final pharm set

Bone loss Prednisone, a glucocorticoid, can cause osteoporosis, especially with long-term use. Clients who are taking the drug should increase weight-bearing activity and report back pain. The nurse should monitor the client's bone density. However, it can delay wound healing and hide the signs of an infection. It can cause myopathy, however, so clients should report muscle pain or weakness.

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?

Alcohol use disorder Acetaminophen can cause liver toxicity. Clients who have a history of alcohol use disorder should not take acetaminophen.

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?

Increase fiber and fluid intake is correct. Tramadol can cause constipation and dry mouth. Clients taking the drug should increase fluid and fiber intake to minimize constipation, and sip water, suck on hard candy, or chew gum to relieve dry mouth.Take the drug with food is correct. Tramadol can cause nausea and vomiting. Clients should take the drug with food or milk and lie down if feeling nauseated.Avoid driving after taking the drug is correct. Tramadol can cause sedation and drowsiness. Clients taking the drug should avoid driving or other activities that require alertness.Change positions gradually is correct. Tramadol can cause sedation and dizziness. Clients taking the drug should use caution when changing positions and ambulating. Clients taking the drug should increase exercise as tolerated to minimize constipation.

A nurse is teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include? (Select all that apply.)

skin test for med allergy

a nurse is caring for a client who has a new perscription for calcitonin salmon for osteoporosis which test should the nurse tell the client to expect before begining this medication

need for reduced dosage of opioid reduced adverse effects of the opioid increased analgesic effects

a nurse is caring for a client who has cancer and is taking morphine and carbamazepine for pain. which effect should the nurse monitor for when giving the medications together?

the medication will releive constipation

a nurse is caring for a client who has end stage cancer and is receiving morphine. the clients family member asks why the provider perscribed methylnaltrexone. which response should the nurse make

seizures

a nurse is caring for a client who is recieving a local anesthetic of lidocaine during the repair of a skin laceration. for which of the following manifestations should the nurse monitor as an adverse reaction to the anesthetic

calcium carbonate

a nurse is caring for a client whose blood calcium is 8.8 mg/dL. which of the following medications should the nurse anticipate administering to this client

Duloxetine

a nurse is caring for a client with a new diagnosis of fibromyalgia. which of the following meds should the nurse expect to administer to the client

Positive home pregnancy test Numbness and tingling in fingers Muscle pain

a nurse is providnig teaching to a client who has a migraine headaches and a new prescription for ergotamine. for which of the following manifestations indicating a possible adverse reaction should the nurse instruct the client to stop taking the medication and notify the provieder

An ECG indicates a first degree heart block

a nurse is reviewing the health history of a client who has migraine headaches and is to begin propphylaxis therapy with propranolol. which of the following findings in the client history should the nurse report to the provider

warfarin

a nurse is taking a history for a client who reports taking asprin about 4 times a day for a sprained wrist. which of the following prescribed meds taken by the client is contraindicated with asprin

Weight gain Aspirin use can cause renal impairment, which can result in the retention of salt and water. Clients should report reduced urine output, weight gain, edema, or bloating. The nurse should monitor BUN and creatinine levels and stop aspirin therapy for clients who develop signs of renal dysfunction. however, it can cause prolonged bleeding time and petechiae. Aspirin can cause reduced urine production. but it can cause thrombocytopenia and increased bleeding. Clients should report bruising, black tarry stools, or coffee-ground or bloody emesis.

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?

Dizziness is correct. Dizziness can indicate salicylism. Clients should report this effect and stop taking aspirin at least until dizziness resolves. Fever is correct. Late manifestations of acute aspirin poisoning, or salicylism, include fever. Tinnitus is correct. Tinnitus, or ringing or buzzing in the ears, can indicate salicylism. Clients should report this reaction and stop taking aspirin at least until tinnitus resolves. Diaphoresis is correct. Sweating and headache can indicate salicylism. Clients should report these effects and stop taking aspirin at least until the effects resolve.

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? (Select all that apply.)

Vomiting is correct. Abstinence syndrome can cause nausea, vomiting, and anorexia. Abdominal cramps is correct. Abstinence syndrome can cause abdominal cramps and anorexia. Hypertension is correct. Abstinence syndrome can cause hypertension, tremors, and fever. Abstinence syndrome can cause fever, anxiety, and restlessness It can, however, cause fever and tremors.

A nurse is caring for a client who is opioid dependent and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestations of abstinence syndrome? (Select all that apply.)

