Saunders Pharmacology

Griseofulvin is prescribed for a child with tinea capitis. The nurse reinforces instructions to the family regarding administration of the medication. Which statement by the mother indicates a need for further teaching?

"I need to administer the medication 2 hours before meals."

A client with a prescription to take theophylline daily has been given medication instructions by the nurse. The nurse determines that the client needs further teaching about the medication if the client makes which statement?

"I will take the daily dose at bedtime."

Saquinavir is prescribed for a client diagnosed as human immunodeficiency virus (HIV) seropositive. The nurse would reinforce medication instructions and determine that the client needs further teaching if the client makes which statement?

"I will take the medication on an empty stomach."

Glimepiride is prescribed for a client with diabetes mellitus. The nurse reinforces instructions for the client and tells the client to avoid which while taking this medication?

Alcohol

A client with diabetes mellitus calls the clinic and tells the nurse that she has been nauseated during the night. The client asks the nurse if the morning insulin would be administered. Which is the appropriate nursing response?

Administer the full dose as prescribed.3

The nurse is admitting a client to the nursing unit who is scheduled for several diagnostic tests. When obtaining a medication history, the nurse discovers that the client is prescribed tacrolimus daily. On further data collection, which would the nurse expect to note in the client history?

Allogenic liver transplant

The nurse reviews the phenytoin level of a client with a seizure disorder. The nurse notes that the plasma drug level is 9 mcg/mL. Which would the nurse anticipate to be prescribed for the client?

An increase in the present dosage

The nurse notes that meloxicam is prescribed for a client. The nurse knows that what are the specific actions of this medication? Select all that apply.

Analgesic Antipyretic Anti-inflammatory

A licensed practical nurse (LPN) is reviewing the medical record of a newly assigned client and notes that the client is receiving cyclobenzaprine hydrochloride for the treatment of muscle spasms. The LPN questions the prescription if which disorder is noted in the admission history?

Angle-closure glaucoma

The nurse is applying a topical corticosteroid to a client with eczema. The nurse would apply the medication to which body areas? Select all that apply.

Back Soles of the feet Palms of the hands

Cyclosporine is prescribed for a client following an allogenic kidney transplant. The nurse would reinforce which instructions to the client regarding this medication?

Blood levels of the medication will need to be measured periodically.

The nurse is planning to administer amlodipine to a client. The nurse would plan to check which before giving the medication?

Blood pressure and heart rate

A glucocorticoid is prescribed for a client with adrenal insufficiency, and the nurse reinforces medication instructions to the client. The nurse determines that the client needs further teaching if the client states which action is necessary?

Discontinue the medication when symptoms subside.

A client has been prescribed allopurinol. The nurse reinforces which information concerning the administration of the medication?

Drink at least 8 glasses of fluid every day.

A client is taking cetirizine hydrochloride. The nurse would check for which side effect of this medication?

Drowsiness

A client with a history of spinal cord injury is receiving baclofen for muscle spasms. The nurse determines that the client is experiencing a side effect of this medication if the client experiences which sign/symptom?

Drowsiness

The nurse is assisting in preparing a plan of care for a client with a diagnosis of cancer who is receiving morphine sulfate in an extended release form by mouth. The nurse would include which priority nursing action in the plan of care for this client?

Encourage the client to cough and deep breathe.

Cyclobenzaprine is prescribed for a client for muscle spasms, and the nurse is reviewing the client's record. Which disorder, if noted in the record, would indicate a need to contact the primary health care provider about the administration of this medication?

Glaucoma

The nurse is caring for a client in preterm labor who is receiving terbutaline sulfate to stop uterine activity. During this medication therapy, the nurse implements nursing interventions to monitor which specific body organs that can be affected by this medication?

Heart and lungs

A client who exhibits fatigue, lack of energy, constipation, and depression is diagnosed with hypothyroidism. The primary health care provider prescribes levothyroxine. To increase the likelihood of medication compliance in the early course of treatment, the nurse plans to reinforce which information?

