Pharm HESI
Which diuretic would the nurse anticipate administering to a client admitted with acute pulmonary edema? Furosemide Chlorothiazide Spironolactone Acetazolamide
Furosemide
Which instruction will the nurse include when performing discharge teaching to a client now receiving hydrocortisone by mouth after stabilization of an acute adrenal insufficiency? Eat a diet high in Sodium Take the med with food Maintain the same dose indefinitely Eliminate a dose if SE occur
Take the med with food
How would the nurse instruct a client with arthritis to take aspirin causes stomach irritation? An hour before a meal With food and a full glass of water With sodium bicarbonate At the same time as the other meds
With food and a full glass of water
which purpose is served by an evening snack of milk, crackers, and cheese for a client who is receiving NPH insulin?
food to counteract late insulin activity
which medication is indicated for management of clinical manifestations associated with an opioid OD?
Naloxone
Which information would the nurse provide to a client with hyperthyroidism receiving methimazole?
initial improvement will take several weeks
How can the nurse prevent vomiting in a client who reports feeling nauseated after cataract surgery? Administer the prescribed antiemetic med Provide some dry crackers explain that this is expected after surgery Teach how to breathe deeply until the nausea subsides
Administer the prescribed antiemetic med
Which element. if missing from a newly admitted client's medication administration record (MAR), makes the record incomplete? Height Allergies Vital signs Body Weight
Allergies
which action will the nurse take after stopping the antibiotic infusion of a client who becomes restless and flushed, and begins to wheeze during the admin of an antibiotic? 1. Check the client's temp 2. take pt BP 3. Obtain pt's pulse ox 4. Assess pt's resp. status
Assess the client's respiratory status
Which medication is indicated for emergency treatment of bleeding esophageal varices? Vasopressin Neostigmine Lansoprazole Phytonadione
Vasopressin
Which effect may be experienced by a client who reports frequently taking calcium carbonate? Diarrhea Water retention Rebound hyperacidity Bone demineralization
rebound hyperacidity
Which period of time would a nurse recognize as the greatest risk of hypoglycemia when caring for a client who receives regular insulin daily at 8AM?
10-1PM
Which food would the nurse encourage a client to eat while receiving treatment to prevent hypokalemia? Broccoli Oatmeal Fried Rice Canned carrots
Broccoli
Which instruction would the nurse provide to a client who has anxiety and depression and is prescribed venlafaxine ER, tablets. SATA
Do not crush the tablets. report any suicidal thoughts the medication takes 3 to 4 weeks That suddenly stopped taking the medication. Temper your dose up to the required dose.
A client with a history of osteoporosis and vertebral compression has been coming to the clinic more frequently for prescription refills of hydrocodone/acetaminophen. Which inference will the nurse make? The half-life of the medication has decreased An idiosyncratic reaction has occurred Higher doses are needed to achieve pain relief Emotional dependence on the med has developed
Higher doses are needed to achieve pain relief
Which times for the medication schedule would a nurse teach when corticosteroid therapy is prescribed for a client with an exacerbation of ulcerative colitis? At bedtime with a snack 3X a day with meals In the early morning with food One hour before or 2 hours after eating
In the early morning with food
Which parameter would the nurse monitor to evaluate the effectiveness of desmopressin acetate (DDAVP) administered to a client with diabetes insipidus? 1 Arterial blood pH 2 Intake and output 3 Fasting serum glucose 4 Pulse and respiratory rates
Intake and output
Which explanation would the nurse provide to a client with TB who asks why (pyridoxine) VB6 is given with isoniazid?
Isoniazid interferes with the synthesis of this vitamin
Which essential test results will the nurse review before starting antitubercular pharmacotherapy when caring for a client with human immunodeficiency virus (HIV) infection who is diagnosed with TB? Liver function studies Pulmonary function studies Electrocardiogram and echocardiogram WBC counts and sedimentation rate
Liver function studies (anti-TB meds are liver toxic)
A client abruptly stops taking a barbiturate. Which withdrawal complication would the nurse anticipate that the client may experience? Ataxia Seizures Diarrhea Urticaria
seizures
Which condition is treated with a Proton pump inhibitor (PPI)? D V Cardiac dyshythmias GERD
GERD
A client in the hyperactive phase of bipolar disorder is receiving lithium.The nurse sees at the client's lithium. Blood level is 1.8.mEQ/L. Which action should the nurse take?
