Pharmacology practice quiz

Which measure with the nurse take when administering enoxaparin subcutaneously? - push over two minutes - Administer in the abdomen - Massage side after administration - Remove air pocket from prepackaged syringe before administration

- Administer in the abdomen

An adolescent prescribed loratadine 10 mg daily for a fever is concerned. The medication will cause drowsiness during the school day which action would the nurse take? - Explain this medication rarely causes drowsiness - Advised to take half a tablet in the morning before school - Suggest skipping the next days dose if hay fever is better - Recommend contacting the allergist first prescription containing a stimulant

- Explain this medication rarely causes drowsiness

Which client statement about ampicillin indicates that additional teaching is needed? - I should take this on an empty stomach with a full glass of water - This medicine will work best if I space the time out evenly - I can stop this medication after I am symptom-free for 48 hours - If I get worse, I will notify my primary healthcare provider

- I can stop this medication after I am symptom-free for 48 hours

Which adverse effect with the nurse monitor for an infant receiving a sulfonamide? - Kernicterus - Gray syndrome - Growth suppression - Discoloration of the teeth

- Kernicterus

Which immunizations with the nurse determines are safe for a child who is receiving prednisone? Select all that apply - Rubeola - Pertussis - Varicella - Inactivated poliovirus - Tetanus immune globulin

- Pertussis - Inactivated Polio Virus - Tetanus immune globulin Inactivated viruses are safe

Which mechanism of action explains how diuretics reduce blood pressure? - Play facilitate vasodilation - They promote, smooth, muscle, relaxation - They reduce the circulating blood volume - They bought the sympathetic nervous system

They reduce the circulating blood volume

Which antidote with the nurse anticipate administering to a client who's laboratory report establishes a warfarin overdose? - physostigmine - vitamin K - Iron dextran - protamine sulfate

Vitamin K

Which statement by the nurse is correct regarding medication absorption in infants? - Absorption is decreased for acid labile medications - Absorption is increased when gastric emptying is decreased. - Absorption through the intramuscular route is rapid - Absorption be at the trans dermal route is faster in infants and children

Absorption through the intramuscular route is rapid

Which substance with a client taking acetaminophen routinely, be advised to avoid? - Alcohol - Caffeine - Diphenhydramine - ibuprofen

Alcohol

The nurse recognizes the premature infants are at risk for increase sensitivity to medication's due to which factors? Select all that apply. - Body size - Blood brain barrier - Renal drug excretion - hepatic drug metabolism - Protein binding of the drugs

All EXCEPT body size

The nurse understands which are the pharmacokinetic reasons for medication sensitivity in infants? Select all that apply - small body - medication absorption - Renal medication excretion - Protein binding of drugs -Hepatic medication metabolism

All EXCEPT small body size

The nurse administers albuterol to a four-year-old child. Which intervention with assistant nurse in evaluating the effectiveness of this medication? - Auscultate breath sounds - Collect a sputum sample - Conduct a neurological examination - Palpate chest excursion

Auscultate breath sounds

Which instruction would the nurse include when preparing discharge instructions for a client who will take enalapril for hypertension? - Change to standing position slowly - this may color urine green - The medication may cause a sore throat for the first few days - Schedule blood test weekly for the first two months

Change to a standing position slowly

The nurse reviews the kidney function blood studies of four clients. Which client's results indicate kidney impairment? Client 1: Serum Creatinine 0.1 mg/dL; BUN 16 mg/dL Client 2: Serum Creatinine 0.8 mg/dL; BUN 18 mg/dL Client 3: Serum Creatinine 1.2 mg/dL; BUN 20 mg/dL Client 4: Serum Creatinine 1.9; BUN 22 mg/dL

Client 4 Elevated creatinine levels signified impaired kidney function or kidney disease

The nurse would include which instruction to the parents of a child being treated with oral ampicillin for otitis media? - Complete the entire course of antibiotic therapy - Herbal fever remedies are highly discouraged - Administer the medication with meals - Stop the antibiotic therapy when the child no longer has a fever

Complete the entire course of antibiotics therapy

Which nursing action is important when I healthcare provider prescribes enalapril for a client - assess the client for hypokalemia - Monitor for adverse effects of renal function - Monitor the clients blood pressure during therapy - assess the client for hypoglycemia

Monitor the clients blood pressure during therapy enalapril is an anti hypertensive

Which medication is indicated for management of clinical manifestations associated with an opioid overdose? - Naloxone - methadone - Epinephrine - Amphetamine

Naloxone

Which action will the nurse take when a client reports feeling nauseated immediately after cataract surgery? - Provide some dry crackers to eat - Administer the prescribed antimetic - Explain that this is expected after surgery -Encourage deep breathing until the nausea subsides

- administer the prescribed antimetic

Which assessment with the nurse perform before administering a dose of vancomycin to a client? - Creatinine - Trough level - Hearing ability - Intravenous site - Blood urea nitrogen

