The Point Pharm Test 2

What statement regarding antiviral medications is true?

antivirals do not eliminate existing viruses from tissues

A client who began treatment for type 2 diabetes 8 months ago is now meeting with a diabetic nurse for a scheduled follow-up. How can the nurse best assess the client's glycemic control since beginning treatment?

assess the most recent hemoglobin A1c levels

The nurse is planning care for a client who has been prescribed hydrocortisone. What disorder and treatment, if documented in the medical history, would most significantly affect the plan of care?

atrial fibrillation and treatment with warfarin

Penicillins are more effective when used on infections caused by what organism?

gram-positive bacteria

A child diagnosed with adrenal insufficency takes PO hydrocortisone daily. THe client is followed regularly by a nurse, who asesses the child every 3 months. What assessment data should the nurse prioritize during these assessments?

height and weight

A night nurse administered a PRN dose of aluminum hydroxide with magnesium hydroxide to a client at 06:40. What action should the dayshift nurse take when preparing to administer the client's scheduled 08:00 dose of oral tetracycline?

hold the tetracycline until 8:40

The nurse is preparing to administer linezolid to a client. What assessment question should the nurse ask the client before administering the drug?

"Are you taking any medications for depression right now?"

The nurse has just completed client education relative to chronic adrenocortical insufficiency and corticosteroid medication treatment. Which statement indicates that the client requires further instruction?

"I will start this medication as soon as I am feeling ill or tired"

The nurse is providing education to a client who has been prescribed griseofulvin for a tinea infection. What statement would the nurse include in the teaching?

"Make sure you take your medication with food, perferably with a high-fat meal"

A client asks the nurse why the primary health care provider prescribed IV fluid hydration prior to initiating amphotericin B infusion. What is the nurse's best response?

"The additional fluids help to reduce damage to the kidneys"

A client being evaluated for diabetes asks the nurse how a blood glucose test is used to diagnose this diease.. What is the nurse's best response?

"a fasting blood sugar result of 126 mg/dL (6.99 mmol/L) or more on two separate occasions is diagnostic of diabetes."

The nurse is educating a client about the use of erythromycin for the treatment of an infection. What statement made by the client indicates that further education is required?

"i will take my medication on a full stomach to increase absorption"

An older adult client diagnosed with a drug-resistant urinary tract infection has been started on a regimen of aminoglycosides. The client is concerned about adverse reactions such as nephrotoxicity. When providing client education about the medication,

"if nephrotoxicity occurs, it is usually reversible if the drug is stopped."

The nurse is providing education to an older adult client who has been prescribed tetracycline. Which statement should the nurse include in the teaching?

"increase your fluids to 2 L or more per day to prevent renal crystals"

A client prescribed alternate-day administration of corticosteroids asks the nurse why the drug isn't administered every day. How would the nurse describe the benefit of alternate-day therapy (ADT)?

"it minimizes suppression of adrenal function"

An adult client is being treated for genital herpes with acyclovir. Which client statement indicates a need for further health education?

"it's a relief to know that this drug will stop me from spreading the infection"

The nurse is providing education to a client who has been prescribed delavirdine mesylate. What instruction should the nurse include in the teaching?

"mix the drug with water and drink the resulting solution"

A client has been newly diagnosed with type 2 diabetes. What statement would be appropriate for the nurse to include in the teaching?

"regular exercise makes your body better able to use the insulin it produces"

A client with asthma has been prescribed an inhaled corticosteroid. When providing client education related to correct use of the inhaler, what statement would the nurse include?

"rinse your mouth completely after using the inhaler"

A client has been prescribed tetracycline for the treatment of acne. How would the nurse explain the action of the drug?

"tetracycline interferes with the growth of the bacteria causing the pimples"

A client has been diagnosed with histoplasmosis. In providing client education, the nurse should include which statement relative to the causation of the client's disease?

"the agent grows in the soil and decaying organic matter."

A client has been prescribed a drug that is a gonadotropin-releasing hormone equivalent. When the client asks the nurse why it must be given by injection rather than by pill, how will the nurse respond?

