pharm final

A nurse is teaching about self-administering methotrexate to a client who has rheumatoid arthritis. Which of the following statements should the nurse make? "Use a nonsteroidal anti-inflammatory drug to reduce toxicity." "If you miss a dose, go ahead and take it with the next scheduled dose." "Drink a minimum of 2 liters of water per day to promote the drug's excretion." "Take it in the morning to prevent insomnia."

"Drink a minimum of 2 liters of water per day to promote the drug's excretion."

The nurse is caring for a client receiving an albuterol/ipratropium nebulized breathing treatment. Which report from the client would the nurse note as an expected side effect of this combination medication? 1 "I feel as though my heart is racing." 2 "I feel more bloated than usual." 3 "My eyes have been watering lately." 4 "I haven't had a bowel movement in 4 days."

"I feel as though my heart is racing."

A client with carcinoma of the breast is admitted to the hospital for treatment with intravenously administered doxorubicin. The client relates that friends have warned about hair loss. What is the most appropriate nursing response? 1"Your friends are correct." 2"You will not lose your hair." 3"Hair loss may occur, but it will grow back just as it is now." 4"Hair loss may occur, and it will grow back, but it may have a different color or texture."

"Hair loss may occur, and it will grow back, but it may have a different color or texture."

The nurse is caring for a client receiving gentamicin intravenously. What statement made by the client would most concern the nurse? 1 "I am experiencing dizziness." 2 "I am experiencing heartburn." 3 "I am experiencing abdominal pain." 4 "I am experiencing ringing in my ears."

"I am experiencing ringing in my ears."

A nurse has provided discharge instructions to a client being placed on long-term anticoagulant therapy with warfarin sodium. Adequate learning would be evident if the client makes which statements? Select all that apply. 1 "I may take over-the-counter medications as needed." 2 "I will inform my dentist that I am taking this medication." 3 "I need to alternate the timing of my daily dose of this medication." 4 "I need to use a firm-bristled toothbrush to prevent the side effects of this medication." 5 "I will have my blood levels checked as prescribed by my primary health care provider (PHCP)." 6 "I will report any signs of blood in my urine or stool to my primary health care provider (PHCP)."

"I will inform my dentist that I am taking this medication." "I will have my blood levels checked as prescribed by my primary health care provider (PHCP)." "I will report any signs of blood in my urine or stool to my primary health care provider (PHCP).

A nurse is teaching a client about adverse effects of etanercept. Which of the following statements by the client indicates understanding of the teaching? "I will need to get my blood drawn periodically while on this medication." "I may lose part or all of my hair." "I may wake up with a very dry mouth." "I will leave the needle cap off during the time the medication comes to room temperature."

"I will need to get my blood drawn periodically while on this medication."

A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following statements made by the client indicates an understanding of the teaching? "I will take a birth control pill every day." "Methotrexate decreases my chances of developing an infection." "I take methotrexate every day with breakfast." "I will aim to drink five 8-ounce glasses of water per day."

"I will take a birth control pill every day."

The nurse provides discharge instructions to a client with atrial fibrillation who is taking warfarin sodium. Which statement by the client reflects the need for further teaching? 1 "I will avoid alcohol consumption." 2 "I will take coated aspirin for my headaches." 3 "I will take my pills every day at the same time." 4 "I have already called my family to pick up a MedicAlert bracelet.

"I will take coated aspirin for my headaches."

Which statement made by a client taking montelukast indicates the need for further teaching? 1 "I will need to have my liver function checked." 2 "I can take the medication with food or without." 3 "I may be able to decrease the use of my metered-dose inhaler." 4 "I will take the medication when I first notice I am having trouble breathing."

"I will take the medication when I first notice I am having trouble breathing."

The nurse is reviewing heparin infusion therapy and pertinent laboratory values to monitor with the nursing student. Which statement by the student indicates that teaching has been effective? 1 "Bleeding time assesses for therapeutic effect of heparin." 2 "Thrombin time assesses for therapeutic effect of heparin." 3 "Prothrombin time assesses for therapeutic effect of heparin." 4 "Partial thromboplastin time assesses for therapeutic effect of heparin."

"Partial thromboplastin time assesses for therapeutic effect of heparin."

Tamoxifen citrate is prescribed for a client with metastatic breast carcinoma. The client asks the nurse if a family member with bladder cancer can also take this medication. The nurse most appropriately responds by making which statement? 1 "This medication can be used only to treat breast cancer." 2 "Yes, your family member can take this medication for bladder cancer as well." 3 "This medication can be taken to prevent and treat clients with breast cancer." 4 "This medication can be taken by anyone with cancer as long as their health care provider approves it."

"This medication can be taken to prevent and treat clients with breast cancer."

A client has a prescription for sucralfate, orally 4 times daily. The nurse writes which schedule for this medication on the medication administration record? Every 6 hours With meals and at bedtime 1 hour after meals and at bedtime 1 hour before meals and at bedtime

1 hour before meals and at bedtime

Atenolol hydrochloride is prescribed for a hospitalized client. The nurse would perform which action as a priority before administering this medication? 1 Listen to the client's lung sounds. 2 Check the client's blood pressure. 3 Assess the client for muscle weakness. 4 Check the client's most recent electrolyte levels.

Check the client's blood pressure.

A nurse is caring for a client who recently began taking chlorpromazine to treat schizophrenia and was admitted to the emergency room with spasms of their face and back. Which of the following adverse reactions should the nurse expect? A. Cholinergic crisis B. Serotonin syndrome C. Stevens-Johnson syndrome D. Acute dystonia

D. Acute dystonia

A nurse is caring for a client who has a new prescription for etanercept. Which of the following actions should the nurse take? Administer a tuberculin skin test prior to starting the medication. Teach the client that fevers are common while taking this medication. Determine if the client has chronic hypertension. Mix the medication with methotrexate prior to administration.

Administer a tuberculin skin test prior to starting the medication.

A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include? A. Use a spacer to improve inhalation. B. Take the drug at the onset of bronchospasm. C. Rinse mouth to prevent an oral fungal infection. D. Take the drug once a day in the evening.

