4510 Pharm Made Easy

A nurse is teaching a client who has a prescription for a drug that has a receptor agonist effect. Which of the following information should the nurse include in the teaching? a. "this will increase the effects of normal cellular functions" b. "this prevents cells in your body from performing certain actions" c. "this prevents hormones in your body from attaching to cell receptor sites" d. "this minimizes the risk that the medications you take will become toxic"

a. "this will increase the effects of normal cellular functions"

A nurse is caring for a client who has a new prescription for a drug. After receiving the first dose of the drug, the client experiences anaphylaxis. The nurse should identify that anaphylaxis represents which of the following results of the drug? a. adverse effect b. paradoxical effect c. therapeutic effect d. toxicity

a. adverse effect

A nurse is caring for a client who is taking acetaminophen and codeine for pain relief. These analgesic drugs interact with one another to cause and additive effect. The nurse should identify that which of the following are characteristics of additive drug interactions? SATA a. clients can achieve desired effects with the use of lower dosages b. taking the two drugs together can reduce the effects of one or both drugs c. taking the two drugs together can potentiate the effects of one or both drugs d. the two drugs can produce an action neither would have produced alone e. both drugs have similar actions

a. clients can achieve desired effects with the use of lower dosages e. both drugs have similar actions

A nurse is caring for a client who is taking acetaminophen at regular intervals for mild discomfort. The nurse should tell the client to report which of the following early indications of acetaminophen toxicity? SATA a. diaphoresis b. palpitations c. shortness of breath d. nausea e. diarrhea

a. diaphoresis d. nausea e. diarrhea

A nurse is caring for a client who is about to begin taking aspirin. The nurse should instruct the client to report which of the following manifestations of salicylism? SATA a. fever b. tinnitus c. diaphoresis d. thrombophlebitis e. dizziness

a. fever b. tinnitus c. diaphoresis e. dizziness

A nurse is preparing to teach a client how to take care of a newly created colostomy. The nurse should identify that which of the following factors can decrease the client's ability to learn? SATA a. impaired cognitive level b. language barrier c. discomfort d. repetition of teaching e. unreadiness to learn

a. impaired cognitive level b. language barrier c. discomfort e. unreadiness to learn

A nurse is teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include? SATA a. increase fiber and fluid intake b. take the drug with food c. avoid driving after taking the drug d. change position gradually e. reduce exercise level temporarily

a. increase fiber and fluid intake b. take the drug with food c. avoid driving after taking the drug d. change position gradually

A nurse is caring for a client who is taking naloxone to treat acute morphine toxicity. The nurse should monitor the client for which of the following adverse drug reactions? SATA a. increased respiratory rate b. increased pain c. thrombophlebitis d. ventricular arrhythmias e. hypertension

a. increased respiratory rate b. increased pain d. ventricular arrhythmias e. hypertension

when reviewing a list of drugs in a drug handbook, a nurse can identify the generic name for a drug in which of the following ways? a. it begins with a lower-case letter b. it is listed in parentheses along with the trade name c. there are both letters and number in the name d. the chemical name is listed in parentheses before the generic name

a. it begins with a lower-case letter

A nurse is caring for a client who arrived at an emergency department following a bee sting. Which of the following findings indicates an anaphylactic reaction? SATA a. low blood pressure b. wheezing c. bradycardia d. peripheral edema e. difficulty swallowing

a. low blood pressure b. wheezing e. difficulty swallowing

A nurse is planning care for a client who has started taking prednisone. Which of the following interventions should the nurse include? a. monitor the client's blood glucose b. administer an antacid 30 min prior to prednisone c. administer aspirin rather than NSAIDs if the client has pain d. monitor the client for hyperkalemia

a. monitor the client's blood glucose

A nurse is providing teaching for a client who has a new prescription for a drug with a high potential for toxicity. Which of the following information should the nurse include? SATA a. periodic laboratory tests are essential to measure serum drug levels b. monitoring for indications of toxicity is important c. taking the drug with an inducing agent will increase the possibility of toxicity d. taking the smallest effective dose is crucial e. increasing fluid intake is recommended to avoid toxicity

a. periodic laboratory tests are essential to measure serum drug levels b. monitoring for indications of toxicity is important e. increasing fluid intake is recommended to avoid toxicity

