Pharm Practice Set 2

A nurse is teaching a client who have a new prescription for docusate. Which of the following information should the nurse include in the teaching?

"Take the medication with a full glass of water"

A nurse is preparing to titrate morphine 6 mg via IV bolus to a client. The amount available is morphine 8 mg/mL. How many mL should the nurse administer per dose?

0.75 mL

A nurse is caring for a client who has developed gout. Which of the following medications should the nurse prepare to administer?

Allopurinol

A nurse is providing teaching to a client who takes opioid pain medication and has a newprescription for docusate sodium. Which of the following statements by the client indicatesan understanding of the teaching?

It might take up to 3 days for the medication to work.

A hospice nurse is caring for a client who has terminal cancer and take PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

The client developed a tolerance to the medication.

a nurse is teaching a client who reports taking ginkgo biloba to improve his memory. which of the following adverse effects should the nurse include?

bleeding gums

a nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication?

Jaundice

A nurse is preparing to administer nalbuphine to a postoperative client who is experiencing pain. The nurse should monitor the client for which of the following potential adverse effects of this medication?

Miosis

A nurse is caring for a client who reports taking bisacodyl (Ducolax) to promote a daily bowel movement. Which of the following should be the nurse's priority response?

"How long have you been taking the Ducolax?"

A nurse is caring for a client who is taking naproxen (Naprosyn) following an exacerbation of rheumatoid arthritis. Which of the following comments by the client requires further discussion by the nurse?

"I've been buying Tagamet to help with the indigestion I've had."

A nurse is caring for a client who has a prescription for diphenhydramine (Benadryl) to relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following is an appropriate response by the nurse?

"Take most of the daily dose at bedtime."

A nurse is caring for a newborn who has respiratory depression. Which of the following medications should the nurse anticipate administering?

Naloxone

A charge nurse is supervising a newly licensed nurse provide care for a client who has a PCA pump. Which of the following statements made by the nurse requires further action by the charge nurse?

"I discarded the remaining 2 milligrams of morphine from the PCA pump. Please document that you witnessed it."

A nurse is teaching a client who has a new prescription for codeine. Which of the following instructions should the nurse include in the teaching?

"You should change positions slowly."

A nurse is preparing to administer hydromorphone 2.5 mg. The amount available is 5 mg/5mL elixir. How many mL should the nurse administer?

2.5 mL

The nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 4 hr as needed. The amount available is diphenhydramine elixir 12.5 mg/5mL. How many mL should the nurse administer per dose?

10 mL

A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include?

Drink 2 to 3 L of water per day while on the medication

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

Drink 2 to 3 L of water per day.

A nurse is assessing a client who reports acute pain. The nurse should anticipate which of the following findings?

Increased heart rate

A nurse is monitoring a client who took an overdose of acetaminophen 72 hr ago. the nurse should identify which of the following findings as a manifestation of acetaminophen poisoning?

Vomiting

A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse effect of this medication?

sedation

A nurse is reinforcing teaching with a client who has a new prescription for colchicineorally to treat gout. The nurse should inform the client that which of the following findingsis an adverse effect of colchicine?

Diarrhea

A nurse is preparing to administer Ringer's lactate by continuous IV infusion at 120 mL/hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

120 ggt/min

A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. THe nurse should inform the client that which of the following is a therapeutic effect of the medication?

Decreases inflammation

The nurse is preparing to administer morphine IV to a client. Which of the following medications should the nurse plan to have available?

Naloxone

A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain.Which of the following instructions should the nurse include in the teaching?

Take the medication with food.

A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication?

Bleeding

A nurse is assessing a client prior to the administration of morphine. The nurse should recognize that which of the following assessments is the priority?

Respiratory Rate

A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include?

"Monitor for muscle pain."

A nurse is caring for a client who has poison ivy and dermatitis and is started on diphenhydramine (Benadryl). Which of the following nursing recommendations is appropriate for decreasing the dry mouth associated with the use of diphenhydramine?

"Chew on sugarless gum or suck on hard, sour candies."

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

"I need to increase my fluid intake while taking this medication."

A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose?

0.3 mL

A nurse is teaching a client who is in her first trimester of pregnancy about over-the-counter medications that are a pregnancy risk category B. Which of the following medications should the nurse include?

Acetaminophen

a nurse is teaching a client who has a new prescription for aspirin to prevent cardiovascular disease. which of the following instructions should the nurse include in the teaching?

Monitor for tinnitus

A nurse is teaching a class about medication reconciliation. Which of the following information should the nurse include in the teaching?

Provide a list of the client's current medications during admission to a health care facility.

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose?

0.5 tablet(s)

A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. The client is prescribed phenytoin 250 mg. The amount available is phenytoin oral solution 25mg/5mL. How many mL should the nurse administer per dose?

50 mL

A nurse is reviewing the medical record of a client who reports drinking 3-4 glasses of wineper night and taking 3,000 mg of acetaminophen daily. Which of the following lab values isthe priority for the nurse to assess?

Aspartate aminotransferase (AST)

a nurse is instructing the parents of a client who has a new prescription for methylphenidate. which of the following instructions should the nurse include?

Avoid activities that require alertness such as driving.

A nurse in a provider's clinic is assessing a client who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?

Check the value of the client's current platelet count