Patho/Pharm Final

A nurse in a community health clinic is assessing a new client who has prescriptions for isoniazid and rifampin. Which of the following disorders should the nurse expect the client to have? A. tuberculosis B. hypertension C. diabetes D. cirrhosis

A

A nurse is administering subcutaneous heparin to a client who is at risk for DVT. Which of the following actions should the nurse take? A. administer the medication into the client's abdomen B. inject the medication into a muscle C. massage the site after administering the medication D. use a 22-gauge needle to administer the medication

A

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

A nurse is caring for a client who takes warfarin to treat chronic atrial fibrillation and has early manifestations of Alzheimer's disease. The client's partner asks the nurse if the client would benefit from taking ginkgo biloba. Which of the following responses should the nurse make? A. "Ginkgo biloba will likely interfere with the effectiveness of his other medications." B. "You should ask his provider if ginkgo is safe." C. "Ginkgo biloba is most effective in the later stages of Alzheimer's disease." D. "People with Alzheimer's disease should adhere to the medication regimen their provider prescribes."

A

A nurse is caring who is tuberculosis and is taking rifampin. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse reaction 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

A nurse is planning care for a client with thrombophlebitis and who has a prescription to receive heparin via continuous IV infusion. Which of the following actions should the nurse include in the plan of care? A. infuse the heparin using an electronic IV pump B. administer vitamin K if the client has indications of hemorrhage C. adjust the dosage of heparin based on the client's PT levels D. inform the client that the heparin will dissolve the thrombus

A

A nurse is preparing to administer a sublingual nitroglycerin tabley to a client who is reporting chest pain. For which of the following adverse effects should the nurse monitor after giving this medication? A. hypotension B. myalgia C. diarrhea D. ototoxicity

A

A nurse is preparing to administer medications to a client who is NPO and is receiving enteral feedings through an NG tube. Which of the following prescriptions should the nurse clarify with the provider? A. Aspirin EC 325 mg per NG tube daily B. Atorvastatin 40 mg per NG tube daily C. Propranolol 20 mg per NG tube daily D. Sucralfate 2 g oral suspension per NG tube BID

A

A nurse is providing teaching to a client who has rhematoid arthritis and a prescription for long-term prednisone therapy. The nurse should instruct the client to monitor for which of the following adverse effects? A. stress fractures B. orthostatic hypotension C. gingival ulcerations D. weight loss

A

A nurse is providing teaching to a client with hypertension and type 1 diabetes mellitus who has a new prescription for metoprolol. Which of the following statements by the client indicates an understanding of teaching? A. "I might have difficulty recognizing when my blood sugar is low." B. "I will have a lower risk of developing an infection while I take this medication." C. "I should be concerned about losing excess weight while I take this medication." D. "I could have more problems with high blood sugar while taking this medication."

A

A nurse is reviewing the medical record of a client. The medication administration record shows the client is taking clopidogrel. Which of the following events should the nurse expect in the client's medical history? A. recent myocardial infarction B. history of hemorrhagic stroke C. current outbreak of psoriasis D. history of hypertension

A

A nurse is teaching a client who has a prescription for scopolamine patches for the treatment of motion sickness. Which of the following client statements should indicate to the nurse that the teaching has been effective? A. "I should apply this patch behind my ear." B. "This patch should be replaced every 7 days." C. "Before putting on my patch, I should wipe the area with an alcohol swab." D. "I can use a second patch if a single patch is not effective."

A

A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily. The client reports taking extra doses to promote weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated? A. urine specific gravity 1. 035 B. distended neck veins C. BUN 18 mg/dL D. bounding radial pulses

A SG shouldn't be above 1.030

A nurse is caring for a child who has epilepsy and is scheduled to receive a dose of phenytoin. The nurse notes the child's serum phenytoin level is 14 mcg/mL. Which of the following actions should the nurse take? A. Administer the dose B. Administer half the dose C. Do not administer the dose D. Clarify the dose with the provider

A The therapeutic range is between 10-20

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 this medication? (Select all that apply). A. Dizziness B. Pale appearance C. Palpitations D. Abdominal Pain E. Peripheral Edema

ACE

A nurse is providing discharge teaching for a client who has a new prescription for metoprolol. Which of the following instructions should the nurse include? (Select all that apply) A. "Do not stop taking this medication abruptly" B. "Take the medication right before bedtime" C. "Avoid exposure to sunlight" D. "Count your radial pulse daily" E. "Change positions slowly"

