PN Learning System Pharmacology Final Quiz

A nurse is reinforcing discharge teaching about lithium toxicity with a client who has a new prescription for lithium. Which of the following statements by the client indicates an understanding of the teaching?

"I can develop lithium toxicity if I experience vomiting or diarrhea."

A nurse is preparing to administer ampicillin 50 mg/kg/day PO divided into 4 equal doses for a toddler who. weighs 33 lb. Available is ampicillin 125 mg/5 mL oral solution. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

7.5

The nurse implements the teaching plan on dumping syndrome for the client who has recently undergone a gastrojejunostomy. After the nurse provides information about restricting carbohydrates, which additional information should the nurse plan to teach this client to help reduce the potential for experiencing the symptoms of dumping syndrome?

A. Lie down for a short time after eating

A nurse is reinforcing discharge teaching with a 6-year-old client who has asthma and several prescription medications using a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?

Add a spacer to each MDI

A nurse is caring for a client who has alcohol use disorder and is admitted with lower extremity fractures following a motor-vehicle crash. A few hours after admission, the client develops restlessness and tremors. Which of the following medications should the nurse anticipate administering to the client first?

Chlordiazepoxide Chlordiazepoxide, a long-acting oral benzodiazepine, is a first-line medication to use for a client who is experiencing manifestations of acute alcohol withdrawal. For clients who are nauseated or vomiting, another benzodiazepine, such as lorazepam, can be administered via IV. The nurse should apply the acute versus chronic priority-setting framework when caring for this client. Using this framework, acute needs (manifestations of acute alcohol withdrawal) are typically the priority need because they pose more of a threat to the client. Because chronic needs usually develop over a period of time, the client has more of an opportunity to adapt to the alteration in health.

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?

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

A nurse is reinforcing discharge teaching with a client who has venous thrombosis and a prescription for warfarin. Which of the following instructions should the nurse include in the teaching?

Carry a medical alert ID card

A nurse in an outpatient facility is collecting data from a client who has a prescription for furosemide 40 mg daily. The client reports that she has been taking extra doses to promote weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated?

Urine specific gravity 1.035

A nurse is reinforcing teaching with a client who has postmenopausal osteoporosis and a new prescription for intranasal calcitonin-salmon. Which of the following statements by the client indicates an understanding of the teaching?

"I will need to depress the side arms to initially activate the pump."

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 client to consume while taking phenelzine?

Beef

A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following data should the nurse plan to review prior to administration of this medication?

Blood pressure Epoetin alfa often causes hypertension, which can lead to stroke or other cardiovascular complications. The nurse should monitor the client's blood pressure and notify the provider about increases. The client who receives epoetin alfa frequently requires concurrent use of antihypertensive medication.

A nurse is collecting data from a client who has hypothyroidism and takes levothyroxine. Which of the following findings should alert the nurse that the client is experiencing acute levothyroxine overdose?

tremor

A nurse is collecting data from a client who takes oral theophylline for relief of chronic bronchitis. The nurse should recognize that which of the following findings indicates toxicity to theophylline?

tremors

A nurse is caring for a client and realizes after administering the 0900 medications that she administered 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?

Check the client's apical pulse

A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 400 mL IV to an oider adult client over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

50

A nurse is caring for a client who has a positive tuberculin skin test and a new prescription for isoniazid. For which of the following laboratory values should the nurse monitor?

Aspartate aminotransferase (AST)

A nurse is reviewing the medical record of a client who is experiencing an acute migraine attack and has a new prescription for sumatriptan. Which of the following findings indicates a contraindication to the administration of this medication?

History of uncontrolled hypertension

A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to an adolescent client who has type 1 diabetes mellitus. The nurse should anticipate onset of action of the insulin at which of the following times?

0745 Has a very short onset action of action of 15 min.

A nurse is preparing to administer ampicillin 500 mg in 50 mL of dextrose 5% in water (D_W) to infuse over 15 min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

33

A nurse is reinforcing teaching with the parents of a school-age child who has asthma about medications for bronchospasm. Which of the following inhaled medications should the nurse instruct the parents to use to relieve an acute asthma attack?

Albuterol

A nurse is preparing to administer a transdermal contraceptive patch to a female client. Which of the following actions should the nurse plan to take?

Apply the patch to an area of the skin on the lower abdomen

Which of the following actions by the nurse promotes safety for a client receiving bolus tube feedings via a nasogastric tube? Select all that apply.

Assess tube placement according to agency policy. Check the residual volume prior to the bolus feeding. Irrigate the nasogastric tube with 30 mL water following the bolus.

A nurse is reinforcing teaching with a client who has hypertension and a new prescription for oral clonidine. Which of the following instructions should the nurse include in the teaching?

Avoid driving until the client's reaction to the medication is known

A nurse is administering oral hydroxyzine to a client. Which of the following adverse effects should the nurse instruct the client to expect?

Dry mouth has anticholinergic properties

During a routine home visit, a client describes what the nurse believes may be symptoms related to a hiatal hernia. Which modification to the client's bed is most appropriate to recommend at this time?

Raise the head of the bed on 4-inch blocks

The nurse reviews the results of diagnostic tests for a client experiencing persistent indigestion, feeling of gastric fullness, and unexplained weight loss. Which finding best suggests that the client's symptoms are related to cancer of the stomach?

gastric analysis shows absence of hydrochloric acid

A nurse is reinforcing teaching with a client who is to start taking hydrochlorothiazide for hypertension. The nurse instructs the client to eat foods rich in potassium. Which of the following statements by the client indicates an understanding of the teaching?

This medication can cause a loss of potassium

A nurse is caring for a client who has heart failure and is taking oral furosemide 40 mg daily. For which of the following adverse effects should the client be taught to monitor and notify the provider if it occurs?

Tinnitus This medication can cause ototoxicity