Pharmacology Proctored Exam Study Guide
A nurse is obtaining a client's health history. The client reports no allergies but has experienced mild itching while taking amoxicillin in the past. Which of the following responses should the nurse make? -itching is an expected adverse effect of amoxicillin -itching can indicate amoxicillin toxicity -itching can indicate hypersensitivity to amoxicillin -itching can result from dry skin which is often caused by amoxicillin
-itching can indicate hypersensitivity to amoxicillin
A nurse should instruct a client who was taking Alendronate to monitor for which the following adverse effects? Select all that apply -jaw pain -Drowsiness -blurred vision -Tinnitus -muscle pain
-jaw pain -blurred vision -muscle pain
A nurse caring for a client was given a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should identify which of the following laboratory tests requires monitoring? -Serum potassium -liver function -serum sodium -thyroid function
-liver function
Which of the following is a therapeutic action of raloxifene? -Blocks the effects of estrogen on endometrial tissue -mimics the effects of estrogen on Bone tissue -stimulates secretion of parathyroid hormone -stimulates menstruation
-mimics the effects of estrogen on Bone tissue
A nurse is caring for a client who has been taking selegiline to treat parkinson's disease. The provider is considering the use of analgesics for the client but should be aware that a drug interaction between selegiline and meperidine can result in which the following? -Frequent urination -Jaundice -Cellulitis -muscle rigidity
-muscle rigidity
A nurse is caring for a client who is postpartum and breastfeeding. The client asks the nurse about the effects that taking over the counter drugs will have on her newborn. Which of the following should the nurse consider when recommending a drug for the client? (select all that apply) -newborn weight -how much breast milk the newborn consumes each day -whether or not the benefits to the client outweigh the risks to the newborn -the properties of the drug -the route of administration of the drug
-newborn weight -how much breast milk the newborn consumes each day -whether or not the benefits to the client outweigh the risks to the newborn -the properties of the drug
A nurse is providing teaching for a client who has a new prescription for a drug with a high potential for toxicity. Which of the following information should the nurse include? (Select all that apply) -periodic lab tests are essential to measure serum drug levels -monitoring for indications of toxicity is important -taking the drug with an inducing agent will increase the possibility of toxicity -taking the smallest effective dose is crucial -increasing fluid intake is recommended to avoid toxicity
-periodic lab tests are essential to measure serum drug levels -monitoring for indications of toxicity is important -taking the smallest effective dose is crucial
A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters. the nurse should identify which of the following terms describes why this drug was prescribed to the client? -pharmacological action -chemical stability -Route -adverse effects
-pharmacological action
A nurse's reviewing the medical record of a client who has a newly diagnosed seizure disorder and a new prescription for valproic acid and phenytoin. The nurse should identify which the following can occur as a result of an interaction between these drugs? -Hyperammonemia -phenytoin toxicity -Hypertension -peptic ulcer disease
-phenytoin toxicity
A nurse is preparing to administer sumatriptan to a client for the 1st time period. What should the nurse instruct the client that sumatriptan is indicated for the following conditions? -Tonic clonic seizures -presence of a migraine headache -exacerbation of multiple sclerosis -alzheimer's disease
-presence of a migraine headache
A nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for the prescription modification? -renal function impairment -Cataracts -recent weight loss -smoking
-renal function impairment
A nurse is caring for a client who is receiving methohexital sodium. The nurse monitors the client for the following adverse effects? -Cardiac excitability -respiratory depression -Hyperthermia -hypertension
-respiratory depression
When reviewing the indications for various antidepressants, a nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following? select all that apply -motion sickness -seasonal affective disorder -Insomnia -nicotine addiction -depression
-seasonal affective disorder -nicotine addiction -depression
A nurse is caring for a client who was admitted to the ER department with a head injury. The nurse notes that the client has an existing prescription for bupropion hydrochloride to treat depression. For which of the following adverse effects is the client at an increased risk? -ischemic stroke -Drowsiness -respiratory depression -seizure activity