ADE

A nurse is assessing a client who is experiencing chest pain. Which of the following medications should the nurse expect to administer to suppress the aggregation of platelets? A. nitroglycerin B. aspirin C. morphine D. metoprolol

B

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

A nurse is caring for a client who has acute glomerulonephritis and a prescription for furosemide. The nurse should monitor the client for which of the following therapeutic effects of this medication? A. hypotension B. diuresis C. increased blood glucose level D. weight gain

B

A nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks for the treatment of active pulmonary tuberculosis (TB). The client reports his urine is an orange color. Which of the following statements should the nurse make? A. "Stop taking the isoniazid for 3 days, and the discoloration should go away." B. "Rifampin can turn body fluids orange." C. "I'll make an appointment for you to see the provider this afternoon." D. "Isoniazid can cause bladder irritation."

B

A nurse is caring for a client who is experiencing acute pain and is receiving morphine. Which of the following findings should indicate to the nurse the need to withhold the client's next dose of morphine? A. The client reports an inability to void B. The client's respiratory rate is 10/min C. The client has hypoactive bowel sounds D. The client has vomited once in the last 4 hours

B

A nurse is caring for a client who is receiving continuous cardiac monitoring. Which of the following medications should the nurse anticipate administering to treat atrial fibrillation? A. Atropine B. Diltiazem C. Epinephrine D. Phenytoin

B

A nurse is monitoring a client who is receiving phenytoin IV for the treatment of status epilepticus. Which of the following findings should the nurse identify as an adverse effect of the medication? A. Hypertension B. Cardiac dysrhythmias C. Gastric discomfort D. Tachycardia

B

A nurse is preparing to administer nitroglycerin topical ointment to a client who has angina. Which of the following actions should the nurse take? A. cover the applied ointment with cotton gauze B. apply the ointment using a dose-measuring applicator C. apply the ointment using the index finger D. massage the ointment into the client's skin

B

A nurse is providing a discharge teaching to a client who has venous thrombosis and a prescription for warfarin. Which of the following instructions should the nurse include in the teaching? A. take ibuprofen as needed for headaches or other minor pains B. carry a medical alert ID card C. report to the laboratory weekly to have blood drawn for a PTT D. increase intake of dark green leafy vegetables

B

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

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

A nurse is monitoring a client who has asthma, takes albuterol, and recently started taking propranolol to treat cardiovascular disorder. The client reports that the albuterol has been less effective. Which of the following factors should the nurse identify as the possible explanation for this change? A. potentiative interaction B. detrimental inhibitory interaction C. increased adverse reaction D. toxicity-reducing inhibitory interaction

B Propranolol is contraindicated in patients who have asthma

A nurse is caring for a client who has a prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects? A. insomnia B. hypotension C. bleeding D. constipation

C

A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. For which of the following adverse effects should the client be taught to monitor and notify the provider if it occurs? A. nasal congestion B. temors C. tinnitus D. frontal headache

C

A nurse is caring for a client who takes warfarin 2.5 mg PO daily and has an INR of 6.2. The nurse should anticipate a prescription from the provider for which of the following medications? A. protamine sulfate B. fondaparinux C. vitamin K D. bivalirudin

C

A nurse is caring for a client with COPD who has been taking tiotropium. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of this medication? A. "My body aches all over." B. "I am urinating more during the day." C. "My mouth feels dry all the time." D. "I have trouble sleeping at night."

C

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

A nurse is preparing to administer warfarin to a client who has a new onset of atrial fibrillation. The client asks the nurse, "What should this medication do?" Which of the following responses should the nurse make? A. "It helps your heart return to a normal rhythm." B. "It dissolves blood clots." C. "It can reduce your risk of having a stroke." D. "It helps to prevent bleeding in atrial fibrillation."

C

A nurse is providing teaching for a client who has gout and a prescription for allopurinol. Which of the following statements by the client should indicate to the nurse that the teaching was effective? A. "I should start taking this medication at 800 mg daily" B. "I will have an increased risk for diabetes with this medication" C. "I will increase my fluids to at least 2 liters per day" D. "I should take this medication twice daily"

C

A nurse is providing teaching to a client about a new prescription for captopril to treat hypertension. Which of the following client statements indicates an understanding of the teaching? A. "I might have a sore throat that will go away after a few days." B. "I will take this medication with food to avoid getting an upset stomach." C. "I might feel dizzy at times while taking this medication." D. "I will take ibuprofen if I get a fever while taking this medication."

