Pharm Final review
At the client's request, the nurse performs a fingerstick to test the client's blood glucose and the results are 322 mg/dL (17.9 mmol/L). Following the insulin sliding scale orders, the nurse administers 3 units of insulin lispro at 11:00 AM. When does the nurse anticipate the insulin lispro will begin to act? A. 3:00 pm B. 11:15 am C. 1:00 pm D. 12:00 PM
B. 11:15 am
The nurse is preparing to administer a prescribed dose of lactulose to a client who has cirrhosis. Which lab value will the nurse monitor to evaluate the therapeutic effect of the medication? A. Glucose B. Ammonia C. Potassium D. Bicarbonate
B. Ammonia
3 things to know about The pill (estrogen/ progesterone)
1. Monitor for clots 2. Hypertension S/S or history of MI is a contraindication 3. Know how to take
Why would lactulose be prescribed for a client with a history of cirrhosis of the liver? A. The desire to drink alcohol is decreased. B. Diarrhea is controlled and prevented. C. Elevated ammonia levels are lowered.
A. The desire to drink alcohol is decreased.
3 things to know about antibiotics in general
1. Allergic reactions 2.Neprhotoxicity 3.Finish antibiotics
Top 3 things to know about -Cillins & Cefs-
1. Allergic reactions = Stop meds 2.Nephrotoxicity: monitor creatinine and GFR, push fluids 3. Txs Syphilis , due to higher PCN levels
3 things to know about Long acting insulin
1. Can not mix with other insulin's 2. Can not give IV infusion 3. Give evening snacks
Top 3 thing to know about Anti-prim, Sulfa biotic
1. Drink lots of water 2. Drug interactions (Insulin action is enhanced & Glipizide allergy = Sulfa allergy) 3. Finish Meds
3 things to know about Vaccines
1. Inactivated/dead = DTAP are ok for immune compromised 2. Live/attenuated=MMR not ok for immune compromised 3. Tetanus flobulin provides immediate short term antibodies
The nurse is educating an older adult client about newly prescribed levofloxacin for the treatment of pneumonia. The nurse should teach the client that which side effect is a priority for the client to report to the provider? A . Joint tenderness B. Diarrhea C. Dizziness D. Difficulty sleeping
A . Joint tenderness
The nurse is preparing to administer doxycycline to a client to treat syphilis. Which lab results should the nurse review before administering this medication? A . Pregnancy test B. Hematocrit C. Sodium level D. Arterial blood gas
A . Pregnancy test
Which assessment would the nurse perform before administering a dose of vancomycin to a client? Select all that apply.One, some, or all responses may be correct. A. Creatinine B. Trough level C. Hearing ability D. Intravenous site E. Blood urea nitrogen
A. Creatinine B. Trough level C. Hearing ability D. Intravenous site E. Blood urea nitrogen
The nurse is reviewing discharge instructions with a client who has been prescribed ciprofloxacin following a minor burn injury. Which statement by the client requires additional teaching? A. "I will protect my skin from the sun with sunscreen and clothing." B. "I will not take ciprofloxacin prior to sun exposure." C. "After healing, I should have no scarring from this burn." D. "I can take ibuprofen for the pain related to this burn."
A. "I will protect my skin from the sun with sunscreen and clothing."
Which statement indicates that a female client who is receiving rifampin for tuberculosis understands the teaching? Select all that apply. One, some, or all responses may be correct. A. "This medication may be hard on my liver, so I must avoid alcoholic drinks while taking it." B. "This medication may reduce the effectiveness of the oral contraceptive I am taking." C. "I cannot take an antacid within 2 hours before taking my medicine." D. "My health care provider must be called immediately if my eyes and skin become yellow."
A. "This medication may be hard on my liver, so I must avoid alcoholic drinks while taking it." B. "This medication may reduce the effectiveness of the oral contraceptive I am taking." D. "My health care provider must be called immediately if my eyes and skin become yellow."
Trimethoprim-sulfamethoxazole is prescribed for a client with cystitis. Which instruction would the nurse include when providing medication teaching? A. 'Drink eight to ten glasses of water daily.' B. 'Take this medication with orange juice.' C. 'Take the medication with meals.' D. 'Take the medication until symptoms subside.'
A. 'Drink eight to ten glasses of water daily.'
Which mechanism of action explains how glyburide decreases serum glucose levels? A. Stimulates the pancreas to produce insulin B. Accelerates the liver's release of stored glycogen C. Increases glucose transport across the cell membrane D. Decreases absorption of glucose from the gastrointestinal system
A. Stimulates the pancreas to produce insulin
A 5-year-old child is given fluoroquinolones. Which potential adverse effect unique to pediatric clients would the nurse anticipate? A. Tendon rupture B. Cartilage erosion C. Staining of developing teeth D. Central nervous system toxicity
A. Tendon rupture
Why would lactulose be prescribed for a client with a history of cirrhosis of the liver? A. The desire to drink alcohol is decreased. B. Diarrhea is controlled and prevented. C. Elevated ammonia levels are lowered. Abdominal distension secondary to ascites is decreased
A. The desire to drink alcohol is decreased.
Which finding in a client with hypothyroidism and hypertension who reports taking an extra dose of levothyroxine indicates the need to obtain a thyroid function panel? Select all that apply. One, some, or all responses may be correct. A. Tremors B. Diaphoresis C. Nervousness D. Temperature 101°F E. Heart rate 116 beats/min
A. Tremors B. Diaphoresis C. Nervousness D. Temperature 101°F E. Heart rate 116 beats/min
Which statement by a client prescribed ampicillin indicates that teaching by the nurse was effective? A. "I will miss eating grapefruit." B. "I must increase my fluid intake." C. "I can stop taking this medication any time." D. "I should take this medication just after eating."
