Pharm quiz 1

A nurse caring for a client who has been prescribed nitroglycerin via a transdermal patch. Which of the following client statements indicates to the nurse a need for additional teaching?

"I change the patch whenever I have chest pain."

A nurse is instructing a client who has chronic bronchitis on how to use acetylcysteine administered by a hand-held nebulizer (HHN). The nurse should evaluate the teaching as effective if the client states which of the following?

"I should try to cough productively just before I begin the treatment."

The client has been receiving lorazepam 4 mg PO BID for the past 6 months to treat PTSD. The provider and client agree that it is time to discontinue the use of the drug. Which of the instructions given by the provider to the client should the nurse question?

"You may experience excessive sleepiness."

A nurse is caring for a client who receives gastrostomy tube feedings and insulin. The client is scheduled to receive a tube feeding at 0700. At which of the following times should the nurse administer Humalog subcutaneously?

0645 Humulog is a rapid acting insulin with an onset of 15 minutes.

A nurse is preparing to administer meperidine 100 mg IM to a 17 year old client weighing 180 lb. The nurse understands that the appropriate needle length is which of the following?

1 ½ inch

A child is to take 30 mL of a liquid medication and the parent has a special hollow medication spoon marked in teaspoons and tablespoons. Which of the following should the parent prepare in tablespoons?

2 tbsp 15 mL = 1 Tbsp

A charge nurse is observing a newly licensed nurse administer an IV medication to a client who has an implanted venous access port. Which of the following observations requires intervention by the charge nurse?

A solution of 5 mL heparin, 1000 units/mL has been prepared

A nurse is caring for a child client who has cystic fibrosis. Which of the following nursing assessments may indicate a pancreatic enzyme replacement is inadequate for this client?

Abdominal distention

A nurse is instructing a group of nursing students about pharmacokinetics. The nurse correctly identifies which of the following as the four basic steps of pharmacokinetics?

Absorption, distribution, biotransformation, excretion

A nurse is caring for a client who was started on antipsychotic therapy 3 weeks ago. The client is unable to sit still, fidgets, paces around the unit, and has motor restlessness. Which of the following documentation by the nurse best describes these behaviors?

Akathisia

A client who has been non broad spectrum antibiotics for 10 days reports nausea, bloating, diarrhea, and cramping. The nurse should recognize that these side effects occur secondary to which of the following?

Alterations in gastrointestinal flora

A nurse is obtaining an admission assessment history on a client. The assessment findings reveal the following: blood pressure 168/92, serum potassium 3.2, serum sodium 151, blood glucose 155. The client reports having several "colds over the last 6 months and having to purchase a larger belt due to weight gain." Based on these findings, the nurse should expect which of the following medications to be prescribed by the provider?

Aminoglutethimide

A nurse is explaining to a client what type of immunity a tetanus toxoid injection conveys. The nurse correctly states that the type of immunity is:

Artificial active

A nurse is caring for a client who has multiple medication allergies. The nurse should recognize that determination of medication allergies occurs in which of the following steps of the nursing process?

Assessment

A nurse is caring for a client who received atropine eye drops during an eye exam and developed cycloplegia. Which of the following findings does the nurse expect to by present in this client?

Blurred vision when looking at distant objects

A nurse is preparing to administer medication to a two and a half year old child. The nurse understands that an accurate parameter on which to base dosage calculation for the client is which of the following?

Body surface

A nurse is reading a medication order that contains unfamiliar abbreviations. Which of the following is the appropriate action for the nurse to take?

Call the provider and clarify the order

A nurse assesses a client who has heart failure prior to administering morning medications, which include digoxin, hydrochlorothiazide, ezetimibe, and simvastatin. The client reports drinking grapefruit juice throughout the day to help lower her cholesterol and replace potassium lost from the diuretic. Based on these assessment data, which of the following is the appropriate action for the nurse to take?

Check the client's liver function tests

A nurse should recognize that raloxifene is contraindicated in a client who has a history of which of the following?

Deep vein thrombosis

A nurse is completing the admission history for a client who reports drinking one pint of whiskey every week for 8 years. The last drink was 10 hours ago. Which of the following medications should the nurse plan to administer?

Diazepam

A nurse in a provider's office is collecting data from a client who has end-stage renal disease. The client reports fatigue, and her Hct is 28%. The nurse should anticipate a prescription for which of the following medications?

Erythropoietin

A toddler develops wheezing and swelling of the eyelids 10 minutes after receiving an IM antibiotic. Which of the following actions should the nurse take first?

Give epinephrine subcutaneously

A nurse is caring for a client who is developing acute pulmonary edema. Furosemide 40 mg IV bolus is prescribed for this client. The nurse should:

Give the medication undiluted over 1-2 minutes

A nurse is caring for a client who is receiving simvastatin 40 mg PO daily. Which of the following foods should the nurse remove from the client's breakfast tray before it is delivered to the room?

