Pharmacology Midterm

A nurse is collecting data from a client who is experiencing chest pain. Which of the following medications should the nurse expect to administer to suppress the aggregation of platelets? a. Nitroglycerin b. Aspirin c. Morphine d. Metoprolol

B. Aspirin

A nurse is reinforcing discharge teaching with a client who has a new prescription for metoprolol. Which of the following instructions should the nurse include? (SATA) a. "Do not stop taking this medication abruptly." b. "Take the medication right before bedtime." c. "Avoid exposure to sunlight." d. "Count your radial pulse daily." e. "Change positions slowly."

a. "Do not stop taking this medication abruptly." d. "Count your radial pulse daily." e. "Change positions slowly."

A nurse is reinforcing teaching with a client who has schizophrenia and a new prescription for haloperidol. Which of the following adverse effects should the nurse instruct the client to report to the provider immediately? a. Constipation b. Fever c. Weight gain d. Dry eyes

b. Fever

A nurse is administering alprazolam for the first time to a client who has anxiety. The nurse should monitor the client for which of the following adverse effects of this medication? a. Tinnitus b. Elevated blood pressure c. Drowsiness d. Bleeding gums

c. Drowsiness

A nurse is collecting data on a client who is postoperative and received a dose of morphine 15 minutes ago. The client now has a resp rate of 8/min and is unresponsive. Which of the following medications should the nurse prepare to administer? a. Naproxen b. Nifedipine c. Naloxone d. Nebivolol

c. Naloxone

A nurse is reinforcing teaching with a client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching? a. "Take hydrochlorothiazide as needed for edema." b. "Check your weight once a week." c. "Take hydrochlorothiazide on an empty stomach." d. "Take hydrochlorothiazide in the morning."

d. "Take hydrochlorothiazide in the morning."

A nurse is reinforcing teaching about levodopa with a family member of a client who has Parkinson's disease. Which of the following pieces of information should the nurse include? a. "A full therapeutic response may take several months." b. "This medication should be taken with high-protein foods." c. "A full therapeutic response might cause vivid dreams." d. "This medication is given at the onset of mild symptoms."

a. "A full therapeutic response may take several months."

A nurse is caring for a client who took and overdose of acetaminophen. Which of the following medications should the nurse plan to administer? a. Acetylcysteine b. Celecoxib c. Finasteride d. Meclizine

a. Acetylcysteine

A nurse is preparing to administer medications to a client who is NPO and is receiving enteral feedings through an NG tube. Which of the following prescriptions should the nurse clarify with the provider? a. Aspirin EC 325 mg per NG tube daily b. Atorvastatin 40 mg per NG tube daily c. Propranolol 20 mg per NG tube daily d. Sucralfate 2 g oral suspension per NG tube BID

a. Aspirin EC 325 mg per NG tube daily

A nurse is reinforcing discharge teaching with a client who has major depressive disorder 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. a. Broiled beef steak b. Macaroni and cheese c. Pepperoni pizza d. Smoked salmon

a. Broiled beef steak

A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal psychosis. Which of the following medications should the nurse prepare to administer? a. Lorazepam b. Methadone c. Thiamine d. Haloperidol

a. Lorazepam

A nurse is contributing to the plan of care for a client who has a physical dependence on alprazolam and must discontinue the medication. Which of the following actions should the nurse recommend? a. Taper the medication gradually over several weeks b. Encourage participation in stimulating physical activity c. Monitor the client for a return of anxiety up to 72 hr following d. Implement restraints and seclusion as needed

a. Taper the medication gradually over several weeks

A nurse is reinforcing teaching with a client who has a new prescription for lisinopril. Which of the following should the nurse include in the teaching as an adverse effect of lisinopril? a. Tongue swelling b. Low potassium level c. Runny nose d. Bruising

a. Tongue swelling

A nurse is reinforcing teaching with a client about the proper placement of a nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching? a. "I'll apply the patch over areas of my body with little fatty tissue." b. "I can place the patch on any area of my body without hair." c. "I'll put the patch on the same site as the previous patch." d. "I have to apply the patch directly over my heart."

b. "I can place the patch on any area of my body without hair."

A nurse is reinforcing teaching about benzodiazepines with a client who is discontinuing long-term use of alprazolam. Which of the following pieces of information should the nurse include in the teaching? a. "You might experience somnolence." b. "Plan to taper the dose slowly over several months." c. "Call the provider if you have muscle weakness." d. "Confusion is common during this process."

b. "Plan to taper the dose slowly over several months."

