Pharm Final

the nurse adminsters a tube of glucose gel to a client who is hypoglycemic. which explanation would the nurse share regarding the reversal of hypoglycemia?

it provides a glucose source that is rapidly absorbed

which action would the nurse do immediately when the nurse finds the respiratory rate is 8 breaths per minute in a client who is on intravenous morphine sulfate?

stop administering the medication

which action is the nurse's responsibility when administering prescribed opioid analgesics?

- count the client's respirations - document the intensity of the client's pain - verify the number of doses in the locked cabinet before administering the prescribed dose

a client is admitted to the hospital with a diagnosis of deep vein thrombosis, and intravenous (IV) heparin sodium is prescribed. if the client experiences excessive bleeding, which medication will the nurse be prepared to administer?

protamine sulfate

a client with type 2 diabetes takes one glyburide tablet daily. the client asks whether an extra tablet should be taken before exercise. which response will the nurse provide

"do not take an extra pill because you may become hypoglycemic when exercising"

The nurse is teaching a nursing student about the minimal effect of concentration of antibiotics. Which statement by the nursing student indicates understanding of this concept?

A serum drug level greater than the MEC is sufficient to halt the growth of the micro organism

the nurse is caring for a client who is receiving intermittent intravenous piggyback (IVPG) doses of vancomycin every 12 hours. the primary health care provider prescribes trough levels of the antibiotic. the nurse schedules the blood sample to be obtained at which time?

just before the medication is administered

The nurse is preparing to administer the first dose of intravenous cedtriaxone (rocephine) to a patient. When reviewing the patient's chart the nurse knows that the patient previously experienced a rash when taking amoxicillin. What is the nurses next action?

Administers a drug and observe closely for hypersensitivity reactions

the nurse completes medication reconciliation in preparation for discharge of a client recovering from osteomyelitis and a ruptured achilles tendon. for which medication would the nurse contact the primary health care provider?

levofloxacin

Which statement best describes the mechanism of action of uricosuric agents?

Increase the renal excretion of uric acid

The nurse is caring for a patient who states I can't take aspirin it makes my stomach hurt what is the nurses best response to the patient?

You can try enteric coated aspirin

a client is prescribed epoetin injections. to ensure the client's safety, which laboratory value would the nurse assess before administration?

hemoglobin

A child is to receive 100 mg of acetaminophen. The bottle states a solution contains 160 mg per 5 mL. How many milliliters of the child receive in each dose

3

a client develops a deep vein thrombophlebitis in her leg 3 weeks after giving birth and is admitted for anticoagulant therapy. the nurse would anticipate developing a teaching plan for which anticoagulant?

heparin

after the nurse has instructed a client with active tuberculosis (TB) on self-care at home, which client statement indicates understanding of the teaching?

"I will plan to stop drinking alcohol during treatment"

Which patient may require a higher than expected those of an opioid analgesic

A patient with cancer

a primary health care provider prescribed isoniazid to a client with tuberculosis. which instruction by the nurse will be beneficial to the client

"you should take the medication on an empty stomach"

Which actions can contribute to bacterial resistance to antibiotics?

Frequent use of antibiotics Skipping doses Treating viral infections with antibiotics

a client is prescribed metformin extended release to control type 2 diabetes mellitus. which statement made by this client indicates the need for further education?

"I will stop taking metformin for 24 hours before and after having test involving dye"

after surgery, an adolescent has a patient-controlled analgesia (PCA) pump that is set to allow morphine delivery every 6 minutes. which statement indicates to the nurse that the family understand instructions about the PCA pump?

"She needs to push the PCA button whenever she needs pain medication"

Trimethoprim/Sulfamethoxazole is prescribed for a child with a urinary tract infection. which statement by the parent indicates the nurse's instructions about administration have been understood?

"i'll make sure to give each pill with 6 to 8 oz of fluid"

aspirin is prescribed for a client with rheumatoid arthritis. which clinical indicators of aspirin toxicity will the nurse teach the client to report?

- blood in the stool - ringing in the ears

the nurse concludes that a client has a hypoglycemic reaction to insulin. which clinical findings support this conclusion?

- irritability - heart palpitations

Do you have an order to administer 0.25 mg of tiger son POQD. You have on hand dig oxen liquid label 0.125 mg per 5 mL. How many Ml will you administer?

