Unit Test 2 Pharm

The nurse is caring for a client receiving an albuterol/ipratropium nebulized breathing treatment. Which report from the client should the nurse note as an expected side effect of this combination?

" I feel like my heart is racing"

The nurse teaches a client about the effects of diphenhydramine, which has been prescribed as a cough suppressant. The nurse determines that the client needs further instruction if the client makes which statement?

" I will take the medication on an empty stomach"

The home health nurse is visiting a client with coronary artery disease with elevated triglyceride levels and a serum cholesterol level of 398 mg/dL. The client is taking cholestyramine, and the nurse teaches the client about the medication. Which statement by the client indicates the NEED FOR FURTHER TEACHING?

" I'll continue my nicotinic acid from the health food store"

The nurse is teaching a client who is beginni9ng antiviral therapy for influenza. Which statement by the client indicates an understanding of the instructions?

"I must take the medication exactly as prescribed"

The nurse provides discharge instructions to a client with Afib who is taking warfarin sodium. Which statement by the client reflects the need for further teaching?

"I will take coated aspirin for my headaches because it will coat my stomach"

The nurse provides instructions to the client about nicotinic acid prescribed for hyperlipedemia. Which statement by the client indicates understanding of the instructions?

"Ibuproen taken 30 minutes before the nicotinic acid may decrease the flushing"

The nurse has just administered the first dose of omalizumab to a client. Which statement by the client alerts the nurse of a life-threatening effect?

"My lips and tongue are swollen"

The nurse determines the client NEEDS FURTHER INSSTRUCTION on cimetidine if which statements were made? SATA 1. " I will take the cimetidine with my meals" 2. "I'll know the medication is working if my diarrhea stops" 3. " My episodes of heartburn will decrease if the medication is effective" 4. "Taking the cimetidine with an antacid will increase its effectiveness" 5. "Some of my blood levels will need to be monitored closely since I also take warfarin for atrial fibrillation"

1. " I will take the cimetidine with my meals" 2. "I'll know the medication is working if my diarrhea stops" 4. "Taking the cimetidine with an antacid will increase its effectiveness"

The nurse asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a newborn. Which student statement indicates that FURTHER TEACHING IS NEEDED about administration of the eye medication? 1. "I will flush the eyes after instilling the ointment" 2. " I will clean the newborn's eyes before instilling ointment" 3. "I need to administer the eye ointment within 1 hr after delivery" 4. "I will instill the eye ointment into each of the newborn's conjunctival sacs"

1. "I will flush the eyes after instilling the ointment"

The nurse is monitoring a client in preterm labor who is receiving intravenous magnesium sulfate. The nurse should monitor for which adverse effects of this medication? SATA 1. Flushing 2. Hypertension 3. Increased urine output 4. Depressed respirations 5. Extreme muscle weakness 6. Hyperactive deep tendon reflexes

1. Flushing 4. Depressed respirations 5. Extreme muscle weakness

Rifabutin is prescribed for a client with active MAC disease and TB. The nurse should monitor for which side and adverse effects of rifabutin? SATA

1. Signs of hepatitis 2. Flu-like syndrome 3. Low neutrophil count 5. Ocular pain or blurred vision

A client who is receiving digoxin daily has a serum potassium of 3 and reports anorexia. The HCP prescribes a serum digoxin level to be done. The nurse checks the results and should recognize which level that is outside of the therapeutic range?

2.2 ng/mL (2.8 nmol/L)

A client has an as needed prescription for loperamide hydrochloride. For which condition should the nurse administer this medication? 1. Constipation 2. Abdominal pain 3. An episode of diarrhea 4. Hematest-positive nasogastric tube drainage

3. An episode of diarrhea

A client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed? 1. Weight loss 2. Relief of hearburn 3. Reduction of steatorrhea 4. Absence of abdominal pain

3. Reduction of steatorrhea

The nurse is monitoring a client who is receiving oxytocin to induce labor. Which assessment findings should cause the nurse to IMMEDIATELY discontinue the oxytocin infusion? Select all that apply. 1. Fatigue 2.Drowsiness 3.Uterine hyperstimulation 4.Late deceleratins of the FHR 5.Early decelerations of the FHR

3. Uterine hyperstimulation 4. Late decelerations of the FHR

A client is being treated with procainamide for a cardiac dysrhythmia. Following IV administration of the medication, the client c/o dizziness. What intervention should the nurse take FIRST?

