Pharmacology practice A 2020
A nurse is preparing to administer a PRN medication to a group of clients. Which of the following client should the nurse administer medication to first
A patient that is Postoperative physical therapy and requests Meds
A nurse is reinforcing teaching with a client that has a new prescription for colchicine to manage gouty arthritis. Which of the following manifestation should the nurse include as an adverse effect of this med?
Abdominal pain
A nurse is reinforcing teaching with a client who has seizures in a new prescription for Valproic acid. The nurse should instruct the client to report which of the following adverse effects of valproic acid to the provider immediately
Abdominal pain
A nurse is preparing to administer diphenhydramine 50mg PO at 2200 to a client who has difficulty swallowing pills and capsules. Available is diphenhydramine syrup 12.5 mg/5ML PO. Which of the following nursing actions require the completion of a incident report
Administration of 25 mL of the syrup
A nurse is contributing to the plan of care for a client who has Schizophrenia and a new prescription for clozapine. The nurse should include in the plan to monitor the Klein for which of the following adverse effects of this medication
Agranulocytosis
A nurse is reinforcing teaching with a newly licensed nurse about using metropolol To treat hypertension. Which of the following condition should the nurse include as a contradiction for this medication
Bradycardia
A client comes to a urgent care clinic and announces with great enthusiasm I am an expert at all things medical as they apply to me and I require zolpidem. The clients pupils are dilated and he has a elevated heart rate and blood pressure. What intoxication is the nurse to suspect
Cocaine
A nurse is collecting data from a client who has Parkinson's disease and is taking levodopa/carbidopa. The nurse should identify which of the following findings a adverse effect
Dark urine
A nurse is caring for a client who has hypothyroidism and has been taking methimazide which of the following should indicate to the nurse that therapeutic effect occurs
Decreased T4
A nurse is caring for a client who has multiple sclerosis and a new prescription for Baclofen. What in the case the medication has a therapeutic effect?
Decreased muscle spasticity
A nurse is caring for a client who has tuberculosis and will begin taking isoniazid. Which actions should the nurse take.
Determine the clients Daily alcohol intake
A nurse is reinforcing teaching with a client who has a new prescription for theophylline. The nurse should instruct the client that which of the following is an expected outcome of this medication
Dilates bronchioles
A nurse is reinforcing teaching with a client following placement of a cast for a fractured ankle. The client is to take oxycodone for pain management. The nurse should instruct the client that which of the following over the counter medications is contra dictate while taking oxycodone
Diphenhydramine
A nurse is reinforcing teaching with a client who has a new prescription for etanercept to treat rheumatoid arthritis. Which of the following instructions about self administrating This medication should the nurse include
Discard any solutions that are cloudy
Patient is receiving phenylephrine Nasal spray three times daily and reports rebound congestion. Which of the following instruction should the nurse include to reduce the effects of rebound congestion
Discontinue use in the left nostril then the right nostril
A nurse is collecting data from a client who is receiving digoxin for treatment of heart failure. What findings as adverse affects applies to this medication
Dysrhythmia arrhythmia nausea and blurred vision
A nurse is reviewing medication prescriptions for a group of clients. The nurse should recognize that which of the following Prescriptions can result in a medication administration error
Furosemide 10.0 mg PO daily Rationale: The nurse should avoid using trailing zero following a whole number. This prescription can result in a medication error because the nurse can mistake the dosage as 100 mg instead of 10 mg because the decimal point is not always recognized.
A nurse is collecting data from a patient of a toddler who Is about to receive ever sell immunization. The nurse should identify that and anaphylactic reaction to which of the substancesis a contradiction
Geatin
A nurse is reinforcing teaching with the parent of a preschooler who has Otis media. The child has had a low-grade fever and irritability for today. What should the nurse teach
Give acetaminophen mean for discomfort
A nurse is monitoring a client who has type two diabetes mellitus and is receiving repaglinide. Which of the following laboratory test should the nurse plan to review for information about long-term therapeutic effects of this medication?
Glycosylated HbA1c
A nurse is caring for a client who has kidney disease and has been receiving epoetin for two weeks. Which of the findings should indicate to the nurse that the meds are having a therapeutic effect
Hemoglobin rising 0.5 g/dL
A nurse is collecting data from a client who is asking about celecoxib for joint pain. The nurse should identify that which of the following findings is a contradiction of celecoxib?
History of myocardial infarction
A nurse is caring for a client who has a new prescription for eplerenone to treat hypertension. What adverse effect should the nurse monitor four?