B. "I must increase my fluid intake."
A client has received a prescription for nitrofurantoin to treat a urinary tract infection. Which of the following statements made by the client indicates the need for additional teaching about the medication? A. "I will be sure to finish taking the antibiotics, even if I start feeling better." B. "I will spend extra time in the sun to get plenty of vitamin D." C. "I'll call my primary health care provider immediately if I develop a rash after taking the medication." D. "I will take the medication with food."
B. "I will spend extra time in the sun to get plenty of vitamin D."
During a teaching session about insulin injections, a client asks the nurse, 'Why can't I take the insulin in pills instead of taking shots?' How will the nurse respond? A. 'Insulin cannot be manufactured in pill form.' B. 'Insulin is destroyed by gastric juices, rendering it ineffective.' C. 'Your health care provider decides the route of administration.' D. 'Your health care provider will prescribe pills when you are ready.'
B. 'Insulin is destroyed by gastric juices, rendering it ineffective.'
Which insulin would the nurse conclude has the fastest onset of action? A. NPH insulin B. Insulin lispro C. Regular insulin D. Insulin glargin
B. Insulin lispro
A client has type 2 diabetes controlled with oral antidiabetic medications. When admitted for elective surgery, the health care provider prescribes regular insulin. Which information would the nurse include when teaching the client about the addition of insulin? A. 'You will need a higher serum glucose level while on bed rest.' B. 'The stress of surgery may cause hypoglycemia.' C. 'With insulin, dosage can be adjusted to your changing needs during recovery from surgery.' D. 'The possibility of surgical complications is greater when a client takes oral hypoglycemics.'
C. 'With insulin, dosage can be adjusted to your changing needs during recovery from surgery.'
Which action would the nurse take when administering tetracycline? A. Administer the medication with meals or a snack. B. Provide orange or other citrus fruit juice with the medication. C. Administer the medication at least an hour before ingestion of milk products. D. Offer antacids 30 minutes after administration if gastrointestinal side effects occur.
C. Administer the medication at least an hour before ingestion of milk products.
A client with advanced cancer of the bladder is scheduled for a cystectomy and ileal conduit. Which intervention would the nurse anticipate the health care provider will prescribe to prepare the client for surgery? A. Intravesical chemotherapy B. Instillation of a urinary antiseptic C. Administration of an antibiotic D. Placement of an indwelling catheter
C. Administration of an antibiotic
The nurse is planning to teach an adolescent about diabetes and self-administration of insulin. Which would the nurse complete first? A. Establish realistic goals. B. Assess the adolescent's intellectual ability. C. Determine what the adolescent knows about diabetes. D. Gather the equipment that will be needed for the demonstration
C. Determine what the adolescent knows about diabetes.
Which statement by a client who has a gastric ulcer and asks what to do if epigastric pain occurs indicates that teaching was effective? A. "Eliminating fluids with meals will prevent pain." B. "I will increase my food intake to avoid an empty stomach." C. "Taking an aspirin with milk will relieve my pain and coat my ulcer." D. "Taking an antacid preparation will decrease pain due to gastric acid."
D. "Taking an antacid preparation will decrease pain due to gastric acid."
Which statement by a client prescribed ampicillin 250 mg by mouth every 6 hours indicates to the nurse that teaching has been effective? A. "I should drink a glass of milk with each pill." B. "I should drink at least six glasses of water every day." C. "The medicine should be taken with meals and at bedtime." D. "The medicine should be taken 1 hour before or 2 hours after meals."
D. "The medicine should be taken 1 hour before or 2 hours after meals."
Which explanation would the nurse include when teaching a client scheduled for a bowel resection about the purpose of preoperative antibiotics? A. "They prevent incisional infection." B. "Antibiotics prevent postoperative pneumonia." C. "These medications limit the risk of a urinary tract infection." D. "They are given to eliminate bacteria from the gastrointestinal (GI) tract."
D. "They are given to eliminate bacteria from the gastrointestinal (GI) tract."
A client who receives NPH insulin every morning reports feeling nervous at 4:30 PM. The nurse observes that the client's skin is moist and cool. Which condition is the client likely experiencing? A. Hyperosmolar hyperglycemic nonketotic state B. Ketoacidosis C. Glycogenesis D. Hypoglycemia
D. Hypoglycemia
When caring for a client on isoniazid therapy for tuberculosis, the nurse would focus on which diagnostic testing for this client? A. Creatinine B. Hearing tests C. Electrocardiogram D. Liver function tests
D. Liver function tests
A child with pinworms is prescribed mebendazole. Which expected response to the medication would the nurse teach the parents watch for? A. Blood B. Constipation C. Yellow stools D. Passage of worms
D. Passage of worms
A nurse receives a prescription to administer regular insulin U-500 to a client with diabetes mellitus. How will the nurse administer this medication? A. Intravenously using an infusion pump B. Subcutaneously using an insulin pump C. Intramuscularly using a U-100 syringe D. Subcutaneously using a U-500 syringe
D. Subcutaneously using a U-500 syringe
Levofloxacin is prescribed for a woman who has been experiencing urinary frequency and burning for the past 24 hours. The nurse concludes the teaching has been effective when the client states she will make which change in her routine? A. Limit her fluid intake. B. Strain her urine for calculi. C. Monitor her urine output. D. Take mineral supplements 2 hours before or after levofloxacin.
