Pharm practice part 2

A nurse is teaching a client who has a prescription for a transdermal estradoil patch. In which of the following locations should the nurse instruct the client to apply the patch? A. Abdomen B. Breast C. Forearm D. Back of the thigh

A. Abdomen

A nurse is preparing to administer medication to a preschooler. The nurse should use which of the following measurements to calculate the medication dosage for this client? A. BMI B. Height C. Weight D. Rule of 9s

C. Weight

A nurse is preparing to administer a hydromorphone IV infusion to a client for pain. Which of the following actions should the nurse take? A. Administer the medication over 4 to 5 minutes B. Place the client in a high-Fowler's position C. Assess the client's pain level after administering the medication D. Review the client's last set of vital signs

A. Administer the medication over 4 to 5 minutes Patient should be in the supine position

The nurse is providing discharge teaching for a client who has a new prescription for metoprolol. Which of the following instructions should the nurse include? (select all that apply) A. "Do not stop taking this medication abruptly." B. "Take the medication right before bedtime." C. "Avoid exposure to sunlight." D. "Count your radial pulse daily." E. "Change positions slowly."

A. "Do not stop taking this medication abruptly." D. "Count your radial pulse daily." E. "Change positions slowly."

A nurse is teaching a client who has a new exetimibe prescription for hyperlipidemia. Which of the following client statements should indicate to the nurse that the teaching was effective? A. "I should let my doctor know if I have yellowing of my eyes." B. "This medication will stop my liver from making cholesterol." C. "I should expect some bruising when I begin this medication." D. "I will take this medication at the same time as my gemfibrozil."

A. "I should let my doctor know if I have yellowing of my eyes."

A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cormolyn sodium metered-dose inhaler. Which of the following statements by the parent indicates the need for further teaching? A. "I will give my child a dose as soon as wheezing starts." B. "My child should rinse out his mouth after using the inhaler." C. "My child should exhale completely before placing the inhaler in his mouth." D. "If my child has difficulty breathing in the dose, a spacer can be used."

A. "I will give my child a dose as soon as wheezing starts." Cromolyn is a mast cell inhibitor that has a slow onset and is given for prophylactic treatment of asthma.

A nurse is teaching a client who has osteoporosis about a new prescription for risedronate. Which of the following client statements indicates an understanding of the teaching? A. "I will take this medication with a full cup of water." B. "I will lie doen after I take this medication." C. "I will take this medication with food." D. "I will take this medication at bedtime."

A. "I will take this medication with a full cup of water."

A nurse is teaching a client about a new prescription for extended-release oxycodone for pain management. Which of the following statements should the nurse include in the teaching? A. "Swallow this medication whole." B. "Take this medication before meals and at bedtime." C. "Constipation decreases with continued use." D. "Avoid taking other supplemental analgesics with this medication."

A. "Swallow this medication whole."

An 18-month-old toddler who has Kawasaki disease (KD). The child is receiving intravenous immune globulin (IVIG). The guardian asks the nurse to administer the child's scheduled measles, mumps, and rubella (MMR) vaccine before discharge. Which of the following responses should the nurse provide? A. "Your child will not be able to recieve the MMR vaccine for at least 3 months after discharge." B. "I cannot administer routine vaccines to children while they are in the hospital." C. "Your child can receive the MMR vaccine once his fever is gone." D. "I can administer the measules and rubella vaccines, but I cannot administer the mumps vaccine."

