PHARM ATI QUESTIONS
A nurse is preparing to administer cefaclor 750 mg PO in 3 divided doses. Cefaclor 500 mg/tablet is available. How many tablets should the nurse administer with each dose?
0.5
A nurse is preparing to administer atropine 0.6 mg IM preoperatively to a client. The amount available is atropine 0.4 mg/1 mL. How many mL should the nurse plan to administer?
1.5
A nurse is preparing to administer heparin 500 units/hr to a client who has a deep-vein thrombosis. Heparin is available at 25,000 units in 500 mL of 5% dextrose of water. The nurse should set the IV pump to deliver how many mL/hr?
10
A nurse is preparing to administer benztropine 8 mg PO daily in 2 divided doses to a client who has Parkinson's disease. The amount available is benztropine 2 mg tablets. How many tablets should the nurse administer with each dose?
2
A nurse is preparing to administer verapamil 5.5 mg via IV bolus to a client who has hypertension. The amount available is verapamil 2.5 mg/1 mL. How many mL should the nurse administer?
2.2
A nurse is preparing to administer furosemide 4 mg/kg/day PO divided into 2 equal doses daily to a toddler who weighs 22 lb. How many mg should the nurse administer per dose?
20
A nurse is preparing to administer desmopressin 0.3 mcg/kg in 0.9% sodium chloride 50 mL IV over 30 min to a client who weighs 154 lb. How many mcg of medication should the client receive?
21
A nurse is preparing to administer lactated Ringer's 1,000 mL IV infused over 8 hr. The drop factor of manual IV tubing is 10 gtt/mL/ The nurse should set the manual IV infusion to deliver how many gtt/min?
21
A nurse is preparing to administer magnesium hydroxide 1.5 oz PO to a client who has constipation. How many mL should the nurse administer?
45
A nurse is preparing to administer an IV fluid bolus of 1 L 0.9% sodium chloride over 2 hr to a client who is dehydrated. The nurse should set the IV pump to deliver how many mL/hr?
500
A nurse is preparing to administer cefixime 4 mg/kg PO twice daily to a preschooler who weighs 31 lb. How many milligrams should the nurse administer with each dose?
56
A nurse is preparing to administer ampicillin 50 mg/kg/day PO divided into 4 equal doses for a toddler who weighs 33 lb. Ampicillin 125 mg/5 mL oral solution is available. How many mL should the nurse administer per dose?
7.5
A charge nurse is teaching a newly licensed nurse about the purpose of a client being prescribed a transdermal fentanyl patch. Which of the following clients should the charge nurse include in the teaching as a client who requires this medication? A. a client who is opioid-tolerant B. a client who has difficult swallowing C. a client who has severe intermittent pain D. a client who is postoperative following abdominal surgery
A
A nurse in a long-term care facility is administering medications to a group of older adult clients. Which of the following factors of pharmacokinetics should the nurse consider when caring for this age group? A. The excretion of medication is reduced B. The percentage of medication absorbed is increased C. the liver metabolizes medication more quickly D. the rate at which the liver metabolizes medication declines with age
A
A nurse is administering brimonidine eye drops to a client who has glaucoma. Which of the following ocular effects should the nurse expect? A. decreased intraocular pressure B. blocked growth of new blood vessels C. paralysis of accommodation D. mydriasis
A
A nurse is assessing a client who began taking clozapine 3 weeks ago. Which of the following findings should the nurse report to the provider immediately? A. tachypnea and tachycardia B. abdominal pain and constipation C. enuresis and polyuria D. dry mouth and blurred vision
A
A nurse is assessing a client who reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following therapeutic effects? A. urinary health promotion B. immune system stimulation C. decreased leg pain from arterial disease D. prevention of nausea caused by motion sickness
A
A nurse is caring for a child who has epilepsy and is scheduled to receive a dose of phenytoin. The nurse notes the child's serum phenytoin level is 14 mcg/mL. Which of the following actions should the nurse take? A. administer the dose B. administer half the dose C. do not administer the dose D. clarify the dose with the provider
A
A nurse is caring for a client who developed hypoglycemia following an insulin injection. The client is conscious and responds appropriately to verbal stimuli. Which of the following medications should the nurse plan to administer first? A. oral glucose tablet B. 50% dextrose intravenously C. glucagon intramuscularly D. epinephrine intravenously
A
