Pharm Exam 5

A nurse is teaching a client about recommended immunizations. Which of the following immunizations should the nurse recommend the client receive starting at 50 years of age? 1. herpes zoster vaccine 2. human papillomavirus vaccine 3. pneumococcal vaccine 4. haemophilus influenzae type B vaccine

1

A nurse is teaching a guardian of a child about the recommended age range to receive the human papillomavirus vaccine. Which of the following age ranges should the nurse include? 1. 11-12 2. 7-9 3. 13-15 4. 15-17

1

A charge nurse is planning staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. Which of the following medications should the charge nurse include in the discussion? 1. lorazepam 2. diazepam 3. disulfiram 4. naltrexone 5. Acamprosate

1, 2

A 12 month old child just received the first measles, mumps, and rubella vaccine. For which of the following findings should the nurse instruct the family to monitor for as adverse effects of the MMR vaccine? 1. rash 2. swollen glands 3. bruising 4. headache 5. inconsolable crying

1, 2, 3

A nurse is caring for a client who has a new prescription for transdermal conjugated estrogen and medroxyprogesterone to treat postmenopausal symptoms. The nurse should explain to the client that this drug combination includes which of the following therapeutic effects? 1. reduces the risk of ovarian cancer 2. relieves hot flashes 3. prevents osteoporosis 4. reduces the risk of breast cancer 5. reduces the risk of thromboembolism

1, 2, 3

A nurse is caring for a client who has depression and a new prescription for venlafaxine. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? 1. mydriasis 2. dizziness 3. decreased libido 4. alopecia 5. hypotension

1, 2, 3

A nurse is providing teaching to a client about taking fludrocortisone to treat adrenocortical insufficiency. Which of the following instructions should the nurse include? 1. obtain weight measurement daily 2. report weakness or palpitations 3. have blood pressures checked regularly 4. eat more iron-rich foods 5. avoid drinking grapefruit juice

1, 2, 3

A nurse is providing teaching to a client who is about to begin exenatide therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include? 1. inject the drug subcutaneously 2. expect the peak effect in 2 hours 3. use the drug as a supplement to an oral hypoglycemic 4. inject the drug 1 hour after a meal 5. discard used pens 10 days after the first dose

1, 2, 3

A nurse is teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include? 1. increase fiber and fluid intake 2. take the drug with food 3. avoid driving after taking the drug 4. change positions gradually 5. reduce exercise level temporarily

1, 2, 3, 4

A nurse is caring for a client who is about to begin taking aspirin. The nurse should instruct the client to report which of the following manifestations of salicylism? 1. fever 2. tinnitus 3. diaphoresis 4. thrombophlebitis 5. dizziness

1, 2, 3, 5

A provider has a prescribed a dinoprostone vaginal insert to promote cervical ripening in a client who is at 40 weeks gestation. When administering dinoprostone, which of the following actions should the nurse take? 1. encourage the client to urinate prior to insertion 2. remove the pouch when active labor begins 3. monitor for uterine hyperstimulation 4. encourage the client to walk after insertion 5. monitor the client's temperature

1, 2, 3, 5

A nurse is following up with a client who takes chlorpromazine for the treatment of schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations? 1. disorganized speech 2. bizarre behavior 3. impaired social interactions 4. hallucinations 5. decreased motivation

1, 2, 4

A nurse is providing teaching to a client who is taking bethanechol for urinary retention. Which of the following instructions should the nurse include? 1. avoid driving and activities that require alertness 2. increase fluid intake 3. take the drug with food 4. stay close to a bathroom after taking the drug 5. increase weight-bearing activities

1, 2, 4

A nurse is caring for a client who has a new prescription for maraviroc therapy. The nurse should instruct the client to report which of the following adverse effects? 1. paresthesia 2. cough 3. tinnitus 4. jaundice 5. fever

1, 2, 4, 5

A patient is prescribed paroxetine. What are possible side effects of this medication? 1. sexual dysfunction 2. hyponatremia 3. hypertensive crisis 4. sleepiness 5. neuroleptic syndrome 6. bruxism

1, 2, 4, 6

A nurse is providing teaching for a client with a new prescription for phenelzine. What are some of the foods to avoid? 1. lunchmeat 2. wine 3. grapefruit juice 4. green leafy vegetables 5. cheese