D. Take the drug once a day in the evening

A nurse is caring for a client who is about to begin taking aspirin. The nurse should instruct the client to report which of the following manifestations of salicylism?Choose all that apply Fever Tinnitus Diaphoresis Thrombophlebitis Dizziness

Fever Tinnitus Diaphoresis Dizziness

The nurse is monitoring the laboratory test results for a client who is taking warfarin sodium after mechanical heart valve replacement. The nurse would expect the international normalized ratio (INR) for this client to be at what value in order to be therapeutic? 0.2 0.5 1.0 3.0

3.0

A nurse is teaching a client who has Alzheimer's disease and their caregiver about memantine. Which of the following instructions should the nurse include? A. Increase fluid intake to improve renal excretion. B. Report memory loss or confusion. C. Watch for signs of liver impairment, such as jaundice and abdominal pain. D. Avoid taking over-the-counter antacids.

D. Avoid taking over-the-counter antacids.

A nurse is teaching a client who has a new prescription for quinidine. Which of the following statements should the nurse include A) "Monitor your pulse rate and report changes." B) "Remain upright for 30 minutes after taking this medication." C) "This medication can decrease digoxin levels." D) "This medication can cause urinary incontinence."

A) "Monitor your pulse rate and report changes."

A nurse should recognize that milrinone is contraindicated for a client who has which of the following conditions? A) Acute myocardial infarction B) Peripheral vascular disease C) Ulcerative colitis D) Ventricular tachycardia

A) Acute myocardial infarction

A nurse is caring for a client who is taking amiodarone to treat atrial fibrillation. Which of the following should the nurse instruct the client to avoid while taking this drug? A) Grapefruit juice B) Milk C) Foods high in vitamin K D) NSAIDs

A) Grapefruit juice

A nurse is assessing a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should identify that these manifestations indicate which of the following adverse effects? A) Hypokalemia B) Hypoglycemia C) Hypouricemia D) Hyponatremia

A) Hypokalemia

A nurse is caring for a client who is taking atorvastatin and has a new prescription for gemfibrozil. The nurse should recognize that this drug combination places the client at an increased risk for which of the following adverse effects? A) Myopathy B) Hypoglycemia C) Irregular pulse D) Kidney failure

A) Myopathy

A nurse is caring for a client who is taking a diuretic. The nurse should instruct the client to include which of the following foods in their diet to increase potassium intake? A) Raisins B) Cabbage C) Cheese D) Eggs

A) Raisins

A health care professional is caring for a patient who is about to begin taking propylthiouracil (PTU) to treat hyperthyroidism. The health care professional should tell the patient to report which of the following adverse effects? (Select all that apply) A) Sore throat B) Muscle pain C) Insomnia D) Bradycardia E) Rash

A) Sore throat B) Muscle pain D) Bradycardia E) Rash

When talking with a patient about taking fludrocortisone to treat adrenocortical insufficiency, the health care professional should tell the patient to do which of the following to reduce the risk of adverse reactions? (Select all that apply) A) Weigh yourself daily B) Report weakness or palpitations C) Have your blood pressure checked regularly D) Eat more iron-rich foods E) Avoid drinking grapefruit juice

A) Weigh yourself daily B) Report weakness or palpitations C) Have your blood pressure checked regularly

A nurse is teaching a client who has a prescription for albuterol via inhaler and fluticasone via inhaler for asthma management. For which of the following reasons should the nurse instruct the client to use the albuterol inhaler before using the fluticasone inhaler? A. Albuterol will increase the absorption of fluticasone. B. Albuterol will decrease inflammation. C. Albuterol will reduce nasal secretions. D. Fluticasone will reduce the adverse effects of albuterol.

A. Albuterol will increase the absorption of fluticasone.

A nurse is teaching a client who has a new prescription for carbamazepine. Which of the following instructions should the nurse include to help the client avoid adverse effects of this drug? A. Begin taking the drug at a low dosage. B. Discontinue the drug immediately if diarrhea occurs. C. Have serum glucose levels checked regularly. D. Take the drug on an empty stomach.

A. Begin taking the drug at a low dosage.

A nurse is teaching a client who is taking levodopa/carbidopa to treat Parkinson's disease. Which of the following instructions should the nurse include? A. Change position slowly to prevent orthostatic hypotension. B. Eat a high-protein snack to increase absorption. C. Take the drug at bedtime to avoid daytime drowsiness. D. Expect eye twitching to develop with long-term therapy.

A. Change position slowly to prevent orthostatic hypotension.

A nurse is teaching a client who is about to begin sumatriptan therapy to treat migraine headaches. The nurse should instruct the client to monitor for which of the following adverse effects? A. Chest pain B. Polyuria C. Joint pain D. Insomnia

A. Chest pain

A nurse is preparing to administer phenylephrine to a client. The nurse should identify that which of the following manifestations is an adverse effect of this drug? A. Headache B. Sleepiness C. Hypotension D. Constipation

A. Headache

A nurse is monitoring plasma drug levels in a client who is taking theophylline. Which of the following findings should the nurse expect to see if the client's drug level indicates toxicity? A. Seizures B. Constipation C. Normal sinus rhythm D. Somnolence

A. Seizures

A nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following findings as indications of lithium toxicity? (Select all that apply.) A. Tremors B. Confusion C. Bronchospasm D. Nausea E. Muscle weakness

A. Tremors B. Confusion D. Nausea E. Muscle weakness

A nurse is caring for a client who has been taking amphetamine/dextroamphetamine sulfate for the treatment of attention deficit hyperactivity disorder (ADHD) for 2 weeks. The nurse should report which of the following findings to the provider? A. Weight loss of 2.3 kg (5 lb) B. BP 110/70 mm Hg C. Apical pulse 80/min D. Respiratory rate 16/min

A. Weight loss of 2.3 kg (5 lb)

For which of the following reasons should a nurse instruct a client to avoid taking guaifenesin with combination over-the-counter cold products? A. Over-the-counter cold products can also contain guaifenesin. B. Blood glucose levels are increased. C. Rebound congestion is likely. D. Drug tolerance is likely.

