DQ Pharmacology 3
A nurse is caring for a client who has tuberculosis and is taking rifampin. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of the medication? A. "I have noticed my urine is orange in color." B. "I sleep more than I used to." C. "My tongue and mouth are sore." D. "My voice seems hoarse."
A. "I have noticed my urine is orange in color."
A nurse is teaching to a client who has systemic lupus erythematosus about a new prescription for oral glucocorticoid therapy. Which of the following client statements indicates an understanding of the teaching? A. "I should take a calcium supplement while on this medication." B. "Regular liver function studies will have to be done while I am taking this medication." C. "I can take NSAIDs to treat mild pain while using this medication." D. "I will be sure to eat 6 small meals a day to prevent hypoglycemia from this medication."
A. "I should take a calcium supplement while on this medication."
A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered-dose inhaler. Which of the following statements by the parent indicates the need for further teaching? A. "I will give my child a dose as soon as wheezing starts." B. "My child should rinse out his mouth after using the inhaler." C. "My child should exhale completely before placing the inhaler in his mouth." D. "If my child has difficulty breathing in the dose, a spacer can be used."
A. "I will give my child a dose as soon as wheezing starts."
A nurse is caring for a client who has multiple sclerosis and is receiving interferon beta-1a. The nurse should identify that which of the following client statements indicates a potential adverse effect of the medication? A. "My body aches all over." B. "I have abdominal cramping." C. "My hair seems to be thinning." D. "It hurts when I urinate."
A. "My body aches all over."
A nurse is educating a client with urethritis who has a new prescription for oral erythromycin. Which of the following statements should the nurse include in the teaching? A. "Report persistent diarrhea to the provider." B. "Take this medication with a full glass of milk." C. "Some people who take erythromycin experience vision loss." D. "Antacids will reduce the extent of absorption of this medication."
A. "Report persistent diarrhea to the provider."
27. A nurse is providing discharge teaching to a client who has a bacterial infection about adverse effects of imipenem to report to the provider. Which of the following pieces of information should the nurse include? A. "Seizures can occur with this medication." B. "You should observe for manifestations of bleeding." C. "Check your hands and feet for sensory dysfunction." D. "This medication can increase the risk of ototoxicity."
A. "Seizures can occur with this medication."
A nurse is caring for a client with premenstrual disorder (PMD) who has a prescription for fluoxetine. The client asks the nurse, "When should I notice the benefits of this medication?" Which of the following responses should the nurse make? A. "You should expect decreased manifestations within a few days." B. "Manifestations decrease after about 2 months." C. "You should expect decreased manifestations immediately." D. "Manifestations will decrease after several weeks."
A. "You should expect decreased manifestations within a few days."
A nurse is planning care for a client who is receiving gentamicin IM and has a new prescription to obtain gentamicin peak and trough levels. At which of the following times should the nurse plan to obtain a blood sample to evaluate the gentamicin peak? A. 1 hour after administering the IM injection B. Just before administering the IM injection C. 12 hours after the last IM injection D. 30 minutes after administering the IM injection
A. 1 hour after administering the IM injection
A charge nurse is teaching a newly licensed nurse about the purpose of a client being prescribed a transdermal fentanyl patch. Which of the following clients should the charge nurse include in the teaching as a client who requires this medication? A. A client who is opioid-tolerant B. A client who has difficulty swallowing C. A client who has severe intermittent pain D. A client who is postoperative following abdominal surgery
A. A client who is opioid-tolerant
A nurse is preparing to administer iron dextran IV to a client. Which of the following actions should the nurse plan to take? A. Administer a small test dose before giving the full dose. B. Infuse the medication over 30 seconds. C. Monitor the client closely for hypertension after the infusion. D. Administer cyanocobalamin as an antidote if iron dextran toxicity occurs.