"the enzymes in your digestive tract would destroy an oral form"

The health care provider indicates that a client experiencing renal failure is not a candidate for therapy with potassium-sparing diuretics. How will the nurse respond when the client's family member asks why this is the case?

"they may cause hyperkalemia"

The nurse is providing education to a client who has been prescribed trimethoprim-sulfamethoxazole. What statement would the nurse include about potential adverse effects?

"this drug might make your stomach a bit upset, so let me know if you experience that"

The nurse is providing education to a client who is receiving voriconazole. What information will the nurse provide related to adverse effects?

"transient visual disturbance is a common adverse effect."

A client who has been prescribed corticosteroids following a liver transplant asks the nurse, ''How long will I have to take this medication?'' How should the nurse respond?

"you will have to take it for the rest of your life"

A client who has been prescribed hydrocortisone states, "I know quite a few different people who have had unpleasant adverse effects from steroids." How should the nurse best respond to the client's concern?

"your health care team will monitor you thoroughly for indications of adverse reactions"

The parent of a child diagnosed with meningococcal meningitis asks the nurse why the health care provider didn't prescribe treatment with chloramphenicol. How would the nurse respond?

''Chloramphenicol isn't used unless there is no adequate substitute drug available.''

The nurse is providing care for a client who has been admitted with clinical hypothyroidism. What interventions should the nurse implement to address common characteristics of the disorder? Select all that apply.

-monitor for constipation -implement falls risk precautions -maintain a warm room temperature

A client has been diagnosed with an infected postoperative wound, and cultures reveal methicillin-susceptible Staphylococcus aureus. What medication should the nurse anticipate being prescribed for this client? Select all that apply.

-nafcillin -oxacillin -dicloxacillin

A client with a complex medical history is scheduled to begin treatment with an IV cephalosporin. After the initiation of therapy, the nurse should monitor the client for which potential adverse effect of intravenous cephalosporin therapy? Select all that apply.

-nausea and vomiting -diarrhea -abdominal pain

The nurse is assessing a client who is recieving lamivudine therapy. What findings suggest that the client is experiencing adverse effects of the drug? Select all that apply.

-nerve pain -pancreatitis -muscular pain gastrointestinal distress

A client is about to undergo treatment with amphotericin B. What preadministration medications should the nurse confirm are prescribed to manage common adverse reactions to this drug therapy? Select all that apply.

-a corticosteroid -an antihistamine -an antiemetic -acetylsalicylic acid

The nurse is caring for a client who has been prescribed caspofungin intravenously (IV). What interventions should the nurse implement prior to administration? Select all that apply.

-allow the medication to warm to room temperature -add reconstituted medication to 250 mL of normal saline

A client being treated with an oral penicillin should be encouraged to administer the medication on which schedule to best achieve a therapeutic effect? Select all that apply.

-at regular intervals -around the clock

Increases in what specific physiologic effects are expected outcomes of thyroid hormone therapy? Select all that apply.

-carbohydrate metabolism -cellular metabolism -cardiac output -oxygen consumption

What adverse effects should the nurse discuss with a client prescribed long-term systemic corticosteroid therapy? Select all that apply.

-cataracts -peptic ulcers -mood disorders -hyperglycemia

A new client presents with persistent cough, weight loss, anorexia, and night sweats. What would the nurse expect the health care provider to order? Select all that apply.

-chest radiograph -skin test -interferon gamma release assay (IGRA)

After 3 weeks of drug therapy for TB, a client is not showing reduction of symptoms. Repeated laboratory work shows positive cultures. What issues should the nurse consider? Select all that apply.

-client noncompliance -drug resistance

Amantadine has been administered within a long-term care facility for the past 3 weeks following outbreak of influenza. The nurse would monitor for which adverse effects among clients receiving the drug? Select all that apply.

-dizziness -constipation -anorexia -nausea

A resident of a long-term care facility has been prescribed furosemide 40 mg PO daily. When beginning this drug therapy, what are appropriate nursing actions? Select all that apply.

