PHARM

A LVN is teaching a 17 year old about her new oral contraception. What comment indicates she needs additional teaching?

If I forget to take my pills for 2 days, I will take 3 to catch up

Client comes into womens outpatient for a 3 month appointment following hormone replacement therapy (HRT). Which report by the client should be priority concern?

10 lb weight gain within last 3 months

a nurse is teaching a client who is diagnosed with angina how to properly administer transdermal nitroglycerin. The nurse instructs the client to apply the Patch for how long?

10-12 hrs

. A nurse is required to administer a varicella vaccine to a female client planning to start a family. How long after the vaccination should the nurse instruct the client to wait before getting pregnant?

12 weeks

a nurse is reviewing the serum digoxin level of a client receiving treatment for a cardiac arrhythmia. Which laboratory results should the LVN prioritize and report to the Primary Health care provider?

2.2

the nursing instructor has completed a teaching session explaining the various anti hypertensive drugs. The instructor determines additional teaching is needed when the students choose which drugs as an angiotensin converting enzyme inhibitor?

pindolol

a client with a nonproductive cough is prescribed codeine sulfate. The nurse will question this order for clients with which history?

premature infant

a client receiving antiarrhythmic therapy develops a new arrhythmia potentially due to the administration of the drug. The nurse predicts this is related to which reaction?

proarrhythmic effect

the nurse administers an inhalation treatment using Ipratropium bromide to a client. The nurse will evaluate the effectiveness of this medication by assessing the client for ......

productive sputum

a client who is steroid dependent secondary to adrenocortical insufficiency comes to the clinic and is very upset reporting stressful circumstances what does the nurse expect the health care provider will order concerning the client's medication regimen?

the dosage of the medication may be increased

Client with hypothyroidism is about to get administered drug therapy. The nurse remembers the hormone secreted by the thyroid gland are:

tri-iodothronine & thyroxine

30-year-old female client is prescribed misoprostol which instruction should the nurse prioritize in the teaching session for this client?

use reliable contraceptive method

A nurse is preparing to administer a drug that is used to prevent uterine contractions. Which drug might the nurse be preparing to administer? Select all that apply.

Indomethacin (Indocin)

a nurse is conducting a unit in service about mast cell stabilizers the nurse determines a session is successful when the participants correctly choose which drug as an example?

cromolyn

a client prescribed niacin reports significant skin flushing and itching. The client states that he does not want to take the drug anymore. The nurse anticipates the health care provider will prescribe which drug to address this issue?

aspirin

a nurse is preparing to administer spiralactone to a client. The nurse would question this order if which disorder is noted in the client's history?

hyperkalemia

A client was admitted to an acute care facility with reports of dyspnea the nurse suspects left sided heart failure based on which assessment finding

orthopnea

client with a UTI is experiencing dysuria the nurse would expect which drug to be prescribed?

phenazopyridine

the nurse is conducting a presentation on the different triggers of cardiac arrhythmias. The nurse should discuss which factors as potential triggers for cardiac arrythmias? Select all that apply

-emotional stress -hypoxemia -heart disease -electrolyte imbalance

the experience is nurse is teaching the student nurses about safety in the cholinesterase inhibitor. What is the priority information that should be shared about reducing the risk of injury? Select all that apply

-encourage the use of assistive devices -use night lights -keep the bed in a low position

a client is diagnosed with an infection H. Pylori the nurse expects the client will be prescribed which drug in combination with an antibiotic? Select all that apply.

-omeprazole -lansoprazole

A psychiatric nurse is reviewing the medical history prior to administering an anxiolytic to a newly diagnosed client. The psychiatric nurse would expect to find which disorder in the client's medical record that supports the use of an anxiolytic drug? Select all the apply

-panic attacks -seizures -alcohol withdrawal

The nurse has completed a teaching with a client prescribed phenytoin daily for seizure activity. The nurse determines the session is successful after the client correctly chooses which potential adverse reaction that can occur if the client misses a dose of medication?

-recurrence of seizures

When describing the thyroid gland, the nursing instructor would include which hormones as being secreted by the thyroid gland? Select all that apply.

-thyroxine -triiodothyronine

When explaining the action of oxytocin to a client, the nurse integrates knowledge of which of the following about the drug? Select all that apply.