A. Administer a small test dose before giving the full dose.
A nurse is preparing to administer a hydromorphone IV infusion to a client for pain. Which of the following actions should the nurse take? A. Administer the medication over 4 to 5 minutes B. Place the client in a high-Fowler's position C. Assess the client's pain level after administering the medication D. Review the client's last set of vital signs
A. Administer the medication over 4 to 5 minutes
A nurse is caring for a client who has asthma and a prescription for zileuton. Which of the following laboratory values should the nurse monitor while the client is taking this medication? A. Alanine aminotransferase (ALT) B. WBC count C. Potassium D. Chloride
A. Alanine aminotransferase (ALT)
A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? A. Amantadine B. Bupropion C. Phenelzine D. Hydroxyzine
A. Amantadine
A nurse is planning discharge teaching for a client who has major depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse include in the plan as safe for the client to consume while taking phenelzine? A. Broiled beef steak B. Macaroni and cheese C. Pepperoni pizza D. Smoked salmon
A. Broiled beef steak
A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for which of the following medications? A. Colchicine B. Allopurinol C. Probenecid D. Pegloticase
A. Colchicine
A nurse is caring for a client who takes Ginkgo biloba daily at home. Which of the following effects should the nurse expect from the use of this herbal supplement? A. Decreased platelet aggregation B. Prevention of migraine headaches C. Increased risk of deep-vein thrombosis D. Lowered cholesterol and triglyceride levels
A. Decreased platelet aggregation
A nurse is preparing to administer amlodipine to a client who has hypertension. The nurse should plan to monitor the client for which of the following adverse effects of the medication? (Select all that apply.) A. Dizziness B. Pale appearance C. Palpitations D. Abdominal pain E. Peripheral edema
A. Dizziness C. Palpitations E. Peripheral edema
A nurse is preparing to administer dantrolene to a client who has muscle spasticity. Which of the following findings from the client's medical history should the nurse identify as a contraindication to the administration of this medication? A. History of cirrhosis B. History of multiple sclerosis C. History of cerebral palsy D. History of malignant hyperthermia
A. History of cirrhosis
A charge nurse is teaching a newly licensed nurse about a client who has severe allergy-related asthma and a new prescription for omalizumab. Which of the following pieces of information should the charge nurse include to describe the medication's mechanism of action? A. It reduces the number of immunoglobulin E (IgE) molecules on mast cells. B. It stabilizes the cellular membrane of mast cells. C. It decreases the synthesis and release of inflammatory mediators. D. It relaxes the smooth muscles by blocking adenosine receptors.
A. It reduces the number of immunoglobulin E (IgE) molecules on mast cells.
A nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Jaundice B. Constipation C. Oral candidiasis D. Sedation
A. Jaundice
A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for which of the following medications? A. Naproxen B. Pegloticase C. Probenecid D. Allopurinol
A. Naproxen
A nurse is assessing a client who was recently admitted and has a history of alcohol use disorder. The client displays ataxia, an altered level of consciousness, and nystagmus. Which of the following medications should the nurse anticipate administering to the client? A. Parenteral thiamine B. Niacin extended-release capsules C. Parenteral pyridoxine D. Riboflavin tablets
A. Parenteral thiamine
A nurse is providing teaching to a client who has a new prescription for doxycycline. The nurse should instruct the client to monitor for which of the following adverse effects? A. Photosensitivity B. Constipation C. Ototoxicity D. Blurred vision
A. Photosensitivity
A nurse is caring for a client who received spinal anesthesia 30 minutes ago. The client reports feeling dizzy, and the nurse notes that the client's blood pressure is 84/54 mmHg. Which of the following actions should the nurse take? A. Place the client in the head-down position B. Assess the placement of the catheter C. Prepare to administer an IV reversal agent D. Assist the client in passive range of motion movements
A. Place the client in the head-down position
A nurse is teaching a client who has type 1 diabetes mellitus about a new subcutaneous insulin infusion pump. Which of the following pieces of information should the nurse include in the teaching? A. Plan to use a type of short-duration insulin in the infusion pump B. Replace the infusion pump set every 4 days C. Turn off the infusion pump for at least 3 hours each day D. Move the infusion pump catheter 1.27 cm (0.5 in) away from the old site
A. Plan to use a type of short-duration insulin in the infusion pump
A nurse is providing teaching to a female client who has a new prescription for pravastatin to treat hyperlipidemia. Which of the following pieces of information should the nurse include in the teaching? A. Pravastatin can be taken with grapefruit juice. B. Pravastatin can be continued during pregnancy. C. Pravastatin should be taken with the morning meal. D. Laboratory testing to monitor the client's WBC count is required.