-ensure that the resident has easy access to a toilet or commode. -instruct the client to report any loss of hearing -monitor the resident's blood pressure frequently

A client with a history of allergy to sulfonamides is identified as a candidate for diuretic therapy. What diuretics would be contraindicated by the allergy? Select all that apply.

-furosemide -hydrochlorothiazide -chlorothiazide

The nurse would include information on which possible adverse effects when educating a client regarding rifampin? Select all that apply.

-gastrointestinal upset -skin rash -discoloration of urine

Which hepatic viruses can be prevented by vaccination? Select all that apply.

-hepatitis A and B

Which characteristic places clients at increased risk for adverse reactions from aminoglycosides or fluoroquinolones? Select all that apply.

-history of renal disease -newly born -advanced age

The nurse is assessing a client who has been prescribed tetracycline for possible contraindications to therapy. The nurse understands that what risks are posed by tetracycline therapy during pregnancy? Select all that apply.

-hyperbilirubinemia -impaired tooth development -impaired bone development

The nurse is preparing to administer the initial IV dose of caspofungin to a client. Before giving the dose, the nurse should review the latest results of what diagnostic testing? Select all that apply.

-liver function -complete blood count -renal function

he nurse is planning care for a client who requires administration of fluoroquinolones. To help prevent adverse reactions, such as nephrotoxicity, the nurse should confirm that what precautions are included in the plan? Select all that apply.

-lowering the initial dosage -providing adequate hydration

What organs function to control most of the body's metabolic functions and maintain homeostasis? Select all that apply.

-pituitary -hypothalamus

The nursing instructor is lecturing abou the development and spread of multidrug-resistant TB around the world. What factors would the instructor identify as contributing to this development? Select all that apply.

-poor adherence to administration -lack adequate laboratory facilities -poor-quality medications -delayed determination of drug susceptibility

A client is admitted with a diagnosis of thyroid storm. What medications does the nurse expect to be included in therapy? Select all that apply.

-propranolol -propylthiouracil

What are the major methods associated with the spreading of viral infections? Select all that apply.

-sexual contact -secretions from infected people -ingestion of contaminated food or water -breaks in skin and mucous memebranes

What factors may prompt a change in TB treatment to include second line anti-TB drugs? Select all that apply

-the client is unable to tolerate first-line drugs -there is resistance to the first-line drugs

A child has responded favorably to treatment with somatropin and has grown several centimeters in recent months. When monitoring this client's progress during therapy, the nurse should be aware of the results from what diagnostic tests? Select all that apply.

-thyroid function tests -blood glucose levels -eye examinations

A client who is HIV positive is involved in antiretroviral therapy (ART) to decrease symptoms and increase lifespan and quality. What are rationales to support prescribing a combination of antiretrovirals? Select all that apply.

-to decrease morbidity associated with HIV -to suppress the conversion to acquired human immunodeficiency syndrome (AIDS) -to prevent development of drug resistance to antiretroviral drugs

While reviewing the medication administration record of a client, the nurse sees that sulfasalazine has been prescribed. What medical diagnosis does the nurse suspect the client might have? Select all that apply.

-ulcerative colitis -rheumatoid arthritis

To maximize the prevention of an incisional infection, when will the nurse administer the prophylactic antibiotic therapy prescribed for a surgical client?

1 hour prior to the first planned skin incision

The nurse is preparing to administer IV vancomycin to a client for the treatment of a systemic infection. How long would the nurse expect the infusion to run?

1 to 2 hours

The nurse is providing health promotion education to a client regarding proper hydration. How much urine will the nurse indicate an adequately hydrated adult produces each day?

2 L/d

The nurse is administering furosemide IV to a client. How soon after administration does the nurse expect diuretic effects to peak?

30 mins

What is the life expectancy of a client diagnosed with multidrug-resistant tuberculosis?

4-16 weeks

The client is schedule to get a breakfast tray at 07:00. At what time should the client receive a prescribed dose of insulin lispro?

6:45

A client diagnosed with hypothyroidism who began treatment with levothyroxine several weeks ago telephones the clinic to report missing yesterday's dose. The nurse's response should be based on the fact that the drug's half-life is how long?

9 to 10 days

Deficiency of which hormone cuases polyuria and polydipsia?

