Pharm x2 exam 2 questions

The home care nurse has given instructions to a client who is beginning therapy with digoxin for atrial fibrillation. The nurse determines a need for further teaching if the client makes which statement?

"If I miss a dose, I would just take two the next day."

A client is being treated for moderate hypertension and has been taking diltiazem for several months. The client schedules an appointment with the primary health care provider because of episodes of chest pain, and Prinzmetal's angina is diagnosed. The client asks the nurse which therapeutic effects the medication will provide, and the nurse provides education. Which statement by the client indicates that the teaching has been effective?

"It prevents an influx of calcium ions in the smooth muscle."

A hypertensive client has been prescribed clonidine hydrochloride, a transdermal patch. The nurse provides written instructions to the client on the use of the patch. Which statement by the client indicates the need for further instruction?

"I need to change the patch every 24 hours."

The nurse is caring for a child with heart failure (HF). The nurse provides instructions to the parent regarding the procedure for administration of the prescribed digoxin. Which statement by the parent indicates a need for further teaching?

"I will make sure to mix the medication with food."

Montelukast (Singulair) is prescribed to a client with asthma. During the medication therapy, which of the following laboratories should be monitored?

Alanine transaminase (ALT) and aspartate transaminase (AST)

A nurse is about to administer albuterol (Ventolin HFA) 2 puffs and budesonide (Pulmicort Turbohaler) 2 puffs by a metered-dose inhaler. The nurse plans to administer by?

Albuterol inhaler first then the budesonide

The nurse notes a persistent dry cough in an adult client being seen in the ambulatory clinic. When questioned, the client states that the cough began approximately 2 months ago. On further assessment, the nurse learns that the client began taking lisinopril shortly before the time that the cough began. How would the nurse interpret the development of the cough?

An expected although bothersome side effect of therapy

The nurse is administering a dose of clonidine to a client. The nurse would ensure that which item is in place before administering the medication?

Blood pressure cuff

A client has begun therapy with theophylline. The nurse would teach the client to limit the intake of which items while taking this medication?

Coffee, cola, and chocolate

The nurse is giving medication teachings to a client receiving theophylline. The nurse instructed the client to limit the intake of which of the following?

Cola and chocolate

The primary health care provider has prescribed clonidine for a client with hypertension. The nurse would inform the client that which is a side effect of this medication?

Constipation

The nurse has a prescription to give a client a scheduled dose of digoxin. Prior to administering the medication, the nurse would assess for which manifestations that could indicate digoxin toxicity?

Double vision, loss of appetite, and nausea

A client who has begun taking metoprolol demonstrates an effective response to the medication as indicated by which nursing assessment finding?

Decrease in blood pressure from 142/94 mm Hg to 128/82 mm Hg

A client is prescribed with guaifenesin (Mucinex). The nurse determines that the client understands the proper administration of this medication if the client states that he or she will:

Drink extra fluids while taking this medication

A client with a chronic obstructive pulmonary disease is prescribed with ipratropium (Combivent). Upon a review of the medical history of the client, the nurse questions the prescription if which of the following is noted?

History of allergy to peanut

A client has been prescribed metorolol for hypertension. The nurse provides anticipatory guidance, knowing that which common side effect of this medication may decrease client compliance?

Impotence

The nurse should instruct a client who is taking an expectorant to:

Increase fluids

The nurse is preparing to administer albuterol to a client. Which parameters would the nurse assess before and during therapy?

Lung sounds and presence of dyspnea

A client with cardiac disease has begun taking propranolol, and the nurse provides information to the client about the medication. The nurse would tell the client to contact the primary health care provider (PHCP) if which symptoms develop?

Night cough and dyspnea

A client is seen in the clinic complaining of anorexia and nausea. The primary health care provider (PHCP) suspects that the client may be experiencing digoxin toxicity. While waiting for test results to become available, the nurse would assess the client for which sign or symptom that would support a diagnosis of digoxin toxicity?

Photophobia

Lisinopril has been prescribed for a client with hypertension. What would the nurse instruct the client about this medication?

Rise slowly from a reclining to a sitting position.

A client has a prescription to take guaifenesin. The nurse determines that the client understands the proper administration of this medication if the client states they will perform which action?

Take the tablet with a full glass of water.

The nurse is monitoring a client who is taking propranolol. Which assessment finding indicates a potential adverse complication associated with this medication?

The development of audible expiratory wheezes

The nurse is reviewing the use of diltiazem for clients with Prinzmetal's variant angina. The nurse would provide information based on which action of the medication?

The medication works by inhibiting calcium movement across cell membranes of cardiac and smooth muscle.

Tamisha will be having her exam in pharmacology tomorrow. She should be aware that antitussive is indicated to:

Relieve a dry cough

A 56-year-old adult client with heart failure is receiving digoxin. The nurse is auscultating the apical heart rate before giving digoxin and notes that the heart rate is 48 beats/minute. Which action would the nurse take?

Withhold the digoxin, and assess for signs of decreased cardiac output and digoxin toxicity.

A primary health care provider (PHCP) writes a prescription for digoxin, 0.25 mg daily. The nurse teaches the client about the medication and tells the client that it is most important to be sure to implement which measure?

Withhold the medication and call the PHCP if the pulse is slower than 60 beats/min.

A client is admitted to the emergency room complaining of difficulty of breathing and upon auscultation, the nurse noted that the patient has wheezes. An allergic reaction to penicillin was diagnosed. Which of the following medications should the nurse expect to administer first?

albuterol (Ventolin HFA)