Pharm II Exam 3
A nurse is teaching a client about taking tetracycline to treat a Gl infection due to Helicobacter pylori. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A."I will take this medication with 8 ounces of milk." B."I will let my doctor know if I start having diarrhea." C."I can stop taking this medication when I feel completely well." D."I can take this medication just before bedtime."
B
A nurse is teaching the guardian of a newborn about caring for the newborn's umbilical cord. For which of the following reasons should the nurse instruct the guardian to avoid using antimicrobial agents on the cord? A. They can cause increased pain from the cord. B. They can cause delayed cord separation. C. They can cause swelling of the surrounding tissue. D. They can cause skin discoloration.
B
A nurse is assessing a client who has hypothyroidism and takes levothyroxine. Which of the following findings indicates that the client is experiencing acute levothyroxine overdose? A. Bradycardia B. Cold intolerance C. Tremor D. Hypothermia
C
A nurse is caring for a 4-month-old child who has acute otitis media and a fever of 38.3°C (101°F). Which of the following medications should the nurse administer? A. diphenhydramine B. furosemide C. amoxicillin D. ibuprofen
C
A nurse is educating a client with urethritis who has a new prescription for oral erythromycin. Which of the following statements should the nurse include in the teaching? A. "Report persistent diarrhea to the provider." B. "Take this medication with a full glass of milk." C. "Some people who take erythromycin experience vision loss." D. "Antacids will reduce the extent of absorption of this medication."
A
A nurse is preparing to administer levothyroxine to a client who has hypothyroidism. The nurse should identify which of the following laboratory results as supporting the administration of this medication? A. Thyroid-stimulating hormone (TSH) 8 microunits/mL B. Free triiodothyronine (T3) 300 pg/dL C. Free thyroxine (T4) 7 mcg/dL D. Thyroxine-binding globulin 2.3 mg/dL
A
A nurse is providing discharge teaching to a client who has a bacterial infection about adverse effects of imipenem to report to the provider. Which of the following pieces of information should the nurse include? A. "Seizures can occur with this medication." B. "You should observe for manifestations of bleeding." C. "Check your hands and feet for sensory dysfunction." D. "This medication can increase the risk of ototoxicity."
A
A nurse is teaching a client who is about to start taking propylthiouracil to treat hyperthyroidism. Which of the following statements should the nurse identify as an indication that the teaching has been effective? A. "I will need laboratory tests to check my liver function." B. "I should take this medication once daily." C. "fl get a rash, I am probably having an allergic reaction." D. "If I have difficulty sleeping, it is probably because of this medication."
A
A nurse is caring for a client who is starting a course of gentamicin IV for a serious respiratory infection. For which of the following manifestations should the nurse monitor as an adverse effect of this medication? (Select all that apply.) A. Pruritus B. Hematuria C. Muscle weakness D. Difficulty swallowing E. Vertigo
ABCE
A nurse is administering gentamicin by IV infusion at 0900. The medication will take 1 hr to infuse. When should the nurse plan to obtain a blood sample for a peak blood level of gentamicin? A. 1000 B. 1030 C. 1100 D. 1130
B
A nurse is caring for a client with Addison's disease who has been admitted with muscle weakness, dehydration, and nausea and vomiting for the past 2 days. Which of the following prescribed medications should the nurse plan to administer? A. Rifampin B. Loperamide C. Hydrocortisone D. Spironolactone
C
A nurse is caring for a client with Clostridium difficile who has contact-isolation precautions in place. Which of the following actions should the nurse perform? A. Instruct visitors to maintain a distance of at least 1 m (3 ft) from the client. B. Wash hands with antimicrobial soap after leaving the client's room. C. Use dedicated equipment for the client. D. Keep the doors to the client's room closed at all times.
C
A nurse is caring for a client with a pseudomonas infection who has a new prescription for ticarcillin-clavulanate. Which of the following data should the nurse collect before administering this medication? A. Indications of superinfection B. Peak and trough medication levels C. Baseline BUN and creatinine D. History of allergy to aminoglycoside antibiotics
C
A nurse is assessing a client with rheumatoid arthritis who has been taking high doses of prescribed hydroxychloroquine. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of hydroxychloroquine? A. "I have developed sores in my mouth." B. "I often feel like the room is spinning." C."I noticed that the whites of my eyes look yellow." D. "I have had a change in my vision recently."
D
A nurse is caring for an older adult client who has hypothyroidism and a new prescription for levothyroxine. Which of the following dosage schedules should the nurse expect for this client? A. The client will start at a high dosage, and the amount will be tapered as needed. B. The client will remain on the initial dosage during the course of treatment. C. The client's dosage will be adjusted daily based on blood levels. D. The client will start on a low dosage, which can be gradually increased.
