PN Pharm A

The nurse is collecting data from a client who is receiving digoxin for treatment of heart failure. The nurse should identify which of the following findings as adverse effects of this medication? (select all that apply)

-Blurred Vision - Nausea -Dysrhythmias

A nurse is reinforcing teaching with a female client who has a new prescription for isotretinoin. Which of the following instructions shit the nurse include in the teaching? (Select all that apply)

-You will need to have her liver enzymes monitor after 1 month - You can have nosebleeds while taking this medication -You should report any thoughts of harming yourself -You will need to have two negative pregnancy test prior to starting the medication

A nurse is caring for a client who is receiving 0.9% sodium chloride 1000 ML to infuse over eight hours. The job factor on the manual IV tubing is 15 GTT/ML. The nurse should ensure that the manual a fusion is set to deliver how many GTTs/MIN?

31 gtt/min

At 0800 hr a nurse initiated a 1,000 mL IV infusion which is running 125 mL/hr. It is now 1300 hr. How much fluid is left in the IV bag?

375

A nurse is preparing to administer a PRN medication through group of clients. Which of the following clients should the nurse administer medication to first?

A client who is attending postoperative physical therapy and request pain medication

A nurse is reinforcing teaching with a client who has seizures and a new prescription for Valporic acid. The nurse should instruct the client to report which of the following adverse affects of Valporic acid Immediately to the provider?

Abdominal pain

A nurse is preparing to administer diphenhydramine 50 mg PO at 2200 to a client Who has difficulty swallowing pills and capsules. Available is diphenhydramine syrup 12.5 mg/5 mL PO. Which of the following nursing actions requires the completion of an incident report?

Administering 25 mL of the syrup

A nurse is contributing to the plan of care for a client who has schizophrenia and the new prescription for clozapine. The nurse should Include in the plan to monitor the client for which of the following adverse effects of this medication?

Agranulocytosis

A nurse is reinforcing teaching with a client who has Helicobacter Pylori and a new prescription for tetracycline. Which of the following instructions should the nurse include in the teaching?

Avoid prolonged exposure to sunlight

A client comes to an urgent care clinic and announces with great enthusiasm " I am an expert at all things medical as they apply to me, and I require zolpidem". The clients pupils are dilated, along with an elevated heart rate and blood pressure level. The nurse should suspect intoxication from which of the following substances?

Cocaine

A nurse is collecting data from a client who has Parkinson's disease and is taking levodopa/carbidopa. The nurse should identify which of the following findings as an adverse effect of this medication?

Dark urine

A nurse is caring for a client who has hyperthyroidism and has been taking methimazole. Which of the following laboratory findings should indicate to the nurse that the medication has had a therapeutic effect?

Decreased T4

A nurse is caring for a client who has multiple sclerosis and has a new prescription for baclofen. Which of the following findings indicates to the nurse that the medication is having a therapeutic affect?

Decreased muscle spasticity

A nurse is caring for a client who has tuberculosis and will begin taking isoniazid. Which of the following actions should the nurse take?

Determine the client's daily alcohol intake.

A nurse is reinforcing teaching with the client following placement of a cast for a fractured ankle. The client is to take oxycodone for pain management. The nurse should instruct the client that which of the following over the counter medications is contra indicated while taking oxycodone?

Diphenhydramine

A nurse is reinforcing teaching with a client who has a new prescription for etanercept To treat rheumatoid arthritis. Which of the following instructions about self administering this medication should the nurse include?

Discard any solutions that are cloudy

A nurse is reviewing the laboratory results of a client who takes insulin for the management of diabetes. Which of the following findings should indicate to the nurse the medication is effective?

Fasting blood glucose 100 mg/dL

The nurse is reviewing medication prescriptions for a group of clients. The nurse should recognize that which of the following prescriptions can result in the medication administration error?

Furosemide 10.0 mg PO daily

A nurse is collecting data from the parents of a toddler was about to receive the varicella immunization. The nurse should identify that an anaphylactic reaction to which of the following substances is a contraindication for receiving this immunization?

Gelatin

A nurse is been forcing teaching with the parents of a preschooler who has otitis media. The child has had a low-grade fever and irritability for two days. Which of the following instructions to the nurse include in the teaching?

Give acetaminophen as needed for discomfort and fever

A nurse is monitoring a client Who is receiving repagaglinife For type two diabetes. Which of the following laboratory test should the nurse plan to review to obtain information about the long-term therapeutic effect of this medication?

Glycostlylated HbA1C

A nurse is reinforcing teaching about benzodiazepine With drawl with an older adult client who will discontinue taking lorazepam after taking it for three months. Which of the following instructions should the nurse include?

Have someone assist you with ADLs

A nurse is caring for a client who has chronic kidney disease and has been receiving sporting Alfa for 2 weeks. Which of the following findings should indicate to the nurse that the clients medication is having the desired therapeutic effect?

Hemoglobin rises 0.5 g/dL

A nurse is collecting data from a client who is asking about taking celecoxib For treatment of joint pain. The nurse should identify that which of the following findings is a contraindication to receiving celecoxib?

