Pharm Exam 2 Questions?

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A nurse is caring for a client who has tuberculosis and is taking rifampin. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of the medication? A. "I have noticed my urine is orange in color B. "I sleep more than I used to. C. "My tongue and mouth are sore. D. "My voice seems hoarse.

"I have noticed my urine is orange in color

A nurse is caring for a client who has a dry, nonproductive cough. Which of the following types of medication should the nurse recommend? A. Expectorant B. Mucolytic C. Bronchodilator D. Antitussive

Antitussive

A nurse is reinforcing teaching with a client who has hypertension and a new prescription for oral clonidine. Which of the following instructions should the nurse include in the teaching? A. Discontinue the medication if a rash develops B. Expect increased salivation during the first few weeks of therapy C. Minimize fiber intake to prevent diarrhea D. Avoid driving until the client's reaction to the medication is known

Avoid driving until the client's reaction to the medication is known

A nurse is assisting with the care of a client who had a myocardial infarction 2 hours ago and is receiving alteplase. Which of the following findings should the nurse identify as an adverse effect of receiving this medication? A. Bleeding B. Increased clot formation C. Shortness of breath D. Blockage of the central venous catheter(

Bleeding

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, dizziness, and headaches B. Bleeding C. Hypotension D. Constipation

Bleeding

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

C. Muscle weakness

A nurse is preparing to administer raloxifene to a client. Which of the following conditions is a contraindication for the administration of this medication? A. Osteoporosis B. Hyperthyroidism C. Myocardial infarction D. Deep-vein thrombosis

Deep-vein thrombosis

A nurse is collecting data from a client who has been on long-term inhaled glucocorticoid therapy with fluticasone for the control of asthma. Which of the following questions should the nurse ask the client to determine adverse effects of the medication? A. "Have you had any episodes of low blood pressure?" B. "Have you experienced any bone fractures?" C. "Are you experiencing constipation?" D. "Do you have any ringing in the ears?"

Have you experienced any bone fractures

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? A. Blood pressure 180/70 mmHg B. Oxygen saturation rate 94% C. Heart rate 51/min D. Respiratory rate 21/min

Heart rate 51/min

A nurse is reinforcing teaching with a client who has chronic asthma and a new prescription for cromolyn. Which of the following instructions should the nurse include in the teaching? A. "Use the inhaler just before exercise. B. "The medication's therapeutic effects can take up to several weeks to develop." C. "You will shake the medication container for 3 seconds. D. "You will need to exhale slowly after you inhale.

The medication's therapeutic effects can take up to several weeks to develop."

A nurse is collecting data from a client who uses an albuterol inhaler to treat asthma. For which of the following findings should the nurse withhold the medication and notify the provider? A. Tremors B. Wheezing C. Restlessness D. Palpitations

Wheezing

A nurse is reinforcing teaching with a client who has allergic rhinitis about a new prescription for brompheniramine. Which of the following pieces of information should the nurse include in the teaching? A. "Report gastrointestinal disturbances immediately." B. "You might find that you develop a dry mouth." C. "You should not experience any central nervous system alterations." D. "Increased urinary frequency is an expected effect."

You might find that you develop a dry mouth

A nurse is caring for a client who has severe asthma and allergic rhinitis. The client is taking theophylline. Which of the following medications should the nurse identify as being incompatible with theophylline? A. Cromolyn B. Albuterol C. Zafirlukast D. Methylprednisolone

Zafirlukast

nurse is reinforcing discharge teaching with a client who has heart failure and a prescription for digoxin 0.125 mg PO daily and furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching? A. "Blurred vision is something I will expect to happen while taking digoxin." B. "I will measure my urine output each day and document it in my diary. C. "I will skip a dose of my digoxin if my resting heart rate is below 72 beats per minute. D. "I will eat fruits and vegetables that have a high potassium content every day."

"I will eat fruits and vegetables that have a high potassium content every day."

A nurse is reinforcing discharge teaching with a client who has a new prescription for metoprolol. Which of the following instructions should the nurse include? (Select all that apply.) A. "Do not stop taking this medication abruptly." B. "Take the medication right before bedtime. C. "Avoid exposure to sunlight. D. "Count your radial pulse daily." E. "Change positions slowly.

