Pharmacology Unit
A nurse is preparing to administer 250 mg of an antibiotic IM. Available is 3 g/5 mL. How many mL should the nurse administer per dose?
0.4
A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mg/kg PO every 12 hr for 5 days. The client weighs 88 lb. How many mg should the nurse administer per dose?
200 mg
A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include?
"Monitor for muscle pain" This medication can cause rhabdomyolysis. The client should monitor and report muscle pain.
A nurse is preparing a presentation about black cohosh to a group of clients. Which of the following information should the nurse include in the teaching?
"Black cohosh is used to alleviate menopausal symptoms" Black cohosh may relieve menopausal symptoms, such as hot flashes, by suppressing the release of luteinizing hormone.
A nurse is educating a group of clients about the contraindications of warfarin therapy. Which of the following statements should the nurse include in the teaching?
"Clients who are pregnant should not take warfarin" Warfarin therapy is contraindicated in the pregnant client because it crosses the placenta and places the fetus at risk for bleeding.
A nurse is teaching about self-administering methotrexate to a client who has rheumatoid arthritis. Which of the following statements should the nurse make? A. "Use a non-steroidal anti-inflammatory drug to reduce toxicity" B. "Take with food to reduce gastric irritation" C. "Drink 2-3L of water per day to promote the drugs excretion" D. "Take it in the morning to prevent insomnia"
"Drink 2-3L of water per day to promote the drugs excretion" Since it can cause kidney damage, adequate hydration optimizes drug excretion and helps prevent kidney damage. Sodium bicarbonate tablets increase urine alkalinity and reduce the drug precipitation that can lead to kidney damage.
A nurse is preparing a presentation about glucosamine to a group of clients. Which of the following information should the nurse include in the teaching?
"Glucosamine can suppress joint inflammation" The nurse should include in the teaching that glucosamine suppresses joint inflammation and cartilage degradation by stimulating the activity of chondrocytes.
A nurse is teaching a client who has multiple sclerosis and a new prescription for dantrolene. Which of the following statements by the client indicates an understanding of the teaching?
"I need to apply a sunscreen when i go outside" This medication can cause photosensitivity; therefore, the client should protect her skin by wearing a hat and using sunscreen while in sunlight.
A nurse is teaching a client about adverse effects of etanercept. Which of the following statements by the client indicates an understanding of the teaching?
"I will need to get my blood drawn periodically while on this medication"
A nurse is teaching a client who has a new prescription for amoxicillin-clavulanate to treat pharyngitis. Which of the following statements by the client indicates an understand of the teaching?
"I will stop taking this medication if i develop itching" Penicillin-derived medications are a common cause of medication allergic reactions. Manifestations of allergic reactions include rashes, hives, itchy and watery eyes, and swollen lips, tongue, or face. Anaphylactic reactions can develop within 1 hr of taking the dose, and include difficulty breathing, shortness of breath, stridor, and angioedema. The client should discontinue the medication and notify the provider if these manifestations occur.
A nurse is 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"
a nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicated an understand of the teaching?
"I'll call my doctor if I notice any unusual menstrual bleeding" Clients should be taught bleeding precautions and to report bruising or excessive bleeding.
A nurse is teaching a client who has a new prescription for erythromycin. Which of the following information should the nurse include?
"Monitor for ringing in your ears" Ototoxicity is an adverse effect of erythromycin. The client should monitor and report manifestations of ototoxicity, such as tinnitus, dizziness, and vertigo.
A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. Which of the following instructions should the nurse include in the teaching?
"Take the medication with food" To minimize gastric irritation, the client should take ibuprofen with food or immediately after a meal.
A nurse is providing discharge teaching to a client who has pulmonary tuberculosis and a new prescription for rifampin. Which of the following information should the nurse provide?
"Urine and other secretions might turn orange" Rifampin might turn the urine and other secretions reddish-orange. This includes sputum, tears, and sweat.
A nurse is teaching a client who has a new prescription for etanercept. Which of the following statements should the nurse make?
"You should report signs of infection to your provider immediately"
A nurse is providing education to a client who is in labor and has a prescription for a continuous IV infusion of oxytocin. Which of the information should the nurse include?
"Your contractions will become stronger and more frequent" Oxytocin is diluted with sodium chloride and administered IV via an infusion pump device to induce or strengthen uterine contractions during labor. The client who is receiving an oxytocin drip is closely monitored to promote a safe delivery and prevent maternal and/or fetal complications. The desired concentration of oxytocin medication is determined by the desired labor contraction pattern that should increase in frequency, duration, and intensity. The nurse closely monitors risks of continuous IV infusion of oxytocin to determine when to discontinue the medication. Risks include fetal distress (fetal bradycardia) caused by hyper-stimulation of the uterus compromising blood flow to the fetus. Uterine contractions lasting longer than 90 seconds should prompt the nurse to discontinue the medication.
A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 4 hr as needed. The amount available is diphenhydramine elixir 12.5 mg/5 mL. How many mL should the nurse administer per dose?
10 mL
A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has a staphylococci infection. Available in clindamycin premixed in 50 mL 0.90% sodium chloride (NaCl). The nurse should set the IV pump to deliver how many mL/hr?
100 mL
A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has a staphylococci infection. Available is clindamycin premixed in 50 mL 0.90% sodium chloride (NaCl). The nurse should set the IV pump to deliver how many mL/hr?
100 mL/hr
A nurse is teaching a guardian of a child about the recommended age range to receive the human papillomavirus (HPV) vaccine. Which of the following age ranges should the nurse include?
11 to 12 years old (Three doses)
A nurse is caring for a client who has sepsis and a prescription for vancomycin 1g in 250 mL dextrose 5% (D5W) over 2 hr by IV intermittent bolus. The nurse should set the IV pump to deliver how many mL/hr?
125 mL
A nurse is caring for a client who has sepsis and a prescription for vancomycin 1 g in 250 mL dextrose 5% (D5W) over 2 hr by IV intermittent bolus. The nurse should set the IV pump to deliver how many mL/hr?
125 mL/hr
A nurse is caring for a 1 month old infant who weighs 3500 g and is prescribed a dose of cephazolin 50 mg/kg by intermittent IV bolus three times daily. How many mg should the nurse administer per dose?
175 mg
A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?
