Pharm final practice questions
A nurse is caring for a client who has a new prescription for levothyroxine to treat hypothyroidism. which of the following findings should the nurse identify as an indication that the client requires interventions? a. heart rate 106/min b. dry skin c. oral temperature of 36.8C (98.2F) d. lethargy
a. heart rate 106/min
a nurse is caring for a client who was recently diagnosed with rheumatoid arthritis. The nurse should expect the provider to prescribe methotrexate at which of the following times? a. within 3 months of initial diagnosis b. when NSAIDs have not provided pain relief c. doing an exacerbation of symptoms d. once bone degeneration progresses
a. within 3 months of initial diagnosis
a nurse is providing teaching about food-drug interactions to a client who is prescribed sirolimus following a kidney transplant. Which of the following pieces of information should the nurse include in the teaching? a. increase your intake of high-fat foods b. avoid eating grapefruit c. drink apple juice just before eating d. reduce intake of gluten
b. avoid eating grapefruit
a nurse is caring for a client who is taking selegiline. the nurse should monitor the client for which of the following adverse effects of selegiline and notify the provider if it occurs? a. bruising b. drowsiness c. coughing d. constipation
b. drowsiness
a nurse is teaching a client who has type 2 diabetes mellitus about a prescription for insulin lispro. Which of the following statements should the nurse include in the teaching? a. the effects of the insulin lispro can last for 8 to 12 hours b. administer insulin lispro 30 to 60 minutes before eating c. insulin lispro has an onset of about 15 minutes d. This insulin can be given as a continuous intravenous bolus
c. insulin lispro has an onset of about 15 minutes
a nurse is assessing an infant during a routine checkup. the parent asks the nurse about the infant's immunization schedule. which of the following responses should the nurse make? a. immunizations for children are recommended to start at the age of 2 b. if your child misses an immunization she should restart a new schedule c. it is recommended that your infant receives 6 immunizations at 2 months of age d. the recommend immunization can be customized to fit your child's needs
c. it is recommended that your infant receives 6 immunizations at 2 months of age
a nurse is providing discharge teaching to a client who has heart failure and a prescription for digoxin 0.125 mg 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 dose of my digoxin if my resting heart rate is below 72 BPM d. I will eat fruits and vegetables that have a high potassium content every day
d. I will eat fruits and vegetables that have a high potassium content every day
a nurse is caring for a female adult client who is experiencing menopause and has a prescription for estrogen along with progestin. the nurse should identify that the provider has prescribed these medications for which of the following reasons? a. long-term use to reduce the risk of breast cancer b. short-term use to stimulate the endometrium c. long-term use to prevent osteoporosis d. short-term use to control urogenital atrophy
d. short-term use to control urogenital atrophy
a nurse is caring for a female client who has osteoporosis and is taking raloxifene. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of this medication? a. severe leg cramps b. urinary frequency c. jaw pain d. sudden onset of dyspnea
d. sudden onset of dyspnea
