pharm exam 4 PrepU

What question is important for the nurse to ask a client who is scheduled to receive a first dose of radioactive iodine for hyperthyroidism?

"Do you have any trouble swallowing?"

The nurse should assess for an enlarged thyroid by palpating which area?

Anterior neck

A newborn is diagnosed with hypothyroidism. What will the client likely develop if the condition is left untreated?

Intellectual disability

When describing desmopressin, the nurse understands that this drug can be administered by which route? Select all that apply.

Intranasal Oral Intravenous Subcutaneous

A client has been prescribed disopyramide (Norpace) to treat a tachyarrhythmia. Which factor would necessitate that the dose be reduced?

Renal impairment

A client has questions about the new medication prescribed for cardiac rhythm after having cardioversion performed. How does a sodium channel blocker decrease the likelihood of arrhythmias ?

by prolonging the heart's refractory period

A nurse is monitoring the drug level of a client receiving quinidine. Which serum drug level would the nurse immediately report to the primary health care provider?

6.2 mcg/mL

Which best describes the action of class II antiarrhythmics?

Competitive block beta receptor sites in the heart and kidneys

A client has started therapy for arrhythmias with quinidine. The nurse should tell the client to return to the clinic during the first few months of therapy to have which lab test drawn?

Complete blood count (CBC)

Which would lead the nurse to suspect that a client who is receiving desmopressin is experiencing water intoxication?

Convulsions

The nurse is caring for a client taking antirheumatic drugs, which have caused dyspepsia. The nurse knows the client will exhibit which signs or symptoms?

Fullness or epigastric discomfort.

The nurse would administer alendronate cautiously to a client with which of the following?

Gastritis

A client reports that he uses an herbal product to treat his osteoarthritis. Which herbal product would the nurse most likely expect the client to use?

Glucosamine

The nurse is preparing to administer a scheduled dose of levothyroxine to a client. What assessment should the nurse perform prior to giving the drug?

Heart rate

A client presents at the clinic reporting weight loss despite an increased appetite. For which condition should this client be assessed?

Hyperthyroidism

What class of antiarrhythmics blocks potassium channels, prolonging phase 3 of the action potential and slowing the rate and conduction of the heart?

III

A 55-year-old female client has just been diagnosed with multiple sclerosis. The client is admitted to the hospital with an acute exacerbation of the disease. What treatment would the nurse expect to see ordered for this client?

IV steroids

A client has been prescribed IV amiodarone for emergency treatment of a serious ventricular arrhythmia. The nurse monitors the client's ECG anticipating a noted change how long after the medication is delivered?

Immediately

A client is administered diltiazem IV, followed by propranolol IV. The nurse should assess for what potential side effect of this medication combination?

Impaired myocardial contractility

What would expected findings during an assessment of a client with hyperthyroidism include? (Select all that apply.)

Increased appetite Tachycardia Goiter

The nurse is providing education to a client newly prescribed propylthiouracil. What information should the nurse provide about the drug's primary mode of action?

Inhibits production of thyroid hormone

A client diagnosed with hypothyroidism is started on levothyroxine. What should the client be taught regarding medication administration in the home setting?

Take the medication on an empty stomach.

During a general health assessment, a client indicates taking thyroid medication to increase weight loss. What statement should be the basis of the nurse's response?

Taking excessive or unnecessary thyroid medication may produce serious or life-threatening manifestations of toxicity.

A 2-year-old client is placed on a course of prednisone following a series of hypersensitivity responses. What instruction the nurse provide the client's family about this drug?

"Don't stop this medication suddenly; you will have to taper dosage gradually."

A client diagnosed with heart disease is prescribed an antiarrhythmic drug. Further teaching is needed when the client makes which statement?

"I know I must take my medication every day for my heartbeat to be fixed."

A nurse is caring for a client who is receiving a corticosteroid for arthritic pain. Which statement made by the client would raise concern about medication dosage revision?

"I recently lost my health care coverage and need to look for another job."

A nurse is teaching a client about musculoskeletal medication that has been prescribed. The client needs further teaching about the medication when making which statements?

"I take my medicine with three to four beers each evening."

Which statement indicates a client understands the management of care after a thyroidectomy?

"I will have to take thyroid hormones for the rest of my life."

