Pharmacology/Parenteral Therapy A/B/C

The nurse identifies which of the following medications is prescribed for patients diagnosed with hypothyroidism?

Levothyroxine sodium (Synthroid).

the nurse instructs a patient about how to take psyllium (Metamucil). which instruction is MOST important for the nurse to include?

Mix metamcil with water, milk, or juice and take at about the same time each day.

a football quarterback suffers arm and leg injuries and is given methocarbamol(Robaxin) for the injuries. When following up with the patient, the nurse is MOST concerned if the patient is experiencing which of the following?

Nasal congestion

a nurse counsels a client receiving alendronate (fosamax). what is the most important instruction for the nurse to include to prevent esophageal ulceration?

Swallow the medication with a full glass of water and remain upright for 30 minutes

An older client has been taking sustained-release nitroglycerin for several years. The client heard an advertisement for sildenafil and ask the nurse if there should be any concerns about taking both in the same day. Which response by the nurse is BEST?

Taking both together can result in hypotension, which could be fatal."

The nurse instructs a client diagnosed with atrial fibrillation receiving lisinopril. Which statement, if made by the client to the nurse, indicates the need for further teaching?

"i have switched to a salt substitute instead of iodized salt

The emergency department nurse is notified that a client is being brought in with a probable acetaminophen overdose. Which medication does the nurse prepare to administer?

Acetylcysteine.

the client has filled a prescription for dorzolamide for newly diagnosed glaucoma. the nurse knows the client needs additional education if the client makes which statement?

"Although I had a reaction to sulfa medications, I don't need to worry about eye drops."

The nurse instructs a group of pregnant clients about Lamaze techniques. During class, the nurse hears one participant tall another participant, "Taking medication during pregnancy is very risky, so you should stop taking the medication your health care provider prescribed." Which response by the nurse is *best*?

"Depending on the medication and the trimester of pregnancy, appropriate choices can be made."

The nurse instructs a client receiving probenecid. It is *most* important for the nurse to make which statement?

"Drink at least eight glasses of water each day."

The nurse instructs a client diagnosed with bipolar disorder receiving lithium 300 mg three times a day. The nurse determines that the teaching is *effective* if the client makes which statement?

"I will eat a moderate amount of sodium."

The nurse assesses a client taking the contraceptive norgestrel. It is *most* important for the nurse to follow up on which statement?

"My ankles and feet are swelling."

The health care provider orders gabapentin for a client reporting neuralgia. The client tells the nurse the client has difficulty swallowing pills. Which response by the nurse is *best*?

"Open the capsule and sprinkle it in juice or on applesauce."

The health care provider prescribes captopril for a client diagnosed with hypertension. Before administering the first dose, it is most important for the nurse to make which statement?1. "Remain in bed for the first three hours after taking the first dose of medication."2. "You may experience a loss of taste."3. "You may experience some hair loss."4. "You should increase your intake of fresh vegetables, fruit, and whole grains."

"Remain in bed for the first three hours after taking the first dose of medication.""Remain in bed for the first three hours after taking the first dose of medication."

The health care provider prescribes promethazine for the client. The nurse know that promethazine is prescribed for which situations?

-Going on a cross-ocean cruise -Having an elective operation -Enhancing pain medication after surgery

The nurse learns a client has been taking simvastatin for seven months. Which statement by a colleague does the nurse correct?1. "I should take the client's blood pressure in supine, sitting, and standing positions."2. "I will check the laboratory blood values for both HDL and LDL and their ratio."3. "I will check the laboratory blood values for liver function tests."4. "I will ask the client if an eye exam has been completed since beginning the medication."

1. " I should take the client's blood pressure in supine, sitting, and standing positions."

The nurse discovers a client's urine culture indicates at least 100,000 colonies of bacteria per milliliter. The nurse should intervene if the client makes which statement?1. "I am taking phenazopyridine to get rid of the bacteria."2. "I am drinking 10 to 12 glasses of water a day whether or not I am thirsty."3. "When my urine turned bright orange, I knew that this was expected."4. "When my skin turned yellowish, I stopped taking the medication."

1. "I am taking phenazopyridine to get rid of the bacteria."

