Pharm final

A nurse is preparing to administer to a client 0.9% sodium chloride 1000 ml IV over 8 hr. the drop factor of the manual IV tubing is 15gtt/ml. the nurse should set the manual IV fusion to deliver how many gtt/min?

31gtt/min

A nurse is preparing to administer amoxicillin 250mg PO to a school aged child. the amount available is amoxicillin oral suspension 200mg/5ml. How many ml should the nurse administer per dose

6.3 ml

A nurse is caring for a client who is recovering from a deep vein thrombosis and is to start taking warfarin. for which of the following findings should the nurse monitor as an AE of warfarin

Bleeding gums

A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. which of the following instructions should the nurse include

Blood glucose levels will be monitored, Avoid contact with people who have infections, Grapefruit juice can increase the effects of the medications

A nurse is administering baclofen for a client who has a spinal cor injury. WHich of the following should the nurse documentas a therapeutic outcome

Decrease in flexor and extensor spasticity

A nurse is providing teaching to a client about the use of ethinyl estradiol/norelgestromin. the nurse should identify that which of the following statements by the client indicates an understanding of the teaching

I will fold the sticky sides of the old patch together before disposing it

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

Report muscle pain to the provider, Avoid taking with grapefruit juice, Expect therapy with this medication to be lifelong

A nurse is providing teaching about AE of clindamycin to a client. Which of the following findings should the nurse instruct the client to report to the provider

Watery Diarrhea

A nurse is preparing to teach a client who is to start a new prescription for extended release verapamil. which of the following instructions should the nurse plan to include

change positions slowly

A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking the docusate sodium on a daily basis can minimize which of the following AE of morphine

Constipation

A nurse is preparing to administer a schedule antibiotic 0800 to a client and discovers the antibiotic is not present in the clients medication drawer. the nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report

0830

A nurse is caring for the mother of a newborn. The mother asks the nurse when her newborn should recieve his first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the mother that her newborn should receive the immunization at which of the following ages

2 months

A nurse is preparing to administer heparin subcut. to a client. Which of the following actions should the nurse plan to take

Administer the medication outside the 2 in radius of the umbilicus

A nurse is reviewing the medical record for a client who has hypertension. the nurse should identify which of the following findings as a contrindication to receiving propranolol

Asthma

A nurse is assessing a client who has received atropine eye drops during an eye examination. whihc of the following findings should the nurse expect as an AE of the medication

Blurred vision

A nurse is caring for a client who is receiving long-term treatment for systemic lupus erythematosus with prednisone. The nurse should inform the client to expect to undergo which of the following diagnostic tests to monitor for longterm complications of prednisone

Bone density Scans

A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. the nurse should identify that which of the following client medications will interfere witht the effectiveness of oral contraceptives

Carbamazepine

A nurse is teaching a client who is starting to take ketorolac. which of the following information should the nurse include in the teaching?

Check for bruising while taking this medication

A nurse is prviding teaching to a client who is to start taking sumatriptan. which of the following AE should the nurse instruct the client to monitor for and report to the provider

Chest Pressure

A nurse is providing teaching about insulin glargine to a client who has type 1 DM. which of the following information should the nurse include in the instructions

Do not mix this medication in a syringe with other insulin

A nurse is caring for a client who has pnuemonia. the client tells the nurse she is pregnant and that she has not told her provider yet. The nurse should identify that pregnancy is a contraindication to recieving which of the following medications

Doxycycline

A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. which of the following findings should indicate to the nurse the client is experiencing an AE

Miosis (pupillary constriction)

A nurse is providing teaching to a client who has a prescription for trimthoprim/ sulfamethoxazole. which of the following instructions should the nurse include in the teaching

Drink 8 to 10 glasses f water daily

A nurse is planning discharge teaching for a client who has a prescription for furosemide. the nurse should plan to include which of the following statements in the teaching

Drink a glass of milk with each dose of medication

A nurse is providing teaching to a client who is start taking lisinopril. Which of the following findings is an AE that the nurse should instruct the client to monitor and report to the provider

Dry Cough

A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. which of the following medications should the nurse anticipate administering

Flumazenil

A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. Which of the following findings should the nurse report to the provider

Hemoglobin 7.0 g/dl, Platelets 75,000/mm3, potassium 5.2 mEq/L

A nurse in a providers office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately

Hyperventilation

A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. the nurse anticipates a prescription for ciprofloxacin. the nurse should identify that which of the following client statements indicates a contraindication for administering this medication

I have tendonitis, so i havent been able to exercise

A nurse is teaching a client who is to start taking ranitidine for peptic ulcer disease. which of the following client statements should the nurse identify as understanding of the teaching

