Pharm Practice Questions
When administering a bulk laxative to a client, which action is important for the nurse to take?
Administer the laxative with a full glass of water or juice.
A nurse is assessing a child who is postoperative. Which of the following findings should the nurse identify as an indication that naloxone should be administered?
respiratory depression
A nurse is teaching the parents of a toddler who had an anaphylactic reaction to peanut butter about administering injectable epinephrine . Which of the following instructions should the nurse include?
" You will need to increase the dosage as your child gains weight"
A nurse is caring for a client with multiple sclerosis and neurogenic bladder who is receiving bethanechol . The nurse should identify that which of the following client statements indicates a therapeutic action of the medication ?
"I am able to urinate more freely"
A nurse is teaching a client who is using a patient-controlled analgesia (PCA) pump to deliver morphine for pain management. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
"I can still use my transcutaneous electrical nerve stimulation unit while I'm pushing the PCA button."
A nurse is monitoring a client who received diphenoxylate-atropineWhich of the following statements by the client should indicate to the nurse that the medication has been effective?
"I have not had a bowel movement today."
A nurse is teaching a client who had a total knee arthroplasty about self administering morphine via a PCA infusion device. Which of the following client statements indicates an understanding of the teaching?
"I should tell the nurse if I can't control my pain with this device. "
A nurse is teaching a client who has a new prescription for sucralfate for a duodenal ulcer. Which of the following client statements indicates an understanding of the teaching?
"I should wait at least 30 minutes before taking this medication after I take an antacid."
The nurse has just finished client education with a client who is being discharged home on bulk-forming laxatives. The nurse knows the client understands discharge instructions regarding these medications when which statement is made?
"I will mix the medication with 4 to 8 ounces of liquid and follow it by an additional 4 to 8 ounces."
A nurse is teaching a client about the adverse effects of omeprazole. Which of the following client statements indicates an understanding of the teaching?
"If I experience severe diarrhea, I will call my doctor"
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?
"Mix this medication with water and follow with an additional glass of liquid."
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?
"This medication can decrease bacteria in the gastrointestinal tract."
A nurse is providing teaching to a client who has a prescription for ranitidine to treat a gastric ulcer. Which of the following statements should the nurse include in the teaching?
"This medication is less effective for people who smoke."
A nurse is teaching about the adverse effects of morphine with a client who has acute pain. Which of the following statements should the nurse include in the teaching?
"You should increase your fluid intake."
The nurse administers metoclopramide orally at 9:00 AM to a patient with GERD. The nurse would expect this drug to exert its maximum effectiveness at which time?
10:00 AM to 10:30 AM
A nurse is planning care for a client who is postoperative and scheduled to ambulate. At which of the following times should the nurse plan to administer PO morphine to the client for peak analgesic effect during the ambulation?
60 to 90 minutes prior to ambulation
A nurse is providing instructions about bowel cleansing with polyethylene glycol-electrolyte solution(PEG) for a client who is going to have a colonoscopy. Which of the following information should the nurse include?
Abdominal bloating might occur
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?
Administer epinephrine subcutaneously
A nurse is caring for a patient with intestinal stenosis who has been prescribed psyllium. During the course of the treatment, the patient shows the signs of colon obstruction. What intervention should the nurse perform to avoid the occurrence of colon obstruction?
Administer the drug with adequate fluid intake.
The nurse is preparing to administer bismuth subsalicylate to a client. What assessment is most important to make before administration?
Allergy to aspirin
A nurse is caring for a client who has a prescription for naloxone. Which of the following is the intended action of the medication in relation to the central nervous system?
Blocks the effects of narcotics on the CNS
The nurse is seeing a 69-year-old client who is highly physically active and consumes a balanced diet that includes adequate fluid intake. Despite this, the client states experiencing occasional constipation in recent months. What remedy should be the nurse's first suggestion?
Bulk forming (fiber) laxative
Diphenoxylate with atropine sulfate resolves diarrhea by what mechanism of action?
Decreasing intestinal motility
A client reports to the nurse about needing to strain to defecate. The client adds that defecating is very painful. What laxative will the nurse suggest to the prescriber based on the painful defecation?
Docusate
A client who has suffered a myocardial infarction is prescribed a laxative to help prevent straining during defecation. Which medication would the nurse expect to administer?
Docusate
A nurse is preparing to administer morphine 4 mg IV. Bolus to a client who reports pain available is morphine 10 mg/mL which of the following action should the nurse take?
Have another nurse witness the disposal of the extra medication.
A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. For which of the following adverse effects should then nurse monitor?