1, 2, 5

A nurse is caring for a client who asks about taking acetaminophen. The nurse should identify that acetaminophen is indicated for which of the following conditions? 1. to reduce fever 2. to decreased inflammation 3. to relieve mild pain 4. to promote sedation 5. to alleviate anxiety

1, 3

A nurse is caring for a client who has a new prescription for valproic acid. The nurse should instruct the client to have which of the following blood lab tests completed periodically? 1. thrombocyte count 2. glucose 3. amylase 4. liver function tests 5. potassium

1, 3, 4

A nurse is teaching a client who has a new prescription for imatinib to treat chronic myeloid leukemia. Which of the following instructions should the nurse include? 1. clean fruits and vegetables thoroughly 2. increase calcium intake 3. weigh yourself daily 4. perform hand hygiene frequently 5. avoid grapefruit and grapefruit juice

1, 3, 4, 5

A nurse is teaching the guardians and their school-age child about a new prescription for lisdexamfetamine. Which of the following information should the nurse include in the teaching? 1. as adverse effect of this medication is CNS simulation 2. administer the medication before bedtime 3. monitor blood pressure while taking this medication 4. therapeutic effects of this medication will take 1 to 3 weeks to fully develop 5. this mediation raises the levels of dopamine in the brain

1, 3, 5

A nurse is assessing a client who has a new prescription for the combination oral contraceptive ethinyl estradiol and drospirenone. Which of the following findings should the nurse identify as a contraindication to use of this medication? 1. drinks a glass of wine each night 2. smokes half a pack of cigarettes a day 3. runs marathons regularly 4. drives a school bus

2

A nurse is assessing a client who recently began taking haloperidol. Which of the following findings is the priority to report to the provider? 1. shuffling gait 2. neck spasms 3. drowsiness 4. sexual dysfunction

2

When considering replacement therapy options for a client who has chronic adrenocortical insufficiency, a nurse should recognize that the provider will choose which of the following drugs? 1. somatropin 2. hydrocortisone 3. glucagon 4. desmopressin

2

A nurse is caring for a client who missed a dose of her oral contraceptive. Which of the following instructions should the nurse give the client? 1. take a pregnancy test 2. double up on pills for remainder of the pack 3. take the missed dose as soon as possible 4. stop the oral contraceptive and use a different contraceptive

3

A nurse is caring for a client who received human menopausal gonadotropin. Which of the following findings should the nurse expect? 1. prolactin secretion 2. estrogen release 3. follicular maturation 4. oxytocin secretion

3

A nurse is preparing to administer finasteride to a client who has benign prostatic hypertrophy. Which of the following precautions should the nurse plan to take when administering this drug? 1. refrain from crushing the tablet 2. withhold the medication if the client doesn't eat 3. wear gloves when handling the tablet 4. monitor heart rate prior to administration

3

A nurse should recognize that raltegravir is used to treat clients who have which of the following conditions? 1. hairy cell leukemia 2. thyroid cancer 3. Kaposi's sarcoma 4. resistant HIV

4

After administering terbutaline to a client to inhibit preterm labor, the nurse should assess which of the following? 1. peripheral pulses 2. temperature 3. vision 4. heart rate

4

A nurse is caring for a client who has a new prescription for delavirdine therapy to treat HIV-1. The nurse should instruct the client to report which of the following adverse reactions to the drug? 1. rash 2. insomnia 3. rhinitis 4. alopecia

1

A nurse is caring for a client who has a new prescription for prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse drug reactions? 1. pulmonary embolism 2. hepatitis 3. bone loss 4. breast cancer

3

A nurse is assessing a client who take lithium carbonate for the treatment of bipolar disorder. The nurse should identify which of the following findings is a possible indication of toxicity to this medication? 1. severe hypertension 2. coarse tremors 3. constipation 4. muscle spasms

2

A nurse is caring for a client who has a new prescription for celecoxib. The nurse should tell the client to report which of the following adverse drug reactions? 1. tinnitus 2. chest pain 3. constipation 4. diaphoresis

2

A nurse is caring for a client who has been taking sertraline for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing serotonin syndrome? 1. bruising 2. fever 3. tinnitus 4. rash

2

A nurse at a provider's office is assessing a client who has been taking hydrocortisone for adrenal insufficiency. The client reports fatigue and feeling overwhelmed by personal responsibilities. Which of the following findings should the nurse identify as an indication the provider might need to increase the client's dosage? 1. hypotension 2. hyperglycemia 3. weight gain 4. fat redistribution

