PHARM EXAM #2
B
Mr. Ashum is prescribed an albuterol inhaler as part of his treatment regimen for asthma. What is the mechanism of action for this medication? a) Albuterol decreases vital capacity. b) Albuterol causes relaxation of the bronchial smooth muscles. c) Albuterol blocks the stimulation of the beta-2 receptors. d) Albuterol causes stimulation of the bronchial tissue.
B
Ms. Jones, 32 years old, has been admitted to the hospital for cardiac dysrhythmias. The nurse understands that the heart has a specialized electrical system, with the pacemaker of the heart in what location? a) Right atrium b) Sinoatrial node c) Bundle of His d) Atrioventricular node
A
Ms. Main is sent home with subcutaneous heparin after a total hip replacement. What symptom would indicate a serious drug reaction? a) Tarry stools b) Hypotension c) Stomach pain d) Headache
C
Ms. Smith is started on antiarrhythmic therapy to treat atrial fibrillation. The nurse caring for Ms. Smith knows which occurrence is a potential side effect of this medication? a) Malignant hyperthermia b) Shortness of breath c) Other arrhythmias d) Angina
A
Nesiritide is a human B-type natriuretic peptide. a) True b) FalsE
C
Propranolol is ordered for a patient who has a cardiac arrhythmia. It will be important for the nurse to determine if the patient has a history of a) hypersensitivity to sulfonylureas. b) idiosyncratic reaction to cinchona derivatives. c) hypersensitivity to beta blockers. d) chronic heart failure secondary to a tachyarrhythmia.
B
Second generation antihistamines are associated with a higher risk of sedation than first generation antihistamines. a) True b) False
B
The client asks, "What is the difference between antitussive medications and expectorants?" The best response is: a) There is no difference in functions. b) Antitussives suppress coughing, and expectorants loosen bronchial secretions. c) Both drug types loosen bronchial secretions. d) Antitussives liquefy bronchial secretions, and expectorants assist in the expectoration of those secretions.
A
The client uses his sympathomimetic inhaler frequently. The nurse evaluates the client for which of the following symptoms related to frequent use of the sympathomimetic inhaler? a) Nervousness b) Hypotension c) Bradycardia d) Fatigue
B
The most common adverse effects associated with antiplatelet agents are headache and dizziness. a) True b) False
B
The nurse caring for a 38-year-old patient started on albuterol (Proventil) should advise the patient that they may experience what adverse effects? a) Polydipsia b) Tachycardia c) Diarrhea d) Hypotension
A
The nurse instructs a patient who is using albuterol for exercise-induced bronchospasm to use the inhaler at which time? a) 15 minutes prior to exercising b) One hour before exercise c) In the morning of the day when exercise is planned d) Immediately on beginning to exercise Submit your answer
D
The nurse is teaching a group of patients with allergic rhinitis about the use of their medications. What would be the most essential information to give these patients about preventing possible drug interactions? a) Use only one pharmacy so the pharmacist can check drug interactions for you. b) OTC medications are safe to use. c) Ask the pharmacy tech to assist you in selecting an OTC medication. d) Read drug labels before taking OTC medications. Submit your answer
C
The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about their son's medication regimen by the nurse. The nurse is currently teaching the parent's about the appropriate use of a "rescue drug" for acute exacerbations of their son's asthma. What drug should the nurse suggests the parents to use in these situations? a) Acetylcysteine b) Theophylline c) Albuterol d) Beclomethasone
D
The pharmacology instructor is discussing effects on the heart of different medication. What is the term the instructor would use to describe the effect of a medication that increases the force of the contractions of the heart? a) Positive chronotropic b) Negative inotropic c) Negative dromotropic d) Positive inotropic
A patient with a congenital coagulation disorder is given aminocaproic acid (Amicar) to stop bleeding following surgery. The nurse will carefully monitor this patient for development of which of the following adverse effects? SATA a. anaphylaxis b. hypertension c. hemorrhage d. headache e. hypotension
a, d, e
. The patient is receiving theophylline (Theo-Dur) for treatment of asthma. Nursing intervention is required if the patient makes which statement? a. "I will check my heart rate each day." b. "I will take my medicine with my coffee each morning." c. "I will notify my doctor if my vision changes." d. "I will use my inhaler if I am wheezing."
b
A nurse is caring for a client receiving the antitussive dextromethorphan (Robitussin A-C). What should the nurse emphasize during medication teaching with the client? a. The medication is irritating to the bronchial tree. b. The cost of the medication can be expensive. c. The medication can cause motor dysfunction. d. The client may use the medication for 14 days.
c
A nurse is caring for a client who is prescribed fluticasone (Afrin) for allergic rhinitis. Which assessment finding should the nurse report immediately to the healthcare provider? a. Headache b. Hypertension c. Sore throat d. Hyperglycemia
c
A nurse is caring for a client who is taking dextromethorphan (Delsym). The client presents at the clinical with symptoms of hypotension and hyperpyrexia. For which drug interaction should the nurse assess in the client? a. Opioids b. Barbiturates c. MAOIs d. Grapefruit juice
c
A patient is receiving a thrombolytic drug, alteplase (Activase), following an acute MI. Which of the following effects is most likely attributed to this drug? a. skin rash with urticaria b. wheezing with labored respirations c. bruising and epistaxis d. temperature elevation of 38.2 degrees celsius
c
A patient presents at the emergency department with an acute asthma attack. The nurse expects that which medication will be used for initial treatment? a. An anticholinergic such as ipratropium (Atrovent) b. A leukotriene receptor antagonist such as montelukast (Singulair) c. A beta-2 agonist such as albuterol (Proventil) d. A corticosteroid such as fluticasone (Flovent)
c
A patient with DVT is receiving an infusion of heparin and will be started on warfarin. While the patient is receiving heparin, what laboratory test will provide the nurse with info about its therapeutic effects? a. PT b. INR c. aPTT d. Platelet count
c
A patient with asthma has a prescription for two inhalers, alvuterol (Proventil) and beclomethasone (Qvar). How should the nurse instruct the patient on the proper use of inhalers? a. use the albuterol inhaler, and use the beclomethasone only if symptoms are not relieved b. use the beclomethasone inhaler, and use the albuterol only if symptoms are not relieved c. use the albuterol inhaler, wait 5-10 minutes, then use the beclomethasone inhaler d. use the beclomethasone inhaler, wait 5-10 minutes, then use the albuterol inhaler
c
Penicillin G administration alerts
-Observe for possible allergic reactions 30 min after parenteral administration -Don't mix with aminoglycosides in the same IV solution. Give them 1 hour apart -Pregnancy category B
Cefazolin (Ancef) Administration alerts
-administer IM deep into large muscle mass to prevent injury to surrounding tissues -pregnancy category B
Cefazolin (Ancef) drug interactions
-nephrotoxic drugs like aminoglycosides or vancomycine: increase risk for nephrotoxicity -aztreonam, carapenems, penicillins: additive synergistic antimicrobial action -warfarin: increase anticoagulant effect
Penicillin G Drug interactions
-oral contraceptives: decreases effectiveness -Potassium-sparing diuretics: hyperkalemia when used with penicillin G potassium -aminoglycoside antibiotics: antagonizes their effects
A 7-year-old child with asthma uses a daily inhaled glucocorticoid and an albuterol MDI as needed. The provider has added montelukast [Singulair] to the child's regimen. Which statement by the child's parent indicates understanding of this medication? a. I may notice mood changes in my child. b. I should give this medication twice daily. c. I will give my child one 4-mg chewable tablet daily. d. This drug can alleviate symptoms during an acute attack.