D. Take mineral supplements 2 hours before or after levofloxacin.
The nurse is planning an evening snack for a child receiving NPH insulin. The nurse offers a snack for which reason? It encourages the child to stay on the diet. Energy is needed for immediate utilization. Extra calories will help the child gain weight. Nourishment helps counteract late insulin activity.
Nourishment helps counteract late insulin activity.
3 things to know about Minerals (Mag,Aluminum,Calcium)
1. Will interfere with absorption of meds 2.Take 30 mins after meals 3. Helps maintain pH greater than 3.5
3 things to know about Rifampin
1. bad for the liver 2. decrease oral contraceptive effectiveness 3. Orange urine & sweat is normal SE
3 things to know about -pramide(reglan)
1. may cause permanent Tardive Dyskinesia 2.Do not take more than 12 weeks 3. Stimulates peristalsis
3 things to know about NPH
1. peaks in 4-12hrs 2. Evening snacks are important 3. Not for IV infusions
3 things to know about insulin syringes and pumps
1. rotate sites to avoid lipodystrophy 2. How insulin pump mimics pancreas 3. Sliding scale must be given as prescribed
3 things to know about Pancrelipase
1. take w meals 2. Facilitates nutrient utilization 3. Vitamins ADEK need to be in water form because cystic fibrosis cannot absorb fat soluble
3 things to know about baclofen
1. used as a muscle relaxant and decrease muscle spasms 2. SE drowsiness 3. Limit alcohol
3 things to know about nitro-biotic furantion
1. Wear sunscreen 2. Push fluids to prevent crystal formation 2. watch for allergic reactions
3 Things to know about -mycin & -micin
1. Neohrotoxicity: Check BUN 2. Peaks 3.. Ototoxicity
Which statement by the client indicates to the nurse a need for further teaching on rifampin therapy? A. 'I can expect my skin to turn yellow.' B. 'I can expect my sweat to change color.' C. 'I can expect my urine to turn red-orange.' D. 'I can expect my contact lenses to stain orange.'
A. 'I can expect my skin to turn yellow.'
A client has a prescription for nitrofurantoin 50 mg orally every evening to manage recurrent urinary tract infections. Which instruction would the nurse give to the client? A. 'Increase your intake of fluids.' B. 'Strain your urine for crystals and stones.' C. 'Stop taking the medication if your urinary output increases.' D. 'This may turn your urine green.'
A. 'Increase your intake of fluids.'
The nurse is reviewing discharge instructions with the parent of an infant with cystic fibrosis. Which statement indicates the parents know how to administer the pancreatic enzyme replacement? A. 'We should give the medication with feedings.' B. 'We should put crushed enteric-coated pills in the formula.' C. 'We need to give the medication every 6 hours, even during the night.' D. 'We should feed the granules from the capsule in applesauce every morning.'
A. 'We should give the medication with feedings.'
Which medication will the nurse expect the health care provider to prescribe to a client who had a thyroidectomy and is pale with spasms of the hand when taking the blood pressure? A. Calcium B. Magnesium C. Bicarbonate D. Potassium chloride
A. Calcium
At 6 weeks' gestation a client is found to have gonorrhea. For which medication would the nurse anticipate preparing a teaching plan? A. Ceftriaxone B. Levofloxacin C. Sulfasalazine D. Trimethoprim/sulfamethoxazole
A. Ceftriaxone
Which instruction) should the nurse give to a female client who just received a prescription for oral metronidazole (Flagyl) for treatment of trichomonas vaginalis? (Select all that apply.) A. Increase fluid intake, especially cranberry juice. B. Do not abruptly discontinue the medication; taper use. C. Check blood pressure daily to detect hypertension. D. Avoid drinking alcohol while taking this medication. E. Use condoms until treatment is completed. F. Ensure that all sexual partners are treated at the same time.
A. Increase fluid intake, especially cranberry juice. D. Avoid drinking alcohol while taking this medication. E. Use condoms until treatment is completed. F. Ensure that all sexual partners are treated at the same time.
The nurse is providing teaching to the client taking metoclopramide. Serious side effects that should be reported to the provider are included in the teaching plan. Which of the following side effects is the priority? A. Involuntary muscle movements B. Report of increased fatigue C. Onset of headaches D. Difficulty with sleep
A. Involuntary muscle movements
A parent of three young children has contracted tuberculosis. Which medication would the nurse anticipate being prescribed for members of the family who have been exposed? A. Isoniazid B. Multiple-puncture test C. Bacille Calmette-Guérin D. Tuberculin purified protein derivative
A. Isoniazid
Which therapy is indicated for a client admitted to the hospital after general paresis develops as a complication of syphilis? A. Penicillin therapy B. Major tranquilizers C. Behavior modification D. Electroconvulsive therapy
A. Penicillin therapy
The nurse is educating a client prescribed metronidazole. Which of the following findings should the nurse include in the education as reportable to the healthcare provider? A. Pinpoint red spots on the skin B. Nausea after beginning the medication C. Metallic taste D. Occasional diarrhea
A. Pinpoint red spots on the skin
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? A. 'Mealtime is a good time to give the medication.' B. 'I'll make sure to give each pill with 6 to 8 oz of fluid.' C. 'It must be taken with orange juice to ensure acidity of urine.' D. 'The medication has to be taken every 4 hours to maintain a blood level.'