ALL the two major effects of vancomycin include nephrotoxicity and ototoxicity

Which adverse effect with a nurse monitor for when caring for a client with hypertension, who is prescribed metoprolol? - Hirsutism - Bradycardia - Restlessness - Angina

Bradycardia Metoprolol is a beta blocker, which decreases the heart rate and blood pressure

Which time with the nurse scheduled a blood sample to be obtained when the primary healthcare provider prescribes trough levels of an antibiotic? - Just before the medication is administered - between 30 and 60 minutes after the infusion is completed - Six hours after the dose is completely infused - In the morning before the client eats breakfast

Just before the medication is administered

Which result will the nurse monitor in a client with acetaminophen overdose? - Blood gas level - Liver function test - Complete blood count - Glycosylated hemoglobin

Liver function test

Which instruction from the primary healthcare provider with the nurse anticipate reinforcing with a client who is on metro for Fenn therapy and is scheduled to undergo renal computed tomography with contrast dye? -Discontinue metformin one day before the procedure - Discontinue metformin one week before the procedure - Discontinued metformin three days after the procedure - discontinued metformin seven days after the procedure

Discontinue metformin, one day before the procedure

Which symptom with the nurse include when teaching a client with arthritis who takes large doses of aspirin about the clinical manifestation of aspirin toxicity? - feelings of drowsiness - Disturbances in hearing - Intermittent constipation - Metallic taste in the mouth

Disturbances in hearing

Which statement is important for the nurse to include in the teaching plan of a client with iridal bowel syndrome, who has instructions to take psyllium for constipation? - urine may be discolored - Stop taking the laxative once a bowel movement occurs - Each does should be taken with a full glass of water or juice - Daily use may inhibit the absorption of some fat soluble vitamins

Each those should be taken with a full glass of water juice

After obtaining vital sign, data of a blood pressure, 90/60 mm Hg pulse 96 bpm in respiratory rate 10 breaths per minute for a postoperative client receiving Hydromorphone by a patient controlled analgesia pump which priority action will the nurse take? - Give naloxone intravenously per protocol - assess the clients pain level on a 10 point scale - Document the vital signs in the client record - notify the hospital rapid response team

Give naloxone intravenously per protocol

Which assessment finding indicates a need for the nurse to consult with the healthcare provider before administering the prescribed metoprolol to a client with stable angina? - Blood pressure 142/90 - Chest pain when walking - sinus bradycardia rate 54 - Large Q waves on the electrocardiogram

Heart rate of 54

Which condition with the nurse identifies the likely cause of profound weakness and nervousness, and the client became confuse shortly after self administering the morning dose of 10 units of regular insulin and 25 units of NPH insulin after a light breakfast with no additional intake in the three hours since that time? - Hyperglycemia - Hyperinsulinemia - Hypoglycemia - Hypoinsulinemia

Hypoglycemia

Which adverse effect with a Doris monitor for when caring for a client receiving furosemide to relieve edema? - Hypernatremia - elevated blood urea nitrogen - hypokalemia - increase in urine specific gravity

Hypokalemia Furosemide is a diuretic used to provide rapid diuresis, which can cause depletion of potassium

A pregnant client with an infection tells the nurse that they have taken tetracycline for infections in the past and prefer to take it now which response with the nurse give regarding the avoidance of tetracycline administration during pregnancy? - It affects breast-feeding adversely - Tetracycline causes fetal allergies - It alters the development of fetal teeth buds - It increases fetal tolerance to the medication

It alters the development of fetal teeth buds

Which concern when caring for a client prescribed furosemide 40 mg every day in conjunction with the digoxin would prompt the nurse to ask the healthcare provider about potassium supplements? - digoxin causes significant potassium depletion - Deliver destroys potassium is digoxin is detoxified - Lasix requires adequate serum potassium to promote diuresis - Digoxin toxicity occurs rapidly in the presence of hypokalemia

The Johnson toxicity occurs rapidly in the presence of hypokalemia

Which client statement indicates that the teaching about furosemide is understood? select all that apply - it may take two or three days for this medication to take affect - I should wear dark glasses went out towards during the day - I should avoid lying flat in bed - I need to change my position slowly - I should eat more food that is high in potassium

- I need to change my position slowly - I should eat more food that is high in potassium

Which instruction will the nurse include in the teaching plan for a client taking a calcium channel blocker, such as nifedipine? Select all that apply. - Reduce calcium intake - Report peripheral edema - Expect temporary hair loss - Avoid drinking grapefruit juice - Change to a standing position slowly

- Report peripheral edema - Avoid drinking grapefruit juice - Change to a standing position slowly

A child is prescribed fluticasone after an acute asthma attack which instruction with the nurse, give the family about the administration of this medicine? - fluticasone needs to be taken with food or milk? - fluticasone is primarily used to treat, acute, asthma, attack - The child should suck on hard candy to help relieve dry mouth - Watch for white patches in the mouth and report to the healthcare provider