The full therapeutic effect may take 1 to 3 weeks.

The nurse is caring for a client diagnosed with herpes simplex virus (HSV) who has just been prescribed acyclovir. The nurse explains that which statement is true about treatment with this medication?

The medication can help reduce the severity of the outbreak.

The client has been on treatment for rheumatoid arthritis for 3 weeks. Which is most important for the nurse to check during the administration of etanercept?

The white blood cell counts and platelet counts

The nurse is caring for a client who is taking phenytoin for control of seizures. During the assessment, the nurse notes that the client is taking birth control pills. Which information would the nurse include in the teaching plan?

There is the potential of decreased effectiveness of birth control pills while taking phenytoin.

A client with cancer is receiving cisplatin. Which findings indicate that the client is experiencing an adverse effect of the medication? Select all that apply.

Tinnitus High-frequency hearing loss

The nurse reinforces medication instructions to the client who had a kidney transplant about therapy with cyclosporine. Which statement by the client should indicate a need for further teaching?

"I need to obtain a yearly influenza vaccine."

A primary health care provider has prescribed prochlorperazine 4 mg intramuscularly for a client who is vomiting. The label on the medication vial indicates prochlorperazine 5 mg per 1 mL. The nurse administers how many milliliters (mL) to the client? Fill in the blank. Record the answer to one decimal place.

0.8

Penicillin V potassium 250 mg orally every 8 hours is prescribed for a child with a respiratory infection. The medication label reads: Penicillin, 125 mg per 5 mL. The nurse has determined that the dosage prescribed is a safe dose for the child. How many milliliters (mL) will the nurse administer to the child per dose? Fill in the blank.

10

A client is receiving a maintenance dose of oral dantrolene sodium for the treatment of spasticity. The nurse reviews the medication record, expecting which dose to be prescribed?

100 mg twice daily

The nurse reinforces instructions to a client who has been prescribed betaxolol eye drops for the treatment of glaucoma. The nurse instructs the client regarding the administration of the medication and about the importance of returning to the clinic for which assessment?

Blood pressure and apical pulse

The client with peptic ulcer disease has been prescribed to take cimetidine. The nurse determines that which is the primary action of this medication?

Inhibits histamine action

The nurse is reviewing the procedure for vitamin K injection in the newborn with a nursing student. Which information would the nurse provide to the student?

Inject into skin that has been cleansed with alcohol.

A hospitalized client is having the dosage of clonazepam adjusted. The nurse would plan to implement which action?

Instituting seizure precautions

The nurse is reinforcing medication instructions to a client who has been prescribed simvastatin. Which is the action of simvastatin?

It inhibits hepatic synthesis of cholesterol.

The nurse is reviewing medications with the client receiving colchicine for the treatment of gout. The nurse determines that the medication is effective if the client reports a decrease in which?

Joint inflammation

Carbamazepine is prescribed for a client with a diagnosis of psychomotor seizures. The nurse reviews the client's health history knowing that this medication is contraindicated if which disorder is present?

Liver disease

A client with tuberculosis is being started on antitubercular therapy with isoniazid. The nurse reviews the client's health care record to be sure that which baseline studies have been completed before giving the client the first dose?

Liver enzymes3

A client who has just been diagnosed with glaucoma has been given a prescription for a miotic medication. When reinforcing instructions to the client about medication effects, the nurse plans to tell the client that the medication works in which manner?

Lowers intraocular pressure and enhances blood flow to the retina

The nurse is providing care for a client with a diagnosis of germ cell cancer of the testes who has been prescribed ifosfamide. The nurse anticipates that the client will also be prescribed which additional antineoplastic medication?

Mesna

Auranofin has been prescribed for a client with rheumatoid arthritis. The nurse who is collecting data 2 weeks later interprets that the client may be experiencing the signs of medication toxicity based on what data collection findings? Select all that apply.