A. "Your child will not be able to recieve the MMR vaccine for at least 3 months after discharge."

A nurse is assessing a client who has a new sprescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? A. Amantadine B. Bupropion C. Phenelzine D. Hydroxyzine

A. Amantadine Amantadine is an antiparkinsonian medication used to treat the extrapyramidal manifestations that can occur with chlorpromazine therapy

A nurse is teaching a group of nurses about the manifestations of progestin deficiency for clients who take a combination oral contraceptive (OC). Which of the following findings should the nurse include in the teaching as an indication of progestin deficiency? A. Amenorrhea B. Weight gain C. Depression D. Acne

A. Amenorrhea Increasing the OC dose of progestin can result in a more regular menstrual cycle

A nurse is administering brimonidine eye drops to a client who has glaucoma. Which of the following ocular effects should the nurse expect? A. Decrease intraocular pressure B. Blocked growth of new blood vessels C. Paralysis of accommodation D. Mydriasis

A. Decrease intraocular pressure

A nurse is teaching a client who has chemotherapy-induced anemia and a prescription for epoetin alpha. The nurse should instruct the client to report which of the following findings as an adverse effect of epoetin alpha? A. Hypertension B. Leukocytosis C. Bone pain D. Neutropenia

A. Hypertension

A nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem? A. Hypotension B. Tachycardia C. Decreased level of consciousness D. History of diuretic use

A. Hypotension Diltiazem can be a treatment option for essential hypertension and is contraindicated for a client who is hypotensive

A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Jaundice B. Constipation C. Oral candidiasis D. Sedation

A. Jaundice Sulfasalazine can cause a yellow discoloration of the skin and yellow/orange discoloration of the urine.

A nurse is caring for a client who has schizophrenia and a prescription for chlorpromazine. For which of the following adverse effects should the nurse monitor? A. Orthostatic hypotension B. Diarrhea C. Urinary frequency D. Bradycardia

A. Orthostatic hypotension Other adverse effects include palpitations, tachycardia, constipation, sedation, and photosensitivity

A nurse is caring for a client who has a prescription for subdermal etonogestrel. The nurse should alert the provider about which of the following findings in the clients medical history? A. Takes St. John's wort B. Breastfeeds a 6-month-old infant C. Has a parent with hypertension D. Has a positive human papillomavirus (HPV) test result

A. Takes St. John's wort St. John's wort can reduce the effects of subdermal etonogestrel becuase it stimulates hepatic drug-metabolizing enzymes

A nurse is teaching a client with type 2 diabetes mellitus about self-administration of a new prescription for acarbose. Which of the following pieces of information should the nurse include in the teaching? A. Tell the client to take the medication with food B. Show the client how to perform and intramuscular injection C. Advise the client to avoid taking this medication with insulin D. Warn the client against exercising while taking this medication

A. Tell the client to take the medication with food Acarbose should be taken with the first bite of a meal 3 times a day. It inhibits an enzyme in the intestines that slows the digestion of carbohydrates and results in a lower postprandial increase of blood glucose.

A nurse is evaluating a 20-month-old child who received a hepatitis A immunization 3 days ago. The parent reports that the child has exhibited a loss of appetite following the immunization. Which of the following actions should the nurse take? A. Tell the parents that this reaction should only last for a couple of days B. Notify the provider immediately C. Prepare an antidote to administer to the child D. Request that the provider order a serum titer level

A. Tell the parents that this reaction should only last for a couple of days

A nurse is caring for a client who is developing acute pulmonary edema and has a new prescription for furosemide 40 mg IV bolus. The nurse should plan to administer the medication using which of the following methods? A. Undiluted administered over 2 min B. Diluted administered over 20 min C. Undiluted administered as rapidly as possible D. Diluted administered over 5 min

A. Undiluted administered over 2 min

A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily. The client reports taking extra doses to promote weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated? A. Urine specific gravity of 1.035 B. Distended neck veins C. BUN 18 mg/dL D. Bounding radial pulses

A. Urine specific gravity of 1.035 Oliguria, an increased urine concentration, and an increased urine specific gravity greater than 1.030 are expected findings in clients who are dehydrated

A nurse is providing teaching about sodium phosphate to a client who has a new prescription for sodium phosphate. The client is scheduled for a colonoscopy and is currently taking furosemide for hypertension. Which of the following client statements should indicate to the nurse that the teaching has been effectve? A. "I can take my water pill as prescribed." B. "I can experience an imbalance in electrolytes from this medication." C. "I should drink 8 ounces of bowel cleanser every 10 minutes until I drink a total of 4 liters." D. "I can experience rebound constipation after using this medication."