-uterine stimulating properties -stimulation of milk ejection -vasopressor effects

A client diagnosed with hypothyroidism. Which of the following would the nurse expect to assess? Select all that apply .

-weight gain -bradycardia -sleepiness

a nurse is reviewing the electronic medical records of various clients who presented to the client for their annual physical exam. The nurse would identify which clients blood pressure routine as prehypertensive?

128/86

year old pregnant woman has just been prescribed oxytocin but has also been prescribed vasopressors. The nurse will carefully monitor for:

Hypertension

client is receiving a diuretic for the management of hypertension. Which laboratory assessment findings should the LVN prioritize?

Hyponatremia

a client is being discharged after being diagnosed with diabetes. The client is being taught how to monitor his blood glucose. After teaching the client, which statement indicates to the nurse that additional teaching is needed?

I should prick the tip of my finger to get the blood.

the nursing instructor is explaining the mechanism of action for Alpha adrenergic blocking drugs. What is the nursing instructor's best explanation?

They cause vasoconstriction of the smooth muscle of blood vessels.

A nurse is caring for a client who is being prescribed phenazopyridine. The client is distressed on seeing that the urine is exhibiting a reddish-orange discoloration. Which response by the nurse would be most appropriate?

This discoloration is a normal result of the medication.

a client presents to the clinic for a follow up after being diagnosed with allergic rhinitis. The client is complaining of a slight stinging sensation after using a nasal spray decongestant. Which statement by the Nurse would be most appropriate?

This sensation is common and usually disappears with continued years

a client arrives to the emergency center following a motor vehicle accident the nurse prepares to administer an adrenergic agent after assessing for signs of shock which includes which finding?

changes in LOC

a client with myasthenia gravis who is prescribed pyridostigmine comes to the emergency room with complaints of excessive diarrhea severe muscle weakness and abdominal cramping. The nurse would suspect which situation is occurring?

cholinergic crisis

Client was in a automobile accident and brought to the hospital, his blood sugar was 400 mg/dl he was given insulin. The client asks the nurse why if he isn't diabetic? Whats the appropriate response by the nurse?

during stressful times your blood glucose increases

1. What are additional warning risks and warning signs for client taking estrogen?

endometrial cancer

the client has recently prescribed ezetimibe for a diagnosis of hyperlipidemia. The nurse is prepared to prioritize which assessment to evaluate the drug's effectiveness?

frequently monitoring blood cholesterol

a diabetic client presents to the emergency room with hypoglycemia. The nurse performs a pre administration assessment and determines that the client does not have dysphagia and the gag reflex is present . What nursing action would the nurse perform for this client's hypoglycemic episode?

give oral fluids or candy

a nurse is conducting the nurse is teaching a client about dietary concerns related to the administration of warfarin . The nurse determines the teaching session is successful when the client correctly points out that a consistent intake of which foods is necessary when using warfarin?

green leafy vegetables

the nurse is teaching a group of nursing students about Bisacodyl what action should the LVN discuss for this drug?

increased peristalsis to produce a bowel movement

A client has been prescribed donepezil for dementia. after reviewing the client's medication record, the LVN notes the client is taking celecoxib before a history of osteoarthritis. Which effects should the nurse monitor for if the drugs are taken together?

increased risk of GI bleed

the nurse is reviewing a client's medication records and notes that the client is taking a HMG-CoA reductase inhibitor and amiodarone which potential drug-drug interaction will the nurse carefully assess for?

increased risk of myopathy

the psychiatric nurse is caring for a client with suicidal tendencies who has been admitted to a menta health institution which action would be most appropriate for the nurse to do after administering the drug orally?

inspect the oral cavity to ensure that the drug is swallowed

Client was recently started on amlodopine for angina. The client prevents presents to the client clinic with complaints of dizziness. Which intervention should the elveon prioritized to help alleviate the condition?

instruct the client to lie down

the nurse performing discharge teaching about alprazolam. The nurse should include which symptom as an early adverse reaction?

lightheadedness

the nurse is conducting a teaching session for a client who was recently prescribed aCth the nurse acknowledges the session is successful when the client correctly points out that they will need to avoid which medication?

live vaccine

Is preparing discharge instructions about hypnotics which factor would the nurse plan to include?