The nurse just completed client education relative to chronic adrenocortical insufficiency and corticosteroid medication treatment. Which statement indicates the client requires further instruction?

"I will start this medication as soon as I am feeling ill or tired."

A nurse is preparing to administer flecainide. The nurse identifies this drug as being classified as which type of antiarrhythmic?

Class IC Class I Sodium Channel Blocker

What should the nurse assess to determine the hemodynamic effect of the client's arrhythmia?

Client's blood pressure and pulse rate

A male client taking oral prednisone informs the home care nurse that the medication is upsetting his stomach. What guidance can the nurse provide to help the client?

Confirm that the client takes the medication with a meal.

A client taking medication to treat an acute attack of gout should do which of the following?

Contact the health care provider if a mild skin rash appears.

A client diagnosed with hypothyroidism admits knowing the term "thyroid gland" but not knowing its function. The nurse should explain the fact that thyroid hormone is responsible for which action?

Controlling the rate of cell metabolism throughout the body

An older adult is prescribed an antiarrhythmic drug. The nurse should immediately report which of the following adverse effects?

Decrease in urinary output and weight gain.

The nurse is caring for a client newly diagnosed with hypothyroidism. The client also takes theophylline to control asthma symptoms. What change may need to be made to the client's theophylline dose?

Decrease theophylline dosage immediately.

The client is taking baclofen. What would be the most important safety instruction for the nurse to give to this client?

Discontinue the use of alcohol.

What is the most important teaching from the plan of care, to emphasize, when a client is prescribed a skeletal muscle relaxant?

Do not drive or operate machinery until individual drug effects are known.

A nurse administers carisoprodol to a client for the treatment of an acute musculoskeletal condition. The nurse would be alert for which adverse effect after administering the drug?

Drowsiness

The nurse is caring for a client who is receiving cyclobenzaprine for relief of muscle spasms. What adverse effect should the nurse assess for?

Drowsiness

When developing a teaching plan for a client who is to receive carisoprodol, which sign or symptom would the nurse include as the most common adverse reaction?

Drowsiness

A nurse should recognize that a client taking antithyroid medication may be developing thyrotoxicosis if the client exhibits which of the following symptoms?

Extreme tachycardia

A client is started on antiarrhythmic therapy to treat atrial fibrillation. The nurse caring for this client knows which occurrence is a potential side effect of this medication?

Other arrhythmias

Certain bisphosphonates can be utilized in the treatment of which of the following conditions? (Choose one)

Paget's disease

What is the safest precaution to take when administering an antiarrhythmic drug intravenously (IV)? Choose the BEST response.

Place the client on a cardiac monitor.

A client with a history of atrial fibrillation has undergone cardioversion. What drug would the nurse anticipate administering for long-term stabilization of this client?

Quinidine (generic)

An adult client with a long-standing arrhythmia has been taking oral propranolol for the last several months, resulting in acceptable symptom control. What is a priority teaching point for the nurse to communicate to this client?

The importance of not stopping the medication abruptly

The nurse teaches the client receiving propranolol at home for management of a ventricular arrhythmia to monitor what parameter?

daily blood pressure

A nurse is preparing an ordered dose of sodium iodide 131I. The nurse should proceed knowing that this drug will help to resolve hyperthyroidism by what means?

destroying thyroid tissue

A nurse must be aware that thyroid hormone can worsen control of which disease or condition necessitating close client observation?

diabetes

A nurse is caring for a 70-year-old client who is taking desmopressin (DDAVP). The client has a history of cardiovascular disease. The nurse will prioritize the assessment of:

electrolyte levels.

What is the most common cause of subclinical hyperthyroidism?

excess thyroid hormone therapy

While the nurse is talking with a client, the client informs the nurse that the client has been under treatment for weight loss management. The client indicates taking antithyroid medication to increase weight loss. Included in client education about antithyroid medication is that taking:

excessive or unnecessary antithyroid medication may produce serious or life-threatening manifestations of toxicity.

Parents of a 10-year-old child with asthma are concerned about their child's lack of growth. The parents say that the child is much shorter than anyone in the class and want to know what could have caused the problem. What medication may this child have taken that contributed to the growth suppression?

glucocorticoid

A nurse is caring for a client who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for:

history of taking anticoagulant drugs.

