pharm test 1

Which instruction should the nurse provide when teaching a patient to mix regular insulin and NPH insulin in the same syringe?

"Draw up the clear regular insulin first, followed by the cloudy NPH insulin."

A patient has received instructions regarding administration of testosterone buccal tablets (Striant). Which of these statements made by the patient would indicate the need for further teaching?

"I should remove the table when drinking hot fluids."

A patient has been given levothyroxine (Synthroid). Which statement by the patient indicates understanding of these instructions?

"I'll take this medication in the morning so as not to interfere with sleep."

A patient with Graves' disease is treated with iodine- 131 (Iodope) therapy. Which statement by the patient would indicate understanding of the treatment's effects?

"I'll tell my doctor if I have fatigue, hair loss, or cold intolerance."

A teaching plan for a patient who is taking lispro (Humalog) should include which instruction by the nurse?

"Inject this insulin with your first bite of food, because it is very fast acting."

A patient taking sildenafil (Viagra) asks a nurse what action to take if priapism occurs. Which response should the nurse make?

"Seek emergency help, because permanent damage can occur."

A patient with PMS has been prescribed fluoxetine (Prozac) for PMS. Which statement if made by the patient, would suggest that the patient understands the potential benefits of this drug therapy for PMS?

"This drug may help reduce my breast tenderness, bloating, and headache."

Which statement should a nurse include when providing teaching to a patient who is scheduled to state taking dutasteride (Avodart)?

"You cannot donate blood while on this medication or for 6 months after stopping it."

Which statement is the most important for a nurse to make to a patient who is taking methimazole?

"You need to notify your doctor if you have a sore throat and fever."

A nurse should recognize that which therapies would be beneficial to a patient with BPH?

-Botulinum (Botox) -Alfuzosin (Uroxatral) -Tolerodine (Detrol)

A nurse is caring for a patient who has diabetic ketoacidosis recognizes which characteristics in the patient?

-altered fat metabolism leading to ketones -plasma osmolality of 300 to 320 mOsm/L. -sudden onset, triggered by acute illness

A patient is scheduled to start taking sildenafil (Viagra). A nurse should recognize that the patient is at risk for developing an adverse cardiac event if the patient's history reveals which of these conditions?

Angina

A patient is scheduled to start taking insulin glargine (Lantus). On the care plan, a nurse should include which of these outcomes related to the therapeutic effects of the medication?

Blood glucose control for 24 hours.

A patient in the ED reports taking sildenafil (Viagra) and nitroglycerin 1 hour before sexual activity. Which finding should the nurse immediately report to the physician?

Blood pressure of 70/50 mmHg

A patient who took NPH insulin at 0800 reports feeling weak and tremulous at 1700. Which action should the nurse take?

Check the patient's capillary blood sugar.

The nurse is caring for a 56 year old patient who is post-total knee replacement. The patient has been taking estrogen to relieve menopausal symptoms and increase bone mineral density. Which new assessment finding would be of most concern to the nurse?

Dyspnea while resting

When assessing a patient who takes finaseride (Proscar), a nurse should monitor for which adverse effect?

Ejaculatory dysfunction

Which finding in a patient taking levothyroxine (Synthroid) and warfarin (Coumadin) would require follow-up by a nurse?

Excessive bruising

A nurse is educating a patient on sildenafil (Viagra). The nurse should instruct the patient that which adverse effect would be a priority for the patient to report to his prescriber?

Hearing loss

Which symptom, if exhibited by a patient who is receiving estrogen therapy (ET), is most likely to be an effect of this therapy?

Nausea

The nurse is assessing a 62 year old female patient who is post-knee arthroplasty. The patient is prescribed raloxifene (Evista) to treat osteopenia. What would be of greatest priority to report to the surgeon?

Pain and increased circumference of the right calf

A patient who has type 2 diabetes has a glycated hemoglobin A1C of 10%. The nurse should make which change to the nursing care plan?

Refer the patient to a diabetes educator because the result reflects poor glycemic control.

The pediatrician's triage nurse receives a call at 1400 from a 14 year old patient who was recently prescribed testosterone buccal tablets. The patient applied the buccal table at 0700 and it fell out during lunch. He asks what he should do. The nurse should direct the patient to do what?

Replace the tablet with a new one and remove it as scheduled for the original tablet at 1900

A patient is taking glipizide (Glucotrol) and a beta-adrenergic medication. A nurse is teaching hypoglycemia awareness and should warn the patient about the absence of which symptom?

Tachycardia

Which assessment should a nurse monitor frequently in a patient who takes both an alpha blocker for BPH and metoprolol (Lopressor)?

blood pressure

During admission history, a patient who has a history of androgen deficiency describes symptoms of dark-colored urine and clay-colored stool. What is the greatest priority for the nurse to do at this time?

continue obtaining all admission data

When a patient is prescribed an androgen, which adverse effect would be a priority for the nurse to report to the prescriber?

edema in lower extremities

A 45 year old patient has not had a menstrual period for 2 months. The nurse is reviewing laboratory tests. Which result suggests that the patient may be entering menopause (perimenopause)?

elevated luteinizing hormone

A nurse is caring for a patient with decreased triiodothyronine (T3) and thyroxine (T4) and elevated thyroid-stimulating hormone (TSH) levels. The nurse knows the patient is likely suffering from what?

hypothyroidism

Which adverse effect of testosterone is a medical emergency?

priapism lasting longer than 4 hours

Which behaviors, if occurring when underarm androgens are applied, would be of most concern?

smoking cigarettes

Which manifestations should a nurse investigate first when monitoring a patient who is taking levothyroxine (Synthroid)?

tachycardia