Pharm Ex 3 Practice Questions

The healthcare provider has ordered intravenous diazepam for the client in status epilepticus. During administration, it is most important for the nurse to assess for which result from this drug? A. Tachycardia. B. Level of consciousness. C. Hypotension. D. Respiratory depression.

D. Respiratory depression.

A client scheduled for surgery has a family history of malignant hyperthermia. The circulating nurse will be responsible for seeing that which medication is immediately available for administration? A. Dantrolene. B. Baclofen. C. Cyclobenzaprine. D. Diazepam

A. Dantrolene.

A nurse is caring for a client who has just begun taking diazepam to treat anxiety. The nurse should monitor the client for which adverse effects of this medication? (Select all that apply). A. Drowsiness. B. Hypertension. C. Blurred vision. D. Hearing loss. E. Confusion.

A. Drowsiness. B. Hypertension. C. Blurred vision. E. Confusion.

An adolescent client who has been taking amphetamine since age 7 now presents with new-onset type 1 diabetes mellitus. What should be of highest priority in the nurse's education regarding the diabetes for this client? A. This medication may be changed. B. Immediately report signs of a dry mouth. C. Monitor height and weight very closely. D. Report any increase in irritability and nervousness

A. This medication may be changed.

A client with depression does not want to take prescribed medication because of the side effects. What can the nurse suggest to help with medication adherence? (Select all that apply). A. Use ice chips to help alleviate dry mouth. B. Chew gum or use hard candy to help alleviate dry mouth. C. Avoid alcohol-based mouthwash to help alleviate dry mouth. D. Use "dry eye" drops to help with eye dryness. E. Take alcoholic beverages several times a week to help with unpleasant side effects.

A. Use ice chips to help alleviate dry mouth. B. Chew gum or use hard candy to help alleviate dry mouth. C. Avoid alcohol-based mouthwash to help alleviate dry mouth. D. Use "dry eye" drops to help with eye dryness.

A parent tells the nurse, "The doctor says my son has epilepsy, but he has never had a convulsion. How can that be?" Which response by the nurse to the parent is the most appropriate? A. "He will probably develop convulsions as he gets older." B. "Some people with epilepsy do not have seizures." C. "Convulsions are not part of all epileptic conditions." D. "The convulsions common in young boys are usually silent."

C. "Convulsions are not part of all epileptic conditions."

A client with depression is to begin treatment with an antidepressant medication. In performing the initial assessment, what is the most important question for the nurse to ask? A. "Are you allergic to any medications?" B. "How long have you been depressed?" C. "Have you had any thoughts about killing yourself?" D. "How much alcohol do you consume during the week?"

C. "Have you had any thoughts about killing yourself?"

The nurse is providing discharge instructions to a client who is prescribed risperidone for schizophrenia. Which statement by the client indicates the need for further education regarding this medication? A. "I need to report severe muscle spasms, especially of the neck, back, tongue, or face." B. "I sure hate it that I can't have a beer with my buddies anymore." C. "I hope that I can discontinue this medicine after I go back to see my doctor." D. "I need to let the doctor know if I have trouble relaxing, sleeping, or begin to pace."

C. "I hope that I can discontinue this medicine after I go back to see my doctor."

An adolescent client is prescribed nasal desmopressin for treatment of diabetes insipidus (DI). It is essential for the nurse to teach the client and family the signs and symptoms associated with: a. acute renal failure. b. hypoglycemic reaction. c. liver failure. d. water intoxication.

d. water intoxication.

A patient is requesting a prescription for tadalafil. What priority assessment question should he nurse ask this patient?

"Do you take nitroglycerin?"

An adolescent female is brought to the emergency department after experiencing a panic attack while at school. She had forgotten to study for a biology test. The mother indicates that her daughter is easily distracted, often forgets schoolwork, and has difficulty completing assignments and following instructions. She asks if her daughter should be on medication for ADHD. What is the nurse's best response? A. "Many medications given for treatment of ADHD can worsen anxiety, which is a major component of panic attacks." B. "Medication might help with the ADHD." C. "Have you tried behavioral therapy for treatment of the ADHD?" D. "It is better to change the diet first as treatment for the ADHD."

A. "Many medications given for treatment of ADHD can worsen anxiety, which is a major component of panic attacks."

. A client takes an aspirin, a multivitamin, and an antihistamine every day. What is the most important instruction by the nurse when the client is prescribed levodopa/carbidopa? A. "You should not take the multivitamin with your levodopa/carbidopa." B. "You should not take the antihistamine with your levodopa/carbidopa." C. "You should not take the aspirin with your levodopa/carbidopa." D. "These medications are safe to take with levodopa/carbidopa."

