Nursing Pharm Final

A nurse working in student health at a university is asked by a client for a Z-pack to treat a cold. Which statement, if made by the nurse, is correct?

"A Z-pack is only used for bacterial infections."

A 34 year old client is newly diagnosed with schizophrenia. She has no medical insurance and is unable to afford newer antipsychotic medications. She will be started on haloperidol (Haldol). For which of the following adverse effects should she be monitored?

EPS

You are providing diet teaching to a patient w/ low iron levels. Which foods would you encourage the patient to eat regularly?

Egg yolks, red meat, and legumes

Removal of drug from the body

Elimination/Excretion

A nurse counsels a patient with diabetes who is starting therapy with an alpha-glucosidase inhibitor. The patient should be educated about the potential for which adverse reactions? (Select all that apply.)

Flatulence, diarrhea

Side effects of high dose folic acid?

GI upset, confusion, behavior changes, skin reactions, and seizures

When teaching a client about a new prescription of Bactrim, a sulfonamide, the nurse should include which of the following statements? (select all that apply)

You may experience a fever, you may experience a headache, you may experience dizziness, you may experience nausea.

While obtaining a client's medical history, you find that the client is taking levodopa/carbidopa for Parkinson's disearse. Which information in the client's health history alerts you to take further action?

glaucoma

A patient with a cough has been advised to use guaifenesin. The patient asks the nurse to explain the purpose of the drug. The nurse will explain that guaifenesin:

helps stimulate the flow of secretions to increase cough productivity.

A patient is taking enalapril [Vasotec]. The nurse understands that patients taking this type of drug for heart failure need to be monitored carefully for:

hyperkalemia

A patient has three separate blood pressure (BP) readings of 120/100, 142/92, and 150/96 mm Hg. Which category describes this patient's BP?

hypertension

A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity?

hypokalemia

A nurse is teaching a client who has asthma how to use a metered-dose inhaler (MDI). Which of the following steps should the nurse teach the client to do first?

inhale deeply and then exhale completely

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?

insomnia

A nurse at a provider's office receives a phone call from a client who reports nausea and unrelieved chest pain after taking a nitroglycerin tablet 5 min ago. Which of the following is an appropriate response by the nurse?

instruct the client to call 911

A patient who has occasional migraine headaches tells a nurse that the abortive medication works well, but she would like to do more to prevent the occurrence of these headaches. The nurse will suggest that the patient:

keep a headache diary to help determine possible triggers.

When administering Neomycin, the nurse should monitor which client labs?

kidney function

which labratory tests should you monitor for a client who is taking interferon beta-1b to treat MS?

liver function

What are common dietary sources of vitamin b12?

liver/kidney, clams, sardines, beef, fortified cereal, dairy

A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take?

measure clients apical pulse

alteration of a drug by the body

metabolism

A client phones her primary care provider because she is experiencing nausea and diarrhea after starting Nitrofurantoin (Macrobid) for a UTI. Which statement, if made by the nurse, is correct?

this is a common side effect of this medication

A nurse is teaching a client about ipratroprium (Atrovent). Which of the following instructions should the nurse include?

this may cause you to have a dry mouth

What types of patients should not take iron supplements?

those w/ stomach ulcers, gastritis, hemolytic anemia, any iron metabolism disorder

The most common site of drug metabolism is in the liver

true

A nurse is providing teaching to a client who has a new prescription for methimazole for hyperthyroidism. The nurse should alert the provider if the client's medication list includes which of the following?

warfarin

A patient with persistent, frequent asthma exacerbations asks a nurse about a long-acting beta2-agonist medication. What will the nurse tell this patient?

LABA can lower your potassium levels

A client asks about the best treatment for hemorrhoids. Which of the following, should the nurse include in the teaching? (select all that apply)

Preparation H can be purchased over the counter and helps to shrink swollen tissue, it is important to clean thoroughly after a bowel movement to prevent infection, increasing the fiber in your diet can help prevent hemorrhoids, a cleansing product contain witch hazel may provide comfort after a bowel movement.