B. "I can experience an imbalance in electrolytes from this medication."

A nurse is providing discharge teaching to a client who has been hospitalized for major depressive disorder and has a prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching? A. "I will take amitriptyline the morning because I'll likely have trouble falling asleep if I take it in the evening." B. "I will move slowly when I stand up because amitriptyline can cause my blood pressure to decrease." C. "I can drink a glass of beer or wine with my evening meal because amitriptyline doesn't interact with alcohol." B. "I will avoid foods that are high in fiber because amitriptyline can cause diarrhea."

B. "I will move slowly when I stand up because amitriptyline can cause my blood pressure to decrease."

A nurse is teaching a client who has persistent cancer pain about the adverse effects of opioids. Which of the following statements should the nurse include in the teaching? A. "Opioids do not relieve pain without causing severe adverse effects." B. "Physical dependence is not the same as addiction." C. "Tolerance typically means that the medication will no longer be effective." D. "The most common adverse effect is respiratory depression with prolonged use."

B. "Physical dependence is not the same as addiction."

A nurse is providing teaching about antiretroviral medication therapy to a client who has a new diagnosis of AIDS. Which of the following statements should the nurse include in the teaching? A. "Your provider will prescribe a single antiretroviral medication at a time." B. "You should take antiretroviral medications on a routine schedule." C. "You should increase your intake of raw fruits and vegetables while taking antiretroviral medications." D. "Your provider will prescribe antiretroviral therapy to kill the HIV."

B. "You should take antiretroviral medications on a routine schedule."

A nurse is teaching about taking donepezil with a client who was recently diagnosed with early Alzheimer's disease. Which of the following instructions should the nurse include in the teaching? A. "You should chew the medication thoroughly prior to swallowing." B. "You should take this medication late in the evening." C. "You should take this medication with food." D. "If you miss taking a dose for a day, take 2 doses the following day."

B. "You should take this medication late in the evening."

A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent client who has type 1 diabetes mellitus. The nurse should anticipate the onset of action of the insulin at which of the following times? A. 0800 B. 0745 C. 0900 D. 1030

B. 0745 Insulin glulisine has a very short onset of 15 minutes. Have breakfast immediately following administration

A nurse is preparing to administer meperidine 100 mg IM to a client who has a BMI of 23. Which of the following needle lengths should the nurse use to administer this medication? A. 1/2 inch B. 1 1/2 inch C. 2 1/2 inch D. 3 inch

B. 1 1/2 inch In general, needle lengths for IM injections are 1 to 1 1/2 inches unless the client is obese

A nurse is caring for a client who has a positive tuberculin skin test and is beginning a prescription for isoniazid. Which of the following laboratory values should be monitored while the client is taking isoniazid? A. Thyroid Stimulating Hormone level (TSH) B. Aspartate aminotransferase (AST) C. Potassium D. Sodium

B. Aspartate aminotransferase (AST) Isoniazid can be toxic to the liver so it is important to monitor liver enzymes like AST

A nurse is caring for a client who is receiving IV famotidine. Which of the following adverse effects should the nurse report to the provider immediately? A. Nausea B. Bloody stools C. Drowsiness D. Headache

B. Bloody stools Adverse effects of treatment with famotidine might include blood dyscrasias (thrombocytopenia), which can lead to bleeding

A nurse is caring for a client who has bronchitis and a prescription for mucolytic agent. Which of the following findings should the nurse identify as an adverse effect of this type of medication? A. Fluid overload B. Bronchospasm C. Electrolyte imbalance D. Tachycardia

B. Bronchospasm Mucolytic agents such as hypertonic saline solution or acetylcysteine can irritate the airways, resulting in bronchospasm while producing a cough and thinning mucous secretions.