The nurse cares for a client receiving simvastatin. To monitor for adverse effects of the medication, the nurse expects the health care provider to order which tests?1. Liver function tests and an ophthalmic examination2. An ophthalmic examination and a hearing test3. A hearing test and blood tests measuring cholesterol, triglycerides, and lipoproteins4. Blood tests measuring cholesterol, triglycerides, and lipoproteins, and a lower GI

1. Liver function tests and an ophthalmic examination

The nurse identifies folic acid is prescribed for which conditions? (Select all that apply)1. Pregnancy2. Alcoholism3. Parkinson's disease4. Liver disease5. Type 1 diabetes6. Pernicious anemia

1. Pregnancy2. Alcoholism4. Liver disease

The nurse understands which occurrence is not an adverse effect or toxic effect of aspirin?1. Rash2. Tinnitus3. Nausea4. Vomiting

1. Rash

A client diagnosed with depression is scheduled to begin a series of electroconvulsive therapy (ECT) treatments. It is most important for the nurse to notify the health care provider about which information?1. The client is being treated for glaucoma2. The parent of the client had seizures during an episode of meningitis3. The client has worn dentures for ten years4. The client is allergic to shellfish

1. The client is being treated for glaucoma

Th home care nurse cares for a client diagnosed with type 1 diabetes. The client injects rapid-acting insulin subcutaneously at 1145. The nurse knows the peak action of rapid-acting insulin occurs at which time?

1245 to 1345

The nurse instructs a client receiving lovastatin (Mevacor) for the treatment of hypercholesterolemia. The nurse determines further teaching is necessary if the client states which of the following?1. "I don't expect to see the full effect from taking it for another two to four weeks."2. "I always take it on an empty stomach, so it can get right to work."3. "I will have my blood drawn for testing to see if my liver is doing okay."4. "I will contact my physician if I have any unexplained muscle pain."

2. "I always take it on an empty stomach, so it can get right to work."

The nurse consults a client receiving cromolyn to treat bilateral conjunctivitis. The nurse intervenes if the client makes which statement?1. "I put the eye drops in the least affected eye first, and then the more infected eye."2. "I put the drops in after I put my contact lens in."3. "I do not touch the tip of the dropper to anything."4. "I wash my hands before and after instilling the drops."

2. "I put the drops in after I put my contact lens in."

The nurse instructs a client receiving phenytoin sodium. the nurse determines further teaching is necessary if the client makes which statement?1. "I should not drink alcohol while taking this medication."2. "If my urine changes color, I should immediately go to the emergency department."3. "I should avoid activities requiring alertness for the first three days that I take this medication."4. "I should not abruptly discontinue this medication."

2. "If my urine changes color, I should immediately go to the emergency department."

The home care nurse visits a client living in a dependent living facility. The client is receiving risperidone. The nurse notes the client has a shuffling gait and trembles when reaching for reading glasses. The nurse did not notice these behaviors on the previous visit. Which action by the nurse is most appropriate?1. Re-educate the staff about the importance of administering the medication on time2. Contact the client's health care provider3. Counsel the client about the importance of not mixing medication and alcohol4. Document the observation in the client's record

2. Contact the client's health care provider

The nurse performs a nursing assessment on a client with a history of migraine headaches. The nurse records the list of current medications and recognizes which medication is used to treat migraine headaches?1. Azithromycin2. Zolmitriptan3. Methylphenidate4. Methocarbamol

2. Zolmitriptan

The nurse knows what chlorpromazine hydrochloride is most likely prescribed for which client?1. A client diagnosed with thoracic outlet syndrome2. A client diagnosed with schizophrenia3. A client diagnosed with asthma4. A client diagnosed with acne

2. client diagnosed with schizophrenia

A client plans to stop smoking. The health care providers prescribe bupropion. Which client statement indicates further education is required?1. "I should not stop smoking until I have taken the medication for at least one week."2. "I should not drink alcohol while taking the medication."3. "If I miss a dose of medication, I should take it as soon as I remember it."4. "I should wear sunscreen when I am out in the sun."

3. "If I miss a dose of medication, I should take it as soon as I remember it

The client comes back from an overseas trip reporting multiple, watery bowel movements. The health care provider prescribes loperamide. It is most important for the nurse to follow up on which client statement?1. "I feel dizzy and my mouth feels like cotton."2. "I should change my diet as well as take the medication."3. "My temperature is 101.2 F"4. "I find it hard to keep my eyes open."