Observes several mouth lesions Notes a rash on trunk and neck Reports a metallic taste in the mouth Notes purplish blotches on the skin

A tricyclic antidepressant is administered to a client daily. The nurse plans to alleviate the common side effects of the medication and includes which in the plan of care?

Offer hard candy or gum periodically.

The primary health care provider has prescribed butenafine for a client. The nurse recognizes that this has been prescribed to treat which disorder?

Tinea pedis

A client has been prescribed cyclobenzaprine in the treatment of painful muscle spasms accompanying a herniated intervertebral disk. The nurse would withhold the medication and question the prescription if the client had which concurrent prescriptions to take?

Tranylcypromine

The client is receiving meperidine hydrochloride for pain. Which signs/symptoms are side and adverse effects of this medication? Select all that apply.

Tremors Drowsiness Hypotension

A client who is taking hydrochlorothiazide has also been prescribed triamterene. The client asks the nurse why both medications are required. Which response is the most accurate to give to the client?

Triamterene is a potassium-retaining (sparing) diuretic, whereas hydrochlorothiazide is a potassium-excreting diuretic.

A hospitalized client is taking clozapine for the treatment of a schizophrenic disorder. Which laboratory study prescribed for the client would the nurse specifically review to monitor for an adverse effect associated with the use of this medication?

White blood cell count

The nurse is reinforcing teaching for a client regarding how to mix regular insulin and NPH insulin in the same syringe. Which action performed by the client indicates the need for further teaching?

Withdraws the NPH insulin first

A client who will undergo thyroidectomy at a later date has been started on medication therapy with potassium iodide. As the licensed practical nurse (LPN) prepares to administer a scheduled dose, the client states that there is a burning sensation and a brassy taste in the mouth. Which action would the LPN take?

Withhold the medication and notify the RN.

The nurse preparing a client for surgery reviews the client's medication record. The client is to receive nothing by mouth (NPO) after midnight. Which medication noted on the client's record would the nurse question?

Prednisone

The nurse is assisting in reinforcing a teaching plan for a client given a prescription for pioglitazone. The nurse plans to reinforce instructions to the client about which information related to this medication?

Signs of hypoglycemia

Isotretinoin is prescribed for a client to treat severe cystic acne. The nurse tells the client that the length of the usual prescribed course of treatment is which?

15 to 20 weeks

A client diagnosed with testicular cancer is prescribed cisplatin. The nurse would monitor for which toxic effect of this medication?

Tinnitus

The client has been prescribed nitrofurantoin sodium. The nurse would determine the therapy is effective if which result is noted?

Absence of dysuria

The nurse has reinforced instructions to a client receiving enalapril maleate. Which statement by the client indicates a need for further teaching?

"I need to notify the primary health care provider if nausea occurs."

The nurse has reinforced discharge instructions to the mother of a child who is prescribed tetracycline to treat Rocky Mountain spotted fever (RMSF). Which statement by the mother indicates the best understanding regarding the administration of the medication?

"I need to use a straw when I give the medication."

The nurse reinforces instructions to a client regarding the use of tretinoin. Which statement by the client indicates the need for further teaching?

"I should apply a very thin layer to my skin."

The nurse is reinforcing instructions to an adolescent who has a history of seizures and is taking an anticonvulsant medication. Which statement indicates the client understands the instructions?

"I should not stop taking my medications even if my seizures go away."

Thrombolytic therapy was administered to a client following an acute inferior myocardial infarction. The nurse giving discharge instructions to the client evaluates a need for further teaching when the client makes which statement?

"I will apply pressure for 10 minutes for minor bleeding."

Cortisone acetate is prescribed for a client with adrenal insufficiency, and the nurse reinforces instructions to the client regarding the medication. Which statement by the client would indicate a need for further teaching?

"I will stop the medication when I feel better."

The nurse provides explanation to a client prescribed methylergonovine maleate in the immediate postpartum period. Which statement made by the client demonstrates understanding of the rationale for administration?

