Pharmacology Exam 3 Review
A nurse is teaching a pt 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 assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider?
Respiratory depression
A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client?
Respiratory rate
A nurse is receiving a shift-to-shift report for a pt with multiple medical problems. The pt is receiving auranofin. The nurse recognizes this medication is ordered to address which of the following health problems?
Rheumatoid arthritis
A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Which of the following adverse effects of calcium should the nurse suspect when the pt reports having flank pain?
Renal stones
A nurse is providing teaching to a client who has gastroesophageal reflux disease and a new prescription for omeprazole. Which of the following instructions should the nurse provide?
Report diarrhea to the provider
A nurse is caring for a client who is at 28 weeks of gestation and received terbutaline. Which of the following findings should the nurse expect?
Weakened uterine contractions
A nurse is caring for a client who has cirrhosis and a new prescription for lactulose. Which of the following manifestations indicates an adverse effect of the medication?
Vomiting
The nurse caring for a pt w shingles lesions across the back and flank. The pt's daughter asks "I see the doctor started a new medication called pregabalin, but ti though that was for seizures. Why is my dad taking this medication"? Which of the following responses by the nurse is best?
We often use that medication to help with neuropathic pain conditions like shingles
A nurse is providing education to a client who is in labor and has a prescription for a continuous IV infusion of oxytocin. Which of the information should the nurse include?
Your contractions will become stronger and more frequent
A nurse is teaching a client who has a duodenal ulcer about his new prescription for cimetidine. The nurse should include which of the following instructions in the teaching?
Your doctor might need to reduce your theophylline dose while taking this medication
The nurse is preparing to admit a pt to an acute care hospital. The pt has a long history of treatment with auranofin for rheumatoid arthritis. Which of the following room placements would be best?
A pt with myasthenia gravis
A nurse is teaching a client who is in her first trimester of pregnancy about OTC medications that are pregnancy risk category B. Which of the following medications should the nurse include?
Acetaminophen
A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?
Ammonia
A nurse is caring for a client who is to start therapy w ibuprofen for hip pain. Which of the following information should the nurse provide about ibuprofen?
Take medication w food
A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take?
Discontinue the medication infusion
While assisting in the care of postmenopausal woman with osteoporosis who takes calcitonin, which of the following would the nurse include in the pt's plan of care?
Encourage weight-bearing exercises Encourage smoking cessation Encourage limited alcohol consumption
A nurse is caring for a client who is postpartum and received methylergonovine. Which of the following findings indicates that the medication was effective?
Fundus firm to palpation
A nurse is teaching a client who has a new prescription for sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching?
I will take this medication 1hr before meals and at bedtime
A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipates a prescription by the provider for which of the following medications?
Indomethacin Magnesium sulfate
A nurse is teaching a client who is taking metronidazole. Which of the following sense alterations should the nurse include as an adverse effect of metronidazole?
Metallic Taste
The nurse is reviewing medications taken at home by a pt diagnosed with myasthenia gravis a year ago. Which of the following medications would the nurse anticipate the pt takes?
Neostigmine (Prostigmin)
A nurse is presenting educational materials for a group of middle-aged pts about menopausal hormone therapy following total hysterectomy. Which of the following information should the nurse include in the information?
Prevents osteoporotic fractures
A nurse is caring for a pt who has severe preeclampsia and is receiving magnesium sulfate IV at 2g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?
Respiratory rate of 16/min
A nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel obstruction. The nurse should withhold which of the following medications?
Senna
A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?
Take the missed dose now, then continue the medication as ordered
A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?
The medication relieves nausea by promoting gastric emptying
A nurse working in the orthopedic clinic reviews a list of pt appts for the day. Which of the following pts is most likely to need uric acid level labs to be drawn?
A 69yr old pt taking zyloprim (Allopurinol) for gouty arthritis
A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?
A client who is experiencing preterm labor at 26 weeks of gestation
A nurse is teaching a pt who has benign prostatic hypertrophy and has a new prescription for finasteride. Which of the following instructions should the nurse include in the teaching?