Auscultate the client's apical pulse and BP

A client begins therapy with theophylline. The nurse plans to teach the client to limit the intake of which items while taking this medication?

Coffee, cola, and chocolate

the nurse is monitoring a client with HTN who is taking propranolol. Which assessment finding indicates a potential adverse complication associated with this medication?

Development of expiratory wheezes

Terbutaline is prescribed for a client with bronchitis. Which disorder in the client's medical history requires caution by the nurse?

Diabetes mellitus

The nurse is monitoring a client with HF who is taking digoxin. Which findings are characteristics of digoxin toxicity? SATA

Diarrhea, Blurred vision, Nausea and vomiting

The nurse has a given a client taking ethambutol information about the medication. The nurse determines that the client understands the instructions if the client states that they will immediately report which finding?

Difficulty in discriminating the color red from green

A client has been taking omeprazole for 4 weeks. The ambulatory care nurse evaluates that the client is receiving the optimal intended effect of the medication if the client reports the absence of which symptom?

Heartburn

A client with TB is starting antiTB therapy with isoniazid. Before giving the client the first dose, the nurse should ensure that which baseline study has been completed?

Liver enzyme levels

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

Naloxone (Narcan)

The nurse is preparing to administer a dose of naloxone IV to a client with an opioid overdose. Which supportive medical equipment should the nurse plan to have at the client's bedside?

Nasogastric tube

A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing which problem?

Peripheral neuritis

IV heparin therapy is prescribed for a client with AFib. While implementing this prescription, the nurse ensures that which med is available on the nursing unit?

Protamine sulfate

A client who uses (NSAIDs) has been taking misoprostol. The nurse determines that the misoprostol. The nurse determines that the misoprostol is having the intended therapeutic effect if which finding is noted?

Relief of epigastric pain

A client is to begin a 6 month course of therapy with isoniazid. The nurse should plan to teach the client to take which action?

Report yellow eyes or skin immediately

The nurse has a prescription to give a client salmeterol, 2 puffs, and beclomethasone diproprionate, 2 puffs, by metered dose inhaler. The nurse should administer the medication using which procedure?

Salmeterol first then beclomethasone

A client has a prescription to take guaifenesin. The nurse determines that the client understands the proper administration of this medication if the client states that she will perform which action?

Take the tablet with a full glass of water

The nurse administered IV bumetanide to a client being treated for HF. Which outcome indicates that the medication has achieved the expected effect?

Urine output increases from 10ml/hr to greater than 50 ml/hr

A client with atrial fibrilation is receiving a continuous heparin infusion at 1000units/hr. The nurse determines that the client is receiving the therapeutic effect based on which results?

aPTT of 60 seconds

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

" This medication should only be taken with water"

A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is teaching the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statement by the client indicates the best understanding of the medication regimen?

" The medications will kill the bacteria and stop the acid production"

A client in preterm labor (31 weeks) who is dilated to 4 cm has been started on magnesium sulfate and contractions have stopped. If the client's labor can be inhibited for the next 48 hrs, the nurse anticipates a prescription for which medication? 1. Nalbuphiine 2. Betamethasone 3. Rho(D) immune globulin 4. Dinoprostone vaginal insert

2. Betamethasone

Methylergonovine is prescribed for a woman to treat postpartum hemorrhage. Before administration of methylergonovine, what is the priority assessment? 1. uterine tone 2. Blood pressure 3. Amount of lochia 4. Deep tendon reflexes

2. Blood pressure

A client with Crohn's disease is scheduled to receive an infusion of infliximab. What intervention by the nurse will determine the effectiveness of treatment? 1. Monitoring the leukocyte count for 2 days after the infusion 2. Checking the frequency and consistency of bowel movements 3. Checking serum liver enzyme levels before and after the infusion 4. Carrying out a Hematest on gastric fluids after the infusion is completed

2. Checking the frequency and consistency of bowel movements

The nurse is preparing to administer exogenous surfactant to a premature infant who has respiratory distress syndrome. The nurse prepares to administer the medication by which route? 1. Intradermal 2. Intratracheal 3. SubQ 4. Intramuscular