"It will help prevent bleeding and control bleeding if it occurs."

A client with a diagnosis of human immunodeficiency virus (HIV) who was prescribed an oral solution of ritonavir complains about the taste of the solution. Which response would the nurse give the client?

"Mix the oral solution with chocolate milk."4

The nurse is assigned to care for a client who received methylergonovine maleate in the immediate postpartum period. The nurse determines the medication is effective when the client makes which statement?

"My afterpains are really strong."

The nurse is reinforcing instructions to a client with essential hypertension about medication therapy with irbesartan. Which client statement would indicate a need for further teaching?

"The medication reduces my need for exercise."

Thyroid replacement therapy is prescribed for a client diagnosed with hypothyroidism. The client asks the nurse when the medication will no longer be needed. Which response by the nurse would be accurate?

"The medication will need to be continued for life."4

The nurse has reinforced instructions to the client who has been prescribed cholestyramine. Which statement by the client indicates a need for further teaching?

"This medication should only be taken with water."

A client is taking ticlopidine hydrochloride. The nurse tells the client to avoid which substance while taking this medication?

Acetylsalicylic acid

Allopurinol has been prescribed for a client with chronic tophaceous gout. The nurse explains to the client that what condition can occur during the first few months of treatment?

Acute gouty arthritis

A client's medication sheet contains a prescription for sertraline hydrochloride. To ensure safe administration of the medication, which action would the nurse take?

Administer at the same time each evening.

A client is at risk for pulmonary embolism and is on anticoagulant therapy with warfarin sodium. The nurse is told that the client's prothrombin time is 18 seconds with a control of 11 seconds. Which action would the nurse plan?

Administer the next dose of warfarin sodium.

A client received 20 units of NPH insulin subcutaneously at 8:00 a.m. The nurse would check the client for a potential hypoglycemic reaction at which time?

5:00 p.m.

An adult client with hepatic encephalopathy has a serum ammonia level of 120 mcg/dL (72 mcmol/L) and receives treatment with lactulose syrup. The nurse determines that the client has the best response if the level changes to which after medication administration?

70 mcg/dL (42 mcmol/L)

A client informs the nurse that she has been taking acarbose as prescribed. The nurse determines that a therapeutic effect of the medication has occurred if which laboratory value is noted?

A 2-hour postprandial serum glucose of 120 mg/dL

The nurse is monitoring a client receiving glipizide. Which outcome indicates an ineffective response from the medication?

A glycosylated hemoglobin level of 12%

The nurse is monitoring a client receiving spironolactone by mouth daily. Which data would indicate to the nurse that the client is experiencing a side effect related to the medication?

A potassium level of 5.2 mEq/L

A client with schizophrenia has been started on medication therapy with loxapine. The nurse determines that the client is experiencing the intended effects of the medication if which client behavior is observed?

Absence of delusional statements

A client is suspected of having myasthenia gravis, and the primary health care provider administers edrophonium to determine the diagnosis. After administration of this medication, which sign/symptom would indicate the presence of myasthenia gravis?

An increase in muscle strength

The nurse is caring for a client receiving digoxin. The nurse monitors the client for which early manifestation of digoxin toxicity?

Anorexia

The nurse is caring for a client with muscle spasticity characterized by heightened muscle tone, spasm, and loss of dexterity caused by multiple sclerosis. Which centrally acting skeletal muscle relaxants might be prescribed for this client? Select all that apply.

Baclofen Diazepam Dantrolene

A client has been given a prescription for gemfibrozil. The nurse plans to instruct the client to limit intake of which food while taking this medication?

Beef

The nurse is assisting in monitoring a client who received hydralazine hydrochloride to treat autonomic dysreflexia. Which finding accurately indicates that the medication is effective?

Blood pressure declines.

