Pharm Final*

A client, taking metronidazole for the past 4 days, reports to the nurse that the most recent dose caused a "flushed, sweaty, and sick in the stomach." What assessment is most likely to address the cause of this phenomenon?

"Did you drink any alcoholic beverages around the time of taking the drug?"

A client has expressed frustration stating. "I've been taking an over the counter decongestant for several days and it still hasn't really cured my cold". What teaching point should the nurse convey to the client?

"Drugs like this can often relieve some of the symptoms of a cold, but they won't cure it."

A nurse is providing patient education to a 13 year old girl who was just diagnosed with type 1 DM. Which of the following statements by the patient will alert the nurse that special instructions regarding insulin are necessary?

"I am on the middle school track team."

A client is instructed to take diphenhydramine after an allergic reaction. Which statement by the client indicates successful teaching concerning the safe and effective use of diphenhydramine?

"I should not drive my car after taking this medication."

Which statement by a client leads the nurse to believe that he/she has understood how to safely and effectively use bulk forming laxatives?

"I will mix the medication around in a cup of fluid and then drink the mixture."

An adult client recently diagnosed with HTN has begun combination therapy. Which client statement would suggest a need for further health education?

"I'll only need to take these drugs on days when my blood pressure is particularly high."

A client, diagnosed with erectile dysfunction, is taking nitroglycerin for chest pain. What is the best explanation for why a nitrate-like sildenafil would be contraindicated?

"Nitroglycerin and sildenafil cause a severe decrease in blood pressure."

A 59 year old man with type 2 diabetes is prescribed metformin. When the patient returns to the clinic, he reports that he has lost 8 pounds in a month. How should the nurse respond?

"Please continue taking the medication and monitoring your weight. This is an expected outcome of this drug therapy."

A client recently diagnosis with asthma anxiously reports that the symptoms of a recent episode were not relieved despite taking several puffs of the prescribed salmeterol. How should the nurse respond to the client's concern?

"Remember that your salmeterol isn't effective when you take it at the time of an asthma attack."

An older client diagnosed with HTN is requesting a oral nasal decongestant for cold symptoms. Which statement by the nurse best describes the effect of decongestants on BP?

"The administration of a nasal decongestant will increase blood pressure due to vasoconstriction of blood vessels."

The nurse is educating an adult client diagnosed with rhinosinusitis with viscous clear mucous about the prescribed guaifenesin 400 mg PO every 4 hours. Which statement made by the client establishes the need for further clarification?

"The drug will suppress my cough so I can sleep easier."

A client is being treated with amphotericin B. Which statement indicates that the client has understood the client teaching?

"The medication may cause kidney damage."

A client diagnosed with heart failure asks the nurse for further details about heart failure. Which statement is most accurate?

"The use of digoxin will slow heart rate to make your heart more efficient."

Which teaching point should the nurse convey to a client being educated on the ability of the heart to generate an electrical impulse?

"There are many different parts of your heart that can initiate an electrical impulse."

The results of a client's plasma corticotropin stimulation test have confirmed a diagnosis of Addison's disease. The nurse has consequently provided health education around the necessity of hormone replacement therapy. The client has asked the nurse, "How long am I going to have to take these medications?" How should the nurse best respond?

"You'll need to take these for the rest of your life."

Laboratory testing reveals that a client is in a severely hyperthyroid state, and propylthiouracil has been prescribed. When providing health education related to this drug, what information should the nurse stress to the client?

"You'll need to take these pills every 8 hours."

A client is given a prescription for Azithromycin to treat sinusitis and is being discharged from the hospital with new onset of a controlled cardiac dysrhythmia. The client is allergic to penicillin. You question this order from the physician, why?

A contraindication for this med is having a cardiac dysrhythmia.

A client has edema of the lower extremities and abdomen. What is the reason for administering a stronger diuretic than a thiazide diuretic to this client?

A thiazide diuretic will be ineffective for immediate diuresis.