I know smoking makes ranitidine less effective

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

I should let my dentist know im taking this medication

A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin. the nurse should identify that which of the folloeing statements by the client indicates an understanding of the teaching

I will remove patch after 14 hours

A nurse is providing discharge instruction to a client who is to self-administer insulin at home. Which of the following client statements should indicate to the nurse that the teaching is effective

I will store my unopened bottles of insulin in the refrigerator

A nurse is teaching a client about cyclobenzaprine. Which of the following client statemets should indicate to the nurse that the teaching is effective

I will taper off the medication before discontinuing it

A nurse is teaching about zolpidem with a client who has insomnia. the nurse should identify that which of the following client statements indicates an understanding of the teaching

I will use this medication for a short period of time

A nurse is teaching a client who has an upper respiratory infection about guaifenesin. which o the following statements should the nurse include in the teaching

Increase your fluid intake to at least 2 Liters each day while taking this medication

A nurse is caring for a client who has heart failure and is recieving an IV infusion of dopamine. which of the following findings indicate that the medication is effective

Increased cardiac output

A nurse is an emergency department is caring for a client who has heroin toxicity. the client is unresponsive with pinpoint pupils and a respiratory rate of 6/ min. which of the following medications should the nurse plan to administer

Naxolone

A nurse is preparing to administer medication to a client who has gout. the nurse discoveres that an error was made during the previous shift and the client received atenolol instead of allopurinol. which of the following actions should the nurse take first

Obtain the clients BP

A nurse is monitoring a client who is receiving amphotericin B intermittent IV bolus for the treatment of histoplasmosis. WHich of the following findings should the nurse identify as an AE to the medication

Oliguria

A nurse is providing teaching for a client who has a new prescription for ferrous sulfate. The nurse should instruct the client to take the medication with which of the following to promote absorption

Orange Juice

A nurse is monitoring for AE of hydrochlorothiazide after administering the medication to an older adult client who has heart failure. which of the following findings should the nurse identify as an AE of the medication

Orthostatic hypotension

A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care

Place monitoring cords and tubes in a stockinet

A nurse is teaching a client who is to start taking temazepam. which of the following instructions should the nurse include

Plan to withdraw from the medication gradually

A nurse is reviewing the prescriptions of a client who has tuberculosis. The nurse should identify that which of the following medications are used for tuberculosis

Rifapmin, Isoniazid

A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. which of the following instructions should the nurse include in the teaching

Rinse your mouth after inhaling the beclomethasone

A nurse is teaching a client who is to start taking dilitiazem. the nurse should instruct the client to report which of the following findings as an adverse effect of the medication

Shortness of breath

A nurse is providing teaching to a client who has a prescription for a MAOI inhibitor. Which of the following foods should the nurse instruct the client to avoid while taking this medication

Smoked Sausage

A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry-flavored lozenged on a stick. which of the following information should the nurs include in the teaching

Store unused medication sticks in a storage container

A nurse is caring for a client who is receiving end-of-life care and has a prescription for fentanyl patches. WHich of the following information regarding the AE of fentanyl should the nurse plan to give to the client and family

Take a stool softener on a daily basis

A nurse is caring for a client who is taking atenolol. WHich of the following findings should indicate to the nurse that the medication is effective

The client has a decrease in blood pressure

A nurse administers ceftazidimie to a client who has a severe penicillin allergy. the nurse should identify which of the following client findings as an indication that h=she should complete an inicident report

The client reports shortness of breath

A nurse is caring for a client who is taking acetazolamide for chronic open angle glaucoma. For which of the following AE should the nurse instruct the client to monitor and report

Tingling of fingers

A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. WHich of the following lab tests should the nurse review before administering the medication

Total cholesterol

A nurse is caring for a client who is in labor . the client is receiving oxytocin by continuous IV infusion with a maintenance IV solution. the external FHR monitor indicates late decelerations. which of the following actions should the nurse take first

Turn the client to a side-lying position

A nurse is teaching a client who is starting to take amitriptlyline. which of the following findings should the nurse include in the teachiing as an AE of the medication

Urinary retention

A nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. WHich of the following actions should the nurse take first

discontinue medication IV inusion

A nurse is caring for a client who reports lethargy and myalgia after taking clozapine for 6 months. which of the following actions should the nurse plan to take

obtain WBC with absolute neutrophil count

A nurse is caring for a client who has DM and is taking glyburide. the client reports feeling confused and anxious. which of the following actions should the nurse take first

preform a capillary blood glucose test

A nurse is caring for a 20 yr old female who has a prescription for isotretinoin for severe nodulocystic acne vulgaris. before the client can obtain a refill, the nurse should advise the client that which of the following tests is required

pregnancy test