Exit Exam Pharmacology

Carbamazepine Carbamazepine causes an accelerated inactivation of oral contraceptives because of its action on hepatic medication-metabolizing enzymes.

A nurse is reviewing the medication list of a client who wants t o begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? Carbamazepine Sumatriptan Atenolol Glipizide

Hypokalemia Furosemide is a potent loop diuretic. With Lasix , potassium excretion is increased and may lead to hypokalemia .

A client is being treated for congestive heart failure (CHF). Included in the client's orders is a prescription for furosemide (Las ix) 20 mg p.o. daily. The nurse should assess the client for which of the following? Hypoglycemia Hyperkalemia Hypokalemia Hyperglycemia

a. Miosis which is pupillary constriction, is a common adverse effect of neostigmine due to the excessive muscarinic stimulation that causes difficulty with visual accommodation.

A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect? a. Tachycardia b. Oliguria c. Xerostomia d. Miosis

"Check for bruising while taking this medication." CORRECT • • • • • • • • The nurse should instruct the client to check for bruising because ketorolac can increase the risk of bleeding b y interfering with platelet aggregation.

A nurse is teaching a client who is starting to take ketorolac. Which of the following information should the nurse include in the teaching? "Check for bruising while taking this medication." "Take the medication on an empty stomach." "The medication can cause anxiety." "Increase iron intake with this medication."

shortness of breath

A/E deltiazem

hypokalemia

A/E florizimide

Lethargy Spironolactone is a potassium-sparing diuretic that can cause hyponatremia; lethargy is an indication of hyperkalemia .

A/E of spironolactone

Nausea

AE of neostigmine

Acetylcysteine

antidote for acetaminophine toxicity

Atropine

antidote for cholinergic toxicity.

Flumazenil

antidote for diazepam

Nalozone

antidote for heroin toxicity/ morphine

Methadone

antidote opioid addiction

clonidine

orthostatic hypotension

tinnitus

sign of aspirin toxicity

Hyperventilation CORRECT • • • • • • • • • • • • When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding is hyperventilation. This indicates the client might have acute salicylate poisoning, which causes respiratory alkaiosis in the early stages.

A nurse in a provider's office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately? Hyperventilation Heartburn Anorexia Swollen ankles

Increased blood pressure Dopamine is a catecholamine used to increase blood pressure in the event of cardiogenic shock.

A nurse is assessing a client who is experiencing cardiogenic shock and is receiving a cont in uous IV infusion of dopamine. Which of the following findings indicates the medication is effective? Increased blood pressure Decreased urinary output Decreased heart rate Increased respirations

Increased WBC count The purpose of pegfilgrastim is to increase the clients WBC production.

A nurse is caring for a client who has cancer and has been receiving pegfilgrastim. Which of the following indicates the medication has been effective? Increased WBC count Increased hemoglobin Increased platelets Increased potassium level

Tingling of fingers The nurse should instruct the client to report the adverse effect o f paresthesia, a tingling sensation in the extremities , when taking acetazolamide .

A nurse is caring for a client who is taking acetazolamid e for chronic open-angle glaucoma. For which of the fol lowing adverse effects should the nurse instruct the client to monitor and report? Tingling of fingers Constipation Weight gain Oliguria

Obtain WBC with absolute neutrophil count. The client who takes clozapine can develop letharg y and my algia caused by the adverse effect o f a granulocytopenia. Therefore. monitoring the WBC wi th absolute neutrophil co unt weekly for the first 6 months of treatment is recommended. After 6 m onth s. moni to ring can be changed to occur every 2 weeks up to 1 year.

A nurse is caring for a client who report s lethargy and myalgia after taking clozapine for 6 months. Which of the following actions should the nurse plan to take? Infuse 0.9% sodium chloride 1,000 ml IV fluid bolus. Schedule the client for an electroencephalogram Obtain WBC with absolute neutrophil count Place the client on a tyramine-free diet.

Oliguria • • • • • • • • Oliguria can indicate renal compromise in a client who is taking amphotericin B. The nurse should report this finding to the provider

A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for the treatment o f hi stoplasmosis. Which of the following findings should the nurse identify a s a n adverse reaction to the medication? Tachycardia Oliguria Hyperkalemia Weight gain

"Drink a glass of milk with each dose of medication." The client should take furosemide with food or milk to reduce gastric irritation.

A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in the teaching? "This medication increases your risk for hypertension." "Avoid potassium-rich foods in your diet." "Take each dose of medication in the evening before bed." "Drink a glass of milk with each dose of medication."

Chest pressure Sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in angina. The client should report chest pressure or heavy arms to the provider

A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider? Chest pressure White patches on the tongue Bruising Insomnia

Total cholesterol The nurse should review the client's total cholesterol before administering clozapine, because this medication can cause hyperlipidemia

A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following laboratory tests should the nurse review before administering the medication? Troporin Total cholesterol Creatinine Thyroid stimulating hormone

Urinary retention The nurse should instruct the client that amitript yline causes the anticholinergic effect of urinary retent ion.

A nurse is teaching a client who is starting to take amitriptyline. Which of the following findings should the nurse include in the teaching as an adverse effect of the medication? Diarrhea Cough Urinary retention Increased libido

hot flashes

A/E tamoxifen for breast cancer