D
A nurse in a provider's office is caring for a client who has a new diagnosis of herpes zoster. The nurse should anticipate a prescription for which of the following medications? A. Zoster vaccine B. Acyclovir C. Amoxicillin D. Infliximab
B
A nurse is caring for a client who has been diagnosed with an Addisonian crisis and has a blood pressure of 74/42 mmHg. Which of the following prescriptions should the nurse anticipate? A. Desmopressin B. Hydrocortisone C. Dopamine D. Furosemide
B
A nurse is caring for a client who is taking streptomycin. Which of the following medications increases the client's risk of developing ototoxicity when taken with streptomycin? A. Cefoxitin B. Furosemide C. Naproxen D. Amphotericin B
B
A nurse is caring for a group of clients who are receiving antimicrobial therapy. The nurse should identify that which of the following clients is at risk for medication toxicity? A. A young adult client who has a sinus infection B. An older adult client who has prostatitis C. A client who is postpartum and has mastitis D. A middle adult client who has a urinary tract infection
B
A nurse is caring for a male client who reports a thick urethral discharge. Which of the following actions should the nurse take? A. Contact the client's sexual partners B. Obtain a urethral specimen for culture C. Prepare to administer penicillin to the client D. Obtain blood for a rapid plasma reagin test
B
A nurse is caring for a newborn directly after birth. Which of the following medications should the nurse administer to the newborn within 1-2 hr of delivery? A. Naloxone B. Erythromycin ophthalmic ointment C. Poractant alfa D. Rotavirus immunization
B
A nurse is implementing a plan of care for a client who has a wound infection. Which of the following actions is the nurse's priority? A. Administer antibiotic medication. B. Obtain a wound specimen for culture. C. Monitor the client for a superinfection. D. Teach the client about wound care.
B
A nurse is reinforcing teaching with a newly licensed nurse about contraindications to vaccines. Which of the following examples should the nurse provide as a true contraindication for all vaccines? A. Previous local reaction to an injectable vaccine B. Moderate illness without a fever C. Recent exposure to an infectious disease D. Family history of an allergy to penicillin
B
A nurse is reviewing the laboratory report for a client who is taking tobramycin and notes that the peak blood level is 9.3 mcg/mL. Which of the following actions should the nurse take? A. Administer half of the prescribed dosage at the client's next scheduled dose B. Tell the client that the medication seems to be appropriate c. Advise the client to drink more water throughout the day D. Ask if the client has been experiencing any peripheral neuropathy
B
A nurse is teaching a client about taking tetracycline PO. Which of the following statements should the nurse include in the teaching? A. "Take this medication on a full stomach." B. "Limit your consumption of dairy products while taking this medicine." C. "Take the medication with your regular iron supplement." D. "Take antacids if you have an upset stomach from using tetracycline."
B
A nurse is caring for a group of clients on a medical-surgical unit. Which of the following clients should the nurse attend to first? A. A client who is receiving metoclopramide and reports diarrhea B. A client who is receiving tamsulosin and reports feeling dizzy C. A client who is receiving cephalexin and reports dyspnea D. A client who is receiving erythromycin and reports epigastric pain
C
A nurse is caring for an infant who is breastfed and is receiving amoxicillin for an upper respiratory infection. An assessment of the mouth reveals whitish patches on the tongue that will not scrape off. Which of the following actions should the nurse take? A. Offer the infant water before feedings B. Discontinue amoxicillin C. Administer an antifungal medication after feedings D. Give the infant formula instead of breast milk
C
A nurse is following standard policy and procedure for reporting a client who has a communicable disease. Which of the following infections should the nurse plan to report to the CDC? A. Clostridioides difficile B. Candidiasis C. Vancomycin-resistant Staphylococcus aureus D. Trichomoniasis
C
A nurse is monitoring a client with pneumonia who has received penicillin G intramuscularly (IM). Which of the following findings should the nurse plan to evaluate first? A. Pain at the injection site B. Prolonged motor dysfunction C. Laryngeal edema D. Temperature 37.6°C (99.7°F)
C
A nurse is providing teaching to a client who has hypothyroidism and is taking levothyroxine. The nurse should instruct the client that which of the following findings is an indication of thyrotoxicosis? A. Weight gain B. Constipation C.Chest pain D. Fatigue
C
A nurse is reviewing laboratory reports for a client who has Clostridium difficile infection and is receiving vancomycin. Which of the following results should the nurse report to the provider before administering the next dose? A. Hematocrit 46% B. Serum glucose 110 mg/dL C. Serum creatinine 2.5 mg/dL D. Serum potassium 4.8 mEq/L
C
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
A nurse is teaching a client who has Grave's disease and a new prescription for propranolol. Which of the following client statements indicates effective teaching? A. "Propranolol helps increase blood flow to my thyroid gland. B. "Propranolol is used to prevent excess glucose in my blood." C. "Propranolol will decrease my tremors and fast heart beat." D. "Propranolol promotes a decrease of thyroid hormone in my body."
