Pharm III Exam 3

A nurse should identify that clopidogrel is contraindicated for clients who have which of the following conditions?

Peptic ulcer disease

A nurse is providing teaching to a client about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include?

Perform weight-bearing activites

A nurse is teaching a client who recently had a MI and has a new prescription for docusate sodium. The nurse should inform the client that docusate sodium has which of the following therapeutic effects?

Prevents straining

A nurse is caring for a client who is about to begin taking cabergoline to treat infertility. The nurse should explain to te client the need to monitor which of the following laboratory values?

Prolactin level

A nurse is caring for a client who is about to begin taking finasteride to treat benign prostatic hypertrophy. The nurse should explain to the client the need to monitor which of the following laboratory values?

Prostate-specific antigen (PSA)

A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. Which of the following findings should the nurse identify as a possible indication of hemorrhage?

Rapid pulse

A nurse is caring for a client who is about to begin taking folic acid to treat megaloblastic anemia. The nurse should monitor which of the following laboratory values to determine therapeutic effectiveness?

Reticulocute count

A nurse is providing teaching to a client who is taking bethanechol for urinary retention. Which of the following instructions should the nurse include (select all that apply)?

-Avoid driving and activities that require alertness -Increase fluid intake -Stay close to a bathroom after taking the drug

A nurse is teaching a client who has a new prescription for transdermal testosterone gel to treat delayed puberty. Which of the following instructions should the nurse include (select all that apply)?

-Cover the area of application with clothing -Wash your hands after applying the gel

A nurse is assessing a client who has a new prescription of oxybutynin to treat neurogenic bladder. Which of the following assessment findings should the nurse identify as an adverse effect of the drug (select all that apply)?

-Dilated pupils -Dizziness -Distended bladder -Fever

A nurse is administering sulfasalzine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction? (select all that apply)

-Skin inegrity -Temperature -CBC

A nurse should recognize that misoprostol is contraindicated for a client who has which of the following conditions?

A positivie pregnancy test

A nurse is caring for a client who has a new prescription for alosetron to treat irritable bowel syndrome. The nurse should instruct the client to report which of the following adverese effects of the drugs?

Abdominal pain

A nurse is administering epoetin intravenously to a client who has renal failure. Which of the following actions should the nurse take?

Administer via IV bolus over 1 to 3 minutes

A nure is caring for a client who is taking allopurinol to treat gout and has a new prescritpion for azathioprine to treat ulcerative colitis. For which of the following reasons should the nurse clarify these presciptions with the provider?

Allopurinol delays the conversion of azathioprine and can lead to toxicity

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client's phosphorus levels when administering which of the following drugs?

Aluminum hydroxide

A nurse is caring for a client who is about to begin alteplase therapy to treat pulmonary embolism. Which of the following drugs should nurse have available in the event of a severe adverse reaction?

Aminocaproic acid

A nurse is caring for a client who has a new prescription for ranitidine to treat GERD. The nurse should instruct the client to wait at least 1 hour between taking ranitidine and which of the following over-the-counter drugs?

Antacids

A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions?

Aspirin sensitivity

A nurse is providing teaching to a client who has a new prescription for loperamide. Which of the following instructions should the nurse include?

Avoid activities that require alertness

A nurse is providing safety education to a client who is schedules to begin treatment with tamsulosin for BPH. Which of the following instructions should the nurse include?

Change positions slowly

A nurse is preparing to adminsiter a prescribed dose of desmopressing to a client who has hemophilia A. The client's laboratory results indicate that the client has a sodium level of 130 mEq/L. Which of the following actions should the nurse take?

Clarify the prescription with the provider

A nurse is caring for a client who has chronic stable angina. The nurse should identify that which of the following drugs inhibits the aciton of ademosine diphosphate receptors (ADP) on platelets and can be prescribed to reduce the client's risk for myocardial infarction?

Clopidogrel

A nurse is caring for a client who is about to begin therapy with recombinant factor IX to treat hemophilia B. The client asks the nurse about the risk of disease transmission with recombinant factor IX as compared with plasma-derived factor IX. The nurse should explain that recombinant facotr IX practically eliminates the risk for which of the following?

Creutzfeldt-Jakob disease

A nurse is caring for a client who is taking ferrous sulfate to treat iron-deficiency anemia and develops iron toxicity. Which of the following drugs should the nurse expect to use to treat this complication?

