Pharmacology
A nurse is caring for a client who is receiving haloperidol (Haldol). For which of the following adverse effects should the nurse be observing: 1) vomiting 2) Akathesia
2) Akathesia
the nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin) by continuous IV infusion, piggy backed into a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first: 1) Turn the client to side lying position 2) Discontinue the client's IV meds
2) Discontinue the client's IV meds
A nurse instructing on appropriate placement of the client's nitroglycerin transdermal patch (Minitran) understands teaching with this statement: 1) I should apply the patch to an area of body with minimal fat tissue 2) I will take the patch off right after my evening meal
A nurse instructing on appropriate placement of the client's nitroglycerin transdermal patch (Minitran) understands teaching with this statement: 1) I should apply the patch to an area of body with minimal fat tissue 2) I will take the patch off right after my evening meal
A nurse is reveiwing lab results, for a patient who has chronic asthma and is taking prednisone (Deltasome) every other day. Which of the following lab values should the nurse report to the doctor: 3) Blood glucose 200 mg/dL 4) BUN 14 mg/dL
BG 200
A nurse is planning to provide medication education for a client who will begin a course of therapy with metronidazole (Flagyl). Which of the following should the nurse instruct the client to avoid during the course of therapy
Beer
A nurse is administering baclofen (Lioresal) for a client with a spinal cord injury. Which of the following should the nurse document as a therapeutic outcome: 1) Increase in seizure threshold 2) Decrease flexor & extension spasticity
Decrease flexor & extension spasticity
A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25% is prescribed. Which of the following client findings should the nurse recognize as being the best indication that the medication is achieving it's therapeutic effect
Decrease in intraocular pressure
A nurse is providing teaching to a female client who has been newly diagnosed with a seizure disorder and has begun phenytoin (Dilantin). The nurse should tell the client that phenytoin can decrease the effectiveness of which of the following
Ethunyl estradiol/desogestrel (Cyclessa)
A nurse is reviewing a client's daily laboratory findings before administering 0.125 mg of digoxin (Lanoxin). The client's serum digoxin level is 0.7 ng/mL. Which of the following actions should the nurse take:
Give the medication
A nurse is caring for a client receiving zidovudine (Retrovir) for which of the following lab results should the nurse prepare to monitor: 3) Serum creatine 4) Hemoglobin
Hemoglobin
A nurse is assessing a client who is receiving epoetin alfa (Procit) to treat anemia. For which should the nurse monitor related to this medication: 1) Paresthesias 2) Increased BP
Increased BP
A nurse is caring for a client who is receiving oprelvekin (Interleukin ll). which should the nurse document to indicate the effectiveness of the therapy: 1) Increased platelet count 2) Increased RBC count
Increased platelet count
A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit smoking. For which of the following side effects should the nurse assess the client: 3) Insomnia 4) Tinnitus
Insomnia
A nurse providing teaching to a client who is diagnosed with migraine headaches. The client is prescribed ergotamine (Ergostat) sublingual (SL). Which of the following should the nurse include in her instructions:
Take 1SL tablet at onset of migraine
Provide teaching new prescription: exenatide (Byetta) for Type 2 Diabetes. What should the nurse monitor and report: 1) Abdominal pain 2) Increased thirst
abdominal pain
A nurse is caring for a client who has heart failure and is prescribed enalapril (Vasotec) and spironolactone (Aldactone). For which of the following potential side effects should the nurse plan to monitor: 1) Hypokalemia 2) Hyperkalemia
2) Hyperkalemia
A client who is postoperative has received 2 mg of hydromorphine (Dilaudid) IV bolus every 2 hours. The client continue to rate his pain at a 7 on a scale from 0 to 10. which of the following client findings should the nurse attend to first: 1) Constipation 2) Hypotension
