Pharm 16b Midterm Exam

Which instruction about phenytoin will the nurse provide during discharge teaching to a client with epilepsy who is prescribed phenytoin for seizure control?

"Antiseizure medications will probably be continued for life"

Which instruction regarding nutrition will the nurse give a client discharged after a short hospitalization for an episode of a transient ischemic attack (TIA) related to hypertension who is on a regimen that includes chlorothiazide?

"Eat more dark, green, leafy vegetables such as spinach"

A 65-year-old client is receiving amitriptyline. Which recommendation will the nurse make to the client concerning this medication?

"Have an eye examination to check for glaucoma"

Which client statement indicates understanding of the side effects of nitroglycerin ointment?

"I may experience a headache"

A client with a seizure disorder will begin taking phenytoin. Which instructions will the nurse give to the client?

"Provide meticulous oral hygiene"

Which adverse response would a nurse assesses for when carbidopa-levodopa is prescribed for a client with Parkinson disease? Select all that apply

- Nausea - Emotional changes

A client receiving morphine is being monitored by the nurse for adverse effects of the medication. Which clinical findings warrant immediate follow up by the nurse? Select all that apply.

-Unconsciousness -Bradycardia -Bradypnea

A child with nephrotic syndrome has been receiving prednisone for 1 week. Which information in the child's record indicates to the nurse that the medication has been effective? Select all that apply. One, some, or all responses may be correct.

-Weight loss -Decreased lethargy -Increased urine output

A client is receiving furosemide to relieve edema. The nurse will monitor the client for which responses? Select all that apply.

-Weight loss -Excessive loss of potassium ions

The nurse is teaching a client about tricyclic antidepressants. Which potential side effects would the nurse include? Select all that apply. One, some, or all responses may be correct.

-dry mouth -drowsiness -constipation -orthostatic hypotension

Which response to fludrocortisone will the nurse teach a client with adrenal insufficiency to report? Select all that apply.

-edema -rapid weight gain

Which statement accurately describes nortriptyline? Select all that apply

-overdosage is often lethal -constipation and urinary retention may occur -weight gain is a common side effect

A child undergoing prolonged steroid therapy takes on a cushingoid appearance. The nurse would expect to find which of these manifestations during further assessment? Select all that apply.

-truncal obesity -thin extremities

Which side effect of prolonged cortisone therapy for adrenal insufficiency would the nurse teach the client and family to expect? Select all that apply.

-weakness -moon face -weight gain

Nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina. The nurse advises the client to anticipate pain relief will begin within which period of time?

1-3 minutes

Nortriptyline is prescribed for a depressed client. Which time period identifies when the nurse would expect a therapeutic response?

2-3 weeks

A depressed client has been prescribed a tricyclic antidepressant. Which time period indicates how long it usually takes before the client notices a significant change in the depression?

2-4 weeks

According to developmental norms for a 5-year-old child, the nurse would hold digoxin if an apical heart rate falls below which number?

70 beats/min

A nurse is performing pain assessments on several clients. Which client would benefit the most from the administration of intravenous PRN pain medication?

A client pending bedside debridement of a wound

To which nursing home resident could a nurse safely administer tricyclic antidepressants without questioning the health care provider's order?

A client with mild hypertension

Aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis. The nurse understands that the medication is being used primarily for which property?

Anti-inflammatory

A child with juvenile idiopathic arthritis is prescribed nonsteroidal anti-inflammatory drug (NSAID) therapy at home. Which important toxic effect of NSAIDs would the nurse include in discharge instructions to the child and family?

Blood in the urine

How would the nurse determine if a client is experiencing the therapeutic effect of valsartan?

Check the blood pressure

The nurse is caring for a client who has been taking furosemide for the past week. Which manifestation would indicate that the client may be experiencing a negative side effect?

Decreased appetite

Captopril is prescribed for a client. Which effect would the nurse anticipate?

Decreased blood pressure

A client with arthritis takes large doses of aspirin. Which symptom would the nurse include when teaching the client about the clinical manifestations of aspirin toxicity?

Disturbances in hearing

A postoperative client has a prescription for acetaminophen with codeine for pain relief. The nurse understands which action to be the primary purpose of this drug combination?

Enhanced pain relief

Which instructions will the nurse give a client for whom nitroglycerin tablets are prescribed?

Ensure that the medication is stored in its original dark container

For the client taking clopidogrel, the nurse will monitor for which adverse effect?

Epistaxis

A nurse is teaching parents of a child recently prescribed the medication phenytoin for seizure control. Which side effect will the nurse include?

Gingival hyperplasia

Valsartan, an angiotensin II receptor antagonist, is prescribed for a client. The nurse will monitor the client for which adverse effect?

Hyperkalemia

A client is given a prescription for bumetanide. The nurse will teach the client to watch for symptoms of which condition?

Hypokalemia

A client takes furosemide and digoxin for heart failure. Why would the nurse advise the client to drink a glass of orange juice every day?

Maintaining potassium levels

A health care provider prescribes transdermal fentanyl 25 mcg/h every 72 hours. During the first 24 hours after starting the fentanyl, the nurse recognizes the need to take which action?

Manage pain with an analgesic by a different route

A client with a history of heart disease has been prescribed prophylactic aspirin daily. Which action should the nurse implement to help prevent aspirin toxicity?

Monitor serum albumin

Which medication is indicated for management of clinical manifestations associated with an opioid overdose?

Naloxone

The nurse is evaluating the effectiveness of therapy for a client who received albuterol via nebulizer during an acute episode of shortness of breath due to asthma. Which finding is the best indicator that the therapy was effective?

O2 sat greater than 90%

The client is using nonsteroidal anti-inflammatory drugs (NSAIDs) to manage arthritis pain. The nurse should caution the client about which potential side effect?

Occult bleeding

The nurse is providing teaching to the client prescribed albuterol for the management of asthma. The nurse is including reportable side effects in the teaching plan. Which of the following side effects is the priority?

Palpitations

Which relationship reflects the relationship of naloxone to morphine sulfate?

Protamine sulfate to heparin

Which instruction would the nurse provide to parents of a school-age child who has been on long-term phenytoin therapy to prevent side effects?

Provide good oral hygiene

Which concern will the nurse keep in mind when a client has been taking a benzodiazepine?

Rebound insomnia may occur if the medication is discontinued abruptly

The nurse has administered sublingual nitroglycerin. Which outcome would the nurse use to determine the effectiveness of sublingual nitroglycerin?

Relief of anginal pain

Which pain characteristic would the nurse expect to observe when a client is experiencing anginal pain?

Relieved by sublingual nitroglycerin

The nurse is assessing a client with hypertension who reports experiencing dizziness after taking prescribed diltiazem. It is most important that the nurse assesses for which client characteristic?

Schedule for taking medication

A client is receiving methylprednisolone 40 mg IV daily. The nurse should monitor which laboratory value closely?

Serum glucose

The nurse is preparing to administer digoxin to a client with recurring atrial fibrillation. Which laboratory value should be of highest concern for the nurse?

Serum potassium 3.1 Eq/L

A nurse has administered acetaminophen for pain relief to an infant. Based on the client's development stage, which action is most important to include in the medication administration record?

The dose administered based on the client weight

Which administration guidelines would the nurse follow when administering midazolam to an older client?

The increments should be smaller, and the rate of injection should be slower

A client is scheduled for a bilateral adrenalectomy. Which rationale describes why steroids are administered to the client?

To compensate for sudden lack of these hormones after surgery

Which medication is indicated for emergency treatment of bleeding esophageal varices?

Vasopressin

The nurse is transcribing a new prescription for spironolactone (Aldactone) for a client who receives an angiotensin-converting enzyme (ACE) inhibitor. Which action should the nurse implement?

Verify both prescriptions with the healthcare provider

A client is taking warfarin. If an antidote is needed, which agent will be used?

Vitamin K

A client with chronic liver disease reports, 'My gums have been bleeding spontaneously.' The nurse identifies small hemorrhagic lesions on the client's face. The nurse concludes that the client needs which additional supplement?

Vitamin K

The laboratory report establishes that the client has a warfarin overdose. Which antidote would the nurse anticipate administering?

Vitamin K

When teaching a client about digoxin, which symptom will the nurse include as a reason to withhold the digoxin?

Yellow vision

Which instruction would the nurse include when teaching the client about sublingual nitroglycerin?

"Common side effects include headache and low blood pressure"

Which statement about appropriate foods to consume when taking warfarin would indicate that the client needs further teaching?

"Dark green leafy vegetables are high in vitamin K, so I should eat them more often"

A client is started on long-term corticosteroid therapy for an autoimmune disorder. Which statement by the client indicates the need for more teaching by the nurse?

"For 1 week each month I will stop taking the medication"

Immediately after a bilateral adrenalectomy, a client is receiving corticosteroids that are to be continued after discharge from the hospital. Which statement by the client indicates to the nurse that additional education is needed?

"I am glad that I only have to take the medication once a day"

The nurse is providing information to a client about propranolol. Which statement by the client indicates the teaching has been effective?

"I can have a heart attack if I stop this medication suddenly"

A client who has been taking the prescribed dose of zolpidem for 5 days returns to the clinic for a follow-up visit. Which statement by the client indicates the medication has been effective?

"I have been sleeping better"

The nurse provides instruction when the beta-blocker (BB) atenolol is prescribed for a client with moderate hypertension. Which client statement indicates to the nurse that further teaching is needed?

"I must take the medication before going to bed"

The health care provider prescribes neostigmine for a client with myasthenia gravis. Which client statement indicates understanding regarding medication management plans?

"I should take the medication at the exact time that is listed on the prescription"

The nurse provides discharge medication education to a client who has a prescription for warfarin. Which client statement indicates to the nurse that teaching was effective?

"I will avoid taking aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs)"

A nurse is providing education on activities of daily living to a client taking warfarin. Which statement made by the client indicates further teaching is required?

"I will be sure to consume plenty of green leafy vegetables"

The nurse is discharging a client on oral potassium replacement. Which of the following statements requires further teaching by the nurse?

"I will continue to use salt substitutes to flavor my food"

A client who takes furosemide and digoxin reports to the nurse that everything looks yellow. Which response by the nurse is most appropriate?

"I will hold the medication until I consult with your health care provider"

Which response would a nurse give to a client who takes furosemide and digoxin and reports that everything looks yellow?

"I will hold the medication until I consult with your health care provider"

The nurse is providing discharge education to a client diagnosed with coronary artery disease. The client is prescribed to use a nitroglycerin transdermal patch at home. Which statement by the client indicates a correct understanding of safe medication administration?

"I will remove the old patch and cleanse the area before applying a new patch"

Which client statements indicate that the teaching about furosemide is understood? Select all that apply.

- "I need to change my position slowly" - "I should eat more food that is high in potassium"

The nurse teaches a client about cortisone therapy. Which statements made by the client indicate the need for further teaching? Select all that apply.

- "I should take 3 tablets at a time" - "I should take the tablet twice a week" - "I should take the tablet on an empty stomach"

At which time would the nurse plan to administer morphine 2 mg by mouth every 2 hours as needed to a client who has burns on 55% of the body surface and requires dressing changes?

60 minutes before the dressing change

Which client should the nurse identify as being at highest risk for complications during the use of an opioid analgesic?

A young adult with inflammatory bowel disease

A client's phenytoin level is 16 mcg/L. Which action will the nurse take?

Administer the next dose of the medication as prescribed

A client has been given a prescription for acetylsalicylic acid. The nurse recalls that this medication has which property?

Analgesic

The home health nurse is completing a medication reconciliation of a client who has a new prescription for warfarin. Which medication should the nurse question the healthcare provider about?

Asprin

A beclomethasone inhaler would be prescribed for which purpose?

Decreases inflammation

A client has a tonic-clonic seizure. The nurse anticipates that the health care provider will prescribe the intravenous administration of which medication?

Diazepam

A child being treated with cardiac medications developed vomiting, bradycardia, anorexia, and dysrhythmias. The nurse understands which medication toxicity is responsible for these symptoms?