1

A nurse is caring for a client who has a new prescription for phenelzine for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication? 1. orthostatic hypotension 2. hearing loss 3. gastrointestinal bleeding 4. weight loss

1

A nurse is caring for a client who is taking metformin to treat type 2 diabetes and reports muscle pain. Which of the following adverse reactions should the nurse suspect? 1. lactic acidosis 2. anticholinergic effects 3. extrapyramidal effects 4. hypophosphatemia

1

A nurse should question the use of ethinyl estradiol and drospirenone by a client who has renal disease due to the increased risk of which of the following? 1. hyperkalemia 2. hyponatremia 3. hypoglycemia 4. respiratory alkalosis

1

A nurse is assessing a client who has chronic neutropenia and has been receiving filgratim. Which of the following actions should the nurse take to assess for an adverse effect of filgrastim? 1. assess for bone pain 2. assess for right lower quadrant pain 3. auscultate for crackles in the bases of the lungs 4. auscultate the chest to listen for a heart murmur

1

A nurse is caring for a client who has a new prescription for calcitonin-salmon for osteoporosis. Which of the following tests should the nurse tell the client to expect before beginning this medication? 1. skin test for allergy to the medication 2. ECG to rule out cardiac dysrhythmias 3. Mantoux test to rule out exposure to tuberculosis 4. liver function tests to assess risk for medication toxicity

1

A nurse is caring for a client who is about to begin taking finasteride to treat benign prostatic hypertrophy. The nurse should explain to the client the need to monitor which of the following lab values? 1. prostatic-specific antigen 2. BUN 3. creatine phosphokinase 4. ALT

1

A nurse is caring for a client who is prescribed zidovudine. Which of the following lab values should the nurse report to the provider? 1. hemoglobin 7.1 2. RBC count 5.2 3. neutrophil 57% 4. triglycerides 125

1

A patient is prescribe lithium for bipolar disorder. What is the maintenance level range? 1. 0.4-1.0 2. 3.5-5.0 3. 135-145 4. 0.5-2.0

1

A nurse is reviewing the medical record of a client who reports urinary incontinence and asks about a prescription for oxybutynin. The nurse should recognize that oxybutynin is contraindicated in the presence of which of the following conditions? 1. bursitis 2. sinusitis 3. depression 4. glaucoma

4

A nurse is instructing a client to self-administer enfuvirtide. Which of the following instructions should the nurse include? 1. allow the vial to sit until the solution is completely clear and without particulates 2. after reconstituting with sterile water, vigorously shake the vial to mix the solution 3. use the medication immediately upon removing from the refrigerator 4. use the same location for fiver injections before rotating to a new site

1

A nurse is planning care for a client who has started taking prednisone. Which of the following interventions should the nurse include? 1. monitor the client's blood glucose 2. administer an antacid 30 minutes prior prednisone 3. administer aspirin rather than NSAIDs if the client has pain 4. monitor the client for hyperkalemia

1

A nurse is preparing to administer the measles, mumps, and rubella vaccine to a child. The nurse should recognize that the MMR vaccine provides which of the following types of immunity? 1. artificial active immunity 2. active 3. passive 4. artificial passive immunity

1

A nurse is reviewing the drug list for a client who has a new prescription for allopurinol. The nurse should identify that which of the following drugs interacts with allopurinol? 1. warfarin 2. ibuprofen 3. insulin 4. furosemide

1

A nurse is caring for a client who has a new prescription for intrathecal cytarabine therapy to treat meningeal leukemia. The nurse should inform the client that they will also receive which of the following drugs to reduce the risk of neurotoxicity? 1. diphenhydramine 2. leucovorin 3. folic acid 4. dexamethasone

4

A nurse is caring for a client who has a new prescription for ritonavir and zidovudine therapy to treat HIV-1. The nurse should inform the client that zidovudine is prescribed with ritonavir for which of the following reasons? 1. to prevent an infusion reaction 2. to increase platelet production 3. to protect healthy cells from the toxic effects of ritonavir 4. to prevent drug resistance

4

A nurse is preparing to administer filgrastim for the first time to a client who has just undergone a bone marrow transplant. Which of the following actions should the nurse take? 1. administer IM in a large muscle 2. ensure that the medication is refrigerated until just prior to administration 3. shake vial gently to mix well before withdrawing dose 4. discard vial after removing one dose of the medication

4

A nurse should recognize that maraviroc is used in the treatment of which of the following conditions? 1. diabetes 2. meningeal infection 3. pancreatitis 4. chemokine receptor 5 (CCR5)-tropic HIV-1