Urinary retention is correct. Morphine can cause urinary retention. The nurse should monitor the client's fluid intake and output and assess for bladder distention. Respiratory depression is correct. Morphine can cause severe respiratory depression. The nurse should withhold the drug for a respiratory rate below 12/min.Sedation is correct. Morphine can cause sedation, dizziness, and lightheadedness. Clients who are taking the drug should avoid activities that require alertness.Orthostatic hypotension is correct. Morphine can cause hypotension and postural hypotension. Clients who are taking the drug should change positions gradually. Morphine causes constipation instead of diarrhea. Clients who are taking the drug should increase fluid and fiber intake to minimize constipation.

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? (Select all that apply.)

Diaphoresis is correct. Acetaminophen toxicity can cause diaphoresis, anorexia, and, eventually, liver damage. Clients should follow the dosage guidelines on the labels of over-the-counter drugs carefully to avoid toxicity. Nausea is correct. Acetaminophen toxicity can cause nausea, vomiting, and anorexia, and can lead to liver damage. Diarrhea is correct. Acetaminophen toxicity can cause diarrhea, lethargy, and, eventually, liver damage.

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? (Select all that apply.)

Fever Allopurinol, an antigout drug, can cause hypersensitivity syndrome. The nurse should monitor the client for rash, itching, or fever, as manifestations of hypersensitivity syndrome, which can lead to renal or liver dysfunction. Clients who develop this type of reaction should stop taking the drug. It can, however, cause nausea, vomiting, and diarrhea. t can, however, cause a metallic taste and headache. It can, however, cause drowsiness and malaise.

A nurse is caring for a client who is taking allopurinol to treat gout. The nurse should monitor the client for which of the following manifestations of hypersensitivity syndrome?

Increased respiratory rate is correct. Naloxone treats respiratory depression, but it can cause hyperventilation. It is essential for the nurse to monitor the client's respiration and oxygenation. Increased pain is correct. Naloxone reverses the analgesic effects of opioids and can cause increased pain and discomfort. The nurse should assess the client's pain frequently. Ventricular arrhythmias is correct. Naloxone can cause ventricular arrhythmias. The nurse should monitor the client's heart rate and ECG. Hypertension is correct. Naloxone can cause hypertension. The nurse should monitor the client's blood pressure.

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? (Select all that apply.)

"Ibuprofen will reduce the cardioprotective effects of low-dose aspirin." Ibuprofen, an NSAID, reduces the cardioprotective effects of low-dose aspirin. Clients taking low-dose aspirin for its ability to decrease platelet aggregation should not take ibuprofen. However, when clients take ibuprofen with anticoagulants or glucocorticoids, their risk for bleeding increases.Low-dose aspirin can interact with ibuprofen to increase its anti-inflammatory effects but should not be taken together

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 client who had a cholecystectomy Morphine can cause biliary colic. It should not be administered to a client who has just had biliary tract surgery, such as a cholecystectomy. It should not be administered to clients who have a head injury or have just had intracranial surgery. It should not be administered to clients who have cardiovascular disease or dysrhythmias.It is inappropriate for patients who have renal failure or benign prostatic hypertrophy.

A nurse is caring for a group of postoperative clients. The nurse should identify that morphine is contraindicated for which of the following clients?

Monitor the client's blood glucose. Prednisone can cause hyperglycemia. The nurse should monitor the client's blood glucose regularly. The nurse should recognize that antacids can decrease prednisone absorption and should not be given close to the time of drug administration. The nurse should recognize that aspirin and NSAIDs can increase the risk for gastrointestinal irritation when administered with prednisone. The nurse should monitor for indications of hypokalemia, such as generalized weakness.

A nurse is planning care for a client who has started taking prednisone. Which of the following interventions should the nurse include?

Warfarin Allopurinol can increase the effectiveness of warfarin. A lower dosage of warfarin might be required. NSAIDs, such as ibuprofen, can be taken in conjunction with allopurinol to lessen pain. it can increase the effects of oral antidiabetic medications .it can interact with thiazide diuretics.

A nurse is reviewing the drug list for a client who has a new prescription for allopurinol. The nurse should identify that which of the following drugs interacts with allopurinol?

Sulfonamide allergy Clients who are allergic to sulfonamides can have severe allergic reactions to celecoxib, a COX-2 inhibitor. Clients who are allergic to salicylates can also react adversely to celecoxib. Celecoxib is an unsafe choice, however, for clients who have advanced renal or liver disease. Caution is essential, however, when using the drug for clients who have hypertension or asthma. Caution is essential, however, when using the drug for clients who have heart failure or diabetes mellitus.

