pharmacology

a nurse is teaching a client who has a prescription for a combination oral contraceptive (OC) that uses a 28-day cycle. which of the following instructions should the nurse include in the teaching? a. if you miss a pill take the missed pill with your next dose b. if you miss 2 pills during the second and third week, discard the inactive placebo pills and begin a new pack c. if you miss 3 pills during the second week, take a pill as soon as possible and continue with your scheduled doses d. you can miss up to 7 pills with little risk in getting pregnant as long as you have taken the pills regularly for the previous 3 weeks

. you can miss up to 7 pills with little risk in getting pregnant as long as you have taken the pills regularly for the previous 3 weeks

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 space c. respimat d. nebulizer

Dry- powder inhaler (DPI)

"a nurse is assessing a client with rheumatoid arthritis who has been taking high doses of prescribed hydroxychloroquine. which of the following client statement should indicate to the nurse that the client is experiencing adverse effects of hydroxychloroquine? a. I have developed sores in my mouth b. I often feel like the room is spinning. c. I noticed that the whites of my eyes look yellow. d. I have had a change in my vision recently

I have had a change in my vision

a nurse is teaching client who has a new diagnosis of angina and has a prescription for isosorbide mononitrate (causes orthostatic hypotension) 10 mg PO twice daily. which of the following client statements indicates an understanding of the teaching a. i can take my second dose of medication no later than 9:00pm b. I should change positions slowly when getting out of bed c. if i miss a dose, i should double the next dose d. I should notify my provider if i experience a headache while taking this medication

I should change positions slowly when getting out of bed

a nurse is assessing a child who has acute lymphocytic leukemia and is receiving vincristine sulfate. which of the following findings is the nurse's priority a. paresthesia b. alopecia c. stomatitis d. constipation

Paresthesia

a nurse is teaching about levodopa with a family member of a client who has Parkinson disease. which of the following pieces of information should the nurse include? a. a full therapeutic response may take several months to happen b. the medication should be taken with high-protein foods c. a full therapeutic response might cause vivid dreams d. the medication is given at the onset of mild symptoms

a full therapeutic response may take several months to happen

a nurse is providing discharge teaching for a client who has a new prescription for metoprolol. which of the following instructions should the nurse include? (select all that apply) a. do not stop taking this medication abruptly b. take the medication right before bedtime c. avoid exposure to sunlight. d. count your radial pulse daily e. change position slowly

a. do not stop taking this medication abruptly d. count your radial pulse daily e. change position slowly

a nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. which of the following actions should the nurse take? a. administer the medication into the client's abdomen. b. inject the medication into a muscle c. massage the site after administering the medication. d. use a 22-gauge needle to administer the medication

administer the medication into the client's abdomen.

a nurse is administering a medication parenterally to a client. which of the following techniques should the nurse use to reduce fluctuations in plasma medication levels? a. gradually increasing the dose with the dosing interval b. administering a single loading IM dose c. using a large fluid-volume IV dose d. administering a continuous infusion of the dose

administering a continuous infusion of the dose

a nurse is teaching a group of nurses about the manifestations of progestin deficiency for clients who take a combination oral contraceptive (OC). which of the following findings should the nurse include in the teaching as an indication of progestin deficiency a. amenorrhea b. weight gain c. depression d. acne

amenorrhea

a nurse is caring for a client who is due to receive general anesthesia. the client asks the nurse, which is the difference between an analgesic and anesthesia? which of the following statements should the nurse make? a. analgesics can cause a lack of sensation b. anesthesia is specifically for eliminating pain perception c. analgesics treat pain without causing sedation d. anesthesia can cause loss of consciousness

anesthesia can cause loss of consciousness

a nurse in a postpartum unit is caring for a client who plans to breastfeed her newborn exclusively. the client has a prescription for depot medroxyprogesterone acetate (DMPA). at which of the following times should the nurse schedule the client to receive the first dose of the medication? a. after 3 months postpartum b. at 6 weeks postpartum. c. within the first 5 days postpartum d. during the first week of the first postpartum menstrual cycle