B. 'I'll make sure to give each pill with 6 to 8 oz of fluid.'
A health care provider prescribes oral antacids and intravenous ranitidine for a client with burns and crushing injuries caused by an accident. The client asks how these medications work. Which explanation would the nurse provide? A. 'These medications work together to decrease bowel irritability.' B. 'They limit acidity in the gastrointestinal tract.' C. 'They are very effective in clients with multiple trauma.' D. 'These medications decrease nausea and vomiting.'
B. 'They limit acidity in the gastrointestinal tract.'
Which mineral deficiency would a nurse suspect in a client who reports tingling in the fingers and around the mouth and exhibits carpopedal spasm and tremors after a surgical thyroidectomy ? A. Potassium B. Calcium C. Magnesium D. Sodium
B. Calcium
A child with type 1 diabetes is receiving 15 units of regular insulin and 20 units of NPH insulin at 7:00 AM each day. Which time would the nurse anticipate a hypoglycemic reaction from the NPH insulin to occur? A. Before noon B. In the afternoon C. Within 30 minutes D. During the evening
B. In the afternoon
A nurse is providing care to a client diagnosed with a myocardial infarction. The client has a history of hypothyroidism and hypertension. Which prescribed medication will the nurse clarify before administering it to the client? A. Morphine B. Levothyroxine C. Aspirin D. Labetalol
B. Levothyroxine
The nurse is caring for a client with diabetes mellitus. The client reports feeling hungry and thirsty. The client's most recent blood glucose level was 175 mg/dL. Which type of insulin should the nurse anticipate being prescribed for this client? A. Glucagon B. Lispro C. Exenatide D. Sitagliptin
B. Lispro
Which class is contraindicated in clients who take rifampin? A. Loop diuretics B. Oral contraceptives C. Proton pump inhibitor D. Intermediate-acting insulin
B. Oral contraceptives
A child infected with human immunodeficiency virus (HIV) is admitted with Pneumocystis jiroveci pneumonia and receives trimethoprim/sulfamethoxazole. Which common side effects would the nurse anticipate? Select all that apply. One, some, or all responses may be correct. A. Jaundice B. Vomiting C. Headache D. Crystalluria E. Photosensitivity
B. Vomiting D. Crystalluria E. Photosensitivity
Which time for medication scheduling would a nurse teach to a client prescribed the oral pancreatic enzymes pancrelipase? A. At bedtime B. With meals C. One hour before meals D. On arising each morning
B. With meals
Which explanation would the nurse provide to a client with tuberculosis who asks why vitamin B 6 (pyridoxine) is given with isoniazid? A. "It will improve your immunologic defenses." B. "The tuberculostatic effect of isoniazid is enhanced." C. "Isoniazid interferes with the synthesis of this vitamin." D. "Destruction of the tuberculosis organisms is accelerated."
C. "Isoniazid interferes with the synthesis of this vitamin."
A client asks the nurse if glipizide (Glucotrol) is an oral insulin. Which response should the nurse provide? A. "Yes, it is an oral insulin and has the same actions and properties as intermediate insulin." B. "Yes, it is an oral insulin and is distributed, metabolized, and excreted in the same manner as insulin." C. "No, it is not an oral insulin and can be used only when some beta cell function is present." D. "No, it is not an oral insulin, but it is effective for those who are resistant to injectable insulins."
C. "No, it is not an oral insulin and can be used only when some beta cell function is present."
Which rationale will the nurse give for the need to take penicillin G and probenecid for syphilis? A. "Each medication attacks the organism during different stages of cell multiplication." B. "The penicillin treats the syphilis, and the probenecid relieves the severe urethritis." C. "Probenecid delays excretion of penicillin, thus maintaining blood levels for longer periods." D. "Probenecid decreases the potential for an allergic reaction to penicillin, which treats the syphilis.
C. "Probenecid delays excretion of penicillin, thus maintaining blood levels for longer periods."
The nurse teaches a teenage client about the administration of levofloxacin to treat a sinus infection. The nurse concludes the teaching is effective when the client makes which statement? A. 'I should take the medication at mealtime.' B. 'I should take the medication just before a meal.' C. 'I should take the medication 1 hour before a meal.' D. 'I should take the medication 30 minutes after a meal.
C. 'I should take the medication 1 hour before a meal.'
Which information would the nurse include in the teaching plan on ampicillin? A. 'Take the ampicillin with meals.' B. 'Store the ampicillin in a light-resistant container.' C. 'Notify the health care provider if diarrhea develops.' D. 'Continue the medication until a negative culture is obtained.'