Digoxin

One week after being hospitalized for an acute myocardial infarction, a client reports nausea and loss of appetite. Which of the client's prescribed medications would be withheld and the health care provider notified?

Digoxin

The nurse understands which anesthetic medication is commonly used for short procedures on pediatric clients?

Fentanyl

Which food would the nurse instruct a client taking diltiazem to avoid? Select all that apply.

Grapefruit juice

Which action would be the most appropriate way for the nurse to evaluate a child's understanding of how to use an inhaler?

Having the child demonstrate inhaler use

A client with supraventricular tachycardia (SVT) has a heart rate of 170 beats/minute. After treatment with diltiazem, which assessment indicates to the nurse that the diltiazem is effective?

Heart rate of 98 beats/minute

A nurse is providing education to a client about newly prescribed diltiazem. Which statement will the nurse include in the teaching?

Hold the dose if your heart rate is less than 50 beats/min

Which vitamin is essential for the synthesis of prothrombin by the liver?

K

Which medications would the nurse identify as commonly used as an adjunct during conscious sedation for minor surgeries?

Midazolam

A health care provider prescribes enalapril for a client. Which nursing action is important?

Monitor the client's blood pressure during therapy

Which sign of hypokalemia will the nurse monitor for in a client receiving furosemide?

Muscle weakness

The nurse is providing care for a client admitted to the hospital with a diagnosis of digoxin toxicity. The client reports more than usual urine output over the previous 48 hours, because of the prescribed diuretic. Which assessment finding does the nurse anticipate?

Muscle weakness of cramping

A client hospitalized for uncontrolled hypertension and chest pain was started on a daily diuretic 2 days ago upon admission, with prescriptions for a daily basic metabolic panel. The client's potassium level this morning is 2.7 mEq/L (2.7 mmol/L). Which action will the nurse take next?

Notify the health care provider that the potassium level is below normal

When the nurse is administering intravenous potassium to a client with hypokalemia, which finding is most important to communicate to the health care provider?

QRS duration of 0.28 seconds

A client in the coronary care unit develops 'viselike' chest pain radiating to the neck. Assessment reveals a blood pressure of 124/64 mm Hg, an irregular apical pulse of 64 beats per minute, and diaphoresis. Cardiac monitoring is instituted, and morphine sulfate 4 mg intravenous (IV) push stat is prescribed. Which intervention is the priority nursing care for this client?

Relief of pain

Which advice will the nurse include when teaching a client about digoxin for left ventricular failure?

Report increasing fatigue

Which adverse effect of morphine indicates the need for naloxone administration?

Respiratory depression

Which nursing diagnosis is important to include in the plan of care for a client receiving the angiotensin-2 receptor antagonist irbesartan (Avapro)?

Risk for injury

The nurse is providing discharge medication teaching to a client who will be taking furosemide and digoxin after discharge from the hospital. Which information is important for the nurse to include in the teaching plan?

Signs and symptoms of digoxin toxicity

Which finding would the nurse report to the health care provider when caring for a client prescribed temazepam at bedtime?

Sleep driving

A child who has nephrotic syndrome is prescribed steroid therapy. Which explanation would the nurse give the parents regarding the goal of this treatment?

Stimulates diuresis

Which information will the nurse include when teaching a client about potassium chloride effervescent tablets?

Take the medication with food

The nurse is preparing to administer prescribed warfarin to a client with a mechanical heart valve. Which finding should the nurse report to the healthcare provider?

The client has cola-colored urine

The nurse is monitoring a client who is taking prescribed nitroglycerin for angina. Which finding indicates the medication has a therapeutic effect?

The client reports a decrease in chest pressure

A client has been taking alprazolam for three days. For which expected effect of the medication should the nurse evaluate the client?

The client reports sleeping through the night

A client is prescribed the benzodiazepine alprazolam for the management of panic attacks. Which action by the patient makes the nurse confident that the medication information discussed has been understood?

The client requests a prescription for oral contraceptives before being discharged

A client received 40 mg of furosemide by mouth at 10 am. Which information is most important for the nurse to provide to the next nurse in the change-of-shift report?

The client's urine output was 1500 mL over 9 hours

A client with myasthenia gravis begins taking pyridostigmine. 2 days later, the client develops loose stools and increased salivation. Which conclusion would the nurse make about these new developments?

The medication is causing cholinergic side effects

Which criterion is an indicator that the nitroglycerin sublingual tablets have lost their potency?

The tablets are more than 3 months old

Which medication class includes amitriptyline?

Tricyclics

Which clinical indicator would the nurse monitor to determine if the client's simvastatin is effective?

Triglycerides

Which symptom of levodopa toxicity will a client taking levodopa be taught as a reason to contact the primary health care provider?

Twitching

Cholinergic agonists are prescribed for which type of urinary condition?

Urine retention

The nurse is teaching a client about precautions while taking warfarin. The nurse should instruct the client to avoid foods with excessive amounts of which nutrient?

Vitamin K

In which time frame would the nurse advise a client with a long leg cast for a fractured bone to take the prescribed as-needed oxycodone?

When the discomfort begins

How would the nurse instruct a client with arthritis to take aspirin when the client states that the aspirin causes stomach irritation?

With food and full glass of water

During the admission process, the client reports heavy alcohol use for at least one year. What effect does the nurse anticipate the hospitalized client will experience when alcohol consumption stops?

Withdrawal

A client is being discharged with a prescription for warfarin. The client asks "May I take aspirin with this medication? It helps my arthritis." Which response by the nurse is appropriate to address the client's concern?

"Avoid aspirin because it can increase the bleeding effects of warfarin"

The nurse prepares discharge instructions for a client who will take enalapril for hypertension. Which instruction would the nurse include in the client's teaching?

"Change to a standing position slowly"

The nurse is reinforcing the correct use of a metered-dose inhaler (MDI) for a client newly-diagnosed with asthma. The client asks, "how will I know the canister is empty?" What is the best response by the nurse?

"Count the number of doses as the inhaler is used"

A nurse is teaching a client with asthma about the correct use of the fluticasone inhaler. Which statement, if made by the client, would indicate that the teaching was effective?

"I should rinse my mouth after using the inhaler"

Potassium supplements are prescribed for a client receiving diuretic therapy. Which client statement indicates that the teaching about potassium supplements is understood?

"I will report any abdominal distress"

The nurse is teaching a client with rheumatoid arthritis about etanercept. Which statement by the client indicates that the client understood the teaching?

"I will store the medication in a refrigerator and let it warm to room temperature before injecting it"

The nurse is educating a client with end stage chronic obstructive pulmonary disease (COPD) about medication management. Which statement by the client indicates an understanding of the teaching?

"I will use the albuterol in the nebulizer before my other inhalers each morning"

A 6-year-old child with asthma is prescribed an inhaled corticosteroid. The nurse would conclude the mother understands teaching about the medication side effects when the mother makes which statement?

"I'll check for white patches in the mouth"

Which instruction would the nurse include when teaching about hydrochlorothiazide given to a client diagnosed with a transient ischemic attack (TIA) related to hypertension?

"Increase the intake of potassium-rich foods"

The nurse administers acetaminophen to a child who complains of pain after abdominal surgery. The mother asks the nurse why her child isn't being given ibuprofen. Which response by the nurse is most appropriate?

"It could prolonged bleeding time"

The health care provider prescribes isosorbide dinitrate 10 mg for a client with chronic angina pectoris. The client asks the nurse why the isosorbide dinitrate is prescribed. How will the nurse respond?

"It decreases cardiac oxygen demand"

The nurse is caring for a child undergoing chemotherapy for acute lymphoid leukemia. The parents ask why the child needs prednisone. Which response by the nurse would be correct?

"It decreases inflammation"

The spouse of a client with an intracranial hemorrhage asks the nurse, 'Why aren't they administering an anticoagulant?' How will the nurse respond?

"It is not advisable because bleeding will increase"

Sublingual nitroglycerin is prescribed for a client with a history of a myocardial infarction and atrial tachycardia. The nurse instructs the client about the prophylactic use of these tablets. Which statement by the client indicates the teaching was effective?

"It should take one tablet before attempting activity that has caused angina"

The nurse provides medication discharge instructions to a client who received a prescription for digoxin. Which statement by the client leads the nurse to conclude that the teaching was effective?

"It will be important to check my pulse rate daily"

Which instruction will the nurse include when performing discharge teaching to a client now receiving hydrocortisone by mouth after stabilization of an acute adrenal insufficiency?

"Take the medication with food"

Which information is most important for the nurse to teach a client prescribed an antihypertensive medication to be taken once in the morning and a 2-gram sodium diet?

"Take your medicine exactly as prescribed"

A client who recently had a heart attack has been prescribed low-dose (81 mg) aspirin at bedtime. The client states "Why am I supposed to take a 'baby aspirin' instead of a regular 325 mg tablet?" Which statement represents the nurse's best response?

"Taking 325 mg of aspirin daily will increase your risk of bleeding"

Which statement by a client who had an endarterectomy that is prescribed clopidogrel would cause the nurse to conclude that teaching was effective?

"Taking this medication will help prevent further clogging of my arteries"

A female client receiving cortisone therapy for adrenal insufficiency expresses concern that she is developing facial hair. How would the nurse respond?

"The medication contains a hormone that causes male characteristics"

An antianxiety medication is prescribed for an extremely anxious client. The client states, 'I'm afraid to take this medication because I heard it's addictive.' Which response by the nurse is most appropriate?

"The medication has the potential for physiological and psychological dependence"

The nurse is teaching a pediatric client and family about prescribed albuterol sulfate extended-release tablets. Which statement should be included?

"This medication can cause restlessness"

Which statement regarding mealtime administration by a client who has arthritis and is prescribed corticosteroid medication indicates that the teaching was effective?

"This will decrease gastric irritation"

The nurse teaches the parents of a child prescribed long-term phenytoin therapy about care. Which statement indicates the teaching has been effective?

"We'll have her massage her gums and floss her teeth frequently"

Aspirin is prescribed for a client with rheumatoid arthritis. Which clinical indicators of aspirin toxicity will the nurse teach the client to report? Select all that apply.

-Blood in the stool -Ringing in the ears

The nurse is caring for a child receiving furosemide for pulmonary edema. Which nursing intervention(s) would the nurse implement? Select all that apply.

-Checking the child's weight every day -Calculating the dose of medication as carefully as possible -Assessing the child regularly to help prevent electrolyte loss

A client takes oxycodone every 3 hours for pain after surgery. Which actions would the nurse take before administering each dose of oxycodone? Select all that apply.

-Count the client's respiratory rate -Ask the client to rate the level of pain -Assess the client's level of consciousness

When assessing an adolescent who recently overdosed on acetaminophen (Tylenol), it is most important for the nurse to assess for pain in which area of the body?

Abdomen

A nurse is evaluating a client who was prescribed 30 mg of codeine after oral surgery. Which assessment finding indicates the expected outcome of the medication?

Absence of pain

A nurse is assessing a client with heart failure who is taking prescribed torsemide. Which clinical finding indicates effectiveness of the medication?

Absence of peripheral edema

Which medication is safest to take for pain in the week before a surgical procedure?

Acetaminophen

A client who has atrial fibrillation with rapid ventricular response is started on a continuous heparin infusion. Which clinical finding enables the nurse to conclude that the heparin therapy is effective?

An activated partial thromboplastin time (aPTT) is twice the usual value

A client with the diagnosis of primary hypertension is started on a regimen of hydrochlorothiazide. Which information will the nurse include when providing instructions regarding this medication?

An antihypertensive medication will likely be required for the remainder of life

A client taking multiple medications for hypertension develops a persistent, hacking cough. Which antihypertensive medication class would the nurse identify as the likely cause of the cough?

Angiotensin-converting enzyme (ACE) inhibitors

The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with osteoarthritis of the hands. The client tells the nurse that the drug does not seem to be effective after three weeks. Which is the best response for the nurse to provide?

