Pharm Final Exam
A nurse is preprring to administer prochlorperazine 2.5 mg IV. Available is prochlorperazine injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
0.5 mL
a nurse is preparing to administer heparing 8,000 units subcutaneously every 8 hr. Available is heparin 10,000 units/1mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
0.8 mL
A nurse is preparing to administer furosemide 4 mg/kg/day PO divided into 2 equal doses daily to a toddler who weighs 22 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
20 mg
A nurse is preparing to administer lactated ringer's (LR) 1,000 mL IV to infuse over 8 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
21 gtt/min
A nurse is preparing to administer amoxicillin 250 mg liquid suspension PO every 8 hr to an older adult client. The amount available is amoxicillin 50 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
5 mL
A nurse is preparing to administer an enteral tube feeding through an NG tube at 250 ml over 4 hr. The nurse should set the pump to deliver how to many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
63 mL/hr
A nurse is providing teaching to a client who has hypertension and type 1 diabetes mellitus and a new prescription for metoprolol. Which of the following statements by the client indicates an understanding of the teaching? A. "I might have difficulty recognizing when my blood sugar is low." B. "I will have less risk for developing an infection while I take this medication." C. "I should be concerned about losing excess weight while I take this medication." D. "I could have more problems with high blood sugars while taking this medication."
A. "I might have difficulty recognizing when my blood sugar is low."
a nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered dose inhaler. Which of the following statements by the parent indicates the need for further teaching? A. "I will give my child a dose as soon as wheezing starts." B. "My child should rinse out his mouth after using the inhaler." C. "My child should exhale completely before placing the inhaler in his mouth." D. "If my child has difficulty breathing in the dose, a spacer can be used."
A. "I will give my child a dose as soon as wheezing starts."
A nurse is preparing a discharge teaching plan for a 6-year-old client who has asthma and several prescription medications using metered dose inhalers (MDIs). Which of the following interventions should the nurse include in the plan? A. Add a spacer to each MDI. B. Instruct the child to inhale more rapidly than usual when using an MDI. C. Request that the provider change the child's medications from inhaled to oral formulations. D. Administer oxygen by facemask along with the MDI.
A. Add a spacer to each MDI.
A nurse is preparing to administer iron dextran IV to a client. Which of the following actions should the nurse plan to take? A. Administer a small test dose before giving the full dose. B. Infuse the medication over 30 seconds. C. Monitor the client closely for hypertension after the infusion. D. Administer cyanocobalamin as an antidote if iron dextran toxicity occurs.
A. Administer a small test dose before giving the full dose.
A nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. Which of the following actions should the nurse take? A. Administer the medication into the client's abdomen. B. Inject the medication into a muscle. C. Massage the site after administering the medication. D. Use a 22-gauge needle to administer the medication.
A. Administer the medication into the client's abdomen.
A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? A. Antiestrogenic B. Antimicrobial C. Androgenic D. Anti-inflammatory
A. Antiestrogenic
A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following data shoals the nurse plan to review prior to administration of this medication? A. Blood pressure B. Temperature C. Blood glucose levels D. Total protein level
A. Blood pressure
A nurse is planning discharge teaching for a client who has major depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse include in the plan as safe for the client to consume while taking phenelzine? A. Broiled beef steak B. Macaroni and cheese C. Pepperoni pizza D. Smoked salmon
A. Broiled beef steak
A nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem? A. Hypotension B. Tachycardia C. Decreased level of consciousness D. History of diuretic use
A. Hypotension
A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Jaundice B. Constipation C. Oral candidiasis D. Sedation
A. Jaundice
A nurse is providing teaching to a newly licensed nurse about administering morphine via IV bolus to a client. Which of the following information should the nurse include in the teaching? A. Respiratory depression can occur 7 min after the morphine is administered. B. The morphine will peak in 10 min. C. Withhold the morphine if the client has a respiratory rate less than 16/min. D. Administer the morphine over 2 min.
