Pharmacology ATI FINAL EXAM PART 2
admin topical nitroglycerin ointment to a client who has angina. Which of the following actions should the nurse take?
apply the ointment using a dose measuring applicator
teaching a client who is using topical lidocaine about preventing systemic toxicity. which of the following pieces of information should the nurse include about the application of topical lidocaine?
apply topical lidocaine to affected areas that are intact
a nurse is working in the emergency department is admitting a client who has a gastric ulcer and gastrointestinal (GI) which of the following factors in the clients medical history should the nurse report to the provider?
arthritis treated with ibuprofen every 8hr as needed
a nurse is assessing a client who is experiencing chest pain. which of the following meds should the nurse expect to adminster to supress the aggregation of platletes?
aspirin
a nurse is caring for a client who is taking an agonist med. the nurse should expect which of the following actions from this type of medication?
binds to receptors and mimics regulatory molecules
a nurse is teaching a client who has type 2 DM about storing unopened vials of insulin. which of the following pieces of information should the nurse include in the teaching?
store the vials in the refrigerator
alendronate sodium for osteoprosis
- take with a full glass of water on an empty stomach - side effects: esophageal irritation, muscle pain, femur fracture
a nurse is caring for a client who receives gastronomy tube feedings and insulin. the client is scheduled to receive a tube feedings at 0700. at which of the following times should the nurse plan to administer insulin lispro subQ
0645
admin insulin glulisine 10 un subQ at 0730 to an adolescent client who has type 1 DM. the nurse should anticipate the onset action of the insulin at which of the following times?
0745 - 15 min onset
a nurse is caring for a client who has positive tuberculin skin test and is beginning a prescription for isoniazid. which of the following lab values would be monitored while the client is taking isoniazid?
AST - hepatotoxic drug
a nurse is evaluating how a client who is pregnant is responding to a med. which of the following physiological effects of pregnancy should the nurse take into consideration?
Accelerated excretion of fluids - kidneys with pregnancy; increased renal blood flow; increased glomerular filtration
a nurse is reviewing the med hx of a client who has intermittent asthma. the nurse should anticipate a prescription for which of the following inhalers for the client.
Albuterol sulfate
a nurse in a providers office is assessing a client who has been taking fever few. which of the following statements by the client indicate a therapeutic effect of the supplement?
I am having fewer migraine headaches since i started taking feverfew. - fever few is herb that prevents migranes
Clarfiy that which prescription should be administered though NG tube
Aspirin EC - should not be crushed
a nurse is caring for a client who has multiple medications during which of the following steps fo the nursing process should the nurse identify the clients allergies
Assesment
A nurse is caring for a client who is receiving IV famotidine. Which of the following adverse effects should the nurse report?
Bloody stools -Famotidine is used to treat stomach ulcers (gastric and duodenal), erosive esophagitis (heartburn or acid indigestion),
a nurse is caring for a client who has prescription a QT interval medication. Which of the following conditions should the nurse identify as an adverse effect of this medicaition?
Bradycardia
a nurse is caring for a client who has bronchitis and a prescription for mucolytic agent. Which of the following findings should the nurse identify as an adverse effect of this type of medication?
Bronchospasm - mucolytic agent: hypertonic saline solution or acetylcysteine can irritate airways
a nurse is teaching a client who has primary adrenal insufficiency (addisions disease) and a prescription for hydrocortisone. which of the following statements should the nurse include in the teaching about this med?
Carry a supple of pills and single-use injectable preparation with you at all times. - Stress: 3by3 rule (take 3X usual dosage for 3days) - take in morning
placement of a nitroglycerin patch. which indicates an understanding of the teaching?
I can place the patch on any area of my body without hair
pt recieved diphenoxylate-atropine. which of the following statements by the client should indicate to the nurse that the med has been effective?
I have not has a bowel movement today - treats diarrhea - adverse effects: drowzyness, dry mouth,
a nurse is reviewing the medical record of a client who is receiving hydrochlorothiazide (HCTZ) the nurse should expect to find an improvement in which of the following conditions as a result of this med?
Diabetes insipidus - hydrochlorothiazide: diuretics/"water pills." It works by causing you to make more urine.
nurse is caring for a client who has acute glomerulonephritis and a prescription for furosemide. The nurse should monitor the client for which of the following therapeutic effects of this medication?
Diuresis
a nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. the nurse should plan to monitor the client for which of the following adverse effects?