C
A nurse is teaching a client who has a prescription for doxycycline for the treatment of a Helicobacter pylori infection. Which of the following instructions should the nurse include in the teaching? A. "Take this medication with meals to decrease gastrointestinal upset." B. "Continue this medication if you become pregnant." C. "Wear protective clothing while in the sun." D. "Expect to have severe diarrhea while taking this medication."
C
A nurse is teaching a client who has manifestations of a urinary tract infection. The nurse should instruct the client that which of the following tests is needed to determine which microorganism is causing the infection? A. Blood WBC B. Blood creatinine C. Urine culture D. Urine specific gravity
C
A nurse is teaching a client who has primary adrenal insufficiency (Addison's disease) and a prescription for hydrocortisone. Which of the following statements should the nurse include in the teaching about this medication? A. "You may need to take a lower dosage when you are ill or experiencing stress." B. "Take this medication before going to bed because it will make you tired." C. "Carry a supply of pills and a single-use injectable preparation with you at all times." D. "You will need to stop this medication before routine procedures such as a colonoscopy."
C
A nurse is teaching a client who is in the third trimester of pregnancy and has herpes genitalis. Which of the following instructions should the nurse include? A. "Clean the lesions twice a day with hydrogen peroxide." B. "Apply a hot compress to the affected areas." C. "Talk with your doctor about a prescription for acyclovir to treat your symptoms." D. "Expect to receive penicillin prior to delivery."
C
A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. A severe allergy to which of the following medications is a contraindication to ceftriaxone? A. Gentamicin B. Clindamycin C. Piperacillin D. Sulfamethoxazole-trimethoprim
C
A nurse is reviewing the laboratory results of a client who is taking tobramycin and notes that the medication's peak level is 7 mcg/mL. Which of the following actions should the nurse take? A. Administer half of the prescribed dosage at the client's next scheduled dose B. Tell the client that the medication seems to be effective C. Advise the client to drink more water throughout the day D. Continue to administer the medication as prescribed
D
A nurse is teaching a client who is taking levothyroxine for hypothyroidism about a new prescription for a calcium supplement. Which of the following pieces of information should the nurse include in the teaching? A. The calcium supplement will enhance the effect of the levothyroxine. B. The calcium supplement will accelerate the metabolism of the levothyroxine. C. Take the medications together at 1700 for the greatest effect. D. Take the calcium supplement 4 hr after taking the levothyroxine.
D
A nurse is preparing to administer azithromycin 150 mg liquid suspension PO every 12 hr to a client. The amount available is azithromycin 50 mg/5 mL. How many mL should the nurse administer per dose? (Fill in the blank with the numeric value only, round to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.)
15
A nurse is providing teaching to a client who has a new prescription for doxycycline. The nurse should instruct the client to monitor for which of the following adverse effects? A. Photosensitivity B. Constipation C. Ototoxicity D. Blurred vision
A
A nurse is teaching a client who has extensive deep partial- and full- thickness burns and requires a topical antimicrobial medication. The goal of this medication therapy is to reduce which of the following outcomes? A. Bacterial growth B. Scarring C. Skin graft size D. Pain
A
A nurse is caring for a client who is undergoing preparation for extensive colorectal surgery. Which of the following oral antibiotics should the nurse expect to administer specifically to suppress normal flora in the Gl tract? A. Kanamycin B. Gentamicin C. Neomycin D. Tobramycin
C
A nurse is caring for a client who is taking for somatropin to stimulate growth. The nurse should plan to monitor the client's urine for which of the following? A. Bilirubin B. Protein C. Potassium D. Calcium
D
A nurse is preparing to administer levothyroxine 12.5 mcg PO daily to a client who has hypothyroidism. Levothyroxine 25 mcg/1 tablet is available. How many tablets should the nurse administer per dose? (Fill in the blank with the numeric value only, round the answer to the nearest tenth, and use a leading zero if applicable. Do not use a trailing zero.)
0.5
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? (Fill in the blank with the numeric value only, round the answer to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.)
