PN Pharmacology Online Practice 2023 B

a nurse is reinforcing teaching with a client who has type 2 diabetes about adverse effects of metformin. the nurse should instruct the client to monitor for which of the following findings as manifestations of lactic acidosis?

-Muscle pain -Hyperventilation -dizziness

A nurse is assisting in the care of an older adult client in a skilled nursing facility. Which of the following complications is the client at risk for developing?

-Dry mouth -photophobia -tachycardia -blurred vision

A nurse is caring for a male client in an outpatient psychiatric clinic. Which of the following statements indicates the client understands the reinforcement of teaching?

- Its expected that this medication will make me really thirsty - Switching to a shot increases my risk for developing a shuffling walk. -This medication might cause me to gain weight -I should avoid eating smoked meats and hard cheeses while on this medication PARTIALLY CORRECT

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

-blurred vision -nausea -dysrhythmia

a nurse is preparing to administer phenobarbital 3 mg/kg PO twice a day to a school-age who weighs 44 lb. availible is phenobarbital elixer 20mg/5 ml. how many mL should the nurse plan to administer per dose?

15 mL

a nurse is collecting data from a client who is taking exenatide to treat diabetes mellitus. for which of the following findings should the nurse withhold the exenatide dose and notify the provider immediately?

Abdominal pain

a nurse is assisting in the care of a client who has genital herpes. which of the following medications should the nurse expect to administer?

Acyclovir

a nurse is reinforcing teaching with a client who experiences migraine headaches and has a new prescription for sumatriptan. the nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication?

Chest tightness

a nurse us assisting in the care if a client who has hyperthyroidism and has been taking methimazole. which of the following findings should indicate to the nurse that the medication has had a therapeutic effect?

Decreased t4

a nurse erroneously administered zolpidem to the wrong client. which of the following actions should the nurse take?

Document the notification of the client's provider

A nurse is reinforcing teaching with the parent of a preschooler who has otisis media. the child has had a low-grade fever and irritability for 2 days. which of the following instructions should the nurse include in the teaching?

Give acetaminophen as needed for discomfort and fever.

a nurse is collecting data from the parent of an 11 year old who has previously recieved all immunizations in accordance with the CDC recommended immunization schedule. which of the following immunizations should the nurse plan to administer to a child at this age?

Human papilloma virus (HPV)

a nurse is assisting with the care of a client who has a methicillin-resistant staphylococcus aureus (MRSA) infection and is receiving vancomycin via infusion. which of the following changes in the client's condition should the nurse identify as the priority finding to report to the provider?

Hypotension

a nurse is reinforcing teaching with a client who has a new prescrption for timolol eye drops to treat glaucoma. which of the following client statements indicates an understanding of the teaching?

I will look up when putting the medication into my eyes

a nurse is reinforcing teaching with a client who has a new prescriptions for a fluticasone inhaler. Which of the following client statements indicates an understanding of the teaching?

I will rinse my mouth after I use this inhaler

A nurse is reinforcing teaching with a client who has a new prescription for B12 intranasal to treat malabsorption syndrome. which of the following instructions should the nurse include in the teaching?

Massage your nose gently after medication administration

a nurse is collecting data from a female client who has been taking propylthiouracil (PTU) for 2 months to treat Graves' disease. which of the following findings should the nurse recognize as an indication that the medication is effective?

Pulse 82/min

A nurse is monitoring a client who is recieving a transfusion of packed RBCs. the clients temp increases to 39.1 C (102.4 F). which of the following actions should the nurse take first?

Stop the transfusion

a nurse is collecting data from a client who is taking oral amoxicillin to treat a respiratory infection. the nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?

diarrhea

A nurse is assisting in the care of an adult client on a post surgical unit. Drage 1 condition and 1 client finding to fill in each blank in the following sentence.

The nurse is reinforcing teaching to the client about adverse effects of their discharge medications. the nurse should reinforce with the client that they are at risk for developing osteoporosis due to their stool softener medication -Attached is the rational, that is obviously incorrect and I'm not sure what the correct answer is.

Anurse on a medical-surgical unit is assisting in the care of a client who is post-op following left knee arthroplasty. complete the following sentence.