Another type of nonsteroidal antiinflammatory drug may be indicated

Which assessment will the nurse conduct before administering digoxin to a client?

Apical heart rate

A client develops tinnitus. Which of the client's medications would the nurse suspect is the cause of this new development?

Aspiring 325 mg, 2 tablets q4h

A client is receiving hydrochlorothiazide. Which physiological alteration will the nurse monitor to best determine the effectiveness of the client's hydrochlorothiazide therapy?

Blood pressure

The nurse administers a dose of metoprolol for a client. Which assessment is most important for the nurse to obtain?

Blood pressure

The nurse on a cardiac unit is caring for a client who is receiving nitroglycerin intravenously for unstable angina. During administration of the medication, which assessment is the priority?

Blood pressure

The nurse working in an intensive care unit is caring for a client diagnosed with acute angina. The client is receiving an intravenous infusion of nitroglycerin. What is the priority assessment for this client?

Blood pressure

Which client response indicates to the nurse that a vasodilator medication is effective?

Blood pressure changes from 154/90 to 126/72 mm Hg

A client with systemic lupus erythematosus is taking prednisone. Which foods would the nurse encourage the client to eat while receiving treatment to prevent hypokalemia?

Broccoli

A client receives a cardiac glycoside, a diuretic, an angiotensin-converting enzyme (ACE) inhibitor, and a vasodilator. The client's apical pulse rate is 44 beats/minute. The nurse concludes that the decreased heart rate is caused by which medication?

Cardiac glycoside/digoxin

A nurse is evaluating a client who takes naproxen for pain associated with osteoarthritis. Which documented statement indicates the expected outcome was met?

Client observed with steady gait upon ambulation

The nurse teaches a client's family about the administration of donepezil for treatment of dementia of the Alzheimer type. Which side effect identified by the caregiver indicates to the nurse that further teaching is needed?

Constipation

The nurse is preparing to administer newly prescribed intravenous phenytoin to a client. When reviewing the client's medical record, which prescription should the nurse question?

Continuous infusion of dextrose 5% in 0.9% saline

Amlodipine is prescribed for a client with hypertension. Which response to the medication will the nurse instruct the client to report to the health care provider?

Difficulty breathing

An infant with congenital heart disease is prescribed digoxin and furosemide upon discharge. Which sign would the nurse instruct the parents to be alert for?

Difficulty feeding with vomiting

A client has been given a prescription for furosemide 40 mg every day in conjunction with digoxin. Which concern would prompt the nurse to ask the health care provider about potassium supplements?

Digoxin toxicity occurs rapidly in the presence of hypokalemia

A nurse is assessing a client receiving intravenous potassium chloride. The client verbalizes pain to the IV site. The site appears swollen and is warm to touch. Which action does the nurse perform?

Discontinue the IV catheter

A toddler ingested half a bottle of aspirin tablets. Which finding should the nurse expect to see in this child?

Epistaxis

A nurse is preparing to administer prescribed maintenance dose of digoxin to a client who has heart failure. Which action should the nurse to take?

Evaluate the client for nausea, vomiting, and anorexia

A client begins treatment with pyridostigmine bromide therapy for myasthenia gravis. Which action would the nurse perform in administration of the medication?

Evaluate the client's muscle strength every hour after the medication is given

Which action would the nurse perform when beginning pyridostigmine bromide therapy for a client with myasthenia gravis?

Evaluate the client's muscle strength every hour after the medication is given

The nurse is reviewing the medical record of a client who received a new prescription for benztropine. For which condition in the client's record should the nurse clarify the prescription with the health care provider?

Glaucoma

Which action describes a therapeutic effect of atenolol?

Heart rate decreases

A health care provider prescribes furosemide for a client with hypervolemia. The nurse recalls that furosemide exerts its effects in which part of the renal system?

Loop of Henle

Which primary reason identifies why oxazepam is given during detoxification?

Minimizes withdrawal symptoms the client may experience

The nurse incorrectly administers carvedilol (Coreg) to a client with an order for benztropine (Cogentin). What is the priority nursing intervention after making this medication error?

Monitor the client's blood pressure

A client receives intrathecal morphine to control severe postoperative pain. Which action will the nurse include as part of the client's initial 24-hour postoperative care plan?

Monitoring of respiratory rate hourly

A nurse is providing care to a client post-cholecystectomy. Which observation indicates the client may require PRN pain medication?

Muscle tension when repositioning bed

A client who receives morphine by patient-controlled analgesia has a respiratory rate of 6 breaths/minute. Which intervention is needed?

Naloxone administration

The nurse is caring for a client who is being treated for heart failure. After completing the medication reconciliation process, the nurse notes that the prescriber has added lisinopril 5mg orally bid. Which medication from the list below should the nurse question due to possible drug-to-drug interaction with lisinopril?

Naproxen

The nurse is reinforcing medication interactions with a client who is taking warfarin. Which over-the-counter (OTC) medication should the nurse remind the client to avoid?

Naproxen

The nurse is reviewing medication instructions with a client who is taking digoxin. The nurse should reinforce to the client to report which of the following side effects?

Nausea, vomiting, and fatigue

A client with acute myocardial infarction is admitted to the coronary care unit. Which medication should the nurse administer to lessen the workload of the heart by decreasing the cardiac preload and afterload?

Nitroglycerin

The nurse is assessing a client who is taking prescribed opioids for pain. Which finding should indicate to the nurse that the client is having a side effect of the medication?

No bowel movement for 4 days

An 80-year-old client with depression requires the prescription of antidepressant medication. Which tricyclic antidepressant medication causes fewer complications in older clients?

Nortriptyline

The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with arthritis. The client reports hearing non-stop ringing in the ears. Which action should the nurse implement?

Notify the healthcare provider of the finding immediately

Which principle explains how loop diuretics promote diuresis?

Osmosis

The nurse is caring for a client who is receiving a continuous intravenous heparin infusion. The client's most recent activated partial thromboplastin time (aPTT) is 120 seconds. Which medication should the nurse plan to administer?

Protamine

Which substance does vitamin K contributes to the formation of?

Prothrombin

A nurse has removed a 2 ml vial of fentanyl from the medication dispensing system. After dosage calculations, the nurse determines only 1 ml will be administered to the client. Which action will the nurse perform with the remainder of the medication?

Requesting another nurse to witness wasting of the unused medication

Which mechanism of action would the nurse identify for levodopa therapy prescribed to a client diagnosed with Parkinson disease?

Restores the dopamine levels in the brain

Which action would the nurse perform when administering fluticasone propionate to a client with asthma? Select all that apply.

Rinsing the oral cavity with water after use

The nurse is teaching the client how to properly use a dry powder capsule inhaler. How should the nurse instruct the client to use this type of inhaler?

Seal lips tightly around mouthpiece and inhale deeply

Which medication requires the nurse to monitor the client for signs of hyperkalemia?

Spironolactone

Hydrocortisone is prescribed for a client with Addison's disease. Which response is a therapeutic effect of this medication?

Supports a better response to stress

Which outcome would the nurse expect when caring for a child receiving adrenocorticosteroid therapy?

Suppressed inflammation process

A client is discharged with a prescription for sustained-release nitroglycerin. Which information will the nurse provide to the client?

Swallow the capsule whole

A health care provider in the emergency department identifies that a client is in cardiogenic shock. Which type of medication is indicated for management of this condition?

Sympathomimetic

The nurse administers albuterol to a child with asthma. Which common side effect would the nurse monitor for in the child?

Tachycardia

The nurse is caring for a client that is taking prednisone and aspirin for rheumatoid arthritis. Which action by the nurse is appropriate for this client?

Test the client's stool for occult blood

The nurse is caring for a client after cardiac surgery who has been prescribed protamine sulfate. Which finding indicates that the treatment is having the intended effect?

The bleeding from the surgical sire has slowed

A client with Parkinson's disease is prescribed benztropine (Cogentin). For which of the following should the nurse call the health care provider immediately?

The client has a history of primary angle-closure glaucoma

A client has been robbed, beaten, and sexually assaulted. The primary health care provider prescribes 0.25 mg of alprazolam for agitation. Which event would alert the nurse to administer this medication?

The client requests something to calm her

The nurse is observing a new graduate nurse preparing to administer bumetanide 4 mg orally to a client with heart failure. Which client finding requires the nurse to intervene immediately?

The client's most recent serum potassium level is 2.9 mEq or mmol/L

Which condition would the nurse make about the development of loose stools and increased salivation 2 days after a client with myasthenia gravis begins taking pyridostigmine?

The medication is causing cholinergic side effects

The nurse is providing education to the parents of a 10-year-old child who is diagnosed with diabetes insipidus (DI) and has been prescribed vasopressin. What important information should the nurse include regarding this medication?

The parents must closely monitor the child's fluid intake

Which rationale explains why the nurse would question a benzodiazepine prescription for an individual experiencing acute grief?

The period of denial is extended, and the grieving process is suppressed

Which assessment would be brought to the health care provider's attention before administration of intravenous potassium chloride?

Urinary output of 200 mL during the previous 8 hours

A nurse is preparing to administer indomethacin to a client with acute pain. Which medication on the client's medical record will prompt the nurse to monitor the client more frequently?

Warfarin

Which instructions about the use of nitroglycerin to prevent angina will the nurse provide to a client?

"Before physical activity, place one tablet under the tongue, and repeat the dose in 5 minutes if pain occurs"

The nurse is teaching a client diagnosed with asthma about the medication albuterol. Which statement by the nurse demonstrates appropriate teaching?

"Call your doctor's office if you need to use the drug more often"

The nurse teaches the client about appropriate foods to consume when taking warfarin. The nurse evaluates that the client needs further teaching when the client makes which statement?

"Dark green leafy vegetables are high in vitamin K, so I should eat them more often"

The mother of a toddler with hemophilia A (bleeding disorder) asks the nurse, 'Can I give my child ibuprofen for fever or pain?' How will the nurse respond?

"Give your child acetaminophen. Ibuprofen may cause bleeding"

Hydrochlorothiazide (HCTZ) has been prescribed for a client with hypertension. The client reports hearing that furosemide is more effective and requests a prescription change. How will the nurse respond?

"HCTZ has fewer side effects"

A school-age child with end-stage cancer has a continuous infusion of morphine to manage their pain. Breakthrough pain occurs and a fentanyl 'lollipop' is prescribed. Which instruction would the nurse give the child regarding the use of the lollipop when pain occurs?

"Hold it in your cheek only until the pain is relieved"

A client with angina has been instructed about the use of sublingual nitroglycerin. Which statement by the client indicates the need for additional teaching?

"I can swallow 2 or 3 tablets at once if I have severe pain"

Which client statement indicates that teaching about acetaminophen is effective?

"I have to be careful about which over-the-counter cold preparations I take"

A client who had surgery is discharged on warfarin. Which statement by the client is incorrect and indicates a need for further teaching?

"I know I must avoid crowds"

Pyridostigmine bromide is prescribed for a client with myasthenia gravis. The nurse evaluates that the medication regimen is understood when the client makes which statement?

"I need to set an alarm so I take the medication on time"

A 42-year-old male client diagnosed with hypertension tells the nurse he no longer wants to take the prescribed propranolol. Which client statement best explains the reason why he does not want to take this medication?

"I'm experiencing decreased sex drive"

Which response would the nurse give to a client taking ibuprofen for rheumatoid arthritis who asks the nurse if acetaminophen can be substituted?

"Ibuprofen has anti-inflammatory properties, and acetaminophen does not"

The nurse has provided instructions to a client on the use of warfarin. Which statement by the client requires further teaching?

"If I develop a headache, I should take ibuprofen to help my pain"

A client diagnosed with a transient ischemic attack (TIA) related to hypertension is discharged with a prescription of hydrochlorothiazide. Which instruction would the nurse include when teaching about this medication?

"Increase the intake of potassium-rich foods"

The daughter of a client with Alzheimer's disease asks the nurse, "Will the medication my mother is taking cure her dementia?" What is the best response by the nurse?