Dizziness
a nurse is caring for a client who is taking selegiline. the nurse should monitor the client for which of the following adverse effects of selegiline and notify the provider if it occurs?
Drowsiness - serotonin syndrome - Selegiline is used to help control the symptoms of Parkinson's disease
a nurse caring for a pt with asthma and advanced rheumatoid arthritis and deformity of the hand. the nurse should anticipate that the client will receive which of the following med-delivery devices for the treatment of asthma?
Dry-powder inhaler (DPI)
a nurse is administering adenosine via IV bolus for a client who has developed paroxysmal atrial tachycardia. for which of the following findings should the nurse assess the client during the admin of adenosine?
Dyspnea
a nurse is preforming a preoperative assessment of a client who is about to undergo an aneurysm clipping. the nurse should identify a risk for increased bleeding when the client reports taking which of the following dietary supplements?
Garlic - (garlic, ginger, ginkgo biloba)
a nurse is teaching a client who has severe generalized rheumatoid arthritis and is scheduled to start taking prednisone for long term therapy. The nurse should instruct the client to report which of the following adverse effects?
Gastric ulceration
a nurse is teaching a newly licensed nurse about caring for a client who is receiving PCA. which of the following actions by the newly licensed nurse indicate an understanding of teaching?
Having a second nurse check the PCA setting
a nurse is reviewing the medical record of a client who has post menopausal osteoporosis and a prescription for raloxifene. which of the following findings in the clients medical record should the nurse identify as a contraindication to receiving this med?
Hx of deep-vein thrombosis (DVT)
a nurse is caring for a client who has osteoporosis and has been taking a vitamin D supplement. The nurse notes that the client also taking a multivitamin daily. Which of the following findings should indicate to the nurse that the client might be experiencing vitamin D toxicity?
Hypercalcemia
a nurse is caring for a client with MS and neurogenic bladder who is receiving bethanechol. The nurse should identify that which of the following statements indicates a therapeutic action of the med?
I am able to urinate more freely
a nurse is providing teaching to a client with hypertension and type 1 DM who has a new prescription for metoprolol. which of the following statements by the client indicates an understanding of the teaching?
I might have difficulty recognizing when my blood sugar is low - treat hypertension (decrease HR so manifestations of hypoglycemia can be masked)
a nurse is providing teaching for a client who has a new prescription for nitroglycerin admin through a transdermal patch. which of the following client statements indicates an understanding of the teaching?
I need to rotate the location of my patch every few days
a nurse is teaching a client who has a prescription for scopolamine patches for the treatment of motion sickness. which of the following client statements should indicate to the nurse that the teaching has been effective?
I should apply this patch behind my ear - replaced every 73hr
a nurse is teaching a female client who has a new prescription for misoprostol to treat peptic ulcer disease. Which of the following statements should indicate to the nurse that the teaching was effective?
I should avoid becoming pregnant while taking this med - preg risk cat X - can cause uturine contractions
a nurse is reaching a client who has a new prescription for alosetron. which of the following client statements indicates an understanding of the teaching?
I should contact my provider immediately if i experience constipation - Alosetron is used to treat diarrhea, pain, cramps, and the feeling of an urgent need to have bowel movements caused by irritable bowel syndrome (IBS;
a nurse is teaching about the adverse effects of baclofen with a client who has MS with spasms. Which of the following statements should the nurse identify as an indication that the client understands the teaching?
I should not stop taking this medication suddenly
A nurse is teaching a client who will be taking dexamethasone daily for pain due to spinal edema. The nurse should identify which of the following client statements as an indication that the teaching has been effective?
I should stay away from people who are ill - glucocorticoid that decreases inflammation by affecting a immunes system.
a nurse is providing teaching to a client with chronic bronchitis about admin acetylcysteine using a hand held 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
heart failure and a prescription for digoxin 0.125mg PO daily and furosemide 20mg PO daily. which of the following statements by the client indicates an understanding of the teaching?
I will eat foods high in potassium (fruits/veggies) - visual disturbance such as blurred vission is an adverse effect - weigh self daily - HR should be >60
a nurse is providing teaching to a parent of a child who has asthma and a new prescription for a cromolyn sodium metered-dose inhaler. Which of the following statements by the parents indicate the need for further teaching?
I will give my child a dose as soon as wheezing starts.
a nurse is providing teaching to a client who has a new prescription for a fentanyl transdermal patch. which of the following statements by the client indicates an understanding of the teaching?