Headache
A nurse is teaching a client who has a new prescription for esomeprazole to manage his GERD. Which of the following statements by the client indicates an understanding of the teaching?
I have an increased risk of getting pneumonia while taking this medication
A nurse is teaching a client who has a new prescription for sucralfate to treat gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching?
I will take this medication 1 hour before meals and at bedtime
A nurse is preparing to administer naloxone to a newborn. Which of the following conditions can require administration of this medication?
IV narcotics administered to the mother during labor
A hospitalized client requests a magnesium citrate "bisacodyl pill" every night to "stay regular." The nurse should initially be most concerned about what potential health risk for this client?
Laxative abuse
What is the correct rationale for why the nurse would administer a laxative at a separate time from the client's other medications?
Laxatives may reduce absorption of other drugs present in the GI tract.
A charge nurse is monitoring a newly licensed nurse who is caring for a postoperative client who is receiving morphine through a PCA pump. Which of the following actions by the newly licensed nurse requires intervention?
Maintaining the client on bed rest while the PCA pump is in use
A nurse is caring for a client who has been in the PACU for more than 1 hr, has a respiratory rate of 9/min, and is difficult to arouse. The nurse should expect a prescription for which of the following medications?
Naloxone
Psyllium (Metamucil) is a bulk-forming laxative available over-the-counter and frequently used. The nurse knows that which of these statements regarding use of psyllium is correct?
Psyllium is useful in critically ill patients who experience constipation.
A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective?
Reduced dyspepsia
A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication?
Relief of gastrointestinal pain
A nurse is providing teaching to a client who has gastroesophageal reflux disease and a new prescription for omeprazole. Which of the following instructions should the nurse provide?
Report diarrhea to the provider.
A nurse is caring for a client who received naloxone for a suspected opioid overdose. Which of the following findings should the nurse identify as an adverse effect of this medication?
Report of pain
A nurse is providing teaching to a newly licensed nurse about administering morphine via IV no loud to a client. Which of the following pieces of information should the nurse include in the teaching?
Respiratory depression can occur 7 min after the morphine is administered
A nurse is administering a clients first dose of sucralfate. Which of the following explanations should the nurse provide about the action of sucralfate?
Sucralfate forms a gel like substance that protects ulcers.
A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects?
Tachycardia
A nurse is providing teaching to a client who has peptic ulcer disease and has a new prescription for sucralfate tablets. Which of the following information should the nurse provide?
Take sucralfate 1 hr before meals
A nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching?
Take this medication with a full glass of water.
A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings should the nurse identify as a contraindication to this medication?
The client has a paralytic ileus
A nurse is caring for a client who is experiencing acute pain and is receiving morphine. Which of the following findings should indicate to the nurse they need to withhold the clients next dose of morphine?
The clients respiratory rate is 10/min
A nurse is caring for a client who has nausea and a prescription for metoclopramide Intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea . Which of the following explanations should the nurse provide?
The medication relieves nausea by promoting gastric emptying
A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?
The medication relieves nausea by promoting gastric emptying
A nurse is assessing a client who is receiving morphine via a PCA pump following a cesarean birth. Which of the following findings should the nurse report to the provider?
Urine output 20 mL/hr
A nurse is providing discharge teaching to a client who had a bleeding duodenal ulcer and has been prescribed omeprazole. Which of the following statements should the nurse include in the teaching?
You should take this medication before breakfast every day.
The nurse cautions a client with what allergy to avoid the use of bismuth salts in the treatment of diarrhea?
aspirin
A health care provider prescribes a chemical stimulant laxative. Which would be appropriate?
bisacodyl
A client experiencing diarrhea asks the nurse about over-the-counter (OTC) antidiarrheals. Which OTC should not be taken with aspirin?
bismuth subsalicylate
What form of laxative would likely be prescribed to manage long-term constipation?
bulk-forming laxative plus increased water intake
The nurse is conducting a pre-colonoscopy class and knows that polyethylene glycol- electrolyte solution will be contraindicated for the client with which condition?
colitis
A nurse is teaching a client who has a new prescription for aluminum hydroxide to treat heartburn. The nurse should instruct the client to monitor for and report which of the following adverse reactions?
constipation
The nurse is caring for a client with diarrhea who has been prescribed diphenoxylate with atropine and is observing the client for which adverse effects of this drug?
dizziness
A nurse is providing a teaching to a newly licensed nurse about metoclopramide. The nurse should highlight that which of the following conditions is a contraindication to this medication?
intestinal obstruction
A client is scheduled for a colonoscopy in the morning. What laxative would the nurse expect to be prescribed the evening before the procedure?
polyethylene glycol electrolyte solution
