Pharmacology Quiz 3: Chapters 17,18,31,32,32,34

A nurse is caring for a client who has a dry nonproductive cough. Which of the following types of medication should the nurse recommend? A. Expectorant B. Mucolytic C. Bronchodilator D. Antitussive

Antitussive

A nurse is monitoring a client who has asthma, takes albuterol, and recently started taking propranolol to treat a cardiovascular disorder. The client reports that the albuterol has been less effective. Which of the following factors should the nurse identify as a possible explanation for this change? A. Potentiating interaction B. Detrimental inhibitory interaction C. Increased adverse reaction D. Toxicity-reducing inhibitory interaction Decreased inflammation

B. Detrimental inhibitory interaction

A nurse is assessing a postpartum client who has preeclampsia and notes a boggy uterus and excessive uterine bleeding. The nurse should plan to administer which of the following medications? A. Terbutaline B. Magnesium sulfate C. Oxytocin D. Methylergonovine

C. Oxytocin

A nurse is providing teaching to a client with a seizure disorder who has a new prescription for carbamazepine. Which of the following statements should the nurse include in the teaching? A. "This medication will decrease the effectiveness of oral contraceptives." B. "Once you are seizure-free for a month, you will be able to stop taking the medication." C. "You can cut the dose in half if gastrointestinal upset occurs." D. "This medication might initially increase the frequency of your seizures."

Correct Answer: A. "This medication will decrease the effectiveness of oral contraceptives."

A nurse is teaching a client who has a prescription for a transdermal estradiol patch. In which of the following locations should the nurse instruct the client to apply the patch? A. Abdomen B. Breast C. Forearm D. Back of the thigh

Correct Answer: A. Abdomen

A nurse is preparing a discharge teaching plan for a 6-year-old client with asthma who has several prescription medications using metered-dose inhalers (MDIs). Which of the following interventions should the nurse include in the plan? A. Add a spacer to each MDI B. Instruct the child to inhale more rapidly than usual when using an MDI C. Ask the provider to change the child's medications from inhaled to oral formulations D. Administer oxygen by facemask along with the MDI

Correct Answer: A. Add a spacer to each MDI

A nurse is caring for a client who has asthma and a prescription for zileuton. Which of the following laboratory values should the nurse monitor while the client is taking this medication? A. Alanine aminotransferase (ALT) B. WBC count C. Potassium D. Chloride

Correct Answer: A. Alanine aminotransferase (ALT)

A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? A. Anti-estrogenic B. Antimicrobial C. Androgenic D. Anti-inflammatory

Correct Answer: A. Anti-estrogenic

A nurse is caring for a client at 32 weeks gestation who is experiencing preterm labor. Which of the following medications should the nurse plan to administer? A. Betamethasone B. Misoprostol C. Methylergonovine D. Poractant alfa

Correct Answer: A. Betamethasone

A nurse is caring for a client who has asthma and advanced rheumatoid arthritis and deformity of the hands. The nurse should anticipate that the client will receive which of the following medication-delivery devices for the treatment of asthma? A. Dry-powder inhaler (DPI) B. Metered-dose inhaler (MDI) with spacer C. Respimat D. Nebulizer

Correct Answer: A. Dry-powder inhaler (DPI)

A nurse is caring for a client who has a prescription for an oral contraceptive to prevent pregnancy. The nurse should identify that which of the following actions is the purpose of this medication? A. Inhibition of ovulation B. Thinning of the endometrial lining C. Inhibition of luteinizing hormone D. Thinning of cervical mucus

Correct Answer: A. Inhibition of ovulation

A nurse is caring for a client with asthma who has been taking an inhaled glucocorticoid and long-acting beta2-agonist combination dry-powdered inhaler (DPI) for maintenance therapy. The nurse should identify that which of the following is a disadvantage of this medication? A. Restricted dosage flexibility B. Complicated delivery device C. Serious systemic effects D. Limited efficacy over time

Correct Answer: A. Restricted dosage flexibility

A nurse is caring for a client who has asthma and requires long-term treatment. The nurse should identify that which of the following medications used for long-term treatment places the client at an increased risk of asthma-related death? A. Salmeterol B. Fluticasone C. Budesonide D. Theophylline

Correct Answer: A. Salmeterol

A nurse is caring for a client who has asthma and requires long-term treatment. The nurse should identify that which of the following medications used for long-term treatment places the client at an increased risk of asthma-related death? A. Salmeterol B. Fluticasone C. Budesonide D. Theophylline