5
A nurse is admitting a client for a total hip arthroplasty. The client takes hydrocortisone for Addison's disease. Which of the following actions is the nurse's priority? A. Administering a supplemental dose of hydrocortisone B. Instructing the client about coughing and deep breathing C. Collecting additional information about the client's history of Addison's disease D. Inserting an indwelling urinary catheter
A
A nurse is admitting a client who has manifestations that suggest tuberculosis. Which of the following actions is the nurse's priority? A. Initiate airborne precautions B. Administer antimicrobial therapy C.Tell the client that the infection will be communicable for 2-3 weeks from the start of medication therapy D. Teach the client about the manifestations of tuberculosis
A
A nurse is admitting a client who has measles. Which of the following types of transmission precautions should the nurse initiate? A. Airborne B. Droplet C. Contact D. Protective environment
A
A nurse is caring for a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following findings should the nurse identify as an indication that the client requires intervention? A. Heart rate 106/min B. Dry skin C. Oral temperature 36.8°C (98.2°F) D. Lethargy
A
A nurse is caring for a client who has subacute bacterial endocarditis and is receiving several antibiotics, including streptomycin IM. For which of the following manifestations should the nurse monitor as an adverse effect of this medication? A. Ataxia B. Urinary retention C. Constipation D. Complex partial seizures
A
A nurse is caring for a client who is at 6 weeks of gestation and has just received a diagnosis of hyperthyroidism. The nurse should anticipate a prescription from the provider for which of the following medications? A. Propy|thiouracil B. Liothyronine C. Methimazole D. lodine-131
A
A nurse is caring for a client who is taking propylthiouracil. Which of the following findings should the nurse monitor for as an adverse effect of this medication? A. Bradycardia B. Insomnia C. Heat intolerance D. Weight loss
A
A nurse is preparing a continuous IV infusion of erythromycin lactobionate for a client who has a Bordetella pertussis infection. Which of the following actions should the nurse take to minimize the risk of thrombophlebitis? A. Infuse the medication slowly B. Administer half the dosage C. Avoid diluting the solution D. Initiate intermittent dosing
A
A nurse is teaching a group of nurses about antimicrobial therapy. The nurse should instruct that effective penetration of antibiotics can be impeded by which of the following conditions? A. Meningitis B. An infected abscess C. Endocarditis D. Pneumonia E. Pyelonephritis
ABC
A nurse is teaching a group of nurses about the importance of prophylactic antimicrobial therapy. Which of the following information should the nurse include in the teaching? (Select all that apply) A. Administer prophylactic antimicrobial therapy to clients who report exposure to a sexually transmitted infection. B. Administer prophylactic antimicrobial therapy to clients who are having orthopedic surgery. C. Instruct clients who have a prosthetic heart valve about the need for prophylactic antimicrobial therapy before dental work. D. Consult the provider for prophylactic antimicrobial therapy for clients who have recurrent urinary tract infections. E. Instruct clients to request prophylactic antimicrobial therapy immediately when they have an upper respiratory infection.
ABCD
A nurse is reviewing the medication administration record of a client who has impaired swallowing. The nurse should crush the medication when administering which of the following prescriptions? A. Aspirin EC 80 mg PO daily B. Levothyroxine 75 mcg PO q AM before breakfast C. Metformin XR 500 mg PO daily D. Nitroglycerin 0.3 mg SL PRN chest pain, may repeat q 5 min for 2 additional doses
B
A nurse in the emergency department is reviewing laboratory results for several children who have manifestations of influenza. Which of the following children should the nurse report to the provider immediately? A. A school-age child with a urine specific gravity of 1.035 B. A toddler with a BUN of 25 mg/dL and a creatinine of 0.5 mg/dL C. An infant with a WBC count of 24,000/mm3 D. An adolescent with a positive beta human chorionic gonadotropin test
C
A nurse in a provider's office is assessing a client who has been taking amoxicillin for 10 days and reports diarrhea and cramping. The nurse should recognize that these manifestations occur secondary to which of the following adverse effects? A. Development of gastric ulcers B. Development of milk intolerance C. Allergic reactions to the medication D. Alterations in gastrointestinal flora
D
A nurse in the emergency department is caring for a client who has Addison's disease and reports nausea, vomiting, diarrhea, and abdominal pain. To prevent an Addisonian crisis, the nurse should prepare to administer which of the following medications? A. Calcium B. Potassium C. lodine D. Hydrocortisone
D
A nurse is reviewing the medical record of a client who takes desmopressin for diabetes insipidus. Which of the following findings is an adverse effect of desmopressin? A. Hypovolemia B. Hypercalcemia C. Agitation D. Headache
D