A. over-the-counter cold products can also contain guaifenisin

The nurse is monitoring a client who is receiving epoetin alfa for adverse effects of the medication. Which finding indicates a side/adverse effect? 1 Diarrhea 2 Depression 3 Bradycardia 4 Hypertension

Hypertension

For which of the following reasons should a client attach a spacer to a metered dose inhaler? A. ​To increase the amount of drug delivered to the lungs B. To increase the amount of drug delivered to the oropharynx C. To increase the amount of drug delivered on exhalation D. To increase the speed of drug delivery into the mouth

A. ​To increase the amount of drug delivered to the lungs

A nurse is caring for a client who has a new prescription for alosetron to treat irritable bowel syndrome. The nurse should instruct the client to report which of the following adverse effects of the drug? 1) headache 2) drowsiness 3) abdominal pain 4) sore throat

Abdominal pain

The nurse is caring for a client in the emergency department who has been diagnosed with Bell's palsy. The client has been taking acetaminophen, and acetaminophen overdose is suspected. Which antidote would the nurse prepare for administration if prescribed? 1 Pentostatin 2 Auranofin 3 Fludarabine 4 Acetylcysteine

Acetylcysteine

The nurse is caring for a postpartum client with a diagnosis of deep vein thrombosis who is receiving a continuous intravenous infusion of heparin sodium. Review of which laboratory result is the most important by the nurse?

Activated partial thromboplastin time (aPTT)

Which of the following drugs has protocols that require clients to meet specific risk-management criteria and sign a treatment agreement before the nurse can administer the drug? 1) lubiprostone 2) azathioprine 3) sulfasalazine 4) alosetron

Alosetron

A client with an exacerbation of chronic obstructive pulmonary disease (COPD) has been on oral glucocorticoids and is currently being weaned to triamcinolone by inhalation. The nurse determines that the client understands the potential adverse effects to watch for during this medication change when the client states the need to report which signs and symptoms?

Anorexia, nausea, weakness, and fatigue

A nurse should recognize that sulfasalazine is contraindicated for clients who have which of the following conditions? 1) pancreatitis 2) aspirin sensitivity 3) bronchitis 4) GERD

Aspirin sensitivity

A client who had surgery 3 days earlier is receiving heparin sulfate by subcutaneous injection every 12 hours. In planning for the client's morning care, the priority nursing intervention is which action? 1 Allow the client to sit only at the bedside. 2 Assist the client to shave using an electric razor. 3 Monitor the prothrombin time (PT) every 4 hours. 4Tell the client that brushing the teeth is not allowed.

Assist the client to shave using an electric razor.

The nurse is teaching a client about the effects of diphenhydramine, an ingredient in the cough suppressant prescribed for the client. The nurse would plan to tell the client to take which measure while taking this medication? 1 Take it on an empty stomach. 2 Avoid activities requiring mental alertness. 3 Use alcohol for additional effect in reducing cough. 4 Avoid chewing sugarless gum or using oral mouth rinses.

Avoid activities requiring mental alertness.

A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following information should the nurse include? (select all that apply) Avoid being near people who are sick with a communicable illness. Periodic laboratory tests are required. The drug's effects are immediate. Report bruising or petechiae. Avoid drinking alcohol.

Avoid being near people who are sick with a communicable illness. Periodic laboratory tests are required. Report bruising or petechiae. Avoid drinking alcohol.

A client has a prescription for ketoconazole. Which instruction would the nurse include in the client's teaching plan? 1 Avoid exposure to sunlight. 2 Take the medication with an antacid. 3 Take the medication on an empty stomach. 4 Limit alcohol consumption to 2 oz per day.

Avoid exposure to sunlight.

When considering replacement therapy options for a patient who has chronic adrenocortical insufficiency, the primary care provider should chose which of the following drugs? A) Somatropin (Genotropin) B) Hydrocortisone (Cortef) C) Glucagon (GlucaGen) D) Desmopressin (DDAVP)

B) Hydrocortisone (Cortef)

A patient who is taking propylthiouracil (PTU) contacts the health care professional to report weight gain, drowsiness, and depression. The health care professional should suspect which of the following adverse reactions to the propylthiouracil? A) Thyrotoxicosis B) Hypothyroidism C) Lactic acidosis D) Radiation sickness

B) Hypothyroidism

A nurse is teaching a client who has a new prescription for gemfibrozil. Which of the following instructions should the nurse include? (Select all that apply) A) Take the drug with food. B) Report any new intolerance to fried foods. C) Report muscle tenderness. D) Expect periodic liver function testing. E) Take the drug once each day.

B) Report any new intolerance to fried foods .C) Report muscle tenderness. D) Expect periodic liver function testing.

A nurse is teaching a client who has breast cancer about tamoxifen. Which of the following adverse effects of tamoxifen should the nurse discuss with the client? A. Irregular heart beat B. Abnormal uterine bleeding C. Yellow sclera or dark-colored urine. D. Difficulty swallowing

B. Abnormal uterine bleeding

A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine IV. Which of the following client findings should the nurse monitor after administering the medication? A. BUN level B. Blood pressure C. Urine specific gravity D. Pedal pulse strength

B. Blood pressure

A nurse is teaching an adult client about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug? A. Muscle tremors B. Drowsiness C. Excitation D. Insomnia

B. Drowsiness

A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should identify that which of the following laboratory tests requires monitoring? A. Serum potassium B. Liver function C. Serum sodium D. Thyroid function

B. Liver function

A nurse is caring for a client who is being treated with interferon alfa-2b for malignant melanoma.For which of the following adverse effects should the nurse monitor? (Select all that apply.) A. Tinnitus B. Muscle aches C. Peripheral neuropathy D. Bone loss E. Depression

B. Muscle aches C. Peripheral neuropathy E. Depression

A nurse is preparing to administer sumatriptan to a client for the first time. The nurse should instruct the client that sumatriptan is indicated for which of the following conditions? A. Tonic-clonic seizures B. Presence of a migraine headache C. Exacerbation of multiple sclerosis D. Alzheimer's disease

B. Presence of a migraine headache

A nurse is teaching a client about the use of an expectorant to treat a cough. The nurse should include that an expectorant has which of the following therapeutic effects? A. Suppresses the cough stimulus B. Reduces surface tension C. Reduces inflammation D. Dries mucous membranes

B. Reduces surface tension

When reviewing the indications for various antidepressants, a nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following? (Select all that apply.) A. Motion sickness B. Seasonal affective disorder C. Insomnia D. Nicotine addiction E. Depression

B. Seasonal affective disorder D. Nicotine addiction E. Depression

A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects? (Select all that apply.) A. Muscle tremors B. Urinary retention C. Dry mouth D. Insomnia E. Tachycardia

B. Urinary retention C. Dry mouth

A client begins to experience extrapyramidal side effects from an antipsychotic medication. The nurse anticipates that the primary health care provider will prescribe which medication to treat this condition? 1 Haloperidol 2 Benztropine 3 Chlorpromazine 4 Prochlorperazine