- Watch for white patches in the mouth and report to the healthcare provider

When was the nurse have the laboratory obtain a blood sample to determine the peak level of an antibiotic administered by intravenous piggyback? - Half Way between the two doses of medication - between 30 and 60 minutes after a dose - Immediately before the medication is administered - Anytime is convenient for the client in the laboratory

- between 30 and 60 minutes after a dose

A pregnant client prescribed tetracycline continues the course of treatment during the first trimester what teratogenic affect may occur in the fetus? - bone anomalies - Facial malformations - Internal organ defects - Central nervous system malformations

- bone anomalies

Which action will the nurse take when a client appears flushed and complains of palpations 10 minutes after the start of intravenous vancomycin schedule to infuse over 30 minutes? - Stop the infusion - continue the confusion but monitor the client - Contact the primary healthcare provider to obtain a prescription to decrease the infusion rate - Contact the primary healthcare provider to obtain a prescription for an antianxiety medication

- contact the primary healthcare provider to obtain a prescription to decrease the infusion rate

Which medication with the nurse expect to administer to actively reverse the overdose sedative effect of benzodiazepines - lithium - flumazenil - methadone - Chlorpromazine

- flumazenil

When a client arrives in the emergency department in reports dyspnea, which, finding by the nurse, indicates that an inhaled bronchodilator, may be needed for treatment? - Oral temperature of 101° - Use of accessory muscles for breathing -inspiratory and expiratory wheezes - Dullness to percussion at long bases

- inspiratory and expiratory wheezing

Which relationship reflects the relationship of naloxone to morphine sulfate - aspirin to warfarin - Amoxicillin to infection - Enoxaparin to dalteparin - protamine sulfate to heparin

- protamjne sulfate to heparin naloxone reversee the effects of opiods such is morphine; protamine sulfate is an antidote for heparin

A client is to receive metoclopramide 15 mg orally before meals. The concentrated solution contains 10 mg/mL how many milliliters of solution with a nurse administer record your answer using one decimal place.

1.5

Which statement indicates to the nurse is providing discharge medication at education to a client prescribed warfarin the teaching was effective? - I will avoid taking aspirin and nonsteroidal anti-inflammatory drugs - I will need to develop more sedentary routine - I will need to have regular complete blood counts to guide warfarin dosage - Before going to the dentist I will ask my healthcare provider for antibiotics

I will avoid taking aspirin and nonsteroidal anti-inflammatory drugs

Which clinical finding is commonly associated with hyperglycemia? Select all that apply. - Polyuria - Polydipsia - Polyphagia - Polyphrasia - Polydysplasia

Polyuria Polydipsia Polyphagia

Which instruction with the nurse provide a client prescribed oral extended release Cipro Floxin therapy for a urinary track infection? - To the medication along with food - take a walk in the morning sunlight - Stop the drug after symptoms subside - Refrain from taking the tablet immediately after an anti-acid

Refrain from taking the tablet immediately after an anti-acid

Which instruction will the nurse teach the client who had a Zamora popliteal bypass graft and is receiving clopidogrel postoperatively? - Eliminate starches and red meats from the diet - Eat more roughage if constipation occurs - Report any occurrence of multiple bruises - Take the medication on an empty stomach

Report any occurrence of multiple bruises

Which information about a client who has heart failure with the nurse communicate to the healthcare provider before administration of prescribe to digoxin? - apical pulse rate 96 beats a minute - bilateral foot and ankle pitting edema - crackles heard at the base of both lungs - Potassium level of 2.3

Potassium level of 2.3

A child recovering from a severe asthma attack is giving oral prednisone 50 mg twice daily. Which intervention would be a priority for the nurse? - having a child rest as much as possible - Checking the childs eosinophil count daily - preventing exposure of the child to infection - Offering sips of water when administering the medication

Preventing exposure of the child to infection

Which action is responsible for the therapeutic effect of docusate sodium? - Lubricates the feces - Creates an osmotic affect - Simulates motor activity - Softens to feces

Softens the feces

Which responsible the nurse provide one a client taking a loop diuretic ask the nurse by changing position slowly is necessary? - Your high blood pressure may cause headaches with position changes - You will experience potassium fluctuations that will affect your balance - You will need to rush to the bathroom on the diarrhetic and we want to ensure you are safe - Your blood pressure may drop with position changing leading to dizziness and risk of falling

Your blood pressure may drop with position changes leading to dizziness and risk of falling

Which statement by client who had an endarterectomy that is prescribed clopidogrel will cause the nurse to conclude that teaching was effective? - Clopidogrel limit inflammation around my incision - Taking this medication will help prevent further clogging up my arteries - This medication will lower the slight fever. I have had some surgery. - I will take this medication to reduce the discomfort I feel at the surgical incision

taking this medication will help prevent further clogging up my arteries