I will have to stop drinking grapefruit juice while using the patch
a nurse is providing teaching to a client who has postmenopausal osteoporosis and a new prescription for intranasal calcitonin salmon. which of the following statements by the client indicates an understanding of the teaching?
I will need to depress the side of arms to activate the pump
a nurse is teaching a client who has osteoporosis about a new prescription for risedronate. which of the following clients statements indicates an understanding of the teaching?
I will take this med with a full glass of water - sit up right for atleast 30min after - take on empty stomach in morning
a nurse is reviewing the lab reports of a client who has been taking warfarin for atrial fibrillation. which of the following results should the nurse report to the provider immediately?
INR 5.5 - (2-3)
a nurse is preparing to administer meperidine to a client who is postoperative and reports a pain level of 8. which of the following routes of administration will deliver the med with the shortest time of onset?
IV
a nurse is preparing to administer medication to a client. the nurse should understand that which of the following abbreviations indicates the greatest frequency of medication administration?
QID (4X daily)
a nurse is preparing to administer warfarin to a client who has a new onset of atrial fibrillation. the client asks the nurse, "what should this medication do?" which of the following responses should the nurse make?
It can reduce your risk of having a stroke - prevent clot formation and reduce risk of stroke
use of dinoprostone vaginal insert pouch to stimulate labor. which of the following statements should the nurse include in the teaching?
Lie on your back for at least 2hrs w/o getting up - releases medication slowly up to 12 hrs
a nurse is teaching a client about taking tetracycline PO. which of the following statements should the nurse include in the teaching?
Limit your consumption of dairy products while taking medicine
nurse is working in a mental health facility is admitting a pt with opioid disorder who is experiencing withdrawal. When prescription should be expected?
Methadone
pt is taking varenicline for smoking cessation. which of the following findings is the nurses priority?
Mood changes
a nurse is assessing a client who has been taking simvastatin to treat hyperlipemia. Which of the following statements by the client indicates as adverse effects of the medication that should be reported to the provider immediately?
My legs feel weak and achy
a nurse is caring for a client who has been in PACU for more than 1hr has a resp: 9/min, and is difficult to arouse. The nurse should expect a prescription for which of the following meds?
Naloxone - reverse resp depression, sedation, and analgesia caused by opioids
a nurse is admitting a client who has unstable angina. which of the following meds should the nurse anticipate to admin?
Nitrogylcerin
a nurse is caring for a client who has unstable angina. the nurse should anticipate an prescription form the provider for which of the following medication?
Ntroglycerin
a pt has a seizure disorder and a new prescription for valproic acid. which of the following lab values should the nurse plan to monitor?
PTT, AST, ALT - can alter coagulation and cause hepatotoxcity
ADHD pt starting therapy with amphetamine/dextroamphetamine mixture. which manifestation should the nurse instruct the client to identify as an adverse effect and report to the provider?
Palpitation
nurse assessing pt taking linezolid to treat staphylococcus aureus infection. What findings should be reported to provider?
Paresthesias - Linezolid is used to treat infections, including pneumonia, and infections of the skin .
a nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. a severe allergy to which of the following med is a contraindication to ceftriaxone?
Piperacillin
a nurse is teaching a client who has type 1 DM about new subQ insulin infusion pump. which of the following pieces of information should the nurse include in the teaching?
Plan to use a type of short-duration insulin in the infusion pump - regular, lispro, aspart, glulisine
acute asthma exacerabation. which of the following meds should the nurse identify as being contraindication for this client
Propranolol - a beta blocker that can block the action of albuterol
a nurse is caring for a client who has TB and is taking rifampin. the nurse should monitor the client for which of the following adverse effects of rifampin?
Red-tinged urine - Rifampin is frequently used in combination with other antibiotics to prevent or treat certain kinds of infections
Vareniciline
Smoking cessation
the nurse is caring for a client who has had a levonorgestrel-releasing intrauterine device (IUD) in place for 1 yr. which of the following findings should indicate that the client is experiencing an adverse effect?
Spotting between menses cycles
Oxycodone extended release
Swallow this med whole
a nurse is preparing to administer the first injection of the diphtheria, tetanus, and pertussis (Dtap) vaccine to an infant. which of the following pieces of information should the nurse tell the guardian prior to administering the immunization
The vaccine will be injected into the infant thigh
a nurse is providing teaching to a client who has prescription for famotidine to treat gastric ulcer. Which of the following statements should the nurse include in the teaching?