History of myocardial infarction

A nurse is collecting data from the parents of an 11-year-old child who has previously received all the immunizations in accordance with the CDC recommended immunization schedule. Which of the following immunizations should the nurse plan to minister to this child at this age?

Human papilloma virus (HPV)

A nurse is caring for a client who has a new prescription for eplerenone To treat hypertension. The nurse should monitor for which of the following adverse affects of this medication?

Hyperkalemia

A nurse is assisting with the care of a client who has a methicillin-resistant staph (MRSA) infection and is receiving vancomycin via IV infusion. Which of the following changes in the clients condition should the nurse identify as the priority findings report to the provider?

Hypotension

A nurse is reinforcing teaching with a client who has HIV and a new prescription for zidovudine. Which of the following client statements should indicate to the nurse and understanding of the teaching?

I will be sure to have my blood tested for anemia

And this is reinforcing teaching with the client about the use of sub lingual nitroglycerin for chest pain. Which of the following statements by the client indicates an understanding of the teaching?

I will call 911 If my chest pain is not relieved within five minutes of taking nitroglycerin.

A nurse is reinforcing teaching with a client who has a new prescription for ethinyl estradiol/norethindrone, an oral Contraceptive. Which of the following clients statements should indicate to the nurse and understanding of the teaching?

I will take the medication at the same time each day

A nurse is reinforcing teaching with a client who has a prescription for alendronate. Which of the following responses indicate to the nurse and understanding of the teaching?

I will take the medication with 8 ounces of water

A nurse is reinforcing teaching with a client who has a new prescription for propanolol. Which of the following information should the nurse include in the teaching?

If you post rate is less than 50 bpm, notify the provider

The nurse is collecting data from a client who is taking Ferrous sulfate orally. Which of the following findings reported by the client should indicate to the nurse that the medication is having a therapeutic effect?

Increased tolerance to exercise

The nurse is caring for a client who has a history of psychosis and is taking chlorpromazine. Which of the following actions should the nurse take to counteract the adverse affects of this medication?

Inform the client to apply sunblock before going outside

Nurses reinforcing teaching with a client who has bipolar disorder a new prescription for lithium. Which of the following instructions should the nurse include in the teaching?

Maintain a consistent sodium intake

A nurse is been forcing teaching with a client about the adverse affects of simvastatin. For which of the following adverse affects should the nurse instruct the client to notify the provider?

Muscle pain

The nurse is caring for a client who has a prescription for Hydromorphone 2 mg Immediate release tablet by mouth. The nurse administers a 4 mg Immediate release tablet by mistake which of the following actions should the nurse take first?

Obtain the clients vital signs and level of consciousness

A nurse is collecting data from a client who is postoperative and taking morphine for pain. Which of the following findings is the priority for the nurse to report to the provider?

Oxygen saturation 87%

A nurse is reviewing the history of a client who is to start taking cefotetan To treat a bacteria infection. Which of the following information from the clients medical record should the nurse report to the provider before the client begins receiving this medication?

Penicillin allergy

A nurse is reviewing the medical record of a client who has a new prescription for cephalexin to treat pneumonia. Which of the following data shut the nurse report to the provider before the client receives this medication?

Penicillin allergy

A nurse is instilling timolol eyedrops for a client who has glaucoma. Which of the following actions should the nurse take after instilling the eyedrops?

Press the nasolacrimal duct

A nurse is collecting data from a female client who has been taking propylthiouracil For two months to treat graves disease. Which of the following findings should the nurse recognized as an indication that the medication is effective?

Pulse rate 82/min

A nurse is reinforcing teaching about comfort measures with the parents of a 10-year-old child who has a viral infection. The nurse should plan to tell the parents that aspirin is contra indicated because of the risk for which of the following conditions?

Reye's syndrome

A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The clients temperature increases to 102.4°F. Which of the following actions should the nurse take first?

Stop the transfusion

A nurse is reinforcing teaching with a client who has new prescription for omeprazole oral capsule. Which of the following instructions should the nurse include?

Swallow the medication whole.

A nurse is caring for a client who has a new prescription for sumtriptan. The nurse notes that the client takes fluoxetine. The nurse should notify the provider that the combination of these medications will place the client at risk for which of the following adverse affects?

Tremors

A nurse is planning to administer metoprolol to a client who has heart failure and a heart rate of 48/min. Which of the following actions should the nurse take?

Withhold the clients medication

The nurse is planning to reinforce teaching regarding newborn immunization with a client who is a 24 hour postpartum. Which of the following information should the nurse plan to include?

Your baby will receive the first hepatitis B vaccine before discharge

A nurse is caring for a client who has a prescription for I am injection of penicillin G benzathine. The client asked why the injection must be given I am instead of through the IV line. Which of the following responses should the nurse make?

Your medication can't be given IV because it is not water-soluble

A nurse is reinforcing teaching with a client who has hypertension and a new prescription for spironolactone. Which of the following instructions should the nurse include in the teaching?

restrict foods high in potassium