2. Intratracheal

A pregnant client is receiving magnesium sulfate for the management of preeclampsia. The nurse determines that the client is experiencing toxicity from the medication if which findings are noted on assessment? SATA 1. Proteinuria of 3+ 2. Respirations of 10 breaths per minute 3. Presence of deep tendon reflexes 4. Urine output of 20 mL in an hour 5. Serum magnesium level of 4 mEq/L

2. Respirations of 10 breaths per minute 4. Urine output of 20 mL in an hour

An older client recently has been taking cimetidine. The nurse monitors the client for which most frequent central nervous system side effect of this medication? 1. Tremors 2. Dizziness 3. Confusion 4. Hallucinations

3. Confusion

Rho(D) immune globulin is prescribed for a client after delivery, and the nurse provides information to the client about the purpose of the medication. The nurse determines that the woman understands the purpose if the woman states that it will protect her next baby from which condition? 1. Having Rh-positive blood 2. Developing a rubella infection 3. Developing physiological jaundice 4. Being affected by Rh incompatibility

4. Being affected by Rh incompatibility

A client has an as-needed prescription for odansetron. For which condition(s) should the nurse administer this medication? 1. Paralytic ileus 2. Incisional pain 3. Urinary retention 4. Nausea and vomiting

4. Nausea and vomiting

A client with a gastric ulcer has a prescription for sucralfate 1 gram by mouth 4 times daily. The nurse should schedule the medication for which times? 1. With meals and at bedtime 2. Every 6 hrs around the clock 3. One hour after meals and at bedtime 4. One hour before meals and at bedtime

4. One hour before meals and at bedtime

Methylergonovine is prescribed for a client with postpartum hemorrhage. Before administering the medication, the nurse should contact the obstetrician who prescribed the medication if which condition is documented in the client's medical history? 1. Hypotension 2. Hypothyroidism 3. Diabetes mellitus 4. Peripheral vascular disease

4. Peripheral vascular disease

A client has a new prescription for metoclopramide. On review of the chart, the nurse identifies that this medication can be safely administered with which condition? 1. Intestinal obstruction 2. Peptic ulcer with melena 3. Diverticulitis with perforation 4. Vomiting following cancer chemotherapy

4. Vomiting following cancer chemotherapy

The nurse should report which assessment finding to the PHCP before initiating thrombolytic therapy in a client with a pulmonary embolism?

BP of 198/100 mm/hg

A cromolyn sodium inhaler is prescribed for a client with allergic asthma. The nurse provides instructions regarding the adverse effects of this medication and should tell the client that which undesirable effect is associated with this medication?

Bronchospasm

A client has been started on long-term therapy with rifampin. The nurse should provide which information to the client about the medication?

Causes orange discoloration of sweat, tears, urine, and feces

A client with valvular heart disease who has a clot in the right atrium is receiving a heparin sodium infusion at 1000 units/hr and warfarin sodium a7.5 mg at 5pm daily. the morning lab results are as follows: aPTT 32 seconds, INR 1.3. The nurse should take which actin based on the clint's lab results?

Collab with PHCP to obtain a prescription to increase the heparin infusion and continue the warfarin sodium as prescribed.

Zafirlukast is prescribed for a client with bronchial asthma Which laboratory test does the nurse expect to be prescribed before the administration of this medication?

Liver function tests

A client is diagnosed with a STEMI and is receiving a tissue plasminogen activator alteplase. Which action is a priority nursing intervention?

Monitor for signs of bleeding

Prior to administering a client's daily dose of digoxin to treat HF, the nurse reviews the client's lab data and notes the following results: serum calcium 9.8 mg/dL, serum mag 1.0 mEq/L, serum potassium 4.1 mEq/L, serum creatinine 0.9 mg/dL. Which result should alert the nurse that the client is at risk for digoxin toxicity?

Serum mag level

A client receiving thrombolytic therapy with a continuous infusion of alteplase suddenly becomes extremely anxious and reports itching. The nurse hears stridor and notes generalized urticaria and hypotension. Which interventions should the nurse anticipate? SATA

Stop the infusion Administer diphenhydramine Call for the Rapid Response Team (RRT)

The nurse is monitoring a client for adverse effects of medications. Which findings are characteristic of adverse effects of hydrochlorothiazide? SATA

Sulfa allergy, Hypokalemia, Hyperglycemia, Hypercalcemia