This medication is less effective for people who smoke
a nurse is teaching a client who is starting PCA following procedure. Which of the following statements indicates an understanding?
This method works by keeping my opioid levels steady
A pt on warfarin with an INR of 6.2 what prescription should you expect?
Vitamin K
a nurse is administering an enteric-coated tab to a client and explaining the pharmaceutical preparation. which of the following statements should the nurse make?
You are less likely to have upset stomach with this pill because of the coating on the tablet
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 theophyline?
Zafirlukast: leukotriene receptor antagonist for asthma maintainance
a nurse is teaching about levodopa with a family member a client who has parkinsons disease. which of the following pieces of information should the nurse include?
a full therapeutic response may take several months to happen
a nurse is teaching to a client who has systemic lupus erythematosus about a new prescription for oral glucocorticoid therapy. which of the following client statements indicates an understanding of the teaching?
a should take a calcium supplement while on this medication
nurse is teaching a client who has a prescription for a transdermal estradiol patch. in which of the following locations should the nurse instruct the client to apply the patch?
abdomen
a nurse is administering a medication parenterally to a client. which of the following techniques should the nurse use to reduce fluctuations in plasma medication levels?
administering a continuous infusion of the dose
a nurse in a providers office is assessing a client who has been taking amoxicillin for 10 days and reports diarrhea and cramping. the nurse should recognize that these manifestations occur secondary to which of the following adverse effects?
alterations in gastrointestinal flora
a nurse is caring for a client who is due to receive general anesthesia. the client asks the nurse. What is the difference between an analgesic and anesthesia? which of the following statements should the nurse make?
anesthesia can cause loss of consciousness
a nurse in a providers office is assessing a client who reports taking a dietary supplement to reduce hot flashes related to menopause. Which of the following supplements should the nurse expect the client to report taking?
black cohosh
a nurse is caring for a client who had a MI 2hrs ago and receiving alteplase. which of the following findings should the nurse identify as an adverse effects of receiving this medication?
bleeding - treats clot formation by dissolving clots
a nurse is planning discharge teaching for a client who has major depressive disroder and a new prescription for phenelzine. which of the following foods should the nurse include in the plan as safe for the client to consume while taking phenelzine?
broiled beef steak - a MAOI antidepressant interacts with foods to produce hypertensive crisis. - most cheeses, cured meats, and fish
a nurse is monitoring a client who is receiving phenytoin IV for the treatment of status epilepticus. which of the following findings should the nurse identify as an adverse effects of the med?
cardiac dysrhthmias
a nurse is providing teaching to a client who has venous thrombosis and a prescription for warfarin. which of the following instructions should the nurse include in the teaching?
carry a medical alert ID card - increased risk for bleeding
baclofen for multiple sclerosis
change positions slowly while taking this med (orthostatic hypotension) - take w/food - acute withdrawl (hallucinations and increased spasticity) - urinary frequency is adverese effects
a nurse is preparing to admin the influenza vaccine to a client. which of the following allergies should the nurse identify as a contraindication to this vaccine?
chicken eggs
nurse is caring for a client who is experiencing acute alcohol withdrawal. the nurse should expect to administer which of the following meds?
chlordiazepoxide
a nurse is completing the admission hx for a client who reports drinking 1 pint of whiskey every day for 6 yrs. The clients last drink was 10hrs ago. which of the following medications should the nurse plan to administer upon admission?
chlordiazepoxide - manifestations of alcohol withdrawal - benzodiazepines are effective for alcohol withdrawl
a nurse is caring for a client who is experiencing acute pain and is receiving morphine. which of the following findings should indicate to the nurse the need to withhold the clients next does of morphine?
client resp rate is 10/min
a nurse is caring for a client who has a new prescription for meperidine 500 mg PO q 4-6hrs to manage pain. which of the following actions should the nurse take?
contact the provider for clarification of the prescription - recommended range is 50mg
a nurse is caring for a client who has Alzheimer's disease who has a prescription for memantine. which of the following lab results should the nurse identify as increasing the clients risk for decreased clearance of the med?
creatinine clearance 35
a nurse is caring for a client who has alzheimers disease and a prescription for memantine. Which of the following lab findings should the nurse identify as a contraindication to receiving this medications?
creatinine clearance 35mL/min - memantine is excreted by the kidneys and decreased clearance occurs in moderate renal impairment.
a nurse is caring for a client who has DM. which of the following lab values should the nurse identify as reflecting a contraindications to receiving vasopressin to treat this disorder?
