PHARMACOLOGY PRACTICE QUESTIONS PART 6

A client newly diagnosed with angina pectoris has taken two sublingual nitroglycerin tablets for chest pain. The chest pain is relieved, but the client complains of a headache. The nurse interprets that this synmptom most likely represents:

An expected side effect of the medication

A nurse provides home care instructions to a client who is taking lithium carbonate (eskalith). Which statement by the client indicates a need for further instructions?

"I need to decrease my salt and fluid intake while taking the lithium."

A client is to be discharged from the hospital on quinidine gluconate (Quinaglute) to control ventricular ectopy, and the nurse provides medication instructions to the client. Which statement by the client would indicate the need for further instructions?

"If I get diarrhea, nausea, or vomiting, I need to stop the medication immediately and then call my doctor."

Fluoxetine hydrochloride (Prozac) daily is prescribed for a client, and the nurse provides instructions to the client regarding the administration of the medication. Which statement by the client indicates an understanding regarding the administration of the medication?

"It is best to take the medication in the morning."

A nursing student is assigned to care for a client with a diagnosis of schizophrenia who is receiving haloperidol (Haldol). The registered nurse asks the student to describe the action of the medication. The student responds correctly by stating that this medication:

Blocks the binding of dopamine to the post-synaptic dopamine receptors in the brain.

Neuroleptic malignant syndrome is suspected in a client who is taking chlorpromazine (Thorazine). Which medication would the nurse prepare in anticipation of being prescribed to treat the adverse reaction related to the use of chlorpromazine?

Bromocriptine (Parlodel)

A nurse is caring for a client with atrial fibrillation. The physician has prescribed verapamil (Calan) 5 mg intravenously (IV). The nurse ensures that which most essential item is present when administering this medication?

Cardiac monitor

A client has been taking lansoprazole (Prevacid) for 4 weeks. The nurse monitors the client for relief of which of the following symptoms?

Heartburn

A nurse reviews the serum laboratory results for a client taking chlorothiazide (Diuril). The nurse specifically monitors for which of the following most frequent medication side effect on a regular basis?

Hypokalemia

Vasopressin (Pitressin) is prescribed for a client with diabetes insipidus, and the client asks the nurse about the purpose of the medication. The nurse responds, knowing that the action of the medication is to:

Decrease urinary output

Buspirone hydrochloride (Buspar) is prescribed for a client with an anxiety disorder. The nurse instructs the client regarding the medication and tells the client that:

Dizziness and nervousness may occur

A nurse in the preoperative holding unit administers a dose of scopolamine to a client. The nurse monitors the client for which common side effect of the medication?

Dry mouth

A nurse is caring for a client with Parkinson's disease who is taking benztropine mesylate (Cogentin) daily. The nurse assesses the client for side effects of this medication and specifically monitors:

Intake and output

A nurse is providing care to the client who has received medication therapy with tissue plasminogen activator (t-PA, Activase). As part of standard nursing care for this client, the nurse plans to have which item available for use?

Occult blood test strips

a client is seen in the health care clinic. The client has diabetes mellitus that has been well controlled with glyburide (Diabeta), but recently, the client's fasting blood glucose has been reported to be 180 to 200 mg/dL. Which of the following medications, if noted in the client's record, may be contributing to the elevated blood glucose level?

Prednisone (Deltasone)

A client with acquire immunodeficiency syndrome (AIDS) who has cytomegalovirus (CMV) retinitis is receiving ganciclovir (Cytovene). The nurse plans to do which of the following while the client is taking this medication?

Provide the client with a soft toothbrush and an electric razor

A nurse has administered a dose of diazepam (Valium) to the client. The nurse would take which most important action before leaving the client's room?

Put up the side rails on the bed

A nurse is teaching a client how to mix Regular insulin and NPH insulin in the same syringe. The nurse ells the client to:

Rotate the NPH insulin bottle in the hands before mixing

A client is taking albuterol (Ventolin) by inhalation but cannot cough up secretions. the nurse teaches the client to do which of the following to best help clear the bronchial secretions?

Take in increased amount of fluids every day.

Disulfiram Antabuse is prescribed for a client who is seen in the psychiatrict health care clinic. The nurse is collecting data from the client and is providing instructions regarding the use of this medication. Which data is important for the nurse to obtain before beginning the administration of this medication?

When was the last alcohol drink was consumed