A client received a crushed bupropion XL tablet mixed with applesauce Extended or sustained release medications are intended to release medication levels over a long period of time to sustain therapeutic relief. Crushing, breaking, or chewing an extended release medication releases the medication at once into the bloodstream and could be life-threatening. Mixing this medication in applesauce deviates from standard of care and requires the nurse to complete an incident report.
A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin via intermittent IV bolus. Which of the following findings should the nurse identify as a contraindication for the client to receive cefoxitin and report to the provider?
A severe allergy to amoxicillin A client who has a suspected or documented history of severe allergy to penicillins may also have an allergy to cephalosporins that could result in anaphylaxis. The nurse should withhold the dose and notify the provider.
A provider has prescribed a dinoprostone vaginal insert to promote cervical ripening in a client who is at 40wks of gestation. When administering dinoprostone, which of the following actions should the nurse take? (Select all that apply.) A. Encourage the client to urinate prior to insertion B. Remove the pouch when active labor begins C. Monitor for uterine hyperstimulation D. Encourage the client to walk after insertion E. Monitor the clients temperature
A, B, C, E-Encourage the client to urinate prior to insertion- the client should urinate prior to the insertion of the dinoprostone pouch. This actions does not specifically relate to the therapeutic effects of the drug, but it promotes comfort and prevents interruption of the administration protocol.B-Remove the pouch when active labor begins-the nurse shoudl remove the pouch when active labor begins or 12hr after the insertion of the dinoprostone, whichever is soonerC-Monitor for uterine hyperstimulation is correct-Uterine stimulation can cause fetal distress. The nurse should monitor uterine activity and fetal heart rate and remove the insert for fetal distress or uterine hyperstimulationD-Encourage the client to walk after insertion is incorrect-the client should lie supine for at least 2hr while the pouch slowly releases the drugE-Monitor the clients temperature- Dinoprostone can cause a fever. The nurse should monitor the client's temperature and report any changes to the provider
A nurse is caring for a client who has a new prescription for transdermal conjugated estrogen and medroxyprogesterone to treat postmenopausal symptoms. The nurse should explain to the client that this drug combination includes which of the following therapeutic effects? (Select all that apply.) A. Reduces the risk of ovarian cancer B. Relieves hot flashes C. Prevents osteoporosis D. Reduces the risk of breast cancer E. Reduces the risk of thromboembolism
A, B, C, Reduces the risk of ovarian cancer-drug therapy with an estrogen and progesterone combination reduces the risk of ovarian cancer. however, the use of estrogen alone without progesterone can increase the risks of endometrial and ovarian cancer.Relieves hot flashes-drug therapy with an estrogen and progesterone combination or estrogen alone reduces hot flashes and the sweating and sleep disturbances they causePrevents osteoporosis-drug therapy with an estrogen and progesterone combination or estrogen alone increases bone density and prevents osteoporosis
A nurse is providing teaching to a client who is taking bethanechol for urinary retention. Which of the following instructions should the nurse include (select all that apply) A. Avoid driving and activities that require alertness B. Increase fluid intake C. take the drug with food D. Stay close to a bathroom after taking the drug E. Increase weight-bearing activities
A, B, D,Avoid driving and activities that require alertness-Bethanechol, a muscarinic agonist, can cause dizziness and fainting. Clients who take the drug should use caution with activities that require alertness until they know how the drug will affect them.Increase fluid intake-Bethanechol can cause diarrhea and increased salivary and gastric secretions. Clients who take the drug should maintain hydration by increasing their fluid intakeStay close to a bathroom after taking the drug-Bethanechol cause rapid relief of urinary retention or diarrhea, with fecal incontinence. Clients who take the drug should stay near a bathroom or have a bedpan or urinal ready
A nurse is providing safety education to a client who is scheduled to begin treatment with tamsulosin for benign prostatic hypertrophy (BPH). Which of the following instructions should the nurse include in the teaching? A. Change positions slowly B. Crush the medication C. Take the medication on an empty stomach D. Report increased urinary output immediately
A. Change positions slowly Alphy adrenergic blockers such as tamsulosin are also used to treat hypertension. These drugs can cause the blood pressure to drop, leading to orthostatic hypotension. Therefore, the nurse should instruct the client to change positions slowly to prevent harm.
A nurse should question the use of thinyl estradiol and drospirenone by a client who has renal disease due to the increased risk of thich of the following? A. Hyperkalemia B. Hyponatremia C. Hypoglycemia D. Respiratory alkalosis
A. Hyperkalemia-Ethinyl estradiol and dropirenone can cause potassium retention, so a client who has renal, adrenal, or liver disease should not take the drug combination. The nurse should monitor the serum potassium levels of a client taking the drug and use it with caution w/ other drugs that can increase serum potassium, such as potassium-sparing diuretics
A nurse is providing teaching to a clent about using leuprolide to treat endometriosis. Which of the following instructions should the nurse include? A. Perform weight-bearing activities B. Wear sunscreen or protective clothing C. Take the drug with food to increase absorption D. Avoid drinking grapefruit
A. Perform weight-bearing activitiesLeuprolide suppresses estrogen and can cause bone loss. The nurse should instruct the client to perform weigh-bearing activities and increase their intake of calcium and vitamin D.
A nurse is caring for a client who is about to begin taking finasteride to treat benign prostatic hypertrophy. The nurse should explain to the client the need to monitor which of the following laboratory values? A. Prostate-specific antigen (PSA) B. BUN C. Creatine Phosphkinase (CPK) D. ALT
A. Prostate-specific antigen-the nurse should monitor PSA levels at baseline and periodically thereafter. Increases in PSA can indicate prostate cancer. PSA levels should decrease w/ finasteride therapy
A nurse is teaching a client about receiving leuprolide to treat endometriosis. The nurse should instruct the client to expect which of the following side effects? A. Vaginal dryness B. Hypertension C. Blurred vision D. Orthostatic hypotension
A.Vaginal dryness-Leuprolide can cause vaginal dryness. The nurse should suggest that the client use water-based vaginal lubricants to help minimize this effect.
A nurse is teaching a client who is in her first trimester of pregnancy about over the counter medications that are a pregnancy risk category B. Which of the following medications should the nurse include?
Acetominophen Acetaminophen is a pregnancy risk category B. Animal studies do not show fetal risk or controlled studies in women do not show a fetal risk.
A nurse is preparing to administer amphotericin B IV to a client who has a systemic fungal infection. Which of the following drugs should the nurse prepare to administer prior to the infusion to prevent or minimize adverse reactions?
