pharmacology

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 a. bruising b. drowsiness c. coughing d. constipation

drowsiness

a nurse is administering oral hydroxyzine to a client. which of the following adverse effect should the nurse instruct the client to expect? a. diarrhea b. anxiety c. nausea and vomiting d. dry mouth

dry mouth

immunization schedule for infant

it is recommended that your infant receives 6 immunization at 2 months of age

IV morphine

-respiratory depression occur with 7 min -peaks in 20 minutes -withhold if respiration is less 12/min

a nurse is providing teaching to a client who has heart failure and is taking spironolactone. which of the following statements by the client indicates an understanding of the teaching? a. i will increase my intake of citrus fruits, bananas and potatoes b. i will use salt substitutes on my food c. i will drink as much water as i can while taking this medication d. i will watch for increased breast tissue growth while taking this medication

. i will watch for increased breast tissue growth while taking this medication

a nurse is teaching a client who has a prescription for a combination oral contraceptive (OC) that uses a 28-day cycle. which of the following instructions should the nurse include in the teaching? a. if you miss a pill take the missed pill with your next dose b. if you miss 2 pills during the second and third week, discard the inactive placebo pills and begin a new pack c. if you miss 3 pills during the second week, take a pill as soon as possible and continue with your scheduled doses d. you can miss up to 7 pills with little risk in getting pregnant as long as you have taken the pills regularly for the previous 3 weeks

. you can miss up to 7 pills with little risk in getting pregnant as long as you have taken the pills regularly for the previous 3 weeks

a nurse is preparing to administer meperidine 100 mg IM to a client who has a BMI of 23. which of the following needle lengths should the nurse use to administer the medication a. 1/2 inch b. 1 1/2 inch c. 2 1/2 inch d. 3 inch

1 1/2 inch

a nurse is planning care for a client who is receiving gentamicin IM and has a new prescription to obtain gentamicin peak and trough levels. at which of the following times should the nurse plan to obtain a blood sample to evaluate the gentamicin peak? (30 min for IV) a. 1 hour after administering the IM injection b. just before administering the IM injection c. 12 hours after the last IM injection d. 30 minutes after administering the IM injection

1 hour after administering the IM injection

serum phenytoin

10-20 mcg/mL epilepsy

peak level of trobramycin

5-10 mcg/ml

a nurse is teaching an assistive personnel (AP) about dietary restrictions for a client who is taking phenelzine to treat depression. the AP's selection of which of the following foods for the client's lunch indicates an understanding of the teaching a. bologna on wheat bread b. chicken salad c. cheddar cheese and crackers d. pizza with pepperoni

chicken salad

a nurse is caring for a client who takes sulfasalazine twice daily for rheumatoid arthritis. which of the following values should the nurse review prior to the administration of the medication? a. respirations b. serum creatinine level c. blood pressure d. complete blood count

complete blood count

amlodipine

dizziness palpitations peripheral edema

a nurse is completing the admission history for a client who report drinking 1 pint of whiskey every day for 6 years. the client's last drink was 10 hr ago. which of the medications should the nurse plan to administer upon admission a. chlordiazepoxide b. disulfiram c. naloxone d. acetaminophen

chlordiazepoxide

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 medications? a. colchicine b. allopurinol c. probenecid d. pegloticase

colchicine

baclofen PO --adverse effect, a. dizziness b. orthostatic hypotension c. change position slowly while taking this medication

change position slowly while taking this medication

a nurse is checking a client who is receiving an IV infusion of telavancin for streptococcus pyogenes. which of the following actions should the nurse include? a. check to see if the client's urine is blue in color b. check the client for pruritus . c. check for hypertension d. check for numbness in the limbs

check the client for pruritus

Tamoxifen

Anti-estrogen: treat or prevent cancer in premenopausal or postmenopausal

Phenytoin (Dilantin)

Anticonvulsant: status epilepticus

a nurse is providing teaching to a client who has hypothyroidism and is taking levothyroxine. the nurse should instruct the client that which of the following findings is an indication of thyrotoxicosis a. weight gain b. constipation c. chest pain d. fatigue

chest pain

a nurse is caring for a client who is receiving sumatriptan for a cluster headaches. which of the following findings should the nurse expect as an adverse effect? a. hypotension b. tinnitus c. urinary retention d. chest pressure

chest pressure

vitamin A

Deficiency causes night blindness

a nurse is caring for a client who has asthma and advanced rheumatoid arthritis and deformity of the hands. the nurse should anticipate that the client will receive which of the following medication-delivery devices for the treatment of asthma? a. Dry- powder inhaler (DPI) b. metered-dose inhaler (MDI) with space c. respimat d. nebulizer

Dry- powder inhaler (DPI)

treatment for breakthrough pain

Fentanyl

"a nurse is assessing a client with rheumatoid arthritis who has been taking high doses of prescribed hydroxychloroquine. which of the following client statement should indicate to the nurse that the client is experiencing adverse effects of hydroxychloroquine? a. I have developed sores in my mouth b. I often feel like the room is spinning. c. I noticed that the whites of my eyes look yellow. d. I have had a change in my vision recently

I have had a change in my vision

a nurse is teaching client who has a new diagnosis of angina and has a prescription for isosorbide mononitrate (causes orthostatic hypotension) 10 mg PO twice daily. which of the following client statements indicates an understanding of the teaching a. i can take my second dose of medication no later than 9:00pm b. I should change positions slowly when getting out of bed c. if i miss a dose, i should double the next dose d. I should notify my provider if i experience a headache while taking this medication

I should change positions slowly when getting out of bed

Rantidine

May be taken with food or milk. don't smoke

Baclofen

Muscle Relaxant taper off urinary retention constipation

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 medications? NSAIDS is the first line of attack for gout a. Naproxen b. pegloticase c. probenecid d. allopurinol

Naproxen

a nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. which of the following laboratory values should the nurse plan to monitor a. BUN b. PTT c. aspartate aminotransferase (AST) d. urinalysis e. alanine aminotransferase (ALT)

PTT aspartate aminotransferase alanine aminotransferase (ALT)

a nurse is assessing a child who has acute lymphocytic leukemia and is receiving vincristine sulfate. which of the following findings is the nurse's priority a. paresthesia b. alopecia c. stomatitis d. constipation

Paresthesia

a nurse is providing discharge teaching for a client who has a new prescription for metoprolol. which of the following instructions should the nurse include? (select all that apply) 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 position slowly

a. do not stop taking this medication abruptly d. count your radial pulse daily e. change position slowly

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

a full therapeutic response may take several months to happen

transdermal estradiol patch, apply to

abdomen

physiological effect of pregnancy

accelerated excretion of fluids

administration of iron dextran IV

administer a small test dose before giving the full dose

a nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. which of the following actions should the nurse take? a. administer the medication into the client's abdomen. b. inject the medication into a muscle c. massage the site after administering the medication. d. use a 22-gauge needle to administer the medication

administer the medication into the client's abdomen.

