Pharm 3 assess 1

A nurse is teaching a client about the adverse effects of digoxin. Which of the following statements should the nurse include in the teaching?

"Contact your provider if adverse effects occur."

A nurse is teaching a client about naproxen enteric-coated tablets. Which of the following statements should the nurse include in the teaching?

"Do not crush or chew the tablet."

A nurse is administering fentanyl to a client to reduce pain. Which of the following drugs should the nurse have available to reverse the effects of fentanyl?

Naloxone.

A nurse is caring for a client who is taking donepezil to treat Alzheimer's disease. For which of the following adverse effects should the nurse monitor?

Nausea.

A nurse is reviewing a drug handbook prior to administering a drug to a client who has kidney disease. The handbook states that the drug can be administered but identifies certain risks. Which of the following terms describes these risks?

Precautions

A nurse is teaching a client about interferon beta-1a. Which of the following instructions should the nurse give to help the client avoid the adverse effects of this drug?

Premedicate with acetaminophen.

A nurse is preparing to administer sumatriptan to a client for the first time. The nurse should instruct the client that sumatriptan is indicated for which of the following conditions.

Presence of a migraine headache.

A nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for the prescription modification?

Renal function impairment.

A nurse is caring for a client who is receiving methohexital sodium. The nurse should monitor the client for which of the following adverse effects?

Respiratory depression.

When reviewing the indications for various antidepressants, a nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following? (Select all that apply.)

Seasonal affective disorder. Nicotine addiction. Depression.

A nurse is caring for a client who was admitted to the emergency department with a head injury. The nurse notes that the client has an existing prescription for bupropion hydrochloride to treat depression. For which of the following adverse effects is the client at increased risk?

Seizure activity.

A nurse is caring for a client who is postpartum and breastfeeding. The client asks the nurse about the effects that taking over-the-counter drugs will have on her newborn. Which of the following should the nurse consider when recommending a drug for the client? (Select all that apply.)

The newborn's weight. How much breast milk the newborn consumes each day. Whether or not the benefits to the client outweigh the risks to the newborn. The properties of the drug.

A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnostic tests should the nurse recommend that the client undergo periodically?

Thyroid function tests.

A nurse is preparing to teach a client about a newly prescribed drug. Prior to providing teaching, the nurse should review the precautions section of a drug handbook for which of the following reasons?

To determine if dosage modification is indicated

A nurse is teaching a client who has a new prescription for valproic acid to treat a seizure disorder. The nurse should instruct the client to monitor for which of the following adverse effects?

Drowsiness, headache, rash.

A nurse is caring for a client who has a history of renal insufficiency and is taking lithium. The nurse should monitor the client for which of the following?

Drug toxicity

A nurse is speaking to a client who is taking sertraline and reports drinking grapefruit juice. The nurse explains that grapefruit juice inhibits an enzyme in the liver that is used to metabolize sertraline. The nurse should recognize the client's risk for which of the following?

Drug toxicity

A nurse is caring for a client who is having difficulty remembering to take their prescribed drug three times each day. The nurse should identify that which of the following alternate forms of the drug can help to promote adherence to the prescribed dosage?

Extended-release tablet

A nurse is caring for a client who is taking interferon beta-1b. The nurse should identify that which of the following findings indicates a potential serious side effect of this drug?

Fatigue.

A nurse is providing teaching to a pregnant client who is taking captopril, an ACE inhibitor, to treat hypertension. The nurse informs the client that captopril is a teratogenic drug. The nurse should explain that teratogenic drugs can cause which of the following?

Fetal malformation

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

I you have persistent headaches, let your provider know.

A nurse is caring for a client who is newly admitted to the facility for chest pain. At which of the following times should the nurse begin teaching about drugs and discharge planning?

As soon as possible

A nurse should identify that timolol is contraindicated for a client who has which of the following disorders?

Asthma.

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

Avoid driving until the drug's effects are evident.

A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk of lithium toxicity. Which of the following instructions should the nurse include?

Avoid taking NSAIDs.

A nurse is teaching a client who has Alzheimer's disease and their caregiver about memantine. which of the following instructions should the nurse include?

Avoid taking over-the-counter antacids.

A nurse is teaching the family of a client who has a new diagnosis of Alzheimer's disease about donepezil. Which of the following information should the nurse include?