A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters. The nurse should identify that which of the following terms described why this drug was prescribed for the client? a. pharmacologic action b. chemical stability c. route d. adverse effects

a. pharmacologic action

A nurse is caring for a client who is postpartum and breastfeeding. The client asks the nurse about the effects that taking over-the-counter drugs will have an hew newborn. Which of the following should the nurse consider when recommending a drug for the client? SATA a. the newborn's weight b. how much breast milk the newborn consumes each day c. whether or not the benefits to the client outweigh the risks to the newborn d. the properties of the drug e. the route of administration of the drug

a. the newborn's weight b. how much breast milk the newborn consumes each day c. whether or not the benefits to the client outweigh the risks to the newborn d. the properties of the drug

A nurse is caring for a client who is taking diphenhydramine for insomnia and reports drowsiness. The nurse should identify that drowsiness indicates which of the following? a. therapeutic effect b. adverse reaction c. contraindication d. precaution

a. therapeutic effect

A nurse is obtaining a client's health history and discovers that the client takes loratadine, an over-the-counter drug. The nurse should identify that which of the following is correct regarding over-the-counter drug? SATA a. they do not require the supervision of a nurse b. they can interact with other drugs c. they should be included in the client's drug history assessment d. they are less effective than prescription drugs e. they do not cause toxicity

a. they do not require the supervision of a nurse b. they can interact with other drugs c. they should be included in the client's drug history assessment

A nurse is reviewing drugs in a drug reference. The nurse should identify the drugs in the same class share which of the following similarities? a. they have similar mechanisms of actions b. they have the same half-life c. they are administered by the same route d. they have similar availability

a. they have similar mechanisms of actions

A nurse is caring for a client who asks about taking acetaminophen. The nurse should identify that acetaminophen is indicated for which of the following conditions? SATA a. to reduce fever b. to decrease inflammation c. to relieve mild pain d. to promote sedation e. to alleviate anxiety

a. to reduce fever c. to relieve mild pain

A nurse is caring for a client who takes low-dose aspirin to prevent cardiovascular events. The client asks the nurse about taking ibuprofen to treat rheumatoid arthritis. Which of the following responses should the nurse make? a. "ibuprofen will increase your risk for developing salicylism" b. "ibuprofen will reduce the cardioprotective effects of low-dose aspirin" c. "low-dose aspirin will reduce the anti-inflammatory effects of ibuprofen" d. "low-dose aspirin will reduce the analgesic effects of ibuprofen"

b. "ibuprofen will reduce the cardioprotective effects of low-dose aspirin"

A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the client can receive the drug? a. adverse effects b. contraindications c. implementation d. black box warning

b. contraindications

A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the drug has more than use? a. adverse effects b. indications c. pharmacokinetics d. nursing implications

b. indications

A nurse is reviewing a drug handbook prior to administering a drug to a client who has kidney disease. The handbook states that the drug can be administered but identifies certain risk. Which of the following terms describes the risks? a. contraindications b. precautions c. paradoxical effects e. adverse effects

b. precautions

A nurse is reviewing the medical record of a client who has a new prescription for tramadol. The nurse should identify that which of the following conditions is a contraindication for tramadol? a. hyperthyroidism b. seizure disorder c. rheumatoid arthritis d. urinary incontinence

b. seizure disorder

A nurse is preparing to teach a client about a newly prescribed drug. Prior to providing teaching, the nurse should review the precautions section of a drug handbook for which of the following reasons? a. to determine drug-food interactions b. to determine if dosage modification is indicated c. to determine how the drug is absorbed d. to determine availability

b. to determine if dosage modification is indicated

A nurse is caring for a client who is receiving morphine to relieve severe pain. The nurse should monitor the client for which of the following adverse drug reactions? SATA a. diarrhea b. urinary retention c. respiratory depression d. sedation e. orthostatic hypotension

b. urinary retention c. respiratory depression d. sedation e. orthostatic hypotension

A nurse is obtaining a client's health history. The client reports no allergies but has experienced mild itching while taking amoxicillin in the past. Which of the following responses should the nurse make? a. "itching is an expected adverse effect of amoxicillin" b. "itching can indicate amoxicillin toxicity" c. "itching can indicate a hypersensitivity to amoxicillin" d. "itching can result from dry skin, which is often caused by amoxicillin"

c. "itching can indicate a hypersensitivity to amoxicillin"