A. "Do not stop taking this medication abruptly." D. "Count your radial pulse daily." E. "Change positions slowly."

A nurse is preparing to administer amlodipine to a client who has hypertension. The nurse should plan to monitor the client for which of the following manifestations as an adverse effect of the medication? (Select all that apply.) A. Dizziness B. Pale appearance C. Palpitations D. Abdominal pain E. Peripheral edema

A. Dizziness C. Palpitations E. Peripheral edema

A nurse in a provider's office is reinforcing medication teaching with a client who has developed asthma. Which of the following medications should the nurse identify as being prescribed for the short-term relief of asthma symptoms? A. Fluticasone B. Montelukast C. Albuterol D. Cromolyn

Albuterol

A nurse in a provider's office is collecting data from a client who has been taking black cohosh. Which of the following statements by the client indicates a therapeutic effect from the supplement? A. "I have not had a cold since I started taking black cohosh. Echinacea B. "I am having fewer hot flashes now that I am taking black cohosh." C. "My memory has improved since I started taking black cohosh. Ginkgo biloba D. "My urinary tract infection has cleared up since I started taking black cohosh. Cranberry juice

B. "I am having fewer hot flashes now that I am taking black cohosh.

A nurse is teaching a client who has a new diagnosis of angina and has a prescription for isosorbide mononitrate 10 mg PO twice daily. Which of the following client statements indicates an understanding of the teaching? A. "I can take my second dose of medication no later than 9:00 PM. (19:00) B. "I should change positions slowly when getting out of bed." C. "If I miss a dose, I should double the next dose." D. "I should notify my provider if I experience a headache while taking this medication.

B. "I should change positions slowly when getting out of bed."

A nurse is caring for a client who has bronchitis and a prescription for a mucolytic agent. Which of the following findings should the nurse identify as an adverse effect of this type of medication? A. Fluid overload B. Bronchospasm C. Electrolyte imbalance D. Tachycardia

Bronchospasm

A nurse is caring for a client and realizes after administering the 0900 medications that she gave digoxin 0.25 mg PO to the client instead of the prescribed dose of digoxin 0.125 mg PO. Which of the following actions should the nurse take first? A. Notify the provider B. Contact the nursing supervisor C. Check the client's apical pulse D. Complete an incident report

Check the client's apical pulse

A nurse is caring for a client who is taking warfarin. Which of the following laboratory values should the nurse recognize as an effective response to the medication? A. Hct 45% B. Hgb 15 g/dL C. aPTT 35 seconds D. INR 3.0

D. INR 3.0

nurse is caring for a client who takes ginkgo biloba daily at home. Which of the following effects should the nurse expect from the use of this herbal supplement? A. Decreased platelet aggregation B. Prevention of migraine headaches C. Increased risk of deep-vein thrombosis D. Lowered cholesterol and triglyceride

Decreased platelet aggregation

A nurse is caring for a client who is receiving continuous cardiac monitoring. Which of the following medications should the nurse anticipate administering to treat atrial fibrillation? A. Atropine B. Diltiazem C. Epinephrine D. Phenytoin

Diltiazem

A nurse is caring for a client who has asthma and advanced rheumatoid arthritis and deformity of the hands. The nurse should anticipate that the client will receive which of the following medication-delivery devices for the treatment of asthma? A. Dry-powder inhaler (DPI) B. Metered-dose inhaler (MDI) with spacer C. Respimat D. Nebulizer

Dry-powder inhaler (DPI)

A nurse is collecting data from a client who has been taking simvastatin to treat hyperlipidemia. Which of the following statements by the client indicates an adverse effect of the medication that should be reported to the provider immediately A. "I have had occasional constipation." B. "I have had some gas." C. "My head has been hurting on some days. " D. "My legs feel weak and achy.

My legs feel weak and achy.

A nurse is caring for a client who is experiencing an acute asthma exacerbation. Which of the following medications should the nurse identify as being contraindicated for this client? A. Dextromethorphan B. Montelukast C. Ciprofloxacin D. Propranolol

Propranolol

A nurse is collecting data from a client who takes oral theophylline to relieve chronic bronchitis. The nurse should recognize that which of the following findings indicates toxicity to theophylline? A. Constipation B. Tremors C. Fatigue D. Bradycardia

Tremors

A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following statements indicates that the client understands the instructions? A. "I'll use a safety razor to shave each day. " B. "I'll be sure to eat lots of spinach. C. "I'll avoid contact sports like football." D. "I'll take ibuprofen if I get a headache.

"I'll avoid contact sports like football

A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who has been taking tiotropium. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of this medication? A. "My body aches all over." B. "I am urinating more during the day." C. "My mouth feels dry all the time." D. "I have trouble sleeping at night."

"My mouth feels dry all the time."