Benztropine

A nurse is teaching a client about methotrexate. The nurse should inform the client to monitor for which of the following as an adverse effect of this drug? Muscle pain Peripheral edema Black, tarry stools Redness in the calf

Black, tarry stools

A nurse is caring for a client who is taking warfarin and has new prescription for trimethoprim/sulfamethoxazole to treat for a urinary tract infection. The nurse should clarify the prescription with the provider because taking these two drugs concurrently can increase the client's risk for which of the following? Bleeding Thrombosis ECG changes Ototoxicity

Bleeding

A home care nurse is visiting a client who was discharged to home with a prescription for continued administration of enoxaparin subcutaneously. What is the nurse's priority assessment for this client? 1 Constipation 2 Fear of needles 3 Nausea or vomiting 4 Bleeding gums or bruising

Bleeding gums or bruising

The nurse is monitoring a client with herpes simplex virus (HSV) who is receiving intravenous (IV) acyclovir. Which laboratory result would be of concern as a possible adverse effect of this medication? 1 Platelet count of 300,000 mm3 (300 × 109/L) 2 Prothrombin time of 12 seconds 3White blood cell count of 6000 mm(6 × 109/L) 4 Blood urea nitrogen (BUN) of 36 mg/dL (12.9 mmol/L)

Blood urea nitrogen (BUN) of 36 mg/dL (12.9 mmol/L)

A man has developed atrial fibrillation and has been placed on warfarin. The nurse is doing discharge dietary teaching with the client and determines that the client needs additional education if he states that he would choose which food while taking this medication? 1 Cherries 2 Potatoes 3 Broccoli 4 Spaghetti

Broccoli

A patient who is taking metformin (Glucophage) to treat type 2 diabetes mellitus plans to undergo angiography using iodine-containing contrast dye. The health care professional should recognize that an interaction between metformin and the IV contrast dye can increase the patient's risk for which of the following? A) Hypokalemia B) Hyperglycemia C) Acute renal failure D) Acute pancreatitis

C) Acute renal failure

A health care professional is caring for a patient who is about to begin insulin glargine (Lantus) therapy. The health care professional should recognize the need for additional precautions because the patient also takes which of the following types of drugs? A) Oral contraceptives B) Calcium supplements C) Beta blockers D) Iron supplements

C) Beta blockers

A nurse is caring for a client who will begin using transdermal nitroglycerin to treat angina pectoris. When speaking to the client about the drug, which of the following instructions should the nurse include? (Select all that apply) A) "Apply a new patch at the onset of anginal pain." B) "Apply the patch to dry skin and cover the area with plastic wrap." C) "Apply the patch to a hairless area and rotate sites." D) "Apply a new patch when you start your day." E) "Remove patches for 10 to 12 hours each day."

C) Hair can interfere with the adhesion of the patch. Rotating patch application sites helps prevent skin irritation. D) The therapeutic preventive effects of transdermal nitroglycerin patches begin 30 to 60 min after application and last for up to 14 hr. Because angina pain is more likely to occur with activity, most clients require this protection during waking hours. E)Removing the patches for 10 to 12 hr each day helps prevent the development of tolerance to the drug. For most clients, sleeping hours are the best time to remove the patch and go "patch-free," because angina pain is more likely during activity.

A nurse is caring for a client who has a new prescription for propanolol to treat a tachydysrhythmia. The nurse should instruct the client to avoid taking which of the following types of over-the-counter drugs while taking propanolol? A) Antihistamines B) Potassium supplements C) NSAIDs D) Vitamin C

C) NSAIDs

A health care professional is caring for a patient who is taking regaglinide (Prandin) 15 to 30 minutes before each meal to treat type 2 diabetes mellitus. The patient asks the health care professional what to do if he skips a meal. Which of the following is the appropriate response? A) Double the dose before the next meal. B) Take half the dose. C) Skip the dose. D) Take the usual dose.

C) Skip the dose

A client is scheduled to receive acetylcysteine 20% solution diluted in 0.9% normal saline by nebulizer. Which outcome would the nurse expect as a result of the administration of this medication? 1 Bronchodilation 2 Decreased coughing 3 Absence of wheezing 4 Thinning of respiratory secretions

Thinning of respiratory secretions

A nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the nurse expect to administer to the client? A. Ipratropium B. Beclomethasone C. Acetylcysteine D. Azelastine

C. Acetylcysteine

A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. Which of the following instructions should the nurse include? A. Consume a low-sodium diet. B. Reduce fluid intake. C. Avoid taking NSAIDs. D. Take the drug with food.

C. Avoid taking NSAIDs.

A nurse is teaching a client about the use of beclomethasone to treat asthma. The nurse should explain that the drug has which of the following therapeutic effects? A. Thins mucus B. Relaxes bronchial smooth muscle C. Decreases inflammation D. Increases the cough threshold

C. Decreases inflammation

A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should instruct the client to report which of the following adverse effects? A. Slow heart rate B. Cough C. Diarrhea D. Hearing loss

C. Diarrhea

A nurse is administering fentanyl to a client to reduce pain. Which of the following drugs should the nurse have available to reverse the effects of fentanyl? A. Neostigmine B. Succinylcholine C. Naloxone D. Dantrolene

C. Naloxone

A nurse is caring for a client who is taking donepezil to treat Alzheimer's disease. For which of the following adverse effects should the nurse monitor? A. Confusion B. Dry mouth C. Nausea D. Double vision

C. Nausea

A nurse is teaching a client about the use of antihistamines to treat allergic rhinitis. The nurse should explain that these drugs are effective because they perform which of the following actions? A. Decrease viscosity of nasal secretions B. Block H2 receptors C. Prevent histamine from binding to receptors D. Reduce nasal congestion

C. Prevent histamine from binding to receptors

A nurse is caring for a client who has a new prescription for amphetamine sulfate. The nurse should monitor the client for which of the following adverse effects? A. Hypotension B. Tinnitus C. Tachycardia D. Bronchospasm

C. Tachycardia

A nurse is teaching a client about the use of a mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects? A. Suppresses the cough stimulus B. Reduces inflammation C. Thins and loosens mucus D. Dries secretions

C. Thins and loosens mucus

A nurse is teaching a client about raloxifene therapy to prevent osteoporosis. The nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug? Loss of hair Numbness of the fingertips Calf pain Blisters on mucous membranes

Calf pain

The nurse is caring for a client with a urinary tract infection (UTI). The culture report reveals the presence of Pseudomonas aeruginosa. The nurse anticipates that which medication will be prescribed to treat the infection? 1 Isoniazid 2 Rifampin 3 Ethambutol 4 Ciprofloxacin

Ciprofloxacin

A nurse in a provider's office receives a call from a client who is taking tetracycline orally to treat a chlamydia infection and reports severe blood-tinged diarrhea. The nurse should suspect the client is experiencing which of the following? Hemorrhoids Clostridium difficile-associated diarrhea Diverticular disease Small bowel obstruction

Clostridium difficile-associated diarrhea

A client receiving oral theophylline is due to have a theophylline level drawn. The nurse would question the client to ensure that the client has not ingested which substance before the blood sample is drawn?

