Prep U Intro to Pharm

The nurse is providing information to a client about the safe use of a newly prescribed medication. The first question the nurse should ask is a) What teaching aids do I need? b) Is the client ready to learn? c) What is the expected outcome? d) How do I evaluate client learning?

b) Is the client ready to learn?

A client is given a dose of ketorolac (Toradol), a nonsteroidal anti-inflammatory drug for complaints of abdominal pain. Ten minutes after receiving the medication, the client's eyes, lips, and face begin to swell, and the nurse hears stridor. What priority measure should the nurse prepare to do? a) Administer epinephrine. b) Intubate the client. c) Assess the client's vital signs. d) Perform an electrocardiogram (ECG).

a) Administer epinephrine.

A client comes to the emergency department complaining of difficulty breathing. He states, "It feels like my throat is closing up. We were out to dinner and then I started feeling strange after we ate our shrimp cocktail." The client is leaning forward with a respiratory rate of 36 breaths per minute. His skin is pale. The nurse suspects anaphylaxis. Which nursing diagnosis would be the priority? a) Ineffective airway clearance related to bronchospasm and laryngeal edema b) Anxiety related to complaints of difficulty breathing c) Activity intolerance related to difficulty breathing d) Acute pain related to effects associated with difficulty breathing

a) Ineffective airway clearance related to bronchospasm and laryngeal edema

Choice Multiple question - Select all answer choices that apply. A client with a history of allergies comes to the emergency department. The nurse suspects anaphylaxis based on which of the following? Select all that apply. a) Pallor b) Increasing blood pressure c) Localized itching d) Chest tightness e) Facial angioedema

a) Pallor c) Localized itching d) Chest tightness e) Facial angioedema

A nurse is administering a chemotherapeutic medication to a client, who reports generalized itching and then chest tightness and shortness of breath. The nurse immediately a) Stops the chemotherapeutic infusion b) Gives prednisolone (Solu-Medrol) IV c) Administers diphenhydramine (Benadryl) d) Places the client on oxygen by nasal cannula

a) Stops the chemotherapeutic infusion

A client who is prescribed morphine for undiagnosed abdominal pain reports that he is allergic to morphine. The nurse questions the client about his allegic reaction; the client responds that when he took it in the past, he experienced itching. The nurse plans to a) Notify the physician that the client is allergic to morphine. b) Administer prescribed diphenhydramine (Benadryl). c) Refuse to administer the morphine. d) Obtain an order for a skin cream to minimize itching.

b) Administer prescribed diphenhydramine (Benadryl).

After receiving a dose of penicillin, a client develops dyspnea and hypotension. The nurse suspects the client is experiencing anaphylactic shock. What should the nurse do first? a) Insert an indwelling urinary catheter and begin to infuse I.V. fluids, as ordered. b) Page an anesthesiologist immediately and prepare to intubate the client. c) Administer epinephrine, as ordered, and prepare to intubate the client, if necessary. d) Administer the antidote for penicillin, as ordered, and continue to monitor the client's vital signs.

c) Administer epinephrine, as ordered, and prepare to intubate the client, if necessary.

The nurse is providing home care to a patient receiving intermittent tube feedings. The patient wants to take an over-the-counter allergy medication. The medication would need to be given via feeding tube because the patient has difficulty swallowing. The nurse checks the medication and finds that it is a timed-release tablet. Which action by the nurse would be most appropriate? a) Tell the patient to dissolve the tablet in water to administer it. b) Have the patient mix it with the feeding formula after crushing the tablet. c) Check with the pharmacy for an alternative formulation for the drug. d) State that the patient cannot take the drug anymore.

c) Check with the pharmacy for an alternative formulation for the drug.

Which of the following interventions is the single most important aspect for the patient at risk for anaphylaxis? a) Use of antihistamines b) Wearing of medical alert bracelet c) Prevention d) Desensitization

c) Prevention

The client is experiencing swallowing difficulties and is now scheduled to receive a gastric feeding. She has the following oral medications prescribed: furosemide (Lasix), digoxin, enteric coated aspirin (Ecotrin), and vitamin E. The nurse withholds a) furosemide b) digoxin c) enteric coated aspirin d) vitamin E

c) enteric coated aspirin

Which of the following is the most severe form of hypersensitivity reaction? a) Cytotoxic b) Delayed-type c) Immune complex d) Anaphylaxis

d) Anaphylaxis

Loren Fawcett, an 18-year-old college student, arrived at your ED presenting an anaphylactic response to unknowingly ingesting nuts at a family celebration. After stabilizing Loren, you speak with her family and assuring them that she will recover. In your nursing management, what was of primary importance in Loren's care upon her admission? a) No options are correct b) Inducing vomiting to rid body of allergen c) Encourage fluids to dilute allergen d) Maintaining airway

d) Maintaining airway

A client is scheduled for a renal arteriogram. When the nurse checks the chart for allergies to shellfish or iodine, she finds no allergies recorded. The client is unable to provide the information. During the procedure, the nurse should be alert for which finding that may indicate an allergic reaction to the dye used during the arteriogram? a) Hypoventilation b) Unusually smooth skin c) Increased alertness d) Pruritus

d) Pruritus

The nurse is conducting a community education program on allergies and anaphylactic reactions. The nurse determines that the participants understand the education when they make which of the following statements about anaphylaxis? a) Systemic reactions include urticaria and angioedema. b) Anaphylactoid (anaphylaxislike) reactions are commonly fatal. c) The most common food item causing anaphylaxis is chocolate. d) The most common cause of anaphylaxis is penicillin.

d) The most common cause of anaphylaxis is penicillin.