A. "You should not take the multivitamin with your levodopa/carbidopa."

When teaching a community course on health problems that the older adult client might encounter, the nurse describes a disorder that is characterized by progressive memory loss, confusion, and the inability to think clearly. Which disease process is the nurse describing? A. Alzheimer's disease B. Parkinson's disease C. Schizophrenia D. Huntington's chorea

A. Alzheimer's disease

Which of the following medications is a First-generation, conventional, antipsychotic? A. Haloperidol. B. Clozapine. C. Olanzapine. D. Paliperidone.

A. Haloperidol.

A client whose spouse recently died is having difficulty falling asleep and does not take any prescription medications to induce sleep. Which response is most appropriate? Select all that apply A."Walking 2 to 3 miles or engaging in some other exercise every morning can enhance sleep." B. "There are alternative methods to treat insomnia, such as yoga, meditation, and massage therapy." C. "Eating a large meal at bedtime will help induce sleep." D. "Avoid caffeinated beverages, nicotine, and alcohol immediately prior to bedtime." E. "Something that has worked for me is to count sheep after lying down in order to enhance sleep."

A."Walking 2 to 3 miles or engaging in some other exercise every morning can enhance sleep." B. "There are alternative methods to treat insomnia, such as yoga, meditation, and massage therapy." D. "Avoid caffeinated beverages, nicotine, and alcohol immediately prior to bedtime."

A pregnant client says, "There is a strong history of ADHD in my husband's family. What can I do to help my baby avoid developing it?" How should the nurse respond? (Select all that apply.) A. "There is really little you can do to prevent your baby from developing ADHD, but you can watch for symptoms and get help early." B. "Do not smoke while you are pregnant and avoid secondhand smoke." C. "You should breastfeed your baby." D. "Avoid situations that would expose your baby to lead or lead paint." E. "Keep your baby's intake of sugar very low for the first 3 years of life."

B. "Do not smoke while you are pregnant and avoid secondhand smoke." D. "Avoid situations that would expose your baby to lead or lead paint."

A client with Parkinson's disease asks the nurse why dopamine is not given as a neurotransmitter replacement. Which response by the nurse is the most appropriate? A. "The risk for hypertension is too high with dopamine; therefore, more frequent cardiac monitoring would be required." B. "Exogenous dopamine cannot cross the blood—brain barrier and would be of little use." C. "Exogenous dopamine must be administered via intravenous infusion, which usually requires a central line and continuous cardiac monitoring." D. "In older clients, the effects of dopamine on urinary function can pose an unacceptable risk for renal failure."

B. "Exogenous dopamine cannot cross the blood—brain barrier and would be of little use."

The nurse's neighbor says, "My son has been waking up with bad cramps in his calf for the last two nights. He has been working out with his football team, and it has been so hot." Which additional statement would indicate to the nurse that the neighbor needs more information concerning muscle spasms? A. "I have my son take a multivitamin every day to help replenish calcium and other minerals." B. "I think I will give him one of my muscle relaxers before practice today." C. "I've told my son to point his toes upward and gently massage the calf muscle." D. "I send three 64-ounce bottles of Gatorade and water with my son to practice every day."

B. "I think I will give him one of my muscle relaxers before practice today."

The nurse has completed medication education for a client about to begin therapy with an MAO Inhibitor. The nurse evaluates the education as effective when the client makes which statements? (Select all that apply). A. "I can't eat fried chicken anymore." B. "I'll have to give up my beer at the football games." C. "I really shouldn't eat at a restaurant; too many foods are on my restricted list." D. "I am not supposed to have processed meats or cheese." E. "I am really going to miss my morning coffee and sweet roll."

B. "I'll have to give up my beer at the football games." D. "I am not supposed to have processed meats or cheese."

A parent says to the nurse, "The doctor prescribed ethosuximide for my child, who has absence seizures. What does this mean?" Which response by the nurse is the most appropriate? A. "Absence seizures are basically the same kind of seizures as grand mal, but they are less frequent." B. "Your child's seizures manifest as a staring into space for a few seconds. Ethosuximide is a good medication for this type of seizure." C. "Explaining the types of seizure activity is complicated. Have you spoken to your doctor about it?" D. "Are you sure your doctor prescribed ethosuximide? Phenobarbital is used more frequently with children."

B. "Your child's seizures manifest as a staring into space for a few seconds. Ethosuximide is a good medication for this type of seizure."

