Pharm II Practice
A nurse is caring for a client who has a prescription for ampicillin (Omnipen). Which of the following client reactions would require priority intervention by the nurse?
Wheezing
A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily. The amount available is digoxin 0.125mg tablets. How many tablets should the nurse administer to the client? (Round to the nearest whole number).
2
A nurse is reinforcing discharge teaching to a client who has asthma and has a new prescription for salmeterol (Serevent). Which of the following information should the nurse include?
This medication will privde long-term control of your asthma symptoms
A nurse is preparing to administer atenolol (Tenormin) to a client. Which of the following should prompt the nurse to withhold the mediation?
Heart rate 56/min
A nurse is reviewing the following vital signs: heart rate 86/min, blood pressure 80/40 mm Hg, respirations 28/min with strider, and temperature 101.5. Which of the following actions should the nurse take next?
Hold captopril (Capoten)
A nurse is reinforcing discharge instructions for a client who has asthma and is about to start taking zileuton (Zyflo). The nurse should remind the client to report which of the following adverse effects to the provider?
Abdominal pain
A nurse on a medical unit is caring a client who has angina pectoris and reports chest pain with a severity of 6 on a 0 to 10 scale. The nurse administers sublingual nitroglycerin (Nitrostat). After 5 min, the client states that his chest pain is no a 2. Which of the following actions should the nurse take?
Administer another nitroglycerin tablet
A nurse is caring for a client who received an injection of penicillin G procaine (Bicillin). The client experiences dyspnea and states, "My tongue feels swollen." Which of the following should be the nurse's priority action?
Administer epinephrine (Adrenalin) subcutaneously
A client has a new prescription for transdermal nitroglycerin (Nitro-Dur) to treat angina pectoris. When talking with the patient about using this drug, the nurse should include which of the following instructions?
Apply the patch to a hairless area and rotate sides. Apply a new patch each morning. Remove the patch for 10 to 12 hr daily.
A nurse is administering morning medications and realizes that nifedipine (Procardia) was administered to the wrong client. Which of the following is the priority nursing action?
Check the client's vital signs
A nurse is caring for a client who has a central venous catheter and develops acute shortness of breath. Which of the following actions should the nurse take first?
Clamp the catheter
A nurse is caring for a child who has asthma. The provider has prescribed chewable montelukast (Singulair). The nurse instructs the parent to administer the montelukast
Daily at bedtime
A nurse is talking with a client who is about to start taking captopril (Capoten) to treat hypertension. Which of the following instructions should the nurse include to help the client manage this medication's adverse effects?
Do not use salt substitutes while taking this medication
A nurse is reinforcing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide (Lasix). Which of the following instructions should the nurse include?
Eat foods that contain plenty of potassium.
A nurse is talking with a client who is about to undergo hip arthroplasty. The nurse explains that the surgeon will prescribe anticoagulant therapy to prevent deep-vein thrombosis postoperatively. The nurse should explain that the client will not require frequent clotting time determinations because the surgeon plans to prescribe which of the following medications?
Enoxaparin (Lovenox)
A nurse is preparing to administer digoxin (Lanoxin) to a client who has heart failure. Which of the following actions is appropriate?
Evaluating the client for nausea, vomiting, and anorexia
A nurse is talking with a client who has hypertension and stable angina pectoris and is about to start taking verapamil (Calan). The nurse should instruct the client to avoid taking this medication with
Grapefruit juice
A nurse is reinforcing teaching with a client who has angina pectoris about starting therapy with nitroglycerin (Nitrostat) sublingual tablets. The nurse verifies the client understands when the client states which of the following?
Ill dial 911 if one tablet does not relieve my pain and then take up to two more 5 minutes apart while waiting
A nurse is talking with a client about how to use montelukast (Singulair) to treat asthma. Which of the following client statements should indicate the client understood the nurse's instructions
Ill take this medication once a day in the evening
A client is telling the nurse in the clinic that he gets a headache after he takes sublingual nitroglycerin (Nitrostat). Which of the following should the nurse remind the client to do?
Lie down in a cool environment and rest
A nurse is caring for a client who receives digoxin (Lanoxin). Before administering this medication, which of the following actions should the nurse take?
Measure the client's apical pulse
A nurse is caring for a client who has a diagnosis of diabetes mellitus and hypertension and recently began taking propranolol (Inderal). When the client reports dizziness upon standing, the nurse should perform which of the following actions?
Monitor blood pressure lying, sitting, and standing
A nurse is caring for a client who has a diagnosis of pulmonary embolism (PE). Which of the following should the nurse report to the provider?
Platelets 74,000/mm3
Whenever a nurse is caring for clients who are receiving heparin, which of the following medications should the nurse have on hand in the event of an overdose?
Protamine
A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. Which of the following medications should the nurse have available to reverse heparin's effects?
Protamine sulfate
A client experienced angioedema in response to losartan (Cozaar). Which of the following indicates a therapeutic response to treatment?
Respirations are unlabored
A nurse is talking with a client about taking diphenhydramine (Benadryl). The nurse should explain that the most common side effect of this medication is
Sedation
A nurse is giving a presentation about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia?
Spironolactone (Aldactone)
A nurse is talking with a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication treats coughs because of which of the following actions?
Stimulates secretions
A nurse is talking with a client who is about to start taking nitroglycerin oral, sustained-release capsules (Nitro-Time). Which of the following instructions should the nurse include?
Swallow the capsules whole
A nurse is preparing to administer lisinopril (Prinivil). Which of the following findings should be reported to the provider immediately?
Swelling of the tongue and oral pharynx
A nurse is caring for a client who asks how albuterol (Proventil) helps his breathing. Which of the following should the nurse include in the response?
This medication will prevent wheezing The medication will open the airways The medication will decrease coughing episodes
The nurse is completing a medication review of a client who has elevated cholesterol levels and takes an anticoagulant. Which of the following finding should the nurse report to the provider?
Uses garlic as a cholesterol lowering agent
Whenever a nurse is caring for clients who are receiving warfarin (Coumadin), which of the following medication should the nurse have on hand in the event of an overdose?
Vitamin K
A nurse is reinforcing teaching with a client whose medication was changed from metoprolol (Lopressor) to metoprolol/hydrochlorothiazide (Lopressor HCT). Which of the following statements by the client indicates understanding of the teaching?
With the new medication, I should experience fewer side effects