A. Pravastatin can be taken with grapefruit juice.
A nurse is caring for a client who has tuberculosis and is taking rifampin. The nurse should monitor the client for which of the following adverse effects of rifampin? A. Red-tinged urine B. Tinnitus C. Blurred vision D. Dry mouth
A. Red-tinged urine
A nurse is preparing to administer IV nitroprusside for a client who had a myocardial infarction. Which of the following actions should the nurse take? A. Regulate the infusion pump rate using the client's weight in the calculation B. Change the IV solution bag every 48 hr after the time of preparation C. Ensure the freshly prepared IV solution has a slight greenish tint D. Cover the medication with an amber plastic bag to protect it from light
A. Regulate the infusion pump rate using the client's weight in the calculation
A nurse is caring for a client who has asthma and requires long-term treatment. The nurse should identify that which of the following medications used for long-term treatment places the client at an increased risk of asthma-related death? A. Salmeterol B. Fluticasone C. Budesonide D. Theophylline
A. Salmeterol
A nurse is caring for a school-aged child who has cystic fibrosis (CF) and has been using a corticosteroid inhaler for long-term treatment. Which of the following findings should the nurse identify as an adverse effect of long-term use of this medication? A. Small stature for age B. Decreased weight C. Poor dentition D. Atrophied muscles
A. Small stature for age
A nurse is assessing a client who began taking clozapine 3 weeks ago. Which of the following findings should the nurse report to the provider immediately? A. Tachypnea and tachycardia B. Abdominal pain and constipation C. Enuresis and polyuria D. Dry mouth and blurred vision
A. Tachypnea and tachycardia
A nurse is caring for a client who has a prescription for subdermal etonogestrel. The nurse should alert the provider about which of the following findings in the client's medical history? A. Takes St. John's wort B. Breastfeeds a 6-month-old infant C. Has a parent with hypertension D. Has a positive human papillomavirus (HPV) test result
A. Takes St. John's wort
40. A nurse is teaching a client with type 2 diabetes mellitus about self-administration of a new prescription for acarbose. Which of the following pieces of information should the nurse include in the teaching? A. Tell the client to take the medication with food B. Show the client how to perform an intramuscular injection C. Advise the client to avoid taking this medication with insulin D. Warn the client against exercising while taking this medication
A. Tell the client to take the medication with food
A nurse is evaluating a 20-month-old child who received a hepatitis A immunization 3 days ago. The parent reports that the child has exhibited a loss of appetite following the immunization. Which of the following actions should the nurse take? A. Tell the parent that this reaction should only last for a couple of days B. Notify the provider immediately C. Prepare an antidote to administer to the child D. Request that the provider order a serum titer level
A. Tell the parent that this reaction should only last for a couple of days
A nurse is planning care for a female client who has severe irritable bowel syndrome with diarrhea (IBS-D) and a new prescription for alosetron. Which of the following interventions should the nurse include in the plan of care? A. The client must sign an agreement with the provider before beginning alosetron. B. The client must stop taking alosetron if diarrhea continues for 1 week after beginning the medication. C. The client should expect to have a slower heart rate while taking alosetron. D. The client should use a barrier birth control method because alosetron interacts with oral contraceptives.
A. The client must sign an agreement with the provider before beginning alosetron.
A nurse is assessing a client who reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following therapeutic effects? A. Urinary health promotion B. Immune system stimulation C. Decreased leg pain from arterial disease D. Prevention of nausea caused by motion sickness
A. Urinary health promotion
A nurse is caring for a client who was recently diagnosed with rheumatoid arthritis. The nurse should expect the provider to prescribe methotrexate at which of the following times? A. Within 3 months of the initial diagnosis B. When NSAIDs have not provided pain relief C. During an exacerbation of symptoms D. Once bone degeneration progresses
A. Within 3 months of the initial diagnosis
A nurse is teaching a client about taking tetracycline PO. Which of the following statements should the nurse include in the teaching? A. "Take this medication on a full stomach." B. "Limit your consumption of dairy products while taking this medicine." C. "Take the medication with your regular iron supplement." D. "Take antacids if you have an upset stomach from using tetracycline."
B. "Limit your consumption of dairy products while taking this medicine."
A nurse is teaching a client with chronic asthma who has a new prescription for cromolyn. Which of the following instructions should the nurse include in the teaching? A. "Use the inhaler just before exercise." B. "The medication's therapeutic effects can take up to several weeks to develop." C. "You will shake the medication container for 3 seconds." D. "You will need to exhale slowly after you inhale."