A
A nurse is teaching a group of nursing students about antihistamines. Which statement by a student indicates an understanding of the mechanism of action of the antihistamines? a. Antihistamines block H1 receptors to prevent actions of histamine at these sites. b. Antihistamines block release of histamine from mast cells and basophils. c. H1 antagonists can bind to H1 receptors, H2 receptors, and muscarinic receptors. d. First-generation antihistamines are more selective than second-generation antihistamines.
A
A parent asks a nurse about growth suppression resulting from the use of an inhaled glucocorticoid in children. What will the nurse tell the parent? a. Growth may be slowed, but eventual adult height will not be reduced. b. The growth rate is not impaired, but overall height will be reduced. c. The growth rate slows while the drug is used and only resumes when the drug is stopped. d. Long-term use of the drug results in a decrease in adult height.
A
A patient has chronic idiopathic urticaria. Which medication would be appropriate for the nurse to administer for this condition? A. Fexofenadine B. Diphenhydramine C. Azelastine D. Diphenhydramine
A
A patient is prescribed codeine as an antitussive. Which symptom will the nurse observe for as an adverse effect of this medication? A. Respiratory depression B. Increased heart rate C. Productive cough D. Restlessness
A
A patient who uses an inhaled glucocorticoid for chronic asthma calls the nurse to report suspected oral thrush. What will the nurse do? a. Ask whether the patient is rinsing the mouth after each dose. b. Request an order for an antifungal medication. c. Suggest that the patient be tested for a bronchial infection. d. Tell the patient to discontinue use of the glucocorticoid.
A
C
A 25-year-old woman comes to the clinic because of a chronic, nonproductive cough. Assessment reveals that she has a history of asthma, and dextromethorphan (Robitussin) is prescribed for her. The nurse will question this order because a) respiratory secretions may be thickened. b) serotonin syndrome may result. c) secretions may be retained. d) persistent coughing may develop.
A, C, D
A 27-year-old athlete with newly diagnosed asthma presents for patient education regarding situations that could precipitate an asthma attack. The nurse teaches that acute episodes of asthma may last minutes to hours. In this teaching, which precipitants would the nurse state may cause the asthma? (Select all that apply.) a) Exercise b) Warm weather c) Pollutants d) Allergens
B
A 45-year-old female client is being seen in the physician's office for a dry, hacking cough that is keeping her up at night. The physician prescribes dextromethorphan for the cough. Which statement is true about dextromethorphan? a) Dextromethorphan works by inhibiting allergen response. b) Dextromethorphan works in the medulla to suppress the cough reflex. c) Dextromethorphan works on the receptors in the throat to prevent a cough. d) Dextromethorphan works by relaxing the smooth muscles in the bronchioles.
c
A 59-year-old patient is on warfarin therapy. On follow-up visits to the clinic, the nurse will assess the patient's: a) blood glucose level. b) presence of skin-related disorders. c) intake of vitamin K. d) presence of breathing disorders.
D
A 60-year-old patient experienced a sudden onset of chest pain and shortness of breath and was subsequently diagnosed with a pulmonary embolism in the emergency department. The patient has been started on an intravenous heparin infusion. How does this drug achieve therapeutic effect? a) By promoting the rapid excretion of vitamin K by the gastrointestinal mucosa b) By inhibiting the action of vitamin K at its sites of action c) By inhibiting platelet aggregation on vessel walls and promoting fibrinolysis d) By inactivating clotting factors and thus stopping the coagulation cascade
C
A 65-year-old man who just had a heart attack is placed on aspirin, 81 mg daily. The nurse is explaining the purpose of this medication to the client. What would be the best explanation? a) The aspirin is being prescribed because it reduces the prostaglandins in your body. b) The aspirin is being prescribed because it will protect your heart. c) The aspirin is being prescribed because it reduces your risk of a second heart attack. d) The aspirin is being prescribed to relieve the pain from the heart attack.
B
A 70-year-old resident of a long-term care facility has experienced increasing pain, swelling, and redness to her lower leg over the past 12 hours, prompting the care providers at the facility to have the woman brought to the local emergency department. Diagnostic testing has confirmed deep vein thrombosis (DVT) and an IV infusion of alteplase (Activase) has been initiated? Unlike anticoagulants, a thrombolytic such as alteplase can a) potentiate the action of vitamin K. b) break down existing clots. c) prevent the formation of new clots. d) inhibit platelet aggregation.
A
A 70-year-old woman with a history of atrial fibrillation takes digoxin and verapamil to control her health problem. Verapamil achieves a therapeutic effect by: a) inhibiting the movement of calcium ions across the cardiac muscle cell membrane. b) decreasing sodium and potassium conduction. c) blocking adrenergic receptors and producing antisympathetic effects. d) weakening diastolic depolarization and the action potential duration.
D
A client reports a hacking cough. The client asks if taking an antihistamine would be helpful. The nurse's best response is: a) Antihistamines are not recommended for this issue; only antibiotics are useful. b) Antihistamines are recommended for extended use, as long as you monitor for adverse effects. c) Antihistamines are not used for this issue. d) Antihistamines are not recommended because they can dry lower respiratory secretions and worsen secretion retention and cough.
D
A client's digoxin level is reported to be 2.2 ng/mL. This result indicates: a) a therapeutic drug level. b) a subtherapeutic drug level. c) a loading dose has been given. d) digitalis toxicity.
