Pharm

A nurse is reinforcing teaching with the parent of a preschooler who has otitis media. The child has had a low-grade fever and irritability for 2 days. Which of the following instructions should the nurse include in the teaching?

"Give acetaminophen as needed for discomfort and fever"

A nurse is reinforcing teaching with a client who has a new prescription for regular insulin. which of the following statements by the client indicates an understanding of the teaching?

"I should ensure that the Insulin is clear prior to drawing it up."

A nurse is reinforcing teaching with a client who has HIV and a new prescription for zidovudine. Which of the following client statements should indicate to the nurse an understanding of the teaching?

"I will be sure to have my blood tested for anemia"

A nurse is reinforcing teaching with a client about the use of sublingual nitroglycerin for chest pain. Which of the following statements by the client indicated an understanding of the teaching?

"I will call 911 if my chest pain is not relieved within 5 minutes of taking nitroglycerin"

A nurse is reinforcing teaching with a client who has a new prescription for a fluticasone inhaler. Which of the following client statements indicates an understanding of the teaching?

"I will rinse my mouth after using this inhaler"

A nurse is reinforcing teaching with a client who has a new prescription for ethinyl estradiol/norethindrone, an oral contraceptive. Which of the following client statements should indicate to the nurse an understanding of the teaching?

"I will take the medication at the same time each day"

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

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

An older adult client who has terminal cancer reports pain at a level of 5 using a 0-10 pain scale. The client has a prescription for morphine 15 mg orally every 4 hours. The client's children express concern that the client is receiving too much of the medication. Which of the following responses should the nurse make?

"The dose should remain constant to prevent breakthrough pain"

A nurse on medical-surgical unit is preparing to administer medications to a client. Which of the following questions should the nurse ask the client to verify the client's identity?

"What is your name and date of birth"

A nurse is reinforcing teaching with a client who is to start therapy with nitroglycerin transdermal patch. Which of the following statements by the client indicated an understanding of the teaching?

"While using the patch, I will be careful when rising from a chair"

A nurse is reinforcing teaching about nicotine polacrilex gum with a client who smokes three packs of cigarettes per day. Which of the following statements should the nurse include in the teaching?

"You should chew the gum for a full 30 minutes before discarding"

A nurse is planning to reinforce teaching regarding newborn immunizations with a client who is 24 hr postpartum. Which of the following information should the nurse plan to include?

"Your child will receive the first hepatitis B vaccine before discharge"

A nurse is caring for a client who has a prescription for an IM injection of penicillin G benzathine. The client asks why the injection must be given IM instead of through the IV line. Which of the following responses should the nurse make?

"Your medication can't be given IV because it is not watersoluble."

A nurse is caring for a client who is receiving 0.9% sodium chloride 1000mL to infuse over 8 hours. The drop factor on the manual IV tubing is 15 gtt/mL. The nurse should ensure that the manual infusion is set to deliver how many gtt/min?

- 31 ggt/min (Flow rate: (Total volume • drop factor) / (total min) = drops per min)

A nurse is caring for a client who has multiple sclerosis and a new prescription for baclofen. Which of the following findings indicates to the nurse that the medication is having a therapeutic effect?

Decreased muscle spasticity

A nurse is performing the third check before administering hydromorphone to a client. After opening the unit-dose packet, the client tells the nurse they do not want to take the medication now. Which of the following actions should the nurse take?

Dispose of the medication with a second nurse as a witness.

A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg P0 daily, The nurse should instruct the client to monitor for which of the following adverse effects of this medication?

Dry cough

A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint pain. The nurse should identify that which of the following findings is a contraindication to receiving celecoxib?

History of myocardial infraction

A nurse is collecting data from the parent of an 11 year old child who has previously received all the immunizations in accordance with the CDC Recommended Immunization Schedule. Which of the following immunizations should the nurse plan to administer to this child at this age?

Human papilloma virus (HPV)

A nurse is assisting with the care of a client who is in preterm labor and is receiving magnesium sulfate by continuous IV infusion. Which of the following indicates magnesium toxicity?

Hyporeflexia

A nurse is reinforcing teaching with a client who has hypertension and a new prescription for spironolactone. Which of the following instructions should the nurse include in the teaching?

Restrict foods high in potassium.

A nurse is reinforcing teaching about comfort measures with the parent of a 10-year-old child who has a viral infection. The nurse should plan to tell the parents that aspirin is contraindicated because of the risk for which of the following conditions?

