Pharm

A nurse is caring for a client who has just begun therapy with alprazolam to treat anxiety. The nurse should monitor the client for which of the following adverse effects of this medication

Insomnia

3. A nurse is caring for a client who has Wernicke's' Korsakoff psychosis as a result of chronic alcohol use disorder. Which of the following interventions should the nurse anticipate?

Monitor for esophageal varices or mental changes

A nurse is reviewing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following manifestations should the nurse include as an indication of mild toxicity?

Muscle Weakness

A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin

PT

nurse is caring for a client who receives furosemide (Lasix) to treat heart failure. Which of the following laboratory values should the nurse be sure to monitor specifically for this client?

Potassium

A nurse in a mental health clinic is caring for a client who has bipolar disorder and a prescription for an antipsychotic medication. The provider and nursing staff suspect the client is not adhering to his medication therapy. Which of the following interventions should the staff use to encourage the client's adherence?

Provide for once-daily dosing is correct. Once-daily dosing of medications simplifies the therapy, making it easier for the client to comply. Use sustained-release forms is correct. Sustained-release forms remain in the client's system longer, requiring less frequent dosing. Engage the client in conversation following medication administration is correct. If the client is speaking, he will be less likely able to hide the medication in his mouth.

nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following findings is a priority to report?

Swelling of tongue

A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?

Systolic blood pressure is increased

A nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication

Take one tablet at the first indication of chest pain- do not wait until chest pain is severe

A nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide

Take the medication early in the day.

When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?

The AP has the knowledge and skill to perform the task.

A nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40 mg twice daily. Which of the following findings in the history should the nurse report to the provider?

The client has a history of bronchial asthma.

A nurse is assessing a client who has been taking sertraline for 2 weeks. The nurse should identify which of the following findings as an indication that the medication is effective?

The client reports increase in mood

A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?

"A headache is an expected adverse effect of the medication."

A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication?

"I feel nauseated and have no appetite."

A nurse is providing teaching a client who has a new prescription for transdermal nitroglycerin paste. Which of the following statements by the client indicates the need for further teaching?

"I should leave the patch in place until it is time for the next dose."

A nurse is providing teaching to a client who has schizophrenia and is receiving chlorpromazine. Which of the following client statements indicates an understanding of the teaching?

"I will contact my provider if I have difficulty urinating."

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

"I'll be glad when I can stop taking this medicine."

A nurse is caring for a young adult client who says he is experiencing increasing anxiety and the inability to concentrate. Which of the following is an appropriate response by the nurse?

"It sounds like you are having a difficult time."

A nurse is providing teaching for a client who has schizophrenia and a new prescription for fluphenazine. Which of the following information should the nurse provide?

"Sleepiness should subside within a week."

A nurse on a long term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?

-Take the client through tasks one step at a time

a client is teaching a client who has a new prescription for hydrochlorothiazide (HCTZ) for management of hypertension. which of the following instructions should the nurse include?

. "monitor for leg cramps"

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

Increase daily intake of dietary fiber.

A nurse is preparing to administer phenytoin 50 mg by intermittent IV bolus to a client who has a seizure disorder. Which of the following actions should the nurse take?

Admin the medication over 1 min

A nurse on a telemetry unit is caring for a pt who has unstable angina and is reporting chest pain with a severity of 6 on a 0 to 10 scale. The nurse administers 1 sublingual nitroglycerin tablet. After 5 min, the pt states that his chest pain is now a severity of 2. Which of the following actions should the nurse take?

Administer another nitroglycerin tablet-

A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide?

Alcohol increases the chance of phenytoin toxicity

A nurse is providing teaching a client who has stable angina and a new prescription for transdermal nitroglycerin. Which of the following instructions should the nurse include

Apply the patch to a hairless area and rotate sites.-Apply a new patch each morning.-Remove the patch for 10 to 12 hr daily.

A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching?

Apply the transdermal patch in the morning.

A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform inform the client that this medication is contraindicated in clients who have a history of which of the following conditions?

Asthma

A nurse is teaching a client who has a new prescription for cyclobenzaprine. Which of the following information should the nurse include in the teaching?

Avoid driving until effects are known

A nurse is providing dietary teaching for a client who has a new prescription for monoamine oxidase inhibitor (MAOI). When the client develops a sample lunch menu, which of the following items requires intervention by the nurse?