Following an endoscopy, a 66 year old man has been diagnosed with a duodenal ulcer resulting from Helicobacter pylori infection. Which of the following medications will likely be used in an attempt to eradicate the patient's H. pylori infection? Select all that apply.

-A PPI -Antibiotics

Which assessment findings would prompt the nurse to withhold a scheduled dose of oral atenolol? Select all that apply.

-Blood pressure of 88/49 mm Hg -Heart rate of 54 beats/min

***A patient with a recent diagnosis of type 2 diabetes has begun taking metformin. This drug will help the patient achieve adequate blood sugar control through which of the following mechanisms? Select all that apply.

-Decreasing glucose production by the liver -Improving insulin sensitivity -Decreasing glucose absorption in the GI tract

A patient is prescribed a stat parenteral dose of prednisone. Recognizing the adverse effects of glucocorticoids, you should monitor the client for which of the following? Select all that apply.

-Hyperglycemia -Infection -Gastric bleeding

The nurse prepares to administer nitrofurantoin 100 mg PO every 12 hours to an adult client newly diagnosed with a urinary tract infection. Which measures would the nurse provide for safe and effective drug administration? Select all that apply.

-Inform the client that the medication may cause the urine to turn a harmless brown coloration -Administer the drug with a meal or snack because food helps with drug absorption and decreases onset of GI distress

You should instruct a client using phenylephrine spray for nasal congestion to do which of the following to avoid rebound congestion?

-Limit the drug's use to 3-5 days -Add an intranasal glucocorticoid -Taper the dose prior to discontinuation -Restrict the drug's use to one nostril at a time

Fluoroquinolones, like ciprofloxacin, may have adverse reactions such as: select all that apply.

-Nausea -Headache -Dizziness

The nurse prepares to administer gentamicin intravenous every 8 hours to an older adult client. Which interventions should the nurse provide to decrease nephrotoxicity and ototoxicity? Select all that apply.

-Obtain baseline assessments of cranial nerve eight and periodic measurements during therapy -Monitor estimated creatinine clearance and BUN at baseline and periodically during therapy -Provide the client with 2 to 3 L of noncaffeinated oral fluid daily, unless contraindicated

A client is prescribed oral tetracycline for treatment of acne vulgaris. When instructing the client about the tetracycline, which of the following should the provider include?

-Report mouth pain -Take it 1 hour before meals -Wear sunscreen and protective clothing

A client is receiving gentamicin to treat meningitis. The health care provider has ordered a peak serum level be drawn in association with the 0700 dose, which will finish infusing at 0730. When should the peak serum level be drawn?

0800

****The nurse knows that the lunch trays are usually distributed at approximately 1215. The nurse should plan to administer the client's prescribed 4 units of regular insulin at what time?

1145

*********Calculate the sliding scale dose of regular insulin based from a blood sugar of 345

12. BS-100/20!!!!!

You have the following order: Ampicillin 1 gram in 1 liter of NS. You are to infuse over 8 hours. What is the infusion rate? (What will you set the IV pump rate?)

125 ml/hr

*?*You give the client 5 units of Humalog insulin and 10 units of glargine subcutaneously at 1400. Based on your instructions, the client should expect her blood glucose to be at the lowest of which of the following times?

1430

You have the following order: Amoxicillin 250 mg/tsp. The recommended dosing of amoxicillin is 30 mg/kg/day BID. Your patient weighs 110 lbs. How many teaspoons will you administer to the patient for ONE dose?

6

You are educating the patient on pre-mixed insulins. The patient has been prescribed 70/30 15 units subcutaneously BID. Which number represents the longer acting insulin.

70

**To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should?

Administer carbohydrates

Which hormone may be administered to diagnose Addison's disease?

Adrenocorticotrophic hormone

What is the characteristic action of an agonist?

Agonists are drugs that produce effects similar to those produced by naturally occurring hormones, neurotransmitters, and other substances by activating (not blocking or counteracting) a receptor. Classification of a drug as an agonist does not denote a change to metabolism or distribution.

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?

