Pharmacology Assessment A

A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

100gtt/min

A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include in the teaching plan? (Select all that apply.) A) Report muscle pain B) Avoid grapefruit juice C) Take med in morning D) Expect flushing of skin E) Expect lifelong therapy

A) Report muscle pain B) Avoid grapefruit juice E) Expect lifelong therapy

A nurse is caring for the mother of a newborn. The mother asks the nurse when her newborn should receive his first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the mother that her newborn should receive the immunization at which of the following ages? A) Birth B) 2m C) 6m D) 15m

B) 2m

A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medications? A) Vit K B) Acetylcysteine C) Benztrophine D) Physostigmine

B) Acetylcysteine

A nurse is planning care for a client who has hypertension and is to start taking metoprolol. Which of the following interventions should the nurse include in the plan of care? A) Weigh the client weekly B) Determine apical pulse prior to admin C) Admin the med 30min prior to breakfast D) Monitor the client for jaundice

B) Determine apical pulse prior to admin

A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching? A) I should apply a patch every 5min if I develop chest pain B) I will take the patch off right after my evening meal C) I will leave the patch off at least 1 day each week D) I should discard the used patch by flushing it down the toilet

B) I will take the patch off right after my evening meal

A nurse is collecting a medication history from a client who has a new prescription for lithium. The nurse should identify that the client should discontinue which of the following over-the-counter medications? A) Aspirin B) Ibuprofen C) Ranitidine D) Bisacodyl

B) Ibuprofen

A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor? A) Muscle weakness B) Sedation C) Tinnitus D) Peripheral edema

B) Sedation

A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? A) Tingling toes B) Sexual dysfunction C) Absence of dreams D) Pica

B) Sexual dysfunction

A nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramide. Which of the following actions should the nurse take first? A)Report the incident to the charge nurse B) Notify the provider C) Check the client's blood glucose D)Fill out an incident report

C) Check the client's blood glucose

A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes the client has anxiety, hypotension, and dyspnea. Which of the following medications should the nurse administer first? A) Diphenhydramine B) Albuterol inhaler C) Epinephrine D) Prednisone

C) Epinephrine

A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instructions should the nurse include in the teaching? A) "Take beclomethasone to avoid an acute attack." B) "Use beclomethasone 5 minutes before using albuterol." C) "Limit your calcium and vitamin D intake when taking beclomethasone." D) "Rinse your mouth after inhaling the beclomethasone."

D) "Rinse your mouth after inhaling the beclomethasone."

A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. Which of the following information should the nurse include in the teaching? A) The med should be taken prior to 1hr prior to eating B) It takes 48hr for therapeutic effects to occur C) Tablets should not be crushed or chewed D) Decreased respiration might occur

D) Decreased respiration might occur

A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching? A) I will drink a glass of milk when I take med B) I will take med 15min after my evening meal C) I should take antacid with the med to avoid nausea D) I should sit up for 30min after taking the med

D) I should sit up for 30min after taking the med

A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following findings should the nurse identify as an indication that the medication has been effective? A) Dec in WBC count B) Dec in amount of time sleeping C) Inc in appetite D) Inc in ability to focus

D) Inc in ability to focus

A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the following findings should the nurse identify as an adverse effect of the medication? A) cough B) Joint pain C) Alopecia D) Insomnia

D) Insomnia

A nurse is caring for a client who received 0.9% sodium chloride 1L over 4hr instead over 8hr as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident?

0.9% sodium chloride 1 L IV infused over 4hr. Vital signs stable, provider notified; The nurse should document the type and amount of fluid, how long it took to infuse, provider notification, and the client's physical status.

A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child who weighs 44 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

300mg

A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this medication? A) "I have tendonitis, so I haven't been able to exercise." B) "I take a stool softener for chronic constipation." C) "I take medicine for my thyroid." D) "I am allergic to sulfa."

A) "I have tendonitis, so I haven't been able to exercise."

