Pharmacology ATI
A nurse is teaching a client who has tobacco use disorder about nicotine replacement therapy. Which of the following statements by the client indicates understanding of the teaching? A. "I should avoid eating right before I chew a piece of nicotine gum." B. "I will need to stop using the nicotine gum after 1 year." C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant." D. "I must chew the nicotine gum quickly for about 15 minutes."
"I should avoid eating right before I chew a piece of nicotine gum."
A nurse is providing discharge instructions for a client who has a new prescription for an antihypertensive medication. Which of the following statements should the nurse give? A. "Be sure to limit your potassium intake while taking the medication." B. "You should check your blood pressure every 8 hours while taking this medication." C. "Your medication dosage will be increased if you develop tachycardia." D. "Change positions slowly when you move from sitting to standing."
D. "Change positions slowly when you move from sitting to standing."
A nurse is providing teaching to a client who has a urinary tract infection and new prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching? A. "If the phenazopyridine upsets my stomach, I can take it with meals." B. "The phenazopyridine will relieve my discomfort, but the ciprofloxacin will get rid of the infection." C. "I need to drink 2 liters of fluid per day while I am taking the ciprofloxacin." D. "I should notify my provider immediately if my urine turns an orange color."
D. "I should notify my provider immediately if my urine turns an orange color."
A nurse is teaching a client who is taking digoxin and has a new prescription for colesevelam. Which of the following instructions should the nurse include in the teaching? A. "Take digoxin with your morning dose of colesevelam." B. "Your sodium and potassium levels will be monitored periodically while taking colesevelam." C. "Watch for bleeding or bruising while taking colesevelam." D. "Take colesevelam with food and at least one glass of water."
D. "Take colesevelam with food and at least one glass of water."
A nurse is preparing to administer digoxin to a client who states, "I don't want to take that medication. I do not want one more pill." Which of the following responses should the nurse make? A. "Your physician prescribed it for so you really should take it." B. "Well, let's just get it over quickly then." you, C. "Okay, I'll just give you your other medications." D. "Tell me your concerns about taking this medication."
D. "Tell me your concerns about taking this medication."
A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer? A. Ibuprofen B. Naproxen C. Aspirin D. Acetaminophen
D. Acetaminophen
A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effects? A. Ecchymosis B. Decreased urine output C. Increased blood pressure D. Dizziness
D. Dizziness
A nurse is reviewing the medical record of a client who reports urinary incontinence and asks about a prescription for oxybutynin. The nurse should recognize that oxybutynin is contraindicated in the presence of which of the following conditions? A. Bursitis B. Sinusitis C. Depression D. Glaucoma
D. Glaucoma
A nurse is caring for a client who is prescribed isosorbide mononitrate for chronic stable angina and develops reflex tachycardia. Which of the following medications should the nurse expect to administer? A. Furosemide B. Captopril C. Ranolazine D. Metoprolol
D. Metoprolol
A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from opioid use and has a new prescription for clonidine. Which of the following actions should the nurse identify as the priority? A. Administer the clonidine on the prescribed schedule. B. Provide ice chips at the client's bedside. C. Educate the client on the effects of clonidine. D. Obtain baseline vital signs.
D. Obtain baseline vital signs
A nurse is assessing a client who is taking digoxin to treat heart failure. Which of the following findings is a manifestation of digoxin toxicity? A. Bruising B. Report of metallic taste C. Muscle pain D. Report of anorexia
D. Report of anorexia
A nurse is caring for a client who is to undergo a surgical procedure. Which of the following preexisting conditions can be a contraindication for the use of ketamine as an intravenous anesthetic? A. Peptic ulcer disease B. Breast cancer C. Diabetes mellitus D. Schizophrenia
D. Schizophrenia
A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects? A. Hypotension B. Hyperthermia C. Hypoglycemia D. Tachycardia
D. Tachycardia
A nurse is teaching about the use of medical marijuana with a group of newly licensed nurses. Which of the following statements indicates an understanding of the teaching? A. A health care provider must write a prescription for medical marijuana. B. Medical marijuana is a Schedule V controlled substance in the United States. C. Pharmacies must obtain certification prior to dispensing medical marijuana. D. The FDA does not recognize the marijuana plant as a form of medicine.