Acetominophen Diphenhydramine
A nurse is 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
A nurse is caring for a client who received an injection of penicillin G procaine. The client begins to experience dyspnea and tongue swelling. Which of the following actions should the nurse perform first?
Administer epinephrine subcutaneously The priority action the nurse should take when using the airway, breathing, circulation approach to client care is to administer epinephrine. The effect of the epinephrine is to act on adrenergic receptors, causing bronchodilation of the lungs and an elevation of blood pressure. By stimulating both alpha and beta adrenergic receptors to cause these effects, it accomplishes more of the goals of treatment of anaphylaxis than any other single therapy.
A nurse is preparing to administer enfuvirtide to a client. Which of the following actions should the nurse plan to perform? (Select all that apply)
Administer the drug subcutaneously Roll the vial gently to reconstitute the solution Inject the solution at room temperature
A nurse should recognize that enfuvirtide can be prescribed to clients who have which of the following conditions?
Advanced HIV Enfuvirtide, a fusion inhibitor, treats HIV that is advanced or resistant to other types of treatment. The nurse should always administer the drug with other antiretroviral drugs.
A nurse is caring for a client who has developed gout. Which of the following medications should the nurse prepare to administer?
Allopurinol Allopurinol is a xanthene oxidase inhibitor that reduces uric acid synthesis. The medication is prescribed to treat gout.
A nurse is instructing a client how to self- administer enfuvirtide. Which of the following instructions should the nurse include?
Allow the vial to sit until the solution is completely clear and without particulates When administering enfuvirtide, the client should inject sterile water to reconstitute it and gently roll the vial between the hands. Then, the client should let the vial sit until the solution is completely clear and without particulates, which might take up to 45 min. The client should allow the vial to warm to room temperature before the injection and refrigerate any unused portion.
A nurse is caring for a client who has HIV-1 infection and is prescribed zidovudine as part of the antiretroviral therapy. The nurse should monitor the client for which of the following adverse effects of this medication?
Aplastic anemia Severe myelosuppression that results in anemia (decreased red blood cells), agranulocytosis (decreased white blood cells), and thrombocytopenia (decreased platelets) is a life-threatening adverse reaction to zidovudine therapy. Consequently, zidovudine must be used cautiously in clients already experiencing myelosuppression, and the client must be monitored with a CBC performed every few weeks for early detection of marrow failure, which may lead to aplastic anemia.
A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a child. The nurse should recognize that the MMR vaccine provides which of the following types of immunity?
Artificial Active Immunity The nurse should recognize that the MMR vaccine provides artificial active immunity to the child. A vaccine contains a form of the disease that is live, attenuated, or killed, which will allow the body to build up an active immunity against the disease.
A nurse is teaching a client who has a new prescription for cyclobenzaprine. Which of the following information should the nurse include in the teaching?
Avoid driving until effects are known Cyclobenzaprine can cause drowsiness and dizziness. Instruct the client to avoid driving if these effects occur.
A nurse is caring for a client who has a streptococcal pharyngitis and an allergy to penicillin. The nurse should recognize that which of the following drugs can be safely administered to this client?
Azithromycin Azithromycin, a macrolide, is an acceptable alternative to penicillin for patients who have bacterial infections and are allergic to penicillin. The medication is effective against many gram-positive and gram-negative bacteria and is used for streptococcal pharyngitis.
A nurse is teaching a client who has a new prescription for transdermal testosterone gel to treat delayed puberty. Which of the following instructions should the nurse include? (select all that apply) A.Apply the gel to the scrotum B. Cover the area of application w/ clothing C. wash your hands after applying the gel D. Do not shower for sever hours after applying the gel E. apply the gel to the gums above an upper incisor
B, C, D Cover the area of application w/ clothing-clothing helps to prevent exposing other to the drug. Clients should let the gel dry before covering the application site w/ a shirt.Wash your hands after applying the gel-Clients should wash their hands after application to prevent exposing others to the drugDo not shower for several hours after applying the gel-clients should not shower or swim for several hours following application of transdermal testosterone gel to avoid washing off the gel
A nurse is assessing a client who has a new prescription of oxybutynin to treat neurogenic bladder. Which of the following assessment findings should the nurse identify as an adverse effect of the drug? (Select all that apply) A. Diaphoresis B. Dilated pupils C. Dizziness D. Distended bladder E. Fever
B, C, D, E Dilated pupils-Oxybutynin can cause mydriasis or dilated pupils, dry eyes, and blurred vision. Clients who take the drug should use lubricating eye drops to help reduce dryness.Dizziness- Oxybutynin can cause dizziness and drowsisness. clients who take the drug should use caution with activities that require alertness until they know how the drug will affect them.Distended bladder-oxybutynin can cause urinary retention and bladder distentionFever-Oxybutynin can cause heat exhaustion and fever. Clients who take the drug should use it with caution in hot weather.
A nurse is caring for a male client who has hyperthyroidism and is not responding to treatment. The nurse should identify that hyperthyroidism is a contraindication for which of the following drugs? A. Sildenafil B. Bethanechol C. Tamsulosin D. Finasteride
B. Bethanechol- Bethanechol a cholinergic drug, can cause cardiac dyrshythmias in clients who have hyperthyroidism by triggering the release of norepinephrine. This reaction does not occur in clients who do not have hyperthyroidism.
A nurse is providing teaching to a client about sildenafil to treat erectile dysfuntion. Which of the following instructions should the nurse include? A. Take the drug with a glass of grapefruit juice B. Do not take the drug with high-fat foods C. Increase intake of foods rich in vitamin k D. avoid aged cheeses and red wine
B. Do not take the drug with high fat foods high fat foods delay absorption and reduce peak effects of sildenafil. Clients who take the drug should not take it with high fat foods
A nurse is caring for patient taking prednisone, and also taking 1,500 mg/day of calcium carbonate (Tums) to reduce the risk of osteoporosis. What information should the nurse include in her teaching? A. Take calcium tablets with food B. Drink 240 mL (8 oz) of water with the calcium tablets C. Chew calcium tablets before swallowing them D. Take the drugs 1 hour apart E. Divide the daily dosage of calcium into three 500 mg doses
B. Drink 8 ounces of water with the calcium, C. Chew the calcium before swallowing, D. Take drugs 1 hour apart, E. Divide dosage into 3-500 mg doses.