What adverse effects should the nurse discuss with a client prescribed long-term systemic corticosteroid therapy? Select all that apply.

hyperglycemiapeptic ulcersmood disorderscataracts

Propranolol is ordered for a client who has a cardiac arrhythmia. It will be important for the nurse to determine if the person has a history of:

hypersensitivity to beta blockers.

Nursing care for the postoperative client requiring long-term glucocorticoid therapy will be directed at overcoming what adverse effect of the drug?

impaired wound healing

A client is on daily doses of prednisone. To minimize adrenal suppression, the nurse's instructions for administration should include to take the medication:

in the morning.

A nurse is working with a 39-year-old client who is experiencing muscle spasms associated with multiple sclerosis. The client reports needing help with basic care The client's health care provider has prescribed baclofen (Lioresal). The nurse and the client agree that an appropriate goal related to helping to maintain self-worth would be to:

increase self-care in activities of daily living.

When caring for a client receiving long-term therapy with corticosteroids, the nurse would plan care incorporating interventions aimed at preventing what?

infection

A nurse taking a medical history on a client prescribed a corticosteroid medication should focus on which condition?

infections

A nurse is preparing to administer a scheduled dose of levothyroxine to an elderly client who is being treated in the hospital for a respiratory infection. Prior to administering the drug, the nurse should perform what assessment?

measurement of blood pressure

A hospital client's current medication administration record specifies oral administration of propylthiouracil (PTU) every 8 hours. What sign or symptom may have originally prompted the care provider to prescribe this drug?

persistent tachycardia

A client being treated with oral prednisone is also prescribed furosemide. The nurse should prioritize assessment of what laboratory value?

potassium

The client is 8 weeks pregnant and requires an antithyroid medication. The nurse identifies what drug as the drug of choice for this client?

propylthiouracil

A 92-year-old male client is being sent home on disopyramide for a ventricular arrhythmia. The client asks why he must continue to take this drug. The nurse's best response would be that a ventricular arrhythmia may:

result in death.

A client's health care provider has prescribed baclofen in an effort to treat neuropathic cancer pain. What education should the nurse prioritize when teaching the client about this new medication?

The importance of ensuring safety related to possible sedation

An adult client has been prescribed oral prednisone for the treatment of an acute dermatological condition. When teaching this client about this course of treatment, what teaching point should the nurse emphasize?

The importance of gradually reducing rather than abruptly stopping the drug

A 72-year-old woman is on long-term glucocorticoid therapy. It will be most important for the nurse to instruct the client to:

take measures to minimize the risk of falls.

Symptoms such as severe tachycardia, fever, dehydration, heart failure, and coma are consistent with what thyroid-associated health condition?

thyroid storm

An older adult client is diagnosed with hypothyroidism, and before therapy starts, the nurse conducts a preadministration assessment. Which symptoms should be thoroughly evaluated and documented in the preadministration assessment and periodically throughout therapy by the nurse?

unsteady gait

What is the regulatory function of vasopressin?

water balance

The nurse should advise a client who is taking levothyroxine for the first time that resolution of hypothyroid symptoms may not occur for how long after therapy is started?

weeks

When describing thyroid function, the nurse would emphasize the need for intake of:

iodine

Which medication would the nurse expect to administer if prescribed to achieve skeletal muscle relaxation?

Baclofen

A nurse would expect to administer which class of medication to treat osteoporosis?

Bisphosphonates

A client receiving warfarin is prescribed disopyramide. The nurse would monitor for signs and symptoms of what as most important?

Bleeding

The nurse knows that which assessment finding suggests hyperthyroidism?

Blood pressure 145/87

A client with muscular dystrophy has recently begun taking dantrolene for the treatment of muscle spasms. When assessing for adverse effects, what assessment questions should the nurse include? Select all that apply.

"Do you find that the medication gives you an upset stomach?" "Are you getting any sudden or frequent urges to urinate?" "Have you experienced any new or unusual aches and pains since starting the medication?"

A female client with a six-month-old infant has been prescribed propylthiouracil (PTU). What is the most important question the nurse should ask this client?

"Are you breastfeeding your child?"

A 44-year-old warehouse worker experienced a painful lower back injury that has not responded to treatment with nonsteroidal anti-inflammatory drugs. Consequently, the man's care provider is considering the short-term use of cyclobenzaprine (Flexeril). Which of the following assessment questions would inform the clinician's decision to prescribe this drug?