The nurse explains to the family of a client with Alzheimer's disease that memory loss and confusion occur because of the disease's effect on which neurotransmitter? A. Serotonin. B. Acetylcholine. C. Dopamine. D. Gamma aminobutyric acid (GABA).

B. Acetylcholine.

A client, prescribed sertraline for anxiety and depression, reports experiencing sexual dysfunction since being on this medication. Which response by the nurse is the most appropriate? A. "I am concerned that you will become suicidal if you stop the medication." B. "Keep taking the medicine, as this usually goes away after a few months." C. "I'm glad you brought this to my attention; I will let your doctor know." D. "This does happen, but treating your depression is a bigger priority."

C. "I'm glad you brought this to my attention; I will let your doctor know."

A mother tells the nurse, "My son has ADHD and so does my sister's daughter. They are the same age, but they are on two different drugs. Why is that?" Which information should the nurse provide? (Select all that apply). A. "All the drugs used to treat ADHD are basically the same." B. "Children often have severe reactions to ADHD drugs and have their therapy changed." C. "The choice of drug can be guided by different dosing schedules." D. "Some children just do better on one drug or the other." E. "Girls don't respond to medications as well as boys."

C. "The choice of drug can be guided by different dosing schedules." D. "Some children just do better on one drug or the other."

The client tells the nurse, "The doctor is going to start me on Botox for the muscle spasms in my neck. I've always wanted to try that. It will make me look younger." Which information should the nurse provide to this client regarding botulinum toxin A? (Select all that apply). A. "Once you start on the medication, it may take a week or so before you notice a change in your skin." B. "Be certain you take the medication with a full glass of water because it can be hard on your kidneys." C. "There are many different uses for that drug, depending on how it is administered." D. "You may have to have additional treatments with the medication in a few months." E. "You should be aware that side effects of the medication can occur hours or weeks after your treatment."

C. "There are many different uses for that drug, depending on how it is administered." D. "You may have to have additional treatments with the medication in a few months." E. "You should be aware that side effects of the medication can occur hours or weeks after your treatment."

A client has been diagnosed with Alzheimer's disease. What is the most accurate medication education the nurse can give to the client's spouse? A. "Symptoms should begin to improve in a few days." B. "The medication has side effects that require periodic breaks from treatment." C. "There is no cure. The medication might help with symptoms for a period of time." D. "Symptoms will improve as long as the medication is taken daily at the same time."

C. "There is no cure. The medication might help with symptoms for a period of time."

A client with bipolar disorder in the manic phase is started on lithium. The client's current lithium level is 0.4 mEq/L. What will the nurse expect to assess in this client? A. A return to baseline behavior: calm and rational B. Signs and symptoms of depression C. Hyperactivity and pressured speech D. A decrease in manic behavior

C. Hyperactivity and pressured speech

The nurse provides instruction to a client who is prescribed levodopa/carbidopa. Which client statement indicates that learning has occurred? A. "I need to increase my daily intake of protein." B. "I must avoid eating leafy green vegetables in my diet." C. "I need to check my pulse before I take this medication." D. "I must avoid foods such as beef, whole-grain cereals, and multivitamins."

D. "I must avoid foods such as beef, whole-grain cereals, and multivitamins."

Which client comment would alert the nurse that atomoxetine should be held and the healthcare provider notified? A. "I get lightheaded when I get out of bed in the mornings." B. "Sometimes I have difficulty going to sleep." C. "I always feel like I have such a dry mouth." D. "Sometimes I feel like I'd be better off if I were dead."

D. "Sometimes I feel like I'd be better off if I were dead."

A client recovering from surgery is prescribed zolpidem for sleep. The client is scheduled for physical therapy at 8 p.m. What should the nurse do when providing the client with this medication? A. Crush the medication in a small amount of food. B. Provide the medication with a sip of water at dinner time. C. Administer the medication prior to attending physical therapy because it takes 60 minutes to produce effects. D. Administer the medication immediately prior to expected sleep.

