Pharm Practice Predictor B

A nurse is caring for a client who has a 10-year history of alcohol use disorder and is experiencing acute alcohol withdrawal. The nurse should identify which of the following interventions is priority?

Implement seizure precautions

A nurse is caring for a client who has schizophrenia and is to start therapy with risperidone. Which of the following manifestations should the nurse monitor to determine whether the treatment is effective?

Improved social interactions

This is reinforcing teaching with a client who has a new prescription for vitamin B 12 internasal the tree malabsorption syndrome. Which of the following instruction should the nurse include in the teaching?

"Massage your nose gently after medication administration."

A nurse is caring for a client who has genital herpes. Which of the following medication should the nurse expect?

Acyclovir

A nurse is caring for a client who is having an acute asthma attack. Which of the following medications should the nurse administer first?

Albuterol

A nurse is monitoring a client who is to our postop and a prescription for opioid analgesics. Which of the following actions provides the nurse with the priority data to determine the clients need for analgesia?

Ask the client to rate their pain level

A nurse is collecting data from a client who has been taking levodopa/carbidopa. Which of the following findings should indicate to the nurse the medication is effective?

The client is able to wash their face

A nurse is reinforcing teaching with a client who has type one diabetes mellitus and is learning to self administer NPH insulin. Which of the following actions indicates an understanding of the teaching?

The client wipes the cap with alcohol prior to filling the syringe

A nurse is reinforcing dietary teaching with a client who has a new prescription for PHENELZINE. Which of the following foods should the nurse include in the teaching as an appropriate food choice?

Yogurt

A nurse is evaluating a client who is receiving amphotericin B via intermittent IV bolus. Which of the following findings indicate an adverse reaction to this medication?

Hypotension

A nurse is caring for a client who is taking the high disulfiram & consumed alcohol 12 hr ago. Which of the following adverse reactions is the priority finding to report to the provider?

Respiratory depression

A nurse is reinforcing teaching with a client who has a new prescription for timolol eye drops to treat glaucoma. Which of the following client statements indicates an understanding of the teaching?

"I will look up when putting the medication into my eyes."

A nurse is reinforcing discharge teaching with a client who has a prescription for a metered dose inhaler. Which of the following information should the nurse include in the teaching?

"Take a slow, deep breath lasting 3 to 5 seconds after releasing the medication."

A nurse on a MedSurg unit is preparing to administer medication to a client. Which of the following question should the nurse asked the client to verify the client's identity?

"What is your phone number?"

Nurse is caring for a client who is receiving methylprednisolone. Which of the following lab values should the nurse plan to monitor?

- white blood cell count - serum potassium - blood glucose

A nurse is collecting data prior to administering the dogs in to the client. For which of the following findings should the nurse with all the medication?

Apical pulse 52/min

A nurse is collecting data from a client who has bacterial pneumonia and is taking ceftriaxone. Which of the following findings indicate a therapeutic effect of the medication?

Clear,bilateral breath sounds

A nurse is reviewing the medication administration record for a client who has a history of Stevens Johnson syndrome when taking SULFAMETHOXAZOLE - TRAIMETHOPRIM. Which of the following medication should the nurse identify as contraindicated for this patient?

Furosemide

A nurse is monitoring a client who has been receiving long-term hydrochlorothiazide therapy for recurrent episodes of heart failure. Which of the following findings should the nurse identify as an adverse effect of this medication?

Hypokalemia

A nurse is collecting data from a client who is taking Tobramycin. Which of the following findings should the nurse report to the provider immediately?

Oliguria

A nurse is reinforcing teaching with a client who has a new prescription for fluticasone inhaler. What are the following client statements indicates an understanding of the teaching?

"I will rinse my mouth after I use this inhaler."

A nurse is reinforcing teaching with a client who is to start therapy with a nitroglycerin transdermal patch. Which of the following statements by the client indicates an understanding of the teaching?

"While using the patch, I will be careful when rising from a chair."

A nurse is reinforcing teaching with a client with type two diabetes Mellitus about adverse affects of metformin. The nurse should instruct the client to monitor which of the following findings as manifestations of lactic acidosis? Select all that apply

- muscle pain - hyperventilation - dizzinesss

A nurse is preparing to administer CEFAZOLIN 1 g in 100 mL 0.9% sodium chloride to infuse over 30 min. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

50 gtt/min

A nurse is collecting data from a client who is taking exenatide to treat diabetes mellitus. For which of the following findings should the nurse withhold the exenatide dose and notify the provider immediately?

