Pharm Study Guide

A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

100gtt/min

A nurse is caring for a client who is receiving haloperidol. The nurse should observe for which of the following findings as an adverse effect of the medication? A) Akanthisia B) Paresthesia C) Excess tear production D) Anxiety

A) Akanthisia

A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client laboratory values should the nurse monitor? A) Creatinine kinase B) Erythrocyte sedimentation rate C) International normalized ratio D) Potassium

A) Creatinine kinase

A nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise-induced asthma. Which of the following medications should the nurse plan to instruct the client to use prior to physical activity? A) Cromolyn B) Beclomethasone C) Budesonide D) Tiotropium

A) Cromolyn

A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? (Select all that apply.) A) Glucose levels need to be monitored during therapy B) Avoid contact with persons with known infections C) Take med 1h before a meal D) Dec intake of foods containing potassium E) Grapefruit juice can inc blood levels of the med

A) Glucose levels need to be monitored during therapy B) Avoid contact with persons with known infections E) Grapefruit juice can inc blood levels of the med

A nurse is caring for a client who is receiving oprelvekin. Which of the following findings should the nurse document to indicate the effectiveness of the therapy? A) Inc platelet count B) Inc RBC count C) Dec prothrombin time D) Dec triglycerides

A) Inc platelet count

A nurse is reviewing the health history of a client who has diabetes mellitus and will begin taking insulin. Which of the following findings should the nurse identify as a factor that might cause the client to have difficulty safely self-administering insulin? A) Macular degeneration B) Right-sided HF C) Hyperlipidemia D) Stage II chronic kidney disease

A) Macular degeneration

A nurse is caring for a client who recently began taking oral amoxicillin/clavulanate and reports urticaria. Which of the following actions should the nurse take? A) Request a change in the type of the antibiotic B) Ask for a change in the route of the administration C) Check for pitting edema D) Check the client's WBC count

A) Request a change in the type of the antibiotic

A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medications? A) Vit K B) Acetylcysteine C) Benztrophine D) Physostigmine

B) Acetylcysteine

A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? A) vomiting B) Blood in urine C) Positive Chvostek's sign D) Ringing in the ears

B) Blood in urine

A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching? A) I should apply a patch every 5min if I develop chest pain B) I will take the patch off right after my evening meal C) I will leave the patch off at least 1 day each week D) I should discard the used patch by flushing it down the toilet

B) I will take the patch off right after my evening meal

A nurse is collecting a medication history from a client who has a new prescription for lithium. The nurse should identify that the client should discontinue which of the following over-the-counter medications? A) Aspirin B) Ibuprofen C) Ranitidine D) Bisacodyl

B) Ibuprofen

A nurse is providing discharge teaching to a client who has a new prescription for furosemide twice daily. The nurse should include which of the following instructions in the teaching? (Select all that apply.) A) take 2nd dose at bed time B) Inc intake of potassium rich food C) Obtain weight weekly D) Monitor for muscle weakness E) Dangle your legs from the side of the bed before standing

B) Inc intake of potassium rich food D) Monitor for muscle weakness E) Dangle your legs from the side of the bed before standing

A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor? A) Muscle weakness B) Sedation C) Tinnitus D) Peripheral edema

B) Sedation

A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in her instructions? A) Take one tablet 3 time a day before meals B) Take one tablet at onset of migraine C) Take up to 8 tablets as needed within a 24h period D) Take one tablet every 15m until migraine subsides

B) Take one tablet at onset of migraine

A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication? A) Constipation B) Tinnitus C) Hypoglycemia D) Joint pain

B) Tinnitus

A nurse in the emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer? A) Potassium iodide B) Glucagon C) Atropine D) Protamine

C) Atropine

A nurse is assessing a client who is taking amitriptyline for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? A) Tinnitus B) Urinary frequency C) Dry mouth D) Diarrhea

C) Dry mouth

A nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching? A) I should take the med with food B) I should take naproxen if I develop joint pain C) I should tell my provider if I develop a sore throat D) I should expect the med to cause orange urine

C) I should tell my provider if I develop a sore throat

A nurse is providing follow-up care to a client who is taking lisinopril. Which of the following manifestations should the nurse instruct the client to report as an adverse effect of lisinopril? A) Drowsiness B) Hallucinations C) Persistent cough D) Weight gain

C) Persistent cough

A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following instructions should the nurse include? A) Take med on empty stomach for full effect B) You may discontinue this med when stomach discomfort subsides C) Report skin yellowing D) Store med in fridge

C) Report skin yellowing

A nurse is preparing to administer a new prescription of amoxicillin/clavulanic to a client. The client tells the nurse that he is allergic to penicillin. Which of the following actions should the nurse take first? A) Update client's medical record B) Notify provider C) Withhold med D) Inform pharmacist of clients allergy to penicillin