at 6 weeks postpartum

a nurse is caring for a client with a pseudomonas infection who has a new prescription for ticarcillin-clavulanate. which of the following data should the nurse collect before administering this medication. a. indications of superinfection b. peak and trough medication levels c. baseline BUN and creatinine d. history of allergy to aminoglycoside antibiotics

baseline BUN and creatinine

a nurse is caring for a client who has a prescription for clopidogrel. the nurse should monitor the client for which of the following adverse effects? a. insomnia b. hypotension c. bleeding d. constipation

bleeding

a nurse is planning to administer epoetin alfa to client who has chronic kidney failure. which of the following should the nurse plan to review prior to administering this medication a. blood pressure b. temperature c. blood glucose levels d. total protein level

blood pressure

a nurse is caring for a client who is experiencing cycloplegia following the administration of atropine eye drops during an eye examination. which of the following findings should the nurse expect as a result of cycloplegia. a. inability to tolerate bright light b. pinpoint pupils c. blurred vision d. inability to perform an upward gaze

blurred vision

a nurse is caring for a client who has a prescription for QT interval medication. which of the following conditions should the nurse identify as an adverse effect of this medication a. bradycardia b. jaundice c. low blood pressure d. dark urine

bradycardia

a nurse is teaching a client who has primary adrenal insufficiency (addison,s disease) and a prescription for hydrocortisone. which of the following statements should the nurse include in the teaching about this medication a. you may need to take a lower dosage when you are ill or experiencing stress b. take this medication before going to bed because it will make you tired c. carry a supply of pills and a single-use injectable preparation with you at all times d. you will need to stop this medication before routine procedures such as a colonoscopy

carry a supply of pills and a single-use injectable preparation with you at all times

a nurse is caring for a client who has a new diagnosis of rheumatoid arthritis. the nurse should anticipate a prescription from the provider for which of the following medications for daily management of this condition? a. celecoxib b. prednisone c. adalimumab d. abatacept

celecoxib

baclofen PO --adverse effect, a. dizziness b. orthostatic hypotension c. change position slowly while taking this medication

change position slowly while taking this medication

a nurse is checking a client who is receiving an IV infusion of telavancin for streptococcus pyogenes. which of the following actions should the nurse include? a. check to see if the client's urine is blue in color b. check the client for pruritus . c. check for hypertension d. check for numbness in the limbs

check the client for pruritus

a nurse is teaching an assistive personnel (AP) about dietary restrictions for a client who is taking phenelzine to treat depression. the AP's selection of which of the following foods for the client's lunch indicates an understanding of the teaching a. bologna on wheat bread b. chicken salad c. cheddar cheese and crackers d. pizza with pepperoni

chicken salad

a nurse is completing the admission history for a client who report drinking 1 pint of whiskey every day for 6 years. the client's last drink was 10 hr ago. which of the medications should the nurse plan to administer upon admission a. chlordiazepoxide b. disulfiram c. naloxone d. acetaminophen

chlordiazepoxide

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? (hypotension) a. diabetes mellitus. b. current use of isosorbide to treat heart failure. c. eyeglasses for presbyopia. d. osteoarthritis

current use of isosorbide to treat heart failure

a nurse is monitoring a client who is receiving lactulose for cirrhosis. which of the following laboratory values related to this medication should indicate to the nurse that the treatment is effective a. increased aspartate aminotransferase (AST) b. decreased alanine aminotransferase (ALT) c. increased prothrombin time (PT) d. decreased serum ammonia

decrease serum ammonia

a nurse is assessing a client who has aids and is taking zidovudine. which of the following findings is the nurse priority for the nurse to report to the provider? a. nausea and vomiting b. decreased hemoglobin c. decrease appetite d. anxiety