Correct Answer: A. Salmeterol

A nurse is caring for a client who is in labor and is receiving IV oxytocin. The nurse notes contractions lasting 3 min each. What action should the nurse take? A. Stop the oxytocin infusion B. Apply oxygen at 2 L/min via nasal cannula C. Administer methylergonovine intramuscularly D. Prepare for an emergent cesarean birth

Correct Answer: A. Stop the oxytocin infusion

A nurse is teaching to a client who has systemic lupus erythematosus about a new prescription for oral glucocorticoid therapy. Which of the following client statements indicates an understanding of the teaching? A. "I should take a calcium supplement while on this medication." B. "Regular liver function studies will have to be done while I am taking this medication." C. "I can take NSAIDs to treat mild pain while using this medication." D. "I will be sure to eat 6 small meals a day to prevent hypoglycemia from this medication."

Correct Answer: A. "I should take a calcium supplement while on this medication."

A nurse is teaching a client who has asthma and a prescription for a fluticasone dry powder inhaler (DPI). Which of the following instructions should the nurse include in the teaching? A. "This medication should be taken at the start of your symptoms." B. "Rinse your mouth after administering this medication." C. "Shake the canister prior to administering this medication." D. "This medication relaxes your airways to decrease your symptoms."

Correct Answer: B. "Rinse your mouth after administering this medication."

A nurse is reviewing the medication history of a client who has mild intermittent asthma. The nurse should anticipate a prescription for which of the following inhalers for the client? A. Ipratropium B. Albuterol sulfate C. Tiotropium D. Budesonide

Correct Answer: B. Albuterol sulfate

A nurse is caring for a client who has bronchitis and a prescription for a mucolytic agent. Which of the following findings should the nurse identify as an adverse effect of this type of medication? A. Fluid overload B. Bronchospasm C. Electrolyte imbalance D. Tachycardia

Correct Answer: B. Bronchospasm

A nurse is reviewing the medical record of a client who is requesting a prescription for sildenafil citrate. Which of the following data in the client's record should the nurse identify as a contraindication to the use of this medication? A. Diabetes mellitus B. Current use of isosorbide to treat heart failure C. Eyeglasses for presbyopia D. Osteoarthritis

Correct Answer: B. Current use of isosorbide to treat heart failure

A nurse is teaching a client who is premenopausal and has a prescription for a combination oral contraceptive. Which of the following findings should the nurse include as an adverse effect of oral contraceptives? A. Bone fractures B. Deep-vein thrombosis C. Increased LDL cholesterol D. Increased risk of breast cancer

Correct Answer: B. Deep-vein thrombosis

A nurse is reviewing the medical record of a client who has a prescription for a combination oral contraceptive. The nurse should identify that which of the following findings is a contraindication to receiving this medication? A. High cholesterol levels B. Liver disease C. Family history of ovarian cancer D. Client report of hypermenorrhea

Correct Answer: B. Liver disease

A nurse is caring for a client who is at 28 weeks gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? A. Oxytocin B. Nifedipine C. Dinoprostone D. Misoprostol

Correct Answer: B. Nifedipine

A nurse is reviewing the medical record of a client who is scheduled for induction of labor and has a prescription for misoprostol. Which of the following conditions should the nurse identify as a contraindication to administering this medication? A. Gestational diabetes B. Past cesarean delivery C. Preeclampsia D. Genital herpes

Correct Answer: B. Past cesarean delivery

A nurse is caring for a client who has asthma and is prescribed a short-acting beta2-agonist. Which of the following should the nurse identify as the expected outcome of this medication? A. Reduces the frequency of attacks B. Reverses bronchospasm C. Prevents inflammation D. Decreases chronic manifestations

Correct Answer: B. Reverses bronchospasm

A nurse is reviewing the medication history of a client who has asthma. Which of the following medication combinations should the nurse identify as incompatible? A. Albuterol and montelukast B. Theophylline and zileuton C. Aminophylline and fluticasone D. Salmeterol and levalbuterol

Correct Answer: B. Theophylline and zileuton

A nurse is reviewing the medication history of a client who has asthma. Which of the following medication combinations should the nurse identify as incompatible? A. Albuterol and montelukast B. Theophylline and zileuton C. Aminophylline and fluticasone D. Salmeterol and levalbuterol

