NCLEX PN Pharmacology
46. a nurse is reinforcing discharge teaching with a client who has heart failure and a prescription for digoxin daily and furosemide daily. which of the following statements by the client indicates an understanding of the teaching?
"I will eat fruit and vegetables that have a high potassium content every day."
Lab test for amitriptyline
(Anti depressant & nerve pain medication) Electrocardiogram
16. metoprolol
- do not stop taking abruptly - count your radial pulse daily - change positions slowly
If a client has peptic ulcer disease, what can they take for a headache?
Acetaminophen
A nurse is administering subQ heparin to a client who is at risk for deep vein thrombosis. Which of the following actions should the nurse take?
Administer the medication into the clients abdomen
Tamoxifen is ...
An anti-estrogenic
A nurse is reinforcing teaching with 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?
Arthralgia
Allergies contraindicated for hepatitis B
Bakers yeast
a nurse is caring for a client who has a pseudomonas infection and a new prescription for ticarcillin-clavulanate. which of the following should the nurse collect before administering this medication?
Baseline BUN and creatinine
7. A nurse is reinforcing discharge with a client who has venous thrombosis and has a prescription for warfarin. which of the following instructions should the nurse include in the teaching?
Carry a medical alert ID
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?
Chlordiazepoxide
Medication for active alcohol withdrawal
Chlordiazepoxide
35. 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?
Diarrhea
Medication for maintaining abstinence from alcohol
Disulfiram
Hydroclorothiazide is a
Diuretic and should be taken in the morning
A nurse is caring for a client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effects?
Dizziness
A nurse is reinforcing teaching with a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue the medication for which of the following adverse effects?
Fever
Cant receive varicella if allergic to...
Gelatin
Adverse effect of chlorothiazide
Hypokalemia leading to muscle weakness
A nurse is reinforcing teaching with a client who has cirrhosis and a new prescription for lactulose. The nurse should inform the client that lactulose has which of the following therapeutic effects?
Lactulose (laxative) does not decrease heart rate
Lab test for gemfibrozil
Liver function
13. a nurse is caring for a client who has a new prescription for ergotamine. the nurse should recognize that ergotamine is administered to treat which of the following conditions?
Migraine headaches
3. A nurse is reinforcing teaching about glucocorticoid therapy with the parent of a child who has severer reactive airway disease. the parents ask why the child has to inhale instead of taking orally. which of the following pieces of information should the nurse provide the parent?
Oral glucocorticoids are more likely to slow linear growth in children
5. A nurse is preparing to administer a medication to a client. which of the following abbreviations indicates the greatest frequency of medication administration?
QID
40. a nurse is reinforcing teaching with the parents of a child who has a new prescription of 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?
Rash
44. a nurse in a providers office is reinforcing teaching with a client who has osteoporosis and a new prescription for alendronate sodium. which of the following pieces of info should the nurse provide?
Take it with a full glass of water on an empty stomach
23. a nurse is collecting data from a client who has hypothyroidism and takes levothyroxine. which of the following findings indicates the client is experiencing acute levothyroxine overdose?
Tremor
A nurse is reinforcing teaching with a client who has TB and a prescription for isoniazid. Which of the following instructions should the nurse include?
Your provider will monitor the liver function while you are taking this medication.
33. a nurse is reviewing the medical record of a client who is experiencing an acute migraine attack and has a new prescription of sumatriptan. which of the following findings indicates a contraindication to the administration of this medicine?
a history of uncontrolled hypertension
32. a nurse is collecting data from a client who has AIDS and is taking zidovudine. which of the following findings is the priority for the nurse to report to the provider?
decreased hemoglobin
45. a nurse is caring for a client who is receiving simvastatin 40 mg PO daily. which of the following items should the nurse remove from the clients breakfast tray before it is delivered to the room?
grapefruit juice
21. contraindication for metoclopramide
intestinal obstruction
36. a nurse is collecting data from a client who has TB and a prescription for ethambutol. the nurse should inform the client that he is likely to develop which of the following alterations as an adverse effect of this medication?
loss of red/green color discrimination
24. a nurse is reinforcing teaching with a client who has rheumatoid arthritis and a prescription for long term prednisone therapy. the nurse should instruct the client to monitor for which of the following adverse effects?
stress fractures
43. a nurse is collecting data from a client who is receiving clozapine to treat schizophrenia. The nurse should identify that an increase in which of the following parameters is an early indication of agranulocytosis?
temperature
a nurse is preparing to administer 10 units of insulin glargine and 4 units of NPH insulin subQ to a client. which of the following actions should the nurse plan to take?
use separate syringes for administering insulin glargine and NPH insulin