D. The FDA does not recognize the marijuana plant as a form of medicine.
A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to perform prior to starting the client on this medication? Hearing examination Glucose tolerance test Electrocardiogram Pulmonary function tests
Electrocardiogram
A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects? Nausea Metallic taste Fever Drowsiness
Fever
A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid stimulating hormone (TSH) level and a decreased total T3 and T4 level. The nurse should anticipate a prescription for which of the following medications? Methimazole Somatropin Levothyroxine Propylthiouraci
Levothyroxine
A nurse is caring for a client who is at 28 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? Oxytocin Nifedipine Dinoprostone Misoprostol
Nifedipine
A nurse is assessing a client who is receiving IV gentamicin three times daily. Which of the following findings indicates that the client is experiencing an adverse effect of this medication? Hypoglycemia Proteinuria Nasal congestion Visual disturbances
Proteinuria
A nurse is providing teaching to a client who has cirrhosis and a new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects? Increases blood pressure Prevents esophageal bleeding Decreases heart rate Reduces ammonia levels
Reduces ammonia levels
A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? a. one b. two c. three d. four
a. one
A nurse is providing teaching to a client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching? "Take hydrochlorothiazide as needed for edema." "Check your weight once each week." "Take the hydrochlorothiazide on an empty stomach." "Take the hydrochlorothiazide in the morning."
"Take the hydrochlorothiazide in the morning."
A nurse is preparing to administer heparin 8,000 units subcutaneously every 8hr. Available is heparin 10,000 units/1mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
0.8 mL
A nurse is preparing to administer an enteral tube feeding through an NG tube at 250 mL over 4 hr. The nurse should set the pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
63 mL/hr
A nurse is teaching a client who has obsessive-compulsive disorder and has a new prescription for paroxetine. Which of the following instructions should the nurse include? A. "It can take several weeks before you feel like the medication is helping." B. "Take the medication just before bedtime to promote sleep." C. "You should take the medication when needed for obsessive urges." D. "Monitor for weight gain while taking this medication."
A. "It can take several weeks before you feel like the medication is helping."
A nurse is providing instructions to a client who has a new prescription for zolpidem. Which of the following instructions should the nurse include? A. "Notify the provider if you plan to become pregnant." B. "Take the medication 1hr before you plan to go to sleep." C. "Allow at least 6hr for sleep when taking zolpidem." D. "To increase the effectiveness of zolpidem, take it with a bedtime snack."
A. "Notify the provider if you plan to become pregnant."
A nurse is teaching a client who has angina how to use nitroglycerin transdermal ointment. The nurse should include which of the following instructions? A. "Remove the prior dose before applying a new dose." B. "Rub the ointment directly into your skin until it is no longer visible." C. "Cover the applied ointment with a clean gauze pad." D. "Apply the ointment to the same skin area each time.
A. "Remove the prior dose before applying a new dose."
A nurse is reviewing a new prescription for oxcarbazepine with a client who has partial seizures. Which of the following instructions should the nurse include? (Select all that apply.) A. "Use caution if given a prescription for a diuretic medication." B. "Consider using an alternate form of contraception if you are using oral contraceptives." C. "Chew gum to increase saliva production." D. "Avoid driving until you see how the medication affects you." E. "Notify your provider if you develop a skin rash."
A. "Use caution if given a prescription for a diuretic medication." B. "Consider using an alternate form of contraception if you are using oral contraceptives." D. "Avoid driving until you see how the medication affects you." E. "Notify your provider if you develop a skin rash."
A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? A. Amantadine B. Bupropion C. Phenelzine D. Hydroxyzine
A. Amantadine
A nurse is teaching the guardians and their school-age child about a new prescription for lisdexamfetamine. Which of the following information should the include in the teaching? (Select all that apply.) A. An adverse effect of this medication is CNS stimulation. B. Administer the medication before bedtime. C. Monitor blood pressure while taking this medication. D. Therapeutic effects of this medication will take 1 to 3 weeks to fully develop. E. This medication raises the levels of dopamine in the brain.
A. An adverse effect of this medication is CNS stimulation. C. Monitor blood pressure while taking this medication. E. This medication raises the levels of dopamine in the brain.