Correct Answer: B. Theophylline and zileuton

A nurse is assessing a client who takes oral theophylline for chronic bronchitis relief. The nurse should recognize that which of the following findings indicates toxicity to theophylline? A. Constipation B. Tremors C. Fatigue D. Bradycardia

Correct Answer: B. Tremors

A nurse is assessing a client who takes oral theophylline for chronic bronchitis relief. The nurse should recognize that which of the following findings indicates toxicity to theophylline? A. Constipation B. Tremors C. Fatigue D. Bradycardia

Correct Answer: B. Tremors

A nurse is teaching a female client who has a new prescription for misoprostol to treat peptic ulcer disease. Which of the following client statements should indicate to the nurse that the teaching was effective? A. "I should avoid taking NSAIDs while using this medication." B. "Misoprostol is used to treat stress-induced gastric ulcers." C. "I should avoid becoming pregnant while taking this medication." D. "This medication is also used to treat dysmenorrhea."

Correct Answer: C. "I should avoid becoming pregnant while taking this medication."

A nurse is providing teaching to a client with chronic bronchitis about administering acetylcysteine using a hand-held nebulizer (HHN). Which of the following client statements indicates an understanding of the teaching? A. "I should discard an open vial of the medication after 24 hr." B. "I should limit my fluid intake while taking this medication." C. "I should try to cough productively just before I begin the treatment." D. "If the medication becomes discolored, I should throw it out and get a new supply."

Correct Answer: C. "I should try to cough productively just before I begin the treatment."

A nurse is teaching a client about the use of a dinoprostone vaginal insert pouch to stimulate labor. Which of the following statements should the nurse include in the teaching? A. "It is inserted using a catheter." B. "One pouch is given every 4 hours until labor occurs." C. "Lie on your back for at least 2 hours without getting up." D. "If labor doesn't occur within 6 hours, a second dose can be administered."

Correct Answer: C. "Lie on your back for at least 2 hours without getting up."

A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who has been taking tiotropium. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of this medication? A. "My body aches all over." B. "I am urinating more during the day." C. "My mouth feels dry all the time." D. "I have trouble sleeping at night."

Correct Answer: C. "My mouth feels dry all the time."

A nurse is teaching a client who is experiencing age-related vaginal atrophy and has a prescription for estradiol cream. Which of the following statements should the nurse include in the teaching? A. "This medication should be used daily." B. "This medication should be applied externally." C. "This medication has fewer systemic effects than oral estrogen." D. "This medication can increase your risk of bone loss."

Correct Answer: C. "This medication has fewer systemic effects than oral estrogen."

A nurse is caring for a client who has COPD and has been taking fluticasone via inhaler for many years. Which of the following findings should the nurse identify as an adverse effect of long-term use of this medication? A. Glomerular filtration rate (GFR) <60 B. Alanine aminotransferase (ALT) 82 units/L C. Anorexia and weakness D. Varicose veins in the lower extremities

Correct Answer: C. Anorexia and weakness

A nurse is preparing to administer timolol eye drops to a client who has primary open-angle glaucoma (POAG). Prior to administering the medication, the nurse should recognize that which of the following conditions in the client's medical history is a contraindication to receiving this medication? A. Hypertension B. Peripheral vision loss C. Asthma D. Increased intraocular pressure

Correct Answer: C. Asthma

A nurse is caring for a client who is receiving magnesium sulfate IV. Which of the following medications should the nurse have available as an antidote to magnesium sulfate? A. Betamethasone B. Terbutaline C. Calcium gluconate D. Indomethacin

Correct Answer: C. Calcium gluconate

A nurse is caring for a client at 39 weeks of gestation who has gestational hypertension. The client has a new prescription for misoprostol for cervical ripening and induction of labor. Which of the following findings in the client's medical history should the nurse identify as increasing the client's risk of complications due to the use of this medication? A. Positive bacterial vaginosis culture B. History of failure to progress C. Previous cesarean delivery D. Positive serum Rh sensitization

Correct Answer: C. Previous cesarean delivery

A nurse is preparing a discharge teaching plan for a client who is scheduled to begin long-term oral prednisone for asthma. Which of the following instructions should the nurse include in the plan? A. Stop taking the medication if a rash occurs. B. Take the medication on an empty stomach to enhance absorption. C. Schedule the medication on alternate days to decrease adverse effects. D. Treat shortness of breath with an extra dose of the medication.