Hold Medication and notify HCP immediately because the blood lithium level may be toxic (Normal: 0.6-1.2)
Which client statement demonstrates an understanding of cyanocobalamin (VB12) prescribed for pernicious anemia?
I should take a vitamin B 12 injection every month
Which adverse response would a nurse assesses for when carbidopa-levodopa is prescribed for a client with Parkinson disease? SATA Nausea Lethargy Bradycardia Polycythemia Emotional changes
Nausea Emotional changes
Which information would the nurse include when preparing a teaching plan for a client prescribed sublingual nitroglycerin?
Place the tablet under the tongue or between the cheek and gums
Which client statement indicates that teaching about acetaminophen is effective?
"I have to be careful about which OTC cold preparations I take"
Which IV solution would a nurse anticipate administering when caring for a client with a history of severe Diarrhea for the past 3 days who is admitted for dehydration?
0.9% sodium Chloride
Which medication will be crushed by a nurse caring for a client with difficulty swallowing? Metoprolol extended release Felodipine sustained release Acetaminophen extra strength Potassium chloride extended release
Acetaminophen extra strength
Which action would the nurse take when administering tetracycline?
Administer the med at least an hour before ingestion of milk products
Which statement by the nurse reflects teachings for a client recently initiated on anticonvulsants? SATA
All correct take at same time everyday Do not drink excessive amounts of caffeine-containing beverages or alcohol Avoid driving or hazardous activities until any SR such as drowsiness can be determined Interfere with vitamin and mineral absorption so you may need a supplement Oral hygiene, gum massages and tooth brushing are important
Which ophthalmic solution is contraindicated for clients with glaucoma? Timolol Atropine Pilocarpine Epinephrine
Atropine (dilates pupil, increasing intraocular pressure)
Which meds would the nurse ID as being used as preanesthetic agents? SATA Barbiturates Benzodiazepines Antiepileptic agents Atypical antipsychotics Mood Stabilizing agent
Barbiturates Benzodiazepines
which data collection assessment would be performed to evaluate the effectiveness of Furosemide administered to a client with congestive heart failure. SATA
Daily weight. I & O monitor for edema Daily pulse oximeter. auscultate breath sounds
Neuroleptic malignant syndrome is a potentially fatal reaction to antipsychotic therapy. Which signs and symptoms of this syndrome will the nurse ID? SATA Jaundice Diaphoresis Hyperrigidity Hyperthermia Photosensitivity
Diaphoresis Hyperrigidity Hyperthermia
Which intervention would the nurse implement for a client admitted for an exacerbation of asthma?
Give prescribed meds to promote bronchiolar dilation
Which complication can occur if a client receiving isocarboxazid fails to adhere to necessary dietary restrictions?
HTN crisis
Which technique would the nurse reinforce when teaching a client how to self-administer eyedrops after cataract surgery? 1. Placing the drops on the cornea of the eye 2. Raising the upper eyelid with gentle traction 3. Holding the dropper tip above the conjunctival sac 4. Squeezing the eye shut after instilling the medication
Holding the dropper tip above the conjunctival sac
Which adverse med effect will a nurse monitor for in a client with cirrhosis of the liver who develops ascites and is prescribed spironolactone? Bruising Tachycardia Hyperkalemia Hypoglycemia
Hyperkalemia
Which increased risk would the nurse consider when assessing a client with diabetes who is receiving long term corticosteroid therapy and is admitted with leg ulcers? 1. Weight loss 2. Hypoglycemia 3. Decreased blood pressure 4. Inadequate wound healing
Inadequate wound healing
Which mechanism of action would the nurse ID for levodopa therapy prescribed to a client diagnosed with Parkinson's disease? Blocks the effects of acetylcholine Increases the production of dopamine Restores the dopamine levels in the brain Promotes the production of acetylcholine
Restores the dopamine levels in the brain
Which statement indicates that a female client who is receiving rifampin for TB understands the teaching? SATA 1"This drug may be hard on my liver so I must avoid alcoholic drinks while taking it." 2"This drug may reduce the effectiveness of the oral contraceptive I am taking." 3"I cannot take an antacid within two hours before taking my medicine." 4"My health care provider must be called immediately if my eyes and skin become yellow."
