pharm exam 4 (ATI, pharmacology 4.0- reproductive, musculoskeletal, and hematologic)
A nurse is teaching a client about methotrexate therapy for RA. Which of the following statements by the client indicates an understanding of teaching?
"I will take a birth control pill every day."
A nurse is caring for a male client who has hyperthyroidism an is not responding to treatment. The nurse should identify that hyperthyroidism is a contraindication for which of the following drugs?
Bethanechol
A nurse is teaching a client about methotrexate. The nurse should instruct the client to monitor for which of the following as an adverse effect to the drug?
Black tarry stools
A nurse is planning care for a client who has a new prescription for methotrexate. The nurse should plan to monitor the client for which of the following adverse effects?
Bone marrow depression
A nurse is teaching a client about raloxifene therapy To prevent osteoporosis. The nurse should instruct the client to monitor for which of the adverse reactions?
Calf pain
A nurse is monitoring a client following ferrous sulfate Administration. The nurse should monitor the client for which of the following adverse effects?
Constipation
A nurse is caring for a client who is taking alendronate to treat postmenopausal osteoporosis. The nurse should explain to the client that alendronate increases bone mass by which of the following?
Decreases activity of osteoclasts
A nurse is caring for a client who is taking ferrous sulfate to treat iron deficiency anemia and develops iron toxicity. Which of the following drugs should the nurse expect to used to treat this complication?
Deferoxamine
A nurse is teaching a client who is starting treatment with warfarin. The nurse should plan to include information on which of the following topics to promote the effectiveness of the drug?
Dietary modifications
A nurse is assessing a client who has a new presciption of oxybutynin to treat neurogenic bladder. Which of the following assessment findings should the nurse identify as an adverse effect of the drug? (S.A.T.A)
Dilated pupils Dizziness Distended bladder Fever
A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. Which of the following instructions should the nurse include?
Do not take the drug with high-fat foods.
A nurse is teaching a patient about self administrating methotrexate to a client who has RA. Which statement should the nurse make?
Drink 2-3 L of water per day to promote drug excretion.
A nurse is caring for a client who has a benign prostatic hypertrophy and is taking tamsulosin. The nurse should question the use of the drug if the client also has which of the following?
Erectile dysfunction for which he takes sildenafil
A nurse is reviewing the medication record of a client who is receiving alteplase following an acute myocardial infarction (MI). Which of the following medication should the nurse expect the client to be taking in addition to the alteplase?
Heparin
A nurse is caring for a client who is about to begin taking epoetin. An increase in which of the following laboratory values should indicate to the nurse that the therapy is effective?
Hgb
Nurse is caring for a client who has a prescription for methotrexate. Power Rangers would likely be prescribed in conjunction during the initial treatment of RA?
Ibuprofen
A nurse is teaching a client about raloxifene. Which of the following information should be included? S.A.T.A
Increase physical activity by taking walks. Use a contraceptive if there's any possibility of pregnancy. Increase intake of calcium and vitamin D.
A nurse is caring for a client who is about to begin taking aspirin to reduce the risk of a cardiovascular event. The nurse should identify that the drug inhibits platelet aggregation by which of the following mechanisms?
Inhibiting cyclooxygenase action in platelets.
A nurse should instruct a client who is taking alendronate to monitor for which of the following adverse affects? S.A.T.A
Jaw pain. Blurred vision. Muscle pain.
A nurse is preparing to administer alendronate to a client who has osteoporosis. The nurse should recognize which of the following as an adverse effect of alendronate?
Joint pain
A nurse is providing teaching to a client about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include?
Perform weight-bearing activities.
A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. Which of the following findings should the nurse identify as a possible indication of hemorrhage?
Rapid pulse
A nurse is caring for a client who missed a dose of oral contraceptive. Which of the following instructions should the nurse give the client?
Take the missed dose as soon as possible.
A nurse is caring for a client who is currently taking methotrexate for RA. The nurse should identify The which of the following is an adverse of this medication?
Thrombocytopenia
A nurse is caring for a client who is scheduled for an outpatient surgical procedure and reports taking aspirin 81 MG daily, including this morning. The nurse should identify that this places The client that was from which of the following complications?
Uncontrolled bleeding
A nurse is teaching a client about receiving leuprolide to treat endometriosis. The nurse should instruct the client to expect which of the following side effects?
Vaginal dryness
A nurse in an emergency department is assessing a client who has been taking warfarin and is experiencing rectal bleeding. Which of the following drugs should the nurse expect to minister to the client?
Vitamin K
