Pharm HESI

Hypokalemia, hyperglycemia, sulfa allergy

The nurse is planning to administer hydrochlorothiazide to a client. Which are concerns related to the administration of this medication?

maintain a high fluid intake

The nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which should be included in the plan of care for instructions?

hearing loss

Amikacin is prescribed for a client with a diagnosed bacterial infection. The nurse instructs the client to contact the primary health care provider (PHCP) immediately if which occurs?

confusion

An older client has recently been taking cimetidine. The nurse should monitor the client for which most frequent central nervous system side effect of this medication?

"I should take the medication in the morning when I first arise."

Fluoxetine is prescribed, and the nurse reinforces instructions to the client regarding the administration of the medication. Which statement by the client indicates an understanding about the administration of this medication?

alcohol

Glimepiride is prescribed for a client with diabetes mellitus. The nurse reinforces instructions for the client and tells the client to avoid which while taking this medication?

Sucralfate

promotes healing by covering the ulcer, thus protecting it from erosion caused by gastric acids.

liver function tests

The nurse is reviewing the laboratory studies on a client receiving dantrolene sodium. Which laboratory test(s) would identify an adverse effect associated with the administration of this medication?

heparin.

protamine sulfate is the antidote for:

a seizure disorder

The nurse is reviewing the record of a client who has been prescribed baclofen. Which disorder should alert the nurse to contact the primary health care provider (PHCP)?

facilitate nutrient utilization

A 12-year-old child with cystic fibrosis is to receive four pancrelipase (Pancrease) capsules five times a day. The nurse explains that the medication should be taken with meals and snacks because this will do what?

Will meet the client's nutritional needs without causing the discomfort precipitated by eating

A client is admitted to the hospital with a diagnosis of acute pancreatitis. The health care provider's prescriptions include nothing by mouth and total parenteral nutrition (TPN). The nurse explains that the TPN therapy provides what benefit?

pancreatic stimulation

Providing nutrients by the intravenous route eliminates ___________, therefore reducing the pain experienced with pancreatitis

Inhales with the lips tightly sealed around the mouthpiece of the nebulizer

The nurse reinforces instructions about how to use a nebulizer to a client with chronic obstructive pulmonary disease (COPD). The nurse concludes that additional teaching is needed when the client does what?

Phenelzine sulfate

_________________ is a monoamine oxidase inhibitor. The client should avoid consuming foods that are high in tyramine. Eating certain foods could trigger a potentially fatal hypertensive crisis. Some foods to avoid include yogurt, aged cheeses, smoked or processed meats, red wines, and fruits such as avocados, raisins, and figs.

Penicillins, macrolides, and cephalosporins

______________________ are considered safe drugs during breast-feeding as they are least likely to affect the infant.

Potassium-retaining (sparing) diuretics

amiloride, spironolactone, and triamterene weak diuretics that are used in combination with potassium-excreting diuretics.

Ketoconazole

an antifungal medication, It is administered with food, and antacids are avoided for 2 hours after taking the medication to ensure absorption. The medication is hepatotoxic, and the nurse monitors liver function studies. The client is instructed to avoid exposure to the sun because the medication increases photosensitivity. The client is also instructed to avoid alcohol.

ace inhibitors

cause temporary impairment of taste

Insomnia, weight loss, and mild heat intolerance

side effects of levothyroxine sodium.

Lithium carbonate

the chief drug used to stabilize mood and behavior of a pt c mania.

Simethicone

A postoperative client requests medication for flatulence (gas pains). Which medication from the PRN list should the nurse administer to this client?

Triamterene is a potassium-retaining (sparing) diuretic, whereas hydrochlorothiazide is a potassium-excreting diuretic.

A client who is taking hydrochlorothiazide has also been prescribed triamterene. The client asks the nurse why both medications are required. Which response is the most accurate to give to the client?

wbc count

A hospitalized client is taking clozapine for the treatment of a schizophrenic disorder. Which laboratory study prescribed for the client should the nurse specifically review to monitor for an adverse effect associated with the use of this medication?

Provides protection from hemmorage

A nurse administers an intramuscular injection of vitamin K to a newborn. What is the purpose of the injection?

Makes the client more amenable to psychotherapy

A nurse administers prescribed anxiolytics to clients with severe emotional disorders. What is the goal of this treatment?

Metronidazole

A nurse is caring for a pregnant client who has contracted a trichomonal infection. Which oral drug should the nurse anticipate that the primary healthcare provider will most likely prescribe?