B. "The medication's therapeutic effects can take up to several weeks to develop."
A nurse is teaching about taking donepezil with a client who was recently diagnosed with early Alzheimer's disease. Which of the following instructions should the nurse include in the teaching? A. "You should chew the medication thoroughly prior to swallowing." B. "You should take this medication late in the evening." C. "You should take this medication with food." D. "If you miss taking a dose for a day, take 2 doses the following day."
B. "You should take this medication late in the evening."
A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent client who has type 1 diabetes mellitus. The nurse should anticipate the onset of action of the insulin at which of the following times? A. 0800 B. 0745 C. 0900 D. 1030
B. 0745
A nurse is caring for a client who has bronchitis and a prescription for a mucolytic agent. Which of the following findings should the nurse identify as an adverse effect of this type of medication? A. Fluid overload B. Bronchospasm C. Electrolyte imbalance D. Tachycardia
B. Bronchospasm
A nurse is caring for a client who has a suspected adrenal insufficiency. Which of the following medications should the nurse anticipate the provider using to determine the presence of adrenal insufficiency? A. Prednisone B. Cosyntropin C. Dexamethasone D. Ketoconazole
B. Cosyntropin
A nurse is caring for a client who is taking acarbose to treat type 2 diabetes mellitus. For which of the following adverse effects of this medication should the nurse monitor the client? A. Insomnia B. Diarrhea C. Joint pain D. Polycythemia
B. Diarrhea
A nurse is caring for a client who is taking selegiline. The nurse should monitor the client for which of the following adverse effects of selegiline and notify the provider if it occurs? A. Bruising B. Drowsiness C. Coughing D. Constipation
B. Drowsiness
A nurse is caring for a client who is receiving cefotetan 1 g via intermittent IV bolus every 12 hr to treat a postoperative infection. Which of the following manifestations should the nurse monitor for as an adverse effect of the medication? A. Disorientation B. Epistaxis C. Constipation D. Jaundice
B. Epistaxis
A nurse is caring for a female client who has been taking clomiphene to treat infertility. Which of the following findings should indicate to the nurse that the medication has been effective? A. Decreased serum luteinizing hormone (LH) levels B. Follicular enlargement and conversion to corpus luteum after ovulation C. Increased human chorionic gonadotropin (hCG) levels D. Blocked endogenous release of LH and prevention of premature ovulation
B. Follicular enlargement and conversion to corpus luteum after ovulation
A nurse is reviewing the medical record of a client who has postmenopausal osteoporosis and a prescription for raloxifene. Which of the following findings in the client's medical record should the nurse identify as a contraindication to receiving this medication? A. Breast cancer A nurse is reviewing the medical record of a client who has postmenopausal osteoporosis and a prescription for raloxifene. Which of the following findings in the client's medical record should the nurse identify as a contraindication to receiving this medication? A. Breast cancer B. History of deep-vein thrombosis (DVT) C. Allergy to calcitonin D. Current diagnosis of cholecystitis C. Allergy to calcitonin D. Current diagnosis of cholecystitis
B. History of deep-vein thrombosis (DVT)
A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should highlight that which of the following conditions is a contraindication to this medication? A. Hyperthyroidism B. Intestinal obstruction C. Glaucoma D. Low blood pressure
B. Intestinal obstruction
A nurse is reviewing the medical record for a client who has a migraine and a prescription for sumatriptan. Which of the following factors in the client's medical history should the nurse identify as a contraindication to receiving sumatriptan? A. Renal impairment B. Ischemic heart disease C. Severe osteoporosis D. Cirrhosis
B. Ischemic heart disease
A nurse is reviewing the medical record of a client who has a prescription for a combination oral contraceptive. The nurse should identify that which of the following findings is a contraindication to receiving this medication? A. High cholesterol levels B. Liver disease C. Family history of ovarian cancer D. Client report of hypermenorrhea
B. Liver disease
A nurse is providing teaching to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following adverse effects of metformin should the nurse instruct the client to watch for and report to the provider? A. Weight gain B. Myalgia C. Hypoglycemia D. Severe constipation
B. Myalgia
A nurse is caring for a client who is at 28 weeks gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? A. Oxytocin B. Nifedipine C. Dinoprostone D. Misoprostol
B. Nifedipine