A nurse is reviewing the medical record of a client who has a new prescription for celecoxib. The nurse should identify that which of the following conditions is a contraindication to celecoxib?

Seizure disorder Tramadol, a nonopioid analgesic, can cause seizure activity. Clients who have seizure disorders, head injuries, or increased intracranial pressure should not take tramadol. Clients older than 75 years, however, should use caution when taking tramadol. is more likely to cause urinary retention than urinary incontinence. Clients who have hypothyroidism, however, should use caution when taking tramadol.

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?

Sore throat is correct. Allopurinol, an antigout drug, can cause agranulocytosis. The nurse should monitor the client's WBC count, and instruct the client to report fever or sore throat. The nurse should also instruct the client to avoid crowds or exposure to people who might have communicable diseases.Vertigo is correct. Allopurinol, an antigout drug, can cause drowsiness and vertigo. The nurse should instruct the client to report these adverse effects and avoid activities that require mental alertness until they know how the drug will affect them.Bruising is correct. Allopurinol, an antigout drug, can cause thrombocytopenia. The nurse should monitor the client's platelet count and instruct the client to report any bleeding or bruising.Vision changes is correct. Allopurinol, an antigout drug, can cause cataracts with extended use. The nurse should instruct the client to report vision changes, such as cloudiness or halos around lights, and have eye examinations at recommended intervals.

A nurse is teaching a client who has a new prescription for allopurinol. The nurse should instruct the client to report which of the following adverse drug reactions? (Select all that apply.)

Discontinue the drug gradually is correct. Prednisone, a glucocorticoid, suppresses adrenal function. The nurse should instruct the client to taper the dosage before discontinuing it to allow for resumption of adrenal activity. Report illness or infection is correct. Clients can need higher doses of prednisone during illness or infection. The nurse should instruct the client to report signs of infection. Increase intake of calcium and vitamin D is correct. Prednisone, a glucocorticoid, can cause bone loss and reduced calcium absorption. The nurse should instruct the client to increase their intake of calcium and vitamin D. Monitor for signs of gastric bleeding is correct. Prednisone, a glucocorticoid, can cause peptic ulcer disease. The nurse should instruct the client to report signs of gastric bleeding, such as hematemesis or black tarry stools. Clients might need higher doses of prednisone during times of stress. The nurse should tell the client to report stressful events.

A nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include? (Select all that apply.)

I'll let the doctor know if i develop sores in my mouth while taking this medication

a nurse is evaluating teaching for a client who has rheumatoid arthritus and a new perscription for methotrexate. which of the following statements indicates an understanding of the teaching

Dexamethasone

a nurse is planning care for a client who has brain cancer and is experiening headaches. which of the following adjuvant medications are indicated for this client

monitor blood glucose monitor blood potassium level monitor gastric bleeding

a nurse is planning care for a client who has cancer and is taking a glucocorticoid as an adjuvant medication for pain control. which of the following interventions should the nurse include in the plan of care?

Keep the client NPO until pharyngeal response returns

a nurse is planning care for a client who is to recieve tetracaine prior to a bronchoscopy. which of the following actions should the nurse include in the plan of care

urinary retention

a nurse is preparing to administer an opioid agonist to a client who has acute pain. for which of the following manefestations should the nurse monitor as an adverse effect of this medication

monitor the client for hypersensitivity reactions

a nurse is preparing to administer belimumab for a client whho has systemic lupus erythematosus. which of the following actions should nurse plan to take

butorphanol can cause abstinence syndrome in opioid dependent clients

a nurse is preparing to administer butorphanol to a client who has a history of substance abuse. the nurse should identify which of the following information as true regarding butorphanol

withhold medication if respiratory rate is less than 12/min

a nurse is preparing to administer morphine IV to a client who is postoperative which of the folllowing actions should the nurse take

ID and avoid trigger factors lie down in a dark quiet room at the onset of a migraine avoid foods that contain tyramine

a nurse is providing teaching to a client who is experiencing migraine headaches. which of the following instructions should the nurse provide

diazepam

a nurse is reviewing the medication administration record for a client who is receiving transdermal fentanyl for severe pain. the nurse should identify that which med can cause an adverse effect when administered concurrently

take meds in the morning before eating drink 8oz glass of water with each tablet avoid lying down after taking

a nurse is teaching a client who has osteoporosis and a new perscription for alendronate. which instructions should the nurse provide

Aspirin Aspirin can increase the risk for Reye syndrome in children who have a viral infection, particularly chickenpox or influenza. Manifestations of Reye syndrome include lethargy and persistent vomiting. Children under 16 years of age should not take tramadol. Acetaminophen can be used to treat the manifestations of viral infections in children. It can, however, cause liver damage, especially in high doses and with prolonged use. Children under 18 years of age should not take butorphanol.