Albuterol

***Which factor would contraindicate the administration of glipizide?

Allergy to sulfonamides

A woman is seen in the primary care provider's office. Which medication should the nurse anticipate administering to a client diagnosed with chronic severe diarrhea-predominant irritable bowel syndrome that has not responded to conventional therapy?

Alosetron

A child has been referred to a pediatric endocrinologist and has begun treatment with octreotide acetate. What nursing diagnosis should be notes in the plan of nursing care for a child prescribed octreotide acetate?

Altered growth and development

Which of the following drugs is the prototype for Polyene antibiotics?

Amphotericin B

Which client should not be administered an antihistamines regularly?

An older adult with narrow-angle glaucoma and kidney disease

A client reports substernal chest pain that radiates to the neck. The pain lasts 5 minutes and then subsides with relaxation. What is the most likely cause of the chest pain?

Angina pectoris

A client with a diagnosis of peptic ulcer disease has begun taking sucralfate. The nurse should caution the client against the concurrent use of which classification of medication?

Antacids

A nurse is caring for an adult client diagnosed with bacterial sinusitis. The nurse has cautioned the client against taking prescribed oral erythromycin together with antacids. What is the basis of this instruction?

Antacids decrease the absorption of the drug

A client scheduled to receive one unit of packed red blood cells, has a history of an allergic reaction to a transfusion in the past. What class of medication will assist in preventing a reaction to the packed red blood cell transfusion?

Antihistamines

Following the completion of diagnostic testing, an adult client has received a diagnosis of hyperthyroidism. What nursing diagnosis should the nurse prioritize in this client's care?

Anxiety related to hyperthyroidism

****The nurse's assessment of a patient who has presented to the emergency department reveals hyperglycemia. Which of the following types of insulin will have the most rapid effect on the patient's blood sugar levels?

Aspart

What assessment is most important to make before administering bismuth subsalicylate?

Assess for allergy to aspirin

A client has been taking antibiotics at home for the treatment of a respiratory infection for the past 6 days and there is no evident improvement in the infection. Which nursing assessment is most appropriate?

Assess the clients adherence to the medication regimen

In some cases, low-dose amiodarone may be used to prevent recurrence of what cardiac disorder?

Atrial fibrillation

Urinary tract antiseptics, like nitrofurantoin or methenamine can be classified as bacteriostatic or bactericidal?

Bactericidal

What is the most common first line therapy for relief of an acute asthma attack?

Beta2-adrenergic agonist

***A hospital client with a diagnosis of type 1 diabetes is prescribed Humulin R on a sliding scale. Based on the client's blood glucose reading, the nurse administered 8 units of insulin at 0745. The nurse should consequently check the client's blood glucose level at what time to monitor peak effectiveness of the medication?

Between 09:45 and 10:45

*?*When assessing for potential adverse effects of prescribed growth hormone, what assessment should the nurse prioritize?

Blood glucose

Following the administration of a scheduled dose of 50 mg atenolol PO, the nurse should prioritize what assessment?

Blood pressure

When appraising an older adult's ability to excrete medication's, what laboratory or diagnostic finding should the nurse prioritize?

Blood urea nitrogen and creatinine levels

A nurse is caring for a 48 year old women who has been hospitalized after injecting the wrong type of insulin. Which of the following signs of hypoglycemia will the nurse be careful to observe for?

Blurred vision

What assessment should the nurse perform on a daily basis when a client is prescribed furosemide?

Body weight

A client with a long-standing diagnosis of asthma is prescribed a beta-blocker for the treatment of angina. The nurse should consequently prioritize assessment for what health problem?

Bronchospasm

A client will soon begin long term treatment with hydrocortisone after being diagnoses with Addison's disease. In order to mitigate the potentially adverse effect of this treatment regimen, the nurse should encourage the client to increase the intake of what nutrient?

Calcium

A client has a gastrostomy tube and the pharmacy has delivered an extended-released tablet. What is the most appropriate action taken by the nurse to assure effective administration of the medication?

Call the pharmacy to obtain an immediate release form.

A client previously experienced an anaphylactic reaction to penicillin G. Which medication should not be administered to this client due to the potential for cross sensitivity?