A nurse is reviewing the medical record of a client who has been taking a vitamin D supplement. Which of the following findings from the client's record should the nurse identify as a risk factor for developing vitamin D deficiency? A. Middle-age B. Obesity C. Dark-colored eyes D. Light-pigmented skin
B. Obesity
A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor? (Select all that apply.) A. BUN B. PTT C. Aspartate aminotransferase (AST) D. Urinalysis E. Alanine aminotransferase (ALT)
B. PTT C. Aspartate aminotransferase (AST) E. Alanine aminotransferase (ALT)
A nurse is reviewing the medical record of a client who is scheduled for induction of labor and has a prescription for misoprostol. Which of the following conditions should the nurse identify as a contraindication to administering this medication? A. Gestational diabetes B. Past cesarean delivery C. Preeclampsia D. Genital herpes
B. Past cesarean delivery
A nurse is assessing a client who is receiving IV gentamicin 3 times daily. Which of the following findings indicates that the client is experiencing an adverse effect of this medication? A. Hypoglycemia B. Proteinuria C. Nasal congestion D. Visual disturbances
B. Proteinuria
A nurse is caring for a client who has rheumatoid arthritis and a new prescription for etanercept. Which of the following values should the nurse review prior to the administration of the medication? A. Ability to swallow B. Results of last purified protein derivative (PPD) test C. Serum creatinine level D. Blood glucose level
B. Results of last purified protein derivative (PPD) test
A nurse is caring for a client who has cystic fibrosis (CF) and has a prescription for high-dose ibuprofen daily. The nurse should identify that which of the following is an expected outcome for the client receiving this medication? A. Thinned pulmonary secretions that are retained in the airways B. Slowed progression of pulmonary damage C. Potentiated action of bronchodilator therapy D. Decreased risk of fevers associated with CF
B. Slowed progression of pulmonary damage
A nurse in a provider's office is providing teaching to a client with osteoporosis who has a new prescription for alendronate sodium. Which of the following pieces of information should the nurse include? A. Alendronate sodium can be administered by IV once yearly. B. Take alendronate sodium with a full glass of water on an empty stomach. C. Side effects of alendronate sodium include leukopenia. D. Alendronate sodium should be taken with calcium-containing foods to increase absorption.
B. Take alendronate sodium with a full glass of water on an empty stomach.
A nurse is reviewing the laboratory report for a client who is taking tobramycin and notes that the peak blood level is 9.3 mcg/mL. Which of the following actions should the nurse take? A. Administer half of the prescribed dosage at the client's next scheduled dose B. Tell the client that the medication seems to be appropriate C. Advise the client to drink more water throughout the day D. Ask if the client has been experiencing any peripheral neuropathy
B. Tell the client that the medication seems to be appropriate
A nurse is reviewing a new prescription for fexofenadine for a 7-year-old client who has seasonal allergies. Which of the following findings should the nurse clarify with the provider? A. The prescription says to avoid taking the medicine with orange juice. B. The prescription says to take standard tablets. C. The prescription says to take 30 mg twice daily. D. The prescription says to administer the medicine orally.
B. The prescription says to take standard tablets.
A nurse is reviewing the medication history of a client who has asthma. Which of the following medication combinations should the nurse identify as incompatible? A. Albuterol and montelukast B. Theophylline and zileuton C. Aminophylline and fluticasone D. Salmeterol and levalbuterol
B. Theophylline and zileuton
A nurse is teaching a client who has primary adrenal insufficiency (Addison's disease) and a prescription for hydrocortisone. Which of the following statements should the nurse include in the teaching about this medication? A. "You may need to take a lower dosage when you are ill or experiencing stress." B. "Take this medication before going to bed because it will make you tired." C. "Carry a supply of pills and a single-use injectable preparation with you at all times." D. "You will need to stop this medication before routine procedures such as a colonoscopy."
C. "Carry a supply of pills and a single-use injectable preparation with you at all times."
A nurse is teaching a client who has a new prescription for enteric-coated aspirin as stroke prophylaxis. The client asks the nurse why the provider prescribed an enteric-coated medication. Which of the following responses should the nurse give? A. "The enteric coating allows a lower dosage to be given." B. "Enteric-coated medications have better absorption in the body." C. "Enteric-coated medications cause less gastric irritation." D. "The enteric coating provides a steady release of the medication over time."
