Pharm module 2 pre quiz

A nurse is preparing to administer loperamide to a client with pseudomembranous colitis. Which findings on assessment would the nurse document as an indication of effectiveness? Question 30 options: a) Rectal bleeding is decreasing. b) Temperature has returned to normal range. c) Nausea and vomiting are resolved. d) Diarrhea is resolved. Next Page

Diarrhea is resolved.

A client is to receive tetracycline therapy at home. After teaching the client about foods to avoid when taking the drug, the nurse determines that the teaching was successful when the client explains he will avoid which foods? Select all that apply. Question 18 options: a) Green leafy vegetables b) Yogurt c) Citrus fruits d) Calcium-fortified cereals e) Cheese

Yogurt, d) Calcium-fortified cereals e) Cheese

A client, diagnosed with a urinary tract infection, indicates the use of an herbal product to help prevent and relieve the symptoms. Which herb has the client most likely been using? Question 24 options: a) Feverfew b) Ginger c) Cranberry d) Saw palmetto

) Cranberry

A client is prescribed demeclocycline. The nurse would teach the client to be alert for which signs or symptoms? Question 9 options: a) Blood dyscrasias b) Photosensitivity c) Cramping d) Abdominal pain

Ans: AFeedback:Demeclocycline causes photosensitivity reactions. Abdominal pain and cramping are adverse reactions of macrolides. Blood dyscrasias are an adverse reaction of lincosamides.

During a routine 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 grasps the importance of contacting the primary health care provider if the diarrhea is not resolved within which time frame? Question 16 options: a) 24 hours b) 48 hours c) 96 hours d) 72 hours

Ans: BFeedback:If diarrhea persists for more than 2 days when over-the-counter (OTC) antidiarrheal drugs are being used, the client should discontinue use and seek treatment from the primary health care provider.

The nurse determines a teaching session about chloroquine, antiprotozoal drugis successful when the client correctly articulates which factor? Question 23 options: a) Take the drug on an empty stomach. b) Discontinue drug if color of urine changes. c) Avoid foods that acidify the urine. d) Increase dosage if dosage missed once.

Avoid foods that acidify the urine.

Which factors should be included in the nurse's preadministration assessment prior to administering a penicillin to a client? Select all that apply. Question 29 options: a) Current symptoms b) Allergy history c) Medication history d) Blood glucose levels e) Medical history

Current symptoms b) Allergy history c) Medication history e) Medical history

The nurse notes a client has a new prescription for a laxative. The nurse would question this order if which disorder is noted in the client's medical record? Select all that apply. Question 15 options: a) Intestinal obstruction b) Type 1 diabetes c) Chronic hepatitis d) Fecal impaction e) Acute appendicitis

Fecal impactionIntestinal obstructionAcute appendicitis

A client receiving penicillin therapy tells the nurse that they feels like their mouth is irritated and have a sore throat. Inspection reveals a red, swollen tongue with ulcerations. The nurse suspects a fungal superinfection and prioritizes which nursing diagnosis as most appropriate for this client? Question 20 options: a) Impaired Oral Mucous Membranes b) Inadequate Nutrition: Less Than Body Requirements c) Impaired Comfort d) Deficient Knowledge

Impaired Oral Mucous MembranesFeedback:The assessment suggests a fungal superinfection, which would lead to the nursing diagnosis of Impaired Oral Mucous Membranes. Although Impaired Comfort may be appropriate, Impaired Oral Mucous Membranes is more specific. There is no evidence of lack of knowledge or problems with nutrition. However, if the superinfection is not addressed, the patient may experience difficulty eating due to the irritation and discomfort.)

The health care professional has recommended sulfonamide therapy for a client who is currently taking oral anticoagulants. What is the possible effects of combining sulfonamide therapy with oral anticoagulants? Question 17 options: a) Increased risk of anaphylactic shock b) Increased action of the anticoagulant c) Development of leukopenia d) Rendering of sulfonamide therapy ineffective Next Page

Increased action of the anticoagulantCorrectExplanation: Taking sulfonamide drugs when the patient is already taking oral anticoagulants may result in increased action of the anticoagulants. Anaphylactic shock and leukopenia are some of ... (more)Taking sulfonamide drugs when the patient is already taking oral anticoagulants may result in increased action of the anticoagulants. Anaphylactic shock and leukopenia are some of the adverse reactions of sulfonamides, but are not associated with mixing sulfonamides and anticoagulants. Oral anticoagulants do not decrease the effectiveness of sulfonamides.

