Pharm 5

A young couple has come to a fertility clinic seeking assistance. Which medication does the nurse anticipate the healthcare provider will prescribe to help increase the chances of the woman becoming pregnant? Select all that apply. A. Gonadotropin B. Cetrorelix C. Octreotide D. Clomiphene E. Vasopressin

A. Gonadotropin B. Cetrorelix D. Clomiphene

The nurse is monitoring a client receiving insulin glulisine noticing the client has become confused, diaphoretic, and nauseated, and has a blood glucose of 60 mg/dL. Which emergent treatment would the nurse most likely give? Select all that apply. A. Hard candy B. Orange or other fruit juice C. Glucose tablets D. Insulin detemir E. Insulin glargine

A. Hard candy B. Orange or other fruit juice C. Glucose tablets

The nurse is assessing a client who was administered metformin and notes hyperventilation, nausea, and somnolence. The nurse determines which nursing diagnosis should be prioritized for this client? A. Ineffective breathing pattern B. Risk for fluid volume deficit C. Acute confusion D. Anxiety

A. Ineffective breathing pattern

The nurse is preparing to teach a client about vasopressin. Which factors would the nurse integrate into the teaching? Select all that apply. A. Regulates the reabsorption of water from the kidneys B. Secreted when body fluids must be conserved C. Used to treat diabetes mellitus D. Exhibits its greatest activity in the bladder E. Secreted by the adrenal gland

A. Regulates the reabsorption of water from the kidneys B. Secreted when body fluids must be conserved

A client who is receiving diuretic therapy comes to the clinic for a follow up visit. The client states that their mouth is often dry and that they are urinating like there's no tomorrow. Assessment reveals dry mucous membranes and decreased skin turgor. Which nursing diagnosis would the nurse most likely prioritize? A. Risk for deficient fluid volume B. Impaired urinary elimination C. Deficient knowledge D. Risk for injury

A. Risk for deficient fluid volume

A nurse is preparing to administer sulfasalazine to a client with inflammatory bowel disease. The nurse should question this order if the clients record indicates a hypersensitivity to which drug? A. Sulfamethoxazole/trimethoprim B. Doxycycline C. Enalapril D. Azithromycin

A. Sulfamethoxazole/trimethoprim

The best evidence that furosemide (Lasix) has had a therapeutic effect is that the patients: A. Urinary output increases B. Anxiety is diminished C. Pulse becomes slower D. Blood pressure stabilizes

A. Urinary output increases

A nurse is reviewing laboratory test results for a client who is receiving diuretic therapy. The nurse determines that the client is at risk for electrolyte imbalance based on which result? Select all that apply A. Sodium 139 mEq/L B. Magnesium 2 mEq/L C. Potassium 2.9 mEq/L D. Sodium 124 mEq/L E. Potassium 4.5 mEq/L

C. Potassium 2.9 mEq/L D. Sodium 124 mEq/L

A client admitted to a healthcare facility with cardiac arrhythmia is prescribed propranolol. Which signs should the nurse prioritize on the ongoing assessment? A. Visual acuity B. Hydration C. Pulse rate D. Tendon flexes

C. Pulse rate

A healthcare provider has prescribed methimazole for an elderly client with hyperthyroidism who lives alone. Which potential nursing diagnosis should the nurse prioritize for this client? A. Disturbed thought process related to adverse drug reactions B. Risk for infection related to adverse drug reactions C. Risk for ineffective health management D. Risk for impaired skin integrity related to adverse reactions

C. Risk for ineffective health management

A nurse administers chlorothiazide to a client with renal compromise. Which action should the nurse prioritize after noting the BUN level is rising? A. Administer the drug in a diluted form B. Give prescribed magnesium supplements C. With hold the next dose of the drug D. Increase the fluid intake for the client

C. With hold the next dose of the drug

A nurse is caring for a client receiving an oral antiarrhythmic drug. Which apical pulse rate would lead the nurse to withhold the drug and notify the healthcare provider immediately? A. 88 bpm B. 68 bpm C. 78 bpm D. 58 bpm

