pharm 2

Which medication acts as an antidote to benzodiazepine? Zolpidem Temazepam Suvorexant Flumazenil

D

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

C

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? Blurred vision Dizziness on rising Difficulty breathing Excessive urination

C

The client with a seizure disorder receives intravenous (IV) phenytoin. The nurse will monitor closely for which condition? Cardiac dysrhythmias Hypoglycemia Polycythemia Paradoxical excitation

A

Which information would the nurse include when teaching a client about warfarin? Periodic blood testing is necessary. Increase intake of green leafy vegetables. Limit the amount of daily physical activity

Periodic blood testing is necessary.

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. One, some, or all responses may be . 'I need to report any dark tarry stools.' 'I will need to stop taking this medication before any scheduled surgery.' 'I should change positions slowly.''I will take the medication on an empty stomach.''I need to stop taking low-dose aspirin while I take this medication.'

A, B

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

A, D

A client develops tinnitus. Which of the client's medications would the nurse suspect is the cause of this new development? A Digoxin 0.25 mg, one tablet daily B Aspirin 325 mg, two tablets every 4 hours C Captopril 25 mg, one tablet three times daily D Diphenhydramine 25 mg, one tablet every 4 to 8 hours prn

B

The nurse understands which antiepileptic medication would be used as the first-line treatment for absence seizures? Phenytoin Diazepam Valproic acid Acetazolamide

C

To minimize the side effects of the vincristine that a client is receiving, which diet would the nurse advise? Low in fat High in iron High in fluids Low in residue

C

Which assessment would be brought to the health care provider's attention before administration of intravenous potassium chloride? Progressively worsening muscle weakness Poor tissue turgor with tenting Urinary output of 200 mL during the previous 8 hours Oral fluid intake of 300 mL during the previous 12 hours

C

Which common side effect will the nurse address in the care plan of a client with cancer receiving the plant alkaloid vincristine? Color-blindness Anuria Constipation Hyperphosphatemia

C

Which drink would the nurse instruct a client with iron deficiency anemia to choose to drink with the supplement for efficient absorption? Water Skim milk Orange juice A strawberry milkshake

C

Which response to fludrocortisone will the nurse teach a client with adrenal insufficiency to report? Select all that apply. One, some, or all responses may be correct. Edema Rapid weight gain Fatigue in the afternoon Unpredictable changes in mood Increased frequency of urination

*Edema *Rapid weight gain

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. One, some, or all responses may be . Polyuria Unconsciousness Bradycardia Dilated pupils Bradypnea

B, C, E

A client has been taking alprazolam for three days. For which expected effect of the medication should the nurse evaluate the client? A The client reports sleeping through the night. B The client reports feeling less depressed. C The client denies having auditory hallucinations. D The client denies having suicide ideation.

A

A nurse is preparing to administer reconstituted doxorubicin (Myocet) to a client with thyroid carcinoma. Nuclear medicine calls for the client, and the nurse is unable to administer the medication. Which action should the nurse perform with the medication? Question 1 Answer Choices ASave the medication in a syringe with an aluminum needle BStore the medication in the refrigerator inside the syringe CDiscard the medication in the hazardous waste container DAdd the medication to the intravenous fluids in the client room

B

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? A The frequency of the dosing is necessary to increase the effectiveness. B Therapeutic blood levels of this drug are reached in 4 to 6 weeks. C Another type of nonsteroidal antiinflammatory drug may be indicated. D Systemic corticosteroids are the next drugs of choice for pain relief

C

Which systemic side effect would the nurse monitor for in a client receiving combination chemotherapy for the treatment of metastatic carcinoma? Ascites Nystagmus Leukopenia Polycythemia

C

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? Assess the apical pulse. Check the blood pressure. Encourage the ventilation of feelings. Clarify the prescription with the health care provider

D - max dose is 0.25-0.5 mg

which body system is affected by excessive use of amphetamine/dextroamphetamine? renal cardiac musculoskeletal GI

cardiac

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? A Examine the oral cavity B Percuss the abdomen C Check the skin turgor D Assess the pupillary response

D

The nurse teaches the parents of a child prescribed long-term phenytoin therapy about care. Which statement indicates the teaching has been effective? 'We give the medication between meals.' 'We'll call the clinic if her urine turns pink.' 'She's eating high-calorie foods, and we encourage fluids, too.' 'We'll have her massage her gums and floss her teeth frequently.'