A client is prescribed an antidiarrheal drug. The nurse should question administering this drug if which disorder is noted in the client's medical record? Select all that apply. Question 7 options: a) Abdominal pain of unknown origin b) Liver disease c) Pseudomembranous colitis d) Obstructive jaundice e) Type 1 diabetes

Obstructive jaundiceAbdominal pain of unknown originPseudomembranous colitis

An HIV-positive client in a continuing phase of TB has shown no positive sputum results for 6 months. The nurse is aware that the second phase can last 4 months or more under which circumstances? Question 28 options: a) Following the same eating habits in the continuing phase b) Positive sputum culture after the completion of initial treatment c) Nausea or vomiting after completing the initial treatment d) Inclusion of pyrazinamide in the initial treatment

Positive sputum culture after the completion of initial treatment

The nurse determines the nursing diagnosis for a client receiving systemic fluconazole is Risk for Ineffective Tissue Perfusion: Renal. Which activity will the nurse include in the plan of care? Question 8 options: a) Evaluating blood protein levels b) Premedicating the client with an antihistamine c) Monitoring serum creatinine levels d) Monitoring urine output every 4 hours

Premedicating the client with an antihistamine

Focus A nurse is caring for a client who is prescribed omeprazole and a benzodiazepine. Which assessment finding should the nurse prioritize? Question 3 options: a) Risk for toxic level of benzodiazepines b) Decreased absorption of the proton pump inhibitor c) Increased risk of bleeding d) Increased risk of respiratory depression

Risk for toxic level of benzodiazepines

A 30-year-old female client is prescribed misoprostol. Which instruction should the nurse prioritize in the teaching session for this client? Question 12 options: a) Use a reliable contraceptive method. b) Do not chew, open, or crush the tablet. c) Administer the drug 1 hour before travel. d) Swallow the tablet 1 hour before eating.

Use a reliable contraceptive. The nurse should instruct the patient to use a reliable contraceptive to avoid pregnancy during the course of treatment as it can cause birth defects. The nurse should instruct the patient taking proton pump inhibitors not to chew, open, or crush the tablet but to swallow the tablet whole at least one hour before eating. The nurse needs to inform the patient to take the drug for motion sickness about one hour before travel.

A nurse in an ambulatory care setting routinely conducts a nursing assessment as part of the care. Which assessments are most important for the nurse to complete in clients presenting with an active infection? Select all that apply. Question 27 options: a) Client's symptoms b) Vital signs c) Client's general appearance d) Client's use of self-remedies e) Review of lab results

a) Client's symptoms b) Vital signs c) Client's general appearance d) Client's use of self-remedies e) Review of lab results

The nurse is preparing a plan of care for a client being treated with an antiviral drug. Which client outcome would the nurse most likely choose? Select all that apply. Question 13 options: a) Demonstrates ability to manage adverse reactions. b) Remains free of other medical conditions. c) Demonstrates an optimal response to therapy. d) Exhibits continual changes in vital signs. e) Verbalizes understanding of the therapeutic regimen.

a) Demonstrates ability to manage adverse reactions. c) Demonstrates an optimal response to therapy. e) Verbalizes understanding of the therapeutic regimen

