General Pharmacology 2

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A nurse in a community health clinic is preparing to administer the varicella vaccine to a young adult female client who has not previously had chickenpox or its vaccine. The nurse should withhold the vaccine and collect additional data when the client makes which of the following statements?

"I am allergic to neomycin."

A nurse is reinforcing teaching with a client who has a new prescription for timolol eye drops to treat glaucoma. Which of the following client statements indicates an understanding of the teaching?

"I will look up when putting the medication into my eyes."

A nurse is reinforcing teaching with a client who has a new prescription for vitamin B12 intranasal to treat malabsorption syndrome. Which of the following instructions should the nurse include in the teaching?

"Massage your nose gently after medication administration."

A nurse is reinforcing discharge teaching with a client who has a prescription for a metered-dose inhaler (MDI). Which of the following information should the nurse include in the teaching?

"Take a slow, deep breath lasting 3 to 5 seconds after releasing the medication."

A nurse is collecting data from a client who is taking exenatide to treat diabetes mellitus. For which of the following findings should the nurse withhold the exenatide dose and notify the provider immediately?

Abdominal pain

A nurse is collecting data from a client who has angina and has a new prescription for sublingual nitroglycerin. Which of the following manifestations should the nurse expect as an adverse effect of this medication?

Headache

A nurse is assisting with the admission of a client who reports muscle aches and pains associated with construction work. The provider suggests taking acetaminophen. The nurse should notify the provider about which of the following information obtained from the client?

History of hepatitis B

A nurse is evaluating a client who is receiving amphotericin B via intermittent IV bolus. Which of the following findings indicates an adverse reaction to this medication?

Hypotension

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

Increase fluid intake.

A nurse is reinforcing teaching with a client who is newly diagnosed with hypertension and is taking metoprolol. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication?

Peripheral edema

A nurse is monitoring a client who has just returned to the unit following surgery. The client received an initial dose of morpohine 5 mg IV bolus for pain relief. Which of the following adverse effects should the nurse report immediately to the provider?

Respiratory rate 11/min

A nurse is reinforcing teaching about immunizations with a client who is pregnant. Which of the following vaccines should the nurse include in the teaching as safe to administer during pregnancy?

Tetanus and diphtheria (Td)

A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus and is learning to self-administer NPH insulin. Which of the following client actions indicates an understanding of the teaching?

The client wipes the cap with alcohol prior to filling the syringe.

A nurse is caring for a client who is receiving methylprednisolone. Which of the following laboratory values should the nurse plan to monitor?

White blood cell count Serum potassium Blood glucose


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