furosemide 40mg bolus IV

administer undiluted over 2 min

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? a. gradually increasing the dose with the dosing interval b. administering a single loading IM dose c. using a large fluid-volume IV dose d. administering a continuous infusion of the dose

administering a continuous infusion of the dose

a nurse is caring for a client who has asthma and a prescription for zileuton. which of the following laboratory values should the nurse monitor while the client is taking this medication a. alanine aminotransferase (ALT) b. WBC count c. potassium d. chloride

alanine aminotransferase (ALT)

contraindication to receiving the influenza vaccine

allergy to egg

contraindication of varicella vaccine

allergy to gelatin

a nurse in a provider's office is assessing a client who has been taking amoxicillin for 10 days and reports diarrhea and cramping. the nurse should recognize that these manifestation occur secondary to which of the following adverse effects? a. development of gastric ulcers b. development of milk intolerance c. allergic reactions to the medication d. alterations in GI flora

alterations in GI flora

a nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. the client has a mask-like facial expression and is experiencing involuntary movements and tremors. which of the following medications should the nurse anticipate administering? a. amantadine b. bupropion c. phenelzine d. hydroxyzine

amantadine

a nurse is teaching a group of nurses about the manifestations of progestin deficiency for clients who take a combination oral contraceptive (OC). which of the following findings should the nurse include in the teaching as an indication of progestin deficiency a. amenorrhea b. weight gain c. depression d. acne

amenorrhea

a nurse has administered a medication to a client. which of the following circumstances should the nurse identify as a medication error that resulted from a performance deficit by the nurse

an intramuscular injection was given instead of a subcutaneous injection

a nurse is caring for a client who is due to receive general anesthesia. the client asks the nurse, which is the difference between an analgesic and anesthesia? which of the following statements should the nurse make? a. analgesics can cause a lack of sensation b. anesthesia is specifically for eliminating pain perception c. analgesics treat pain without causing sedation d. anesthesia can cause loss of consciousness

anesthesia can cause loss of consciousness

Tiotropium

anticholinergic

misoprostol

antiulcer medication for client who frequently takes NSAIDS adverse effect: dysmenorrhea.

a nurse is 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 a. apply a dressing after covering the affected areas with topical lidocaine b. apply topical lidocaine to the affected areas that are intact c. apply topical lidocaine in a thick layer to affected areas d. apply topical lidocaine frequently to large affected areas

apply topical lidocaine to the affected areas that are intact

a nurse working in the emergency department is admitting a client who has a gastric ulcer and gastrointestinal (GI) bleeding. which of the following factors in the client's medical history should the nurse report to the provider a. arthritis treated with ibuprofen every 8 hours as needed b. previous tobacco smoking with cessation 5 years ago c. negative H. pylori breath test 1 year prior d. prescribed bismuth subsalicylate as needed for GI upset

arthritis treated with ibuprofen every 8 hours as needed

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 40mg per NG tube daily c. propranolol 20mg per NG tube daily d. sucralfate 2g oral suspension per NG tube BID

aspirin EC 325 mg per NG tube daily

a nurse is preparing to administer timolol eye drops to a client who has primary open-angle glaucoma (POAG). prior to administering the medication, the nurse should recognize that which of the following conditions in the client's medical history is a contraindication to receiving this medication? a. hypertension b. peripheral vision loss c. asthma d. increased intraocular pressure

asthma

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? a. after 3 months postpartum b. at 6 weeks postpartum. c. within the first 5 days postpartum d. during the first week of the first postpartum menstrual cycle

at 6 weeks postpartum

a nurse is caring for a client with a pseudomonas infection who has a new prescription for ticarcillin-clavulanate. which of the following data should the nurse collect before administering this medication. a. indications of superinfection b. peak and trough medication levels c. baseline BUN and creatinine d. history of allergy to aminoglycoside antibiotics

baseline BUN and creatinine

reduce hot flash related to menopause

black cohosh

a nurse is caring for a client who had a myocardial infarction 2 hours ago and receiving alteplase. which of the following findings should the nurse identify as an adverse effect of receiving this medication? a. bleeding b. increased clot formation c. shortness of breath d. blockage of the central venous catheter

bleeding

a nurse is caring for a client who has a prescription for clopidogrel. the nurse should monitor the client for which of the following adverse effects? a. insomnia b. hypotension c. bleeding d. constipation

bleeding

a nurse is planning to administer epoetin alfa to client who has chronic kidney failure. which of the following should the nurse plan to review prior to administering this medication a. blood pressure b. temperature c. blood glucose levels d. total protein level

blood pressure

a nurse is caring for a client who is receiving IV famotidine. which of the following adverse effects should the nurse report to provider immediately a. nausea b. bloody stools c. drowsiness d. headache

bloody stools

a nurse is caring for a client who is experiencing cycloplegia following the administration of atropine eye drops during an eye examination. which of the following findings should the nurse expect as a result of cycloplegia. a. inability to tolerate bright light b. pinpoint pupils c. blurred vision d. inability to perform an upward gaze

blurred vision

a nurse is caring for a client who has a prescription for QT interval medication. which of the following conditions should the nurse identify as an adverse effect of this medication a. bradycardia b. jaundice c. low blood pressure d. dark urine

bradycardia

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? a. fluid overload b. bronchospasm c. electrolyte imbalance d. tachycardia

bronchospasm

Pravastatin is used to treat hyperlipidemia.

can be taken with grapefruit juice -monitor liver test -take at night - don't take with food

a nurse is teaching a client who has primary adrenal insufficiency (addison,s disease) and a prescription for hydrocortisone. which of the following statements should the nurse include in the teaching about this medication a. you may need to take a lower dosage when you are ill or experiencing stress b. take this medication before going to bed because it will make you tired c. carry a supply of pills and a single-use injectable preparation with you at all times d. you will need to stop this medication before routine procedures such as a colonoscopy

carry a supply of pills and a single-use injectable preparation with you at all times

Cyclosporine

causes gingival enlargement high blood pressure

ethambutol

causes optic neuritis loss of red/green color discrimination

a nurse is caring for a client who has a new diagnosis of rheumatoid arthritis. the nurse should anticipate a prescription from the provider for which of the following medications for daily management of this condition? a. celecoxib b. prednisone c. adalimumab d. abatacept

celecoxib

a nurse is preparing to administer an epinephrine IV bolus to a client. which of the following should the nurse verify before initiating the IV medication? a. concentration of the formulation b. reversibility of the medication c. potential barriers to absorption d. gastric emptying time

concentration of the formulation

a nurse is caring for a client who has a suspected adrenal insufficiency. which of the following medications should the nurse anticipate the provider using to determine the presence of adrenal insufficiency a. prednisone b. cosyntropin c. dexamethasone d. ketoconazole

cosyntropin

a nurse is caring for a client who has diabetes insipidus. which of the following laboratory values should the nurse identify as reflecting a contraindication to receiving vasopressin to treat this disorder? a. sodium 152mEq/L b. potassium 6.0 mEq/L c. creatinine clearance 50 mL/min d. aspartate aminotransferase (AST) 52 units/L

creatinine clearance 50 mL/min

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 client's record should the nurse identify as a contraindication to the use of this medication? (hypotension) a. diabetes mellitus. b. current use of isosorbide to treat heart failure. c. eyeglasses for presbyopia. d. osteoarthritis

