Pharmacology, Practice A

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?

Decreased respirations might occur

A nurse is teaching a client who is starting to take ketorolac. Which of the following information should the nurse include in the teaching?

"Check for bruising while taking this medication."

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?

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

A nurse is teaching a client who is to start taking ranitidine for peptic ulcer disease. Which of the following client statements should the nurse identify as understanding of the teaching?

"I know smoking makes ranitidine less effective."

A nurse is providing discharge instruction to a client who it so self-administer insulin at home. Which of the following client statements should indicate to the nurse that the teaching is effective?

"I will store my unopened bottles of insulin in the refrigerator."

A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective?

"I will taper off the medication before discontinuing it."

A nurse is teaching a client who has an upper respiratory infection about guaifenesin. Which of the following statements should the nurse include in the teaching?

"Increase you fluid intake to at least 2 liters each day while taking this medication."

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?

"Rinse your mouth after inhaling the beclomethasone."

A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr 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 4 hr. Vital signs stable, provider notified. Rationale: The nurse should document the type of amount of fluid, how long it took to infuse, provider notification, and the client's physical status.

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?

100 gtt/min

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?

2 months

A nurse is preparing to administer to a client 0.9% sodium chloride 1,000 ml IV over 8 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?

31 gtt/min

A nurse is preparing to administer amoxicillin 250 mg PO to a school-age child. The amount available is amoxicillin oral suspension 200 mg/5 ml. How many ml should the nurse administer per dose?

6.3 ml

A nurse is precepting a newly licensed new who is caring for four clients. The nurse should complete a incident report for which of the following actions by the newly licensed nurse?

Administers isosorbide mononirtrate

A nurse is caring for a client who is receiving haloperidol. the nurse should observe for which of the following findings as an adverse effect of the medication?

Akathisia

A nurse is teaching a client about warfarin. The clients asks if she can take aspirin while the warfarin. Which of the following responses should the nurse make?

Aspirin will increase the risk of bleeding

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?

Atropine

A nurse is monitoring for adverse effects of hydrochlorothiazide after administering the medication to an older adult client who has heart failure. Which of the following findings should the nurse identify as an adverse effect of the medication? A. Hypoglycemia B. Orthostatic hypotension C. Bradycardia D. Xanthopsia

B. Orthostatic hypotension

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?

Determine apical pulse prior to administering

A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. Which of the following actions should the nurse take first?

Discontinue the medication IV infusion

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 respiratory rate is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings?

Heart Rate

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?

Hot flashes

A nurse is caring for a client who has heart failure and is prescribed enalapril. The nurse should monitor the client for which of the following findings as an adverse effect of the medication?

Hyperkalemia

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?

I should sit up for 30 minutes after taking the risedronate

A nurse is providing teaching to a client who had depression and has a new prescription for fluoxetine. Which of the following statements by the client indicated an understanding of the teaching?

I should take acetaminophen instead of ibuprofen for my headaches while taking this medication

A nurse is providing discharge instructions to a client who has heart failure and new prescription for captopril. which of the following client statements indicated an understanding of the teaching?

I should tell my provider if I develop a sore throat

A nurse is teaching a client who is starting to take diltiazem. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

I will check my heart rate before I take the medication

A nurse is teaching about a new prescription for ciprofloxacin to an older adult who has a urinary tract infection. The nurse should identify which of the following statements as an indication that the client understands the teaching?

I will report any signs of tendon pain or swelling

A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicated an understanding of the teaching?

I will take the patch off right after my evening meal

A nurse is collecting a medication history from 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?

Ibuprofen

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?

Increase in ability to focus

A nurse is assessing a client who is receiving alfa to treat anemia. Which of the following findings should the nurse monitor?

Increased blood pressure

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

Increased platelet count

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?

Insomnia

A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following should indicate the nurse that the client is experiencing an adverse effect?

Miosis Rationale: Miosis is pupillary constriction, a common adverse effect of neostigmine due to the excessive muscarinic stimulation that causes difficulty with visual accommodation.

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. Rationale: The nurse should monitor the client for the adverse effects of constipation and report it to the provider because this can lead to fecal impaction.

A nurse receives a verbal order from the provider to administer morphine five milligrams every 4 hours subcutaneously for severe pain as needed. The nurse should identify which of the following entries as the correct format for the medication administration record (MAR)?

Morphine 5 mg subcut every 4 hr PRN severe pain Rationale: The nurse should identify this entry as the correct format for the MAR. The medication name is spelled out and there are not any abbreviations from The Joint Commission's "DO NOT USE" list included in the transcription.

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.

Oral candidiasis

A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care?

Place monitoring cords and tubes in a stockinet

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?

Platelet 96,000/mm3

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 mEq/L

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

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

A nurse is caring for a client who is receiving end-of-life care and has a prescription for fentanyl patches. Which of the following information regarding the adverse effects of fentanyl should the nurse plan to give to the client and family?