3. "My temperature is 101.2 F"

The nurse cares for a client with a history of asthma and bronchitis. The health care provider prescribes montelukast. The nurse recognizes which statement as true about montelukast?1. Montelukast is used to treat acute asthma attacks2. Montelukast prevents colds from developing into more serious conditions3. Montelukast takes several weeks to lessen the effects of chronic asthma4. Montelukast prevents bacterial infections

3. Montelukast takes several weeks to lessen the effects of chronic asthma

The health care provider orders hydromorphone hydrochloride in a choice of dose-equivalent forms for a postoperative client. To ensure the client has a restful sleep, the nurse knows which method of administration offers the client the longest duration of medication action?1. Intramuscular administration2. Subcutaneous administration3. Rectal administration4. Oral administration

3. Rectal administration

The client calls the nurse 10 days after beginning to use beclomethasone nasal spray due to seasonal allergies. The client reports that even though the medication is being used correctly, only slight relief has been experienced. Which action by the nurse is most important?1. Review the correct procedure for administering the nasal spray2. Contact the health care provider to change the dose of medication3. Remind the client that the peak effect can take up to three weeks of regular use4. Educate the client about the strong effects of a high allergen level on sinuses

3. Remind the client that the peak effect can take up to three weeks of regular use

The nurse cares for the client immediately after removal of a cataract in the left eye. The health care provider orders prochlorperazine to be administered after the surgery. The nurse understands it is important to administer the medication for which reason?1. To decrease the pain felt because of the sutures2. To help the client sleep better3. To prevent pressure on the suture line4. To help dissolve the sutures

3. To prevent pressure on the suture line

The nurse in the outpatient clinic obtains a client history during the initial visit. The client relates of recently beginning to take isoniazid daily. The nurse recognizes this medication is used to treat or prevent which problem? 1. Hypertension 2. Liver failure 3. Tuberculosis 4. Peripheral neuropathy

3. Tuberculosis

The nurse cares for a client admitted with a diagnosis of diabetic ketoacidosis. The nurse anticipates the health care provider will order which type of insulin? 1. Rapid-acting insulin 2. Long-acting insulin 3. Short-acting insulin 4. Intermediate-acting insulin

3. short acting insulin

The nurse cares for a client receiving sertraline. Which statement is most important for the nurse to make?1. "It will not have any effect on your sleeping patterns."2. "You don't have to worry about interactions with other medications."3. "You can drink beer and wine, but not mixed drinks while taking the medication."4. "It might take four weeks for you to reach a full therapeutic effect."

4. "It might take four weeks for you to reach a full therapeutic effect."

The adult child of an elderly client brings the parent to the clinic. The client states "I have indigestion and have been taking lots of over-the-counter cimetidine for 3 weeks." Which client statement requires an immediate follow-up?1. "I should have consulted my health care provider before taking this medication."2. "I don't have heartburn since I started taking this medication."3. "I take cimetidine at the same time I take antacids."4. "My child tells me that I seem to be confused at times."

4. "My child tells me that I seem to be confused at times."

The nurse in the cardiac rehabilitation unit knows that for adult clients taking digoxin, the maintenance dose of the medication should be in which range?1. 1.0 to 3.0 mg2. 0.5 to 1.0 mg3. 3.5 to 5.0 mg4. 0.125 to 0.5 mg

4. 0.125 to 0.5 mg

The nurse knows that disulfiram is most likely prescribed for which client?1. An obese client2. A dying client3. A client who is anorexic4. A client abusing alcohol

4. A client abusing alcohol

The health care provider orders IV codeine every 3-4 h PRN for a client after surgery. On the second day postop, the nurse assesses the client 3 hours after giving codeine. The client's vital signs are BP 112/86 mm Hg, pulse 72/min, and respirations 10/min. the client report experiencing pain at the level of 5 on the 0-10 numeric pain distress scale. Which action by the nurse is most appropriate?1. Administer the medication2. Report to the health care provider the client may be addicted to codeine3. Suggest the client listen to music4. Assess the level of sedation

4. Assess the level of sedation

The nurse receives a phone call from the radiology department. A department staff member will come in 30 minutes for the client scheduled for abdominal x-rays. It is essential that the nurse administer which medication to the client prior to leaving the unit?1. Vitamin B12 100 mcg IM2. Digoxin 0.125 mg PO3. Ferrous sulfate 325 mg PO4. Ciprofloxacin 400 mg IV

4. Ciprofloxacin 400 mg IV

The nurse knows which antipsychotic is used as a treatment for Tourette syndrome?1. Risperidone2. Quetiapine3. Ziprasidone4. Haloperidol

4. Haloperidol

The nurse understands the phentermine (Adipex-P) is most prescribed for which of the following clients?

