Pharmacology

The healthcare provider prescribes nitroglycerin ointment for a client who was admitted for chest pain and a myocardial infarction (MI). Which statement, if a made by the client, would indicate understanding of the side effects of nitroglycerin ointment? 1. "I may experience a headache" 2. "Confusion is common adverse effect" 3. "A slow pulse rate in an expected side effect" 4. "Increased BP readings may occur"

"I may experience a headache"

During a teaching session about insulin injections, a client asks the nurse, "why can't I take the insulin in pills instead of taking shots?" What is the nurse's best response? 1. "Insulin cannot be manufactured in pill form" 2. "Insulin is destroyed by gastric juices, rendering it ineffective" 3. "Your health care provider decides the route of administration" 4. "Your health care provider will prescribe pills when you are ready"

"Insulin is destroyed by gastric juices, rendering it ineffective"

A female client receiving cortisone therapy for adrenal insufficiency expresses concern that she is developing facial hair. How should the nurse respond? 1. "It is just another sign of adrenal insufficiency" 2. "Do not worry because it will disappear with therapy" 3. "This is not important as long as you are feeling better" 4. "The drug contains a hormone that cause male characteristics"

"The drug contains a hormone that cause male characteristics" Some cortisol derivatives possess 17-keto-steroid (androgenic) properties, which result in hirsutism.

A nurse is providing discharge instructions about digoxin. Which response should a nurse include as a reason for a client to withhold the digoix. 1. Chest pain 2. Blurred vision 3. Persistent hiccups 4. Increased Urinary output

Blurred vision Visual disturbances, such as blurred or yellow vision, may be evidence of digoxin toxicity.

A nurse teaches a client about the dangers of using sodium bicarbonate regularly. What effect of sodium bicarbonate is the nurse trying to prevent? 1. Gastric distention 2. Metabolic alkalosis 3.Chronic constipation 4. Cardiac dysrhythmias

Metabolic alkalosis Prolonged use of sodium bicarbonate may cause systemic alkalosis, as well as retention of sodium and water.

Clopidogrel (Plavix)

Platelet Aggregation Inhibitor -Monitor for epistaxis (nosebleed)