creatinine clearance 50mL/min - should be above 87 for female and 107 for male - 50mL indicates renal impairment - might cause water intoxication
a nurse is reviewing the medical record of a client who is requesting a prescription for sildenafil citrate. Which of the following data in the clients record should the nurse identify as a contraindication to the use of this medication?
current use of isosorbide to treat heart failure
A nurse is preparing to administer raloxifene to a client. which of the following conditions is a contraindication for the admin of this medication?
deep-vein thrombosis
a nurse is assisting with a clients laceration repair in the provider will use both lidocaine and epinephrine. the nurse should inform the client that the epinephrine will preform which of the following actions?
delay systemic absorption of the anesthetic properties of lidocaine
a nurse is caring for a pt with vit K deficiency. which of the following manifestations should the nurse expect
excessive bruising - bruising, bleeding under skin = clotting factors to coagulate the blood
methadone
experiencing withdrawal from opioids
a nurse is caring for a client who takes scheduled morphine for cancer pain. the client reports experiencing breakthrough pain. The nurse should anticipate a prescription from the provider for which of the following medications to treat breakthrough pain?
fentanyl
a nurse is providing teaching to a client who has gout and a new prescription for allopurinol. the nurse should instruct the pt to stop taking the med if which adverse effect occurs?
fever (potentially fatal hypersensitivity reaction/rash)
a nurse is providing discharge teaching to a client who is postoperative and has a new prescription for an oral opioid analgesic. which of the following pieces of information should the nurse include as a rationale for increasing the clients daily intake of fiber?
fiber prevents consitpation
teaching the guardian of an infant about the Dtap vaccine. which of the following pieces of info should the nurse include in the teaching?
first immunizations for Dtap in the series is given at 2 months
a nurse is caring for a client who is pregnant and inquiring about alternative, non-pharmacological therapies for nausea and vomiting of pregnancy. which of the following options should the nurse recommend.
ginger is effective in the treatment of N/V - eat smaller meals throughout the day - skipping meals not recommended
a nurse is reviewing the lab results of a client who is taking a medication and notes that the clients blood tests show an elevated level of enzymes aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The nurse should recognize that these findings are potential indications of which of the following conditions?
hepatic toxicity
a nurse in a providers office is reviewing a clients med Hx. the client asks the nurse if she should begin taking high-dose vitamins as she ages. which of the following pieces of information should the nurse provide about high doses of vitamin supplements?
high doses of water-soluble vitamins can have adverse effects - high doses vitamins can harm the body
a nurse is teaching a client who has chemotherapy induced anemia and a prescription for epoetin alfa. The nurse should instruct the client to report which of the following findings as an adverse effect of epoetin alpha?
hypertension
nurse is caring for a client who is taking fludrocortisone. which of the following findings indicates to the nurse the client is experiencing an adverse effect of the med?
hypokalemia - excessive sodium and water retention - Fludrocortisone is a man-made form of a natural substance (glucocorticoid) made by the body
a nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem?
hypotension
a nurse is caring for a client with benign prostatic hyperplasia who has a new prescription for doxazosin. which of the following manifestations should the nurse monitor for as an adverse effects of doxazosin?
hypotension - promote vasodilation: decreased BP
a nurse is preparing to admin sublingual nitroglycerin tab to a client who is reporting chest pain. for which of the following adverse effects should the nurse monitor after giving this med?
hypotension - BP and pulse must be monitored before and after
A nurse is teaching a group of nurses about the effects of clients receiving spinal anesthesia. which of the following pieces of information should the nurse include in the teaching?
hypotension is an adverse effect of spinal anesthesia - lower head of bed, increase fluids, admin vasoconstrictive meds
pt with TB is taking rifampin, what is an adverse effect of the medication?
i have noticed my urine is orange
new prescription for captopril to treat hypertension. which of the following client statements indicates an understanding of the teaching?
i might feel dizzy at times while taking this medication - hypotension/dizziness
a nurse is providing teaching for a client who has gout and a prescription for allopurinol. which of the following statements by the client should indicate to the nurse that the teaching was effective?
i will increase my fluids to at-least 2L per day.
a nurse is teaching a client about the adverse effects of omeprazole. which of the following statements indicate an understanding of the teaching?
if i experience severe diarrhea, i will call my doctor - PPIs should monitor for risk of C-diff and bacterium - diarrhea
pt with heart failure and is prescribed dobutamine hydrochloride by continuous IV infusion. the nurse should identify that which of the following is the therapeutic effect of this med?
