Pharmacology 3 SIRT

#4) A client is having burst of ventricular arrhythmias. Which medication should the nurse prepare to give to resolve this concern? A: Atropine B: Adenosine C: Amiodarone D: Verapamil

C: Amiodarone

# 46) A nurse prepares a client to undergo-a liver biopsy. The nurse administers what pre-op medication? A: Vitamin A B: Vitamin B-12 C: Vitamin K D: Warfarin

C: Vitamin K

#19) A client whose atorvastatin dosage was recently increased, asks if there are any precautions he should take. How should the nurse respond? A: Call the provider if you experience muscle weakness and have your liver enzymes checked. B: Consider niacin as a cheaper, better to control your cholesterol C: Stop taking the medication if your high-density lipoprotein (HDL) levels increase. D: Consider that grapefruit diet as an added way to bring your cholesterol down.

A: Call the provider if you experience muscle weakness and have your liver enzymes checked.

#5) A client has been prescribed the medication spironolactone. When preparing the client for discharge, the nurse should include which of the following instructions? (select all apply) A: Do not take this medication before bedtime B: It is important to increase your intake of dark leafy greens C: This medication will make you urinate more often D: Remember to eat salt substitutes instead of actual sodium E: Be sure to take this with meals F: Check your weight daily and keep a record to bring with you to your next appointment.

A: Do not take this medication before bedtime C: This medication will make you urinate more often E: Be sure to take this with meals F: Check your weight daily and keep a record to bring with you to your next appointment.

#20) The nurse is caring for a client who develops marked edema and low urine output as a result of heart failure. Which medication will the nurse expect the provider to order for this client? A: Furosemide B: Digoxin C: Spironolactone D: Hydrochlorothiazide

A: Furosemide

#36) A client who has angina is prescribed nitroglycerin. Which are appropriate nursing interventions for nitroglycerin? (Select all that applies) A: Have the client sit or lie down when taking nitroglycerin sublingual tablets. B: Teach the client who has taken a tablet to call 911 in 5 minutes if the chest pain persists. C: Apply the nitroglycerin patch to a hairy area to protect the skin from burning. D: Call the health care provider after taking five tablets if client chest pain persists. E: Warn the client against ingesting alcohol while taking nitroglycerin. E: Warn the client against ingesting alcohol while taking nitroglycerin.

A: Have the client sit or lie down when taking nitroglycerin sublingual tablets. B: Teach the client who has taken a tablet to call 911 in 5 minutes if the chest pain persists. E: Warn the client against ingesting alcohol while taking nitroglycerin.

#21) A client diagnosed with high blood pressure is prescribed lisinopril. Which statement made by the client indicates discharge teaching has been effective? (select all that applies) A: I should get up slowly when getting out of bed B: I should check my blood pressure daily C: If I experience leg cramps, I should take extra potassium supplements. D: If I forget to take a dose of medication, I should take two doses the next day.term-28 E: My diet does not matter, I can eat what I want as long as I take my medication.

A: I should get up slowly when getting out of bed B: I should check my blood pressure daily

#44) The client is prescribed intravenous metoclopramide as needed. The client asks how the medication works. How should the nurse respond? A: It promote gastric emptying and suppresses nausea centers in the brain. B: It decreases the gastric acidity that triggers nausea. C: It slows peristalsis to stop emetic contractions. D: It sedates the vagal nerve.

A: It promote gastric emptying and suppresses nausea centers in the brain.

#49) A lab calls to inform the nurse that a client's partial thromboplastin time (PTT) is 150 seconds. What antidote to heparin should the nurse have available? A: Protamine sulfate B: Atropine sulfate C: Vitamin K

A: Protamine sulfate

#13) Which of the following medications could cause fluid retention and thus contribute to heart failure? A: Steroids B: Diuretics C: oxygen D: Morphine

A: Steroids

#17) A client with asthma exacerbation has been using her albuterol rescue inhaler 10-20 times a day because she cannot take a full breath. What possible side of albuterol does the nurse anticipate the client will report? (select all that apply) A: Constipation B: Difficulty Sleeping C: Hives with pruritus D: Palpitations E: Tremors

B: Difficulty Sleeping D: Palpitations E: Tremors

#11) The nurse administers a dose of diltiazem to a client as scheduled. It is most important for the nurse to monitor the client for which side effects/ adverse effect? A: Dysphagia B: Dizziness C: Dry Cough D: Dry Mouth