A nurse caring for a client who is vomiting. Which of the following actions should the nurse take first?

Prevent the client from aspirating.

A nurse provides teaching to a patient with allergic rhinitis who will begin using an intranasal glucocorticoid. Which of the following steps should be included in the teaching? (Select all that apply)

Prime the spray Have the patient gently blow their nose before administering Press and close the opposite nostril

A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?

Prothrombin time (PT)

A patient who takes nonsteroidal anti-inflammatory drugs (NSAIDs) for arthritis asks a nurse what can be done to prevent ulcers. The nurse will recommend asking the provider about using which medication?

Proton pump inhibitors

A client is starting varenicline (Chantix) for smoking cessation. What should be included about the teaching for this medication?

The medication, along with counseling, combines for the most success in smoking cessation.

A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider?

K 2.3 mEq/L

A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. Which of the following instructions should the nurse include in the teaching?

Take the medication with food

A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate (Trexall). Which of the following information should the nurse include?

drink 2 to 3 L of water per day

You should recognize that which of the following is a contraindication for taking codeine for cough:

emphysema

A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?

"A headache is an expected adverse effect of the medication."

A client has been prescribed a new prescription of budesonide (Pulmicort) for asthma. Which of the following should the nurse include in the teaching?

"After inhaling, swish your mouth with water."

A nurse is teaching a patient who will begin taking verapamil [Calan] for hypertension about the drug's side effects. Which statement by the patient indicates understanding of the teaching?

"I may become constipated, so I should increase fluids and fiber."

A patient who has type 2 diabetes will begin taking glipizide [Glucotrol]. Which statement by the patient is concerning to the nurse?

"I may continue to have a glass of wine with dinner."

A nurse teaches a patient about sulfonamides. Which statement by the patient indicates a need for further teaching?

"I should stop taking this drug when my symptoms are gone."

A nurse is teaching a client who is taking simvastatin daily. Which of the following statements by the client indicates an understanding of the teaching?

"I will avoid drinking grapefruit juice."

A nurse is providing teaching about self-administration of insulin to the parent of a school-age child who has a new of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?

"I will be sure my child aspirates before injecting the insulin."

A nurse is administering an oral medication to an older adult client. The client states, "The pill I always take is green. I don't take an orange pill." Which of the following responses should the nurse make?

"I will go and check your medication administration record."

A nurse has provided education for a patient newly diagnosed with hypertension who is just beginning therapy with antihypertensive medications. Which statement by the patient indicates a need for further teaching?

"When my symptoms subside, I may discontinue the medications."

A nurse in a clinic is caring for a client who has a prescription for digoxin. Which of the following statements indicates the client is experiencing digoxin toxicity?

"my vision seems yellow"

A nurse is caring for a client with diabetes mellitus who is prescribed regular insulin via a sliding scale. After administering the correct dose at 0715, the nurse should ensure the client receives breakfast at which of the following times?

0745

You are instructing a client about using cromolyn via inhalation to treat exercise-induced bronchospasm. When should the client be advised to use the medication?

15 minutes before exercise

A nurse is preparing to administer albuterol syrup 1.6 mg PO tid. Available is albuterol 2 mg/5mL. How many mL should the nurse administer per dose?

4 ml

A 45 year old male client with a diagnosis of schizophrenia x 25 years is currently on olanzapine (Zyprexa) daily. The nurse knows to monitor which lab prior to administration of olanzapine?

fasting lipids

What types of foods are fortified with folic acid?

fortified cereals

A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

Administer the medication under the clients tongue

A nurse is caring for a client who has developed gout. Which of the following medications should the nurse prepare to administer?

Allopurinol

Which drugs are used to treat COPD? (Select all that apply.)

Anticholinergic medications, Glucocorticoids, Long-acting beta2 agonists

A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take?