A nurse is reinforcing teaching with a client who has asthma and a prescription for a fluticasone dry powder inhaler (DPI). Which of the following instructions should the nurse include in the teaching? A. "This medication should be taken at the start of your symptoms." B. "Rinse your mouth after administering this medication." C. "Shake the canister prior to administering this medication." D. "This medication relaxes your airways to decrease your symptoms."

"Rinse your mouth after administering this medication."

A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin via a transdermal patch. Which of the following client statements indicates an understanding of the teaching? A. "I need to wear the patch continuously for it to be effective." B. "I will stop using the patch immediately if it gives me a headache." C. "I should change the patch whenever I have chest pain." D. "I need to rotate the location of my patch every few days."

. "I need to rotate the location of my patch every few days."

A nurse is reinforcing discharge teaching with a 6-year-old client who has asthma and several prescription medications using a metereddose inhaler (MDI). Which of the following instructions should the nurse include in the teaching? A. Add a spacer to each MDI B. Instruct the child to inhale more rapidly than usual when using an MDI C. Ask the provider to change the childs medications from inhaled to oral formulations D. Administer oxygen by facemask along with the MDI

Add a spacer to each MDI

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. Use a 22-gauge needle to administer the medication B. Inject the medication into a muscle subcutaneously C. Massage the site after administering the medication D. Administer the medication into the client's abdomen

Administer the medication into the client's abdomen

A nurse is caring for a client who has asthma and a prescription for zileuton. Which of the following laboratory values should the nurse monitor while the client is taking this medication? A. Alanine aminotransferase (ALT) B. WBC count C. Potassium D. Chlorideacid-base or electrolyte imbalance

Alanine aminotransferase (ALT)

A nurse is reinforcing teaching with the parents of a school-aged child who has asthma about medications for bronchospasm. Which of the following inhaled medications should the nurse instruct the parents to use to relieve an acute asthma attack? A. Salmeterol B. Cromolyn C. Fluticasone D. Albuterol

Albuterol

A nurse is reviewing the medication history of a client who has mild intermittent asthma. The nurse should anticipate a prescription for which of the following inhalers for the client? A. Ipratropium B. Albuterol sulfate C. Tiotropium D. Budesonide

Albuterol sulfate

A nurse is preparing to administer a sublingual nitroglycerin tablet to a client who is reporting chest pain. For which of the following adverse effects should the nurse monitor after giving this medication? A. Hypotension B. Myalgia C. Diarrhea D. Ototoxicity

Hypotension

A nurse is assisting with preparing IV nitroprusside for a client who had a myocardial infarction. Which of the following actions should the nurse take? A. Obtain an infusion pump for the RN to regulate the rate of infusion B. Plan to have the IV solution bag changed every 48 hours24 C. Make sure the freshly prepared IV solution has a slight greenish tint light brown color D. Locate an amber plastic bag to cover the medication solution opaque material

Obtain an infusion pump for the RN to regulate the rate of infusion

identify that which of the following medications used for long-term treatment places the client at an increased risk of asthma-related death? A. Salmeterol B. Fluticasone C. Budesonide D. Theophylline

Salmeterol

A nurse is reinforcing teaching with 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? A. "You can take ibuprofen for headaches while taking this medication." B. "You may experience increased swelling in your lower extremities while taking this medication." C. "You should eat foods that are high in potassium while taking this medication." D. "You should take this medication at bedtime.

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

A nurse is caring for a client who is taking diphenhydramine for allergies. The client reports, "I feel sleepy during the day." Which of the following responses should the nurse make? A. "You will find that all antihistamines cause sedation. B. "You should avoid taking the antihistamine with food. C. "The effects of sedation will occur with each dose. D. "You should try antihistamines with non-sedative effects

You should try antihistamines with non-sedative effects

A nurse is preparing to administer warfarin to a client who has a new onset of atrial fibrillation. The client states, "I forget what the other nurse told me this medication does." Which of the following pieces of information should the nurse reinforce with the client? A. "It helps your heart return to a normal rhythm. B. "It dissolves blood clots. C. "It can reduce your risk of having a stroke." D. "It helps prevent bleeding in atrial fibrillation.

It can reduce your risk of having a stroke."

A nurse is reinforcing teaching with a client who is scheduled to start taking hydrochlorothiazide for hypertension. The nurse instructs the client to eat foods that are rich in potassium. Which of the following statements by the client indicates an understanding of the teaching? A. "This medication will not work unless I have enough potassium." B. "This medication can cause a loss of potassium." C. "Potassium will lower my blood pressure." D. "Potassium will increase the therapeutic effect of my blood pressure medication."

