Pharm Quiz 2

A teaching plan for a patient who is taking insulin Lispro (Humalog) should include which of these instructions by the nurse?

"Inject this insulin with your first bite of food or during your meal because it is very fast acting."

A client who has been taking beclomethasone (Qvar) two inhalations a day, for treatment of asthma and has painful, white patches in his mouth. Which response by the nurse would be most appropriate to teach the client?

"You have developed a thrush fungal infection from your medication. It will need to be treated with an antifungal agent and can be prevented in the future by rinsing your mouth after using the inhaler."

Which assessment finding would cause the nurse to withhold the regularly scheduled dose of levothyroxine?

A heart rate of 110 beats/minute.

The nurse is planning to administer omperazole (Prilosec). What is a primary intervention regarding the administration of this medication?

Administer the medication at least 1 hour before the client's largest meal of the day

When a client complains of pain accompanying a peptic ulcer, why should an antacid be given?

Antacids neutralize hydrochloric acid (HCl) and reduce pepsin activity.

A 34-year-old female with a history of asthma is admitted to the emergency department. The nurse notes that the client is dyspneic with a respiratory rate of 35 breaths/ minute, nasal flaring, and use of accessory muscles. Auscultation of the lung fields reveals greatly diminished breath sounds with expiratory wheezing. Based on these findings, which action should the nurse take to initiate care of the client?

Be prepared to administer an inhaled beta-2 adrenergic agonist medication.

A patient is scheduled to start taking insulin glargine (Lantus). On the care plan a nurse should include which of these outcomes related to the therapeutic effects of the medication?

Blood glucose control for 24 hours.

A client has been taking aluminum hydroxide 30 mL six times per day at home to treat his peptic ulcer. He tells the nurse that he has been unable to have a bowel movement for 3 days. Based on this information the nurse would determine that which of the following is the most likely cause of the client's constipation?

Common side effect of aluminum hydroxide

The nurse should caution the client with Type 2 Diabetes Mellitus who is taking glyburide sulfonylurea, that alcoholic beverages should be avoided while taking these drugs because they can cause which of the following?

Disulfiram (Antabuse)-like symptoms.

Which disease is characterized by increased body metabolism tachycardia, increased body temperature, and anxiety and treated with Prophylthiouracil (PTU)?

Graves' disease

The client has a PRN prescription for ondansetron (Zofran). For which condition should this medication be administered to the postoperative client?

N/V

A patient who is newly diagnosed with Type 1 Diabetes Mellitus asks the nurse "How does insulin normally work in my body?" The nurse explains that normal insulin has which of these actions in the body?

Promotes the passage of glucose into cells for energy.

In the administration of hydrocortisone it is vital that the nurse recognize that this drug might mask which symptoms?

Signs and symptoms of infection

In the administration of a drug such as levothyroxine (Synthroid) the nurse should teach the client:

To report weight loss, anxiety, insomnia, and palpitations

A nurse is reinforcing teaching for a client regarding how to mix Humulin Regular insulin and Isophane NPH insulin in the same syringe. Which of the following actions if performed by the client, indicates the need for further teaching?

Withdraws the Isophane NPH insulin first

The newly admitted client with uncontrolled Type 2 Diabetes Mellitus is scheduled for a CT scan of the abdomen with IV contrast dye. The client has been prescribed metformin(Glucophage) and Humulin NPH insulin 24 units at 7:00am and 4:00pm. Which instruction should the nurse discuss with the client?

Your metformin (Glucophage) will be on hold before and after the procedure until the healthcare provider approves to restart it.

The nurse who is planning care for a client with GERD anticipates that the health care provider will order medications from which drug class?

antacids, proton pump inhibitors, h2-receptor antagonist

A nurse reinforces instructions to a client who is taking levothyroxine (Synthroid). The nurse tells the client to take the medication:

before breakfast on an empty stomach

A patient newly diagnosed with Type I Diabetes Mellitus is being seen by the home health nurse. The patient's orders include: 1200 calorie ADA diet, 15 units Isophane NPH insulin before breakfast, and to check blood sugars four times a day. When the nurse visits the patient at 5 pm, the nurse observes the patient's blood sugar log and notices the recent recorded result is 40 mg/dL. The nurse would anticipate the patient to be:

confused with cool, clammy skin and HR of 110

A patient with hyperthyroidism is taking propylthiouracil (PTU). The nurse will monitor the patient for:

fever and sore throat

The client has been taking omeprazole (Prilosec) for 4 weeks. The ambulatory care nurse evaluates that the client is receiving optimal intended effect of the medication if the client reports the absence of which symptom?

heartburn

Myxedema, which includes fatigue, general weakness, and muscle cramps, is a symptom of which endocrine disorder treated with levothyroxine (Synthroid)?

hypothyroidism

Which of the following adverse effects is specific to the biguanide diabetic drug metformin (Glucophage) therapy?

lactic acidosis

What should the nurse include when teaching a client who is receiving insulin therapy?

medic alert, carry readily available supply of glucose, recognize signs of hypoglycemia, rotate subq sites

Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnose asthma. When teaching the patient about this drug the nurse should explain that it may cause:

nervousness

The nurse instructs a client with diarrhea on the antidiarrheal medication diphenoxylate with atropine (Lomotil). Which client statement indicates that teaching about this medication has been effective? (Select all that Apply).

no driving, no drinking alcohol

A nurse is monitoring a client newly diagnosed with Diabetes Mellitus for signs of complications. Which of the following if exhibited in the client, would indicate hyperglycemia and warrant physician notification?

polyuria

Which of the following assessment findings would the nurse expect to observe in an adult client experiencing therapeutic effects from levothyroxine (Synthroid)?

pulse rate between 60-100

A histamine (H2)-receptor antagonist will be prescribed for a client. The nurse understands that which medication is a H2-receptor antagonists?

ranitidine (Zantac).

A physician has prescribed propylthiouracil (PTU) for a client with hyperthyroidism and the nurse develops a plan of care for the client. A priority nursing assessment to be included in the plan regarding this medication is to assess for:

s/s of hypothyroidism