A. Respiratory depression can occur 7 min after the morphine is administered.
A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contraindicated for children who have a viral infection due to the risk of developing which of the following adverse effects? A. Reye's syndrome B. Visual disturbances C. Diabetes mellitus D. Wilms' tumor
A. Reye's syndrome
A nurse is providing teaching to a client who has rhematoid arthritis and a new prescription for long-term prednisone therapy. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Stress fractures B. Orthostatic hypotension C. Gingival ulcerations D. Weight loss
A. Stress fractures
A health care professional is caring for a patient who is about to begin using nystatin (Mycostatin) to treat oral candida albicans that resulted from tetracycline therapy. Which of the following instructions should the health care professional include about using the antifungal preparation? A. Swish the suspension in the mouth before swallowing it B. Rinse the mouth immediately with water C. Drink the suspension with a straw D. Use a cotton-tipped applicator to dab the mouth lesions with the suspension
A. Swish the suspension in the mouth before swallowing it
A nurse is planning care for a female client who has severe irritable bowl syndrome with diarrhea (IBS-D) and a new prescription for alosetron. Which of the following interventions should the nurse include in the plan of care? A. The client must sign an agreement with the provider before beginning alosetron. B. The client must stop taking alosetron if diarrhea continues 1 week after beginning the medication. C. The client should expect to have a slower heart rate while taking alosetron. D. The client should use a barrier birth control method because alosetron interacts with oral contraceptives.
A. The client must sign an agreement with the provider before beginning alosetron.
A nurse is assessing a client who reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following therapeutic effects? A. Urinary health promotion B. Immune system stimulation C. Decreased leg pain from arterial disease D. Prevention of nausea caused by motion sickness
A. Urinary health promotion
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily but the client reports she has been taking extra doses to promote weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated? A. Urine specific gravity 1.035 B. Distended neck veins C. BUN 18 mg/dL D. Bounding radial pulses
A. Urine specific gravity 1.035
A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? A. amantadine B. bupropion C. phenelzine D. hydroxyzine
A. amantadine
A health care professional is caring for a patient who is taking warfarin (coumadin) and is about to begin taking trimethoprim/sulfamethoxaole (Bactrim) to treat a urinary tract infection. The health care professional should question the drug regimen because taking these two drugs concurrently can increase the patient's risk for which of the following? A. bleeding B. thrombosis C. ECG changes D. ototoxicity
A. bleeding
A health care professional is caring for a patient who is about to receive gentamicin to treat a systemic infection. The health care professional should question the use of the drug for a patient who is also taking which of the following drugs? A. furosemide (Lasix) B. diphenhydramine C. acetaminophen (Tylenol) D. levothyroxine (Synthroid)
A. furosemide (Lasix)
A health care professional is caring for a patient who is about to begin taking isoniazid (INH) to treat tuberculosis. The health care professional should tell the patient to report which of the following adverse effects of the drug? (Select all that apply.) A. jaundice B. numbness of the hands C. dizziness D. hearing loss E. oral ulcers
A. jaundice B. numbness of the hands C. dizziness
A health care professional is caring for a patient who is about to begin taking metronidazole (Flagyl) to treat an anaerobic intra-abdominal bacterial infection. The health care professional should recognize that cautious use of the drug is indicated if the patient also has which of the following? A. seizure disorder B. hearing loss C. asthma D. anemia
A. seizure disorder
A patient who is taking ciprofloxacin (Cipro) to treat a respiratory tract infection contacts the health care professional to report dyspepsia ( heart burn) The health care professional should recommend which of the following instructions? A. take an antacid at least 2 hr after taking the drug B. take the drug with a cup of coffee C. take an iron supplement with the drug D. drink 8 oz of milk with the drug
A. take an antacid at least 2 hr after taking the drug
A health care professional is caring for a patient who is about to begin taking chloroquine (Aralen) to prevent malaria. When talking with the patient about taking the drug, the health care professional should include which of the following instructions? (Select all that apply.) A. wear sunglasses outdoors B. take the drug with an antacid C. avoid driving D. take the drug with lemonade E. take the drug with food
A. wear sunglasses outdoors C. avoid driving E. take the drug with food
A nurse is providing discharge teaching to a client who had a kidney transplant and has a prescription for oral cyclosporine. Which of the following statements by the client indicates an understanding of the teaching? A. "I will be able to stop taking this medication 6 months after my surgery." B. "I am likely to develop higher blood pressure while taking this medication." C. "I am likely to lose my hair while taking this medication." D. "I am taking this medication to boost my immune system."