A nurse is caring for a client who has benign prostatic hypertrophy and is taking tamsulosin. The nurse should question the use of the drug if the client also has which of the following? A. A seizure disorder for which he takes carbamazepine B. Erectile dysfuntion for which he take sildenafil C. Diabetes mellitus for which he takes glyburide D. Angle-closure glaucoma for which he take pilocarpine
B. Erectile dysfunction for which he takes sildenafil-Drugs that lower blood pressure, such as sildenafil, can exacerbate hypotension in combination w/ tamsulosin. Clients who take sildenafil should not take tamsulosin
A nurse is assessing a client who has a new prescription for the combination oral contraceptive ethinyl estradiol and drospirenone. Which of the following findings should the nurse identify as a contraindication to use of this medication? A. Drinks a glass of wine each night B. Smokes half a pack of cigarettes a day C. Runs marathons regularly D. Drives a school bus
B. Smokes half a pack of cigarettes a day Smoking increases the risks of thomboemolic events, hypertension, and cardiovacular disease for clients who are taking combination oral contraceptives, especially for those clients who are older than 35yrs. Clients should quit smoking before starting this drug therapy.
A nurse is caring for a client who has a new prescription for acyclovir to treat a herpes simplex infection. Which of the following laboratory values should the nurse monitor for this client?
BUN Acyclovir, an antiviral drug, can cause renal toxicity due to drug accumulation in renal tubules. The nurse should monitor the client's urine output, BUN, and creatine levels, and increase fluid intake to hydrate and flush the kidneys.
A nurse is caring for a client who has a fungal infection and has a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication?
BUN 55 mg/dL This BUN level is above the expected reference range (10-20 mg/dL). Amphotericin B is nephrotoxic and is contraindicated if BUN is > 40mg/dL. The nurse should report this laboratory value to the provider before initiating the medication.
A nurse is teaching a client about methotrexate. The nurse should inform the client to monitor for which of the following as an adverse effect of this drug? A. Muscle pain B. Peripheral edema C. Black, tarry stools D. Redness in the calf
Black, tarry stools Methotrexate can cause gastric intestinal ulceration, which can lead to perforation and bleeding. Monitor for blood in the stools or emesis and report
A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication?
Bleeding Aspirin can cause bleeding, tinnitus, gastric ulceration, nausea, and heartburn. The client should monitor and report manifestations of bleeding, such as black tarry stools.
A nurse is caring for a client who is taking warfarin and has a new prescription for trimethoprim/ sulfamethoxazole to treat a urinary tract infection. The nurse should clarify the prescriptions with the provider because taking these two drugs concurrently can increase the client's risk for which of the following?
Bleeding Trimethoprim/ sulfamethoxazole, a sulfonamide combination, can increase the effects of warfarin and increase the client's risk for bleeding. The nurse should request another prescription to treat the infection, or, if the client decides to take the drug, ask the provider to prescribe a lower warfarin dose and monitor prothrombin time carefully. The client should report any sign of bleeding, such as easy or unexplained bruising.
A nurse is assessing a client who has systemic lupus erythematosus and is taking hydroxychloroquine. The nurse should report which of the following adverse effects to the provider immediately?
Blurred Vision When using the urgent vs non-urgent approach to client care, the nurse should determine that the priority finding to report to the provider is blurred vision, as this is a manifestation of hydroxychloroquine toxicity and can be an indication of retinal damage.
A nurse is assessing a client who has systemic lupus erythematosus and is taking hydroxychloriquine. The nurse shoudl report which of the following adverse effects to the provider immediately?
Blurred vision When using the urgent vs non-urgent approach to client care, the nurse should determine that the priority finding to report to the provider is blurred vision, as this is a manifestation of hydroxychloroquine toxicity and can be an indication of retinal damage.
A nurse is planning care for a client who has a new prescription for methotrexate. The nurse should plan to monitor for which of the adverse effects?
Bone marrow depression Other adverse effects include thrombocytopenia, diarrhea, blurred vision, dysarthria, transient blindness
A nurse in a provider's office receives a call from a client who has been taking penicillin V three times daily and reports abdominal cramping with bloody diarrhea for several days. Which of the following instructions should the nurse give the client?
Bring in a stool sample for testing Abdominal cramping and bloody diarrhea can be caused by an overgrowth of the organism Clostridium difficile. The client should bring a stool sample in to be tested for the presence of this organism.
A nurse is caring for a client who received human menopausal gonadotropin (hMG). Which of the following findings should the nurse expect? A. Prolactin secretion B. Estrogen release C. Follicular maturation. D. Oxytocin secretion
C. Follicular maturation Before a client receives human chorionic gonadotropin (hCG) to stimulate ovulation, they must receive a drug that induces follicular maturation, such as hMG, which is a mixture of LH and FSH, c lomiphene, or follitropin. Clients receive hCG 1 day after the last dose of hMG of follitropin or 7-9 days after the last clominphene dose.
A nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include? A. Monitor for rectal bleeding B. Avoid drinking alcoholic beverages C. Have blood pressure checked regularly D. sit up for 30min after taking the drug
C. Have blood pressure checked regularly-Using conjugated estrogen and medroxyprogesterone, a combination of estrogen and progestin for hormone replacement, can cause hypertension. Clients taking the drug combination should have their blood pressure checked regularly and report headache or edema
A nurse is caring for a client who is about to begin clomiphene therapy to treat infertility. The nurse should monitor the client for which of the following adverse effects? A. Breast cancer B. Deep-vein thrombosis C. Ovarian hyperstimulation syndrome D. Restless leg syndrome
C. Ovarian hyperstimulation syndrome-Pelvic pain can indicate ovarian hyerstimulation and can lead to ovarian cyst rupture. The nurse should monitor a client who is taking clomiphene for ovarian enlargement and advise them to seek medical attention immediately for sudden or severe pelvic pain.
A nurse is caring for a client who missed a dose of her oral contraceptive. Which of the following instructions should the nurse give the client? A. Take a pregnancy test B. Double up on pills for remainder of the pack C. Take the missed dose as soon as possible D. Stop the oral contraceptive and use a different contraceptive
C. Take the missed dose as soon as possible.The nurse should tell the client to take the missed dose along with the next dose. Should the client miss two doses, she should take an additional dose each day for the next 2 days and add an additional method of birth control for the remainder of the cycle.
