Pharm Unit 4

A nurse is assisting with data collection from a client who has a history of unstable angina. Which of the following findings should the nurse expect? A. The client reports chest pain when at rest. B. Nitroglycerin relieves chest pain. C. Physical exertion does not precipitate chest pain. D. Chest pain lasts for under 5 min.

A. The client reports chest pain when at rest.

A nurse is caring for a client who took an overdose of acetaminophen.Which of the following medications should the nurse plan to administer?

Acetylcysteine

A nurse in a provider's office is caring for a school-aged child who is experiencing an acute asthma attack. Which of the following medications should the nurse plan to administer?

Albuterol

A nurse in a postpartum unit is caring for a client who plans to breastfeed her newborn exclusively. The client has a prescription for depot medroxyprogesterone acetate (DMPA). At which of the following times should the nurse schedule the client to receive the first dose of the medication?

At 6 weeks postpartum

A nurse is collecting data from a client who is to start taking bethanechol for urinary retention. Which of the following findings should the nurse identify as a contraindication for taking this medication?

Blood pressure 112/70 mmHg

A nurse is monitoring a client who has asthma, takes albuterol, and recently started taking propranolol to treat a cardiovascular disorder.The client reports that the albuterol has been less effective.Which of the following factors should the nurse identify as a possible explanation for this change?

Detrimental inhibitory interaction

The nurse should instruct the client to report which of the following as an adverse effect of prednisone?

Gastric ulceration

A nurse is caring for a client who has benign prostatic hyperplasia and a new prescription for doxazosin. Which of the following manifestations should the nurse monitor for as an adverse effect of doxazosin?

Hypotension

A nurse is reinforcing teaching with a newly licensed nurse about metoclopramide. The nurse should include in the teaching that which of the following conditions is a contraindication to this medication?

Intestinal obstruction

A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a prescription for gemfibrozil. The nurse should instruct the newly licensed nurse to monitor which of the following laboratory tests?

Liver function

A nurse is reviewing the medical record of a client who is scheduled for induction of labor and has a prescription for misoprostol. Which of the following conditions should the nurse identify as a contraindication to administering this medication?

Past cesarean delivery

A nurse is planning to administer diphenhydramine hydrochloride to an older adult client. Which of the following actions should the nurse take prior to administration?

Review the client's medical record for a history of glaucoma

A nurse is collecting data from a client who is taking theophylline. The client's dose was decreased due to concurrent use with cimetidine. Which of the following findings should the nurse expect?

Theophylline level 15 mcg/mL

A nurse is reviewing the laboratory reports of a child with acute nephrotic syndrome who has been receiving prednisone by mouth for the past week. Which of the following findings should the nurse report to the provider?

WBC count 3,000/mm^3

A nurse is collecting data from a client who uses an albuterol inhaler to treat asthma. For which of the following findings should the nurse withhold the medication and notify the provider?

Wheezing

A nurse is caring for a client who has severe asthma and allergic rhinitis. The client is taking theophylline. Which of the following medications should the nurse identify as being incompatible with theophylline?

Zafirlukast

A nurse is reviewing the medication history of a client who has mild intermittent asthma. The nurse should anticipate a prescription for which of the following inhalers for the client?

albuterol sulfate

A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). Which of the following prescriptions should the nurse expect?

finasteride

A nurse is reinforcing teaching with a client who has systemic lupus erythematosus and a new prescription for prednisone.The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?

infection

A nurse is collecting data from a client who takes oral theophylline to relieve chronic bronchitis. The nurse should recognize that which of the following findings indicates toxicity to theophylline?

tremors

A nurse is reviewing the medical record of a client who is requesting a prescription for sildenafil citrate. Which of the following findings in the client's record should the nurse identify as a contraindication for the use of this medication?

Current use of nitroglycerine to treat heart failure

A nurse is collecting data for a client who has been taking theophylline. Which of the following reports by the client indicates a therapeutic response to the medication?

"I have fewer asthma attacks."

A nurse is caring for a client who has bronchitis and a prescription for a mucolytic agent.Which of the following findings should the nurse identify as an adverse effect of this type of medication?

Bronchospasm

A nurse is assisting with the admission of a client who has unstable angina. which of the following medications should the nurse anticipate to administer?