B. "I am likely to develop higher blood pressure while taking this medication."
A nurse is providing discharge teaching to a client who has been hospitalized for major depressive disorder and has a prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? A. "I will take amitriptyline in the morning because I'm likely to have trouble falling asleep if I take it in the evening." B. "I will move slowly when I stand up because amitriptyline can cause my blood pressure to decrease." C. "I can drink a glass of beer or wine with my evening meal because amitriptyline doesn't interact with alcohol." D. "I will avoid foods high in fiber because amitriptyline can cause diarrhea."
B. "I will move slowly when I stand up because amitriptyline can cause my blood pressure to decrease."
A nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks for the treatment of active pulmonary tuberculosis (TB). The client reports his urine is an orange color. Which of the following statements should the nurse make? A. "Stop taking the isoniazid for 3 days and the discoloration should go away." B. "Rifampin can turn body fluids orange." C. "I'll make an appointment for you to see the provider this afternoon." D. "Isoniazid can cause bladder irritation."
B. "Rifampin can turn body fluids orange."
A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent client who has type 1 diabetes mellitus. The nurse should anticipate onset of action of the insulin at which of the following times? A. 0800 B. 0745 C. 0900 D. 1030
B. 0745
a nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has Paget's disease of the bone. Which of the following actions should be the nurse's priority? A. administer the medication to the client before breakfast in the morning B. Ambulate the client to a chair prior to administering the medication. C. Give the medication to the client with water rather than milk. D. Teach the client how to take the medication at home.
B. Ambulate the client to a chair prior to administering the medication.
A nurse is caring for a client who has a positive tuberculin skin test and is beginning a prescription for isoniazid. The nurse should teach the client that which of the following laboratory values should be monitored while taking isoniazid? A. Thyroid Stimulating Hormone level (TSH) B. Aspartate aminotransferase (AST) C. Potassium D. Sodium
B. Aspartate aminotransferase (AST)
A nurse is providing discharge teaching to a client who has venous thrombosis and a prescription for warfarin. Which of the following instructions should the nurse include in the teaching? A. Take ibuprofen as needed for headache or other minor pains. B. Carry a medic alert ID card. C. Report to the laboratory weekly to have blood drawn for aPTT. D. Increase intake of dark green vegetables.
B. Carry a medic alert ID card.
A healthcare professional is caring for a patient who is about to begin receiving acyclovir (Zovirax) IV to treat a viral infection. The healthcare professional should recognize that cautious use of the drug is essential if the patient also has which of the following? A. Heart failure B. Dehydration C. Asthma D. Tinnitus
B. Dehydration
A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should include the teaching that which of the following conditions is a contraindication to this medication? A. Hyperthyroidism B. Intestinal obstruction C. Glaucoma D. Low blood pressure
B. Intestinal obstruction
A nurse is caring for a client who is in preterm labor and has a new prescription for nifedipine. The client states she is concerned because her father takes nifedipine for his angina pectoris. The nurse should explain to the client that nifedipine works for clients who are pregnant by which of the following mechanisms? A. It decreases the incidence of bacterial vaginosis, thus preventing uterine contractions. B. It inhibits uterine contractions by blocking entry of calcium into uterine cells. C. It decreases the activity within the CNS, which regulates all smooth muscle. D. It stimulates beta2 receptors in the uterus, which results in decreased frequency of contractions.