current use of isosorbide to treat heart failure

a nurse is monitoring a client who is receiving lactulose for cirrhosis. which of the following laboratory values related to this medication should indicate to the nurse that the treatment is effective a. increased aspartate aminotransferase (AST) b. decreased alanine aminotransferase (ALT) c. increased prothrombin time (PT) d. decreased serum ammonia

decrease serum ammonia

a nurse is assessing a client who has aids and is taking zidovudine. which of the following findings is the nurse priority for the nurse to report to the provider? a. nausea and vomiting b. decreased hemoglobin c. decrease appetite d. anxiety

decreased hemoglobin

a nurse is caring for a client who is taking budesonide to treat crohn's disease. which of the following findings should indicate to the nurse that the treatment is effective? a. decreased blood glucose b. increase potassium c. increased prostaglandin synthesis d. decreased inflammation

decreased inflammation

a nurse is caring for a client who takes ginkgo biloba daily at home. which of the following effects should the nurse expect from the use of this herbal supplement a. decreased platelet aggregation b. prevention of migraine headaches c. increased risk of deep-vein thrombosis d. lowered cholesterol and triglyceride levels

decreased platelet aggregation

a nurse is providing teaching to a client with tuberculosis who has prescriptions for rifampin and ethambutol. which of the following findings is an adverse effect of these medications that the client should report to the provider a. red-orange discoloration of urine b. unexpected weight gain c. ringing in the ears d. decreased visual acuity

decreased visual acuity

adverse effect of oral contraceptive.

deep-vein thrombosis

contraindication for taking raloxifene

deep-vein thrombosis

a nurse is assisting with a client's laceration repair in which the provider will use both lidocaine and epinephrine. the nurse should inform the client that the epinephrine will perform which of the following actions?

delay systemic absorption of the anesthetic properties of lidocaine

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? a. potentiative interaction b. detrimental inhibitory interaction c. increased adverse reaction d. toxicity-reducing inhibitory interaction

detrimental inhibitory interaction

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 medication? a. gouty arthritis b. dehydration c. diabetes insipidus d. hypokalemia

diabetes insipidus

acarbose (type 2 diabetes)

diarrhea

a nurse is admitting a client who has atrial fibrillation with a heart rate of 155/min. the nurse should anticipate a prescription from the provider for which of the following medications? a. atropine b. diltiazem c. epinephrine d. vasopressin

diltiazem

a nurse is caring for a client who has atrial fibrillation. the nurse should anticipate a prescription from the provider for which of the following medications for this procedure a. amlodipine b. diltiazem c. nifedipine d. lidocaine

diltiazem

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 assesses the client during the administration of adenosine? a. seizure b. cinchonism c. dyspnea d. transient pallor of the face

dyspnea

infuse heparin via

electronic IV pump

a nurse is caring for a male client who has been taking cimetidine for the treatment of duodenal ulcer. which of the following manifestations related to the medications should the nurse report to the provider a. emesis that looks like coffee grounds (GI bleeding) b. erectile dysfunction c. muscle pain d. gynecomastia

emesis that looks like coffee grounds (GI bleeding)

a nurse is caring for a client who is 12 hrs postoperative following a total hip arthroplasty. which of the following medications should the nurse anticipate administering to this client to prevent deep vein thrombosis (DVT) a. aspirin b. warfarin c. ticagrelor d. enoxaparin

enoxaparin

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

enteric coated medication cause less gastric irritation

a nurse is caring for a client who is receiving cefotetan 1 g via intermittent IV bolus every 12hr to treat a postoperative infection. which of the following should the nurse monitor for an adverse effect of the medication. a. disorientation b. epistaxis c. constipation d. jaundice

epistaxis

Sildenafil (Viagra)

erectile dysfunction

a nurse is caring for a client who has a vitamin K deficiency. which of the following manifestation should the nurse expect? a. irregular bone formation b. abnormal movements c. blurred vision d. excessive bruising

excessive bruising

discontinue allopurinol because of a. nausea b. metallic taste c. fever d. drowsiness

fever

a nurse is caring for a female client who has been taking clomiphene to treat infertility. which of the following findings should indicate to the nurse that the medication has been effective a. decreased serum luteinizing hormone levels (LH) b. follicular enlargement and conversion to corpus luteum after ovulation c. increased human chorionic gonadotropin levels d. blocked endogenous release of LH and prevention of premature ovulation

follicular enlargement and conversion to corpus luteum after ovulation

Sucralfate

forms a gel-like substance that protects ulcers

a nurse is caring for a client who is taking streptomycin which of the following medications increase the client's risk of developing ototoxicity when taken with streptomycin a. cefoxitin b. furosemide c. naproxen d. amphotericin B

furosemide

risk of bleeding

garlic

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 as an adverse effect of prednisone a. thrombosis b. immunosuppression c. gastric ulceration d. liver toxicity

gastric ulceration

a nurse is caring for a client who is pregnant and inquiring about alternative, non-pharmacological therapies for nausea and vomiting of pregnancy (NVP). which of the following options should the nurse recommend a. be sure to eat at least 3 large meals each day b. if you are experiencing nausea when you wake up, wait to eat until lunchtime c. you may need to take additional supplements to alleviate nausea d. ginger is effective in the treatment of nausea and vomiting

ginger is effective in the treatment of nausea and vomiting

adverse effect of phenytoin

gingival hyperplasia hypotension cardiac dysrhythmias

Patient-controlled analgesia (PCA)

have a second nurse check the PCA setting flow-controlled device

a nurse is monitoring a client who has diabetes insipidus and was administered desmopressin. which of the following finding should indicate to the nurse the client is experiencing an adverse effect of this medication a. thirst b. nocturia c. headache d. heart palpitations

headache

a nurse is caring for a client who has a new prescription for levothyroidism. which of the following findings should the nurse identify as an indication that the client requires intervention? a. heart rate 106/min b. dry skin c. oral temperature d. lethargy

heart rate 106/min

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. oxygen saturation rate 94% c. heart rate 51/min d. respiratory rate 21/min

heart rate 51/min

a nurse is reviewing the medical history of a client who has spasticity due to multiple sclerosis and a new prescription of tizanidine. which of the following comorbidities increases the client's risk of adverse effects while taking this medication. a. pneumonia b. benign prostatic hypertrophy (BPH) c. hepatitis d. diabetes mellitus

hepatitis

a nurse is reviewing the medical record of a client with rheumatoid arthritis who has a prescription for infliximab. which of the following findings should the nurse identify as a contraindication to the client receiving this medication? a. psoriatic arthritis b. hepatitis B virus c. ulcerative colitis d. ankylosing spondylitis

hepatitis B virus

isoniazid

hepatotoxicity peripheral neuropathy yellowing of the sclera

adverse effect of rifampin

hepatotoxicity: urine is orange in color

Cyclosporine

hirsutism (unusual hair growth)

a nurse is reviewing the medical record of a client who has postmenopausal osteoporosis and a prescription for raloxifene. which of the following findings in the client's medical record should the nurse identify as a contraindication to receiving this medication? a. breast cancer b. history of deep-vein thrombosis (DVT) c. allergy to calcitonin d. current diagnosis of cholecystitis