"It will not improve dementia but can help control emotional responses

The nurse is discharging a client who is at risk for venous thromboembolism (VTE). The client is prescribed enoxaparin. Which instruction should the nurse provide to this client?

"Notify your health care provider if your stools appear tarry or black"

The nurse is preparing a teaching plan for a client prescribed nitroglycerin sublingual. Which would the nurse include in the teaching?

"Place the tablet under the tongue or between the cheek and gums"

Which information would the nurse include when preparing a teaching plan for a client prescribed sublingual nitroglycerin?

"Place the tablet under the tongue or between the cheek and gums"

Which information would the nurse provide when administering the first dose of prednisone prescribed to a client with an exacerbation of colitis?

"Prednisone is not curative but does cause a suppression of the inflammatory process"

Which instruction would the nurse include in a teaching plan for nitroglycerin patches?

"Remove a previous patch before applying the next one"

A client with chronic obstructive pulmonary disease prepares to take a medication that is delivered via a nebulizer. Which instruction would the nurse provide when teaching about use of the nebulizer?

"Seal your lips around the mouthpiece and breathe in and out, taking slow, deep breaths"

The clinic nurse receives a call from the mother of an infant prescribed digoxin. The mother reports she forgot whether she gave the morning dose of digoxin. Which response by the nurse is most appropriate?

"Skip this dose and give it at the next prescribed time"

A client with a seizure disorder is receiving phenytoin and phenobarbital. Which client statement indicates that the instructions regarding the medications are understood?

"Stopping the medications can cause continuous seizures and I may die"

Which instruction would the nurse give to clients prescribed psychotropic medications who are experiencing anticholinergic-like side effects?

"Suck on sugar-free hard candies"

A nurse is teaching a client with stable angina about newly prescribed SL nitroglycerin. Which statement should the nurse include in the teaching?

"Take one tablet immediately when you experience chest pain"

A school-age child with a seizure disorder is prescribed divalproex/phenytoin. The nurse would include which instruction when teaching the parents about administering this medication?

"Take the child for regularly scheduled blood tests"

A client has been receiving digoxin. The client calls the clinic and complains of 'yellow vision.' Which response would the nurse provide?

"The medication may need to be discontinued. Come to the clinic this afternoon"

The nurse is preparing a client with rheumatoid arthritis (RA) for discharge to an assisted living facility. Which statement about the prescribed oral glucocorticoid is correct?

"The medication will be gradually tapered off over 5-7 days"

The nurse is teaching a client with asthma about albuterol. How should the nurse best describe the action of this medication?

"The medication will help to relax smooth muscles in the airways"

Furosemide has been prescribed as part of the medical regimen for a client with hypertension. Which client statement indicates a need for medication education?

"This can decrease my vitamin K level"

The nurse is providing care for a client after surgery. The client has an order for acetaminophen with codeine. The client asks the nurse what to expect after taking this medication. Which is the best response by the nurse?

"This combination medication will better help to manage your pain"

The nurse is talking with a client who was admitted with an acute myocardial infarction due to coronary artery disease. The clients asks what the purpose for the prescribed carvedilol is. How should the nurse respond?

"This drug will decrease the workload on your heart"

A child is prescribed fluticasone after an acute asthma attack. Which instruction would the nurse give the family about the administration of this medication?

"Watch for white patches in the mouth and report to the health care provider"

The nurse is teaching a school-aged child and family members about the use of inhalers prescribed for asthma. Which statement made by a family member indicates an understanding of the nurse's instructions?

"We will keep a chart of daily peak flow meter results"

Carbidopa-levodopa is prescribed for a client with Parkinson's disease. Which instruction will the nurse include when teaching the client about this medication?

"You may experience dizziness when moving from sitting to standing"

A client at risk for a stroke has been prescribed clopidogrel. Which information is most important for the nurse to reinforce with the client?

"You must stop the medication a week before your surgery"

A client has been taking rosuvastatin for six weeks as part of a treatment plan to reduce hyperlipidemia. The clinic nurse is reviewing and reinforcing information about the medication with the client. Which statements by the client indicates an understanding about the medication? Select all that apply.

- "I will need to call my doctor if I have any muscle weakness or pain, especially in my legs" - "I will need to come back to have my liver and kidney labs checked" - "I add some nuts and fresh fruit to my oatmeal in the morning and I can't remember when I last ate a steak"

The health care provider writes a new order for a fentanyl patch to manage chronic pain experienced by a client in hospice care. The nurse is teaching the client and family members about the fentanyl patch and knows that teaching was effective when the client makes which of the following statements? Select all that apply.

- "It may take up to a half day or longer for the patch to start working, the first time I use it" - "If my pain is too great while I am on the patch, I can take a supplemental pain medication" - "I will take the old patch off before I apply the new patch on"

The caregiver of a client with Alzheimer's disease asks the nurse for information about different treatment options that can help with memory or behavior problems. Which of the following responses by the nurse are correct? Select all that apply.

- "Music therapy has been found to help some clients" - "Ginkgo biloba may help with memory" - "Donepezil (Aricept) may help slow symptoms associated with Alzheimer's decline"

A client with hypertension is prescribed an angiotensin II receptor blocker (ARB). Which instructions will the nurse provide about this medication? Select all that apply.

- "Stop the medication if swelling of the mouth, lips, or face develops" - "Have blood drawn for potassium levels 2 weeks after starting the medication"

Which primary anxiolytic medication would the nurse anticipate developing a teaching plan for when a client with social anxiety disorder has a history of exhibiting an intense, irrational fear of being scrutinized by others? Select all that apply.

- Alprazolam - Clonazepam

Which sedative-hypnotics would the nurse identify as being used to treat insomnia associated with a panic disorder? Select all that apply.

- Alprazolam - Clonazepam

Which manifestation is an adverse effect of intravenous lorazepam? Select all that apply.

- Amnesia - Drowsiness - Sleep driving - Blurred vision - Respiratory depression

The nurse is teaching a client with stable angina about their new prescription for nitroglycerin transdermal patch. Which instructions should the nurse include? Select all that apply.

- Apply the patch to a hairless area of the body - Notify your provider for persistent dizziness or any fainting episode - Plan for patch-free time, usually overnight - Rotate the application area

A client with an intravenous (IV) infusion containing 40 mEq of potassium reports a stinging pain at the IV site. Which actions will the nurse take? Select all that apply.

- Assess the IV site - Verify that the potassium is adequately diluted and not infusing too rapidly

Which instructions will the nurse include in the teaching plan for a client who will be taking simvastatin? Select all that apply

- Avoid prolonged exposure to the sun - Schedule regular ophthalmic examinations - Contact your health care provider if skin becomes gray-bronze

Which lifestyle advice does the nurse give to a client when oral digoxin therapy is initiated? Select all that apply.

- Brain can decrease digoxin absorption - Digoxin should not be taken with hawthorn supplements - Ginseng may cause a dangerous increase in digoxin levels in the blood - Medications that lower serum potassium or magnesium can cause digoxin toxicity

Which medications may be used to correct severe hyperkalemia resulting from intravenous (IV) administration? Select all that apply.

- Calcium chlordie - Calcium gluconate - Sodium bicarbonate - Dextrose solution with insulin

Atenolol is prescribed for a client with moderate hypertension. Which information would the nurse include when teaching the client about this medication? Select all that apply.

- Change to standing positions slowly - Count the pulse before taking the medication - Mild weakness and fatigue are common side effects

Which action is the nurse's responsibility when administering prescribed opioid analgesics? Select all that apply.

- Count the client's respirations - Document the intensity of the client's pain - Verify the number of doses in the locked cabinet before administering the prescribed dose

The home care nurse is reviewing the medical record of a new client with a history of chronic obstructive pulmonary disease, atrial fibrillation and gout. After reviewing the client's medication list, for which medications should the nurse arrange to monitor blood levels? Select all that apply.

- Digoxin -Theophylline

A client with left ventricular heart failure and supraventricular tachycardia is prescribed digoxin 0.25 mg daily. Which changes would the nurse expect to find if this medication is therapeutically effective? Select all that apply.

- Diuresis - Decreased edema - Decreased pulse rate

A client is diagnosed with rheumatoid arthritis (RA). Which types of drugs might the nurse expect to be ordered as a combination drug therapy regimen? Select all that apply.

- Glucocorticoids - Biological-response modifiers - Anti-inflammatory drugs

An adolescent is admitted with partial- and full-thickness burns of the arms and upper torso. Which are the primary purposes of administering pain medication via the intravenous route, rather than the intramuscular route? Select all that apply.

- It decreased the risk of tissue irritation - Severe pain is reduced more effectively - Impaired peripheral circulation is bypassed

Which nursing intervention is important when caring for clients receiving intravenous (IV) digoxin? Select all that apply.

- Monitor the heart rate closely - Check the blood levels of digoxin - Monitor the serum potassium level

Digoxin is prescribed for a client with heart failure. The nurse will assess for which signs and symptoms that indicate digoxin toxicity? Select all that apply. One, some, or all responses may be correct.

- Nausea - Yellow vision - Irregular pulse

Which instruction would the nurse give an unlicensed assistive personnel (UAP) to perform while caring for a client prescribed captopril? Select all that apply.

- Obtain blood pressure - Measure intake and output - Weigh the client every morning - Notify the nurse if the client has a dry cough - Assist the client to change positions slowly

Which medication would the nurse instruct a client to avoid while taking alprazolam? Select all that apply.

- Opioids - Alcohol - Barbiturates

Which dietary choices will the nurse instruct the client taking spironolactone to avoid increasing? Select all that apply.

- Potatoes - Cantaloupe

A newly admitted client reports taking phenytoin for several months. Which assessment should the nurse include in the admission report? Select all that apply.

- Report of unsteady gait, rash, and diplopia - Report of any seizure activity - Serum phenytoin levels

Which instruction will the nurse include in a teaching plan for a client taking a calcium channel blocker such as nifedipine? Select all that apply.

- Report peripheral edema - Avoid drinking grapefruit juice - Change to a standing position slowly

Which nursing assessment would performed by a nurse before administering intravenous (IV) infusion of potassium chloride (KCl) 40 mEq in 100 mL of 5% dextrose and water to be infused over 2 hours? Select all that apply.

- Urinary output - Last serum potassium level - Patency of the intravenous access

The nurse is preparing to administer aspirin 81 mg to a client who had a stroke. The client states, "I do not want to take that." Which statements should the nurse make to the client? Select all that apply.

-"Can you tell me what concerns you have about the aspirin?" -"Do you experience any nausea when you take the aspirin?" -"Do you take your other medications as prescribed by. your provider?" -"Would you like to take the aspirin at another time of day?"

A client with rheumatoid arthritis is to begin taking ibuprofen 800 mg by mouth three times a day. The nurse provides education about the medication's side effects. The nurse concludes that the teaching was effective when the client makes which statements? Select all that apply.

-"I need to report any dark tarry stools" -"I will need to stop taking this medication before any scheduled surgery"

Which would the nurse include in the client's medication teaching on the administration of aspirin 650 mg every 6 hours as needed for arthritic pain? Select all that apply.

-"Report persistent abdominal pain" -"Do not chew enteric-coated tablets" -"Take the aspirin with meals or a snack"

The nurse is caring for a client who is experiencing excessive bleeding after receiving unfractionated heparin sodium. Which orders should the nurse anticipate from the health care provider? Select all that apply.

-Administer protamine sulfate -Obtain activated partial thromboplastin time (aPTT)

Which medication increases the risk for upper gastrointestinal (GI) bleeding? Select all that apply.

-Aspirin -Ibuprofen -Methylprednisolone

The client with congestive heart failure is receiving furosemide 80 mg once daily. Which data collection assessment would be performed to evaluate medication effectiveness? Select all that apply.

-Daily weight -Intake and output -Monitor for edema -Daily pulse oximetry -Auscultate breath sounds

A client with a partial occlusion of the left common carotid artery is to be discharged while still receiving warfarin. Which adverse effect will the nurse identify as a reason for the client to seek medical consultation? Select all that apply.

