Test 3 Pharm

a nurse is caring for a client who is postpartum and received methylergonovine. which of the following findings indicate that the medication was effective

fundus is firm to palpate

A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. which of the following instructions should the nurse provide regarding this type of insulin?

insulin glargine has a duration of 18-24 hours

A nurse is teaching a client who has diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication.

Alcohol

A nurse is caring for a client who has a prescriptio for olanzapine . The nurse should monitor the client for which of the following manifestations as an expected response to this medication?

Decreased auditory hallucinations

a nurse is preparing o administer magnesium sulfate IVt o a client who is experiencing preterm labor. Which of the following is the nursing priority nursing assessment for this client

Dyspnea (Respirations)

A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. Which of the following assessments is an indication that the client might be experiencing circulatory overload?

Hypotension

A nurse is teaching a group of college-aged women about the use of oral contraceptives. The nurse should teach that taking which of the following herbal preparations reduces the effectiveness of this birth control method?

St Johns Wort

A nurse is caring for a client who has bipolar disorder and has been taking Lithium the nurse should check to see that which of the following tests

Thyroid Hormone assay

A nurse is teaching a client about the adverse effects of cisplatin. Which of the following adverse effects should the nurse include in the teaching?

Tinnitus

A nurse is providing teaching for a client who is newly diagnosed with Type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide?

"Glipizide stimulates your pancreas to release insulin."

A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipates a prescription by the provider for which of the following medications:

Indomethacin Magnesium sulfate

A nurse is caring for a patient with prostate cancer. The nurse should expect the provider to prescribe which of the following medications?

Leoprolide

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. on which of the following medications should the nurse prepare to instruct the client?

Levothyroxine

A nurse is providing teaching to a client who has hypothyroidism and has a new prescription for levothyroxine (Synthroid). The nurse should instruct the client to avoid which of the following herbal supplements?

Soy isoflavones

A nurse in a prenatal clinic is teaching a client who has a new prescription for dinoprostone gel. which of the following statements should the nurse include in the teaching

this medication promotes softening of the cervix

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should plan to administer the client's PRN bethanechol when the client reports which of the following manifestations? A. Bladder spasms B. Severe pain. C. An inability to void D. Frequent episodes of painful urination

An inability to void Bethanechol is a cholinergic medication that stimulates the parasympathetic nervous system, thus improving the tone and motility of the smooth muscles of the urinary tract enough to initiate urination. \a

A nurse is teaching a client who has diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication? A. Grapefruit juice B. Milk C. Alcohol D. Coffee

C. Alcohol The nurse should teach the pt to avoid alcohol while taking this med to prevent disulfiram reaction, such as nausea, headache, and hypoglycemia. Grapefruit juice can cause atorvastatin toxicity if used while taking atorvastatin. Milk, coffee, and caffeine do not interact with chlorpropamide.

5. A nurse is caring for a client receiving mydriatic eye drops. Which of the following clinical manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect? A. Seizures B. Tachypnea C. Constipation D. Hypothermia

Constipation Rationale: Mydriatic eye drops can cause systemic anticholinergic effects such as constipation, dry mouth, photophobia, and tachycardia.

"The nurse is administering packed red blood cells (PRBCs) to a client. The nurse should first: "1. Discontinue the I.V. catheter if a blood transfusion reaction occurs. 2. Administer the PRBCs through a percutaneously inserted central catheter line with a 20-gauge needle. 3. Flush PRBCs with 5% dextrose and 0.45% normal saline solution. 4. Stay with the client during the first 15 minutes of infusion.

Correct: 4 The most likely time for a blood transfusion reaction to occur is during the first 15 minutes or first 50 mL of the infusion. If a blood transfusion reaction does occur, it is imperative to keep an established I.V. line so that medication can be administered to prevent or treat cardiovascular collapse in case of anaphylaxis. PRBCs should be administered through a 19-gauge or larger needle; a peripherally inserted central catheter line is not recommended, in order to avoid a slow flow. RBCs will hemolyze in dextrose or lactated Ringer's solution and should be infused with only normal saline solution.

A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication? A. Decrease in level of thyroxine (T4) B. Increase in weight C. Increase in hr of sleep per night D. Decrease in level of thyroid stimulating hormone (TSH).

Decrease in level of thyroid stimulating hormone (TSH). In hypothyroidism, the nonfunctioning thyroid gland is unable to respond to the TSH, and no endogenous thyroid hormones are released. This results in an elevation of the TSH level as the anterior pituitary continues to release the TSH to stimulate the thyroid gland. Administration of exogenous thyroid hormones, such as levothyroxine, turns off this feedback loop, which results in a decreased level of TSH.

A nurse is caring for client who is postoperative following hip arthroplasty. The nurse should anticipate which of the following prescriptions for this client?

Enoxaparin