Coffee

A client has begun therapy with theophylline. The nurse would teach the client to limit the intake of which items while taking this medication? 1 Coffee, cola, and chocolate 2 Oysters, lobster, and shrimp 3 Melons, oranges, and pineapple 4 Cottage cheese, cream cheese, and dairy creamers

Coffee, cola, and chocolate

A client is told by the primary health care provider to take aluminum hydroxide as needed for heartburn. The nurse advises the client to watch for which common side effect of this medication? 1 Dizziness 2 Excitability 3 Restlessness 4 Constipation

Constipation

The nurse instructs a client taking aluminum hydroxide that a common side or adverse effect associated with administration of this medication is which effect? 1 Cramping 2Headache 3Constipation 4Muscle weakness

Constipation

A nurse is teaching the family of a client who has a new diagnosis of Alzheimer's disease about donepezil. Which of the following information should the nurse include? A. Monitor for constipation. B. The dosage will be increased weekly to provide optimum therapeutic effect. C. Administering the drug first thing in the morning promotes effectiveness. D. Avoid the use of NSAIDs for pain.

D. Avoid the use of NSAIDs for pain.

A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report which of the following as an adverse effect of this drug? A. Fever B. Bruising C. Polyuria D. Palpitations

D. Palpitations

A nurse is teaching a client about the use of cromolyn sodium to prevent bronchospasm. the nurse should explain that the drug has which of the following therapeutic effects? A. Increases leukocyte activity B. Blocks muscarinic receptors C. Causes bronchodilation D. Reduces inflammation

D. Reduces inflammation

A nurse is caring for a client who has a new prescription for verapamil to treat atrial fibrillation. The nurse should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause the client to experience which of the following conditions? A) Tachycardia B) Dehydration C) Diarrhea D) Hypotension

D) Hypotension

A nurse is caring for a client who is about to begin taking nitrofurantoin to treat a urinary tract infection. The nurse should tell the client to report which of the following adverse effects of the drug? Constipation Dark brown urine Cough Tremors

Cough

A primary care provider should prescribe a lower dose of sitagliptin (januvia) for a patient who has type 2 diabetes mellitus and who also has which of the following? A) Thyroid Disease B) Bronchitis C) Heart Failure D) Renal Impairment

D) Renal impairment

A client diagnosed with an anxiety disorder is prescribed buspirone orally. The client tells the nurse that it is difficult to swallow the tablets. Which is the best instruction to provide the client? 1 Crush the tablets before taking them. 2 Mix the tablet uncrushed in apple sauce. 3 Purchase the liquid preparation with the next refill 4 Call the primary health care provider for a change in medication.

Crush the tablets before taking them.

Which of the following drugs should a health care professional have available for a patient who is experiencing an insulin overdose? A) Naloxone B) Diphenhydramine C) Acetylcysteine (Acetadote) D) Glucagon (GlucaGen)

D) Glucagon (GlucaGen)

A nurse is caring for a client who is taking carvedilol and has a prescription for an oral antidiabetic drug to manage their new diagnosis of type 2 diabetes mellitus. By taking both drugs concurrently, the nurse should identify that the client is at an increased risk for which of the following conditions? A) Hyperglycemia B) Bradycardia C) Hypotension D) Hypoglycemia

D) Hypoglycemia

A nurse is teaching a client who has a new diagnosis of Parkinson's disease about how levodopa/carbidopa can help control symptoms. The nurse should identify that the drug has which of the following pharmacologic effects? A. Increases available acetylcholine in the brain B. Inhibits norepinephrine metabolism in the brain C. Inhibits serotonin metabolism in the brain D. ​Increases available dopamine in the brain

D. ​Increases available dopamine in the brain.

A nurse is caring for a client who is taking alendronate to treat postmenopausal osteoporosis. The nurse should explain to the client that alendronate increases bone mass by which of the following actions? Decreases activity of osteoclasts Increases calcium excretion Promotes intestinal absorption of calcium and phosphorus Reduces action of osteoblasts

Decreases activity of osteoclasts

The nurse is caring for a client who was just admitted to the hospital for the treatment of iron overload. The nurse anticipates that the primary health care provider will prescribe which medication to treat the iron overload? 1 Terbinafine 2 Granisetron 3 Ketoconazole 4 Deferoxamine

Deferoxamine

A nurse is caring for a client who is about to begin receiving acyclovir IV to treat a viral infection. The nurse should recognize that cautious use of the drug is essential if the client also has which of the following conditions? Heart failure Dehydration Asthma Tinnitus

Dehydration

A nurse is caring for a client who is taking acetaminophen at regular intervals for mild discomfort. The nurse should tell the client to report which of the following early indications of acetaminophen toxicity?Choose all that apply Diaphoresis Palpitations Shortness of breath Nausea Diarrhea

Diaphoresis Nausea Diarrhea

A nurse is teaching a client who has a prescription for prednisone and takes 1,500 mg/day of calcium carbonate to reduce the risk of osteoporosis. Which of the following information should the nurse include? (select all that apply) Take the calcium tablets with food. Drink 240 mL (8 oz) of water with the calcium tablets. Chew calcium tablets before swallowing them. Take the drugs 1 hr apart. Divide the daily dosage of calcium into three 500-mg doses.

Drink 240 mL (8 oz) of water with the calcium tablets. Chew calcium tablets before swallowing them. Take the drugs 1 hr apart. Divide the daily dosage of calcium into three 500-mg doses.