C. "Enteric-coated medications cause less gastric irritation."
A nurse is providing discharge teaching about lithium toxicity to a client who has a new prescription for lithium. Which of the following statements by the client indicates an understanding of the teaching? A. "I should take naproxen if I have a headache because aspirin can cause lithium toxicity." B. "I can develop lithium toxicity if I eat foods with lots of sodium." C. "I can develop lithium toxicity if I experience vomiting or diarrhea." D. "I might need to take a daily diuretic along with my lithium to prevent lithium toxicity."
C. "I can develop lithium toxicity if I experience vomiting or diarrhea."
A nurse is teaching a client who has a new prescription for sucralfate for a duodenal ulcer. Which of the following client statements indicates an understanding of the teaching? A. "I should take this medication with my meals and at bedtime." B. "I should only have to take this medication for about 2 weeks." C. "I should wait at least 30 minutes before taking this medication after I take an antacid." D. "I should swallow these tablets whole."
C. "I should wait at least 30 minutes before taking this medication after I take an antacid."
A nurse is teaching a client about the use of a dinoprostone vaginal insert pouch to stimulate labor. Which of the following statements should the nurse include in the teaching? A. "It is inserted using a catheter." B. "One pouch is given every 4 hours until labor occurs." C. "Lie on your back for at least 2 hours without getting up." D. "If labor doesn't occur within 6 hours, a second dose can be administered."
C. "Lie on your back for at least 2 hours without getting up."
A nurse is teaching a client with a new diagnosis of peptic ulcer disease (PUD) who has a prescription for bismuth subsalicylate. The client asks the nurse, "How will this medication help my ulcer?" Which of the following statements should the nurse make? A. "This medication will decrease prostaglandins." B. "The amount of bicarbonate in your body will be increased." C. "This medication can decrease bacteria in the gastrointestinal tract." D. "This medication acts by increasing blood flow to the stomach."
C. "This medication can decrease bacteria in the gastrointestinal tract."
A nurse is teaching a client who is experiencing age-related vaginal atrophy and has a prescription for estradiol cream. Which of the following statements should the nurse include in the teaching? A. "This medication should be used daily." B. "This medication should be applied externally." C. "This medication has fewer systemic effects than oral estrogen." D. "This medication can increase your risk of bone loss."
C. "This medication has fewer systemic effects than oral estrogen."
A nurse is providing teaching to a client who has a prescription for famotidine to treat a gastric ulcer. Which of the following statements should the nurse include in the teaching? A. "This medication is more effective when taken on an empty stomach." B. "You should take this medication with an antacid for pain control." C. "This medication is less effective for people who smoke." D. "You should expect to experience dizziness when taking this medication."
C. "This medication is less effective for people who smoke."
A nurse is teaching a client who has been taking an NSAID to treat rheumatoid arthritis. During the client's first month checkup, the provider prescribed methotrexate to be added to the medication regimen. Which of the following statements should the nurse include in the teaching about the purpose of this change in the client's medication? A. "Your current medication was not strong enough to manage this condition." B. "Once your blood levels of methotrexate are within the therapeutic range, the NSAID will be discontinued." C. "This medication was added to delay the disease progression." D. "Treating this disease with 2 medications will help protect you from becoming treatment-resistant."
C. "This medication was added to delay the disease progression."
A nurse is providing teaching to a client who has tuberculosis (TB) and a prescription for isoniazid. Which of the following instructions should the nurse include? A. "You'll need to take this medication for the rest of your life to prevent recurrence." B. "Your provider will monitor your thyroid function while you are taking this medication." C. "You should take this medication on an empty stomach." D. "You should take this medication with an antacid."