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? A. Asthma B. Glaucoma C. Hypertension D. Tachycardia
A. Asthma
A nurse is caring for a client who received IV verapamil to treat supraventricular tachycardia (SVT). The client's pulse rate is now 98 / min and the blood pressure is 74/44 mg Hg. The nurse should expect a prescription for which of the following IV medications? A. Calcium gluconate B. Sodium bicarbonate C. Potassium chloride D. Magnesium sulfate
A. Calcium gluconate
A nurse is caring for a client who takes paroxetine to treat posttraumatic stress disorder and reports that they grind their teeth during the night. The nurse should identify which of the following interventions to manage bruxism? (Select all that apply.) A. Concurrent administration of buspirone B. Administration of a different SSRI C. Use of a mouth guard D. Changing to a different class of antidepressant medication E. Increasing the dose of paroxetine
A. Concurrent administration of buspirone C. Use of a mouth guard D. Changing to a different class of antidepressant medication
A nurse is taking a medication history from a client who has angina and is to begin taking ranolazine. The nurse should report which of the following medications in the client's history that can interact with ranolazine? (Select all that apply.) A. Digoxin B. Simvastatin od C. Verapamil D. Amlodipine E. Nitroglycerin transdermal patch
A. Digoxin B. Simvastatin od C. Verapamil
A nurse is providing teaching to a client who has a new prescription for digoxin. The nurse should instruct the client to monitor and report which of the following adverse effects that is a manifestation of digoxin toxicity? (Select all that apply.) A. Fatigue B. Constipation C. Anorexia D. Rash E. Blurred vision
A. Fatigue C. Anorexia E. Blurred vision
A nurse is providing information to a client who has early Parkinson's disease and a new prescription for pramipexole. The nurse should instruct the client to monitor for which of the following adverse effects of this medication? A. Hallucinations B. Increased salivation C. Diarrhea D. Discoloration of urine
A. Hallucinations
A nurse is providing instructions to a client who has been experiencing insomnia and has a new prescription for temazepam. The nurse should inform the client that which of the following manifestations are adverse effects of temazepam? (Select all that apply.) A. Incoordination B. Hypertension C. Pruritus D. Sleep driving E. Amnesia
A. Incoordination D. Sleep driving E. Amnesia
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? A. Increase the amount of fiber in the diet. B. Drink grapefruit juice daily to increase vitamin C intake. C. Decrease the amount of calcium in the diet. D. Withhold food for 1hr after the medication is taken.
A. Increase the amount of fiber in my diet
A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal . Which of the following medications should the charge nurse include the discus (Select all that apply.) A. Lorazepam B. Diazepam C. Disulfiram D. Naltrexone E. Acamprosate
A. Lorazepam B. Diazepam
A nurse in the post-anesthesia recovery unit is caring for a client who received a nondepolarizing neuromuscular blocking agent and has muscle weakness. The nurse should expect a prescription for which of the following medications? A. Neostigmine B. Naloxone C. Dantrolene D. Vecuronium
A. Neostigmine
A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of the client's medication. Which of the following actions should the nurse take? A. Obtain a blood specimen immediately prior to administering the next dose of medication. B. Verify that the client has been taking the medication for 24hr before obtaining a blood specimen. C. Ask the client to provide a urine specimen after the next dose of medication. D. Administer the medication, and obtain a blood specimen 30 min later.
A. Obtain a blood specimen immediately prior to administering the next dose of medication.
A nurse in the post-anesthesia care unit is caring for a client who is experiencing malignant hyperthermia. Which of the following actions should the nurse take? (Select all that apply.) A. Place a cooling blanket on the client. B. Administer oxygen at 100%. C. Administer iced 0.9% sodium chloride. D. Administer potassium chloride IV. E. Monitor core body temperature.
A. Place a cooling blanket on the client. B. Administer oxygen at 100%. C. Administer iced 0.9% sodium chloride. E. Monitor core body temperature.
A nurse is teaching a client who has a new prescription for nitroglycerin transdermal patch for angina pectoris. Which of the following instructions should the nurse include? A. Remove the patch each evening. B. Cut each patch in half if angina attacks are under control. C. Take off the nitroglycerin patch for 30 min if a headache occurs. D. Apply a new patch every 48 hr.
