this is the real pharm 404 questions :))))

a nurse is preparing to administer codeine 30 mg PO every 4 hours PRN to a client for pain. the amount available is codeine oral solution 15 mg/5 mL. how many mL should the nurse plan to administer per dose?

10 mL

a nurse is preparing to administer cefixime 4 mg/kg PO twice daily to a preschooler who weighs 31 pounds. how many milligrams should the nurse administer with each dose?

56 mg

a nurse in a provider's office is assessing a client who reports taking a dietary supplement to reduce hot flashes related to menopause. which of the following supplements should the nurse expect the client to report taking? a. flaxseed b. ginkgo biloba c. black cohosh d. st. john's wort

black cohosh

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 teaching a client who has a prescription for doxycycline for the treatment of a h. pylori infection. which of the following instructions should the nurse include in the teaching? a. "take the medication with meals to decrease gastrointestinal upset" b. "continue this medication if you become pregnant" c. "wear protective clothing while in the sun" d. "expect to have severe diarrhea while taking this medication"

"wear protective clothing while in the sun"

a nurse is preparing to administer 1 mg of enalapril via IV bolus to a client who is experiencing hypertension. the amount available is enalapril 1.25 mg/mL. how many mL should the nurse plan to administer per dose?

0.8 mL

a charge nurse is teaching a newly licensed nurse about the purpose of a client being prescribed a transdermal fentanyl patch. which of the following clients should the charge nurse include in the teaching as a client who requires this medication? a. a client who is opioid-tolerant b. a client who has difficulty swallowing c. a client who has severe intermittent pain d. a client who is postoperative following abdominal surgery

a client who is opioid-tolerant

a nurse is preparing to administer iron dextran IV to a client. which of the following actions should the nurse plan to take? a. administer a small test dose before giving the full dose b. infuse the medication over 30 seconds c. monitor the client closely for hypertension after the infusion d. administer cyanocobalamin as an antidote if iron dextran toxicity occurs

administer a small test dose before giving the full dose

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 is caring for a client who has a new prescription for tamoxifen. the nurse should recognize that tamoxifen has which of the following therapeutic effects? a. anti-estrogenic b. antimicrobial c. androgenic d. anti-inflammatory

anti-estrogenic

a nurse is preparing to administer nitroglycerin topical ointment to a client who has angina. which of the following actions should the nurse take? a. cover the applied ointment with cotton gauze b. apply the ointment using a dose-measuring applicator c. apply the ointment using the index finger d. massage the ointment into the client's skin

apply the ointment using a dose-measuring applicator

a nurse is administering brimonidine eye drops to a client who has glaucoma. which of the following ocular effects should the nurse expect? a. decreased intraocular pressure b. blocked growth of new blood vessels c. paralysis of accomodation d. mydriasis

decreased intraocular pressure

a nurse is caring for a client who take 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 teaching a client who has chemotherapy-induced anemia and a prescription for epoetin alfa. the nurse should instruct the client to report which of the following findings as an adverse effect of epoetin alfa? a. hypertension b. leukocytosis c. bone pain d. neutropenia

hypertension

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

intestinal obstruction

a nurse is providing teaching to a client who has type 2 diabetes mellitus and a new prescription for metformin. which of the following adverse effects of metformin should the nurse instruct the client to watch for and report to the provider? a. weight gain b. myalgia c. hypoglycemia d. severe constipation

myalgia

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 distention

the client is having 1-2 bowel movements per day

a nurse is preparing to administer medication to a client. the nurse should understand which of the following abbreviations indicates the greatest frequency of medication administration? a. BID b. TID c. QID d. Q8h

QID

a nurse is reviewing the medical record of a client who has a prescription for a combination oral contraceptive. the nurse should identify that which of the following findings is a contraindication to receiving this medication? a. high cholesterol levels b. liver disease c. family history of ovarian cancer d. client report of hypermenorrhea

liver disease

a nurse is caring for a client who has unstable angina. the nurse should anticipate a prescription from the provider for which of the following medications? a. epinephrine b. nitroglycerin c. lidocaine d. atropine

nitroglycerin

a nurse is caring for a client who has schizophrenia and a prescription for chlorpromazine. for which of the following adverse effects should the nurse monitor? a. orthostatic hypotension b. diarrhea c. urinary frequency d. bradycardia

orthostatic hypotension

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

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 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