improves cardiac output - dobutamine is a vasopressor that improves cardiac output
a nurse is preparing a continuous IV infusion of erythromycin lactobionate for a client with bordetella pertussis infection. which of the following actions should the nurse take to minimize the risk of thrombopheblitis.
infuse the med slowly
prescription for oral contraceptive to prevent pregnancy. the nurse should identify that which of the following actions is the purpose of this med?
inhibition of ovulation - causing thickening*
a nurse is reviewing the medical record for a client has a migraine and a prescription for sumatriptan. which of the following factors in the clients medical hx should the nurse identify as a contraindication to receiving sumatriptan?
ischemic heart disease - can cause vasoconstriction and coronary vasospasm - MI or CAD or HTN
a nurse is caring for a preterm labor pt and a new prescription for nifedipine. the client states she is concerned because her father takes nifedipine for his angina pectoris. the nurse should explain the nifedipine works for clients who are pregnant through which of the following mechanisms.
it inhibits uterine contractions by blocking the entry of calcium into uterine cells
kidney transplant and has a prescription for oral cyclosporine. Which following statements by the client indicates an understanding of teh teaching?
likely to develop higher blood pressure while taking this med - cyclosporine: an immunosuppressive agent that prevents rejection of the transplanted kidney.
a nurse is providing teaching to 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 lab tests?
liver function
a nurse is teaching a client who has a prescription for chenodiol for the treatment of gallstones. which of the following client statements indicates an understanding of the teaching?
liver function tests are required while taking this medication - hepatotoxic med
disulfiram
maintaining abstinence from alcohol
a nurse is monitoring a client who is receiving terbutaline to suppress per-term labor. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effects of the med?
maternal heart rate > 120
a nurse is caring for a client who take combination oral contraceptive. which of the following findings should indicate to the nurse that the client experiencing a deficiency of estrogen in the OC?
mid-cycle breakthrough bleeding or spotting
a nurse is caring for a client who has a new prescription for ergotamine. the nurse should recognize that ergotamine is administered to treat which of the following conditions?
migrane headaches
a nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. the nurse should plan to monitor the client for which of the following adverse effects?
muscle weakness - a diuretic - can lead to hypokalemia (muscle weakness, muscle cramps, dysarrthmias)
a nurse is caring for a client who is experiencing an acute gout attack. the nurse should anticipate a prescription from the provider for which of the following med?
naproxen - NSAID
a nurse is caring for a client who has new prescription for amphotericin B. the nurse should plan to monitor for which adverse effects?
nephrotoxicity - monitor creatinine every 3-4 days: increase fluid (>3.5 = reduce amounts)
a nurse is administering a prescription for nifedipine to a client who is pregnant. which of the following pieces of information related to nifedipine should the nurse monitor and document?
number of uterine contractions
a nurse is reviewing the medical record of a client who has been taking a vitamin D supplement. which of the following findings from the client record should the nurse identify as a risk factor for developing vitamin D deficiency?
obesity pregnancy dark pigmented skin older clients
a nurse teaching the parent of a child who has severe reaction airway disease about glucocorticoid therapy. the parent asks why her child has to inhale the medicament instead of taking it orally. which of the following pieces of information should the nurse provide to the parent?
oral glucocosteroids more likely to slow linear growth in children
nurse is caring for a pt with schizophrenia and a prescription for chlorpromazine. for which of the following adverse effects should the nurse monitor?
orthostatic hypotension - palpations, tachycardia, constipation, sedation, photosensitvity
a nurse is assessing a client who was recently admitted and has a history of alcohol use disorder. the client displays ataxia, and altered level of consciousness, and nystagmus. which of the following medication should the nurse anticipate administering to the client?
parenteral thiamine - is used in the acute treatment of Wernicke's since intestinal absorption of thiamine may be impaired, as in the case of alcoholics
a nurse is providing teaching to a client who has a new prescription for doxycycline. the nurse should instruct the client to monitor for which of the following adverse effects.
photosensitivity
a nurse is monitoring lab values of a male client who has leukemia and is receiving weekly chem and methotrexate via IV infusion. which of the following lab values should the nurse report to the provider?
platelets 78,000 - can cause thrombocytopenia
a nurse is caring for a client at 39 weeks of gestation who has gestational hypertension. the client has a new prescription for misoprostol for cervical ripening and induction of labor. which of the following findings in the clients medical hx should the nurse identify as increasing the clients risk of complications due to the use of this medication?