A nurse is caring for a client who has a new prescription for conjugated equine estrogen. The nurse should instruct the client to report which of the following indication of a serious adverse reaction? A. Hot flashes B. urinary tract infection C. Vaginal bleeding D. Bone pain
C. Vaginal bleeding-estrogen hormone replacement therapy increases the risk of endometrial cancer. The nurse should instruct clients using the drugs to report recurrent or persistent vaginal bleeding and pelvic pain.
A nurse is preparing to administer finasteride to a client who has benign prostatic hypertrophy (BPH). Which of the following precautions should the nurse plan to take when administering this drug? A. Refrain from crushing the tablet B. Withhold the medication if the client doesnt eat C. Wear gloves when handling the tablet D. Monitor heart rate prior to administration
C. Wear gloves when handling the tablet-The nurse should avoid touching the drug because it can be absorbed through the skin. For women, this can potentially cause harm if they are pregnant and have a male fetus. Women should also avoid exposure to semen from individuals who are taking finasteride.
After administration of Terbutaline to a client to inhibit preterm labor, the nurse should assess which of the following? A. Peripheral pulses B. Temperature C. Vision D. Heart Rate
C. heart rate- Terbutaline can cause tachycardia, chest pain, and palpitations. The nurse should monitor the clients ECG for tachycardia and other dysrhythmias and monitor fetal heart rate and rhythm
A nurse is teaching a client about raloxifene therapy to prevent osteoporosis. The nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug?
Calf pain Raloxifene can increase the risk of deep-vein thrombosis, which can lead to a pulmonary embolism or cerebrovascular accident. Clients should avoid long periods of inactivity and report any pain, redness, or swelling in the calf.
A nurse in a provider's office receives a call from a client who is taking amoxicillin to treat a respiratory infection and reports a rash and wheezing. Which of the following instructions should the nurse give the client?
Call emergency services immediately Amoxicillin can cause a severe anaphylactic reaction. A client who has difficulty breathing should call emergency services and seek immediate care. The client will need to be treated with epinephrine and an antihistamine, such as diphenhydramine, to treat an anaphylactic reaction.
When administering erythromycin to a patient who has cystic acne, a nurse should monitor for which of the following adverse effects?
Cardiac dysrhythmias Erythromycin, a macrolide, can cause ECG changes, including a prolonged QT interval, and put the client at risk for a potentially fatal ventricular dysrhythmia. The nurse should monitor the client's ECG and tell the client to report palpitations, fainting, or dizziness. The drug is contraindicated for clients who have a history of QT prolongation.
A nurse is caring for a client who has a gynecologic infection and history of alcohol use disorder. The nurse should identify that which of the following drugs can cause a reaction similar to disulfiram if the client drinks alcohol while taking it?
Cefotetan Metronidazole Cefotetan, a second- generation cephalosporin, can cause a reaction similar to what disulfiram causes when clients consume alcohol. This reaction manifests as nausea, severe vomiting, headache, weakness, and hypotension.Metronidazole, an antiparasitic drug, can cause a reaction similar to what disulfiram causes when clients consume alcohol. this reaction manifests as nausea, severe vomiting, headache, weakness, and hypotension.
A nurse in a providers clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following action should the nurse take when the client reports bleeding gums?
Check the value of the client's current platelet count The nurse should recognize that the bleeding is likely due to the adverse effect of the chemotherapy and needs to be evaluated further. Bleeding gums is a sign of thrombocytopenia (decreased platelet count) secondary to bone marrow suppression, which can be life-threatening in a client who is receiving chemotherapy.
A nurse should recognize that maraviroc is used in the treatment of which of the following conditions?
Chemokine receptor 5 (CCR5) tropic HIV-1 Maraviroc, a CCR5 antagonist, acts by binding to CCR5 and preventing HIV-1 from entering the cell. It is used in the treatment of clients who have CCR5-tropic HIV-1.
A nurse is teaching a client who has a new prescription for imatinib to treat chronic myeloid leukemia. Which of the following instructions should the nurse include?
Clean fruits and vegetables thoroughly Weigh yourself daily Perform hand hygiene frequently Avoid grapefruit and grapefruit juice
A nurse in a provider's office receives a call from a client who is taking tetracycline orally to treat a chlamydia infection and reports severe blood- tinged diarrhea. The nurse should suspect the client is experiencing which of the following?
Clostridium difficile- associated diarrhea Severe diarrhea, often containing mucus and blood, can indicate Clostridium difficile associated diarrhea. Treatment includes stopping drug therapy and replacing fluid and electrolytes. Clients should immediately report severe diarrhea and blood in the stools.
A nurse is caring for a client who is about to begin taking nitrofurantoin to treat a urinary tract infection. The nurse should tell the client to report which of the following adverse effects of the drug?
Cough Nitrofurantoin, a urinary tract antiseptic, can cause cough, shortness of breath, chest pain, and fever. These adverse effects can indicate an acute allergic react and require immediate discontinuation of drug therapy.
A nurse should questions the use of conjugated equine estrogen by a client who has a history of which of the following? A. Osteoporosis B. Peptic ulcer disease C. Rheumatoid arthritis D. Blood Clots
D. Blood Clots-Clients who have a history of thromboembolic disease should not use estrogen replacement therapy because of the risks of thrombophlebitis, myocardial infarction, pulmonary embolism, and cerebrovascular accident.
A nurse is teaching a client who has a new prescription for a testosterone transdermal patch. Which of the following statements made by the client indicates an understanding of the teaching? A. I should have pancreatic function tests obtained while taking this drug B. I should have my white blood cell count checked annually C. I should take off the patch to shower D. I should apply the medication to a different site each time
D. I should apply the medicaiton to a different site each time-The client should rotate the application sites with each application to prevent skin irritation
A nurse is caring for a client who is about to begin taking cabergoline to treat infertility. The nurse should explain to the client the need to monitor which of the following laboratory values? A. Potassium B. Glucose C. BUN and creatinine D. Prolactin Level
D. Prolactin level - Cabergoline inhibits the secretion of prolactin. The provider should monitor prolactin levels to determine the appropriate dosage
A nurse is caring for a client who is taking combination oral contraceptive ethinyl estradiol and drospirenone and is about to begin taking rifampin to treat tuberculosis. Which of the following instructions should the nurse give the client due to a possible drug interaction? A. increase the rifampin dose B. increase the oral contraceptive dose C. wait 2hrs between taking each drug D. use additional birth control methods
D. Use additional birth control methodsRifampin can increase the metabolism of oral contraceptives, reducing the effectiveness. Clients who are taking oral contraceptives and rifampin should use additional contraceptive methods to prevent an unwanted pregnancy. Others drugs that can reduce the effects of oral contraceptives include some antifungal agents and anticonvulsants
A nurse is 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 which of the following actions?