Abdominal pain

A nurse is reinforcing teaching with a client who experiences migraine headaches and has a new prescription for sumatriptan. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication?

Chest tightness

A nurse performing the third check before administering Hydromorphone to a client. After opening the unit does the packet, the client tells the nurse they do not want to take this medication now. What are the following actions should the nurse take?

Dispose of the medication with a second nurse as a witness

A nurse is reinforcing teaching with a client who is receiving enalapril 20 mg PO daily. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?

Dry cough

A nurse in a community health clinic is preparing to administer the varicella vaccine to a young adult female client who has not previously had chickenpox or its vaccine. The nurse should withhold the vaccine additional data when the client makes which of the following statements?

"I am allergic to neomycin."

A nurse is reinforcing teaching with a client who has a prescription for scopolamine transdermal patches to prevent motion sickness. Which of the following statements by the client indicates an understanding of the teaching?

"I should place the patch behind my ear."

A client who has terminal cancer reports pain as 5 on a scale of 0 to 10. The client has a prescription for morphine 15 mg orally every four hr. The clients adult children expressed concern that the client is receiving too much of the medication. What a clown responses to the nurse make?

"The dose should remain constant to prevent breakthrough pain."

A nurse is preparing to administer PHENOBARBITAL 3 mg/kg PO twice a day to a school age child who weighs 44 lbs. Available is Phenobarbital ELIXIR 20 mg per 5 mL. How many milliliters should the nurse plan to administer per dose?

15 mL/dose

A nurse is reviewing the medical record of a client who has a new prescription for dimenhydrinate to treat motion sickness. Which of the following conditions in the clients medical record should a nurse report to the provider?

Benign prostatic hyperplasia

A nurse is reviewing your clients med history before administering hydromorphone for postop pain. The nurse should notify the provider of which of the following findings before administering this medication?

Benign prostatic hyperplasia

A nurse is collecting data from a client who is taking oral amoxicillin to treat a respiratory infection. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication?

Diarrhea

A nurse erroneously administered zolpidem to the wrong client. Which is only action should the nurse take?

Document the notification of the clients provider

A nurse is collecting data from a client who has multiple sclerosis and a new prescription for baclofen. Which of the following findings should the nurse identify as an adverse effect of this medication?

Drowsiness

A nurse is caring for a client who has a new prescription for RISPERIDONE to manage schizophrenia. Which of the following lab test should the nurse plan to obtain prior to administering the first dose?

Fasting blood glucose level

A nurse is reviewing the medication administration record for a client who has a new prescription for tobramycin to treat a pulmonary infection. Which of the following medications should the nurse identify as increasing the risk for ototoxicity while taking tobramycin?

Furosemide

Nurse is collecting data for a client who has angina and a new prescription for sublingual in NITROGLYCERIN. Which of the following manifestations should the nurse expect as an adverse effect of this medication?

Headache

A nurse is assisting with collecting data for a client who is in preterm labor and receiving magnesium sulfate be a continuous IV infusion. Which of the following findings should the nurse identify as an indication of magnesium toxicity?

Hyporeflexia

A nurse is reinforcing teaching with a client who has recently began taking furosemide. Which of the following instruction should the nurse include in the teaching?

Increase dietary potassium while taking this medication

A nurse is reinforcing teaching with a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse include in the teaching?

Increase fluid intake

Nurse is caring for a client who has kidney failure and has been taking epoetin. Which of the following is a therapeutic effect of this medication?

Increased Hgb

A nurse in a providers office is reviewing the immunization records of a 12 month year old infant who is immunocompromise. Which of the following vaccines should the nurse identify as contraindicated for this client?

Measles, mumps, and rubella (MMR)

A nurse is reinforcing teaching with a client who is newly diagnosed with hypertension and is taking metoprolol. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication?

Peripheral edema

A nurse is collecting data from a client who received morphine IV for pain relief. Which of the following findings is the nurses priority to report to the provider?

Respiratory rate 11/min

A nurse is collecting data from a client who is taking lithium to treat bipolar disorder. Which of the following findings should the nurse report to the provider?

Slurred speech

A nurse is collecting data from a client who has hypothyroidism and a new prescription for propylthiouacil. The nurse should monitor the client for which is fine manifestations as an adverse effect of this medication?

Sore throat

A nurse is collecting data from a client who has been taking digoxin for one month. The nurse should identify which of the following findings as a manifestation of digoxin toxicity?

Vomiting