D. 58 bpm

A nurse is preparing a teaching plan for a client with edema who is prescribed a diuretic. Which teaching should the nurse prioritize? A. Decreased fluid intake B. Gradually increase the dosage C. Encourage exercise D. Administer early in the day

D. Administer early in the day

A nurse is preparing to administer loperamide to a client with pseudomembranous colitis. Which findings on assessment would the nurse document as an indication of effectiveness? A. Nausea and vomiting are resolved B. Rectal bleeding is decreasing C. Temperature has returned to normal range D. Diarrhea is resolved

D. Diarrhea is resolved

A client is admitted to the cardiac unit for ventricular arrhythmias. The nurse predicts the client will be prescribed an anti-arrhythmic medication due to which source of the arrhythmia? A. Third-degree heart block B. Aortic stenosis C. Severe heart failure D. Premature ventricular contraction

D. Premature ventricular contraction

The nurse is scheduled to administer testosterone transdermal patch to a client admitted with primary hypogonadism. What is the priority teaching that would be provided regarding this medication? A. Rotate sites with seven days between applications to any given site B. Remove old patch and fold it in half and dispose of properly and trashcan C. Apply nightly to clean, dry skin on the abdomen, thigh, back, or upper arm D. Report to primary care provider any leg pain, redness, and swelling right away

D. Report to primary care provider any leg pain, redness, and swelling right away

After explaining the various contraceptive options with a client, the client ops for the etonogestrel/ethinyl estradiol vaginal ring. After teaching a client about this choice, the nurse determines that the teaching was effective when the client states which statement? A. When bleeding starts, that's the signal to change the ring B. Once I insert the ring it won't come out C. I can reuse the ring several times before discarding it D. The ring should stay in place for three weeks

D. The ring should stay in place for three weeks

A nurse is caring for a client who is prescribed mexiletine for the treatment of cardiac arrhythmia. Which adverse reaction would lead the nurse to prioritize a nursing diagnosis of risk for infection? A . Fever B. Dry mouth C. Lightheadedness D. Nausea

A . Fever

A nursing instructor is teaching a class on pituitary gland hormones the instructor determines the class is successful when the students correctly choose which hormones as being secreted by the anterior pituitary gland? Select all that apply. A. Vasopression B. Adrenocorticotropic hormone C. Oxytocin D. Growth hormone E. Prolactin

B. Adrenocorticotropic hormone D. Growth hormone E. Prolactin

A nurse is teaching a client about the thyroid hormone replacement therapy which has been prescribed. The nurse determines the teaching session is successful when the client indicates which time to take the drug? A. After lunch B. Before breakfast C. Just before dinner D. Before bedtime

B. Before breakfast

A nurse is preparing to administer spironolactone to a client. The nurse would question this order if which disorder is noted in the clients history? A. Gout B. Hyperkalemia C. Liver disease D. Diabetes

B. Hyperkalemia

A nurse is caring for a client with advanced breast cancer who is receiving androgen therapy. Which signs might alert the nurse to the possibility of liver toxicity? A. Edema of the feet B. Increased appetite C. Clinical jaundice D. Increase in weight

C. Clinical jaundice

After teaching a group of nursing students about laxatives, the instructor determines that the teaching was successful when the students correctly choose which drug as producing the laxative effect by promoting water retention and softening the stool? A. Methylcellulose B. Lactulose C. Docusate D. Bisacodyl

C. Docusate

The nurse has administered gonadotropin to a client. Which assessment finding should the nurse prioritize? A. Abdominal pain B. Ascites C. Auditory disturbances D. Visual disturbances

D. Visual disturbances

A nurse is conducting a teaching session for a client newly diagnosed with type two diabetes on the importance of monitoring the blood glucose. The nurse determines additional teaching is necessary after the client makes which statement? A. "I should prick the tip of my finger to get the blood" B" I should massage my finger to get a hanging drop of blood" C. " I should avoid smearing the blood on the test strip" D. I should clean my finger with warm, soapy water