-seizure activity
A nurse is providing teaching to a client who has a prescription for buspirone to treat anxiety. Which of the following instructions should the nurse include? -take a missed does as soon as you remember -take the drug PRN at the first sign of anxious feelings -take the drug in the morning with a glass of grapefruit juice -drink a cup of chamomile tea at night with the drug
-take a missed does as soon as you remember
A nurse is caring for a client who is receiving nitroglycerin IV and is switching to the oral form of the drug. The nurse should identify that the oral dose will be higher than the IV dose for which of the following reasons? -the IV form crosses the blood-brain barrier -the oral form has a decreased half life -the oral form has decreased bioavailability because of the first pass effect -the oral form has increased rate of excretion
-the oral form has decreased bioavailability because of the first pass effect
A nurse is caring for a client who is taking diphenhydramine for insomnia and reports drowsiness. The nurse should identify that drowsiness indicates which of the following? -therapeutic effect -adverse reaction -Contraindication -precaution
-therapeutic effect
A nurse is obtaining a client's health history and discovers that the client takes loratadine, an over the counter drug. The nurse should identify which of the following is correct regarding over the counter drugs? Select all that apply -they do not require supervision of a nurse -they can interact with other drugs -they should be included in the clients drug history assessment -they are less effective than prescription drugs -they do not cause toxicity
-they do not require supervision of a nurse -they can interact with other drugs -they should be included in the clients drug history assessment
A nurse is reviewing a drug reference. The nurse should identify that drugs in the same class share which of the following similarities? -they have similar mechanisms of actions -they have the same half life -they are administered by the same route -they have similar availability
-they have similar mechanisms of actions
A nurse is teaching a client who has a prescription for a drug that has a receptor agonist effect. Which of the following information should the nurse include in the teaching? -this will increase the effects of normal cellular functions -this prevents cells in your body from performing certain actions -this prevents hormones in your body from attaching to cell receptor sites -this minimizes the risk that the medications you take will become toxic
-this will increase the effects of normal cellular functions
A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnostic tests should the nurse recommend that the client undergo periodically? -chest x ray -Tonometry -thyroid function tests -endoscopic retrograde cholangiopancreatography (ERCP)
-thyroid function tests
A nurse is caring for a client receiving gentamicin. for which of the following should the nurse monitor the client? -Photophobia -Tachycardia -Polyurea -tinnitus
-tinnitus
A nurse is preparing to teach a client about a newly prescribed drug. Prior to providing teaching, the nurse should review the precautions section of a drug handbook for which of the following reasons? -to determine drug food interactions -to determine if dosage modification is indicated -to determine how the drug is absorbed -to determine availability
-to determine if dosage modification is indicated
A nurse caring for a client who was diagnosed with postmenopausal osteoporosis. Which of the following actions should the nurse take prior to administering calcitonin salmon to the client for the 1st time? -Check the client urine for sedimentation -assess the client's liver function -use skin testing to check the client for allergies -evaluate the client's breath sounds
-use skin testing to check the client for allergies
A nurse is providing teaching to a client who has a prescription for chlorpromazine. Which of the following instructions should the nurse include? -stop taking the drug immediately with the first sign of sore throat -wear sunscreen when exposed to sunlight -take the drug with food to reduce go distress -take the drug in the morning to prevent nocturia
-wear sunscreen when exposed to sunlight
A nurse is caring for a client who has been taking amphetamine/dextroamphetamine sulfate for the treatment of ADHD for 2 weeks. The nurse should report which of the following findings to the provider? -weight loss of 2.3 kg (5lb) -bp 110/70 -apical pulse 80/minute -RR 16
-weight loss of 2.3 kg (5lb)
A nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. The nurse should identify that abruptly stopping alprazolam therapy can result in which of the following adverse effects? -anterograde amnesia -respiratory depression -paradoxical reaction -withdrawal symptoms
-withdrawal symptoms
