General questions for Pharm

A client is to be discharged on daily medication delivered by a transdermal disk. Which statement, given to the nurse by the client, indicates the need for further medication teaching?

"I'll place the disk on the same spot every time.

A client with pancreatitis asks the nurse how pancreatic enzymes can damage the pancreas. Which explanation by the nurse is most accurate?

"The enzymes autodigest the pancreas."

A client with chronic obstructive pulmonary disease (COPD) and corpulmonale is being prepared for discharge. The nurse should provide which instruction?

"Weigh yourself daily and report a gain of 2 lb in 1 day."

During the insertion of a rigid scope for bronchoscopy, a client experiences a vasovagal response. Which physiological response should the nurse monitor this client for?

A drop in the client's heart rate

The nurse provides care for a client receiving oxygen from a nonrebreather mask. Which nursing intervention has the highest priority?

Assessing the client's respiratory status, orientation, and skin color

A 59-year-old client has been in the intensive care unit for 10 days without signs of recovery after sustaining respiratory arrest. His wife requests that life support be withdrawn despite the client's advance directive that expresses his desire for life support. Which action should the nurse take?

Explain that the client's advance directive must be followed because it outlines his wishes for treatment.

When reviewing the medical record of a client, which factor would lead the nurse to suspect that the client is at risk for chronic gastritis?

Helicobacter pylori infection

Which condition could lead to acute respiratory distress syndrome (ARDS)?

Massive trauma

A 35-year-old client with irritable bowel syndrome (IBS) is reporting pain. The nurse should expect which medication to be administered to help alleviate the underlying cause of his pain?

Steroids

The client with rheumatoid arthritis reports GI irritation after taking piroxicam. To prevent GI upset, the nurse should provide which instruction?

Take piroxicam with food or an antacid.

A nursing student is reviewing the respiratory system for an upcoming examination. Which term will the student review that describes the amount of air inspired and expired with each breath?

Tidal volume

The nurse assesses a client's respiratory status. Which observation indicates that the client is experiencing difficulty breathing?

Use of accessory muscles

A client recovering from a pulmonary embolism is receiving warfarin. To counteract a warfarin overdose, the nurse would administer:

vitamin K (phytonadione)