4

A nurse is teaching a client who has a new prescription for mercaptopurine to treat leukemia. Which of the following instructions should the nurse include? 1. use contraception if pregnancy is a risk 2. perform oral hygiene frequently 3. avoid activities that require mental alertness 4. perform hand hygiene frequently 5. avoid activities that can cause injury

1, 2, 4, 5

A patient is prescribed haloperidol for acute psychosis. What is an adverse effect to report to the primary care provider? 1. sun photosensitivity 2. acute dystonia 3. dry mouth 4. constipation

2

A patient is prescribed phenelzine. What is a common adverse side effect? 1. akathisia 2. bruxism 3. orthostatic hypotension 4. bruising

3

A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine for posttraumatic stress disorder. Which of the following statements should the nurse include in the teaching? 1. you can have a decreased desire for intimacy while taking this medication 2. you should take this medication at bedtime to help promote sleep 3. you will have fewer urinary adverse effects if you urinate just before taking this medication 4. you'll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication

1

A nurse is providing safety education to a client who is scheduled to begin treatment with Tamsulosin for benign prostatic hypertrophy. Which of the following instructions should the nurse include in the teaching? 1. change positions slowly 2. crush the medication 3. take the medication on an empty stomach 4. report increased urinary output immediately

1

A nurse is teaching a client about acarbose therapy to treat type 2 diabetes. Which of the following instructions should the nurse include? 1. eat more iron-rich foods 2. avoid drinking grape juice 3. increase fiber intake 4. avoid drinking green tea

1

A nurse is teaching a client about immunizations. Which of the following information should the nurse include in the teaching? 1. you should receive a tetanus booster every 10 years 2. you should not receive the influenza immunization is you have a common cold 3. you do not have to receive the shingles vaccine if you have received two doses of the varicella virus vaccine 4. as long as you don't have risk factors, you will start receiving the pneumococcal vaccine when you are 50 years old

1

A nurse is caring for a client who is receiving vincristine to treat lung cancer. The nurse should monitor the client and recognize which of the following manifestations as an indication that the client is experiencing an adverse effects of the drug? 1. weak hand grasps 2. constricted pupils 3. bradycardia 4. crackles

1

A nurse is providing teaching to a client about suing leuprolide to treat endometriosis. Which of the following instructions should the nurse include? 1. perform weight-bearing activities 2. wear sunscreen or protective clothing 3. take the drug with food to increase absorption 4. avoid drinking grapefruit juice

1

A nurse is caring for a client who wake paroxetine to treat posttraumatic stress disorder and reports that they grind their teeth during the night. The nurse should identify which of the following interventions to manage bruxism? 1. concurrent administration of buspirone 2. administration of a different SSRI 3. use of a mouth guard 4. changing to a different class of antidepressant medication 5. increasing the dose of paroxetine

1, 3, 4

A nurse is preparing to administer enfuvirtide to a client. Which of the following actions should the nurse plan to perform? 1. administer the drug subcutaneously 2. discard the unused portion 3. roll the vial gently to reconstitute the solution 4. inject the solution at room temperature 5. expect a cloudy solution

1, 3, 4

A nurse is preparing to administer paclitaxel IV to a client who has ovarian cancer. Which of the following actions should the nurse take? 1. give the client an antihistamine 2. infuse the drug over 1 hour 3. administer the drug through non-PVC tubing 4. use an in-line filter 5. add heparin to the paclitaxel solution

1, 3, 4

A nurse is providing teaching to a client who is taking raloxifene to prevent postmenopausal osteoporosis. The nurse should advise the client that which of the following are adverse effects of this medication? 1. hot flashes 2. lump in breast 3. swelling or redness in calf 4. shortness of breath 5. difficulty swallowing

1, 3, 4

A nurse is teaching a client who has osteoporosis and a new prescription for alendronate. Which of the following instructions should the nurse provide? 1. take medication in the morning before eating 2. chew tablets to increase bioavailability 3. drink an 8 ounce glass of water with each tablet 4. take the medication with an antacid if heart burn occur 5. avoid lying down after taking this medication

1, 3, 5

A nurse is caring for a client who is taking acetaminophen at regular intervals for mild discomfort. The nurse should tell the client to report which of the following early indications of acetaminophen toxicity? 1. diaphoresis 2. palpitations 3. shortness of breath 4. nausea 5. diarrhea