most likely administer at bedtime

a nursing professor is conducting a teaching lesson about the parasympathetic nervous system. The professor acknowledges the session is successful when the students correctly state which receptors are involved with stimulating some smooth muscles?

muscarinic

A nurse instructor is teaching a group of nursing students about types 2 diabetes the instructor determines the session is successful when the students correctly choose which as a risk factor for individuals developing type 2 diabetes?

obesity

A nurse is caring for a client with diabetes mellitus who is receiving an oral antidiabetic drug. Which of following ongoing assessments should the nurse perform when caring for this client?

observe the client for hypoglycemic episodes

A pregnant woman 40 week gestation has just been prescribed oxytocin in the delivery unit. Which intervention would the nurse prioritize before administering?

obtain obstetric & general HX

The nurse is demonstrating the correct technique for administering Nitroglycerin ointment. What message should the nurse demonstrate as being the most accurate for determining the amount of ointment two apply?

paper applicator

a nurse is conducting a community presentation on heart disease cholesterol and risk factors the nurse determines that the class has been successful when the class correctly diagnosis chooses which point is true?

physical activity raises HDL cholesterol levels

The nurse is preparing to give Androgen drug to a client. The nurse should anticipate what potential diagnosis for the patient?

postmenopausal metastatic breast cancer

a nurse is assessing a client who has recently undergone gone an abdominal surgery . The nurse notes the continued order for enoxaparin(anticoagulant), the nurse understands this is to accomplish which goal?

prevent formation of a blood clot

the nurse is performing discharge teaching for a client who has been prescribed a CNS stimulant. Which of the following should the nurse discuss as a contraindication for CNS stimulants?

severe hypertension

Client presents to the clinic with prescription of intranasal oxytocin. What should the LV state is the purpose of the drug?

stimulation of milk ejection reflex

a nurse is preparing to administer sulfasalazine told client was in inflammatory bowel disease. The nurse should question this order if the clients record indication indicates a high percentage sensitivity to which drug?

sulfamethoxazole/trimethoprim

the LVN is providing client education about midodrine which has been newly prescribed for intractable orthostatic hypotension. What information is a priority to include in the teaching plan?

take midodrine during the day while awake

a morbidly obese client is seen in the clinic to discuss starting amphetamine. Which factor should the nurse prioritize in the pre administration assessment?

weight

A nurse administers chlorothiazide to a client with renal compromise. Which action should the nurse prioritize after noting the BUN level is rising?

withhold the next dose of the drug

the LVN is providing discharge teaching for a client who has been prescribed a monoamine oxidase inhibitor MAOI which food should the LVN state is prohibited for this client?

yogurt

the LVN is providing discharge education to a client who was recently prescribed a glucocorticoid the nurse should expect that the drug has been prescribed to be taken at what time of the day?

1st thing in the morning

the client with newly diagnosed insomnia started on a hypnotic. The client asked the nurse how long do I have to take this drug? Which time frame would the nurse most likely include in the response

2 weeks

Nurse is performing an ongoing assessment of a client who recently started taking lithium. The la client is complaining of blurred vision, tinnitus and word Vertigo. The nurse would anticipate which serum lithium level based on the client signs and symptoms?

2.2 meq/L

during annual clinic visit a client reports using an over-the-counter antidiarrheal agent for treatment of diarrhea. The nurse reviews the drug information with the client and determines the client grasp the important of contacting the primary health care provider of the diarrhea is not resolved within which timeframe?

48 hrs

The nurse instructor is teaching a class about the actions of anticoagulants. The instructor determines the class is successful when the students correctly choose which as the action of Anticoagulant?

prevent formation of thrombus

a client has been recently prescribed fenofibrate for very high serum triglyceride levels. The nurse should question this order if the client has a history of which additional disorder?

primary biliary cirrhosis

A nurse is performing her morning assessment for a client who has been receiving the cyclobenzaprine and would expect to assess which finding as indicating the therapeutic effect of the drug?

reduction of muscle spasm

a nurse is preparing to teach a client and spouse about the antidepressant therapy which will be continued at home which safety measures should the nurse recommend if the client complains of dizziness when getting out of bed?

