RN Pharm A

A nurse is caring for a client has receiving filgrastim. Which of the following findings should the nurse document indicate the effectiveness of the therapy?

Increase neutrophil count

A nurse is assessing a client who has myasthenia gravis, and is taking neostigmine. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect?

miosis

A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contra indication for administering this medication?

"I have tendinitis, so I haven't been able to exercise" The nurse should identify tendinitis as a contraindication for taking ciprofloxacin due to the risk of tendon rupture.

A nurse is caring for a client who received 1 L normal saline over four hours instead of over eight hours as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident?

0.9% sodium chloride 1 L IV infused over four hour. Vital signs stable, provider notified.

A nurse is preparing to administer a scheduled anabiotic at oh 800 to a client and discovers the anabiotic is not present in the clients medication drawer. The nurse should identify that administration of the medication can occur at which of the following time parents without requiring incident report?

0830

A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects?

Bibasilar crackles

A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medication's will interfere with the effectiveness of oral contraceptives?

Carbamazepine

A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. Which of the following information should the nurse include in the teaching?

Decreased respirations might occur

A nurse is planning care for a client who has hypertension and start taking metoprolol. Which of the following intervention should the nurse include in the plan of care?

Determine apical pulse prior to administering

A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes that the client has anxiety. Hypotension, and dyspnea. Which of the following medication should the nurse administer first?

Epinephrine

A nurse in an emergency department is caring for a client. His family reports the client has taken large amounts of diazepam. Which of the following medication to the nursing anticipate administering?

Flumazenil

A nurse is providing teaching to a client who has peptic ulcer disease and has to start a new prescription for Carafate. Which of the following actions of Carafate should the nurse include in the teaching?

Forms of protective barrier over ulcers

A nurse is providing discharge instructions to a client who has heart failure in a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching?

I should tell my provider if I develop a sore throat

A nurse is planning to teach about the use of a space or to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma. The nurse should include that the spacer decreases the risk of the following adverse effects of the medication?

Oral candidiasis

A nurse is reviewing the laboratory results of a client who is taking digoxin for heart failure. Which of the following results should the nurse report to the provider?

Potassium level 2.8 mEq/L

A nurse is caring for 20 year old female client has a prescription for isotretinoin for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advise the client that which of the following test is required?

Pregnancy test

A nurse is planning care for a client who is prescribe metoclopramide following bowel surgery. Which of the following adverse effects of the nurse monitor?

Sedation

A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication?

Sexual dysfunction

A nurse is assessing a client who is postoperative following an outpatient endoscopy procedure using midazolam. The nurse should monitor for which of the following findings as an indication that the client is ready for discharge?

The client's capnography has returned to baseline.

A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of this medication?

Tinnitus

A nurse is caring for a client who is in labor. The client is receiving oxytocin by continuous IV infusion with a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following action should the nurse take first?

Turn the client to a side lying position

A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the following findings should the nurse identify as an adverse effect of the medication?

insomnia

A nurse is providing teaching to a client who has multiple sclerosis in a new prescription for methylprednisolone. Which of the following instruction should the nurse include?

• blood glucose levels will be monitored during therapy • avoid contact with people who have known infections • grapefruit juice can increase the effects of the medication

A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. Which of the following adverse effects should the nurse include in the teaching?

• dry mouth • blurred vision • Dry eyes

A nurse is developing a teaching plan for a client has a new prescription for simvastatin. Which of the following instruction should the nurse include in the teaching plan?

• report muscle pain to the provider • avoid taking the medication with grapefruit juice • expect therapy with this medication to be a lifelong

D5 in water 400 mL IV to infuse over one hour IV tubing is 15gtt/mL The nurse should set the manual IV infusion to deliver. How many gtt/min?

15gtt X 400mL = 600gtt 600gtt / 60min = 100gtt/min

A nurse is caring for the parent of a newborn. The parent asked the nurse when their newborn should receive their first DTaP diphtheria tetanus and pertussis vaccine. The nurse should instruct the parent that their newborn should receive the immunization at which of the following ages?

2 months The CDC recommends that newborns received the first dose of the five does series of the DTaP immunization's at two months of age .

Ciprofloxacin 15 mg/kg PO q 12 hours to a child who weighs 44 pounds. How many milligrams should the nurse administer per dose?

44/2.2 = 20 15mg X 20kg = 300mg

A nurse is teaching a group of unit nurses about medication reconciliation. Which of the following information should the nurse include in the teaching?

A transition in care requires the nurse to conduct medication reconciliation

A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medication's?