"Are you taking antidepressant medications these days?"

A client prescribed corticosteroids following a liver transplant asks if it will be necessary to take this medication indefinitely. How should the nurse respond?

"Daily antirejection drug therapy will continue for as long as your transplanted liver is in place."

Which client demonstrates the clearest indication for treatment with prednisone?

A 70-year-old man whose rheumatoid arthritis has not responded to OTC pain relievers

Levothyroxine is classified in which pregnancy category?

category A

The nurse's subsequent cardiac assessments and monitoring of a client prescribed disopyramide should be planned in the knowledge that this drug increases the client's risk for developing what health problem?

new arrhythmias

The nurse should teach clients who are taking thyroid hormones to take the medication:

on an empty stomach.

A client has been prescribed baclofen and will be taking the drug on an outpatient basis. The client asks the nurse if it is still okay to drink wine with meals or end the day with a "nightcap." What is the nurse's best response?

"The combination of baclofen and alcohol could depress your nervous system to a dangerous level."

While learning about corticosteroids in pharmacology class, a student asks the instructor what a clinical indication for the use of corticosteroids would be. What would be the instructor's best response?

A disease with an inflammatory component

A client learning to self-administer desmopressin subcutaneously should be taught to administer the injection at which site?

Abdomen

A group of students are reviewing the contraindications for glucocorticoid therapy. The students demonstrate understanding when they identify which condition?

Acute infection

A client has suddenly stopped corticosteroid therapy because the symptoms are now under control. The nurse should assess the client for signs and symptoms similar to what disorder?

Addison disease

A primary health care provider has prescribed levothyroxine to a client with hypothyroidism. Which information would the nurse include in the teaching plan to promote an optimal response to the drug therapy?

Administer the drug early in the morning before breakfast.

The nurse is caring for a client who has been prescribed an antiarrhythmic agent. What nursing assessment should the nurse prioritize?

Apical heart rate and blood pressure

In some cases, low-dose amiodarone may be used to prevent recurrence of what cardiac disorder?

Atrial fibrillation

A nurse is caring for a client who has been prescribed alendronate for the treatment of postmenopausal osteoporosis. The client informs the nurse that she is also taking antacids for the relief of gastric upset. What effect of the interaction between the two drugs should the nurse anticipate in the client?

Decreased effectiveness of alendronate

A client has been admitted to the unit for treatment of a multiple sclerosis exacerbation. The admission order indicates that the client is taking baclofen. Which outcome would the nurse expect to be associated with use of this medication?

Decreased muscle spasms

After administering desmopressin to a client with diabetes insipidus, which would the nurse identify as indicating drug effectiveness?

Decreased reports of thirst

A client diagnosed with diabetes insipidus is taking vasopressin (Desmopressin). What outcome would indicate to the nurse that the desmopressin is producing a therapeutic effect?

Decreased urine output

A head injury has resulted in the hospitalization of a client. Nursing assessments confirm that the client is producing substantial amounts of dilute urine and is consuming large amounts of liquids. Considering the history and assessment findings support the possibility of what metabolic disorder?

Diabetes insipidus (DI)

A client is admitted to the emergency department in ventricular fibrillation. The client is administered amiodarone hydrochloride. What is the major effect of this medication?

It slows the conduction through the AV node.

A client diagnosed with hyperthyroidism is unsure about the need for the prescribed propranolol, stating, "I looked this up online and it's for high blood pressure, not thyroid problems." What statement concerning beta-adrenergic blockers should the nurse use as a basis for the response?

It will block stimulation of the sympathetic nervous system.

Based on the metabolic action of glucocorticoids, a client who is on long-term glucocorticoid therapy is at risk of developing what disease?

Osteoporosis

A 47-year-old female client with is admitted to a medical unit for exacerbation of asthma. The client has a BMI of 22 and no other health problems. The client is being treated with steroid therapy. The client asks why she cannot just stay on the prednisone long term. What would be the best answer based on the long-term effects of prednisone therapy?

Prednisone can lead to osteoporosis.

The nursing class is studying family nursing. What hormone would the instructor tell the students plays a part in milk production?

Prolactin

Which antiarrhythmic drug is also used to treat a myocardial infarction?