B: Dizziness

#40) The client has been receiving spironolactone 50 mg PO daily for heart failure. The nurse should closely monitor the client for which condition? A: Hypokalemia B: Hyperkalemia C: Hypoglycemia D: Hypermagnesemia

B: Hyperkalemia

#14) The nurse is teaching a client about sublingual nitroglycerin administration. What statement made by the client indicates a need for additional teaching? (Selected all that applies) A: If I have chest pain, I should take one sublingual nitroglycerin and then call 911. B: I can swallow my nitroglycerin tablets, but only if I immediately drink a full glass of water. C: I can take up to 3 sublingual nitroglycerin tablets, one tablet every 3 minutes if I experience chest pain D: I should inform my provider if I experience a headache after taking a sublingual nitroglycerine tablet. E: I should sit or lie down when taking a sublingual nitroglycerin tablet.

B: I can swallow my nitroglycerin tablets, but only if I immediately drink a full glass of water. C: I can take up to 3 sublingual nitroglycerin tablets, one tablet every 3 minutes if I experience chest pain D: I should inform my provider if I experience a headache after taking a sublingual nitroglycerine tablet.

#12) Which of these statements indicates a good client understanding of nitroglycerin self-care practices? A: I can take nitroglycerin before I shovel snow and repeat it if chest pain occurs while shoveling. B: I should stop what I am doing and sit down before I take nitroglycerin for chest pain C: I should keep unopened bottles of nitroglycerin in the freezer D: I can take nitroglycerin 3 times, but I need to space them 3 minutes apart.

B: I should stop what I am doing and sit down before I take nitroglycerin for chest pain

#42) Which of these comments by a client taking calcium channel blockers would indicate the need for additional teaching? A: I will rise slowly from lying, sitting to standing B: I will take the medication with grapefruit juice C: I will elevate my legs if edema occurs D I can limit my risk for constipation by limiting my intake of calcium base antacids.

B: I will take the medication with grapefruit juice

#37) The nurse is caring for a client who had surgery yesterday. When the nurse is administering omeprazole, the client asks. "Why am I taking this medication, as I do not take it at home." Which is the most appropriate response by the nurse? A: Omeprazole helps prevent nausea by making the stomach empty faster. B: Omeprazole helps prevent you from developing an ulcer due to stress of surgery. C: Omeprazole protects you from getting an infection while on antibiotics D: This medication will treat your gastroesophageal reflux disorder.

B: Omeprazole helps prevent you from developing an ulcer due to stress of surgery.

#32) A nurse is caring for a client with an asthma attack. Bterm-44lood pressure is 140/88 and pulse is 116 bpm respirations are 40 breaths perterm-9 min. The respiratory therapist administered a nebulizer with albuterol as ordered. One hour later, the assess which findings that indicates the drug has been effective? A: Heart rate of 120 bpm B: Respiratory rate of 24 breaths/ minutes C: tremors D: Altered levels of consciousness

B: Respiratory rate of 24 breaths/ minutes

#27) A nurse is talking with a client with peptic ulcer disease and is starting therapy with sucralfate. The nurse should include which instructions about the medication? A: Take it with an antacid B: Take 1 hour before meals and at bedtime C: Take it whenever indigestion occurs D: Take it immediately after meals.

B: Take 1 hour before meals and at bedtime

#6) A nurse observes a student nurse reinforcing teaching to a client on how to take sucralfate. Which statement made by the student would require intervention by the nurse? A: Take this in the morning 1 hour before breakfast B: Take this with your other stomach medications C: Take your heart medication 2 hours after sucralfate D: You might experience constipation while taking this medication.

B: Take this with your other stomach medications

#34) The nurse is planning to discontinue a client beta-blocker. Which instructions will the nurse give the client regarding the beta-blocker? A: The beta-blocker should be abruptly stopped when another cardiac drug is prescribed. B: The beta-blocker should not be suddenly stopped; the dose should be tapered down. C: The beta blocker should be maintained while taking another antianginal drug D: Half of the beta-blocker dose should be taken for the next several weeks.

B: The beta-blocker should not be suddenly stopped; the dose should be tapered down.

#47) A client will be discharged on digoxin 0.125 mg PO daily. What should the nurse include in the client's discharge teaching? A: The client should be told to take the digoxin at bedtime. B: The client should be asked to demonstrate checking their pulse. C: The client should be told not to take their digoxin if their heart rate exceeds 90 beats per minute D: The client should be advised to eat a diet high in bran fiber and calcium.