The nurse is monitoring for adverse effects in a client who is taking digoxin. Which findings are characteristic of digoxin toxicity? Select all that apply. 1 Tremors 2 Diarrhea 3 Irritability 4 Blurred vision 5 Nausea and vomiting

Diarrhea Blurred vision Nausea and vomiting

A nurse is assessing a client who was administered ondansetron IV 1 hr ago. Which of the following findings should the nurse recognize as an adverse effect of this drug? 1) dizziness 2) bradycardia 3) tardive dyskinesia 4) dyspepsia

Dizziness

A nurse is teaching a client who has a prescription for prednisone and takes 1,500 mg/day of calcium carbonate to reduce the risk of osteoporosis. Which of the following information should the nurse include? (select all that apply) Take the calcium tablets with food. Drink 240 mL (8 oz) of water with the calcium tablets. Chew calcium tablets before swallowing them. Take the drugs 1 hr apart. Divide the daily dosage of calcium into three 500-mg doses.

Drink 240 mL (8 oz) of water with the calcium tablets. Chew calcium tablets before swallowing them. Take the drugs 1 hr apart. Divide the daily dosage of calcium into three 500-mg doses.

A client is receiving heparin sodium by continuous intravenous (IV) infusion. The nurse would notify the primary health care provider if ongoing nursing assessment reveals which finding? 1 Tinnitus 2 Ecchymosis 3 Increased pulse rate 4 Increased blood pressure

Ecchymosis

The nurse is monitoring a client with leukemia who is receiving doxorubicin by intravenous infusion. The nurse would monitor for which finding that would indicate doxorubicin toxicity? 1Elevated creatinine 2Red coloration in the urine 3Electrocardiogram (ECG) changes 4Elevated blood urea nitrogen (BUN)

Electrocardiogram (ECG) changes

Gemfibrozil is prescribed for a client. Which laboratory finding would alert the nurse to the need to withhold the medication and contact the primary health care provider?

Elevated liver function tests

A client gives the home health nurse a bottle of clomipramine. The nurse notes that the medication has not been taken by the client in 2 months. Which behavior observed in the client would validate noncompliance with this medication? 1 Complaints of insomnia 2 Complaints of hunger and fatigue 3 A pulse rate of less than 60 beats per minute 4 Frequent handwashing with hot, soapy water

Frequent handwashing with hot, soapy water

The nurse is performing a follow-up teaching session with a client discharged 1 month ago. The client is taking fluoxetine. Which information would be important for the nurse to obtain during this client visit regarding specific side and adverse effects of the medication? 1 Renal dysfunctions 2 Gastrointestinal dysfunctions 3 Problems with mouth dryness 4 Problems with excessive sweating

Gastrointestinal dysfunctions

A client has been taking omeprazole for 4 weeks. The ambulatory care nurse evaluates medication effectiveness by asking the client whether relief was obtained from which symptom? 1 Diarrhea 2 Heartburn 3 Flatulence 4 Constipation

Heartburn

A client who is taking chlorothiazide comes to the clinic for periodic evaluation. In monitoring the client's laboratory test results for medication side effects, what is the clinic nurse most likely to note if a side or adverse effect is present? 1 Hypokalemia 2 Hypocalcemia 3 Hypernatremia 4 Hyperphosphatemia

Hypokalemia

A nurse is caring for a client who currently takes furosemide and has a new prescription for prednisone. The nurse should monitor the client for which of the following manifestations during concurrent use of the two drugs? Hypercalcemia Hypoglycemia Hypothermia Hypokalemia

Hypokalemia

A client admitted to the hospital is taking atenolol. The nurse monitors the client for which sign or symptom of an adverse effect of the medication?

Hypotension

A nurse is caring for a client who has a prescription for methotrexate. Which of the following drugs would likely be prescribed in conjunction during the initial treatment for rheumatoid arthritis? Aspirin Salicylates Sulfonylureas ibuprofen

Ibuprofen

Alendronate is contraindicated for administration to clients who have which of the following conditions? Heart failure Fish protein allergy Inability to sit upright Tuberculosis

Inability to sit upright

A nurse is caring for a client who has a prescription for etanercept. The nurse should identify that etanercept treates rheumtoid arthritis by which of the following actions? Inactivation of tumor necrosis factor Inhibition of osteoclast activity Decreasing the reuptake of serotonin Interference with the production of lymphocytes

Inactivation of tumor necrosis factor

The client with breast cancer has been given a prescription for cyclophosphamide. The nurse determines that the client understands the proper use of the medication if the client states to take which measure? 1 Increase dietary intake of potassium. 2 Increase fluid intake to 2 to 3 L/day. 3 Take the medication with large meals. 4 Decrease dietary intake of magnesium.

Increase fluid intake to 2 to 3 L/day.

The nurse is providing medication instructions to a client with breast cancer who is receiving cyclophosphamide. The nurse would tell the client to take which action? 1 Take the medication with food. 2 Increase fluid intake to 2000 to 3000 mL daily. 3 Decrease sodium intake while taking the medication. 4 Increase potassium intake while taking the medication.

Increase fluid intake to 2000 to 3000 mL daily.

The nurse is assigned to care for a client with metastatic breast cancer who is taking tamoxifen citrate. The nurse plans to monitor for which changes in laboratory values for this client? Select all that apply. 1 Increase in lipase level 2 Increase in blood glucose level 3 Increase in serum calcium level 4 Increase in serum potassium level 5 Decrease in low-density lipoprotein levels

Increase in serum calcium level Decrease in low-density lipoprotein levels

A client has a prescription to take guaifenesin. The nurse determines that the client understands the proper administration of this medication if the client states that they will perform which action? 1 Take an extra dose if fever develops 2 Take the medication with meals only 3 Increase water intake when taking the medication 4 Decrease the amount of daily fluid intake

Increase water intake when taking the medication

Atenolol has been prescribed for a client, and the client asks the nurse about the action of the medication. How would the nurse respond regarding the action of this medication? 1 Slows the heart rate 2 Increases cardiac output 3 Increases myocardial oxygen demand 4 Maintains the blood pressure at a level within the 140/90 mm Hg range

Slows the heart rate

A nurse should identify that a client who has diabetes mellitus and is taking etanercept is at an increased risk for which of the following adverse effects? Kidney toxicity Infection Gout Deep-vein thrombosis

Infection

A nurse is caring for a client who is receiving chemotherapy and has a new prescription for ondansetron. Which if the following actions should the nurse plan to take? (Select all) 1) infuse drug 30 min before chemotherapy 2) administer drug when client reports nausea 3) infuse drug over 15 minutes 4) administer drug immediately after chemotherapy 5) repeat dose 4 hr after chemotherapy

Infuse the drug 30 min prior to chemotherapy. Infuse the drug slowly over 15 min. Repeat the dose 4 hf after chemotherapy.