C) Withhold med

A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. Which of the following information should the nurse include in the teaching? A) The med should be taken prior to 1hr prior to eating B) It takes 48hr for therapeutic effects to occur C) Tablets should not be crushed or chewed D) Decreased respiration might occur

D) Decreased respiration might occur

A nurse is caring for a client who is receiving cefazolin IV. The nurse should identify that which of the following medications can potentiate nephrotoxicity if administered concurrently? A) Famotidine B) Levofloxacin C) Metoclopramide D) Gentamicin

D) Gentamicin

A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following findings should the nurse identify as an indication that the medication has been effective? A) Dec in WBC count B) Dec in amount of time sleeping C) Inc in appetite D) Inc in ability to focus

D) Inc in ability to focus

A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide? A) Minimizes diaphoresis B) Maintain abstinence C) Lessen craving D) Prevent delirium tremens

D) Prevent delirium tremens

A nurse is preparing to mix and administer dantrolene via IV bolus to a client who has developed malignant hyperthermia during surgery. Which of the following actions should the nurse take? A) Admin reconstituted med slowly over 5min B) Store reconstituted med in fridge C) Use the reconstituted med within 12hr D) Reconstitute the initial dose with 60mL of sterile water w/o a bacteriostatic agent

D) Reconstitute the initial dose with 60mL of sterile water w/o a bacteriostatic agent

A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. The nurse should identify which of the following findings as an indication that the client is beginning to exhibit salicylism? A) Gastric distress B) Oliguria C) Excessive bruising D) Tinnitus

D) Tinnitus

A nurse is providing teaching to a client who is to start therapy with digoxin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider? A) Dry cough B) Pedal edema C) Bruising D) Yellow-tinged vision

D) Yellow-tinged vision

A nurse is preparing to administer 0.9% sodium chloride (NaCl) 1,500 mL to infuse over 8 hr to a client who is postoperative. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

188mL/hr

A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching? A) I will drink a glass of milk when I take med B) I will take med 15min after my evening meal C) I should take antacid with the med to avoid nausea D) I should sit up for 30min after taking the med

D) I should sit up for 30min after taking the med

A nurse is providing teaching to a client who has depression and has a new prescription for fluoxetine. Which of the following statements by the client indicates an understanding of the teaching? A) I should start to feel better within 24h of starting med B) I will avoid foods with tyramine C) I will continue to take St. John's Wort to inc effects of med D) I should take acetaminophen instead of ibuprofen for my headaches while taking this med

D) I should take acetaminophen instead of ibuprofen for my headaches while taking this med

A nurse is precepting a newly licensed nurse who is caring for four clients. The nurse should complete an incident report for which of the following actions by the newly licensed nurse? A) Admin isosorbide mononitrate to client who has BP 82/60mmHg B) Admin digoxin to client who has HR 92bpm C) Admin reg insulin to client who has glucose of 250mg/dl D) Admin heparin to client who has aPTT of 70sec

A) Admin isosorbide mononitrate to client who has BP 82/60mmHg

A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication? (Select all that apply.) A) Dry mouth B) Tinnitus C) Blurred vision D) Bradycardia E) Dry eyes

A) Dry mouth C) Blurred vision E) Dry eyes

A nurse is teaching about neural tube defects to a client who is planning a pregnancy. Which of the following vitamins should the nurse instruct the client to start taking before becoming pregnant? A) Folic acid B) Thiamine C) Pyridoxine D) Riboflavin

A) Folic acid

A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects should the nurse include in the teaching? A) Hot flashes B) Urinary retention C) Constipation D) Bradycardia

A) Hot flashes

A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma. The nurse should include that the spacer decreases the risk for which of the following adverse effects of the medication? A) Oral candidiasis B) Headache C) Joint pain D) Adrenal suppression

A) Oral candidiasis

A nurse is providing care for a client who is postoperative following an open cholecystectomy with the placement of a closed suction drain and is receiving morphine via patient-controlled analgesia for pain. Which of the following assessments is the nurse's priority? A) Respiratory rate B) Bowel sounds C) Drainage amounts D) Wound appearance

A) Respiratory rate

A nurse is teaching a client who has a new prescription for docusate sodium about the medication's mechanism of action. Which of the following information should the nurse include in the teaching? A) reduces the surface tension of the stools to change their consistency B) causes rectal contractions C) acts as a fiber agent, inc bulk in intestines D) stimulates motility of the intestines

A) reduces the surface tension of the stools to change their consistency

A nurse is teaching a client about warfarin. The client asks if she can take aspirin while taking the warfarin. Which of the following responses should the nurse make? A) It is safe to take an enteric-coated aspirin B) Aspirin will inc the risk of bleeding C) Acetaminophen may be sub for aspirin D) The INR lab work must be monitored more frequently if aspirin is taken