2) Hypotension
A nurse is evaluating a client who has been prescribed oral metformin (Glucophage) and glipizide (Glucotrol) 3 months ago to control diabetes mellitus. The nurse should identify which of the following laboratory findings as indicative of client compliance over time: 1) HbA1c 8.0% 2) HbA1c 6.5%
6.5
Nurse caring for postoperative patient with PCA of morphine sulfate. The nurse assesses a respiratory rate of 10/ min and is unable to arouse the patient with verbal or tactile stimulation. Which of the following actions should the nurse first take: 3) administer naloxone (Narcan) IV to the client 4) Notify the primary of the findings
administer naloxone (Narcan) IV to the client
A nurse is monitoring a patient who has been prescribed amphoterian B (Fungizone) intermittent IV bolus for histoplasmosis. What adverse effects should you notify PCP: 1) Bradycardia 2) Fever
fever
A nurse is reveiwing lab results, for a patient who has chronic asthma and is taking prednisone (Deltasome) every other day. Which of the following lab values should the nurse report to the doctor: 3) Blood glucose 200 mg/dL 4) BUN 14 mg/dL
3) Blood glucose 200 mg/dL
A patient has been receiving aspirin for treatment of arthritis. Which symptom should indicate the client beginning to exhibit salicylism: 3) Excessive bruising 4) Tinnitus
tinnitus
A home health nurse is reviewing the medication list of an older adult patient who reports falling a couple of times over the past week. Which of the following meds should the nurse suspect is contributing to the client's falls: 1) Alprazolam (Xanax) 2) Acetaminophen (Tylenol)
1) Alprazolam (Xanax)
A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) and digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L. Which of the following actions should the nurse take first
1) Apply a cardiac monitor
A nurse is preparing to administer warfarin (coumadin) to a client diagnosed with atrial fibrillation. Which action should the nurse take before administering warfarin: 1) Check INR results 2) Monitor the aPTT level
1) Check INR results
A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which statement by the patient indicates further teaching
1) I should expect a rash to develop
A nurse is providing teaching to an adolescent and her family regarding a new prescription of phenytoin (Dilantin) for a newly diagnosed seizure disorder. Which of the following client statements indicates the understanding of the teaching: 1) I will keep a seizure frequency chart 2) I will skip a dose if I am experiencing nausea
1) I will keep a seizure frequency chart
A nurse is caring for a school age child prescribed methylphenidate (Ritalin) for ADHD. The nurse has initiated interventions to minimize adverse effects. Which of the following indicates a successful intervention: 1) Increase BP 2) Maintains age- appropriate weight
1) Increase BP
A nurse is monitoring a client receiving an IV infusion of magnesium sulfate for preterm labor. Which of the following indicates to the nurse that the client is experiencing magnesium toxicity: 3) Decreased level of consciousness 4) Agitation
3) Decreased level of consciousness
For which of the following findings should the client be instructed to monitor and report to provider: 3) Clay colored stools 4) Green sputum
4) Green sputum
A nurse is caring for a patient who has cancer and is experiencing breakthrough pain every 6 to 8 hours. The client report pain level of 8 on a scale of 0 to 10. Which of the following analgesics should the nurse anticipate administering: 3) Celecoxib (Celebrax) 4) Hydromorpine (Dilaudid)
Dilauded
A nurse providing teaching to a client who has just been prescribed prazosin (Minipress) which of the following client statement indicates understanding of teaching: 1) I will not use a salt substitute while taking meds 2) I will move slowly from sitting to standing to prevent falls
I will move slowly from sitting to standing to prevent fall
A nurse is teaching a client who has heart failure about a new prescription of captopril. Which of the following statements be the client indicates a need for further teaching?