history of deep-vein thrombosis (DVT)

adverse effect of epoetin alfa

hypertension high blood pressure

a nurse is caring for a client who is taking fludrocortisone which of the following findings indicates to the nurse that the client is experiencing an adverse effect of the medication a. hypotension b. weight loss c. hypokalemia d. anorexia

hypokalemia

digoxin toxicity (eat high potassium content) a. hyperkalemia b. hypokalemia c. cough d. sweat

hypokalemia

adverse effect of furosemide

hypokalemia ototoxicity: tinnitus

"A nurse is preparing to administer a sublingual nitroglycerin tablet to a client who is reporting chest pain. for which of the following adverse effects should the nurse monitor after giving this medication? a. hypotension myalgia c. diarrhea d. ototoxicity

hypotension

a nurse is caring for a client with benign prostatic hyperplasia who has a new prescription for doxazosin. which of the following manifestation should the nurse monitor for as an adverse effect of doxazosin a. seizures b. tachycardia c. bronchodilation d. hypotension

hypotension

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 a. hypotension b. tachycardia c. decreased level of consciousness d. history of diuretic use

hypotension

adverse effect of spinal anesthesia

hypotension

a nurse is caring for a client with multiple sclerosis and neurogenic bladder who is receiving bethanechol. the nurse should identify that which of the following client statements indicates a therapeutic action of the medication a. my mouth seems very dry lately b. i've noticed my heart beating faster c. i am able to urinate more freely d. i ve noticed i can take a deep breath more easily

i am able to urinate more freely

A nurse is monitoring a client who received diphenoxylate-atropine (opioid use to treat diarrhea). which of the following statements by the client should indicate to the nurse that the medication has been effective a. i feel a little drowsy with this medication b. i am now drinking much more water c. i have not had a bowel movement today d. i no longer feel chest tightness

i have not had a bowel movement today

a nurse is providing teaching to a client about a new prescription for captopril (hypotension dizziness sore throat, cough) 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 getting 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

i might feel dizzy at times while taking this medication

a nurse is providing teaching to a client with hypertension and type 1 diabetes mellitus who has a new prescription for metoprolol. which of the following statement by the client indicates an understanding of the teaching a. i might have difficulty recognizing when my blood sugar is low b. i will have a lower risk of developing an infection while i take this medication c. i should be concerned about losing excess weight while i take this medication d. i could have more problems with high blood sugar while taking this medication

i might have difficulty recognizing when my blood sugar is low

a nurse is providing teaching for a client who has a new prescription for nitroglycerin administered through 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 the patch every few days

i need to rotate the location of the 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 a. i should apply this patch behind my ear b. this patch should be replaced every 7 days c. before putting on my patch, i should wipe the area with an alcohol swab. d. i can use a second patch if a single patch is not effective

i should apply this patch behind my ear

a nurse is teaching a client who has a new prescription for alosetron. which of the following client statement indicates an understanding of the teaching? a. nausea is a common adverse effect of this medication b. i should contact my provider immediately if i experience constipation c. if i do not respond to treatment at the lowest dosage, my provider may continue to increase the dosage at weekly intervals d. abdominal pain with diarrhea can indicate a serious complication

i should contact my provider immediately if i experience constipation

a nurse is teaching a client who has a new ezetimibe prescription for hyperlipidemia. which of the following client statements should indicate to the nurse that the teaching was effective a. i should let my doctor know if i have yellowing of my eyes b. this medication will stop my liver from making cholesterol c. i should expect to experience some bruising when i begin this medication. d. i will take this medication at the same time as my gemfibrozil

i should let my doctor know if i have yellowing of my eyes

a nurse is providing teaching to a client who has urinary tract infection and new prescription for phenazopyridine and ciprofloxacin. which of the following statements by the client indicates a need for further teaching? a. if phenazopyridine upset my stomach, i can take it with meals b. phenazopyridine will relieve my discomfort but ciprofloxacin will get rid of the infection c. i need to drink 2L of fluid per day while i am taking ciprofloxacin d. i should notify my provider immediately if my urine turns orange color

i should notify my provider immediately if my urine turns orange color

a nurse is providing teaching to a client with chronic bronchitis about administering acetylcysteine using a hand-held nebulizer (HNN). which of he following client statements indicates an understanding of the teaching? a. i should discard an open vial of the medication after 24hrs b. i should limit my fluid intake while taking this medication c. i should try to cough productively just before i begin the treatment d. if the medication becomes discolored, i should throw it out and get a new supply

i should try to cough productively just before i begin the treatment

a nurse is providing teaching for a client who has gout and a prescription for allopurinol. ( adverse effect = renal injury= 100mg= once daily-long lifespan)which of the following statements by the client should indicate to the nurse that the teaching was effective. a. i should start taking this medication at 800 mg daily b. i will need to have tests done on my liver due to the greater chance of liver failure c. i will increase my fluids to at least 2 liters per day d. i should take this medication twice daily

i will increase my fluids to at least 2 liters per day

a nurse is teaching a client who is about to start taking propylthiouracil to treat hyperthyroidism. which of the following statements should the nurse identify as an indication that the teaching has been effective a. i will need laboratory tests to check my liver function b. i should take this medication once daily c. if i get a rash, i am probably having an allergic reaction d. if i have difficulty sleeping. it is probably because of this medication

i will need laboratory tests to check my liver function

a nurse is teaching a client who has osteoporosis about a new prescription for risedronate. which of the following client statements indicates an understanding of the teaching. a. i will take this medication with a full cup of water b. i will lie down after i take this medication c. i will take this medication with food d. i will take this medication at bedtime

i will take this medication with a full cup of water

a nurse is teaching a client about the adverse effects of omeprazole. which of the following client statements indicates an understanding of the teaching a. if i experience severe diarrhea, i will call my doctor b. pneumonia is associated with long-term use of this medication c. i will need to take this medication with food d. i should take vitamin B12 while using this medication

if i experience severe diarrhea, i will call my doctor

a nurse is teaching about adverse effects of ergotamine with a client who has migraine headaches. which of the following client statements should indicates an understanding of the teaching a. if i overuse this medication, i might become addicted to it b. this medication is okay to use during pregnancy. c. tingling in my fingers and toes is an adverse effect that goes away with continued use d. i will experience restlessness as an adverse effect when i begin taking this medication

if i overuse this medication, i might become addicted to it b. this medication is okay to use during pregnancy.

filgrastim

increase neutrophil count

a nurse is preparing to administer oxytocin to a client who is at 41 weeks gestation and is experiencing ineffective labor. which of the following actions should the nurse plan to take

increase the dose of oxytocin to obtain uterine contractions that occur every 2 to 3 min.