ADH

Which hormone is released in the presence of low blood volume?

Antitiuretic hormone (ADH)

A client reports taking an antibiotic and a pain medication for a urinary tract infection (UTI) but cannot recall the name of the pain medication. What medication would the nurse suspect?

phenazopyridine hydrochloride

A client is being administered mitotane for the treatment of Cushing's disease. What assessment finding should the nurse prioritize for reporting to the primary health care provider?

CNS depression

Anidulafungin is prescribed to treat what form of fungal infection?

Candidiasis

The nurse has performed a general assessment of a hospitalized client who has been prescribed fludrocortisone, including auscultation of the client's apical heart rate. How should the nurse best follow up assessment of an audible S3?

Contact the health care provider promptly

A client has been diagnosed with an infected postoperative wound, and cultures reveal methicillin-resistant S. aureus (MRSA). The client is currently receiving cephalosporins IV based on previous in virto testing that indicated susceptibility. What is the

Contact the health care provider to discontinue cephalosporin

Which hormones are secreted in 24-hour (circadian) cycles? Select all that apply.

Cortisol, GH, ACTH

The nurse is reviewing recent laboratory values for an older client prior to administration of tetracycline. Which finding would lead the nurse to hold the dose?

Creatinine of 2.8 mg/dL (247.52 µmol/L) (high)

A child has been diagnosed with congenital hypothyroidism. What other term would the nurse recognize as referring to this condition?

Cretinism

An older adult resident of a LT care facility has been diagnosed with a fungal infection and has been prescribed fluconazole. What change in the client's laboratory values may necessitate a change in medication therapy?

Decreased creatinine clearance

In the event of a bioterrorism attack with anthrax, the health care team should anticipate the use of which tetracycline?

Doxycycline

The nurse is caring for a client who has been diagnosed with mycoplasma pneumoniae. What drug should the nurse expect to administer?

Doxycycline

Aminoglycosides are prescribed in the treatment of what hospital-acquired infection? Select all that apply.

Escherichia coli klebsiella proteus pseudomonas

The anterior pituitary gland produces seven hormones. Which act directly on their target tissues? Select all that apply.

GH, Prolactin

The stress response triggered by illness will result in the increase secretion of what hormones? Select all that apply.

GH, cortisol, glucagon, epinephrine

TB is a leading killer among people who have which concurrent medical diagnosis?

HIV

A client has a history of deep vein thrombosis, for which warfarin has been prescribed. When providing education for this client, who is now also taking fluconazole to treat a localized candidal infection, the nurse should provide what instruction?

Have routine laboratory tests done to monitor the effects of warfarin

While reviewing a newly admitted client's previous health records, the nurse notes that the client is currently prescribed acyclovir. The nurse should assess the client for signs and symptoms associated with what medical diagnosis?

Herpes simplex virus

A client undergoing LT therapy with a calcium channel blocker is newly prescribed fluconazole. What effect will the presence of the calcium channel blocker have?

It will increase the effect of the fluconazole

The nurse is justified in suspecting that a client who recently completed a course of ceftaroline may have been treated for what health problem?

MRSA infection

The nurse should recognize that atrophy of the adrenal cortex is the result of what drug therapy?

Mitotane

The nurse should anticipate the administration of what drug when an older adult client is diagnosed with community-acquired pneumonia?

Moxifloxacin

The nurse is caring for a client who requires administration of an aminoglycoside. The nurse should perform focused assessments related to what adverse reactions? Select all that apply.

Ototoxcicity nephrotoxicity

What route of administration is most commonly used for the administration of ciprofloxacin when prescribed to an older adult client?

PO

A client has been diagnosed with streptococcal pharyngitis. What drug would the nurse expect to be prescribed by the health care provider?

Penicillin G

The nurse is planning care for a client who has been prescribed long-term therapy for Addison's disease. The nurse should address what nursing diagnosis that results from the client's increased risk?

Risk for infection related to medication therapy

A critically ill client is being treated with desmopressin. When reviewing the diagnostic and laboratory findings of a client who has been prescribed desmopressin, the nurse should prioritize what values? Select all that apply.