A. Remove the patch each evening.
A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contraindicated for children who have a viral infection due to the risk of developing which of the following adverse effects? A. Reye's syndrome B. Visual disturbances C. Diabetes mellitus D. Wilms' Tumor
A. Reye's syndrome
A nurse is providing teaching to a client who is starting simvastatin. Which of the following information should the nurse include in the teaching? A. Take this medication in the evening. B. Change position slowly when rising from a chair. C. Maintain a steady intake of green leafy vegetables. D. Consume no more than 1 L/day of fluid
A. Take this medication in the evening.
A nurse is preparing a client's medications. Which the of following actions should the nurse take in following legal practice guidelines? (Select all that apply.) A. Teach the client about the medication. B. Determine the dosage. C. Monitor for adverse effects. D. Lock compartments for controlled substances. E. Determine the client's insurance status.
A. Teach the client about the medication. C. Monitor for adverse effects. D. Lock compartments for controlled substances.
A nurse is assessing a client before administering medications. Which of the following data should the nurse obtain? (Select all that apply.) A. Use of herbal products B. Daily fluid intake C. Ability to swallow D. Previous surgical history E. Allergies
A. Use of herbal products C. Ability to swallow E. Allergies
A nurse is teaching an adolescent client who has a new prescription for clomipramine for OCD. Which of the following instructions should the nurse include to minimize an adverse effect of his medication? A. Wear sunglasses when outdoors. B. Check your temperature daily. C. Take this medication in the morning. D. Add extra calories to your diet.
A. Wear sunglasses when outdoors.
A nurse is teaching a client who has angina pectoris and is learning how to treat acute anginal attacks. The clients asks, "What is my next step if I take one tablet, wait 5 minutes, but still have anginal pain?" Which of the following responses should the nurse make? A. "Take two more sublingual tablets at the same time." % 3D B. "Call the emergency response team." C. "Take a sustained-release nitroglycerin capsule." D. "Wait another 5 minutes then take a second sublingual tablet."
B. "Call the emergency response team."
A nurse is teaching a client who has a new prescription for baclofen to treat muscle spasms. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.) A. "I will stop taking this medication right away if I develop dizziness." B. "I know the doctor will gradually increase my dose of this medication for a while." C. "I should increase fiber to prevent constipation from this medication." D. "I won't be able to drink alcohol while I'm taking this medication." E. "I should take this medication on an empty stomach each morning."
B. "I know the doctor will gradually increase my dose of this medication for a while." C. "I should increase fiber to prevent constipation from this medication." D. "I won't be able to drink alcohol while I'm taking this medication."
A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a potential contraindication to a medication for which of the following clients? (Select all that apply.) A. A client at 8 weeks of gestation who asks for an influenza immunization B. A client who takes prednisone and has a possible fungal infection C. A client who has chronic liver disease and is taking hydrocodone / acetaminophen D. A client who has peptic ulcer disease, takes sucralfate, and has started taking OTC aluminum hydroxide E. A client who has a prosthetic heart valve, takes warfarin, and reports a suspected pregnancy
B. A client who takes prednisone and has a possible fungal infection C. A client who has chronic liver disease and is taking hydrocodone / acetaminophen E. A client who has a prosthetic heart valve, takes warfarin, and reports a suspected pregnancy
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply.) A. Have the client lie on one side. B. Ask the client to look up at the ceiling. C. Tell the client to blink when the drops enter the eye. D. Drop the medication into the client's conjunctival sac. E. Instruct the client to close the eye gently after instillation.
B. Ask the client to look up at the ceiling. D. Drop the medication into the client's conjunctival sac. E. Instruct the client to close the eye gently after instillation.