A nurse is caring for a client who has a new prescription for prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse drug reactions? a. pulmonary embolism b. hepatitis c. bone loss d. breast cancer

c. bone loss

A nurse is caring for a client who has a history of renal insufficiency and is taking lithium. The nurse should monitor the client for which of the following? a. tolerance to the drug b. drug interaction c. drug toxicity d. dependence on the drug

c. drug toxicity

A nurse is caring for a client who is having difficulty remembering to take their prescribed drug three times each day. The nurse should identify that which of the following alternate forms of the drug can help to promote adherence to the prescribed dosage? a. liquid suspension b. immediate-release capsule c. extended-release tablet d. powder form

c. extended-release tablet

A nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include? SATA a. reduce the dose during periods of stress b. discontinue the drug gradually c. report illness or infection d. increase intake of calcium and vitamin D e. monitor for signs of gastric bleeding

c. report illness or infection d. increase intake of calcium and vitamin D e. monitor for signs of gastric bleeding

A nurse is caring for a client who is receiving nitroglycerin IV and is switching to the oral form of the drug. The nurse should identify that the oral dose will be higher than the IV dose for which of the following reasons? a. the IV form crosses the blood-brain barrier b. the oral form has a decreased half-life c. the oral form has decreased bioavailability because of the first-pass effect d. the oral form has an increased rate of excretion

c. the oral form has decreased bioavailability because of the first-pass effect

A nurse is caring for a client who has a prescription for aspirin to treat an ankle sprain. The nurse should instruct the client to report which of the following adverse drug reactions? a. polyuria b. bone pain c. weight gain d. infection

c. weight gain

A nurse is teaching a client about the adverse effects of digoxin. Which of the following statements should the nurse include in the teaching? a. "adverse effects are the intended effects of the medication" b. "adverse effects indicate a severe allergy to the medication" c. "decrease your medication dose if adverse effects occur" d. "contact your provider if adverse effects occur

d. "contact your provider if adverse effects occur

A nurse is teaching a client about naproxen enteric-coated tablets. Which of the following statements should the nurse include in the teaching? a. "drug absorption occurs in the stomach" b. "you should expect immediate absorption of the drug" c. "you should allow the tablet to dissolve in your mouth" d. "do not crush or chew the tablet"

d. "do not crush or chew the tablet"

A nurse is caring for a group of postoperative clients. The nurse should identify that morphine is contraindicated for which of the following clients? a. a client who had a mastectomy b. a client who had a knee arthroplasty c. a client who had a colectomy d. a client who had a cholecystectomy

d. a client who had a cholecystectomy

A nurse is reviewing the medical record of a client who reports taking acetaminophen at home. The nurse should identify that which of the following client conditions is a contraindication for acetaminophen? a. asthma b. diabetes mellitus c. heart failure d. alcohol use disorder

d. alcohol use disorder

A nurse is caring for a client who is newly admitted to the facility for chest pain. At which of the following times should the nurse begin teaching about drugs and discharge planning? a. after the client has a definitive diagnosis b. on the day of discharge c. when the client's family members are present d. as soon as possible

d. as soon as possible

A nurse is caring for a child who has a viral infection. The nurse should identify that which of the following drugs can increase the risk of Reye syndrome in children who have viral infections? a. butorphanol b. acteminophen c. tramadol d. aspirin

d. aspirin

A nurse is speaking to a client who is taking sertraline and reports drinking grapefruit juice. The nurse explains that grapefruit juice inhibits an enzyme in the liver that is used to metabolize sertraline. The nurse should recognize the client's risk for which of the following? a. reduced drug absorption b. drug dependence c. altered drug distribution d. drug toxicity

d. drug toxicity

A nurse is providing teaching to a pregnant client who is taking captopril, an ACE inhibitor, to treat hypertension. The nurse informs the client that captopril is a teratogenic drug. The nurse should explain that teratogenic drugs can cause which of the following? a. maternal bleeding b. maternal blood clots c. gestational diabetes mellitus d. fetal malformation

d. fetal malformation

A nurse is caring for a client who currently takes furosemide and has a new prescription for prednisone. The nurse should monitor the client for which of the following manifestations during concurrent use of the two drugs? a. hypercalcemia b. hypoglycemia c. hypothermia d. hypokalemia

d. hypokalemia