Bologna Sandwich

A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following findings should the nurse include as adverse effects of this medication?

Bradycardia (Atenolol is a beta blocker, which slows the heart rate. The nurse should instruct the client to monitor his pulse rate and report bradycardia). !!!

A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nurse to address?

Command Hallucination

nurse in the emergency department is preparing to care for a client who has signs of alcohol intoxication. Which of the following should the nurse plan to include in the client's care?

Contact the laboratory to obtain a blood sample Prepare the client for a CT scan Check the client's pupil reactivity Obtain a urine specimen

A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting, and now the client is pacing up and down the corridors of the unit. Which of the following actions should the nurse take?

D) Walk with the client at a gradually slower pace.

A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication?

Decreased Blood Pressure

olanzapine. manifestation

Decreased auditory hallucinations

A nurse is teaching a client who has a new prescription for diazepam. Which of the following information should the nurse include in the teaching?

Diazepam can cause drowsiness

A nurse is preparing to administer a transfusion of RBCs to a client who has heart failure. For which of the following manifestations should the nurse monitor to prevent fluid volume overload

Dyspnea -Jugular vein distention -Confusion

A nurse is preparing to administer digoxin to a client who has heart failure. What action is appropriate for the nurse to make?

Evaluating the client for nausea, vomiting, and anorexia.

A nurse is caring for a client who is taking digoxin for heart failure and develops indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer?

Fab antibody fragments

nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the client's parent is the nurse's priority?

He has so many new bruises on his body

A nurse is assess a client prior to administering atenolol. Which of the following findings should prompt the nurse to withhold the medication?

Heart rate 46/min

A charge nurse is teaching a group of nurses about the antagonist action of medications. The nurse should include in the teaching that which of the flowing antagonist medications is used for benzodiazepines

I'll take this medicine first thing in the morning."

A nurse is discussing obsessive-compulsive disorder (OCD) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the underlying reason clients with OCD perform ritualistic

The ritualistic behavior temporarily relieves anxiety."

A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed?

Thyroid hormone assay

. A nurse is teaching a client who has bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity. Which of the following statements by the client indicates an understanding of the teaching?

Vomiting is an indication of toxicity."

A nurse is providing teaching for a pt who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide. Which of the following statements by the pt indicates an understanding of the teaching?

With the new medication, I should experience fewer side effects.

A nurse is preparing to administer phenytoin IV to a client who has a seizure disorder. Which of the following actions should the nurse plan to take?

admin saline solution after injection

A nurse is teaching a client who has a new prescription for alprazolam to treat insomnia. Which of the following instructions should the nurse include

avoid activities that require alertness such as driving

A nurse is teaching a client who reports taking gingko biloba to improve his memory. Which of the following adverse effects should the nurse include?

bleeding gums

A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first?

check vital signs

A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication taht the medication is effective?

decreased urine output

A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse administer first?

diazepam

A charge nurse is teaching a group of nurses about the antagonist action of medications. The nurse should include in the teaching that which of the flowing antagonist medications is used for benzodiazepines

flumazenil

A nurse is reviewing a medical record for a client who has Hypertension and a new prescription for metoprolol. Which of the following findings should the nurse investigate further?

history of left sided heart failure

A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication?

hypotension

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

monitor for cough

A nurse is teaching a client who has a new prescription for aspirin to prevent cardiovascular disease. Which of the following instructions should the nurse include in the teaching?

monitor for tinnitus

A nurse is providing discharge teaching to a client who has a new prescription for lithium. Which of the following information should the nurse include in the teaching?

obtain daily weight

A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase. Which of the following room assignments should the nurse give the client?:

private room close to the nurse station

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

report cough to provider

The nurse is preparing a medication for a client and observes the date of expiration on the vial occurred 2 months ago. which of the following actions should the nurse take?

return the medication to the pharmacy

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements

sodium

A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration?

specific characteristics of the medication

A nurse is assessing a client who has schizophrenia and has been on long term treatment with chlorpromazine. He notes the client is experiencing some involuntary movements of the tongue and the face. The nurse should suspect the client has developed which of the following adverse effects

tardive dyskinesia

A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following medications should the nurse prepare to administer

vitamin K

A nurse is admitting a client who states he take ginkgo biloba every day to improve his memory. The nurse should identify a potential interaction with which of the following medications the client is taking

warafin