B. It inhibits uterine contractions by blocking entry of calcium into uterine cells.
a nurse is caring for a client who has a new prescription for ergotamine. The nurse should recognize that ergotamine is administered to treat which of the following conditions? A. Raynaud's phenomenon B. Migraine headaches C. Ulcerative colitis D. Anemia
B. Migraine headaches
A nurse is providing teaching a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following adverse effects of metformin should the nurse instruct the client to watch for and report to the provider? A. Weight gain B. Myalgia C. Hypoglycemia D. Severe constipation
B. Myalgia
A nurse is reviewing the laboratory results for a client who has a prescription for filgrastim. The nurse should recognize that an increase in which of the following values indicates a therapeutic effect of this medication? A. Erythrocyte count B. Neutrophil count C. Lymphocyte count D. Thrombocyte count
B. Neutrophil count
A nurse is caring for a client who is at 28 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? A. Oxytocin B. Nifedipine C. Dinoprostone D. Misoprostol
B. Nifedipine
a nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor? (Select all that apply.) A. BUN B. PTT C. Aspartate aminotransferase (AST) D. Urinalysis E. Alanine aminotransferase (ALT)
B. PTT C. Aspartate aminotransferase (AST) E. Alanine aminotransferase (ALT)
A nurse is monitoring laboratory values for a male client who has leukemia and is receiving weekly chemotherapy with methotrexate via IV infusion. Which of the following laboratory values should the nurse report to the provider? A. BUN 18 mg/dL B. Platelets 78,000/mm3 C. Hemoglobin 14.2 g/dL D. Aspartate aminotransferase (AST) 35 units/L
B. Platelets 78,000/mm3
A nurse is assessing a client who is receiving IV gentamicin three times daily. Which of the following findings indicates that the client is experiencing an adverse effect of this medication? A. Hypoglycemia B. Proteinuria C. Nasal congestion D. Visual disturbances
B. Proteinuria
A nurse is reviewing the laboratory values for a client who is receiving a continuous IV heparin infusion and has an aPTT of 90 seconds. Which of the following actions should the nurse prepare to take? A. Administer vitamin K B. Reduce the infusion rate C. Give the client a low-dose aspirin D. Request an INR
B. Reduce the infusion rate
A home health nurse is visiting an older adult client who has Alzheimer's disease. His caregiver tells the nurse she has been administering prescribed lorazepam, 1 mg three times per day, to the client for restlessness and anxiety during the past few days. For which of the following adverse effects should the nurse assess the client? A. Low-grade fever B. Sedation C. Diuresis D. Tonic-clonic seizures
B. Sedation
A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tertracycline for 7 days. The nurse should recognize that candidiasis is a manifestation of which of the following adverse effects? A. Allergic response B. Superinfection C. Renal toxicity D. Hepatotoxicity
B. Superinfection
A nurse is assessing a client who takes oral theophylline for relief of chronic bronchitis. The nurse should recognize that which of the following findings indicates toxicity to theophylline? A. Constipation B. Tremors C. Fatigue D. Bradycardia
B. Tremors
A health care professional is caring for a patient who is about to begin taking cephalexin (Keflex) to treat bacterial meningitis. The health care professional should explain to the patient the need to monitor which of the following laboratory tests. A. prothrombin time B. creatinine C. aspartate aminotransferase D. potassium
B. creatinine
Which of the following drugs should a provider prescribe for a patient who has streptococcal pharyngitis and is allergic to penicillin? A. nafcillin (Unipen) B. erythromycin C. cephalexin (Keflex) D. amoxicillin/clavulanic acid (Augmentin)
B. erythromycin
A patient who is taking tetracycline orally to treat a chlamydia infection contacts the healthcare professional to report sever blood-tinged diarrhea. Recognizing the adverse effects of tetracycline, the healthcare professional should suspect which of the following? A. hemorrhoids B. pseudomembranous enterocolits C. diverticular disease D. small bowel obstruction
B. pseudomembranous enterocolits
A patient who is taking imipenem (Primaxin) to treat a bacterial infection contacts the health care professional to report an inability to eat because of mouth pain. Recognizing the adverse effects of amoxicillin , the health care professional should suspect which of the following? A. malabsorption B. suprainfection C. anorexia D. dental caries
B. suprainfection
A nurse is providing discharge teaching about lithium toxicity to a client who has a new prescription for lithium. Which of the following statements by the client indicates an understanding of the teaching? A. "I should take naproxen if I have a headache because aspirin can cause lithium toxicity." B. "I can develop lithium toxicity if I eat foods with lots of sodium." C. "I can develop lithium toxicity if I experience vomiting or diarrhea." D. "I might need to take a daily diuretic along with my lithium to prevent lithium toxicity."
