Pharm final

A nurse is providing discharge teaching to a client who has asthma and new prescriptions for cromolyn and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching?

"I will be sure to take the albuterol before taking the cromolyn."

A client asks the nurse if glipizide is an oral insulin. Which response should the nurse provide?

"No, it is not an oral insulin and can be used only when some beta cell function is present."

assessing an adolescent who recently overdosed on acetaminophen, it is most important for the nurse to assess for pain in which area of the body?

Abdomen

An adult client is given a prescription for a scopolamine patch to prevent motion sickness while on a cruise. Which information should the nurse provide to the client?

Apply the patch at least 4 hours prior to departure.

The healthcare provider prescribes digitalis for a client diagnosed with congestive heart failure. Which intervention should the nurse implement prior to administering the digitalis?

Assess the serum potassium level.

Which instruction(s) should the nurse give to a female client who just received a prescription for oral metronidazole for treatment of trichomonas vaginalis? (Select all that apply.)

Avoid drinking alcohol while taking this medication. Ensure that all sexual partners are treated at the same time. It is not uncommon to experience a metallic taste in your mouth while taking this medication.

Which medications should the nurse caution the client about taking while receiving an opioid analgesic?

Benzodiazepines.

Which antidiarrheal agent should be used with caution in clients taking high dosages of aspirin for arthritis?

Bismuth subsalicylate.

A client is receiving metoprolol. What assessment is most important for the nurse to obtain?

Blood pressure

A client is receiving clonidine 0.1 mg/24hr via transdermal patch. Which assessment finding indicates that the desired effect of the medication has been achieved?

Blood pressure has changed from 180/120 to 140/70.

Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor antagonist valsartan has been achieved?

Blood pressure reduced from 160/90 to 130/80.

While taking a nursing history, the client states, "I am allergic to penicillin." What related allergy to another type of antiinfective agent should the nurse ask the client about when taking the nursing history?

Cephalosporins

Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack, which assessment finding indicates to the nurse that the desired effect has been achieved?

Client states chest pain is relieved.

The nurse is teaching a client with cancer about opioid management for intractable pain and tolerance related side effects. The nurse should prepare the client for which side effect that is most likely to persist during long-term use of opioids?

Constipation

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.

An older client with a decreased percentage of lean body mass is likely to receive a prescription that is adjusted based on which pharmacokinetic process?

Distribution.

A client with congestive heart failure (CHF) is being discharged with a new prescription for the angiotensin-converting enzyme (ACE) inhibitor captopril. The nurse's discharge instruction should include reporting which problem to the healthcare provider?

Dizziness.

The nitrate isosorbide dinitrate is prescribed for a client with angina. Which instruction should the nurse include in this client's discharge teaching plan?

Do not get up quickly. Always rise slowly.

The nurse is assessing a client who is experiencing anaphylaxis from an insect sting. Which prescription should the nurse prepare to administer this client?

Epinephrine.

A client with hyperlipidemia receives a prescription for niacin. Which client teaching is most important for the nurse to provide?

Expected duration of flushing.

A medication that is classified as a beta-1 agonist is most commonly prescribed for a client with which condition?

Heart failure.

Dobutamine is an emergency drug most commonly prescribed for a client with which condition?

Heart failure.

A client is receiving digoxin for the onset of supraventricular tachycardia (SVT). Which laboratory findings should the nurse identify that places this client at risk?

Hypokalemia

A client who was prescribed atorvastatin one month ago calls the triage nurse at the clinic complaining of muscle pain and weakness in his legs. Which statement reflects the correct drug-specific teaching the nurse should provide to this client?

Make an appointment to see the healthcare provider, because muscle pain may be an indication of a serious side effect.

The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with arthritis. The client reports that she can't hear the nurse's questions because her ears are ringing. What action should the nurse implement?

Notify the healthcare provider of this finding immediately.

Which method of medication administration provides the client with the greatest first-pass effect?

Oral.

Following heparin treatment for a pulmonary embolism, a client is being discharged with a prescription for warfarin. In conducting discharge teaching, the nurse advises the client to have which diagnostic test monitored regularly after discharge?

Prothrombin Time (PT/INR).

A client is receiving ampicillin sodium for a sinus infection. The nurse should instruct the client to notify the healthcare provider immediately if which symptom occurs?

Rash.

A client with heart failure is prescribed spironolactone. Which information is most important for the nurse to provide to the client about diet modifications?

Refrain from eating foods high in potassium.

Which nursing diagnosis is important to include in the plan of care for a client receiving the angiotensin-2 receptor antagonist irbesartan?

Risk for injury.

A client is receiving methylprednisolone 40 mg IV daily. The nurse anticipates an increase in which laboratory value as the result of this medication?

Serum glucose.

The nurse is reviewing the use of the patient-controlled analgesia (PCA) pump with a client in the immediate postoperative period. The client will receive morphine 1 mg IV per hour basal rate with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally per hour. What assessment has the highest priority before initiating the PCA pump?

The rate and depth of the client's respirations.

A 43-year-old female client is receiving thyroid replacement hormone following a thyroidectomy. What adverse effects associated with thyroid hormone toxicity should the nurse instruct the client to report promptly to the healthcare provider?

Tachycardia and chest pain.

A home health nurse is assessing an older adult client who reports falling a couple of times over the past week. Which of the following findings should the nurse suspect is contributing to the client's falls?

The client takes alprazolam.

A peak and trough level must be drawn for a client receiving antibiotic therapy. What is the optimum time for the nurse to obtain the trough level?

Thirty minutes before the next antibiotic dose is given.

After abdominal surgery, a male client is prescribed low molecular weight heparin. During administration of the medication, the client asks the nurse why he is receiving this medication. Which is the best response for the nurse to provide?

This medication is a blood thinner given to prevent blood clot formation.

In evaluating the effects of lactulose given for constipation, which outcome should indicate that the drug is performing as intended?

Two or three soft stools per day.

A category X drug is prescribed for a young adult female client. Which instruction is most important for the nurse to teach this client?

Use a reliable form of birth control.

A female client with rheumatoid arthritis take ibuprofen 600 mg PO 4 times a day. To prevent gastrointestinal bleeding, misoprostol 100 mcg PO is prescribed. Which information is most important for the nurse to include in client teaching?

Use contraception during intercourse.

Sucralfate (carafate) works by:

adhering to the ulcer lesions and protecting them from stomach acids

Diphenoxylate (Lomotil) works by:

slowing intestinal motility and prolonging intestinal transit time

Which of the following would the nurse expect to administer to a patient with traveler's diarrhea?

bismuth salicylate

Ranitidine (Zantac) works by:

blocking histamine at the receptor sites of parietal cells

Omeprazole (Prilosec) is used in the management of:

gerd

A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows that the action of this drug is to

inhibit synthesis of T3 and T4 by the thyroid gland. D

Which of the following best reflects the rationale for using histamine 2 receptor antagonists for stress ulcer prophylaxis?

protects the stomach lining via acid blockage

Which group of drugs work by inhibiting the H+/.K+ ATPase enzyme system at the secretory surface of the gastric parietal cell?

proton pump inhibitors

The healthcare provider prescribes naloxone for a client in the emergency room. Which assessment data would indicate that the naloxone has been effective? The client's

respiratory rate is 16 breaths/minute.