decreased hemoglobin

a nurse is caring for a client who is taking budesonide to treat crohn's disease. which of the following findings should indicate to the nurse that the treatment is effective? a. decreased blood glucose b. increase potassium c. increased prostaglandin synthesis d. decreased inflammation

decreased inflammation

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. potentiative interaction b. detrimental inhibitory interaction c. increased adverse reaction d. toxicity-reducing inhibitory interaction

detrimental inhibitory interaction

a nurse is caring for a client who is taking selegiline. the nurse should monitor the client for which of the following adverse effects of selegiline and notify the provider if it occurs a. bruising b. drowsiness c. coughing d. constipation

drowsiness

a nurse is teaching a client who has a new prescription for enteric-coated aspirin as stroke prophylaxis. the client asks the nurse why the provider prescribed an enteric-coated medication. which of the following responses should the nurse give a. the enteric coating allows a lower dosage to be given b. enteric coating medications have better absorption in the body c. enteric coated medication cause less gastric irritation d. the enteric coating provides a steady release of the medication over time

enteric coated medication cause less gastric irritation

a nurse is caring for a client who is receiving cefotetan 1 g via intermittent IV bolus every 12hr to treat a postoperative infection. which of the following should the nurse monitor for an adverse effect of the medication. a. disorientation b. epistaxis c. constipation d. jaundice

epistaxis

a nurse is caring for a female client who has been taking clomiphene to treat infertility. which of the following findings should indicate to the nurse that the medication has been effective a. decreased serum luteinizing hormone levels (LH) b. follicular enlargement and conversion to corpus luteum after ovulation c. increased human chorionic gonadotropin levels d. blocked endogenous release of LH and prevention of premature ovulation

follicular enlargement and conversion to corpus luteum after ovulation

a nurse is caring for a client who has a new prescription for levothyroidism. which of the following findings should the nurse identify as an indication that the client requires intervention? a. heart rate 106/min b. dry skin c. oral temperature d. lethargy

heart rate 106/min

a nurse is reviewing the medical history of a client who has spasticity due to multiple sclerosis and a new prescription of tizanidine. which of the following comorbidities increases the client's risk of adverse effects while taking this medication. a. pneumonia b. benign prostatic hypertrophy (BPH) c. hepatitis d. diabetes mellitus

hepatitis

a nurse is reviewing the medical record of a client who has postmenopausal osteoporosis and a prescription for raloxifene. which of the following findings in the client's medical record should the nurse identify as a contraindication to receiving this medication? a. breast cancer b. history of deep-vein thrombosis (DVT) c. allergy to calcitonin d. current diagnosis of cholecystitis

history of deep-vein thrombosis (DVT)

digoxin toxicity (eat high potassium content) a. hyperkalemia b. hypokalemia c. cough d. sweat

hypokalemia

"A nurse is preparing to administer a sublingual nitroglycerin tablet to a client who is reporting chest pain. for which of the following adverse effects should the nurse monitor after giving this medication? a. hypotension myalgia c. diarrhea d. ototoxicity

hypotension

a nurse is caring for a client with multiple sclerosis and neurogenic bladder who is receiving bethanechol. the nurse should identify that which of the following client statements indicates a therapeutic action of the medication a. my mouth seems very dry lately b. i've noticed my heart beating faster c. i am able to urinate more freely d. i ve noticed i can take a deep breath more easily

i am able to urinate more freely

a nurse is providing teaching to a client about a new prescription for captopril (hypotension dizziness sore throat, cough) to treat hypertension. which of the following client statements indicates an understanding of the teaching a. I might have a sore throat that will go away after a few days b. I will take this medication with food to avoid getting an upset stomach c. I might feel dizzy at times while taking this medication d. I will take ibuprofen if I get a fever while taking this medication

i might feel dizzy at times while taking this medication

a nurse is providing teaching to a client with hypertension and type 1 diabetes mellitus who has a new prescription for metoprolol. which of the following statement by the client indicates an understanding of the teaching a. i might have difficulty recognizing when my blood sugar is low b. i will have a lower risk of developing an infection while i take this medication c. i should be concerned about losing excess weight while i take this medication d. i could have more problems with high blood sugar while taking this medication

