antagonist action of medications. The nurse should include in the teaching that which of the following antagonist medications is used for benzodiazepines? A. Flumazenil B. Diphenhydramine C. Protamine D. Naloxone

Flumazenil

A nurse is providing discharge teaching to a client who has a new prescription for lithium. Which of the following information should the nurse include in the teaching? A. Follow a low-sodium diet. B. Limit daily fluid intake. C. Obtain a daily weight. D. Avoid foods that have a high tyramine content.

Obtain a daily weight

A nurse is assessing a client who has schizophrenia and has been on long-term treatment with chlorpromazine. He notes the client is experiencing some involuntary movements of the tongue and face. The nurse should suspect the client has developed which of the following adverse effects? A. Tardive dyskinesia B. Parkinsonism C. Dystonia D. Akathisia

Tardive dyskinesia

A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed? A. Thyroid hormone assay B. Liver function tests C. Erythrocyte sedimentation rate D. Brain natriuretic peptide

Thyroid hormone assay

A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide? A. Phenytoin turns urine blue. B. Alcohol increases the chance of phenytoin toxicity. C. Avoid flossing the teeth to prevent gum irritation. D. Take an antacid with the medication if indigestion occurs

Alcohol increases the chance of phenytoin toxicity.

A nurse is instructing the parents of a client who has a new prescription for methylphenidate. Which of the following instructions should the nurse include? A. Avoid activities that require alertness such as driving. B. Increase caffeine intake. C. Take this medication before bedtime. D. Reduce calorie intake

Avoid activities that require alertness such as driving.

A nurse in a mental health clinic is caring for a client who has bipolar disorder and a prescription for an antipsychotic medication. The provider and nursing staff suspect the client is not adhering to his medication therapy. Which of the following interventions should the staff use to encourage the client's adherence? (Select all that apply.) A. Perform mouth checks following the administration of the medication. B. Provide for once-daily dosing. C. Use sustained-release forms. D. Engage the client in conversation following medication administration. E. Rotate staff that administer the medications.

B. Provide for once-daily dosing. C. Use sustained-release forms. D. Engage the client in conversation following medication administration

A nurse is caring for a client who has a prescription for olanzapine. The nurse should monitor the client for which of the following manifestations as an expected response to this medication?A. A decrease in resting blood pressure B. Control of seizure activity C. Decreased auditory hallucinations D. Increased energy level and involvement in activities

Decreased auditory hallucinations

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements? A. Sodium B. Potassium C. Vitamin K D. Vitamin C

Sodium

A home health nurse is assessing an older adult client who reports falling a couple of times over the past week.Which of the following findings should the nurse suspect is contributing to the client's falls? A. The client takes alprazolam. B. The client has a nonslip bath mat in his shower. C. The client uses a raised toilet seat. D. The client wears fitted slippers

The client takes alprazolam