The nurse is monitoring a client receiving levothyroxine sodium for hypothyroidism. Which findings indicate the presence of a side effect associated with this medication? Select all that apply. 1 Insomnia 2 Weight loss 3 Bradycardia 4 Constipation 5 Mild heat intolerance

Insomnia Weight loss Mild heat intolerance

Trimethoprim-sulfamethoxazole is prescribed for a client. The nurse would instruct the client to report which symptom if it develops during the course of this medication therapy? 1 Nausea 2 Diarrhea 3 Headache 4 Sore throat

Sore throat

A nurse should instruct a client who is taking alendronate to monitor for which of the following adverse effects? (select all that apply) Jaw pain Drowsiness Blurred vision Tinnitus Muscle pain

Jaw pain Blurred vision Muscle pain

A nurse is preparing to administer alendronate to a client who has osteoporosis. The nurse should recognize which of the following as an adverse effect of alendronate? Venous thromboembolic Ventricular dysrhythmias Breast cancer Joint pain

Joint pain

A nurse is caring for an older adult client who has renal impairment and a new prescription for cimetidine. The nurse should instruct the client to report which of the following manifestations? 1) lethargy 2) cellulitis 3) dry mouth 4) myalgia

Lethargy

A client reports frequent use of acetaminophen for relief of headaches and other discomforts. The nurse would evaluate which diagnostic data to determine whether the client is at risk for toxicity? 1 Chest x-ray 2 Electrocardiogram 3 Liver function studies 4 Upper gastrointestinal x-ray results

Liver function studies

Which of the following is a therapeutic action of raloxifene? Blocks the effects of estrogen on endometrial tissue Mimics the effects of estrogen on bone tissue Stimulates secretion of parathyroid hormone Stimulates menstruation

Mimics the effects of estrogen on bone tissue

The nurse is caring for a client who is taking a maintenance dosage of lithium carbonate. What nursing action would be included in the client's plan of care? 1 Monitoring intake and output 2 Reviewing daily serum lithium levels 3 Performing a weekly electrocardiogram 4 Observing for the remission of a depressive state

Monitoring intake and output

A client diagnosed with anxiety is starting therapy with lorazepam. Which factor in the client's history would prompt the nurse to consult with the primary health care provider before administering the medication? 1 Hypothyroidism 2 Diabetes mellitus 3 Narrow-angle glaucoma 4 Coronary artery disease

Narrow-angle glaucoma

The nurse caring for a client receiving vincristine is monitoring the client for toxicity. The nurse interprets that the client is experiencing a toxic effect of this medication on the basis of which assessment finding? 1 Nausea and vomiting 2 Decreased platelet count 3 Decreased white blood cell count 4 Weakness and sensory loss in the leg

Weakness and sensory loss in the legs

A nurse is caring for a client who has a prescription for alosetron. The nurse should recognize that alosetron therapy is effective when the client reports which of the following? 1) one formed stool per day 2) urination without burning 3) cessation of nausea & vomiting 4) reduced GI reflux effects

One formed stool per day

Sucralfate is prescribed for a client. The nurse determines that the client understands the instructions for medication administration if the client states to take the medication at what time? 1 At bedtime 2 One hour after meals 3 At noontime with a meal 4 One hour before meals and again at bedtime

One hour before meals and again at bedtime

A client with ovarian cancer is being treated with vincristine. The nurse monitors the client, knowing that which manifestation indicates an adverse effect specific to this medication? 1 Diarrhea 2 Hair loss 3 Chest pain 4 Peripheral neuropathy

Peripheral neuropathy

Enoxaparin sodium is prescribed for a client after hip replacement surgery. Which medication would the nurse anticipate to administer in the event of enoxaparin sodium overdose? 1 Epinephrine 2 Phytonadione 3 Protamine sulfate 4 Diphenhydramine

Protamine sulfate

Intravenous heparin therapy is prescribed for a client. While implementing this prescription, the nurse ensures that which medication is available on the nursing unit?

Protamine sulfate

A client is being discharged to home with enoxaparin for short-term therapy. What would the nurse explain to the family about the medication action? Relieves joint pain 2 Dissolves urinary calculi 3 Stops progression of multiple sclerosis 4 Reduces the risk of deep vein thrombosi

Reduces the risk of deep vein thrombosis

The emergency department nurse is caring for a client admitted with diabetic ketoacidosis. The physician prescribes intravenous (IV) insulin. The nurse plans to prepare which type of insulin for the client? Insulin glargine Regular insulin Insulin isophane 50% human insulin isophone/50% human insulin

Regular insulin

A nurse is teaching a client about calcitonin-salmon intranasal spray to treat osteoporosis. Which of the following information should the nurse include? (select all that apply) Report rash or itching. Deliver two sprays to each nostril. Prime the pump before the first dose. Report nasal irritation. Hold the pump horizontally.

Report rash or itching. Prime the pump before the first dose. Report nasal irritation

A client with cancer is receiving a continuous intravenous infusion of morphine sulfate. The nurse monitoring the client for adverse effects would become most concerned about which vital sign? 1 Temperature of 99.1° F (37.3° C) 2 Blood pressure of 110/70 mm Hg 3 Respirations of 10 breaths/minute 4 Apical heart rate of 90 beats/minute

Respirations of 10 breaths/minute

A nurse is reviewing the medical record of a client who has a new prescription for tramadol. The nurse should identify that which of the following conditions is a contraindication for tramadol? Hyperthyroidism Seizure disorder Rheumatoid arthritis Urinary incontinence

Seizure disorder

A nurse is administering sulfasalazine to a client. Which of the following data should the nurse collect to help identify an adverse drug reaction? (Select all) 1) LOC 2) skin intergrity 3) temp 4) urine output 5) CBC

Skin integrity Temperature CBC

A nurse is teaching a client who is taking etanercept for rheumatoid arthritis. The nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug? Skin rash Tinnitus Diarrhea Dysphagia

Skin rash

A nurse is teaching a client who has a new prescription for allopurinol. The nurse should instruct the client to report which of the following adverse drug reactions?Choose all that apply Palpitations Sore throat Vertigo Bruising Vision changes

Sore throat Vertigo Bruising Vision changes

A nurse provides dietary instructions to a client who will be taking warfarin sodium. The nurse would tell the client to avoid which food item?