-Hematuria -Hemoptysis -Vomiting coffee-ground emesis

A client presents to the clinic for a follow-up appointment after starting pyridostigmine for management of myasthenia gravis. Which new client problems are adverse effects of pyrisostimine? Select all that apply.

-Increased urinary frequency -diarrhea

The nurse is teaching a nursing student about tricyclic antidepressant medications. Which statement made by the student indicates the need for further teaching? Select all that apply. One, some, or all responses may be correct.

-Nortriptyline is contraindicated in older adult clients -tricyclic antidepressant medication are prescribed for clients with seizure disorders

A health care provider prescribes aspirin therapy for a client with arthritis. The nurse will advise the client to report which adverse effects? Select all that apply. One, some, or all responses may be correct.

-Ongoing nausea -Easy bruising -Ringing in the ears

Which therapeutic outcomes are expected after administering ibuprofen? Select all that apply.

-Pain relief -Temperature reduction -Reduced inflammation

The nurse is assessing a client with suspected aspirin overdose. Which assessment findings would support this diagnosis? Select all that apply.

-Respiratory rate of 28 -Tinnitus -Serum pH 7.31 -Headache

Intravenous furosemide has been prescribed for a client with severe edema and hypertension. Which subjective clinical manifestations lead the nurse to suspect that the furosemide is infusing too rapidly? Select all that apply.

-Tinnitus -Weakness -Leg cramps

A client is prescribed albuterol to relieve severe asthma. Which adverse effects will the nurse instruct the client to anticipate? Select all that apply.

-Tremors -Palpitations

Upon admission to the emergency center, an adult client with acute status asthmaticus is prescribed this series of medications. In which order should the nurse administer the prescribed medications? (Arrange from first to last.)

1. Albuterol (Proventil) puffs 2. Salmeterol (Serevent Diskus) 3. Prednisone (Deltasone) orally 4. Gentamicin (Garamycin) IM

List in order the steps the nurse teaches the client to follow when using a metered-dose inhaler (MDI)

1. Shake the inhaler for 30 seconds 2. Exhale slowly and deeply to empty the air from the lungs 3. Hold the inhaler upright in the mouth 4. Start breathing in and pressing down on the inhaler once

Which medication is often contraindicated when taking warfarin?

Acetylsalicylic acid

A client is prescribed heparin therapy for a deep vein thrombosis (DVT). Which laboratory value should the nurse monitor closely?

Activated partial thromboplastin time

A nurse is teaching an 80-year-old client how to use a metered dose inhaler. The nurse is concerned that the client is unable to coordinate the release of the medication during the inhalation phase. Which intervention should improve the delivery of the medication?

Add a spacer device to the inhaler canister

The international normalized ratio (INR) results of a client receiving warfarin have been variable. Which factor can help the nurse identify the cause of the INR fluctuations?

Adherence to the prescribed medication regimen

A health care provider prescribes enoxaparin 30 mg subcutaneously daily. Which measure would the nurse take when administering this medication?

Administer in the abdomen

The health care provider prescribes enoxaparin to be administered subcutaneously. To ensure client safety, which measure would the nurse take when administering this medication?

Administer in the abdomen area only

A client is scheduled for an adrenalectomy. Which action would the nurse expect in the plan of care?

Administer parental carticosteroids

Which action is likely to reduce the pancreatic and gastric secretions of a client with pancreatitis?

Administer prescribed anticholinergic medication

A client's dose of isosorbide dinitrate (Imdur) is increased from 40 mg to 60 mg PO daily. When the client reports the onset of a headache prior to the next scheduled dose, which action should the nurse implement?

Administer the 60 mg dose of Imdur and a PRN dose of acetaminophen

A client with a history of asthma is admitted for a minor surgical procedure. Preoperatively, the peak flow is measured at 480 liters/minute. Postoperatively, the client reports chest tightness and the peak flow is now 200 liters/minute. What should the nurse do first?

Administer the PRN dose of albuterol

A client prescribed albuterol tablets reports nausea every evening with the 9:00 p.m. dose. Which action should the nurse perform to alleviate this side effect?

Administer the dose with a snack

The nurse in a urology office is developing a plan of care for a client newly diagnosed with urge urinary incontinence due to an overactive bladder. Which interventions should the nurse include?

Administration of anticholinergic drugs

An adult client has prescriptions for morphine sulfate 2.5 mg IV every 6 hours and ketorolac (Toradol) 30 mg IV every 6 hours. Which action should the nurse implement?

Adminitser both medications according to the prescription

A client takes acetaminophen routinely. The nurse will advise the client to avoid which substance?

Alcohol

Which medication would the nurse anticipate developing a teaching plan for when a client reports becoming panicked and having an irrational fear of talking in public?

Alprazolam

Which explanation would the nurse provide for administering prednisone to a client with an exacerbation of colitis?

Although the medication decreases intestinal inflammation it will not cure the colitis

When a client exhibits severe bradycardia, which type of medication will the nurse be prepared to administer?

Anticholinergic

An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent motion sickness while on a cruise. Which information should the nurse provide to the client?

Apply the patch at least 4 hours prior to departure

The nurse is caring for an 81-year-old client with colorectal cancer. Previously, the client's pain was managed with acetaminophen with codeine. However, the client is now experiencing frequent, severe pain and intravenous morphine has been prescribed. What should the nurse recognize about this order?

Appropriate pain management and should be available around the clock

When, during the first 24 hours postoperatively, will analgesics be administered to a client who undergoes an abdominal cholecystectomy for gangrene of the gallbladder?

As prescribed by the health care provider

The inpatient hospital nurse is caring for a client with hypokalemia. The health care provider prescribed a potassium intravenous (IV) infusion of 40 mEq potassium chloride in 250 mL normal saline to be infused over 4 hours. The nurse receives the infusion from the pharmacy. Which action should the nurse take next?

Ask another nurse to verify the prescription, IV solution and serum potassium level

A client is admitted to the emergency department with crushing chest pain. A diagnosis of acute coronary syndrome is suspected. Which medication is indicated to prevent progression to a myocardial infarction?

Aspirin

Which medication would the nurse anticipate the health care provider will prescribe to relieve the pain experienced by a client with rheumatoid arthritis?

Aspirin

Which is an appropriate nursing action when caring for a client taking benazepril for hypertension?

Assess for dizziness

The nurse is preparing to administer digoxin to a client admitted for acute decompensated heart failure. Which action is the priority before giving this drug?

Assess the apical pulse for a full minute

The nurse is preparing to administer diltiazem to a client with heart disease. Which action should the nurse take first?

Assess the client's blood pressure and apical pulse

A terminally ill client is receiving a morphine drip that exceeds the typical recommended dosage. The client's spouse tells the nurse that the client is again uncomfortable and needs the morphine increased. The prescription states to titrate the morphine to comfort level. Which action will the nurse take?

Assess the client's pain before increasing the dose of morphine

A nurse is providing care to a client who takes phenytoin for seizure prevention. The latest laboratory report shows a phenytoin level of 32 mcg/mL. Which action does the nurse take next?

Assess the pupillary response

The healthcare provider prescribes digitalis (Digoxin) for a client diagnosed with heart failure. Which intervention should the nurse implement prior to administering the digoxin?

Assess the serum potassium level

Propranolol is prescribed for a client with coronary artery disease (CAD). The nurse should consult with the health care provider (HCP) before giving this medication when the client reports a history of which condition?

Asthma

The nurse is preparing to discharge a client who presented to the emergency room for an acute asthma attack. The nurse notes that upon discharge the health care provider has prescribed theophylline 300 mg orally to be taken daily at 9:00 AM. The nurse will teach the client to take the medication on which schedule?

At the specific time prescribed

The nurse has administered fentanyl, atropine, cefazolin, and benzocaine to a client for an endoscopic procedure. The nurse is monitoring the client and notes that the heart rate has increased from the pre-procedure baseline. The nurse knows that which of the following medications is most likely responsible for the client's increased heart rate?

Atropine

Which ophthalmic solution is contraindicated for clients with glaucoma?

Atropine

During a procedure, the client's heart rate drops to 38 beats/ min. Which medication is indicated to treat bradycardia?

Atropine sulfate

A client is admitted to the hospital with a diagnosis of heart failure and acute pulmonary edema. The health care provider prescribes furosemide 40 mg intravenous (IV) stat to be repeated in 1 hour. Which nursing action will best evaluate the effectiveness of the furosemide in managing the client's condition?

Auscultate breath sounds

The nurse administers albuterol to a 4-year-old child. Which intervention would assist the nurse in evaluating the effectiveness of this medication?

Auscultate breath sounds

A primary health care provider prescribes atenolol 20 mg by mouth four times a day. Which information is important for the nurse to include in the discharge teaching plan for this client?

Avoid abruptly discontinuing the medication

A nurse is providing dietary instructions to a client who is taking prescribed amiloride. Which information will the nurse include in the teaching?

Avoid eating foods that are rich in potassium such as bananas

A nurse is providing education on the use of carbidopa/levodopa to a client with Parkinson's disease. What will the nurse include in the teaching?

Avoid eating meals that are high in protein

To prevent excessive bruising when administering subcutaneous heparin, which technique will the nurse employ?

Avoid massaging the injection site after the injection

A client was prescribed furosemide. The nurse would instruct the client to include which food in the diet?

Bananas

Which complication is an adverse effect of cortisone therapy?

Behavioral changes

Which class of medication would the nurse anticipate preparing to administer to a client with alcohol dependence admitted to a detoxification unit?

Benzodiazepine

Which medications should the nurse caution the client about taking while receiving an opioid analgesic?

Benzodiazepines

A client receiving fluphenazine decanoate develops dystonia/extrapyramidal side effects early in therapy. Which medication would the nurse anticipate administering to reverse this side effect?

Benztropine

A client develops extrapyramidal effects after taking a neuroleptic medication, and the nurse notes extrapyramidal effects. Which medication can limit these side effects?

Benztropine mesylate

A client who is receiving atenolol for hypertension frequently reports feeling dizzy. Which effect of atenolol is responsible for this response?

Blocking the adrenergic response

A client with myasthenia gravis has been receiving neostigmine and asks about its action. Which information would the nurse consider when formulating a response?

Blocks the action of cholinesterase

Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor antagonist valsartan has been achieved?

Blood pressure from 160/90 mmHg to 130/80 mmHg

A nurse is assessing a client who started taking prescribed olmesartan 2 weeks ago. Which finding indicates an expected response to the medication?

Blood pressure of 125/79 mmHg

The health care provider has written a new order to give metoprolol tartrate 25 mg twice a day by mouth. In assessing the client prior to administering the medications, which finding should the nurse report to the health care provider?

Blood pressure of 94/60

Donepezil is prescribed for a client who has mild dementia of the Alzheimer type. Which information would the nurse include when discussing this medication with the client and family?

Blood tests that reflect liver function will be performed routinely

A client with hypertensive heart disease who had an acute episode of heart failure is to be discharged on a regimen of metoprolol and digoxin. Which outcome would the nurse anticipate when metoprolol is administered with digoxin?

Bradycardia

The nurse is monitoring a 4-month-old infant who is prescribed digoxin. The infant's blood pressure is 92/78 mm Hg; resting pulse is 78 beats per minute; respirations are 28 breaths per minute; and serum potassium level is 4.8 mEq/L. The infant is irritable and has vomited twice since receiving the morning dose of digoxin. Which finding is most indicative of digoxin toxicity?

Bradycardia

Which response to morphine would need to be reported immediately to the health care provider?

Bradycardia

Which food would the nurse encourage a client to eat while receiving treatment to prevent hypokalemia?

Broccoli

The nurse is providing discharge education to a client with moderate persistent asthma. The nurse should instruct the client to administer which medication first?

Bronchodilator

The client has been treated with long-term glucocorticoid therapy. While completing the physical assessment, which finding should the nurse expect?

Buffalo hump

The nurse is administering 40 mg of furosemide intravenously. Which sensation reported by the client would the nurse consider when determining that it is being administered too quickly?