a nurse is caring for a client who has a prescription for an oral contraceptive to prevent pregnancy. the nurse should identify that which of the following actions is the purpose of this medication a. inhibition of ovulation b. thinning of endometrial lining c. inhibition of luteinizing hormone d. thinning of cervical mucus

inhibition of ovulation

a nurse is providing teaching to a newly licensed nurse about metoclopramide. the nurse should highlight that which of the following conditions is a contraindication to this medication? a. hyperthyroidism b. intestinal obstruction c. glaucoma d. low blood pressure

intestinal obstruction

a nurse is preparing to administer meperidine to a client who is postoperative and reports a pain level of 8 on a scale of 0 to 10. which of the following routes of administration will deliver the medication with the shortest time of onset . oral b. intravenous intramuscular d. subcutaneous

intravenous

contraindication for sumatriptan

ischemic heart disease

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? a. it helps your heart return to a normal rhythm b. it dissolves blood clots c. it can reduce your risk of having a stroke d. it helps to prevent bleeding in atrial fibrillation

it can reduce your risk of having a stroke

a nurse is caring for a client who is in preterm labor and has a new prescription for nifedipine. the client states she is concerned because her father takes nifedipine for his angina pectoris. the nurse should explain that nifedipine works for clients who are pregnant through which of the following mechanism. a. it decrease the incidence of bacterial vaginosis, thus preventing uterine contractions b. it inhibits uterine contractions by blocking the entry of calcium into uterine cells c. it decreases activity within the CNS, which regulates all smooth muscle d. it stimulates beta-2-receptors in the uterus, which decrease the frequency of contractions

it inhibits uterine contractions by blocking the entry of calcium into uterine cells

a charge nurse is teaching a newly licensed nurse about a client who has severe allergy-related asthma and a new prescription for omalizumab. which pieces of information should the charge nurse include to describe the medication's mechanism of action? a. it reduces the number of immunoglobulin E (IgE) molecules on mast cells b. it stabilizes the cellular membrane of mast cells c. it decreases the synthesis and release of inflammatory mediators d. it relaxes the smooth muscle by blocking adenosine receptors

it reduces the number of immunoglobulin E (IgE) molecules on mast cells

a nurse is providing teaching to a client who has ulcerative colitis and a new prescription for sulfasalazine. the nurse should instruct the client to monitor for which of the following adverse effects of this medication a. jaundice b. constipation c. oral candidiasis d. sedation

jaundice

a nurse is monitoring a client with pneumonia who has received penicillin G intramuscularly (IM). which of the following findings should the nurse plan to evaluate first? a. pain at the injection site b. prolonged motor dysfunction c. laryngeal edema d. temperature 37.6 (99.7)

laryngeal edema

a nurse is teaching a client about the use of a dinoprostone vaginal insert pouch to stimulates labor. which of the following statement should the nurse include in the teaching. a. it is inserted using a catheter b. one pouch is given every 4 hours until labor occurs c. lie on your back for at least 2 hours without getting up d. if labor doesn't occur within 6 hours a second dose can be administerd.

lie on your back for at least 2 hours without getting up

a nurse is teaching a client about taking tetracycline PO which of the following statements should the nurse include in the teaching? a. take this medication on a full stomach b.limit your consumption of dairy products while taking this medication c. take the medication with your regular iron supplement d. take antacids if you have an upset stomach using tetracycline

limit your consumption of dairy products while taking this medication

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? a. treatment should last for a couple of months. b. liver function tests are required while taking this medication c. i should contact my provider if i experience diarrhea d. I can continue to take this medication if i become pregnant

liver function tests are required while taking this medication

isoniazid toxic to the liver : hepatotoxicity a. jaundice b. nausea c. dark-colored urine d. hepatitis e. liver test (AST)

liver test (AST)

a nurse is reviewing the medication administration record of a client who is receiving opioids medication for pain. which of the following prescriptions should the nurse clarify with the provider a. metoprolol b. ondansetron c. lorazepam d. naloxone

lorazepam

a charge nurse is monitoring a newly licensed nurse who is caring for a postoperative client who is receiving morphine through a PCA pump. which of the following actions by the newly licensed nurse requires intervention? a. instructing the client to administer a PCA dose prior to a dressing change b. providing increased fluids while the client is using the PCA pump c. informing the client's partner that only the client should administer the PCA doses d. maintaining the client on bed rest while the PCA pump is in use

maintaining the client on bed rest while the PCA pump is in use

a nurse is monitoring a client who is receiving terbutaline to suppress preterm labor. which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of the medication a. BP 132/84 mmHg b. blood glucose 106 mg/dl c. decreased deep tendon reflexes d. maternal heart rate >120/min

maternal heart rate >120/min

a nurse is caring for a client who takes a combination oral contraceptive (OC). which of the following findings should indicates to the nurse that the client is experiencing a deficiency of estrogen in the OC? a. mid-cycle breakthrough bleeding or spotting b. breast tenderness c. migraine headaches d. nausea

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? a. raynaud's phenomenon b. migraine headaches c. ulcerative colitis d. anemia

migraine headaches

long-term mineralocorticoids

mineralocorticoids maintain electrolyte and fluid balance

a nurse is providing teaching to a client who has chronic constipation and a new prescription for psyllium(phyllium causes constipation) which of the following instruction should the nurse consider a. this medication is for short-term use only b. you should eat a low-residual diet while taking this medication. c. mix this medication with water and follow with an additional glass of liquid d. the medication's adverse effects of stomach cramps and nausea will go away in time

mix this medication with water and follow with an additional glass of liquid

a nurse is reinforcing teaching with a newly licensed nurse about contraindications to vaccines. which of the following examples should the nurse provide as a true contraindication for all vaccines a. previous local reaction to an injectable vaccine b. moderate illness without a fever c. recent exposure to an infectious disease d. family history of an allergy to penicillin

moderate illness without a fever

a nurse is assessing a client who is taking varenicline for smoking cessation. which of the following findings is the nurse's priority a. mood changes b. nausea c. altered sense of taste d. skin rash

mood changes

" 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 a. thrombophlebitis b. hyperactive reflexes. c. muscle weakness d. hypoglycemia

muscle weakness

Nitroprusside

must be light brown color cover bag with opaque material

a nurse is caring for a client who has multiple sclerosis and is receiving interferon beta-1a. the nurse should identify that which of the following client statements indicates a potential adverse effect of the medication? a. my body aches all over b. i have abdominal cramping c. my hair seems to be thinning d. it hurts when i urinate

my body aches all over

a nurse is assessing a client who has been taking simvastatin to treat hyperlipidemia. which of the following statements by the client indicates an adverse effect of the medication that should be reported to the provider immediately. a. i have had occasional constipation b. i have had some gas c. my head has been hurting for some days d. my legs feel week and achy

my legs feel week and achy

a nurse is caring for a client who has been in the PACU for more than 1 hr, has a respiratory rate of 9/min, and is difficult to arouse. the nurse should expect a prescription for which of the following medications? a. pentazocine b. naloxone c. naltrexone d. butorphanol

naloxone

a nurse is caring for a client who has a new prescription for amphotericin B. the nurse should plan to monitor the client for which of the following adverse effects? a. hyperkalemia b. hypertension c. constipation d. nephrotoxicity

nephrotoxicity

a nurse is caring for a client who is at 28 weeks gestation and is experiencing preterm labor. which of the following medications should the nurse plan to administer a. oxytocin b. nifedipine c. dinoprostone d. misoprostol

nifedipine

a nurse is admitting a client who has unstable angina. which of the following medications should the nurse anticipate administering to the client a. epinephrine b. nitroglycerin c. lidocaine d. atropine

nitroglycerin

unstable angina

nitroglycerin

short acting beta 2 agonists (albuterol)

notify the provider if the SABA is needed more than twice per week.