Sodium, Potassium

A client's fungal infection will be treated with amphotericin B. The nurse should question the prescription if what route of administration is specified?

SubQ

A client who is 32 weeks pregnant has been diagnosed with a urinary tract infection. The nurse would immediately question any prescription for a sulfonamide based on what risk?

Sulfonamides can cause a life-threatening toxicity for the fetus

The nurse has completed an assessment of a client who takes hyrocortisone for the treatment of adrenal insufficiency. Which finding should the nurse report to the health care provider immediately?

Temperature 99.9F

A client who has been diagnosed with syphilis reports an allergy to penicillin. The nurse would anticipate that which drug will be prescribed for the treatment?

Tetracycline

The health care provider is assessing a child for potential somatropin therapy. What criterion must be met for the treatment to be prescribed?

The child must not have begun puberty

A client diagnosed with asthma has responded well to treatment with oral corticosteroids, and a switch to inhaled corticosteroids is planned. What strategy for managing this change in treatment should be implemented?

The inhaled drug should be started during tapering of the oral drug

A client with a deep wound producing large amounts of purulent drainage is prescribed an antibiotic. The nurse should express concern about the potential effectiveness of the treatment if which medication is prescribed?

Trimethoprim-sulfamethoxazole

A client diagnosed with symptomatic hyperthyroidism is prescribed propranolol. Which clinical manifestation would the nurse identify that indicates the medication is having the desired effect?

a HR of 72 beats/min

A 7-year-old client has been prescribed leuprolide acetate. What information should the nurse provide the client's parents concerning the expected outcome over the next 2-4 weeks?

a decrease in sexual characteristics

A client with a long-standing diagnosis of heart failure has been taking hydrochlorothiazide (HCTZ) for several weeks. The health care provider (HCP) indicates that the client would benefit from increased diuresis but is likely ''near the ceiling threshold

a higher dose of HCTZ will not result in increased diuresis

The process in which hormone secretion is stimulated when hormones are needed and inhibited when they are not needed is referred to by what term?

a negative feedback system

A client receiving drug therapy for a fungal infection reports being nauseated and requests that the dose be decreased or the medication changed. Which statement should form the basis of the nurse's response to the client's request?

antifungal drugs that are effective for this disease without being excessively toxic to human cells are limited

A client has suddenly stopped corticosteroid therapy because the symptoms are now under control. The nurse should assess the client for signs and symptoms similar to what disorder?

addison's disease

The nurse is reviewing the medication order for a client who has been prescribed gentamicin. The nurse recognizes the inclusion of what administration instruction as a means to maximize the drug's efficacy?

administer once daily

A client has been diagnosed with an infected postoperative wound, and cultures reveal methicillin-resistant Staphylococcus aureus (MRSA). The client is currently receiving intravenous ceftaroline because in vitro testing indicates susceptibility. When con

administer the medication as prescribed and monitor for expected outcomes

A client with a visible "buffalo hump" and a history of impaired wound healing has been referred for care to the endocrinology department. This client's signs and symptoms are most likely to be attributed to what factor?

adrenocortical excess

A school-age client is being assessed for a possible diagnosis of precocious puberty. This diagnosis primarily considers what client-focused factors? select all that apply.

age gender secondary sexual characteristics race

The nurse is providing health education to a client prescribed ioniazid. What should the nurse instruct the client to avoid?

alcohol

Which corticosteroid is classified as a mineralocorticoid?

aldosterone

A client diagnosed with E. coli resistant to other drugs has been prescribed imipenem-cilastatin to be given IM. When preparing the medication for administration, what information should the nurse obtain from the client?

allergy to local lidocaine

A group of nurses are discussing the potential for an outbreak of influenza A in the LT care facility where they work. What antiviral drug treatment should the nurses be prepared to administer to manage such an outbreak?

amantadine hydrochloride

The nurse is reviewing a prescription for metformin. The nurse should immediately contact the prescription is for which client?

an 82 year old client diagnosed with type 2 diabetes

A client receiving the first dose of IV ampicillin asks the nurse to evaluate a rash on the torso. What should be the nurse's initial response to the client's rash?