A nurse is monitoring a client who is receiving phenytoin IV for the treatment of status epilepticus. Which of the following findings should the nurse identify as an adverse effect of the medication? A. Hypertension B. Cardiac dysrhythmias C. Gastric discomfort D. Tachycardia

B. Cardiac dysrhythmias

A nurse is preparing to administer the influenza vaccine to a client. Which of the following allergies should the nurse identify as a contraindication to the client receiving this vaccine? A. Gelatin B. Chicken eggs C. Neomycin D. Prednisone

B. Chicken eggs

A nurse is reviewing the medical record of a client who might have hearing loss. Which of the following data from the client's medical record should the nurse identify as a risk factor for hearing loss? A. Frequent use of steroids B. Chronic use of salicylates C. Intermittent use of antacids D. Habitual use of laxatives

B. Chronic use of salicylates Chronic use of salicylates such as aspirin can lead to ototoxicity, which can manifest as tinnitus or hearing loss

A nurse is assessing a client who has AIDS and is taking zidovudine. Which of the following findings is the priority for the nurse to report to the provider? A. Nausea and vomiting B. Decreased hemoglobin C. Decreased appetite D. Anxiety

B. Decreased hemoglobin

A nurse is caring for a client who has atrial fibrillation and is scheduled for cardioversion. The nurse should anticipate a prescription from the provider for which of the following medications for this procedure? A. Amlodipine B. Diltiazem C. Nifedipine D. Lidocaine

B. Diltiazem Diltiazem is a calcium channel blocker that lowers blood pressure and used to treat atrial fibrillation

A nurse is caring for a female client who has been taking clomiphene to treat infertility. Which of the following findings should indicate to the nurse that the medication has been effective? A. Decreased serum luteinizing hormone (LH) levels B. Follicular enlargement and conversion to corpus luteum after ovulation C. Increased human chorionic gonadotropin (hCG) levels D. Blocked endogenous release of LH and prevention of premature ovulation

B. Follicular enlargement and conversion to corpus luteum after ovulation

A nurse is preparing to administer meperidine to a client who is postoperative and reports a pain level of 8 on a scale of 0 to 10. Which of the following routes of administration will deliver the medication with the shortest time of onset? A. Oral B. Intravenous C. Intramuscular D. Subcutaneous

B. Intravenous

A nurse is caring for a client who has been in the PACU for more than 1 hr, has a respiratory rate 9/min, and is difficult to arouse. The nurse should expect a prescription for which of the following medications? A. Pentazocine B. Naloxone C. Naltrexone D. Butorphanol

B. Naloxone This medication displaces opiate medications from receptor sites, reversing the respiratory depression, sedation, and analgesia that opiates cause

A nurse is reviewing the laboratory results for a client who has a prescription for filgrastim. An increase in which of the following values indicates a therapeutic effect of this medication? A. Erythrocyte count B. Neutrophil count D. Lymphocyte count D. Thrombocyte count

B. Neutrophil count It is given to treat neutropenia and reduce the risk of infection in clients who are receiving chemotherapy

A nurse is assigned to care for several clients who are postoperative. The client taking which of the following medications is at risk of delayed wound healing? A. Nifedipine to treat hypertension B. Prednisone to treat persistent arthritis exacerbations C. Albuterol to treat asthma D. Chlorpromazine to treat schizophrenia

B. Prednisone to treat persistent arthritis exacerbations Prednisone is a corticosteroid that is associated with delayed wound healing

A nurse is caring for a client who has cystic fibrosis (CF) and has a prescription for high-dose ibuprofen daily. The nurse should identify that which of the following is an expected outcome for the client receiving this medication? A. Thinned pulmonary secretions that are retained in the airways B. Slowed progression of pulmonary damage C. Potentiated action of bronchodilator therapy D. Decreased risk of fevers associated with CF

B. Slowed progression of pulmonary damage low-dosed NSAIDS slow the inflammatory response

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. "Carry a supply of pills and a single-use injectable preparation with you at all times."