The nurse is checking postoperative prescriptions and planning care for a 110-pound child after spinal fusion. Morphine sulfate, 8 mg subcutaneously every 4 hours as needed (PRN) for pain, is prescribed. The pediatric drug reference states that the safe dosage is 0.1 to 0.2 mg/kg/dose every 2 to 4 hours. What would the nurse determine about the medication dosage?

The dosage is within the safe range.

The nurse is assisting with caring for a client with cancer who is receiving cisplatin. Which adverse effects are associated with this medication? Select all that apply.

Tinnitus Ototoxicity Nephrotoxicity Hypomagnesemia

The nurse is preparing to administer pentamidine isethionate to an assigned client by the intramuscular route. Which most appropriate parameter would the nurse monitor while administering this medication?

Blood pressure (BP)

A client receiving morphine by the epidural route complains of itching. The nurse would anticipate which prescription to relieve the itching?

Low dose infusion of naloxone

Albuterol, two puffs and fluticasone propionate, two puffs by metered-dose inhaler have been prescribed for a client with chronic obstructive pulmonary disease. The nurse caring for the client provides instructions regarding administration of the medication. Which statement by the client indicates an understanding of how to take these medications?

"I will take the two puffs of the albuterol first and then the two puffs of the fluticasone propionate."

An adult client with hypothyroidism is admitted to the hospital. When reviewing the client's health record, the nurse notes that the client is taking a maintenance dose of levothyroxine. The nurse is also reviewing instructions concerning taking levothyroxine with the client. There is a need for further teaching when the client makes which statement?

"I will take the pill with milk to keep from upsetting my stomach."

A client is taking nicotinic acid for hyperlipidemia, and the nurse reinforces instructions to the client about the medication. Which statement by the client indicates an understanding of the instructions?

"Ibuprofen taken 30 minutes before the nicotinic acid should decrease the flushing."

Itraconazole is prescribed for the client diagnosed with a fungal infection of the hands. Which statement by the client best indicates an understanding of the medication?

"If my urine becomes very dark, I should contact my primary health care provider."

A client is being treated for heart failure and is receiving digoxin. The client's vital signs are blood pressure 85/50 mm Hg, pulse 96 beats per minute, and respirations 26 breaths per minute. To evaluate therapeutic effectiveness of this medication, the nurse would expect which change in the client's vital signs?

Blood pressure 98/60 mm Hg, pulse 80 beats per minute, respirations 24 breaths per minute

The nurse is administering a dose of prochlorperazine to the client for nausea and vomiting. The nurse would instruct the client to report which frequent side effect of this medication?

Blurred vision

The nurse is assisting in preparing a diet plan for a client who is taking the anticoagulant, warfarin. The nurse instructs the client to limit which food from the diet?

Broccoli

The client with a diagnosis of gastric ulcer has a prescription for oral sucralfate four times daily. The nurse reinforces instructions to the client about which adverse or side effect that can occur while taking this medication?

Constipation

A client with a burn injury is applying mafenide acetate to the wound. The client calls the health care provider's office and tells the nurse that the medication is uncomfortable and is causing a burning sensation. Which instructions would the nurse reinforce to the client?

Continue with the treatment because this is expected.

A client with heart failure who is taking furosemide and digoxin calls the nurse and complains of anorexia and nausea. The nurse would take which action?

Check the result of the potassium level drawn 3 hours ago.

A client has been taking indomethacin for gout and experiencing side/adverse effects. Which assessment would the nurse expect the primary health care provider to prescribe?

Checking for occult blood

A client has begun therapy with theophylline. The nurse tells the client to limit the intake of which while taking this medication?

Coffee, cola, and chocolate

Cyclobenzaprine is prescribed for a client to treat muscle spasms, and the nurse is reviewing the client's record. Which disorder would indicate a need to contact the primary health care provider (PHCP) regarding the administration of this medication?