Decreases activity of osteoclasts Osteoclasts are cells that cause bone resorption or bone loss. Alendronate reduces the activity of osteoclasts, reducing bone loss and increasing bone mass.
A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication?
Decreases inflammation Prednisone is used to treat rheumatoid arthritis because it produces anti-inflammatory and immunosuppressive effects, which reduces inflammation, decreases pain, and increases mobility.
A nurse is teaching a client who has a new diagnosis of breast cancer about the drug tamoxifen. The nurse should tell the client that which of the following conditions is a contraindication for taking tamoxifen?
Deep vein thrombosis Tamoxifen, an estrogen receptor blocker, can cause thromboembolism. Its use requires cautious use with clients who have deep-vein thrombosis.
A nurse is caring for a client who is about to begin receiving acyclovir IV to treat a viral infection. The nurse should recognize that cautious use of the drug is essential if the client also has which of the following conditions?
Dehydration Acyclovir, an antiviral drug, can cause renal toxicity, especially in clients who are dehydrated. Hydration during and after IV infusion of the drug can help prevent crystalluria.
A nurse is caring for a client who has a new prescription for intrathecal cytarabine therapy to treat meningeal leukemia. The nurse should inform the client that they will also receive which of the following drugs to reduce the risk of neurotoxicity?
Dexamethasone Clients who have a prescription for the intrathecal form of cytarabine should also receive dexamethasone, a glucocorticoid, to help decrease the inflammation of the arachnoid that the drug can cause. IV dexamethasone reduces the client's risk for neurotoxicity.
A nurse is providing teaching a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following instructions should the nurse include?
Do not drink alcoholic beverages while taking this medication Report unexplained bruising to the provider Avoid people who have infections
A nurse is assessing a client who has a peripheral IV with a continuous infusion. Which of the following findings is a manifestation of phlebitis?
Erythema Throbbing Warmth at insertion site Streak formation
A nurse is reviewing a client's prescriptions prior to administering gentamicin to the client to treat a systemic infection. The nurse should clarify the use of gentamicin with the provider if the client is taking which of the following drugs?
Ethacrynic acid Gentamicin, an aminoglycoside, and ethacrynic acid, a loop diuretic, are ototoxic drugs. The nurse should identify that concurrent use increases the client's risk for hearing loss.
A nurse preparing to administer paclitaxel IV to a client who has ovarian cancer. Which of the following actions should the nurse take?
Give the client an antihistamine Administer the drug through non- PVC tubing Use an in- line filter
A nurse is caring for a client who is to start taking cyclosporine following a kidney transplant. The nurse should instruct the client that which of the following foods can have an adverse interaction with this medication?
Grapefruit juice
A nurse is teaching the guardian of a 4- month- old infant about recommended immunizations for the infant. Which of the following immunizations should the nurse include?
Haemophilus influenza type B vaccine (Hib) The nurse should inform the guardian that the Haemophilus influenzae type B vaccine (Hib) is recommended for infants and children to prevent a serious type of meningitis commonly seen in young children.
A nurse is caring for a client who is prescribed zidovudine. Which of the following laboratory values should the nurse report to the provider?
Hemoglobin 7.1 g/dL(shouldn't be less than 7.5)
A nurse is teaching a client about recommended immunizations. Which of the following immunizations should the nurse recommend the client receive starting at 50 years of age?
Herpes zoster vaccine The herpes zoster, or shingles vaccine, is recommended for adults older than 50 years of age.
A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for her to take aspirin. The nurse should recognize which of the following findings in the client's history is a contraindication to this medication?
History of gastric ulcers Aspirin is contraindicated for clients who have a history of gastrointestinal bleeding and peptic ulcer disease because it impedes platelet aggregation. An adverse effect of aspirin is gastric bleeding.
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? A. Aspirin B. Salicylates C. Sulfonylureas D. Ibuprofen
Ibuprofen Aspirin can increase the risk for methotrexate toxicity when administered concurrently. Salicylates can increase the risk for methotrexate toxicity when administered concurrently. Sulfonylureas can increase the risk for methotrexate toxicity when administered concurrently.
A nurse is caring for a client who has a new prescription for topotecan therapy to treat resistant, small- cell lung cancer. The nurse should advise the client against taking which of the following types of over-the-counter drugs while receiving the therapy?
Ibuprofen NSAIDs, anticoagulants, and antiplatelet drugs increase the client's risk for bleeding while receiving topotecan, a topoisomerase inhibitor. The nurse should advise the client against taking aspirin, ibuprofen, and other NSAIDs during therapy.
Alendronate is contraindicated for administration to clients who have which condition?
Inability to sit upright Alendronate is contraindicated for administration to a client who cannot sit upright or stand for 30 min. Clients should drink 240 mL (8 oz) of water after taking the drug and sit upright or stand for at least 30 min to prevent esophagitis.
A nurse is caring for a client who has a prescription for etanercept. The nurse should identify that etanercept treats rheumatoid arthritis by which of the following actions?
Inactivation of tumor necrosis factor Etanercept directly binds to the tumor necrosis factor (TNF), preventing the attachment of TNF onto the cell's surface. This prevents the autoimmune response and subsequent inflammation of the joints.
A nurse is caring for a patient who is taking raloxifene (Evista) what information should nurse include? A. Perform a breast self-examination twice per month B. Increase activity such as walking C. Use contraceptive if any risk of pregnancy D. Take the drug on an empty stomach E. Increase intake of calcium and vitamin D
Increase activity such as walking, use contraceptive if any risk of pregnancy, increase intake of calcium and vitamin D
A nurse should identify that a client who has diabetes mellitus and is taking etacercept is at an increased risk for which of the following adverse effects?
Infection Etanercept increases the risk of developing a serious infection. Providers should not prescribe etanercept for clients who have an existing infection and should use it cautiously with clients who have diabetes mellitus because the disease itself already causes an increased risk for infection.
Which of the following is a therapeutic action of raloxifene?