Cefadroxil

A group of nursing students and their professor are engages in a service learning project and will be caring for clients in Haiti. What medication should be administrated to prevent the development of malaria?

Chloroquine phospate (Aralen)

A nurse is instructing a client on the antibiotic regimen for the treatment of pneumonia. Which statement is most important to share with the client?

Complete the entire prescription of medication.

An older adult client, diagnosed with community-acquired pneumonia, has been prescribed aztreonam. What action should the nurse perform before administering the first dose?

Confirm the patient's allergy status.

A 29 year old woman has been prescribed alosetron (Lotronex) for IBS. Before starting the drug therapy, the nurse will advise the patient about which of the following adverse effect(s)?

Constipation

An adult client has been talking a calcium-based antacid on an increasingly frequent basis. When teaching this client, the nurse should include suggestions for the prevention of which adverse effect?

Constipation

A 48 year old client with no known history of cardiovascular disease present with atrial flutter. The client is prescribed propafenone PO 150 mg every 8 hours for 24 hours. What is the cardiac care nurse's priority assessment during this period?

Continuous ECG monitoring

A client is to be started on an antibiotic. Which factor is most important to take into consideration before beginning the antibiotic regimen?

Culture and sensitivity

**You are the nurse caring for a Type 1 diabetic who has a blood sugar of 46. She is alert, but unable to respond. You call for help and notify the physician. Which medication will you anticipate the physician ordering to increase her blood sugar?

D50

A nurse preparing to administer a client's first scheduled dose of tetracycline should first ensure that the client has not recently eaten what type of foods?

Dairy products

A client with angina is prescribed propranolol. Following absorption of the drug, the nurse should monitor the client for what desired effect?

Decrease HR

A client is prescribed acyclovir for the treatment of genital herpes. What is the expected outcome of this medication?

Decrease viral shedding

A client is being treated for heart failure. Which is most indicative of improved health status?

Decreased pitting edema

A community health nurse is conducting a health promotion session with a group from a local seniors center. The nurse has addressed the issue of laxative overuse in this population. The nurse should highlight what consequence of the overuse of laxatives?

Dependence

A patient is in the clinic for seasonal allergic rhinitis. Loratadine is prescribed. Which of the following statements will the nurse include when providing patient education?

Determine if the drug is going to make you drowsy before you drive

A client is admitted to the emergency room with a ventricular dysrhythmia associated with an acute myocardial infarction. What assessment should the nurse make prior to administering a bolus of lidocaine IV?

Determine if the patient has had a reaction to local anesthesia

A nurse is preparing a client's scheduled dose of oral vancomycin. This client's current illness was most likely manifested by what sign or symptom?

Diarrhea

The nurse should educate the client prescribed a stimulant cathartic to be alert for which common adverse effect?

Diarrhea

Which medication will be administrated to a client experiencing severe digitalis poisoning?

Digoxin immune fab

Which class IV calcium channel blocker is exclusively administered to treat acute supraventricular tachycardia?

Diltiazem

A client being treated for active TB with ethambutol, states difficulty in identifying the red and green on the traffic lights when driving. Bases on this finding what intervention should the nurse consider initially?

Discontinue ethambutol

A client has been prescribed ciprofloxacin IV for the treatment of cellulitis. After initiating the infusion of the client's first scheduled dose, the client develops a pronounced rash on the chest and arms. How should the nurse respond initially to this event?

Discontinue the infusion and inform the care provider promptly.

Which process occurs between the time the drug enters the body and the time that it enters the bloodstream?

Distribution

A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient's blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control?

Doses of basal insulin twice daily with regular insulin before each meal

A female patient, age 36, is prescribed inhaled corticosteroid for daily use. Which of the following adverse effects should the nurse closely monitor for in this patient?

Dysphonia and oropharyngeal Candida albicans infection

A client is admitted to the emergency room with inspiratory stridor and air hunger. When anticipating treatments, which medication will the nurse prepare for administration?