B: The client should be asked to demonstrate checking their pulse.

#45) What should the nurse advise a client taking loop or thiazide diuretics regarding their self-care? A: Avoid fruits and potatoes B: Weight daily and report any loss or gains exceeding two pounds in 24 hours. C: Walk a mile a day D: Take the medication after supper to avoid mid-day urgency.

B: Weight daily and report any loss or gains exceeding two pounds in 24 hours.

#15) The nurse is scheduled to give oral metoprolol 25 mg to a client. Which of the findings would cause the nurse to hold the medication? A: Heart rate of 92 beats/ minutes B: Respiratory rate of 26 breaths/minute C: Blood pressure of 92/44 mm Hg D: constipation

C: Blood pressure of 92/44 mm Hg

#24) The nurse is caring for a client with renal insufficiency and reflux issues. What would be the safest way to manage hyperacidity in a client with renal failure? A: Magnesium Hydroxide B: Effervescent aspirin C: Calcium Carbonate D: Aluminum- Magnesium

C: Calcium Carbonate

#50) The client takes diphenoxylate with atropine at least twice daily for diarrhea. Which of this added illness might be adversely affected by her diphenoxylate with atropine intake? A: Cerebral Vascular accident (CVA) related drooling B: Bradycardia C: Glaucoma D: Chronic obstructive pulmonary disease (COPD)

C: Glaucoma

#16) What is essential for the nurses to remember when adminterm-24istering potassium supplements? A: Offer the medication at bedtime B: Offer the medication between meals C: Hold the medication when potassium levels are above 5.0 mm D: Advise the clients to chew the medication well before swallowing it.

C: Hold the medication when potassium levels are above 5.0 mm

#43) The nurse is educating a client regarding the use of pantoprazole. What statement by the client shows a proper understanding of taking this medication? A: I should chew the medication when my heartburn is bad, so it absorb more rapidly B: I should plan to take this medication for the rest of my life C: I should take this medication on an empty stomach before I eat D: I should take this medication with an antacid to maximize its effects.

C: I should take this medication on an empty stomach before I eat

#26) Which statement indicates an understanding of needed self-care precautions in a client taking warfarin?A: I should eat spinach to increase my iron count if my international normalized ration goes below 2 B: Herbal remedies are fine, but I shouldn't take aspirin without consulting my physician. C: My warfarin does may need to be readjusted when I take a course of antibiotics D: I should expect pink urine dur to metabolic byproducts of the dye used in this medication.

C: My warfarin does may need to be readjusted when I take a course of antibiotics

#35) A nurse is teaching a client with asthma the appropriate use of inhaled fluticasone. What advise should the nurse give to help the client avoid inhaled steroid complications? A: Check the pulse after taking the medication B: Take the medication before eating C: Rinse your mouth after inhaling the medicine. D: Limit your caffeine intake.

C: Rinse your mouth after inhaling the medicine.

#48) The nurse is counseling a neighbor regarding over-the-counter acidity reducing agents. What should the nurse advise? A: "Once you start these medications, you will become reliant on them, and so you should plan to stay on them for the rest of your life." B: You can take ranitidine at breakfast and supper and cimetidine at noon and bedtime. if on medication along is insufficient for control C: These medications can accentuate or inactive the effects of other medications, so be sure you consult your provider if you taking them with other medications. D: "Taking these medications with antacids will enhance their effects.

C: These medications can accentuate or inactive the effects of other medications, so be sure you consult your provider if you taking them with other medications.

# 41) Prazosin is prescribed for a client with hypertension. Which these instructions should the nurse include in the teaching plan? A: Keep a record of daily weights B: Avoid salt substitutes when taking this medication C: Check the pulse before taking this medication D: Change from a lying to a sitting position slowly

D: Change from a lying to a sitting position slowly

#33) The nurse is reviewing laboratory data of a client on warfarin for atrial fibrillation. The client's international normalized ratio (INR) is 5/5, and the client's reports prolonged nosebleeds. What action should the nurse take? A: Administer the next schedule dose of warfarin B: Anticipate infusing fresh frozen plasma C: Call pharmacy to see if protamine sulfate is available D: Contact the health care provider and consider a prescription for vitamin K

D: Contact the health care provider and consider a prescription for vitamin K

#3) A client comes to the clinic seeking a prescription for sildenafil. What is a priority assessment question for the nurse to ask? A: Do you have diabetes mellitus? B: Do you have any sexually transmission disease C: DO you take an antiarrhythmic? D: Do you use nitroglycerin?

