Pharmacology Midterm

C

A charge nurse is teaching a group of nurses about clients who report using garlic, ginger, and ginkgo biloba. The charge nurse should identify which of the following as an adverse effect of the supplements? A. decreased effects of anti-rejection medication B. decreased effects of anti-anxiety medication C. Increase effects of oral anticoagulants D. increased effects of antidepressant medication

C

A nurse at a family practice clinic received a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of the 28 day cycle pack. Which of the following instruction should the nurse provide? A. Do not have vaginal intercourse until after your next period B. Stop taking the pills and switch to a different contraceptive method C. Take the missed dose now and then continue the medication as ordered D. Take a home pregnancy test

C

A nurse is admitting a client who states he takes ginkgo biloba every day to improve his memory. The nurse should identify a potential interaction with which of the following medication the client is taking? A. Ranitidine B. Levothyroxine C. Warfarin D. Loratadine

D

A nurse is assessing a client after administering IV vancomycin. Which of the following findings is the nurses priority to report to the provider? A. localized redness of the catheter insertion site B. Client report of a headache C. Client report of tinnitus D. Audible inspiratory stridor

D

A nurse is assessing a client who is on long-term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective? A. increased appetite B. regular bowel movements C. Absence of headache D. reduced dyspepsia

C

A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia, which of the following actions should the nurse take? A. document the client experienced an anaphylactic reaction to the medication. B. change the IV infusion site C. Decrease the infusion rate on the IV D. apply cold compresses to the neck area.

A

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose? A. Insomnia B. Constipation C. Drowsiness D. Hypoactive deep-tendon reflexes

A

A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following prescriptions with the provider? A. Amoxicillin-clavulanate B. Gentamicin C. Erythromycin D. Amphotericin B

C

A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following action should the nurse take to minimize the risk of an adverse effect of the medication? A. limit the clients fluid intake B. Instruct the client to report agitation C. Monitor the serum medication levels D. Administer the medicine with food

B

A nurse is caring for a client who has type one diabetes mellitus. The nurse misread the clients morning blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL before the clients breakfast. Which of the following actions is the nurses priority A. give the client 15 to 20 g of carbohydrates B. Monitor the client for hypoglycemia C. Complete an incident report D. Notify the nurse manager

C

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. The nurse should plan to administer the clients PRN bethanecol with the client reports which of the following manifestations? A. Bladder spasms B. severe pain C. Inability to void D. frequent episodes of painful urination

B

A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication? A. Alleviate Heliobacter pylori B. Relief of GI pain C. Prevention of opportunistic infections D. Improvement of impaired vision.

B

A nurse is caring for a client who reports taking bisacodyl to promote a daily bowel movement. Which of the following assessment question should be the nurses priority? A. What do your bowel movements look like? B. How long have you been taking the bisacodyl? C. Do you take the bisacodyl with a glass of milk? D. how often do you have a bowel movement?

C

A nurse is caring for a client with diabetes mellitus who is prescribed regular insulin via a sliding scale. After administering the correct dose at 0715, the nurse should ensure the client receives breakfast at which of the following times? A. 0720 B. 0730 C. 0745 D. 0815

A

A nurse is caring for a school age child who has a systemic disorder and is receiving antibiotics, immunosuppressants, and corticosteroids. Both of the child's parents have a smoking history. The child reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should suspect which of the following conditions? A. candidiasis B. dermatitis C. Herpes simplex D. squamous cell carcinoma

B

A nurse is caring for an older adult client who reports taking bisacodyl tablets daily. Which of the following responses should the nurse make? A. irregular bowel movements are an indication of poor intestinal health. B. excessive laxative use may cause an electrolyte imbalance C. Chronic use of laxatives can lead to a tear in the rectal mucosa D. decrease your intake of foods high in fiber

C

A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis about the use of anti-tubercular medications. Which of the following information should the nurse include in the teaching? A. medication will need to be taken for the rest of the clients life, even if the client feels better. B. medication's will need to be taken until the Mantoux test is negative C. A typical course of treatment involves 6 to 9 months of consistent medication used D. the clients family will also need to take medications to prevent infection

C

A nurse is observing an LPN preparing to administer a 2 mL penicillin G injection to a client. Which of the following actions by the LPN requires intervention by the nurse? A. the LPN determines if the client has a history of allergies to cephalosporin B. the LPN selects a 21 gauge, 1 & 1/2 inch needle C. The LPN plans to inject a needle to inches below the acromion process D. the LPN states that she will aspirate for blood prior to inject in the medication

A

A nurse is preparing a presentation about ginkgo biloba to a group of clients which of the following information should the nurse include in the teaching? A. ginkgo biloba can help reduce feelings of restlessness. B. Ginkgo biloba but may enhance wound healing. C. Ginkgo biloba can improve senile dementia D. ginkgo biloba relieves pain and inflammation of the mouth

B

A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes mellitus. When mixing the two types of insulin, which of the following action should the nurse take first? A. Inject 10 units of air into the regular insulin vial B. Inject 20 units of air into the NPH insulin vial C. Withdraw 10 units of insulin from the regular insulin vial D. Replace the needle for withdrawal with a safety needle

A

A nurse is preparing to administer cephalexin oral suspension to an older adult who has difficulty swallowing pills. Which of the following action should the nurse take? A. check the client for a penicillin allergy B. Monitor the client for constipation C. Store the medication at room temperature D. avoid shaking the medication before administering

D

A nurse is preparing to administer penicillin IM to an adult client. Which of the following angles should the nurse use for injection into the client ventrogluteal muscle? A. 45 B. 60 C. 75 D. 90