Buzzing ears

Which medication may be useful in managing hypertension in a child with acute glomerulonephritis?

Captopril

A client with Parkinson disease is admitted to the hospital. Which medication is prescribed to improve the physical manifestations of Parkinson disease?

Carbidopa-levodopa

The nurse administers a parenteral preparation of potassium slowly to avoid which complication?

Cardiac arrest

A client is prescribed furosemide and digoxin for heart failure. The nurse should monitor the client for which potential adverse drug effect?

Cardiac dysrhythmias

The client with a seizure disorder receives intravenous (IV) phenytoin. The nurse will monitor closely for which condition?

Cardiac dysrhythmias

Which clinical finding indicates that a client taking digoxin may have developed digoxin toxicity?

Cardiac dysrhythmias

The nurse is teaching a client who has a new prescription for sublingual nitroglycerin. Which point should the nurse emphasize?

Carry the nitroglycerine with you at all times

Which advice would the nurse include in a teaching plan to reduce the side effects of diltiazem?

Change slowly from sitting to standing

A client is prescribed alprazolam. Which action must the nurse include in the client assessment during the initiation of therapy?

Check the client's blood pressure

A nurse is reviewing prescriptions for a client with a history of rheumatoid arthritis and peptic ulcer disease. The client has prescriptions for ibuprofen and ranitidine. Which action will the nurse perform?

Clarify the prescription for ibuprofen

The health care provider prescribes alprazolam 5 mg by mouth three times a day for a client with anxiety. Which intervention will the nurse take before administering this prescription?

Clarify the prescription with the health care provider

Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack, which assessment finding indicates to the nurse that the desired effect has been achieved?

Client states chest pain is relieved

The nurse is completing a health history of a client diagnosed with Alzheimer's disease. The nurse reviews a list of the client's medications and supplements routinely taken at home. Which treatment should be a cause for concern by the nurse?

Coconut oil

Which mechanism of action explains why naloxone is administered for a heroin overdose?

Competition with opioids for occupancy of opioid receptors

A nurse is educating a client about the use of warfarin at home. The nurse should reinforce the need for the client to monitor which of the following?

Consistent intake of foods high in vitamin K

A client recovering from hip replacement surgery is taking acetaminophen with codeine every three hours for pain. For which side effect should the nurse monitor the client?

Constipation

The nurse is preparing an education session for a client prescribed opioids for intractable cancer pain. The nurse should include strategies to help prevent which common side effect associated with long-term use of opioids?

Constipation

The nurse is caring for a client who is actively dying and has been receiving high doses of opioid analgesics. The client has become unresponsive to verbal stimuli. What action should the nurse take?

Continue the analgesic at the current dose

An 18-month-old toddler is being treated with intravenous diazepam every 4 hours for generalized tetanus. Which response to the medication would the nurse anticipate?

Control of hypertonicity and prevention of seizures

A client with myasthenia gravis is receiving pyridostigmine bromide to control symptoms. Recently, the client has begun experiencing increased difficulty in swallowing. Which nursing action is effective in preventing aspiration of food?

Coordinate mealtimes with the peak effect of the medication

Which drink would a nurse teach a client on warfarin to avoid?

Cranberry juices

The nurse is caring for a client who has been prescribed atropine preoperatively. The nurse understands the intended purpose for administering this preoperatively is to induce which effect?

Decrease secretions

For which therapeutic effect will the nurse monitor the client who is prescribed alprazolam?

Decreased anxiety

A client who had a myocardial infarction receives a prescription for a nitroglycerin patch. Which statement would the nurse identify as the purpose of the nitroglycerin patch?

Decreased cardiac preload reduces cardiac workload

A beta blocker is prescribed for the client with persistent ventricular tachycardia. Which response indicates that the beta blocker is working effectively?

Decreased heart rate

A client with rheumatoid arthritis has been taking a corticosteroid medication for the past year. Prolonged use of corticosteroids puts this client at increased risk for which complication?

Decreased white blood cells

A health care provider prescribes morphine for a client being treated for myocardial infarction. Which physiological response will occur if the client experiences the intended therapeutic effect of morphine?

Decreased workload of the heart

A client with myasthenia gravis is to receive immunosuppressive therapy with corticosteroids. Which mechanism of action assures the nurse that this therapy will be effective?

Decreases the production of autoantibodies that attack acetylcholine receptors

Which goal is the priority for a client with asthma who has a prescription for an inhaled bronchodilator?

Demonstrates use of a metered-dose inhaler

A client is treated with lorazepam for status epilepticus. Which effect of lorazepam is the reason it is given?

Depresses the central nervous system (CNS)

The nurse is monitoring the client who is taking newly prescribed antihypertensive medication. Which finding should indicate to the nurse that the client might be experiencing an allergic reaction to the medication?

Development of a rash

A client who takes multiple medications complains of severe nausea, and the client's heartbeat is irregular and slow. The nurse determines that these signs and symptoms are toxic effects of which medication?

Digoxin

The client with hypokalemia reports nausea, vomiting, and seeing a yellow light around objects. Which of the client's medications is the likely cause of the client's symptoms?

Digoxin

A nurse is preparing to administer morning medications to a client with heart failure. The morning lab values are: sodium 142 mEq/L (142 mmol/L), potassium 2.9 mEq/L (2.9 mmol/L), digoxin level 1.4 ng/mL. Which of the following medications should the nurse not administer until after speaking with the health care provider?

Digoxin (Lanoxin)

A client with heart failure is being discharged with a new prescription for the angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The nurse's discharge instructions should include reporting which problem to the healthcare provider?

Dizziness

The nurse is assessing a postpartum client who is taking labetalol. Which client report should the nurse identify as a potential adverse effect of the medication?

Dizziness

A client is receiving metoprolol. Which potential effect will the nurse teach the client to expect?

Dizziness with strenuous activity

A client with hypertension has received a prescription for metoprolol. Which information will the nurse include when teaching this client about metoprolol?

Do not abruptly discontinue the medication

The nitrate isosorbide dinitrate is prescribed for a client with angina. Which instruction should the nurse include in this client's discharge teaching plan?

Do not get up quickly. Always rise slowly

Morphine has been prescribed for a client in a hospice home care program. Which information will the nurse provide regarding this pain management regimen?

Dosages of the medication will be given automatically at regular intervals around the clock

A primary health care provider prescribes 0.25 mg of alprazolam by mouth three times a day for a client with anxiety and physical symptoms related to work pressures. Which side effect of this medication will the nurse monitor for in this client?

Drowsiness

A client is prescribed controlled-release oxycodone. Which dosing schedule is best for the nurse to teach the client?

Every 12 hours

The client with chronic arterial insufficiency of the legs refuses the prescribed dose of aspirin (ASA). The client states, 'My legs are not painful.' Which action will the nurse take?

Explain the reason for the medication and encourage the client to take it

A client who has been diagnosed with Raynaud's disease and hypertension is prescribed nifedipine. For which side effect should the nurse monitor the client?

Facial flushing

A nurse is reviewing analgesic prescriptions for a client with a history of liver cirrhosis. The prescriptions state to administer PRN for pain. Which medication is the nurse most likely to administer to this client?

Fentanyl

Which medication acts as an antidote to benzodiazepine?

Flumazenil

Which medication would the nurse expect to administer to actively reverse the overdose sedative effects of benzodiazepines?

Flumazenil

A school-age child is admitted with hypertensive acute glomerulonephritis. Which medication would the nurse anticipate being prescribed initially in addition to hydralazine?

Furosemide

Hypertension develops in a school-age child with acute glomerulonephritis. Which medication would the nurse anticipate providing teaching for?

Furosemide

Which diuretic would the nurse anticipate administering to a client admitted with acute pulmonary edema?

Furosemide

Which life-threatening complication may occur in clients taking high-dose or long-term ibuprofen?

Gastrointestinal (GI) bleeding

After the nurse provides education about hydrochlorothiazide, the client will agree to notify the health care provider regarding the development of which symptom?

Generalized weakness

Which intervention would the nurse implement for a client admitted for an exacerbation of asthma?

Give prescribed medications to promote bronchiolar dilation

A client prescribed atenolol has a blood pressure of 120/68 mmHg, displaying a sinus bradycardia with a rate of 58 beats/minute, and a P-R interval of 0.24. Which action should the nurse take?

Give the medication as prescribed and continue to monitor the client

The nurse is caring for a client who was recently prescribed atropine as a treatment for symptomatic bradycardia. Which condition should the nurse question as a contraindication when taking this medication?

Glaucoma

A client is scheduled for a craniotomy to remove a brain tumor. To prevent the development of cerebral edema after surgery, the nurse anticipates the use of medications from which class?

Glucocorticoids

The nurse is assisting a client who is taking amlodipine with meal planning. Which fluid selected by the client would require follow up by the nurse?

Grapefruit juice

The nurse is caring for a client prescribed warfarin therapy for treatment of persistent atrial fibrillation. Which of the following may potentiate the effect of this medication?

Green tea

A nurse is reviewing the INR results for caring for a client who had a cerebral vascular accident and is receiving prescribed warfarin. The nurse notes the INR is 5.2. Which finding requires priority follow-up?

Gum bleeding

The nurse is caring for a client with Parkinson's disease. Which finding indicates that the client might be experiencing an adverse side effect from the dopamine-enhancing drugs?

Hallucinations

The nurse is providing discharge instructions to a client with a prescription for sublingual nitroglycerin. The nurse should inform the client to prepare for this most common side effect?

Headache

The healthcare provider prescribes a beta-1 agonist medication to be administered. The nurse should anticipate the medication to be prescribed for a client diagnosed with which condition?

Heart failure

The anticholinesterase medication pyridostigmine is prescribed for the client with myasthenia gravis. When providing medication teaching, the nurse explains that the client should expect a decrease in which function?

Heart rate

The nurse is preparing to administer an albuterol nebulizer treatment to a patient with asthma. Which assessment finding should be brought to the health care provider's attention prior to administering the medication?

Heart rate of 116 bpm

A client develops a deep vein thrombophlebitis in her leg 3 weeks after giving birth and is admitted for anticoagulant therapy. The nurse would anticipate developing a teaching plan for which anticoagulant?

Heparin

Warfarin is prescribed for a client who has been receiving intravenous (IV) heparin for a partial occlusion of the left common carotid artery. The client expresses concern about why both medications are needed at the same time. Which rationale would the nurse include to address the client's concern?

Heparin provides anticoagulant effects until warfarin reaches therapeutic levels

A client with a history of osteoporosis and vertebral compression has been coming to the clinic more frequently for prescription refills of hydrocodone/acetaminophen. Which inference will the nurse make?

Higher doses are needed to achieve pain relief

A hospitalized 8-month-old infant is receiving digoxin to treat Tetralogy of Fallot. Prior to administering the next dose of the medication, the parent reports that the baby vomited one time, just after breakfast. The infant's heart rate is 92 bpm. What action should the nurse take?

Hold the medication and notify the primary health care provider

The nurse is caring for a client who is scheduled for a bilateral adrenalectomy. Which medication would the nurse expect to be prescribed for this client?

Hydrocortisone

A client with cirrhosis of the liver develops ascites, and the health care provider prescribes spironolactone. The nurse will monitor the client for which adverse medication effect?

Hyperkalemia

A client is receiving furosemide to relieve edema. The nurse will monitor the client for which adverse effect?

Hypokalemia

A client with cirrhosis of the liver has been taking chlorothiazide. The provider adds spironolactone to the client's medication regimen to prevent which condition?

Hypokalemia

A client presents to the emergency department with chest pain. A myocardial infarction is suspected, and 500 mL of 5% dextrose in water (D 5W) with 50 mg of nitroglycerin intravenously (IV) has been prescribed. The nurse will monitor the client for which common side effect of nitroglycerin?

Hypotension

A client with a myocardial infarction receives intravenous nitroglycerin to relieve pain. The nurse will assess for which medication side effect?

Hypotension

An older adult client has been prescribed zolpidem for insomnia. The nurse should monitor the client for which side/adverse effect of this medication?