Acetylcysteine

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following action should the nurse plan to take?

Administer the medication outside of the 5 cm radius of the umbilicus

A nurse is teaching a client about warfarin. The client asked if they can take aspirin while taking warfarin. Which of the following responses should the nurse make?

Aspirational increase the risk of bleeding

A nurse in an emergency department is caring for a client who has myasthenia gravis, and is in a cholinergic crisis. Which of the following medication should the nurse plan to administer?

Atropine

A nurse administers a dose of metformin to a client instead of the prescribed dose of metoclopramide. Which of the following action should the nurse take first?

Check the clients blood glucose

A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client for taking the docusate sodium daily to minimize which of the following adverse effects of morphine?

Constipation

A nurse is reviewing the medication administration, record of a client who has hypocalcemia and a new prescription for IV. Calcium gluconate. The nurse should identify that which of the following medication's can interact with a calcium gluconate?

Digoxin The nurse should identify that calcium gluconate can cause hypercalcemia, which increases the risk of digoxin toxicity.

A nurse is preparing to administer medication's to a client who tells the nurse, "I don't want to take my fluid pill until I get home today." Which of the following action should the nurse take first?

Document the refusal inform the client provider

A nurse is administering Aricept to a client has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately?

Dyspnea

A nurse is assessing a client vital signs prior to administration of PO to digoxin The clients blood pressure is 144/86. Heart rate is 55. And mystery rate is 20. The nurse should withhold the medication in contact the provider for which of the following findings?

Heart rate

A nurse is teaching a client has to begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects of the nurse include in the teaching?

Hot flashes

A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication of the client understands the teaching?

I should set up for 30 minutes after taking the risedronate

A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching?

I will take the patch off right after my evening meal

A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should indicate to the nurse that the teaching is effective?

I will taper off the medication before discontinuing

A nurse is collecting a medication history from my client who has a new prescription for lithium. The nurse should identify that the client should discontinue which of the following over-the-counter medication's?

Ibuprofen

A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following findings should the nurse identify as an indication that the medication has been effective?

Increase in ability to focus

A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has hyperkalemia. Which of the following action should the nurse plan to take?

Monitor the client for constipation

A nurse receives a verbal order from the provider to administer morphine 5 mg every four hours sub Q for severe pain as needed. The nurse should identify which of the following entries as a correct format for the medication administration record?

Morphine 5 mg subcut every 4 hr PRN severe pain

A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and arrest for a rate of six. Which of the following medication should the nurse plan to administer??

Narcan

A nurse is preparing to administer medication to a client has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following action should the nurse take first?

Obtain the clients blood pressure

A nurse is reviewing the laboratory results for a client who is receiving heparin via continuous IV infusion for deep vein thrombosis. The nurse should discontinue the medication infusion for which of the following client findings?

Platelet 96,000/mm3 These platelets are below the expected reference range of 150,000 to 400,000 A platelet count less than 100,000 while receiving heparin can indicate heparin induced thrombocytopenia, and potentially fatal condition that requires stopping the infusion.

A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse should identify which of the following findings as an indication of hypokalemia?

Presence of U waves

A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcome should the nurse administer chlordiazepoxide?

Prevent Delerium tremens

A nurse is providing teaching to a client who has a gastric ulcer in a new prescription for famotidine. Which of the following instruction should the nurse include?

Report yellowing of the skin Famotidine can be hepatotoxic and cause jaundice. The nurse should instruct the client to monitor for a report yellowing of the skin, her eyes to the provider.

A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instruction should the nurse include in the teaching?

Rinse your mouth after inhaling the beclomethasone

A nurse is providing discharge, teaching about handling medication to a client who is to continue taking oral transmucosal, fentanyl raspberry flavored lozenges on a stick. Which of the following information should the nurse include in the teaching?

Store unused medication sticks in a storage container

A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in the instructions?

Take one tablet at onset of migraine

A nurse is assessing a client who is schizophrenia and it's taking haloperidol. The nurse should report which of the following findings to the provider as a manifestation as neuroleptic malignant syndrome?

Temperature of 103.5°F.

A nurse is assessing a client one hour after administering morphine for pain. The nurse should identify which of the following findings as the best indication that the morphine has been effective?

The client rates pain as a three on a scale from 0 to 10

A nurse is caring for a client who is taking acetazolamide for chronic open angle glaucoma. For which of the following adverse effect, should the nurse instruct the client to monitor and report?

Tingling in fingers

A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect to the medication and report to the provider?

blood in the urine