Pharm Practice Questions Part II

A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking the warfarin. Which of the following responses should the nurse make?

"Aspirin will increase the risk of bleeding."

A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in the teaching?

"Drink a glass of milk with each dose of medication"

A nurse is providing teaching to a client who has a new prescription for phenytoin. Which of the following statements by the client indicates an understanding of the teaching?

"I should let my dentist know I'm taking this medication."

A nurse is providing teaching to a client about the use of ethinyl estradiol/norelgestromin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching?

"I will fold the sticky sides of the old patch together before disposing it"

A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should identify that which of the following statements by the client indicates understanding of the teachings?

"I will remove the patch after 14 hours."

A nurse is providing discharge instructions to a client who is to self-administer insulin at home. Which of the following client statements should indicate to the nurse that the teaching is effective?

"I will store my unopened bottles of insulin in the refrigerator."

A nurse is teaching a client about cyclobenzaprine. Which of the following clients statements should indicate to the nurse that the teaching is effective?

"I will taper off the medication before discontinuing it."

A nurse is teaching about zolpidem with a client who has insomnia. The nurse should identify that which of the following client statements indicates an understanding of the teaching?

"I will use this medication for a short period of time"

A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instructions should the nurse include in the teaching?

"Rinse your mouth after inhaling the beclomethasone."

A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident reported?

0830

A nurse is caring for the parent of a newborn. The parent asks the nurse when their newborn should receive the first diptheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the parent that their newborn should receive the immunization at which of the following ages?

2 months

A nurse is preparing to administer to a client 0.9% sodium chloride 1,000 mL IV over 8 hours. 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?

31 gtt/min

A nurse is preparing to administer amoxicillin 250 mg PO to a school age child. The amount available is amoxicillin oral suspension 200mg/5mL. How many mL should the nurse administer per dose?

6.3mL

A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives?

Carbamazepine

A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider?

Chest pressure

A nurse is caring for a client reviewing mydriatic eye drops. Which of the following clinical manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect?

Constipation

A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking to docusate sodium on a daily basis can minimize which of the following adverse effects of morphine?

Constipation

A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. Which of the following actions should the nurse take first?

Discontinue the medication IV infusion

A nurse is reviewing the medication record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

Decrease in level of thyroid stimulating hormone (TSH)

A nurse is preparing to administer medications to a client who tells the nurse, "I don't want to take my fluid pill until I get home today." Which of the following actions should the nurse take?

Document the refusal and inform the client's provider

A nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching?

Drink 8-10 glasses of water daily

A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. Which of the following symptoms should the nurse tell the client to expect?

Dry mouth, blurred vision, dry eyes

A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medications should the nurse anticipate administering?

Flumazenil

A nurse is assessing a client's vital signs prior to administration of PO digoxin. The client's BP is 144/86 mmHg, HR 55/min, and RR is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings?

Heart rate

A nurse in a provider's office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately?

Hyperventilation

A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hours instead of over 8 hours as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident?

IV fluid infused over 4 hour instead of the prescribed 8 hours. Client tolerated fluids well, provider notified.

A nurse is assessing a client who is taking propylthiouracil for the treatment of Grave's disease. Which of the following findings should the nurse identify as an indication that the medication has been effective?

Increase in ability to focus.

A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the following findings should the nurse identify as an adverse effect of the medication?

Insomnia

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?

Insomnia, tachycardia, or hyperthermia

A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect?

Miosis

A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer?

Naloxone

A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for the treatment of histoplasmosis. Which of the following findings should the nurse identify as an adverse reaction to the medication?

Oliguria

A nurse is providing teaching for a patient who has a new prescription for ferrous sulfate. The nurse should instruct the client to take the medication with which of the following to promote absorption?

Orange Juice

A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious. Which of the following actions should the nurse take first?

Perform a capillary blood glucose test.

A nurse is teaching a client who is to start taking temazepam. Which of the following instructions should the nurse include?

Plan to withdraw from the medication gradually

A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance?

Prednisone

A nurse is caring for a 20-year-old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advice the client that which of the following tests is required?

Pregnancy test

A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication?

Sexual dysfunction

A nurse is providing teaching to a client who has a prescription for an MAOI inhibitor. Which of the following foods should the nurse instruct the client to avoid while taking this medication?

Smoked sausage

A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick. Which of the following information should the nurse include in the teaching?

Store unused medication sticks in a storage container

A nurse is caring for a client who is taking atenolol. Which of the following findings should indicate to the nurse that the medication is effective?

The client has a decrease in blood pressure

A nurse is assessing a client who is postoperative following an outpatient endoscopy procedure using midazolam. The nurse should monitor for which of the following findings as an indication that the client is ready for discharge?

The client's capnography has returned to baseline.

A nurse is caring for a client who is taking acetazolamide for chronic open-angled glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report?

Tingling of fingers

A nurse is providing teaching about adverse effects of clindamycin to a client. Which of the following findings should the nurse instruct the client to report to the provider?

Watery diarrhea

A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately?

Dyspnea (labored breathing)