Pharm Exam #3

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 A,D,E

A nurse is caring for a client who takes warfarin to treat chronic atrial fibrallation 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 it is safe C. GB is most effective in t he later stages of Alzheimer's D. people who have Alzheimer's should adhere to the mediation regimen their provider prescribes A

A nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following finding is a contraindication to administration of diltazem?

A. Hypotension B. Tachycardia C. Decreased level of consciousness D. History of diuretic use A.

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 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 teaching a client who has a new 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 hrs 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 is teaching a client about the proper placement of a nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching?

A. I'll apply the patch over areas of my body with little fatty tissue B. I can place the patch on any area of my body without hair C. Ill put the patch on the same site as the previous patch D. I have to apply the patch directly over my heart B

A nurse is reviewing the laboratory reports of a client who has been taking warfarin for atrial fibrillation. Which of the following results should the nurse report to the provider immediately?

A. PT 18 secs B. platelet count 160,00/mm^3 C. Hit 43% D. INR 5.5 D

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. apple the ointment using a dose measuring applicator C. apply the ointment using the index finger D. massage the ointment into the clients skin B

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 admitting a client who has unstable angina. Which of the following medications should the nurse anticipate administering to the client?

A. epinephrine B. nitroglycerin C. lidocaine D. atropine B

A nurse is reviewing the laboratory results for a client who has a prescription for filgrastim. An increase in which of the following values indicates a therapeutic effect of this medication?

A. erythrocyte count B. neutrophil count C. lymphocyte count D. Thrombocyte count B

A nurse is providng teaching to a newly licensed nurse about metoclopramide. The nurse should highlight that which of the following condition is a contraindication to this medication?

A. hyperthroidism B. intestinal obstructiopn C. glaucoma D. low blood pressure B

A nurse is preparing to administer a sublingual nitroglycerin tablet 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 teaching a client who has a new prescription for alosetron. Which of the following clients statements indicates an understanding of the teaching?

A. nausea is a common adverse effect of this medication B. I should contact my provider immediately if I experience constipation C. if I do no respond to treatment at the lowest dosage, my provider may continue to increase the dosage at weekly intervals D. abdominal pain with diarrhea can indicate a serious complication B

A nurse is proving teaching to a newly licensed nurse about caring for a client who has a prescription for gemfibrizol. The nose should instruct the newly licensed nurse to monitor which of the following laboratory tests?

A. platelet count B. electrolyte levels C. thyroid function D. Liver function D

A nurse is monitoring a client who has asthma, takes albuterol, and recently started taking propranolol to treat a cardiovascular disorder. The client reports that the albuterol has been less effective. Which of the following factors should the nurse identify as a possible explanation for this change?

A. potentiative interaction B. detrimental inhibitory interaction C. increased adverse reaction D. toxicity-reducing interaction B

A nurse is providing teaching to a female client who has a new prescription for pravastatin to treat hyperlipidemia. Which of the following pieces of information should the nurse include in the teaching?

A. pravastatin can be take with grapefruit juice B. pravastatin can be continued during pregancy C. pravastatin should be taken wit ht he morning meal D. Laboratory testing to monitor the clients WBC is required A

A nurse is caring for a client who takes warfarin 2.5mg 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 providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and a new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching>|?

A. reduces blood pressure B. inhibits clotting of fistula C. promotes RBC production D. stimulates growth neutrophils 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 while taking this medication." D. "I will take ibuprofen if I get a fever while taking this medication." C.

A nurse is monitoring a client who received diphenoxylate-atropine. Which of the following statements by the client should indicate to the nurse that the medication has been effective?

A. I feel a little drowsy with this medication B. I am now drinking much more water C. I have not had a bowel movement today D. I no longer feel chest tightness C

A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects?

A. hypotension B. hyperthermia C. hypogycemia D. tachycardia D

A nurse is proving 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 aPTT D. increase intake of dark green vegetables B

A nurse in a providers 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 ilcers B. development of milk intolerance C. allergic reactions to the medication D. alterations in gastrointestinal flora 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 if he experiences chest pain?

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

A nurse is caring for a client who is receiving continues cardia 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 caring for a client who has a new prescription for enalpril. The nurse should monitor the client for which of the following adverse effects of this medication?

A. Ecchymosis B. Jaundice C. Hypotension D. Hypokalemia C.

A nurse is planning care for a client with thrombophlebitis 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 clients PT levels D. inform the client that the heparin will dissolve the thrombus A

A nurse is caring for a client who is in preterm labor and has a new prescription for nifedipine. The clients states she is concerned because her father takes nifedipine for his angina pectoris. The nurse should explain that nifedipine works for clients who are pregnant through which of the following mechanisms?

A. It decreases the incidence of bacterial vaginosis, thus preventing uterine contractions. B. It inhibits uterine contractions by blocking the entry of calcium into uterine cells. C. It decreases activity within the CNS, which regulates all smooth muscle. D. It stimulates beta-2 receptors in the uterus, which decreases the frequency of contractions. B.

