Pharm Test

A client has been taking levothyroxine (Synthroid) for hypothyroidism for three weeks. The nurse suspects that a decrease in dosage is needed when the client exhibits which clinical manifestations? Select all that apply. 1 Tremors 2 Bradycardia 3 Somnolence 4 Heat intolerance 5 Decreased blood pressure

1, 4 all others are sign of hypothyroidism

An intravenous (IV) solution of 1000 mL 5% dextrose in water is to be infused at 125 mL/hr to correct a client's fluid imbalance. The infusion set delivers 15 drops/mL. To ensure that the solution will infuse over an eight-hour period, at how many drops per minute should the nurse set the rate of flow? Record the answer using a whole number. ______ gtts/min

1000 mL x 15/8 x 60 = 15,000/480 = 31.25 = 31 gtts/min

Digoxin (Lanoxin) and furosemide (Lasix) are prescribed for a client with the diagnosis of pulmonary edema. What client response to digoxin is unrelated to toxicity? 1.Nausea 2.Yellow vision 3.Irregular pulse 4.Pulse of 64

4.Pulse of 64

A patient on dialysis asks why he is receiving aluminum hydroxide gel (Amphojel), a phosphate binder, for his renal disorder. What should the nurse explain regarding the action of that Amphojel? a. Calms the frequent upset stomach experienced by patients on dialysis b. Binds with phosphorus to increase the serum calcium level c. Increases the appetite d. Corrects the pH of the bowel b. Binds with phosphorus to increase the serum calcium level *Amphojel binds phosphorus, which increases the serum calcium level and decreases hypocalcemia. Which statement by a patient on dialysis, taking gentamicin (Garamycin), should cause the nurse the most concern? a. "I have a horrible headache."

b. Binds with phosphorus to increase the serum calcium level *Amphojel binds phosphorus, which increases the serum calcium level and decreases hypocalcemia.

Which topical drugs are typically used to treat a client with acne vulgaris? Select all that apply.

metronidazole erythromycin gentamycin clindamycin mupirocin

A client with type 1 diabetes comes to the clinic because of concerns regarding erratic control of blood glucose with the prescribed insulin therapy. The client has been experiencing a sudden fall in the blood glucose level, followed by a sudden episode of hyperglycemia. Which complication of insulin therapy should the nurse conclude that the client is experiencing? 1 Somogyi effect 2 Dawn phenomenon 3 Diabetic ketoacidosis 4 Hyperosmolar nonketotic syndrome

1 Somogyi effect

A child with pulmonary edema is treated with opioids and furosemide. Which nursing interventions should be performed to promote safe drug administration? Multiple selection question Following the principle of atraumatic care Administering oral drugs with food or snacks Documenting the client's age, weight, and height Exposing the child to sunlight for healthy growth Administering medications if the client reports dizziness or drowsiness

Following the principle of atraumatic care Administering oral drugs with food or snacks Documenting the client's age, weight, and height A local anesthetic should be applied at the injection site to promote atraumatic care. Administering drugs with food reduces gastric discomfort. The client's age, weight, and height should be documented to help ensure correct calculation of the drug dose. A child who is undergoing treatment with diuretics should not be exposed to sunlight because this can cause fluid volume loss and exhaustion. If the client reports dizziness or drowsiness, medications should not be administered until an order is prescribed by the primary healthcare provider.