10

Your patient has an order for maalox 2 ounces PO every two hours. You have on hand Maalox suspension 30 mL single dose cups. You will administer cups for each dose

2

The nurse providing patient education to the patient starting probenecid for treatment of gout should include which fact in the teaching plan?

Avoid taking aspirin concurrently

A patient is receiving high doses of cefazolin. Which laboratory values will this patient's nurse monitor closely?

Blood urea nitrogen, serum creatinine and liver function tests

The nurse is performing an admission assessment on an adolescent reports taking extra strength acetaminophen regularly to treat daily headaches the nurse will notify the patient provider and discuss an order for which of the following?

Liver enzyme testing

A patient has been taking aspirin for chronic pain. The patient states of the pain is not relieved with 650 mg of aspirin every four hours. What is the best instruction for the nurse to give the patient?

Notify your healthcare providers of the medication is not effective

Which assessment findings indicates that the nonsteroidal anti-inflammatory drug has been effective?

Pain has decreased from a 6 to 1 on a scale of 10

The nurse is teaching a patient who will be discharged home from the hospital to take amoxicillin twice daily for 10 days. Which statement by the nurse is correct?

Stop taking the drug notify provider if you develop a rash while taking this drug

a client with chronic obstructive pulmonary disease prepares to take a medication that is delivered via a nebulizer. which instruction would the nurse provide when teaching about use of the nebulizer?

"seal your lips around the mouthpiece and breathe in and out, taking slow, deep breaths.

atenolol is prescribed for a client with moderate hypertension. which information would the nurse include when teaching the client about this medication?

- change to standing positions slowly - count the pulse before taking the medication - mild weakness and fatigue are common side effects

a client is receiving patient-controlled analgesia (PCA) after surgery. which benefit would this type of therapy provide?

- client is able to self-administer pain-relieving medications as necessary - decreases client dependency - increases client sense of autonomy

intravenous (IV) insulin is prescribed for a client in. which insulin can be administered IV?

- lispro insulin - aspart insulin - regular insulin - glulisine

which action would the nurse include in the plan of care for a client who had an ischemic stroke caused by atrial filbrillation and has been placed on anticoagulation therapy to prevent further strokes from occuring?

- wearing medical alert bracelt - initiating bleeding precautions - refraining from estrogen therapy - obtaining routine prothrombin times - notifying providers of anticoagulation

when a client has a prescription for warfarin, which foods would the nurse teach the client to limit?

-spinach - broccoli

What is the most important information for the nurse to include in the teaching plan for the patient receiving allopurinol?

Do not take this medication during an acute attack of gout

The nurse is caring for a six-year-old child you had surgery that morning. The child is awake in line very soon bed and will respond to the nurse asked about pain. The nurse will perform which action?

Evaluate the child pain using an out scale or faces

The nurse is preparing to give a dose of cephalosporin medication to a patient who has been receiving the anabiotic for two weeks. The nurse notes ulcers On the patients tongue and Buechel mucosa. Which actual nurse take?

Report a possible superinfection side effect of the cephalosporin

which medication requires the nurse to monitor the client for signs of hyperkalemia?

spironolactone

A client with type I diabetes is placed on an insulin pump. Which is the priority short-term goal when teaching this client to control the diabetes?

the client will demonstrate correct use of the insulin pump

a client begins therapy with a new medication. one month later the client notices blood in the urine. which medication would the nurse anticipate is the cause?

warfarin

while receiving an adrenergic beta 2 agonist medication for asthma, the client complains of palpitations, chest pain, and throbbing headache. which nursing action is the most appropriate?

withhold the medication and notify the health care provider

which organ has only beta 1 receptors?

heart

which medication increases the risk of hematuria?

warfarin

a client with type 1 diabetes self administers neutral protamine hagedorn (NPH) insulin every morning at 8:00 am. the nurse evaluates that the client identifies which time range as the highest risk for hypoglycemia?

noon to 8 pm

which criteria would the nurse consider when determining if an infection is a health care-associated infection?

occurred in conjunction with treatment for an illness

the primary nurse, leaving the unit for lunch, provides a verbal report for the covering nurse. the report included one client's prescription for morphine: 2 mg intravenously (IV) every 3 hours for abdominal pain secondary to major abdominal surgery that morning. during the primary nurse's lunch, the client complains of a pain at a level 8 out of 10 on the pain scale. which action would the covering nurse perform first?