A nurse is caring for a client who reports crushing chest pain. The nurse reviews the clients ECG results and notes ST changes. Which of the following medications should the nurse administer?

A. Simvastatin B. Furosemide C. nitroglycerin D. sildenafil C

A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following should the nurse include in the teaching as an adverse effect of lisinopril?

A. Tongue swelling B. Low potassium level C. Runny nose D. Bruising A.

A nurse is teaching a client who has a new prescription for warfarin. Which of the following statements should the nurse identify as an indication that the client understand the instructions?

A. ill use a safety razor to shave each day B. ill be sure to eat lots of spinach C. ill avoid contact sports like football D. ill take ibuprofen if I get a headache C

A nurse is caring for a client who is taking warfarin. Which of the following laboratory values should the nurse recognize as an effective response to the medication?

A. Hit 45% B. Hgb 15g/dL C. aPTT 35 secs D. INR 3.0 D

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

A. I should take this medication with my meals and at bedtime B. I should only have to take this medication for about 2 wks C. I should wait at least 30 min before taking this medication after I take an antacid D. I should swallow these tablets whole C

A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports nausea and refuses to eat breakfast. Which of the following actions should the nurse take first?

A. encourage the client to eat the toast on the breakfast tray B. Administer an antiemetic C. Inform the clients provider D. check the clients apical pulse D.

A nurse is reviewing the medical record of a client who is scheduled of induction of labor and has a prescription for misoprostol. Which of the following conditions should the nurse identify as a contraindication to administering this medication?

A. gestational diabetes B. past cesarean delivery C. preclampsia D. genital herpes B

A nurse administered an antibiotic 10 min ago to a client who is now reporting wheezing and swelling of the eyelids. Which of the following actions should the nurse perform first?

A. give oral corticosteroids B. administer dopamine C. give diphenhydramine Iv D. administer epinephrine subcutaneously D

A nurse is caring for a client who is receving IV famotidine. Which of the following adverse effects should the nurse report to the provider immediately?

A. nausea B. bloody stools C. drowsiness D. headache B

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

A. this medication is for short term use only B. you should eat a low residual diet while taking this medication C. mix this medication with water and follow with an additional glass of liquid D. the medications adverse effects of stomach cramps and nausea will go away in time C

A nurse is proving teaching to a client who has heart failure and is taking spironolactone. Which of the following statements by the client indicates an understanding of the teaching?

A. I will increase my intake of citrus fruits, bananas, and potatoes B. I will use salt substitutes on my food C. I will drink as much water as I can while taking this medication. D. I will watch for increased breast tissue growth while taking this medication D.

A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following should the nurse plan to review prior to administering this medication?

A. blood pressure B. temperature C. blood glucose levels D. total protein level A

A nurse is providing discharge teaching to a client who had a bleeding duodenal ulcer and has been prescribed omeprazole. Which of the following statements should the nurse include in the teaching?

A. you will need to take this medication for the next 6 months B. taking this medication will decrease your risk of acquiring pneumonia C. you should take this medication before breakfast every day D. watch for the serious adverse effects of tachycardia and heart palpitations while taking this medication C

A nurse is caring for a client who has atrial fibrillation and is scheduled for cardio version. The nurse should anticipate a prescription from the provider for which of the following medications for this procedure?

A. Amlodipine B. Diltiazem C. Nifedipine D. Lidocaine B.

A nurse is providing discharge teaching to a client who has heart failure and a prescription for digoxin 0.125mg PO daily and furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching?

A. I know that blurred vision is expected to happen while I'm taking digoxin. B. I will measure my urine output each day and document it in my diary C. I will skip a does of my digoxin if my resting heart rate is below 72 beats per minute D. I will eat fruits and vegetables that have a high potassium content everyday. D.

A nurse is proving 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 the 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 caring for a client with benign prostatic hyperplasia who has a new prescription for doxazosin. Which of the following manifestations should the nurse monitor for as an adverse effect of doxazosin"

A. Seizures B. tachycardia C. broncodilation D. hypotension D.

A nurse is caring for a client who is 12 hrs postoperative following a total hop 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 preparing to administer an epinephrine IV bolus to a client. Which of the following should the nurse verify before initiating the IV medication?

A. concentration of the formulation B. reversibility of the medication C. potential barriers to absorption D. gastric emptying time A

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 providing teaching to a client who has hypertension and a new prescription for oral clonidine. Which of the following instructions should the nurse include in the teaching?

A. discontinue the medication if a rash develops B. expect increased salivation during the first few weeks of therapy C. minimize fiber intake to prevent diarrhea D. avoid driving until the clients reaction to the medication is known D

A nurse is teaching a client who has chemotherapy-induced anemia and a prescription for epoetin alfa. The nurse should instruct the client to report which of the following findings as an adverse effect of epoetin alpha?

A. hypertension B. leukocytosis C. bone pain D. neutropenia A

A nurse is teaching a client about the adverse effects of omeprazole. Which of the following client statements indicates an understanding of the teaching?

