Pharmacology Assignment Exam # 3

A female client tells the practical nurse (PN) tat she started taking an over-the-counter herbal supplement, St. John's wort (Hypericum perforated), last week. Which question should the PN ask the client?

"Have you felt sad or depressed lately"?

an elderly female client who is starting a pain management program using opioid analgesia receives a prescription for codeine 10 mg PO q4 hrs PRN for pain, or codeine 15mg PO q4 hours PRN for pain, or codeine 30 mg PO q4 hours PRN for pain. which statement by the client is most important to consider when deciding on the dose to administer at this time?

"I wonder if I will have to stop taking my diuretic for my kidney problem

An older client with a broken humerus received an IV dose of morphine in the emergent care center. Thirty minutes later, the client complained of feeling lightheaded and vomits once. The practical nurse (PN) underestands which process is most likely the cause for these symptoms?

A side-effect

A client returns to the postoperative unit with prescriptions for morphine 5mg IM q4 hrs PRN pain and morphine 10mg IM q4 hrs PRN pain. At 1300, the practical nurse (PN) administers morphine 5mg IM for the client's rated pain of "8" on a 0 to 10 scale. At 1500, the client rates the pain at "7" Which intervention should the PN implement?

Administer morphine 5 mg IM now

which medication prescription should the practical nurse administer for a client who is having an asthmatic episode?

Albuterol (Proventil)

The practical Nurse (PN) is caring for a client who is receiving a secondary infusion of procainamide (pronestyl) IV. which assessment should the PN obtaining during the administration of a medication?

Blood Pressure

The practical Nurse PN is administering a daily dose of nifedipine (procardia) 60mg extended release to a client with angina pectoris. Which finding should the PN consider withholding medication?

Blood pressure of 96/52

The practical nurse (PN) is reviewing the laboratory results for a client who is taking sulfasalazine (Azulfidine) for an exacerbation of inflammatory bowel disease (IBD). Before administering the next dose, which laboratory results warrant further action by the PN?

Blood urea nitrogen (BUN) is 30 mg/dL and creatinine is 1.5 mg/dL

A client who is admitted fora bradycardia receives a prescription for atropine. Which client information should the practical nurse report to the healthcare provider?

Chronic constipation and diverticulosis

For the past 3 months, a client has taken prednisone (Deltasone) 40 mg PO daily. What information is most ikmportantfor the practical nurse (PN) to reinforce with the client about this medication?

Do not abruptly stop the me medication

Which action should the practical nurse implement prior to administering furosemide (Lasix) 60 mg and hydrochlorothiazide (HydroDIURIL) 25 mg to a client?

Obtain the client's heart rate and blood pressure

The practical Nurse (PN) is administering medications to several clients. Which client statement indicates the additional action should be taken by the PN?

While on fluoroacil (5-FU) chemotherapy, the client reports tarry, loose stools

The practical nurse (PN) is preparing the next secondary infusion of gentamicin IV q 18 hours for an older client. The PN reviews the client's serum values for gentamicin, which is 14 ug/ml (therapeutic range 4-10 ug/ml) which action should the practical nurse take?

Withhold the the dose and report findings to the charge nurse