Epinephrine

Which medication will most likely be administered to a client experiencing anaphylaxis?

Epinephrine

A client is receiving an antidysrhythmic medication intravenously. How often should the client's blood pressure be assessed?

Every 1-5 minutes

***What distinguishing characteristic is associated with type 1 diabetes?

Exogenous insulin is required for life.

An older adult client who resides in a care facility has been prescribed antihypertensive for the first time following many years of generally good health. When administering the first dose of the prescribed antihypertensive medication to an older adult, the nurse should recognize the related risk to which possible side effect?

Falls

Broad spectrum antibiotics are used as a last resort because they only treat a few bacteria.

False

Long-acting isosorbide should only be given at night.

False, best to be given in the morning.

What potential adverse reaction is most likely to develop during cefazolin therapy?

Gastrointestinal upset

***Before administering a prescribed 20 units of NPH insulin to a client, the nurse should implement which intervention?

Have a colleague confirm the dosage.

Which assessment would be considered a priority for a client receiving amiodarone?

Heart rate checks

A client, being treated in the hospital for a femoral fracture, is scheduled to receive a daily dose of metoprolol that was prescribed 3 years ago. Prior to administering this drug the nurse should assess and document which client data? Select all that apply.

Heart rate, blood pressure

A clinic nurse in following a 9 year old boy who is taking somatropin. Which of the following will the nurse monitor periodically?

Height

A hospital patient's medication administration record specifies a dose of NPH insulin to be administered subcutaneously at 0800. The nurse has checked the patient's blood glucose level prior to administering the drug and it is 55 mg/dl. How should the nurse respond to this assessment finding?

Hold the dose of insulin and consult with the client's primary care provider.

What additional medication will best increase the effectiveness of blood pressure control in this client prescribed losartan?

Hydrochlorothiazide

A client prescribed a potassium sparing diuretic is at a risk for developing which electrolyte imbalance?

Hyperkalemia

You are caring for a client who is taking levothyroxine for hypothyroidism. The client reports palpitations, weight loss, and diarrhea. You suspect which of following adverse effects of this drug?

Hyperthyroidism

What is the primary goal of IV norepinephrine treatment?

Increased BP

A nurse has poured a hospital client's scheduled dose of hydrochlorothiazide (HCTZ). The nurse should know that this drug reduces preload by which means?

Increasing renal excretion of sodium and water

An adult client with an autoimmune disorder regularly takes oral corticosteroids. The nurse knows that corticosteroids can be used in the successful treatment of inflammation but that they also create a risk for:

Infection

What information should the nurse provide a client newly prescribed propylthiouracil about its primary mode of action?

Inhibits production of thyroid hormone

*?*When talking to a patient about self-administration of regular insulin, you should include which of the following instructions?

Inject the insulin subcutaneously

A client, diagnosed with Trichomonas vaginalis, is being treated with metronidazole orally. What instruction is most important for the nurse to provide this client to minimize the spread of this infection?

Instruct her to have her partner treated.

What medication will most likely be prescribed for a client whose chest pain is not relieved with sublingual organic nitrate?

Intravenous nitroglycerine

******A client has been prescribed acarbose. What is the advantage of acarbose over alternative drugs?

It delays the digestion of complex carbohydrates.

A client is prescribed aztreonam. What is the major advantage of this monobactam over the aminoglycosides in treating P. aeruginosa?

It has lower risk for hearing loss.

A client is using psyllium hydrophilic mucilloid to promote evacuation of stool. What is the action of this medication?

It increases mass and water content of stool, promoting evacuation.

A client with a diagnosis of bipolar disorder has begun lithium therapy. What is the primary rationale for the nurse's instructions regarding the need for regular monitoring of the client's serum drug levels?

It is necessary to ensure that the client's drug levels are therapeutic but not toxic.

An adult client has begun treatment with an antifungal fluconazole. The nurse should recognize the need to likely discontinue the drug if the client develops which sign or symptom?

Jaundice

A client diagnosed with alcoholism and chronic liver failure is confused and has an elevated serum ammonia level. What laxative will the nurse administer to lower the serum ammonia level?