A
A critical care nurse is caring for a patient after open-heart surgery. What nursing intervention would the nurse initiate to help detect life-threatening dysrhythmias and manage and minimize any that occur? a) Monitor cardiac rhythm continuously. b) Palpate the client's pulse and observe the client's response. c) Provide supplemental oxygen. d) Monitor blood pressure continuously.
B
A female patient diagnosed with chronic atrial flutter has been prescribed verapamil in conjunction with digoxin to control ventricular rate. To enhance the therapeutic effect of the drug, the nurse will instruct the patient to: a) avoid fresh fruit. b) avoid grapefruit and grapefruit juice. c) take the medication with meals. d) take an aspirin every day. Submit your answer
D
A female patient has a history of clot formation in the past. She is scheduled for bowel resection due to an obstruction. What anticoagulant agent will be administered prophylactically? a) Warfarin (Coumadin) b) Streptokinase (Streptase) c) Acetylsalicylic acid (Aspirin) d) Heparin
C
A male patient is receiving heparin by continuous intravenous infusion. The nurse will instruct the patient and family members to report what should it occur? a) A skin rash b) Sudden occurrence of sleepiness and drowsiness c) Presence of blood in urine or stools d) Dizziness
A
A nurse assessing a patient on digoxin observes features of toxicity. Which visual disturbance should the nurse assess for in such patients? a) Yellow or green vision b) Difficulty of near vision c) Double vision d) Complete loss of vision Submit your answer
B
A nurse is caring for a 64-year-old female patient who is receiving IV heparin and reports bleeding from her gums. The nurse checks the patient's laboratory test results and finds that she has a very high aPTT. The nurse anticipates that which drug may be ordered? a) Ticlopidine b) Protamine sulfate c) Coumadin d) Alteplase
B
A nurse is caring for a patient receiving the anticoagulant drug warfarin. What pre-administration assessments should the nurse perform before administering the drug to the patient? a) Monitor for hypersensitivity reaction. b) Assess prothrombin time (PT) and INR. c) Assess for signs of bleeding. d) Observe for signs of thrombus formation.
B
A nurse is caring for a patient who is taking digoxin and a loop diuretic. Which would be most important for the nurse to monitor? a) Sodium levels b) Potassium levels c) Liver enzymes d) Electrocardiogram results Submit your answer
A
A nurse is preparing to discharge a female patient newly prescribed warfarin (Coumadin). While assessing the patient's knowledge of their drug, what would indicate that the patient needs further instruction concerning her drug therapy? a) "I take aspirin for my arthritis." b) "I walk two miles a day." c) "I drink a glass of wine about once a week." d) "I love to eat homegrown tomatoes in the summer." Submit your answer
B
A nurse is providing discharge planning for a 45-year-old woman who has a prescription for oral albuterol. The nurse will question the patient about her intake of which of the following? a) Vitamin C b) Coffee c) Salt d) Alcohol
C
A patient is to receive abciximab. The nurse would expect to administer the drug by which route? a) Oral b) Intramuscular c) Intravenous d) Subcutaneous
B
A patient with cardiac arrhythmia is prescribed verapamil. Which of the following possible adverse effects should the nurse inform the patient about? a) Diarrhea b) Peripheral edema c) Hyperactivity d) Hypertension Submit your answer
B
A patient with class-IV CHF has a medication regimen consisting of metoprolol (Lopressor), enalapril (Vasotec), and furosemide (Lasix). In addition to regularly assessing the patient's heart rate, the nurse should prioritize assessment of the patient's a) intake and output. b) blood pressure. c) cognition. d) exercise tolerance.
A breastfeeding mother with sudden diarrhea has been prescribed Loperamide by her physician to slow down the movement of the gut. The physician then provides education about this drug to the mother. Which statement by the patient indicates understanding of the teaching? A. "I can continue taking my Loperamide even while I breastfeed because even if some drug enters my milk it will not be enough to harm my baby" B. "I will need to feed my baby formula while taking Loperamide because the drug can easily cross into my breast milk in large enough quantities to harm my baby" C. "I will need to feed my baby formula while taking Loperamide and for a week after stopping the Loperamide as it will take a while for my milk to be free of the drug." D. "Loperamide can be fatal to my infant if taken while breastfeeding"
A. "I can continue taking my Loperamide even while I breastfeed because even if some drug enters my milk it will not be enough to harm my baby"
Bisacodyl is a stimulant laxative. Which of the following answers is correct? Select all that apply. A. Do not chew or crush tablets B. You may take within an hour of an antacid C. Do not use within 2 hours of taking an antacid D. Do not use within 1 hour of drinking milk E. May cause stomach discomfort, faintness, and cramps F. Product generally produces a bowel movement within 8-12 hours
A. Do not chew or crush tablets D. Do not use within 1 hour of drinking milk E May cause stomach discomfort, faintness, and cramps
Which of the following are adverse effects associated with Doxylamine? A) Dry mouth B) Constipation or diarrhea C) Bradycardia D) Dizziness E) Hypertension
A. Dry mouth B. Constipation or diarrhea D. Dizziness
The nurse will teach clients that antacids are effective in the treatment of hypersensitivity based on which mechanism of action? A. Neutralized gastric acid B. Decreases gastric pH C. Decreases stomach motility D. Decreases duodenal pH
A. Neutralized gastric acid
Cefazolin (Ancef)
Antibacterial; cell wall inhibitor; first generation cephalosporin. Antibiotic infections caused by gram-positive organisms. Infections of the respiratory tract, urinary tract, skin structures, biliary tract, bones, joints, genital infections, septicemia, and endocarditis. Not effective against MRSA
A
Aspirin is the prototype anticoagulant. a) False b) True
A child with seasonal rhinitis has used budesonide [Rhinocort Aqua] for several years. The parents are concerned that the child's rate of growth has slowed. What will the nurse do? a. Reassure the parents that this is an expected side effect. b. Suggest that the parents discuss using fluticasone [Flonase] with the provider. c. Tell the parents to administer the drug only when symptoms are severe. d. Tell the parents that antihistamines work as well as intranasal glucocorticoids.
B
A family is preparing for travel and the parents report that their 5-year-old child has frequent motion sickness. The nurse will tell the parents to ask the provider about which antihistamine to help prevent symptoms? a. Desloratadine [Clarinex] b. Dimenhydrinate [Dramamine] c. Hydroxyzine [Vistaril] d. Promethazine [Phenergan]
B
A nurse provides teaching to a patient with allergic rhinitis who will begin using an intranasal glucocorticoid. Which statement by the patient indicates understanding of the teaching? a. If the glucocorticoid causes burning or itching, I should use it every other day. b. I should use a decongestant if necessary before using the glucocorticoid. c. I should use the glucocorticoid whenever I have symptoms. d. I will probably develop systemic effects from the topical glucocorticoid.
