VNSG 5 Pharmacology 🙏❤️🙏

Oxytocin is contraindicated in

abnormal fetal presentation, fetal distress, premature births

Hypoglycemia

abnormally low level of sugar in the blood

A nurse is preparing to administer phenazopyridine to a client. To help promote maximum effectiveness, the nurse should prioritize which time to administer this drug?

after meals

A nurse is preparing to administer dobutamine to a client who is also receiving a beta-adrenergic blocking agent. Which assessment finding will the nurse prioritize after administering both drugs?

hypertension

What condition is most likely to occur in a client taking a thyroid hormone

hyperthyroidism

Drug tolerance accumulates effect with hypnotic sedatives such as sleeping pills usually take them

A couple of weeks

Synergistic drug effect reaction two drugs interacting has

A greater effect makes the drug work more effectively or more stronger

A nurse is caring for a client who has been receiving an adrenergic medication. Which statement by the client alerts the nurse about an adverse effect of the medication and a reason to call the prescriber?

"I feel a "fluttering" feeling in my heart."

A nurse is preparing to administer methylergonovine to a client. The nurse will question this order if which situation or prescribed drug is noted in the clients medical record? Select all that apply

A heavysmoker Vasopressor

Mini-Mental State Examination (MMSE)

A test that is used to measure cognitive ability, and orientation

To start in IV you will need to place the tourniquet

Above the site 4 to 6 inches

First stage of pharmacokinetics is.

Absorption

Alpha-glucosidase inhibitors

Acarbose (precose) take when beginning to eat meal

Desmopressin (DDAVP) adverse reactions

Acetate Nasal congestion

A nurse is teaching a client about acarbose. The nurse determines the teaching is successful when the client correctly states which instruction to follow when administering the drug at home

Administer the drug with the first bite of the meal

The nurse educates a client about using the prescribed otic 0.5% hydrocortisone, 10,000 units polymyxin B, 4 drops QID in right ear x 10 days. Which client statements determine the need for further clarification?

"I will place the bottle tip into the ear and instill the 4 drops."

After teaching a client how to administer eye drops, the nurse determines that additional teaching is needed when the client makes which statement?

"I'll drop the solution into the nasal side of the lower eye sac."

A nurse is teaching a client about the prescribed potassium replacement therapy which the client will continue at home. After teaching the client about this therapy, the nurse determines that additional teaching is warranted when the client makes which statement?

"If I have trouble swallowing the drug, I can crush it."

The health care provider has ordered a variety of laboratory assessments on a client who will need estrogen replacement. The follow labs are ordered: Blood Urea Nitrogen (BUN), creatinine, and Liver Function Tests (LFTs). What is the nurse's best statement explaining to a client the need to draw the labs?

"The labs will identify your body's ability to filter and excrete medications."

A client is asking how alpha adrenergic blocking medications work. Which is the nurse's best response?

"They relax the smooth muscle of blood vessels by vasodilatation."

A client who is prescribed phenazopyridine is distressed seeing reddish-orange colored urine. Which response by the nurse would be most appropriate?

"This discoloration is a normal result of the medication."

The client reports a mild stinging sensation after using a nasal spray decongestant. Which response by the nurse would be most appropriate?

"This sensation is common and usually disappears with continued use."

Prehypertension

128/86

A health care provider orders levofloxacin 1000 mg/50 mL to be infused over a period of 1 hour. The IV infusion set delivers 15 drops/mL. The nurse would set the infusion rate at _. (Round off answer to whole number.)

13 drops/min

A health care provider orders 1000 mL D5W to be infused over a period of 4 hours. If the drop factor is 5 drops/mL, the nurse would calculate the IV flow rate to be _. (Round off answer to whole number.)

21 drops/ min

normal potassium levels

3.5-5.0 mEq/L

A client asks the nurse about drinking cranberry juice to prevent UTIs. The nurse informs the client that it is safe to use, suggesting an intake of which amount daily?

4-8 ounces

A client is prescribed two ophthalmic drugs that are to be administered at about the same time each day. The nurse instructs the client to separate the drug administration by which amount of time?