A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? A. anti-estrogenic B. antimicrobial C. androgenic D. anti-inflammatory
A
A nurse is caring for a client who has a prescription for subdermal etonogestrel. The nurse should alert the provider about which of the following findings in the client's medical history? A. takes St. John's wort B. breastfeeds a 6-month-old infant C. has a parent with hypertension D. Has a positive human papillomavirus (HPV) test result
A
A nurse is caring for a client who has hyperlipidemia and is receiving simvastatin 40 mg PO daily. Which of the following items should the nurse remove from the client's breakfast tray before it is delivered to the room? A. grapefruit juice B. hardboiled eggs C. coffee D. oatmeal
A
A nurse is caring for a client who has tuberculosis and is taking rifampin. The nurse should monitor the client for which of the following adverse effects of rifampin? A. Red-tinged urine B. tinnitus C. blurred vision D. dry mouth
A
A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for which of the following medications? A. colchicine B. allopurinol C. probenecid D. pegloticase
A
A nurse is caring for a client who was recently diagnosed with rheumatoid arthritis. The nurse should expect the provider to prescribe methotrexate at which of the following times? A. within 3 months of the initial diagnosis B. when NSAIDs have not provided pain relief C. during an exacerbation of symptoms D. once bone degeneration progresses
A
A nurse is caring for a client with diabetic ketoacidosis who has a prescription for an intravenous infusion of insulin. The nurse should document that which of the following types of insulin was administered intravenously to treat ketoacidosis? A. regular insulin B. insulin lispro C. insulin aspart D. insulin glargine
A
A nurse is caring for a client with premenstrual disorder (PMD) who has a prescription for fluoxetine. The client asks the nurse, "When should I notice the benefits of this medication?" Which of the following responses should the nurse make? A. "You should expect decreased manifestations within a few days" B. "Manifestations decrease after about 2 months" C. "You should expect decreased manifestations immediately" D. "Manifestations will decrease after several weeks"
A
A nurse is caring for a male client who has been taking cimetidine for the treatment of a duodenal ulcer. Which of the following manifestations related to the medication should the nurse report to the provider? A. emesis that looks like coffee grounds B. erectile dysfunction C. muscle pain D. gynecomastia
A
A nurse is preparing a discharge teaching plan for a 6-year-old client with asthma who has several prescription medications using metered-dose inhalers (MDIs). Which of the following interventions should the nurse include in the plan? A. add a spacer to each MDI B. Instruct the child to inhale more rapidly than usual when using an MDI C. ask the provider to change the child's medications from inhaled to oral formulations D. administer oxygen by facemask along with the MDI
A
A nurse is preparing to administer a sublingual nitroglycerin tablet to a client who is reporting chest pain. For which of the following adverse effects should the nurse monitor after giving this medication? A. hypotension B. myalgia C. diarrhea D. ototoxicity
A
A nurse is preparing to administer medications to a client who is NPO and is receiving enteral feedings through an NG tube. Which of the following prescriptions should the nurse clarify with the provider? A. aspirin EC 325 mg per NG tube daily B. atorvastatin 40 mg per NG tube daily C. propranolol 20 mg per NG tube daily D. sucralfate 2 g oral suspension per NG tube BID
A
A nurse is providing discharge teaching to a client who has a bacterial infection about adverse effects of imipenem to report to the provider. Which of the following pieces of information should the nurse include? A. "seizures can occur with this medication" B. "You should observe for manifestations of bleeding" C. "Check you hands and feet for sensory dysfunction" D. "This medication can increase the risk of ototoxicity"
A
A nurse is providing discharge teaching to a client who has angina pectoris and a new prescription for verapamil. The client tells the nurse, "My brother takes verapamil for high blood pressure. Do you think the provider made a mistake?" Which of the following responses should the nurse make? A. "Verapamil is used to treat both high blood pressure and angina" B. "You should talk to your provider to make sure the prescription is correct for you." C. "Are you concerned that you might have high blood pressure? D. "Your provider has prescribed verapamil so that you will not develop high blood pressure."