B) Aspirin will inc the risk of bleeding

A nurse is planning care for a client who has hypertension and is to start taking metoprolol. Which of the following interventions should the nurse include in the plan of care? A) Weigh the client weekly B) Determine apical pulse prior to admin C) Admin the med 30min prior to breakfast D) Monitor the client for jaundice

B) Determine apical pulse prior to admin

A nurse is caring for a client who has heart failure and is prescribed enalapril. The nurse should monitor the client for which of the following findings as an adverse effect of the medication? A) Bradycardia B) Hyperkalemia C) Loss of smell D) Hypoglycemia

B) Hyperkalemia

A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the nurse monitor? A) Paresthesia B) Inc BP C) Fever D) Respiratory depression

B) Inc BP

A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? A) Tingling toes B) Sexual dysfunction C) Absence of dreams D) Pica

B) Sexual dysfunction

A nurse has administered 2 doses of betamethasone to a client in preterm labor. After delivery of the newborn, the nurse understands the medication was effective when she observes which of the following? A) newborn is free of infection B) newborn has norm respiratory patterns C) mothers BP is within expected reference range D) mothers postpartum bleeding is minimal

B) newborn has norm respiratory patterns

A nurse is teaching a group of unit nurses about medication reconciliation. Which of the following information should the nurse include in the teaching? A) Client's provider is required to complete med reconciliation B) Med reconciliation at discharge is limited to the med ordered at time of discharge C) A transition in care requires the nurse to conduct med reconciliation D) Med reconciliation is limited to the name of the meds that the client is currently taking

C) A transition in care requires the nurse to conduct med reconciliation

A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of the following information should the nurse include in the teaching? A) Plan to inc dosage each weak by 200mg increments B) Prolonged use of med can cause glaucoma C) Drink 2L of water daily D) Fine red rash is transient and can be treated with antihistamines

C) Drink 2L of water daily

A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes the client has anxiety, hypotension, and dyspnea. Which of the following medications should the nurse administer first? A) Diphenhydramine B) Albuterol inhaler C) Epinephrine D) Prednisone

C) Epinephrine

A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching? A) Dec stomach acid secretion B) Neutralizes acids in the stomach C) Forms a protective barrier over ulcers D) Treats ulcers by eradicating H. pylori

C) Forms a protective barrier over ulcers

A nurse is teaching about a new prescription for ciprofloxacin to an older adult client who has a urinary tract infection. The nurse should identify which of the following statements as an indication that the client understands the teaching? A) I will take this med with an antacid to prevent GI upset B) I will stop taking this med when I no longer have pain upon urination C) I will report any signs of tendon pain/swelling D) I will take this med with milk

C) I will report any signs of tendon pain or swelling

A nurse is teaching a client who has tuberculosis about the adverse effects of isoniazid. The nurse should instruct the client to report to the provider which of the following findings as an adverse effect of the medication? A) Reddish-orange urine B) Photosensitivity C) Yellowish skin tones D) Headache

C) Yellowish skin tones

A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects? A) Weight loss B) Inc intraocular pressure C) Auditory hallucinations D) Bibasilar crackles

D) Bibasilar crackles

A nurse is reviewing laboratory results for a client who is to receive a dose of ceftazadime via intermittent IV bolus. Which of the following laboratory findings is the priority for the nurse to report to the provider before administering the medication? A) total bilirubin 0.4mg/dL B) Alanine aminotransferase 26u/L C) Platelet count 360,000/mm^3 D) Creatinine 2.6mg/dL

D) Creatinine 2.6mg/dL

A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately? A) Dyspepsia B) Diarrhea C) Dizziness D) Dyspnea

D) Dyspnea

A nurse is caring for a client in the emergency department following a diazepam overdose. Which of the following medications should the nurse anticipate administering to the client? A) Naloxone B) Leucovorin C) Neostigmine D) Flumazenil

D) Flumazenil

A nurse is reviewing laboratory results for a client who is receiving heparin via continuous IV infusion for deep-vein thrombosis. The nurse should discontinue the medication infusion for which of the following client findings? A) Potassium mEq/L B) aPTT times the control C) Hemoglobin g/dL D) Platelets 96,000/mm^3

D) Platelets 96,000/mm^3

A nurse is assessing a client 1 hr after administering morphine for pain. The nurse should identify which of the following findings as the best indication the morphine has been effective? A) vitals are within norm limits B) has not requested additional med C) is resting comfortably with eyes closed D) rates the pain at a 3

D) rate the pain at a 3

A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child who weighs 44 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

300mg

A nurse is teaching a client who is starting to take diltiazem. Which of the following statements should the nurse identify as an indication that the client understands the teaching? A) I will stop taking the med if I get dizzy B) I should not drink OJ while taking the med C) I should expect to gain weight while taking this med D) I will check my HR before I take the med

D) I will check my HR before I take the med

A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the following findings should the nurse identify as an adverse effect of the medication? A) cough B) Joint pain C) Alopecia D) Insomnia

D) Insomnia