i might have difficulty recognizing when my blood sugar is low

a nurse is providing teaching for a client who has a new prescription for nitroglycerin administered through a transdermal patch. which of the following client statements indicates an understanding of the teaching? a. I need to wear the patch continuously for it to be effective b. I will stop using the patch immediately if it gives me a headache c. I should change the patch whenever I have chest pain d. I need to rotate the location of the patch every few days

i need to rotate the location of the patch every few days

a nurse is teaching a client who has a new prescription for alosetron. which of the following client statement indicates an understanding of the teaching? a. nausea is a common adverse effect of this medication b. i should contact my provider immediately if i experience constipation c. if i do not respond to treatment at the lowest dosage, my provider may continue to increase the dosage at weekly intervals d. abdominal pain with diarrhea can indicate a serious complication

i should contact my provider immediately if i experience constipation

a nurse is providing teaching to a client who has urinary tract infection and new prescription for phenazopyridine and ciprofloxacin. which of the following statements by the client indicates a need for further teaching? a. if phenazopyridine upset my stomach, i can take it with meals b. phenazopyridine will relieve my discomfort but ciprofloxacin will get rid of the infection c. i need to drink 2L of fluid per day while i am taking ciprofloxacin d. i should notify my provider immediately if my urine turns orange color

i should notify my provider immediately if my urine turns orange color

a nurse is providing teaching to a client with chronic bronchitis about administering acetylcysteine using a hand-held nebulizer (HNN). which of he following client statements indicates an understanding of the teaching? a. i should discard an open vial of the medication after 24hrs 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

i should try to cough productively just before i begin the treatment

a nurse is providing teaching for a client who has gout and a prescription for allopurinol. ( adverse effect = renal injury= 100mg= once daily-long lifespan)which of the following statements by the client should indicate to the nurse that the teaching was effective. a. i should start taking this medication at 800 mg daily b. i will need to have tests done on my liver due to the greater chance of liver failure c. i will increase my fluids to at least 2 liters per day d. i should take this medication twice daily

i will increase my fluids to at least 2 liters per day

a nurse is teaching about adverse effects of ergotamine with a client who has migraine headaches. which of the following client statements should indicates an understanding of the teaching a. if i overuse this medication, i might become addicted to it b. this medication is okay to use during pregnancy. c. tingling in my fingers and toes is an adverse effect that goes away with continued use d. i will experience restlessness as an adverse effect when i begin taking this medication

if i overuse this medication, i might become addicted to it b. this medication is okay to use during pregnancy.

a nurse is preparing to administer meperidine to a client who is postoperative and reports a pain level of 8 on a scale of 0 to 10. which of the following routes of administration will deliver the medication with the shortest time of onset . oral b. intravenous intramuscular d. subcutaneous

intravenous

a nurse is caring for a client who is in preterm labor and has a new prescription for nifedipine. the client states she is concerned because her father takes nifedipine for his angina pectoris. the nurse should explain that nifedipine works for clients who are pregnant through which of the following mechanism. a. it decrease the incidence of bacterial vaginosis, thus preventing uterine contractions b. it inhibits uterine contractions by blocking the entry of calcium into uterine cells c. it decreases activity within the CNS, which regulates all smooth muscle d. it stimulates beta-2-receptors in the uterus, which decrease the frequency of contractions

it inhibits uterine contractions by blocking the entry of calcium into uterine cells

a charge nurse is teaching a newly licensed nurse about a client who has severe allergy-related asthma and a new prescription for omalizumab. which pieces of information should the charge nurse include to describe the medication's mechanism of action? a. it reduces the number of immunoglobulin E (IgE) molecules on mast cells b. it stabilizes the cellular membrane of mast cells c. it decreases the synthesis and release of inflammatory mediators d. it relaxes the smooth muscle by blocking adenosine receptors

it reduces the number of immunoglobulin E (IgE) molecules on mast cells

a nurse is teaching a client about the use of a dinoprostone vaginal insert pouch to stimulates labor. which of the following statement 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 administerd.

