PharmacologyUnit4

A nurse is reinforcing teaching with a client who has anemia and a new prescription for a liquid iron supplement. Which of the following information should the nurse include in the teaching? (select all that apply) -"Add foods that are high in fiber to your diet." -"Rinse your mouth after taking the medication." -"Expect stools to be green or black in color." -"Take the medication with a glass of milk." -"Add red meat to your diet."

-"Add foods that are high in fiber to your diet." -"Rinse your mouth after taking the medication." -"Expect stools to be green or black in color." -"Add red meat to your diet."

Which statement indicates an understating of the use of fluticasone? -"Use every 4-hr when a wake." -"Can take 3 weeks to take effect." -"Can also treat motion sickness." -"Can use when nasal passages are blocked."

-"Can take 3 weeks to take effect."

A nurse is reinforcing with a client about probiotic supplements. Which of the following information should the nurse include? (select all that apply) -"Probiotics are micro-organisms that are normally found in the GI tract." -"Probiotics are used to treat Clostridium difficile." -"Probiotics are used to treat benign prostatic hyperplasia." -"You can experience bloating while taking probiotic supplements." -"If you are prescribed an antibiotic, you should take it at the same time you take your probiotic supplement."

-"Probiotics are micro-organisms that are normally found in the GI tract." -"Probiotics are used to treat Clostridium difficile." -"You can experience bloating while taking probiotic supplements."

A nurse is assisting with the evaluation of a group of clients at a health fair to identify the need for folic acid therapy. Which of the following clients require folic acid therapy? (select all that apply) -12-year-old child who has iron deficiency anemia -24-year-old female who has no health problems -44-year-old male who has hypertension -55-year-old female who has alcohol use disorder -35-year-old male who has type 2 diabetes mellitus

-24-year-old female who has no health problems -55-year-old female who has alcohol use disorder

What is a nurse consideration for dextromethorphan? -High fever 2 weeks -High fever 1 week -Sedation -Headache

-A High fever may occur if taken within 2 weeks of MAOI antidepressants

What is a contraindication for taking misoprostol? -A client who is pregnant -A client who has osteoarthritis -A client who has a kidney stone -A client who has a urinary tract infection

-A client who is pregnant

Which of the following instructions should the nurse include when teaching about albuterol and beclomethasone inhaler usage to treat asthma? -Take the albuterol at the same time each day. -Administer albuterol inhaler prior using beclomethasone inhaler. -Us when experiencing an acute episode. -Avoid shaking the beclomethasone inhaler

-Administer albuterol inhaler prior using beclomethasone inhaler.

What will provide the fastest relief from a frequent cough and chest tightness due to asthma? -Hydroxyzine -Albuterol -Paragard -Regaln

-Albuterol

Which medication should you avoid taking within 2 hours before or after other medications? -Aluminum hydroxide -Aluminum sulfate -Calcium oxalate -Phosphate hydroxide

-Aluminum hydroxide

What type of medication should the client avoid when taking sucralfate? -Antacids -Antibiotics -Anti depressants -Anti anxiety

-Antacids

What should the nurse include in patient education for Diphenhydramine? -Avoid driving -Avoid alcohol -Avoid CNS depressants -Avoid smoking

-Avoid driving and operating heavy machinery

What is the MOA of finasteride? -Blocks the action of an enzyme called 5-alpha-reductase. -Neutralizing hydrochloric acid in gastric secretions -Iron combines with porphyrin and globin chains to form hemoglobin -Stimulates the production of red blood cells, white blood cells, and platelets

-Blocks the action of an enzyme called 5-alpha-reductase. This enzyme changes testosterone to another hormone that causes the prostate to grow or hair loss in males. It will increase testosterone levels in the body, which decreases prostate size and increases hair growth on the scalp.