A nurse is caring for a client with schizophrenia who started taking a first-gen antipsychotic medication 3 weeks ago. The client reports a feeling of inner restlessness, rocks back and forth when sitting down, and paces frequently. The nurse should identify that the client is experiencing which of the following adverse effects of the medication? a. Neuroleptic malignant syndrome b. Akathisia c. Anticholinergic toxicity d. Opisthotonos

b. Akathisia

A nurse is preparing to administer nitroglycerin topical ointment to a client who has angina. Which of the following actions should the nurse take? a. Cover the applied ointment with cotton gauze b. Apply the ointment using a dose-measuring applicator c. Apply the ointment using the index finger d. Massage the ointment onto the clients skin

b. Apply the ointment using a dose-measuring applicator

A nurse is caring for a client who has been taking lithium for the past several months. Which of the following findings should indicate the client is experiencing advanced lithium toxicity? a. Increased thirst b. Ataxia c. Diarrhea d. Fine hand tremors

b. Ataxia

A nurse is caring for a client who has a prescription for clopidogrel. The nurse should monitor for which of the following adverse effects? a. Insomnia b. Bleeding c. Hypotension d. Constipation

b. Bleeding

A nurse is caring for a client who is taking selegiline. The nurse should monitor the client for which of the following findings as an adverse effect of selegiline and notify the provider? a. Bruising b. Drowsiness c. Coughing d. Constipation

b. Drowsiness

A nurse is caring for a client who has been taking fluoxetine for anxiety. Which of the following adverse effects of this medication should the nurse report to the provider immediately? a. Mydriasis b. Hallucinations c. Arthralgia d. Sexual dysfunction

b. Hallucinations

A nurse is collecting data on a client who has developed hypertension that is unresponsive to lifestyle changes. The client has no other comorbidities. Which of the following medications should the nurse expect the provider to prescribe first? a. Captopril b. Hydrochlorothiazide c. Metoprolol d. Hydralazine

b. Hydrochlorothiazide

A nurse is collecting data from a client who is experiencing alcohol withdrawal. For which of the following findings should the nurse anticipate the administration of lorazepam? a. Decreased pulse rate b. Increased blood pressure c. Decreased urinary output d. Increased nausea

b. Increased blood pressure

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 client's next dose of morphine? a. The client reports inability to void b. The client's resp rate is 10/min c. The client has hypoactive bowel sounds d. The client has vomited once is the last 4 hours

b. The client's resp rate is 10/min

A nurse is reinforcing teaching with a client who has a new prescription for enteric-coated aspirin as stroke prophylaxis. The client asks the nurse why teh provider prescribed EC medication. Which of the following responses should the nurse give? a. "The enteric coating allows for a lower dosage to be given." b. "Enteric-coated medications have better absorption in the body." c. "Enteric-coated medications cause less gastric irritation." d. "The enteric coating allows a steady release of the medication over time."

c. "Enteric-coated medications cause less gastric irritation."

A nurse is reinforcing teaching with a client about a new prescription for captopril to treat hypertension. Which of the following client statements indicates an understanding of the teaching? a. "I might have a sore throat that will go away after a few days." b. "I will take this medication with food to avoid an upset stomach." c. "I might feel dizzy at times while taking this medication." d. "I will take ibuprofen if I get a fever while taking this medication."

c. "I might feel dizzy at times while taking this medication."

A nurse is reinforcing teaching with a client who has a new prescription for warfarin. Which of the following statements indicates that the client understands the instructions? a. "I'll use a safety razor to shave each day." b. "I'll be sure to eat lots of spinach." c. "I'll avoid contact sports like football." d. "I'll take ibuprofen if I get a headache."

c. "I'll avoid contact sports like football."

A nurse is reinforcing teaching with a client with a new diagnosis of heart failure who has a prescription for furosemide. Which of the following statements should the nurse include in the teaching? a. "You can take ibuprofen for headaches while taking this medication." b. "You may experience increased swelling in your lower extremities while taking this medication." c. "You should eat foods that are high in potassium while taking this medication." d. "You should take this medication at bedtime."

c. "You should eat foods that are high in potassium while taking this medication."