Take a stool softener on a daily basis

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?

Take one tablet at onset of migraine

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 degrees celsius (103.5 degrees farenheit)

A nurse is preparing to administer a new prescription of amoxicillin/ clavulanic to a client. The client tells the nurse that he is allergic to penicillin. Which of the following actions should the nurse take first?

Withhold the medication

A nurse is teaching a client who has TB about the adverse effects of isoniazide. The nurse should instruct the client to report to the provider which of the following findings as an adverse effect of the medication?

Yellow skin tones

A nurse is providing teaching to a client who is to start therapy with digoxin. for which of the following adverse effects should the nurse instruct the client to monitor and report to the provider?

Yellow- tinged vision

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?

fluazenil

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?

dry mouth blurred vision dry eyes

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?

report yellowing of the skin

A nurse is caring for a client who has acute acetaminophen toxicity. the nurse should anticipate administering which of the following medications?

Acetylcysteine

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take?

Administer the medication outside the 5-cm (2 in) radius of the umbilicus

A nurse is assessing a client who has received atropine eye drops during an eye examination. Which of the following findings should the nurse expect as an adverse effect of the medication? A. difficulty seeing in the dark B. pinpoint pupils C. Blurred vision D. excessive tearing

C. Blurred vision

A nurse is providing follow-up care to a client who is taking lisinopril. Which of the following manifestations should the nurse instruct the client to report as an adverse effect of lisinopril?

Persistent cough

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?

Prevent delirium tremens

A nurse is preparing to mix and administer dantrolene via IV bolus to a client who has developed malignant hyperthermia during surgery. Which of the following actions should the nurse take?

Reconstitute the initial dose with 60 ml of sterile water without a bacteriostatic agent

A nurse is caring for a client who recently began taking oral amoxicillin/clavulanate and reports urticaria. Which of the following actions should the nurse take?

Request a change in the type of the antibiotic

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?

Sexual dysfunction

A nurse is caring for a client who is taking atenolol. Which of the following findings should indicate to the nurse that the medication is effective?

The client has a decrease in blood pressure

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?

The client rates the pain at a 3 on a scale from 0 to 10

A nurse is providing discharge teaching to a client who has a new prescription for furosemide twice daily. The nurse should include which of the following instructions in the teaching?

increase intake Monitor for muscle Dangle your legs

A nurse is reviewing the health history of a client who has diabetes mellitus and will being taking insulin. which of the following findings should the nurse identify as a factor that might cause the client to have difficulty safely self-administering insulin?

macular degeneration

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?

sedation

A nurse is providing teaching for a patient who has a new prescription for ferrous sulfate. The nurse should instruct the client to take the medication with which of the following to promote absorption? A. Vitamin E B. Orange juice C. Milk D. Antacids

B. Orange juice

A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for the treatment of histoplasmosis. Which of the following findings should the nurse identify as an adverse reaction to the medication? A. TAchycardia B. Oliguria C. Hyperglycemia D. Weight gain

B. Oliguria

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?

300

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 transition in care requires the nurse to conduct medication reconciliation

A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisone. Which of the following instructions should the nurse include (SATA)? A. Blood glucose levels will be monitored during therapy B. Avoid contact with people who have known infections C. Take the med 1 hr before breakfast D. Decrease dietary intake of foods containing K+ E. Grapefruit juice can increase the effects of the medication

A. Blood glucose levels will be monitored during therapy B. Avoid contact with people who have known infections E. Grapefruit juice can increase the effects of the medication

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 medications will interfere with the effectiveness of oral contraceptives? A. Carbamazepine B. Sumatriptan C. Atenolol D. Glipizide

A. Carbamazepine

A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider? A. Chest pressure B. White patches on the tongue C. Bruising D. Insomnia

A. Chest pressure

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 to docusate sodium on a daily basis can minimize which of the following adverse effects of morphine? A. Constipation B. Drowsiness C. Facial flushing D. itching

A. Constipation

A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider (SATA)? A. Hemoglobin 7.0 g/dl B. Creatinine 1 mg/dL C. RBC 4.7 million/mm3 D. Platelets 70,000/mm3 E. Potassium 5.2 meq/l

A. Hemoglobin 7.0 g/dl D. Platelets 70,000/mm3 E. Potassium 5.2 meq/l

A nurse in a provider's office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately? A. Hyperventilation B. Heartburn C. Anorexia D. Swollen ankles

A. Hyperventilation

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 the client's blood pressure B. Contact the client's provider C. Inform the charge nurse D. Complete an incident report

A. Obtain the client's blood pressure

A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious. Which of the following actions should the nurse take first? A. Perform a capillary blood glucose test. B. Provide the client with a protein-rich snack C. Give the client 120 mL of OJ D. Schedule an early meal tray

