Pharmacology final
The nurse is administering parenteral drugs. Which statement is true regarding the benefits of paternal drugs?
parenteral drugs bypass the first-pass effect
A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse effect of this medication?
sedation
A nurse is providing teaching to a client who has a new prescription for hydroxychloroquine to treat mild manifestation of rheumatoid arthritis. Which of the following information should the nurse include in the teaching?
wear sunglasses when out in bright sunshine
A patient is ordered to receive insulin lispro (Humalog) at mealtimes. The nurse will instruct the patient to administer the medication at which time?
5 minutes before eating
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coted aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
"Crushing the medication might cause you to have a stomachache or indigestion"
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?
"I need to increase my fluid intake while taking this medication"
A nurse is providing discharge teaching to a client who has asthma and new prescriptions for fluticasone (Flovent) and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching?
"I will be sure to take the albuterol before taking the fluticasone"
A nurse is teaching about medications to a group of clients. Which of the following statements by a client indicates a need for further teaching?
"I will take aspirin to reduce pain from my peptic ulcer"
The patient is to receive oral metformin twice a day. Today, the nurse was busy and gave the medication 2 hours after the scheduled dose was due. What type of problem does this represent?
"Right Time"
A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity. Which of the following statements by the client indicates an understanding of the teaching?
"Vomiting is an indication of toxicity"
A nurse is caring for a client who asks how albuterol helps with this breathing. Which of the following responses should the nurse make? (select all that apply)
- the medication will prevent wheezing - the medication will open the airways
A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?
The client developed a tolerance to the medication
A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide?
The medication should be applied on a regular schedule for the rest of the client's life
A nurse is preparing to administer phenytoin IV to a client who has a seizure disorder. Which of the following actions should the nurse plan to take?
administer a saline solution after injection
A nurse is caring for a child who is experiencing status asthmatics. Which of the following interventions is the priority for the nurse to take?
administer a short acting B2-agonist (SABA)
A nurse is caring for four clients for whom he has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast?
alendronate
A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give?
allow at least 2 weeks for the full therapeutic effect
A nurse is providing teaching to a client who has asthma and a new prescription for theophylline. Which of the following instructions should the nurse provide?
avoid caffeine while taking this medication
A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects?
black, tarry stools
A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?
decrease in level of thyroid stimulating hormone (TSH)
A nurse is reviewing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following manifestations should the nurse include as an indication of mild toxicity?
diarrhea
A nurse is preparing to administer nalbuphine to a postoperative client who is experiencing pain. The nurse should monitor the client for which of the following potential adverse effects of this medication?
dizziness
A nurse is providing teaching to a client who has osteoporosis and a new prescription for alendronate. Which of the following adverse effects should the nurse instruct the client to report to the provider? (select all that apply)
- Jaw pain - blurred vision - dysphagia
A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if her blood glucose level is above 200 mg/dL. Which of the following information should the nurse include?
Expect the NPH insulin to peak at 6 to 14 hrs