Hypotension

The health care provider prescribes atenolol for a client with angina. Which potential side effect will the nurse mention when instructing the client about this medication?

Hypotension

A nurse is assessing a client who takes prescribed oral indomethacin. Which client statement indicates an intended response to the medication?

I am able to rotate my wrists without pain

The nurse is educating a client on self-administration of a fluticasone inhaler. What statement indicates an understanding of the teaching?

I will rinse my mouth with water after using the inhaler

The nurse is providing education to the client prescribed montelukast for the treatment of asthma. What medication should the nurse instruct the client to avoid?

Ibuprofen

The nurse is caring for a client diagnosed with heart failure who will begin treatment with digoxin. Which therapeutic effect would the nurse expect to find after administering this medication?

Improved respiratory status with increased urinary output

Which times for the medication schedule would a nurse teach when corticosteroid therapy is prescribed for a client with an exacerbation of ulcerative colitis?

In the early morning with food

Which increased risk would the nurse consider when assessing a client with diabetes who is receiving long-term corticosteroid therapy and is admitted with leg ulcers?

Inadequate wound healing

A client is receiving dexamethasone to treat acute exacerbation of asthma. For which side effect would the nurse monitor the client?

Increased blood glucose

Digoxin is prescribed for a client. Which therapeutic effect of digoxin would the nurse expect?

Increased contractile force of the myocardium

The nurse is caring for a client who received digoxin-specific immune fab. Which finding indicates the treatment is having the intended effect?

Increased heart rate

The nurse is teaching a client about newly prescribed inhaled budesonide. The nurse should teach the client to report which finding to the healthcare provider?

Increased thirst

Which mechanism of action explains how hydrochlorothiazide increases urine output?

Increases the excretion of sodium

A health care provider prescribes simvastatin 20 mg daily for elevated cholesterol and triglyceride levels for a female client. Which advice is important for the nurse to teach when the client initially takes the medication?

Inform the health care provider if you wish to become pregnant

The nurse provides instructions about how to use a metered-dose inhaler (MDI) to a client with chronic obstructive pulmonary disease. The nurse concludes that additional teaching is needed when the client demonstrates which technique?

Inhales rapidly with the lips sealed around the nebulizer opening

A client receiving corticosteroid therapy states, 'I have difficulty controlling my temper, which is so unlike me, and I don't know why this is happening.' How will the nurse respond?

Inquire about mood swings

The nurse is caring for a client with deep partial-thickness burns who is receiving an opioid for pain management. Which mode of medication administration is preferred for this client?

Intravenous

A client who is 34 weeks gestation is diagnosed with a pulmonary embolism. Which of these medications should the nurse plan to administer?

Intravenous heparin

The client wants to know why midazolam will be administered preoperatively. Which reason would the nurse provide?

It induces sedation

The nurse is teaching the parents of a child prescribed a high dose of oral prednisone for asthma. Which information is critical for the nurse to include when teaching about this medication?

It should be stopped gradually

The nurse is caring for a child receiving prednisone. Which consideration is most important for the nurse to remember when administering adrenocorticosteroid therapy?

It suppresses inflammation

The nurse is providing discharge instructions to an older adult client with heart failure. The client asks, "What is the purpose for taking the furosemide?" How should the nurse respond?

It will help with decreasing fluid buildup in your lungs

A client who is receiving medication for an eye disorder reports bleeding in the eye. Which medication will the nurse expect to find in the client's recent medication history?

Ketorolac

A client with Parkinson's disease is taking carbidopa-levodopa (Sinemet). Which observation by the nurse would indicate that the desired outcome of the medication is being achieved?

Lessening of tremors

The nurse is teaching a client who is postoperative cesarean section about prescribing morphine via a patient-controlled device. Which statement should the nurse include in client teaching about the medication?

Let a staff member know if you experience any trouble breathing

Which member of the health care team would the nurse ask to serve as a witness when wasting unused morphine?

Licensed practical nurse (LPN)

The nurse provides care for a client with a long history of alcohol abuse. Which medication would the nurse anticipate will be prescribed for the client to prevent symptoms of withdrawal?

Lorazepam

The nurse is caring for a client prescribed furosemide and digoxin for the treatment of heart failure. The client reports seeing halos and bright lights. Which laboratory result would be anticipated?

Low potassium level

The nurse is caring for a child diagnosed with seizures. While teaching the family and the child about the medication phenytoin, which concept should the nurse emphasize?

Maintain good oral hygiene and dental care

A client who was prescribed atorvastatin (Lipitor) one month ago calls the triage nurse at the clinic complaining of muscle pain and weakness in his legs. Which statement reflects the correct drug-specific teaching the nurse should provide to this client?

Make an appointment to see the healthcare provider, because muscle pain may be an indication of a serious side effect

The client diagnosed with heart failure is prescribed oral digoxin. What is the priority nursing assessment for this medication?

Measure apical pulse prior to administration

When a client is receiving dexamethasone for adrenocortical insufficiency, which action would the nurse take to monitor for an adverse effect of the medication?

Measure blood glucose levels

When a client with type 1 diabetes develops heart failure, digoxin is prescribed. Which nursing action is important to include when planning care?

Monitor the client for cardiac dysrhythmias

Which side effect would the nurse assess for in a child receiving prednisone?

Mood changes

A client has increased intracranial pressure and is unconscious with a heart rate of 60 beats/min, respirations 16 breaths/min, and blood pressure 142/64 mm Hg. The nurse reviews the treatment plan and questions which regularly scheduled drug?

Morphine

A client who has been diagnosed with a myocardial infarction receives digoxin, fluoxetine, morphine, and docusate sodium. Which medication would the nurse identify as a risk factor for straining due to constipation?

Morphine

A client with a myocardial infarction is admitted to the cardiac intensive care unit. Which pain relief medication would the nurse expect to find on the plan of care for this client?

Morphine

Which medication would the nurse anticipate will be prescribed to relieve anxiety and apprehension in a client with pulmonary edema?

Morphine

The nurse is caring for a client hospitalized with a myocardial infarction. Which analgesic is the medication of choice for this client?

Morphine sulfate

A client, admitted to the cardiac care unit with a myocardial infarction, complains of chest pain. Which intervention will be most effective in relieving the client's pain?

Morphine sulfate 2 mg IV

The nurse is preparing to administer metoprolol to a client with a history of hypertension. Which of the following data is the priority for the nurse to review prior to administration?

Most recent heart rate

he client is discharged from the hospital with a new prescription for furosemide. During a follow-up visit one week later, the nurse notes the following findings. Which finding is most important to report to the health care provider?

Muscle cramps

Intravenous (IV) potassium is prescribed for a client with a diagnosis of hypokalemia. Which statement about administration of IV potassium is accurate?

Oliguria is an indication for withholding IV potassium

A nurse has administered sublingual nitroglycerin to a client in the emergency department. Which clinical finding indicates an adverse response to the medication?

Orthostatic hypotension

Sublingual nitroglycerin has been prescribed for a client with unstable angina. Which client response indicates that nitroglycerin is effective?

Pain subsides as a result of arteriole and venous dilation

A client with insomnia takes a new medication to promote sleep. Two hours later, the client is wide awake and feeling more energized than before the medication was taken. Which type of response is the client demonstrating?

Paradoxical

A client who has type 1 diabetes and chronic bronchitis is prescribed atenolol for the management of angina pectoris. Which clinical manifestation will alert the nurse to the fact that the client may be developing a life-threatening response to the medication?

Paroxysmal nocturnal dyspnea

A male client receiving prolonged steroid therapy complains of always being thirsty and urinating frequently. Which is the nurse's initial action?

Perform a finger stick to test the client's blood glucose level

Which action will a nurse take when a male client receiving prolonged steroid therapy complains of always being thirsty and urinating frequently?

Perform a finger stick to test the client's blood glucose level

Which information would the nurse include when teaching a client about warfarin?

Periodic blood testing is necessary

A client who is receiving phenytoin asks why folic acid (Vitamin B) was prescribed. Which explanation would the nurse provide?

Phenytoin inhibits absorption of folate from foods

A client who had a myocardial infarction receives 15 mg of morphine sulfate for chest pain. Fifteen minutes after receiving the medication, the client complains of feeling dizzy. Which action will the nurse take?

Place the client in the supine position and take the vital signs

A client has a prescription for a sublingual nitroglycerin tablet. Which technique will the nurse teach the client to use?

Place the pill under the tongue and let it dissolve

A pediatric client is prescribed an intravenous infusion of methylprednisolone. Which clinical manifestation requires immediate intervention during administration of the initial dose?

Polyuria

The nurse is administering spironolactone for a client diagnosed with cirrhosis of the liver and ascites. Which electrolyte should the nurse anticipate to be spared when giving this medication?

Potassium

Which medication is unsafe to administer as an intravenous (IV) bolus?

Potassium chloride

The nurse administers sodium polystyrene sulfonate to a client with chronic renal failure. Which finding provides evidence that the intervention is effective?

Potassium decreases 4.2 mEq/L (4.2 mmol/L)

A client is admitted to the hospital for a new onset of supraventricular tachycardia (SVT) and is prescribed digoxin. For which laboratory finding should the nurse notify the healthcare provider immediately?

Potassium level of 3.1 mEq/L

An 80-year-old client who is taking digoxin reports nausea, vomiting, abdominal cramps and halo vision. Which laboratory result should the nurse evaluate first?

Potassium levels

The client who was admitted with exacerbation of ulcerative colitis has developed hyperglycemia. Which medication that the client was prescribed most likely caused this adverse drug effect?

Prednisone

Which reason would an intravenous infusion of 5% dextrose with 0.45% sodium chloride and 20 mEq of potassium be prescribed for a client with a nasogastric (NG) tube set to low intermittent suction?

Prevent electrolyte imbalance

A child recovering from a severe asthma attack is given oral prednisone 15 mg twice daily. Which intervention would be a priority for the nurse?

Preventing exposure of the child to infection

The nurse is caring for a client who is receiving aspirin therapy. Which clinical indicator would be related to this therapy?

Prolonged bleeding time

Which effect explains the purpose for gradual dosage reduction of glucocorticoids such as dexamethasone?

Promotes return of cortisone production by the adrenal glands

The nurse is admitting a client to the hospital with findings of liver failure and ascites. A health care provider (HCP) orders spironolactone. The nurse understands that the pharmacological effects of the medication, are which of the following?

Promotes sodium and chloride excretion

A client being discharged is prescribed warfarin for the treatment following a pulmonary embolism. Which diagnostic test should the nurse instruct the client to receive once a month?

Prothrombin Time (PT)

Which information from the client's history would the nurse identify as a risk factor for developing osteoporosis?

Receives long-term steroid therapy

The nurse is reviewing the prothrombin time results for a client who is taking warfarin. The nurse notes the value is 20 seconds. What is an appropriate nursing action?

Recognize that this is a therapeutic level

The nurse is caring for a client who was prescribed alprazolam. When educating the client about the new medication, which intended effect should the nurse include?

Reduce anxiety and provide a calming effect

A hospice client who has severe pain asks for another dose of oxycodone/morphine/opioid. Which consideration is the nurse's primary concern when responding to the client's request?

Reduce the client's pain

Dexamethasone has been prescribed for a client after a craniotomy for a brain tumor. Which physiological response is responsible for this medication's therapeutic effect?

Reduced cerebral edema

A nurse is providing care to a client with diabetes insipidus. The client is on a prescribed vasopressin infusion with orders to titrate as needed. The nurse decreases the dose of vasopressin based on which clinical finding?

Reduced volume of urine output

A client with rheumatoid arthritis asks the nurse why it is necessary to inject hydrocortisone into the knee joint. Which reason would the nurse include in a response to this question?

Reduces inflammation

A health care provider prescribes dexamethasone for a client with head trauma. The nurse recognizes that it reduces swelling in the brain by which process?

Reduces the inflammatory response of tissues

The nurse provides client teaching on the administration of a topical steroid application to a basal cell carcinoma surgical site. The nurse evaluates the teaching as effective when the client identifies which action as the primary purpose of the medication?

