Pharm final

A nurse is caring for a client who is taking digoxin for heart failure and develops indications indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer?

Fab antibody fragments

The nurse is administering a vancomycin (Vancocin) infusion. Which measure is appropriate for the nurse to implement in order to reduce complications that may occur with this drug's administration?

Infusing the drug over at least 1 hour

A nurse is caring for a client who has heart failure and a new prescription for furosemide. For which of the following adverse effects should the nurse monitor?

Hypokalemia

A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effects of the medication.

I feel nauseated and have no appetite.

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

I'll be glad when I can stop taking this medicine

The prescriber has changed the patient's medication regimen to include the leukotriene receptor antagonist (LTRA) montelukast (singulair) to treat asthma. The nurse will emphasize which point about this medication.

It needs to be taken every day on a continuous schedule, even if symptoms improve.

A patient who is taking propylthiouracil (PTU) for hyperthyroidism wants to know how this medication works. Which explanation by the nurse is accurate?

It slows down the formation of thyroid hormone.

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?

Levothyroxine

A nurse is taking a health history of a client who reports occasionally taking several over-the counter medications, including an H2 receptor antagonist (H2RA) which of the following outcomes indicates the H2RA therapeutic?

Relief of heartburn

A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following findings is a priority to report?

Swelling of the tongue

A patient is an urgent care center with an acute asthma attack. The nurse expects that which medication will be used for initial treatment?

A short-acting beta2 agonist such as albuterol (Ventolin)

Nurse is preparing to administer phenytoin IV to a client who has a seizure disorder. Which of the following actions should the nurse plan take?

Administer a saline solution after injection

A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use to abort an acute asthma attack?

Albuterol via jet nebulizer

A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following should the nurse provide.

Avoid caffeine while taking this medication

A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods as the best source of potassium?

Bananas

The nurse will teach a patient who is receiving oral iron supplements to watch for which expected adverse effects

Black tarry stools

A patient is admitted with a fever of 102.8 F (39.3 C), origin unknown. Assessment reveals cloudy, foul-smelling urine that is dark amber in color. Orders have just been written to obtain stat urine and blood cultures and to administer an antibiotic intravenously. The nurse will complete these orders in what sequence?

Blood and urine cultures, antibiotic dose

The nurse is administering medications to the patient who is in renal failure resulting from end-stage renal disease. The nurse is aware that patients with kidney failure would most likely have problems with which pharmacokinetic phase?

Excretion

A nurse on an oncology unit is preparing to administer doxorubicin to a client who has breast cancer. Prior to beginning the infusion, the nurse verifies the clients current cumulative lifetime dose of the medication. For which of the following reasons is this verification necessary?

Can cause cardiac toxicity, left ventricular failure???

A patient with severe liver disease is receiving the angiotensin-converting enzyme (ACE) inhibitor, captopril (Capoten). The nurse is aware that this drug for this patient is which characteristic?

Captopril is not a prodrug and does not need to be metabolized by the liver before becoming active

A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?

Check the clients vital signs.

A nurse in a provider's clinic is assessing a client who has cancer and a prescription of methotrexate. Which of the following actions should the nurse take when the client reports bleeding gums?

Check the value of the client's current platelet count.

When a patient is receiving vasopressin (ODAVP), the nurse will monitor for which therapeutic response?

Decreased urinary output

The nurse is monitoring for therapeutic results of antibiotic therapy in a patient with an infection. How would the nurse know the antibiotic to be effective?

Decreased white blood cell count

A nurse teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication?

Decreases inflammation

A nurse is caring for a client who is taking montelukast. Which of the following outcomes indicates a therapeutic effect of the medication

The client experiences an increased ease of breathing.

The nurse is administering folic acid to a patient with a new diagnosis of anemia. Which statements about treatment with folic acid is true?

The specific cause of the anemia needs to be determined before treatment.

A patient is taking a combination of antiviral drugs as treatment for early stages of viral infection. While discussing the drug therapy, the patient asks the nurse if the drugs will kill the virus. When answering the nurse keeps in mind which fact about antiviral drugs?

They may also kill healthy cells while killing viruses.

When a patient is on aminoglycoside therapy, the nurse will monitor the patient for which indicators of potential toxicity?

Tinnitus and dizziness

A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?

administer a short-acting B2-agonist (SABA)

An 8-year old child has been diagnosed with true pituitary dwarfism and is being treated with somatropin. In follow up visits, the nurse will monitor for which expected outcome?

increased growth

An asthmatic patient is being discharged home with a new prescription for an inhaled corticosteroid. When educating a patient recently placed on inhaled corticosteroids, the nurse will discuss which potential adverse effects?

go back to this one!!!

Furosemide (lasixis) is prescribed for a patient who is about be discharged and the nurse provides instructions to the patient about the medication. Which statement by the nurse is correct?

"Be sure to change positions slowly and rise slowly after sitting or lying so as to prevent dizziness and possible fainting because of blood pressure changes."

A nurse providing teaching to a client who has a new prescription for lisinopril. Which of the following statements by the nurse indicates an understanding of the teaching?

"I should report a cough to my provider"

When given an intravenous medication, the patient says to the nurse, "I usually take pills. Why does this medication have to be given in the arm?" What is the nurse's best answer?

"The action of the medication will begin sooner when given intravenously."

A patient newly diagnosed with tuberculosis (TB) has been taking the antitubercular drug rifampin for 1 week calls the clinic and is very upset. He says my urine is dark orange! What's wrong with me? Which response by the nurse is correct?

"This is an expected side effect of the medicine. Let's review what to expect."