Deferoxamine

A nurse is teaching a client who is starting treatment with warfarin. The nurse should plan to include information on which of the following topics to promote the effectiveness of the drug?

Dietary modifications

A nurse is assessing a client who was administered ondansetron IV 1 hour ago. Which of the following findings should the nurse recognize as an adverese effect of this drug?

Dizziness

A nurse is providing teaching to a client about sildenafil to treat erectile dysfuntion. Which of the following instructions should the nurse include?

Do not take the drugs with high-fat foods

A nurse is caring for a client who has hemophilia A and is about to begin taking desmopressing to prevent bleeding. The nurse should monitor the client for which of the following adverse reactions?

Edema

A nurse is caring for a client who has benign prostatic hypertrophy and is taking tamsulosin. The nurse should question the use of hte drug if the client also has which of the following?

Erectile dysfunction for which he takes sildenafil

A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the client for which of the following adverse effects?

Headache

After administering terbutaline to a client to inhibt preterm labor; the nurse should assess which of the following?

Heart rate

A nurse is reviewing the medication record of a client who is receiving alteplase following an acute MI. Which of the following medications should the nurse expect the client to be taking in addition to the alteplase?

Heparin

A nurse is caring for a client who is about to begin taking epoetin. An increase in which of the following laboratory values should indicate to the nurse that the therapy is effective?

Hgb

A nurse should question the use ethinyl estradiol and drospirenone by a client who has a renal disease due to the increased risk of which of the following?

Hyperkalemia

A nurse is caring for a client who has renal failure and is receiving epoetin. The nurse should monitor the client for which of the following adverse effects?

Hypertension

A nurse is teaching a client who has a new prescription for a testosterone transdermal patch. Which of the following statements made by the client indicates an understanding of the teaching?

I should apply the medication to a different site each time

A nurse is assessing a client who has a new prescription for the combination oral contraceptive ethinyl estradiol and drospireneone. Which of the following findings should the nurse identify as a contraindication to use of this medication?

Smokes half a pack of cigs a day

A nurse is caring for a client who is taking phenytoin for a seizure disorder and has a new prescription for sucralgate to treat a duodenal ulcer. The nurse should instruct the client to take the drugs at least 2 hours apart for which of the following reasons?

Sucralfate interferes with the absorption of phenytoin

A nurse is caring for a client who is scheduled for an outpatient surgical procedure and reports taking aspirin 81 mg daily. The nurse should identify that this places the client at risk for which of the following complications?

Uncontrolled bleeding

A nurse is caring for a client who is taking combination oral contraceptive ethinyl estradiol and drospirenone and is about to begin taking rifampin to treat tuberculosis. Which of the following instructions should the nurse give the client due to a possible drug instruction?

Use additional birth control methods

A nurse is teaching a client who has a new prescription for sulfasalzine. Which of the following statements should the nurse make?

Use sunscreen and protective clothing while taking sulfasalzine to prevent sunburn

A nurse is preparing to administer finasteride to a client who has benign prostatic hypertrophy (BPH). Which of the following precautions should the nurse plan to take when administering this drug?

Wear gloves when handling the tablet

A nurse is caring for a client who has a prescription for alosetron. The nurse should recognize that alosetron therapy is effective when the client reports which of the following?

One formed stool per day

A nurse is teaching a client about taking ferrous sulfate to treat iron-deficiency anemia. Which of the following instructions should the nurse include? (select all that apply)

-Eat iron-enriched foods -Spread the dosage across each day -Take the drug on an empty stomach -Increase dietary fiber intake

A provider has prescribed a dinoprostone vaginal insert to promote cervical ripening in a client who is at 40 weeks of gestation. When adminisitering dinoprostone, which of the following actions should the nurse take (select all that apply)?

-Encourage the client to urine prior to insertion -Remove the pouch when active labor beings -Monitor for uterine hyperstilumlation -Monitor the client's temperature

A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron. Which of the following actions should the nurse plan to take (select all that apply)?

-Infuse the drug 30 min prior to chemotherapy -Infuse the drug slowly over 15 min -Repeat the dose 4 hour after chemotherapy

A nurse is caring for a client who has a new prescription for transdermal conjugated estrogen and medroxyprogesterone to treat postmenopausal symptoms. The nurse should explain to the client that this drug combination includes which of the following therapeutic effects (select all that apply)?