A. "I should prick the tip of my finger to get the blood"

A client is administered insulin lispro at 8 AM. The nurse would be alert for signs and symptoms of hypoglycemia at about which time? A. 9 AM B. 11 AM C. 8:15 AM D. 10 AM

A. 9 AM

A nurse is developing a teaching plan for a client who is prescribed testosterone gel. The nurse instructs the client to apply the gel to which location? Select all that apply. A. Abdomen B. Thighs C. Upper arms D. Shoulders E. Groin

A. Abdomen C. Upper arms D. Shoulders

A female client with inoperable Advanced breast cancer is prescribed methyltesterone. The nurse would be alert for the development of which adverse reactions? Select all that apply A. Acne B. Somnolence C. Mania D. Amenorrhea E. Facial hair growth

A. Acne D. Amenorrhea E. Facial hair growth

A nurse is preparing to administer insulin glargine to a client. What precautions should the nurse take when administering this drug? A. Avoid mixing glargine with other insulin B. Administer glargine via IV route C. Shake the vile vigorously before withdrawing insulin D. Be sure the insulin has been refrigerated

A. Avoid mixing glargine with other insulin

The nurse is preparing to administer insulin glargine to a client. Which actions will the nurse prioritize when preparing the insulin? Select all that apply. A. Check the expiration date on the vile B. Check the healthcare providers orders for the type and dosage of insulin C. Remove all air bubbles from the syringe barrel D. Shake the vile vigorously

A. Check the expiration date on the vile B. Check the healthcare providers orders for the type and dosage of insulin C. Remove all air bubbles from the syringe barrel

A nurse is preparing to administer levothyroxine to a client. Which signs or symptoms would the nurse expect to document on the pre-administration assessment? Select all that apply A. Cold intolerance B. Nervousness C. Tachycardia D. Coarse hair E. Anorexia

A. Cold intolerance D. Coarse hair E. Anorexia

After administering insulin detemir to a client with diabetes, the nurse suspects that the client is developing hypoglycemia based on which assessment findings? Select all that apply A. Diaphoresis B. Confusion C. Increased urination D. Headache E. Increased thirst

A. Diaphoresis B. Confusion D. Headache

A group of nursing students are analyzing the various categories of upper gastrointestinal system drugs. The instructor determines the session is successful when the students correctly choose which drugs as examples of a proton pump inhibitor? select all that apply A. Esomeprazole B. Sucralfate C. Omeprazole D. Misoprostol E. Nizatidine

A. Esomeprazole C. Omeprazole

A nurse has determined a client has developed a hypoglycemic reaction. Which intervention should the nurse perform if the client can adequately demonstrate swallowing and gag reflex is? A. Give oral fluids or candy B. Administer glucagon by the parenteral route C. Administer the insulin via insulin pump D. Administer oral antidiabetics to the client

A. Give oral fluids or candy

A nurse has administered cimetidine to an older adult client. Which assessment findings should the nurse prioritize? A. Reports pain or sour taste B. Confusion and dizziness C. Signs of tardive dyskinesia D. Concentrated urine and restlessness

A. Reports pain or sour taste

A nurse is monitoring a client who is prescribed short term high dose methylprednisolone. Which assessment findings should the nurse prioritize? Select all that apply. A. Hypotension B. Moon face C. Buffalo hump D. Dry skin E. Weight loss

B. Moon face C. Buffalo hump

A nurse is caring for a client with diabetes mellitus us who is receiving an oral antidiabetic drug. Which ongoing assessment should the nurse prioritize when caring for this client? A. Document family medical history B. Observe the client for hypoglycemic episodes C. Monitor the client for lipodystrophy D. Assess the skin for ulcers, cuts, and sores