A
A nurse is providing teaching to a client who has a new prescription for doxycycline. The nurse should instruct the client to monitor for which of the following adverse effects? A. photosensitivity B. constipation C. ototoxicity D. blurred vision
A
A nurse is providing teaching to a client with hypertension and type 1 diabetes mellitus who has a new prescription for metoprolol. Which of the following statements by the client indicates an understanding of the teaching? A. "I might have difficulty recognizing when my blood sugar is low" B. "I will have a lower risk of developing an infection while I take this medication" C. "I should be concerned about losing excess weight while I take this medication" D. "I could have more problems with high blood sugar while taking this medication"
A
A nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered-dose inhaler. Which of the following statements by the parent indicates the need for further teaching? A. "I will give my child a dose as soon as wheezing starts" B. "My child should rinse out his mouth after using the inhaler." C. "My child should exhale completely before placing the inhaler in his mouth" D. "if my child has difficulty breathing in the dose, a spacer can be used."
A
A nurse is reviewing the medical record of a client. The medication administration record shows the client is taking clopidogrel. Which of the following events should the nurse expect in the client's medical history? A. recent myocardial infarction B. history of hemorrhagic stroke C. current outbreak of psoriasis D. history of hypertension
A
A nurse is teaching a client who has a new prescription for phenytoin. The nurse should inform the client that which of the following adverse effects can occur with the abrupt withdrawal of phenytoin? A. status epilepticus B. bleeding gums C. disorientation D. severe nausea
A
A nurse is teaching a client who has type 1 diabetes mellitus about a new subcutaneous insulin infusion pump. Which of the following pieces of information should the nurse include in the teaching? A. plan to use a type of short-duration insulin in the infusion pump B. replace the infusion pump set every 4 days C. turn off the infusion pump for at least 3 hours each day D. move the infusion pump catheter 1.27 cm (0.5 in) away from the old site
A
A nurse is teaching a group of nurses about the manifestations of progestin deficiency for clients who take a combination oral contraceptive (OC). Which of the following findings should the nurse include in the teaching as an indication of progestin deficiency? A. amenorrhea B. weight gain C. depression D. acne
A
A nurse is teaching about adverse effects of ergotamine with a client who has migraine headaches. Which of the following client statements should indicate an understanding of the teaching? A. "If I overuse this medication, I might become addicted to it" B. "This medication is okay to use during pregnancy" C. "tingling in my fingers and toes is an adverse effect that goes away with continued use" D. "I will experience restlessness as an adverse effect when I begin taking this medication"
A
A nurse is preparing to administer amlodipine to a client who has hypertension. The nurse should plan to monitor the client for which of the following adverse effects of the medication? SATA A. dizziness B. pale appearance C. palpitations D. abdominal pain E. peripheral edema
ACE
A nurse in a provider's office is providing teaching to a client with osteoporosis who has a new prescription for alendronate sodium. Which of the following pieces of information should the nurse include? A. alendronate sodium can be administered by IV once yearly B. take alendronate sodium with a full glass of water on an empty stomach C. side effects of alendronate sodium include leukopenia D. alendronate sodium should be taken with calcium-containing foods to increase absorption
B
A nurse is caring for a client who has been in the PACU for more than 1 hr, has a respiratory rate of 9/min, and is difficult to arouse. The nurse should expect a prescription for which of the following medications? A. pentazocine B. naloxone C. naltrexone D. butorphanol
B
A nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks for the treatment of active pulmonary tuberculosis (TB). The client reports his urine is an orange color. Which of the following statements should the nurse make? A. "stop taking the isoniazid for 3 days, should the discoloration should go away" B. "rifampin can turn body fluids orange" C. "I'll make an appointment for you to see the provider this afternoon" D. "Isoniazid can cause bladder irritation"
B
A nurse is caring for a client who has rheumatoid arthritis and a new prescription for etanercept. Which of the following values should the nurse review prior to the administration of the medication? A. ability to swallow B. results of last purified protein derivative (PPD) test C. serum creatinine level D. blood glucose level
B
A nurse is caring for a client who has unstable angina. The nurse should anticipate a prescription from the provider for which of the following medications? A. epinephrine B. nitroglycerin C. lidocaine D. atropine
B
A nurse is caring for a client who is experiencing acute pain and is receiving morphine. Which of the following findings should indicate to the nurse the need to withhold the client's next dose of morphine? A. the client reports an inability to void B. the client's respiratory rate is 10/min C. the client has hypoactive bowel sounds. D. the client has vomited once in the last 4 hours.