1, 4, 5

A nurse should question the use of conjugated equine estrogen by a client who has a history of which of the following? 1. osteoporosis 2. peptic ulcer disease 3. rheumatoid arthritis 4. blood clots

4

A nurse should recognize that a provider will prescribe a lower dose of sitagliptin for a client who has type 2 diabetes mellitus and who also has which of the following? 1. thyroid disease 2. bronchitis 3. heart failure 4. renal impairment

4

A nurse is considering drug therapy options for a client who has metastatic breast cancer that is positive for human epidermal growth factor 2. Which of the following drugs should the nurse expect the provider to prescribe? 1. trastuzumab 2. imatinib 3. leuprolide 4. flutamide

1

A nurse is teaching a client about maraviroc. Which of the following instructions should the nurse include? 1. it is important to report any noticeable rash immediately as it might indicate an issue with your liver 2. make sure you take this medication without any other medications first thing in the morning 3. you might experience flu-like symptoms for which you can take any OTC medication 4. the side effects of this medication are minimal, so you can continue to work and drive as normal

1

A nurse is teaching a client about receiving leuprolide to treat endometriosis. The nurse should instruct the client to expect which of the following side effects? 1. vaginal dryness 2. hypertension 3. blurred vision 4. orthostatic hypotension

1

A nurse is caring for a client who has benign prostatic hypertrophy and is taking Tamsulosin. The nurse should question the use of the drug if the client also has which of the following? 1. a seizure disorder for which he takes carbamazepine 2. erectile dysfunction for which he take sildenafil 3. diabetes mellitus for which he take glyburide 4. angle-closure glaucoma for which he takes pilocarpine

2

A nurse is caring for a client who is taking allopurinol to treat gout. The nurse should monitor the client for which of the following manifestations of hypersensitivity syndrome? 1. muscle pain 2. fever 3. anxiety 4. tremors

2

A nurse is caring for a client who is taking desmopressin. The nurse should make which of the following assessments to evaluate the drug's effectiveness? 1. peripheral pulses 2. urine output 3. skin integrity 4. blood glucose

2

A nurse is caring for a client who takes low-dose aspirin to prevent cardiovascular events. The client asks the nurse about taking ibuprofen to treat rheumatoid arthritis. Which of the following responses should the nurse make? 1. ibuprofen will increase your risk for developing salicylism 2. ibuprofen will reduce the cardioprotective effects of low-dose aspirin 3. low-dose aspirin will reduce the anti-inflammatory effects of ibuprofen 4. low-dose aspirin will reduce the analgesic effects of ibuprofen

2

A nurse is caring for a client who currently takes furosemide and has a new prescription for prednisone. The nurse should monitor the client for which of the following manifestations during concurrent use of the two drugs? 1. hypercalcemia 2. hypoglycemia 3. hypothermia 4. hypokalemia

4

A nurse is caring for a client who is about to begin taking cabergoline to treat infertility. The nurse should explain to the client the need to monitor which of the following lab values? 1. potassium 2. glucose 3. BUN and creatinine 4. prolactin level

4

A nurse is caring for a client who is taking combination oral contraceptive ethinyl estradiol and drospirenone and is about to begin taking rifampin to treat tuberculosis. Which of the following instructions should the nurse give the client due to a possible drug interaction? 1. increase the rifampin dose 2. increase the oral contraceptive dose 3. wait 2 hours between taking each drug 4. use additional birth control methods

4

A nurse is caring for a group of postoperative clients. The nurse should identify that morphine is contraindicated for which of the following clients? 1. mastectomy 2. knee arthroplasty 3. colectomy 4. cholecystectomy

4

A nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include? 1. monitor for rectal bleeding 2. avoid drinking alcoholic beverages 3. have blood pressure checked regularly 4. sit up for 30 minutes after taking the drug

3

A nurse should recognize that enfuvirtide can be prescribed to clients who have which of the following conditions? 1. advanced prostate cancer 2. primary brain tumors 3. advanced HIV 4. metastatic ovarian cancer

3

A nurse is teaching a client who has a new diagnosis of breast cancer about the drug tamoxifen. The nurse should tell the client that which of the following conditions is a contraindication for taking tamoxifen? 1. deep-vein thrombosis 2. COPD 3. diabetes 4. alcohol use disorder

