Pharm pt 2

A nurse is caring for a client who is receiving heparin by continuous IV infusion. The client begins vomiting blood. After the heparin has been stopped, which of the following medications should the nurse prepare to administer?

Protamine Sulfate

Its important to encourage clients to eat eggs, cheese, fish and chicken when taking this antiulcer drug?

Ranitidine

The common side effects of ACE inhibitors include:

Rebound hypertension, angioedema, first-dose hypotension

A nurse is teaching a client who has a new prescription for dextromethorphan to suppress a cough. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication?

Sedation

The treatment plan for upper respiratory infections is to treat using what?

Single agent medications

This diuretic works by promoting sodium and water retention and potassium retention.

Spironolactone

A nurse is providing teaching to a client who is starting simvastatin. Which of the following information should the nurse include in the teaching?

Take this medication in the evening.

This bronchodilator can cause tachycardia and dysthymias?

Theophylline

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

This medication decreases the production of gastric acid.

True or False: Patient taking digoxin can complain of nausea, vomiting, fatigue and vision changes.

True

This drug should not be given with grapefruit juice.

Verampamil

A nurse is planning to administer a first dose of captopril to a client who has hypertension. Which of the following medications can intensify first dose hypotension? (Select all that apply.)

Hydrochlorothiazide, Clonidine, Aliskiren

A nurse is monitoring a client who is receiving epoetin alfa for adverse effects. The nurse should identify which of the following findings as an adverse effect of this medication?

Hypertension

Potassium serum levels will increase/decrease when administering ACE inhibitors and/or angiotensin II blockers?

Increase

A nurse is teaching a client who has a new prescription for verapamil to control hypertension. Which of the following instructions should the nurse include?

Increase the amount of fiber and fluid in the diet.

A nurse is planning to administer subcutaneous enoxaparin 40 mg using a prefilled syringe of enoxaparin 40 mg/0.4 mL to an adult client following hip arthroplasty. Which of the following actions should the nurse plan to take?

Insert the needle completely into the client's tissue

A nurse is collecting data from a client who is taking gemfibrozil. Which of the following assessment findings should the nurse identify as an adverse effect of this medication?

Jaundice

A nurse is caring for a client who has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurse should assess the client for which of the following manifestations as an adverse effect of this medication?

Nasal congestion

A client reports not having a bowel movement for 3 days. What is the nursing priority intervention?

Obtain abdominal x-ray

A nurse is planning to administer IV alteplase to a client. Which of the following interventions should the nurse plan to take?

Obtain the client's actual weight.

Your client complains of bone pain. Which drugs is most likely to cause osteoporosis?

Omeprazole

A nurse is caring for a client who is receiving daily doses of oprelvekin. Which of the following laboratory values should the nurse monitor to determine effectiveness of this medication?

Platelet count

A nurse in a provider's office is monitoring blood electrolytes for four clients who take digoxin. Which of the following electrolyte values increases a client's risk for digoxin toxicity?

Potassium 3.2 mEq/L

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

"Rinse your mouth after each use of this medication."

A nurse is evaluating a group of clients at a health fair to identify the need for folic acid therapy. Which of the following clients require folic acid therapy? (Select all that apply.)

24 year old female who has no health problems, 55-year old female who has alcohol use disorder

Your client tells you they don't like taking their ACE inhibitor because it makes them use the bathroom all the time? What are the risks of untreated hypertension?

Heart disease, kidney disease, strokes

A nurse is completing a nursing history for a client who takes simvastatin. The nurse should identify which of the following disorders as a contraindication to adding ezetimibe to the client's medications?

Active hepatitis C

A client who is post-op from a hip fracture is taking morphine 2 mg every 4 hour for pain. What is the nurse's priority intervention?

Administer Methylcellulose

What medication can be given for a productive cough?

Guaifenesin

A nurse is providing instructions to a client who has a new prescription for albuterol and beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in the teaching?

Administer the albuterol inhaler prior to using the beclomethasone inhaler.

Your patient has a history of asthma and is complaining of shallow breathing, she has diminished lung sounds and upper lobe wheezes. What do you plan to administer?

Albuterol

A nurse is teaching a client who takes phenytoin and has a new prescription for sucralfate. Which of the following instructions should the nurse include?

Allow a 2hr interval between these medications

What medication should be given to a client who has ventricular tachycardia and a pulse?

Amiodarone

We treat the common cold with what category of drugs?

Antiviral

A nurse is planning care for a client who is receiving furosemide IV for peripheral edema. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

Assess for tinnitus, Monitor blood potassium levels, Elevate the head of bed slowly before ambulation, Recommend eating a banana daily

A nurse is preparing to administer propranolol to a client who has a dysrhythmia. Which of the following actions should the nurse plan to take?

Assist the client when sitting up or standing after taking this medication

A nurse is reviewing the health record of a client who asks about using propranolol to treat hypertension. The nurse should recognize which of the following conditions is a contraindication for taking propranolol?

Asthma

What medication should be given for a harsh/dry cough?

Benzonatete

A nurse is monitoring a client who is receiving spironolactone. Which of the following findings should the nurse report to the provider?

Blood potassium 5.2 mEq/L

A nurse is planning to administer ondansetron to a client. For which of the following adverse effects of ondansetron should the nurse monitor? (Select all that apply.)

Headache, Diarrhea, Prolonged QT interval

The common side effects for calcium channel blockers include:

Constipation, dizziness, facial flushing, peripheral edema

A nurse is teaching a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include in the teaching?

Contact provider if heart rate is less than 60/min

Potassium serum levels will increase or decrease when administering furosemide?

Decrease

Your client complains of nausea. The nurse administers metoclopramide, what common adverse effect would the nurse expect?

Diarrhea

This cardiac drug increases BP and decreases HR?

Digoxin

A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? (Select all that apply.)

Dry mouth, Drowsiness, Urinary retention

True or false: The treatment for AFIB is to return your heart to a normal sinus rhythm.

False

This antihistamine drug does not cause drowsiness?

Fexofenadine

This diuretic works by inhibiting reabsorption of sodium and chloride within the nephron preventing water reabsorption.

Furosemide

A nurse is teaching a client who has a prescription for longterm use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication?

Weight gain