A nurse is teaching a client who has a new prescription for etanercept. Which of the following statements should the nurse make? -You will inject this medication once a week in your thigh muscle -you should report signs of infection to your provider immediately -you will need to avoid taking ibuprofen while on this medication -you will need to receive an MMR vaccine one month after starting this medication
-you should report signs of infection to your provider immediately
A nurse caring for a client who has a new prescription for etanercept. Which of the following actions should the nurse take? -Administer a TB skin test prior to starting the medication -teach the client that fevers are common while taking this medication -determine if the client has chronic hypertension -mix the medication with methotrexate prior to administration
-Administer a TB skin test prior to starting the medication
A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone via inhaler for asthma management. For which the following reason should the nurse instructed the client to use the albuterol inhaler before using the fluticasone inhaler? -Albuterol will increase the absorption of fluticasone -albuterol will decrease inflammation -albuterol reduce nasal secretions -fluticasone reduce the adverse effects of Albatross
-Albuterol will increase the absorption of fluticasone
A nurse is assessing a client who has been taking alprazolam for several days. Which of the following findings should the nurse identify as an adverse drug reaction caused by alprazolam? -Anxiety -ringing in the ears -increased appetite -muscle spasms
-Anxiety
A nurse should identify that timolol is contraindicated for a client who has which of the following disorders? -Asthma -seizure disorder -Diabetes -rheumatoid arthritis
-Asthma
A nurse is teaching a client who has a prescription for baclofen. Which of the following instructions should the nurse include? -Avoid driving until the drug's effects are evident -stop taking the drug immediately if headache occurs -take the drug as needed for spasticity -take the drug with antacids to reduce gastric effects
-Avoid driving until the drug's effects are evident
A nurse teaches a client who has Alzheimer's disease and their caregiver about memantine. Which of the following instructions should the nurse include? -Increase fluid intake to improve renal excretion -Report memory loss or confusion -Watch for signs of liver impairment, such as jaundice and abdominal pain -Avoid taking over the counter antacids
-Avoid taking over the counter antacids
A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine IV. Which of the following client findings should the nurse monitor after administering the medication? -BUN level -BP -Urine specific gravity -pedal pulse strength
-BP
A nurse is teaching a client who has a prescription for carbamazepine. Which of the following instructions should the nurse include to help the client avoid adverse effects of this drug? -Begin taking the drug at a low dose -discontinue the drug immediately if diarrhea occurs -have serum glucose levels checked regularly -take the drug on empty stomach
-Begin taking the drug at a low dose
A nurse is planning care for a client who has a prescription for methotrexate. The nurse should plan to monitor the client for the following adverse effects? -Bone marrow depression -Thrombocytopenia -double vision -constipation
-Bone marrow depression
A nurse is teaching a client who is taking levodopa/carbon dupa to treat parkinson's disease. Which of the following instructions should the nurse include? -Change position slowly to prevent orthostatic hypotension -eat a high protein snack to increase absorption -take the drug at bedtime to avoid daytime drowsiness -expect eye twitching to develop with long term therapy
-Change position slowly to prevent orthostatic hypotension
A nurse teaching a client who is about to begin sumatriptan therapy to treat migraine headaches. The nurse should instruct the client to monitor for which the following adverse effects? -Chest pain -Polyuria -joint pain -insomnia
-Chest pain
A nurse is preparing to administer a memantine to a client who has Alzheimer's disease. Which the following findings in the client's medical history indicates a need to withhold the drug and notify the provider? -Pancreatic cancer -Hypertension -Cirrhosis -osteoporosis
-Cirrhosis
A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the client can receive the drug? -adverse effects -Contraindications -Implementation -black box warning
-Contraindications
A nurse caring for a client who is taking alendronate to treat postmenopausal osteoporosis. The nurse should explain to the client that alendronate increases bone mass by the following actions? -Decreases activity of osteoclasts -increases calcium excretion -promotes intestinal absorption of calcium and phosphorus -reduces action of osteoblast
-Decreases activity of osteoclasts