Increased nasal congestion

A nurse teaches a 13-year-old child with seasonal allergies that the prescribed phenylephrine nasal spray must be used exactly as directed. What complication may occur if the nasal spray is used incorrectly?

Predisone

A client with diabetes mellitus visits a healthcare clinic. The client's diabetes mellitus previously had been well controlled with glyburide daily, but recently the fasting blood glucose level has been 180 mg/dL to 200 mg/dL (10.2 mmol/L to 11.4 mmol/L). Which medication, added to the client's regimen, may have contributed to thy hyperglycemia?

It blocks neuromuscular transmission

A client with severe preeclampsia is admitted to the high-risk unit, and the nurse preceptor starts an intravenous (IV) infusion of magnesium sulfate. What explanation does the preceptor give the student to explain how magnesium sulfate treats the client's condition?

sores in the mouth

A client with stage III-B Hodgkin disease is started on chemotherapy. The nurse teaches the client to notify the health care provider to seek treatment for which response to chemotherapy?

Dizziness, N/V

A healthcare provider prescribes divalproex for a client with the diagnosis of bipolar I disorder, manic episode. What side effects of this medication might the client report during a follow-up visit?

Nizatidine Ranitidine Famotidine Cimetidine

A histamine (H2)-receptor antagonist will be prescribed for a client. The nurse understands that which medications are H2-receptor antagonists?

6-14 Hours after administration

A client is taking Humulin NPH insulin daily every morning. The nurse reinforces instructions to the client and should tell the client that which is the most likely time for a hypoglycemic reaction to occur?

acetametaphine

A client is taking lansoprazole for the chronic management of Zollinger-Ellison syndrome. If prescribed, which medication would be appropriate for the client if needed for a headache?

Contacting the PHCP

A client on the psychiatric unit who is receiving high-dosage risperidone is exhibiting tremors of the hands. What will be the nurse's first intervention?

Acts directly on the skeletal muscle to relieve spasticity

Dantrolene sodium is prescribed for a client experiencing flexor spasms, and the client asks the nurse about the action of the medication. The nurse responds knowing that which is the therapeutic action of this medication?

decreased urinary output

Desmopressin acetate is prescribed for the treatment of diabetes insipidus. The nurse monitors the client after medication administration for which therapeutic response?

atropine sulfate.

The antidote for cholinergic crisis is:

Amiodarone (Cordarone)

The cardiac monitor reveals a series of premature ventricular complexes (PVCs). The nurse anticipates that the client will be receiving a prescription for which medication?

iron

Vitamin C aids the absorption of ____

warfarin

Vitamin K is the antidote for:

Asking the pt to sit or stand slowly

What is the priority nursing action when caring for a client receiving nitroglycerin for the treatment of angina?

Disulfiram

______ is used as an adjunct treatment for selected clients with chronic alcoholism who want to remain in a state of enforced sobriety. Clients must abstain from alcohol intake for at least 12 hours before the initial dose of the medication is administered. The most important data are to determine when the last alcoholic drink was consumed

Acetylcysteine

__________ is the antidote for acetaminophen

5 pm

A client received 20 units of NPH insulin subcutaneously at 8:00 am. The nurse should check the client for a potential hypoglycemic reaction at which time?

no rapid heart beat/anxiety

A client taking buspirone for 1 month returns to the clinic for a follow-up visit. Which should indicate medication effectiveness?`

relief of epigastric pain

The client who frequently uses nonsteroidal antiinflammatory drugs (NSAIDs) has been taking misoprostol. The nurse determines that this medication is having the intended therapeutic effect if which is noted?

Toxic

A client taking lithium carbonate reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, and tremors. The lithium level is checked as a part of the routine follow-up, and the level is 3.0 mEq/L (3.0 mmol/L). The nurse knows that this is which level?

dementia

The nurse is collecting data from a client, and the client's spouse reports that the client is taking donepezil hydrochloride. Which disorder should the nurse suspect that this client may have based on the use of this medication?

Insulin needs will increase during the second trimester.

The nurse is explaining insulin needs to a client with gestational diabetes who is in her second trimester of pregnancy. Which information should the nurse give to this client?

Inform the client that impaired taste is expected and generally disappears in 2 to 3 months

A client who has begun taking fosinopril is very distressed, telling the nurse that he cannot taste food normally since beginning the medication 2 weeks ago. Which suggestion would provide the best support for the client?

"The medications will kill the bacteria and stop the acid production."