previous cesarean delivery
pt is 6weeks of gestation and has just received a dx of hyperthyroidism. the nurse should anticipate a prescription from the provider for which of the following meds>
propylthiouracil - bc is dosent cross the placenta barrier well - 2nd trimester = methimazole
acute care facility is preparing a reconciled list of meds for a client who is being discharged home. Which of the following should the nurse take?
provide the client and the next care provider with a list of med the client will take after discharge
administering an otic med to an adult client which of the following actions should the nurse take?
pull pinna of the client ear upward and outward
a nurse is caring for a client who is receiving bleomycin IV to treat lymphoma. which of the following assessments is the nurses priority?
pulmonary function
a nurse is providing teaching to the parents of a child who has new prescription for lamotrigine for a seizure disorder. the nurse should instruct the parents that which of the following adverse effects is the priority to report to the provider?
rash - SJS
a nurse is reviewing the medical record of a client. the med administration record shows the client is taking clopidogrel. which of the following events should the nurse expect in the clients medical history?
recent MI - anti-platelet medication
a nurse is caring for a client who has cancer involving the lumbar vertebrae and has been prescribed gabapentin. which of the following therapeutic effects should the nurse identify for the client when taking this medication?
reduced cramping, aching, and burning neuropathic pain - Gabapentin is an anticonvulsant
a nurse is providing teaching to a newly licensed nurse about administering morphine via IV bolus to a client. Which of the following pieces of information should the nurse include in the teaching?
respiratory depression can occur 7min after the morphine is administered
a nurse is caring for a client with asthma who has been taking an inhaled glucocorticoid and long-acting beta2-antagonist combination dry-powdered inhaler (DPI) for maintenance therapy. the nurse should identify that which of the following is a disadvantage of this medication?
restricted dosage flexibility (cannot be adjusted doses)
short-acting beta 2 agonist. outcome of this med?
reverse bronchospasm
a nurse is teaching a client who has asthma and a prescription for a fluticasone dry powder inhaler. which of the following instructions should the nurse include in the teaching?
rinse your mouth after administering this med
a home health nurse is visiting an older adult client who has Alzheimer's. His caregiver tells the nurse she has been admin lorazepam 1mg 3X per day. to the client for restlessness and anxiety over the past few days. For which of the following adverse effects should the nurse assess the client?
sedation
a nurse is providing discharge teaching to a client who has a bacterial infection about adverse effects of imipenem to report to the provider. which of the following pieces of information should the nurse include?
seizures can occur with this medications
a nurse is reviewing lab reports for a client who has Cdiff infection and is receiving vancomycin. which of the following results should the nurse report to the provider before administering the next dose?
serum creatinine 2.5 - renal failure is an adverse effect
prescription for phenytoin. the nurse should inform the client that which of the following adverse effects can occur with the abrupt withdrawal of phenytoin?
status epilepticus
a nurse is providing teaching to a client who has a new prescription for sertraline. the client asks the nurse if he should to take St.johns wort for depression. which of the following instructions should the nurse give the client?
stop taking the herbal supplement while taking the medicaiton
a nurse is providing teaching to a client who has rheumatoid arthritis and a prescription for long-term prednisone therapy. the nurse should instruct the client to monitor for which of the following adverse effects?
stress fractures
raloxifene with osteoporosis. Which is an adverse effect of this med?
sudden onset of dyspnea - (SERM) increased risk of thrmboembolic events such as DVT, pulmonary embolism, or stroke.
a nurse is caring for a pt diagnosed of oral candidiasis after taking tetracycline for 7days. the nurse should recognize that canidiasis is a manifestation of which of the following adverse effects?
supra-infections
a nurse is assessing a client who began taking clozapine 3 weeks ago. which of the following findings should the nurse report to the provider immediately?
tachypnea and tachycardia - myocarditis (chest pain, tachycardia, cardiac arrhythmias, etc)
a nurse is teaching a client who has dyspepsia about prescribed antacids. which of the following statements should the nurse include in the teaching?
take antacids 1hr apart from other meds
prescription for hydrochlorothiazide 50mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching?
take it in the morning - daily monitor weight - with food
a nurse is teaching a client who is taking levothyoxine for hypothyroidism about a new prescription for ca supplement. which of the following pieces of info should the nurse include in the teaching?
take the calcium supplement 4hr after taking the levothyroxine. - levothyroxine: should be taken in the morning on an empty stomach. - supplements/food containing iron, mg, zinc, bind to the absorption of the med.