lie on your back for at least 2 hours without getting up

a nurse is teaching a client about taking tetracycline PO which of the following statements should the nurse include in the teaching? a. take this medication on a full stomach b.limit your consumption of dairy products while taking this medication c. take the medication with your regular iron supplement d. take antacids if you have an upset stomach using tetracycline

limit your consumption of dairy products while taking this medication

a nurse is teaching a client who has a prescription for chenodiol for the treatment of gallstones. which of the following client statements indicates an understanding of the teaching? a. treatment should last for a couple of months. b. liver function tests are required while taking this medication c. i should contact my provider if i experience diarrhea d. I can continue to take this medication if i become pregnant

liver function tests are required while taking this medication

isoniazid toxic to the liver : hepatotoxicity a. jaundice b. nausea c. dark-colored urine d. hepatitis e. liver test (AST)

liver test (AST)

a nurse is reviewing the medication administration record of a client who is receiving opioids medication for pain. which of the following prescriptions should the nurse clarify with the provider a. metoprolol b. ondansetron c. lorazepam d. naloxone

lorazepam

a nurse is caring for a client who has a new prescription for ergotamine. the nurse should recognize that ergotamine is administered to treat which of the following conditions? a. raynaud's phenomenon b. migraine headaches c. ulcerative colitis d. anemia

migraine headaches

a nurse is providing teaching to a client who has chronic constipation and a new prescription for psyllium(phyllium causes constipation) which of the following instruction should the nurse consider a. this medication is for short-term use only b. you should eat a low-residual diet while taking this medication. c. mix this medication with water and follow with an additional glass of liquid d. the medication's adverse effects of stomach cramps and nausea will go away in time

mix this medication with water and follow with an additional glass of liquid

a nurse is reinforcing teaching with a newly licensed nurse about contraindications to vaccines. which of the following examples should the nurse provide as a true contraindication for all vaccines a. previous local reaction to an injectable vaccine b. moderate illness without a fever c. recent exposure to an infectious disease d. family history of an allergy to penicillin

moderate illness without a fever

" A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. the nurse should plan to monitor the client for which of the following adverse effects a. thrombophlebitis b. hyperactive reflexes. c. muscle weakness d. hypoglycemia

muscle weakness

a nurse is assessing a client who has been taking simvastatin to treat hyperlipidemia. which of the following statements by the client indicates an adverse effect of the medication that should be reported to the provider immediately. a. i have had occasional constipation b. i have had some gas c. my head has been hurting for some days d. my legs feel week and achy

my legs feel week and achy

a nurse is caring for a client who has a new prescription for amphotericin B. the nurse should plan to monitor the client for which of the following adverse effects? a. hyperkalemia b. hypertension c. constipation d. nephrotoxicity

nephrotoxicity

a nurse is admitting a client who has unstable angina. which of the following medications should the nurse anticipate administering to the client a. epinephrine b. nitroglycerin c. lidocaine d. atropine

nitroglycerin

a nurse is reviewing the medical record of a client who has been taking a vitamin D supplement. which of the following findings from the client's record should the nurse identify as a risk factor for developing vitamin D deficiency? a. middle-age b. obesity c. dark-colored eyes d. light-pigmented skin

obesity

a nurse is assessing a client who was recently admitted and has history of alcohol use disorder. the client displays ataxia, an altered level of consciousness, and nystagmus. which of the following medications should the nurse anticipate administering to the client. manifestation of wernicke-korsakoff syndrome a. parenteral thiamine b. niacin extended release capsules c. parenteral pyridoxine d. riboflavin tablets