1"This drug may be hard on my liver so I must avoid alcoholic drinks while taking it. "2" This drug may reduce the effectiveness of the oral contraceptive I am taking." 4"My health care provider must be called immediately if my eyes and skin become yellow.
the nurse observed seizures in a client who is taking lithium for cycles of mania. Which laboratory parameters may lead to this condition?
3 mEq/L serum lithium levels
Which explanation would the nurse provide for administering prednisone to a client with an exacerbation of colitis? The client will be protected from getting an infection Symptoms associated with colitis will decrease slowly over time Although the med causes anorexia, weight loss may not occur Although the med decreases intestinal inflammation, it will not cure the colitis
Although the med decreases intestinal inflammation, it will not cure the colitis
An antidepressant is prescribed for a depressed older client. After one week, the clients son expresses concern that there does not seem to be much improvement. Which is the best response by the nurse?
Antidepressant therapy requires several weeks before it becomes effective.
Which instruction about phenytoin will the nurse provide during discharge teaching to a client with epilepsy who is prescribed phenytoin for seizure control? Antiseizure meds will prob be continued for life Phenytoin prevents any further occurrence of seizures This med needs to be taken during periods of emotional stress Your antiseizure med usually can be stopped after a year's absence of seizures
Antiseizure meds will prob be continued for life
Which meds increase the risk for upper GI bleeding? SATA Aspirin Ibuprofen Ciprofloxacin Acetaminophen Methylprednisolone
Aspirin Ibuprofen Methylprednisolone
Which advantage does aluminum and magnesium hydroxide have over baking soda for the treatment of heartburn? They can be used for short term relief Absorption by the stomach mucosa is markedly enhanced There is no direct effect on the systemic acid base balance when taken as directed Fewer side effects, such as D/C are experienced when they are used properly.
There is no direct effect on the systemic acid base balance when taken as directed
Which time for med scheduling would a nurse teach to a client prescribed the oral pancreatic enzymes pancrelipase? At bedtime 2 With meals 3 One hour before meals 4 On arising each morning
With meals
Which clinical finding indicates that doxorubicin toxicity may have occurred?
alteration in cardia rhythm
Which response would the nurse give to a client taking ibuprofen for RA who asks the nurse if acetaminophen can be substituted? "Yes, both are antipyretics and have the same effect."B. "Acetaminophen irritates the stomach more than ibuprofen does."C. "Acetaminophen is the preferred treatment for rheumatoid arthritis."D. "Ibuprofen has anti-inflammatory properties, and acetaminophen does not."
"Ibuprofen has anti-inflammatory properties, and acetaminophen does not."
Which mechanism of action explains why naloxone is administered for a heroin OD? Competition with opioids for occupancy of opioid receptors Blunts of withdrawal symptoms as heroin wears off Accelerated metabolism of heroin and stimulation of respiratory centers Stimulation of cortical sites that control consciousness and CV function
Competition with opioids for occupancy of opioid receptors
Which lab values are important for the nurse to monitor in a client who takes zidovudine? Cardiac enzymes Serum electrolytes Complete blood count (CBCs) Urinalysis
Complete blood count (CBCs)
Which therapeutic effect would the nurse expect to ID when mannitol is administered to a client? Improved renal blood flow Decreased intracranial pressure Maintenance of circulatory volume Prevention of the development of thrombi
Decreased intracranial pressure
Which nursing intervention is important when caring for clients receiving IV digoxin? SATA Monitor the HR closely Check the blood levels of digoxin Monitor the serum potassium level
Monitor the HR closely Check the blood levels of digoxin Monitor the serum potassium level
Which sign of hypokalemia will the nurse monitor for a client receiving furosemide? Chvostek sign Muscle weakness Anxious behavior Abdominal cramping
Muscle weakness
which adverse effect would the nurse continually assess for in a client receiving valproic acid? Yellow sclerae Motor restlessness Ringing in the ears Torsion of the neck
Yellow sclerae
Which assessment would the nurse perform for a 10 yr old client prescribed methylphenidate to treat ADHD? SATA A. grades B. Weight C. Appetite D. Behavior E. Heart rate
all of the above
Which mechanism is specifically responsible for the action of the med ranitidine Inhibiting proton pumps Promoting the release of gastrin Regenerating the gastric mucosa Inhibiting the Histamine at H2 receptors
inhibiting the Histamine at H2 receptors
which topic will the nurse include in the discharge teaching of a client who has had a total gastrectomy?
