IM7-PharmQuiz2

The nurse provides teaching to a client who has received a prescription for oral pancreatic enzymes, pancrelipase. The nurse evaluates that teaching is understood when the client identifies which time for medication scheduling? 1. At bedtime 2. With meals 3. One hour before meals 4. On arising each morning

2. With meals

A nurse is teaching a client who is taking a loop diuretic about foods that are high in potassium. Which foods should the nurse emphasize? Select all that apply. 1. Bananas 2. Apricots 3. Roasted chicken 4. Mac & cheese 5. Baked potatoes w/ skins

1, 2, & 5

A nurse recalls that the shift of body fluids associated with the intravenous administration of albumin occurs by which process? 1. Osmosis 2. Diffusion 3. Active Transport 4. Hydrostatic pressure

1. Osmosis

A nurse mixes a short-acting and an intermediate-acting insulin in the same syringe to administer to a client with diabetes. List the actions in the order the nurse should perform them.

1. Put air into intermediate 2. Put air into short 3. Withdrawal short 4. Withdrawal intermediate

A nurse is caring for a client whose laboratory values indicate the presence of hyponatremia. Which factors does the nurse determine were the most likely cause of the hyponatremia? Select all that apply. 1. Diabetes insipidus 2. Profuse diaphoresis 3. Excess sodium intake 4. Removal of the parathyroid glands 5. Rapid intravenous (IV) infusion of 5% dextrose in water

2 & 5

A client with a respiratory infection will be receiving ampicillin 250 mg per percutaneous endoscopic gastrostomy tube every 6 hours. The reconstituted medication suspension contains 125 mg per 5 mL. Which medication cup contains the correct amount of medication for the ordered dose? 1. 5 mL 2. 10 mL 3. 15 mL 4. 30 mL

2. 10 mL

A health care provider prescribes psyllium 3.5 g twice a day for constipation. What is most important for the nurse to teach this client? 1. Urine may be discolored. 2. Each dose should be taken with a full glass of water. 3. Use only when necessary because it can cause dependence. 4. Daily use may inhibit the absorption of some fat-soluble vitamins.

2. Each dose should be taken with a full glass of water.

When reviewing a drug to be administered, the nurse identifies that the package insert indicates that the Z-track injection technique should be used. Under what circumstance does the nurse expect that this technique will be necessary? 1. Volume of medication to be administered is large. 2. Medication is irritating to subcutaneous tissue and skin. 3. Injection site must be massaged after it is administered. 4. Procedure requires an air bubble to be drawn into the syringe.

2. Medication is irritating to subcutaneous tissue and skin.

A client's medication history includes a cholinergic medication. The client states, "I take that for some kind of urinary problem." The nurse recalls that cholinergic medications are prescribed primarily for what type of urinary condition? 1. Kidney stones 2. Urine retention 3. Spastic bladder 4. Urinary tract infections

2. Urine retention

An older client develops hypokalemia, and an intravenous infusion containing 40 mEq of potassium is instituted. The client tells the nurse that the IV stings a little. What is the nurse's best reply? 1. "I'll restart the IV in a different vein. This may help to relieve the pain." 2. "Try to imagine a sunny beach with gentle waves, and soon you won't notice the discomfort." 3. "You are receiving a large dose of potassium, and unfortunately it often causes a stinging sensation." 4. "Some people are more sensitive to pain than others. I'll get a prescription for pain medication for you."

3. "You are receiving a large dose of potassium, and unfortunately it often causes a stinging sensation."

A client sustains severe burns over 40% of the surface area of the body. The nurse is assigned to care for the client during the first 48 hours after the injury. What clinical finding does the nurse anticipate if the client develops water intoxication? 1. Sooty-colored sputum 2. Frothy, pink-tinged sputum 3. Disorientation with twitching 4. Urine output of 25 mL/hr

3. Disorientation with twitching

A healthcare provider prescribes mannitol for a client with a head injury. The nurse concludes that the purpose of the medication is to relieve cerebral edema by which mechanism? 1. Decreasing the production of cerebrospinal fluid 2. Limiting the metabolic requirements of the brain 3. Drawing fluid from brain cells into the bloodstream 4. Preventing uncontrolled electrical discharges in the brain

3. Drawing fluid from brain cells into the bloodstream

A client who is postoperative hip replacement is receiving morphine by patient-controlled analgesia and has a respiratory rate of 6 breaths/min. What intervention should the nurse anticipate? 1. Nasotracheal suction 2. Mechanical ventilation 3. Naloxone administration 4. Cardiopulmonary resuscitation

3. Naloxone administration

A healthcare provider prescribes ampicillin for a client with an infection. What information should the nurse include in the teaching plan about this medication? 1. Take the ampicillin with meals. 2. Store the ampicillin in a light-resistant container. 3. Notify the healthcare provider if diarrhea develops. 4. Continue the drug until a negative culture is obtained.

3. Notify the healthcare provider if diarrhea develops.

What will the nurse do to assess a client's response to ongoing serum albumin therapy for cirrhosis of the liver? 1. Monitor the client's vital signs. 2. Measure the client's urine output every half hour. 3. Obtain the client's weight at least once every day. 4. Determine the client's urine albumin level each shift.