Ask the client to look up at the ceiling Drop the medication into the center of the clients conjunctival sac Instruct the client to close her eye gently after instillation Apply pressure to the nasolarcrimal duct

Select all the patients who are at MOST risk for iron-deficiency anemia: A. A 55 year old male who reports taking Ferrous Sulfate regularly. B. A 25 year old female who was recently diagnosed with Celiac Disease. C. A 35 year old female who is 36 weeks pregnant that reports craving ice. D. A 67 year old female with a Hemoglobin level of 14.

B and C

The spouse of a patient who is newly diagnosed with Alzheimer's disease asks the nurse if medications will prevent the need for nursing home care. Which response by the nurse is correct?

Drugs that treat Alzheimer's disease may slow the progression of memory loos

A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

Decrease in level of thyroid stimulating hormone (TSH)

A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?

Decrease the infusion rate on the IV

A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect?

Decreased sodium level

A patient is taking clonidine for hypertension and reports having dry mouth and drowsiness. What will the nurse tell the patient?

Drink extra fluids and avoid driving when drowsy.

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

Heparin does not dissolve clots; it stops new clots from forming

What is the best method of the administration of vitamin b12 (cyanocobalamin) for pernicious anemia?

IM injection

A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine (Lantus). Which of the following instructions should the nurse provide regarding this type of insulin?

Insulin glargine has a duration of 18 to 24 hr.

A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching?

Keep the open vial of insulin at room temperature.

A nurse is teaching a client who has a new prescription for ciprofloxacin to treat an uncomplicated UTI. Which of the following instructions should the nurse include?

Monitor for tendon pain

A patient is admitted with iron-deficiency anemia and has been receiving iron supplementation. The patient voices concern about how their stool is black.

Reassure the patient that this is a normal side effect of iron supplementation

A nurse is providing teaching to a client who has gastroesophageal reflux disease and a new prescription for omeprazole. Which of the following instructions should the nurse provide?

Report diarrhea to the provider

A nurse is teaching a client who is taking metformin XR for type II diabetes mellitus. Which of the following instructions should the nurse include in the teaching?

Take the medication with a meal

The process by which a drug enters the body.

absorption

Avoid taking what types of medications w/in 2 hours of ferrous sulfate?

antacids and antibiotics

Neupogen (filgrastim)

blood modifier, colony stimulating factor (CSF), stimulates WBC production

What should a nurse include when teaching about the side effects of Dupilumab (Dupixent)?

bruising can occur at the injection site

The nurse has just received an order for a Tissue Plasminogen Activator (t-PA) for a patient experiencing a pulmonary embolism. The nurse should administer this drug:

by IV bolus over 30-60 minutes

A nurse is caring for a client who is receiving a continuous IV infusion of heparin. Which of the following actions should the nurse take?

check the activated partial thromboplastin time (aPTT) every 4 hours

Epogen (epoetin alfa)

colony stimulating factor, stimulates RBC production

A nurse is assessing a client who has hypercholesterolemia and is receiving atorvastatin. Which of the following findings should the nurse recognize as a potential adverse effect?

confusion

where the drug goes within the body

distribution

A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL before the client's breakfast. Which of the following actions is the nurse's priority?

monitor the patient for hypoglycemia

A nurse is providing teaching to a client who has stable angina and a new prescription for transdermal nitroglycerin. Which of the following instructions should the nurse include? (Select all that apply.)

o Apply the patch to a hairless area and rotate sites o Apply a new patch each morning o Remove patch for 10-12hrs daily

When administering ferrous sulfate to a patient, the nurse should plan to give this medication with which fluid to increase the absorption?

orange juice - vitamin C increased iron uptake

A nurse is preparing to instill ear drops to an adult client. Which of the following techniques should the nurse use?

pull the auricle up and back

A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching?

remove the old patch before applying a new one

Symptoms of folic acid deficiency

spina bifida and neural tube defects in fetus tiredness, weakness, peripheral neuropathy, mouth sores

A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects?

tachycardia

A client asks about taking cranberry supplements. Which of the following statements, if made by the nurse, is correct?