attempt to differentiate a hypersensitivity reaction from nonallergic ampicillin rash

What medication could be prescribed orally to treat a sinus infection in a client needing an abbreviated therapy plan?

azithromycin

An older adult client is prescribed intravenous ciprofloxacin for the treatment of a urinary tract infection. What nursing assessment should the nurse prioritize to identify potential adverse effects?

blood glucose monitoring

What is the method of action for protease inhibitors on the human immunodeficiency virus?

bring about the production of immature, noninfectious viral particles

Which finding should alert the nurse to a potential Cushing's syndrome manifestation presented by a client prescribed long-term corticosteroid therapy?

buffalo hump

A client being treated with oral prednisone is also prescribed furosemide. The nurse should prioritize assessment of what laboratory value?

potassium

A client being prepared for surgery has been prescribed antibiotics as prophylaxis. Which medication would the nurse anticipate being ordered?

cephalosporin

A client prescribed rifaximin for diarrhea has developed frank bleeding in the stool. What intervention should the nurse anticipate being implemented to best ensure client safety?

changing to a different antibiotic

The nurse is reviewing a medication prescription for a 2-year-old child diagnosed with meningococcal meningitis. The nurse would question the health care provider if what antibiotic is prescribed?

clindamycin

A client presents with ascites, secondary to cirrhosis. What mechanism is involved in this fluid shift?

decreased plasma oncotic pressure

During a visit to the health care provider's office, a client presents with a 14 lb (6.3 kg) weight gain since the last visit 3 weeks ago. The lower extremities are swollen, and the facial features are puffy. By what mechanism should a prescribed diuretic

decreased plasma volume

The nurse is caring for an older adult client who receives furosemide on a regular basis. The nurse should prioritize assessments related to what health problem?

dehydration

A nurse is preparing an ordered dose of sodium iodide 131I. The nurse should proceed knowing that this drug will help to resolve hyperthyroidism by what means?

destroying thyroid tissue

A nurse is preparing medication information for the spouse of a client diagnosed with cerebral edema. Which medication should the nurse include in this information?

dexamethasone

The nurse is caring for a client who has been diagnosed with cerebral edema caused by trauma. Which medication should the nurse be prepared to administer?

dexamethasone

While reviewing a client's medication administration record, the nurse sees that the client is receiving streptomycin. Based on this, the nurse suspects that the client most likely has what health condition?

drug-resistant TB

A client being treated for cellulitis with a cephalosporin asks the nurse what the essential difference is between generations of this medication. The nurse should respond to the client's question based on what fact?

each successive generation is more effective against gram-negative microorganisms

A client diagnosed with Chlamydia is allergic to penicillin. What medication could be used as a substitute for penicillin in this situation?

erythromycin

A client with a history of valvular heart disease reports having had a ''bad reaction'' after receiving penicillin in the past. Prior to a scheduled dental procedure, the client is likely to be prescribed what drug?

erythromycin

What is the most common cause of subclinical hyperthyroidism?

excess thyroid hormone therapy

During a general health assessment, a client indicates taking thyroid medication to increase weight loss. What should the nurse teach the client about this use of the medication?

excessive or unnecessary antithyroid medication may produce serious or life-threatening manifestations of toxicity

Antiretroviral drugs have different mechanisms of action. Which action below is not a common antiretroviral mechanism?

facilitating exit from an infected host cell

A nurse is caring for older adult residents in a LT care facility. Which assessment should be performed on a regular basis for clients who are prescribed amantadine?

falls

A client diagnosed with malaria has been prescribed treatment with sulfadiazine. The nurse should encourage the client to increase consumption of what dietary component?

fluids

Which diuretic will most likely be the initial drug of choice when a client demonstrates dyspnea related to pulmonary edema?

furosemide

A client has been prescribed a corticosteroid for the treatment of chronic adrenocortical insufficiency. The nurse's instructions for administration should include taking the medication under what condition

in the morning

A client diagnosed with Cushing's disease is not a surgical candidate and is consequently being treated with ketoconazole. The nurse should be aware that ketoconazole achieves a therapeutic effect by what means?