A nurse is working with a newly licensed nurse who is administering medications to clients. Which of the following actions should the nurse identify as an indication that the newly hired nurse understands medication error prevention? A. Taking all medications out of the unit-dose wrappers before entering the client's room B. Checking the prescription when a single dose requires administration of multiple tablets C. Administering a medication, then looking up the usual dosage range D. Relying on another nurse to clarify a medication prescription
B. Checking the prescription when a single dose requires administration of multiple tablets
A nurse is monitoring a client who takes aspirin daily. The nurse should identify which of the following manifestations as adverse effects of aspirin? (Select all that apply.) A. Hypertension B. Coffee-ground emesis C. Tinnitus D. Paresthesias of the extremities E. Nausea
B. Coffee-ground emesis C. Tinnitus E. Nausea
A nurse is teaching a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects? A. Diarrhea B. Dry mouth C. Insomnia D. Hypertension
B. Dry mouth
A nurse is caring for a client who asks about the potential adverse effects of smoking cannabis. Which of the following manifestations should the nurse include in the response? (Select all that apply.) A. Decreased heart rate B. Dry mouth C. Hallucinations D. Hypertension E. Increased urination
B. Dry mouth C. Hallucinations
A nurse is preparing to administer a medication to a client who has absence seizures. The nurse should expect to administer which of the following medications to the client? (Select all that apply.) A. Phenytoin B. Ethosuximide C. Gabapentin D. Carbamazepine E. Valproic acid F. Lamotrigine
B. Ethosuximide E. Valproic acid F. Lamotrigine
A nurse is teaching a client who has a new prescription for ramelteon. The nurse should instruct the client to avoid which of the following foods at the time of medication administration? A. Baked potato B. Fried chicken C. Whole-grain bread D. Citrus fruits
B. Fried chicken
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.) A. Simvastatin B. Hydrochlorothiazide C. Phenytoin D. Clonidine E. Aliskiren
B. Hydrochlorothiazide D. Clonidine E. Aliskiren
A nurse is administering a dopamine infusion at a low dose to a client who has severe heart failure. Which of the following findings is an expected effect of this medication? A. Lowered heart rate B. Increased urine output C. Decreased conduction through the AV node D. Vasoconstriction of renal blood vessels
B. Increased urine output
A nurse is preparing to administer medications to a 4-month-old infant. Which of the following pharmacokinetic principles should the nurse consider when administering medications to this client? (Select all that apply.) A. Infants have a more rapid gastric emptying time. B. Infants have immature liver function. C. Infants' blood-brain barrier is poorly developed. D. Infants have an increased ability to absorb topical medications. E. Infants have an increased number of protein-binding sites.
B. Infants have immature liver function. C. Infants' blood-brain barrier is poorly developed. D. Infants have an increased ability to absorb topical medications.
A nurse is planning to administer subcutaneous al 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? A. Expel the air bubble from the prefilled syringe before injecting. B. Insert the needle completely into the client's tissue. C. Administer the injection in the client's thigh. D. Aspirate carefully after inserting the needle into the client's skin.
B. Insert the needle completely into the client's tissue.
A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should include in the teaching that which of the following conditions is a contraindication to this medication? A. Hyperthyroidism B. Intestinal obstruction C. Glaucoma D. Low blood pressure
B. Intestinal obstruction
A nurse is teaching the caregiver of a school-age child about transdermal methylphenidate. Which of the following instructions should the nurse include? A. Apply one patch twice per day. B. Leave the patch on for 9 hr. C. Apply the patch to the child's waist. D. Use opened tray within 6 months.
B. Leave the patch on for 9 hr.
A nurse is caring for a school-age child who has a new prescription for atomoxetine. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? A. Kidney toxicity B. Liver damage C. Seizure activity D. Adrenal insufficiency
B. Liver damage
A nurse is planning to administer IV alteplase to a client. Which of the following interventions should the nurse plan to take? A. Administer IM enoxaparin along with the alteplase dose. B. Obtain the client's weight. C. Administer aminocaproic acid IV prior to alteplase infusion. D. Prepare to administer alteplase within 8hr of manifestation onset.