1

A nurse is teaching a client who has a new prescription for allopurinol. Which of the following instructions should the nurse include? 1. avoid driving or activities that require mental alertness 2. avoid crushing the tablets 3. limit fluid intake during therapy 4. limit potassium while taking allopurinol

1

A nurse is teaching a client who has a prescription for glipizide therapy to treat type 2 diabetes. Which of the following instructions should the nurse include? 1. avoid drinking alcohol 2. sit or stand for 30 minutes after taking the drug 3. urinate every 4 hours 4. take the drug 2 hours after a meal

1

A nurse is teaching a client who has obsessive-compulsive disorder and has a new prescription for paroxetine. Which of the following instructions should the nurse include? 1. it can take several weeks before you feel like the medication is helping 2. take the medication just before bedtime to promote sleep 3. you should take the medication when needed for obsessive urges 4. monitor for weight gain while taking this medication

1

A nurse is teaching a client who has tobacco use disorder about nicotine replacement therapy. Which of the following statements by the client indicates understanding of the teaching? 1. I should avoid eating right before I chew a piece of nicotine gum 2. I will need to stop using the nicotine gum after 1 year 3. I know that nicotine gum is a safe alternative to smoking if I become pregnant 4. I must chew the nicotine gum quickly for about 15 minutes

1

A nurse is teaching a client who is taking allopurinol about minimizing adverse effects. Which of the following instructions should the nurse include? 1. eat a small meal before taking the drug 2. suck on hard candy or chew gum 3. take a stool softener daily 4. avoid the use of NSAIDs

1

A nurse is teaching the guardian of a 4 month old infant about recommended immunizations for the infant. Which of the following immunizations should the nurse include? 1. haemophilus influenza type B vaccine 2. varicella vaccine 3. meningococcal conjugate vaccine 4. tetanus-diphtheria-acellular pertussis vaccine

1

A nurse is assessing a client following a trastuzumab infusion to treat metastatic breast cancer. Which of the following findings should the nurse recognize as an indication that the client is experiencing an adverse reaction to the drug? 1. wheezing 2. dysrhythmias 3. hypotension 4. fever 5. ascites

1, 2, 3, 4

A nurse is caring for a client who has a new prescription for cisplatin to treat testicular cancer. The nurse should instruct the client to report which of the following adverse effects? 1. paresthesia 2. sore throat 3. flank pain 4. tinnitus 5. conjunctivitis

1, 2, 3, 4

A nurse is caring for a client who is about to begin taking propylthiouracil to treat hyperthyroidism. The nurse should instruct the client to report which of the following adverse effects? 1. sore throat 2. joint pain 3. insomnia 4. bradycardia 5. rash

1, 2, 4, 5

A nurse is caring for a client who is taking naloxone to treat acute morphine toxicity. The nurse should monitor the client for which of the following adverse drug reactions? 1. increased respiratory rate 2. increased pain 3. thrombophlebitis 4. ventricular arrhythmias 5. hypertension

1, 2, 4, 5

A nurse is caring for a client whose blood calcium is 8.8. Which of the following medications should the nurse anticipate administering to this client? 1. calcitonin-salmon 2. calcium carbonate 3. zoledronic acid 4. ibandronate

2

A nurse is caring for a male client who has hyperthyroidism and is not responding to treatment. The nurse should identify that hyperthyroidism is a contraindication for which of the following drugs? 1. sildenafil 2. bethanechol 3. tamsulosin 4. finasteride

2

A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. Which of the following instructions should the nurse include? 1. take the drug with a glass of grapefruit juice 2. do not take the drug with high-fat foods 3. increase intake of foods rich in vitamin K 4. avoid ages cheeses and red wine

2

A nurse is reviewing the medical record of a client who has a new prescription for tramadol. The nurse should identify that which of the following conditions is a contraindication for tramadol? 1. hyperthyroidism 2. seizure disorder 3. rheumatoid arthritis 4. urinary incontinence

2

A nurse is teaching a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects? 1. diarrhea 2. dry mouth 3. insomnia 4. hypertension

2

A nurse is teaching a client who has a prescription for pramlintide therapy to treat type 1 diabetes. Which of the following instructions should the nurse include? 1. mix pramlintide with insulin in the syringe 2. administer pramlintide before meals 3. take pramlintide once daily at bedtime 4. inject pramlintide into the upper arm

2

A nurse is teaching the caregiver of a school-age child about transdermal methylphenidate. Which of the following instructions should the nurse include? 1. apply one patch twice per day 2. leave the patch on for 9 hours 3. apply the patch to the child's waist 4. use opened tray within 6 months