A nurse is reinforcing teaching with a client about ranitidine. Which of the following is an adverse effect? -Bloody stools -Headache -Nausea -Hypotension

-Bloody stools

Theophylline has the same properties as __________, and you should avoid concurrent use of these. -Heparin -Caffeine -Phenytoin -Esomeprazole

-Caffeine

What medication provides both analgesic and antitussive therapeutic effects. -Codeine -Haldol -Diazepam -Adderall

-Codeine

What is the mechanism of action of expectorants? -Decreases viscosity -Increases viscosity -Decreases secretion -Increases secretion

-Decreases viscosity of bronchial secretions

What is one of the side effects of testosterone? -Deepening voice -Weight gain -Low blood pressure -Dry mouth -Facial hair

-Deepening voice

What are probiotic supplements indicated for? -Diarrhea associated with antacid use -Diarrhea associated with antibiotic use -Constipation associated with antibiotic use -Dehydration associated with antibiotic use

-Diarrhea associated with antibiotic use

A nurse is caring for a client who received prochlorperazine 4 hr ago. The client reports spasms of the face. The nurse should expect a prescription for which of the following medications? -Fomepizole -Naloxone -Phytonadione -Diphenhydramine

-Diphenhydramine

What are adverse reactions to monitor with taking diphenhydramine? (select all that apply) -Dry mouth -Nonproductive cough -Skin rash -Drowsiness -Urinary hesitation

-Dry mouth -Drowsiness -Urinary hesitation

A nurse is reinforcing teaching with a client about cimetidine. The nurse should identify which of the following as adverse effects of cimetidine? (select all that apply) -Increased libido -Insomnia -Enlargement of breast tissue -Confusion -Decreased sperm count

-Enlargement of breast tissue -Confusion -Decreased sperm count

Administer ______________ with vitamin C and on an empty stomach for better absorption. -Ferrous Sulfate -Ferrous Oxalate -Hydrogen Sulfate -Vitamin D

-Ferrous Sulfate

Tarry, black stool is and expected and harmless finding with which medication? -Ferrous oxalate -Folic acid -Ferrous sulfate -Ferrous phosphate

-Ferrous Sulfate

Which supplement does the nurse expects to administer to an individual who has alcohol use disorder? -Folic acid -Uric acid -Calcium -Vitamin C

-Folic acid

Bronchospasm is an adverse effect of which medication? -Guaifenesin -Oxacillin -Rifampin -Buspar

-Guaifenesin

What are some adverse effects of ondansetron? (select all that apply) -Headache -Diarrhea -Shortened PR interval -Hyperglycemia -Prolonged QT interval

-Headache -Diarrhea -Prolonged QT interval

A nurse is reinforcing teaching a client will start alfuzosin for treatment of benign prostatic hyperplasia. The nurse should instruct the client that which of the following is an adverse effect of the medication? -Bradycardia -Edema -Hypotension -Tremor

-Hypotension

Educate the client to monitor blood pressure when taking Tamsulosin (Flomax) for this side effect? -Hypotension -Hypertension -Tachycardia -Bradycardia

-Hypotension

A nurse is caring for a client who has angina and asks about obtaining a prescription for sildenafil to treat erectile dysfunction. Which of the following medications should the nurse recognize as contraindicated with sildenafil? -Aspirin -Isosorbide -Clopidogrel -Atorvastatin

-Isosorbide

Sildenafil interacts with what medication (nitrates)? -Isosorbide -Ferrous Sulfate -Metoclopramide -Ranitidine

-Isosorbide

A nurse is reinforcing teaching with a client who has a new prescription for an iron supplement. Which of the following should the nurse include in the teaching? -Take with food to increase absorption -Diarrhea is an adverse effect of iron supplements -Liquid iron supplements can stain teeth -Iron supplements can cause bowel movements to appear orange.

-Liquid iron supplements can stain teeth

A nurse is monitoring the IV site of a client after the charge nurse has started an IV bolus of potassium. While the potassium is infusing, which of the following conditions should the nurse monitor at the IV site? (select all that apply) -Local irritation -Phlebitis -Infiltration -Hematoma -Skin warmth

-Local irritation -Phlebitis -Infiltration

What medication is used to treat gastroparesis? -Lubiprostone -Metoclopramide -Bisacodyl -Loperamide

-Metoclopramide

What medication blocks the function of Leukotriene? -Pradaxa -Tamiflu -Montelukast -Naproxen

-Montelukast

What is an averse reaction to taking phenylephrine nasal drops? -Sedation -Nasal congestion -Productive cough -Constipation

-Nasal congestion

Probiotics are used to replace the ___________ in the GI tract after antibiotic administration. -Normal flora -Abnormal floraterm-18 -Minerals -Nutrients

-Normal flora

What medication decreases the production of gastric acid? -Omeprazole -Penicillin -Tamiflu -Bactrium