B. Observe the client for hypoglycemic episodes

A group of nursing students are preparing a presentation depicting the various hormones necessary for proper functioning of the human body. The students should point out which hormones are secreted by the posterior pituitary gland? Select all that apply. A. Prolactin B. Oxytocin C. Growth hormone D. Adrenocorticotropic hormone E. Vasopressin

B. Oxytocin E. Vasopressin

A client is prescribed a bowel evacuant in preparation for a colonoscopy. The client reports going to the bathroom about every 30 to 45 minutes and their stalls are like water. The client also reports being thirsty and mouth feels dry. Which nursing diagnosis would the nurse most likely prioritize? A. Risk for infection B. Risk for imbalanced fluid volume C. Risk for injury D. Deficient knowledge

B. Risk for imbalanced fluid volume

A nurse in a healthcare facility is caring for a client who is receiving an anti-emetic to control vomiting related to chemotherapy. Which nursing diagnosis should the nurse prioritize for this clients care plan? A. Impaired physical mobility B. Risk for imbalanced fluid volume C. Disturbed sensory perception D. Ineffective tissue perfusion

B. Risk for imbalanced fluid volume

A client presents to the clinic with vague reports of not feeling well. Which assessment findings would lead the nurse to suspect the client is abusing anabolic steroids? Select all that apply A. Hyperglycemia B. Uncontrolled rage C. Jaundice D. Inability to concentrate

B. Uncontrolled rage C. Jaundice D. Inability to concentrate

The nurse has finished a teaching session with a client who is prescribed a diuretic to be taken twice a day. The nurse determines the session is successful when the client correctly chooses which times to take the drug? A. After lunch and dinner B. In the early morning and at bedtime C. At breakfast and mid afternoon D. Mid morning and before dinner

C. At breakfast and mid afternoon

After teaching a group of nursing students about corticosteroids, The instructor determines that the teaching was successful when the students correctly choose which drug as a mineralocorticoid? A. Hydrocortisone B. Triamcinolone C. Fludrocortisone D. Betamethasone

C. Fludrocortisone

A nurse has administered levothyroxine to a client for hypothyroidism. The nurse determines the client is responding appropriately to the therapy based on which assessment finding? A. Swollen neck B. Excessive sweating C. Increased appetite D. Flushing

C. Increased appetite

A nurse is providing care for a client diagnosed with thyroid cancer. Which drug would the nurse anticipate being prescribed for the client? A. Liothyronine B. Methimazole C. Iodine-131 D. Propylthiouracil

C. Iodine-131

A nurse is preparing to administer somatropin to a client. The nurse would question this order if which disorder is documented in the clients medical history? A. Adrenal dysfunction B. Epilepsy C. Sensitivity to benzyl alcohol D. Epiphyseal closure

D. Epiphyseal closure

A nurse is preparing to administer insulin to the client. Which intervention should the nurse perform before administering each insulin dose? A. Mix the insulin with sterile water in the syringe B. Keep prefilled syringe is horizontally C. Check for symptoms of myalagia or malaise D. Inspect the previous injection site for inflammation

D. Inspect the previous injection site for inflammation

The nurse can emphasize the importance of rotating injection sites by planning to explain that this technique is used to prevent lipodystrophy, which may: A. Increase the rate of insulin absorption B. Interfere with obtaining venous blood for blood glucose test C. Decrease blood glucose values D. Interfere with the absorption of insulin at the affected site

D. Interfere with the absorption of insulin at the affected site

A client is brought to the emergency department for a drug overdose. The nurse concludes the emetic it safe to give to the client if which client assessment finding is noted? A. History of severe hypertension B. History of convulsions C. Existing condition of hemorrhage diathesis D. Mental status is intact

D. Mental status is intact

A nursing instructor is teaching a group of students about type two diabetes. The instructor determines the session is successful when the students correctly choose which as a risk factor for individuals developing type two diabetes? A. Regular exercise B. Young age C. Polyuria D. Obesity

D. Obesity