2

A nurse is caring for a client who is about to begin taking pioglitazone to treat type 2 diabetes mellitus. The nurse should explain to the client about the need to monitor which of the following lab values? 1. thyroid stimulating hormone 2. alanine aminotransferase 3. LDL 4. CBC 5. creatinine clearance

2, 3

A nurse is teaching a client who has a new prescription for transdermal testosterone gel to treat delayed puberty. Which of the following instructions should the nurse include? 1. apply the gel to the scrotum 2. cover the area of application with clothing 3. wash your hands after applying the gel 4. do not shower for several hours after applying the gel 5. apply the gel to the gums above an upper incisor

2, 3, 4

A nurse is assessing a client who has a new prescription of oxybutynin to treat neurogenic bladder. Which of the following assessment findings should the nurse identify as an adverse effect of the drug? 1. diaphoresis 2. dilated pupils 3. dizziness 4. distended bladder 5. fever

2, 3, 4, 5

A nurse is caring for a client who is receiving morphine to relieve severe pain. The nurse should monitor the client for which of the following adverse drug reactions? 1. diarrhea 2. urinary retention 3. respiratory depression 4. sedation 5. orthostatic hypotension

2, 3, 4, 5

A nurse is teaching a client who has a new prescription for allopurinol. The nurse should instruct the client to report which of the following adverse drug reactions? 1. palpitations 2. sore throat 3. vertigo 4. bruising 5. vision changes

2, 3, 4, 5

A nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include? 1. reduce the dose during periods of stress 2. discontinue the drug gradually 3. report illness or infection 4. increase intake of calcium and vitamin D 5. monitor for signs of gastric bleeding

2, 3, 4, 5

A nurse is caring for a client who has a new prescription for butorphanol. The nurse should monitor the client for which of the following adverse drug reactions? 1. infection 2. nausea 3. tachycardia 4. dizziness 5. headache

2, 4, 5

A nurse is caring for a client who is opioid dependent and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestations of abstinence syndrome? 1. bronchospasm 2. vomiting 3. peripheral edema 4. abdominal cramps 5. hypertension

2, 4, 5

A nurse is monitoring a client who is receiving epoetin alfa for adverse effects. The nurse should identify which of the following findings as an adverse effect of this medication? 1. leukocytosis 2. hypertension 3. edema 4. blurred vision 5. headache

2, 5

A nurse in the operating room is caring for a client who received a dose of succinylcholine. During the operation, the client suddenly develops rigidity and a rise in body temperature. The nurse should expect a prescription for which of the following medicaiotns? 1. neostigmine 2. naloxone 3. dantrolene 4. vecuronium

3

A nurse is assessing a client who has a prescription for bethanechol to treat urinary retention. The nurse should identify that which of the following findings is a manifestation of muscarinic simulation? 1. dry mouth 2. hypertension 3. excessive preparation 4. decal impaction

3

A nurse is caring for a client who has a new prescription for conjugated equine estrogen. The nurse should instruct the client to report which of the following indications of a serious adverse reaction? 1. hot flashes 2. urinary tract infection 3. vaginal bleeding 4. bone pain

3

A nurse is caring for a client who has a new prescription for topotecan therapy to treat resistant, small-cell lung cancer. The nurse should advise the client against taking which of the following types of OTC drugs while receiving the therapy? 1. folic acid 2. st. john's wort 3. ibuprofen 4. aluminum hydroxide

3

A nurse is caring for a client who has a prescription for aspirin to treat an ankle sprain. The nurse should instruct the client to report which of the following adverse drug reactions? 1. polyuria 2. bone pain 3. weight gain 4. infection

3

A nurse is caring for a client who is about to begin clomiphene therapy to treat infertility. The nurse should monitor the client for which of the following adverse effects? 1. breast cancer 2. deep-vein thrombosis 3. ovarian hyperstimulation syndrome 4. restless leg syndrome

3

A nurse is caring for a client who is about to begin insulin glargine therapy. The nurse should identify the need for additional precautions because the client also takes which of the following types of drugs? 1. oral contraceptives 2. calcium supplements 3. beta blockers 4. iron supplements

3

A nurse is caring for a client who is receiving daily doses of oprelvekin. Which of the following lab values should the nurse monitor to determine effectiveness of this medication? 1. hemoglobin 2. absolute neutrophil count 3. platelet count 5. total WBC count