C. 'Notify the health care provider if diarrhea develops.'
The nurse is caring for a client with osteomyelitis who is receiving IV infusion of prescribed vancomycin. Which statement by the client would be a priority for the nurse to report to the healthcare provider? A. I fell some burning at the catheter site B. I feel a little nauseous C. I have a ringing in my ears D. I have a headache
C. I have a ringing in my ears
Which medication is considered first-line therapy for an infant with congenital syphilis? A. Vidarabine B. Pyrimethamine C. Intravenous (IV) penicillin D. Trimethoprim-sulfamethoxazole
C. Intravenous (IV) penicillin
A client has been diagnosed with hypothyroidism. Which medication should the nurse administer to treat the client's bradycardia? A. Epinephrine B. Adenosine C. Levothyroxine D. Atropine
C. Levothyroxine
A nurse administers cimetidine to a 79-year-old male with a gastric ulcer. Which parameter may be affected by this drug and should be closely monitored by the nurse? A. Blood pressure B. Liver enzymes C. Mental status D. Hemoglobin
C. Mental status
The nurse is preparing to administer the next dose of prescribed vancomycin to the client being treated for sepsis. Which of the following laboratory results would be the priority for the nurse to review? A. Peak serum drug level B. Serum potassium level C. Serum creatinine level D. White blood cell count
C. Serum creatinine level
The nurse is teaching a school-age child how to use an insulin pump. Which instruction by the nurse is most important for the child to understand? A. The needle must be changed every day. B. A blood glucose check is necessary once a day. C. The pump is an attempt to mimic the way a healthy pancreas works. D. Subcutaneous pockets near the abdomen are used to implant the pump.
C. The pump is an attempt to mimic the way a healthy pancreas works.
The nurse is providing medication teaching for a client prescribed famotidine for the treatment of gastroesophageal reflux disease (GERD). Which statement by the client indicates an understanding of the teaching? A. I will take this medication once a day in the morning B. I will no longer have discomfort at night once I begin this medication C. This medication will both prevent and treat heartburn D. My treatment will be done in one week
C. This medication will both prevent and treat heartburn
Which statement made by a client prescribed metformin extended release to control type 2 diabetes mellitus indicates the need for further education? A. "I will take the medication with food." B. "I must swallow my medication whole and not crush or chew it." C. "I will notify my doctor if I develop muscular or abdominal discomfort." D. "I will stop taking metformin for 24 hours before and after having a test involving dye."
D. "I will stop taking metformin for 24 hours before and after having a test involving dye."
Which instruction about medications would the nurse include when teaching a client with type 1 diabetes who tells the nurse, "I take guaifenesin cough syrup when I have a cold."? A. "Substitute an elixir for the cough syrup." B. "Increase fluid intake and use a humidifier to control the cough." C. "The small amounts of sugar in medications are not a concern with diabetes." D. "Include the glucose in the cough syrup when calculating daily carbohydrate allowance."
D. "Include the glucose in the cough syrup when calculating daily carbohydrate allowance."
A client with cirrhosis of the liver asks the nurse about the purpose of taking lactulose. How should the nurse respond? A. "It is used to control portal hypertension." B. "It adds dietary fiber to your diet." C. "It helps to regenerate your liver." D. "It helps to reduce ammonia levels in your blood."
D. "It helps to reduce ammonia levels in your blood."
Which information would the nurse include when teaching a client about antacid tablets? A. "Take them at 4-hour intervals." B. "Take them 1 hour before meals." C. "They are as effective as the liquid forms." D. "They interfere with the absorption of other medications."
D. "They interfere with the absorption of other medications."
A client is admitted to the hospital for a subtotal thyroidectomy. When discussing postoperative medication therapy with the client, which advice will the nurse include in the teaching? A. 'You will be taking iodine daily to increase the formation of thyroid hormone.' B. 'After your body adjusts to postsurgical status, you will be weaned off this medication.' C. 'The propylthiouracil that is prescribed will stimulate the secretion of thyroid- stimulating hormone.' D. 'If you develop palpitations, nervousness, or tremors, the dose of thyroid hormone may need to be decreased.'
D. 'If you develop palpitations, nervousness, or tremors, the dose of thyroid hormone may need to be decreased.'
How would the nurse reply when a client prescribed a tetracycline class medication asks why milk and antacids should be avoided before and after dosing? A. 'Taking these together can lead to kidney impairment.' B. 'The pairing of these substances leads to tooth staining.' C. 'Severe diarrhea can occur when taking these substances together.' D. 'This can lead to decreased absorption of the medication you need.'
D. 'This can lead to decreased absorption of the medication you need.'
A sulfonamide preparation is prescribed for a child with a urinary tract infection. Which nursing responsibility is a priority when administering this medication? A. Weighing the child daily B. Giving the medication with milk C. Taking the child's temperature frequently D. Administering the medication at the prescribed times
D. Administering the medication at the prescribed times
Which action will the nurse take after stopping the antibiotic infusion of a client who becomes restless and flushed, and begins to wheeze during the administration of an antibiotic? A. Check the client's temperature. B. Take the client's blood pressure. C. Obtain the client's pulse oximetry. D. Assess the client's respiratory status.
D. Assess the client's respiratory status.
The nurse prepares to administer extended-release metformin to an older adult who has asked that it be crushed because it is difficult to swallow. Which rationale will prompt the nurse to ask the provider for a different form of metformin? A. This medication has a wax matrix frame that is difficult to crush. B. The medication has an unpleasant taste, which most clients find intolerable if crushed. C. If crushed, this medication irritates mucosal tissue and can cause oral and esophageal ulcer formation. D. Extended-release formulations are designed to be released slowly and crushing the tablet will prevent this from occurring.