"Cranberry supplements may help reduce recurrent UTIs."

A nurse is teaching a client who takes warfarin daily. Which of the following statements by the client indicates a need for further teaching?

"I have started taking ginger root to treat my joint stiffness."

A nurse counsels a patient who is to begin taking phenytoin [Dilantin] for epilepsy. Which statement by the patient indicates understanding of the teaching?

"I should brush and floss my teeth regularly."

A patient's provider has recommended a bulk-forming laxative for occasional constipation. Which statement by the patient indicates understanding of the teaching about this agent?

"I should take this medication with a full glass of water."

In doing a medication review, an older client states that he takes mineral oil daily to prevent constipation. Which of the following responses, if made by the nurse, is correct?

"Mineral oil taken orally is dangerous. You should stop this medication."

A patient with stable COPD receives prescriptions for an inhaled glucocorticoid and an inhaled beta2-adrenergic agonist. Which statement by the patient indicates understanding of this medication regimen?

"The glucocorticoid is used as prophylaxis to prevent exacerbations."

A patient who has bloody, infectious diarrhea asks the nurse about using loperamide (Imodium) to stop the symptoms. What will the nurse tell the patient about this drug?

"Use of this drug may prolong symptoms by slowing peristalsis."

The spouse of a patient with Alzheimer's disease asks a nurse for more information about the rivastigmine [Exelon] transdermal patch that is being used. Which statement by the spouse indicates a need for further explanation?

"We only need to change the patch every 2 weeks."

A 32 year old man is starting lithium for treatment of mania associated with bipolar disorder. Which of the following statements should be included in the nurse's teaching about this medication?

"You should report any new muscle weakness or falls that you may have."

A patient who has seasonal allergies in the spring and fall asks the nurse about oral antihistamines. Which response by the nurse is correct?

"You should take oral antihistamines daily during each allergy season to get maximum effects."

A patient is taking oral metoclopramide [Reglan]. The patient asks the nurse about the medication. Which response by the nurse is correct?

"You should take the drug 30 minutes before each meal and at bedtime."

A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following responses should the nurse make? (Select all that apply.)

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

Loperamide (Imodium)

Antidiarrheal

A nurse is providing education to a client who is starting a new prescription of Fosamax (alendronate). Which of the following statements should be included in the nurse's teaching? (select all that apply)

A. Take this medication in the morning before food and other medications. B. Take this medication with a full glass of water. D. Let your dentist know that you have started this medication.

A patient is diagnosed with peptic ulcer disease. The patient is otherwise healthy. The nurse learns that the patient does not smoke and that he drinks 1 or 2 glasses of wine with meals each week. The nurse anticipates that the provider will prescribe which drugs?

Amoxicillin (Amoxil), clarithromycin, and omeprazole (Prilosec)

A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take?

Apply pressure to the nasolacrimal duct after instilling the drops.

When metronidazole [Flagyl] is a component of the H. pylori treatment regimen, the patient must be instructed to do what?

Avoid any alcoholic beverages

A 30-year-old male patient will begin a three-drug regimen to treat peptic ulcer disease. The regimen will consist of bismuth subsalicylate, tetracycline, and cimetidine [Tagamet]. The nurse will include which information when teaching this patient about this drug regimen?

Decreased libido, impotence, and gynecomastia are reversible side effects.

A family is preparing for travel and the parents report that their 5-year-old child has frequent motion sickness. The nurse will tell the parents to ask the provider about which antihistamine to help prevent symptoms?

Dimenhydrinate (Dramamine)

A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?

Draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose.

A nurse is completing a medication history for a client who reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication?