3

A nurse is caring for a client who is taking pioglitazone to treat type 2 diabetes. The nurse should monitor for which of the following findings? 1. joint pain 2. constipation 3. weight gain 4. dilated pupils

3

A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol. Which of the following information should the nurse include in the teaching? 1. increases the risk for seizure activity 2. provides a form of aversion therapy 3. decreases cravings 4. can increase blood pressure

3

A nurse is reviewing the medical record of a client who has a new prescription for celecoxib. The nurse should identify that which of the following conditions is a contraindication to celecoxib? 1. rheumatoid arthritis 2. ankylosing spondylitis 3. sulfonamide allergy 4. adrenocortical insufficiency

3

A nurse is caring for a client who is about to begin taking somatropin. The nurse should explain the need to monitor which of the following lab values? 1. blood amylase 2. creatinine clearance 3. urine calcium 4. blood glucose 5. CBC

3, 4

A nurse is providing teaching to a client who has a new prescription for amitriptyline for treatment of depression. Which of the following should the nurse include in the teaching? 1. expect therapeutic effects in 24 to 48 hours 2. discontinue the medication after a week improved mood 3. change positions slowly to minimize dizziness 4. decrease dietary fiber intake to control diarrhea 5. chew sugarless gum to prevent dry mouth

3, 5

A nurse in a primary care clinic is assessing a client who takes lithium for the treatment of bipolar disorder. The nurse should recognize which of the following findings as a possible indication of toxicity to this medication? 1. urinary retention 2. sever hypertension 3. constipation 4. coarse tremors

4

A nurse is assessing a client who has a new prescription for levothyroxine. The nurse should identify which of the following findings as a contraindication for this drug? 1. bacterial skin infections 2. diabetes insipidus 3. immunosuppression 4. recent myocardial infarction

4

A nurse is caring for a child who has a viral infection. The nurse should identify that which of the following drugs can increase the risk of Reye syndrome in children who have viral infections? 1. butorphanol 2. acetaminophen 3. tramadol 4. aspirin

4

A nurse is caring for a group of clients who are not protected against varicella. The nurse should prepare to administer the varicella vaccine at this time to which of the following clients? 1. 24 year old who is in their third trimester of pregnancy 2. 12 year old who has a severe allergy to neomycin 3. 2 month old who has not health problems 4. 32 year old who has essential hypertension

4

A nurse is providing discharge teaching for a patient who has a new prescription for clozapine. Which of the following statements is appropriate for the nurse to include in the teaching? 1. you may experience temporary numbness of your mouth after each dose 2. you are likely to develop hand tremors if you take this medication for a long period of time 3. you should have a high-carbohydrate snack between meals and at bedtime 4. you should have your WBC count monitored every week

4

A nurse is providing discharge teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? 1. you should have a high carb snack between meals and at bedtime 2. you are likely to develop hand tremors if you take this medication for a long period of time 3. you may experience temporary numbness of your mouth after each dose 4. you should have your white blood cell count monitored every week

4

A nurse is providing instruction to a client who has a new prescription for calcitonin-salmon for postmenopausal osteoporosis. Which of the following instructions should the nurse include in the teaching? 1. swallow tablets on an empty stomach with plenty of water 2. watch for skin rash and redness when applying calcitonin-salmon topically 3. mix the liquid medication with juice and take is after meals 4. alternate nostrils each time calcitonin-salmon is inhaled

4

A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include? 1. take this medication on an empty stomach 2. expect optimal therapeutic effects within 24 hours 3. take this medication when needed for anxiety 4. this medication has a low risk for dependency

4

A nurse is reviewing the medical record of a client who reports taking acetaminophen at home. The nurse should identify that which of the following client conditions is a contraindication for acetaminophen? 1. asthma 2. diabetes 3. heart failure 4. alcohol use disorder

4

A nurse is teaching a client who has a new prescription for a testosterone transdermal patch. Which of the following statements made by the client indicates an understanding of the teaching? 1. I should have pancreatic function tests obtained while taking this drug 2. I should have my white blood cell count checked annually 3. I should take off the patch to shower 4. I should apply the medication to a different site each time

4

A nurse is teaching a group of new guardians about immunizations. The nurse should instruct the guardians that series for which of the following vaccines is completed prior to the first birthday? 1. pneumococcal conjugate vaccine 2. meningococcal conjugate vaccine 3. varicella vaccine 4. rotavirus vaccine

4