This medication can cause a loss of potassium."

A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. For which of the following adverse effects should the client be taught to monitor and notify the provider if it occurs? A. Nasal congestion B. Tremors C. Tinnitus D. Frontal headache

Tinnitus

A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which of the following should the nurse include in the teaching as an adverse effect of lisinopril? A. Tongue swelling B. Low potassium level C. Runny nose D. Bruising

Tongue swelling

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? A. Ecchymosis b B. Jaundice C. Hypotension D. Hypokalemia

Hypotension

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 medications? A. Epinephrine B. Nitroglycerin C. Lidocaine D. Atropine

Nitroglycerin

A nurse is caring for a client with asthma who has been taking an inhaled glucocorticoid and long-acting beta2-agonist combination drypowdered inhaler (DPI) for maintenance therapy. The nurse should identify that which of the following is a disadvantage of this medication? A. Restricted dosage flexibility B. Complicated delivery device C. Serious systemic effects D. Limited efficacy over time

Restricted dosage flexibility

A nurse is reinforcing teaching with a client who has a new prescription for hydrochlorothiazide 50 mg PO daily 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 hydrochlorothiazide on an empty stomach." D. "Take hydrochlorothiazide in the morning.

Take hydrochlorothiazide in the morning.

A nurse is collecting data from a client who is taking theophylline. The client's dose was decreased due to concurrent use with cimetidine. Which of the following findings should the nurse expect? A. Theophylline level 15 mcg/mL B. Decreased urine output C. Decreased appetite D. Creatinine 1.4 mg/dL (expected reference range of 0.5 to 1.3 mg/dL,

Theophylline level 15 mcg/mL

A nurse is preparing to administer nitroglycerin topical ointment to a client who has angina. Which of the following actions should the nurse take? A. Cover the applied ointment with cotton gauze B. Apply the ointment using a dose-measuring applicator C. Apply the ointment using the index finger D. Massage the ointment onto the client's skin

Apply the ointment using a dose-measuring applicator

A nurse is preparing to administer timolol eye drops to a client who has primary open-angle glaucoma (POAG). Prior to administering the medication, the nurse should recognize that which of the following conditions in the client's medical history is a contraindication to receiving this medication? A. Hypertension B. Peripheral vision loss C. Asthma D. Increased intraocular pressure

Asthma

A nurse is monitoring a client who has asthma, takes albuterol, and recently started taking propranolol to treat a cardiovascular disorder. The client reports that the albuterol has been less effective. Which of the following factors should the nurse identify as a possible explanation for this change? A. Potentiative interaction B. Detrimental inhibitory interaction C. Increased adverse reaction D. Toxicity-reducing inhibitory interaction

Detrimental inhibitory interaction

A nurse is reviewing the medical record of a client who is receiving hydrochlorothiazide (HCTZ). The nurse should expect to find an improvement in which of the following conditions because of this medication? A. Gouty arthritis B. Dehydration C. Diabetes insipidus D. Hypokalemia

Diabetes insipidus

A nurse is assisting with the admission of a client who has atrial fibrillation with a heart rate of 155/min. The nurse should anticipate a prescription from the provider for which of the following medications? A. Atropine B. Diltiazem C. Epinephrine D. Vasopressin

Diltiazem

A nurse is assisting with the care of a client who has atrial fibrillation and is scheduled for cardioversion. The nurse should anticipate a prescription from the provider for which of the following medications for this procedure? A. Amlodipine B. Diltiazem C. Nifedipine D. Lidocaine

Diltiazem

A nurse is caring for a client who has acute glomerulonephritis and a prescription for furosemide. The nurse should monitor the client for which of the following therapeutic effects of this medication? A. Hypotension B. Diuresis C. Increased blood glucose level D. Weight gain

Diuresis

A nurse is caring for a client who is 12 hours postoperative following a total hip arthroplasty. Which of following medications should the nurse anticipate administering to this client to prevent deep vein thrombosis (DVT)? A. Aspirin B. Warfarin C. Ticagrelor D. Enoxaparin

Enoxaparin

A nurse is reinforcing teaching with a client who has a new prescription for enteric-coated aspirin as stroke prophylaxis. The client asks the nurse why the provider prescribed an enteric-coated medication. Which of the following responses should the nurse give? A. "The enteric coating allows a lower dosage to be given." B. "Enteric-coated medications have better absorption in the body." C. "Enteric-coated medications cause less gastric irritation." D. "The enteric coating allows a steady release of the medication over time

Enteric-coated medications cause less gastric irritation."