B. Obtain the client's weight.
A nurse is teaching the guardians of a child who has a new prescription for desipramine. The nurse should include that which of the following adverse effects is the priority to report to the provider? A. Constipation B. Suicidal thoughts C. Photophobia D. Dry mouth
B. Suicidal thoughts
A nurse is caring for a client who has a new prescription for alirocumab to reduce cholesterol. The nurse should monitor for which of the following findings as an adverse effect of alirocumab? (Select all that apply.) A. Muscle aches B. Vasculitis C. Hearing loss D. Urticaria E. Jaundice
B. Vasculitis D. Urticaria E. Jaundice
A nurse is caring for a client who has a new prescription for digoxin and takes multiple other medications. The nurse should recognize that concurrent use of which of the following medications places the client at risk for digoxin toxicity? A. Phenytoin B. Verapamil C. Warfarin D. Aluminum hydroxide
B. Verapamil
A nurse is reviewing a client's current medications. The client states, "I also take ginkgo biloba." Which of the following medications has the potential to interact with ginkgo biloba? A. Acetaminophen B. Warfarin C. Digoxin D. Lisinopril
B. Warfarin
A nurse is assessing a client who has taken procainamide to treat dysrhythmias for the last 12 months. The nurse should assess the client for which of the following manifestations as an adverse effect of this medication? (Select all that apply.) A. Hypertension B. Widened QRS complex C. Narrowed QT interval D. Easy bruising E. Swollen joints
B. Widened QRS complex D. Easy bruising E. Swollen joints
A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. The client states when they took penicillin 3 years ago, they developed a rash. Which of the following actions should the nurse take? A. Administer the prescribed dose. B. Withhold the medication. C. Ask the provider to change the prescription to an oral form. D. Administer an oral antihistamine the same time.
B. Withhold the medication.
A nurse is teaching a client who has a new prescription for escitalopram for treatment of generalized anxiety disorder. Which of the following statements by the client indicates understanding of the teaching? A. "I should take the medication on an empty stomach." B. "I will follow a low-sodium diet while taking this medication." C. "I need to discontinue this medication slowly." D. "I should not crush this medication before swallowing."
C. "I need to discontinue this medication slowly."
A nurse is teaching a client about transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands? A. "I will clean the site with an alcohol swab before I apply the patch." B. "I will rotate the application sites weekly." C. "I will apply the patch to an area of skin with no hair." D. "I will place the new patch on the site of the old patch."
C. "I will apply the patch to an area of skin with no hair."
A nurse is caring for a client who requests information on the use of feverfew. Which of the following responses should the nurse make? A. "It is used to treat skin infections." B. "It can decrease the frequency of migraine headaches." C. "It can lessen the nasal congestion in the common cold." D. "It can relieve nausea of morning sickness during pregnancy."
C. "It can lessen the nasal congestion in the common cold."
A nurse is reviewing a client's prescribed medications. Which of the following situations represents a contraindication to medication administration? A. The client drank grapefruit juice, which could reduce a medication's effectiveness. B. The medication has orthostatic hypotension as an adverse effect. C. A medication is approved for ages 12 and older, and the client is 8 years old. D. An antianxiety medication that has an adverse effect of drowsiness is prescribed as a preoperative sedative.
C. A medication is approved for ages 12 and older, and the client is 8 years old.
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? A. History of severe constipation B. History of hypertension C. Active hepatitis C D. Type 2 diabetes mellitus
C. Active hepatitis C
A nurse is caring for a client who is taking oral oxycodone. The client is also taking ibuprofen in three recommended doses daily. The nurse should identify that an interaction between these two medications will cause which of the following findings? A. A decrease in blood levels of ibuprofen, possibly leading to a need for increased doses of this medication B. A decrease in blood levels of oxycodone, possibly leading to a need for increased doses of this medication. C. An increase in the expected therapeutic effect of both medications D. An increase in expected adverse effects for both medications
C. An increase in the expected therapeutic effect of both medications
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? A. Hold propranolol for an apical pulse greater than 100 / min. B. Administer propranolol to increase the client's blood pressure. C. Assist the client when sitting up or standing after taking this medication. D. Check for hypokalemia frequently due to the risk for propranolol toxicity.