Mimics the effects of estrogen on bone tissue Raloxifene mimics the effects of estrogen on bone tissue, minimizing or stopping bone loss.
A nurse is caring for a client who has a prescription for rifampin to treat tuberculosis. The nurse should expect the provider to prescribe which of the following drugs to the client to prevent possible resistance to rifampin?
Isoniazid Isoniazid is used to treat tuberculosis and reduces the possibility of resistance to rifampin when combined with the drug. Drug resistance can develop quickly if the client only takes rifampin.
A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is contraindicated to taking sildenafil?
Isosorbide Clients who are on nitrates including isosorbide and nitroglycerin preparations cannot take sildenafil, because of the serious medication interaction. There is the possibility of sudden death due to hypotension.
A nurse is teaching a client about maraviroc. Which of the following instructions should the nurse include?
It is important to report any noticeable rash immediately as it might indicate an issue with your liver Hepatic injury can manifest as a rash in clients who take maraviroc and should be reported to the provider regardless of how mild it appears.
A nurse is caring for a client who is about to begin taking isoniazid to treat tuberculosis. The nurse should instruct the client to report which of the following adverse effects of the drug? (Select all that apply.)
Jaundice Numbness of the hands Dizziness
A nurse is providing teaching to a client who has osteoporosis and a new prescription for alendronate. Which of the following adverse effects should the nurse instruct the client to report to the provider?
Jaw pain Blurred vision Dysphagia
A nurse should instruct a client who is taking alendronate to monitor for which of the following adverse effects?
Jaw pain, blurred vision, muscle pain
A nurse is preparing to administer alendronate to a client who has osteoporosis. The nurse should recognize which of the following as an adverse effect of alendronate? A. Venous thromboemboli B. Ventricular dysrhythmias C. Breast cancer D. Joint pain
Joint pain Other adverse effects are nausea, visual disturbances and esophagitis.
A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medication for this client?
Leuprolide Leuprolide treats cancer of the prostate hormonally. It antagonizes the androgens that androgen-dependent neoplasms require.
A nurse is caring for a client who has a new prescription for maraviroc therapy. The nurse should instruct the client to report which of the following adverse effects?
Paresthesia Cough Jaundice Fever
A nurse is caring for a client who has a new prescription for cisplatin to treat testicular cancer. The nurse should instruct the client to report which of the following adverse effects?
Paresthesia Sore Throat Flank Pain Tinnitus
A nurse is caring for a client who has a new prescription for delavirdine to treat HIV-1. The nurse should instruct the client to report which of the following adverse reactions to the drug?
Rash Delavirdine, a non-nucleoside reverse transcriptase inhibitor, can cause a rash. The nurse should instruct the client to report a rash, which can occur 1 to 3 weeks after therapy, because it can develop into Stevens-Johnson syndrome, a potentially life-threatening complication.
A nurse is caring for a client who has a new prescription for aztreonam to treat a respiratory tract infection. Which of the following findings in the client's medical record should the nurse recognize as requiring cautious use for this prescription and report to the provider?
Renal impairment Aztreonam, a monobactam, requires cautious use with clients who have renal dysfunction because it is excreted in the urine. Renal impairment could affect the excretion of aztreonam, allowing the level of the drug to accumulate. The nurse should report this finding to the provider, so the provider can prescribe a lower dose for the client or prescribe a different antimicrobial drug.
A nurse is caring for patient who is to begin taking calcitonin-salmon (Miacalcin) intranasal spray to treat osteoporosis, which of the following information should the nurse include?
Report rash or itching, prime the pump, report nasal irritation
A nurse should recognize that raltegravir is used to treat clients who have which of the following conditions?
Resistant HIV Raltegravir, an integrase inhibitor, along with other antiretroviral drugs, treats HIV that is resistant to other drugs. The nurse should administer raltegravir with other antiretroviral drugs.
A nurse is caring for a client who is about to begin taking metronidazole to treat an anaerobic intra- abdominal bacterial infection. The nurse should recognize that cautious use of the drug is indicated if the client also has which of the following conditions?
Seizure disorder Metronidazole, an antiparasitic drug, can cause ataxia, vertigo, and seizures. It requires cautious use with clients who have a history of seizure activity, liver or renal failure, or heart failure.
A nurse is caring for a client who is taking etanercept for rheumatoid arthritis. The nurse should monitor the client for which of the following indications of a serious adverse reaction to the drug? A. Excessive salivation B. Increased thirst C. Blood in the urine D. Shortness of breath
Shortness of breath Etanarcept can cause HF which manifests as SOB, cough, hypertension, tachycardia and pink-tinged sputum
A nurse is teaching a client who is taking etanercept for rheumatoid arthritis. The nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug?
Skin rash Not tinnitus, diarrhea, dysphagia
A nurse is teaching a group of young women about the use of oral contraceptives. The nurse should teach that taking which of the following herbal preparations reduces the effectiveness of this birth control method?
St. John's wort St. John's wort decreases the effectiveness of oral contraceptives and can be responsible for breakthrough bleeding and unintended pregnancies.
A nurse is administering cefotetan IV to a client to treat bacterial meningitis. The nurse notes that the IV insertion site is warm, edematous, and painful to the touch. Which of the following actions should the nurse take?
Stop the cefotetan infusion The nurse should stop the infusion, remove the IV catheter, assess for tissue damage, and treat the client accordingly. The nurse should then initiate IV access via another site, continuing cefotetan therapy according to prescribed parameters.Switching the client to another antibiotic is essential when the current drug is ineffective or the client has an intolerable reaction to it.The edematous, painful, and warm IV insertion site does not indicate an allergic reaction. The nurse should administer an antihistamine, such as diphenhydramine, if the client has hives, a rash, or other indications of an allergy to cephalosporins.Because the client could have thrombophlebitis, slowing the infusion will not alleviate the potential tissue damage or risk of embolus, and the IV site should be changed. To prevent thrombophlebitis, the nurse should dilute cefotetan, a second- generation cephalosporin, and infuse it slowly over 20 to 30 min.
A nurse in a provider's office receives a call from a client who is taking imipenem to treat a bacterial infection and reports an inability to eat due to mouth pain. The nurse should identify that the client might be experiencing which of the following as an adverse effect of this drug.