Reye's syndrome

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 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 reinforcing teaching with a client who has a new prescription for colchicine to manage gouty arthritis, which of the following manifestations should the nurse include as an adverse effect of this medication?

abdominal pain

A nurse is monitoring a client who is 2 hr postoperative and has a prescription for opioid analgesics. Which of the following actions provides the nurse with the priority data to determine the client's need for analgesia?

ask the client to rate her pain level

A nurse is collecting data from a client who has bacterial pneumonia and is taking ceftriaxone' which of the following findings indicates a therapeutic effect of the medication?

clear bilateral breath sounds

A nurse is collecting data from a client who has Parkinson's disease and is taking levodopa/ carbidopa. The nurse should identify which of the following findings as an adverse effect of this medication?

dark urine

A nurse is reinforcing teaching with a client who has a new prescription for theophylline. The nurse should instruct the client that which of the following is an expected outcome of this medication?

dilates bronchioles

A nurse is reviewing the laboratory results of a client who takes insulin for the management of diabetes mellitus. Which of the following findings should indicate to the nurse the medication is effective?

fasting blood sugar of 100 mg/dL

A nurse is reviewing the medical administration record of a client who has a history of Stevens-johnson syndrome when taking sulfamethoxazole-trimethoprim. Which of the following medications should the nurse identify as contraindication for this client?

furosemide

A nurse is assisting with the admission of a client who reports muscle aches and pain 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 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 caring for a client who has kidney failure and has been taking epoetin. Which of the following is a therapeutic effect of this medication?

increased HGB

A nurse is reviewing medication prescriptions for a group of clients. The nurse should recognize that which of the following prescriptions can result in a medication administration error?

nurse should avoid the trailing zero behind a whole number

A nurse is collecting data from a client who received morphine IV for pain relief. Which of the following findings is the nurse's priority to report to the provider?

respiration rate 11/min

A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hr ago. Which of the following adverse reactions is the priority findings to report to the provider?

respiratory depression

A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client's temperature increases to 39.1 C (102.4 F). Which of the following actions should the nurse take first?

stop the infusion

A nurse is reinforcing teaching with a client who has a new prescription for omeprazole oral capsules. Which of the following instructions should the nurse include?

swallow the medication whole

A nurse is collecting data from a client who recently began taking niacin to treat hyperlipidemia. The client reports experiencing facial flushing after taking the medication. The nurse should expect the provider to make which of the following recommendations?

take aspirin 30 min before taking the medication

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 collecting data from a client who has been taking levodopa/carlaidopa. which of the following findings should indicate to the nurse that the medication is effective?

the client is able to wash their face

A nurse is planning to administer metoprolol to a client who has heart failure and a heart rate of 48/min. Which of the following actions should the nurse take?

withhold the clients medication

A nurse is reinforcing dietary teaching with a client who has a new prescription for phenelzine. Which of the following foods should the nurse include in the teaching as an appropriate food choice?

yogurt

A nurse is caring for a client who is having an acute asthma attach. Which of the following medications should the nurse administer first?

albuterol

A nurse is caring for a client who has a 10-year history of alcohol use disorder and is experiencing acute alcohol withdrawal. The nurse should identify which of the following interventions as the priority?

implement seizure precaution

A nurse is reinforcing teaching with a client who is to start therapy using a nitroglycrin transdermal patch. which of the following instructions should the nurse include?

place the path on different site for each application

A nurse is collecting data from a client who has been taking digoxin for 1 month. The nurse should identify which of the following findings as a manifestation of digoxin toxicity?

vomiting

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 indicated 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 caring for a client who has genital herpes. which of the following medications should the nurse expect to administer?

Acyclovir

A nurse is reviewing a client's medical history before administering hydromorphone for postoperative pain' The nurse should notify the provider of which of the following findings before administering this medication

Benign prostatic hyperplasia

A nurse is reviewing the medical record of a client who has a new prescription for dimenhydrinate to treat motion sickness. which of the following conditions in the client's medical record should the nurse report to the provider?

Benign prostatic hyperplasia

A nurse is monitoring a client who has type 2 diabetes mellitus and is receiving repaglinide. Which of the following laboratory tests should the nurse plan to review to obtain information about the long-term therapeutic effect of this medication?

Glycosylated HBA1C

A nurse is caring for a client who has a new prescription for eplerenone to treat hypertension. The nurse should monitor for which of the following adverse effects of this medication?