verify that the written prescription matches the administration record.

a client is taking warfarin. if an antidote is needed, which agent will be used?

vitamin k

the nurse is caring for several clients with type 1 diabetes, and they each have a prescrciption for a specific type of insulin. which insulin would the nurse conclude has the fastest onset of action?

insulin lispro

a postpartum client receiving a continuous heparin infusion for a deep vein thrombosis has an activated partial thromboplastin time (aPTT) of 98 seconds. Which action would the nurse take in response to this situation?

interrupt the infusion and notify the primary health care provider of the aPTT result

the nurse educator is providing information about different insulin types. which type of insulin can be safely mixed with regular human insulin in the same syringe?

isophane insulin neutral protamine hagedorn (NPH)

Neomycin is prescribed preoperatively for a client with colon cancer. the client asks why this is necessary. which response would the nurse provide?

it kills intestinal bacteria to decrease the risk for infection

Daily regular insulin has been prescribed for a client with type 1 diabetes. The nurse administers the insulin at 8 am. When should the nurse monitor the client for a potential hypoglycemic reaction?

before lunch

a client with diabetes is being taught to self-adminsiter a subcutaneous injection of insulin. identify the preferred site for the self-administration of this medication

c

a client develops thrombophlebitis in the right calf. bed rest is prescribed and an intravenous (IV) infusion of heparin is initiated.. which drug action will the nurse include when describing the purpose of this. medication to the client?

it prevents extension of the clot

the health care provider prescribes an oral hypoglycemic medication for the client with type 2 diabetes. which statement will the nurse need to consider when developing the teaching plan?

clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control.

The position has ordered a Moxo suspension 375 mg PO every six hours. The pharmacy has supplied a Moxo suspension to 50 mg per 5 ml. Give milliliters for each dose?

7.5

after the nurse provides education about hydrochlorothiazide, the client will agree to notify the health care provider regarding the development of which symptom?

generalized weakness

which intervention would the nurse implement for a client who has type 1 diabetes and has an elevated blood glucose?

give supplemental doses of regular insulin

a health care provider prescribes enoxaprin 30 mg subcutaneously daily. which measure would the nurse take when administering this medication?

administer in the abdomen

a sulfonamide preparation is prescribed for a child with a urinary tract infection. which nursing responsibility is a priority when administering this medication?

administering the medication at the prescribed time

a client with the diagnosis of primary hypertension is started on a regimen of hydrochlorothiazide. which information will the nurse include when providing instructions regarding this medication?

an antihypertensive medication will likely be required for the remainder of life.

which action would the nurse perform when administering fluticasone propionate to a client with asthma?

rinsing the oral cavity with water after use

a client is experiencing severe acute respiratory distress. which response would the nurse expect the client to exhibit?

tachycardia

during a health fair, the nurse measures an adult's blood pressure as 200/120 mm Hg. Which rationale is the basis for planning the next nursing intervention?

there is increased risk for a cerebrovascular accident.

The nurse is teaching a female patient he will begin taking two tablets of 325 mg acetaminophen every 4 to 6 hours as needed for pain which statement by the patient indicates understanding of the teaching?

I may take acetaminophen up to six times daily if needed

which medication is often contraindicated when taking warfarin?

acetylsalicylic acid

which action would the nurse take after noting that a client who has been on anticoagulant therapy after hip surgery is being discahrged with no anticoagulant prescription?

contact the health care provider to clarify whether anticoagulant therapy is needed

for the client taking clopidogrel, the nurse will monitor for which adverse effect?

epistaxis

a woman with type 2 diabetes mellitus continues to take oral tolbutamide during her pregnancy. which type of malformation would the nurse assess for in the newborn?

hypoglycemia

when a client arrives in the emergency department and reports dyspnea, which finding by the nurse indicates that an inhaled bronchodilator may be needed for treatment?

inspiratory and expiratory wheezes

a health care provider prescribes losartan for a client. which is an important nursing action?

monitor the client's blood pressure

which action would the nurse take first when caring for a postoperative client who reports incisional pain?

perform a focused assessment of the client

a client takes an oral hypoglycemic agent daily. for which condition is an oral hypoglycemic agent indicated?

reduced insulin production