Pharm final

A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?

"I should eat more bananas while taking this medication."

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 nurse is teaching a client who has diabetes mellitus and a new prescription for prednisone for a rash. Which of the following statements by the client indicate the need for further teaching?

"I will gradually stop the prednisone when my rash goes away."

A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?

"It might take up to 3 days for the medication to work."

A nurse is caring for a client who is prescribed diphenhydramine to relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing, Which of the following responses should the nurse give?

"Take most of the daily dose at bedtime."

A nurse at a family practice clinic receives a call from a client who is prescribed oral. contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?

"Take the missed dose now, then continue the medication as ordered."

A nurse is caring for a client who is receiving magnesium sulfate to treat severe preeclampsia and asks the nurse "Is the medication working?" Which of the following responses should the nurse make?

"The medication is working, because there is no seizure activity."

A nurse is teaching an adolescent about medication therapy with oral acetylcysteine. Which of the following information should the nurse include in the teaching?

"This medication has a very unusual odor." Rotten egg smell

A nurse is teaching a client who has asthma how to use a metered-dose inhaler (MDI). The nurse identifies the sequence of steps the client should follow.

*Inhale deeply and then exhale completely *Place her lips firmly around the mouthpiece *Breathe in deeply over 2 to 3 seconds while pushing down on the canister *Hold her breath for 10 seconds *Exhale slowly through pursed lips

A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following responses should the nurse make? (Select all that apply.)

- The medication will prevent wheezing - The medication will open the airways. - The medication will decrease coughing episodes.

A nurse is planning possible interventions in the care for a client who may need for total parenteral nutrition (TP). Which of the following clients should benefit from TPN?

A client who has a complete bowel obstruction

A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects?

Adrenocortical insufficiency

A nurse is caring for a client who has cancer and is receiving total parenteral nutrition(TP). Which of the following lab values indicates the treatment is effective?

Albumin 4.2 g/dL

A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use to abort an acute asthma attack?

Albuterol

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

Avoid caffeine while taking this medication

A nurse is assessing a client who is receiving total parenteral nutrition (TP) therapy via an infusion pump. Which of the following actions should the nurse take?

Change the IV tubing

A nurse is caring for a client who is postoperative. For which of the following findings should the nurse administer ondansetron?

Clients report nausea

A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication?

Decreases inflammation

A nurse is caring for a client who is receiving total parenteral nutrition (TP). The pharmacy is delayed in supplying the client's next container of TP. Which of the following fluids should the nurse infuse until the next container arrives?

Dextrose 10% in water

A client has come to the clinic seeking a prescription for Sildenafil (Viagra). What is a priority assessment question for the nurse to ask?

Do you use nitroglycerin?

A client's IV bag of total parenteral nutrition (TP) is empty, and the new bag has not arrived from the pharmacy. Which of the following is the most appropriate intervention for the nurse to make?

Hang a bag of dextrose 10% in water (D1OW) until the new bag of TPN is delivered.

After receiving TPN at 84 ml/hr continuously for five days, a client, in a state of confusion, pulled out their central line. Prior to notifying the physician, the nurse should start a peripheral IV and do which of the following?

Hang an infusion 10% dextrose.

A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. For which of the following adverse effects should the nurse monitor for?

Headache

in uses burns. When dises rec ehe citenta fecarenter als therapy, which of the following observations by the nurse is of least Importance?

Height of IV pole

A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is experiencing an asthma attack.Which of the following actions should the nurse take?

Infuse the medication with an IV pump.

A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?

Isosorbide

A nurse in a provider's office is reviewing the laboratory results of a client who is taking omeprazole for GERD and a thiazide diuretic for hypertension. Which of the following laboratory findings should the nurse report?

Magnesium 1.0

A nurse is caring for a client who is receiving total parenteral nutrition (TP) via a peripherally inserted central catheter (PICC) line. When assessing the client, the nurse notes that the client's arm seems swollen above the PICC insertion site. Which of the following actions should the nurse take first?

Measure the circumference of both upper arms

A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has hyperkalemia. Which of the following actions should the nurse plan to take?

Monitor for constipation

A nurse is reviewing the client's laboratory values who is receiving total parenteral nutrition (TP) has the following lab values: glucose = 72 mg/dL, chloride = 98 mEg/L. sodium = 138 mEq/L, and potassium 3.0 mE/L. Which of the following may the nurse expect to implement?

Plan to infuse potassium replacement

A nurse is caring for a client receiving total parenteral nutrition (TP)/ Which of the following should the nurse recognize as a complication of this therapy?

Polyuria

A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance?

Prednisone

A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective?

Reduced dyspepsia

A nurse is providing teaching to a client who has gastrosophageal reflux disease and a new prescription for omeprazole. Which of the following instructions should the nurse provide?

Report diarrhea to the provider.

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

Take this medication with a full glass of water.

A nurse is assessing a client and discovers the infusion pump with the client's total parenteral nutrition (TP) solution is not infusing. The nurse is assessing a client and discovers the infusion pump with the client's total parenteral nutrition (TP) solution is not infusing. The nurse should monitor the client for which of the following conditions?

Shakiness and diaphoresis

A nurse is caring for a client who requires total parental nutrition (TPN). Which of the following actions should the nurse take when finding that the TP solution is infusing too rapidly?

Sit the client upright

A nurse is teaching a group of young women about the use of oral contraceptives. The nurse should teach that taking which of the following herbal preparations reduces the effectiveness of this birth control method?

St. John's Wort

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

Swallow the capsules whole

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

The client holds his breath for 10 seconds after inhaling the medication

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?

The medication relieves nausea by promoting gastric emptying

A nurse is preparing to transfuse one unit of packed BC to a client who experienced a mild allergic reaction during a previous transfusion. The nurse should administer diphenhydramine prior to the transfusion for which of the following allergic responses?

Urticaria-hives

A nurse is planning care for a client who is to start receiving total parenteral nutrition (TPN). Which of the following interventions should the nurse include in the plan of care?

Use a 1.2 micron filter when infusing TP with fat emulsions added

A nurse is providing education to a client who is being discharged home with total parenteral nutrition (TP). Which of the following statements by the nurse is most appropriate? (Select all that apply.)

a. Keep the TPN refrigerated when not in use." b. "Infuse 10% dextrose and water if the solution runs out" e. "Maintain TPN infusion rate when behind schedule.

A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?

ammonia

A client who is receiving magnesium sulfate has a urine output of 20 mL/hr. Which of the following medications should the nurse expect to administer?

calcium gluconate

A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of dry mouth associated with diphenhydramine?

chew on sugarless gum or suck on hard, sour candies

A nurse in an urgent care clinic is collecting the data from a client who reports itching for the past 5 days. Which of the following medications should the nurse expect the provider to prescribe?

diphenhydramine

A nurse is caring for a client who is receiving total parenteral nutrition and develops refeeding syndrome. The nurse should expect which of the following laboratory findings?

hypophosphatemia

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?

rinse the mouth after administration.

A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor?

sedation

A nurse is teaching a client about taking diphenhydramine. The nurse should explain to the client that which of the following is an adverse effect of this medication?

sedation

A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions?

stimulates secretions

A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects?

tachycardia

A nurse is caring for a client who has cirrhosis and a new prescription for lactulose. Which of the following manifestations indicates an adverse effect of the medication?

vomiting