A client who is obese

The nurse administers the initial dose of furosemide for a client diagnosed with pulmonary edema. It is *most* important for the nurse to provide the client with adequate access to which piece of equipment?

A toilet

The nurse understands that the similarities between a Schedule I drug and a Schedule V drug include which of the following?

Both Schedule I drugs and Schedule V drugs have some abuse potential.

The home care nurse visits a client and learns the health care provider has prescribes methotrexate. The nurse knows that methotrexate is used to treat which conditions?

Cancer, arthritis, and psoriasis

the nurse knows that B12 is found naturally in many foods. which foods contain the LEAST amount of B12?

Chocolate. B12 is found in meats, seafood, and fermented cheese

the nurse cares for a client being treated for exacerbation of ulcerative colitis receiving hydrocortisone(Cortef). because the nurse understands the patient is at risk for infection, it is MOST important to monitor which of the following?

Client's temperature

the nurse cares for an elderly client taking finasteride. the nurse instructs the client about possible adverse effects. the nurse knows the MOST likely adverse effect of finasteride includes which finding?

Decreased libido and impotence

The nurse cares for a client receiving carbamazepine (Tegretol). The nurse understands that carbamazepine (Tegretol) is administered for which of the following diseases?

Diabetic neuropathy and trigeminal neuralgia.

The nurse on the medical unit expects which medication to be administered to the client newly diagnosed with type 2 diabetes mellitus who is experiencing hyperglycemia?

Glipizide

the nurse cares for a client receiving venlafaxine (Effexor) for 2 months. the client tells the nurse he is unable to maintain an erection and wants to stop taking the medication to see if this is causing the problem. which response by the nurse is most appropriate?

I'll contact the HCP so that he can gradually reduce the dosage of medication

The clinic nurse receives a phone call from a young adult whose sexual partner is being treated for trichomoniasis with metronidazole. The nurse expects the health care provider to make which recommendation?

Prescribe metronidazole for the young adult.

The nurse teaches a pregnant client about taking carbonyl iron. It is *most* important for the nurse to include which statement?

Sit up right for 15 to 30 minutes after taking medication

A client diagnosed with acute gout has been taking daily ibuprofen as prescribed for four weeks. The client tells the nurse that a ringing sound has developed in the ears. Which is the *best* interpretation by the nurse?

The client has signs of toxicity and should discontinue the medication until the health care provider is contacted.

A client has just been diagnosed with rheumatoid arthritis and the health care provider ordered prednisone. Which *most* important point does the nurse include when teaching the client about this medication?

The dose of prednisone must be increased and decrease gradually.

The nurse plans to administer both regular and intermediate-acting insulin to a client diagnosed with type 1 diabetes. Which actions by the nurse reflect correct understanding of the proper administration procedure?

The nurse draws up the regular insulin first, then the intermediate-acting insulin.

The nurse identifies which medication is used for the treatment of Parkinson's disease?

Trihexyphenidyl

The nurse cares for a client receiving colestipol. The nurse encourages the client to ingest an adequate amount of which vitamins?

Vitamin A, Vitamin D, Vitamin K

the nurse observes another nurse administer a parenteral injection. the nurse pulls the client's skin to one side and folds the skin, inserts the needle at a 90 degree angle, injects the medication, withdraws the needle, and releases the skin. the nurse is using which technique to administer the medication?

Z-track injection

the nurse in the mental health clinic understands that which of the following foods should be avoided by patients taking phenelzine sulfate (Nardil)?

aged cheese, lunchmeats, tofu, chocolate in addition to bear, avocados, namamas and soy sauce

the nurse understands which of the following is a side effect of prednison (Deltasone) use in a paitent diagnosed with systemic lupus erythematosous (SLE)?

alteration mental status

a patient comes to the mental health center with symptoms of overwhelming anxiety related to job loss, impending move, and sister being diagnosed with cancer. the client states," i used to use alcohol to cope but have been going to AA meetings for the past 2 years." the nurse anticipates the physician will order which medication for this patient?

buspirone (Buspar) has minimal abuse potential

the came nurse knows that which medication is commonly used for the reatment of allergic rasctions?

diphenhydramine hydrochloride

the nurse identifies whoch of the followinf medications is NOT used for the treatment of asthma?

hydrocodone (Vicodin)

the nurse cares fro a paitent diagnosed with degenerative joint disease. the physician orders celecobix(Celebrex). the nurse is MOST concerned if the patient makes which of the following statements?

