pharm 404 questions :/

a nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has paget's disease of the bone. which of the following actions should be the nurse's priority? a. administer the medication to the client before breakfast in the morning b. ambulate the client to a chair prior to administering the medication c. give the medication to the client with water rather than milk d. teach the client how to take the medication at home

ambulate the client to a chair prior to administering the medication

a nurse is caring for a client who has a new prescription for tamoxifen. the nurse should recognize that tamoxifen has which of the following therapeutic effects? a. antiestrogenic b. antimicrobial c. androgenic d. anti-inflammatory

antiestrogenic

a nurse is providing teaching to a client who has chronic kidney failure with an AV (arteriovenous) fistula for hemodialysis and a new prescription for epoetin alfa. which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching? a. reduces blood pressure b. inhibits clotting of a fistula c. promotes RBC production d. stimulates growth of neutrophils

promotes RBC production

a nurse is assessing a client who is receiving IV gentamicin three times daily. which of the following findings indicate that the client is experiencing an adverse effect of this medication? a. hypoglycemia b. proteinuria c. nasal congestion d. visual disturbances

proteinuria

a nurse is reviewing the laboratory values for a client who is receiving a continuous IV heparin infusion and has an aPTT of 90 seconds. which of the following actions should the nurse prepare to take? a. administer vitamin k b. reduce the infusion rate c. give the client a low-dose aspirin d. request an INR

reduce the infusion rate

a nurse is providing teaching to a client who has cirrhosis and a new prescription for lactulose. the nurse should instruct the client that lactulose has which of the following therapeutic effects? a. increases blood pressure b. prevents esophageal bleeding c. decreases heart rate d. reduces ammonia levels

reduces ammonia levels

a nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. the nurse should recognize that candidiasis is a manifestation of which of the following adverse effects? a. allergic response b. superinfection c. renal toxicity d. hepatotoxicity

superinfection

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? a. hypotension b. hyperthermia c. hypoglycemia d. tachycardia

tachycardia

a nurse is preparing to administer amoxicillin 250 mg liquid suspension PO every 8 hr to an older adult client. the amount available is amoxicillin 50 mg/mL. how many mL should the nurse administer per dose? (round to the nearest whole number)

5 mL

a nurse is caring for a client who has peptic ulcer disease and reports a headache. which of the following medications should the nurse plan to administer? a. ibuprofen b. naproxen c. aspirin d. acetaminophen

acetaminophen

a nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. which of the following actions should the nurse take? a. administer the medication into the client's abdomen b. inject the medication into a muscle c. massage the site after administering the medication d. use a 22-gauge needle to administer the medication

administer the medication into the clients abdomen

a nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. the client has a mask-like facial expression and is experiencing involuntary movements and tremors. which of the following medications should the nurse consider administering? a. amantadine b. bupropion c. phenelzone d. hydroxyzine

amantadine

a nurse is caring for a client who has a prescription for clopidogrel. the nurse should monitor the client for which of the following adverse effects? a. insomnia b. hypotension c. bleeding d. constipation

bleeding

a nurse is caring for an older client who has a prescription for zolpidem at bedtime to promote sleep. the nurse should plan to monitor the client for which of the following adverse effects? a. ecchymosis b. decreased urine output c. increased blood pressure d. dizziness

dizziness

a nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. which of the following diagnostic tests should the nurse plan to perform prior to starting the client on this medication? a. hearing examination b. glucose tolerance test c. electrocardiogram d. pulmonary function tests

electrocardiogram

a nurse is providing teaching to a client who has gout and a new prescription for allopurinol. the nurse should instruct the client to discontinue taking the medication for which of the following adverse effects? a. nausea b. metallic taste c. fever d. drowsiness

fever

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 meidcation? a. ecchymosis b. jaundice c. hypotension d. hypokalemia

hypotension

a nurse is providing teaching to a newly licensed nurse about administering morphine via IV bolus to a client. which of the following information should the nurse include in the teaching? a. respiratory depression can occur 7 min. after morphine is administered b. the morphine will peak in 10 min. c. withhold the morphine if the client has a respiratory rate of less than 16/min. d. administer the morphine over 2 min.

respiratory depression can occur 7 min. after the morphine is administered

a nurse is providing teaching to a group of new parents about medications. the nurse should include that aspirin is contraindicated for children who have a viral infection due to the risk of developing which of the following adverse effects? a. reye's syndrome b. visual disturbances c. diabetes mellitus d. wilm's tumor

reye's syndrome

a nurse is providing teaching to a client who has rheumatoid arthritis and a prescription for long-term prednisone therapy. the should instruct the client to monitor for which of the following adverse effects? a. stress fractures b. orthostatic hypotension c. gingival ulcerations d. weight loss

stress fractures

a nurse is providing teaching to a client who has a urinary tract infection and a new prescription for phenazopyridine and ciprofloxacin. which of the following statements by the client indicates the need for further teaching? a. "if the phenazopyridine upsets my stomach, i can take it with meals." b. "the phenazopyradine will relieve my discomfort, but the ciprofloxacin will get rid of the infection." c. "i need to drink 2 liters of fluid per day while i am taking ciprofloxacin." d. "i should notify my provider immediately if my urine turns an orange color."