B
A patient admitted to the hospital has been using phenylephrine nasal spray [Neo-Synephrine], 2 sprays every 4 hours, for a week. The patient complains that the medication is not working, because the nasal congestion has increased. What will the nurse do? a. Request an order for an oral decongestant to replace the intranasal phenylephrine. b. Request an order for an intranasal glucocorticoid to be used while the phenylephrine is withdrawn. c. Tell the patient to increase the dose of phenylephrine to 4 sprays every 4 hours. d. Tell the patient to stop using the phenylephrine and begin using an intranasal antihistamine.
B
A patient asks the nurse what type of medications would be most effective for treating seasonal and perennial rhinitis. Which response by the nurse is correct? a. Pseudoephedrine [Sudafed] b. Budesonide [Rhinocort] c. Loratadine [Claritin] d. Intranasal cromolyn sodium [Atrovent]
B
A patient tells a nurse that antihistamines help relieve cold symptoms and wants to know why they are not recommended or prescribed for this purpose. The nurse tells the patient that antihistamines provide only mild relief from some cold symptoms by: a. anticholinergic properties that decrease rhinorrhea. b. blocking H1 receptors in nasal passages. c. reducing secretions at H2 receptor sites. d. having sedative effects, which help patients rest and sleep.
B
A patient who takes oral theophylline [Theochron] twice daily for chronic stable asthma develops an infection and will take ciprofloxacin. The nurse will contact the provider to discuss: a. changing to a different antibiotic. b. reducing the theophylline dose. c. giving theophylline once daily. d. switching from theophylline to a LABA.
B
A patient with asthma is prescribed triamcinolone acetonide [Azmacort]. What should the nurse do? A.Take the patient's pulse before administering the medication. B.Teach the patient to use a spacer to prevent a fungal infection. C.Instruct the patient to use this drug to treat an acute attack. D.Encourage the patient to avoid weight-bearing activity.
B
A young adult woman will begin using an inhaled glucocorticoid to treat asthma. The nurse will teach this patient about the importance of which action? a. Lowering her calcium intake and increasing her vitamin D intake b. Participating in weight-bearing exercises on a regular basis c. Taking oral glucocorticoids during times of acute stress d. Using two reliable forms of birth control to prevent pregnancy
B
A young child has a cough, runny nose, congestion, and fever, and the parents ask the nurse to recommend an over-the-counter product. Which response by the nurse is correct? a. Any product will be effective when combined with vitamin C and zinc. b. It is best to use single-agent medications to treat individual symptoms. c. The fever indicates that your child may need an antibiotic; you should call your provider. d. You should ask your provider to prescribe a combination product that will treat multiple symptoms.
B
The provider has ordered montelukast [Singulair] to replace the glucocorticoid, because the child has frequent nosebleeds. When teaching this child's parents about montelukast, the nurse will include which statement? a. Montelukast is also effective for treating infectious rhinitis. b. Montelukast may cause behavior changes in your child. c. Montelukast will treat both congestion and rhinitis. d. Montelukast works best when combined with a topical decongestant.
B
What is ipratropium bromide [Atrovent]? a. A cholinergic agent used for perennial rhinitis b. An anticholinergic used for allergic rhinitis and colds c. A medication that is used only in patients with asthma d. A drug that is inappropriate for use in patients with allergic rhinitis
B
A nurse is teaching a patient about expectorants, which of the following demonstrates the patients need for further teaching: A.) "I should drink a full glass of water after administering" B.) "I can crush the extended release tablet to administer with food" C.) "The drug may occasionally cause dizziness" D.) "I should contact my health care provider if the cough lasts longer than a week"
B. "I can crush the extended release tablet to administer with food"
Which statement about methylcellulose by the patient requires further teaching? A. "This laxative works similarly to dietary fiber" B. "I should take this medication with a small amount of water" C. "Methylcellulose stimulates peristalsis because it increases the bulk of the stool and pushes on the intestinal wall" D. "Adverse effects with this laxative are rare"
B. "I should take this medication with a small amount of water"
A nurse educates a patient on their prescribed Transderm-Scop. Which statement made by the patient indicates a need for further teaching? Select all that apply. A. "The Transderm-Scop patch is effective for 3 days." B. "It is safe to consume alcohol while on this medication" C. "I should be cautious while driving while on this medication" D. "The patch should be removed while I am showering" E. "I should take missed doses as soon as remembered."
B. "It is safe to consume alcohol while on this medication" D. "The patch should be removed while I am showering"
A nurse is teaching a patient taking Omeprazole about its priority adverse effects. What may be signs of serious condition prompting patient to seek medical care? Select all that apply. A.) Insomnia B.) Frequent chest pain C) Heartburn with lightheadedness, sweating, or dizziness D.) Dry mouth E.) Trouble or pain swallowing food, vomiting with blood, or bloody/black stools
B. Frequent chest pain C. Heartburn with lightheadedness, sweating, or dizziness E. Trouble or pain swallowing food, vomiting with blood, or bloody/black stools
A patient with asthma is prescribed albuterol [Proventil], 2 puffs 3 times a day. The nurse should teach the patient to do what? A.Rinse the mouth after taking the prescribed dose. B.Take an extra dose if breathing is compromised. C.Wait 1 minute between puffs from the inhaler. D.Take adequate amounts of calcium and vitamin D.
C
Your patient has been prescribed dextromethorphan for cough relief. You notice in their chart that they are also taking selegiline, a MAOI. As the nurse, what action should you take? A. Administer the dextromethorphan as prescribed. B. Hold the dextromethorphan and alert the provider. C. Assess patient's vital signs and administer the medication if all signs are within normal limits. D. Give the patient half of the ordered dextromethorphan dose.