A nurse caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should instruct the client to report the following adverse effects? -Slow heart rate -Cough -Diarrhea -hearing loss
-Diarrhea
A nurse is teaching a client who has a new prescription for valproic acid to treat a seizure disorder. The nurse should instruct the client to monitor for which the following adverse effects? Select all that apply -Hirsutism -Drowsiness -Headache -Ataxia -rash
-Drowsiness -Headache -rash
A nurse is caring for a client who has a prescription for fluoxetine and who reports self-administering St. John's wort daily for the past 2 weeks. Which of the following findings should the nurse report to the provider as an indication of serotonin syndrome? -Hallucinations -decreased temperature -hypesexual behavior -constipation
-Hallucinations
A nurse teaching a client about adverse effects of etanercept. Which of the following statements by the client indicates understanding of the teaching? -I will need to get my blood drawn periodically while on this medication -I may lose part or all of my hair -I may wake up with a very dry mouth -I will leave the needle cap off during the time the medication comes to Room temperature
-I will need to get my blood drawn periodically while on this medication
A nurse teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following statements by the client indicates understanding of the teaching? -I will take a birth control pill every day -methotrexate decreases my chances of developing infection -I take methotrexate every day with breakfast -I will aim to drink 5. 8 oz glasses of water per day
-I will take a birth control pill every day
A nurse is caring for a client who has a prescription for methotrexate. Which of the following drugs would likely be prescribed in conjunction during the initial treatment for rheumatoid arthritis? -Aspirin -Ibuprofen -Salicylates -sulfonylureas
-Ibuprofen
A nurse is providing teaching to a client about the adverse effects of drug therapy. The nurse should include that orthostatic hypotension is a common adverse reaction of which of the following drugs? -Venlafaxine -Bupropion -Imipramine -valproic acid
-Imipramine
A nurse is caring for a client with a prescription for etanercept. The nurse should identify that etanercept treats rheumatoid arthritis by the following actions? -Inactivation of tumor necrosis factor -inhibition of osteoclasts activity -decreasing the reuptake of serotonin -interference with the production of lymphocytes
-Inactivation of tumor necrosis factor
A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the drug has more than one use? -adverse effects -Indications -Pharmacokinetics -nursing implications
-Indications
A nurse should identify that a client who has diabetes and is taking an etanercept is at increased risk for which the following adverse effects? -Kidney toxicity -Infection -Gout -deep pain thrombosis
-Infection
A nurse is providing teaching for a client who has a new prescription for valproic acid to treat a seizure disorder. The nurse instructs the client to monitor for which the following adverse effects? -Hirsutism -Depression -Jaundice -gum irritation
-Jaundice
A nurse is caring for a client who arrived at an ER department following a bee sting. Which of the following findings indicates an anaphylactic reaction? (Select all that apply) -Low bp -Wheezing -Bradycardia -peripheral edema -difficulty swallowing
-Low bp -Wheezing -difficulty swallowing
A nurse is a ministering fentanyl to a client to reduce pain. Which of the following drugs should the nurse have available to reverse the effects of fentanyl? -Neostigmine -Succinylcholine -Naloxone -Dantrolen
-Naloxone
A nurse is caring for a client who is taking venlafaxine to treat major depressive disorder. The nurse should identify which of the following drugs can cause serotonin syndrome when taken concurrently with venlafaxine? -Alprazolam -Phenytoin -Phenelzine -pilocarpine
-Phenelzine
A nurse is teaching a client about interferon Beta - 1A. Which of the following instructions should the nurse give to help the client avoid the adverse effects of this drug? -Pre medicate with Acetaminophen -take the drug with food -increase your fluid intake -take the drug in the morning
-Pre medicate with Acetaminophen
A nurse is reviewing a drug handbook prior to administering a drug to a client who has kidney disease. The handbook states that the drug can be administered but identifies certain risks. Which of the following terms describes these risks? -Contraindications -Precautions -paradoxical effects -adverse effects
-Precautions
A nurse teaching a client about calcitonin salmon intranasal spray to treat osteoporosis. Which of the following information should the nurse include? Select all that apply. -Report rash or itching -deliver 2 sprays to each nostril -prime the pump before the 1st dose -report nasal irritation -hold the pump horizontally