5-10 minutes

A health care provider orders 1000 mL normal saline to be infused over a period of 6 hours. If the drop factor is 20 drops/mL, the nurse would set the IV flow rate at _. (Round off answer to whole number.

56 drops/min

A nurse is monitoring a client who is receiving theophylline 400 mg IV for severe bronchospasms, shortness of breath and SaO2 of 85%. Which assessment finding should the nurse prioritize?

Abdominal cramps

The nursing instructor is preparing to teach a class discussing the various classes of drugs which are used to block or inhibit the sympathetic nervous system. Which classes of drugs will the instructor point out to the students? Select all that apply.

Adrengenic blocking drugs Antiadrengenic drugs Sysmpatholytics

The nurse is preparing to administer pramipexole to a client with Parkinson disease. The nurse notes the client is also prescribed verapamil. Which potential reaction should the nurse prioritize for careful monitoring?

Agonist effectiveness

The nurse is conducting an ongoing assessment after administering an antiepileptic. The nurse determines the client has a risk of increased CNS depression after noting the client is also administered which additional medication? Select all that apply.

Alcohol Analgesics

The primary health care provider has prescribed dexamethasone for a client being treated for immunologic skin disorder. Assessment of which finding would lead the nurse to suspect that the client is experiencing an adverse reaction to the drug?

Allergic contact dermatitis

Skin rash and itching

Allergic reaction

A client presents to the emergency department with an apparent reaction to recently stated thyroid therapy. Which assessment finding would lead the nurse to question that this client is experiencing a thyroid storm?

Altered mental status

A client with chronic asthma is prescribed albuterol. The nurse will prioritize which nursing diagnosis for this client?

Anxiety

A client with delayed puberty has been advised to undertake transdermal androgen therapy. Which instructions should the nurse prioritize?

Apply immediately after removing the cover.

A nurse is teaching a client how to properly apply a topical corticosteroid. The nurse determines the session is successful when the client correctly applies the medication in which manner?

Apply the topical corticosteroid sparingly

A nurse is caring for a client who has been prescribed propranolol for angina. After administering the drug, which action would the nurse do?

Ask about relief of symptoms and record responses on the chart.

Rapid Acting Insulin

Aspart (Novolog) Glulisine (Apidra)

The nursing instructor is teaching a group of students about drugs used for muscle spasms and cramping. The instructor determines the session is successful when the students correctly choose which instruction as relevant to skeletal muscle relaxants?

Avoid alcohol or other CNS depressants

A nurse is preparing a teaching session for a client prescribed methenamine for chronic bacterial UTIs. The nurse determines the session is successful when the client correctly points out which fact?

Avoid an excessive intake of citrus fruits.

A nurse is preparing to administer insulin glargine to a client. What precautions should the nurse take when administering drug?

Avoid mixing glargine with other insulin

A nurse is caring for a hospitalized client with a urinary tract infection (UTI). The nurse is preparing to administer nitrofurantoin, which is a bacteriostatic antibiotic. Which statement best differentiates bacteriostatic and bactericidal medications?

Bacteriostatic slows or retards the multiplication of bacteria.

A nurse is teaching a client about the thyroid hormone replacement therapy which has been prescribed.The nurse determines the teaching session is successful when the client indicates which time to take the drug?

Before breakfast

A nurse is teaching a client with glaucoma about the prescribed eye drops. The nurse emphasizes the importance of therapy to prevent which complication? Select all that apply

Blindness Nerve damage Visual loss

A client taking metoprolol 50 mg one tablet twice daily begins taking over-the-counter pseudoephedrine. The nurse would assess for which potential reaction? Select all that apply.

Braycardic episode Hypensentive episode

A nurse is preparing to administer goserelin to a client with prostate cancer. Which assessment findings should the nurse prioritize on the ongoing assessment?

Breast atrophy, sexual dysfunction

A client admitted for alcohol withdrawal has been prescribed chlordiazepoxide. The nurse will point out during teaching that the client will need to cease alcohol consumption due to which potential adverse reaction?