When administering antineoplastic drugs, the nurse needs to keep in mind that the general adverse effects of these drugs include (select all that apply)

-Bone Marrow Supression -Infertility -Diarrhea -Nausea and vomiting -Stomatitis

A patient who has advanced cancer is receiving opioid medications around the clock to keep him comfortable as he nears the end of his life. Which term best describes this type of therapy?

Palliative therapy

The nurse will monitor for which adverse effects of an anticholinergic drug?

Dialated pupils, DRY MOUTH, urinary retention

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

Diazepam can cause drowsiness

A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?

Draw a trough level immediately prior to administering the medication and a peak level 30 minutes after the dose.

A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?

Eat foods that contain plenty of potassium.

A patient with end-stage renal failure has been admitted to the hospital for severe anemia. She tells the health care provider that she does not want a blood transfusion. The nurse anticipates drug therapy with which drug to stimulate the production of red blood cells?

Epoetin alfa

A patient is taking intravenous aminophylline for severe exacerbation of chronic obstructive pulmonary disease. During a complete assessment of the patient's respiratory status, the nurse will asses for which therapeutic response?

Increased ease of breathing

A nurse is assessing a client who reports acute pain. The nurse should anticipate which of the following findings?

Increased heart rate

A patient is to receive iron dextran injections. Which technique is appropriate when the nurse is administering this medication?

Intramuscular injection using the Z-track method

A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take?

Measure the clients apical pulse.

The nurse is counseling a woman who will be starting rifampin (rifadin) as part of antitubercular therapy. The patient is currently taking oral contraceptives, which statement is true regarding rifampin therapy for this patient.

Oral contraceptives are less effective while the patient is taking rifampin

A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation.

Patient has developed tolerance to the drug

A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?

Prothrombin Time (PT)

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?

Rinse mouth after administration

The nurse is administering adrenal drugs to a patient. Which action by the nurse is appropriate for this patient?

Rinsing the oral cavity after using corticosteroid inhalers

A 73-year-old patient is visiting the clinic for a yearly physical and and is asking for a prescription for sildenafil (Viagra). He has listed on his health history that he is taking a nitrate for angina. The nurse is aware that which problem may occur if sildenafil is taken with a nitrate?

Significant decrease in blood pressure

The nurse will monitor a patient for signs and symptoms of hyperkalemia if the patient is taking which of these diuretics?

Spironolactone (Aldactone)

A nurse is providing teaching for a client who has anemia and a new prescription for ferrous sulfate liquid. Which of the following instructions should the nurse provide.

Take the medication with orange juice to enhance absorption.

A patient is recieving leucovorin as part of his chemotherapy regimen. The nurse expects that the patient is receiving which antineoplastic drug?

methotrexate (Trexall)

A pregnant woman is experiencing hypertension. The nurse knows that which drug is commonly used for a pregnant patient who is experiencing hypertension.

methyldopa (Aldomet)

During a busy night shift, a new nurse administered an unfamiliar medication without checking it in a drug handbook. Later that day, the patient had a severe reaction because he has renal problems, which was a contraindication to that drug. The nurse may be liable for which of these?

nursing negligence

A nurse caring for a client who has asthma and is taking fluticasone. The nurse should monitor for which of the following adverse effects?

oral candidiasis

A patient in the critical care unit has received an overdose of intravenous heparin, and is showing signs of excessive bleeding. Which substance is the antidote for heparin overdose?

protamine sulfate

A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions?

stimulates secretions

A nurse is caring for a client who has poison ivy and is prescribed diaphrenhydramine. Which of the following instructions should the nurse give regarding the adverse effects of dry mouth associated diphrenhydramine?

sugarless gum or candy

When teaching a patient about antihypertensive drug therapy, which statements by the nurse are correct? (select all that apply)

-"You need to have your blood pressure checked once a week and keep track of the readings." -"An exercise program may be helpful in treating hypertension, but let's check with your doctor first." -"Please continue taking the medication, even if you are feeling better."

A nurse is providing teaching to a client who takes opioid medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?

-Don't know the answer but docusate is used to treat constipation -stool softener

A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide?

-May cause swelling or bleeding of the gums

The nurse is reviewing drug therapy for hypertension. According to the JNC-guidelines, antihypersensitive drug therapy for newly diagnosed hypersensitive African American patient would most likely include which drug or drug classes?

-calcium channel blockers with thiazide diuretics **THIS ANSWER IS NOT ON THE TEST, IF I AM NOT MISTAKEN, IT IS THE DRUG THAT HAS THE SHORTEST NAME

The nurse is administering intravenous iron dextran for the first time to a patient with anemia. After giving a dose, how long will the nurse wait before administering the remaining portion of the dose?

1 hour

When counseling a male patient about the possible adverse effects of antihypersensitive drugs, the nurse will discuss which potential problem?

Impotence

A nurse caring for a client who has active pulmonary Tuberculosis (TB) and is to be started on intravenous rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects.

Body secretions turning a red color

the nurse is teaching a 16-year-old patient who has a new diagnosis of type 1 diabetes about blood glucose monitoring and the importance of regulating glucose intake. When developing a teaching plan for this teenager, which of Erickson's stages of development should the nurse consider?

Identity versus role confusion

A nurse is reviewing discharge instructions with a client who has bipolar disorder and taking lithium. Which of the following manifestations should the nurse include as an indication of mild toxicity?

symptoms include: -diarrhea -stomach pains -fatigue -tremors -muscle weakness= this is the correct answer if I am not mistaken -Drowsiness