-Report rash or itching -prime the pump before the 1st dose -report nasal irritation
A nurse caring for a client who is taking Codeine. The nurse should identify which the following assessment is priority to make? -Blood pressure -Apical pulse rate -Respirations -level of consciousness
-Respirations
A nurse teaching a client who is taking etanercept for rheumatoid arthritis. The nurse should instruct the client to monitor for which the following indications of an adverse reaction to this drug? -Skin rash -Tinnitus -Diarrhea -dysphasia
-Skin rash
A nurse caring for a client who has a new prescription for amphetamine sulfate. The nurse should monitor the client for the following adverse effects? -Hypotension -Tinnitus -Tachycardia -Bronchospasm
-Tachycardia
A nurse is teaching a client who has a prescription for modafinil to treat narcolepsy. Which of the following instructions should the nurse include? -Take the drug in the morning -take the drug 30 minutes before bedtime -anticipate daytime drowsiness -expect urine frequency
-Take the drug in the morning
A nurse caring for a client who is currently taking methotrexate for rheumatoid arthritis. The nurse should identify which of the following is an adverse effect of this medication? -Hypertension -Thrombocytopenia -Glaucoma -edema
-Thrombocytopenia
A nurse is caring for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse monitor? select all that apply -Tolerance -Anxiety -Sedation -respiratory depression -constipation
-Tolerance -Anxiety -Sedation -respiratory depression
A nurse is caring for a client who is about to begin lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following findings as indications of lithium toxicity? select all that apply -Tremors -Confusion -Bronchospasm -Nausea -muscle weakness
-Tremors -Confusion -Nausea -muscle weakness
A nurse is caring for a client who recently began taking chlorpromazine to treat schizophrenia and who was admitted to the ER with spasms of their face and back. Which of the following adverse reactions should the nurse suspect? -cholinergic crisis -serotonin syndrome -Steven-johnson syndrome -acute dystonia
-acute dystonia
A nurse is teaching a client who received a prescription for interferon Beta - 1A for the treatment of multiple sclerosis. Which of the following information should the nurse include? -Have kidney function test done every month for a year -take an extra dose if muscle aches occur -store the drug at Room temperature after mixing it -administered the drug in your thigh or upper arm
-administered the drug in your thigh or upper arm
The nurse is caring for a client who has a new prescription for a drug. After receiving the first dose of the drug, the client experiences anaphylaxis. The nurse should identify that anaphylaxis represents which of the following results of the drug? -adverse effect -paradoxical effect -therapeutic effect -toxicity
-adverse effect
A nurse is providing teaching to a client who has a prescription for bus-irons. Which of the following instructions should the nurse include? -take the drug with grapefruit juice to increase absorption -use the drug as needed for anxiety -allow 2 to 4 weeks for full therapeutic effects -take the drug on an empty stomach
-allow 2 to 4 weeks for full therapeutic effects
A nurse is providing teaching to a client about instilling pilocarpine for managing open-angle glaucoma. Which of the following instructions should the nurse include in the teaching? Select all that apply -apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops -do not touch the tip of the dropper -wash hands after instilling eye drops -rub eyes gently after instilling eye drops -remove contact lens prior to instilling eye drops
-apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops -do not touch the tip of the dropper -wash hands after instilling eye drops -remove contact lens prior to instilling eye drops
A nurse is caring for a client who is newly admitted to the facility for chest pain. At which of the following times should the nurse begin teaching about drugs and discharge planning? -after the client has a definitive diagnosis -on the day of discharge -when the client's family members are present -as soon as possible
-as soon as possible
A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following information should the nurse include? Select all that apply -avoid being near people who are sick with a communicable illness -periodic lab tests are required -the drug's effects are immediate -report bruising or petechiae -avoid drinking alcohol
-avoid being near people who are sick with a communicable illness -periodic lab tests are required -report bruising or petechiae -avoid drinking alcohol
A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. Which of the following instructions should the nurse include? -consume a low sodium diet -reduce fluid intake -avoid taking NSAIDS -take the drug with food
