Pharm Practice Predictor A
A nurse is reinforcing teaching with a client who is using phenylephrine nasal spray three times daily and reports rebound congestion. Which of the following instruction should the nurse include to reduce the effects of rebound congestion?
"Discontinue use in the left nostril, then in the right nostril."
A nurse is reinforcing teaching with a parent of a preschooler who has otitis media. The child has had a low-grade fever and ability for 2 days. Which of the following instructions should the nurse include in the teaching?
"Give acetaminophen as needed for discomfort and fever."
A nurse is reinforcing teaching with a client who has a new prescription for regular insulin. Which of the following statements by the client indicates an understanding of the teaching?
"I should ensure that the insulin is clear prior to drawing it up."
A nurse is reinforcing teaching with a client who has HIV and a new prescription for Zidovudine. Which of the following client statements should indicate to the nurse an understanding of the teaching?
"I will be sure to have my blood tested for anemia." Zidovudine can cause severe anemia and neutropenia. The client should have blood tests performed before treatment begins and have continued monitoring during the course of treatment.
A nurse is reinforcing teaching with a client who has a new prescription for ethinyl estradiol/norethindrone, an oral contraceptive. Which of the following client statements should indicate to the nurse an understanding of the teaching?
"I will take the medication at the same time each day."
A nurse is reinforcing teaching with a client who has a prescription for Alendronate. Which of the following client responses indicate to the nurse an understanding of the teaching?
"I will take the medication with 8 ounces of water."
Nurse is reinforcing teaching with a client who has a new prescription for propranolol. What are the following information should the nurse include in the teaching?
"If your pulse rate is less than 50 bpm, notify your provider."
A nurse is planning to reinforce teaching about newborn immunizations with a client who is 24 hour postpartum. What are the following information should the nurse plan to include?
"Your baby will receive the first hepatitis B vaccine before discharge."
A nurse is caring for a client who has a prescription for an IM injection of penicillin G benzathine. The client asked why the injection must be given IM instead of through the IV line. Which of the following responses should the nurse make?
"Your medication can't be given IV because it is not water-soluble."
A nurse is reinforcing teaching with a female client who has a new prescription for isotretinoin. Which of the following information should the nurse include in the teaching? Select all that apply
- "you will need to have your liver enzymes monitored after one month." - "you can have nose bleeds while taking this medication." - "you should report any thoughts of harming yourself." - "you will need to have two negative pregnancy test prior to starting the medication."
A nurse is collecting data from a client who is receiving digoxin for treatment of heart failure. The nurse should identify which of the following findings as an adverse affects of this medication? Select all that apply
- blurred vision - nausea - dysrhythmia
A nurse is caring for a client who is receiving 0.9% sodium chloride 1000 mL infuse over eight hours. The drop factor on the manual IV tubing is 15 gtt /mL. The nurse ensure that the Manuel IV infusion is set to deliver how many drops per minute?
31 gtt/min
At 0800 a nurse assists with initiating a 1000 mL IV infusion for a client, which is running at 125 mL/hour. How much fluid is left in the IV bag at 1300?
375 mL
A nurse is preparing to administer a PRN medication to a group of clients. Which of the following client should the nurse administer medication to first?
A client who is attending postop physical therapy and requests pain medication
A nurse is reinforcing teaching with a client who has a new prescription for colchicine to manage gouty arthritis. Which of the following manifestations should the nurse include as an adverse effect of this medication?
Abdominal pain
A nurse is reinforcing teaching with a client who has seizures in a new prescription for valproic acid. The nurse should instruct the client to report which of the following adverse effects of valproic acid to the provider immediately?
Abdominal pain
A nurse is preparing to administer diphenhydramine 50 mg PO at 2200 to a client who has difficulty swallowing pills and capsules. Available is diphenhydramine syrup 12.5 mg/5 mL PO. Which of the following nursing action requires the completion of an incident report?
Administering 25 mL of the syrup
A nurse is contributing to the plan of care for a patient who has schizophrenia and a new prescription for clozapine. The nurse should include in the plan to monitor the client for which of the following adverse effects of this medication?
Agranulocytosis
A nurse is reinforcing teaching with a newly licensed nurse about using metoprolol to treat hypertension. Which of the following condition should the nurse include as a contraindication for this medication?
Bradycardia
A client comes to urgent care clinic and announces with great enthusiasm, "I am an expert at all things medical as they apply to me, and I require zolpidem." The clients pupils are dilated, along with an elevated heart rate and blood pressure level. The nurse should suspect intoxication with which of the following substances?
Cocaine
A nurse is collecting data from a client who has Parkinson's disease and is taking levodopa/carbidopa. The nurse should identify which of the following findings as an adverse effect of this medication?
Dark urine
A nurse is caring for a client who has multiple sclerosis and a new prescription for baclofen. What are the following findings indicate to the nurse that the medication is having a therapeutic effect?
