Pharm NCLEX #1
1. A client has begun therapy with theophylline. The nurse should plan to teach the client to limit the intake of which items while taking this medication? a. Coffee, cola, and chocolate b. Oysters, lobsters, and shrimp c. Melons, oranges, and pineapple d. Cottage cheese, cream cheese, and dairy creamers
A
1. The client diagnosed with essential hypertension calls the clinic and tells the nurse she needs something for the flu. Which information should the nurse tell the client? a. OTC medications for the flu should not be taken because of your HTN b. If OTC medications do not relieve your symptoms within three days, contact the HCP c. Tell the client to ask the pharmacist to recommend an OTC medication for the flue d. Make an appointment for the client to receive the influenza vaccine
A
1. The nurse is caring for a client with a diagnosis of influenza who first began to experience symptoms yesterday. Antiviral therapy is prescribed and the nurse provides instructions to the client about the therapy. Which statement by the client indicates an understanding of the instructions? a. "I must take the medications exactly as prescribed" b. "Once I start the medication, I will no longer be contagious" c. "I will not get any colds or infections while taking this medication" d. "This medication has minimal side effects and I can return to normal activities"
A
1. The nurse teaches a client about the effects of diphenhydramine, which has been prescribed as a cough suppressant. The nurse determines that the client needs further instruction if the client makes which statement? a. "I will take the medication on an empty stomach" b. "I won't drink alcohol while taking this medication" c. "I won't do activities that require mental alertness while taking this medication" "I will use sugarless gum, candy, or oral rinses to decrease dryness in my mouth"
A
1. Rifabutin is prescribed for a client with active mycobacterium avium complex (MAC) disease and tuberculosis. For which side and adverse effects of the medication should the nurse monitor? Select all that apply. a. Signs of hepatitis b. Flulike syndrome c. Low neutrophil count d. Vitamin B6 deficiency e. Ocular pain or blurred vision f. Tingling and numbness of the fingers
A, B, C, E
1. The nurse determines the client needs further instruction on cimetidine if which statements were made? Select all that apply. a. "I will take the cimetidine with my meals" b. "I'll know the medication is working if my diarrhea stops" c. "My episodes of heartburn will decrease if the medication is effective" d. "Taking the cimetidine with an antacid will increase its effectiveness" e. "I will notify my HCP if I become depressed or anxious" f. "Some of my blood levels will need to be monitored closely since I also take warfarin for atrial fibrillation"
A, B, D
1. A client has been taking isoniazid for two months. The client complains to the nurse about numbness, paresthesias, and tingling in the extremities. The nurse interprets that the client is experiencing which problem? a. Hypercalcemia b. Peripheral neuritis c. Small blood vessel spasm d. Impaired peripheral circulation
B
1. A client has been taking omeprazole for four weeks. The ambulatory care nurse evaluates that the client is receiving the optimal intended effect of the medication if the client reports the absence of which symptom? a. Diarrhea b. Heartburn c. Flatulence d. Constipation
B
1. A client is to begin a six month course of therapy with isoniazid. The nurse should plan to teach the client to take which action? a. Use alcohol in small amounts only b. Report yellow eyes or skin immediately c. Increase intake of Swiss or aged cheeses d. Avoid vitamin supplements during therapy
B
1. A client who uses nonsteroidal anti-inflammatory drugs (NSAIDs) has been taking misoprostol. The nurse determines that the misoprostol is having the intended therapeutic effect if which finding is noted? a. Resolved diarrhea b. Relief of epigastric pain c. Decreased platelet count d. Decreased white blood cell count
B
1. A client with Crohn's disease is scheduled to receive an infusion of infliximab. What intervention by the nurse will determine the effectiveness of the treatment? a. Monitoring the leukocyte count for two days after the infusion b. Checking the frequency and consistency of bowel movements c. Checking serum liver enzyme levels before and after the infusion d. Carrying out a Hematest on gastric fluids after the infusion is completed
B