Reducing inflammation at the surgical site

Which action is the primary purpose of a topical steroid application to a basal cell carcinoma surgical site?

Reducing inflammation at the surgical site

The nurse is caring for a client diagnosed with diabetic ketoacidosis who is receiving 50 mEq of sodium bicarbonate in 1 L of dextrose 5% in water via a central venous access device. The client has three new prescriptions for continuously infused medications. Which action is appropriate?

Refer to an IV compatibility chart

A client with heart failure is prescribed spironolactone (Aldactone). Which information is most important for the nurse to provide to the client about diet modifications?

Refrain from eating foods high in potassium

A health care provider prescribes metaproterenol for a client. For which therapeutic effect would the nurse monitor the client?

Relaxed bronchial spasm

Diazepam is administered to the client with status epilepticus/seizure. In addition to decreasing central neuronal activity, which effect would the nurse anticipate?

Relaxing of peripheral muscles

Sodium nitroprusside is prescribed for a client with a blood pressure of 260/120 mm Hg. The nurse recalls that sodium nitroprusside decreases blood pressure by which mechanism?

Relaxing venous and arterial smooth muscles

A client using fentanyl transdermal patches for pain management in late-stage cancer dies. Which action will the hospice nurse take regarding the patch in use at the time of death?

Remove and dispose of the patch in an appropriate receptacle

A nurse is reviewing a client's medical history. The client has been newly diagnosed with hypertension and has been prescribed oral losartan as treatment. The nurse will clarify the use of losartan if which comorbidity is noted in the client's medical record?

Renal stenosis

The nurse administers carbidopa-levodopa to a client with Parkinson's disease. Which activity describes the mechanism of action of this medication?

Replacement of a neurotransmitter in the brain

A client who had a femoropopliteal bypass graft is receiving clopidogrel postoperatively. Which instruction will the nurse teach the client related to the medication?

Report any occurrence of multiple bruises

A client is being discharged with a prescription for warfarin. Which information is most important to be included in the nurse's discharge teaching?

Report nose or gum bleeding

A client is given a loading dose of digoxin and placed on a maintenance dose of digoxin 0.25 mg by mouth daily. Which responses would the nurse expect the client to exhibit when a therapeutic effect of digoxin is achieved?

Resolution of heart failure

A client takes morphine sulfate for severe metastatic bone pain. The nurse will assess the client for which adverse effect?

Respiratory depression

The nurse is caring for a client with acute pain and realizes a medication error has occurred. The client received twice the ordered dose of morphine an hour ago. Which nursing problem is the priority at this time?

Respiratory depression

The healthcare provider prescribes naloxone (Narcan) for a client in the emergency room. Which assessment data would indicate that the naloxone has been effective?

Respiratory rate is 16 breaths/min

A nurse is preparing to administer morphine to a client with chronic pain. Which assessment finding would prompt the nurse to withhold the medication?

Respiratory rate of 11 breaths/min

A client with chronic obstructive pulmonary disease (COPD) is receiving aminophylline 25 mg/hour intravenously (IV). Which finding would be associated with side effects of this medication?

Restlessness and palpitations

The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should the nurse provide the client regarding the new medication?

Rise slowly when getting out of bed or chair

A client who takes four 325-mg tablets of buffered aspirin four times a day for severe arthritis complains of dizziness and ringing in the ears. Which complication would the nurse conclude that the client probably is experiencing?

Salicylate (chemical of aspirin) toxicity

A client is admitted to the hospital for an adrenalectomy. When teaching the client about the prescribed medications, which advice will the nurse emphasize?

Salt intake may have to be restricted

Which action would the nurse take when a client refuses to take deep breaths and cough, saying, "It's too painful." after an abdominal cholecystectomy?

Schedule coughing and deep breathing exercises after analgesic has taken effect

The nurse is providing discharge education to a client who is prescribed alprazolam for a panic disorder. What concept should the nurse emphasize concerning the drug action?

Short-term relief can be expected

A client who recently started receiving oral corticosteroids for a severe allergic reaction is instructed that the dosage will be reduced gradually until all medication is stopped at the end of 2 weeks. Which reason would the nurse provide for this gradual reduction in dosage?

Slow reduction of the medication will prevent a physiological crisis because the adrenal glands are suppressed

The nurse is providing discharge education to a client who will be starting daily atenolol for the treatment of hypertension. Which side effect is most important for the client to notify their health care provider about?

Slow, irregular heart rate

A client with heart failure is to receive digoxin. Which therapeutic effect is associated with this medication?

Slows and strengthens cardiac contractions

When a client's cells are deprived of oxygen during a cardiac arrest, which medication corrects for deleterious effects of anaerobic energy production?

Sodium bicarbonate

An adolescent client has orders for morphine sulfate for severe pain and acetaminophen-codeine compound for moderate pain after a spinal fusion. The pain assessment reveals the client is rigid and crying in pain. Which information would influence the nurse's choice of analgesic?

Spinal fusion causes considerable pain during the early postoperative days, and morphine is the more effective analgesic

A client who is on long-term corticosteroid therapy after an adrenalectomy is admitted to the surgical intensive care unit after being involved in a motor vehicle crash. Which statement is an important concern for client safety?

Steroid therapy will need to be increased to avert a life-threatening crisis"

A staff nurse is assisting a charge nurse with checking controlled substances at the change of shift. The charge nurse is urgently called to a client's room and has to leave the medication room. Which action will the staff nurse take?

Stop the check and sign out of the medication dispensing system

The nursing is preparing to administer phenytoin IV push to a client. The client has dextrose 5% in water infusing continuously. Which action is appropriate?

Stop the infusion and flush the port with normal saline prior to administration

A client with midsternal pain presents to the emergency department. Vital signs are stable. Which form of nitroglycerin would the nurse anticipate giving initially?

Sublingual spray

Naloxone effectively reverses a client's respiratory depression from an overdose of heroin. Which rationale explains why the nurse will continue to closely monitor this client's status?

Symptoms of the heroin overdose may return after the naloxone is metabolized

The nurse is teaching a group of clients diagnosed with arthritis about the use of non-steroidal anti-inflammatory agents (NSAIDs). In order to minimize side effects of these drugs, which action should the nurse emphasize?

Take the medication with food

A health care provider prescribes aspirin for a client with severe arthritis. Which advice will the nurse provide to the client?

Take the medicine with meals

Pyridostigmine is prescribed for a client with myasthenia gravis. Why would the nurse instruct the client to take pyridostigmine about 1 hour before meals?

Taking it before meals improves the ability to chew

A client has completed therapy and requests to discontinue treatment with benzodiazepines. Which information would the nurse provide to prevent injury?

Taper dose over several months

Which nursing assessment is important for a school-age child undergoing long-term steroid therapy?

Testing of stools for occult blood

A pain scale of 1 to 10 is used by the nurse to assess a client's degree of pain. The client rates the pain as an 8 before receiving an analgesic and a 7 after being medicated. Which conclusion would the nurse make regarding the client's response to pain medication?

The medication is not adequately effective

Which would the nurse include when teaching a client with Parkinson disease about carbidopa-levodopa?

The medication should be taken with meals

The nurse is teaching a client diagnosed with depression about a new prescription of nortriptyline. What information would be essential for the nurse to emphasize about this medication?

The use of alcohol should be avoided

The nurse is educating a client about newly prescribed alprazolam. Which information should the nurse include in the teaching?

The use of grapefruit juice should be avoided

Which statement about benzodiazepines requires correction?

These medications increase the activity of gamma-aminobutyric acid

A health care provider prescribes a diuretic for a client with hypertension. Which mechanism of action explains how diuretics reduce blood pressure?

They reduce the circulating blood volume

The nurse is discharging a client with a new prescription for tiotropium to help manage the symptoms of chronic obstructive pulmonary disease. What information should the nurse include in the discharge teaching?

This medication cannot be used to relieve sudden breathing problems

The nurse educating a client who is postpartum about the use of ibuprofen for uterine cramping. Which statement should the nurse include in the teaching?

This medication could cause gastrointestinal discomfort

After abdominal surgery, a client is prescribed low molecular weight heparin (LMWH). During administration of the medication, the client asks the nurse the reason for the medication. Which is the best response for the nurse to provide the client?

This medication is given to prevent blood clot formation

A client has primary open-angle glaucoma. Which ophthalmic preparation is indicated to manage this condition?

Timolol meleate

Enoxaparin 40 mg subcutaneously daily is prescribed for a client who had abdominal surgery. The nurse explains that the medication is given for which purpose?

To provide prophylaxis against postoperative thrombus formation

In addition to hydration, parenteral lorazepam is prescribed for a client during alcohol withdrawal delirium. Which primary purpose accurately explains why this medication is given during detoxification?

To reduce the anxiety tremor state and prevent more serious withdrawal

A client with a known history of opioid addiction has a surgical repair of multiple stab wounds to the abdomen. After surgery, the client's pain is not relieved by the prescribed morphine injections. Which phenomenon is the client experiencing when they fail to achieve pain relief?

Tolerance

A client recently diagnosed with heart failure has been prescribed digoxin and furosemide. Which of the following foods should the nurse teach the client to eat at least one serving a day?

Tomato juice

A client presents with extensive lesions caused by psoriasis. Which intervention would the nurse anticipate providing teaching on?

Topical application of steroids

Which intervention would the nurse anticipate providing teaching on when a client presents with extensive lesions caused by psoriasis?

Topical application of steroids

Which method would the nurse recommend when teaching the client with asthma how to determine if an inhaler is empty?

Track the number of doses taken

The health care provider prescribes a cholinergic medication to treat a client's urinary problem. Which effect would the nurse anticipate?

Urinary retention is prevented

The nurse is preparing to apply nitroglycerin ointment. Before applying the ointment, which action will the nurse take?

Use the dose measuring application paper and spread the ointment in a thin layer to the prescribed amount

Which antidote would the nurse anticipate administering to a client whose laboratory report establishes a warfarin overdose?

Vitamin K

A client with coronary artery disease who is taking digoxin (Lanoxin) receives a new prescription for atorvastatin (Lipitor). Two weeks after initiation of the Lipitor prescription, the nurse assesses the client. Which finding requires the most immediate intervention?

Vomiting

A health care provider prescribes digoxin for a client. The nurse teaches the client to be alert for which common early indication of acute digoxin toxicity?

Vomiting

The nurse is monitoring a 6-year-old child for toxicity precipitated by digoxin. Which sign of digoxin toxicity would the nurse monitor for?

Vomiting

The nurse is reviewing medication instructions with parents of an infant receiving digoxin and spironolactone. Which parental response indicates instructions have been understood?

Vomiting should be reported to the health care provider

Warfarin is prescribed for the client who takes phenytoin for a seizure disorder. Which medication interaction complicates seizure therapy?

Warfarin inhibits the metabolism of phenytoin

The nurse is providing care for a client prescribed propranolol. Which symptoms should the nurse report to the healthcare provider immediately?

Wheezing, hypotension, and AV block

After surgery the client has a prescription for morphine sulfate via intravenous (IV) route every 3 hours as needed for pain. The client's preoperative blood pressure was 128/76 mm Hg. Postoperative assessments reveal that the client's blood pressure ranges between 90/60 mm Hg and 100/70 mm Hg. Which action will the nurse take if the client requests medication for pain?

Withhold morphine until the blood pressure stabilizes

While receiving an adrenergic beta 2 agonist medication for asthma, the client complains of palpitations, chest pain, and a throbbing headache. Which nursing action is the most appropriate?

Withhold the medication and notify the health care provider

The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor blocker (ARB), for a client with hypertension and heart failure. The nurse reviews the client's laboratory results and notes that the client's serum potassium level is 5.9 mEq/L. Which action should the nurse take first?

Withhold the schedules dose

The nurse is educating a client with seizure disorder about newly prescribed phenytoin. Which statement should the nurse include in the teaching?

You will need to have routine visits with a dentist when taking this medication