CNS depression

general anesthesia causes

CNS depression

The nurse is scheduled to administer an oral contraceptive to a client admitted with adult-onset diabetes. What is the priority teaching that would be provided regarding the medication

Call the primary care provider for any sudden onset of chest pain, shortness of breath, or redness, swelling and pain in a leg

An 80-year old client with chronic renal insufficiency is prescribed anabolic steroid therapy for the management of anemia associated with renal insufficiency. The nurse will carefully monitor the client for which potential disorder?

Cancer of the prostate

A nurse is preparing liothyronine to a client with chronic thyroiditis. The nurse determines the drug needs to be administered cautiously after nothing which disorder in the client's medical history

Cardiac disease

After teaching a group of nursing students about xanthine derivatives, the instructor determines that the teaching was successful when the students correctly state which result of using these medications? Select all that apply.

Cause flushing Stimulate the CNS to promote bronchodilation

After teaching a group of nursing students about antihistamines, the instructor determines that the teaching was successful when the students correctly choose which drugs as less sedating? Select all that apply.

Cetirinze Loratadine Fexofenadine

A client with allergies reports increased sedation after the initiation of chlorpheniramine. Which medications should the nurse point out as alterative medications for this client? Select all that apply

Cetirizine Loratadine

The nurse is preparing a client for abdominal surgery. Which product will the nurse plan to use to cleanse the proposed surgical site? Select all that apply.

Chlorhexidine Hexachlorophene

A nurse is caring for a patient with advanced breast cancer who is receiving androgen therapy.Which signs might alert the nurse to the possibility of liver toxicity?

Clinical jaundice

A nurse is completing an assessment on a 70-year-old client suspected of having a thyroid dysfunction.The nurse will question which findings as an indication before starting any thyroid treatment ?

Cold in tolerance Confusion Unsteady gait

A nurse is assessing a client diagnosed with hypothyroidism. Which of the following symptoms would the nurse most likely document regarding the client during the preadministeration assessment? Select all that apply?

Cold intolerance Confusion Unsteady gait

Levonorgestrel, a progestin is available as an

Contraceptive implant System used for 5 years

A client has been prescribed benzphetamine. The nurse would question administering this drug if which is noted in the client medical record?

Currently takes an antidepressant

The nurse is using chlorhexidine on a client for preoperative skin preparation. Which finding on the ongoing assessment should the nurse prioritize? a

Deafness

Androgen Hormone Inhibitors Finesterde

Decrease prostate

A nurse prepares to administer atenolol to a client who has recently suffered an acute MI. The nurse anticipates the client will experience which changes related to this medication? Select all that apply.

Decrease the heart's workload Decrease heart rate

A nurse is preparing to administer desiccated thyroid USP to a client who is also prescribed citalopram. The nurse predicts which assessments finding may occur in this client?

Decreased effectiveness of the thyroid drug

A nurse is teaching a client about the prescribed tolterodine. The nurse determines the session is successful when the client correctly chooses which potential adverse reactions to report to the health care provider? Select all that apply.

Decreased lacrimation Xerostomia Blurred Vision

A client is prescribed finasteride to treat symptoms of BPH. When teaching the client about this drug, the nurse should point out the potential of which adverse reactions? Select all that apply.

Decreased libido Erectile dysfunction

Interactions between Haldol with oxybutynin

Decreases the effect of Haloperiodol

A female client receiving fluoxymesterone for metastatic breast cancer is disturbed by the physical changes seen in her body. The nurse provides support to the client based on the assessment of which features the client is experiencing related to this therapy?

Deepening of the voice

After teaching a group of nursing students about drugs that affect the uterus, the instructor determines that the teaching was successful when the students correctly choose which drug as being used for cervical ripening?

Dinoprostone

A nurse is preparing to administer lidocaine viscous to a client scheduled for minor surgery. Which instruction regarding the intake of food should the nurse give the client?

Do not eat food for 1 hour after use.

The basic of Pharmacology the most critical thing to remember is

Drug action

Tolterodine adverse reactions

Dry mouth, constipation, headache, dizziness, and xerostomia

A nurse is teaching a client about the prescribed topical masoprocol. The nurse determines the session is successful when the client correctly chooses which potential adverse reactions may be noted with the use of this medication? Select all that apply.