parenteral thiamine

a nurse is providing teaching to a client who has a new prescription for doxycycline. the nurse should instruct the client to monitor for which of the following adverse effects? a. photosensitivity b. constipation c. ototoxicity d. blurred vision

photosensitivity

a nurse is caring for a client who received spinal anesthesia 30 minutes ago. the client reports feeling dizzy, and the nurse notes that the client's blood pressure is 84/54 mmHg. which of the following actions should the nurse take? a. place the client in the head-down position b. assess the placement of the catheter c. prepare to administer an IV reversal agent d. assist the client in passive range of motion

place the client in the head-down position

a nurse is teaching a client who has type 1 diabetes mellitus about a new subcutaneous insulin infusion pump. which of the following pieces of information should the nurse include in the teaching? a. plan to use a type of short-duration insulin in the infusion pump b. replace the infusion pump set every 4 days c. turn off the infusion pump for at least 3 hours each day d. move the infusion pump catheter 1.27cm (0.5 in) away from the old site

plan to use a type of short-duration insulin in the infusion pump

a nurse is caring for a client who is at 6 weeks of gestation and has just received a diagnosis of hyperthyroidism. the nurse should anticipate a prescription from the provider for which of the following medications? a. propylthiouracil. b. liothyronine c. methimazole. d. iodine-131

propylthiouracil

a nurse is reviewing the medical record of a client. the medication administration record shows the client is taking clopidogrel. which of the following events should the nurse expect in the client's medical history? a. recent myocardial infarction b. history of hemorrhagic stroke c. current outbreak of psoriasis d. history of hypertension

recent myocardial infarction

a nurse is caring who has tuberculosis and is taking rifampin. the nurse should monitor the client for which of the following adverse effects of rifampin? a. red-tinged urine b. tinnitus c. blurred vision d. dry mouth

red-tinged urine

"A nurse is caring for a client with diabetic ketoacidosis who has a prescription for an intravenous infusion of insulin. the nurse should document that which of the following types of insulin was administered intravenously to treat ketoacidosis? a. regular insulin b. insulin lispro c. insulin aspart d. insulin glargine

regular insulin

a nurse is caring for a client who received naloxone for a suspected opioid overdose. which of the following findings should the nurse identify as an adverse effect of this medication. a. report of pain b. respiratory rate 8/min c. report of numbness d. report of abdominal cramping and diarrhea

report of pain

a nurse is educating a client with urethritis who has a new prescription for oral erythromycin. which of the following statement should the nurse include in the teaching a. report persistent diarrhea to the provider b. take this medication with a full glass of milk c. some people who take erythromycin experience vision loss d. antacids will reduce the extent of absorption

report persistent diarrhea to the provider

a nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks for the treatment of active pulmonary tuberculosis (TB). the client reports his urine is an orange color. which of the following statement should the nurse make. a. stop taking the isoniazid for 3 days, and the discoloration should go away b. rifampin can turn body fluids orange. c. i will make an appointment for you to see the provider this afternoon d. isoniazid can cause bladder irritation

rifampin can turn body fluids orange.

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

schedule the medication on alternate days to decrease adverse effects

a nurse is caring for a client who has cystic fibrosis (CF) and has a prescription for high-dose ibuprofen daily. the nurse should identify that which of the following is an expected outcome for the client receiving this medication a. thinned pulmonary secretions that are retained in the airways b. slowed progression of pulmonary damage c. potentiated action of bronchodilator therapy d. decreased risk of fevers associated with

slowed progression of pulmonary damage

a nurse is caring for a school-aged child who has cystic fibrosis (CF) and has been using a corticosteroid inhaler for long-term treatment. which of the following findings should the nurse identify as an adverse effect of long-term use of this medication? a. small stature for age b. decreased weight c. poor dentition d. atrophied muscles

small stature for age

a nurse is providing teaching to a client who has rheumatoid arthritis and a prescription for long-term prednisone therapy. the nurse should instruct the client to monitor for which of the following adverse effects? a. stress fractures. b. orthostatic hypotension c. gingival ulceration. d. weight loss

stress fractures.

a nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. the nurse should recognize that candidiasis is a manifestation of which of the following adverse effect a. allergic response b. superinfection c. renal toxicity d. hepatotoxicity

superinfection

a nurse is assessing a client who began taking clozapine (adverse effect: myocarditis: chest pain, palpitation, cardiac arrhythmias, dyspnea) 3 weeks ago. which of the following findings should the nurse report to the provider immediately? a. tachypnea and tachycardia. b. abdominal pain and constipation c. enuresis and polyuria d. dry mouth and blurred vision

tachypnea and tachycardia

a nurse is providing teaching a client who has a new prescription for hyrochlorothiazide 50 mg PO daily to treat hypertension. which of the following instruction should the nurse include in the teaching a. take hydrochlorothiazide as needed for edema b. check your weight once each week c. take hydrochl orothiazide on an empty stomach d. take hydrochlorothiaxide in the morning. (allow for diuresis during the day and to prevent nocturia)

take hydrochlorothiaxide in the morning.(allow for diuresis during the day and to prevent nocturia)

a nurse is reviewing the laboratory report for a client who is taking tobramycin and notes that the peak blood is 9.3 mcg/mL. which of the following actions should the nurse take a. administer half of the prescribed dosage at the client's next scheduled dose b. tell the client that the medication seems to be appropriate c. advice the client to drink more water throughout the day d. ask if the client has been experiencing any peripheral neuropathy

tell the client that the medication seems to be appropriate

a nurse is evaluating a 20-month-old child who received a hepatitis A immunization 3 days ago. the parent report that the child has exhibited a loss of appetite following the immunization. which of the following actions should the nurse take? a. tell the parent that this reaction should only last for a couple of days b. notify the provider immediately c. prepare an antidote to administer to the child d. request that the provider order a serum titer level

tell the parent that this reaction should only last for a couple of days

a nurse suspects that a client is having an allergic reaction to a medication. which of the following factors should the nurse identify as increasing the likelihood of an allergic reaction to the medication? a. this is the client's initial dose of the current prescription b. the client received a larger dosage c. the route of administration was oral d. the client has had previous exposure to the medication

the client has had previous exposure to the medication

a nurse is assessing a client who has cystic fibrosis. which of the following pieces of information indicates a therapeutic response to pancreatic enzyme replacement a. the client is having 1-2 bowel movements per day b. the client's glucose level is elevated c. the client has experienced weight loss d. the client has abdominal distension

the client is having 1-2 bowel movements per day

a nurse is preparing to administer an IM injection for a client. which of the following factors should the nurse identify as a potential contraindication to administering the medication via the IM route a. the medication is a depot preparation b. the client is taking an anticoagulant. (warfarin) c. the medication is a particulate suspension d. the client has been vomiting

the client is taking an anticoagulant. (warfarin)

a nurse is planning care for a female client who has severe irritable bowel syndrome with diarrhea (IBS-D) and a new prescription for alosetron. which of the following interventions should the nurse include in the plan of care? a. the client must sign an agreement with the provider beginning alosetron (constipation and bowel obstruction) b. the client must stop taking alosetron if diarrhea continues for 1 week after beginning the medication. c. the client should expect to have a slower heart rate while taking alosetron d. the client should use a barrier birth control method because alosetron interacts with oral contraceptives

the client must sign an agreement with the provider beginning alosetron

a nurse is caring for a client who is experiencing acute pain and is receiving morphine. which of the following findings should indicate to the nurse the need to withhold the client's next dose of morphine? a. the client reports an inability to void. b. the client's respiratory rate is 10/min c. the client has hypoactive bowel sounds d. the client has vomited once in the last 4 hours

the client's respiratory rate is 10/min

a nurse in along term care facility is administering medications to a group of older adult clients. which of the following factors of pharmacokinetics should the nurse consider when caring for this age group? a. the excretion of medication is reduced b. the percentage of medication absorbed is increased c. the liver metabolizes medication more quickly d. the rate at which the liver metabolizes medication declines with age

