pharm prep final 2

The nurse is evaluating the clients learning about combination chemotherapy. Which of the following statements by the client about reasons for using combination chemotherapy indicates the need for further explanation?

"Combination chemotherapy is used to destroy cancer cells and treat side effects simultaneously."

A client is to be discharged on prednisone. Which of the following statements indicates that the client understand important concepts about the medication therapy?

"I need to wear or carry identification that I am taking prednisone "

After teaching the client with severe rheumatoid arthritis about prescribed methotrexate which of the following statements indicates the need for further teaching?

"I will take my vitamins while I'm on this drug."

A client diagnosed with undifferential schizophrenia is being discharged on aripiprazole 5 mg every night. When developing the teaching plan about the most common adverse effects which of the following should the nurse include? select all that apply

1) Headaches that will subside in a few weeks 2) Transient mild anxiety 3) Insomnia

The nurse should warn a client who is taking a benzodiazepine about using which of the following medications in combination with his current medication?

Antacids

A client with chest pain is prescribed intravenous nitroglycerin which assessment is of greatest concern for the nurse initiating the nitroglycerin drip?

Blood pressure is 88/46 (Nitroglycerin is a vasodilator that will lower BP)

A client with benign prostatic hypertrophy (BPH) is being treated with terazosin 2 mg at bedtime. The nurse should monitor the clients

Blood pressure.

When giving discharge instructions to the client with vasospastic disorder (Raynaud's phenomenon) the nurse should explain that the expected outcome of taking a beta-adrenergic blocking medication is to control the symptoms by

Decreasing the influence of the sympathetic nervous system on the tissues in the hands and feet.

Discharge teaching for an infant with a cardiac defect who is to receive digoxin should include which of the following? select all that apply

Give the medication at regular intervals Notify the HCP of poor feeding or vomiting. Notify the HCP if more than two consecutive doses are missed.

the nurse should teach the client who is receiving warfarin sodium that

INR is the value used to assess effectiveness of warfarin therapy. the ideal rand is 2-3

The nurse is reviewing the medication history of a client with benign prostatic hypertrophy. Which med will likely aggravate BPH?

Inhaled ipratropium (Atrovent).

A client is prescribed exenatide. The nurse should instruct the client about which of the following? Select all that apply

Inject in the thigh, abdomen, or upper arm.• Review the one-time set-up for each new pen.• Administer the drug within 60 minutes before morning and evening meals.

At what time should the blood be drawn in relation to the administration of the IV dose of gentamicin sulfate

Just before the administration of the next I.V. dose.

the nurse assess a client who has just received morphine sulfate. The client blood pressure is 90/50, HR 58 bpm, RR 4/min. The nurse should administer

Naloxone (narcan)

An adolescent female is prescribed amoxicillin for an ear infection. The nurse should teach the adolescent about the risks associated with her concurrent use of

Oral contraceptives

The nurse teaches a client with heart failure to take oral furosemide in the morning. The primary reason for this is to help?

Prevent sleep disturbances during the night

The client is taking 50 mg of lamotrigine daily for bipolar depression. The client shows the nurse a rash o his arm, what should the nurse do first?

Report the rash to the physician

When teaching the client with atypical depression about foods to avoid while taking phenelzine, which of the following should the nurse include?

Salami

A client with tuberculosis is taking Isoniazid (INH) to help prevent development of peripheral neuropathies the nurse should instruct the client to

Supplement the diet with pyridoxine (vitamin B6).

. Following diagnosis of angina pectoris, a client reports being unable to walk up two flights of stairs without pain. Which of the following measures would most likely help the client prevent this problem?

Take a nitroglycerin tablet before climbing the stairs

The nurse is caring for a client who recently experienced a MI and has been started on clopidogrel. The nurse should develop a teaching plan that includes which of the following points? Select all that apply

The client should report unexpected bleeding or bleeding that lasts a long time. • The client may bruise more easily and may experience bleeding gums. • Clopidogrel works by preventing platelets from sticking together and forming a clot

A young adult client diagnosed with bipolar disorder has been managing the disorder effectively with medication and treatment for several years. The client suddenly becomes manic the nurse reviews the clients medication record. Which of the following medications may have contributed to the development of his manic state?

The use of prednisone or other steroids

Bethanechol has been prescribed for a client with GERD. The nurse should assess the client for which of the following adverse effects?