Dry skin Scaling Flu-like symptoms

A nursing instructor is teaching a session on the drugs to treat benign prostatic hypertrophy. The instructor determines the session is successful when the students correctly choose which drugs that exert their effect by preventing testosterone conversion into an androgen?

Dutasreride Finasteride

The nursing instructor is teaching a group of nursing students about the various androgen drugs. The instructor determines the session is successful when the students correctly choose which drugs that needs to be handled with extreme caution especially by pregnant women? Select all that apply.

Dutasteride and Finasteride

A client would like to use carbamide peroxide and asks the nurse if this is okay. The nurse would caution the client to avoid using this product if which situation is present? Select all that apply.

Ear drainage Perforated eardrum

The nurse determines the appropriate nursing diagnosis for a client is Ineffective Airway Clearance. Which instructions will the nurse prioritize for this client? Select all that apply

Encourage the client to change positions Encourage increased fluid intake Assisting the client in taking deep, diaphragmatic breaths

The nurse is developing a plan of care for a client with a UTI who is prescribed an anti-infective drug. Which instruction should the nurse prioritize if the nursing diagnosis of Impaired Urinary Elimination is the most appropriate for this client?

Encouraging a fluid intake of at least 2000 mL/day

Administration of estrogen is different in women who have an intact uterus or a hysterectomy. Which statement is correct?

Estrogen is administered alone after a hysterectomy

A nurse instructor has completed teaching a group of nursing students about beta-adrenergic receptors. The instructor determines the teaching is successful when the students correctly choose which areas of the body the beta-adrenergic receptors are found? Select all that apply.

Eyes Lungs

After teaching the family of a client with Parkinson disease about possible adverse reactions, the nurse determines that the teaching was successful when the family states they will withhold the drug if the client experiences which adverse reaction? Select all that apply

Facial grimacing Protruding tongue Exaggerated chewing motions

A nurse determines a nursing diagnosis of impaired oral mucous membrane for a client receiving appropriate drug therapy of urge incontinence. The nurse would most likely choose this nursing diagnosis related to which drug

Fesosterodine

A nurse is conducting an assessment on a client who presents with itching, redness, and swelling of the right hand. The nurse suspects the client will be diagnosed with dermatitis and prescribed which topical drug? Select all that apply.

Fluocinonide Hydrocortisone

Preparing insulin for administration check healthcare providers orders

For the type and dosage of insulin immediately before withdrawing the insulin from the vial.

A client with chronic open-angle glaucoma has been prescribed brimonidine tartrate. After administering the drug, the nurse should monitor the client for which potential adverse reaction?

Foreign body sensation

A nurse is preparing to administer an ophthalmic solution to a client who is diagnosed with a bacterial ocular infection. Which drug would the nurse predict that will be prescribed? Select all that apply.

Gatifloxacin Tobramycin

By ————they determine which one they going to use by the length of surgical procedure

General anesthesia

A healthcare provider has prescribed growth hormone for a client. Which periodic tests would the nurse anticipate monitoring at different intervals during the treatment?

Glucose tolerance

A nurse is preparing a presentation for a young adult women's group about oral contraceptives and the risks. Which conditions would the nurse include as having increased risk of developing when prescribed contraceptives

Hepatic adenoma

A 30-year-old pregnant woman has been prescribed oxytocin. After assessing the client's drug regimen and nothing the client is also prescribed vasopressors the nurse will carefully monitor the client for potential adverse reaction?

Hypertension

lower potassium

Hypokalemia S/S: *Cardiac Dysrhythmias* and *Muscle Cramps*

After teaching a client who is prescribed methimazole, the nurse determines that the teaching was effective when the client states which point?

I need to take the drug around the clock" I should call my primary healthcare provider if I have a fever

The nurse is developing the plan of care for a client with a skin lesion requiring topical therapy. Which nursing diagnosis would the nurse most likely prioritize?