Propranolol (Inderal)

What client factor would result in the nurse administering a reduced dosage of disopyramide?

Renal impairment

A client, diagnosed with a cardiac arrhythmia, will not require medication therapy. The client expresses concern about the lack of proposed treatment. What response should the nurse provide to best address the client's concern?

The arrhythmia you have isn't interfering with getting oxygen to your body tissues so there is no need to treat it."

A client with a spinal cord injury is experiencing increasing muscle spasticity and the care team is considering the use of dantrolene. The nurse should identify what possible contraindication to the safe and effective use of this medication?

The client has hepatitis C

When performing discharge teaching for a client taking an antiarrhythmic, which instruction would the nurse include? Select all that apply.

To relieve dry mouth take frequent sips or water or chew (sugar-free) gum. Do not take any nonprescription medications without permission of the health care provider. Keep all appointments with the health care provider.

What drug type is most likely to cause respiratory depression and myxedema coma in clients with thyroid disorders?

opioid analgesics

Diabetes insipidus is treated with replacement of which hormones?

vasopressin

The nurse educates a client recently diagnosed with hypothyroidism about using the prescribed levothyroxine. The client has a history of diabetes. Which client statement establishes the need for further clarification?

"It does not matter which brand of the drug I take, they are all the same."

A female client with hyperthyroidism reports nervousness and "racing" heart one week after starting antithyroid medication. How should the nurse respond to the client's report?

"It may take three to four weeks for the effects of this medication to be seen."

While the nurse is preparing the client for discharge, the client asks why the health care provider has prescribed prednisone every other day instead of daily. What would be the nurse's best response?

"Taking it every other day minimizes adverse effects."

A client in the clinic complains of depression (secondary to chronic back pain) and of not being able to "get around as good as I used to." The client has been prescribed a skeletal muscle relaxant. What is the nurse's most therapeutic response?

"Therapy may take weeks or longer before you feel optimal relief."

A client who is experiencing lower back pain has been prescribed cyclobenzaprine. The nurse should provide what health education in order to ensure safe and effective treatment?

"This will likely make you drowsy, so don't take it before doing anything that would require alertness."

A client reports difficulty swallowing an antiarrhythmic capsule. What is the nurse's best response?

"You can try a different form of the medication."

A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago and has experienced a recent exacerbation of her symptoms, including muscle spasticity. Consequently, she has been prescribed Dantrolene (Dantrium). In light of this new addition to her drug regimen, what teaching point should the woman's nurse provide?

"You might find that this drug exacerbates some of your muscle weakness while it relieves your spasticity."

An adult client is preparing to begin corticosteroid treatment for rheumatoid arthritis. When teaching this client about the appropriate use of corticosteroids, the nurse should include what teaching point?

"You will likely gain some weight after you start taking this drug."

Laboratory testing reveals that a client is in a severely hyperthyroid state, and propylthiouracil has been prescribed. When providing health education related to this drug, the nurse should stress what information to the client?

"You'll need to take these pills every 8 hours."

When providing care for a client who has been admitted with clinical hypothyroidism, the nurse should implement what intervention to address common characteristics of the disorder? Select all that apply.

- monitor for constipation - implement falls risk precautions - maintain a warm room temperature

A nurse is caring for a 78-year-old client with rheumatoid arthritis. The health care provider has prescribed cortisone, a corticosteroid, to the client. The nurse would administer the drug cautiously to a client with which condition? Select all that apply.

-heart failure -decreased muscle mass -osteoporosis

[Med Calc] A client has been prescribed a daily dose of 7.5 mg of bromocriptine mesylate for dizziness. The available drug is in the form of 2.5-mg tablets. How many tablets will be administered to the client to meet the recommended course for 4 days?

12

[Med Calc] Methimazole (Tapazole) 30 mg /day orally divided in 3 doses is prescribed for a client diagnosed with Graves' disease. The pharmacy has 5 mg tablets available. How many tablets should the nurse administer with each dose?

2

[Med Calc] The nurse is caring for a pediatric client who has been diagnosed with paroxysmal atrial tachycardia. The order reads digoxin 10 mcg/kg orally. The child weighs 44 lbs (20 kg). How many micrograms should the nurse administer? Record the answer as a whole number.

200

A client with spinal cord injury is experiencing muscle spasticity. Which agent would most likely be ordered?