A nurse is teaching a client who has a new prescription for enteric-coated aspirin as stroke prophylaxis. The client asks the nurse why the provider prescribed an enteric-coated medication. Which of the following responses should the nurse give? A. "The enteric coating allows a lower dosage to be given." B. "Enteric-coated medications have better absorption in the body." C. "Enteric-coated medications cause less gastric irritation." D. "The enteric coating provides a steady release of medication over time."

C. "Enteric-coated medications cause less gastric irritation."

The nurse is teaching a female client who has a new prescription for misoprostol to treat PUD. Which of the following client statements should indicate to the nurse that the teaching was effective? A. "I should avoid taking NSAIDs while using this medication." B. "Misoprostol is used to treat stress-induced gastric ulcers." C. "I should avoid becoming pregnant while taking this medication." D. "This medication is also used to treat dysmenorrhea."

C. "I should avoid becoming pregnant while taking this medication." It has the potential to stimulate uterine contractions and to cause miscarriages

A nurse is providing teaching to a client who has postmenopausal osteoporosis and a new prescription for intranasal calcitonin-salmon. Which of the following statements by the client indicates an understanding of the teaching? A. "I will administer a spray into each nostril daily." B. "I should expect nasal bleeding for the first week." C. "I will need to depress the side arms to activate the pump." D. "I should expect to take this medication for a short-term course of treatment."

C. "I will need to depress the side arms to activate the pump." It should be sprayed into a single nostril daily and is a long-term treatment

A nurse is preparing to administer warfarin to a client who has a new onset of atrial fibrillation. The client asks the nurse, "What should this medication do?" Which of the following responses should the nurse make? A. "It helps your heart return to a normal rhythm." B. "It dissolves blood clots." C. "It can reduce your risk of having a stroke." D. "It helps to prevent bleeding in atrial fibrillation."

C. "It can reduce your risk of having a stroke."

A nurse is providing teaching to a client who has chronic constipation and a new prescription for psyllium. Which of the following instructions should the nurse provide? A. "This medication is for short-term use only." B. "You should eat a low-residual diet while taking this medication." C. "Mix this medication with water and follow with an additional glass of liquid." D. "The medication's adverse effects of stomach cramps and nausea will go away in time."

C. "Mix this medication with water and follow with an additional glass of liquid."

A nurse is preapring to administer the first injection of the DTaP vaccine to an infant. Which of the following pieces of information should the nurse tell the guardian prior to administering the immunization? A. "Your child might develop diarrhea or vomiting within 24 hours of receiving this vaccine." B. "I can either give your child all of the injections in this series at once or individually." C. "The vaccine will be injected into the infant's thigh." D. "This injection contains a live virus."

C. "The vaccine will be injected into the infant's thigh."

A nurse is teaching a client with a new diagnosis of peptic ulcer disease (PUD) who has a prescription for bismuth subsalicylate. The client asks the nurse, "How will this medication help my ulcer?" Which of the following statements should the nurse make? A. "This medication will decrease prostaglandins." B. "The amount of bicarbonate in your body will be increased." C. "This medication can decrease bacteria in the gastrointestinal tract." D. "This medication acts by increasing blood flow to the stomach."

C. "This medication can decrease bacteria in the gastrointestinal tract." This medication eliminates H. pylori, which causes PUD

A nurse is teaching a client who is experiencing age-related vaginal atrophy and has a prescription for estradiol cream. Which of the following statements should the nurse include in the teaching? A. "This medication should be used daily." B. "This medication should be applied externally." C. "This medication has fewer systemic effects than oral estrogen." D. "This medication can increase your risk of none loss."

C. "This medication has fewer systemic effects than oral estrogen."

A nurse is teaching a client who has been taking NSAIDS to treat rheumatoid arthritis. During the client's first month checkup, the provider prescribed methotrexate to be added to the medication regimen. Which of the following statements should the nurse include in the teaching about the purpose of this change in the client's medication? A. "Your current medication was not strong enough to manage this condition." B. "Once your blood levels of methotrexate are within the therapeutic range, the NSAID will be discontinued." C. "This medication was added to delay the disease progression." D. "Treating this disease with 2 medications will help protect you from becoming treatment-resistant."