Impaired skin integrity

A nurse has administered levothyroxine to a client for hypothyroidism. The nurse determines the client is responding appropriately to the therapy based on which assessment findings?

Increased appetite

A client is receiving alendronate for osteoporosis. The client has informed the nurse that she has also been taking aspirin. Which interaction should the nurse monitor for in this client?

Increased risk of Gi bleeding

A client is receiving corticosteroids and digoxin. The nurse will carefully monitor the client for which potential adverse reaction?

Increased risk of toxicity

The nurse is assessing a client who was administered metformin and notes hyperventilation, nausea, and somnolence. The nurse determines which nursing diagnosis should be prioritized for this client?

Ineffective breathing pattern

A nurse is teaching a client how to properly administer fosfomycin. The nurse determines the session is successful when the client correctly points out they will administer the drug in which manner?

Ingest the drug immediately after mixing with water.

A client with hyperthyroidism, who is prescribed methimazole, reports a skin rash to the nurse . Which instructions should the nurse prioritize when assessing the client

Instruct the client to use soap sparingly

A nurse is preparing to administer a long-acting insulin to a client. Which insulin might the nurse administer

Insulin glargine Insulin determir

A nurse is providing care for a client diagnosed with thyroid cancer. Which drug will the nurse anticipate being prescribed for that client

Iodine-131

A healthcare provider has prescribed a medication for a client is diagnosed with euthyroid goiter. The nurse would expect to administer which drug?

Levothyroxine

A student nurse has completed a class presentation depicting the various topical drugs. The instructor determines the student has correctly illustrated which drugs act by temporarily blocking the action of sensory nerve fibers? Select all that apply.

Lidocaine Dibcucaine

A healthcare provider has prescribed vasopressin to the client. Which assessment should the nurse perform on the ongoing assessment?

Observe the client for blanching of the skin, abdominal cramps, and nausea

Before administering a prescribed bronchodilator to a client experiencing acute breathing distress, which assessments should the nurse complete? Select all that apply.

Lung sounds Respiratory rate Pulse Blood pressure

A nurse conducts a daily urine pH as part of the ongoing assessment of a client with a UTI. The nurse will utilize this test to establish the effectiveness of which drugs? Select all that apply

Methenamine Nitrofurantoin

Appendectomy general anesthesia is determined by the length of the surgical procedure it is caused by

Methohexital as a general anesthetic

A nurse has administered albuterol to a client with asthma, who is now reporting dizziness, especially when standing up. When analyzing the client's record for potential sources, which prescribed medications should the nurse question?

Methyldopa

After teaching a group of students about antidiabetic drugs, the instructor determines that the teaching was successful when the students correctly choose which drugs as producing glucose-lowering effects by delaying the digestion and absorption of carbohydrates in the intestines. Select all apply

Migitol Acarbose

An older adult client, who is hospitalized, develops a UTI and is prescribed appropriate anti-infective therapy. Which action should the nurse prioritize on the ongoing assessment for this client?

Monitor the client's vital signs every 4 hours.

A nurse is monitoring a client who is prescribed short-term high-dose methylprednisolone. Which assessment findings should the nurse prioritize?

Moon face Buffalo hump

Which of the following statements, if made by the client, would indicate a possible adverse reaction to the administration of vasopressin

My stomach is cramping

The nurse is preparing to administer erythromycin otic to a client. The nurse will question this prescription if which diagnosed eye disorder is noted in the client's medical record? Select all that apply

Mycobacterial infection Epithelial herpes simplex keratitis Fungal infection

general anesthesia the checklist

Need to check labs

The nurse is applying topical collagenase to a client. The nurse would assess the client for which signs or symptoms as a possible adverse reaction? Select all that apply

Numbness Mild pain Dermatitis

A nursing instructor is teaching a group of nursing students about type 2 diabetes. The instructor determines the session is successful when the students correctly choose which as a risk factor for individuals developing type 2 diabetes?

Obesity

A nurse would administer phentolamine cautiously to a client with which condition? Select all that apply.

Recent MI and renal failure

A pregnant woman at 40 weeks gestation has been prescribed oxytocin IV. Which intervention would the nurse prioritize before administering oxytocin?