i am allergic to aspirin

the nurse care for a client taking quinine sulfate. the nurse determines further teaching is nescessary if the client makes which of the following statements?

i enjoy a glass of wine in the evening with dinner

the nurse in the outpatient clinic instructs a client taking lansoprazole(Prevacid) for the 1st time. The nurse determines further teaching is required if the patient makes which statement?

i should take this medication on a full stomach.

the home health care nurse recevies a phone call form a patient diagnosed with arthritis and hypoyension. the patient reports taking ASA every morning for a year to reduce the amount of pain experienced in her knees upon rising. The clinet states the aspirin relieves her pain but the patient's spouse noticed the patient's eyes and skin look yellow. Which of the following statements by the nurse is MOST appropriate?

i will contact your physician to obtain an order for lab work to determine why you are jaundiced

the nurse cares for a patients taking spironolactone (Aldactone) for the treatment of hypertension. the nurse instructs the patient about this medication. the nurse determines that further teaching is necessary if the patient makes which statement?

i will use a salt substitute instead of ionized salt salt substitutes often substitute sodium with potassium which can cause hyperkalemia

the physician orders digoxin (Lanoxin)0.125mg daily for a pt. the nurse instructs the patient about to take digoxin. the nurse determines further teaching is necessary if the patient makes which of the following statements?

if my pulse is under 60, i should take digoxin and then take my pulse again in 1 hour

the nurse received a verbal order to administer naloxone (Narcan) to a patient. which of the following actions should be taken first?

immediately administer the medication

The nurse cares for a client receiving intermittent infusion of ceftriaxone IV. Prior to administering the next does, the health care provider orders 10 units of heparin IV. The nurse understands the heparin is ordered for which reason?

maintain the patency of the IV

the nurse cares for the clients on the rehabilitation unit. a client complains about having trouble focusing his eyes when he is trying to read. the nurse learns that the client has not had problems in the past. the nurse notes that the client has been taking phenobarbital (luminal) for more than one year. It is most important for the nurse to take which action?

obtain an order for a blood specimen

the nurse cares for a patient admitted with IBD. the patient states an allergy to cephalosporins. the nurse is MOST concerned if the doctor orders which of the following?

penicillin (Amoxil)

the nurse provides a clonidine patch (Catapres) for a patient with a blood pressure that continues to be regularly above 160/100 mmHg. which of the following is MOST important for the nurse to include in the teaching?

rotate sites you apple the patch to, avoiding scarred or irritated areas,

the nurse cares for a patient receiving ranitidine (Zantac). the client relates to the nurse tha tthe client has resumed smoking and experiences gastric pain about one hour after meals. Which of the following responses by the nurse is best?

smoking interferes with the drugs' effectiveness and you are no loner receiving the full anti-ulcer effect

the nurse recognizes which of the followinf drugs is NOT used for the treatment of Pulmonary embolism?

streptomycin

the home care nurse performs an assessment on a client using a metered dose inhaler. the client is not sure how much medication is left in the canister. the nurse places the canister in a bowl of water and the canister sinks to the bottom of the bowel. Which of the following conclusions by the nurse is MOST accurate?

the canister is full

the nurse assess a client who has been taking minocycline for acne for over a year. the nurse observes for signs of candid superinfection by examining which part of the body?

the client's tongue

the nurse is caring for a client receiving zidovudine (AZT) for one week. the client complains of experiencing insomnia since beginning the medication. Which satement is most appropriate for the nurse to make?

the insomnia should resolve after taking the medicatoin for 3-4 weeks

A nurse on the postsurgical floor reminds another nurse that both potassium chloride injectable concentrate and propoxyphene (Darvon) are "high alert" drugs. The nurse understands that a "high alert" drug classification means which of the following?

the medication can pose a risk to patients if extra care is not used in their storage and administration

the nurse cares for a patient hospitalized for treatment of an abdominal gun shot wound. History reveals the patient has been enrolled in a methadone maintenance clinic for the past 2 years. the nurse notices the paitent has no orders for continuation of methadone. the nurse anticipates which of the following to occur?

the patient will experience nausea, vomiting, and stomach cramps

the nurse prepares a patient diagnosed with venous thromboembolism (VTE) for discharge. the physician prescribes warfarin (coumadin). It is most important for the nurse to include which statement in the discharge instructions?

the patient will require blood testing.