A nurse is caring for a client who has chronic renal failure and has developed anemia. Which of the following medications should the nurse expect the provider to prescribe? A. Calcium acetate B. Vitamin D C. Erythropoietin D. Diphenhydramine

Erythropoietin

A nurse is caring for a client who has a vitamin K deficiency. Which of the following manifestations should the nurse expect? A. Irregular bone formation B. Abnormal movements C. Blurred vision D. Excessive bruising

Excessive bruising

A nurse is caring for a client who takes warfarin to treat chronic atrial fibrillation and has early manifestations of Alzheimer's disease. The client's partner asks the nurse if the client would benefit from taking ginkgo biloba. Which of the following responses should the nurse provide? A. "Ginkgo biloba will probably interfere with the effectiveness of his other medications." B. "You should ask his provider if ginkgo biloba is safe." C. "Ginkgo biloba is most effective in the later stages of Alzheimer's disease. D. "People who have Alzheimer's disease should adhere to the medication regimen their provider

Ginkgo biloba will probably interfere with the effectiveness of his other medications."

A nurse is caring for a client who is receiving simvastatin 40 mg PO daily. Which of the following items should the nurse remove from the client's breakfast tray before it is delivered to the room? A. Grapefruit juice B. Hardboiled eggs C. Coffee D. Oatmeal

Grapefruit juice

A nurse is reinforcing teaching with a client who has atrial fibrillation and a new prescription for amiodarone. Which of the following items should the nurse instruct the client to avoid while taking this medication? A. Green leafy vegetables B. Grapefruit juice C. Garlic D. Salt substitutes

Grapefruit juice

A nurse is preparing to administer an initial dose of zileuton to a client for asthma prophylaxis. For which of the following manifestations should the nurse monitor as a potential adverse reaction? A. Hallucinations B. Blurred vision C. Palpitations D. Discolored urine

Hallucinations

A nurse is reinforcing discharge teaching with a client who has a new prescription for amlodipine. For which of the following findings should the client notify the provider? A. Tenderness of the gums B. Blood pressure 120/78 mmHg C. Flushing of the face D. Heart rate of 48/min

Heart rate of 48/min

A nurse is collecting data on a client who has developed hypertension that is unresponsive to lifestyle changes. The client has no other comorbidities. Which of the following medications should the nurse expect the provider to prescribe first? A. Captopril B. Hydrochlorothiazide C. Metoprolol D. Hydralazine

Hydrochlorothiazide

A nurse is reinforcing teaching with a client about the proper placement of a nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching? A. "I'll apply the patch over areas of my body with little fatty tissue. B. "I can place the patch on any area of my body without hair." C. "I'll put the patch on the same site as the previous patch. D. "I have to apply the patch directly over my heart.

I can place the patch on any area of my body without hair.

A nurse is collecting data for a client who has been taking theophylline. Which of the following reports by the client indicates a therapeutic response to the medication? A. "I no longer have back pain." B. "My glucose levels have been more stabilized." C. "I have fewer asthma attacks." D. "My tremors are better controlled.

I have fewer asthma attacks.

A nurse is reinforcing teaching with a client about a new prescription for captopril to treat hypertension. Which of the following client statements indicates an understanding of the teaching? A. "I might have a sore throat that will go away after a few days." B. "I will take this medication with food to avoid an upset stomach." C. "I might feel dizzy at times while taking this medication." D. "I will take ibuprofen if I get a fever while taking this medication."

I might feel dizzy at times while taking this medication.

A nurse is reinforcing teaching with a client who has chronic bronchitis about how to administer acetylcysteine using a handheld nebulizer Which of the following client statements indicates an understanding of the teaching? A. "I can store an open vial of the medication in the refrigerator for up to 24 hours. B. "I should limit my fluid intake while taking this medication C. "I should try to cough productively just before I begin the treatment." D. "If the medication becomes discolored, I should throw it out and get a new supply.

I should try to cough productively just before I begin the treatment."

A nurse is reinforcing medication teaching with a client who has a new prescription for rivaroxaban for the prevention of deep venous thrombosis (DVT).Which of the following statements by the client indicates an understanding of the teaching?Unlike warfarin and heparin, A. "I will be sure to take this medication at the same time every day." B. "I will limit my intake of green leafy vegetables while taking this medication. C. "I will need to come into the office monthly to have my blood tested. D. "I will be sure to take this medication on an empty stomach.