Avoid the use of NSAIDs for pain.

A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. Which of the following adverse effects should the nurse include in the teaching?

Bradycardia.

A nurse is caring for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse monitor? (Select all that apply.)

Tolerance, anxiety, sedation, respiratory depression.

A nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following findings as indications of lithium toxicity?

Tremors, confusion, nausea, muscle weakness.

A nurse is providing teaching to a client who has a prescription for chlorpromazine. Which of the following instructions should the nurse include?

Wear sunscreen when exposed to sunlight.

A nurse is caring for a client who has been taking amphetamine/dextroamphetamine sulfate for the treatment of ADHD for 2 weeks. The nurse should report which of the following findings to the provider?

Weight loss of 2.3kg (5lb)

A nurse is providing teaching to a client who has a new prescription for diazepam for anxiety disorders. Which of the following client statements indicates an understanding of the teaching?

If I become pregnant, it is important to let my health care provider know.

A nurse is providing teaching to a client about the adverse effects of drug therapy. The nurse should include that orthostatic hypotension is a common adverse reaction of which of the following drugs?

Imipramine.

A nurse is caring for a client who arrived at an emergency department following a bee sting. Which of the following findings indicates an anaphylactic reaction? (Select all that apply.)

Low blood pressure. Wheezing. Difficulty swallowing

When reviewing a list of drugs in a drug handbook, a nurse can identify the generic name for a drug in which of the following ways?

It begins with a lower-case letter.

A nurse is providing teaching for a client who has a new prescription for valproic acid to treat a seizure disorder. The nurse should instruct the client to monitor for which of the following adverse effects?

Jaundice.

A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should identify that which of the following laboratory tests requires monitoring?

Liver function.

A nurse is caring for a client who has been taking selegiline to treat Parkinson's disease. The provider is considering the use of analgesics for the client but should be aware that a drug interaction between selegiline and meperidine can result in which of the following?

Muscle rigidity.

A nurse is obtaining a client's health history. The client reports no allergies but has experienced mild itching while taking amoxicillin in the past. Which of the following responses should the nurse make?

"Itching can indicate a hypersensitivity to amoxicillin."

A nurse is teaching a client who has a prescription for a drug that has a receptor agonist effect. Which of the following information should the nurse include in the teaching?

"This will increase the effects of normal cellular functions."

A nurse is assessing a client who has been taking alprazolam for several days. Which of the following findings should the nurse identify as an adverse drug reaction caused by alprazolam?

Anxiety.

A nurse is providing teaching to a client about instilling pilocarpine for managing open-angle glaucoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops. Do not touch the tip of the dropper. Remove contact lenses prior to instilling the drops

A nurse is caring for a client who recently began taking chlorpromazine to treat schizophrenia and who was admitted to the emergency room with spasms of their face and back. Which of the following adverse reactions should the nurse suspect?

Acute dystonia.

A nurse is teaching a client who received a prescription for interferon beta-1a for the treatment of multiple sclerosis. Which of the following information should the nurse include?

Administer the drug in your thigh or upper arm.

A nurse is caring for a client who has a new prescription for a drug. After receiving the first dose of the drug, the client experiences anaphylaxis. The nurse should identify that anaphylaxis represents which of the following results of the drug?

Adverse effect

A nurse is providing teaching to a client who has a prescription for buspirone. Which of the following instructions should the nurse include?

Allow 2-4 weeks for the full therapeutic effects.

A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine IV. Which of the following client findings should the nurse monitor after administering the medication?

Blood pressure.

A nurse is teaching a client who has a prescription for carbamazepine. Which of the following instructions should the nurse include to help the client avoid adverse effects of this drug?

Begin taking this drug at a low dose.

A nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat major depressive disorder. Which of the following instructions should the nurse include? (Select all that apply.)

Change position slowly from sitting or lying to standing. Do not stop taking the drub abruptly. Take the drug at bedtime to prevent daytime drowsiness. Increase fiber and fluid intake.

A nurse is teaching a client who is taking levodopa/carbidopa to treat Parkinson's disease. Which of the following instructions should the nurse include?

Change position slowly to prevent orthostatic hypotension.

A nurse is teaching a client who is about to begin sumatriptan therapy to treat migraine headaches. The nurse should instruct the client to monitor for which of the following adverse effects?