Hard boiled eggs

A client is discharged with a prescription for an oral opioid analgesic with codeine. The nurse instructs the client to increase dietary intake of fiber. Which of the following is the rationale for this instruction?

Helps prevent constipation caused by opioids

A client asks the nurse about taking high-dose vitamins. Which of the following information does the nurse provide about high doses of water-soluble vitamins?

High doses of water-soluble vitamins can have adverse effects

A client who is diagnosed with Addisonian crisis has a blood pressure of 74/42. Which of the following medications should the nurse anticipate administering?

Hydrocortisone (Solu-cortef) IV

A newly admitted client is prescribed an adrenergic antagonist. The nurse anticipates which of the following responses to the medication?

Hypotension

The nurse is preparing to administer indomethacin to a client. If the medication bottle is labeled with a trade name, which of the following medications should the nurse administer?

Indocin

A nurse is administering amoxicillin, a penicillin-type medication, to a child client who has otitis media. The nurse recognizes that the primary mode of action for the penicillin class of antibiotics is that it:

Inhibits cell wall synthesis

A nurse working in an acute-care facility has just admitted a terminally ill older adult client who is restless and now rates her pain as 8/10. The client has a prescription for an opioid medication, but refuses to allow the nurse to give the medication. Which of the following nursing actions should the nurse take next?

Inquire why the client refuses the pain medication

A nurse is caring for a client to whom IV oxytocin is given to stimulate contractions during labor. The nurse correctly identifies which of the following as a serious adverse effect of this medication?

Intracranial hemorrhage

The nurse is caring for a client receiving TPN through a central line. When an occlusion alarm sounds on the infusion pump, the nurse's priority intervention should be which of the following?

Irrigate the line with a 10 mL or larger syringe

A nurse is teaching a group of older adult clients about taking enteric-coated aspirin prophylactically for heart attacks and strokes. The nurse correctly states that the advantage of taking an enteric-coated medication is which of the following?

Less gastric irritation

A nurse is administering medication to a client who has impaired swallowing. The nurse understands that which of the following medications may be crushed?

Levothyroxine (Synthroid)

A nurse is reviewing the home medication regimen as part of the admission assessment for a client who has a diagnosis of hepatic encephalopathy. The nurse should be concerned that the client is taking which of the following medications?

Lorazepam

A nurse is providing care to a client receiving IV sodium nitroprusside. Which of the following is the priority nursing action?

Monitor the client's blood pressure frequently

A nurse is caring for a client taking simvastatin. Which of the following statements by the client indicates to the nurse a serious adverse effect?

My legs feel weak and ache

A nurse is caring for a client who has been in the PACU for more than 1 hour and is difficult to arouse. The nurse should anticipate which of the following medication prescriptions?

Naloxone

A nurse is caring for a client who is in labor and is dilated to 8 cm and fully effaced. Which of the following might be an effect of meperidine when administered this late in labor for which the nurse should monitor?

Neonatal respiratory depression

A nurse is caring for an older adult client who is prescribed chlorpromazine. For which of the following side effects should the nurse monitor?

Orthostatic hypotension

A nurse is caring for a client taking glucocorticoids. The nurse should understand that an adverse effect that might occur when the client takes oral glucocorticoids on an empty stomach is:

Peptic ulcer

A nurse is administering eye drops to a client. The nurse understands that which of the following is an ocular effect of cholinergic medications?

Pupillary constriction

A nurse is caring for a client who is taking levothyroxine and has been prescribed cholestyramine. The nurse understands that the interaction between these two drugs:

Reduces the absorption of levothyroxine

A nurse is preparing to administer a bronchodilator to a client who has asthma. Which of the following is a common side effect of these drugs, for which the nurse should monitor?

Restlessness

A nurse is instructing a client regarding taking phenytoin. The nurse correctly states that if the client abruptly discontinues the medication, which of the following could occur?

Status epilepticus

A client is receiving gamma globulin injections and asks the nurse to explain the reasons for the treatment. Which of the following is the appropriate nursing response?

This injection will provide temporary immunity protection

A nurse is caring for a client who is receiving an anticonvulsant for a seizure disorder. Which of the following information should the nurse include in the teaching plan for this client?

This medication decreases the effectiveness of oral contraceptives

A nurse is caring for a client who is taking ranitidine for the treatment of a gastric ulcer. The nurse should include which of the following statements when teaching the client about this medication?

This medication is less effective among people who smoke

A nurse is providing teaching for an older adult client who lives in an assisted living facility about a new prescription for captopril. Which of the following client statements should alert the nurse of the need for further teaching?

This medication may cause a sore throat which will go away after a few days