the excretion of medication is reduced

a nurse is teaching the guardian of an infant about the diphtheria, tetanus, and pertussis (DTap) vaccine. which of the following pieces of information should the nurse include in the teaching? a. routine immunization for DTap consists of 3 injections b. the first immunization for DTap in the series is given at 2 months c. DTaP immunization has been replaced with DTP d. this immunization is administered subcutaneously

the first immunization for DTap in the series is given at 2 months

a nurse is teaching the guardian of a school-aged child about growth hormone therapy. which of the following statements should the nurse include in the teaching? a. your child will grow an extra 4 to 6 inches while receiving hormone therapy b. hormone injection therapy will occur for 2 to 3 years c. your child will receive hormone injections no more often than 1 to 2 times each week d. the hormone injections are administered subcutaneously

the hormone injections are administered subcutaneously

a nurse is teaching client with chronic asthma who has a new prescription for cromolyn. which of the following instructions should the nurse include in the teaching. a. use the inhaler just before exercise b. the medication's therapeutic effects can take up to several weeks to develop c. you will shake the medication container for 3 seconds d. you will need to exhale slowly after you inhale

the medication's therapeutic effects can take up to several weeks to develop

a nurse is providing teaching to a client who is scheduled to start taking hydrochlorothiazide for hypertension. the nurse instructs the client to eat foods that are rich in potassium. which of the following statements by the client indicates an understanding of the teaching a. this medication not work unless i have enough potassium b. potassium will increase the therapeutic effect of the blood pressure medication c. potassium will lower my blood pressure d. this medication can cause a loss of potassium

this medication can cause a loss of potassium

a nurse is teaching a client who has been taking an NSAIDS to treat rheumatoid arthritis. during the client's first month checkup, the provider prescribed methotrexate to be added to the medication regimen. which of the following statements should the nurse include in the teaching about the purpose of this change in the client's medication? a. your current medication was not strong enough to manage this condition b. once your blood levels of methotrexate are within the therapeutic range, the NSAID will be discontinued c. this medication was added to delay the disease progression d. treating this disease with 2 medications will help protect you from becoming treatment-resistant

this medication was added to delay the disease progression

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 contraceptive 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 seizure

this medication will decrease the effectiveness of oral contraceptive

a nurse is providing teaching to a client who has a new prescription for lisinopril. which of the following should the nurse include in the teaching as an adverse effect of lisinopril? a. tongue swelling (angioedema) b. low potassium level c. runny nose d. bruising

tongue swelling (angioedema)

a nurse is caring for a client who was recently diagnosed with rheumatoid arthritis. the nurse should expect the provider to prescribe methotrexate at which of the following times a. within 3 months of the initial diagnosis b. when NSAIDs have not provided pain relief c. during an exacerbation of symptoms d. once bone degeneration progresses

within 3 months of the initial diagnosis

a nurse is teaching a client who has allergic rhinitis about a new prescription for brompheniramine. which of the following pieces of information should the nurse include in the teaching a. report gastrointestinal disturbances immediately b. you might find that you develop a dry mouth c. you should not experience any central nervous system alterations d. increased urinary frequency is an expected effect

you might find that you develop a dry mouth

an 18-month-old toddler who has kawasaki disease (KD). the child is receiving intravenous immune globulin (IVIG). the guardian asks the nurse to administer the child's scheduled measles, mumps, and rubella (MMR) vaccine before discharge. which of the following responses should the nurse provide? a. your child will not be able to receive the MMR vaccine for at least 3 months after discharge b. i cannot administer routine vaccine to children while they are in the hospital c. your child can receive the MMR vaccine once his fever is gone d. i can administer the measles and rubella vaccines, but i cannot administer the mumps vaccine.

your child will not be able to receive the MMR vaccine for at least 3 months after discharge

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

zafirlukast