Pharm Questions 1-20
A client in preterm labor is being started on intravenous magnesium sulfate to stop the contractions. The nurse checks the medication to ensure that which medication is available as an antidote if needed? Magnesium oxide vitamin K Calcium gluconate aluminum hydroxide
Calcium gluconate
The nurse monitors the blood glucose of the client who received NOH insulin at 7 AM with an understanding that the client may experience a hypoglycemic reaction between: 1 to 7 PM Midnight to 6 AM 7 to 11 PM 9 to 11AM
1 to 7 PM
Collagenase (Santyl) is prescribed for a client with a severe burn to the hand. The nurse provides instructions to the client and spouse regarding the use of the treatment. Which of the following should the nurse include in the instructions? Apply twice a day, and cover it with sterile dressing apply twice a day and leave it open to the air apply once a day, and cover it with sterile dressing apply once a day, and leave it open to the air
A apply once a day, and cover it with sterile dressing
The nurse is told that the result of a serum carbamazepine (Tegretol) level for a child who is receiving the medication for the control of seizures is 10 msg/mL. Based on this lab result, the nurse anticipates that the physician will prescribe: Discontinuation of the medication a decrease of the dosage of the medication an increase of the dosage of the medication a continuation of the presently prescribed dosage
A continuation of the presently prescribed dosage
The client with a burn injury is applying mafenide (Sulfamylon) to the wound. The client calls the physicians office and tells the nurse that the medication is uncomfortable and is casing a burning sensation. The nurse instructs the client to: Apply a thinner film than prescribed to the burn site come to the office to see the physical immediately continue with the treatment, as this is expected discontinue the medication
Continue with the treatment, as this is expected
An ambulatory care client with allergic dermatitis has been given a prescription for a tube of diphenhydramine (Benadryl) 1% to use as a topical agent. The nurse determines that the medication was effective if which of the following was assessed? Absence of ecchymoses healing of burned tissue decrease in uriticaria nighttime sedation
Decreased in uriticaria
A nurse has a routine prescription to instill erythromycin ointment into the eyes of a newborn. The nurse plans to explain to the parents that which is the purpose of the medication? 1. Help the newborn to see more clearly. 2. Ensure the sterility of the conjunctiva in the newborn. 3. Guard against infection acquired during intrauterine life. 4. Protect the newborn from contracting an eye infection during birth.
Protect the newborn from contracting an eye infection during birth
The nurse working in the ambulatory care center is providing medication instructions about methylphenidate (Ritalin) to the mother of a child with ADHD. The nurse recommends that the mother give the medication to the child : in the morning, 2 hours before breakfast just before the noontime meal with the evening meal at bedtime
just before the noontime meal
A nurse reviewing the medical record notes that high concentrations of methotrexate followed by Leocovorin (Citrovorum factor, folic acid) are being given to the client with cancer. The nurse correctly interrupts that the reason for therapy with leucovorin is to : Preserve normal cells hasten the effect of methotraxate promote protein synthesis promote medication excretion
Preserve normal cells
The nurse has a routine prescription to administer an injection of phytonadione (Vitamin K) to the newborn. Before giving the medication, the nurse explains to the client that this medication will: Stimulate the liver produce vitamin K Supplement the infant, cause breast milk and formula are low in vitamin K Prevent clotting abnormalities in the new born Prevent vitamin deficiency of fat-soluble vitamins
Prevent clotting abnormalities in the new born
An adolescent client with severe acne has been prescribed isotretinoin (Accutane). Which statement by the client would suggest the need for further teaching? If my lips begin to burn, it is probably because of the medication I will return to the clinic for blood tests I need to take my vitamin a supplement so that the treatment will work my eyes may become dry and burn as a result of the medication
I need to take my vitamin a supplement so that the treatment will work
The nurse us providing instructions to a mother of a child with atopic dermatitis (Eczema) regarding the application of topical cortisone cream to the affected skin sites. Which of the following statements, if made by the mother, indicates an understanding of the used of this medication? I ned to apply the medication generously and allow it to absorb I shouldn't rub the medication into the skin I need to apply the medication generously and allow it to absorb I need to wash the sites gently before I apply the medication
I need to wash the sites gently before I apply the medication
The client is experiencing diarrhea. The nurse reviews the clients PRN medication prescription sheet and plans to administer which of the following medications for this problem? Loperamide (Imodium) Psyllium Bisacodyl' sennosides
Loperamide (Imodium)
A nurse is caring for a female client at home with a diagnosis of actinic keratosis. The client tells the nurse that her skin is very dry and irritated. The treatment includes diclofenac sodium (Solaraze). Th nurse teaches the client that this medication is from which class of medications? Vitamin A lotions NSAIDs Coal Tar preparations Anti-infectives
NSAIDs
The client with cancer has received a course of chemotherapy and received fluorouricacil (Adrucil). The nurse should plan to tell the client to report which of the following immediately? Alopecia headache Stomatitis and diarrhea Changes in color vision
Stomatitis and diarrhea
The physician prescribes cromolyn (Intel) for the client with asthma. The nurse identifies that the client correctly understands the purpose of this medication when the client states the medication will: Suppress and allergic response eliminate the need for a rescue inhaler promote bronchodilation decrease the risk of infection
Suppress an allergic response
A child has been prescribed to take tetracycline hydrochloride. The nurse providing medication information to the mother would plan to emphasize which of the following most important instructions about giving this medication to the child? Use a straw when giving the medication mix the medication in a s styrofoam cup give the medication with milk give the medication with ice cream
Use a straw when giving the medication
The nurse evaluates that the family of a client newly diagnosed with diabetes mellitus correctly understands the reason for having glucagon on hand for emergency home use if the family indicates that the purpose of the medication is to treat: Diabetic ketocidosis hypoglycemia from insulin overdose hyperglycemia from insufficient insulin hyperglycemia occurring on "sick days"
hypoglycemia from insulin overdose
The client with muscle aches and a diagnosis of rheumatism has been given a prescription for capsaicin topical cream, the nurse evaluates that the client understands the use of the medication if the client states that: a heating pad should be put on the area after applying the medication the medication will cause redness, flaking and the skin to peel the medication will act as a local anagelsic the medication acts by decreasing muscle spasms
the medication will act as local angelic
The nurse has just given an intramuscular dose of methylergovine (Methergine) to a client following delivery of an infant. The nurse determines that this medication had intended effect after evaluating for which of the following findings? increased urine output increased blood pressure improved uterine tone decreased pulse rate
Improved uterine tone