C. "I can develop lithium toxicity if I experience vomiting or diarrhea."
A nurse is providing teaching to a client who has postmenopausal osteoporosis and a new prescription for intranasal calcitonin-salmon. Which of the following statements by the client indicates an understanding of the teaching? A. "I will administer a spray into each nostril daily." B. "I should expect nasal bleeding for the first week." C. "I will need to depress the side arms to activate the pump." D. "I should expect to take this medication for a short-term course of treatment."
C. "I will need to depress the side arms to activate the pump."
A nurse is providing discharge teaching to a client who had a bleeding duodenal ulcer and is prescribed omeprazole. Which of the following statements should the nurse include in the teaching? A. "You will need to take this medication for the next 6 months." B. "Taking this medication will decrease your risk for acquiring pneumonia." C. "You should take this medication before breakfast every day." D. "Watch for the serious adverse effects of tachycardia and heart palpitations while taking this medication."
C. "You should take this medication before breakfast every day."
A nurse is caring for a client and realizes after administering the 0900 medications that she administered digoxin 0.25 mg PO to the client instead of the prescribed 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. Assess the client's apical pulse. D. Complete an incident report.
C. Assess the client's apical pulse.
A health care professional is caring for a patient who is about to begin taking acyclovir (Zovirax) to treat a herpes simplex infection. The health care professional should monitor which of the following laboratory values for the patient? A. prothrombin time B. Hct C. BUN D. aspartate aminotransferase
C. BUN
A nurse is caring for a client who has a prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects? A. Insomnia B. Hypotension C. Bleeding D. Constipation
C. Bleeding
A nurse is administering adenosine via IV bolus for a client who has developed paroxysmal atrial tachycardia. For which of the following findings should the nurse assess the client during administration adenosine? A. Seizures B. Cinchonism C. Dyspnea D. Transient pallor of the face
C. Dyspnea
A nurse is caring for an older client who has a prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to perform prior to starting the client on this medication? A. Hearing examination B. Glucose tolerance test C. Electrocardiogram D. Pulmonary function tests
C. Electrocardiogram
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects? A. Nausea B. Metallic taste C. Fever D. Drowsiness
C. Fever
a nurse is caring for a client who has a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects of this medication? A. Ecchymosis B. Jaundice C. Hypotension D. Hypokalemia
C. Hypotension
A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid stimulating hormone(TSH) level and a decreased total T3 and T4 level. The nurse should anticipate a prescription for which of the following medications? A. Methimazole B. Somatropin C. Levothyroxine D. Propylthiouracil
C. Levothyroxine
A nurse is caring for a client who has a new 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 caring for a client who was brought to the emergency department by friends who report the client has overdosed on heroin. Which of the following findings should the nurse expect to assess? A. Temperature 39.2° C (102.6° F) B. Respiratory rate 30/min C. Pinpoint pupils D. Severe abdominal cramping
C. Pinpoint pupils
A nurse is providing teaching to a newly licensed nurse about ceftriaxone. The nurse should include a severe allergy to which of the following medications as a contraindication to ceftriaxone? A. Gentamicin B. Clindamycin C. Piperacillin D. Sulfamethoxazole-trimethoprim
C. Piperacillin
A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and a new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching? A. Reduces blood pressure B. Inhibits clotting of fistula C. Promotes RBC production D. Stimulates growth of neutrophils
C. Promotes RBC production
A nurse is preparing a discharge teaching plan for a client who is to begin long-term oral prednisone for asthma. Which of the following instructions should the nurse include in the plan? A. Stop taking the medication if a rash occurs. B. Take the medication on an empty stomach to enhance absorption. C. Schedule the medication on alternate days to decrease adverse effects. D. Treat shortness of breath with an extra dose of the medication.