Glaucoma

A client has arrived at the emergency department complaining of weakness, an irregular heartbeat, and lethargy. The nurse is attempting to discover what caused these symptoms. The nurse asks the client "Have you been prescribed any new medications?" The client tells the nurse "About 2 weeks ago I was prescribed a drug to make me pee, but I don't know the name." The nurse determines that the client is referring to which medication?

Furosemide

A client arrives at the health care clinic for follow-up care and evaluation of the effectiveness of prazosin. Which finding indicates a therapeutic effect related to the use of this medication?

Decrease in blood pressure

A client with bladder cancer is receiving cisplatin and vincristine. The nurse plans care, knowing that which is the purpose of administering both of these medications?

Decrease medication resistance and reduce medication toxicity

A client with multiple sclerosis is receiving baclofen. The nurse monitoring this client would look for which outcome to indicate a primary therapeutic response from the medication?

Decreased muscle spasms

The nurse is assisting in monitoring a preterm infant in the neonatal intensive care unit who received surfactant. The nurse monitors for which desired therapeutic outcome of this medication?

Decreased tachypnea and nasal flaring

The nurse is collecting data from a client seen in the health care clinic for the first time. When the nurse asks the client about current prescribed medications, the client tells the nurse that metformin is taken daily. Based on this finding, the nurse elicits data from the client regarding the presence of which condition?

Diabetes mellitus

Capecitabine is prescribed for a client with metastatic breast cancer. The nurse reinforces information to the client about the medication including what frequent side effect?

Diarrhea

The home care nurse is visiting a client who was recently diagnosed with type 2 diabetes mellitus. The client, prescribed repaglinide and metformin, asks the nurse to explain these medications. The nurse would reinforce which instructions to the client? Select all that apply.

Diarrhea can occur secondary to metformin. The repaglinide is not taken if a meal is skipped. The repaglinide is taken 30 minutes before eating. Candy or another simple sugar is carried and used to treat mild hypoglycemia episodes.

A client being seen in the clinic is taking phenytoin. The client's phenytoin blood level is within therapeutic range, and the client's seizures are controlled. Which data collected by the nurse would require primary health care provider notification and possible discontinuation of the medication?

Diffuse body rash

A client admitted to the hospital gives the nurse a bottle of clomipramine. The nurse notes that the medication has not been taken by the client in 2 months. Which behavior observed in the client would validate noncompliance with this medication?

Frequent hand washing with hot, soapy water

A child with a right-to-left cardiac shunt is receiving propranolol. The health care provider visits the child and writes prescriptions in the child's record. The licensed practical nurse (LPN) reviews the prescriptions and notes that the child is placed on a nothing-by-mouth (NPO) status. The LPN consults with the registered nurse and prepares to monitor which parameter closely?

Glucose level

The nurse notes that a client is being treated with nesiritide. The nurse would expect this client to be experiencing which disorder?

Heart failure

A client is scheduled to receive chemotherapy with a group of medications, one of which is asparaginase. The nurse anticipates that this medication would be removed from the regimen after noting which findings in the client's medical record? Select all that apply.

History of pancreatitis Significantly elevated serum amylase

The nurse is taking a health history on a client seen in the health care clinic for the first time. When the nurse asks the client about current prescribed medications, the client tells the nurse that amprenavir is prescribed twice daily. Based on this finding, the nurse would elicit data from the client regarding the presence of which condition?

Human immunodeficiency virus (HIV)

A client diagnosed with acquired immunodeficiency syndrome (AIDS) is prescribed intravenous (IV) pentamidine isethionate. The nurse assigned to care for the client would primarily monitor for signs of which toxic effect related to the administration of this medication?

Hypoglycemia

A client with multiple sclerosis is receiving diazepam, and the home care nurse reinforces instructions to the client regarding the side effects of the medication. The nurse tells the client that which is a side effect of this medication?

Incoordination

The nurse is providing instructions to a client who is taking codeine sulfate for severe back pain. Which action does the nurse instruct the client to do?

Increase fluid intake.