D

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 to 3 minutes 4 to 5 seconds 30 to 45 seconds 10 to 15 minutes

A

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. One, some, or all responses may be correct. Urinary output Deep tendon reflexes Last bowel movement Arterial blood gas results Last serum potassium level Patency of the intravenous access

A, E, F

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? A The client's crying increases. B The client requests something to calm her. C The nurse determines a need to reduce her anxiety. D The primary health care provider is getting ready to perform a vaginal examination.

B

A client with a seizure disorder will begin taking phenytoin. Which instructions will the nurse give to the client? 'Take the medication on an empty stomach.' 'Provide meticulous oral hygiene.' 'Taper off the medication if seizures are controlled for 3 months.' 'Stop taking the medication if you become pregnant.'

B

A nurse is providing education to a client about newly prescribed diltiazem. Which statement will the nurse include in the teaching? Question 9 Answer Choices ASkip the dose if your systolic blood pressure is less than 120 mmHg BHold the dose if your heart rate is less than 50 beats/min CCall your healthcare provider if you experience any fever DNotify your healthcare provider if you notice any weight loss

B

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? A) Potassium level B) Most recent heart rate C) Creatinine level D) Respiratory rate

B

The nurse is providing teaching to a client who has been prescribed cyclophosphamide for breast cancer treatment. Which of the following statements made by the client would indicate that additional teaching is needed? Question 9 Answer Choices A"I will probably need to plan on using a wig to cover my hair loss." B"I should limit the amount of fluids I drink while taking this medication." C"I will need to stay away from children when my white blood cell count is low." D"I may have trouble getting pregnant due to the damaging effects of the medication."

B

The nurse is reviewing the laboratory results for a client with cancer who is being treated with chemotherapy and recently started prescribed filgrastim. Which laboratory value indicates the treatment is effective? Question 7 Answer Choices AHemoglobin level of 9.8 g/dL BWhite blood cell count (WBC) of 5,200/mm³ CPlatelet count of 200,000/mm³ DRed blood cell count (RBC) of 4 million/mm³

B

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 Urticaria Photophobia Respiratory distress

A

A nurse is reviewing laboratory data prior to administering methotrexate to a client with breast cancer. Which clinical finding will the nurse report to the healthcare provider before administering the medication? Question 1 Answer Choices AALT of 55 IU/mL BWBC of 12,000/mm³ WBC of 12,000/mm³ CAST of 34 U/L AST of 34 U/L DHGB of 11.5 g/dL HGB of 11.5 g/dL

A

A child is prescribed dactinomycin and doxorubicin therapy after a nephrectomy for Wilms tumor. Which intervention would the nurse include in the plan of care? Administering aspirin for pain Offering citrus juices with meals Ensuring meticulous oral hygiene Eliminating spicy foods from the diet

C

A child with iron-deficiency anemia is prescribed oral iron therapy. Anticipatory guidance regarding which side effect would the nurse provide? Bloody stool Orange urine Greenish-black stool Staining of the mouth

C

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? Increased urine output Blood pressure of 90/60 mm Hg Heart rate of 98 beats/minute No longer complaining of heart palpations

C

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

vitamin k

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

A

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

Epistaxis

Which intervention would the nurse include in the plan of care for a client with breast cancer who received doxorubicin and cyclophosphamide 12 days ago and now has a white blood cell (WBC) count of 1.4 cells/mm 3 and reports shortness of breath and activity intolerance? Select all that apply. One, some, or all responses may be . Use an electric razor when shaving. Institute neutropenic precautions. Place client on airborne precautions. Transfuse two units of packed red blood cells (RBCs). Instruct nursing staff to wear a dosimeter badge.

B

Which sign of hypokalemia will the nurse monitor for in a client receiving furosemide? Chvostek sign Muscle weakness Anxious behavior Abdominal cramping

B

A client is receiving dexamethasone to treat acute exacerbation of asthma. For which side effect would the nurse monitor the client? Hyperkalemia Liver dysfunction Orthostatic hypotension Increased blood glucose

D

A school-age child with leukemia is receiving treatment with vincristine. Which toxic response would the nurse assess the child for? Diarrhea Alopecia Hemorrhagic cystitis Peripheral neuropathy

D

How would the nurse determine if a client is experiencing the therapeutic effect of valsartan? Check a lipid profile. Assess an apical pulse. Measure urinary output. Check the blood pressure.

D

Which action would the nurse take when administering iron dextran? Use a transdermal needle. Massage the injection site. Use the Z-track method. Apply a local anesthetic first.

