Dynamics Pharm

A nurse is providing teaching about sodium phosphate to a client who has a new prescription for sodium phosphate. The client is scheduled for a colonoscopy and is currently taking furosemide for hypertension. Which of the following client statements should indicate to the nurse that the teaching has been effective?

"I can experience an imbalance in my electrolytes from this medication."

A nurse in a provider's office is assessing a client who has been taking amoxicillin for 10 days and reports diarrhea and cramping. The nurse should recognize that these manifestations occur secondary to which of the following adverse effects?

Alterations in gastrointestinal flora

A nurse is teaching a client who is using topical lidocaine about preventing systemic toxicityWhich of the following pieces of information should the nurse include about the application of topical lidocaine? *

Apply topical lidocaine to the affected areas that are intact

A nurse is monitoring a client who has asthma, takes albuterol, and recently started taking propranolol to treat a cardiovascular disorder. The client reports that the albuterol has been less effective. Which of the following factors should the nurse identify as a possible explanation for this change ?

Detrimental inhibitory interaction

A nurse is reviewing the medical record of a client who is receiving hydrochlorothiazide (HCTZ)The nurse should expect to find an improvement in which of the following conditions as a result of this medication?*

Diabetes insipidus

A nurse is admitting a client who has atrial fibrillation with a heart rate of 155 / min. The nurse should anticipate a prescription from the provider for which of the following medications?

Diltiazem

A nurse is assessing a client who is experiencing chest pain. Which of the following medications should the nurse expect to administer to suppress the aggregation of platelets?

aspirin

A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 400 mL IV to an older adult client over 8 hr. The nurse should set the pump to deliver how many mL/hr? (Fill in the blank with the numeric value only round the answer to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.)

50 mL/hr

A nurse is caring for a client who had a myocardial infarction 2 hours ago and is receiving alteplasel. Which of the following findings should the nurse identify as an adverse effect of receiving this medication? *

Bleeding

A nurse is caring for a client who has a new prescription for meperidine 500 mg q4 to 6 hr to manage pain. Which of the following actions should the nurse take? *

Contact the provider for clarification of the prescription

A nurse is caring for a client who has atrial fibrillation and is scheduled for cardioversion. The nurse should anticipate a prescription from the provider for which of the following medications for this procedure?

Diltiazem

A nurse is caring for a client who is receiving continuous cardiac monitoring. Which of the following medications should the nurse anticipate administering to treat atrial fibrillation?

Diltiazem

A nurse is caring for an older adult client who has a new prescription for amitriptyline to treat depression. Which of the following diagnostic tests should the nurse plan to perform prior to starting the client on this medication?

Electrocardiogram

A nurse is caring for a client who is taking streptomycin. Which of the following medications increases the client's risk of developing atotoxicity when taken with streptomycin?

Furosemide

A nurse is caring for a client who is experiencing an acute asthma exacerbationWhich of the following medications should the nurse identify as being contraindicated for this client? *

Propranolol

A nurse is providing teaching to a newly licensed nurse about administering morphine via IV bolus to a client. Which of the following pieces of information shit the nurse include in the teaching? **

Respiratory depression can occur 7 min after the morphine is administered

A nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. The nurse should recognize that candidiasis is a manifestation of which of the following adverse effects?

Superinfection

A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. For which of the following adverse effects should the client be taught to monitor and notify the provider if it occurs?

Tinnitus

A nurse is admitting a client who has unstable angina. Which of the following medications should the nurse anticipate administering to the client?

nitroglycerin

A nurse is caring for a client who reports crushing chest pain. The nurse reviews the client's ECG results and notes ST changes. Which of the following medications should the nurse administer?

nitroglycerin

A nurse is assessing a child who has acute lymphocytic leukemia and is receiving vincristine sulfate. Which of the following findings is the nurse's priority?

paresthesia

A nurse is caring for a client who has a prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects?

bleeding

A nurse is teaching a client who has a new diagnosis of angina and has a prescription for isosorbide mononitrate 10 mg PO twice daily. Which of the following client statements indicates an understanding of the teaching?

"I should change positions slowly when getting out of bed"

A nurse is providing teaching to a client with a new diagnosis of heart failure who has a prescription for furosemide. Which of the following statements should the nurse include in the teaching?

"You should eat foods that are high in potassium while taking this medication."

A nurse is caring for a client who is developing acute pulmonary edema and has a new prescription for furosemide 40 mg bolus. The nurse should plan to administer the medication using which of the following methods? *

Undiluted administered over 2 min

A nurse is caring for a client who has tuberculosis and is taking rifampin. The nurse should monitor the client for which of the following adverse effects of rifampin?

red-tinged urine

A nurse is providing discharge teaching about lithium toxicity to a client who has a new prescription for lithium Which of the following statements by the client indicates an understanding of the teaching?

I can develop lithium toxicity if i experience vomiting or diarrhea

A nurse is providing teaching to a client who has a new prescription for lisinopril. Which of the following should the nurse include in the teaching as an adverse effect of lisinopril?

Tongue swelling

A nurse is providing teaching to a client with tuberculosis who has prescriptions for rifampin and ethambutol Which of the following findings is an adverse effect of these medications that the client should report to the provider?

decreased visual acuity

A nurse is caring for a client who has acute glomerulonephritis and a prescription for furosemide. The nurse should monitor the client for which of the following therapeutic effects of this medication?

diuresis

A nurse is reviewing the medical record of a client with rheumatoid arthritis who has a prescription for infliximab. Which of the following findings should the nurse identify as a contraindication to the client receiving this medication?

hepatitis B virus

A nurse is providing discharge teaching to a client who has heart failure and a prescription for digoxin 0.125 mg daily and furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching?

"I will eat fruits and vegetables that have a high potassium content every day."

A nurse is teaching a client who is about to start taking propylthiouracil to treat hyperthyroidismWhich of the following statements should the nurse identify as an indication that the teaching has been effective?*

"I will need laboratory tests to check my liver function."

A nurse is providing teaching to a client who has chronic constipation and a new prescription for psyllium. Which of the following instructions should the nurse provide ?

"Mix this medication with water and follow with an additional glass of liquid."

A nurse is preparing to administer the first injection of the diphtheria, tetanus, and pertussis (DTaP) vaccine to an infant. Which of the following pieces of information should the nurse tell the guardian prior to administering the immunization?

"The vaccine will be injected into the infant's thigh."