B. Hold the dextromethorphan and alert the provider.
You are educating a patient on the use of surfactant laxatives. Which of the following statements by the patient indicates a need for further teaching? A. Docusate sodium works by allowing more water to enter the stool B. I should take docusate sodium with no more than a sip of water C. I shouldn't take docusate sodium if I am experiencing nausea or cramping D. With docusate sodium, I might experience adverse effects such as dizziness or a bitter taste
B. I should take docusate sodium with no more than a sip of water
A patient comes into the hospital with complaints of nasal congestion, constant sneezing and a "runny nose" for the past two weeks. She states that she has tried using Allegra thinking it is just her seasonal allergies, but it only relieves her symptoms for sneezing and runny nose. Which medication would be best for this patient to use to help relieve all her symptoms? A. Antihistamine B. Intranasal glucocorticoid C. Sympathomimetic D. Anticholinergic
B. Intranasal glucocorticoid
What is the reason for the Cimetidine label stating, "ask a doctor before use if you have frequent wheezing"? A. This drug blocks H1 receptors causing allergic reaction symptoms including wheezing B. Pneumonia is a common ADR for cimetidine, patients with already decreased lung compliance are at more risk C. This drug causes anti-androgenic adverse effects resulting in wheezing D. This drug results in reduced acid in the stomach which can result in coughing and wheezing
B. Pneumonia is a common ADR for cimetidine, patients with already decreased lung compliance are at more risk
A patient asks what medication would be most effective in the treatment of seasonal hay fever (aka allergic rhinitis). The nurse will teach the patient about the use of which drug? A. Azelastine B. Chlorpheniramine C. Fluticasone D. Pseudoephedrine
C
A prescriber orders hydroxyzine [Vistaril] for a patient with acute urticaria. The nurse will include which information when teaching the patient about this drug? a. The drug will reduce redness and itching but not edema. b. This antihistamine is not likely to cause sedation. c. The patient should avoid drinking alcohol while taking the drug. d. The patient should report shortness of breath while taking the drug.
C
An 6-month-old child develops an urticarial reaction after a transfusion. The prescriber orders intravenous promethazine [Phenergan]. What will the nurse do? a. Give the medication as ordered. b. Monitor the child for bronchoconstriction. c. Question the order. d. Request an order to give the drug orally.
C
Which information should the nurse include when teaching a patient about inhaled glucocorticoids? A.Inhaled glucocorticoids have many significant adverse effects. B.The principal side effects of inhaled glucocorticoids include hypertension and weight gain. C.Use of a spacer can minimize side effects. D.Patients should rinse the mouth and gargle before administering inhaled glucocorticoids.
C
Which of the following is NOT a serious adverse effect of long-term oral glucocorticoid therapy? A.Adrenal suppression B.Osteoporosis C.Hypoglycemia D.Peptic ulcer disease
C
In the incident of forgetting a dose of sodium bicarbonate, which of the following would be an appropriate action to take? Select all that apply. A. Take a larger dose in order to make up for the missed dose B. Take the same dose as soon as possible after the missed dose C. If it is almost time for the next dose, simply skip the previous dose and continue your regular schedule D. Adjust the schedule to a time more convenient for you
C. If it is almost time for the next dose, simply skip the previous dose and continue your regular schedule D. Adjust the schedule to a time more convenient for you
Which of the following statements are true about phenylephrine? Select all that apply. A. Phenylephrine cannot be co-administered with an anesthetic B. Oral phenylephrine is more effective than oral pseudoephedrine C. Phenylephrine can be given topically or orally D. Phenylephrine is a very commonly used nasal decongestant E. Phenylephrine can cause adverse cardiovascular and CNS effects
C. Phenylephrine can be given topically or orally D. Phenylephrine is a very commonly used nasal decongestant E. Phenylephrine can cause adverse cardiovascular and CNS effects
A nurse is caring for a 10-year old patient that is experiencing mild allergic symptoms, she recommends taking one 180 mg tablet of fexofenadine, what should be done? A. Patient should take the medication as indicated B. Split the tablet in half and then take the medication C. This medication should not be given D.This medication should be taken at night to reduce symptoms
C. This medication should not be given
A nurse is teaching a group of nursing students about the different formulations of beta2-adrenergic agonist medications. Which statement by a student indicates understanding of the teaching? a. Beta2-adrenergic agonists provide quick relief via any formulation. b. Long-acting beta2 agonists may be used alone to prevent attacks. c. Short-acting beta2 agonists are usually given by nebulizer. d. Oral beta2 agonists are not useful for short-term treatment.
D
A patient who has seasonal allergies in the spring and fall asks the nurse about oral antihistamines. Which response by the nurse is correct? a. Anticholinergic effects are more common with second-generation antihistamines. b. First-generation antihistamines, such as diphenhydramine [Benadryl], are more effective. c. Make sure you take antihistamines only when you have symptoms to minimize side effects. d. You should take oral antihistamines daily during each allergy season to get maximum effects.
D
A patient who takes over-the counter-diphenhydramine for seasonal allergy symptoms complains of drowsiness. What should the nurse do? (want to take a second generation) A.Instruct the patient to drink caffeinated beverages. B.Recommend taking the medication with meals. C.Ask the patient's health care provider to prescribe hydroxyzine D.Tell the patient to take cetirizine instead of diphenhydramine.
D
A patient with COPD is prescribed tiotropium [Spiriva]. After the initial dose, the patient reports only mild relief within 30 minutes. What will the nurse tell the patient? a. You may have another dose in 4 hours. b. You may need to take two inhalations instead of one. c. You should have peak effects in about 6 hours. d. You should see improved effects within the next week.
D
A patient with asthma comes to a clinic for treatment of an asthma exacerbation. The patient's medication history lists an inhaled glucocorticoid, montelukast [Singulair], and a SABA as needed via MDI. The nurse assesses the patient and notes a respiratory rate of 18 breaths per minute, a heart rate of 96 beats per minute, and an oxygen saturation of 95%. The nurse auscultates mild expiratory wheezes and equal breath sounds bilaterally. What will the nurse do? a. Contact the provider to request a systemic glucocorticoid. b. Contact the provider to suggest using a long-acting beta2 agonist. c. Evaluate the need for teaching about MDI use. d. Question the patient about how much albuterol has been used.
D
A patient with asthma will be using a metered-dose inhaler (MDI) for delivery of an inhaled medication. The provider has ordered 2 puffs to be given twice daily. It is important for the nurse to teach this patient that: a. the patient should inhale suddenly to receive the maximum dose. b. the patient should activate the device and then inhale. c. the patient should store the MDI in the refrigerator between doses. d. the patient should wait 1 minute between puffs.
D
A patient with persistent, frequent asthma exacerbations asks a nurse about a long-acting beta2-agonist medication. What will the nurse tell this patient? a. LABAs are safer than short-acting beta2 agonists. b. LABAs can be used on an as-needed basis to treat symptoms. c. LABAs reduce the risk of asthma-related deaths. d. LABAs should be combined with an inhaled glucocorticoid.