D. Administer the medication immediately prior to expected sleep.

A client in the emergency department tells the nurse about being chased by a "serial killer." The client is currently paranoid and is aggressively fighting against any treatment. Which medication does the nurse anticipate will be prescribed for this client? A. Clozapine PO B. Risperidone IM C. Haloperidol PO D. Lorazepam IM

D. Lorazepam IM

A client with schizophrenia is starting clozapine therapy. Which information is highest priority to include in client teaching? A. The client should have periodic fasting glucose levels drawn. B. The client should monitor for weight gain and adhere to a healthy diet. C. The client should report fine hand tremors to the health care provider. D. The client must have regular white blood cell count (WBC) level drawn

D. The client must have regular white blood cell count (WBC) level drawn

A client who suffers from frequent calf muscle cramping asks the nurse about using nonprescription capsaicin for pain relief. What information should the nurse provide this client? A. Capsaicin is seldom effective in the treatment of cramping in calf muscles. B. The client should plan to use the medication two times each day. C. This medication should be taken with a full glass of water. D. The client should wear gloves when handling this medication

D. The client should wear gloves when handling this medication

A 14-year-old adolescent with ADHD is taking methylphenidate. Which statement indicates that the adolescent understands the medication teaching?

I hate that I have to go to the school nurse to take my medication

A patient is diagnosed with primary hypothyroidism. Which lab test was used to aid in this diagnosis?

TSH level

Which statement describes the rationale for combining carbidopa with levodopa in the treatment of Parkinson's disease?

The combination allows lower levels of Dopamine to be used with the same effect on alleviation of symptoms

A client in anaphylactic shock receives a dose of hydrocortisone. The nurse recognizes that the desired action of this medication is to: a. raise serum oncotic pressure. b. inhibit the inflammatory process. c. stimulate the sympathetic nervous system. d. raise circulating glucose levels.

b. inhibit the inflammatory process.

The nurse is reviewing the labor and delivery plan for a pregnant client who is scheduled to receive oxytocin for induction of labor contractions. Which client statement indicates the need for additional instruction from the nurse? a. "I want to walk around as much as possible to help stimulate my labor." b. "I will receive gradually increasing doses of the medication until I'm in active labor." c. "I realize my blood pressure will need to be taken frequently as long as I am on this medication." "I will tell you if I develop a headache"

a. "I want to walk around as much as possible to help stimulate my labor."

A client experiencing moderate symptoms of benign prostatic hyperplasia (BPH) is prescribed tamsulosin. What will the nurse instruct the client about this medication? Select all that apply. a. "This medication will not affect your blood pressure." b. "This medication improves urine flow." c. "You will see an improvement in symptoms in 1 to 2 weeks." d. "You may experience a headache or dizziness with this medication." e. "Notify your healthcare provider if you experience fatigue when taking this medication"

a. "This medication will not affect your blood pressure." b. "This medication improves urine flow." c. "You will see an improvement in symptoms in 1 to 2 weeks." d. "You may experience a headache or dizziness with this medication."

A client on long-term corticosteroid therapy tells the nurse that the plan is to stop taking the medication when the current prescription is completed. How should the nurse respond? Select all that apply. a. "You could develop nausea, vomiting, and other problems if you stop this medication abruptly." b. "Your body will not be able to produce the steroid that you need and you will become very ill." c. "Why do you plan to stop taking the medication?" d. "I'm sure you know what is best for your health." e. "You will feel sick for a short while after stopping the medication, but it will go away."

a. "You could develop nausea, vomiting, and other problems if you stop this medication abruptly." b. "Your body will not be able to produce the steroid that you need and you will become very ill." c. "Why do you plan to stop taking the medication?"

A client is experiencing severe musculoskeletal pain. The nurse is aware that corticosteroid therapy would be indicated for which musculoskeletal disorders? Select all that apply. a. Rheumatoid arthritis b. Osteoarthritis c. Osteoporosis d. Fibromyalgia e. Myasthenia gravis

a. Rheumatoid arthritis b. Osteoarthritis

Which laboratory value will the nurse monitor to determine the progression of thyroid disease in a client? a. TSH b. T3 c. Iodine d. T4

a. TSH

In which instance would the nurse hold the dose of levothyroxine? a. The client complains of palpitations. b. The client's blood pressure 118/78 mmHg. c. The client's respiratory rate is 10 breaths/min. d. The client is fatigued.

a. The client complains of palpitations.

A nurse is explaining the need to track blood glucose levels to a client who will be receiving growth hormone injections. The explanation is based on the recognition that additional growth hormone will: a. increase insulin resistance. b. decrease blood glucose levels. c. promote very rapid growth. d. trigger type 1 diabetes mellitus.

a. increase insulin resistance.