I will use a salt substitute with my meals
A nurse providing discharge teaching for patient has a prescription for morphine. The nurse should: 3) Increase fiber intake 4) Increase dosage to relieve pain
increase fiber intake
A child is prescribed amoxicillin-clavulanic acid (Augmentin) for the treatment of an ear infection. The child's mother asks the nurse why her child is receiving this combination of two medications. The nurse appropriately responds by stating that this medication is: 1) More effective 2) Known to decrease allergic reaction
1) More effective
A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO daily. After 6 weeks of treatment the nurse dtermines that the medication was effective if the: 1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL 2) Total t4 level is 2 mcg/dL
1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
A nurse is caring for a client who is starting a new prescription for warfarin (Coumadin). Which of the following medications should the nurse plan to administer if the client experiences bleeding: 1) Vitamin K 2) Protamine sulfate
1) Vitamin K
An older adult client who has an infection is prescribed gentamicin (Garamycin). Which of the following client statements indicates a side effect of this medication and should be reported to the provider immediately: 1) I'm having difficulty reading the newspaper 2) I have to turn the volume up on the TV to hear it
2) I have to turn the volume up on the TV to hear it
A nurse providing teaching to a client who has just been prescribed prazosin (Minipress) which of the following client statement indicates understanding of teaching: 1) I will not use a salt substitute while taking meds 2) I will move slowly from sitting to standing to prevent falls
2) I will move slowly from sitting to standing to prevent falls
A nurse instructing on appropriate placement of the client's nitroglycerin transdermal patch (Minitran) understands teaching with this statement: 1) I should apply the patch to an area of body with minimal fat tissue 2) I will take the patch off right after my evening meal
2) I will take the patch off right after my evening meal
A nurse is assessing a client who is receiving epoetin alfa (Procit) to treat anemia. For which should the nurse monitor related to this medication: 1) Paresthesias 2) Increased BP
2) Increased BP
A nurse is providing teaching to a client who has rheumatoid arthritis and is prescribed methotrexate (Rheumatrex). Which of the following statements by the client indicates an understanding of the teaching: 3) I should call my doctor if I develop sores in my mouth 4) I will have difficulty sleeping when i take this medication
3) I should call my doctor if I develop sores in my mouth
A nurse is receiving a telephone prescription for an antibiotic from a client's provider. Which of the following is the nurse required to do: 3) Read the prescription back to the provider after transcribing 4) Write the trade name for the prescribed medicine
3) Read the prescription back to the provider after transcribing
A client is prescribed amitriptyline (Elavil). Which of the following adverse effects should the nurse instruct the client to report: 3) Urinary retention 4) Decreased libido
3) Urinary retention
A nurse is administering donepezil (Aricept) to a client who has Alzheimer's disease. Which of the following documented findings should the nurse report to the provider immediately: 3) Dizziness 4) Dyspnea
4) Dyspnea
A nurse assesses a patient with chronic back pain who is receving 650 mg acetaminophen (Tylenol) every 4 hours for pain. PCP has prescribed oxycodone/acetaminophen (Percocet) every 4 to 6 hours PRN for breakthrough pain. Which action should the nurse take: 3) Place the client on seizure precautions 4) Notify the PCP
4) Notify the PCP
A nurse is caring for a client who is experiencing acute alcohol withdrawl. For which of the following is the client prescribed chlordiazpoxide (Librium) 3) Lessen craving 4) Prevent delirium tremens
4) Prevent delirium tremens
A nurse is providing teaching to a patient who has hypertension and is to start a new prescription for lisinopril (Zestril). For which of the following should the nurse instruct the client to monitor and report to the PCP: 3) Facial Flushing 4) Dry cough
Dry cough
A nurse is planning teaching for a client who has depression and is to start a new prescription for tranylcypromine (Parnate). Which should be included in teaching: 1) Avoid eating citrus fruits while taking this medication 2) Move slowly when changing to a standing position
2) Move slowly when changing to a standing position
A nurse is caring for a client receiving heparin IV at 1,000 units/hr. Which of the following should the nurse recognize as an adverse reaction to this medication: 1) Paresthesias 2) Pink tinged urine
2) Pink tinged urine
A nurse is caring for a 20 year old female who has been prescribed isotretinoin (Accutane) for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advise the client that which of the following tests will be required: 1) Hgb level 2) Pregnancy test
2) Pregnancy test
A nurse is teaching a patient who has a peptic ulcer disease and is to start a new prescription for sucralfate (Carafate). The nurse explains to the patient this medication: 3) Forms a protective barriers over ulcers 4) Treats ulcers by eradicating H. pylori