Obtain an obstetric and general health history

A nurse is caring for a client with an arrhythmia. Which assessment would the nurse prioritize for a client with a life-threatening arrhythmia who is receiving an adrenergic blocking drug intravenously?

Perform continuous cardiac monitoring.

A client is diagnosed with springtime allergic conjunctivitis. The nurse predicts the client will be prescribed which otic solution?

Permirolast

The nurse notes a client has a new prescription for an expectorate. The nurse will monitor this client cautiously if which disorder is noted in the client's history?

Persistent cough

A client with a UTI is experiencing dysuria. The nurse would expect which drug to be prescribed?

Phenazopyridine

A stat order is given immediately by a

Physician

Hyperglycemia

Polyuria (increased urination) Polydipsia( increased thirst) Polyphagia ( increased of appetite)

A client who is prescribed digoxin is receiving electrolyte replacement therapy. The nurse would monitor the client for signs of digoxin toxicity if which electrolyte is administered?

Potassium

A nurse is assessing a client receiving IV fluid and electrolyte therapy. Which laboratory test result will the nurse prioritize

Potassium 2.1 mEq/L

A nurse is preparing to administer IV fat emulsions to a client. The nurse will exercise caution when administering this solution after discovering the client also has which disorder noted in the medical record?

Pulmonary disorder

A nurse is assessing a client receiving a continuous IV infusion. Which assessment findings should the nurse prioritize? Select all that apply.

Rapid breathing Distended neck veins

The nurse is preparing to administer a topical medication to a client with a skin disorder. Which assessments should the nurse prioritize on the assessment? Select all that apply.

Report of pain and burning Size of the area affected Appearance of the lesions

A nurse is preparing to administer an ointment to two clients, one with a Staphylococcus aureus infection and another with a Streptococcus pyogenes infection. Which drug would the nurse predict the primary health care provider to prescribe? Select all that apply.

Retapamulin Mupirocin

The nurse is preparing a teaching plan for a client and caregiver concerning the cholinergic drug therapy which has been prescribed. Which teaching point should the nurse prioritize?

Review of the purpose of the drug therapy with the client and family

A client is beginning therapy with terazosin. Based on the action of this drug, which nursing diagnosis should the nurse prioritize?

Risk for injury

planning phase

Setting up goals and interventions

The nurse informs the client that therapy with a thyroid hormone may not initially produce a therapeutic response for

Several weeks or more

After conducting an in-service program for a group of nurses about topical drugs used to treat skin disorders, the presenter determines that the teaching was successful when the group correctly concludes which disorder as an appropriate use for topical enzymes? Select all that apply

Severely burn areas Chronic dermal ulcers

Precautions/Contraindications methylergonovine

Should not be given to smokers or clients with hypertension

The nurse is monitoring a client who is receiving caffeine. The nurse determines the client is experiencing a therapeutic response with which assessment finding?

Skeletal muscle stimulation

A client diagnosed with hyperthyroidism has been prescribed propylthiouracil. After administering the drug which assessment findings should the nurse prioritize

Skin rash

A nurse is preparing to administer potassium to a client. The nurse will carefully monitor the client for adverse reactions to the potassium if which additional medication is being administered to this client? Select all that apply

Spironolactone Lisinopril

The nurse has completed teaching a client about the prescribed upper respiratory drug. The nurse determines additional teaching is warranted when the client chooses which finding as necessitating?

Sputum appears clear

Stages of General Anesthesia

Stage 1: Analgesia Stage 2: Excitement or delirium Stage 3: Surgical Stage 4: Medullary paralysis

The nurse is teaching a client how to properly use a peak flow meter. The nurse determines the session is successful when the client correctly explains which steps? Select all that apply.

Stands upright to allow the best inhalation possible Makes sure indicator is at lowest level on scale Makes sure lips are sealed tightly around the mouthpiece

A client is prescribed oxytocin for intranasal use. The nurse will explain to the client this will achieve which result?