Chest pain

A nurse is preparing to administer memantine to a client who has Alzheimer's disease. Which of the following findings in the client's medical history increases a need to withhold the drug and notify the provider?

Cirrhosis.

A nurse is caring for a client who is taking acetaminophen and codeine for pain relief. These analgesic drugs interact with one another to cause an additive effect. The nurse should identify that which of the following are characteristics of additive drug interactions? (Select all that apply.)

Clients can achieve desired effects with the use of lower dosages. Both drugs have similar actions.

A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the client can receive the drug?

Contraindications

A nurse is caring for a client who has a new prescription for pramipexole to treat Parkinson's disease. The nurse should recognize that which of the following laboratory test requires monitoring?

Creatinine clearance.

A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should instruct the client to report which of the following adverse effects?

Diarrhea.

A nurse is reviewing the drug history of a client who is taking lithium carbonate for bipolar disorder. Which of the following findings should indicate to the nurse to monitor for lithium toxicity?

Furosemide for hypertension.

A nurse is caring for a client who has a prescription for fluoxetine and who reports self-administering St. John's wort daily for the past 2 weeks. Which of the following findings should the nurse report to the provider as an indication of serotonin syndrome?

Hallucinations.

A nurse is providing teaching for a client who has a prescription for phenelzine. The nurse should instruct the client to avoid tyramine-enriched foods because of an increased risk for which of the following adverse reactions?

Hypertensive crisis.

A nurse is preparing to teach a client how to take care of a newly created colostomy. The nurse should identify that which of the following factors can decrease the client's ability to learn? (Select all that apply.)

Impaired cognitive level. Language barrier. Unreadiness to learn. Discomfort.

A nurse is teaching a client who has a new diagnosis of Parkinson's disease about how levodopa/carbidopa can help control symptoms. The nurse should identify that the drug has which of the following pharmacological effects?

Increases available dopamine in the brain.

A nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the drug has more than one use?

Indications

A nurse is providing teaching for a client who has a new prescription for a drug with a high potential for toxicity. Which of the following information should the nurse include? (Select all that apply.)

Periodic laboratory tests are essential to measure serum drug levels. Monitoring for indications of toxicity is important. Taking the smallest effective dose is crucial.

A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters. The nurse should identify that which of the following terms describes why this drug was prescribed for the client?

Pharmacologic action

A nurse is caring for a client who is taking venlafaxine to treat MDD. The nurse should identify that which of the following drugs can cause serotonin syndrome when taken concurrently with venlafaxine.

Phenelzine.

A nurse is reviewing the medical record of a client who has a newly diagnosed seizure disorder and a new prescription for valproic acid and phenytoin. The nurse should identify that which of the following can occur as a result of an interaction between these drugs?

Phenytoin toxicity.

A nurse is caring for a client who has a new prescription for amphetamine sulfate. The nurse should monitor for which of the following adverse effects?

Tachycardia.

A nurse is providing teaching to a client who has a prescription for buspirone to treat anxiety. Which of the following instructions should the nurse include?

Take a missed dose as soon as you remember.

A nurse is teaching a client who has a prescription for modafinil to treat narcolepsy. Which of the following instructions should the nurse include?

Take the drug in the morning.

A nurse is caring for a client who is receiving nitroglycerin IV and is switching to the oral form of the drug. The nurse should identify that the oral dose will be higher than the IV dose for which of the following reasons?

The oral form has decreased bioavailability because of the first-pass effect.

A nurse is caring for a client who is taking diphenhydramine for insomnia and reports drowsiness. The nurse should identify that drowsiness indicates which of the following?

Therapeutic effect

A nurse is obtaining a client's health history and discovers that the client takes loratadine, an over-the-counter drug. The nurse should identify that which of the following is correct regarding over-the-counter drugs? (Select all that apply.)

They do not require the supervision of a nurse. They can interact with other drugs. They should be included in the client's drug history assessment.

A nurse is reviewing drugs in a drug reference. The nurse should identify that drugs in the same class share which of the following similarities?

They have similar mechanisms of actions.

A nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. The nurse should identify that abruptly stopping alprazolam therapy can result in which of the following adverse effects?

Withdrawal symptoms.