A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication? (Select all that apply.) A) Dry mouth B) Tinnitus C) Blurred vision D) Bradycardia E) Dry eyes

A) Dry mouth C) Blurred vision E) Dry eyes

A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? (Select all that apply.) A) Glucose levels need to be monitored during therapy B) Avoid contact with persons with known infections C) Take med 1h before a meal D) Dec intake of foods containing potassium E) Grapefruit juice can inc blood levels of the med

A) Glucose levels need to be monitored during therapy B) Avoid contact with persons with known infections E) Grapefruit juice can inc blood levels of the med

A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects should the nurse include in the teaching? A) Hot flashes B) Urinary retention C) Constipation D) Bradycardia

A) Hot flashes

A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first? A) Obtain BP B) Contact provider C) Inform charge nurse D) Complete incident report

A) Obtain BP

A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma. The nurse should include that the spacer decreases the risk for which of the following adverse effects of the medication? A) Oral candidiasis B) Headache C) Joint pain D) Adrenal suppression

A) Oral candidiasis

A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective? A) Inc saliva production B) Continue med till rash disappears C) Taper off med before discontinuing D) Report urinary incontinence

C) Taper off med before discontinuing

A nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report? A) Tingling of fingers B) Constipation C) Weight gain D) Oliguria

A) Tingling of fingers

A nurse is caring for a client who is in labor. The client is receiving oxytocin by continuous IV infusion with a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first? A) Turn client to a side laying position B) Disconnect the client's oxytocin from the maintenance IV C) Apply oxygen to the client by face mask D) Inc client's maintenance IV infusion rate

A) Turn client to a side laying position

A nurse is teaching a client about warfarin. The client asks if she can take aspirin while taking the warfarin. Which of the following responses should the nurse make? A) It is safe to take an enteric-coated aspirin B) Aspirin will inc the risk of bleeding C) Acetaminophen may be sub for aspirin D) The INR lab work must be monitored more frequently if aspirin is taken

B) Aspirin will increase the risk of bleeding

A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? A) vomiting B) Blood in urine C) Positive Chvostek's sign D) Ringing in the ears

B) Blood in urine

A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer? A) Methadone B) Naloxone C) Diazepam D) Bupropion

B) Naloxone

A nurse is caring for a 20-year-old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advise the client that which of the following tests is required? A) Serum calcium B) Pregnancy test C) 24hr urine collection for protein D) Asparate aminotransferase level

B) Pregnancy test

A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in her instructions? A) Take one tablet 3 time a day before meals B) Take one tablet at onset of migraine C) Take up to 8 tablets as needed within a 24h period D) Take one tablet every 15m until migraine subsides

B) Take one tablet at onset of migraine

A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report? A) 1000 B) 0900 C) 0830 D) 1200

C) 0830

A nurse in the emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer? A) Potassium iodide B) Glucagon C) Atropine D) Protamine

C) Atropine

A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching? A) Dec stomach acid secretion B) Neutralizes acids in the stomach C) Forms a protective barrier over ulcers D) Treats ulcers by eradicating H. pylori

C) Forms a protective barrier over ulcers

A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The client's BP is 144/86 mm Hg, heart rate is 55/min, and the respiratory rate is 20/mm. The nurse should withhold the medication and contact the provider for which of the following findings? A) Diastolic BP B) Systolic BP C) Heart rate D) Respiratory rate

C) Heart rate

A nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching? A) I should take the med with food B) I should take naproxen if I develop joint pain C) I should tell my provider if I develop a sore throat D) I should expect the med to cause orange urine

C) I should tell my provider if I develop a sore throat

A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following instructions should the nurse include? A) Take med on empty stomach for full effect B) You may discontinue this med when stomach discomfort subsides C) Report skin yellowing D) Store med in fridge

C) Report skin yellowing

A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking the docusate sodium daily can minimize which of the following adverse effect of morphine?

Constipation; Constipation is a common adverse effect of morphine that can be minimized by taking docusate sodium, a stool softener that promotes easier evacuation of stool by increasing water and fat in the intestine.