inhibiting the enzymes that contribute to cortisol synthesis

What action is not a function of antidiuretic hormone?

inhibition of thyrotropin

What is isoniazid's mechanism of action?

inhibits cell wall formation

What is the mechanism of action of most of the drug classess included in the antiretroviral drug therapy treatment plan?

inhibits function of enzymes required for replication in host cells

a client's current condition requires rapid reduction of blood sugar levels. Which type of insulin will have the most rapid onset of action?

insulin lispro

A client has been prescribed hydrocortisone cypionate. How would the nurse describe the medication to the client?

it is a combination of a mineralcorticoid and adrenocorticoid

A client diagnosed with hyperthyroidsism is unsure about the need for the prescribed propranolol, stating "i looked this up online and it's for high blood pressure, not thyroid problems." What statement concerning beta-andrenergic blockers should the nurse:

it will block stimulation of the sympathetic nervous system

The nurse is assessing a client who has been prescribed treatment with isoniazid. What assessment finding would most likely necessitate contacting the health care provider to recommend discontinuing treatment?

jaundice

The client has developed a pressure area on the hip that has become infected. If the wound culture reveals vancomycin-resistant enterococci (VRE), which medication will the nurse expect to be prescribed?

linezolid

Rosiglitazone is being considered for the treatment of diabetes in an adult client. Before the initiation of rosglitazone therapy, the nurse should review what laboratory work recently drawn?

liver enzymes

The nurse is caring for a client who has been prescribed treatment with isoniazid. The nurse should confirm that the plan of care includes administration of what supplement prior to beginning drug therapy?

liver enzymes

A hospital client's current medication administration record specifies oral administration of propylthiouracil (PTU) every 8 hours. What sign or symptom may have originally prompted the health care provider to prescribe this drug?

persistent tachycardia

A client is admitted to the emergency department with pulmonary edema. What diuretic does the nurse expect the health care provider to prescribe to achieve rapid therapeutic effect?

loop diuretic

The nurse recognizes that what drug classification increases the risk of tototoxicity and nephrotoxicity when prescribed with gentamicin?

loop diuretics

What stimulus would prompt the hypothalamic-pituitary-adrenal (HPA) axis to increase corticosteroid production?

low serum levels of corticosteroids

A major concern among public health authorities is an increase in drug-resistant TB infections. What new evidence suggests a possible cause for this resistant tendency?

many drug resistant infections are new infections, especially those who are immunosuppressed

A nurse is preparing to administer a scheduled dose of levothyroxine to an older adult client who is being treated in the hospital for a respiratory infection. Prior to administering the drug, the nurse should perform what assessment?

measurement of blood pressure

The nurse is providing teaching to a client who has been prescribed corticosteroid therapy. What long-term adverse effects should the nurse mention during teaching?

mental changes ranging from mild agitation to psychosis

A client who has been prescribed metformin is scheduled to undergo diagnostic testing with the administration of parenteral radiographic contrast media containing iodine. What fact should direct the nurse's plan of care for this client?

metformin should be discontinued at least 48 hours before and after diagnostic tests that use contrast media

The nurse is caring for a client who has been diagnosed with trichomoniasis. What medication would the nurse anticipate being prescribed?

metronidazole

The nurse is preparing to administer vancomycin intravenously (IV) to a client. In preparation, the nurse dilutes the medication into 0.9% NaCl for what reason?

minimize the adverse reactions related to histamine release

The nurse is assessing a client with HIV who is receiving antiretroviral therapy that includes zidovudine. What assessment finding would the nurse immediately report to the health care provider because it may signal the need to discontinue the drug?

musculoskeletal pain

A client diagnosed with type 2 diabetes has been prescribed a melitinide. The nurse should informt he client that the medication should be taken at what time relative to meals?

no more than 30 minutes before the meal

Which laboratory value would the nurse find consistent with acute viral infection?

normal white blood cell count

What drug type is most likely to cause respiratory depression and myxedema coma in clients with thyroid disorders?