Baclofen

A nurse understands that which skeletal muscle relaxants should not be administered to a client with skeletal muscle spasms caused by systemic lupus erythematosus?

Baclofen

A breast-feeding woman is prescribed a Class 3 antiarrhythmic. What information should the nurse provide to the client regarding the safety of the breast-feeding while taking this medication?

Breast-feeding must be discontinued and other forms of feeding should be introduced.

A nurse is overseeing the care of a young man whose ulcerative colitis is being treated with oral prednisone. Which action should the nurse take in order to minimize the potential for risks associated with prednisone treatment?

Carefully assess the client for infections.

The nurse is preparing discharge teaching for a client prescribed chronic antiarrhythmic medication therapy. Which signs/symptoms should be reported to the health care provider immediately? (Select all that apply.)

Chest pain Dyspnea Heart palpations

An older adult resident of a long-term care facility is experiencing muscle spasticity and has just been prescribed a centrally acting skeletal muscle relaxant. The client has comorbidities of early stage Alzheimer's disease and chronic obstructive pulmonary disease (COPD). What nursing action should the nurse prioritize for adding to the client's care plan?

Falls prevention measures

A woman with an inflammatory skin disorder has begun taking prednisone in an effort to control the signs and symptoms of her disease. The nurse who is providing care for this client should prioritize which potential nursing diagnoses in the organization of the client's care?

Fluid volume excess

The nurse is caring for a client who is receiving amiodarone. Which assessment would be considered a priority?

Heart rate checks

A nurse is caring for a client who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for

History of taking anticoagulant drugs

The pharmacology instructor is providing education regarding propylthiouracil to the nursing students. What would the instructor identify as the primary mode of action for this medication?

Inhibition of production of thyroid hormone

The nurse is caring for a client whose current medication regimen includes baclofen 60 mg PO daily. What assessment should the nurse prioritize when assessing for therapeutic effects?

Inspection for muscle spasticity and range of motion assessment

An older adult has been prescribed a thyroid hormone replacement medication. The nurse should first clarify which prescription?

Levothyroxine (Synthroid) 150 mcg orally once per day

The nurse is caring for a client who has been prescribed quinidine. The nurse should advocate for a lower-than-normal dose if the client has a history of what medical diagnosis?

Liver disease

A nurse is caring for a client for whom the healthcare provider has ordered disopyramide. Before administering disopyramide, what is the nurse's priority action to maintain safety?

Lower the bed and raise the side rails.

A critical care nurse is caring for a client after open-heart surgery. What nursing intervention would the nurse initiate to help detect life-threatening arrhythmias and manage and minimize any that occur?

Monitor cardiac rhythm continuously.

An older adult is prescribed a skeletal muscle relaxant for reports of neck pain. What is the top priority of care for the nurse to teach the family?

Monitor the client before ambulating.

A clinic nurse is following a 62-year-old woman who is taking quinidine for a cardiac arrhythmia. What nursing action will address the most common adverse effects of quinidine therapy?

Monitor the client for signs and symptoms of GI upset

Based on the nurse's knowledge about thyroid hormone supplements, the nurse administers levothyroxine cautiously to a client who has recently had which condition or disorder?

Myocardial infarction

A 32-year-old client who has been prescribed levothyroxine is being discharged. Which symptom should the nurse instruct this client to report to the health care provider?

Nervousness

A client is brought to the emergency department after taking an overdose of levothyroxine. When assessing this client, what adverse effects would the nurse expect to find?

Nervousness and tachycardia

A client who has taken an overdose of levothyroxine (Synthroid) is brought to the Emergency Department. In assessing this client, what side effect would the nurse expect to find?

Nervousness, tachycardia, tremors

When describing the effects of antiarrhythmics, which is associated with all antiarrhythmic medications? Select all that apply.

New arrhythmias Worsen existing arrhythmias Increased blood pressure

A client admitted to the hospital with hyperthyroidism treated with propylthiouracil suddenly develops a skin rash. Which action would the nurse implement first?

Notify the primary health care provider.

Based on the metabolic action of glucocorticoids, a patient who is on long-term glucocorticoid therapy is at risk of developing what disease?