Nitroglycerin

A nurse is caring for a client who has asthma and requires long-term treatment.The nurse should identify that which of the following medications used for long-term treatment places the client at an increased risk of asthma-related death?

Salmeterol

A nurse is preparing to administer metoclopramide to a client who has GERD. For which of the following manifestations should the nurse monitor as an adverse effect of the medication?

Tardive dyskinesia

A nurse is caring for a client who has multiple sclerosis and neurogenic bladder and is receiving bethanechol. The nurse should identify that which of the following client statements indicates a therapeutic action of the medication?

"I am able to urinate more freely."

A nurse is monitoring a client who received diphenoxylate-atropine. Which of the following statements by the client should indicate to the nurse that the medication has been effective?

"I have not had a bowel movement today."

A nurse is reinforcing teaching with a female client who has a new prescription for misoprostol to treat peptic ulcer disease. Which of the following client statements should indicate to the nurse that the teaching was effective?

"I should avoid becoming pregnant while taking this medication."

A nurse is reinforcing teaching with a client who is scheduled to start taking finasteride. Which of the following statements by the client indicates an understanding of the teaching?

"I should see a decrease in my PSA levels."

A nurse is reinforcing teaching with a client who has chronic bronchitis about how to administer acetylcysteine using a handheld nebulizer (HHN). Which of the following client statements indicates an understanding of the teaching?

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

A nurse is reinforcing teaching with a client who has a new prescription for sucralfate for a duodenal ulcer. Which of the following client statements indicates an understanding of the teaching?

"I should wait at least 30 minutes before taking this medication after I take an antacid."

A nurse is teaching a client who has asthma about the proper use of an albuterol inhaler. Which of the following client statements indicates an understanding of the teaching?

"I will shake the inhaler well right before I use it."

A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin sublingual tablets. Which of the following client statement indicates an understanding of the teaching?

"I will sit down when I take this medication."

A nurse in a provider's office is reinforcing teaching with a client who has an elevated prostate-specific antigen level and a new prescription for finasteride. Which of the following statements by the client indicates an understanding of the teaching?

"I will skip donating blood while I am taking this medication."

A nurse is reinforcing teaching with a client about the adverse effects of omeprazole. Which of the following client statements indicates an understanding of the teaching?

"If I experience severe diarrhea, I will call my doctor."

A nurse is reinforcing teaching with a client who has chronic constipation and a new prescription for psyllium. Which of the following instructions should the nurse provide?

"Mix this medication with water and follow with an additional glass of liquid."

A nurse is administering the first dose of sucralfate to a client. Which of the following explanations should the nurse provide about the action of Sucralfate?

"Sucralfate forms a gel-like substance that protects ulcers."

A nurse is teaching a client who is experiencing age-related vaginal atrophy and has a prescription for estradiol cream. Which of the following statements should the nurse include in the teaching?

"This medication has fewer systemic effects than oral estrogen."

A nurse is reinforcing discharge teaching with a client who has a new prescription for sildenafil to treat erectile dysfunction. Which of the following pieces of information should the nurse include?

"This medication should not be taken more than once per day."

A nurse is caring for a client who is taking diphenhydramine for allergies. The client reports, "I feel sleepy during the day." Which of the following responses should the nurse make?

"You should try antihistamines with non-sedative effects."

A nurse is preparing to administer diphenhydramine 5mg/kg/day PO divided equally every 8 hours to a school-aged child who weighs 50 lb. Diphenhydramin. How many mL should the nurse administer per dose?

15

A nurse is preparing to administer ondansetron 4 mg IM to a client who has postoperative nausea. Ondansetron injection 2 mg/mL is available. How many Ml should the nurse administer?

2

A nurse is collecting data from a client who is receiving omeprazole to treat a gastric ulcer. Which of the following findings should the nurse report immediately?

Diarrhea

A nurse is reinforcing teaching with a client who has a new prescription for nitroglycerin via a transdermal patch. Which of the following client statements indicate an understanding for the teaching?

I need to rotate the location of my patch every few days.

A nurse is reviewing the medication history of a client who has asthma. Which of the following medication combinations should the nurse identify as incompatibale?

Theophylline and zileuton