Pharm Practice EAQ

After educating a client with an overactive bladder about starting extended release anticholinergic medication therapy, which response by the client requires a need for correction? "I will use hard candy if I experience dry mouth" "I will chew the medication to release its ingredients" "I will increase the fiber in my diet to decrease constipation" "I will monitor my urine output and report a noticeable decrease"

"I will chew the medication to release its ingredients"

A client taking ibuprofen for rheumatoid arthritis asks the nurse if acetaminophen can be substituted. Which response by the nurse is appropriate? "Yes, both are antipyretics and have the same effect" "Acetaminophen irritates the stomach more than ibuprofen does" "Acetaminophen is the preferred treatment for rheumatoid arthritis" "Ibuprofen has anti-inflammatory properties, and acetaminophen does not"

"Ibuprofen has anti-inflammatory properties, and acetaminophen does not"

When a client exhibits severe bradycardia, which type of medication will the nurse be prepared to administer? Nitrate Anticholinergic Antihypertensive Cardiac glycoside

Anticholinergic

Which class of medications would the nurse identify as used to reduce tremors caused by lithium therapy? Diuretics Beta blockers Anticholinergics NSAIDs

Beta blockers

Metoprolol is prescribed for a client with hypertension. The nurse monitors the client for which adverse effect? Hirsutism Bradycardia Restlessness Angina

Bradycardia

A client with osteoarthritis reports experiencing painful back muscle spasms. Which medication would the nurse administer? Tramadol Hyaluronate Diclofenac epolamine patch Cyclobenzaprine hydrochloride

Cyclobenzaprine hydrochloride

A beta blocker is prescribed for the client with persistent ventricular tachycardia. Which response indicates that the beta blocker is workign effectively? Decreased anxiety Reduced chest pain Decreased heart rate Increased blood pressure

Decreased heart rate

A client is receiving metoprolol. Which potential effect will the nurse teach the client to expect? Dizziness with strenuous activity Acceleration of the heart rate after eating a heavy meal Flushing sensations after taking the medication Pounding of the heart

Dizziness with strenuous activity

The primary health care provider prescribes an adrenergic agonist to a client with increased intraocular pressure. Which question would the nurse ask the client before administering the medication? Do you take antidepressants? Do you have any respiratory disorders? Do you wear eyeglasses? Do you have allergies to sulfonamides?

Do you take antidepressants?

Neuroleptic malignant syndrome develops in a client taking conventional antipsychotic medication. Which signs and symptoms would the nurse expect? Select all that apply Hyperpyrexia Blurred vision Increased muscle tone Respiratory depression Buccolingual lip-smacking

Hyperpyrexia Increased muscle tone Respiratory depression

A client with depression was prescribed fluoxetine and reports restlessness, confusion, an elevated body temperature, and poor concentration. Which intervention would the nurse anticipate preparing for in the treatment of these signs and symptoms? Withdrawing the medication Administering isocarboxazid Reducing the dose of the medication Informing the client that these are expected side effects

Withdrawing the medication

A client with arthritis takes large doses of aspirin. Which symptom would the nurse include when teaching the client about the clinical manifestations of aspirin toxicity? Feelings of drowsiness Disturbances in hearing Intermittent constipation Metallic taste in the mouth

Disturbances in hearing

Which life-threatening complication may occur in clients taking high-dose or long-term ibuprofen? Anaphylaxis GI bleeding Cardiac dysrhythmia Disulfiram reaction

GI bleeding

The nurse provides care for a Chinese client who is experiencing leg pain. The client states, "I don't want to take any medication that I may get addicted to." Which is the correct nursing intervention in this situation? Give ibuprofen to the client with hot tea Give morphine to the client with hot tea Give ibuprofen to the client with cold water Postpone medication administration to the client

Give ibuprofen to the client with hot tea

A client takes an anti-psychotic medication. When assessing the client for signs and symptoms of psuedoparkinsonism, the nurse will be alert for which complication? Drooling Blurred vision Muscle tremors Photosensitivity

Muscle tremors

A client in the emergency department presents with signs and symptoms indicative of an opioid overdose. Which medication would the nurse anticipate administering? Naloxone Methadone Epinephrine Amphetamine

Naloxone

The nurse understands that haloperidol is most effective for clients who exhibit which type of behavior? Depressed Overactive Withdrawn Manipulative

Overactive

Which portion of the nervous system is primarily responsible for the clinical manifestations that occur during a crisis? Central nervous system Peripheral nervous system Sympathetic nervous system Parasympathetic nervous system

Sympathetic nervous system

Which information would the nurse include when teaching a client with coronary artery disease about aspirin therapy? Select all that apply. Take aspirin with food Report ringing in the ears Monitor and report excessive bleeding and bruising Do not mix aspirin with medications for erectile dysfunction Avoid over-the-counter pain medications that contain aspirin

Take aspirin with food Report ringing in the ears Monitor and report excessive bleeding and bruising Avoid over-the-counter pain medications that contain aspirin

The nurse is teaching a client about tricyclic antidepressants. Which potential side effects would the nurse include? Select all that apply. Dry mouth Drowsiness Constipation Severe hypertension Orthostatic hypotension

Dry mouth Drowsiness Constipation Orthostatic hypertension

A client with rheumatoid arthritis is to begin taking ibuprofen 800 mg by mouth three times a day. The nurse provides education about the medication's side effects. The nurse concludes that the teaching was effective when the client makes which statements? I need to report any dark tarry stools I will need to stop taking this medication before any scheduled surgery I should change positions slowly I will take the medication on an empty stomach I need to stop taking low-dose aspirin while I take this medication

I need to report any dark tarry stools I will need to stop taking this medication before any scheduled surgery

An older client has been prescribed an atypical antipsychotic medication. Which nursing interventions demonstrate that the nurse has determined the client's risk for safety? Select all that apply. Monitoring the pulse for an irregular rhythm Sitting with the client during meals to encourage eating Offering a favorite beverage between meals to maintain hydration Assessing body temperature to determine the possibility of an infection Teaching the client about the importance of taking an anticholinergic medication

Monitoring the pulse for an irregular rhythm Assessing body temperature to determine the possibility of an infection

Which assessment finding for a client who is anxious indicates sympathetic nervous system stimulation? Dry skin Skin pallor Pupil constriction Bradycardia

Skin pallor