Stimulation of the milk ejection reflex

A nurse is monitoring a client who is receiving IV electrolytes. Which priority action should the nurse take if the following are noted on the assessment of the intravenous site: redness, edema, warmth, and pain?

Stop the current infusion and restart the infusion in another vein.

A nurse caring for a client taking warfarin develops a UTI. The nurse should monitor the client for increased risk of bleeding if which anti-infective is prescribed?

Sulfamethoxazole

Severe Allergic drug reaction to angioedema

Swollen eyelids, and lips

A client with hyperthyroidism has been prescribed diazoxide.After administration which adverse reaction should the nurse prioritize?

Tachycardia

A client comes to the emergency department and reports extreme pain. Physical assessment reveals an erection. When obtaining clients medication history, which drug would the nurse expect the client to report using

Tadalafil

A client has been prescribed glucocorticoids for the treatment of congenital adrenal hyperplasia.Which should the nurse prioritize on the ongoing assessments for the client?

Take and record vital signs every 4 to 8 hours

A nurse is preparing to teach a client the correct method to take cromolyn orally. Which instruction will the nurse point out as being the appropriate method to follow?

Take the drug at least 30 minutes before meals

A nurse is preparing discharge teaching for a client while is prescribed glucocorticoid therapy. Which instructions should the nurse point out in the teaching plan for the client and caregivers?

Take with food, meals or snacks

A nurse is preparing to administer methenamine to a client for UTI. The nurse will question this order if the client is noted to be allergic to which substance?

Tartrazine

A client with recently diagnosed exercise-induced bronchospasms is to be prescribed an inhalant. The nurse anticipates the client will be prescribed which medication? Select all that apply

Terbutaline Levalbuterol

When caring for a patient receiving estrogen replacement therapy for post menopausal symptoms, the nurse documents a diagnosis of ineffective tissue perfusion. Which condition is the nurse prioritizing in the diagnosis?

Thromboembolism

Toxic reactions of blood drug levels of digoxin

To reduce the chance of having toxic reactions

After teaching a group of nursing students about otic preparations, the instructor determines that the teaching was successful when the group correctly chooses which preparations as being used to aid in the removal of cerumen? Select all that apply.

Triethanolamine polypeptide Carbamide peroxide

Terbutaline prevents

Uterine contractions

Skeletal muscle relaxants when it's put in a tracheal tube to paralyze them so they won't have a

Vagal response

Doing drug development healthcare providers report adverse drug reactions to the FDA

When it's a new drug and it is in the 4th phase of development

Women who are childbearing should not handle finesteride

Which harms the fetus

A client diagnosed with a urinary tract infection (UTI) asks the nurse about how to prevent another infection. Which statement by the client indicates effective teaching by the nurse?

Wipe from front to back after going to the bathroom.

A nurse is preparing to administer propranolol to a client for the treatment of cardiac arrhythmias. The nurse checks the client's apical pulse rate and blood pressure before administration and notes that the pulse rate is 58 bpm. Which action would the nurse prioritize?

Withhold the drug and contact health care provider.

A nurse has administered nitrofurantoin to a client who is now reporting dyspnea, chest pain, and is coughing. Which action should the nurse prioritize?

Withhold the drug and contact the primary health care provider.

Which nursing diagnosis would the nurse anticipate when administering either a uterine stimulant or tocolytic?

anxiety

A client prescribed an antihistamine for vasomotor rhinitis is concerned about the potential increased sedation effects. Which antihistamine can the nurse point out as the best option to help avoid the sedation effects?

azelastine

The nursing instructor is teaching a session explaining the various drugs used to treat urinary tract infections. The instructor determines the session is successful when the students correctly choose which organ as most often affected by infections?

bladder

A client is prescribed tamsulosin and atenolol. Which assessment would the nurse prioritize when conducting the ongoing assessment?

blood pressure

The nurse has administered dicyclomine to an elderly client. Which finding on the ongoing assessment should the nurse prioritize?

blurred vision

The nurse is assessing a client for the effectiveness of the antiparkinson drug. If the nurse determines the client has improvement in these movements, which factor will the nurse point out has improved?