What will the nurse instruct a client regarding the actions of testosterone? Select all that apply. a. It restricts bone growth. b. It is responsible for the enlargement of the testes, scrotum, and penis. c. It contributes to the development of muscle mass. d. It promotes the synthesis of erythropoietin. e. It is responsible for virilization

b. It is responsible for the enlargement of the testes, scrotum, and penis. c. It contributes to the development of muscle mass. d. It promotes the synthesis of erythropoietin. e. It is responsible for virilization

A client is prescribed finasteride but does not have a history of prostate disorder. What is the best assessment question for the nurse to ask at this time? a. "Do you have erectile dysfunction?" b. "Do you have male-pattern baldness?" c. "Do you have a stomach ulcer?"

b. "Do you have male-pattern baldness?"

Which client statement indicates that teaching about finasteride has been effective? a. "It reduces the inflammation and swelling associated with my prostatitis." b. "It interferes with my circulating testosterone and causes my prostate to shrink so I can urinate again." c. "It relaxes the smooth muscle in my urethra to facilitate the outflow of urine." "It kills prostate cells that could lead to cancer."

b. "It interferes with my circulating testosterone and causes my prostate to shrink so I can urinate again."

A client has benign prostatic hyperplasia and hypertension. Which medication could the client safely receive that might treat both conditions? a. Finasteride b. Doxazosin c. Sildenafil d. Tamsulosin

b. Doxazosin

When reviewing a male client's medication history, the nurse realizes that sildenafil (Viagra) would be contraindicated when taken with which medication? a. Opioids b. Isosorbide mononitrate c. Insulin d. Proton-pump inhibitor

b. Isosorbide mononitrate

A client is taking long-term corticosteroid therapy for adrenal insufficiency. Which medication would be recommended for the relief of minor aches and pains? a. Ibuprofen b. Ketorolac c. Acetaminophen d. Aspirin

c. Acetaminophen

The nurse is assessing a client who is newly prescribed to receive supplemental growth hormone therapy. Which parameters should the nurse assess? a. Bowel sounds, vitamin B12 level, and history of gallbladder disease b. Height and weight, head circumference, and EKG c. Blood sugar, blood pressure, height, and weight d. Urine specific gravity, serum osmolality, and serum electrolytes

c. Blood sugar, blood pressure, height, and weight

Which client would not be a good candidate for induction of labor using parenteral oxytocin? a. The client who is at 38 weeks' gestation and has gestational diabetes b. The client at 37 weeks' gestation whose fetus has developed an abnormal heart rate c. The client who is at 38 weeks' gestation and has developed signs of preeclampsia d. The client at 39 weeks' gestation who wants the baby to have the same birthday as another family member

c. The client who is at 38 weeks' gestation and has developed signs of preeclampsia

A male client who is prescribed Sildenafil asks the nurse how the medication works. What is the nurse's best response? a. "It causes an erection to occur." b. "It restricts blood flow to the penis." c. "It stimulates the release of phosphodiesterase-5, an enzyme that causes an erection." d. "It inhibits the release of an enzyme that relaxes smooth muscle in the penis to allow blood flow leading to an erection."

d. "It inhibits the release of an enzyme that relaxes smooth muscle in the penis to allow blood flow leading to an erection."

The nurse would anticipate the client with hyperthyroidism to exhibit which symptom? a. Hypothermia b. Bradycardia c. Weight gain d. Hypertension

d. Hypertension

The nurse should instruct a pregnant client to avoid skin contact with: a. sildenafil b. avanafil c. tadalafil d. finasteride

d. finasteride

What are some signs and symptoms of tardive dyskinesia?

involuntary, unusual tongue and face movements such as lip smacking, rapid eye blinking, wormlike movements of the tongue.

The client with bipolar disorder who is taking lithium, has a lithium level of 3.1 mEq/L which treatment would the nurse expect the healthcare provider to prescribe?

preparation for immediate hemodialysis

What mental health disorder is a serious illness that can take different forms and is associated with being truly out of touch with reality?

psychosis

During a follow-up visit, a patient who has been on estrogen therapy admits that she has continued to smoke cigarettes. The nurse will remind the patient that smoking on estrogen may lead to increased:

risk for thrombosis

A nurse is administering desmopressin to a patient recovering from a head injury that increased pressure on the posterior pituitary gland. The nurse recognizes that this form of artificial antidiuretic hormone (ADH) will have the most impact on which portion of the assessment?

urine output and blood pressure

What is meant by the term "cheeking" a medication?

when a patient hides the medication in their mouth until the provider leaves the room. they then hide or dispose of the medication

A patient with diabetes is prescribed prednisone for acute asthma exacerbation. The patient asks if the medication will affect the blood sugar. The nurse's best response is:

your blood sugar might be elevated