injections of vitamin B12 for life
Which AE of metformin will a nurse teach a client with type 2 diabetes to monitor for when used as monotherapy?
lactic acidosis
Which purpose of insulin would a nurse ID when caring for a client prescribed insulin added to a solution of 10% dextrose in water after an IV solution containing potassium inadvertently was infused too rapidly?
potassium follow insulin and glucose into the cells of the body, thereby rasing the intracellular potassium level.
Which mechanism would a nurse recall when caring for a client prescribed bisacodyl for constipation?
stimulates peristalsis
which statement by a client who has gastric ulcer and asks what to do if epigastric pain occurs indicates that teaching was effective?
"Taking an antacid preparation will decrease pain due to gastric acid"
Which statement by a client who had an endarterectomy that is prescribed clopidogrel would cause the nurse to conclude that teaching was effective?
"Taking med will help prevent further clogging of my arteries"
Which explanation would the nurse include when teaching a client scheduled for a bowel resection about the purpose of preoperative antibiotics? "They prevent incisional infection" "Antibiotics prevent POstOP pneumonia" "These meds limit the risk of a UTI" "They are given to eliminate bacteria from the GI tract"
"They are given to eliminate bacteria from the GI tract"
Which is an appropriate nursing action when caring for a client taking benazepril for HTN?
assess for dizziness
Which instruction regarding nutrition will the nurse give a client discharged after a short hospitalization for an episode of a transient ischemic attack (TIA) related to HTN who is on a regimen that includes chlorothiazide? Eat more dark greens, leafy vegetables such as spinach Sub a potassium-based salt substitute for table salt Return to previous eating habits Increase intake of dairy products
eat more dark greens, leafy vegetables such as spinach
A 45-year-old client who recently completed alcohol detoxification reports plans to begin using. disulfirams as part of the alcoholism treatment regime. which client teaching would the nurse share regarding this medication
foods, meds, and any topical preparation containing alcohol should be avoided.
In which category of fluids would the nurse classify as IV solution of 0.45% sodium chloride?
hypotonic
Which manifestation is an extrapyramidal SE of chlorpromazine? SATA
Drooling Facial tics Shuffling gait tongue rolling restless mvt
Which med would the nurse expect to administer to actively reverse the OD sedative effects of benzodiazepines? Lithium Flumazenil Methadone Chlorpromazine
Flumazenil
A client who has been taking the prescribed dose of Zolpidem for five days returns to the clinic for a follow up visit. Which statement by the client indicates the medication has been effective?
" i have been sleeping much better" because it is a sedative-hypnotic that causes CNS depression
Which statement is important for the nurse to include in the teaching plan of a client with irritable bowel syndrome who has instructions to take psyllium for constipation? a. urine may be discolored b. stop taking laxatives once bowel movement occurs c. daily use may inhibit the absorption of some fat-soluble vitamins d. Each dose should be taken with a full glass of water or juice
"Each dose should be taken with a full glass of water or juice
Which response would a nurse give to a client who takes furosemide and digoxin and reports that everything looks yellow?
"I will hold the medication until I consult with your healthcare provider."
Which statement made by a client prescribed metformin extended release to control type 2 diabetes mellitus indicates the need for further education?
"I will stop taking metformin for 24 hours before and after having a test involving dye."
Which concept is important to teach a client in relation to why medication cocktails are more effective than a single med in cancer therapy? Med resistance Tumor doubling time Cellular growth cycle Retained radioactive particles
Cellular growth cycle
Lab reports reveal that the client's thyroxine levels are low. Which medication might have led to this condition?
Lithium