Drink a glass of water after taking the medication

You are caring for a client who is preoperative and is NPO. The client takes carbamazepine, 200mg po bid for a seizure disorder. Which action should the nurse take?

Give the oral dose of carbamazepine with a sip of water

A nurse is teaching a client who has a new prescription for sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching?

I will take this medication 1 hour before meals and at bedtime

A patient has been taking senna [Senokot] for several days, and the nurse notes that the urine is yellowish-brown. What does the nurse know about this symptom?

It is an expected, harmless effect of senna.

An older adult patient with severe gastroesophageal reflux disease (GERD) has had only minimal relief using a histamine2-receptor antagonist (H2RA). The patient is to begin taking omeprazole [Prilosec]. What will the nurse teach this patient?

Lifestyle changes when combined with this medication are most effective.

A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess?

Liver function tests: Aspartate aminotransferase (AST)

A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication?

Monitor the serum medication levels

A nurse caring for an 8-year old child, admitted for pneumonia, is reviewing the orders and notes that levofloxacin (Levaquin), a fluoroquinolone, has been ordered. What is the best action, if taken by the nurse?

Notify the provider to question the use of this medication in a child.

When teaching a client about the use of inhaled corticosteroids, the nurse should include which of the following?

Post-menopausal women should increase their intake of calcium and vitamin D while using this medication.

A patient admitted to the hospital has been using phenylephrine nasal spray [Neo-Synephrine], 2 sprays every 4 hours, for a week. The patient complains that the medication is not working, because the nasal congestion has increased. What will the nurse do?

Request an order for an intranasal glucocorticoid to be used while the phenylephrine is withdrawn.

A patient is to begin taking phenytoin [Dilantin] for seizures. The patient tells the nurse that she is taking oral contraceptives. What will the nurse tell the patient?

She should consider a different form of birth control while taking phenytoin.

A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia?

Spironolactone

A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. 10 minutes into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and short of breath. Which of the following actions should the nurse take first?

Stop the infusion

A primary care provider prescribes sumatriptan to treat a client's migraine headaches. Which instructions should the nurse include when telling the client how to take sumatriptan? Select all that apply:

Take the drug after onset of the migraine, Repeat the dose once if the headache returns

Which of the following statements is true about peak and trough levels of medication?

The trough indicates the lowest level of drug concentration in the bloodstream.

A client taking phenzaopyridine (Pyridium) for a UTI. Which of the following statements, if made by the client, indicates a need for further teaching?

This medication is an antibiotic, so I should take it for at least ten days." (it is a GU analgesic)

For which of the following reasons should a client attach a spacer to a metered-dose inhaler?

To increase the amount of drug delivered to the lungs

A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following medications should the nurse prepare to administer?

Vitamin K

A nurse is providing discharge teaching to a female client who has neuropathy and a new prescription for gabapentin. Which of the following statements should the nurse include in the teaching?

You may experience drowsiness while taking this medication

A nurse is providing teaching to a client who has a new prescription for hydroxychloroquine (Plaquenil) to treat mild manifestations of rheumatoid arthritis. Which of the following information should the nurse include in the teaching?

You should have an eye exam, including a retinal exam, before starting this medication.

Which action should be taken by the nurse when administering a tetracycline?

administer 1 hour prior to meals

An adolescent patient who is on the school swim team asks a nurse about ways to prevent swimmer's ear. The nurse will tell the patient to:

allow the ears to drain well after every swim and shower

Which of the following adverse effects is associated with tricyclic antidepressants like amitriptyline (Elavil)?

anticholinergic effects

Which statement is true about medication administration during dialysis?

antihypertensives are generally safe to administer during dialysis

A nurse is planning to apply Voltaren cream to a client's knee to reduce arthritis pain. Which of the following actions should the nurse plan to take?

apply to intact skin

A nurse is taking a history on a clinic patient who reports being constipated. Upon further questioning, the nurse learns that the patient's last stool was 4 days ago, that it was of normal, soft consistency, and that the patient defecated without straining. The patient's abdomen is not distended, and bowel sounds are present. The patient reports usually having a stool every 1 to 2 days. What will the nurse do?