Decreased libido is an adverse effect of the medication
A nurse on the labor and delivery unit is caring for a pt who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2min, last 90sec, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and return to baseline after the contraction is over. Which of the following action should the nurse take?
Discontinue the infusion of the IV oxytocin
A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. For which of the following adverse effects should the nurse monitor?
Headache
A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for her to take aspirin. The nurse should recognize which of the following findings in the pt's history is a contraindication to this medication?
History of gastric ulcers
A nurse is teaching a client who has a new prescription for esomeprazole to manage his GERD. Which of the following statements by the client indicates an understanding of the teaching?
I have an increased risk of getting pneumonia while taking this medication
The nurse is planning an education program on sildenafil to a group of older male clients. Which of the following information should the nurse include in the educational program?
Ingestion of the medication w nitrates causes HTN
A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?
Isosorbide
A woman at 42 weeks' gestation is in for an appt w the gynecologist. The women reports inconsistent contractions on and off for 3 days, and it's determined the cervix isn't dilated at this time. The doctor informs the women that they would like to administer dinoprostone. The nurse would help the women understand this medication by stating which of the following?
It's a gel placed on the cervix to help soften it and should allow labor to start in <6hr
A nurse is providing teaching to a pt who has osteoporosis and a new prescription for alendronate. Which of the following adverse effects should the nurse instruct the pt to report to the provider?
Jaw pain Blurred vision Dysphagia
A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?
Leuprolide
A nurse discussing home medications with a paralyzed pt who is taking cyclobenzaprine determines further teaching is required if the pt makes which of the following statements?
Now that it's getting to be spring, I'll need to take my antihistamines
The nurse working on the labor and delivery special care unit is providing care for a women who has been started on magnesium sulfate. The nurse would anticipate which of the following orders to be initiated as well?
Place pt on telemetry Monitor vitals every 2-4hr Record strict I&O Check serum Ca and Mg every 6hr
A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective?
Reduced dyspepsia
The nurse is providing multiple medications for a pt with numerous comorbid conditions would include which of the following statements while educating the pt about colchicine?
This medication helps the pain you have due to gout
A nurse in a prenatal clinic is teaching a client who has a new prescription for dinoprostone gel. Which of the following statements should the nurse include in the teaching?
This medication promotes softening of the cervix
A nurse is assessing a pt who is receiving magnesium sulfate to treat preeclampsia. Which of the following findings should the nurse report to the provider?
Urinary output 40mL in 2hr
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
The nurse is caring for a 10yr old child with profound cerebral palsy who takes muscle relaxants and antispasmodics and has continued neck muscle rigidity, which increasingly interferes with his ability to turn his head. Which of the following medications is most likely to be added to the child's treatment plan?
Botulinum toxin A (Botox)
A nurse is providing teaching a pt who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following instructions should the nurse include?
Do not drink alcoholic beverages while taking this medication Report unexplained bruising to provider Avoid people who have infections
A nurse is providing teaching to a pt who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse provide?
Drink 2-3L of water per day while on this medication
A nurse is completing medication history for a client who reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication?
Drink a glass of water after taking the medication
While supporting pt with chronic pain concerns related to musculoskeletal disease states, which of the following medications may be used as adjunct therapy?
Duloxetine
A nurse is teaching a client who has a new prescription for ranitidine to treat peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching?
I will eat 5 small meals each day I can take this medication w or w/o food
A nurse is providing teaching to a client who takes opioid pain medication and has new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?
It might take up to 3 days for the medication to work
A nurse is admitting a pt who experienced a vaginal birth 2hr ago. The pt is receiving an IV of lactated Ringer's with 25 units of oxytocin infusing and has a large rubra lochia. Vital signs include bp 146/94, pulse 80/min, respiratory rate 18/min. The nurse reviews the prescriptions from the provider. Which of the following prescriptions requires clarification?
Methylergonovine 0.2mg IM now
A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications, including an H2 receptor antagonist (H2RA). Which of the following outcomes indicates the H2RA is therapeutic?
Relief of heartburn
A student nurse is preparing to pass medications on the rehab unit. What statement would be included in the pt teaching for an individual taking metaxalone?
This medication helps reduce the spasticity in your muscles