A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects? A) Weight loss B) Inc intraocular pressure C) Auditory hallucinations D) Bibasilar crackles

D) Bibasilar crackles

A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately? A) Dyspepsia B) Diarrhea C) Dizziness D) Dyspnea

D) Dyspnea

A nurse is caring for a client in the emergency department following a diazepam overdose. Which of the following medications should the nurse anticipate administering to the client?A) NaloxoneB) LeucovorinC) NeostigmineD) Flumazenil

D) Flumazenil

A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect? A) Tachycardia B) Oliguria C) Xerostomia D) Miosis

D) Miosis

A nurse is reviewing laboratory results for a client who is receiving heparin via continuous IV infusion for deep-vein thrombosis. The nurse should discontinue the medication infusion for which of the following client findings? A) Potassium mEq/L B) aPTT times the control C) Hemoglobin g/dL D) Platelets 96,000/mm^3

D) Platelets 96,000/mm^3

A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide? A) Minimizes diaphoresis B) Maintain abstinence C) Lessen craving D) Prevent delirium tremens

D) Prevent delirium tremens

A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick. Which of the following information should the nurse include in the teaching? A) Chew on med stick to release med B) Leave med stick in one location until melted C) Allow med 1hr for analgesia effects to begin D) Store unused med sticks in storage container

D) Store unused med sticks in storage container

A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. The nurse should identify which of the following findings as an indication that the client is beginning to exhibit salicylism? A) Gastric distress B) Oliguria C) Excessive bruising D) Tinnitus

D) Tinnitus

A nurse is assessing a client 1 hr after administering morphine for pain. The nurse should identify which of the following findings as the best indication the morphine has been effective? A) vitals are within norm limits B) has not requested additional med C) is resting comfortably with eyes closed D) rates the pain at a 3

D) rate the pain at a 3

Morphine five milligrams every 4 hours subcutaneously for severe pain as need. Correctly format for the medication administration record (MAR)

Morphine 5 mg subcut every 4 hr PRN severe pain

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? A) Admin med outside the 5cm (2in) radius of umbilicus B) Aspirate for blood return before injecting C) Rub vigorously after injection to promote absorption D) Place pressure dressing on injection site to prevent bleeding

A) Admin med outside the 5cm (2in) radius of umbilicus

A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? A) Cabamazepine B) Sumatriptan C) Atenolol D) Glipzide

A) Carbamazepine

A nurse is teaching a group of unit nurses about medication reconciliation. Which of the following information should the nurse include in the teaching? A) Client's provider is required to complete med reconciliation B) Med reconciliation at discharge is limited to the med ordered at time of discharge C) A transition in care requires the nurse to conduct med reconciliation D) Med reconciliation is limited to the name of the meds that the client is currently taking

C) A transition in care requires the nurse to conduct med reconciliation

A nurse is caring for a client who is receiving filgrastim. Which of the following findings should the nurse document to indicate the effectiveness of the therapy?

Increased neutrophil count

A nurse is reviewing the medication administration record of a client who has hypocalcemia and a new prescription for IV calcium gluconate. The nurse should identify that which of the following medications can interact with calcium gluconate?

Digoxin; The nurse should identify that calcium gluconate can cause hypercalcemia, which increases the risk of digoxin toxicit

A nurse is preparing to administer medications to a client who tells the nurse, "I don't want to take my fluid pill until I get home today." Which of the following actions should the nurse take?

Document the refusal and inform the provider

A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has hyperkalemia. Which of the following actions should the nurse plan to take?

Monitor the client for constipation; The nurse should monitor the client for the adverse effect of constipation and report it to the provider because this can lead to fecal impaction.

A nurse is reviewing the laboratory results of a client who is taking digoxin for heart failure. Which of the following results should the nurse report to the provider?

Potassium Level 2.8

A nurse is reviewing the ECG of a client who is receiving IV furosemide for the heart failure. The nurse should identify which of the following finding of hypokalemia?

Presence of U-waves; The nurse should identify the presence of U-waves as a manifestation of hypokalemia, an adverse effect of furosemide

A nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse should report which of the following findings to the provider as a manifestation of neuroleptic malignant syndrome (NMS)?

Temperature of 39.7° C (103.5° F); The nurse should report fever to the provider as an indication of NMS, an acute life-threatening emergency. Other manifestations can include respiratory distress, diaphoresis, and either hyper- or hypotension.

A nurse is assessing a client who is postoperative following an outpatient endoscopy procedure using midazolam. The nurse should monitor for which of the following findings as an indication that the client is ready for discharge?

The client's capnography has returned to baseline

A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication?

Tinnitus