B
A nurse is caring for a client who is receiving lidocaine for localized pain. The nurse should recognize that which of the following actions will help prevent systemic toxicity of this medication? A. applying a heating pad following administration to increase blood flow to the area B. applying the medication to intact skin C. applying a large amount of the medication at once to avoid frequent reapplication D. applying the medication to large areas for maximum spread
B
A nurse is checking a client who is receiving an IV infusion of telavancin for streptococcus pyogenes. Which of the following actions should the nurse include? A. check to see if the client's urine is blue in color B. check the client for pruritus C. check for hypertension D. check for numbness in the limbs
B
A nurse is preparing to administer meperidine 100 mg IM to a client who has a BMI of 23. Which of the following needle lengths should the nurse use to administer the medication? A. 1/2 inch B. 1 1/2 inch C. 2 1/2 inch D. 3 inch
B
A nurse is providing teaching about sodium phosphate to a client who has a new prescription for sodium phosphate. The client is scheduled for a colonoscopy and is currently taking furosemide for hypertension. Which of the following client statements should indicate to the nurse that the teaching has been effective? A. "I can take my water pill as prescribed" B. "I can experience an imbalance in my electrolytes from this medication" C. "I should drink 8 ounces of bowel cleanser every 10 minutes until I drink a total of 4 liters" D. "I can experience rebound constipation after using this medication"
B
A nurse is providing teaching to a client who has a new prescription for a fentanyl transdermal patch. Which of the following statements by the client indicates an understanding of the teaching? A. "The patch will not cause constipation like other pain medications do" B. "I will have to stop drinking grapefruit juice while using the patch" C. "I will place a heating pad over the patch to boost its effectiveness" D. "The patch will give me relief from my pain faster than pills can"
B
A nurse is providing teaching to a client who has a new prescription for sertraline. The client asks the nurse if he should continue to take St. John's wort for depression. Which of the following instructions should the nurse give the client? A. Take the medication and herbal supplement together. B. stop taking the herbal supplement while taking the medication. C. take the herbal supplement and the medication at least 2 hr apart. D. take an antacid with both the herbal supplement and the medication.
B
A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should highlight that which of the following conditions is a contraindication to this medication? A. hyperthyroidism B. intestinal obstruction C. glaucoma D. low blood pressure
B
A nurse is reviewing a new prescription for fexofenadine for a 7-year-old client who has seasonal allergies. Which of the following findings should the nurse clarify with the provider? A. the prescription says to avoid taking the medicine with orange juice B. the prescription says to take standard tablets C. the prescription says to take 30 mg twice daily D. the prescription says to administer the medicine orally
B
A nurse is reviewing the laboratory data for a client who has Alzheimer's disease and a new prescription for memantine. The nurse should identify that which of the following findings increases the client's risk for reduced clearance of the medication? A. alanine aminotransferase (ALT) 60 international units/L B. creatinine clearance 35 mL/min C. HbA1c 5% D. BMI 31
B
A nurse is reviewing the laboratory report for a client who is taking tobramycin and notes that the peak blood level is 9.3 mcg/mL. Which of the following actions should the nurse take? A. administer half of the prescribed dosage at the client's next scheduled dose B. tell the client that the medication seems to be appropriate C. advise the client to drink more water throughout the day D. ask if the client has been experiencing any peripheral neuropathy
B
A nurse is reviewing the laboratory results for a client who has a prescription for filgrastim. An increase in which of the following values indicates a therapeutic effect of this medication? A. erythrocyte count B. neutrophil count C. lymphocyte count D. thrombocyte count
B
A nurse is reviewing the medical record of a client who has been taking a vitamin D supplement. Which of the following findings from the client's record should the nurse identify as a risk factor for developing vitamin D deficiency? A. middle-age B. obesity C. dark-colored eyes D. light-pigmented skin
B