D. Extended-release formulations are designed to be released slowly and crushing the tablet will prevent this from occurring.
3 things to know about -tidines
1. H2 receptor blocker that decreases stomach acid 2. Used for heartburn, stress ulcers, acute pancreatitis 3. Watch for mental status changes in older pts
3 things to know about Metformin
1. Must monitor for lactic acidosis 2. Must be held 48hrs prior to contrast materials 3. Don't crush ever
3 things to know about -prazole
1. Risk of C-Diff is heightened 2. Helps w Heartburn & GERD are 3. See #1
things to know about vitamins
1. Fat soluble: A,D,E,K 2. Water soluble:B,C
3 things to know about -nidazole
1. No alcohol 2. Great for treating parasites 3. Watch for thrombocytopenia ( red spots)
3 things to know about TB drugs in general
1. Occurs in 2 phases ( makes you noninfectious then kills bacteria) 2. Tb is hard to kill 3. Must finish all meds
3 things to know about Lactulose
1. Pulls fluid in and flushes ammonia out via BM 2. Is for hepatic encephalopathy 3. Track ammonia labs for effectiveness
3 things to know about mannitol
1. Relieves cerebral / ICP 2. Draws fluid from brain cells into the bloodstream 3. Monitor I&O
3 things to know about -Floxaciin
1. Risk for rupturing tendons 2. Take before meals and minerals 3. Wear sunscreen
3 things to know about Hypoglycemia
1. S/S & treatments 2.Exercise increases chance of hypoglycemia 3. Glucometer used to check Blood glucose
3 things to know about Herbals
1. St Johns wort improves mood and depression 2. Ginkgo Biloba improves memory 3. Ginseng contraindicated in pregnancy
things to know about antivirals
1. Stat taking ASAP after symptoms
3 things to know about -cycline
1. Take 1-2hrs before minerals 2. Stains teeth yellow 3. Can damage fetus , take pregnancy test prior
3 things to know about Levothyroxine & Thyroidectomy
1. To much Levo increases metabolism 2. Goal is to return to normal 3. watch for hypocalcemia after thyroidectomy
3 things to know about Isoniazid
1. Vitamin B6 to counteract peripheral neuritis 2. bad for liver 3. Avoid foods with Tyramine
3 things to know about -dronate
1. Watch for jaw pain 2. Dysphagia sue to esophageal erosions so drink lots of water 3. Take on an empty stomach 1x weekly
3 things to know about Gly insulin
1. stimulates pancreas to release insulin 2. Must be taken at specific times 3. Not used for DKA
Which statement indicates that a client understands how to take antacids appropriately? A. "I will take this antacid at the onset of pain." B. "I will take this antacid 30 minutes after meals." C. "I will take this antacid every 4 hours around the clock." "I will take this antacid each time I have something to eat.
B. "I will take this antacid 30 minutes after meals."
Which clinical manifestation exhibited by a client taking levothyroxine for hypothyroidism for 3 months would cause a nurse to suspect that a decrease in dosage is needed? Select all that apply. One, some, or all responses may be correct. A. Tremors B. Bradycardia C. Somnolence D. Heat intolerance E. Decreased blood pressure
A. Tremors D. Heat intolerance
The nurse is reinforcing teaching about levothyroxine for a client newly-diagnosed with hypothyroidism. Which information should the nurse make sure to reinforce about this medication? A. The medication must be stored in a dark container. B. The medication should be taken in the morning. C. The medication will decrease the client's heart rate. D. The medication may decrease the client's energy level.
B. The medication should be taken in the morning.
Which issue related to antibiotic use is an increased risk for the older adult? A. Allergy B. Toxicity C. Resistance D. Superinfection
B. Toxicity
The nurse is reviewing a plan of care for a client who was admitted with dehydration as a result of prolonged watery diarrhea. Which new prescription will the nurse question? A. Oral psyllium B. Oral potassium supplement C. Intravenous normal saline D. Magnesium citrate
D. Magnesium citrate
The nurse is giving instructions to the parents of a child who has cystic fibrosis. Which information should the nurse emphasize about administration of pancreatic enzymes? A. Administer each time a high-carbohydrate meal is eaten B. Crush the tablet and sprinkle on food three times a day C. Dispense once daily with breakfast D. They are to be taken with every meal or snack
D. They are to be taken with every meal or snack
Which effect has resulted in the avoidance of tetracycline use in children under 8 years old? A. Birth defects B. Allergic responses C. Severe nausea and vomiting D. Permanent tooth discoloration
D. Permanent tooth discoloration
In evaluating the effects of lactulose (Cephulac), which outcome would indicate that the drug is performing as intended? A. An increase in urine output. B. Two or three soft stools per day. C. Watery, diarrhea stools. D. Increased serum bilirubin.