a nurse is administering a prescription for nifedipine (for preterm labor) to a client who is pregnant. which of the following pieces of information related to nifedipine should the nurse monitor and document. a. hypoglycemia b. uterine ripening c. increased blood pressure d. number of uterine contraction

number of uterine contraction

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's record should the nurse identify as a risk factor for developing vitamin D deficiency? a. middle-age b. obesity c. dark-colored eyes d. light-pigmented skin

obesity

Oral and inhaled glucocorticoids

oral glucocorticoids are more likely to slow linear growth in children

a nurse is teaching a client who has ADHD and is starting therapy with an amphetamine/dextroamphetamine mixture. which of the following manifestations should the nurse instruct the client to identify as an adverse effect and report to the provider? a. restlessness b. insomnia c. palpitations d. weight gain

palpitation

a nurse is assessing a client who was recently admitted and has history of alcohol use disorder. the client displays ataxia, an altered level of consciousness, and nystagmus. which of the following medications should the nurse anticipate administering to the client. manifestation of wernicke-korsakoff syndrome a. parenteral thiamine b. niacin extended release capsules c. parenteral pyridoxine d. riboflavin tablets

parenteral thiamine

contraindication of misoprostol for induction of pregnancy

past cesarean delivery

a nurse is caring for a client who is taking glucocorticoids. the nurse should monitor the client for which of the following adverse effects of the medication? a. weight loss b. peptic ulcer c. hyperkalemia d. diplopia

peptic ulcer

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? a. photosensitivity b. constipation c. ototoxicity d. blurred vision

photosensitivity

opioids

physical dependence is not the same as addiction

a nurse is caring for a client who was bought to the emergency department by friends after a reported heroin overdosed. which of the the following findings should the nurse expect to assess a. temperature 39.2 (102.6) b. respiratory rate 30/min c. pinpoint pupils d. severe abdominal cramping

pinpoint pupils

nitroglycerin patch

place anywhere on the body without hair

a nurse is caring for a client who received spinal anesthesia 30 minutes ago. the client reports feeling dizzy, and the nurse notes that the client's blood pressure is 84/54 mmHg. which of the following actions should the nurse take? a. place the client in the head-down position b. assess the placement of the catheter c. prepare to administer an IV reversal agent d. assist the client in passive range of motion

place the client in the head-down position

a nurse is teaching a client who has type 1 diabetes mellitus about a new subcutaneous insulin infusion pump. which of the following pieces of information should the nurse include in the teaching? a. plan to use a type of short-duration insulin in the infusion pump b. replace the infusion pump set every 4 days c. turn off the infusion pump for at least 3 hours each day d. move the infusion pump catheter 1.27cm (0.5 in) away from the old site

plan to use a type of short-duration insulin in the infusion pump

contraindication of misoprostol

pregnancy avoid getting pregnant

epoetin alfa

promotes RBC production

a nurse is caring for a client who is experiencing an acute asthma exacerbation. which of the following medications should the nurse identify as being contraindicated for this client? a. Dextromethorphan b. montelukast c. ciprofloxacin d. propranolol

propranolol

a nurse is caring for a client who is at 6 weeks of gestation and has just received a diagnosis of hyperthyroidism. the nurse should anticipate a prescription from the provider for which of the following medications? a. propylthiouracil. b. liothyronine c. methimazole. d. iodine-131

propylthiouracil

a nurse is assessing a client who is receiving IV gentamicin 3 times daily. which of the following findings indicates that the client is experiencing an adverse effect of this medication a. hypoglycemia b. proteinuria c. nasal congestion d. visual disturbance

proteinuria

insulin lispro

rapid acting insulin take 15 min b4 eating onset of 15min

a nurse is providing teaching to the parents of a child who has a 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? a. diplopia b. dizziness c. rash d. headache

rash

a nurse is reviewing the medical record of a client. the medication administration record shows the client is taking clopidogrel. which of the following events should the nurse expect in the client's medical history? a. recent myocardial infarction b. history of hemorrhagic stroke c. current outbreak of psoriasis d. history of hypertension

recent myocardial infarction

a nurse is caring who has tuberculosis and is taking rifampin. the nurse should monitor the client for which of the following adverse effects of rifampin? a. red-tinged urine b. tinnitus c. blurred vision d. dry mouth

red-tinged urine

Gabapentin

reduce cramping, aching, burning neuropathic pain

a nurse is providing teaching to a client who has cirrhosis and a new prescription for lactulose. the nurse should instruct the client that lactulose has which of the following therapeutic effects? a. increases blood pressure b. prevents esophageal bleeding c. decreases heart rate d. reduces ammonia levels

reduces ammonia levels

feverfew

reduces migraine headaches

store unopened vials of insulin

refrigerator

"A nurse is caring for a client with diabetic ketoacidosis who has a prescription for an intravenous infusion of insulin. the nurse should document that which of the following types of insulin was administered intravenously to treat ketoacidosis? a. regular insulin b. insulin lispro c. insulin aspart d. insulin glargine

regular insulin

Nitroprusside

regulate the infusion pump rate using the client's weight in the calculation

diabetes insipidus

report of nocturia, excessive urination, thirst dehydration (Heart palpitation)

a nurse is caring for a client who received naloxone for a suspected opioid overdose. which of the following findings should the nurse identify as an adverse effect of this medication. a. report of pain b. respiratory rate 8/min c. report of numbness d. report of abdominal cramping and diarrhea

report of pain

a nurse is educating a client with urethritis who has a new prescription for oral erythromycin. which of the following statement should the nurse include in the teaching a. report persistent diarrhea to the provider b. take this medication with a full glass of milk c. some people who take erythromycin experience vision loss d. antacids will reduce the extent of absorption

report persistent diarrhea to the provider

inhaled glucocorticod and long-acting beta2-agonist combination dry-powdered inhaler (DPI) for maintenance therapy

restricted dosage flexibility (fixed dosage)

a nurse is caring for a client who has asthma and is prescribed a short-acting beta2-agonist. which of the following should the nurse identify as the expected outcome of this medication a. reduces the frequency attacks b. reverses bronchospasm c. prevents inflammation d. decreases chronic manifestation

reverses bronchospasm

a nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks for the treatment of active pulmonary tuberculosis (TB). the client reports his urine is an orange color. which of the following statement should the nurse make. a. stop taking the isoniazid for 3 days, and the discoloration should go away b. rifampin can turn body fluids orange. c. i will make an appointment for you to see the provider this afternoon d. isoniazid can cause bladder irritation

rifampin can turn body fluids orange.