A client is being treated for acute heart failure with intravenously administered bumetanide. The vital signs are as follows: blood pressure, 100/60 mm Hg; pulse, 96 beats per minute; and respirations, 24 breaths per minute. After the initial dose, which is the priority assessment?

Monitoring blood pressure

An opioid analgesic is administered to a client in labor. The nurse assigned to care for the client ensures that which medication is readily available if respiratory depression occurs?

Naloxone

A client undergoing chemotherapy with intravenous vincristine sulfate has been given information about the treatment. The nurse determines that the client has adequate understanding if the client identifies which sign or symptom as a potential adverse/side effect of the medication?

Numbness in the feet

The client with a gastric ulcer has a prescription for sucralfate 1 g by mouth four times daily. The nurse would schedule the medication to be administered at which times?

One hour before meals and at bedtime

A client taking buspirone hydrochloride for 1 month is scheduled for a follow-up appointment. The nurse gathers data from the client and interprets that the medication is effective if the client reports an absence of which sign/symptom?

Palpitations and anxiety

The nurse is caring for a hospitalized child with a history of seizures who is receiving oral phenytoin sodium. Which would be included in the plan of care for this child?

Providing oral hygiene, especially care of the gums

The nurse assists with creating a plan of care for a client with hyperparathyroidism receiving calcitonin-human. Which outcome has the highest priority regarding this medication?

Reaching normal serum calcium levels

A client has been started on medication therapy with alprazolam. When the nurse teaches the client that the medication should not be discontinued abruptly, the client asks why. The nurse would incorporate which information in formulating a reply?

Rebound central nervous system (CNS) excitation could occur, including seizure activity.

Docetaxel is prescribed for a client with metastatic breast cancer. In addition, dexamethasone is prescribed to be administered before initiation of the docetaxel. What is the rationale for the addition of dexamethasone to the treatment plan that the nurse would explain to the client?

Reduces the severity of fluid retention

The client who frequently uses nonsteroidal antiinflammatory drugs (NSAIDs) has been taking misoprostol. The nurse determines that this medication is having the intended therapeutic effect if which is noted?

Relief of epigastric pain

Morphine sulfate is being administered to a client with cancer. The nurse is monitoring the client for signs of overdose related to this medication therapy. Which finding noted in the client would require the need to notify the registered nurse?

Respirations of 10 breaths per minute

The nurse is helping prepare instructions for a client who has developed stomatitis following the administration of a course of antineoplastic medications. Which instructions would the nurse suggest to include in the plan of care? Select all that apply.

Rinse the mouth with diluted baking soda or saline. Nystatin should be prescribed if the client has areas of thrush. Offer foods and liquids that are neutral in taste and are neither hot nor cold.

A client is monitoring a client receiving theophylline to treat symptoms of chronic obstructive pulmonary disease (COPD). Which adverse effects require immediate consultation with the primary health care provider? Select all that apply.

Seizures Irregular heartbeat

A client is newly diagnosed with hypothyroidism. Levothyroxine is prescribed. The nurse would reinforce to the client which instructions about the medication?

Take on an empty stomach. Submit

The nurse reviews the laboratory results of a client with trigeminal neuralgia who is being treated with carbamazepine 400 mg orally daily. The client's white blood cell (WBC) count is 3000 cells/mm3, blood urea nitrogen (BUN) is 15 mg/dL, sodium is 140 mEq/L, and uric acid is 5 ng/dL. Which laboratory result would the nurse report to the primary health care provider?

The WBC is low, indicating a blood dyscrasia.

A 1-year-old child has been prescribed digoxin to treat heart failure (HF). When would the nurse plan on withholding the prescribed dose of the medication?

The child's pulse is less than 80 beats per minute.

The nurse is monitoring a client who is taking propranolol. Which data collection finding would indicate a potential serious complication associated with propranolol?

The development of audible expiratory wheezes

Diphenhydramine hydrochloride 25 mg orally every 6 hours is prescribed for a child with an allergic reaction. The child weighs 25 kg. The safe pediatric dosage is 5 mg/kg/day. Which conclusion would the nurse infer?