Hyperkalemia
A nurse is assisting with the care of a client who has a methicillin resistant straphyloccus aureus (MRSA) Infection and is receiving vancomycin via IV infusion. Which of the following changes in the clients condition should the nurse identify as a priority finding to report to the provider
Hypotension
A nurse is reinforcing teaching with a client who has HIV in a new prescription for zidovudine. Which of the following client statement should indicate to the nurse and understanding of the teaching
I will have my blood tested for anemia
A nurse is reinforcing teaching with a client who has a prescription for Alendronate. Which of the following client responses in the Kates to the nurse and understanding of the teaching
I will take the medication with 8 ounces of water
A nurse is reinforcing teaching with a client who has a new prescription for ethinyl estradiol/ norethindrone, In oral contraceptive. Which of the following client statement should indicate to the nurse and understanding of teaching
I will take this medication at the same time every day
A nurse is reinforcing teaching with a client who has a new prescription for propranolol. Which of the following information should the nurse include in the teaching
If your pulse rate is less than 50 beats per minute, notify your provider.
A nurse is caring for a client who is taking phenylephrine. The nurse should plan to monitor the client for which of the following manifestations as a adverse effect of this medication
Increased heart rate
A nurse is collecting data from my client who is taken ferrous sulfate orally. Which of the following findings reported by the client should indicate to the nurse that the medication is having a therapeutic effect
Increased tolerance to exercise
A nurse is reinforcing teaching with a client who has bipolar disorder and is taking a new prescription for lithium. Which of the following instruction should the nurse include in the teaching
Maintain a consistent sodium intake
A nurse is reinforcing teaching with a client who has a new prescription for regular insulin. What indicates understanding of the teachings?
Make sure Insulin is clear prior to drawing up
A nurse is reinforcing teaching with a client about the adverse effect of simvastatin. For which of the following adverse effects of the nurses instruct the client to notify the provider
Muscle pain
A nurse collecting data from a patient who is postoperative and taking morphine for pain. What should the nurse report?
Oxygen saturation
A nurse is reviewing the history of a client who is starting cefortetan to treat a bacterial infection. Which of the following information from the clients medical record should the nurse report to the provider before the client begins Receiving this medication
Penicillin allergy
A nurse is reinforcing teaching with a client who is to start therapy using a nitroglycerin transdermal patch. Which of the following instructions should the nurse include
Place the patch on a different site for each application
A nurse is instilling Timolol eyedrops to a client who has glaucoma. Which of the following actions should the nurse take after instill in the eyedrops?
Press the nasolacrimal duct
A nurse is collecting data from a female client who has been taken propylthiouracil(PTU) For two months to three Graves' disease. Which of the following findings should the nurse recognized as a indication that the medication is effective
Pulse rate 82/min
A nurse is reinforcing teaching when a client who has hypertension in a new prescription for spironolactone. Which of the following instruction should the nurse include in the teaching
Restrict foods high in potassium
A nurse is reinforcing teaching about a comfort measure with a parent of a 10-year-old child who has a viral infection. The nurse should plan to tell the parent that aspirin is a contradiction because of the risk of what condition
Reye's syndrome
A nurse is monitoring a client who is receiving a Transfusion of packed RBCs. The clients temperature increases to 39.1 Celsius( 102.4 F). Which of the following actions should the nurse take first
Stop the transfusion
A nurse is reinforcing teaching with the client who has a new prescription for all my omeprazole oral capsules. What instructions should the nurse include?
Take the medication whole
A nurse is caring for a client who has a new prescription for sumatriptan. Patient takes fluoxetine. What is the risk that can take place as a adverse effect
Tremors
A nurse is caring for a client who has a history of psychosis and it's taking chlorpromazine. Which of the following actions should the nurse take to counteract the adverse effects of this medication
Use sunblock before going outside
A nurse Is planning to administer metoprolol to a client who has heart failure and a heart rate of 48/min. Which of the following actions should the nurse take
With all the clients medication
A nurse is reinforcing teaching with a female client who has a new prescription for isotretinonin. Which of the following information should the nurse include in the teaching
You will need your liver enzymes monitored after one month. You can have nosebleeds You should report any thoughts of harming yourself. You will need to have two negative pregnancy test prior to starting this medication
A nurse is planning to reinforced teaching about newborn immunizations with a client who is 24 hours postpartum. Which of the following information should the plan include?
Your baby will receive the first hepatitis B vaccination before discharge
A nurse is caring for a client who has a prescription for a IM injection of penicillin G benzathine. The client asks why the injection must be given IM instead of through the IV line. Which of the following responses should the nurse make.
Your medication can't be given IV because it is not water soluble