1. A client with atrial fibrillation is receiving a continuous heparin infusion at 1000 units/hour. The nurse determines that the client is reeiving the therapeutic effect based on which results? a. Prothrobin time of 12.5 seconds b. Activated partial thromboplastin time of 60 seconds c. Activated partial throboplastin time of 28 seconds d. Activated partial thromboplastin time of longer than 120 seconds
B
1. The client recently has had a myocardial infarction. Which nursing medication should the nurse andicipate the HCP recommending to prevent another heart attack? a. Vitamin K and a nonsteroidal anti-inflammatory drug b. Vitamin E and a daily low dose aspirin c. Vitamin A and an anticoagulant d. Vitamin B and an iron supplement
B
1. The nurse has a prescription to give a client salmeterol, two puffs, and beclomethasone dipropionate, two puffs, by metered dose inhalers. The nurse should administer the medication using which procedure? a. Beclomethasone first and then the salmeterol b. Salmeterol first and the beclomethasone c. Alternating a single puff of each, beginning with the salmeterol d. Alternating a single puff of each, beginning with the beclomethasone
B
1. A client has a prescription to take guaifenesin. The nurse determines that the client understands the proper administration of this medication if the client states that he or she will perform which action? a. Take an extra dose if fever develops b. Take the medication with meals only c. Take the tablet with a full glass of water d. Decrease the amount of daily fluid intake
C
1. A client has an as needed prescription for loperamide hydrochloride. For which condition should the nurse administer this medication? a. Constipation b. Abdominal pain c. An episode of diarrhea d. Hematest-positive nasogastric tube drainage
C
1. A client has been started on long-term therapy with rifampin. The nurse should provide which information to the client about the medication? a. Should always be taken with food or antacids b. Should be double-dosed if one dose is forgotten c. Causes orange discoloration of sweat, tears, urine, and feces d. May be discontinued independently if symptoms are gone in three months
C
1. A client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed? a. Weight loss b. Relief of heartburn c. Reduction of steatorrhea d. Absence of abdominal pain
C
1. A client is diagnosed with a H. pylori infection. The nurse is teaching the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statement by the client indicates the best understanding of the medication regimen? a. "My ulcer will heal because these medications will kill the bacteria" b. "These medications are only taken when I have pain from my ulcer" c. "The medication will kill the bacteria and stop the acid production" d. "These medications will coat the ulcer and decrease the acid production in my stomach"
C
1. A client is diagnosed with an ST segment elevation myocardial infarction (STEMI) and is receiving a tissue plasminogen activator, alteplase. Which action is a priority nursing intervention? a. Monitor for kidney failure b. Monitor psychosocial status c. Monitor for signs of bleeding d. Have heparin sodium available
C
1. A client with tuberculosis is being started on anti-tuberculosis therapy with isoniazid. Before giving the client the first dose, the nurse should ensure that which baseline study has been completed? a. Electrolyte levels b. Coagulation times c. Liver enzyme levels d. Serum creatinine levels
C
1. An older client recently has been taking cimetidine. The nurse monitors the client for which most frequent central nervous system side effect of this medication? a. Tremors b. Dizziness c. Confusion d. Hallucinations
C
1. Terbutaline is prescribed for a client with bronchitis. The nurse checks the client's medical history for which disorder in which the medication should be used with caution? a. Osteoarthritis b. Hypothyroidism c. Diabetes mellitus d. Polycystic disease
C
1. The nurse has given instructions to a client who has just been prescribed cholestyramine. Which statement by the client indicates a need for further instruction? a. "I will continue taking vitamin supplements" b. "This medication will help to lower my cholesterol" c. "This medication should only be taken with water" d. "A high-fiber diet is important while taking this medication"
C
1. The nurse is preparing to administer a dose of naloxone IV to a client with opioid overdose. Which supportive medical equipment should the nurse plan to have at the client's bedside if needed? a. Nasogastric tube b. Paracentesis tray c. Resuscitation equipment d. Central line insertion tray
C
1. The nurse should report which assessment finding to the HCP before initiating thrombolytic therapy in a client with pulmonary embolism? a. Adventitious breath sounds b. Temperature of 37.4 orally c. Blood pressure of 198/110 d. Respiratory rate of 28