C. Assist the client when sitting up or standing after taking this medication.
A nurse is caring for a client who has a prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects? A. Insomnia B. Hypotension C. Bleeding D. Constipation
C. Bleeding
A nurse is reviewing a client's health record and notes that the client experienced permanent extrapyramidal effects caused by a previous medication. The nurse should recognize that the medication affected which of the following systems in the client? A. Cardiovascular B. Immune C. Central nervous D. Gastrointestinal
C. Central nervous
. A nurse in the operating room is caring for a client who received a dose of succinylcholine. During the operation, the client suddenly develops rigidity and a rise in body temperature. The nurse should expect a prescription for which of the following medications? A. Neostigmine B. Naloxone C. Dantrolene D. Vecuronium
C. Dantrolene
A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol. Which of the following information should the nurse include in the teaching? A. Increases the risk for seizure activity B. Provides a form of aversion therapy C. Decreases cravings D. Can increase blood pressure
C. Decreases cravings
A nurse in an acute care facility is caring for a client who is receiving IV nitroprusside for hypertensive crisis. Which of the following conditions should the nurse monitor the client for as an adverse effect of this medication? A. Intestinal ileus B. Neutropenia C. Delirium D. Hyperthermia
C. Delirium
A nurse is assessing a client who has a prescription for bethanechol to treat urinary retention. The nurse should identify that which of the following findings is a manifestation of muscarinic stimulation? A. Dry mouth B. Hypertension C. Excessive perspiration D Fecal impaction
C. Excessive perspiration
A nurse is caring for a client who is receiving moderate sedation with diazepam IV. The client is oversedated. Which of the following medications should the nurse expect to administer to this client? A. Ketamine B. Naltrexone C. Flumazenil D. Fluvoxamine
C. Flumazenil
A nurse in a provider's office is reviewing the medical record of a client who is pregnant and at the first prenatal visit. Which of the following immunizations can the nurse administer safely to this client? A. Varicella vaccine B. Rubella vaccine C. Inactivated influenza vaccine D. Measles vaccine
C. Inactivated influenza vaccine
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? A. Mental status changes B. Tremor C. Jaundice D. Pneumonia
C. Jaundice
A nurse is caring for a client who has increased liver enzymes and is taking herbal supplements. Which of the following herbal supplements should the nurse report to the provider as the potential cause? A. Glucosamine B. Saw palmetto C. Kava D. St. John's Wort
C. Kava
A nurse is caring for a client who has atrial fibrillation and a new prescription for dabigatran. Which of the following medications is prescribed concurrently to treat an adverse effect of dabigatran? A. Vitamin K B. Protamine C. Omeprazole D. Probenecid
C. Omeprazole
A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse should include a severe allergy to which of the following medications as a contraindication to ceftriaxone? A. Gentamicin B. Clindamycin C. Piperacillin D. Sulfamethoxazole-trimethoprim
C. Piperacillin
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? A. Calcium 9.2 mg/dL B. Calcium 10.3 mg/dL C. Potassium 3.4 mEq/L D. Potassium 4.8 mEq?L
C. Potassium 3.4 mEq/L
A nurse is assessing a client who is taking amiodarone to treat atrial fibrillation. Which of the following findings is a manifestation of amiodarone toxicity? A. Light yellow urine B. Report of tinnitus C. Productive cough D. Blue-gray skin discoloration.
C. Productive cough
A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and a new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching? A. Reduces blood pressure B. Inhibits clotting of fistula C. Promotes RBC production D. Stimulates growth of neutrophils
C. Promotes RBC production
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? A. Vitamin K B. Atropine C. Protamine D. Calcium gluconate
C. Protamine
A nurse on a medical-surgical unit administers a hypnotic medication to an older adult client at 2100. The next morning, the client is drowsy and wants to sleep instead of eating breakfast. Which of the following factors should the nurse identify as a possible reason for the client's drowsiness? A. Reduced cardiac function B. First-pass effect C. Reduced hepatic function D. Increased gastric motility
C. Reduced hepatic function
A nurse is teaching a client who has a new prescription for levodopa / carbidopa for Parkinson's disease. Which of the following instructions should the nurse include? A. Increase intake of protein-rich foods. B. Expect muscle twitching to occur. C. Take this medication with food. D. Anticipate relief of manifestations in 24 hr.
C. Take this medication with food
A nurse educator is reviewing medication metabolism at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? (Select all that apply.) A. Increased renal excretion B. Increased medication-metabolizing enzymes C. Liver failure D. Peripheral vascular disease E. Concurrent use of medication the same pathway metabolizes
C. liver failure e. concurrent use of medication the same pathway metabolizes
A nurse is caring for a client who has a new prescription for captopril for hypertension. The nurse should monitor the client for which of the following as an adverse effect of this medication? A. Hypokalemia B. Hypernatremia C. Neutropenia D. Bradycardia
C. neutropenia