nurse is teaching a client who has a new prescription for amitriptyline to treat depression. which of the following client statements indicates an understanding of the teaching?
take this med before bedtime
nurse is teaching a client who is postmenopausal and has a prescription for alendronate. which of the following statements should the nurse include int the teaching?
take this med on an empty stomach - take med with water 30min before breakfast
nurse suspects that a client is having an allergic reaction to a med which of the following factors should the nurse identify as increasing the likelihood of an allergic reaction to the med?
the client has had previous exposure to the med - once the immune system has developed sensitization to a med, another exposure to the same med can result in an allergic reaction.
a nurse is planning care for a female client who has severe irritable bowel syndrome with diarrhea (IBS-D) and a new prescription for alosetron. which of the following interventions should the nurse include in the plan of care?
the client must sign an agreement with the provider before beginning alosetron - has fatal adverse effects with constipation and bowel obstruction
a nurse is reviewing the med Hx of a client who has asthma. which of the following med combinations should the nurse identify as incompatible?
theophylline and zileuton - zileuton (leukotriene modifier) impairs the metabolism of certain meds - theophylline has a narrow therapeutic range
nurse is teaching a client with diabetes mellitus and a new prescription for pioglitazone. which of the following statements should the nurse include in the teaching?
this med can be taken with insulin
a nurse is providing teaching to a client who is scheduled to start taking hydrochlorothiazide for hypertension. the nurse instructs the client to eat foods that are rich in potassium. which of the following statements by the client indicates an understanding of the teaching?
this med can cause a loss of potassium - because the excessive potassium excretion from the kidney.
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 med has fewer systemic effects than oral estrogen
a nurse is providing teaching to a client with a seizures who has a new prescription for carbamazepine. which of the following statements should the nurse include in the teaching?
this med will decrease the effectiveness of oral contraceptives - Carbamazepine is used to prevent and control seizures
a nurse is preparing to administer levothyroxine to a client who has hypothyroidism. the nurse should identify which of the following lab results as supporting the admin of this medication?
thyroid-stimulating hormone (TSH) 8 microunits/mL - TSH (0.3-5) with hypothyroidism is is usually elevated - T3 (thyroid function; diagnoses hyperthryoidism) (70-205) decreased with hypothyroidism - T4 (evaluate thyroid function) (4-12) decreased with hypothyroidism
a nurse is a community health clinic is assessing a new client who has prescriptions for isoniazid and rifampin. which of the following disorders should the nurse expect the client to have?
tuberculosis
a nurse is caring for a client who is developing acute pulmonary edema and has a new prescription for furosemide 40mg IV bolus. the nurse should plan to administer the medication using which of the following methods?
undiluted admin over 2min - Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease.
a nurse is assessing a client who reports using several herbal and vitamins supplements daily, include saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following therapeutic effects?
urinary health promotion
a nurse is preparing to admin 100 u of insulin glargine and 4 u of NPH insulin subQ to a client. which of the following actions should the nurse plan to take?
use separate syringes for admin insulin glargine and NPH insulin
a nurse is providing discharge teaching to a client who has angina pectoris and a new prescription for verapamil. the client tells the nurse "my brother takes verapamil for high BP. do you think the provider made a mistake?" which of the following responses should the nurse make?
verapamil is used to treat both high blood pressure and angina
a nurse is teaching a client who has a prescription for doxycycline for the treatment of Helicobacter pylori infection. which of the following instructions should the nurse include in teaching?
wear protective clothing while in the sun.
a nurse is preparing to admin med to a preschooler. the nurse should use which of the following measurements to calculate the med dosage for the client?
weight
a nurse is teaching a client who has allergic rhinitis about a new prescription for brompheniramine. which of the following pieces of information should the nurse include in the teaching?
you might develop a dry mouth - anticholinergic effects
a nurse is teaching about taking donepezil with a client who was recently dx with early alzheimers disease. which of the following instructions should the nurse include in the teaching?
you should take this med late in the evening
a nurse is providing teaching to a client who has TB and a prescription for isoniazid. which of the following instructions should the nurse include?
you should take this med on an empty stomach - therapy 6month - 2years - monitor liver function
a nurse is providing discharge teaching to a client who has a bleeding duodenal ulcer and has been prescribed omeprazole. Which of the following statements should the nurse include in the teaching?
you should take this medication before breakfast everyday - med less effective when take with food