C
1. Zafirlukast is prescribed for a client with bronchial asthma. Which laboratory test does the nurse expect to be prescribed before the administration of this medication? a. Platelet count b. Neutrophil count c. Liver function tests d. Complete blood tests
C
1. A client has a new prescription for metoclopramide. On review of the chart, the nurse identifies that this medication can be safely administered with which condition? a. Intestinal obstruction b. Peptic ulcer with melena c. Diverticulitis with perforation d. Vomiting following cancer chemotherapy
D
1. A client has an as needed prescription for ondansetron. For which conditions should the nurse administer this medication? a. Paralytic ileus b. Incisional pain c. Urinary retention d. Nausea and Vomiting
D
1. A client is being treated with procainamide for a cardiac dysrhythmia. Following IV administration of the medication, the client complains of dizziness. What intervention should the nurse take first? a. Measure the heart rate on the rhythm strip b. Administer the prescribed nitroglycerin tablet c. Obtain a 12-lead ECG immediately d. Auscultate the client's apical pulse and obtain blood pressure
D
1. A client is prescribed nicotinic acid for hyperlipidemia and the nurse provides instructions to the client about the medication. Which statement by the client indicates an understanding of the instructions? a. "It is not necessary to avoid the use of alcohol" b. "The medication should be taken with meals to decrease the flushing" c. "Clay-colored stools are a common side effect and should not be of concern" d. "Ibuprofen IB taken 30 minutes before the nicotinic acid should decrease the flushing"
D
1. A client who is receiving digoxin daily has a serum potassium level of 3 mEq/L and is complaining of anorexia. The health care provider prescribes a serum digoxin level to be done. The nurse checks the results and should expect to note which level that is outside of the therapeutic range? a. .3 ng/mL b. .5 ng/mL c. .8 ng/mL d. 1.0 ng/mL
D
1. A client with a gastric ulcer has a prescription for sucralfate 1 gram by mouth four times daily. The nurse should schedule the medication for which times? a. With meals and at bedtime b. Every six hours around the clock c. One hour after meals and at bedtime d. One hour before meals and at bedtime
D
1. A cromolyn sodium inhaler is prescribed for a client with allergic asthma. The nurse provides instructions regarding the adverse effects of this medication and should tell the client that which undesirable effect is associated with this medication? a. Insomnia b. Constipation c. Hypotension d. Bronchospasms
D
1. The client diagnosed with asthma is prescribed the mast cell inhibitor cromolyn. Which statement by the client indicates the need for further teaching? a. "I will take two puffs of my inhaler before I exercise" b. "I will rinse my mouth with water after taking the medication" c. "After inhaling the medication I will hold my breath for ten seconds" d. "When I start to wheeze, I will use my inhaler immediately"
D
1. The elderly client is admitted to the emergency department from a long-term care facility. The client has multiple ecchymotic areas on the body. The client is receiving digoxin, a cardiac glycoside, Lasix, a loop diuretic, Coumadin, an anticoagulant, and Xanax, an antianxiety medication. Which order should the nurse request from the HCP? a. A stat serum potassium level b. An order to admit to the hospital for observation c. An order to administer Valium intravenous push d. A stat INR
D
1. The nurse has given a client taking ethambutol information about the medication. The nurse determines that the client understands the instructions if the client states that he or she will immediately report which finding? a. Impaired sense of hearing b. GI side effects c. Orange-red discoloration of body secretions d. Difficulty in discriminating the color red from green
D
1. The nurse has just administered the first dose of omalizumab to a client. Which statement by the client would alert the nurse that the client may be experiencing a life-threatening effect? a. "I have a severe headache" b. "My feet are quite swollen" c. "I am nauseated and by vomit" d. "My lips and tongue are swollen"
D
1. The nurse provides discharge instructions to a client who is taking warfarin sodium. Which statement, by the client, reflects the need for further teaching? a. "I will avoid alcohol consumption" b. "I will take my pills every day at the same time" c. "I have already called my family to pick up a MedicAlert bracelet" d. "I will take coated aspirin for my headaches because it will coat my stomach"
D