Correct Answer: C. Schedule the medication on alternate days to decrease adverse effects.

A nurse is caring for a client who has severe asthma and allergic rhinitis. The client is taking theophylline. Which of the following medications should the nurse identify as being incompatible with theophylline? A. Cromolyn B. Albuterol C. Zafirlukast D. Methylprednisolone

Correct Answer: C. Zafirlukast

A nurse is caring for a client who has severe asthma and allergic rhinitis. The client is taking theophylline. Which of the following medications should the nurse identify as being incompatible with theophylline? A. Cromolyn B. Albuterol C. Zafirlukast D. Methylprednisolone

Correct Answer: C. Zafirlukast

A nurse is caring for a client who is taking diphenhydramine for allergies. The client reports, "I feel sleepy during the day." Which of the following responses should the nurse make? A. "You will find that all antihistamines cause sedation." B. "You should avoid taking the antihistamine with food." C. "The effects of sedation will occur with each dose." D. "You should try antihistamines with non-sedative effects."

Correct Answer: D. "You should try antihistamines with non-sedative effects."

A nurse is providing teaching to the parents of a school-age child with asthma about medications for bronchospasm. Which of the following inhaled medications should the nurse instruct the parents to use to relieve an acute asthma attack? A. Salmeterol B. Cromolyn C. Fluticasone D. Albuterol

Correct Answer: D. Albuterol

A nurse is planning to administer diphenhydramine 50 mg via IV bolus to a client who is having an allergic reaction. The client has an IV infusion containing a medication that is incompatible with diphenhydramine in solution. Which of the following actions should the nurse take? A. Choose an IV port for IV bolus injection of diphenhydramine as near as possible to the client's hanging IV bag B. Flush the IV tubing with 2 mL of 0.9% sodium chloride before and after administering diphenhydramine C. Allow the IV infusion to keep running while administering the diphenhydramine via IV bolus D. Aspirate to check for IV patency before administering the diphenhydramine

Correct Answer: D. Aspirate to check for IV patency before administering the diphenhydramine

A nurse is caring for a client who is taking an agonist medication. The nurse should expect which of the following actions from this type of medication? A. Acts with a partial agonist molecule to block receptors fully B. Temporarily occupies receptors instead of other competitive molecules C. Blocks receptors and prevents them from activating with a regulatory molecule D. Binds to receptors and mimics regulatory molecules

Correct Answer: D. Binds to receptors and mimics regulatory molecules

A nurse is preparing to administer oxytocin to a client who is at 41 weeks gestation and is experiencing ineffective labor. Which of the following actions should the nurse plan to take? A. Place the oxytocin from a pre-filled syringe into the posterior fornix of the vagina every 10 min until effective labor occurs B. Check the client's blood pressure and pulse every 15 min while induction of labor is occurring C. Stop oxytocin for contractions that continue for more than 30 sec D. Increase the dose of oxytocin to obtain uterine contractions that occur every 2 to 3 min

Correct Answer: D. Increase the dose of oxytocin to obtain uterine contractions that occur every 2 to 3 min

A nurse is caring for a client who has a soft uterus and increased lochial flow. Which of the following medications should the nurse plan to administer to promote uterine contractions? A. Terbutaline B. Nifedipine C. Magnesium sulfate D. Methylergonovine

Correct Answer: D. Methylergonovine

A nurse is providing teaching to a client with asthma who has a new prescription for a short-acting beta-2 agonist (SABA) bronchodilator. Which of the following pieces of information should the nurse share? A. The SABA will provide prolonged control of asthma attacks. B. SABAs are also available in an oral form. C. The SABA will have to be taken with an inhaled glucocorticoid. D. Notify the provider if the SABA is needed more than twice per week.

Correct Answer: D. Notify the provider if the SABA is needed more than twice per week.

A nurse is caring for a client who is experiencing an acute asthma exacerbation. Which of the following medications should the nurse identify as being contraindicated for this client? A. Dextromethorphan B. Montelukast C. Ciprofloxacin D. Propranolol

Correct Answer: D. Propranolol

A nurse is caring for a female client who has osteoporosis and is taking raloxifene. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of this medication? A. Severe leg cramps B. Urinary frequency C. Jaw pain D. Sudden onset of dyspnea

Correct Answer: D. Sudden onset of dyspnea