D: Do you use nitroglycerin?

#10) The nurse is preparing to administer schedule doses of hydrochlorothiazide and digoxin to a client with heart failure. The client reports having blurred vision. The nurse notes that a heart rate of 58 beats per minute and a blood pressure of 140/78. Which action will the nurse take? A: Give both medications and evaluate serum potassium levels more frequently. B: Hold the hydrochlorothiazide and notify the provider C: Administer the medication and request an order for serum electrolytes D: Hold the digoxin and notify the provider.

D: Hold the digoxin and notify the provider.

#18) A client is taking a beta-adrenergic blocker. Which of the following is most critical for the nurse to include in the plan of care? A: Instruct the client to take a second dose if angina occurs B: Monitor intake and output closely C: Administer the medication between meals D: Hold the medication if the apical pulse is under60 beats per minute and seek parameters.

D: Hold the medication if the apical pulse is under60 beats per minute and seek parameters.

#7) A client with stable angina is being discharged home with sublingual nitroglycerin. The nurse has completed discharge instructions regarding this medication. Which statement by the client show the teaching has been effective? A: I can keep some pills in a napkin in my pocket when I go out B: I can still take my sildenafil prescription C: I should stop talking the nitroglycerin if I get an headache D: I can take up to 3 pills 5 minutes apart if I experience chest pain.

D: I can take up to 3 pills 5 minutes apart if I experience chest pain.

#38) An asthmatic client understands leukotriene blocker when they make which comment? A: This medication could cause me to develop a thrush infection. B: I should take this medication whenever I suddenly have difficulty with breathing. C: I should expect that this medication will make me agitated. I don't need to report that effect. D: If I take this medicine before bedtime, it might help me avoid an asthma attack in the middle of the night.

D: If I take this medicine before bedtime, it might help me avoid an asthma attack in the middle of the night.

#9) Why it preferable to manage constipation in elderly clients with daily polyethylene glycol or psyllium fiber instead of magnesium hydroxide every third day? A: Polyethylene glycol is an ultimately cheaper remedy B: Magnesium hydroxide taste like chalk and ruins appetite C: Psyllium fiber contains B vitamins D: Magnesium accumulates in elderly clients with renal failure.

D: Magnesium accumulates in elderly clients with renal failure.

# 25) A nurse is giving discharge instructions to a client who has asthma and is about to start using beclomethasone . In addition to his other inhalers, which teaching points are essential for safety? (Select all that applies) A: Take the steroid inhaler before taking the bronchodilator B: The client can save money by ordering medication via the internet C: Expect a white film to form over the inside of the mouth. It will resolve on its own. D: Rinse the mouth after using any inhaler, especially this one E: Take the bronchodilator before taking the steroid inhaler.

D: Rinse the mouth after using any inhaler, especially this one E: Take the bronchodilator before taking the steroid inhaler.

#22) A nurse is giving discharge instructions to a client who has asthma and is about to start taking theophylline. The nurse should tell the client that this medication might cause which of these following adverse effects? A: Drowsiness B: Constipation C: Oliguria D: Tachycardia

D: Tachycardia

#1) Clients using promethazine for extended periods should be told to seek professional help if what type of symptoms occur? A: Hiccups B: Repetitive dreams C: Night blindness D: Tremors or muscle rigidity

D: Tremors or muscle rigidity

#39) Which of these symptoms might be attributed to the anticholinergic component of a combination of albuterol and ipratropium in an inhalation solution? A: Nervousness B: Tremors C: Hypertension D: Urine Retention

D: Urine Retention

#8) A nurse is providing discharge instructions to several clients with new medication prescriptions. Which instructions are correct? (select all that applies) A: avoid salt substitutes when taking valsartan for hypertension B: Take levofloxacin with aluminum hydroxide to avoid gastric irritation. C: Take sucralfate after meals to minimize gastric irritation associated with gastric ulcers D: When taking ethambutol, notify the provider of any vision changes E: When taking Rifampin,, notify the provider if secretions turn orange.

D: When taking ethambutol, notify the provider of any vision changes A: avoid salt substitutes when taking valsartan for hypertension

#2) A client with hypertension is prescribed captopril. The nurse instructs the client to notify their provider immediately if what adverse effects occurs? A: Cough B: Dizziness C: Rapid onset of confusion D: swelling of lips and tongue

D: swelling of lips and tongue