Superinfection Imipenem, a carbapenem, can cause the superinfection Candida albicans in the mouth, throat, or vagina. It can also cause glossitis, an inflammation or infection of the tongue. Clients taking the drug should report any mouth pain or vaginal discharge and itching because they might require treatment with an antifungal drug.
A nurse is caring for a client who is about to begin taking itraconazole to treat a fungal infection. The nurse should instruct the client to report which of the following adverse effects of the drug?
Swelling of hands or feet Itraconazole, an azole antifungal drug, can cause edema, which can also indicate heart dysfunction, and should be monitored closely.
A nurse in a provide's office receives a call from a client who is taking ciprofloxacin to treat a respiratory tract infection and reports dyspepsia. Which of the following instructions should the nurse give the client?
Take an antacid at least 2 hr before taking the drug The nurse should recommend that the client take an antacid to relive the dyspepsia (indigestion) at least 2 hr prior to taking ciprofloxacin, a fluoroquinolone. This is because antacids decrease the absorption of the drug.
A nurse is caring for a client who is taking ciprofloxacin to treat a urinary tract infection. The client also takes prednisolone to treat rheumatoid arthritis. Recognizing the adverse effects of ciprofloxacin, the nurse should instruct the client to report which of the following adverse effects?
Tendon Pain Ciprofloxacin, a fluoroquinolone, can cause tendon rupture, most often of the Achilles tendon. This adverse effect is especially common for older adults or clients who take glucocorticoids, such as prednisolone. The nurse should tell the client to report tendon pain and stop taking the drug.
A nurse is assessing a client who comes to the clinic for a seasonal influenza vaccine. The client says he read about an influenza vaccine that is given as a nasal spray and wants to receive it. Which of the following is a contraindication for the client to receiving the live attenuated influenza vaccine ( LAIV )?
The client's age is 62 Clients must be between the ages of 2 and 49 to receive the LIAV; therefore, it is contraindicated for this client. Pregnancy and immunocompromised status are also contraindications.
A nurse is caring for a client who has a new diagnosis of bacterial meningitis. The nurse should expect the provider to prescribe a drug from which of the following classifications of antibiotics?
Third generation cephalosporins Later generation cephalosporins are used to treat infections that cross the blood- brain barrier, and third- generation are specifically prescribed to treat bacterial meningitis.
A nurse is caring for a client who is currently taking methotrexate for rheumatoid arthritis. The nurse should identify that which of the following is an adverse effect of this medication?
Thrombocytopenia
A nurse is caring for a client who has a new prescription for ritonavir and zidovudine therapy to treat HIV-1. The nurse should inform the client that zidovudine is prescribed with ritonavir for which of the following reasons?
To prevent drug resistance The nurse should explain that zidovudine, a nucleoside reverse transcriptase inhibitor, is administered along with ritonavir, a protease inhibitor, to reduce the risk for drug resistance and to increase drug effectiveness. Monotherapy with zidovudine quickly results in drug resistance, as is also the case with monotherapy with ritonavir.
A nurse is considering drug therapy options for a client who has metastatic breast cancer that is postive for human epidermal growth factor receptor 2 (HER2). Which of the following drugs should the nurse expect the provider to prescribe?
Trastuzumab Trastuzumab, a monoclonal antibody and a pregnancy risk category D drug, treats and helps control the cell growth of metastatic breast cancer with tumors that overexpress HER2. This form of breast cancer accounts for up to 30% of metastatic breast tumors.
A nurse is caring for a client who is about to begin gentamicin therapy to treat an infection. The nurse should monitor the client for an alteration in which of the following?
Urine output Gentamicin, an aminoglycoside, can cause nephrotoxicity. The nurse should monitor the client's BUN and creatine levels and for an increased output of diluted urine. It is also essential to monitor serum gentamicin levels and maintain a therapeutic range.
A nurse is providing teaching for a client who takes an oral contraceptive and is about to begin rifampin therapy to treat tuberculosis. Which of the following instructions should the nurse include?
Use a non- hormonal form of contraception Rifampin, an antimycobacterial drug, can increase the metabolism of oral contraceptives, reducing their effectiveness. Clients who are taking oral contraceptives and rifampin should use additional, non- hormonal contraceptive methods to prevent an unwanted pregnancy.
A nurse is teaching a client who has a new prescription for mercaptopurine to treat leukemia. Which of the following instructions should the nurse include?
Use contraception if pregnancy is a risk Perform oral hygiene frequently Perform hand hygiene frequently Avoid activities that can cause injury
A nurse is 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 first time?
Use skin testing to check the client for allergies
A nurse is caring for a client whose sputum culture results indicate methicillin- resistant Staphylococcus aureus (MRSA). The nurse should recognize that which of the following medications will likely be administered to this client?
Vancomycin Vancomycin, a potentially toxic antibiotic, is used primarily to treat serious infections in clients who are allergic to penicillin or whose infecting bacteria are resistant to penicillin, such as MRSA. The term methicillin-resistant refers generally to a lack of susceptibility to methicillin (no longer prescribed), all penicillins, cephalosporins, tetracyclines, beta-lactams, and many other antimicrobial drugs.
A nurse is teaching a client who has a prescription for calcitonin-salmon about manifestations of hypercalcemia. Which of the following manifestations should the nurse include in the teaching? A. Muscle twitching B. Fever C. Nervousness D. Vomiting
Vomiting Manifestations of hypercalcemia include nausea, vomiting, flank pain, lethargy, deep bone pain.
A nurse is caring for a client who is receiving vincristine to treat lung cancer. The nurse should monitor the client and recognize which of the following manifestations as an indication that the client is experiencing an adverse effect of the drug.
Weak hand grasps Vincristine, a vinca alkaloid, can cause peripheral neuropathy. The nurse should monitor deep-tendon reflexes and the strength and movement of the hands and feet. The nurse should instruct the client to report paresthesia or reduced sensation in the hands or feet.
A nurse is assessing a client following a trastuzumab infusion to treat metastatic breast cancer. Which of the following findings should the nurse recognize as an indication that the client is experiencing an adverse reaction to the drug?
Wheezing Dysrhythmias Hypotension Fever
A nurse is teaching a client about immunizations. Which of the following information should the nurse include in the teaching?
You should receive a tetanus booster every 10 years
A nurse is caring for a patient who is about to begin methotrexate therapy for rheumatoid arthritis. The nurse should include what in the teaching?
avoid people who are sick, get periodic lab tests, report bruising or petechia, avoid drinking alcohol