-avoid taking NSAIDS
A nurse is teaching the family of a client who has a new diagnosis of Alzheimer's disease about donepezil. Which of the following information should the nurse include? -monitor for constipation -the dosage will be increased weekly to provide optimum therapeutic effect -administering the drug first thing in the morning promotes effectiveness -avoid the use of NSAIDS for pain
-avoid the use of NSAIDS for pain
A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. Which of the following adverse effects should the nurse include in the teaching? -constricted pupils -discoloration of the iris -HTN -bradycardia
-bradycardia
A nurse is teaching a client about raloxifene therapy to prevent osteoporosis. The nursing should instruct the client to monitor for which the following indications of an adverse reaction to the drug? -Loss of hair -numbness at the fingertips -calf pain -blisters on mucous membranes
-calf pain
A nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat major depressive disorder. Which of the following instructions should the nurse include? Select all that apply. -change positions slowly from sitting, lying or standing -do not stop taking the drug abruptly -avoid crushing the tablet -take the drug at bedtime to prevent daytime drowsiness -increase fiber and fluid intake
-change positions slowly from sitting, lying or standing -do not stop taking the drug abruptly -take the drug at bedtime to prevent daytime drowsiness -increase fiber and fluid intake
A nurse is caring for a client who is taking acetaminophen and codeine for pain relief. These analgesic drugs interact with one another to cause an additive effect. The nurse should identify which of the following characteristics of additive drug interactions? (select all that apply) -clients can achieve desired effects with the use of lower dosages -taking the two drugs together can reduce the effects of one or both drugs -Taking the two drugs together can potentiate the effects of one or both drugs. -the two drugs can produce an action neither would have produced alone -both drugs have similar actions
-clients can achieve desired effects with the use of lower dosages -both drugs have similar actions
A nurse is teaching a client about the adverse effects of digoxin. Which of the following statements should the nurse include in the teaching? -adverse effects are intended effects of the med -adverse effects indicate a severe allergy to the med -decrease your med dose if adverse effects occur -contact your provider if adverse effects occur
-contact your provider if adverse effects occur
A nurse is caring for a client who has a new prescription for Pramipexole to treat Parkinson's disease. The nurse should recognise that the following laboratory test requires monitoring? -C reactive protein -creatinine clearance -thyroid function -cbc
-creatinine clearance
A nurse is teaching a client about naproxen enteric coated tablets. Which of the following statements should the nurse include in the teaching? -drug absorption occurs in the stomach -you should expect immediate reabsorption of the drug -you should allow the tablet to dissolve in your mouth -do not crush or chew tablet
-do not crush or chew tablet
A nurse teaches a client who has a prescription for prednisone and takes 1500 mg per day of calcium carbonate to reduce the risk of osteoporosis. Which of the following information should the nurse include? Select all that apply. -Take the calcium tablets with food -drink 240 milliliters of water with the calcium tablets -chew calcium tablets before swallowing them -take the drugs one hour part -divide the daily dosage of calcium into 3 500 mg doses
-drink 240 milliliters of water with the calcium tablets -chew calcium tablets before swallowing them -take the drugs one hour part -divide the daily dosage of calcium into 3 500 mg doses
A nurse is teaching about self administering methotrexate to a client who has rheumatoid arthritis. Which of the following statements should the nurse make? -use a nonsteroidal anti-inflammatory drug to reduce toxicity -if you miss a dose go ahead and take it with the next scheduled dose -drink a minimum of 2 liters of water per day to promote the drugs excretion -take in the morning to prevent insomnia
-drink a minimum of 2 liters of water per day to promote the drugs excretion
A nurse is caring for a client who has a history of renal insufficiency and is taking lithium. the nurse should monitor the client for which of the following? -tolerance to the drug -drug interaction -drug toxicity -dependence on the drug
-drug toxicity
A nurse is speaking to a client who is taking sertraline and reports drinking grapefruit juice. The nurse explains that grapefruit juice inhibits an enzyme in the liver that is used to metabolize sertraline. the nurse should recognize the client's risks for which of the following? -reduced drug absorption -drug dependence -altered drug distribution -drug toxicity