I will be sure to take this medication at the same time every day."

A nurse is reinforcing teaching with a parent of a child who has asthma and a new prescription for cromolyn sodium via a 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 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, he can use a spacer."

I will give my child a dose as soon as wheezing starts.

A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following statements indicates that the client understands the instructions? A. "I'll use a safety razor to shave each day." B. "I'll be sure to eat lots of spinach. C. "I'll avoid contact sports like football." D. "I'll take ibuprofen if I get a headache.

I'll avoid contact sports like football

A nurse is reviewing the laboratory reports for a client who has been taking warfarin for atrial fibrillation. Which of the following results should the nurse report to the provider immediately? A. PT 18 seconds B. Platelet count 160,000/mm^3 C. Hct 43% D. INR 5.5

INR 5.5

A charge nurse is reinforcing teaching with a newly licensed nurse about a client who has severe allergy- related asthma and a new prescription for omalizumab. Which of the following pieces of information should the charge nurse include to describe the medication's mechanism of action? A. It reduces the number of immunoglobulin E (IgE) molecules on mast cells. B. It stabilizes the cellular membrane of mast cells. C. It decreases the synthesis and release of inflammatory mediators. D. It relaxes the smooth muscles by blocking adenosine receptors.

It reduces the number of immunoglobulin E (IgE) molecules on mast cells.

A nurse is assisting with the admission of a client who has unstable angina. Which of the following medications should the nurse anticipate administering to the client? A. Epinephrine B. Nitroglycerin C. Lidocaine D. Atropine

Nitroglycerin

A nurse is assisting with the care of a client who reports crushing chest pain. The nurse reviews the client's ECG results and notes ST changes. Which of the following medications should the nurse administer? A. Simvastatin B. Furosemide C. Nitroglycerin D. Sildenafil

Nitroglycerin

nurse is reinforcing teaching with a client who has asthma and a new prescription for a short-acting beta2 agonist (SABA) bronchodilator. Which of the following pieces of information should the nurse provide in the teaching? A. The SABA will provide prolonged control of asthma attacks. B. SABAs are also available in an oral form. C. The SABA will have to be taken with an inhaled glucocorticoid. D. Notify the provider if the SABA is needed more than twice per week.

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

A nurse is reinforcing teaching about glucocorticoid therapy with the parent of a child who has severe reactive airway disease. The parent asks why her child must inhale the medication instead of taking it orally. Which of the following pieces of information should the nurse provide the parent? A. Inhaled glucocorticoids are less likely to cause thrush. B. Oral glucocorticoids are hazardous during times of stress. C. Oral glucocorticoids are more likely to slow linear growth in children. D. Inhaled glucocorticoids are more effective for acute bronchospasm.

Oral glucocorticoids are more likely to slow linear growth in children.

A nurse is reinforcing teaching with a female client who has a new prescription for pravastatin to treat hyperlipidemia. Which of the following pieces of information should the nurse include in the teaching? A. Pravastatin can be taken with grapefruit juice. B. Pravastatin can be continued during pregnancy. C. Pravastatin should be taken with the evening meal. D. Laboratory testing to monitor WBC count is required.

Pravastatin can be taken with grapefruit juice.

A nurse is reviewing the medical record of a client. The medication administration record shows the client is taking clopidogrel. Which of the following events should the nurse expect to be reported in the client's medical history? A. Recent myocardial infarction B. History of hemorrhagic stroke C. Current outbreak of psoriasis D. History of hypertension

Recent myocardial infarction

A nurse is caring for a client who has asthma and is prescribed a short-acting beta2-agonist. Which of the following should the nurse identify as the expected outcome of this medication? A. Reduces the frequency of attacks B.Reverses bronchospasm C. Prevents inflammation D. Decreases chronic manifestations

Reverses bronchospasm

A nurse is reviewing the medication history of a client who has asthma. Which of the following medication combinations should the nurse identify as incompatible? A. Albuterol and montelukast B. Theophylline and zileuton C. Aminophylline and fluticasone D. Salmeterol and levalbuterol

Salmeterol and levalbuterol

A nurse is collecting data from a client who has heart failure and is receiving digoxin. Which of the following findings should indicate to the nurse the client is experiencing digoxin toxicity? A. Suppression of dysrhythmias B. Increase in atrioventricular (AV) conduction C. Visual disturbances D. Weight gain

Visual disturbances

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 for which of the following medications? A. Protamine B. Fondaparinux C. Vitamin K D. Bivalirudin

Vitamin K


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