D

which adverse effect of imipramine requires further assessment and possible immediate medical intervention? dry mouth weight grain blurred vision urinary hesitancy

D

Which angiotensin-converting enzyme inhibitors (ACE inhibitors) are appropriate for a client with liver dysfunction? Select all that apply. One, some, or all responses may be correct. Ramipril Enalapril Quinapril Captopril Lisinopril

D, E

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? Question 1 Answer Choices ARenal stenosis BHyperlipidemia CAtrial fibrillation DDiabetes

A

The nurse provides discharge medication education to a client who has a prescription for warfarin. Whichclient statement indicates to the nurse that teaching was effective? 'I will avoid taking aspirin and nonsteroidal anti-inflammatory drugs [NSAIDs]. ''I will need to develop a more sedentary routine .''I will need to have regular complete blood counts to guide warfarin dosage. ''Before going to the dentist, I will ask my health care provider for antibiotics.

A

Which instructions will the nurse include in the teaching plan for a client who will be taking simvastatin? Select all that apply. One, some, or all responses may be correct. Increase dietary intake of potassium. Avoid prolonged exposure to the sun. Schedule regular ophthalmic examinations. Take the medication at least half an hour before meals. Contact your health care provider if skin becomes gray-bronze.

A, B, D

The nurse is educating a client about newly prescribed alprazolam. Which information should the nurse include in the teaching? Question 20 Answer Choices A Tardive dyskinesia is common early in treatment. B Administration of paroxetine may be needed to prevent adverse effects. C The use of grapefruit juice should be avoided. D Hyperactivity is seen with long-term use.

C

Which nursing assessment is most important for a child receiving cyclophosphamide? Extent of alopecia Changes in appetite Hyperplasia of gums Daily intake and output

D

Which primary reason identifies why oxazepam is given during detoxification? Prevents injury when seizures occur Enables the client to sleep better during periods of agitation Encourages the client to accept treatment for alcoholism Minimizes withdrawal symptoms the client may experience

D

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? Nitroglycerin sublingually Oxygen per nasal cannulaL idocaine hydrochloride 50-mg intravenous (IV) bolus Morphine sulfate 2 mg IV

D

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? Add a placebo to the morphine to appease the spouse. Discuss with the spouse the risk for morphine addiction. Assess the client's pain before increasing the dose of morphine. Check the client's heart rate before increasing the morphine to the next level.

C

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? Add a placebo to the morphine to appease the spouse. Discuss with the spouse the risk for morphine addiction. Assess the client's pain before increasing the dose of morphine. Check the client's heart rate before increasing the morphine to the next level.

C

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? A. Increase consumption of potassium-rich foods since low potassium levels can cause muscle spasms. B. Have serum electrolytes checked at the next scheduled appointment to assess hyponatremia, a cause of cramping. C. Make an appointment to see the healthcare provider, because muscle pain may be an indication of a serious side effect. D. Be sure to consume a low-cholesterol diet while taking the drug to enhance the effectiveness of the drug.

C

A client is admitted to the hospital for an adrenalectomy. Before the client's replacement steroid therapy is regulated fully, the nurse will monitor the client for which complication? Hypotension Hypokalemia Hypernatremia Hyperglycemia

Hypotension Because of instability of the vascular system and the lability of circulating adrenal hormones after an adrenalectomy, hypotension frequently occurs until the hormonal level is controlled by replacement therapy.

A client who is receiving phenytoin asks why folic acid was prescribed. Which explanation would the nurse provide? Phenytoin inhibits absorption of folate from foods. Folic acid potentiates the action of phenytoin. Absorption of iron from foods is improved. Neuropathy caused by phenytoin is prevented

A

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 Cyanosis during periods of crying Daily naps lasting more than 3 hours A pulse rate faster than 100 beats/min

A

Which characteristic identifies the reason that methadone is useful in the treatment of opioid addiction? Is a nonaddictive medication Has an effect of longer duration Does not produce a cumulative effect Carries little risk of psychological dependence

B

Which client response must the nurse monitor to determine the effectiveness of amiodarone? Absence of ischemic chest pain Decrease in cardiac dysrhythmias Improvement in fasting lipid profile Maintenance of blood pressure control

B

A client is prescribed the benzodiazepine alprazolam for the management of panic attacks. The nurse is confident that the medication information discussed has been understood when the client takes which action? The client removes the pepperoni from a pizza. The client asks for an extra bottle of flavored water to drink with dinner. The client requests a prescription for oral contraceptives before being discharged. The client states that chewable antacids may be taken to relieve heartburn.