"i should notify my provider immediately if my urine turns an orange color."

a nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered dose inhaler. which of the following statements by the parent indicates the need for further teaching? a. "i will give my child a dose as soon as wheezing starts." b. "my child should rinse out his mouth after using the inhaler" c. "my child should exhale completely before placing the inhaler in his mouth" d. "if my child has difficulty breathing in the dose, a spacer can be used"

"i will give my child a dose as soon as wheezing starts."

a nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks for the treatment of active pulmonary tuberculosis (TB). the client reports his urine is an orange color. which of the following statements should the nurse make? a. "stop taking the isoniazid for 3 days and the discoloration should go away." b. "rifampin can turn bodily fluids orange." c. "i'll make an appointment for you to see the provider this afternoon." d. "isoniazid can cause bladder irritation."

"rifampin can turn bodily fluids orange."

a nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50 mg PO to treat hypertension. which of the following instructions should the nurse include in the teaching? a. "take hydrochlorothiazide as needed for edema" b. "check your weight once each week" c. "take the hydrochlorothiazide on an empty stomach" d. "take the hydrochlorothiazide in the morning"

"take the hydrochlorothiazide in the morning"

a nurse is preparing to administer prochlorperazine 2.5 mg IV. available is prochlorperazine injection 5 mg/mL. how many mL should the nurse administer? (round the answer to the nearest tenth. use a leading zero if it applies. do not use a trailing zero.)

0.5 mL

a nurse is preparing to administer heparin 8,000 units subcutaneously every 8 hours. available is heparin 10,000 units/1 mL. how many mL should the nurse administer per dose? (round to the nearest tenth. use a leading zero if it applies. do not use a trailing zero.)

0.8 mL

a nurse is preparing to administer an enteral tube feeding through an NG tube at 250 mL over 4 hours. the nurse should set the pump to deliver how many mL/hr? (round the answer to the nearest whole number. use a leading zero if it applies. do not use a trailing zero.)

63 mL/hr

a nurse is preparing to administer furosemide 4mg/kg/day PO divided into 2 equal doses daily to a toddler who weighs 22 pounds. how many mg should the nurse administer per dose? (round the answer to the nearest whole number. use a leasing zero if it applies. do not use a trailing zero.)

20 mg

a nurse is preparing to administer lactated ringer's (LR) 1,000 mL IV to infuse over 8 hours. the drop factor of the manual IV tubing is 10 gtt/mL. the nurse should set the manual IV infusion to deliver how many gtt/min? (round the answer to the nearest whole number. use a leading zero if it applies. do not use a trailing zero.)

21 gtt/min

a nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. which of the following laboratory values should the nurse plan to monitor? (select all that apply) a. BUN b. PTT c. aspartate aminotransferase (AST) d. urinalysis e. alanine aminotransferase (ALT)

PTT, ASPARTATE AMINOTRANSFERASE (AST), ALANINE AMINOTRANSFERASE (ALT)

a nurse is providing teaching to a newly licensed nurse about metoclopramide. the nurse should include in the teaching that which of the following conditions is a contraindication to this medication? a. hyperthyroidism b. intestinal obstruction c. glaucoma d. low blood pressure

intestinal obstruction

a nurse is providing teaching to a client who has ulcerative colitis and a new precription for sulfasalazine. the nurse should instruct the client to monitor for which of the following adverse effects of this medication? a. jaundice b. constipation c. oral candidiasis d. sedation

jaundice

a nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. the client has an increase thyroid stimulating hormone (TSH) level and a decreased total T3 and T4 level. the nurse should anticipate a prescription for which of the following medications? a. methimazole b. somatropin c. levothyroxine d. propylthiouracil

levothyroxine

a nurse is providing teaching to a newly licensed nurse about caring for a client who has a prescription for gemfibrozil. the nurse should instruct the newly licensed nurse to monitor which of the following laboratory tests? a. platelet count b. electrolyte levels c. thyroid function d. liver function

liver function

a nurse is caring for a client who has a new prescription for ergotamine. the nurse should recognize that ergotamine is administered to treat which of the following conditions? a. raynaud's phenomenon b. migraine headaches c. ulcerative colitis d. anemia

migraine headaches

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? a. thrombophlebitis b. hyperactive reflexes c. muscle weakness d. hypoglycemia

muscle weakness

a nurse is caring for a client who has a new prescription for amphotericin B. the nurse should plan to monitor the client for which of the following adverse effects? a. hyperkalemia b. hypertension c. constipation d. nephrotoxicity

nephrotoxicity

a nurse is reviewing the laboratory results for a client who has a prescription for filgrastim. the nurse should recognize that an increase in which of the following values indicates a therapeutic effect of this medication? a. erythrocyte count b. neutrophil count c. lymphocyte count d. thrombocyte count

neutrophil count

a nurse is caring for a client who is at 28 weeks of gestation and is experiencing preterm labor. which of the following medications should the nurse plan to administer? a. oxytocin b. nifedipine c. dinoprostone d. misoprostol

nifedipine

a nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. the nurse should include a severe allergy to which of the following medications as a contraindication to ceftriaxone? a. gentamicin b. clindamycin c. piperacillin d. sulfamethoxazole-trimethoprim

piperacillin