Lactulose

A 59 year old client with a history of CAD is undergoing cardiac catheterization. What drug should the nurse most likely prepare for administration when the client suddenly begins exhibiting ventricular tachycardia?

Lidocaine

*******A patient receives 25 units of NPH insulin at 0700. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction?

Look up

A nurse is providing discharge instructions to a patient who will be taking fludrocortisone at home. The nurse will encourage the patient to eat a diet that is?

Low in sodium, high in potassium.

*?*A client currently experiencing the signs and symptoms of diabetes insipidus is in need of which nursing intervention?

Maintain adequate fluid intake.

A client has developed Clostridium difficile associated with pseudomembranous colitis. Which medication is effective in the treatment of Clostridium difficile?

Metronidazole (Flagyl)

A client will begin taking atorvastatin, and the nurse is conducting relevant health education. The nurse should emphasize the need to report any new onset of:

Muscle pain

The nurse's subsequent cardiac assessments and monitoring of a client prescribed disopyramide should be planned in the knowledge that this drug increases the client's risk for developing what health problem?

New dysrhythmias

A client with a history of angina has sustained a mild head injury in a motor vehicle accident. When the client reports chest pain, what explanation should the nurse provide to support the decision not to treat the angina related pain with nitroglycerin tablets?

Nitroglycerin will increase intracranial pressure.

What antiemetics is the most common first-line drug for the treatment of postoperative nausea and vomiting?

Ondansetron

An influenza outbreak has spread through a long term care residence, affecting many of the residents with severe malaise, fever, and nausea and vomiting. In an effort to curb the outbreak, the nurse has liaised with a health care provider to see if residents may be candidates for treatment with what drug?

Oseltamivir phosphate

You instruct a patient to watch for and report which of the following indications of an adverse reaction to insulin?

Palpitations

You are caring for a client who is taking exenatide to treat type 2 DM. The client reports severe abdominal pain. You suspect which of the following adverse reactions to this drug?

Pancreatitis

Which disease is a result of cellular destruction of the GI tract resulting from regular nonsteroidal anti-inflammatory therapy?

Peptic ulcer disease

A client is prescribed captopril. What adverse effect should the client be instructed on that can occur with angiotensin-converting enzyme inhibitor?

Persistent cough

What is the reason for administering a bulk-forming laxative like polycarbophil to a client experiencing liquid stools?

Polycarbophil absorbs large amounts of water and decreases fluidity of stools.

A client with a history of HF is being treated with digoxin. The nurse knows that the medication increases the force of contractions of the heart. What effect improves the contractility of the heart?

Positive inotropic effect

A client with a history of heart failure is being treated with digoxin. The nurse knows that this medication increases the force of contractions of the heart. What effect improves the contractility of the heart?

Positive inotropic effect

An adult client with a diagnosis of asthma has been prescribed montelukast. The nurse should teach the client that this drug will help relieve symptoms by which mechanism?

Preventing the bronchoconstriction and inflammation that is caused by leukotrienes

A 1 year old postoperative client has been experiencing repeated vomiting. What antiemetic drug has a BBW against use in a client of this age?

Promethazine

A client, diagnosed with hyperthyroidism is scheduled to receive a medication to destroy the thyroid gland. Which medication will be administered?

Radioactive iodine -sodium iodide 131

****What type of insulin will most likely be administered intravenously to a client with a blood glucose level over 600 mg/dl?

Regular insulin

A client has informed the nurse that he begun supplementing his medication regimen with a series of herbal remedies recommended by his sister-in-law. Which is the most important nursing intervention regarding the safe use of herbal supplements?

Research for potential interactions with medications.

Prior to administering propylthiouracil, the nurse has reviewed the relevant BBW and should teach the client about the need for what form of follow up?

Routine liver function testing

***What is the expected action of sitagliptin on type 2 diabetes?

Slows the rate of inactivation of the incretin hormones

You are giving 40 unites of Levemir. Which type of syringe do you utilize to get the most accurate dose?