C. "This medication was added to delay the disease progression."

A nurse is teaching a client who has a prescription for doxycycline for the treatment of H. pylori infection. Which of the following instructions should the nurse include in the teaching? A. "Take this medication with meals to decrease GI 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. "Wear protective clothing while in the sun." doxycycline is a tetracycline and causes increased photosensitivity

A nurse is providing discharge teaching to a client who has a bleeding duodenal ulcer and has been prescribed omeprazole. Which of the following statements should the nurse include in the teaching? A. "You will need to take this medication for the next 6 months." B. "Taking this medication will decrease your risk of acquiring pneumonia." C. "You should take this medication before breakfast everyday." D. "Watch for serious adverse effects of tachycardia and heart palpitations while taking this medication."

C. "You should take this medication before breakfast everyday."

A nurse is preparing to administer timolol eye drops to a client sho has primary open-angle glaucoma (POAG). Prior to administering the medication, the nurse should recognize that which of the following conditions in the client's medical history is a contraindication to receiving this medication? A. Hypertension B. Peripheral vision loss C. Asthma D. Increased intraocular pressure

C. Asthma Timolol is a beta-blocker that can cause clocking of beta2-receptors, causing bronchospasm.

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. Baseline BUN and creatinine It is a penicillin antibiotic and is excreted by the kidneys.

A nurse is caring for a client who is experiencing cycloplegia following the administration of atropine eye drops during an eye examination. Which of the following findings should the nurse expect as a result of cycloplegia? A. Inability to tolerate bright lights B. Pinpoint pupils C. Blurred vision D. Inability to perform an upward gaze

C. Blurred vision Atropine causes the paralysis of the ciliary muscles and prevents near-vision focus

A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects? A. Nausea B. Metallic taste C. Fever D. Drowsiness

C. Fever A fever can indicate a potentially fatal hypersensitivity reaction

A nurse is teaching a client who has severe generalized rheumatoid arthritis and is scheduled to start taking prednisone for long-term therapy. The nurse should instruct the client to report which of the following as an adverse effect of prednisone? A. Thrombosis B. Immunosuppression C. Gastric ulceration D. Liver toxicity

C. Gastric ulceration

A nurse is preparing to administer digoxin to a client. Which of the following findings should the nurse identify as a contraindication to the client receiving this medication? A. Blood pressure 180/70 B. Oxygen saturation rate 94% C. Heart rate 51/min D. Respiratory rate 21/min

C. Heart rate 51/min

A nurse is caring for a client who is taking fludrocortisone. Which of the following findings indicates to the nurse that the client is experienceing an adverse effect of the medication? A. Hypotension B. Weight loss C. Hypokalemia D. Anorexia

C. Hypokalemia This is an adverse effect due to excessive sodium and water retention

The nurse is providing discharge teaching for a client who has a new prescription for enalapril. The nurse should monitor the client for which of the following adverse effects? A. Ecchymosis B. Jaundice C. Hypotension D. Hypokalemia

C. Hypotension Enalapril is an ACE inhibitor

A nurse is caring for a client who reports crushing chest pain. The nurse reviews the client's ECG results and notes ST changes. Which of the following medications should the nurse administer? A. Simvastatin B. Furosemide C. Nitroglycerin D. Sildenafil

C. Nitroglycerin Nitroglycerin acts directly on vascular smooth muscle to promote vasodilation Sildenafil is a vasodilator used to treat ED Furosemide is a loop diuretic Simvastatin is an HMG-CoA reductase inhibitor

A nurse is teaching a client who has ADHD and is starting therapy with an amphetamine/dextroamphetamine mixture. Which of the following manifestations should the nurse instruct the client to identify as an adverse effect and report to the provider? A. Restlessness B. Insomnia C. Palpitations D. Weight gain

C. Palpitations

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. Pipercillin Pipercillin is a penicillin. Those with an allergy to penicillin can have a cross-sensitivity reaction to ceftriaxone, a third-generation cephalosporin.