bradykinesia

After teaching a group of nursing students about various ophthalmic drugs, the instructor determines that the teaching was successful when the students correctly choose which drug as a carbonic anhydrase inhibitor?

brinzolamide

higher potassium

can cause cardia arrhythmia

A nurse is monitoring a client receiving IV dobutamine. Which assessment finding should the nurse prioritize?

cardiac arrhythmias

A client with Parkinson disease has been using levodopa. The client is now prescribed labetalol for hypertension. Which finding should the nurse prioritize if noted on assessment?

decreased effect of levodopa

The health care provider has prescribed a cholinergic blocking drug for a client with Parkinson disease. Which finding in the health record alerts the nurse to the need for cautious administration

decreased liver function

A client with a history of treatment for heart failure is prescribed Buspirone. Which adverse reaction should the nurse prioritize?

digitalis toxicity

A nurse has administered entacapone to a 55-year-old client with Parkinson disease. Which adverse reaction should the nurse prioritize?

dyskinesia

Adverse reactions to the administration of fludrocortisone include

edema, hypertension

What additional warnings or risks should the nurse include in teaching plan of a client receiving estrogen

endometrial cancer

A nurse is caring for a female client who states she has a 28-day cycle. Which two hormones are influential in the female fertility cycle

estrogen and progesterone

A client is admitted to the health care facility with acute glaucoma. After administering the prescribed ophthalmic drugs, the nurse continues to assess the client for pain relief at which frequency?

every 2 hours

The nursing instructor is explaining the various drug therapies used to treat UTIs. The instructor determines the session is successful when the students correctly point out which body system is most often adversely affected by these drugs?

gastrointestinal

A nurse is conducting an in-service presentation for a group of nurses about UTIs and hospitalized clients. When discussing preventive measures, the nurse would prioritize which action as the primary nursing intervention for prevention of UTIs?

hand hygiene

The nurse has administered an antitussive to an older client. Which findings on assessment should the nurse prioritize? Select all that apply.

hearing loss, visual impairment

A nurse is preparing to administer bicarbonate to a client who is also prescribed fluoroquinolones. Which potential situation will the nurse carefully monitor the client for after administering these two drugs?

increased risk of crystalluria

A nurse is teaching a client about albuterol which has been prescribed. The nurse determines the session is successful when the client correctly chooses which adverse reaction to report immediately to the health care provider?

insomnia

The nurse is teaching a client about ACTH which has been prescribed. The nurse determines the session is successful when the client correctly points out they will need to avoid which medication?

live vaccines

A nurse has administered ammonium chloride to a client as prescribed. Which assessment finding will the nurse prioritize?

metabolic acidosis

A client with nocturnal enuresis is prescribed desmopressin acetate. Which assessment finding should the nurse prioritize for this client?

nasal congestion

A client with a nonproductive cough is prescribed codeine sulfate. The nurse will question this order for clients with which history?

premature infant

A 31-year-old pregnant woman has been prescribed a tocolytic drug. The nurse will explain to the client that this drug class is used primarily for which reason?

preterm labor

The nurse is preparing to teach a child with asthma and caregivers about the prescribed corticosteroids. Which factor should the nurse point out will require monitoring?

rate of growth

The nurse has completed a teaching with a client prescribed phenytoin daily for seizure activity. The nurse determines the session is successful after the client correctly chooses which potential adverse reaction that can occur if the client misses a dose of medication?

recurrence of seizures

A nurse is preparing to administer potassium to a client. Which reaction should the nurse carefully monitor the client for if the use of salt substitutes is documented in the client's record?

severe hyperkalemia

After teaching a group of nursing students about CNS stimulants, the instructor determines that the teaching was successful when the students correctly choose which factor as a contraindication?

severe hypertension

Implementation

the process by which a law or policy is put into operation

The function of the hormone oxytocin is to stimulate

uterine smooth muscle

Which of the following adverse reactions would the nurse expect with administration of clomiphene?

vasomotor flushes

A nurse is monitoring a client prescribed dextran IV. Which finding on the ongoing assessment will the nurse prioritize

wheezing