rise slowly when getting out of bed

the client reports taking the prescribed medication immediately upon arising each morning incense for 30 minutes before eating or drinking. The nurse anticipates discovering the client is taking which medication?

risedronate

a client who is prescribed lithium about the drug, the nurse determines that the teaching was successful in the client staged which comment I need to call the health care provider

salt is something that I need to make sure I have in my food

a client currently prescribed A MAOI for depression is also prescribed a decongestant for cold symptoms which potential adverse reaction should the nurse point out will warrant contacting the health care provider?

severe headache

LVN teaching client with delayed puberty about his Transdermal androgen therapy. What instruction does the LVN Provide?

apply immediately after removing cover

A 10 year old taking somatropin with delayed growth secondary growth hormone. When should this medication be stopped?

closer to epiphyseal of the long bone

When a patient is given Novalog Aspart they should be provided food by what 0800 time?

0815

the nurse is providing discharge teaching to a client who is prescribed alendronate. Which instructions will the nurse include in the session? Select all that applied.

- take med with 6-8 oz water -remain upright for at least 30 mins -wait 30 mins before taking any other food or drink

a nurse is preparing a client complains of experiencing nausea after the administration of anti arhythmic therapy. Which instructions should the nurse prioritize in the clients plan of care?

-administering the drug with food -offering small frequent meals

a client presents to the clinic with complaints of intestinal gas. Which drugs would the nurse expect the Primary Health care provider to prescribe? Select all that applied.

-charcoal -simethicone

A nurse is reviewing a client's medical record and determines that the client has naturally acquired active immunity. Which of the following would most likely apply? Select all that apply.

-client exposed to chickenpox for the 1st time has no immunity -an individual who is exposed to pertussis for the 1st time has no immunity

A nurse is educating a group of nursing students about the immediate reactions that may occur after administering antivenins. Within which of the following time periods will the immediate reaction be seen if the client is sensitive to the antivenin?

30 mins

the nursing instructor is teaching a class on the signs of heart failure. The instructor determines the session is successful when the students correctly choose which ejection traction is suggesting left ventricular systolic dysfunction?

38%

a client is prescribed a transdermal Clonidine Patch . The nurse conducts discharge teaching and determines that the teaching was successful when the client states that the Patch should remain in place for how long?

7 days

a client is prescribed zolpidem. As part of the teaching plan, the nurse would emphasize the need to plan for the proper amount of sleep period the nurse determines that the teaching plan was successful in the client states that they will plan for how many hours of sleep at night?

7-8 hrs

A client receives insulin lispro at 8 a.m. The nurse would be alert for signs and symptoms of hypoglycemia at about which time?

8:15 am

the client is reporting GI disturbances after receiving the first dose of carbidopa/levodopa for Parkinson disease which action should the nurse prioritize for this client?

Administer the next dose with meals

he nurse is prepping a client scheduled for abdominal surgery to begin at 0630. The client is to receive meperidine and scopolamine in the preoperative period. The nurse notes that the client also has an antibiotic to be administered prior to surgery. The nurses first action should be?

Aminister pre op meds IM as ordered

A nurse is preparing to administer an anti arhythmic and determines the drug is a class 3 potassium channel blocker which drug would the nurse be most likely to administer?

Amiodorone

a nurse is preparing to administer the first dose of warfarin to a client. Which assessment should the nurse prioritize for this client?

Assess PT & INR

the experienced nurse is teaching a student nurse about drugs used for muscle spasms and cramping. The experienced nurse determines the student nurse understands the information when the student correctly explains which instruction is relevant to skeletal muscle relaxants?

Avoid alcohol or other CNS depressants

the nursing instructor is teaching a group of students about administering insulin glargine what precaution should the nurse instructor prioritize when teaching the students about administering this drug?

Avoid mixing glargine with other insulins

A group of new graduate nurses are completing orientation for their new nursing jobs. The presenter in the new hire nursing orientation is discussing sympatholytic drugs . The new graduate nurses should identify which groups as an example? Select all that apply

Beta adrenergic blockers Alpha adrenergic blockers

the LVN is conducting a pre administration assessment for a client diagnosed with hypertension. What is the priority nursing assessment?

Blood pressure

a client receiving mepenzolate is reporting a cottonmouth feeling. Which action by the nurse is most appropriate?