Hyperkalemia

A nurse is assisting with collecting data (or a client who is in preterm labor and is receiving magnesium sulfate via continuous iv infusion. which of the following findings should the nurse identify as an indication of magnesium toxicity?

Hyporeflexia

A nurse is reinforcing teaching with a client who has a prescription for alendronate. Which of the following client responses indicated to the nurse an understanding of the teaching?

I will take the medication with 8 oz of water

A nurse in a provider's office is reviewing the immunization records of a 12-month-old infant who is immunocompromised. Which of the following vaccines should the nurse identify as contraindicated for this client?

Measles, mumps, rubella (MMR)

A nurse is preparing to administer a PRN medication to a group of clients. which of the following clients should the nurse administer medication to first?

a client who is attending postoperative physical therapy and requests pain medication

A nurse is reinforcing teaching with a client who has seizures and a new prescription of vampiric acid. The nurse should instruct the client to report which of the following adverse effects of valproic acid immediately to the provider?

abdominal pain

A nurse is preparing to administer diphenhydramine 50 mg PO at 2200 to a client who has difficulty swallowing pills and capsules. Available is diphenhydramine syrup 12.5 mg/5mL PO. Which of the following nursing actions requires the completion of an incident report?

administering 25mL of the syrup

A nurse is contributing to the plan of care for a client who has schizophrenia and a new prescription for clozapine. The nurse should include in the plan to monitor the client for which of the following adverse effects of this medication?

agranulocytosis

A nurse is collecting data prior to administering digoxin to a client. For which of the following findings should the nurse withhold this medication and notify the provider?

apical pulse of 52

A nurse is reinforcing teaching with a client who has Helicobacter pylori and a new prescription for tetracycline. Which of the following instructions should the nurse include in the teaching?

avoid prolonged exposure to sunlight

A nurse is reinforcing teaching with a newly licensed nurse about using metoprolol to treat hypertension. Which of the following conditions should the nurse include as a contraindication for this medication?

bradycardia

A nurse is reinforcing teaching with a client who experiences migraine and has a new prescription for sumatriptan. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication?

chest tightness

A client comes to an urgent care clinical and announces with great enthusiasm, "I am an expert at all things medical as they apply to me, and I require zolpidem." The client's pupils are dilated, along with an elevated heart rate and blood pressure level. The nurse should suspect intoxication with which of the following substances?

cocaine

A nurse is caring for a client who has hyperthyroidism and has been taking methimazole. Which of the following findings should indicate to the nurse that the medication has had a therapeutic effect?

decreased T4

A nurse is caring for a client who has tuberculosis and will begin taking isoniazid. Which of the following actions should the nurse take?

determine the client daily alcohol intake

A nurse is collecting data from a client who is taking oral amoxicillin to treat a respiratory infection. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?

diarrhea

A nurse is reinforcing teaching with a client following placement of a cast for a fractured ankle. The client is to take oxycodone for pain management. The nurse should instruct the client that which of the following over-the-counter medications is contraindicated while taking oxycodone?

diphenhydramine

A nurse is reinforcing teaching with a client who has a new prescription for etanercept to treat rheumatoid arthritis. Which of the following instructions about self-administering this medication should the nurse include?

discard any solutions that are cloudy

A nurse is reinforcing teaching with a client who is using phenylephrine nasal spray three times daily and reports rebound congestion. which of the following instructions should the nurse include to reduce the effects of rebound congestion?

discontinue use in the left nostril, then in the right nostril

A nurse is erroneously administered zolpidem to the wrong client. Which of the following actions should the nurse take when documenting the medication error?

document the notification of the client's provider

A nurse erroneously administered zolpidem to the wrong client. Which of the following actions should the nurse take?

document the notification of the clients provider

A nurse is collecting data from a client who has multiple sclerosis and a new prescription for baclofen. Which of the following findings should the nurse identify as an adverse effect of this medication?

drowsiness

A nurse is caring for a client who has a new prescription for risperidone to manage schizophrenia. which of the following laboratory tests should the nurse plan to obtain prior to administering the first dose?

fasting blood glucose level

A nurse is reviewing the medication administration record for a client who has a new prescription for tobramycin to treat a pulmonary infection. Which of the following medications should the nurse identify as increasing the risk for ototoxicity while taking tobramycin?