D
Which medication should be used for asthma patients as part of step 1 management? a. Combination inhaled glucocorticoids/long-acting beta2 agonists b. Inhaled low-dose glucocorticoids c. Long-acting beta2 agonists d. Short-acting beta2 agonists
D
Which statement regarding antihistamine administration to older adults does the nurse identify as true? A. Antihistamines cause CNS excitation in older adults. B. Larger doses of antihistamines are needed for older adults. C. Antihistamines can be used to reduce intraocular pressure. D. Older men with benign prostatic hypertrophy can experience worse symptoms when taking antihistamines.
D
Which of these potential side effects of Bismuth Subsalicylate do not require any further action by the nurse? A. Lethargy B. Tinnitus C. Vertigo D. Black stool/tongue E. Unsteady gait
D. Black stool/tongue
Penicillin G adverse effects
Diarrhea, nausea, vomiting. Pain at injection site. Anaphylaxis
B
Expectorants elicit their effect by which mechanism? a) Anesthetizing stretch receptors in the respiratory passages b) Thinning respiratory secretions c) Breaking down thick mucus in the lower lungs d) Depressing the cough center in the brain
D
What action by the patient would indicate that the patient is obtaining maximum benefit from their inhaler? a) The patient administers 3 doses of medication within a 1-minute time frame. b) The patient exhales as soon as he compresses the inhaler. c) The patient inhales as soon as the inhaler enters his mouth. d) The patient holds his breath for several seconds after releasing the medication.
A, B, C
What effects are exerted by aspirin? (Select all that apply.) a) Antipyretic b) Analgesic c) Anti-inflammatory d) Anti-infective e) Antiviral
B
What statement by a 61-year-old client who is to take an antitussive with codeine indicates that the teaching has been effective? a) "This medication may make me anxious and nervous." b) "This medication can cause drowsiness, so I will avoid driving while I use it." c) "I should call the physician if I develop nausea, diarrhea, or stomach cramps while taking this medication." d) "I will take this medication anytime I start to cough."
C
When heart failure occurs, one of the results is increased preload. What is this? a) The amount of blood pooled in the extremities b) The resistance the heart must overcome c) The amount of blood returning to the heart d) The pulse rate caused by venous distention
D
Which drug is classified as an expectorant? a) Acetylcysteine (Mucomyst) b) Benzonatate (Tessalon Perles) c) Dextromethorphan (Delsym) d) Guaifenesin (Robitussin) Submit your answer
C
Which drug is in the class of drugs called human B-type natriuretic peptides? a) Milrinone (Primacor) b) Bosentan (Tracleer) c) Nesiritide (Natrecor) d) Digoxin (Lanoxin)
C
Which electrolyte imbalance can precipitate digoxin toxicity? a) Hyponatremia b) Hypernatremia c) Hypokalemia d) Hyperkalemia
B
Which is classified as an antiplatelet agent? a) Alteplase (Activase) b) Clopidogrel (Plavix) c) Warfarin (Coumadin) d) Enoxaparin (Lovenox) e) Phytonadione (Mephyton)
C
Which is the result of positive inotropic activity? a) Decreased heart rate b) Increased conduction velocity c) Increased cardiac output d) Increased pre-load
D
You are caring for a patient who is taking an adrenergic bronchodilator. In what disease process should adrenergic bronchodilators be used cautiously? a) Liver failure b) Respiratory failure c) Renal failure d) Heart failure
. The patient is using beclomethasone (Beclovent) for treatment of chronic asthma. Which statement indicates that the patient understands this drug therapy? a. "I will use my bronchodilator if my wheezing increases." b. "I will not need a flu shot now that I'm taking this medicine." c. "This is the only drug I will need to treat my asthma attacks." d. "I will use this drug only when I feel an attack coming on."
a
1. The patient has been prescribed oxymetazoline (Afrin) nasal spray for seasonal rhinitis. The nurse will provide which of the following instructions? a. Limit use of this spray to 5 days or less b. The drug may be sedating so be cautious with activities requiring alertness c. This drug should not be used in conjunction with antihistamines d. This is an OTC drug and may be used as needed for congestion
a
3. A male, age 67, reports taking diphenhydramine (Benadryl) for hay fever. Considering this patient's age, the nurse assesses for which of the following findings? a. A history of prostatic or urinary conditions b. Any recent weight gain c. A history of allergic reactions d. A history of peptic ulcer disease
a
A 65-year-old patient is prescribed ipratropium (Atrovent) for treatment of asthma. Which of the following conditions should be reported to the health care provider before giving the patient the ipratropium? a. a reported allergy to peanuts b. a history of intolerance to albuterol (Proventil) c. a history of bronchospasms d. a reported allergy to chocolate
a
A client is prescribed enoxaparin (Lovenox) for treatment of a newly diagnosed left lower extremity deep vein thrombosis (DVT). What information should the nurse obtain related to the administration of this drug? a. Client's weight b. Serum aPTT c. Serum PT/INR d. Angiogram results
a
A client who has been on antibiotic therapy for peptic ulcer caused by Helicobacter pylori is diagnosed with a superinfection. What is the most appropriate response by the nurse when the client asks why the superinfection occurred? a. "The normal host flora has been destroyed by the antibiotic." b. "The infectious agent has developed resistance to the drug." c. "The infection caused by H. pylori has become severe." d. "The H. pylori restricted the growth of microorganisms."
a
A nurse is caring for a client receiving vancomycin intravenous infusion for treatment of a wound infected with MRSA. Which finding should the nurse report immediately to the healthcare provider? a. Hypotension and red rash on the chest area b. Joint and muscle pain with general malaise c. Chest discomfort and decreased heart rate d. Heel pain along with difficulty walking
a
A nurse is caring for a client with chronic bronchitis and is prescribed acetylcysteine to loosen bronchial secretions. The nurse should administer this medication by which route? a. Inhalation b. Oral c. Intravenous d. Intramuscular injection
a
A nurse is preparing discharge teaching for a client who will be receiving enoxaparin (Lovenox) injection. What should the nurse include in the teaching plan? a. Teaching the client to self-administer subcutaneous injections b. Monitoring the client's lab tests for hepatic impairment c. Teaching the client to observe for symptoms of anemia d. Monitoring the client for development of deep vein thrombosis
a
What patient education should be included for a patient receiving enoxaparin (Lovenox)? SATA a. teach the patient or family to give subcutaneous injections at home b. teach the patient or family not to take any OTC drugs without first consulting with the health care provider c. teach the patient to observe for unexplained bleeding such as pink, red, or dark brown urine or bloodu gums d. teach the patient to monitor for the development of DVT e. teach the patient about the importance of drinking grapefruit juice daily
a, b, c, d
A nurse is caring for a client receiving warfarin (Coumadin) therapy. The nurse should monitor the client for use of which drugs? (Select all that apply.) a. Diuretics b. Steroids c. Nicotine d. Barbiturates e. Alcohol
a, b, e
A nurse is caring for a client who is receiving alteplase (Activase) for treatment of an acute episode of myocardial infarction (MI). For which findings in the client's history should the nurse be alert to determine the client's risk for bleeding? (Select all that apply.) a. Use of ibuprofen for mild arthritis b. Recent antibiotic therapy with erythromycin c. Intake of herbals such as ginger or garlic d. Recent trauma or surgery e. Use of SSRI such as fluoxetine
a, c, d
A nurse is administering oral sulfamethoxazole-trimethoprim (Bactrim) to a client for treatment of urinary tract infection. Which nursing actions are appropriate? (Select all that apply.) a. Ensure the client drinks a full glass of water with each dose. b. Monitor the client's intake of calcium-fortified drinks. c. Administer the medication around the client's meal times. d. Have the client take potassium supplements with this drug. e. Give the client a glass of milk to drink in case of GI upset.