The dose is within the safe dosage range.

A newborn infant receives naloxone hydrochloride to reverse opiate-induced respiratory depression that occurred following labor and delivery. For which reason would the nurse continue to monitor the respiratory status of a newborn infant following the administration of this medication?

The newborn infant may demonstrate a reappearance of respiratory depression.

The nurse is caring for a client who has been prescribed furosemide and is monitoring for adverse effects associated with this medication. Which would the nurse recognize as potential adverse effects? Select all that apply.

Tinnitus Hypotension Hypokalemia

The nurse reinforces medication instructions to a client who is taking levothyroxine. The nurse instructs the client to notify the primary health care provider (PHCP) if which sign/symptom occurs?

Tremors

A client is receiving a daily dose of oral fluphenazine. The nurse would reinforce instructions to the client to practice which intervention to minimize common side effects of this medication?

Use hard, sour candy or sugarless gum.

The client with recurrent constipation has begun using psyllium. The nurse would instruct the client that this medication would be taken in which manner?

With a full glass of liquid, followed by a second glass of liquid

The nurse caring for a child with nephrotic syndrome reviews the medication record. The nurse notes that prazosin hydrochloride is prescribed for the child. The nurse determines that this medication has been prescribed to achieve which result?

Control hypertension.

A client is placed on hydrate sedative-hypnotic for short-term treatment. Which nursing action indicates an understanding of the major side effect of this medication?

Instructing the client to call for ambulation assistance

A nursing student is assigned to care for a client with a diagnosis of schizophrenia. Haloperidol is prescribed for the client, and the nursing instructor asks the student to describe the action of the medication. Which statement by the nursing student indicates an understanding of the action of this medication?

It blocks the binding of dopamine to the postsynaptic dopamine receptors in the brain.

A client with epilepsy is taking the prescribed dose of phenytoin to control seizures. A phenytoin blood level is drawn, and the results reveal a level of 35 mcg/mL. Which symptom would be expected as a result of this laboratory result?

Slurred speech

A client has a new prescription to take guaifenesin every 4 hours as needed. Which medication instructions would the nurse reinforce?

Take the tablet with a full glass of water.

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

Per agency policy, put up the side rails on the bed.

A postoperative client has received a dose of naloxone hydrochloride for respiratory depression shortly after transfer to the nursing unit from the postanesthesia care unit. After administration of the medication, the nurse would check the client for which sign/symptom?

Sudden increase in pain

A client with no history of heart disease has experienced an acute myocardial infarction and been given thrombolytic therapy with tissue plasminogen activator (tPA). The nurse interprets that the client is likely experiencing a complication of this therapy if which occurs?

Tarry Stools

A hospitalized client is started on phenelzine sulfate for the treatment of depression. At lunchtime, a tray is delivered to the client. Which food item on the tray would the nurse remove?

Yogurt

The nurse is reinforcing instructions to the client about the use of ceftriaxone, an antibiotic, for treating cervical gonorrhea. The nurse would determine a need for further teaching if the client makes which statement?

"I will take the pills for 20 full days."

An oral hypoglycemic medication, a sulfonylurea, is prescribed for a client with type 2 diabetes mellitus. The nurse is reviewing the medical record and needs to contact the primary health care provider if there is a history of which condition?

Liver disease

The nurse is reviewing the laboratory studies on a client receiving dantrolene sodium. Which laboratory test(s) would identify an adverse effect associated with the administration of this medication?

Liver function tests

The nurse has a prescription to give a client a scheduled dose of digoxin. Before administering the medication, the nurse routinely screens for which signs/symptoms that could indicate early signs of digoxin toxicity?

Loss of appetite, nausea, and vomiting

A client with rheumatoid arthritis is taking acetylsalicylic acid on a daily basis. Which medication dose would the nurse expect the client to be taking?

4 g daily