-Reduces the risk of ovarian cancer -Relieves hot flashes -Prevent osteoporosis

A nurse is providing teaching to a client who has a new prescription for dimenhydrinate to prevent motion sickness. Which of the following instructions should the nurse include (select all that apply)?

-Take the drug 30-60 min before activities that trigger nausea -Avoid activities that require alertness -Increase fluid and fiber intake

A nurse is providing teaching to a client who is about to start taking psyllium to treat constipation. Which of the following instructions should the nurse include (select all that apply)?

-Take the drug with at least 8 oz (237 mL) of fluid -Increase fluid and fiber intake

A nurse should question the use of conjugated equine estrogne by a client who has a history of which of the following?

Blood clots

A nurse is monitoring a client following ferrous sulfate administration. The nurse should monitor the client for which of the following adverse effects?

Constipation

A nurse is caring for a client who is taking lubiprostone. The nurse should tell the client that lubiprostone can cause which of the following adverse drug reactions?

Nausea

A nurse is caring for a client who is about to begin clomiphene therapy to treat infertility. The nurse should monitor the client for which of the following adverse effects?

Ovarian hyperstimulaiton syndrome

A nurse is caring for a client who has a new prescription for conjugated equine estrogen. The nurse should instruct the client to report which of the following indications of a serious adverese reaction?

Vaginal bleeding

A nurse is teaching a client about receiving leuprolide to treat endometriosis. The nurse should instrict the client to expect which of the following side effects?

Vaginal dryness

A nurse should assess a client who has megablastic anemia for indications of which of the following vitamin deficiencies?

Vitamin B12

Which of the following drugs has protocols that require clients to specific risk-management criteria and sign a treatment agreement before the nurse can administer the drug?

Alosetron

A nurse is caring for a client who missed a dose of her oral contraceptive. Which of the following instructions should the nurse give the client?

Take the missed dose as soon as possible

A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Which of the following statements should hte nurse plan include?

Avoid driving or activities requiring alertness

A nurse is caring for a male client who has hyperthyroidusm and is not responding to treatment. The nurse should identify that hyperthyroidism is a contraindication for which of the following drugs?

Bethanechol

A nurse is caring for a client who is taking filgrastim to treat neutropenia. The nurse should assess the client for which of the following adverse effects?

Englarged spleen

A nurse is caring for a client who recieved human menopausal gonadotropin (hMG). Which of the following findings should the nurse expect?

Follicular maturation

A nurse is teaching a client who has a new prescription for methotrexate. The nurse should instruct the client to monitor for manifestations of which of the following conditions?

Gout

A nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include?

Have blood pressue checked regularly

A nurse is caring for a client who is about to begin factor VIII therapy to treat hemophilia A. When administering factor VIII. Which of the following actions should the nurse take?

Have emergency equipment ready

A nurse should recognize that diphenoxylate/atropine should be used with caution for a client who has which of the following conditions?

Inflammatory bowel disease

A nurse is caring for a client who is about to begin taking aspirin to reduce the risk of a cardiovascular event. The nurse should identify that the drug inhibits platelet aggregation by which of the following mechanisms?

Inhibiting cyclooxygenase action in platelets

A nurse is reviewing the medical record of a client who has a new prescription for rantidine. The nurse should recgnize that which of the following drugs interacts with ranitidine?

Ketoconazole

A nurse is caring for an older adult client who has renal impairment and new prescription for cimetidine. The nurse should instruct the client to report which of the following manifestations?

Lethargy

A nurse is providing teaching to a client who has a prescription for omeprazole to treat a duodenal ulcer. Which of the following instructions should the nurse include?

Swallow the capsules whole

A nurse is caring for a male client who asks the nurse about taking alosetron for irritable bowel syndrome with diarrhea (IBS-D) lasting 3 months. Which of the following information should the nurse provide the client about alosetron?

The drug is prescribed to female clients who has IBS-D lasting more than 6 months

A nurse in an emergency department is assessing a client who has been taking warfarin and is experiencing rectal bleeding. Which of the following drugs should the nurse expect to administer to the client?

Vitamin K

A nurse is caring for a client who is taking clopidogrel to prevent stent resenosis. The nurse should monitor the client for which of the following adverse reactions?

Thrombocytopenia

A nurse is caring for a client who is experiencing an acute ischemic cerebrovascular event due to a thrombus in a cerebral vessel. Which of the following drugs should the nurse expect to administer?

Alteplase