Urinary urgency

a client is prescribed oral metronidazole for treatment of bacterial vaginosis. what should the nurse instruct the client to avoid during treatment and for 24 hours after the last dose

alcohol

a client receiving a loop diuretic should be encouraged to eat which foods

banana dried fruit oranges

After the administration of tissue plasminogen activator (t-PA) the nurse should have resuscitation equipment available because repercussion of the cardiac tissue can result in which of the following?

cardiac arrhythmias.

A client with a history of heart failure and has been taking furosemide, digoxin, and potassium chloride is complaining of nausea, blurred vision, headache, and weakness. The nurse notes the client is confused. The telemetry strip shows first degree heart block. The nurse should recognize these signs and symptoms as indication of what?

digoxin toxicity

when a client is receiving cephalosporin, the nurse must monitor the client for which of the following

drug-induced hemolytic anemia

The primary reason for infusing blood at a rate of 60 ml/hr is to help prevent which of the following complications?

fluid volume overload and related problems like pulmonary edema

A client was discharged from an alcohol rehabilitation program on clonazepam 0.5 mg three times a day. Several months later he reports having insomnia, shakiness, sweating, and one seizure. The nurse should first ask the client if he

has stopped taking the clonazepam because he is reporting symptoms of withdrawal

when the nurse administers IV midazolam hydrochloride. the client demonstrates signs of an overdose. The nurse should next collaborate with the surgical team to:

have bag valve mask in the clients room because midazolam can lead to respiratory distress, and nurse should ventilate patient

a patient has a throbbing headache when nitroglycerin is taken for angina. the nurse should instruct the client that:

headache is common side effects of nitroglycerin

A client with cirrhosis begins to develop ascites. Spironolactone is prescribed to treat the ascites. The nurse should monitor the client closely for which of the following drug-related adverse effects?

hyperkalemia

A client with bipolar disorder, manic phase, has a valproic acid level of 15 mg/ml. Which of the following client behaviors should the nurse judge to be due to this level of valproic acid? select all that apply

irritability, grandiosity, flight of ideas

A client is taking an antacid for treatment of peptic ulcers. Which of the following statements best indicates that the client understands how to correctly take the antacid?

it is best for me to take my antiacid 1-3 hours before meals

the client with chronic renal failure takes magnesium hydroxide at home for constipated. the nurse suggest that the client switch to psyllium hydrophilic mucilloid because:

magnesium hydroxide is Milk of mag. psyllium mucilioid is Metamucil

a client had a crainotomy for removal of a malignant brain tumor in the occipital region. The nurse should question an order for which of these drugs

morphine sulfate

An outpatient client who has been receiving haloperidol for 2 days develops muscular rigidity, altered consciousness, a temperature of 103 F and trouble breathing on day 3. The nurse interprets these findings as indicating which of the following?

neuroleptic malignant syndrome

the laboratory notifies the nurse that a client who had a total knee replacement 3 days ago and Is receiving heparin has an aPTT of 75 seconds. After verifying values. the nurse calls the physician. The nurse should anticipate receiving a prescription for:

protamin sulfate

angiotensin-converting enzyme (ACE) inhibitors may be prescribed for the client with diabetes mellitus to reduce vascular changes and possibly prevent or delay development of:

renal failure

the Nurse should suspect that the client taking disulfiram has ingested alcohol when the client exhibits which of the following symptoms

sweating, flushing neck and face, tachycardia, hypertension, throbbing HA, nausea, and vomiting, palpitation, dyspnea, tremor, and weakness

The nurse notices that a clients heart rate has decreased from 63 to 50 bpm. The nurse should first

take clients blood pressure

a hospitalized client who is being treated for hypertension with furosemide, atenolol, and ramipril develops a second degree heart block Mobitz type 1. which of the following actions should the nurse take

the client may asymptomatic and the underlying causes should be assessed. drugs that block the AV nose should be avoided.

The nurse is administering the initial dose of pramlintide to a client with type I diabetes. The nurse should assess the client for hypoglycemia within

the first 3 hours after injection

A elderly client with diabetes who has been maintained on metformin has been scheduled for a cardiac catheterization. The nurse should verify that the physician has written a prescription to:

withhold metformin prior to any procedure needing dye