A nurse is reviewing the medical record of a client who might have hearing loss. Which of the following data from the client's medical record should the nurse identify as a risk factor for hearing loss? A. frequent use of steroids B. chronic use of salicylates C. intermittent use of antacids D. habitual use of laxatives
B
A nurse is reviewing the medical record of a client with rheumatoid arthritis who has a prescription for infliximab. Which of the following findings should the nurse identify as a contraindication to the client receiving this medication? A. Psoriatic arthritis B. hepatitis B virus C. ulcerative colitis D. ankylosing spondylitis
B
A nurse is reviewing the medical record of client who is scheduled for induction of labor and has a prescription for misoprostol. Which of the following conditions should the nurse identify as a contraindication to administering this medication? A. gestational diabetes B. past cesarean delivery C. preeclampsia D. genital herpes
B
A nurse is teaching a client about taking tetracycline PO. Which of the following statements should the nurse include in the teaching? A. "Take this medication on a full stomach" B. "Limit your consumption of dairy products while taking this medicine" C. "take the medication with your regular iron supplement" D. "take antacids if you have an upset stomach from using tetracycline"
B
A nurse is teaching a client who had kidney transplant surgery about immunosuppressive medications. Which of the following adverse effects of these medications should the nurse include in the teaching? A. increased urinary output B. increased susceptibility to infection C. increased hair loss D. increased risk of autoimmune disorders
B
A nurse is teaching a client who has a prescription for chenodiol for the treatment of gallstones. Which of the following client statements indicates an understanding of the teaching? A. "Treatment should last for a couple of months" B. "Liver function tests are required while taking this medication" C. "I should contact my provider if I experience diarrhea" D. "I can continue to take this medication if I become pregnant"
B
A nurse is teaching a client who has allergic rhinitis about a new prescription for brompheniramine. Which of the following pieces of information should the nurse include in the teaching? A. "Report gastrointestinal disturbances immediately" B. "You might find that you develop a dry mouth" C. "You should not experience any central nervous system alterations" D. "Increased urinary frequency is an expected effect"
B
A nurse is teaching a client who is postmenopausal and has a prescription for alendronate. Which of the following statements should the nurse include in the teaching? A. "You can lie down 15 minutes after taking this medication" B. "take this medication on an empty stomach" C. "Crush this medication to improve absorption" D. "Avoid taking antacids or supplements that contain calcium while taking this medication"
B
A nurse is teaching a client who is premenopausal and has a prescription for a combination oral contraceptive. Which of the following findings should the nurse include as an adverse effect of oral contraceptives? A. bone fractures B. deep-vein thrombosis C. increased LDL cholesterol D. increased risk of breast cancer
B
A nurse is teaching a client with chronic asthma who has a new prescription for cromolyn. Which of the following instructions should the nurse include in the teaching? A. "use the inhaler just before exercise" B. "The medication's therapeutic effects can take up to several weeks to develop" C. "You will shake the medication container for 3 seconds" D. "you will need to exhale slowly after you inhale"
B
A nurse is teaching self-administration of NPH insulin to a client who has type 2 diabetes mellitus. Which of the following instructions should the nurse include? A. alternate injecting doses between the abdomen and thigh B. shake the vial before withdrawing the dosage C. rotate injection sites within the same area D. discard the vial if the insulin is cloudy
B
A nurse is assessing an infant during a routine checkup. The parent asks the nurse about the infant's immunization schedule. Which of the following responses should the nurse make? A. "Immunizations for children are recommended to start at the age of 2" B. "if your child misses an immunization, she should restart a new schedule" C. "it is recommended that your infant receives 6 immunizations at 2 months of age" D. "the recommended immunization schedule can be customized to fit your child's needs"
C
A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effects? A. thrombophlebitis B. hyperactive reflexes C. muscle weakness D. hypoglycemia
C