A nurse is caring for a client and realizes after administering the 0900 medications that she gave digoxin 0.25 mg PO to the client instead of the prescribed dose of digoxin 0.125 mg PO. Which of the following actions should the nurse take first? a. Notify the provider b. Contact the nursing supervisor c. Check the client's apical pulse d. Complete an incident report

c. Check the client's apical pulse

A nurse is preparing to administer digoxin to a client. Which of the following findings should the nurse identify as a contraindication to the client receiving this medication? a. Blood pressure 180/70 mmHg b. SpO2 94 % c. Heart rate 51/min d. Resp rate 21/min

c. Heart rate 51/min

A nurse is assessing a client who has schizophrenia and takes haloperidol 3 times daily. The client has developed involuntary writhing movements of the tongue and constant lip smacking. These manifestations indicate which of the following adverse effects of haloperidol? a. Akathasia b. Acute dystonia c. Tardive dyskinesia d. Parkinsonism

c. Tardive dyskinesia

A nurse is caring for a client who takes warfarin 2.5 mg PO daily and has an INR of 6.2. The nurse should anticipate a prescription from the provider for which of the following medications? a. Protamine sulfate b. Fondaparinux c. Vitamin K d. Bivalirudin

c. Vitamin K

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 indicates an understanding of the teaching? a. "I need to wear the patch continuously for it to be effective." b. "I will stop using the patch immediately if it gives me a headache." c. "I should change the patch whenever I have chest pain." d. "I need to rotate the location of my patch ever few days."

d. "I need to rotate the location of my patch ever few days."

A nurse is reinforcing teaching with a client who has a new prescription for disulfiram to treat alcohol use disorder. Which of the following statements by the client indicates an understanding of the teaching? a. "If I have a strong urge to drink alcohol, I should skip my dose for the day." b. "Even when I'm not drinking alcohol, adverse effects can include seizures." c. "Medication therapy can begin as soon as I enter the detoxification program." d. "I should check the labels of my skin-care products, medications, and food for alcohol."

d. "I should check the labels of my skin-care products, medications, and food for alcohol."

A nurse is reinforcing discharge teaching with a client who has heart failure and a prescription for digoxin 0.125 mg PO daily and furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching? a. "Blurred vision is something I will expect to happen while taking digoxin." b. "I will measure my urine output each day and document it in my diary." c. "I will skip a dose of my digoxin if my resting heart rate is below 72 bpm." d. "I will eat fruits and vegetables that have a high potassium content every day."

d. "I will eat fruits and vegetables that have a high potassium content every day."

A nurse is reinforcing teaching with a client who has a new prescription for mitroglycerin sublingual tablets. Which of the following client statements indicates an understanding of the teaching? a. "I will not eat or drink anything for 1 hour after taking the medication." b. "I will keep the pills in my plastic pill box when traveling." c. "I will contact my doctor if the medication gives me a headache." d. "I will sit down when I take this medication."

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

A nurse is administering subcutaneous heparin to a client who is at a risk for DVT. Which of the following actions should the nurse take? a. Use a 22-gauge needle to administer the medication b. Inject the medication into a muscle c. Massage the site after administering the medication d. Administer the medication into the client's abdomen

d. Administer the medication into the client's abdomen

A nurse is collecting data from a client who is taking lithium to treat bipolar disorder and has a lithium level of 2.2 mEq/L. Which of the following findings should the nurse expect? a. Muscle weakness b. Oliguria c. Vomiting d. Blurry vision

d. Blurry vision

A nurse is caring for a client who is 12 hours postoperative following a total hip arthroplasty. Which of the following medications should the nurse anticipate administering to this client to prevent DVT? a. Aspirin b. Warfarin c. Ticagrelor d. Enoxaparin

d. Enoxaparin

A nurse is reviewing the lab reports for a client who has been taking warfarin for a fib. Which of the following results should the nurse report to the provider immediately? a. PT 18 seconds b. Platelet count 160,000/mm^3 c. Hct 43% d. INR 5.5

d. INR 5.5

A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for lithium. Which of the following directions should the nurse provide? a. Decrease sodium intake while taking lithium b. It may take 5 days before the medication is effective c. Take the medication on an empty stomach d. Increase fluid intake to 2000 mL daily

d. Increase fluid intake to 2000 mL daily

A nurse is planning care for a client who took an overdose of acetaminophen. Which of the following lab values should the nurse plan to monitor for adverse effects of the overdose? a. Hematocrit b. High-density lipoproteins c. Pancreatic enzymes d. Liver enzymes

d. Liver enzymes

A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder. The nurse should tell the client to expect which of the following adverse effects? a. Tinnitus b. Bradycardia c. Halitosis c. Sedation

d. Sedation