ask about recent fluid intake

A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods as the best source of potassium?

bananas

A 56 year old male client has recently started on venlafaxine (Effexor) to treat depression and panic disorder. Which of the following vital signs is important to monitor while he is on this medication?

blood pressure

A nurse is teaching a client who is to begin long-term therapy with prednisone to treat rheumatoid arthritis. The nurse should instruct the client to take which of the following supplements while taking this medication?

calcium and vitamin D

A nurse is caring for a client who is receiving mydriatic eye drops. Which of the following manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect?

constipation

A patient admitted to the hospital has a history of peptic ulcer disease. The patient takes sucralfate [Carafate]. The patient tells the nurse that discomfort is usually controlled but that symptoms occasionally flare up. What will the nurse do?

counsel the patient to avoid beverages containing caffeine

A nurse is teaching a client who has a new prescription for diazepam (Valium). Which of the following information should the nurse include in the teaching?

diazepam can cause drowsiness

Your new patient tells you they take an over-the-counter medication for insomnia. Which of the following is most likely to be the active ingredient?

diphenhydramine

A patient newly diagnosed with PUD reports taking low-dose aspirin (ASA) for prevention of cardiovascular disease. The nurse learns that the patient drinks 2 to 3 cups of coffee each day and has a glass of wine with dinner 3 or 4 nights per week. The patient eats three meals a day. The nurse should include all of the following in the patient teaching, except:

discontinue taking aspirin, because it can irritate the stomach

A nurse is obtaining a medical history from a client who is to start warfarin therapy and currently uses herbal supplements at home. The nurse should inform the client that which of the following herbal supplements can interact adversely with warfarin?

ginkgo biloba

A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide?

insomnia may occur with this medication

A nurse is caring for a client who is taking amitriptyline (Elavil). The nurse should monitor for which of the following adverse effects?

orthostatic hypotension

Which of the following adverse effects has been associated with zolpidem (Ambien)?

parasomnias

A child is diagnosed with absence seizures, and the prescriber orders ethosuximide [Zarontin]. When teaching the child's parents about dosage adjustments for this drug, the nurse will stress the importance of:

recording the number of seizures the child has each day

What are the results of using short acting beta agonists (SABAs) to treat asthma? (Select all that apply.)

relieves airflow obstruction, relieves bronchoconstriction, improves cough, improves chest tightness, improves wheezing

A client has a new prescription for interferon beta for multiple sclerosis. Which of the following should be included in the teaching of this medication?

rotate injection sites

A nurse is providing discharge teaching to a client has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?

shake the inhaler for 3 to 5 seconds

Bisacodyl (Dulcolax)

stimulant laxative

Docusate sodium (Colace)

stool softener

At a visit to the provider's office, an older adult client's partner reports that the client has nausea, diarrhea, and a loss of appetite. He has a history of Alzheimer's disease and is taking donepezil (Aricept). Which information should be provided to the nurse?

take the drug with food

A nurse is reviewing the medical record of a client who has hypertension and finds he has taken metoprolol for three months. Which of the following findings should the nurse investigate further?

the client stated he stopped the medication due to financial constraints

A nurse is teaching a class on seasonal flu. Which of the following should be included in this teaching?

the flu vaccine is the best way to prevent the flu

A nurse is caring for a client who has E. coli infection and a prescription for gentamicin 5mg/kg/day by intermittent IV bolus every 8 hr. Which of the following manifestations indicate the client is experiencing gentamicin toxicity?

tinnitus

When teaching a client about the use of a nebulizer, which of the following should be included in the teaching?

use a properly fitting mask to increase the amount of medication delivered

You should advise a client using a beclomethasone oral inhaler to watch for which of the following possible indications of an adverse effect of this drug?

white coating in the mouth