3. Obtain the client's weight at least once every day.

A client has received instructions to take 650 mg aspirin every 6 hours as needed for arthritic pain. What should the nurse include in the client's medication teaching? Select all that apply. 1. Take the aspirin with meals or a snack. 2. Make an appointment with a dentist if bleeding gums develop. 3. Do not chew enteric-coated tablets. 4. Switch to acetaminophen if tinnitus occurs. 5. Report persistent abdominal pain.

1, 3, & 5

Which instructions should the nurse include in the teaching plan for a client with hyperlipidemia who is being discharged with a prescription for cholestyramine? 1. "Increase your intake of fiber and fluid." 2. "Take the medication before you go to bed." 3. "Check your pulse before taking the medication." 4. "Contact your healthcare provider if your skin or sclera turn yellow."

1. "Increase your intake of fiber and fluid."

A client is prescribed epoetin injections. To ensure the client's safety, which lab value should the nurse assess before administration? 1. Hemoglobin 2. Platelet count 3. Prothrombin time 4. Partial thromboplastin time

1. Hemoglobin

A client is taking furosemide and digoxin for heart failure. Why does the nurse advise the client to drink a glass of orange juice every day? 1. Maintaining potassium levels 2. Preventing increased sodium levels 3. Limiting the drugs' synergistic effects 4. Correcting the associated dehydration

1. Maintaining potassium levels

An intravenous solution containing potassium inadvertently has infused too rapidly. The healthcare provider prescribes insulin added to a 10% dextrose in water solution. What does the nurse identify as the purpose of the insulin? 1. Potassium follows insulin and glucose into the cells of the body, thereby raising the intracellular potassium level. 2. Increased insulin accelerates excretion of glucose and potassium, thereby decreasing the serum potassium level. 3. Glucose with insulin increases metabolism, which accelerates potassium excretion. 4. Increased potassium causes a temporary slowing of pancreatic production of insulin.

1. Potassium follows insulin and glucose into the cells of the body, thereby raising the intracellular potassium level.

Selegiline is prescribed for a client with Parkinson disease who is having an inadequate response to levodopa therapy. What information does the nurse include when teaching the client about the addition of this drug to the regimen? 1. Primary healthcare provider should be contacted immediately if a severe headache occurs. 2. Therapeutic blood level of the drug should be monitored each month. 3. Dosage of the drug can be adjusted daily depending on the client's response that day. 4. Side effects of levodopa will decrease when the selegiline and levodopa are taken concurrently.

1. Primary healthcare provider should be contacted immediately if a severe headache occurs.

A client on prolonged cortisone therapy for adrenal insufficiency is being discharged. Which side effects should the nurse teach the client and family to expect? Select all that apply. 1. Oliguria 2. Anorexia 3. Weakness 4. Moon face 5. Weight gain 6. Nervousness

3, 4, & 5

The healthcare provider's prescription for intravenous fluid states that the client is to receive 1 L of fluid every 8 hours. If the equipment delivers 15 drops/mL, at what rate should the nurse regulate the flow? Record your answer using a whole number. ___ drops/minute

31

A client who has been taking digoxin for 20 years is hospitalized. The client exhibits signs of dehydration, and laboratory results identify the presence of hypokalemia. The nurse should monitor the client for which clinical finding indicating digoxin toxicity? 1. Constipation 2. Decreased urination 3. Cardiac dysrhythmias 4. Metallic taste in the mouth

3. Cardiac dysrhythmias

A client is receiving penicillin G and probenecid for syphilis. What rationale should the nurse give for the need to take these two drugs? 1. Each drug attacks the organism during different stages of cell multiplication. 2. The penicillin treats the syphilis, whereas the probenecid relieves the severe urethritis. 3. Probenecid delays excretion of penicillin, thus maintaining blood levels for longer periods. 4. Probenecid decreases the potential for an allergic reaction to penicillin, which treats the syphilis.

3. Probenecid delays excretion of penicillin, thus maintaining blood levels for longer periods.

A client reports frequently taking calcium carbonate. What effect should the nurse advise the client that this can have? 1. Diarrhea 2. Water retention 3. Rebound hyperacidity 4. Bone demineralization

3. Rebound hyperacidity

A client is to receive conscious sedation during a cardiac catheterization. Which route of administration should the nurse explain will be used to deliver the conscious sedation? 1. Via a face mask 2. Into the epidural space 3. Through an intravenous catheter 4. Around the nerves innervating the chest wall

3. Through an intravenous catheter

An obese client must self-administer insulin at home. The nurse will teach the client to inject insulin at which angle? 1. 30 degree angle 2. 60 degree angle 3. 45 degree angle 4. 90 degree angle

4. 90 degree angle

A client is receiving warfarin for a pulmonary embolism. Which drug is often contraindicated when taking warfarin? 1. Atenolol 2. Ferrous sulfate 3. Chlorpromazine 4. Acetylsalicylic acid

4. Acetylsalicylic acid

An abdominal cholecystectomy is performed on a client with gangrene of the gallbladder. During the first 24 hours postoperatively, when should analgesics be administered? 1. If repositioning is ineffective 2. When the pain becomes severe 3. In gradually increasing dosages 4. As prescribed by the health care provider

4. As prescribed by the health care provider