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?

Avoid driving or activities that require mental alertness. Allopurinol can cause drowsiness. The nurse should instruct the client to avoid driving or activities that require mental alertness until they know the effect the drug will have on them. The client can crush the tablets and mix them with food or fluid if needed. The client should drink at least 3 L of fluid per day during drug therapy. The client might need to decrease intake of vitamin C to prevent kidney stone formation while taking the drug.

A nurse is teaching a client who has a new prescription for allopurinol. Which of the following instructions should the nurse include?

respiratory depression

a nurse in an emergency department is performing an admission assessment for a client who has severe asprin toxicity. which of the findings should the nurse nexpect

dizziness, Tinnitus, headache

a nurse is assesing a client who has salicylism. which of the findings should you expect

assess the IV site for thrombophlebitis frequently during administration

a nurse is preparing to administer pamidronate to a client who has bone pain related to cancer. which of the following precautions should the nurse take when administering pamidronate

alternate nostrils each time calcitonin salmon is inhaled

a nurse is providing instruction to a client who has a prescription for calcitonin salmon for postmenopausal osteoporosis which of the following instructions should the nurse include in the teachig

nausea/vomiting, rash, increased gout pain

a nurse is providing teaching for a client who has gout and a new perscription for allopurinol what adverse effects should the client monitor

hot flashes, swelling or redness in calf, shortness of breath

a nurse is providing teaching for raloxifene to prevent postmenopausal osteoporosis the nurse should advise the client that which of the following AE of this med

To reduce fever is correct. Acetaminophen reduces fever. It is important, however, to monitor clients taking the drug for signs of hepatotoxicity. To relieve mild pain is correct. Acetaminophen relieves mild to moderate pain. It is important, however, to monitor clients who take high doses for early signs of toxicity, including sweating, nausea, diarrhea, and abdominal discomfort.

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? (Select all that apply.)

Eat a small meal before taking the drug. Taking allopurinol after eating a meal or drinking a glass of milk can prevent stomach upset. diarrhea is a potential adverse effect of allopurinol. The client might need to take NSAIDs or colchicine along with allopurinol for the treatment of gout.

A nurse is teaching a client who is taking allopurinol about minimizing adverse effects. Which of the following instructions should the nurse include?

orthostatic hypotension

a nurse is administering amitriptyline to a client who is experiencing cancer pain. for which of the following AE should the nurse monitor

Hypokalemia Prednisone, a glucocorticoid, can cause hypokalemia. The risk for this electrolyte imbalance increases when the client is taking potassium-depleting diuretics, such as furosemide. The nurse should clarify the prescription with the provider and monitor the client's potassium levels. Both prednisone and furosemide, however, can cause hyperglycemia.

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?

Nausea is correct. Butorphanol, an opioid agonist-antagonist, can cause nausea. Clients who are taking the drug should lie down when feeling nauseated. Dizziness is correct. Butorphanol, an opioid agonist-antagonist, can cause dizziness and drowsiness. Clients who are taking the drug should avoid activities that require alertness. Headache is correct. Butorphanol, an opioid agonist-antagonist, can cause headaches and increased intracranial pressure. Clients who are taking the drug should report severe headaches. causes bradycardia, not tachycardia.

A nurse is caring for a client who has a new prescription for butorphanol. The nurse should monitor the client for which of the following adverse drug reactions? (Select all that apply.)

Chest pain Celecoxib, a COX-2 inhibitor, can cause cardiovascular or cerebrovascular events. Clients should report chest pain, shortness of breath, headache, numbness, weakness, or confusion. Providers should prescribe the lowest effective dosage of the drug for the shortest time period possible .Celecoxib, a COX-2 inhibitor, is more likely to cause diarrhea than constipation.

A nurse is caring for a client who has a new prescription for celecoxib. The nurse should tell the client to report which of the following adverse drug reactions?

acetylcysteine

a nurse is admitting a client to the hospital following acetaminophen toxicity. which meds should the nurse expect to administer

the subcutaneous site for redness following injection

a nurse is caring for a client who has a new perscription for adalimumab for rheumatoid arthritus. based on the route of administration which should the nurse monitor

Increased the risk for myocardial infarction

a nurse is teaching a client about a new perscription for celecoxib which of the following info should the nurse include in the teaching