A. Perform a capillary blood glucose test.

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 (SATA)? A. Report muscle pain to the provider B. Avoid taking the medication with grapefruit juice C. Take the mid in the early morning D. Expect a flushing of the skin as a reaction to the med. E. Expect therapy with this medication to be lifelong

A. Report muscle pain to the provider B. Avoid taking the medication with grapefruit juice E. Expect therapy with this medication to be lifelong

A nurse is reviewing the prescriptions of a client who has tuberculosis. The nurse should identify that which of the following medications are used to treat tuberculosis (SATA)? A. Rifampin B. Mirtazapine C. Temazepam D. Infliximab E. Isoniazid

A. Rifampin E. Isoniazid

A nurse is providing teaching to client who has a prescription for a MAOI inhibitor. Which of the following foods should the nurse instruct the client to avoid while taking this medication? A. Smoked sausage B. Cottage Cheese C. Green Beans D. Apple Pie

A. Smoked sausage

A nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse should identify which of the following client findings as an indication that she should complete an incident report? A. The client reports shortness of breath B. The client is also taking lisinopril C. The client's pulse rate is 60/min D. The client's WBC count is 14,000/mm3

A. The client reports shortness of breath

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 the client to a side-lying position

A nurse is teaching about zolpidem with a client who has insomnia. The nurse should identify that which of the following client statements indicates an understanding of the teaching? A. I will need to get lab testing prior to a refill B. I will use this medication for a short period of time. C. I will need to take this med for 1 week before results are seen D. I will need to change the med to prevent building up a tolerance

B. "I will use this medication for a short period of time."

A nurse is reviewing the medical record of a client who has hypertension. The nurse should identify which of the following findings as a contraindication to receiving propranolol? A. Cholelithiasis B. Asthma C. Angina pectoris D. Tachycardia

B. Asthma

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 advice the client that which of the following tests is required? A. Serum Calcium B. Pregnancy test C. 24 hr urine collection for protein D. Aspartate aminotransferase level

B. Pregnancy test

A nurse is teaching a client who is to start taking diltiazem. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication? A. blurred vision B. Shortness of breath C. Muscle twitching D. Dry cough

B. Shortness of breath

A nurse is reviewing the medical record of a client who has schizophrenia and prescription for clozapine. Which of the following laboratory tests should the nurse review before administering the medication? A. Troponin B. Total cholesterol C. Creatinine D. TSH

B. Total cholesterol

A nurse is providing teaching about adverse effects of clindamycin to a client. Which of the following findings should the nurse instruct the client to report to the provider? A. Orange Urine B. Watery diarrhea C. Weight gain D. Headace

B. Watery diarrhea

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?

Bibasilar crackles

A nurse is providing teaching for a client who has MS and a new prescription for methylprednisolone. Which of the following instructions should the nurse include?

Blood glucose Avoid contact Grapefruit juice

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 effects of the medication and report to the provider?

Blood in the urine

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 is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching? A. Take the med with food B. Expect a fine, red rash as a transient effect C. Drink 8 to 10 glasses of water daily D. Store the med in the fridge

C. Drink 8 to 10 glasses of water daily

A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medications should the nurse anticipate administering? A. Ondansetron B. Magnesium sulfate C. Flumazenil D. Protamine sulfate

C. Flumazenil

A nurse is providing teaching to a client who has a new prescription for phenytoin. Which of the following statements by the client indicates an understanding of the teaching? A. I should take my med with antacids to minimize gastric upset B. This type of med doesn't require blood monitoring C. I should let my dentist know I'm taking this medication. D. I should expect to experience some unusual eye movement when taking this med.

C. I should let my dentist know I'm taking this medication.

A nurse is providing teaching to a client about the use of ethinyl estradiol/norelgestromin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? A. I will apply the patch once a week for 2 weeks B. I will leave the existing patch on for 4 hours after applying the new patch C. I will fold the sticky sides of the old patch together before disposing it. D. I will apply the patch within 14 days of menses

C. I will fold the sticky sides of the old patch together before disposing it.

A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should identify that which of the following statements by the client indicates understanding of the teachings? A. I can apply the patch to a chest area that has hair B. I can take this med if using an erectile dysfunction product C. I will remove the patch after 14 hours. D. I need to apply a new patch to the same area every day

C. I will remove the patch after 14 hours.

A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. Which of the following findings indicates that the medication is effective? A. Decreased BP B. Increased HR C. Increased cardiac output D. Decreased serum K+

C. Increased cardiac output

A nurse is caring for a client who reports lethargy and myalgia after taking clozapine for 6 months. Which of the following actions should the nurse plan to take? A. infuse 0.9% NaCl 1,000mL IV fluid bolus B. Schedule the client for an electroencephalogram C. Obtain WBC with absolute neutrophil count D. Place the client on a tyramine-free diet

C. Obtain WBC with absolute neutrophil count

A nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should the nurse include in the teaching as an adverse effect of the medication? A. Diarrhea B. Cough C. Urinary retention D. Increased libido

C. Urinary retention

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?