A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is reinforcing teaching for the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statement by the client indicates the best understanding of the medication regimen?

glaucoma

Cyclobenzaprine is prescribed for a client to treat muscle spasms, and the nurse is reviewing the client's record. Which disorder would indicate a need to contact the primary health care provider (PHCP) regarding the administration of this medication?

clozapine

Hematological reactions can occur in the client taking ________ and include agranulocytosis and mild leukopenia. The white blood cell count should be checked before initiating treatment and should be monitored closely during the use of this medication

hyperparathyroidism

Hypercalcemia can occur in clients with ___________________, and calcitonin is used to lower plasma calcium levels

Fluoxetine

is a selective serotonin reuptake inhibitor (SSRI). It is administered in the early morning without consideration to meals.

Rash hepatoxicity

The client diagnosed with acquired immunodeficiency syndrome (AIDS) is taking nevirapine. The nurse should monitor for which side/adverse effects of the medication?

an episode of diarrhea

The client has an as needed prescription for loperamide hydrochloride. For which condition should the nurse administer this medication?

n/v

The client has an as needed prescription for ondansetron. For which condition should the nurse administer this medication?

reduction of steatorrhea

The client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?

gait

The client who is diagnosed with human immunodeficiency virus (HIV) seropositive has been taking stavudine. The nurse should monitor which parameter closely while the client is taking this medication?

serum creatinine level

The nurse is assigned to care for the client diagnosed with cytomegalovirus retinitis and acquired immunodeficiency syndrome (AIDS) who is receiving foscarnet. The nurse should monitor the results of which laboratory study while the client is taking this medication?

GI dysfunction

The nurse is performing a follow-up teaching session with a client discharged 1 month ago who is taking fluoxetine. Which information should be important for the nurse to gather regarding the adverse effects related to the medication?

BP and HR

The nurse is planning to administer amlodipine to a client. The nurse should plan to check which before giving the medication?

"The nizatidine will cause me to produce less stomach acid."

The nurse reinforces medication instructions to a client with peptic ulcer disease. Which statement by the client indicates the best understanding of the medication therapy?

lithium

The therapeutic serum level of _______ is 0.8 to 1.2 mEq/L

Stavudine

________ is an antiretroviral used to manage HIV infection in clients who do not respond to or who cannot tolerate conventional therapy. The medication can cause peripheral neuropathy, and the nurse should monitor the client's gait closely and ask the client about paresthesia

Lamivudine

_________ is a nucleoside reverse transcriptase inhibitor and antiviral medication. It slows HIV replication and reduces the progression of HIV infection. It also is used to treat chronic hepatitis B and is used for prophylaxis in health care workers at risk of acquiring HIV after occupational exposure to the virus.

Pancrelipase

_________ is a pancreatic enzyme used in clients with pancreatitis as a digestive aid. The medication should reduce the amount of fatty stools (steatorrhea).

Ondansetron

_________ is an antiemetic used to treat postoperative nausea and vomiting, as well as nausea and vomiting associated with chemotherapy.

Anxiolytics

_________ reduce the anxiety level and make clients more open to new strategies when coping with stress.

Dantrolene

__________ acts directly on skeletal muscle to relieve muscle spasticity. The primary action is the suppression of calcium release from the sarcoplasmic reticulum. This in turn decreases the ability of the skeletal muscle to contract.

Desmopressin

__________ promotes renal conservation of water. The hormone carries out this action by acting on the collecting ducts of the kidney to increase their permeability to water, which results in increased water reabsorption. The therapeutic effect of this medication would be manifested by a decreased urine output.

Simethicone

___________ is an antiflatulent used in the relief of pain caused by excessive gas in the gastrointestinal tract

Donepezil hydrochloride

____________ is a cholinergic agent used in the treatment of mild to moderate dementia of the Alzheimer's type. It enhances cholinergic functions by increasing the concentration of acetylcholine. It slows the progression of Alzheimer's disease

Omeprazole

____________ is a proton pump inhibitor.

Amikacin

____________ is an aminoglycoside. Adverse effects of aminoglycosides include ototoxicity (hearing problems), confusion, disorientation, gastrointestinal irritation, palpitations, blood pressure changes, nephrotoxicity, and hypersensitivity.

Buspirone hydrochloride

______________ is most often indicated for the treatment of anxiety and aggression.

Nizatidine

frequently used in the management of peptic ulcer disease. Histamine H2-receptor blockers decrease the secretion of gastric acid (HCL).