A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and a new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching? A. Reduces blood pressure B. Inhibits clotting of fistula C. Promotes RBC production D. Stimulates growth of neutrophils

C. Promotes RBC production

A nurse is preparing to administer an otic medication to an adult client/ Which of the following actions should the nurse? A. Place the client leaning forward in a chair B. Hold the medication dropper 2.5 cm (1 in) from the client's ear canal C. Pull the pinna of the client's ear upward and outward D. Have the client remain still for 30 seconds after the medication is administered

C. Pull the pinna of the client's ear upward and outward

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. Serum creatinine 2.5 mg/dL Normal ranges are 0.5-1.3 mg/dL

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. Tremor The opposite of all other answers are expected in an acute levothyroxine overdose

A nurse is assessing a client who has heart failure and is receiving digoxin. Which of the following findings should indicate to the nurse the client is experiencing digoxin toxicity? A. Suppression of dysrhythmias B. Increased atrioventricular (AV) conduction C. Visual disturbances D. Weight gain

C. Visual disturbances

A nurse is teaching the guardian of a school-aged child about growth hormone therapy. Which of the following statements should the nurse include in the teaching? A. "Your child will grow an extra 4 to 6 inches while receiving hormone therapy." B. "Hormone injection therapy will occur for 2 to 3 years." C. "Your child will receive hormone injections no more often than 1 to 2 times each week." D. "The hormone injections are administered subcutaneously."

D. "The hormone injections are administered subcutaneously."

A nurse administered an antibiotic 10 min ago to a client who is now reporting wheezing and swelling of the eyelids. Which of the following actions should the nurse perform first? A. Give oral corticosteroids B. Administer dopamine C. Give diphenhydramine IV D. Administer epinephrine subcutaneously

D. Administer epinephrine subcutaneously

A nurse is reviewing the alboratory 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. Continue to administer the medication as prescribed Tobramycin's therapeutic range is 5 to 10 mcg/mL

A nurse is caring for a client who has a vitamin K deficiency. Which of the following manifestations should the nurse expect? A. Irregular bone formation B. Abnormal movements C. Blurred vision D. Excessive bruising

D. Excessive bruising Vitamin K is needed by clotting factors to coagulate the blood.

A charge nurse is monitoring a newly licensed nurse who is caring for a postoperative client who is receiving morphing through a PCA pump. Which of the following actions by the newly licensed nurse requires intervention? A. Instructing the client to administer a PCA dose prior to a dressing change B. Providing increased fluids while the client is using the PCA pump C. Informing the client's partner that only the client should administer the PCA doses D. Maintaining the client on bed rest while the PCA pump is in use

D. Maintaining the client on bed rest while the PCA pump is in use Early ambulation should be encouraged

A nurse is caring for a client who has a new prescription for amphotericin B. The nurse should plan to monitor the client for which of the following adverse effects? A. Hyperkalemia B. Hypertension C. Constipation D. Nephrotoxicity

D. Nephrotoxicity Amphrotericin B is an antifungal medication used to treat severe fungal infections

A nurse is caring for a client who is taking a prescription for glucocorticoid adrenal replacement medication for the long-term treatment of Addison's disease. Which of the following findings indicates that the client is experiencing an adverse effect of the medication? A. Weight loss B. Hypotension C. Lethargy D. Osteoporosis

D. Osteoporosis

A nurse is caring for a female client who has osteoporosis and is taking raloxifene. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of this medication? A. Severe leg cramps B. Urinary frequency C. Jaw pain D. Sudden onset of dyspnea

D. Sudden onset of dyspnea

A nurse is assessing a client who is receiving clozapine to treat schizophrenia. The nurse should identify an increase in which of the following parameters as an early indication of an adverse effect of this medication? A. Urine specific gravity B. Urine output C. Blood pressure D. Temperature

D. Temperature Antipsychotic medications can cause agranulocytosis, which is the depletion of WBCs. This creates an increased risk for infection