Check the client's blood glucose.

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 the med stick to release the med B. Leave the med stick in one location of the mouth until melted C. Allow the med. 1 hr for analgesia effects to begin D. Store unused medication sticks in a storage container

D. Store unused medication sticks in a storage container

A nurse is reviewing laboratory results for a client who is to receive a dose of ceftazadime via intermittent IV bolus. Which of the following laboratory findings is the priority for the nurse to report to the provider before administering the medication?

Creatinine 2.6 mg/dl

A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following lab values should the nurse monitor?

Creatinine kinase

A nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise- induced asthma. Which of the following medications should the nurse plan to instruct the client to use prior to physical activity?

Cromolyn

A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in the teaching?

D. "Drink a glass of milk with each dose of medication."

A nurse is caring for a client who is recovering from a deep vein thrombosis and is to start taking warfarin. For which of the following findings should the nurse monitor as an adverse effect of warfarin? A. HTN B. Low INR C. Constipation D. Bleeding gums

D. Bleeding gums

A nurse is caring for a client who is receiving long-term treatment for systemic lupus erythematosus with prednisone. The nurse should inform the client to expect to undergo which of the following diagnostic tests to monitor for long-term complications of prednisone? A. Pulmonary function tests B. Electrocardiograms C. Liver function studies D. Bone density scans

D. Bone density scans

A nurse is preparing to teach a client who is to start a new prescription for extended release verapamil. Which of the following instructions should the nurse plan to include? A. Take the med on an empty stomach B. Avoid crowds C. Discontinue the med if palpitations occur D. Change positions slowly

D. Change positions slowly

A nurse is caring for a client who has pneumonia. The client tells the nurse that she is pregnant and that she has not told her provider yet. The nurse should identify that pregnancy is a contraindication to receiving which of the following medications? A. Acetaminophen B. Ipratropium C. Benzonatate D. Doxycycline

D. Doxycycline

A nurse is providing teaching to a client who is starting to take lisinopril. Which of the following findings is an adverse effect that the nurse should instruct the client to monitor and report to the provider? A. Hair loss B. Ringing in the ears C. Facial Flushing D. Dry cough

D. Dry cough

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 teaching a client who is to start taking temazepam. Which of the following instructions should the nurse include? A. Limit continuous use to 7-10 wks B. Schedule doses for early morning before breakfast C. Expect that it will take 4 nights before benefits are noticed D. Plan to withdraw from the medication gradually

D. Plan to withdraw from the medication gradually

A nurse is administering baclofen for a client who has a spinal cord injury. Which of the following should the nurse document as a therapeutic outcome?

Decrease in flexor and extensor spasticity

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 which of the following medications can interact with calcium gluconate?

Digoxin Rationale: The nurse should identify that calcium gluconate can cause hypercalcemia, which increases the risk of digoxin toxicity.

A nurse is providing teaching about insulin glargine to a client who has type 1 diabetes mellitus. Which of the following information should the nurse include in the instructions?

Do not mix this medication in a syringe with other insulin

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 client's provider

A nurse is teaching a client who has a new prescription for docusate sodium about the medication's mechanism of action. Which of the following information should the nurse include in the teaching?

Docusate sodium reduces the surface tension of the stools to change their consistency

A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of the following information should the nurse include in the teaching?

Drink 2 L of water a day

A nurse is assessing a client who is taking amitriptyline for depression. Which of the following findings should the nurse identify as an adverse effect of the medication?

Dry mouth

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?

Dyspnea

A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes that the client has anxiety, hypotension, and dyspnea. Which of the following medications should the nurse administer first?

Epinephrine

A nurse is teaching about neural tube defects to a client who is planing a pregnancy. Which of the following vitamins should the nurse instruct the client to start taking before becoming pregnant?

Folic Acid

A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Which f the following actions of sucralfate should the nurse include in the teaching?

Forms a protective barrier over ulcers

A nurse is caring for a client who is receiving cefazolin IV. the nurse should identify that which of the following medications can potentiate nephrotoxicity if administered of administered concurrently?

Gentamicin

A nurse is providing care for a client who is postoperative following an open cholecystectomy with the placement of a closed suction drain and is receiving morphine via patient- controlled analgesia for pain. Which of the following assessments is the nurse's priority?

Respiratory rate

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 has administered 2 doses of bethamethasone to a client in preterm labor. After delivery of the newborn, the nurse understands the medication was effective when she observes which of the following?

The newborn has normal respiratory patterns

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 they client is beginning to exhibit salicylism ?

Tinnitus

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