Spinach

A nurse is reviewing the medical record of a client who has a new prescription for celecoxib. The nurse should identify that which of the following conditions is a contraindication to celecoxib? Rheumatoid arthritis Ankylosing spondylitis Sulfonamide allergy Adrenocortical insufficiency Sulfonamide allergy

Sulfonamide allergy

A nurse is providing teaching to a client who has a new prescription for omeprazole to treat a duodenal ulcer. Which of the following instructions should the nurse include? 1) take drug with food 2) swallow capsule whole 3) dissolve the tablets in water 4) take it at bedtime

Swallow the capsules whole.

The nurse would monitor the client receiving the first dose of albuterol for which side or adverse effect of this medication? 1 Drowsiness 2 Tachycardia 3 Hyperkalemia 4 Hyperglycemia

Tachycardia

A client who has been diagnosed with pneumonia has been given a prescription for erythromycin. Client teaching about this medication would include which best instruction? 1 Take the medication with juice. 2 Take the medication with a meal. 3 Take the medication on an empty stomach. 4 Take the medication at bedtime with a snack.

Take the medication on an empty stomach.

When teaching the client with adrenal insufficiency about cortisone, the nurse would include which items? Select all that apply. 1 Increase intake of sodium. 2 Take the medication with food. 3Increase intake of potassium-rich foods. 4 Stay away from people with active infections. 5 Discontinue the medication when symptoms subside. 6 Notify the primary health care provider if illness occurs or surgery is anticipated

Take the medication with food. Increase intake of potassium-rich foods. Stay away from people with active infections. Notify the primary health care provider if illness occurs or surgery is anticipated.

A client has a prescription to take guaifenesin. The nurse determines that the client understands the proper administration of this medication if the client states they will perform which action? 1 Take an extra dose if fever develops. 2 Take the medication with meals only. 3 Take the tablet with a full glass of water. 4 Decrease the amount of daily fluid intake Take the tablet with a full glass of water.

Take the tablet with a full glass of water.

A client has a prescription to take guaifenesin. The nurse would conclude that the client understands the most effective use of this medication if the client states the need to take which action?

Take the tablet with a full glass of water.

The nurse notes that a client with schizophrenia who is receiving an antipsychotic medication is moving the mouth, protruding the tongue, and grimacing while watching television. The nurse determines that the client is experiencing which medication complication? 1 Parkinsonism 2 Tardive dyskinesia 3 Hypertensive crisis 4 Neuroleptic malignant syndrome

Tardive dyskinesia

A client with testicular cancer is receiving cisplatin. The nurse assesses for which finding as a toxic effect of this medication? 1 Tinnitus 2 Diarrhea 3 Nausea and vomiting 4 Elevated white blood cell (WBC) count

Tinnitus

The nurse would tell the client, who is taking levothyroxine, to notify the primary health care provider (PHCP) if which problem occurs? 1 Fatigue 2 Tremors 3 Cold intolerance 4 Excessively dry skin

Tremors

The nurse is providing discharge instructions to the parent of a child who has been prescribed tetracycline hydrochloride. The nurse stresses to the mother the importance of which measure in giving this medication to the child? 1 Give the medication with milk. 2 Use a straw when giving the medication. 3 Give the medication with chocolate milk. 4 Dilute the medication with water in a Styrofoam cup.

Use a straw when giving the medication.

A nurse is caring for a client who is receiving vincristine to treat lung cancer. The nurse should monitor the client and recognize which of the following manifestations as an indication that the client is experiencing an adverse reaction to the drug. Weak hand grasps. Constricted pupils Bradycardia Crackles

Weak hand grasps

A nurse is caring for a client who was diagnosed with postmenopausal osteoporosis. Which of the following actions should the nurse take prior to administering calcitonin-salmon to the client for the first time? Check the client's urine for sedimentation. Assess the client's liver function. Use skin testing to check the client for allergies. Evaluate the client's breath sounds.

Use skin testing to check the client for allergies.

A nurse is caring for a client who sputum culture results indicate methicillin-resistant staphylococcus aureus (MRSA). The nurse should recognize that which of the following medications will likely be administered to this client? Trimethoprim/sulfamethoxazole Tetracycline Cephalexin Vancomycin

Vancomycin

A nurse is teaching a client who has a prescription for calcium citrate about manifestations of hypercalcemia. Which of the following manifestations should the nurse include in the teaching? Muscle twitching Laryngospasm Paresthesia Vomiting

Vomiting

A nurse is caring for a client who is opioid dependent and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestations of abstinence syndrome?Choose all that apply Bronchospasm Vomiting Peripheral edema Abdominal cramps Hypertension

Vomiting Abdominal cramps Hypertension

Over the course of a few hours, a client receiving lithium carbonate reports being nauseous, then drowsy and "achy." What action would the nurse take when considering the client's next scheduled dose of lithium? 1 Give the next scheduled dose and document the client's complaints 2 Give the next scheduled dose and notify the primary health care provider of the client's complaints. 3 Withhold the next scheduled dose and restart the typical schedule with the next morning's dose. 4 Withhold the next scheduled dose and notify the primary health care provider of the client's complaints.

Withhold the next scheduled dose and notify the primary health care provider of the client's complaints.

A nurse is caring for a client who has renal failure and is receiving epoetin. The nurse should monitor the client for which of the following adverse effects? a. Hypertension b. Muscle pain c. Edema d. Dry mouth

a. Hypertension

A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. Which of the following findings should nurse identify as a possible indication of hemorrhage? a. Rapid Pulse b. Yellowing of the sclera c. Elevated blood pressure d. Pale-colored stools

a. Rapid Pulse

A nurse is caring for a client who is about to begin taking epoetin. An increase in which of the following laboratory values should indicate to the nurse that the therapy is effective? a. PT b. WBC c. Hgb d. Platelets

c. Hgb

A nurse is caring for a client who is taking ferrous sulfate to treat iron-deficiency anemia and develops iron toxicity. Which of the following drugs should the nurse expect to use to treat this complication? a. Flumazenil b. Acetylcysteine c. Naloxone d. Deferoxamine

d. Deferoxamine

albuterol before

glucocorticoids