Osteoporosis

A client has a complex cardiac history that includes recurrent ventricular fibrillation. After the failure of more conservative treatments, the care team has introduced oral amiodarone. What assessments should be prioritized by the nurse who is providing care for this client?

Respiratory assessment Amiodarone has several adverse effects that are potentially fatal. Pulmonary toxicity is the most important of these serious adverse effects

Your patient underwent abdominal surgery and has been prescribed morphine to control pain. Morphine, an opioid analgesic, is a central nervous system (CNS) depressant. Which of the following should be the priority assessment for your patient?

Respiratory rate and depth

The nurse is discussing possible adverse effects of quinidine with a client who has been prescribed the drug. Which of the following should the nurse include in the discussion?

Ringing in the ears

A 29-year-old client who experienced a lower back injury has seen his range of motion decrease and his pain increase over the past several weeks. As a result, he has been prescribed cyclobenzaprine. What nursing diagnosis should the nurse prioritize in light of the client's drug regimen?

Risk for Injury related to CNS depression

A client has been prescribed a subcutaneous medication to treat rheumatoid arthritis (RA). The nurse should teach the client to do which?

Rotate sites when administering the injections.

The nurse is providing client education prior to administering propylthiouracil. During teaching, the nurse should inform the client about the need for what form of follow-up?

Routine liver function testing

The client has been prescribed medication to treat rheumatoid arthritis (RA). The nurse should tell the client to notify the healthcare provider if the client experiences which problems? Select all that apply.

Sore mouth Fever Itching Nausea

A client is receiving a thyroid hormone to treat hypothyroidism. Which would indicate to the nurse that the client needs a reduced dosage of the drug?

Tachycardia

A nurse is caring for a patient with thyrotoxicosis. The physician prescribes liotrix to the patient. Which adverse reaction to the drug should the nurse monitor for in the patient?

Tachycardia

The nurse should monitor a client for which effect of a drug interaction in a client taking thyroid hormones and a beta blocker?

Tachycardia

A client being treated with desmopressin exhibits confusion and drowsiness, and reports a headache. What is the nurse's best action?

Take the client's vital signs.

When reviewing the medical record of a client who is to receive dantrolene, which condition would alert the nurse to the need for close monitoring?

The client has respiratory depression from opioid analgesia

A client's current drug regimen includes intranasal administration of desmopressin acetate. In this client's plan of nursing care, what is the most likely desired outcome of treatment?

The client's urine output will not exceed 80 mL/h.

The nurse can determine that the client taking uric acid inhibitors is drinking enough fluids when which of the following occurs?

The daily urine output is about two liters.

A client with a diagnosis of asthma has responded well to treatment with oral corticosteroids, and a switch to inhaled corticosteroids is planned. What strategy for managing this change in treatment should be implemented?

The inhaled drug should be started during tapering of the oral drug.

For which patient would cyclobenzaprine not be prescribed for muscle spasms?

The patient who is having muscle spasms because of cerebral palsy

While learning about corticosteroids in pharmacology class, a student asks the instructor to offer an example of indications for use. What could the instructor mention?

Treatment of a disease with an inflammatory component

The teaching plan for a client taking amiodarone should include which instruction?

Use a reliable form of birth control while taking this medication.

Baclofen is a prototype drug for the centrally acting skeletal muscle relaxants. What adverse effects do these drugs have? (Mark all that apply.)

Weakness Hypotension Dizziness

A female client has been taking prednisone for her asthma for 1 month. The nurse will teach her to gradually decrease her dose of prednisone to avoid:

adrenal insufficiency.

Which hormone is released in the presence of low blood volume?

antidiuretic hormone (ADH)

The nurse anticipates an order for a glucocorticoid when caring for a client with what condition?

arthritis

A client with muscle spasticity has been prescribed baclofen. In order to promote the safe use of this medication, the nurse should encourage the client to:

avoid drinking alcohol for the duration of treatment.

A client has been experiencing increased muscle spasticity since being diagnosed with multiple sclerosis. What drug is most likely to meet this client's needs?

baclofen

A history of what medical condition would contraindicate the use of cyclobenzaprine for acute muscle spasms?

cardiac arrhythmias

A group of nursing students demonstrate understanding about the antithyroid drugs methimazole and propylthiouracil when they identify these drugs as belonging to which pregnancy category?

category D

Gonadotropins are classified in which pregnancy category?

category X