-drug toxicity
A nurse is caring for a client who is having difficulty remembering to take their prescribed drugs three times a day. The nurse should identify which of the following alternate forms of the drug can help to promote adherence to the prescribed dosage? -liquid suspension -immediate release capsule -extended release tablet -powder form
-extended release tablet
A nurse is caring for a client who is taking interferon beta-1a. the nurse should identify which of the following findings indicates a potential serious adverse effect of this drug? -Tinnitus -twitching eyes -blue-green skin discoloration -fatigue
-fatigue
A nurse is providing teaching to a pregnant client who is taking captopril, an ACE inhibitor, to treat hypertension. The nurse informs the client that captopril is a teratogenic drug. The nurse should explain that teratogenic drugs can cause which of the following? -maternal bleeding -maternal blood clots -gestational diabetes -fetal malformation
-fetal malformation
A nurse is reviewing the drug history of a client who is taking lithium carbonate for bipolar disorder. Which of the following findings should indicate to the nurse to monitor for lithium toxicity? -furosemide for HTN -Tylenol for headaches -ciprofloxacin for a UTI -montelukast for asthma
-furosemide for HTN
A nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include? -check apical pulse before taking the drug -take the drug only as needed before exercising -rinse mouth after using drug -have lab test performed at regular intervals
-have lab test performed at regular intervals
A nurse is providing teaching for a client who has a prescription for phenelzine. The nurse should instruct the client to avoid tyramine-enriched foods because of an increased risk for which of the following adverse reactions? -respiratory depression -hypertensive crisis -neuroleptic malignant syndrome -serotonin syndrome
-hypertensive crisis
A nurse is providing teaching to a client who has a new prescription for diazepam for anxiety disorders. Which of the following client statements indicates an understanding of the teaching? -its not a big deal if I forgot my pill for a couple of days -I should limit my alcohol intake to one drink a day while taking this medication -I will avoid salt because this med can increase my bp -if I become pregnant it is important to let my HCP know
-if I become pregnant it is important to let my HCP know
A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include? -weigh yourself twice a month -if you have persistent headaches let the provider know -reduce your daily sodium intake -if your symptoms don't improve in 10 days you will need a higher dose
-if you have persistent headaches let the provider know
A nurse is preparing to teach a client how to take care of a newly created colostomy. The nurse should identify which of the following factors can decrease the client's ability to learn? (select all that apply) -impaired cognitive level -language barrier -Discomfort -repetition of teaching -unreadiness to learn
-impaired cognitive level -language barrier -Discomfort -unreadiness to learn
Alendronate is contraindicated for administration to clients who have which of the following conditions? -heart failure -fish protein allergy -inability to sit upright -tb
-inability to sit upright
A nurse is teaching a client about raloxifene. Which of the following information should the nurse include? Select all that apply. -Performing self exam breast examination twice per month -increase physical activity by taking walks -using contraceptive if there is any possibility of pregnancy -take the drug on an empty stomach -increase intake of calcium and vitamin day
-increase physical activity by taking walks -using contraceptive if there is any possibility of pregnancy -increase intake of calcium and vitamin day
A nurse's teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include? -take the drug as needed for acute asthma -follow low sodium diet -using an alternate day dosing schedule -increased weight bearing activity
-increased weight bearing activity
A nurse is teaching a client with a new diagnosis for Parkinson's disease about how levodopa/carbidopa can help control symptoms. The nurse identifies that the drug has the following pharmacological effects? -increases availability of acetylcholine in the brain -inhibits norepinephrine metabolism in the brain -inhibit serotonin metabolism in the brain -increases available dopamine in the brain
-increases available dopamine in the brain
When reviewing a lists of drugs in a drug handbook, a nurse can identify the generic name for a drug in which of the following ways? -it begins with a lower case letter -it is listed in parentheses along with the trade name -there are both letters and numbers in the name -the chemical name is listed in parentheses before the generic name
-it begins with a lower case letter