a, c, e
A patient is receiving treatment for asthma with albuterol (Proventil). The nurse teaches the patient that while serious adverse effects are uncommon, the following may occur. Select all that apply. a. tachycardia b. sedation c. temporary dyspnea d. nervousness e. headache
a, d, e
Penicillin G
antibacterial; cell wall inhibitor; natural penicillin. Drug of choice against streptococci, pneumococci, and staphylococci. Medication of choice for gonorrhea and syphilis. Low oral absorption and usually given IV or IM.
. A nurse is preparing to administer a broad-spectrum antibiotic to a client with a severe respiratory infection. Which is an important nursing action to take prior to administering the medication? a. Reviewing the results of the culture and sensitivity test b. Obtaining a specimen for culture and sensitivity testing c. Performing a peak and trough level of the antibiotic d. Determining the course antibiotic therapy based on half-life
b
5. A patient has been prescribed fluticasone (Flonase) to use with oxymetazoline (Afrin). How should the patient be taught to use these drugs? a. Use the fluticasone first, then the oxymetazoline b. Use the oxymetazoline first, then the fluticasone after waiting 5 min c. The drugs may be used in either order d. The fluticasone should be used only if the oxymetazoline fails to relieve nasal congestion
b
A client is being prescribed penicillin for an upper respiratory infection. What information should the nurse emphasize in providing instructions to the client? a. The antibiotic therapy can be taken while breast-feeding. b. The entire prescription must be completed as instructed. c. The medication can be taken without regard to eating. d. The most common side effect is urinary discoloration.
b
A client is receiving an antihistamine through intranasal route for treatment of an upper respiratory condition. The nurse should expect to administer which medication? a. Beclomethasone (Beconase) b. Azelastine (Astelin) c. Cetirizine (Zyrtec) d. Mometasone (Nasonex)
b
A client is using an intranasal oxymetazoline (Afrin) for treatment of nasal congestion. Which instruction should the nurse include during client teaching? a. Monitor respiratory rate. b. Limit use of the drug to 3-5 days. c. Drink plenty of fluids. d. Use with caution with SSRIs.
b
A client will be receiving an opioid antitussive for a cough associated with a cold infection. For what should the nurse assess in the client prior to administering the medication? a. Hypertension b. Asthma c. Headache d. Sore throat
b
A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers should the nurse give to the patient? a. "The corticosteroid should be taken first." b. "The bronchodilator should be taken first." c. "The two drugs should be taken at least 2 hours apart." d. "The order of administration does not matter with these two drugs."
b
A patient has started clopidogrel (Plavix) after experiencing a transient ischemic attack. What is the desired therapeutic effect of this drug? a. anti-inflammatory and antipyretic effects b. to reduce the risk of a stroke from a blood clot c. analgesic as well as clot-dissolving effects d. to stop clots from becoming emboli
b
A patient receiving treatment for a respiratory condition asks the nurse why the medication is given through aerosol therapy. What is the nurse's best response? a. The aerosol has no systemic side effects. b. The medication is delivered to the site of action. c. The patient requires no skill to use it. d. The delivery method is safe for all patients.
b
A patient using a beta-adrenergic agonist for treatment of asthma asks the nurse how the medication works. What is the nurse's best response? a. The drug reduces mucus production. b. The drug causes bronchodilation. c. The drug liquefies thick mucus. d. The drug suppresses the cough reflex.
b
The client is prescribed diphenhydramine (Benadryl) for treatment of a respiratory allergy. Which statement best indicates that the client understands the drug therapy? a. "I will use my bronchodilator if my wheezing increases." b. "I will report blurred vision, constipation, or urinary retention." c. "This is the only drug I will need to treat my asthma attacks." d. "I will use this drug only when I feel an attack coming on."
b
The client is receiving an antitussive with codeine for treatment of a cough. Which statement made by the client requires further teaching by the nurse? a. "I will avoid driving while I am on this medication." b. "I will take my medicine with red wine to help me sleep." c. "I will notify my doctor if my breathing changes." d. "I will keep this medication away from my children."
b
The patient receiving heparin therapy asks how the "blood thinner" works. What is the best response by the nurse? a. "Heparin makes the blood less thick" b. "Heparin does not thin the blood but prevents clots from forming as easily in the blood vessels." c. "Heparin decreases the number of platelets so that blood clots more slowly." d. Heparin dissolves the clot"
b
For which client conditions should the nurse anticipate administering antibiotic therapy for chemoprophylactic purposes? (Select all that apply.) a. Neurologic abnormality b. Prosthetic heart valve c. Dental surgical procedure d. Chronic respiratory infection e. Kidney transplantation
b, c, e
6. Which of the following is the best advice that the nurse can give a patient with viral rhinitis who intends to purchase an OTC combination cold remedy? a. Dosages in these remedies provide precise dosing for each symptom that you are experiencing b. These drugs are best used in conjunction with an antibiotic c. It is safer to use a single-drug preparation if you are experiencing only one symptom d. Since these drugs are available OTC, it is safe to use any of them as long as needed
c
A client has been prescribed oral tetracycline for treatment of severe acne. Which assessment finding is most important for the nurse to communicate with the healthcare provider? a. The client's nutritional status b. The pathogen causing the acne c. The client's pregnancy status d. The presence of open lesions
c
A patiet who received a prescription for montelukast (Singulair) returns to his provider's office after three days, complaining that, "The drug is not working." She reports mild but continued dyspnea and has had to maintain consisten use of her bronchodilator inhaler, albuterol (Proventil). What does the nurse suspect is the cause of the failure of montelukast? a. the patient is not taking it correctly b. the patient is not responding to the drug and will need to be switched to another formulation c. the drug has not had sufficient tine of use to have full effects d. the albuterol inhaler is interacting with the montelukast
c
Alteplase (Activase) is prescribed for a client with an acute episode of stroke. Which client evaluation is the nurse's priority action? a. Monitoring aPTT and platelet count b. Monitoring PT and INR serum levels c. Monitoring level of consciousness (LOC) d. Monitoring injection sites
c
An elderly male patient with benign prostatic hypertrophy is prescribed ipratropium (Atrovent) for the treatment of asthma. Which nursing intervention is most appropriate? a. Teaching the patient to avoid caffeine in the diet b. Assessing the patient for enlarged liver c. Teaching the patient to report inability to urinate d. Monitoring for development of diarrhea
c
The client receiving heparin therapy asks how the medication works. Which response by the nurse is most accurate? a. "Heparin makes the blood less viscous, preventing further clotting." b. "Heparin dissolves the clot specifically in the affected blood vessels." c. "Heparin inhibits clotting factors, thereby preventing formation of new clots." d. "Heparin decreases the number of platelets, so that blood clots more slowly."
