Pharm Quiz 6
A client is prescribed a sulfonylurea. Which should indicate to the nurse that additional teaching about this medication is required?
"If I notice my urine looks dark, I will increase my fluid intake."
The nurse is reviewing the classifications of drugs used to treat type 2 diabetes mellitus (DM). Which information should the nurse include in the discussion?
"It can take up to 4 months for therapy with a thiazolidinedione to be effective."
The nurse is reviewing medications taken by a client prescribed metformin (Glucophage). Which medication should the nurse find most concerning?
Digoxin
The nurse is teaching about nutritional disorders. Which information should the nurse include about vitamins? (Select all that apply.)
Essential for metabolism, cell function, and growth and development, Natural organic substances made of carbon, Found in living organisms such as animals and plants
The nurse is assessing a client prescribed nateglinide (Starlix). Which symptom should the nurse recognize as an adverse reaction?
Flulike symptoms
A client asks why cannabinoid receptor blockers are not available in the United States. Which explanation should the nurse provide?
Found to cause depression and suicidal ideation
A client is prescribed human regular insulin (Humulin R). For which electrolyte imbalance should the nurse monitor the client?
Hypokalemia
A client with an infiltrated peripheral intravenous (IV) line has limited veins for new placement. Which should the nurse anticipate?
Insert a central line
The nurse is instructing on the importance of drinking plenty of water while taking vitamin C. Which reason should the nurse provide?
Large doses could cause renal calculi.
The nurse is asked about methods for increasing the efficacy of cholesterol-lowering therapy. Which supplement should the nurse include when responding?
Niacin (vitamin B3)
A client with type 1 diabetes mellitus (DM) is diagnosed with a respiratory infection. Which assessment finding should the nurse recognize as the most important to monitor?
Polyuria
A client needs to take subcutaneous insulin every day. Which instruction should the nurse include when teaching about self-administration of insulin?
Rotate insulin administration sites weekly.
The nurse is teaching about vitamins. Which statement should the nurse use to explain how the body makes vitamin K?
The body makes most of the needed vitamin K through bacteria in the gastrointestinal tract.
The nurse is teaching about the history and importance of including vitamins in daily nutrition. Which historical information should the nurse include?
The first vitamin discovered was thiamine.
The nurse is teaching about possible adverse effects of riboflavin. Which information should the nurse include?
There are no adverse effects.
A client is diagnosed with hypoglycemia. Which factor should the nurse recognize as contributing to this diagnosis?
alcohol
A client is suspected of having a thiamine deficiency. Which should the nurse assess as the possible cause? (Select all that apply.)
chronic liver disease, chronic alcohol dependence, HIV infection, diabetes
A client experiences nausea, headache, and sudden weakness after receiving total parenteral nutrition. For which complication should the nurse assess this client?
hyperglycemia
A client is diagnosed with hyperosmolar hyperglycemic state (HHS). Which assessment finding should the nurse anticipate?
hypotension
The nurse is preparing to administer vitamin K to a client with warfarin toxicity. Which route should the nurse recognize as causing anaphylaxis and cardiac arrest? (Select all that apply.)
intravenous, intramuscular
A client taking vitamin A for impaired night vision is concerned about taking too much of the supplement. For which adverse effect should the nurse assess this client? (Select all thatapply.)
irritability, fatigue, night sweats
The nurse is teaching preconception nutrition in anticipation of fertilization therapy. Which food should the nurse suggest to obtain folic acid? (Select all that apply.)
liver, fortified/enriched whole grains, spinach
An obese client is scheduled to begin taking orlistat (Alli, Xenical) for weight loss. For which health problem should this medication be contraindicated? (Select all that apply.)
malabsorption disorders, hypothyroidism, current pregnancy
A client is suspected of having a vitamin deficiency. For which health problem should the nurse assess as a contributing factor? (Select all that apply.)
socioeconomic status, chronic alcoholism, drug abuse, nutritional intake/fad diets
A client taking a retinoid drug is instructed to stay out of the sun. Which supplement should the nurse determine this client may need?
vitamin d
The nurse is caring for a client with thrombocytopenia. Which vitamin supplement should the nurse advise the client to avoid taking?
vitamin e
A client with type 1 diabetes mellitus (DM) has a glucose level of 98 mg/dL. Which question should the nurse ask?
"Do you have any concerns about your treatment plan?"
A client taking a sulfonylurea is experiencing hypoglycemia. Which question should the nurse ask theclient?
"Have you skipped any meals?"
The nurse suspects that a client is experiencing type 2 diabetes mellitus (DM) . Which statement should the nurse recognize as most commonly associated with this diagnosis?
"I am heavier than I have ever been in my life."
A client is prescribed NPH insulin and insulin aspart. Which client statement should indicate that teaching about the medication was effective?
"I will draw up the aspart first, and then the NPH."
The nurse is teaching a client about glucose monitoring in relation to exercise. Which client statement should indicate that further teaching is required?
"I will monitor my blood sugar only if I participate in any strenuous exercise."
A client is prescribed glargine and aspart. Which client statement should indicate that teaching waseffective?
"I will take the glargine in the morning."
A client with no health issues asks which vitamin supplements should be added to the diet. Which response should the nurse make?
"Most of your vitamins and minerals are obtained through the food you eat; however, we can ask the provider which supplements you can add."
A client is prescribed extended-release metformin. Which instruction should the nurse include?
"Notify the healthcare provider if you have an infection."
The nurse is teaching how to properly take B-complex vitamins for optimal effect. Which instruction should the nurse include?
"Take daily, because most B vitamins are not stored in the body."
A client is prescribed lispro (Humalog). Which instruction should the nurse include in the teaching?
"Take the insulin 15 minutes before eating."
A client is prescribed insulin degludec (Tresiba). Which instruction should the nurse include?
"This insulin will provide coverage for 24 hours."
The nurse is teaching a client about orlistat (Alli, Xenical) for weight loss. Which statement should indicate effective teaching?
"This medication will not allow my body to reabsorb fatty acids."
A client taking insulin glulisine (Apidra) asks when eating should occur. Which response should the nurse provide?
"You should take it 15 minutes before eating."
A client diagnosed with type 2 diabetes mellitus (DM) asks how the disease developed. Which explanation should the nurse provide?
"Your cells are not responding to the insulin your body is producing."