3) Forms a protective barriers over ulcers
A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognizes is of primary consideration when determining the schedule of administration: 1) Institutional policies regarding routine medication administration times 2) Specific characteristics of the medications
2) Specific characteristics of the medications
A nurse is receiving a telephone prescription for an antibiotic from a client's provider. Which of the following is the nurse required to do
3) Read the prescription back to the provider after transcribing
A nurse is caring for a client who is receiving chlorpromazine (Thorazine) and is given a pass to attend a family outing on a sunny day. Which of the following is the most important for the nurse to include in the client's teaching about the side effects of chlorpromazine? 1) Wear a hat and long sleeved shirt 2) Suck on hard candies
2) Suck on hard candies
A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy. Which of the following client findings requires an incident report:
2) The client reports shortness of breath
A nurse is assessing a patient who is taking oral contraceptives. Which of the following medications will interfere with the effectiveness of the oral contraceptives: 1) Warfarin (Coumadin) 2) carbamazepine (Tegretol)
2) carbamazepine (Tegretol)
A nurse is educating a client who has a new prescription for simvastatin (Zacor). Which of the following instructions should the nurse include in the teaching plan: (Select all that apply): 1) Report muscle pain to provider 2) Do not take the medication with grapefruit juice 3) Take the medication in the early morning 4) Minimize intake of alcoholic beverages 5) Expect therapy with this medication to be life long
1) Report muscle pain to provider 2) Do not take the medication with grapefruit juice 4) Minimize intake of alcoholic beverages 5) Expect therapy with this medication to be life long
A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO daily. After 6 weeks of treatment the nurse determines that the medication was effective if the
1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO daily. After 6 weeks of treatment the nurse dtermines that the medication was effective if the: 1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL 2) Total t4 level is 2 mcg/dL
1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL
A nurse instructing on appropriate placement of the client's nitroglycerin transdermal patch (Minitran) understands teaching with this statement: 1) I should apply the patch to an area of body with minimal fat tissue 2) I will take the patch off right after my evening meal
2) I will take the patch off right after my evening meal
A nurse is planning teaching for a client who has depression and is to start a new prescription for tranylcypromine (Parnate). Which should be included in teaching: 1) Avoid eating citrus fruits while taking this medication 2) Move slowly when changing to a standing position
2) Move slowly when changing to a standing position
A nurse is providing teaching to a client who has a new pancrelipase (Pancrease). Which of the following should the nurse include in the teaching: 3) Take the medication with each meal and snack 4) Monitor blood glucose levels daily
3) Take the medication with each meal and snack
A client informs the nurse at the primary care providers office that he received a prescription for timolol (timoptic) to treat glaucoma. Which of the following in the client's history should concern you: 3) The client has a history of bradycardia 4) The client reports that he is taking loratadine (Claritan)
3) The client has a history of bradycardia
A nurse is teaching a client about the use of resedronate (Actonel) to treat osteoporasis. Which of the following client statements indicates a need for further teaching: 3) I need to set up or stand after taking the risedronate 4) I need to take the risdronate with food
4) I need to take the risdronate with food
A nurse is caring for a client in the PACU. The client is 1 hour postoperative, is difficult to arouse, and is hypotensive. The nurse should administer which of the following: 3) Lorazepam (Ativan) 4) Naloxone (Narcan)
4) Naloxone (Narcan)
A nurse is caring for a client who has cancer and is taking oral morphine sulfate and docusate sodium (Colace). Which of the following side effects will be minimized by taking the docusate sodium on a daily basis? 1) Constipation 2) Drowsiness
1) Constipation
A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The client aPTT is 4x the normal value and his INR is 2. Which of the following actions should the nurse plan to take: 1) Decrease the heparin 2) Increase the warfarin
1) Decrease the heparin
A nurse is providing teaching to an adolescent and her family regarding a new prescription of phenytoin (Dilantin) for a newly diagnosed seizure disorder. Which of the following client statements indicates the understanding of the teaching:
1) I will keep a seizure frequency chart
A nurse is assessing a client who comes to the clinic for a seasonal influenza vaccine. The client says he read about an influenza vaccine that is given as a nasal spray and wants to receive it. Which of the following is a contradiction for the patient to receiving the live attenuated influenza vaccine (LAIV)? 1) Just turned 62 2) Smokes one pack of cigarettes a day
1) Just turned 62