c
The healthcare provider prescribes pentoxifylline (Trental) to a client, who asks the nurse how the medication works. Which response by the nurse is most accurate? a. By dissolving clots in the blood vessels b. By decreasing platelet aggregation c. By reducing the viscosity of red blood cells d. By increasing platelet production
c
Which intervention should the nurse implement when caring for a patient on long-term oral glucocorticoids? a. Monitoring liver function tests b. Monitoring for cardiac dysrhythmias c. Monitoring for signs of GI bleeding d. Monitoring blood glucose levels
c
Which of the following drugs is most immediately helpful in treating a severe acute asthma attack? a. Beclomethasone (Qvar) b. Ziletuon (Zyflo CR) c. Albuterol (Proventil, Ventolin) d. Salmeterol (Serevent Diskus)
c
2. A patient has a prescription for fluticasone (Flonase). Plave the following instructions in the order in which the nurse will instruct the patient to use the drug. a. Instill one spray directed high into the nasal cavity b. Clear the nose by blowing c. Prime the inhaler prior to the first use d. Spit out any excess liquid that drains into the mouth C, b, a, d
c, b, a, d
4. The nurse is teaching a patient about the use of dextromethorphan with guaifenesin (Robitussin-DM) syrup for a cough accompanied by thick mucus. Which instruction should be included in the patient's teaching? a. Lie supine for 30 minutes after taking the liquid b. Drink minimal fluids to avoid stimulating the cough reflex c. Take with food for best results d. Avoid drinking fluids immediately after the syrup but increase overall fluid intake throughout the day
d
A client asks the nurse why the healthcare provider did not prescribe the usual antibiotic for the same infection. Which is the best response by the nurse? a. "It does not matter which antibiotic is taken." b. "If you are not better in 10 days, return to the office." c. "You do not want to take the same antibiotic all the time." d. "Bacteria can become resistant to some antibiotics."
d
A client has been prescribed ciprofloxacin (Cipro) 500 mg twice daily by mouth. Which information should the nurse include during client teaching about administration of this medication? a. The dose must be taken on an empty stomach to increase absorption. b. The client can have an unlimited amount of caffeinated drinks. c. The drug can be taken with an antacid to decrease GI symptoms. d. The dose should not be taken with supplements containing iron.
d
A nurse is caring for a client receiving gentamicin for treatment of a Pseudomonas infection. Which assessment finding should the nurse report to the healthcare provider immediately? a. Dysrhythmia b. Constipation c. Diuresis d. Tinnitus
d
A nurse is caring for a client who is prescribed benzonatate (Tessalon) to suppress coughing from a cold infection. Which instruction should the nurse include during client teaching? a. Monitor blood pressure. b. Chew the gel tablet thoroughly. c. Check pulse before taking the drug. d. Stand up slowly and carefully.
d
A nurse is caring for a client with epidural anesthesia following back surgery. The client is also receiving subcutaneous heparin 5,000 units twice daily for dep vein thrombosis (DVT) prophylaxis. What is the nurse's priority action? a. Monitor dose of the epidural anesthesia. b. Monitor effectiveness of pain management. c. Monitor the client for respiratory depression. d. Monitor the client's neurological status.
d
A nurse is reviewing lab values of a client who is on warfarin (Coumadin) drug therapy. Which lab finding should the nurse report immediately to the healthcare provider? a. aPTT 48 seconds b. Bleeding time 7 seconds c. Platelet count 140,000 d. INR 1.2
d
A patient has been using a fluticasone (Flovent) inhaler as a component of his asthma therapy. He returns to his helath care provider's office complaining of a sore mouth. On inspection, the nurse notices white patches in the patient's mouth. What is a possible explanation for this? a. the patient has been consuming hot beverages after the use of inhaler b. the patient has limited his fluid intake, resulting in dry mouth c. the residue of the inhaler propellant is coating the inside of the mouth d. the patient has developed thrush as a result of the fluticasone
d
The nurse completes a physical assessment on a client receiving heparin therapy for deep vein thrombosis (DVT). The client complains of severe lumbar pain. What is the most appropriate action by the nurse? a. Reposition the client to promote comfort. b. Document the finding, and report it to the next nurse. c. Administer pain medication as prescribed. d. Evaluate further; this could indicate a complication of drug therapy.
d
When educating a patient recently placed on inhaled corticosteroids, the nurse will discuss which potential adverse effects? a. Fatigue and depression b. Anxiety and peripheral vasoconstriction c. Headache and rapid heart rate d. Oral candidiasis and dry mouth
d
Which information should the nurse include during patient teaching on long-term therapy with beta-adrenergic agonists for asthma treatment? a. Discontinuing the drug if heart rate increases b. Monitoring daily intake and output c. Reducing dosage of the drug if insomnia occurs d. Notifying the healthcare provider if the drug no longer seems effective
d
Cefazolin (Ancef) effect on lab tests
false positive glucose results and positive Coomb's test
Cefazolin (Ancef) contraindications
hypersensitivity to drug in cephalosporin class. Severe renal disease
Penicillin G Contraindications
hypersensitivity, severe renal disease
Penicillin G effects on lab tests
positive Coomb's test and false positive urinary or serum proteins
Cefazolin (Ancef) adverse effects
rash, diarrhea, and superinfections when used for long periods. Hypersensitivity reactions. Pain and phlebitis at injection sites. Seizures