C. Schedule the medication on alternate days to decrease adverse effects.
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
C. Tinnitus
A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of the following findings should alert the nurse that the client is experiencing acute levothyroxine overdose? A. Bradycardia B. Cold intolerance C. Tremor D. Hypothermia
C. Tremor
A health care professional is caring for a patient who is about to begin gentamicin therapy to treat an infection. The health care professional should monitor the patient for which of the following? A. Bowel function B. Peripheral pulses C. Urine output D. Level of consciousness
C. Urine output
A health care professional is preparing to administer amphotericin B IV to a patient who has a systemic fungal infection. Which of the following drugs should the health care professional administer prior to the infusion to prevent or minimize adverse reactions during amphotericin B administration? (Select all that apply.) A. aspirin (Ecotrin) B. hydrocortisone (Solu-Cortef) C. acetaminophen (Tylenol) D. diphenhydramine E. ibuprofen (Advil)
C. acetaminophen (Tylenol) D. diphenhydramine
A patient is taking amoxicillin (amoxil) to treat a respiratory infection and reports rash and wheezing. Which of the following instructions should the health care professional provide? A. wait 1 hr and contact the provider if there is no improvement B. skip today's dose of amoxicillin and resume taking the drug tomorrow C. call emergency services immediately D. take an NSAID to reduce the skin and airway inflammation
C. call emergency services immediately
A health care professional is caring for a patient who is about to begin taking nitrofurantoin (Macrodantin) to treat a urinary tract infection. The health care professional should tell the patient to report which of the following adverse effects of the drug? A. constipation B. dark brown urine C. cough D. tremors
C. cough
A health care professional is caring for a patient who is about to begin taking ketoconazole to treat a fungal infection. The health care professional should tell the patient to report which of the following adverse effects of the drug? A. tingling in the hands and feet B. joint pain C. gynecomastia D. excessive sweating
C. gynecomastia
A nurse is administering ciprofloxacin and phenazopyridine to a client who has a severe urinary tract infection (UTI). The client asks why both medications are needed. Which of the following responses should the nurse make? A. "Phenazopyridine decreases adverse effects of ciprofloxacin hydrochloride." B. "Combining phenazopyridine with ciprofloxacin hydrochloride shortens the course of therapy." C. "The use of phenazopyridine allows for a lower dosage of ciprofloxacin hydrochloride." D. "Ciprofloxacin hydrochloride treats the infection, and the phenazopyridine treats pain."
D. "Ciprofloxacin hydrochloride treats the infection, and the phenazopyridine treats pain."
A nurse is providing teaching to a client who has urinary tract infection and new prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching? A. "If the phenazopyridine upsets my stomach, I can take it with meals." B. "The phenazopyridine will relieve my discomfort, but the ciprofloxacin will get rid of the infection." C. "I need to drink 2 liters of fluid per day while I am taking the ciprofloxacin." D. "I should notify my provider immediately if my urine turns an orange color."
D. "I should notify my provider immediately if my urine turns an orange color."
A nurse is providing discharge teaching to a client who has heart failure and a prescription 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. "I know that 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 high potassium content every day."
D. "I will eat fruits and vegetables that have high potassium content every day."
A nurse is providing teaching to a client who has heart failure and is taking spironolactone. Which of the following statements by the client indicates an understanding of the teaching? A. "I will increase my intake of citrus fruits, bananas, and potatoes." B. "I will use salt substitutes on my food." C. "I will drink as much water as I can while taking this medication." D. "I will watch for increased breast tissue growth while taking this medication."
D. "I will watch for increased breast tissue growth while taking this medication."
a nurse is providing teaching to 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 the hydrochlorothiazide on an empty stomach." D. "Take the hydrochlorothiazide in the morning."
D. "Take the hydrochlorothiazide in the morning."
A nurse is providing teaching to a client who is to start taking hydrochlorothiazide for hypertension. The nurse instructs the client to eat foods 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. "Potassium will increase the therapeutic effect of my blood pressure medication." C. "Potassium will lower my blood pressure." D. "This medication can cause a loss of potassium."
D. "This medication can cause a loss of potassium."
A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer? A. Ibuprofen B. Naproxen C. Aspirin D. Acetaminophen
D. Acetaminophen
A nurse is providing teaching to 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.