etanercept (rheumatoid arthritis)

risk of tuberculosis review result of last purified protein derivative (PPD) prior to administration

a nurse is teaching self-administration of NPH insulin to a client who has type 2 diabetes mellitus. which of the following instructions should the nurse include? a. alternate injecting doses between the abdomen and the thigh b. shake the vial before withdrawing the dosage c. rotate injection sites within the same area d. discard the vial if the insulin is cloudy

rotate injection sites within the same area

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? a. salmeterol b. fluticasone c. budesonide d. theophylline

salmeterol

a nurse is preparing a discharge teaching plan for a client who is scheduled to begin long-term oral prednisone for asthma. which of the following instructions should the nurse include in the plan? a. stop taking the medication if a rash occurs b. take the medication on an empty stomach to enhance absorption. c. schedule the medication on alternate days to decrease adverse effects d. treat shortness of breath with an extra dose of the medication

schedule the medication on alternate days to decrease adverse effects

a nurse is providing discharge teaching to 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? a. seizures can occur with this medication b. you should observe for manifestation of bleeding c. check your hands and feet for sensory dysfunction d. this medication can increase the risk of ototoxicity

seizures can occur with this medication

a nurse is caring for a female adult client who is experiencing menopause and has a prescription for estrogen along with progestin. the nurse should identify that the provider has prescribed these medications for which of the following reasons? a. long-term use to reduce the risk of breast cancer b. short-term use to stimulate the endometrium c. long-term use to prevent osteoporosis d. short-term use to control urogenital atrophy

short-term use to control urogenital atrophy

a nurse is assessing a client who is receiving a continuous morphine IV infusion and finds the client's respiratory rate has decreased from 20/min to 12/min. which of the following actions should the nurse take? a. flush the IV line with saline b. administer flumazenil c. lower the head of bed d. slow the rate of the infusion

slow the rate of the infusion

a nurse is caring for a client who has cystic fibrosis (CF) and has a prescription for high-dose ibuprofen daily. the nurse should identify that which of the following is an expected outcome for the client receiving this medication a. thinned pulmonary secretions that are retained in the airways b. slowed progression of pulmonary damage c. potentiated action of bronchodilator therapy d. decreased risk of fevers associated with

slowed progression of pulmonary damage

a nurse is caring for a school-aged child who has cystic fibrosis (CF) and has been using a corticosteroid inhaler for long-term treatment. which of the following findings should the nurse identify as an adverse effect of long-term use of this medication? a. small stature for age b. decreased weight c. poor dentition d. atrophied muscles

small stature for age

the nurse is caring for a client who has had a levonorgestrel-releasing intrauterine device (IUD) in place for 1 year. which of the following findings should indictes that the client is experiencing an adverse effect? a. developed sensitivity to copper b. vaginal irritation or inflammation c. decreased menstrual bleeding d. spotting between menses cycles

spotting between menses cycles

a nurse is teaching a client who has a new prescription for phenytoin. the nurse should inform the client that which of the following adverse effects can occur with the abrupt withdrawal of phenytoin a. status epilepticus b. bleeding gums c. disorientation d. severe nausea

status epilepticus

transition from cyclosporine to tacrolimus

stop taking the cyclosporine for 24hr and then begin taking the tacrolimus

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? a. stress fractures. b. orthostatic hypotension c. gingival ulceration. d. weight loss

stress fractures.

a nurse is caring for a female client who has osteoporosis and is taking raloxifene. which of the following findings should indicate to the nurse that the client is experiencing an adverse effect of this medication? a. severe leg cramps b. urinary frequency c. jaw pain d. sudden onset of dyspnea

sudden onset of dyspnea

a nurse is caring for a client who has a new diagnosis of oral candidiasis after taking tetracycline for 7 days. the nurse should recognize that candidiasis is a manifestation of which of the following adverse effect a. allergic response b. superinfection c. renal toxicity d. hepatotoxicity

superinfection

extended release oxycodone

swallow this medication whole

a nurse is assessing a client who began taking clozapine (adverse effect: myocarditis: chest pain, palpitation, cardiac arrhythmias, dyspnea) 3 weeks ago. which of the following findings should the nurse report to the provider immediately? a. tachypnea and tachycardia. b. abdominal pain and constipation c. enuresis and polyuria d. dry mouth and blurred vision

tachypnea and tachycardia

pegloticae

take NSAIDs for flare ups

a nurse is teaching a client who has dyspepsia about prescribed antacids.

take antacids 1 hour apart from other medications

Donepezil

take at night (pm)

a nurse is providing teaching a client who has a new prescription for hyrochlorothiazide 50 mg PO daily to treat hypertension. which of the following instruction should the nurse include in the teaching a. take hydrochlorothiazide as needed for edema b. check your weight once each week c. take hydrochl orothiazide on an empty stomach d. take hydrochlorothiaxide in the morning. (allow for diuresis during the day and to prevent nocturia)

take hydrochlorothiaxide in the morning.(allow for diuresis during the day and to prevent nocturia)

omeprazole

take on empty stomach

a nurse is teaching a client who is taking levothyroxine for hypothyroidism about a new prescription for a calcium supplement. which of the following pieces of information should the nurse include in the teaching?

take the calcium supplement 4 hr after taking the levothyroxine

Alendronate

take this medication on an empty stomach

acarbose

take with food: first bite of meal

a nurse is reviewing the laboratory report for a client who is taking tobramycin and notes that the peak blood is 9.3 mcg/mL. which of the following actions should the nurse take a. administer half of the prescribed dosage at the client's next scheduled dose b. tell the client that the medication seems to be appropriate c. advice the client to drink more water throughout the day d. ask if the client has been experiencing any peripheral neuropathy

tell the client that the medication seems to be appropriate

a nurse is evaluating a 20-month-old child who received a hepatitis A immunization 3 days ago. the parent report that the child has exhibited a loss of appetite following the immunization. which of the following actions should the nurse take? a. tell the parent that this reaction should only last for a couple of days b. notify the provider immediately c. prepare an antidote to administer to the child d. request that the provider order a serum titer level

tell the parent that this reaction should only last for a couple of days

a nurse is assessing a client who is receiving clozapine to treat schizophrenia. the nurse should identify an increase in which of the following parameters an an early indication of an adverse effect of this medication? a. urine specific gravity b. urine output c. blood pressure d. temperature

temperature

a nurse suspects that a client is having an allergic reaction to a medication. which of the following factors should the nurse identify as increasing the likelihood of an allergic reaction to the medication? a. this is the client's initial dose of the current prescription b. the client received a larger dosage c. the route of administration was oral d. the client has had previous exposure to the medication

the client has had previous exposure to the medication

a nurse is assessing a client who has cystic fibrosis. which of the following pieces of information indicates a therapeutic response to pancreatic enzyme replacement a. the client is having 1-2 bowel movements per day b. the client's glucose level is elevated c. the client has experienced weight loss d. the client has abdominal distension

the client is having 1-2 bowel movements per day

a nurse is preparing to administer an IM injection for a client. which of the following factors should the nurse identify as a potential contraindication to administering the medication via the IM route a. the medication is a depot preparation b. the client is taking an anticoagulant. (warfarin) c. the medication is a particulate suspension d. the client has been vomiting

the client is taking an anticoagulant. (warfarin)