-Omeprazole

What is an adverse effect of Diphenoxylate-Atropine? -Polyphagia -Polyuria -Polydipsia -Polyphyly

-Polyuria

What medication used to treat hypertension is contraindicated when taking albuterol? -Amitriptyline -Celecoxib -Tramadol -Propranolol

-Propranolol

What is the expected action of finasteride (Proscar)? -Reduced prostate size -Increases prostate size -Inflammation of prostate -Reduced prostate muscle

-Reduced prostate size

What should client education for beclomethasone include? -Rinse your mouth after administration -Limit fluid -Increase intake of vitamin B12 -Take as needed

-Rinse your mouth after administration

What does acetylcysteine smell like? -Rotten eggs -Rotten meat -Rotten fish -Rotten fruit

-Rotten eggs

What is an adverse effect of dextromethorphan? -Diarrhea -Anxiety -Sedation -Palpitations

-Sedation

A nurse is reinforing instructions about the use of laxatives with a client who has heart failure. The nurse should tell the client to avoid which of the following laxatives? -Sodium phosphate -Psyllium -Bisacodyl -Polyethylene glycol

-Sodium phosphate

What is the mechanism of action of antitussives? -Increases the volume and reducing the viscosity of secretions -Suppresses cough reflex through medulla -Reduce the viscosity of tenacious secretions -Thins down the mucus in the airway passages

-Suppresses cough reflex by inhibiting cough center in the medulla.

What important information should the nurse include when teaching the patient about Guaifenesin administration? -Take with water -Take with food -Take on empty stomach -Take before eating

-Take with a full glass of water

What is the mechanism of action of combination oral contraceptives? (select all that apply) -Thickening the cervical mucus -Inducing maturation of ovarian follicle -Increasing development of the corpus luteum -Altering the endometrial lining -Inhibiting ovulation

-Thickening the cervical mucus -Altering the endometrial lining -Inhibiting ovulation

What should the nurse include when educating a client on albuterol? -Daily -Not daily -Every other day -Every 8 hours

-This is not daily medication (short term)

A nurse is reviewing the health care record of a client who is asking about conjugated equine estrogens. The nurse should inform the client this medication is contraindicated in which of the following conditions? -Atrophic vaginitis -Dysfunctional uterine bleeding -Osteoporosis -Thrombophlebitis

-Thrombophlebitis

What is a side effect of albuterol? (select all that apply) -Tremors -Tachycardia -Hyperglycemia -Slow skeletal growth

-Tremors -Tachycardia

Adverse effects of prednisone include: (select all) -Weight gain -Nervousness -Bradycardia -Constipation -Immunosuppression, Infection

-Weigh gain -Immunosuppression, Infection

What is a folic acid contraindication? -Will mask Vitamin C deficiency -Will mask Vitamin B12 deficiency -Will decrease Hgb levels -Will decrease energy levels

-Will mask Vitamin B12 deficiency

Thrombophlebitis is a contraindication for which medication? -conjugated equine progestogens -conjugated equine estrogens -conjugated estrogens -conjugated equine testosterone

-conjugated equine estrogens

Which contraceptive should you use an alternate birth control method when prescribed antibiotics? -enpresse -levora -yasmine -nordette

-ethinyl estradiol and drospirenone (Yasmine)

Pregnant women should not touch this medication? -rytary -finasteride (Proscar) -phinasteride (Proscar) -finasteride (Broscar)

-finasteride (Proscar)

Reduced libido is an adverse effect of what medication taken for benign prostatic hyperplasia (BPH)? -finasteride (Troscar) -finasteride (Proscar) -phinasteride (Proscar) -finasteride (Broscar)

-finasteride (Proscar)

Perform self-breast exams every month and maintain mammogram and breast exams as ordered when taking which medication? -medroxyprogesterone (Provera) -captopril -medroxyestrogen (Provera) -banzel

-medroxyprogesterone (Provera)

Vitamin B12 is given for which type of anemia? -hemolytic anemia -aplastic anemia -pernicious anemia -sickle cell anemia

-pernicious anemia

How should conjugated equine estrogens (Premarin) be administered? (timing) -Whenever -Same time each day -In the morning -At night

-same time each day

Instructions for taking phenytoin and sucralfate tablets. -Antacids -With glass of milk -2-hour in between -Chew slowly

"Allow a 2-hour interval between these medications."