Check the oral cavity daily for soreness or ulceration

A client arrives in the emergency room and says to the LVN, I've been hit coughing nonstop for the past 10 or 12 hours. I've tried everything, but it will not stop. The nurse would expect the Primary Health care provider to prescribe what drug?

Chlorpromazine

A client who has been taking an adrenergic medication arrives at the clinic for a follow up visit. Which comment made by the client would signal an adverse reaction in a reason to call the prescriber?

I feel a fluttering of my heart

nurse is caring for a client receiving Fosfomycin for the treatment of an acute bacterial UTI. Which of the following interventions should the nurse include in the teaching plan for the client about this drug?

Ensure that the drug is administered immediately after mixing with water

A client alerts the nurse that they have been in menopause for a couple of months the nurse teaches the client how menopause occurs. Which statement reflects the teaching has been effective?

Estrogen and progesterone diminish

Administration of estrogen is different in women who have an intact uterus during hysterectomy, which statement is correct?

Estrogen is administered alone after hysterectomy

a client is admitted to the emergency room with a suspected overdose benzodiazepines Pam which drug should the nurse anticipate receiving in order to minimize the effects of the overdose?

Flumazenil

A nurse receives a stat order for protamine the nurse understands that it is necessary due to an adverse reaction to which drug?

Heparin

A nurse is caring for a client with hyperthyroidism. The physician prescribes methimazole to the client. The nurse observes that the client has developed skin rashes after the drug is administered. Which of the following interventions should the nurse perform while caring for the client?

Instruct client to use soap sparingly

a client is nearly diagnosed with a gastric ulcer and his prescribed sucralfate when providing client education what should the nurse state as the action of for this drug?

It coats the gastric lining and covers a ulcer

A client with liver failure has developed hepatic encephalopathy. The nurse expects to administer which of the following medications for this condition?

Lactulose

A client taking oral contraceptive drugs complains of occasional bloating of the abdomen. Which of the following instructions should the nurse offer the client to help alleviate the condition?

Limit fluid intake with meals

The experienced nurse is teaching a group of new graduate nurses about upper gastrointestinal system drugs. The experienced nurse determines that the teaching was successful when the new nurses correctly choose which drug as a gastrointestinal stimulant?

Metoclopramide

a nurse will be administering a laxative that adds bulk in water to the contents of the intestines. Which drugs would the nurse be most likely to administer? Select all that apply.

Polycarophil methylcellulose

. The caregivers of a child who is recovering from chickenpox tells the nurse the child was given aspirin for a fever. The nurse would prioritize the assessment for indications of which adverse reaction

Reyes syndrome

A client who is right-handed is to receive a booster injection for a previous vaccination. The nurse prepares to administer the injection at which site?

Right arm

A client comes to the emergency department and reports that he is in extreme pain. Physical assessment reveals priapism.(Erection) When obtaining the client's medication history, which of the following would the nurse expect the client to report using?

Tadalafil

a nurse is teaching a client about inhaled corticosteroids an bronchodilator therapy which is the priority education for this client?

Take the corticosteroids several minutes after the bronchodilator dose

a nurse is preparing to administer methenamine to a client for a urinary tract infection. the nurse will question this order if the client is noted to be allergic to which substance

Tartrazine

the nursing instructor is on a medical surgical unit with a student nurse. The student nurse asks about the goal of therapy for the drugs used to manage Alzheimer disease which response by the nurse instructor would be most appropriate?

These drugs helped to slow the progression of the disease

the nurse is conducting a unit in service about CLOZAPINE. The nurse should discuss which laboratory study that needs to be collected every week?

White blood cell count

a nurse is preparing a teaching plan for a client with edema who is prescribed a diuretic. Which teaching should the nurse prioritize

administer early in the day

A client is admitted to the medical surgical unit with intestinal stenosis. The client exhibits signs and symptoms of: obstruction after beginning psyllium what is the priority nursing interventions for this client?

administer the drug with adequate fluid intake

A child is brought by his parents to the health care center for MMR vaccination. On taking the medical history, the nurse understands that the child had received an antivenin injection for a snake bite 2 days before. Which of the following is the most appropriate time period for administration of live vaccines to the child?

after 6-12 weeks

a client presents to the emergency room with a suspected reaction to recently starting thyroid therapy. Which assessment finding would lead the nurse to question that this client is experiencing a thyroid storm?