C. "You should take this medication on an empty stomach."
A nurse is caring for a client who has COPD and has been taking fluticasone via inhaler for many years. Which of the following findings should the nurse identify as an adverse effect of long-term use of this medication? A. Glomerular filtration rate (GFR) <60 B. Alanine aminotransferase (ALT) 82 units/L C. Anorexia and weakness D. Varicose veins in the lower extremities
C. Anorexia and weakness
A nurse is preparing to administer timolol eye drops to a client who has primary open-angle glaucoma (POAG). Prior to administering the medication, the nurse should recognize that which of the following conditions in the client's medical history is a contraindication to receiving this medication? A. Hypertension B. Peripheral vision loss C. Asthma D. Increased intraocular pressure
C. Asthma
A nurse is caring for a client who is experiencing cycloplegia following the administration of atropine eye drops during an eye examination. Which of the following findings should the nurse expect as a result of cycloplegia? A. Inability to tolerate bright lights B. Pinpoint pupils C. Blurred vision D. Inability to perform an upward gaze
C. Blurred vision
A nurse is caring for a client who has alcohol use disorder and was admitted with lower-extremity fractures following a motor-vehicle crash. A few hours after admission, the client develops restlessness and tremors. Which of the following medications should the nurse anticipate administering to the client first? A. Acamprosate B. Naltrexone C. Chlordiazepoxide D. Disulfiram
C. Chlordiazepoxide
A nurse is caring for a client who has diabetes insipidus. Which of the following laboratory values should the nurse identify as reflecting a contraindication to receiving vasopressin to treat this disorder? A. Sodium 152 mEq/L B. Potassium 6.0 mEq/L C. Creatinine clearance 50 mL/min D. Aspartate aminotransferase (AST) 52 units/L
C. Creatinine clearance 50 mL/min
A nurse is reviewing the medical record of a client who is receiving hydrochlorothiazide (HCTZ). The nurse should expect to find an improvement in which of the following conditions as a result of this medication? A. Gouty arthritis B. Dehydration C. Diabetes insipidus D. Hypokalemia
C. Diabetes insipidus
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects? A. Nausea B. Metallic taste C. Fever D. Drowsiness
C. Fever
A nurse is teaching a client who has severe generalized rheumatoid arthritis and is scheduled to start taking prednisone for long-term therapy. The nurse should instruct the client to report which of the following as an adverse effect of prednisone? A. Ototoxicity B. Immunosuppression C. Gastric ulceration D. Liver toxicity
C. Gastric ulceration
A nurse is monitoring a client who has diabetes insipidus and was administered desmopressin. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect of this medication? A. Thirst B. Nocturia C. Headache D. Heart palpitations
C. Headache
A nurse is reviewing the medical history of a client who has spasticity due to multiple sclerosis and a new prescription for tizanidine. Which of the following comorbidities increases the client's risk of adverse effects while taking this medication? A. Pneumonia B. Benign prostatic hypertrophy (BPH) C. Hepatitis D. Diabetes mellitus
C. Hepatitis
A nurse is caring for a client who was recently diagnosed with Addison's disease and has been placed on long-term mineralocorticoid therapy with fludrocortisone. Which of the following pieces of information should the nurse provide when explaining the purpose of this therapy? A. Mineralocorticoids help the body metabolize carbohydrates, fats, and proteins. B. Mineralocorticoids support secondary sexual development. C. Mineralocorticoids maintain electrolyte and fluid balance. D. Mineralocorticoids reduce the risk of cardiac dysrhythmias.
C. Mineralocorticoids maintain electrolyte and fluid balance.
A nurse is teaching a client who has ADHD and is starting therapy with an amphetamine/dextroamphetamine mixture. Which of the following manifestations should the nurse instruct the client to identify as an adverse effect and report to the provider? A. Restlessness B. Insomnia C. Palpitations D. Weight Gain
C. Palpitations
A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. A severe allergy to which of the following medications is a contraindication to ceftriaxone? A. Gentamicin B. Clindamycin C. Piperacillin D. Sulfamethoxazole-trimethoprim
C. Piperacillin
A nurse is providing teaching to the parents of a child who has a new prescription for lamotrigine for a seizure disorder. The nurse should instruct the parents that which of the following adverse effects is the priority to report to the provider? A. Diplopia B. Dizziness C. Rash D. Headache
C. Rash
A nurse is preparing a discharge teaching plan for a client who is scheduled to begin long-term oral prednisone for asthma. Which of the following instructions should the nurse include in the plan? A. Stop taking the medication if a rash occurs. B. Take the medication on an empty stomach to enhance absorption. C. Schedule the medication on alternate days to decrease adverse effects. D. Treat shortness of breath with an extra dose of the medication.
C. Schedule the medication on alternate days to decrease adverse effects.
A nurse is caring for a client who has severe asthma and allergic rhinitis. The client is taking theophylline. Which of the following medications should the nurse identify as being incompatible with theophylline? A. Cromolyn B. Albuterol C. Zafirlukast D. Methylprednisolone
C. Zafirlukast
A nurse is teaching a client who has severe chronic gout and a new prescription for pegloticase. The client has been taking allopurinol for 1 month. Which of the following instructions should the nurse include about pegloticase? A. "You will take this medication along with allopurinol." B. "You will take this medication by mouth." C. "There are very few adverse effects of this medication." D. "If you experience a flare-up, you can take an NSAID while receiving this medication."