A nurse is caring for a client who is experiencing a seizure while in bed. Which of the following actions should the nurse take? A. raise the head of the client's bed B. restrain the client's arms and legs C. turn the client's head to the side D. insert a tongue blade in the client's mouth
C
A nurse is caring for a client who is experiencing cycloplegia following the administration of atropine eye drops during an eye examination. Which of the following findings should the nurse nurse expect as a result of cycloplegia? A. inability to tolerate bright lights B. pinpoint pupils C. blurred vision D. inability to perform an upward gaze
C
A nurse is monitoring a client who has diabetes insipidus and was administered desmopressin. Which of the following findings should indicate to the nurse the client is experiencing an adverse effect of this medication? A. thirst B. nocturia C. headache D. heart palpitations
C
A nurse is providing teaching to a client who has chronic constipation and a new prescription for psyllium. Which of the following instructions should the nurse provide? A. "This medication is for short-term use only" B. "You should eat a low-residual diet while taking this medication" C. "Mix this medication with water and follow with an additional glass of liquid" D. "The medication's adverse effects of stomach cramps and nausea will go away in time"
C
A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and a new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching? A. reduces blood pressure B. inhibits clotting of fistula C. promotes RBC production D. stimulates growth of neutrophils
C
A nurse is providing teaching to a client with a new diagnosis of heart failure who has a prescription for furosemide. Which of the following statements should the nurse include in the teaching? A. "You can take ibuprofen for headaches while taking this medication" B. "You may experience increased swelling in your lower extremities while taking this medication" C. "You should eat foods that are high in potassium while taking this medication." D. "You should take this medication at bedtime."
C
A nurse is providing teaching to the parents of a child who has a new prescription for lamotrigine for a seizure disorder. The nurse should instruct the parents that which of the following adverse effects is the priority to report to the provider? A. diplopia B. dizziness C. rash D. headache
C
A nurse is reviewing the medical history of a client who has spasticity due to multiple sclerosis and a new prescription for tizanidine. Which of the following comorbidities increases the client's risk of adverse effects while taking this medication? A. pneumonia B. benign prostatic hypertrophy (BPH) C. hepatitis D. diabetes mellitus
C
A nurse is reviewing the medical record of a client who is receiving hydrochlorothiazide (HCTZ). The nurse should expect to find an improvement in which of the following conditions as a result of this medication? A. Gouty arthritis B. dehydration C. diabetes insipidus D. hypokalemia
C
A nurse is teaching a client who has ADHD and is starting therapy with an amphetamine/dextroamphetamine mixture. Which of the following manifestations should the nurse instruct the client to identify as an adverse effect and report to the provider? A. restlessness B. insomnia C. palpitations D. weight gain
C
A nurse is teaching a client who has a new prescription for sucralfate for a duodenal ulcer. Which of the following client statements indicates an understanding of the teaching? A. "I should take this medication with my meals and at bedtime" B. "I should only have to take this medication for about 2 weeks" C. "I should wait at least 30 minutes before taking this medication after I take an antacid" D. "I should swallow these tablets whole"
C
A nurse is teaching a newly licensed nurse about caring for a client who is receiving patient-controlled analgesia (PCA). Which of the following actions by the newly licensed nurse indicates an understanding of the teaching? A. assessing the client's vital signs every 6 hr B. instructing the client's family to press the PCA button when the client is asleep C. having a second nurse check the PCA setting D. administering the PCA through a free-flow infusion system
C
A nurse is teaching the parent of a child who has severe reactive airway disease about glucocorticoid therapy. The parent asks why her child has to inhale the medication instead of taking it orally. Which of the following pieces of information should the nurse provide to the parent? A. inhaled glucocorticoids are less likely to cause thrush B. oral glucocorticoids are hazardous during times of stress C. oral glucocorticoids are more likely to slow linear growth in children. D. inhaled glucocorticoids are more effective for acute bronchospasm.