C

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

A nurse is providing teaching to a client with a new diagnosis of heart failure who has a prescription for furosemide. Which of the following statements should the nurse include in the teaching? A. "You can take ibuprofen for headaches while taking this medication." B. "You may experience increased swelling in your lower extremities while taking this medication." C. "You should eat foods that are high in potassium while taking this medication." D. "You should take this medication at bedtime."

C

A nurse is reviewing laboratory reports for a client who has C. diff infection and is receiving vancomycin. Which of the following results should the nurse report to the provider before administering for the next dose? A. Hematocrit 46% B. Serum glucose 110 mg/dL C. Serum creatinine 2.5 mg/dL D. Serum potassium 4.8 mEq/L

C

A nurse is teaching a client who has a prescription for warfarin. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I'll use a safety razor to shave each day." B. "I'll be sure to eat lots of spinach." C. "I'll avoid contact like football." D. "I'll take ibuprofen if I get a headache."

C

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. thrombosis B. immunosuppression C. gastric ulceration D. liver toxicity

C

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

A nurse in a provider's office is assessing a client who has been taking amoxicillin for 10 days and reports diarrhea and cramping. The nurse should recognize that these manifestations occur secondary to which of the following adverse effects? A. Development of gastric ulcers B. Development of milk intolerance C. Allergic reactions to the medication D. Alterations in gastrointestinal flora

D

A nurse is caring for a client who is 12 hours postoperative following a total hip arthroplasty. Which of the following medications should the nurse anticipate administering to this client to prevent deep vein thrombosis (DVT)? A. aspirin B. warfarin C. ticagrelor D. enoxaparin

D

A nurse is caring for a client who is experiencing an acute asthma exacerbation. Which of the following medications should the nurse identify as being contraindicated for this client? A. dextromethorphan B. montelukast C. ciprofloxacin D. propranolol

D

A nurse is caring for a client who is receiving sumatriptan for cluster headaches. Which of the following findings should the nurse expect as an adverse effect? A. Hypotension B. Tinnitus C. Urinary Retention D. Chest pressure

D

A nurse is providing discharge teaching to a client who is postoperative and has a new prescriptions for an oral opioid analgesic. Which of the following pieces of information should the nurse include as a rationale for increasing the client's daily intake of fiber? A. Fiber binds with the medication to relieve pain B. Dietary fiber prevents nausea caused by opioids C. Fiber promotes the absorption of opioids D. Dietary fiber helps prevent constipation

D

A nurse is providing teaching for a client who has a new prescription for nitroglycerin administered through a transdermal patch. Which of the following client statements indicates an understanding of the teaching? A. "I need to wear the patch continuously for it to be effective." B. "I will stop using the patch immediately if it gives me a headache." C. "I should change the patch whenever I have chest pain." D. "I need to rotate the location of my patch every few days."

D

A nurse is providing teaching to a client who has a UTI and new prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates a need for further teaching? A. "If phenazopyridine upsets my stomach, I can take it with meals." B. "Phenazopyridine will relieve my discomfort, but ciprofloxacin will get rid of the infection." C. "I need to drink 2L of fluid per day while I am taking the ciprofloxacin." D. "I should notify my provider immediately if my urine turns an orange color."

D

A nurse is providing teaching to a client who has a new prescription for hydrocholorthiazide 50 mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching? A. "Take hydrochlorothiazide as needed for edema." B. "Check your weight once each week." C. "Take hydrochlorothiazide on an empty stomach." D. "Take hydrochlorothiazide in the morning."

D

A nurse is providing teaching to a client who is scheduled to start taking hydrochlorothiazide for hypertension. The nurse instructs the client to eat foods that are rich in potassium. Which of the following statements by the client indicates an understanding of the teaching? A. "This medication will not work unless I have enough potassium." B. "Potassium will increase the therapeutic effect of my blood pressure medication." C. "Potassium will lower my blood pressure." D. "This medication can cause a loss of potassium."

D

A nurse is providing teaching to the parents of a school-age child with asthma about medications for bronchospasm. Which of the following inhaled medications should the nurse instruct the parents to use to relieve an acute asthma attack? A. salmeterol B. cromolyn C. fluticasone D. albuterol

D

A nurse is teaching a client who has chronic stable angina pectoris and a prescription for sublingual nitroglycerin tablets. What sequence of instructions should the nurse tell the client to use if he experiences chest pain? Place a tablet under the tongue Call 911 if the pain is not relieved Wait 5 min Stop activity

Stop activity Place a tablet under the tongue Wait 5 min Call 911 if the pain is not relieved