D. Avoid driving until the client's reaction to the medication is known.
A nurse is preparing to administer oxytocin to a client who is at 41 weeks of gestation and is experiencing ineffective labor. Which of the following actions should the nurse plan to take? A. Place the oxytocin from a pre-filled syringe into the posterior fornix of the vagina every 10 min until effective labor occurs. B. Check the client's blood pressure and pulse every 15 min while induction of labor is occurring. C. Stop the oxytocin for contractions that continue longer than 30 seconds. D. Increase the dose of oxytocin to obtain uterine contractions that occur every 2 to 3 min.
D. Increase the dose of oxytocin to obtain uterine contractions that occur every 2 to 3 min.
A nurse is providing teaching to a newly licensed nurse about caring for a client who has a prescription for gemfibrozil. The nurse should instruct the newly licensed nurse to monitor which of the following laboratory tests? A. Platelet count B. Electrolyte levels C. Thyroid function D. Liver function
D. Liver function
A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan to monitor the client for which of the following adverse effects? A. Hyperkalemia B. Hypertension C. Constipation D. Nephrotoxicity
D. Nephrotoxicity
A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg 3 times daily PO and gabapentin 1,800 mg three times daily to manage pain. The client tells the nurse, "I'm having pain that keeps me from doing what I'd like most of the time." Which of the following additions should the nurse anticipate to the client's medication regimen? A. Oral meperidine B. Parenteral naloxone C. Parenteral diazepam D. Oral oxycodone
D. Oral oxycodone
A nurse is providing teaching to a client who has cirrhosis and a new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects? A. Increases blood pressure B. Prevents esophageal bleeding C. Decreases heart rate D. Reduces ammonia levels
D. Reduces ammonia levels
A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects? A. Hypotension B. Hyperthermia C. Hypoglycemia D. Tachycardia
D. Tachycardia
When administering erythromycin (a macrolide) to a patient who has pneumococcal pneumonia, the healthcare professional should monitor for which of the following adverse reactions? A. hypothermal B. blurred vision C. constipation D. cardiac dysrhythmias
D. cardiac dysrhythmias
A primary care provider is considering the various pharmacologic options for a patient who has a gynecologic infection and a history of alcohol use disorder. Which of the following medications can cause a reaction similar to disulfiram (Antabuse) if the patient drinks alcohol while taking it? (Select all that apply.) A. nitrofurantoin (Macrodantin) B. amoxicillin (Amoxil) C. aztreonam (Azactam) D. cefotetan E. metronidazole (Flagyl)
D. cefotetan E. metronidazole (Flagyl)
A nurse is caring for an adult client who has prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effects? A. ecchymosis B. decreased urine output C. increased blood pressure D. dizziness
D. dizziness
A primary care provider should prescribe a lower dose of aztreonam (Azactam) for a patient who has a respiratory tract infection and also has which of the following? A. glaucoma B. closed-head injury C. heart failure D. renal impairment
D. renal impairment
While administering IV cefotetan to a patient to treat bacterial meningitis, the health care professional finds the IV insertion site warm and reddened. Which of the following actions should the health care professional take? A. slow the cefotetan infusion B. administer diphenhydramine C. request a prescription for another antibiotic D. stop the cefotetan infusion
D. stop the cefotetan infusion
A health care professional is caring for a patient who is taking ciprofloxacin (cipro) to treat urinary tract infection and has rheumatoid arthritis, for which he takes prednisolone (prelone). Recognizing the adverse effects of ciprofloxacin, the health care professional should tell the patient to report which of the following? A. tachycardia B. hair loss C. insomnia D. tendon pain
D. tendon pain
A health care professional is caring for a patient who takes an oral contraceptive and is about to begin rifampin (Rifandin) therapy to treat tuberculosis. The health care professional should include which of the following instructions? A. increase the rifampin dose B. increase the oral contraceptive dose C. allow 2 hr between taking the two drugs D. use additional contraception
D. use additional contraception
A primary care provider is prescribing drug therapy for a patient whose sputum culture results indicate methicillin-resistant Staphylococcus aureus (MRSA). Which of the following drugs should be administered? A. trimethoprim/sulfamethoxazole (Bactrim) B. tetracycline C. cephalexin (Keflex) D. vancomycin (Vancocin)
D. vancomycin (Vancocin)
