pharm quiz

A patient who has diabetes is prescribed corticosteroids. The nurse will need to teach the patient that their glucose levels will likely

increase

The client has been taking omeprazole (Prilosec) for 4 weeks. The ambulatory care nurse evaluates that the client is receiving optimal intended effect of the medication if the client reports the absence of which symptom?

Heartburn.

A nurse is preparing to administer Calcitriol to a patient. The nurse should hold the medication and call the provider if the patient says which of the following?

"My jaw pain kept me up last night"

The health care provider has prescribed alendronate (Fosamax) for the patient. Which one of the following should the nurse include in discharge teaching?

"Take alendronate first thing in the morning with a full glass of water."

A patient taking Levothyroxine asks the nurse how long he will need to take the medication. What is the best response from the nurse?

"You'll likely need to take this medication for the rest of your life"

A patient asks why calcium is important. How should the nurse respond? (select all that apply)

-Calcium is needed to keep the nervous system working properly -Calcium is needed for the body to make the muscles move

The client diagnosed with hypothyroidism and is taking the thyroid hormone levothyroxine (Synthroid). Which data indicates the medication is effective?

The client's apical pulse is 84 and the blood pressure is 124/78 mm/Hg.

In the administration of a drug such as levothyroxine (Synthroid), the nurse should teach the client:

To report weight loss, anxiety, insomnia, and palpitations.

A patient who is taking short term corticosteroids tells her provider that she is scheduled to have a test for fecal occult blood. The provider will likely say

Wait until you've been off the corticosteroids for a couple of weeks before taking the test.

A man with an acute gouty flare-up is taking allopurinol (Zyloprim). Which of the following subjective statements indicates that he has developed uric acid kidney stones?

"I have excruciating pain in my lower abdomen."

The nurse instructs a client with diarrhea on the antidiarrheal medication diphenoxylate with atropine (Lomotil). Which client statement indicates that teaching about this medication has been effective? (Select all that Apply).

-"I should not drink any alcohol when I am taking this medication." -"I should not drive while taking this medication."

A nurse is preparing to administer adalimumab (Humira) to a patient. The nurse would notify the provider if the patient revealed which of the following. (select all that apply)

A history of TB History of glaucoma

What medications would the nurse expect to see prescribed for a patient who is diagnosed with a peptic ulcer due to H. Pylori?

An antibiotic, an acid reducer and a mucosal protectant

When a client complains of pain accompanying a peptic ulcer, why should an antacid be given?

Antacids neutralize hydrochloric acid (HCl) and reduce pepsin activity.

The nurse who is planning care for a client with GERD anticipates that the health care provider will order medications from which drug class?

Antacids. Proton pump inhibitors. H2-receptor antagonist.

Which disease is characterized by increased body metabolism, tachycardia, increased body temperature, and anxiety and treated with Prophylthiouracil(PTU)?

B. Graves' disease.

A client is prescribed colchicine (Colcrys) for gout. The nurse discusses possible common adverse effects of this therapy, including: (Select all that apply.)

Diarrhea. Constipation. Abdominal pain. Nausea and vomiting.

A client who is taking levothyroxine (Synthroid) begins to develop weight loss, diarrhea, and intolerance. The nurse should be aware that this might be an indication of what hormonal condition?

Hyperthyroidism.

The client has a PRN prescription for ondansetron (Zofran). For which condition should this medication be administered to the postoperative client?

Nausea and vomiting.

The nurse is caring for a patient who takes alendronate (Fosamax). Which adverse effects should the nurse observe for?

Esophagitis.

A physician has prescribed propylthiouracil (PTU) for a client with hyperthyroidism and the nurse develops a plan of care for the client. A priority nursing assessment to be included in the plan regarding this medication is to assess for:

-Signs and symptoms of hypothyroidism. -Signs and symptoms of hypothyroidism.

Myxedema, which includes fatigue, general weakness, and muscle cramps, is a symptom of which endocrine disorder treated with levothyroxine(Synthroid)?

Hypothyroidism.

The nurse is planning to administer omperazole (Prilosec). What is a primary intervention regarding the administration of this medication?

Administer the medication at least 1 hour before the client's largest meal of the

A nurse concludes that docusate sodium (Colace) is appropriate for use in which of the following patients? (select all that apply)

B. A client trying with painful hemorrhoids C. A postoperative patient D. A patient who experienced a myocardial infarction 24 hours ago

A nurse reinforces instructions to a client who is taking levothyroxine (Synthroid). The nurse tells the client to take the medication:

Before breakfast on an empty stomach.

A patient with hyperthyroidism is taking propylthiouracil (PTU). The nurse will monitor the patient for:

Fever and sore throat.

A 25-year-old client taking hydroxychloroquine (Plaquenil) for rheumatoid arthritis reports difficulty seeing out of her left eye. Correct interpretation of this assessment finding indicates which of the following?

Possible retinal degeneration.

A patient is prescribed a disease-modifying antirheumatic drug. What will the nurse explain as the pharmacotherapeutic goal for this medication.

Reduces damage and delays disease progession

In the administration of a drug such as levothyroxine (Synthroid), the nurse must teach the client: (Select all that Apply.)

Report weight loss, anxiety, insomnia, and palpitations. Periodic lab tests for TSH, T3/T4 levels are required. Full therapeutic effects could take several weeks or longer.

A healthy adult client has been taking a laxative for 3 days per week for 9 months. Which of the following nursing diagnosis would be relevant for this patient? (select all that apply)

Risk for electrolyte imbalance Risk of fluid imbalance Risk for electrolyte imbalance Risk of fluid imbalance

A patient is prescribed Zofran (ondansetron). The nurse notes that the patient is also taking a selective serotonin reuptake inhibitor (SSRI) antidepressant. The nurse notes that the patient could be at risk for

Serotonin syndrome

In the administration of long-term hydrocortisone P.O, it is vital that the nurse recognize that this drug might mask which symptoms?

Signs and symptoms of infection.

A client is taking ranitidine (Zantac), a H2 antagonist. The nurse who is teaching the client about this drug should include which information?

Smoking should be avoided while taking this drug.

A parent tells the nurse that he is concerned that his son has a moon face since he started taking oral hydrocortisone for Addison's Disease. What is the nurses best response?

Stop the medication immediatley."

Which medication is the safest for use during pregnancy?

Synthyroid

What should a client receiving lifelong therapy with corticosteroids (hydrocortisone) be instructed to report immediately to the health care provider?

Weight gain of over 2 lbs in one day.

A patient reports abdominal pain over several days. The patient says, "I think I'm just constipated." What assessment question would the nurse ask next?

When was your last bowel movement?

A histamine (H2)-receptor antagonist will be prescribed for a client. The nurse understands that which medication is a H2-receptor antagonists?

ranitidine (Zantac).