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? a. the client must sign an agreement with the provider beginning alosetron (constipation and bowel obstruction) b. the client must stop taking alosetron if diarrhea continues for 1 week after beginning the medication. c. the client should expect to have a slower heart rate while taking alosetron d. the client should use a barrier birth control method because alosetron interacts with oral contraceptives

the client must sign an agreement with the provider beginning alosetron

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 an inability to void. b. the client's respiratory rate is 10/min c. the client has hypoactive bowel sounds d. the client has vomited once in the last 4 hours

the client's respiratory rate is 10/min

a nurse in along term care facility is administering medications to a group of older adult clients. which of the following factors of pharmacokinetics should the nurse consider when caring for this age group? a. the excretion of medication is reduced b. the percentage of medication absorbed is increased c. the liver metabolizes medication more quickly d. the rate at which the liver metabolizes medication declines with age

the excretion of medication is reduced

a nurse is teaching the guardian of an infant about the diphtheria, tetanus, and pertussis (DTap) vaccine. which of the following pieces of information should the nurse include in the teaching? a. routine immunization for DTap consists of 3 injections b. the first immunization for DTap in the series is given at 2 months c. DTaP immunization has been replaced with DTP d. this immunization is administered subcutaneously

the first immunization for DTap in the series is given at 2 months

a nurse is teaching the guardian of a school-aged child about growth hormone therapy. which of the following statements should the nurse include in the teaching? a. your child will grow an extra 4 to 6 inches while receiving hormone therapy b. hormone injection therapy will occur for 2 to 3 years c. your child will receive hormone injections no more often than 1 to 2 times each week d. the hormone injections are administered subcutaneously

the hormone injections are administered subcutaneously

a nurse is assessing an infant who is scheduled to receive the rotavirus vaccine. which of the following criteria should the nurse identify as a potential contraindication for administering this vaccine? a. the infant is teething b. the infant has a history of intussusception c. the infant has been constipated for 3 days d. the infant is 9 weeks old

the infant has a history of intussusception

a nurse is teaching client with chronic asthma who has a new prescription for cromolyn. which of the following instructions should the nurse include in the teaching. a. use the inhaler just before exercise b. the medication's therapeutic effects can take up to several weeks to develop c. you will shake the medication container for 3 seconds d. you will need to exhale slowly after you inhale

the medication's therapeutic effects can take up to several weeks to develop

incompatible drugs

theophylline and zileuton

a nurse is teaching a client who has diabetes mellitus about a new prescription for piogitazone. which of the following statement should the nurse include in the teaching.

this medication can be taken when using 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 a. this medication not work unless i have enough potassium b. potassium will increase the therapeutic effect of the blood pressure medication c. potassium will lower my blood pressure d. this medication can cause a loss of potassium

this medication can cause a loss of potassium

a nurse is teaching a client with a new diagnosis of peptic ulcer disease (PUD) who has a prescription for bismuth subsalicylate. the client asks the nurse, how will this medication help my ulcer? which of the following statements should the nurse make? a. this medication will decrease prostaglandins b. the amount of bicarbonate in your body will be increased c. this medication can decrease bacteria in the GI tract. d. this medication acts by increasing blood flow to the stomach

this medication can decrease bacteria in the GI tract.

a nurse is teaching a client who has been taking an NSAIDS to treat rheumatoid arthritis. during the client's first month checkup, the provider prescribed methotrexate to be added to the medication regimen. which of the following statements should the nurse include in the teaching about the purpose of this change in the client's medication? a. your current medication was not strong enough to manage this condition b. once your blood levels of methotrexate are within the therapeutic range, the NSAID will be discontinued c. this medication was added to delay the disease progression d. treating this disease with 2 medications will help protect you from becoming treatment-resistant

this medication was added to delay the disease progression

a nurse is providing teaching to a client with a seizure disorder who has a new prescription for carbamazepine. which of the following statements should the nurse include in the teaching? a. this medication will decrease the effectiveness of oral contraceptive b. once you are seizure free for a month you will be able to stop taking the medication c. you can cut the dose in half if gastrointestinal upset occurs. d. this medication might initially increase the frequency of your seizure

this medication will decrease the effectiveness of oral contraceptive

Patient-controlled analgesia (PCA)

this method works by keeping my opioid levels steady

erythromycin

thrombophlebitis infuse the medication slowly

a nurse is preparing to administer an IV injection to a client. for which of the following reasons should the nurse inject the medication slowly? a. to reduce toxicity risk b. to improve absorption pattern c. to prevent medication dilution d. to protect against embolism

to reduce toxicity risk

a nurse is providing teaching to 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 (angioedema) b. low potassium level c. runny nose d. bruising

tongue swelling (angioedema)

atropine

treat bradycardia: increase heart rate

Raloxifene

treat postmenopausal Evista Osteoporosis

a nurse is assessing a client who has hypothyroidism and takes levothyroxine. which of the following findings indicates that the client is experiencing acute levothyroxine overdose a. bradycardia b. cold intolerance c. tremor d. hypothermia

tremor

a nurse is assessing a client who takes oral theophylline for chronic bronchitis relief. the nurse should recognize that which of the following findings indicates toxicity to theophylline a. constipation b. tremors c. fatigue d. bradycardia

tremors

a nurse is caring for a client who is experiencing a seizure while in bed. which of the following actions should the nurse take? a. raise the head of the client's bed b. restrain the client's arms and legs c. turn the client's head to the side d. insert a tongue blade in the client's month

turn the client's head to the side

lidoaine

ventricular dysrhythmias

Sucralfate (duodenum ulcer)

wait 30min after taking antacid before taking it

a nurse is caring for a client who was recently diagnosed with rheumatoid arthritis. the nurse should expect the provider to prescribe methotrexate at which of the following times a. within 3 months of the initial diagnosis b. when NSAIDs have not provided pain relief c. during an exacerbation of symptoms d. once bone degeneration progresses

within 3 months of the initial diagnosis

enteric-coated tablet

you are less likely to have an upset stomach with this pill because of the coating on the tablet

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 a. report gastrointestinal disturbances immediately b. you might find that you develop a dry mouth c. you should not experience any central nervous system alterations d. increased urinary frequency is an expected effect

you might find that you develop a dry mouth

Fluxetine (Prozac)

you should expect decrease manifestation within a few days

a nurse is providing teaching about antiretroviral medication therapy to a client who has a new diagnosis of AIDS. which of the following statements should the nurse include in the teaching? a. your provider will prescribe a single antiretroviral medication at a time b. you should take antiretroviral medications on a routine schedule c. you should increase your intake of raw fruits and vegetables while taking antiretroviral medications d. your provider will prescribe antiretroviral therapy to kill the HIV.

you should take antiretroviral medications on a routine schedule

an 18-month-old toddler who has kawasaki disease (KD). the child is receiving intravenous immune globulin (IVIG). the guardian asks the nurse to administer the child's scheduled measles, mumps, and rubella (MMR) vaccine before discharge. which of the following responses should the nurse provide? a. your child will not be able to receive the MMR vaccine for at least 3 months after discharge b. i cannot administer routine vaccine to children while they are in the hospital c. your child can receive the MMR vaccine once his fever is gone d. i can administer the measles and rubella vaccines, but i cannot administer the mumps vaccine.

your child will not be able to receive the MMR vaccine for at least 3 months after discharge

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 a. cromolyn b. albuterol c. zafirlukast d. methylprednisolone

zafirlukast