A

A nurse is providing teaching to a client who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instruction should the nurse provide? A. Wash the affected area was soap and water before applying cream B. increase intake of fluids while using this medication C. This medication might cause temporary blurred vision D. Apply the cream to large areas around the infection

D

A nurse is providing teaching to a client who has gastroesophageal reflux disease and a new prescription for omeprazole. Which of the following instruction should the nurse provide? A. Take NSAIDs if headaches occur B. Decrease intake of Vitamin D C. Expect muscle cramps for several weeks. D. Report diarrhea to the provider

B

A nurse is providing teaching to a client who has peptic ulcer disease and a new prescription for sucralfate tablets which of the following information should the nurse provide? A. An antacid may be taken with the medication if indigestion occurs. B. Take sucralfate one hour before meals C. Take the tablets whole D. Store sucralfate in the refrigerator

A

A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching? A. It might take up to three days for the medication to work. B. I will take the medication for diarrhea C. I should drink 4 ounces of water when I take the medication D. I can take this medication along with mineral oil

D

A nurse is reviewing contraception options for four clients the nurse should identify that which of the following clients has a contraindication for receiving oral contraceptives? A. A 26-year-old client who has migraine headaches at the start of each menstrual cycle B. a 28 year old client who has a history of pelvic inflammatory disease C. A 32-year-old client who has benign breast disease D. A 38-year-old client who reports smoking one pack of cigarettes every day

B

A nurse is teaching a client about the uses of aloe vera. Which of the following information should the nurse include in the teaching? A. aloe vera can cause drowsiness when taken with an anti-depressant B. aloe vera can act as a laxative C. Aloe vera can help decrease moderate blood pressure D. aloe vera can be taken to prevent migraine headaches

D

A nurse is teaching a client how to draw up regular insulin and NPH insulin into the same syringe. Which of the following instructions should the nurse include? A. Draw up the NPH insulin into the syringe first B. Inject air into the regular insulin first C. Shake the NPH insulin until it is well mixed D. Discard regular insulin that appears cloudy

D

A nurse is teaching a client who has a new prescription for NPH insulin. Which of the following instruction should the nurse include? A. Discard the medication if it is cloudy B. Briskly shake the medication before filling the syringe C. Take this medication 15 minutes before meals D. Eat a snack eight hours after taking this medication

C

A nurse is teaching a client who has a new prescription for amoxicillin-clavulanate to treat pharyngitis. Which of the following statements by the client indicates an understanding of the teaching? A. I will take this medication until my sore throat goes away B. I should take this medication on an empty stomach between meals C. I will stop taking this medication if I develop itching D. I will double my dose, if I miss one.

B

A nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching? A. Do not take this medication before bedtime B. take the medication with a full glass of water C. Expect abdominal pain with this medication D. Take this medication on an empty stomach

C

A nurse is teaching a client who has a new prescription for esomeprazole to manage his GERD. Which of the following statements by the client indicates an understanding of the teaching? A. I won't pass gas as often now that I'm taking his medication. B. I will take this medication each morning with my breakfast. C. I have an increased risk of getting pneumonia while taking this medication. D. I will need to take a daily stool softener while taking this medication.

1, 6

A nurse is teaching a client who has a new prescription for ranitidine to treat peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching select all that apply. 1. I can take this medication with or without food 2. I will take this medication in the morning 3. I should expect my stools to turn black 4. I will take this medication with an antacid 5. I will take this medication when I need it for pain 6. I will eat five small meals each day

A

A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instruction should the nurse include in the teaching? A. Keep the open vial of insulin at room temperature B. Inject insulin into a large muscle C. Aspirate the medication prior to administration D. Administer the insulin and two separate injections

D

A nurse is teaching a client who has a new prescription for sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching? A. I will take this medication as needed to reduce pain B. I will reduce my fluid intake with this medication C. I will take this medication with an antacid D. I will take this medication one hour before meals and at bedtime.

B

A nurse is teaching a client who plans to take St. Johns wort to treat her depression. Which of the following information should the nurse include in the teaching? A. You should avoid driving by and taking St. John's wort because it can cause drowsiness. B. You may experience vivid dreams while taking St. John's wort. C. St. Johns wort may increase your risk of developing oxalate kidney stones. D. St. Johns wort may cause gastrointestinal irritation.

A

A nurse is teaching a group of clients about St. Johns wort. Which of the following information should the nurse include in the teaching? A. St. Johns wort can be used to treat mild depression B. St. Johns wort increases estrogen levels in the body C. St. Johns wort can reduce the effectiveness of oral contraceptives D. St. Johns wort can lower prostate specific antigen levels

B

A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client? A. take this medication until your symptoms are gone and then discontinue B. Tremors, nervousness, and insomnia may indicate your dose is too high. C. Symptoms improve immediately after starting the medication D. The medication decreases the overproduction of the thyroid hormone thyroxine

D

A nurse manager is providing an educational program an antibiotic sensitivity to bacterial infections. The nurse include in the teaching that vancomycin is indicated for which of the following infections? A. Pseudomonas aeruginosa B. Klebsiella C. Candida D. Methicillin-resistant Staphylococcus aureus

D

A nurse working on a medical unit is completing the admission of a client who reports severe allergy to penicillin. Which of the following actions should the nurse take? A. have the client purchased a medication alert bracelet to wear in the hospital. B. notify dietary services to adjust the clients diet. C. Remove all objects that contain latex from the clients room. D. verify the clients medication prescriptions do not include cephalosporin.

CBG order

To check a glucose level, place the steps in the correct order: Check expiration date on the test strips. Perform a quality control test. Perform hand hygiene. Cleanse puncture site. Apply blood sample onto test strip. Document results.