The nurse should first administer oxycodone, then culture surgical wound

a nurse is caring for a client who has a new prescription for sumatriptan. 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 effects?

Tremors

a nurse is reinforcing teaching with a client who has a new prescription for theophylline. the nurse should instruct the client that which of the following is an expected outcome of this medication.

dilates bronchioles

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

Withhold the client's medication

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

a client who is attending post-op physical therapy and requests pain medication

a nurse is contributing to the plan of care for a client who has schizophrenia and a 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 monitoring a client who is 2 hr post op and has a prescription for opioid analgesics. which of the following actions provides the nurse with the priority data to determine the client's need for analgesia?

ask the client to rate their pain level

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 TB and will begin taking isoniazid. which of the following actions should the nurse take?

determine the clients daily alcohol intake

a nurse is reinforcing teaching with a 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 contraindication while taking oxycodone?

diphenhydramine

a nurse is reviewing the MAR of a client who has history of Stevens-Johnson syndrome when taking sulfamethoxazole-trimethoprim. which of the following medications should the nurse identify as contraindicated for this client?

furosemide

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

gelatin

a nurse is monitoring a client who has type 2 diabetes mellitus and is receiving repaglinide. which of the following lab tests should the nurse plan to review to obtain info about the long-tem therapeutic effect of this medication?

glycosylated HbA1c

A nurse is provider's office is reviewing the immunization records of a 12-month-old infant who is immunocompromised. which of the following vaccines should the nurse identify as contraindicated for this client?

measles, mumps, and rubella (MMR)

a nurse is collecting data from a client who has angina and a new prescription for sublingual nitroglycerin. which of the following manifestations should the nurse expect as an adverse effect of this medication?

headache

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 effects of this medication?

hyperkalemia

a nurse is assisting with collecting data for a client who is in preterm labor and is recieving magnesium sulfate via continuous IV infusion. which of the following findings should the nurse identify as an indication as an indication of magnesium toxicity?

hyporeflexia

A nurse is reinforcing teaching with a client who has a new prescription for regular insulin. which of the following statements by the client indicates an understanding of the teaching?

i should ensure that the insulin is clear prior to drawing it up.

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 an understanding of the teaching?

i will be sure to have my blood tested for anemia

a nurse is reinforcing teaching about nitroglycerin transdermal patches with a client who has a history of angina. which of the following statements by the client indicates understanding of the instructions?

i will take my patch off every evening just before going to bed

A nurse is assisting in the care of a client who has a 10-year history of alcohol use disorder and is experiencing acute alcohol withdrawal. the nurse should identify which of the following interventions as the priority.

implement seizure precautions

a nurse is caring for a client who has schizophrenia and is start therapy with risperidone. for which of the following manifestations should the nurse monitor to determine whether the treatment is effective?

improved social interactions

a nurse is reinforcing teaching with a client who recently began taking furosemide. which of the following instructions should the nurse include in the teaching?

increase dietary potassium while taking the medication

a nurse is reinforcing teaching with a client who has bipolar and a new prescription for lithium. which of the following instructions should the nurse includes in the teaching?

maintain a consistent sodium intake

a nurse is collecting data from a client who is postopertive 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 reinforcing teaching with a client who is newly diagnosed with hypertension and is taking metoprolol. the nurse should instruct the nurse to report which of the following manifestations to the provider as an adverse effect of this medication?

peripheral edema

a nurse is reinforcing teaching with a client who is to start therapy using a nitroglycerin transdermal patch. which of the following instructions should the nurse include?

place the patch on a different site for each application

a nurse is reinforcing discharge teaching for a client who has a new prescription of doxycycline extended release capsules for acne. which of the following statements should the nurse include in the teaching?

take the medication with a full glass of water

a nurse is reinforcing teaching with a client who has type 1 diabetes and is learning to self administer NPH insulin. which of the following client actions indicates an understanding of the teaching?

the client wipes the cap with alcohol prior to filling the syringe

a nurse is assisting in the care of a client in a providers office. Drag words from the choices below to fill in each blank in the following sentence.

the nurse is evaluating the client's data collection findings at the following visit,. the clients Blood pressure and heart rate require follow-up by the provider.