RN Pharm
A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. The nurse should identify which of the following findings as an indication that the client is beginning to exhibit salicylism?
Tinnitus- manifestation of aspirin toxicity- include sweating, headache, dizziness
A nurse is providing teaching to a client who is to start therapy with digoxin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider?
Yellow-tinged vision
A nurse is caring for a pt who is receiving haloperidol. AE of med?
akathisia- ae associated with haloperidol is extrapyramidal manifestations dystonia , psuedoparkinsonism, akathisia.
A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. Which of the following actions should the nurse take first?
d/c the iv infusion
magnesium level 3.1 what shoyld you admin
calcium gluconate
A nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise-induced asthma. Which of the following medications should the nurse plan to instruct the client to use prior to physical activity?
cromolyn
A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care?A) Schedule the client for the last surgery of the day.B) Place monitoring cords and tubes in a stockinet.C) Choose rubber injection ports for fluid administration.D) Ensure phenytoin IV is readily available.
lace monitoring cords and tubes in a stockinet.
tx for opioid us disorder - what med to admin?
methadone
a nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious. Which of the following actions should the nurse take first?
peform a capillary blood glucose test- - the greatest risk to this pt is injury for hypoglycemia manifestation of hypoglycemia weakness anxiety confusion sweating seizures
fenantyl ae teaching
take a stool softner with it on a daily basis
nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should the nurse include in the teaching as an adverse effect of the medication?
urinary retention-causes anticholinergic effects
A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client laboratory values should the nurse monitor?A) Creatinine kinaseB) Erythrocyte sedimentation rateC) International normalized ratioD) Potassium
A) Creatinine kinaseThe client can develop an adverse effect called rhabdomyolysis, which causes muscle weakness or pain and can progress to myositis. Creatinine kinase (CK) levels rise in response t
A nurse is providing discharge teaching to a client who has a new prescription for furosemide twice daily. The nurse should include which of the following instructions in the teaching?
B)Inc intake of potassium rich food D) Monitor for muscle weakness E) Dangle your legs from the side of the bed before standing
A nurse is precepting a newly licensed nurse who is caring for four clients. The nurse should complete an incident report for which of the following actions by the newly licensed nurse?A) Admin isosorbide mononitrate to client who has BP 82/60mmHgB) Admin digoxin to client who has HR 92bpmC) Admin reg insulin to client who has glucose of 250mg/dlD) Admin heparin to client who has aPTT of 70sec
Admin isosorbide mononitrate to client who has BP 82/60mmHg
A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following laboratory tests should the nurse review before administering the medication?
B) Total cholesterol
A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? (Select all that apply.)
Blood glucose levels will be monitored during therapyB) Avoid contact with people who have known infectionsE) Grapefruit juice can inc effects of med
A nurse is caring for a client who is refusing to take their scheduled morning furosemide. Which of the following statements should the nurse make?
By not taking your furosemide, you might retain fluid and develop swelling.- loop diuretic given to reduce edema
A nurse is preparing to teach a client who is to start a new prescription for extended release verapamil. Which of the following instructions should the nurse plan to include?
Change positions slowly- prevent orthostatic hypotension and syncope
- Sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in angina. The client should report chest pressure or heavy arms to the provider -A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider?
Chest pressure
A nurse is teaching about a new prescription for ciprofloxacin to an older adult client who has a urinary tract infection. The nurse should identify which of the following statements as an indication that the client understands the teaching?A) I will take this med with an antacid to prevent GI upsetB) I will stop taking this med when I no longer have pain upon urinationC) I will report any signs of tendon pain/swellingD) I will take this med with milk
I will report any sign of tendon pain or swelling-
A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of the following information should the nurse include in the teaching?
Drink 2L of water daily - to prevent renal stone formation and kidney injury - eliminated through the kidneys
A nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching?
Drink 8-10 glasses of water daily- a day to decrease the chance of kidney damage from crystalliztion
A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider? (Select all that apply.)
Hemoglobin 7g/dLD) Platelets 75,000/mm^3E) Potassium 5.2 mEq/L
A nurse is caring for a client who has heart failure and is prescribed enalapril. The nurse should monitor the client for which of the following findings as an adverse effect of the medication?A
Hyperkalemia-in pt who have hf- due to potassium retention by the kidney
A nurse is providing teaching to a client about the use of ethinyl estradiol/norelgestromin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching?
I will fold the sticky side of the old patch together before disposing
A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching?
I will remove the patch after 14 hours."
A nurse is caring for a client who has heart failure and is receiving an IV infusion of dopamine. Which of the following findings indicates that the medication is effective?
Inc cardiac output
A nurse is assessing a client who is taking tamoxifen to treat breast cancer. Which of the following findings is the priority for the nurse report to the provider? A) Hot flashes B)Gastrointestinal irritation C)Vaginal dryness D)Leg tenderness
Leg tenderness- the greatest risk to the pt is the development of a thromboembolism- MONITOR for manifestions include leg tenderness, redness, swellings and sob.
A nurse is providing teaching for a client who has a new prescription for ferrous sulfate. The nurse should instruct the client to take the medication with which of the following to promote absorption?A) Vitamin EB) OJC) MilkD) Antacids
Orange juice
A nurse is preparing to mix and administer dantrolene via IV bolus to a client who has developed malignant hyperthermia during surgery. Which of the following actions should the nurse take?
Reconstitute the initial dose with 60mL of sterile water w/o a bacteriostatic agent