A client diagnosed with malaria is prescribed chloroquine, antiprotozoal drug. While preparing the teaching plan, the nurse will instruct the client to avoid which foods to prevent interactions with the drug? Select all that apply. Question 14 options: a) Eggs b) Fish c) Oranges d) Cranberries e) Plums

a) Eggs b) Fish ) Cranberries e) Plums

A nurse is examining the laboratory test results of a client receiving penicillin therapy. Which results would the nurse predict as indicating an adverse hematologic reaction? Select all that apply. Question 26 options: a) Leukopenia b) Hemoglobulinemia c) Pancytopenia d) Anemia e) Thrombocytopenia

a) Leukopenia Anemia e) Thrombocytopenia

A nurse is preparing to administer medications and notes several are to receive aminoglycosides. Which clients should the nurse clarify that they should receive this drug due to their history? Select all that apply. Question 19 options: a) Pregnancy b) Pre-existing hearing loss c) Hyperlipidemia d) Diabetes e) Parkinsonism

a) Pregnancy b) Pre-existing hearing loss e) Parkinsonism

When teaching a client about antiviral therapy, the nurse would include information about the possibility of which adverse reactions? Select all that apply. Question 4 options: a) Rash b) Sedation c) Headache d) Diarrhea e) Chills

a) Rash c) Headache d) Diarrhea Adverse reactions associated with antiviral drugs include nausea, vomiting, diarrhea, headache, rash, fever, and insomnia.

A nurse is caring for a client who is being administered sulfasalazine. Which instruction should the nurse include to ensure that the client gets the full benefits of the treatment? Question 10 options: a) Take dosage while eating or immediately after eating. b) Drink at least two to three 8-ounce glasses of fluid every day. c) Take the drug with a full glass of milk instead of water. d) Increase food intake for the duration of sulfonamide therapy.

a) Take dosage while eating or immediately after eating.

After teaching a group of nursing students about laxatives, the instructor determines that the teaching was successful when the students correctly choose which drug as producing the laxative effect by promoting water retention and softening the stool? Question 6 options: a) Lactulose b) Docusate c) Bisacodyl d) Methylcellulose

b) Docusate Feedback:Stool softeners, like docusate sodium (Colace) and docusate calcium (Surfak), produce their laxative effect by promoting water retention in the fecal mass and softening the stool. Methylcellulose is a bulk-producing laxative. Bisacodyl is a stimulant laxative. Lactulose is a hyperosmolar laxative.

A nurse in a health care facility is caring for a client who is receiving an antiemetic to control vomiting related to chemotherapy. Which nursing diagnoses should the nurse prioritize for this client's care plan? Question 25 options: a) Disturbed Sensory Perception b) Impaired Physical Mobility c) Risk for Imbalanced Fluid Volume d) Ineffective Tissue Perfusion

b) Impaired Physical Mobility

Concerned that a client is not taking the prescribed medication correctly, the nurse arranges for the client to visit the health care provider's office and take the medications in front of the nurse. Which form of treatment is the client participating in? Question 21 options: a) Initial phase of treatment b) Directly observed therapy c) Adherence evaluation d) Continuation phase of treatment Next Page

c) Adherence evaluation

A group of nursing students are producing a simple client educational pamphlet covering the topic of viral infections. The students should point out which drug categories are used to treat various viral infections? Select all that apply. Question 5 options: a) Antiattachment b) Antitranscription c) Antiviral d) Antiretroviral e) Antireplication

c) Antiviral d) Antiretroviral

After analyzing medication records and progress of clients with tuberculosis, the nurse would suspect tuberculosis is caused by a drug-resistant organisms in which clients? Select all that apply. Question 1 options: a) Clients who smoke b) Clients who are HIV positive c) Clients who have been treated in the past d) Clients who have asthma e) Clients who have no response to therapy

c) Clients who have been treated in the past e) Clients who have no response to therapy Tuberculosis caused by drug-resistant organisms should be considered in clients who have no response to therapy and in patients who have been treated in the past.

A client undergoing penicillin therapy shows improvement and states that he is feeling better. Which intervention is the nurse most likely to perform in such a situation? Question 2 options: a) Inform the primary health provider immediately. b) Instruct client to increase dietary intake. c) Inquire about any previous drug allergies. d) Record assessments on client's chart. Next Page

d) Record assessments on client's chart.

After teaching a group of nursing students about upper gastrointestinal system drugs, the instructor determines that the teaching was successful when the students correctly choose which drug as a gastrointestinal stimulant? Question 11 options: a) Omeprazole b) Ranitidine c) Misoprostol d) Metoclopramide

metoclopramide