C - benzos. are teratogenic

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. Warfarin decreases phenytoin absorption. Phenytoin competes with warfarin for receptor occupation. Warfarin promotes excretion of phenytoin.

A

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." "Substitute a potassium-based salt substitute for table salt." "Return to previous eating habits." "Increase intake of dairy products."

A

Which toxic effect would a nurse monitor for in a client who is prescribed vincristine? Peripheral paresthesia Anginal-type chest pain Ophthalmic papilledema Bilateral crackles in the lung

A

Which medication would the nurse instruct a client to avoid while taking alprazolam? Select all that apply. One, some, or all responses may be correct. Opioids Alcohol Barbiturates Antidepressants First-generation antipsychotics

A, B, C

Which lifestyle advice does the nurse give to a client when oral digoxin therapy is initiated? Select all that apply. One, some, or all responses may be correct. Bran can decrease digoxin absorption. Digoxin should not be taken with hawthorn supplements. Ginseng may cause a dangerous increase in digoxin levels in the blood. St. John's Wort can increase digoxin levels in the blood. Medications that lower serum potassium or magnesium can cause digoxin toxicity.

A, B, C, E

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. One, some, or all responses may be correct. Change to standing positions slowly. Take the medication before going to bed. Count the pulse before taking the medication. *Mild weakness and fatigue are common side effects. It is safe to take over-the-counter (OTC) medications.

A, C, D

Which instruction would the nurse include when teaching the client about sublingual nitroglycerin? 'Once the tablet is dissolved, spit out the saliva.' 'Take tablets 3 minutes apart up to a maximum of five tablets.' 'Common side effects include headache and low blood pressure.' 'Once opened, the tablets should be refrigerated to prevent deterioration

C

Which mechanism of action explains the ability of nitrogen mustard to interfere with growth of cancer cells? Interference of the cellular protein synthesis Inhibition of the synthesis of purine and pyrimidine Binding with DNA to interfere with RNA production Combining with DNA strands and interfering with cell replication

D

Which response would a nurse monitor for when a client is receiving furosemide to relieve edema? Select all that apply. One, some, or all responses may be correct. Weight loss Negative nitrogen balance Increased urine specific gravity Excessive loss of potassium ions Pronounced retention of sodium ions

A, D

Which medication is indicated for management of clinical manifestations associated with an opioid overdose? Naloxone Methadone Epinephrine Amphetamine

B

therapeutic range for phenytoin?

10-20 mcg/L

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? One dose of morphine may be given, but the drug should be restricted thereafter because it is addictive. Adolescents tend to exaggerate their discomfort, particularly when they are immobilized by surgery or injury. The acetaminophen-codeine compound is preferred because morphine can cause respiratory depression or respiratory arrest. Spinal fusion causes considerable pain during the early postoperative days, and morphine is the more effective

D

Long-term corticosteroid therapy has been initiated for a client with myasthenia gravis who experiences inadequate symptomatic control with pyridostigmine bromide. Which action is important for the nurse to take? Request a high-sodium diet. Establish protective isolation. Decrease the client's total daily fluid intake. Monitor the client for an exacerbation of symptoms

D

The nurse is caring for a child with an exacerbation of leukemia. The nurse would plan to administer the prescribed analgesic for bone pain at which time? At scheduled intervals When the child asks for it When pain becomes severe Before the pain becomes severe

A

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." "It takes 30 to 45 minutes for the nitroglycerin to achieve its effect." "If dizziness occurs, take a few deep breaths and lean the head back." "To facilitate absorption, drink a large glass of water after taking the medication."

A

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? Question 4 Answer Choices ABlack coffee BGrapefruit juice CGreen tea DChocolate Milk

B

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? Buspirone Alprazolam Diazepam Lorazepam

B

Which nursing care will be included for a client who is receiving doxorubicin for acute myelogenous leukemia? Increasing citrus foods Providing frequent oral hygiene Encouraging activity Administering medications parenterally

B

Which information will the nurse include when teaching a client about potassium chloride effervescent tablets? Chew the tablet completely. Take the medication with food. Take the medication at bedtime. Use warm water to dissolve the tablet.

B - Eating food when taking the medication will decrease gastrointestinal irritation. Side effects of this medication include abdominal cramps, diarrhea, and ulceration of the small intestine.

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. One, some, or all responses may be correct. Sertraline Paroxetine Alprazolam Venlafaxine Clonazepam

B, D