Capstone Pharm Pre Assessment

A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes. Identify the steps the nurse should take when preparing the two insulins. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Inject 20 units of air into the NPH insulin vial. Inject 10 units of air into the regular insulin vial. Withdraw 10 units of air from the regular insulin vial. Withdraw 20 units of air from the NPH insulin vial.

A nurse is reinforcing teaching with a client who has a new prescription for epoetin alfa. The nurse should reinforce to the client to take which of the following dietary supplements with this medication?

Iron

A nurse is preparing to administer ceftriaxone 3 mL intramuscularly to an adult client. Which of the following actions should the nurse plan to take?

Locate the ventrogluteal site.

A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the adolescent's parent is the priority for the nurse to address?

"He seems to be getting a lot more bumps and bruises lately."

A nurse is reinforcing teaching with a client who is to start taking enteric-coated naproxen for rheumatoid arthritis. Which of the following client statements by the client indicates a need for further teaching?

"I am taking this type of medication so it dissolves in my "It's okay to crush a tablet as long as I make sure it dissolves completely in water before swallowing it." •

A nurse is caring for a client who is taking sumatriptan for migraine headaches and reports a positive pregnancy test. Which of the following responses should the nurse make?

"You should discuss with your provider other migraine medications that may be safer during pregnancy."

A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)

7 mL

A nurse is reinforcing teaching with a client who has a new prescription for codeine. Which of the following information should the nurse include in the teaching?

Change positions slowly

A nurse is caring for a client who has Parkinson's disease and is taking selegiline 5 mg by mouth twice daily. Which of the following therapeutic outcomes should the nurse monitor for with a client who is taking this medication?

Decrease tremors

A nurse mistakenly administers a dose of metformin within 1 hr of the previous dose. Which of the following findings should alert the nurse that the client is experiencing an adverse effect from the medication error?

Diaphoresis and tachycardia

A nurse is collecting data from a client who has been taking esomeprazole for several months. Which of the following client statements should the nurse identify as indicating effectiveness of the medication?

I don't have pain in my stomach anymore

A nurse is caring for a client who is scheduled for surgical repair of a femur fracture and has a prescription for lorazepam preoperatively. Which of the following statements by the client should indicate to the nurse that the medication has been effective?

I feel very sleepy

A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for prednisone. Which of the following statements indicates an understanding of the teaching?

I should expect to feel hungry while taking this medication"

A nurse is reinforcing teaching with a client who is prescribed ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching?

I will expect dark tarry stools

A nurse is caring for an older adult client who has a new prescription for spironolactone. Which of the following laboratory values should the nurse monitor for this client?

Potassium

A nurse is caring for a client who has herpes zoster. Which of the following actions should the nurse take?

Prepare to administer acyclovir.

A nurse is caring for a client whose serum potassium level is 5.3 mEq/L. The nurse should anticipate a prescription for which of the following medications?

Sodium polystyrene

A nurse is collecting data from a client who is to start taking digoxin for heart failure. The nurse should instruct the client to avoid taking which of the following herbal supplements?

St. John's Wort

A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?

Sublingual

A nurse is caring for a client who has asthma. The client asks the nurse how albuterol helps his breathing. Which of the following information should the nurse include in the response? (Select all that apply.)

The medication will prevent wheezing The medication will open the airways The medication will decrease coughing episodes.

A nurse in an urgent care center is collecting data from a client who reports taking an excessive amount of aspirin. Which of the following findings should the nurse identify as an indication of salicylism?

Tinnitus

A nurse is reinforcing discharge teaching with a client who has pulmonary tuberculosis and is to start taking rifampin. Which of the following information should the nurse include?

Urine and other secretions will turn orange.

A nurse is caring for a client who is receiving warfarin therapy to prevent a deep vein thrombosis. Which of the following medications should the nurse have available in the event of an overdose?

Vitamin K

A nurse is reinforcing discharge instructions for a client who has asthma and is about to start using beclomethasone MDI. For which of the following findings should the nurse instruct the client to monitor and report to the provider as an adverse effect of the medication?

White coating in the mouth

A nurse is caring for a client who is postoperative and receiving fentanyl via patient controlled analgesia. The client has a prescription for naloxone. The nurse understands that the purpose of naloxone is which of the following?

block the effects of opioids on the central nervous system

A nurse is planning to instill ear drops to a toddler and must straighten the ear canal by pulling the auricle of the ear. The nurse should plan to pull the auricle in which of the following directions?

down and backward this is the correct technique for infants and children under 3

A nurse is reinforcing teaching with a female client who has rheumatoid arthritis and a prescription for methotrexate. Which of the following information should the nurse include in the teaching?

drink 10 to 12 glasses of water per day

A nurse is reinforcing teaching for a client who is about to start therapy with alendronate to treat osteoporosis. For which of the following findings should the nurse instruct the client to monitor and report as an adverse effect of the medication? (Select all that apply.)

jaw pain blurred vision dysphagia

A nurse is reinforcing teaching with a young adult female client who has been prescribed lisinopril. Which of the following instructions should the nurse plan to include? (Select all that apply.)

report the development of a persistent dry cough, monitor your bp on a regular basis is correct, notify your doctor immediately if you become pregnant

A nurse is reviewing the medical record of a client who has been taking simvastatin for 9 months. The client has an alanine aminotransferase (ALT) 120 units/L and aspartate aminotransferase (AST) 100 units/L. Which of the following data from the client's dietary history should the nurse report to the provider?

the client drinks grapefruit juice every evening