B. Two or three soft stools per day.
Which adverse response to isoniazid (INH) in a client with tuberculosis would cause the nurse to determine that prompt intervention is needed? A. Orange feces B. Yellow sclera C. Temperature of 96.8°F (36°C) D. Weight gain of 5 pounds (2.3 kilograms)
B. Yellow sclera
The nurse is teaching the client with bacterial vaginosis who has been prescribed metronidazole tablets. What statement is appropriate? A. You may continue to experience symptoms after you stop the medication B. You should avoid drinking alcohol while taking this medication C. Call your healthcare provider if you experience diarrhea D. Your sexual partner will need to be treated as well
B. You should avoid drinking alcohol while taking this medication
Which explanation would the nurse provide to a client with gastric ulcer disease who asks the nurse why the health care provider has prescribed metronidazole? A. To augment the immune response B. To potentiate the effect of antacids C. To treat Helicobacter pylori infection D. To reduce hydrochloric acid secretion
C. To treat Helicobacter pylori infection
A child is prescribed insulin glargine before breakfast. Which instruction is most appropriate for the nurse to give the parents regarding a bedtime snack? A. 'Offer a snack to prevent hypoglycemia during the night.' B. 'Give the child a snack if signs of hyperglycemia are present.' C. 'Avoid a snack because the child is being treated with long-acting insulin.' D. 'Keep a snack at the bedside in case the child gets hungry during the night.'
A. 'Offer a snack to prevent hypoglycemia during the night.'
A client with tuberculosis takes combination therapy with isoniazid, rifampin, pyrazinamide, and streptomycin. The client says, 'I've never had to take so much medication for an infection before.' How would the nurse respond? A. 'The bacteria causing this infection are difficult to destroy.' B. 'Streptomycin prevents the side effects of the other medications.' C. 'You only need to take the medications for a couple of weeks.' D. 'Aggressive therapy is needed because the infection is well advanced.'
A. 'The bacteria causing this infection are difficult to destroy.'
Which finding would lead the nurse to recheck the blood glucose level of a diabetic client before administering a mealtime insulin dose? Select all that apply. One, some, or all responses may be correct. A. Confusion B. Drowsiness C. Diaphoresis D. Nervousness E. Heart rate 110 beats/min
A. Confusion B. Drowsiness C. Diaphoresis D. Nervousness E. Heart rate 110 beats/min
The nurse is caring for a client with type 1 diabetes. Which signs or symptoms may indicate that the client has insulin-induced hypoglycemia? Select all that apply. One, some, or all responses may be correct. A. Excessive hunger B. Weakness C. Diaphoresis D. Excessive thirst E. Deep respirations
A. Excessive hunger B. Weakness C. Diaphoresis
A client who takes rifampin tells the nurse, 'My urine looks orange.' Which action would the nurse take? A. Explain that this is expected. B. Check the liver enzymes. C. Ask the provider to order a urinalysis. D. Ask what foods were eaten
A. Explain that this is expected.
Which assessment findings during the administration of intravenous penicillin prompt the nurse to stop the infusion? Select all that apply. One, some, or all responses may be correct. A. Hives B. ItchingNausea C. Skin rash D. Shortness of breath
A. Hives B. ItchingNausea C. Skin rash D. Shortness of breath
The home health nurse is teaching a female client about self-administering vancomycin. Which statement by the client demonstrates understanding of the teaching? A. I need to call my provider if my urine changes B. Muscle tingling and weakness is an expected side effect of this medication C. Ringing in the ears is common when taking vancomycin D. I should avoid eating food with active cultures in it
A. I need to call my provider if my urine changes
The nurse is counseling a client with gastroesophageal reflux disease (GERD) who has been taking prescribed famotidine for two days. Which statement would require immediate follow up by a healthcare provider? A. I take digoxin for my heart failure B. I use calcium carbonate if I have symptoms after meals C. I use alendronate for my osteoporosis D. I'm still having some symptoms of heartburn
A. I take digoxin for my heart failure
Which action would the nurse take to avoid red man syndrome when preparing to administer a vancomycin infusion? A. Infuse slowly. B. Change the intravenous (IV) site. C. Reduce the dosage. D. Administer vitamin K.
A. Infuse slowly.
The nurse is caring for a pregnant client who has contracted a trichomonal protozoan infection. For which oral medication would the nurse anticipate preparing to provide education? A. Penicillin G B. Acyclovir C. Nystatin D. Metronidazole
D. Metronidazole
Which information would the nurse provide to a client diagnosed with chlamydia and prescribed doxycycline? Select all that apply. One, some, or all responses may be correct. A. Report worsening symptoms. B. Refrain from sexual relations. C. Use barrier protection devices. D. Contact partners to be tested. E. Take the entire course of antibiotics.
A. Report worsening symptoms. B. Refrain from sexual relations. C. Use barrier protection devices. D. Contact partners to be tested. E. Take the entire course of antibiotics.
Several hours after administering insulin, the nurse assesses the client's response to the insulin. Which client responses are indicative of a hypoglycemic reaction? Select all that apply. One, some, or all responses may be correct. A. Tremors B. Anorexia C. Confusion D. Glycosuria E. Diaphoresis
A. Tremors C. Confusion E. Diaphoresis
Which statement indicates that a client understands how to take antacids appropriately? A. "I will take this antacid at the onset of pain." B. "I will take this antacid 30 minutes after meals." C. "I will take this antacid every 4 hours around the clock."
B. "I will take this antacid 30 minutes after meals."
The nurse is teaching a client with chronic renal failure about their medications. The client questions the purpose of taking aluminum hydroxide. How should the nurse respond? A. "It increases your urine output." B. "It decreases your blood's phosphate levels." C. "It is taken to control gastric acid secretions." D. "It will reduce your blood's calcium levels."
