Pharm exam 3 Elsevier questions

Which action would the nurse take before administering each dose in a client who takes oxycodone every 3 hours for pain after surgery? Select all that apply. A) Count the clients respirations B) Examine the client for petechiae C) Observe the client for movement disorders D) Ask the client to rate the level of pain E) Assess the client's level of consciousness

A) Count the clients respirations D) Ask the client to rate the level of pain E) Assess the client's level of consciousness

Which manifestation may indicate that the client with type 1 diabetes has insulin-induced hypoglycemia? Select all that apply. A) Excessive hunger B) Weakness C) Diaphoresis D) Excessive thirst E) Deep respirations

A) Excessive hunger B) Weakness C) Diaphoresis

Which medication is classified as an H2 receptor antagonist? Select all that apply. A) Nizatidine B) Ranitidine C) Famotidine D) Lansoprazole E) Metoclopramide

A) Nizatidine B) Ranitidine C) Famotidine

Which purpose is served by an evening snack of milk, crackers, and cheese for a client who is receiving NPH insulin? A) Encouragement to stay on the diet B) Food to counteract late insulin activity C) Added calories to promote weight gain D) High carbohydrates to provide nourishment for immediate use

B) Food to counteract late insulin activity

Which type of insulin would the nurse recognize as compatible with intravenous solutions when caring for a client with diabetes mellitus who is scheduled to receive IV administration of 25 units of insulin in 250 mL normal saline? A) NPH insulin B) Insulin lispro C) Insulin detemir D) Insulin glargin

B) Insulin lispro

Which therapeutic outcome is expected after administering ibuprofen? Select all that apply. A) Diuresis B) Pain relief C) Temperature reduction D) Anticoagulation E) Bronchodilation F) Reduced inflammation

B) Pain relief C) Temperature reduction F) Reduced inflammation

Which clinical finding in a client receiving morphine warrants immediate follow up by the nurse? Select all that apply. A) Polyuria B) Unconsciousness C) Bradycardia D) Dilated pupils E) Bradypnea

B) Unconsciousness C) Bradycardia E) Bradypnea

How would the nurse instruct a client with arthritis to take aspirin when the client states that aspirin causes stomach irritation? A) An hour before a meal B) With food and a full glass of water C) With sodium bicarbonate D) At the same time as the other medications

B) With food and a full glass of water

Which statement is important for the nurse to include in the teaching plan of a client with irritable bowel syndrome who has instructions to take psyllium for constipation? A) "Urine may be discolored." B) "Stop taking the laxative once a bowel movement occurs." C) "Each dose should be taken with a full glass of water or juice." D) "Daily use may inhibit the absorption of some fat-soluble vitamins."

C) "Each dose should be taken with a full glass of water or juice."

Which client statement indicates that teaching about acetaminophen is effective? A) "I can drink beer with this but not wine." B) "I need to limit my intake of acetaminophen to 650 mg a day." C) "I should take an emetic if I accidentally overdose on acetaminophen." D) "I have to be careful about which over the counter cold preparations I take."

D) "I have to be careful about which over the counter cold preparations I take."

Which information would the nurse reinforce when teaching a client with GERD about antacid therapy? A) Antacids should be taken 1 hour before meals B) These should be scheduled at 4 hour intervals C) Antacid tablets are just as fast and effective as the liquid form D) Antacids commonly interfere with the absorption of other medications

D) Antacids commonly interfere with the absorption of other medications

Which action is responsible for the therapeutic effect of docusate sodium? A) Lubricants feces B) Creates an osmotic effect C) Stimulates motor activity D) Softens the feces

D) Softens the feces

Which rational explains why insulin is prescribed for clients in a cute renal failure? A) It promotes transfer potassium into cells to lower serum potassium levels B) Insulin is required because the alpha cells of the pancreas cease to function with renal failure C) It is necessary to manage the elevated glucose levels that accompany renal failure D) Insulin reduces the accumulated toxins by lowering the metabolic rate

A) It promotes transfer potassium into cells to lower serum potassium levels

Which finding in a client with hypothyroidism and hypertension who reports taking an extra dose of levothyroxine indicates the need to obtain a thyroid function panel? Select all that apply. A) Tremors B) Diaphoresis C) Nervousness D) Temperature of 101F E) Heart rate of 116 beats/min

A) Tremors B) Diaphoresis C) Nervousness D) Temperature of 101F E) Heart rate of 116 beats/min An acute overdose of thyroid hormone can cause thyrotoxicosis to develop.

The nurse educator is providing information about different insulin types. Which type of insulin can be safely mixed with regular human insulin in the same syringe? A) Insulin glargine B) Insulin detemir C) Insulin lispro mix 75/25 D) Isophane insulin neutral protamine hagedorn (NPH)

D) Isophane insulin neutral protamine hagedorn (NPH)

Which technique used by the nurse demonstrates medication safety and effectiveness when assisting an older client to instill prescribed eye drops for glaucoma? A) Permitting 5 minutes to lapse between each eye drop B) Using an eyecup to assure drops are placed in the eye C) Administering 5 drops in each eye to total 10 drops D) Pressing the inner canthus for 1 to 2 minutes after instillation

D) Pressing the inner canthus for 1 to 2 minutes after instillation

Which intervention would the nurse implement for a client who has type 1 diabetes and has an elevated glucose? A) Administer oral hypoglycemic B) Institute urine glucose monitoring C) Give supplemental doses of regular insulin D) Decrease the rate of the intravenous infusion

C) Give supplemental doses of regular insulin

Which technique would the nurse reinforce when teaching a client how to self-administer eye drops after cataract surgery? A) Placing the drops on the cornea of the eye B) Raising the upper eyelid with gentle traction C) Holding the dropper tip above the conjunctival sac D) Squeezing the eye shut after instilling the meditation

C) Holding the dropper tip above the conjunctival sac

Which adverse effect of metformin will a nurse teach a client with type 2 diabetes to monitor for when used as monotherapy? A) Weight gain B) Constipation C) Lactic acidosis D) Hypoglycemia

C) Lactic acidosis

Which preventative would the nurse anticipate will be prescribed daily to avoid straining due to constipation for a client who has had a recent brain attack (CVA/stroke)? A) Stimulant laxatives such as bisacodyl B) Tap water enemas C) Stool softeners D) Saline laxatives such as magnesium citrate

C) Stool softeners

Which information would the nurse include in the teaching plan for the client who is prescribed sumatriptan for migraine headaches? A) It should be administered when headache is at its peak B) It should be administered by deep intramuscular injection C) it is contraindicated in people with coronary artery disease D) Injectable sumatriptan may be administered every 6 hours as needed

C) it is contraindicated in people with coronary artery disease