opioid analgesics

The nurse is providing education to a client who has been prescribed oral amoxicillin. The nurse will repeat teaching related to fluid intake if the client indicates that the drug can be taken with what beverage?

orange juice

Gentamicin therapy is indicated in the treatment of what medical diagnosis?

osteomyelitis

The nurse is preparing to administer clindamycin intravenously (IV) to a client. How should the nurse set the infusion to run?

over 10 to 20 minutes

The nurse is caring for a client who has been prescribed corticosteroid therapy. The nurse should notify the prescribing health care provider when observing what in the client's history?

peptic ulcer

A client diagnosed with type 1 diabetes suddenly reports feeling weak, shaky, and dizzy. What should be the nurse's initial response?

perform a blood sugar analysis

An adult client diagnosed with multiple chronic health problems has been prescribed furosemide in the management of hypertension. When reviewing this client's current medication administration record, what drug should alert the nurse to a potentially increase

prednisone

A client who is demonstrating pneumonia-like symptoms is being assessed for possible TB. the client's history suggets which phase of TB infection?

primary infection

What event triggers the development of a superinfection?

proliferation of antibiotic-resistant microorganisms

When a client fails to improve appreciably after 4 weeks of treatment with first-line drugs, what adjuvant first-line antitubercular drug will be considered for inclusion in the existing medication regimen?

pyrazinamide

A client is prescribed furosemide to treat hypertension. What education should the nurse provide to the client?

reduce the amount of sodium in the diet

A client diagnosed with diabetic ketoacidosis has been admitted to the intesive care unit. The client is prescribed an intravenous insulin drip, so the nurse knows that what type of insulin will be administered?

regular

A client has been admitted to the emergency department with a diverse constellation of signs and symptoms. What diagnostic finding is most consistent with a diagnosis of Addison's disease?

serum sodium 128 mEq/L

The nurse is caring for a child who has been prescribed corticosteroids for the treatment of asthma. The nurse understands that medication dosage for this client is based on what?

severity of disease

The nurse initiated administration of IV cefazolin with the dose ending at 13:00. When would the nurse expect the drug to reach peak effect?

shortly after 13:00

What substance is reabsorbed in the ascending limb of the loop of Henle?

sodium

A client scheduled to undergo major abdominal surgery has been prescribed preoperative neomycin. Neomycin is used preoperatively for what reason?

suppress intestinal bacteria

A client diagnosed with systemic mycosis is admitted to the intensive care unit and is being treated with fluconazole. The nurse will determine the success of the treatment by monitoring what client assessment data?

temperature

How will a client's diagnosis of liver cirrhosis affect the potential use of appropriate ampicillin therapy to treat an infected pressure ulcer?

the client can safely be treated with ampicillin

A client diagnosed with type 2 diabetes several months ago has presented for a scheduled follow-up appointment. Which stated behavior most clearly indicates that the client has established effective health maintenance?

the client frequently checks blood glucose levels

The nurse is caring for a client who is receiving erythromycin. What assessment finding suggests that the client is experiencing an adverse effect of the drug?

the client is uncharacteristically euphoric

A client exhibits severe tachycardia, fever, dehydration, and heart failure. The nurse recognizes that these signs are consistent with what thyroid-associated health condition?

thyroid storm

Which hormone is released in response to stress, such as exposure to cold?

thyrotropin-releasing hormone (TRH)

A client is admitted to hospice with the diagnosis of extensively drug-resistant TB. Knowing some of the contributing factors to this disease, the nurse understands this disease is a major indication of what treatment failure?

to adequately diagnose, prevent, and treat MDR-TB

Based on a physical assessment, the nurse suspects that a client was given tetracycline as a young child. What physical characteristic led the nurse to this conclusion?

tooth color

A client has developed a pressure area on the hip that has become infected. If the wound culture reveals methicillin-resistant Staphylococcus aureus, which medication would the nurse expect to be prescribed?

vancomycin

What is the regulatory function of vasopressin?

water balance

The nurse is caring for a client who is taking insulin. The nurse suspects the client is experiencing hypoglycemia when the client displays what signs?

weakness, sweating, and decreased mentation