D. "If you experience a flare-up, you can take an NSAID while receiving this medication."
A nurse is teaching the guardian of a school-aged child about growth hormone therapy. Which of the following statements should the nurse include in the teaching? A. "Your child will grow an extra 4 to 6 inches while receiving hormone therapy." B. "Hormone injection therapy will occur for 2 to 3 years." C. "Your child will receive hormone injections no more often than 1 to 2 times each week." D. "The hormone injections are administered subcutaneously."
D. "The hormone injections are administered subcutaneously."
A nurse is teaching a client who is starting patient-controlled analgesia (PCA) following a procedure. Which of the following client statements indicates an understanding of the teaching? A. "This method of medication can increase the chances of overdose." B. "I should self-administer the medication 1 hour before walking." C. "I should expect to receive smaller doses when I am sleeping." D. "This method works by keeping my opioid levels steady."
D. "This method works by keeping my opioid levels steady."
A nurse is teaching a client who has a prescription for a combination oral contraceptive (OC) that uses a 28-day cycle. Which of the following instructions should the nurse include in the teaching? A. "If you miss a pill, take the missed pill with your next dose." B. "If you miss 2 pills during the second and third week, discard the inactive placebo pills and begin a new pack." C. "If you miss 3 pills during the second week, take a pill as soon as possible and continue with your scheduled doses." D. "You can miss up to 7 pills with little risk in getting pregnant as long as you have taken the pills regularly for the previous 3 weeks."
D. "You can miss up to 7 pills with little risk in getting pregnant as long as you have taken the pills regularly for the previous 3 weeks."
A nurse is caring for a client with benign prostatic hyperplasia who has a new prescription for doxazosin. Which of the following manifestations should the nurse monitor for as an adverse effect of doxazosin? A. Seizures B. Tachycardia C. Bronchodilation D. Hypotension
D. Hypotension
A charge nurse is monitoring a newly licensed nurse who is caring for a postoperative client who is receiving morphine through a PCA pump. Which of the following actions by the newly licensed nurse requires intervention? A. Instructing the client to administer a PCA dose prior to a dressing change B. Providing increased fluids while the client is using the PCA pump C. Informing the client's partner that only the client should administer the PCA doses D. Maintaining the client on bed rest while the PCA pump is in use
D. Maintaining the client on bed rest while the PCA pump is in use
A nurse is providing teaching to a client with asthma who has a new prescription for a short-acting beta-2 agonist (SABA) bronchodilator. Which of the following pieces of information should the nurse share? A. The SABA will provide prolonged control of asthma attacks. B. SABAs are also available in an oral form. C. The SABA will have to be taken with an inhaled glucocorticoid. D. Notify the provider if the SABA is needed more than twice per week.
D. Notify the provider if the SABA is needed more than twice per week.
A nurse is caring for a female adult client who is experiencing menopause and has a prescription for estrogen along with progestin. The nurse should identify that the provider has prescribed these medications for which of the following reasons? A. Long-term use to reduce the risk of breast cancer B. Short-term use to stimulate the endometrium C. Long-term use to prevent osteoporosis D. Short-term use to control urogenital atrophy
D. Short-term use to control urogenital atrophy
A nurse is teaching a client who is taking levothyroxine for hypothyroidism about a new prescription for a calcium supplement. Which of the following pieces of information should the nurse include in the teaching? A. The calcium supplement will enhance the effect of the levothyroxine. B. The calcium supplement will accelerate the metabolism of the levothyroxine. C. Take the medications together at 1700 for the greatest effect. D. Take the calcium supplement 4 hr after taking the levothyroxine.
D. Take the calcium supplement 4 hr after taking the levothyroxine.
A nurse is assessing a client who is receiving clozapine to treat schizophrenia. The nurse should identify an increase in which of the following parameters as an early indication of an adverse effect of this medication? A. Urine specific gravity B. Urine output C. Blood pressure D. Temperature
D. Temperature
A nurse suspects that a client is having an allergic reaction to a medication. Which of the following factors should the nurse identify as increasing the likelihood of an allergic reaction to the medication? A. This is the client's initial dose of the current prescription. B. The client received a large dosage. C. The route of administration was oral. D. The client has had previous exposure to the medication.
D. The client has had previous exposure to the medication.