C
The nurse is assessing a client who has been taking linezolid to treat a Staphylococcus aureus infection. Which of the following findings should the nurse report to the provider? A. nausea B. headaches C. paresthesias D. insomnia
C
A nurse is administering ciprofloxacin and phenazopyridine to a client who has a severe urinary tract infection (UTI). The client asks why both medications are needed. Which of the following responses should the nurse make? A. "Phenazopyridine decreases the adverse effects of ciprofloxacin hydrochloride" B. "Combining phenazopyridine with ciprofloxacin hydrochloride shortens the course of therapy" C. "The use of phenazopyridine allows the doctor to prescribe a lower dosage of ciprofloxacin hydrochloride." D. "Ciprofloxacin hydrochloride treats the infection, and phenaxopyridine treats the pain"
D
A nurse is assessing a client who is receiving a continuous morphine IV infusion and finds the client's respiratory rate has decreased from 20/min to 12/min. Which of the following actions should the nurse take? A. flush the IV line with saline B. administer flumazenil C. lower the head of the bed D. slow the rate of the infusion
D
A nurse is assessing a client with rheumatoid arthritis who has been taking high doses of prescribed hydroxychloroquine. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of hydroxychloroquine? A. "I have developed sores in my mouth" B. "I often feel like the room is spinning" C. "I noticed that the whites of my eyes look yellow" D. "I have had a change in my vision recently"
D
A nurse is caring for a client who has congestive heart failure and is taking digoxin. The client reports nausea and refuses to eat breakfast. Which of the following actions should the nurse take first? A. encourage the client to eat the toast on the breakfast tray B. administer an antiemetic C. inform the client's provider D. check the client's apical pulse
D
A nurse is caring for a client who is taking budesonide to treat Crohn's disease. Which of the following findings should indicate to the nurse that treatment is effective? A. decreased blood glucose B. increased potassium C. increased prostaglandins synthesis D. decreased inflammation
D
A nurse is caring for a client who takes sulfasalazine twice daily for rheumatoid arthritis. Which of the following values should the nurse review prior to the administration of the medication? A. respirations B. serum creatinine level C. blood pressure D. complete blood count
D
A nurse is preparing to administer oxytocin to a client who is at 41 weeks gestation and is experiencing ineffective labor. Which of the following actions should the nurse plan to take? A. place the oxytocin from a pre-filled syringe into the posterior fornix of the vagina every 10 min until effective labor occurs B. check the client's blood pressure and pulse every 15 min while induction of labor is occuring C. stop oxytocin for contractions that continue for more than 30 sec D. increase the dose of oxytocin to obtain uterine contractions that occur every 2 to 3 min
D
A nurse is providing teaching to a client who has cirrhosis and a new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects? A. increases blood pressure B. prevents esophageal bleeding C. decreases heart rate D. reduces ammonia levels
D
A nurse is providing teaching to a client who has multiple sclerosis and a new prescription for baclofen PO. Which of the following pieces of information should the nurse include? A. "You should take the medication on an empty stomach to increase absorption" B. "You can stop taking the medication once your back spasms disappear" C. "You can expect to experience urinary frequency when you first start taking this medication" D. "you should change positions slowly while taking this medication"
D
A nurse is providing teaching to a client who is scheduled to start taking hydrochlorothiazide for hypertension. The nurse instructs the client to eat foods that are rich in potassium. Which of the following statements by the client indicates an understanding of the teaching? A. "this medication will not work unless I have enough potassium" B. "potassium will increase the therapeutic effect of my blood pressure medication" C. "potassium will lower my blood pressure" D. "this medication can cause a loss of potassium"
D
A nurse is reviewing the laboratory reports of a client who has been taking warfarin for atrial fibrillation. Which of the following results should the nurse report to the provider immediately? A. PT 18 seconds B. platelet count 160,000/mm^3 C. Hct 43% D. INR 5.5
D
A nurse is teaching about the adverse effects of baclofen with a client who has multiple sclerosis with spasms. Which of the following statements should the nurse identify as an indication that the client understands the teaching? A. "adverse effects include urinary frequency" B. "I should increase my fiber intake to counteract the adverse effect of diarrhea" C. "this medication can cause addiction" D. "I should not stop taking this medication suddenly"
D
The nurse is caring for a client who has had a levonorgestrel-releasing intrauterine device (IUD) in place for 1 year. Which of the following findings should indicate that the client is experiencing an adverse effect? A. developed sensitivity to copper B. vaginal irritation or inflammation C. decreased menstrual bleeding D. spotting between menses cycles
D