Smaller one (50 unit syringe)

In light of the BBW that accompanies desmopressin, the ICU nurse should prioritize the assessment of which of the client's laboratory values?

Sodium

Which medication reduces aldosterone-induced retention of sodium and water when prescribed for the treatment of HF?

Spironolactone (Aldactone)

Which teaching intervention is a priority for the client prescribed an albuterol inhaler experiencing SOB related to the physiological constriction of airways?

Stop smoking due to the bronchoconstriction

The nurse is administering norepinephrine intravenous to an adult client diagnosed with septic shock. The client suddenly develops redness and edema at the right forearm IV site. The client's SBP is 88 mm. What action would the nurse implement first?

Stop the infusion and administer diluted phentolamine.

The development of a new infection as a result of the elimination of normal flora by an antibiotic is referred to as what?

Superinfection

**A nurse is working with a newly diagnosed diabetic patient on understanding hypoglycemia and insulin reactions. Which of the following actions would be most important for the patient to understand when planning the response to an insulin reaction?

Take an oral dose of some form of glucose as soon as possible.

A client diagnosed with hypothyroidism is started on levothyroxine. What should the client be taught regarding medication administration in the home setting?

Take the medication on an empty stomach.

You question an order from the physician because you realize a 6 year old is taking tetracycline for an ear infection. Why? Select all that apply.

Tetracycline can cause permanent tooth discoloration and affect growth.

*****What condition must be met in order for glyburide treatment to be effective?

The client must have functioning pancreatic beta cells.

A middle-aged client has presented to the emergency department (ED) after 36 hours of severe diarrhea that shows no sign of abating. The ED nurse should be aware that the use of diphenoxylate would be contraindicated in which circumstance?

The client's diarrhea is caused by the ingestion of toxins.

***A 13 year old boy who is in the first percentile of height for his age has been referred for care. Which assessment finding would contraindicate the safe and effective use of somatropin to treat his growth deficiency?

The epiphyses of the boy's long bones have closed.

An adult client with a long-standing dysrhythmia has been taking oral propranolol for the last several months, resulting in acceptable symptom control. What is a priority teaching point for the nurse to communicate to this client?

The importance of not stopping the medication abruptly.

A nurse has administered a dose of a drug that is known to be highly protein bound. What are the implications of this characteristic?

The molecules of the drug that are bound to protein are inactive.

Following an assessment by her primary care provider, a 70 year old resident of an assisted living facility has begun taking daily oral doses of levothyroxine. Which of the following assessment findings should prompt the nurse to withhold a scheduled dose of levothyroxine?

The resident's apical heart rate is 112 beats/minute with a regular rhythm.

An adult hospital client has been experiencing intractable nausea and vomiting for several hours, so the nurse has obtained an order for an antiemetic from the primary care provider. The order reads: "Promethazine 25 mg subcutaneously every 6 hours PRN". The nurse should contact the care provider to question what aspect of this order?

The route

An older adult client has an elevated serum Cr level. This client is at greatest risk for which medication related effect?

Toxicity

Mebendazole is used treat?

Treat infections caused by worms (pinworm, roundworm, etc.)

Gentamicin can cause permanent hearing loss if the patient has a hearing deficit already.

True

A client prescribed an antihistamine for nausea should be monitored for which adverse effect of this classification of medications?

Urinary retention

Which teaching intervention is most important to share with the client prescribed misoprostol?

Use effective contraceptive measures -can cause abortion

A client is being assessed by the home care nurse on the appropriate use of her metered-dose inhalers. Instructions concerning which intervention will assist in the proper administration of a metered-dose inhaler?

Using a spacer -it will increase compliance and accuracy of administration

A nurse is providing patient education to a female patient who is taking fludrocortisone. The nurse will instruct the patient to monitor which of the following at home?

Weight gain

When will the nurse know that the client has maximal tolerance of isosorbide dinitrate?

When a headache develops

A client is scheduled for a colonoscopy in the morning. The nurse will provide information to the client concerning which laxative?

polyethylene glycol-electrolyte solution