furosemide

A nurse is reviewing medication prescriptions for a group of clients' The nurse should recognize that which of the following prescriptions can result in a medication administration error?

furosemide 10.0 mg po daily

A nurse is collecting data from the parent of a toddler who is about to receive the varicella immunization. The nurse should identify that an anaphylactic reaction to which of the following substances is a contraindication for receiving this immunization?

gelatin

A nurse is reinforcing teaching about benzodiazepine withdrawal with an older adult client who discontinued taking lorazepam after taking it for 3 months. Which of the following instructions should the nurse include?

have someone assist you with ADLs

A nurse is collecting data from a client who has angina and 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 caring for a client who has chronic kidney disease and has been receiving epoetin alfa for 2 weeks. Which of the following findings should indicate to the nurse that the client's medication is having the desired therapeutic effect?

hemoglobin rises 0.5 g/dL

A nurse is monitoring a client when has been receiving long-term hydrochlurothialide therapy for recurring episodes of heart failure. which of the following findings should me nurse identify as an adverse effect of this medication?

hypokalemia

A nurse is assisting with the care of a client who has a methicillin-resistant Staphylamctus aureus (MRSA) infection and is receiving vancomycin via IV infusion. which of the following changes in the client's condition should the nurse identify as the priority finding to report to the provider?

hypotension

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 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 prescription for scopolarnine transderrnal patches to prevent motion sickness. which of the following statements by the client indicates an understanding of the teaching?

i should place the patch behind my ear

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

if your pulse rate is less than 50 bpm, notify your provider

A nurse is caring for a client who has schizophrenia and is to start therapy with risperidone. For which of the following manifestations should the nurse monitor to determine whether the treatment is effective?

improved social interactions

A nurse is reinforcing teaching with a client who recently began taking furosemides Which oi the following instructions should the nurse include in the teaching?

increase dietary potassium while taking the medication

A nurse is caring for a client who is taking phenylephrine' The nurse should plan to monitor the client for which of the following manifestations as an adverse effect of this medication?

increased HR

A nurse is collecting data from a client who is taking ferrous sulfate orally. Which of the following findings reported by the client should indicate to the nurse that the medication is having a therapeutic effect?

increased tolerance to exercise

A nurse is caring for a client who has a history of psychosis and is taking chlorpromazine. Which of the following actions should the nurse take to counteract the adverse effects of this medication?

inform the client to apply sunblock before going outside

A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for lithium. Which of the following instructions should the nurse include in the teaching?

maintain consistent sodium intake

A nurse is reinforcing teaching with a client about the adverse effects of simvastatin. For which of the following adverse effects should the nurse instruct the client to notify the provider?

muscle pain

A nurse is caring for a client who has a prescription for a hydromorphone 2 mg immediate release tablet by mouth. The nurse administers a 4mg immediate release tablet by mistake. Which of the following actions should the nurse take first?

obtain the client's vital signs and LOC

A nurse is collecting data from a client who is taking tobramycin. Which of the following findings should the nurse report to the provider immediately?

oliguria

A nurse is collecting data from a client who is postoperative and taking morphine for pain. Which of the following findings is the priority for the nurse to report to the provider?

oxygen saturation 87%

A nurse is reviewing the history of a client who is to start taking cefotetan to treat a bacterial infection. Which of the following information from the client's medical record should the nurse report to the provider before the client begins receiving this medication?

penicillin allergy

A nurse is reviewing the medical record of a client who has a new prescription for cephalexin to treat pneumonia. Which of the following data should the nurse report to the provider before client receives this medication?

penicillin allergy

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 instilling timolol eye drops for a client who has glaucoma. Which of the following actions should the nurse take after instilling the eye drops?

press the nasolacrimal duct

A nurse is collecting data from a female client who has been taking propylthiouracil (PTU) for 2 months to treat Graves' disease. Which of the following findings should the nurse recognize as an indication that the medication is effective?

pulse 82/min

A nurse is monitoring a client who has just returned to the unit following surgery. The client received an initial dose of morphine 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 collecting data from a client who is taking lithium to treat bipolar disorder. Which of the following findings should the nurse report to the provider?

slurred speech

A nurse is collecting data from a client who has hyperthyroidism and a new prescription for propylthiouracil. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication?

sore throat

A nurse is caring for a client who has a new prescription for sumatriptan. The nurse notes that the client take fluoxetine. The nurse should notify the provider that combination of these medications will place the client at risk for which of the following adverse effects?

tremors