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? a. the calcium supplement will enhance the effect of levothyroxine b. the calcium supplement will accelerate the metabolism of the levothyroxine c. take the medications together at 1700 for the greatest effect d. take the calcium supplement 4 hours after taking the levothyroxine

take the calcium supplement 4 hours after taking the levothyroxine

a nurse is administering ciprofloxacin and phenazopyridine to a client who has a severe urinary tract infection (UTI). the clients ask why both medications are needed. which of the following responses should the nurse make? a. "phenazopyridine decreases the adverse effects of ciprofloxacin hydrochhloride" b. "combining phenazopyridine with ciprofloxacin hydrochloride shortens the course of therapy" c. "the use of phenozopyridine allows the doctor to prescribe a lower dosage of cirpofloxacin hydrochloride" d. "ciprofloxacin hydrochloride treats the infection, and phenozopyridine treats pain"

"ciprofloxacin hydrochloride treats the infection, and phenozopyridine treats the pain"

a nurse is providing teaching to a client who has a new precription for hydrochlorothiazide 50 mg PO daily to treat hypertension. which of the follow instructions should the nurse include in the teaching? a. "take hydrochlorothiazide as needed for edema" b. "check your weight once each week" c. "take hydrochlorothiazide on an empty stomach" d. "take hydrochlorothiazide in the morning"

"take hydrochlorothiazide in the morning"

a nurse is teaching a client who is postmenopausal and has a prescription for alendronate. which of the following statements should the nurse include in the teaching? a. "you can lie down 15 minutes after taking this medication" b. "take this medication on an empty stomach" c. "crush this medication to improve absorption" d. "avoid taking antacids or supplements that contain calcium while taking this medication"

"take this medication on an empty stomach"

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 4-6 inches while receiving hormone therapy" b. "hormone injection therapy will occur for 2-3 years" c. "your child will receive hormone injections no more often than 1-2 times each week" d. "the hormone injections are administered subcutaneously"

"the hormone injections are administered subcutaneously"

a nurse is teaching a client who has diabetes mellitus about a new prescription for pioglitazone. which of the following statements should the nurse include in the teaching? a. "monitor for hypoglycemia 6 hours after taking the medication" b. "this medication cannot be taken if you have a sulfa allergy" c. "this medication can be taken when using insulin" d. "this medication is effective for people with type 1 diabetes mellitus"

"this medication can be taken when using insulin"

a nurse is teaching a client who has been taking an NSAID 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 the 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 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"

a nurse is caring for a client with premenstrual disorder (PMD) who has a prescription for fluoxetine. the client asks the nurse, "when should i notice the benefits of this medication?" which of the following responses should the nurse make? a. "you should expect decreased manifestations within a few days" b. "manifestations decrease after about 2 months" c. "you should expect decreased manifestations immediately" d. "manifestations will decrease after several weeks"

"you should expect decreased manifestations within a few days"

a nurse is preparing to administer lactacted ringer's (LR) 1,000 mL IV infused over 8 hours. 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?

21 gtt/min

a nurse is preparing to administer cefepime 1g in 5% dextrose in water (D5W) 50 mL over 30 minutes to a client who has pneumonia. the drop factor of the manual IV tubing is 15 gtt/mL. the nurse should set the manual IV infusion to deliver how many gtt/min?

25 gtt/min

a nurse in a provider's office is providing teaching to a client with osteoporosis who has a new prescription for alendronate sodium. which of the following pieces of information should the nurse include? a. alendronate sodium can be administered by IV once yearly b. take alendronate sodium with a full glass of water on an empty stomach c. side effects of alendronate sodium include leukopenia d. alendronate sodium should be taken with calcium-containing foods to increase absorption

take alendronate sodium with a full glass of water on an empty stomach