Decreased muscle spasticity
A nurse is caring for a client who has TB in real begin taking isoniazid. Which of the following actions should the nurse take?
Determine the clients daily alcohol intake
A nurse is reinforcing teaching with a client who has a new prescription for theophylline. The nurse should instruct the client that which of the following is an expected outcome of this medication?
Dilates bronchioles
A nurse is reinforcing teaching with a client following placement of a cast for a fractured ankle. The client is to take oxycodone for pain management. The nurse should instruct the client that which of the following over-the-counter medication is contraindicated while taking oxycodone?
Diphenhydramine
A nurse is reinforcing teaching with a client who has a new prescription for Etanercept to treat rheumatoid arthritis. Which of the following instructions about self administering this medication should the nurse include?
Discard any solutions that are cloudy
A nurse is reviewing the medication prescriptions for a group of clients. The nurse should recognize that which of the following prescriptions can result in a medication error?
Furosemide 10.0 mg PO daily
A nurse is collecting data from a parent of a toddler who is about to receive the varicella immunization. The nurse should identify that in anaphylactic reaction of the following substances is a contraindication for receiving this immunization?
Gelatin
A nurse is monitoring a client who has type 2 diabetes Molite us and is receiving repaglinide. Which of the laboratory test should the nurse plan to review to obtain information about the long-term therapeutic effect of this medication?
Glycosylated HbA1c
A nurse is caring for a client who has chronic kidney disease and has been receiving epoetin for 2 weeks. Which of the following findings should indicate to the nurse of the clients medication is having their desired therapeutic effect?
Hemoglobin rises 0.5 g/dL
A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint pain. The nurse should identify that which of the following findings is a contraindication for receiving celecoxib?
History of myocardial infarction
A nurse is caring for a client who has a new prescription for eplerenone to treat hypertension. The nurse should monitor for which of the following adverse effects of this medication?
Hyperkalemia
A nurse is caring for a client who is taking Phenylephrine. The nurse should plan to monitor the client for which of the following manifestations as an adverse effect of this medication?
Increased heart rate
A nurse is collecting data from a client who is taking for ferrous sulfate orally. Which of the following findings reported by the client should indicate to the nurse that the medication is having a therapeutic effect?
Increased tolerance to exercise
A nurse is caring for a client who has a history of psychosis and is taking chlorpromazine. Which of the following actions should the nurse take to counteract the adverse affects of this medication?
Inform the client to apply sunblock before going outside
A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for lithium. Which of the following instruction should the nurse include in the teaching?
Maintain a consistent sodium intake
A nurse is reinforcing teaching with a client about the adverse effects of simvastatin. Which of the following adverse effects should the nurse instruct the client to notify the provider?
Muscle pain
A nurse is collecting data from a client who is post-op and taking morphine for pain. Which of the following findings is the priority for a nurse to report to the provider?
Oxygen saturation 87%
A nurse is reviewing the history of a client who has to start taking cefotetan to treat a bacterial infection. Which of the following information from the clients medical records for the nurse report to the provider before the client begins you're saving this medication?
Penicillin allergy
A nurse is reinforcing teaching with a client who is the start therapy using a nitroglycerin transdermal patch. Which of the following instruction should the nurse include?
Place the patch on a different site for each application
A nurse is in stealing timolol eyedrops for a client who has glaucoma. Which of the following actions should the nurse take after installing the eyedrops?
Press the nasolacrimal duct
A nurse is collecting data from a female client who has been taking propylthiouacil (PTU) for two months to treat Graves' disease. Which of the following findings should the nurse recognize as an indication that the medication is effective?
Pulse 82/min
A nurse is reinforcing teaching with a client who has hypertension and a new prescription for spironolactone. Which of the following instruction should the nurse include in the teaching?
Restrict foods high in potassium
A nurse is reinforcing teaching about comfort measures with a parent of a 10-year-old child who has a viral infection. The nurse should plan to tell the parent that aspirin is contraindicated because of the risk for which of the following conditions?
Reye syndrome
A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The clients temperature increases to39.1°C (102.4°F). What are the following action should the nurse take first?
Stop the transfusion
A nurse is reinforcing teaching with a client who has a new prescription for omeprazole oral capsules. Which of the following instruction should the nurse include?
Swallow the medication whole
A nurse is caring for a client with a new prescription for sumatriptan. The nurse notes that the client takes fluoxetine. The nurse to notify the provider does a combination of these medications will place the clear at risk for which of the following adverse effects?
Tremors
A nurse is planning to administer metoprolol for a client who has heart failure and a heart rate of 48 bpm. Which of the following actions should the nurse take?
Withhold the clients medication
A nurse is caring for a client who has hypothyroidism and has been taking methimazole. Which of the following findings should the nurse indicate to the nurse that the medication has had a therapeutic effect?
decreased T4
The nurse is assessing the care of a client who has a MRSA infection and is receiving vancomycin via IV infusion. Which of the following changes in the clients condition should the nurse identify as a priority finding to report to the provider?
hypotension