B. "It decreases your blood's phosphate levels."
Which information would the nurse provide to a client with type 1 diabetes who requests information about the differences between penlike insulin delivery devices and syringes? A. "The penlike devices have a shorter injection time." B. "Penlike devices provide a more accurate dose delivery." C. "The penlike delivery system uses a smaller-gauge needle." D. "Penlike devices cost less by having reusable insulin cartridges."
B. "Penlike devices provide a more accurate dose delivery."
At 9 am, the nurse administers 10 units of insulin aspart subcutaneously to a client with a blood sugar of 322 mg/dL. At approximately what time should the nurse expect the insulin to peak? A. At 9:30 am B. At 10:00 am C. At noon D. This insulin does not peak because it acts over 24 hours.
B. At 10:00 am
The nurse teaches an adolescent about administration of intermediate-acting insulin and regular insulin. Which response indicates the adolescent understands when to administer the second dose of NPH insulin? A. At lunch B. At dinnertime C. 1 hour after lunch D. 1 hour after dinner
B. At dinnertime
Daily regular insulin has been prescribed for a client with type 1 diabetes. The nurse administers the insulin at 8 AM. When will the nurse monitor the client for a potential hypoglycemic reaction? A. At breakfast B. Before lunch C. Before dinner D. In the early afternoon
B. Before lunch
The nurse administers lactulose to a client with cirrhosis of the liver. Which laboratory test change leads the nurse to determine that the lactulose is effective? A. Decreased amylase B. Decreased ammonia C. Increased potassium D. Increased hemoglobin
B. Decreased ammonia
A health care provider prescribes bed rest, loperamide, and esomeprazole for a client who just had major surgery. After several days of this regimen, the client complains of diarrhea. Which treatment strategy would the nurse conclude is the cause of the diarrhea? A. Loperamide B. Esomeprazole C. Bed rest D. Diet alteration
B. Esomeprazole
The nurse is preparing to administer trimethoprim and sulfamethoxazole (TMP- SMX) to a client. When assessing client allergies, the client reports that they are allergic to glipizide. What action by the nurse is most appropriate? A. Prepare to administer the medication B. Report the allergies to the healthcare provider C. Review the health record to see if the client is on glipizide D. Assess the client blood sugar
B. Report the allergies to the healthcare provider
Which condition would the nurse monitor for in the client on aminoglycoside therapy and skeletal muscle relaxants? A. Stroke B. Respiratory arrest C. Myocardial infarction D. Abdominal discomfort
B. Respiratory arrest
A client is to receive metoclopramide intravenously 30 minutes before initiating chemotherapy for cancer of the colon. The nurse explains that metoclopramide is given for which purpose? A. To stimulate production of gastrointestinal (GI) secretions B. To stimulate peristalsis of the upper gastrointestinal (GI) tract C. To prolong excretion of the chemotherapeutic medication D. To increase absorption of the chemotherapeutic medication
B. To stimulate peristalsis of the upper gastrointestinal (GI) tract
A client with burns develops a wound infection. The nurse plans to teach the client that local wound infections are primarily treated with which antibiotic formulation? A. Oral B. Topical C. Intravenous D. Intramuscular
B. Topical
A client prescribed omeprazole for gastroesophageal reflux disease reports a new occurrence of significant diarrhea. Which response by the nurse is most appropriate? A. 'Stop taking your omeprazole.' B. 'This is a normal side effect of omeprazole.' C. 'We are going to collect a stool sample for testing.' D. 'Antidiarrheal medication can be used to decrease this.'
C. 'We are going to collect a stool sample for testing.'
A client with pulmonary tuberculosis develops tinnitus and vertigo. Which antitubercular medication would the nurse suspect is causing these symptoms? A. Isoniazid B. Rifampin C. Streptomycin D. Ethambutol
C. Streptomycin
A health care provider prescribes famotidine for a client with dyspepsia. Which statement is important to include in a teaching session about famotidine? A. Lowers the stress level B. Neutralizes gastric acidity C. Reduces gastrointestinal peristalsis D. Decreases secretions in the stomach
D. Decreases secretions in the stomach
A health care provider has prescribed isoniazid for a client. Which instruction will the nurse give the client about this medication? A. Prolonged use can cause dark, concentrated urine. B. The medication is best absorbed when taken on an empty stomach. C. Take the medication with aluminum hydroxide to minimize gastrointestinal (GI) upset. D. Drinking alcohol daily can cause medication-induced hepatitis.
D. Drinking alcohol daily can cause medication-induced hepatitis.
Which condition is treated with a proton pump inhibitor (PPI)? A. Diarrhea B. Vomiting C. Cardiac dysrhythmias D. Gastroesophageal reflux disease (GERD)
D. Gastroesophageal reflux disease (GERD)
Which reason will the nurse explain is the purpose for neomycin being prescribed to a client with cirrhosis? A. Prevents an infection B. Limits abdominal distention C. Minimizes intestinal edema D. Reduces the blood ammonia level
D. Reduces the blood ammonia level
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should the nurse include in the client's instruction? A. Notify the clinic of any changes in the color of urine. B. Encourage the use of over-the-counter cough/cold syrup when a cough/cold develops. C. Stop the medication after the diarrhea resolves. D. Take the medication with food.
D. Take the medication with food.