altered mental status

the nurse is creating a discharge pamphlet about the management of narcolepsy with CNS stimulants. The nurse acknowledges the session was productive when the client correctly states that drugs used for narcolepsy follow into which category?

analeptic

a nurse is monitoring the response of a 20 year old male to digoxin. Which pulse rate should the nurse check for the most accurate reading?

apical pulse

a nurse is preparing a teaching session for a client prescribed methenamine for chronic bacterial UTI the nurse determines the session is successful when the client correctly points out which fact?

avoiding excessive intake of citrus fruits

what is the mechanism of action for montelukast that allows the drug to alleviate the inflammation and bronchoconstriction associated with acute asthmatic attacks?

blocking leukotriene receptors

this is teaching a client with hypertension about Losartan which the health care provider has prescribed. The nurse can explain that Losartan exerts which action on the body?

blocks angiotensin 2 receptors

the nursing instructor is lecturing about the different drugs used to treat musculoskeletal conditions. The nursing instructor determines that the teaching was successful when the students correctly choose which drug is being used to treat osteoporosis?

bone resorption inhibitors

The nurse is assessing a client for the effectiveness of the antiparkinson drug. If the nurse determines the client has improvement in these movements which factor will the nurse point out has improved?

bradykinesia

when caring for a client with angina the nurse instructs the client to place the nitroglycerin tablet between the cheek and the gums which form of nitroglycerin glycerin is the nurse administrating?

buccal

the nurse is providing discharge education to a client with myasthenia gravis who has been prescribed a cholinergic drug. Which adverse effect should be included in the discharge teaching?

cardiac arrhythmias

what therapeutic effect would the nurse anticipate for a client who has received methylphenidate (amphetamine)?

decreased appetite

A nurse notes that client who is taking lithium also takes over the counter antiacids. The nurse would be alert for which reaction?

decreased effectiveness of lithium

A nurse would monitor for which interaction in a client receiving a cholinergic blocking drug and antibiotics for strep throat?

decreased effectiveness of the antibiotic

a female client receiving an androgen preparation form metastatic breast cancer is experiencing anxiety because of changes to her body. The nurse provide support to the client based on assessment of which features the client is experiencing related to this therapy?

deepening of the voice

a client receiving gonadotropin therapy reports to the clinic complaining of feeling really bad since yesterday. Which assessment findings would the LVN immediately report to the Primary Health care provider? select all that apply

diarrhea abdominal pain confusion

LVN administer Levothyroxine to a patient with hypothyroidism. What assessment finding lets you know it is effective?

increased appetite

A nurse is reviewing the client's medication order. The nurse notes the client has been prescribed ranitidine Ann is also currently receiving warfarin. Which assessment findings should the Albion prioritize for this client?

increased bleeding

a Primary Health care provider has prescribed a loop diuretic for hypertension and in a client with diabetes mellites which assessment should the nurse prioritize?

increased blood glucose levels

a client calls the clinic stating that he read on the Internet that he is taking an adrenergic drug that works on the beta receptors. The client wants to know more about the adrenergic drug he is taking. What information should the nurse include about the effect of beta 1 receptor stimulation?

increased force of myocardial contractions

A client presents to the clinic with a new diagnosis of hyperthyroidism. Which would the LVN question if prescribed?

levothyroxine

a nursing instructor is teaching a class on the mechanism of action of various antiarrhythmic drugs. The nurse structure determines the classic successful when the students correctly choose which drugs as inhibiting the beta-adrenergic receptors of the heart and kidney?

propranolol

a client is admitted 2A telemetry unit with a cardiac arrhythmia in his prescribed Propranolol . What physical examination finding should the nurse prioritize during the ongoing assessment?

pulse rate

A client in the post anesthesia care unit received scopolamine in during the pre-operative. What is the priority nursing action after the administration of scopolamine?

raise side rail of the bed

the nurse is performing discharge teaching for a client newly diagnosed with angina. Which instruction should the nurse prioritize when teaching about the prescribed oral nitroglycerin?

recapped the container tightly after taking out the capsules

an older adult client experiencing seizures is prescribed diazepam. Which assessment should the nurse prioritize?

swallowing ability