A. if I experience severe diarrhea, I will call my doctor B. pneumonia is associated with long-term use of this medication C. I will need to take this medication with food D. I should take vitamin B12 while using this medication A

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 caring for a client and realizes after administering the 099 medications that she administered digoxin 0.25 mg PO to the client instead of the prescribed digoxin 0.125 mg PO. Which of the following actions should the nurse take first?

A. notify the provider B. Contact the nursing supervisor C. Assess the clients apical pulse D. Complete an incident report C.

A nurse is planning care for a female client who has severe irritable bowel syndrome with diarrhea (IBS-D) and a new prescription for alosetron. Which of the following interventions should the nurse include in the plan of care>

A. the client must sign an agreement with the provider before beginning alosetron B. the client must stop taking alosetron if diarrhea continues for 1 week after beginning the medication C. the client should expect to have a slower heart rate while taking alosetron D. the client should use a barrier birth control method because alosetron interacts with oral contraceptives. A

A nurse is providing teaching to a client who has a prescription for famotidine to treat gastric ulcer. Which of the following statements should the nurse include in the teaching?

A. this medication is more effective when taken on an empty stomach B. you should take this medication with an antacid for pain control C. this medication is less effective for people who smoke D. you should expect to experience dizziness when taking this medication. C

A nurse is proving discharge teaching to a client who has angina pectoris and a new prescription for verapamil. The client tells the nurse, "My brother takes verapamil for high blood pressure. Do you think the provider made a mistake?" Which of the following responses should the nurse make?

A. Verapamil is used to treat both high blood pressure and angina B. You should talk to your provider to make sure the prescription is correct for you. C. Are you concerned that you might have high blood pressure D. Your provider has prescribed verapamil so that you will not develop high blood pressure. A.

A nurse is caring for a client who is receiving continuous cardia 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 teaching a female client who has a new prescription for misoprostol to treat peptic ulcer disease. Which of the following client statements should indicate to the nurse that the teaching was effective?

A. I should avoid taking NSAIDs while using this medication B. misoprostol is used to treat stress-induced gastric ulcers C. I should avoid becoming pregnant while taking this medication D. this medication is also used to treat dysmenorrhea C

A nurse is teaching a client who has a new ezetimibe prescription for hyperlipidemia. Which of the following client statements should indicate to the nurse that the teaching was effective?

A. I should let my doctor know if I have yellowing of my eyes B. this medication will stop my liver from making cholesterol C. I should except to experience some bruising when o begin this medication D. I will take this medication at the same time as my gemifibrozel A

A nurse is assisting with a clients laceration repair in which the provider will use both lidocaine and epinephrine. The nurse should inform the client that the epinephrine will perform which of the following actions?

A. act as a catalyst for the anesthetic properties of lidocaine B. delay systemic absorption of the anesthetic properties of lidocaine C. open the blood vessels for rapid anesthesia from the lidocaine D. prevent medication toxicity during the procedure 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 admitting a client who has atrial fibrillation with a heat rate of 155/min. The nurse should anticipate a prescription from the provider for which of the following medications?

A. atropine B. diltiazem C. epinephrine D. vaspressin B

A nurse is preparing to administer digoxin to a client. Which of the following findings should the nurse identify as a contraindication to the client receiving this medication?

A. blood pressure 180/70mmHg B. oxygen saturation rate 94% C. Heart rate 51/min D. respiratory rate 21/min C

A nurse is caring for a client who has heart failure and is prescribed dobutamine hydrochloride by continuous IV infusion. The nurse should identify that which of the following is the therapeutic effect of this medication?

A. improves oxygen saturation rate B. decreases elevated blood pressure C. reduces heart rate D. improves cardiac output D

A nurse is caring for a client who has asthma and is prescribed a short-acting beta2 against. Which of the following should the nurse identify as the expected outcome of this medication?

A. reduces the frequency of attacks B. reverses bronchospasm C. Prevents inflammation D. Decreases chronic manifestations B

A nurse is preparing to administer IV nitroprusside for a client who had a myocardial infarction. Which pf the following actions should the nurse take?

A. regulate the infusion pump rate using the clients weight in the calculation B. change the IV solution bag every 48 hr after the time of preparation C. ensure the freshly prepared IV solution has a slight greenish tint D. cover the medication with an amber plastic bag to protect it from light A.

A nurse is administering a clients first does of sucralfate. Which of the following explanations should the nurse provide about the action of sucralfate?

A. sucralfate decreases gastric acid secretions B. sucralfate forms a gel-like substance that protects ulcers C. sucralfate inactivates helicobacter pylori. D. sucralfate inhibits the production of gastric acid B

A nurse is assessing a client who has heart failure and is receving digoxin. Which of the following findings should indicate to the nurse the client is experiencing digoxin toxicity?

A. suppression of dysrthytmias B. increased atrioventricular (AV) conduction C. visual disturbances D. weight gain C.

A nurse is teaching a client who has dyspepsia about prescribed antacids. which of the following statements should the nurse include in the teaching?

A. take antacid 1 hr apart from other medications B. increase your sodium intake to avoid hyponatremia C. avoid combining antacids due to an increased risk of adverse effects D. antacids are taken 3 times daily A